Fifth disease - ພະຍາດທີຫ້າ
☆ ໃນປີ 2022 Stiftung Warentest ຜົນໄດ້ຮັບຈາກເຢຍລະມັນ, ຄວາມພໍໃຈຂອງຜູ້ບໍລິໂພກກັບ ModelDerm ແມ່ນຕໍ່າກວ່າການປຶກສາຫາລືທາງດ້ານການປິ່ນປົວທາງໂທລະສັບເລັກນ້ອຍເທົ່ານັ້ນ.
ອາຍຸ 16 ເດືອນ ພະຍາດທີຫ້າ (Fifth disease) - ແກ້ມທັງສອງປ່ຽນເປັນສີແດງ, ຄືກັບຖືກຕົບ, ແລະຜື່ນ maculopapular ປາກົດຢູ່ຕາມຮ່າງກາຍ.
ສິວອັກເສບ ແກ້ມທັງສອງ.
References
Fifth disease , ເຊິ່ງເອີ້ນກັນວ່າ erythema infectiosum, ແມ່ນການຕິດເຊື້ອໄວຣັດທີ່ເກີດຈາກ parvovirus B19 ຂອງມະນຸດ. ມັນແຜ່ຫຼາຍໃນເດັກນ້ອຍ, ໂດຍທົ່ວໄປແລ້ວຜົນກະທົບຕໍ່ຜູ້ທີ່ມີອາຍຸລະຫວ່າງ 4 ຫາ 14 ປີ. ອາການຕ່າງໆມັກຈະເລີ່ມຕົ້ນດ້ວຍອາການໄຂ້ອ່ອນໆ, ເຈັບຫົວ, ເຈັບຄໍ, ແລະຄວາມຮູ້ສຶກຄ້າຍຄືໄຂ້ຫວັດ. ເດັກນ້ອຍອາດຈະເກີດເປັນຜື່ນແດງທີ່ແຕກຕ່າງກັບໃບໜ້າ slapped cheeks , ພ້ອມກັບຜື່ນແດງຕາມຮ່າງກາຍ, ແຂນ ແລະຂາ. ໃນຜູ້ໃຫຍ່, ຄວາມເຈັບປວດຮ່ວມກັນແມ່ນການຮ້ອງທຸກທົ່ວໄປ, ເຊິ່ງອາດຈະປາກົດຢູ່ໃນອາທິດຫຼັງຈາກການຕິດເຊື້ອເບື້ອງຕົ້ນ. ໂດຍສະເພາະ, ປະມານ 20 ຫາ 30% ຂອງຜູ້ໃຫຍ່ທີ່ຕິດເຊື້ອ parvovirus B19 ອາດຈະບໍ່ສະແດງອາການໃດໆ.
Fifth disease (erythema infectiosum) is a viral infection caused by human parvovirus B19. It is more common in children than adults and usually affects children ages 4 to 14. The disease often starts with mild fever, headache, sore throat, and other flu-like symptoms. Children can also develop a bright red rash on the face that looks like “slapped cheeks”, along with a lacy or bumpy rash on the body, arms, and legs. In adults, joint aches are a common symptom. Rash and joint symptoms may develop several weeks after infection. About 20 to 30% of adults who are infected with parvovirus B19 will not have symptoms.
Fifth disease (erythema infectiosum) is a viral infection caused by human parvovirus B19. It is more common in children than adults and usually affects children ages 4 to 14. The disease often starts with mild fever, headache, sore throat, and other flu-like symptoms. Children can also develop a bright red rash on the face that looks like “slapped cheeks”, along with a lacy or bumpy rash on the body, arms, and legs. In adults, joint aches are a common symptom. Rash and joint symptoms may develop several weeks after infection. About 20 to 30% of adults who are infected with parvovirus B19 will not have symptoms.
ຄວາມສ່ຽງຂອງການຖ່າຍທອດ parvovirus B19 ຈາກແມ່ໄປຫາລູກແມ່ນປະມານ 33%, ປະມານ 3% ຂອງແມ່ຍິງທີ່ຕິດເຊື້ອແມ່ນປະສົບກັບອາການແຊກຊ້ອນໃນລູກນ້ອຍ. ເມື່ອແມ່ຕິດເຊື້ອກ່ອນການຖືພາ 20 ອາທິດ, ໂອກາດທີ່ຈະເກີດອາການແຊກຊ້ອນເຊັ່ນ: ບັນຫາເລືອດ ແລະ ນໍ້າໃນຮ່າງກາຍຂອງລູກຈະເພີ່ມຂຶ້ນ. ເພື່ອເລີ່ມຕົ້ນການຈັດການພະຍາດນີ້, ພວກເຮົາຄວນກວດເບິ່ງວ່າຄົນເຈັບເຄີຍສໍາຜັດກັບ parvovirus ໂດຍການທົດສອບສໍາລັບພູມຕ້ານທານທີ່ແນ່ນອນ (IgM) . ຖ້າການທົດສອບບໍ່ສະແດງໃຫ້ເຫັນການເປີດເຜີຍໃນອະດີດແຕ່ຊີ້ໃຫ້ເຫັນເຖິງການຕິດເຊື້ອທີ່ຜ່ານມາ, ຄົນເຈັບຕ້ອງການການຕິດຕາມຢ່າງໃກ້ຊິດໃນລະຫວ່າງການຖືພາ, ລວມທັງການສະແກນ ultrasound ປົກກະຕິເພື່ອກວດເບິ່ງບັນຫາສຸຂະພາບຂອງເດັກບາງຢ່າງ.
The rate of vertical transmission during maternal parvovirus B19 infection is estimated at 33%, with fetal complications occurring in 3% of infected women. Fetal complications comprising hemolysis, anemia, and nonimmune hydrops fetalis and fetal loss are more frequent when maternal infection occurs before 20 weeks of gestation. The first step in the management of this patient would be to obtain immunoglobulin (Ig) M and IgG titres against parvovirus to evaluate if the patient has had previous immunity against the disease. If results are negative for IgG but positive for IgM (ie, primary infection), this patient would need close obstetrical monitoring for the following weeks, including serial ultrasounds to rule out fetal anemia and hydrops fetalis.
The rate of vertical transmission during maternal parvovirus B19 infection is estimated at 33%, with fetal complications occurring in 3% of infected women. Fetal complications comprising hemolysis, anemia, and nonimmune hydrops fetalis and fetal loss are more frequent when maternal infection occurs before 20 weeks of gestation. The first step in the management of this patient would be to obtain immunoglobulin (Ig) M and IgG titres against parvovirus to evaluate if the patient has had previous immunity against the disease. If results are negative for IgG but positive for IgM (ie, primary infection), this patient would need close obstetrical monitoring for the following weeks, including serial ultrasounds to rule out fetal anemia and hydrops fetalis.
ພະຍາດທີຫ້າ (fifth disease) ເລີ່ມຕົ້ນດ້ວຍອາການໄຂ້ຕໍ່າ, ເຈັບຫົວ, ຜື່ນແດງ, ແລະ ອາການຄ້າຍຄືໄຂ້ຫວັດ, ເຊັ່ນ: ນ້ຳມູກໄຫຼ ຫຼື ດັງ. ອາການເຫຼົ່ານີ້ຜ່ານໄປ, ຫຼັງຈາກນັ້ນສອງສາມມື້ຕໍ່ມາ, ຜື່ນຈະປາກົດ. ຜື່ນແດງທີ່ສົດໃສມັກຈະປາກົດຢູ່ໃນໃບຫນ້າ, ໂດຍສະເພາະແກ້ມ. (ເພາະສະນັ້ນຈຶ່ງເອີ້ນວ່າ “ພະຍາດແກ້ມ”). ນອກເໜືອໄປຈາກແກ້ມແດງແລ້ວ, ເດັກນ້ອຍມັກຈະເກີດເປັນຜື່ນແດງ, ຜິວໜັງບໍລິເວນສ່ວນທີ່ເຫຼືອຂອງຮ່າງກາຍ, ໂດຍທີ່ແຂນ, ລຳຕົວ, ແລະຂາແມ່ນສະຖານທີ່ທົ່ວໄປທີ່ສຸດ.
ພະຍາດດັ່ງກ່າວມັກຈະບໍ່ຮຸນແຮງ, ແຕ່ໃນແມ່ຍິງຖືພາ, ການຕິດເຊື້ອໃນໄຕມາດທໍາອິດແມ່ນພົວພັນກັບ hydrops fetalis, ເຊິ່ງກໍ່ໃຫ້ເກີດການຫຼຸລູກໂດຍ spontaneous.
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