Fifth disease - Ugonjwa Wa Tano
☆ Katika matokeo ya 2022 ya Stiftung Warentest kutoka Ujerumani, kuridhika kwa watumiaji na ModelDerm kulikuwa chini kidogo kuliko na mashauriano ya matibabu ya simu yanayolipishwa.
Mtoto wa miezi 16 mwenye Ugonjwa Wa Tano (Fifth disease) ― Mashavu yote mawili yanageuka mekundu, kana kwamba yanapigwa kofi, na vipele vya maculopapular huonekana kwenye mwili.
Erithema kwenye mashavu yote mawili.
References
Fifth disease , pia inajulikana kama erithema infectiosum, ni maambukizi ya virusi yanayosababishwa na binadamu parvovirus B19. Imeenea zaidi kwa watoto, kwa kawaida huathiri wale wenye umri wa kati ya miaka 4 hadi 14. Dalili mara nyingi huanza na homa kidogo, maumivu ya kichwa, koo, na hisia kama za mafua. Watoto wanaweza kupata vipele vyekundu kwenye uso vinavyofanana na slapped cheeks , pamoja na vipele vyenye muundo kwenye mwili, mikono na miguu. Kwa watu wazima, maumivu ya pamoja ni malalamiko ya kawaida, ambayo yanaweza kuonekana wiki baada ya maambukizi ya awali. Kwa hakika, karibu 20 hadi 30% ya watu wazima walioambukizwa na parvovirus B19 wanaweza wasionyeshe dalili zozote.
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.
Hatari ya kuambukizwa parvovirus B19 kutoka kwa mama hadi kwa mtoto ni karibu 33%, huku takriban 3% ya wanawake walioambukizwa wakipata matatizo kwa watoto wao. Mama anapoambukizwa kabla ya wiki 20 za ujauzito, uwezekano wa matatizo kama vile matatizo ya damu na mkusanyiko wa maji katika mwili wa mtoto huongezeka. Ili kuanza kudhibiti ugonjwa huu, tunapaswa kuangalia ikiwa mgonjwa amewahi kuathiriwa na parvovirus kwa kupima kingamwili fulani (IgM) . Ikiwa kipimo hakionyeshi mfiduo wa awali lakini kinaonyesha maambukizi ya hivi majuzi, mgonjwa anahitaji ufuatiliaji wa karibu wakati wa ujauzito, ikiwa ni pamoja na uchunguzi wa mara kwa mara wa ultrasound ili kuangalia masuala fulani ya afya ya mtoto.
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.
ugonjwa wa tano (fifth disease) huanza na homa ya kiwango cha chini, maumivu ya kichwa, vipele, na dalili zinazofanana na baridi, kama vile mafua au pua iliyojaa. Dalili hizi hupita, kisha siku chache baadaye, upele huonekana. Upele mwekundu unaong'aa mara nyingi huonekana usoni, haswa kwenye mashavu. (kwa hivyo jina "ugonjwa wa shavu iliyopigwa"). Mbali na mashavu mekundu, watoto mara nyingi huwa na upele mwekundu kwenye mwili wote, na sehemu za juu za mikono, kiwiliwili, na miguu.
Ugonjwa huo kwa kawaida ni mdogo, lakini kwa wanawake wajawazito, maambukizi katika trimester ya kwanza yamehusishwa na hydrops fetalis, na kusababisha kuharibika kwa mimba kwa pekee.
○ Matibabu
Hakuna matibabu maalum inahitajika kwani kawaida huboresha kwa muda.