Rheumatic Heart Disease

Rheumatic Heart Disease

How ill If There's Disease in the Human Body. How ill, if we have Rheumatic Heart Disease. Surely we feel is the pain and discomfort. Rheumatic Heart Disease (RHD) is a condition where there is damage to heart valves that could be a narrowing or leakage, particularly mitral valve (mitral valve stenosis) as a result of residual symptoms of Rheumatic Fever (DR).

Rheumatic fever is a systemic disease that can be acute, subacute, chronic, or fulminant, and can occur after infection hemolyticus beta Streptococcus group A in the upper respiratory tract. Acute rheumatic fever is characterized by prolonged fever, heart pounding, sometimes get tired quickly. The peak incidence of rheumatic fever are in the age group 5-15 years, the disease is rare in children under the age of 4 years and the population over 50 years.

Someone who had rheumatic fever if not treated adequately, then it is possible to experience an attack of rheumatic heart disease. Infection by Streptococcus group A Beta Hemolyticus that causes a person suffered rheumatic fever which preceded the occurrence of inflammation in the throat channel, due to the management and treatment that is less directional lead poison / toxin from the bacteria spread through the bloodstream and cause inflammation of the heart valves. The result leaves the valve so that narrows experience adhesions, or to thicken and contract so that the cover is not perfect anymore and leak.

Rheumatic heart disease is due to infection from streptococcus infection originating from tonsilopharingitis pain or infection of the teeth or gums. The infection will spread to organs through the bloodstream and the heart will cause inflammation of the cardiac component.

• Symptoms of Rheumatic Heart Disease

Patients generally megalami shortness of breath caused by heart already experiencing problems, joint pain that moved around, reddish spots on the skin are bounded, irregular hand movements and uncontrollable, or small lumps under the skin. In addition also the accompanying signs are abdominal pain, weight loss, rapid fatigue and of course fever.

In addition to the presence of signs and symptoms that appear directly from the physical, the doctor will usually perform some laboratory tests, for example, routine blood tests, Asto, CRP, and throat culture review. The most accurate form of inspection is to do echocardiografi to see the condition of heart valves and heart muscle.

• Treatment of Rheumatic Heart Disease

If the diagnosis of rheumatic heart disease has been established and the persistence of the infection by the Streptococcus bacteria, the main thing that comes from the team doctor was giving antibiotics and anti inflammatory. For example, antibiotic drug penicillin or benzathine penicillin orally G. In patients who are allergic to either drug, another alternative is giving erythromycin or cephalosporin class. While anti-inflammatory that is usually given is Cortisone and Aspirin.

Patients are encouraged to bed rest in hospital, besides the medical team will think about the handling of the likelihood of complications such as heart failure, bacterial endocarditis or trombo-embolism. Patients will be given high nutrition diet that contains enough vitamins.

Rheumatic Heart Disease Patients without symptoms do not require therapy. Patients with mild symptoms of heart failure requiring medical therapy to address the complaint. Patients who require symptomatic therapy or invasive interventions surgikal. But surgikal therapeutic intervention is limited and is available and costs are relatively expensive and require long-term follow-up.