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1.Bed rest in the acute phase: 2 to 3 weeks in bed in patients without carditis; Patients with carditis should stay in bed for 4 to 6 weeks; Patients with heart failure should be absolutely bedridden until heart failure is completely corrected, and then gradually get up and move.
2.Medications**:
Aspirin: used in patients with no or mild cardiac involvement. 100 mg kg of body weight daily, divided into 4 doses after meals. 4 After 6 weeks, gradually reduce the dose, decreasing grams per month until the grams are taken 3 times a day. The total course of treatment is not less than one year.
Adrenocorticotropic hormone: suitable for patients with moderate to severe carditis. Prednisone 10 15 mg kg of body weight (daily < 60 mg) initially, 1 time in the morning.
After 2 3 weeks ** of effect, gradually reduce the dose by 25 mg every 3 days until 10 mg daily for maintenance, for a total course of 8 to 12 weeks. Aspirin should be taken within 2 weeks before discontinuation, and the dose and course of treatment should be the same as before.
Penicillin: generally 800,000 units, 2 3 times a day intramuscularly, 400 8 million units intravenously once a day for heavy cases, 2 weeks later, 1.2 million units of benzathine penicillin, 1 time a month intramuscularly, long-term maintenance. Penicillin-allergic patients should change to erythromycin orally, over 12 years old, 4 times a day, under 12 years old, 20 mg per kilogram of body weight per day, divided into 4 doses.
After 2 weeks, it gradually decreases to grams, and it is maintained twice a day for a long time.
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Antibiotics such as penicillin or erythromycin can be used for patients with rheumatic fever**, and for patients with heart valve damage, replacement surgery or valvuloplasty** can be used**. During the ** period, you should eat high-protein, high-vitamin, high-calorie foods, and quit smoking and drinking.
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Recently, when I went to work, I always felt that my knee joint was very painful, I thought it was caused by sitting at work for a long time, so I didn't pay much attention to it, and then the situation became more and more serious, and after going for examination, I said that I was suffering from acute rheumatic fever. Today, let me share with you what are the best methods of rheumatic fever.
1.**One: anti-rheumatism**, the preferred drug for rheumatoid arthritis is non-steroidal anti-inflammatory drugs.
Among them, aspirin is still the preferred drug, divided into 3 4 oral doses, the general course of treatment is 6 to 8 weeks, and patients with mild carditis should be used for 12 weeks. Corticosteroids are recommended only in severe carditis with congestive heart failure.
2.**2: Commonly used drugs are prednisone, taken in 3 to 4 times, gradually reduced after controlling the condition, and the course of treatment is at least 12 weeks.
Patients with pericarditis or myocarditis and acute heart failure may be given intravenous dexamethasone or hydrocortisone until improvement is changed to oral prednisone.
3.**Three: Glucocorticoids can also be used for the treatment of severe arthritis that does not respond to aspirin, with a course of 6 to 8 weeks.
Patients with severe carditis or cardiomegaly are prone to heart failure and should be treated with angiotensin-converting enzyme inhibitors, diuretics, and cardiac workload-reducing drugs in addition to glucocorticoids**.
Precautions. Rheumatic fever is relatively easy, so patients should cooperate with the doctor's rules**, and cannot stop ** when the symptoms disappear, so as not to get sick**, **At the same time, they should also pay attention to drinking more water and exercising a little to enhance their resistance.
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In the past few days, I always feel tightness in my chest, a little panicked, and I don't do any intense exercise, I always have a stuffy chest, I heard that this may be a symptom of rheumatic fever, so I went to the hospital for a check-up, and it is really this disease. Let's learn what rheumatic fever is.
1.First: Rheumatism and rheumatic fever are not exactly the same disease, the two have an intersection, rheumatism in traditional Chinese medicine mostly refers to the whole body connective tissue disease, which is more likely to occur in the joints of the whole body. Rheumatic fever in Western medicine is due to carditis and arthritis caused by streptococcal infection.
2.Second: Rheumatic fever is a common anti-action acute or chronic inflammation of the connective tissue, mainly affecting the heart, joints, central nervous system, and subcutaneous tissues. The clinical manifestations are mainly carditis and arthritis, which may be accompanied by fever.
3.Third: rheumatic fever is an autoimmune disease caused by streptococcal infection, which can affect joints, heart, ** and other systems. The resulting joint lesions used to be called "rheumatoid arthritis" and are typically characterized by multiple, large-joint, migratory arthritis.
Precautions. The most important thing is to prevent rheumatic fever, and if you do a good job of prevention in your life, you can avoid suffering from diseases, and you should also ensure adequate sleep and nutrition, rest more, exercise properly, take medicine on time, and then observe and see.
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Rheumatic fever is a non-purulent inflammation of the connective tissue of the whole body, which is one of the major diseases that endanger the life and health of school-age children in childhood. In recent years, the incidence has gradually decreased, and connective tissue spreads throughout all systems and organs of the body, so rheumatic fever invades many organ systems throughout the body, showing complex and diverse clinical symptoms.
In addition, the progression of rheumatic fever is very insidious and not easy to detect early, and it is often diagnosed only after severe valvular heart disease or even heart failure. Rheumatic fever often has a history of hemoptysis streptococcal infection such as pharyngitis, tonsillitis or scarlet fever for one to three weeks before the onset of rheumatic fever, showing general symptoms, not easy to be noticed, often manifested as tiredness, lack of energy, loss of appetite, paleness, excessive sweating, etc., fever is generally not too high, blood fever type is more irregular, a few have short-term fever, most of them are long-term persistent low-grade fever.
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Rheumatic fever is a very common anti-action acute or chronic systemic connective tissue immune inflammatory disease, mainly involving the heart, joints, central nervous system, ** and subcutaneous tissues, the clinical manifestations are carditis and arthritis as the main clinical manifestations, accompanied by fever, toxemia, rash, subcutaneous nodules, chorea, etc.
Acute attacks are often arthritis, severe rheumatic carditis can cause death, atypical cases and insidious onset, often manifested as mild and severe cardiac damage, especially valvular disease, can form chronic rheumatic heart disease or rheumatic valvular disease, acute rheumatic fever can occur at any age, common in children and adolescents between the ages of five and fifteen.
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Rheumatic fever is an acute or chronic inflammation of the whole body of the connective tissue after throat infection with group A group B hemolytic streptococcus, mainly involving joints, heart, subcutaneous tissues, and occasionally the central nervous system, blood vessels, serosa and internal organs such as lungs and kidneys. The clinical manifestations are mainly arthritis and carditis, which may be accompanied by fever, rash, subcutaneous nodules, chorea, etc.
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The main symptom of rheumatic fever is carditis, migratory large joint swelling and pain, in addition, there can also be fever, fatigue and other discomforts, and at the same time, in addition to other system involvement, ** can appear rash nodular erythema, annular erythema, can also appear chorea, at the same time can also appear nervous system and other involvement, its clinical manifestations are more. If it is converted to chronic, heart valve disease can be left behind, forming rheumatic heart valve disease, which is mainly through anti-rheumatic and anti-infective**, anti-infective drugs, mainly penicillin**.
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Rheumatic fever is an autoimmune disease caused by this hemolytic streptococcus, and in this case, it mostly affects a child or some adolescents, usually some migratory arthritis about two weeks after some respiratory infection or scarlet fever infection.
When the heart valve is seriously damaged, valvuloplasty or valve replacement can be performed to restore the normal function of the valve, which can significantly improve the clinical symptoms of critically ill children, but the indications must be carefully grasped and can be used appropriately, but it is best to follow the guidance and advice of professional doctors, do not abuse drugs, and actively use anti-infective drugs once rheumatic fever is diagnosed. Penicillin can be used in patients with acute streptococcal infection, and erythromycin can be used in patients with penicillin allergy. Anti-rheumatic**. >>>More
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