Rheumatism kasalliga - y sharoitida davolas buladimi? davolash oldini olish, asoratlanishi

So-called rheumatism or acute rheumatic fever (according to new terminology) is a systemic inflammatory disease of connective tissue, in which the pathological process has a tropism towards the membranes of the heart and joints.

Even at the beginning of the 20th century, the concept of “rheumatism” meant almost any disease of the joints - doctors did not have the need or opportunity to differentiate these ailments, especially since the range of healing procedures was not diverse. Today, a rheumatologist has a wide range of diagnostic methods in his arsenal, allowing him to distinguish rheumatism from many other rheumatological diseases, each of which has its own treatment strategy.

Rheumatism is a disease predominantly of children aged 6 to 15 years, and only 1 child in 1000 suffers in this age group.

Primary rheumatism in adult patients is observed less frequently. According to statistics, women are 2-3 times more likely to suffer from this disease than men.

Rheumatism usually begins some time after a streptococcal infection of the nasopharynx, and after a few years it can turn into a chronic, incurable disease. Fortunately, only 1-3% of patients who have an infection become victims of rheumatic fever.

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Consultation with a rheumatologist

2 Consultation with a rheumatologist

3 Consultation with a rheumatologist

Causes of rheumatism

Why do some people get rheumatism, while others under the same conditions do not? People who often suffer from ENT diseases are more likely to get rheumatism. Those at risk are those whose relatives have this disease and those who have the B-cell marker D8/17 in their blood.

So, the risk factors:

• streptococcal infection (angina, scarlet fever, pharyngitis);
• defects of the immune system, the presence of autoimmunity;
• genetic predisposition to the disease.

Rheumatism oldini olish

Bir ҳaftadan ortik tomok oғrigi bulsa, shifokorga murozhaat qiling, chunki tomok A guru Streptokokklar tomonidan infectionlangan bulishi mumkin. Yashash joyingizda yakhshi sanitation sharoitlarini taminlash va kўp odamlar yigilgan zhoydan kochish tavsia etiladi. Tananing tabii mudofaasini ragbatlantiring. Ovqat tayorlashni boshlashdan avval qўlingizni yakhshilab yuving, ainiksa aksa ursangiz yoki yўtalsangiz. Shu orkali siz anginani keltirib chikaruvchi bacteriyalar tarkalishining oldini olasiz.

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Clinical picture of rheumatism

The trigger for the development of rheumatism is the entry of streptococcus into the body, as a result of which the immune system begins to produce antibodies to fight the infection. However, in the body itself, namely in connective tissues and heart muscle, there are molecules of the same structure. Due to the presence of this factor, the immune system begins to “fight” its cells. As a result, connective tissue is damaged, and this is fraught with heart defects and joint deformation.

Forms of rheumatism

• cardiac form (cardiac rheumatism), when all the membranes of the heart are affected (pancarditis), myocardium (myocarditis), endocardium (endocarditis);
• articular form (rheumatism of the joints);
• cutaneous form;
• pulmonary form (pleurisy);
• rheumatic chorea (St. Vitus' dance).

Forecast

The prognosis for this disease is made taking into account the nature of the disease and the degree of myocardial damage.

The frequency of observation by a cardiologist depends on:

• phases of the disease
• attack frequency
• severity of attacks
• associated septic condition
• circulatory failure.

An unfavorable prognosis is observed in young patients with associated septic process, when death is possible. Deaths are observed in patients due to acute coronary circulatory disorders.

Don't risk your health! Timely contact with a qualified doctor and the adoption of emergency measures, as well as competent organization of the regime in the active phase of the disease, can prevent the development of irreversible heart damage and improve the prognosis.

Symptoms of rheumatism

Rheumatism has a wide variety of manifestations: damage to the heart, joints, nervous and respiratory systems. 2-3 weeks after contracting a sore throat or pharyngitis, the first signs of rheumatism appear: fever, weakness, fatigue, headache. In some people, acute rheumatism begins 1-2 days after hypothermia, even without connection with infection.

Rheumatism of the heart

Already at the beginning of the disease, pain in the heart begins, increased heartbeat, shortness of breath even at rest.

Rheumatic arthritis

With articular rheumatism of the legs and arms, pain appears in the knee, elbow, wrist, and shoulder joints. The joints swell, active movements in them are limited. As a rule, after taking non-steroidal anti-inflammatory drugs, pain from rheumatism quickly disappears.

Skin rheumatism

With cutaneous rheumatism, vascular permeability increases. Therefore, skin rashes appear on the lower extremities.

Rheumatic pleurisy

A fairly rare manifestation of the disease. Main symptoms: body temperature remains above 38 degrees, severe pain in the chest, dry cough, shortness of breath, pleural noise can be heard on auscultation. More often the disease is limited to a fairly mild form of pleurisy.

1 ECG

2 Echocardiography with Doppler analysis

3 X-ray examination

Rheumatic manifestations of damage to the nervous system

Sometimes rheumatism can provoke damage to the meninges, subcortex and medulla. One of the manifestations of the disease is the dance of St. Vitus. With this complication, convulsive, involuntary contraction of the muscles of the face, torso of the arms and legs occurs. With a sharp contraction of the glottis, suffocation can occur, which is very dangerous for human life.

Abdominal syndrome

This type of complication is typical for children and adolescents. Accompanied by elevated body temperature, nausea, vomiting, and abdominal pain in the form of contractions.

Rheumatism should not be left to chance or treated by relying on the advice of friends and relatives, even those familiar with this disease. Loss of time leads to progression of the disease and dangerous complications in rheumatism. There is a threat of developing atrial fibrillation and myocardiosclerosis. Possible damage to the lungs and kidneys. And the most dangerous thing is thromboembolism (blockage of the pulmonary artery by a blood clot), which can suddenly end the patient’s life.

Kasallikning turlari: rheumatismni tasniflash

Kechish tabiati biyicha rheumatism ўtkir va surunkali shaklda buladi:

• Otkir rheumatism . Rheumatismning bu shakli 20 yoshgacha bulgan odamlarda uchraydi. Rheumatism ўtkir shaklining қўzғatuvchi agents and streptococcus. Rheumatism boshdan kechirilgan yukori nafas yўllari infectionsi bilan birlashsa, alomatlarning kechikishi (odatda 14-21 kunlarda) qaid qilinadi. Otkir rheumatismning uziga hos hususiyati uning rivozhlanish tezligidir. Dastlab, bemorlarni shamollash va grippdagi kabi umumiy intoxication alomatlari bezovta kiladi. Ainan shu alomatlarning ўkhshashligi bu kasallikni darhol aniklashga imkon bermaidy. Bir muncha vaqt ўtgach carditis, polyarthritis, teri ustida toshmalar, basan teri tugunlari kabi uziga hos alomatlar sezila boshlaydi. Kasallikning ўtkir davri uch oygacha davom etadi. Airim hollarda ўtkir rheumatism 6 oigach davám etadi.
• Surunkali rheumatism . Rheumatismning surunkali shakliga kelsak, y tez-tez kaytalanishi bilan characterlanadi, khatto bemor uz vaktida tegishli davolashni olib borsa ham. Ainiksa, surunkali rheumatismning kuchayishi kuz-kish mavsumida tez-tez sodir buladi, chunki sovuk zhiddiy kuzgatuvchi omil hisoblanadi. Bundan tashkari, namlik yukori bulgan zhoylarda uzoq muddat turish (yoki yashash) kasallikning kuchayishiga yordam beradi. Koidaga kira, surunkali rheumatismning khuruzhi yiliga bir necha marta sodir buladi.

Surunkali rheumatism yetarlicha ogir shaklda kechib, bemorning khayot sifatini sezilarli darazada kamaitiradi. Bemorni bўgimlardagi azobli oғrik, shuningdek yurak soҳasidagi oғriklar bezovta kiladi.

Kay azo shikastlanganliga karab, rheumatism kuyidagi turlarga bulinadi:

• Rheumatismning yurak shakli . Kasallikning bu shaklida yurak mushaklari tasirlanadi. Bundai ҳolatda bemorlardagi oғriқlar bir-biridan farq qiladi: kimdadir yakkol oғrik, bośkalarda esa mўadil oғrik қayk қilinadi. Dastlabki boskichlarda rheumatismning yurak shakli deyarli namoyon bўlmaydi va faqat muayyan instrumental tadqiqotlar, masalan, EKG yordamida aniklanadi. Kasallikning sўnggi bosqichlarida oғir yurak shikastlanishi va ўtkir yurak yetishmovchiligirivozhlanadi, bu yurak mushakining kiskaruvchi kobiliyatining pasayishiga olib keladi.
• Rheumatismning bugim shakli . Rheumatismning bўgimli (articular) shaklida faqat bўgimlar yoki yurak bilan bўgimlar shikastlanishi mumkin. Odatda, rheumatism bўgim shakli katta bўgimlarga ta'sir kiladi va ohirgi boskichlarda pathologist zharyon kichik bugimlarni gam qamrab oladi. Sekin-asta bғgim khaltachasi va togailarning shikastlanishi rўy beradi. Kuchli ogrik tufayli, bemor shikastlangan bugimni harakatlantirishi kiyinlashadi. Bugim rheumatismining ўtkir shaklida yoki khuruz davrida tana harorati 39 °C ga kadar kutarilishi mumkin.
• Rheumatismning neurologist Shakli . Asab tizimining rheumatic shikastlanishi bugim va yurak shikastlanishidan kura kamrok uchraydi. Rheumatismning neurologist shaklida harakatlanish uchun zhavob beradigan bosh miya pustlogi huzhayralari shikastlanadi. Shu bois, bemor oёқ-қўllari yoki yuz mushaklarining ikhtiyorsiz harakatlari kaid qilinadi.
• Rheumatism ўpka shakli . Juda kamdan-kam hollarda kuzatiladi, rematismga oid barcha holatlarning tahminan 1-3% ini tashkil etadi. Odatda, rheumatism ўpka shakli ўzini bronchitis pleurisy shaklida namoen qiladi.
• Rheumatismning teri shakli . Kasallikning bu shakli teri toshmalari yoki uziga hos rheumatik tugunlar shaklida namoen bўladi. Kasallikning teri shakli rheumatismga chalingan bemorlar umumiy sonining 5 foizidan oshmaydi.
• Rheumatismning ophthalmologist Shakli . Kasallikning bu shakli faqat rheumatismning classic alomatari bilan birgalikda aniklanadi. Odatda, ophthalmologist Shakli kuzning tur pardasiga tasir qiladi. Rheumatismning ophthalmologist shakli kisman yoki tўlik kўrlikka olib kelishi mumkin.

Diagnosis of rheumatism

When diagnosing the disease, the following methods are used:

• ECG;
• Ultrasound of the heart;
• X-ray examination (helps to see changes in the size and shape of the heart);
• general blood test (can show ESR level, anemia, etc.);
• immunological blood test (appearance of C-reactive protein, presence of streptococcal infection).

1 General blood test

2 Immunological blood test

3 Diagnostics of rheumatism in MedicCity

Rheumatismni davolash

Bicillin

Rheumatism - bu aralash immunity-bacteriology tabiatga ega bulgan pathology. Shuning uchun rheumatism davolash kiyin va uni batamom davolab bulmaydi. Kasallikning asosiy manbai streptococcus bacteriyalari bulganligi sababli (immune reaction esa ikkilamchi va yot organism "huzhumi" ga zhavob hisoblanadi), davo choralarining asosiy maksadi bacteriyalarni bartaraf etish va ularning khayot faoliyati va parchalanishi natizhasida azhralib chik an moddalarni tezkor chikarib tashlashga karatilgan bўladi.

Ushbu kasallik қўzғatuvchisiga karshi kurashish uchun bosh (va asosiy) drug bu bicilindir . Bicilin penitisilin qatoridagi antibiotic bўlib, oddiy penitisilinga karaganda uzokrok ta'sir qiladi.

Antibiotics davolashning birinci (faol) boskici 10 kundan 14 kungacha davom etadi. Tadqiqotlar shuni kўrsatdiki, bundan kam muddat maksadga muvofik bўlmaydi, chunki infection saklanib koladi, bundan kўprok muddat esa befoyda, chunki streptococcus antibioticni parchalovchi moddalar ishlab chikara boshlaydi, antibiotic esa bemorning Uziga zarar yetkazadi.

Undan kein ikkinci (passive) boskich boshlanadi. Bicillinni oғiz orqali ichish tugaganidan uch ҳafta ўtgach, huddi shundai drug bemorga mushak ichiga kiritiladi. Bundai davolash 5-6 yil davom ettirilishi kerak (har 3 haftada 1 that injection), bu relapse etimolini kamaitirish va yurakda asoratlar rivozhlanishini oldini olish uchun zarur.

Aspirin

Tibbiy amaliyotda asetylsalicil acidasi ўzini yakhshi tavsia etdi. Aspirin qabul qilish kўp qarshi kўrsatmalarga ega (homiladorlik va emizish davrida, tomirlar sinuvchanligi, ovqat ҳazm qilish azolari bilan muammolar), lekin rheumatismning bunday therapysi kasallikning bogimli va neurologist shakllarida sezilarni naf beradi. Aspirin origni bartaraf kiladi va bugimlarda yalliglanishni kamaitiradi. Birinchi ikki khafta maximal rukhsat ethilgan dozalarda olinadi.

Therapy asosy davridan sung, aspirin 2 g/day dozasida yana 30 kun davomida kabul qilinadi.

Eat: Aspirin oshkozon va ўn ikki barmokli ichak shillik kavatini ta'sirlantiradi. Bundai knife tasir tez-tez kuzatiladi, ainiksa preparation kabul qilish byicha tavsiyalar buzilgan bulsa. Bu erosion, oshkozon yarasi, gastroduodenitis va yarali konashga olib keladi.

Hormonal druglar

Rheumatismning liquid kechayotgan shakllarini davolashda maximal rukhsat ethylgan dosage prednisolone qўllaniladi.

Umumiy tavsiyalar

Agar kasallik yengil kechayotgan bulsa, 10 kungacha bulgan yarim etok tartibi belgilanadi. Agar kasallik zhiddiy kechayotgan bulsa, har kanday harakat faolligini istisno qilish kerak, chunki u zharenni yanada kuchaytiradi. Bir oygacha muddatga etok tartibi belgilanadi.

Davolashning samaradorligini baholash uchun laboratory taҳlillari ўkaziladi. Kursatkichlar normal darazhalarga yakinlashganida, etok tartibini bekor qilish mumkin. Agar kasallik ўta liquid, yurak rhythmining erkin buzilishlari, bўgimlardagi oғrik bilan kechayotgan bulsa, ikki oigacha muddatga hospital davolanish kerak.

Prices

Based on the results of the consultation, diagnosis and/or treatment will be prescribed.
*Prices in different regions may vary; current information on the cost of services can be obtained from the center manager.