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But you should pay attention when a small injury, because the symptoms may be lighter and much brunt of what it will be when the big hit, even if the symptoms of joint pain may not appear at all, and the child may seem very ill with the advent of high temperature and a rash that may appear to them as if infected with a contagious disease. It teaches parents that children with arthritis symptoms, although simple and light, but it actually affects the whole body.
Some types of arthritis that affects the child may affect the eyes may lead to his blindness, and these serious complications should be monitored and addressed. When recovering from a severe bout of the child, should limit its activities and sports in anticipation and to prevent injury to the affected joints any cuts or bruises that could lead to injury following a heart.
Must be full attention to the patient, and understand the nature and mechanism of the disease and treatments. It has been proven that the child grant love and affection by parents or others play a key role for effective treatment. As rheumatism affects adults, it also affects children, even in the early years of age. So the mother must pay attention to some of the symptoms suffered by the child, such as swollen joints and morning stiffness and high temperature pain.
Rheumatic fever
The rheumatic fever of the most important types of acute rheumatism, although they occur in children at any age, they rarely occur in infants, but appear more frequently between the ages of five and fifteen, where tonsillitis more frequent and severe and is one of the most important causes of these fevers.
Where the microbe lumpy toxins secreted its own, reacts with the immune system and as a result of this interaction is concentrated in the heart and nervous system, joints and skin, and start different symptoms depending on the place of infection, and rheumatic fever remains a serious problem in developing countries, including the Middle East. The environmental, biological and specific factors that play a role in the incidence of rheumatic fever, appear to be important, because they are linked to the occurrence and severity of sepsis lumpy.
Among these factors, latitude, and altitude, humidity and economic factors of poverty and deprivation, malnutrition and overcrowding, as happens in the military barracks and closed sites, schools and large families in small houses is the biggest environmental factor in this disease occurs.
The attack of acute rheumatic fever pretend rising temperature with detailed mobile pain that is, they may begin to detail and then move on to a detailed yet another to be the first detailed fully recovered over a period of days or weeks and rarely proves pain in one joint has been accompanied by a slight swelling in the affected joint , knowing that the large joints of the Parties are the most common and rarely become inflamed several large joints at the same time, though arthritis Say what complications or abnormalities leaves behind in the affected joint, unlike rheumatoid arthritis.
It is also the emergence of symptoms rash, the rash may not always be visible, but when the child bathe with warm water, and the rash appears in all parts of the body, but it seems clear, either on the back, chest, abdomen, hands or feet. And these symptoms can precede inflammation of the tonsils or pharynx recurring inflammation. A fever is considered inflammatory rheumatic disease occurs Kaaqpol late sepsis pharyngeal streptococcal infection group (a).
Painless nodules may appear small size of a pea under the skin of the patient unnoticed, perhaps showing diets Streptococcus, and in the late stage of the disease infected brain. Sudden movements is purposeful and irregular infect face, tongue, hands, arms and shoulders may appear and grow these involuntary movements, emotional and disappear during sleep.
The patient complains of things fall out of his hand is involuntary. These symptoms are called small dance performance.
And Diagnosis relies on the existence of two or more of the major symptoms (heart muscle inflammation, arthritis, dance disease, skin rash, held under the skin), or one of the major symptoms with two or more minor symptoms (high fever, pain in the joints, Previous incidence of rheumatic fever, high erythrocyte sedimentation rate and rising anti-Staphylococcus aureus, which is called Banteay Stervto lysine. (ASO) or some other streptococcal antibodies or changes in cardiac planning.
In a laboratory test can diagnose the disease up erythrocyte sedimentation rate and rising anti-Staphylococcus aureus (ASO) or some other streptococcal antibodies.
And sometimes appears in cardiac planning affect KPR distance, and sometimes when we hear the revised attack, it may be necessary to visually examine the heart, to see if the heart valves was hit or not, the infection is, either expansion or narrowing or erosion deposits on them. Injury when a fuse consists LED infected small clots may reach the brain and lead to clogged arteries, the patient's neurological deficit from paralysis or other and getting hurt.
Serious complications
But the biggest danger is the impact of this leave when the baby fever infection, tonsillitis several times in the year that the germs of the disease affecting the kidneys, heart, where all departments affected by heart and heart swells due to inflammation may leave traces permanent damage to the heart or in the valves. It must take into account how much of that child in the age of flowers was wounded in his heart valves, and often the reason is the neglect of the parents in the treatment of recurrent tonsillitis or inflammation of the pharynx at such a young age.
And do not forget to get rid of the spots in the bacterial tonsillitis or damaged teeth have a major impact in the prevention of some of these diseases.
The conduct of rheumatic fever vary greatly, and it is Machines forecast the onset of the disease and, in general, about 75% of rheumatic fever attacks subside within 6 weeks and 90% during the 12 weeks and less than 5% may take more than 6 months.
Treatment varies depending on the detected phase where the disease is more the early diagnosis of the disease where treatment is easier and faster healing, and so we can avoid surgical intervention for the heart. The clinical comfort necessary until symptoms disappear, and are given to prevent infection of the tonsils and throat, injection of long-acting penicillin periodically and regularly.
For the prevention of rheumatic fever must improve the living and social situation up good nutrition for children and reduce congestion places, as happens in the closed sites, schools and large families living in small houses.
The adequate treatment for sepsis pharyngeal appropriate antibiotic will prevent initial attacks of rheumatic fever, and if the disease detection and treated appropriately enough, the spread of infection in what will stop the epidemic nodal disease community and will decrease the incidence of fever in the community.
Osteoporosis and Osteoarthritis
The word osteoporosis (Rickets) to the lack of mineralization Taker growth or bone marrow tissue, and thus becomes the bone weak. Bone changes can be observed in Khera clinically after several months of vitamin D deficiency may develop laminating infants in the case of breastfeeding mothers with osteoporosis within two months. And shows a clear close during the first year and second year of life, while longer Tzepehrth lack of vitamin D in late childhood are rare.
The clinical manifestations of severe and clear. A child injured, lazy and weak resistance and slow the normal growth. Swells ends of the bones and bend the long bones and joints swell cartilaginous bone and lead to the so-called «Rosary costal or Alrkhaddah», leads tighten the diaphragm on the rib cage to the bottom notching Alawrab, a so-called cavity Harrison.
The bones become fragile rickets, also delayed Zaoralosinan and be weak.
Be clinical demonstrations of rickets caused by skeletal deformities and fractures preparedness, weakness and lack of muscle toning, as well as developmental disorders. In severe cases in Khera Alaose lack of vitamin D can hypocalcemia cause Tkzza and when it is severe and may be associated with episodes of spasm throat, but in infants and young children appearances include listlessness (listlessness), agitation and crying with reinforcing the lack of a deep and sweating, muscle weakness, and when disease progresses the patient becomes unable to walk without assistance.
And develop the child's Hump frontal (the emergence of the front bone) and flatten the wall thumping in the skull and Taatlin dome head (Altubbs cranial) and can be expanded Druze. Be promoted and distortions in the basin and the parties if the disease is not treated with a special leg arched common and tibia bone, the thigh, the radius and ulna.
In osteomalacia (Osteomalacia) the mineralization mature bone does not match the bone formation and thus becomes the bone weak (osteomalacia means soft bone), a bone disease, metabolic, and is characterized by inadequate calcification of bone, which depends on the proportion of contained calcium, phosphorus and perhaps a number of metabolites of vitamin d. The manifestations of osteomalacia in adults is usually mild. Soreness can occur in bones and reluctantly over muscle weakness, especially in the deltoid muscle and the pelvic girdle, spoke a result Kmsheeh duck waddling gait.
As demonstrated osteoporosis in the elderly is a charmer and shows surreptitiously, has neglected skeletal abnormality of the bones and controlled demonstrations disturbance underlying the symptoms of the disease that causes osteomalacia, for example, in the vitamin D deficiency in (celiac disease adult type), some of the symptoms when they occur include physical pain diffuse tenderness marrow. A proximal muscle weakness that mimics the weakness in neuromuscular disorders and contribute to gait Almthadih.
Can be a pain and weakness that I stayed patient in bed or chair. Most girls infected women attending antenatal doctor were aged between 14-18 years old, and some of them had come in a wheelchair, for not walking Asttaathen was their diets, fast food such as burgers, and Hrabehn soft drinks.
But were able to walk on their feet without help after about three months of Cherbhen milk constantly and they are taking a healthy diet and exposure to the sun and, of course, follow-up treatment. So we recommend patients to decrease the frigate foods such as chili and desserts dyed canned beverages, especially carbonated as well as stimulants such as tea and coffee. It is also advisable with plenty of milk and milk products, vegetables and fresh fruits.
Food plays, especially in the period of growth an important role to achieve the maximum bone density after adolescence, and will be an asset and a good investment for the bones in the days of aging. The elemental calcium play an important role in building strong bones and reduce the risk of this disease. It was found that people who rely on food to fast food and eating small amounts of fresh vegetables and dairy products rich in calcium, they become more susceptible to the disease when they reach old age.
As a result of what occurred in the Arab societies of the sudden change in behavior and lifestyle of the people in addition to the significant change in the quality of the food, which has become largely similar to it in Western countries, the spread of dishes quick, soft drinks, sweets and chocolate, I expect that the increased incidence of osteoporosis among These communities are sudden and large. The classification of soft drinks devastating to the health of the fact that all of the materials that make these drinks which are harmful, such as white sugar and industrial chemical sweeteners and preservatives and carbon dioxide.
With regard to white sugar Fathtoa soda cans, about 8 teaspoons sugar, and the sugar destroys vitamin B, which plays a major role in improving digestion and absorption of food and cell proliferation, and leads deficiency to poor infrastructure neuromuscular, headaches and feeling of insomnia and anxiety, depression, boredom and unrest, In addition to harming a layer of enamel in the teeth and an increase in weight.
The carbon dioxide gas, which contain soft drinks, it accelerates gastric emptying of food towards the intestine, before the completion of stages digested in the stomach and inhibits the action of yeast pepsin, which hinders the process of digestion, and that contrary to what he knows about it helps digestion.
It is strange that prevents parents from their children to drink tea and coffee, and allow them to drink cola, note that the presence of caffeine alone, is reason enough to deprive children of these drinks, but adding caffeine leads to addiction these drinks and the difficulty of quitting.
Rheumatoid arthritis youth (Romatoyd children):
Rheumatoid arthritis youth (rheumatoid arthritis) is a disease or group of diseases characterized by chronic inflammation of the membrane hinge. The disease is divided into a multi-disease begin hinge: where infected small joints of the hands and the disease is divided into two types: multi-joint inflammation of rheumatoid factor negative (20. constitutes 30%) of all patients with rheumatoid arthritis youth. The multi-joint inflammation positive rheumatoid factor Vickl (5- 10% only). The evolution of the disease may begin the morning stiffness, swelling and loss of movement gradually, or inflammation develops accidental detailed abruptly with swelling of the joints.
Inflammation usually begins the large joints, Kalrkptin, ankles, wrists, elbows, the initial infection is often asymptomatic. Occurs arthritis of the spine which features Ptibs neck and pain in about half of patients. The disease is starting a little arthritis is characterized by joint disease, which is determined by four or fewer joints, inflammation, and often get large joints and are asymmetrical.
The disease is divided into two types: the first type affects (30. 40%), mainly girls before the fourth and be positive tests for the antibodies cores 90% of patients. The second pattern afflicts boys are over eighteen, and constitutes 10% of 15 patients with juvenile rheumatoid arthritis. And there are often a family story. Some patients develop over time ankylosing spondylitis Model with lumbar spine injury afternoon. Juvenile rheumatoid disease is characterized by the start systemic manifestations of the disease outside articulated, especially in the evening, usually fever and rash.
General Tips
* Advised to eat large quantities of fresh green vegetables and dairy products rich in calcium, as calcium deficiency leads to a sense of numbness and tingling around the mouth and fingertips.
* Regular exposure to the sun to get vitamin «d», where the presence of this vitamin helps calcium absorption through the intestine and metabolized.
* Reduction of stimuli, such as tea, coffee and soft drinks as lead to increased excretion of calcium in the urine.
* Also preferably reducing dyed sweets, canned juices, as well as from the frigate foods such as chili.
* Do not eat white bread, pastries, cakes and sweets and sugars and chocolate, fried foods and prefer to reduce the rice paddies.
* Preferably exercise of moderate or light.
D. Zia Taj al-Din al-Haj Hussein consultant rheumatic diseases
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