Rheumatic core disease , also known as RHD , is a result of acute rheumatic febrility or ARF . Although repeated episodes acute rheumatic fever or multiple attacks usually cause Rheumatic heart disease , but at times , a single case of acute rheumatic fever might also lead to the life - threatening disease of rheumatic heart disease . Mostly , it is a result of cases , where the acute creaky fever is not recognized and treat on time . But the disease must be care for right at its root , when the root causal agent of bacterium called Group A streptococci , attack the throat and gradually leads to collapse of the heart as the valve bomb to properly pump blood , when not address at the root .
Good-to-Know Facts For Preventing Rheumatic Heart Disease:
Rheumatic Fever which if avoided make Rheumatic Heart Disease and can take a serious turn if neglected . Rheumatic Heart Disease occurs more in children and young adults and could take a biography - threatening turn . Thus preventing Rheumatic Heart Disease at the beginning is the best possible affair . However , before focusing on the symptoms few facts must be observe which helps in the prevention and early detection of Rheumatic Heart Disease .
Risk Factors and Occurrence of Rheumatic Heart Disease:
Although this disease is mostly visible in nipper in between the age of 5 and 15 , it can also occur in multitude of any age group . Every year about 233,000 mass buy the farm from Rheumatic Heart Disease and majorly they are children and youthful adult , who are endure in countries with low-toned - income that is in an overcrowded and poverty stricken surface area that is remotely situated with circumscribed access to aesculapian precaution . Almost 1 % of all schoolhouse tike in Asia , Africa , Latin America and Eastern Mediterranean region are show signs of this disease and the indigenous populations of Australia , New Zealand , sub - Saharan Africa , the Pacific and the south - central Asia are the areas that are worst sham . More than 15.6 million people are suffering from this Rheumatic Heart Disease in the entire earth at this present moment .
Identifying Rheumatic Heart Disease with its Symptoms:
When the rheumy fever is not treated on metre , it guide to rheumy heart disease . To keep the creaky fever from affecting the heart with arthritic heart disease , its symptoms need to be identify for a ‘ subclinical ’ assessment . Once the heart and the connecting tissue are affected by the Group A streptococcus , the symptoms that can be see are :
Prevention of Rheumatic Heart Disease:
As Rheumatic Heart Disease is a disease that is triggered by bacteria , therefore , the practical and the most systematic way of preventing it should be with antibiotics , unless the bacteria is not resistant to the antibiotic drug . GAS or Group A Streptococcushave been sore to Penicillin . Prevention of Rheumatic Heart Disease can be done in two direction and they are master and secondary procedures .
Primary Prophylaxis:
Benzathine benzyl group penicillin injectant is the most common and basic of bar of Rheumatic Heart Disease . asunder from this , Phenoxymethyl penicillin or Pen VK is also lend oneself along with Erythromycin ethylsucci in cases , where Benzathine benzyl penicillin is not apply . In extreme strange case , Anaphylaxis is also applied for preventing the rheumy fever to affect the centre .
Although the cost of this preventative measure for Rheumatic Heart Disease using Primary Prophylaxis is often a doubt of much concern , it only costs US $ 46 for each penicillin injection , but if not provided , it might consequently lead to a rheumatic heart . Once the Rheumatic Heart Disease occurs , there is no way other than a surgery which be US$ 15,000 . When the surgery is being considered , it must also be mentioned that not all the land are equipped with such surgical facilities and infrastructure .
However , the basal prevention is more difficult to attain in realism than in theory . To extinguish Group A Streptococcus or forbid its shock the individual needs to –
Secondary Prophylaxis:
The World Health Organization along with the World Heart Federation has approved the petty prophylaxis as an even more utilitarian method for prevent Rheumatic Heart Disease . As penicillin prophylaxis has not been prove useful for preventing Rheumatic Heart Disease in all children with subclinical rheumy valve wound , it is not recommended for them . Penicillin prophylaxis is therefore used mostly for those small fry who have threat of “ meaning subclinical rheumatic heart disease ” .
Secondary Prophylaxis on the other hand is a more desirable choice for prevent Rheumatic Heart Disease . In this bar program , penicillin shot is utilize immediately after a first episode of acute rheumy fever . After that , a monthly penicillin injection software follows up till the third decennium of the patient role ’s life . This cash register base control is more utile in forestall the disease in a widespread mode and also considered by most countries because of its cost - effectiveness and inexpensiveness .
The secondary prophylaxis is more useful since the primary prophylaxis is unable to forestall the return of the repeated attacks . Rheumatic febrility has a tendency to re - occur and to prevent that , the Benzathine penicillin or penicillin prophylaxis is apply . This is necessary to make certain that the repeat software of this shot preclude further occurrence of the disease which might damage the heart valve tissue paper when recur time and again . However , this lower-ranking bar can not prevent the initial damage and can only prevent further raw attacks .
Importance of Hygiene and Health:
It has been seen that basal prophylaxis is not passable for the prevention of Rheumatic Heart Disease and a dramatic improvement in the condition of the wellness can be achieved by allow hygiene base . As the prevalence of the rheumy heart disease has been attributed to unhygienic living and overcrowd interrelate to low socio - economical status , improvement of aliment will pass to a better resistant response and thus fight and fend the infection .
Necessary Condition for Prevention of Rheumatic Heart Disease in Children and Young Adults:
To prevent the tiddler and immature adult , who are likely to be affected by this disease , it is very important that former catching of the “ subclinical ” rheumatic valve is done . With such detections , it is always potential to prevent recurrent episodes by coating of cautionary penicillin as a prophylactic measure . Traditionally this detection of the possibleness for rheumatic pith disease is done by listening to the murmurs by stethoscope and in suspected cases ; it is follow by echocardiographic substantiation .
Consequences of Failure To Prevent Rheumatic Heart Disease:
Although prevention is the first priority for this disease , yet if Rheumatic Heart Disease has already occurred , there are still manner useable to treat it and stop from further worsening of the condition . program of antibiotics is done to check that that the bacteria does not spread further damaging the valve and in case , where spartan damage has been done to the heart valve , surgery is done to replace or repair the marrow valves .
Also Read :
