Rheumatism tsoka: Zviratidzo neMarapirwo

Ichi chirwere sezvo rheumatism repasi maoko nemakumbo, haasi munhu wose kunonzwisiswa sezvo nengozi kuti utano. Zvisinei, chirwere ichi anokwanisa kwaiitwa zvikuru kukuvara kwete chete kutsoka, asi kunyange connective zvinyama-siyana nadzo, izvo zvinoita here ngozi.

makumbo rheumatism sei ngozi

Rheumatic fivha chirwere majoini cherwendo zvetsandanyama nemapfupa emuviri uye anokwanisa kutanga nokukurumidza. Asi pano migumisiro zvingava zvinopfuura palpable. Zvinonyatsoreva chirwere ipfupi kuti kukundwa vari connective zvinyama majoini pachavo. Mune zvimwe zviitiko, matambudziko anogona kukonzera zvemukati nenyere. Vanhu vakawanda vane pfungwa yokuti rheumatism zvigunwe uye makumbo pachavo yose kunoratidzwa zvikurukuru vanhu vakwegura. Kutaura zvazviri, chirwere kazhinji kunokanganisa Hudyu vana kubva 7 kusvika 15 makore. Pavarwere mukuru vanomanikidzwa kubata rheumatism, vanenge 80% vari pasi pemakore makore 40.

Zvinokosha kucherechedza kuti hosha iri kazhinji kunzi dzinonzi rheumatoid arthritis kana polyarthritis. Izvi imhaka yokuti zviratidzo kakawanda zvinoreva majoini, asi yemajoini anokwanisa kuparadza connective zvinyama pakati kumwoyo, nhengo dzomukati uye tsandanyama. Muzvimwe zvinoitika dzingave dzawirwa munhu pathological kwacho, kunyange munhu tsinga.

Sei ini kuwana rheumatism

Kazhinji, hosha kunooneka pacharo idzodzo vanhu vane hama vave aivawo nezvinetso majoini. Ngozi kukundikana kuwana connective zvinyama zvakakwirira uye varidzi isingawanzowanikwi mapuroteni boka B. Signs tsoka rheumatism rinowanzoshandiswa aonekwe nyaya hypothermia zvachose kana mukuru kuitika zvirwere. Sezvo chimwe chikonzero nei unogona kunzwa chirwere chakadaro, zvine musoro kufunga kuti kare Kutamiswa streptococcal chirwere. Chinonyanya kukosha ndechokuti kunoita chirwere ichi ndiyo kuzvimba connective zvinyama mune siyana nhengo uye mapfundo pamwe.

Ongororo dzakaratidza kuti rheumatism pachena somunhu zvakaitwa nhengo kusvika chirwere muitiro mumwe Beta-hemolytic streptococci, kungova boka A. anogona anoteverwa rheumatic zvirwere zvakadai mutsvuku fivha, tonsillitis, chisingaperi pharyngitis, otitis nhau (tonsillitis) uye vamwe.

Kana streptococcus ari munhu muviri ndiko, kwaiita dziviriro yezvirwere mumuviri chaizvo, sezvo ichi kwemabhakitiriya mhando Inonzi chinokosha ngozi. Somugumisiro chaiwo antibodies anobudiswa. Zvinokosha kucherechedza zvinotevera chokwadi: zvakafanana Morekuru sezvo vaya vakarwiswa antibodies pakurwisa streptococcus, varipowo pane vanhu vari kuita rheumatism. Ipapo rokuzvidzivirira anotanga kuva avhiringidza pamusoro connective tishu. Izvi zvingaita kuti kukundwa siyana nadzo uye mapfundo.

Rheumatism tsoka: Zviratidzo

Kazhinji, rheumatic fivha hwapedyo pashure pemavhiki 1-3 pashure zvakanzi akatamira kune imwe streptococcal chirwere rokumusoro kufema turakiti (tonsillitis, kwazvo huro, pharyngitis). Zvakakosha kuziva kuti kwete nyaya dzose kunogona kunzi nokuratidzwa chirwere rinobwinya. Dzimwe nguva chirwere anoenda kucherechedzwa uye kunyange uncharacteristically - kuzvimba huro, bapu, uye shoma tembiricha. Nokuda kwechikonzero ichi, vanachiremba kakawanda akaonekwa kana zviratidzo izvi Ari, pasina kufunga antistreptococcal kurapwa sezvo chaizvo. Uye chikanganiso chakadaro kungaita kuti chokwadi kuti kuzodzosera hweHIV pamusoro pakanyorwa kuderera rokuzvidzivirira achava chikonzero articular rheumatism.

. Unoratidzwa (rheumatism) mu mashomanana mazuva mushure apiwa utachiona uye inokanganisa majoini makuru - mabvi, zviziso zvemakumbo nemakumbo, etc. Rheumatism iri nyore kucherechedzwa zviratidzo: kuzvimba mapfundo kunoitika rave, uye njodzi chikamu unozvimba zvikuru, uye kunze, zvinorwadza kana achingomutambudza. Somuenzaniso, pakutanga zvomoto mabvi vadyi, pashure pemazuva mashomanana, uye dzimwe nguva kwemaawa, kuzvimba, pamwe chete marwadzo kunodzikira uye hosha otanga kurova zvakasiyana vadyi, ipapo inotevera. Ndeichi - rave - kukundwa of connective zvinyama munzvimbo dzakasiyana-siyana rezasi wamativi uye chiratidzo chakajeka makumbo rheumatic. Imwe kurwisa imwe vadyi ndedzoupenyu vaifanira mazuva 12. Asi pakupedzisira zvinokanganisawo kwete chete tsoka dzavo - a kukuvadza chinokosha kunokonzerwa mwoyo.

makumbo rheumatism, zviratidzo zvacho zvinenge zvisingaoneki, zvichiita ayo kuvapo vainzwa mu Kakawanda kacho achishandisa chiedza, asi kugara utera pashure muviri zvine mwero. Manzwiro akadaro chaizvo zvakafanana dzose kuneta panopera zvokuita zuva. Chimwe maitiro chiratidzo anoratidza kuzvimba connective zvinyama - ndiro tembiricha, rinokwira nokukurumidza uye chete nokukurumidza ikadzoka dzose, uye ipapo akasvetuka inodzokororwa zvakare.

Subject: "Rheumatism tsoka: Zviratidzo uye kurapwa" riri kukurumidza kwazvo uye zvakakura. Pashure pezvose, kana hosha isina kurapwa, ungasangana akadaro nemigumisiro, zvakadai rheumatic mwoyo chirwere (mwoyo kuzvimba). Kusiyanisa chiedza rheumatic mwoyo chirwere, pakati pechikuva uye rinorema. Panguva yacho kukura kunokanganisa mavharuvhu mwoyo, kuti goko (pericarditis) uye cardiac tsandanyama (myocarditis).

Kuramba kudzidza kuratidza makumbo rheumatism, zvakakosha kuziva kuti munhu munyoro muchimiro revmakordita kazhinji anoenda kucherechedzwa, asi avhareji anoita pachayo aizivikanwa mwero cardiac hypertrophy (nayo anowedzera iri vhoriyamu). Saka, varwere kunzwa kusagadzikana seri breastbone, uye kupfupika mweya uye palpitations kuoneka pachidiwa chiedza mitoro (muchifamba, vaikwira nezvikwiriso).

Kana chakakomba rheumatic mwoyo chirwere mwoyo saizi inowedzera yekudyidzana. marwadzo bhokisi, kupfupika mweya uye mwoyo palpitations nezvevayaruka, kunyange panguva yokuzorora. Uyezve, makumbo kuonekwa edema. In chimiro ichi rheumatic mwoyo chirwere pane mukuru ndingangokuvara panowanikwa mwoyo chirwere.

Mashandiro chirwere

Sezvataurwa pamusoro apa, rheumatism kashoma inobata vadyi mumwe chete - marwadzo kuramba achichinja dislocation. Panguva iyoyowo, maererano vanachiremba, gumbo rheumatism inobata anonyanya majoini avo, izvo kumuomera akatakura. Uye boka pangozi mapfundo, kare pasi wakatsigira overcooling, kukuvara, kufurirwa kwenguva refu uye dzimwe nemigumisiro. Kushandisa rakanyatsorongwa kurapwa, ine zvose mikana kukurira chirwere mukati memasvondo 1-2. Mune zvimwe zviitiko, chokutsva muitiro wacho akamiswa pashure pazuva kurapwa rechitatu.

Zvinofanira kucherechedzwa kuti rheumatic fivha hapasi ane zvikuru ndichiiparadza zvainoita connective tishu. Nyaya kana varwere kunyange kuramba kuzvimba vane kugona basa kufamba uye havanzwi marwadzo simba.

Diagnostics

Nokunyatsodzidza wenyaya: "Rheumatism tsoka: Zviratidzo uye kurapwa", zvakakosha kuteerera sei kuziva chirwere. The Hwaro chirwere ichi nyaya muri nhamba kutsvakurudza rabhoritari uye kurapwa zviratidzo kubvumira kuti asarudze kukuvara nenyere.

Kuitira kuratidza kunaka kwechirwere kuzvimba pamusoro mwoyo, zvinokosha kupfuura Ultrasound kana ECG. Musava chakaipa kuita differential chirwere nevasiri zvakananga kutapuriranwa chearthritis, tibhii, kwemabhakitiriya endocarditis, neurosis nezvimwe zvirwere.

Hazvina kuzivikanwa, uye kuti mune zvakaitika rikwanise chokutambudzika rheumatic nefivhiri muropa chichachengetwa leukocytosis. Zvinogonekawo kuderedza padanho Chizenga mumazuva vanoshingaira kuzvimba rokutanga. Kana kugara dzokororo ndiyo pangozi kupererwa neropa.

Children tsoka rheumatism: Zviratidzo uye kuongorora chirwere

Kana isu kutaura zviratidzo rheumatic nefivhiri muvana, zvakakodzera kutaura kuti vane chaizvo akafanana pamusoro: tembiricha kumuka kukura arthritis (kurwadziwa) mu njodzi mapfundo.

Dzinonzi rheumatoid arthritis mune iyi angava zvimwe:

- Vana nokukurumidza kuva kuzvimba huru mapfundo, uye dzimwe nguva kunyange mumaawa mashomanana. Ipapo ganda iri nzvimbo njodzi muhudyu anova mutsvuku, inopisa kuti kubata uye unozvimba.

- Dzimwe nguva kuzvimba shoma guru mapfundo panguva imwe chete, Somuenzaniso, mabvi ose.

- Rheumatoid chearthritis mune vana kwakatora avhareji mazuva 4-5.

- The mwana anonzwa kurwadziwa zvikuru kuti chinomutadzisa zvinofamba zvakasununguka kubva. Nyaya apo rheumatic fivha vana havagoni kumuka.

Children rheumatism makumbo, sezvo vari vanhu vakuru, hwuratidzwe uchirwadziwa ari mubhokisi, kupfupika mweya, mwoyo palpitations, simba, uye kuvhiringidza mwoyo. Panguva chiratidzo chokutanga rheumatic nefivhiri ari mwana zvakafanira kuitisa kuongorora mwoyo uye yakakodzera kurapwa. Kana hosha ndimhanye, zvinokwanisika kukura chakakomba mwoyo vakaremara dzinogona mumwoyo kukundikana mune ramangwana.

Chimwe chiratidzo rheumatic nefivhiri muvana ndiyo nechitarisiko rwepepuru mapundu anonzi erythema annulare.

Kana chirwere, zvinokosha kuita zvinotevera bvunzo kuti vanofungidzirwa rheumatic fivha:

- ropa kemesitiri;

- ropa rakazara kuverenga;

- Ultrasound mwoyo ;

- ropa muedzo kwevari Gem-O;

- electrocardiography, ECG aka.

Diagnostics hazvigoni kungotariswa, saka kuti gare gare regai kukurira matambudziko.

rheumatism kurapwa

Kuedza kuwana mhinduro yomubvunzo wokuti sei kurapa rheumatism, makumbo, tinofanira kutanga taziva kudiwa pakarepo kushanya kune chiremba panguva nokufungirana kwezvirwere kukura rokutanga. Izvi zvakakosha nokuti chirwere anogona mune zvimwe zviitiko akasiyana, izvo zvinoreva kudiwa nomunhu uye nyanzvi pakukurukura apore.

Kazhinji, maitiro anotevera anofanira kushandisa:

- kushandiswa glucocorticoids uye immunosuppressants kuti inopa mashandiro anoita nhengo;

- Kushandisa inorwisa mabhakitiriya ( ". Amikacin" "Sumamed", etc.) uye vasiri steroidal Anti-anogumbura zvinodhaka ( "ketoprofen" "Movalis" "Diclofenac" - zvakakodzera kutora nguva yakadai bundu yakanyangarika zvachose);

- kunzwisisa mavhitamini hwokuponesa inorwisa mabhakitiriya ( "Supradin", "Oligovit", "Vitrum", "Centrum");

- mushure chakasimba zviratidzo achapiwa mhosva kuti kunaya yakazara, siyana physiotherapy (Paraffin dzokugezera, UHF, electrophoresis uye nokudziya rambi michini mwaranzi);

- Kana kwakajairika kurapwa asingadi kubatsira neutralize rheumatism zviratidzo, vanachiremba akarayira plasmapheresis - ropa Clearance pamusoro antibody uye toxin.

Vamwe vanachiremba chifunga kuti zvibereko zvakawanda kurapwa kwacho kuderedza carbohydrate yaunodya uye kuwedzera uwandu mapuroteni mune zvokudya. Chero zvazvingava, kurapwa kunofanira revatema.

Kana zano iri kukurira chirwere rakazivikanwa nemazvo, uye murwere vakatevera zvose chiremba audzwa, yavaipora yakazara anogona kuitika sezvo mangwanani sezvo 2 weeks. Muzviitiko apo kushanya chiremba akanga nezamedlitelen, ari kupora muitiro achatora mazuva mashomanana.

How kurapa rheumatism pamba

Chimwe chedzidziso misimboti wechipfuwo kwechirwere chirwere chinogona tsunga kudya zvinovaka muviri uye mishonga mushonga. Kana Quick mimwe misanganiswa siyana, muchiitiko ichi, zvechokwadi nani chiremba uyo achakwanisa kufunga zvose zviri hosha neimwe munhu.

Meals zvinofanira kurongwa nenzira yakadaro kuti vose ndiro vaiva pasina munyu. Kushandiswa zvinonhuhwirira kuchaitawo kuva shoma. Izvi zvakakosha nokuti panguva rheumatic fivha kutyora muviri.

Achipindura mubvunzo sei kurapa rheumatism gumbo kumba, zvakakosha kuteerera pernicious kufurirwa nezvirongo, ane extractives (miriwo uye nyama soups simba, uyewo muto). About soups, noodles uye zvakasiyana-siyana bouillon cubes panguva kurapwa achafanira kukanganwa. Sezvataurwa pamusoro apa, nokuti kukurumidza kupora zvinokosha kuti tizvidzore kudyiwa zvokudya mune nyore digestible makabhohaidhiretsi (uchi, shuga, jamhu, jamhu uye pastries).

Kubva murwere zvinodyiwa zvakakodzera kubvisa zvinhu izvo kwakavakirwa bhinzi, howa, sipinachi, zvakarungwa uye pizi. Asi muto wemazambiringa uye mazambiringa pacharo kushandisa sezvinobvira. Vegetables dzinofanira qualitatively kubika kwazvo, uye nyama uye hove vaingoita zvishoma ine muto kana yakabikwa.

Kana kutarira wekuti: "Rheumatism: Zviratidzo nekurapwa makumbo" nemaonero mushonga tsika, zvinokosha kuziva kuti, maererano vanachiremba, kuti tikunde kuzvimba kunogona kubatsira jecha. Kuti aite izvi, rinofanira kugezwa uye sifted kuburikidza nesefa, zvinganaka diki. Chinonyanya dzakakodzera nzira kuna jecha regungwa. Pashure kusefa zvakafanira kuti vakuchidzire kuti 50 madhigirii, ugodira kupinda jira bhegi hwomutambarakede. Hazvina bhegi ichi nejecha inopisa uye rinoshandisirwa panzvimbo marwadzo Runonzwika. Asi nzira iyi haisi zvakakodzera kushandisa kune vanhu vanenge vave nechirwere chomwoyo uye ganda, tiibhii, kuneta uye kuzvimba.

Chimwe chidobi, izvo zvinofanira kuva kuziva vose vanofarira waiti: "Rheumatic fivha: zviratidzo uye mabatiro tsoka", ndiye ivhu. Rinogona kushandiswa muchimiro anorumanya uye Achiputira. Relevant zvakadaro zvirwere ivhu anoita kukwanisa kwayo kubvisa marwadzo uye kuderedza kuzvimba.

dziviriro

Kuti adzivise dzokororo makumbo rheumatic, unofanira kuisa pfungwa nezvinangwa zviviri: kudzivirira muviri mutsva utachiwana streptococcal noutachiona uye kusimbisa zvirwere. Izvi zvinoreva kuti, kure sezvinobvira, vose vaya vakatambura kubva rheumatism, kuzoshanyira unyanzvi pachipatara pacho.

Mushure remedial matanho anotorwa, zvakakodzera kwemakore 1-2 regai kupinda kuti kuzvivaraidza zvinangwa mutorwa mumamirire ekunze, agutse chizvarwa kumicheto. Sezvo rheumatic rutsoka kurapwa kunosanganisira yakaoma, zvinokosha kufunga zvose zvinogona kusika akanaka ezvinhu kuti kukura chirwere. Kana makore mashomanana pashure rheumatic fivha kupinda rimwe okunze vematunhu, iwe uchava atarisana acclimatization én, izvo zvaizoitawo kungaita kuti zvimwe matambudziko.

Vaya vakanga ruzivo rheumatic fivha, havawani kubatanidzwa kunyudza mumvura inotonhora uye mazhinji kusukuta matehwe rikurumidze. Active mitambo hazvisi zvinokosha nokuti iro simba mwoyo chirwere haisati yagadzirira kuti mitoro inorema. Asi muviri anofanira kuroorana, uyewo rainyatsoigona nokuomesa. Kana kuwedzera kwemwoyo kusvika 120 anorova, uye chitarisiko kupfupika mweya hazvo vanofanira kumbomira.

zvabuda

Rheumatism inogona zvisingarevi zvakawanda anonzi zvirwere zvinoda ngwariro chaiyo nokuda mukana zvaikosha yematambudziko. Naizvozvo, sokune chero zvakakomba nechirwere, zviratidzo kuzvimba connective zvinyama zvakakodzera kuti sei nokukurumidza - kuenda chiremba uye kutanga kurapwa. Uye, chokwadi, nguva dzose yeuka kudzivirirwa.