Rheumatism ezinyaweni: Iimpawu and Treatment

Esi sifo njengoko rheumatism le nemilenze, asinguye wonk 'umntu kubonwa ingxaki enkulu kwimpilo. Noko ke, esi sifo ekwaziyo bahambe umonakalo omkhulu kungekuphela nje iinyawo, kodwa inyama nokuqina ngamalungu ezahlukahlukeneyo, nto leyo eyenza kube ngokwenene yingozi.

Indlela imilenze rheumatism yingozi

samathambo sisifo namalungu nomlenze inkqubo musculoskeletal kwaye iyakwazi ukuphuhlisa ngokukhawuleza. Kodwa apha imiphumo isenokuba ngaphezulu uvalo. ngoyena ndoqo sifo azezi ekubulaleni kwizicwili kwamalunga ngokwabo. Kwezinye iimeko, iingxaki kunokubangela ilungu lwangaphakathi. Abantu abaninzi banoluvo lokuba iinzwane rheumatism kunye nemilenze ngokwabo xa iyonke luphawulwa ikakhulu kubantu abadala. Eneneni, esi sifo ngokufuthi luchaphazela amalungu abantwana ukusuka kwiminyaka esi-7 ukuya kweli-15. Phakathi izigulane abadala abasoloko benyanzeleka ukuba ukunyanga rheumatism, malunga nama-80% bangaphantsi kweminyaka engama-40.

Kubalulekile ukuphawula ukuba isifo udla ngokubizwa ngokuba isifo samathambo okanye juvenile. Oku kubangelwa yinto yokuba iimpawu kwiimeko ezininzi libhekisela amalunga, kodwa samathambo unako ukutshabalalisa kwizicwili kwenkqubo sentliziyo, nezibilini kunye nezihlunu. Kwezinye iimeko mhlawumbi bachaphazeleka inkqubo lwezidumbu, nkqu luvo yabantu.

Kutheni ndifumana rheumatism

Ngokufuthi, esi sifo esizibonakalisa wabo bantu izalamane nabo ababenengxaki amalungu. Umngcipheko Ukungaphumeleli ukufumana kwizicwili ophezulu kunye nabanini iseliswelekile iqela protein B. Iimpawu iinyawo rheumatism Ukho kwimeko emzimbeni esisigxina okanye izehlo eliphezulu lwezifo ezosulelayo. Njengoko nesinye isizathu sokuba uyakwazi ukuva afunyaniswe isifo esinjalo, iyavakala ukuqwalasela usulelo transferred ngaphambili streptococcal. Eyona nto ibalulekileyo kukuba isiphumo esi sifo kukukrala zomzimba nokuqina amasebe awohlukeneyo kunye namalungu ngokunjalo.

Uhlolisiso lubonisa ukuba rheumatism kubonakale njenge abasabela ngayo eziphilayo kwinkqubo ukusulelwa omnye beta-hemolytic streptococci, ngoweqela Lendlela Yeqela le A. nga kwandulela izifo samathambo ezifana fever nebomvu, tonsils, pharyngitis esinganyangekiyo, otitis eendaba (tonsils) kunye nabanye.

Xa iStreptococcus kwi Umzimba womntu, impendulo amajoni omzimba kakhulu esebenzayo, njengoko le iintlobo yebhaktiriya ichazwa njenge ingozi enkulu. Ngenxa omzimba athile zaveliswa. Kubalulekile ukuqaphela into ilandelayo: imolekyuli efanayo abo bathe bangqingwa antibodies ekulweni iStreptococcus, lukhona abantu abathanda rheumatism. Ngoko ke amajoni omzimba iqalisa ukuba nempembelelo embi kubantu kwizicwili. Oku kungakhokelela ngokoyiswa amasebe awohlukeneyo kunye namalungu.

Rheumatism ezinyaweni: Iimpawu

Kwiimeko ezininzi, samathambo emva kweeveki 1-3 oko emva bafudukela kokuba usulelo streptococcal ye phecana zangentla ezihlasela zosulele ngokuphefumla (tonsils, umqala obuhlungu, pharyngitis). Kubalulekile ukwazi ukuba asizizo zonke ityala nga ngokuba njengokubonisa usulelo olukhazimlisiweyo. Ngamanye amaxesha sifo azithathelwa ngqalelo kwaye uncharacteristically - ukudumba umqala, emiphungeni, kunye kwamaqondo obushushu. Ngenxa yesi sizathu, oogqirha sivame ukuxilongwa xa ezi mpawu ka Ari, ngaphandle kokujonga unyango antistreptococcal njenge nentswelo eyiyo ngokwenene. Kwaye impazamo enjalo kungakhokelela ekubeni kwakhona usulelo kwisiqalo kwenkqubo omzimba buthathaka iya kuba unobangela articular rheumatism.

. Ubonakala (rheumatism) kwiintsuku nje ezimbalwa emva kokuba kwakhona usuleleko kunye kuchaphazela amalungu amakhulu - ngamadolo, Amaxhwele neenyawo, njl rheumatism kulula eziqaphelekayo: ukudumba amalungu kwenzeka khosi, kwaye nkcwe kuba inxalenye ezichaphazelekayo, nangaphandle, kubuhlungu xa sicinezelweyo. Umzekelo, kuqala edolweni edibeneyo asha, emva kweentsuku nje ezimbalwa, yaye ngamanye amaxesha iiyure, nangokurhala, kunye sekubonakala iintlungu kunye sifo uqala zahlasela joint ezahlukeneyo, ngoko ke elandelayo. Yile - khosi - ekubulaleni zomzimba nokuqina kwiindawo ezahlukeneyo kweqondo ezisezantsi umqondiso ocacileyo imilenze rheumatism. Enye kuhlaselwa sentlanganisela ethile zeyure ubuninzi iintsuku ezili-12. Kodwa ekugqibeleni kuchaphazela kuphela iinyawo zabo - kukho ingozi ebonakalayo kubangelwa intliziyo.

imilenze rheumatism, iimpawu zazo phantse ezingabonakaliyo, belisenza yayo avakalelwa ngayo uninzi amatyala ekukhanyeni, kodwa rhoqo ubuthathaka emva umzimba ngokulinganisela. mvakalelo efana kakhulu ukuya fatigue eqhelekileyo ekupheleni kosuku ephithizelayo. Olunye uphawu uphawu kubonisa ukudumba kwizicwili - ke ubushushu, ezinyuka ziye ngokukhawuleza kanye njengokuba ngokukhawuleza ebuyela eziqhelekileyo, uze iyaxhuma kuphindwa kwakhona.

Isihloko: "rheumatism iinyawo: iimpawu kunye nonyango" ungxamisekile kakhulu kwaye kakhulu. Ngapha koko, ukuba esi sifo sithi singanyangwa, usenokudibana nesohlwayo ezifana, ezifana nesifo sentliziyo samathambo (ukudumba kwentliziyo). Ukwahlula isifo ukukhanya samathambo intliziyo, iqonga eliphakathi kwaye inzima. Ngexesha uphuhliso iyasichaphazela kwemithambo zentliziyo, iqokobhe (pericarditis) kunye umsipha kwentliziyo (myocarditis).

Ukuqhubeka ukuba sifunde ukubonisa indlela imilenze rheumatism, kubalulekile ukuqaphela ukuba sibi revmakordita ngokuqhelekileyo azithathelwa ngqalelo, kodwa umlinganiselo yenza kwaziwe yi ngokulinganisela hypertrophy kwentliziyo (oku kwandisa umthamo). Ngenxa yoko, izigulane va kabi emva breastbone, kwakunye nokubamba-bamba umphefumlo kunye iyangongoza oqaphelekayo xa imithwalo ukukhanya kakhulu (ukuhamba, benyuka ngezinyuko).

Kwimeko obukhulu samathambo isifo sentliziyo ubungakanani sentliziyo ukunyuka kakhulu. ukuba iintlungu esifubeni, ukuphelelwa umoya intliziyo iyangongoza achaphazelekayo, nokuba baphumle. Ngaphezu koko, imilenze kuvela nokudumba. Kule fomu yesifo sentliziyo samathambo kukho amathuba aphezulu isahlakalo yesifo sentliziyo.

Indlela kwesifo

Njengoko kukhankanyiwe ngasentla, rheumatism kunqabile kuchaphazela joint enye kuphela - iintlungu rhoqo ukutshintsha i dislocation. Ngelo xesha, ophuma kuyo, oogqirha, umlenze rheumatism ichaphazela ikakhulu abo amalungu, ezo zilayishwe kakhulu. Kwakhona kwamalunga kwiqela lomngcipheko, ngaphambili phantsi overcooling ezinzileyo, ukwenzakala, uxinzelelo elide kunye nezinye iziphumo ezibi. Ukuze usebenzise unyango kakuhle, it has zonke amathuba zokoyisa sifo kwisithuba seeveki 1-2. Kwezinye iimeko, inkqubo ukudumba buphelisiwe emva kosuku lwesithathu unyango.

Kufuneka kuqatshelwe ukuba samathambo ayisoloko ube nefuthe ngokupheleleyo ebuhlungu kwi zomzimba nokuqina. Iimeko xa izigulane nokuba nangokurhala Ukuphindaphindwa ukugcina ikhono kwintshukumo olusebenzayo kwaye uzive iintlungu kakhulu.

ekuxilongweni

Siphengulule isihloko: "rheumatism iinyawo: iimpawu kunye nonyango", kubalulekile ukuba sinikele ingqalelo indlela yokubona esi sifo. Isiseko moshilongo kulo mzekelo iqela yophando elebhu kunye nemiqondiso zonyango uvumela ukufumanisa umonakalo omzimba.

Ukuze achaze ifuthe elibi ukudumba entliziyweni, kuyimfuneko ukuba kudlule ultrasound okanye ECG. Musa ukuba kuhambe ukwenza diagnosis mahluko kwamalunga non-ngqo esosulelayo, isifo sephepha, endocarditis ngokudluliselwa kwentsholongwane, neurosis kunye nezinye izifo.

Kubalulekile ukwazi, yaye kwimeko kwesigaba nokoyika samathambo egazini Kuya kubonwa leukocytosis. Kungenzeka kwakhona ukuba ukunciphisa izinga haemoglobin kwiintsuku zokuqala ukudumba esebenzayo. Kwimeko okuphinde rhoqo umngcipheko kwegazi.

iinyawo waBantwana rheumatism: iimpawu kunye isifo

Ukuba sithethe ngayo iimpawu samathambo ebantwaneni, kuyimfuneko ukuba bathi ziyafana kakhulu kule ngasentla: iqondo lobushushu ukunyuka kunye nophuhliso yokuqaqamba (iintlungu eziqatha) kwamalunga ezichaphazelekayo.

isifo samathambo kule imeko inokuba ezinye iimpawu:

- Abantwana ngokukhawuleza ukuphuhlisa ukudumba amalungu ezinkulu, kwaye maxa wambi nkqu nangaphakathi kwiiyure ezimbalwa. Ke isikhumba kwindawo welungu ochaphazelekayo uba ebomvu, eshushu ukuya ngaphandle kwebala kunye fuku.

- Kwezinye iimeko ukudumba ambalwa enkulu ngexesha elinye, umzekelo, amadolo omabini.

- samathambo samathambo ebantwaneni lwathatha i-avareji leentsuku 4-5.

- Umntwana uziva intlungu kakhulu ethintela ukuba ihamba ngokukhululekileyo. Iimeko xa abantwana samathambo fever alunako ukuphuma emandlalweni.

imilenze Abantwana rheumatism, njengokuba abadala, ibonakalaliswe yi iintlungu esifubeni, ukuphelelwa umoya, iyangongoza intliziyo, ukutyhafa, kunye nokuphazamiseka yentliziyo. Xa uphawu lokuqala samathambo xa umntwana kuyimfuneko ukuqhuba uviwo wentliziyo kunye unyango olufanelekileyo. Ukuba isifo uye wabaleka, kunokwenzeka uphuhliso ngenhliziyo ukukhubazeka kakhulu ukuba ungakwazi ukungena ukusilela intliziyo kwixesha elizayo.

Olunye uphawu samathambo ebantwaneni kuyinto ukuvela kwamaqhakuvana obudaywe ekuthiwa erythema annulare.

Ke ukuba kuyokufunyaniswa isifo, kuyimfuneko ukuba enze ezi mviwo zilandelayo bethengisa samathambo:

- chemistry igazi;

- igazi epheleleyo bala;

- ultrasound intliziyo ;

- test igazi amanqanaba SLA-O;

- electrocardiography, ECG aka.

Uxilongo azinakho ukutyeshelwa, ukuze kamva musani ukujongana iingxaki.

unyango rheumatism

Uzama ukufumana impendulo yombuzo yokuphatha njani rheumatism, imilenze, kufuneka kuqala siqonde imfuno nondwendwelo olukhawulezileyo kwagqirha xa watyholwa lokuqala lophuhliso sifo. Oku kubalulekile ngenxa yokuba esi sifo kwezinye iimeko ezahlukeneyo, nto leyo ithetha imfuneko yendlela ngamnye yobungcali inkqubo impiliso.

Ngokuqhelekileyo, le nkqubo ilandelayo iya kusebenza:

- ukusetyenziswa glucocorticoids kunye immunosuppressants ukunika imisebenzi ibakhusela eziphilayo;

- nokusebenzisa imithi ( ". Amikacin" "Sumamed", njalo njalo) kunye neziyobisi ezingekho-steroidal anti-ukudumba ( "ketoprofen" "Movalis" "Diclofenac" - kuyimfuneko ukuba athathe ixesha ezifana nethumba sele wanyamalala ngokuphelele);

- a oluntsonkothileyo iivithamini ukuze afumane antibiotics ( "Supradin", "Oligovit", "Vitrum", "Centrum");

- emva kokuba iimpawu etsolo iya kuhlawuliswa bachache ngokupheleleyo, ezahlukeneyo physiotherapy (iibhate iparafini, UHF, electrophoresis kunye otha isibane reyi infrared);

- Ukuba unyango eqhelekileyo swi nga pfuna yokungenelela iimpawu rheumatism, oogqirha ukumisela plasmapheresis - ukucoca igazi yeNkonzo lomzimba kunye ekwayityhefu.

Abanye oogqirha icebise ngenkqubo eneziqhamo ngakumbi unyango ukunciphisa inani ekudleni kunye nokwandisa inani iiprothini ekutyeni. Kuyo nayiphi na imeko, unyango kufuneka kuhlanganiswe.

Ukuba sikimu ukoyisa sifo sele zichongiwe ngokuchanekileyo, kwaye isigulane bonke iingcebiso kagqirha, ukumimitheka elipheleleyo kwenzeka kwangoko kwiiveki ezi-2. Kwiimeko apho ukutyelela ugqirha ke nezamedlitelen, inkqubo lokubuyisela iya kuthatha iintsuku nje ezimbalwa.

Indlela yokuphatha rheumatism ekhaya

Enye imigaqo esisiseko impembelelo lwamanzi sifo kumiselwa isondlo esifanelekileyo kunye namakhambi. Njengoko ngokuba zokupheka mixube ezahlukeneyo, kule meko, ngokuqinisekileyo kungcono ukuba udibane nogqirha oya kuba nako ukuthatha ingqalelo zonke iinkalo esi sifo kumntu othile.

Ukutya kufuneka ihlelwe ngendlela yokuba zonke izitya ezo ingenatyuwa. Ukusetyenziswa iziqholo kuya kufuneka kwakhona ukuba kuphela. Oku kubalulekile ngenxa yokuba ngexesha samathambo Kukuyihlambela ukutya.

Ukuphendula umbuzo ukuba bangazinyanga njani rheumatism umlenze ekhaya, kubalulekile ukuba sinikele ingqalelo impembelelo iyingozi na izitya, eziquka extractives (imifuno kunye nenyama isuphu nkqi, nayo umhluzi). Malunga isuphu, noodles kunye neentlobo ngeentlobo iityhubhu bouillon ngexesha unyango kuya kufuneka ukuba ukulibala. Njengoko kukhankanyiwe ngasentla, sokubuyisela ekhawulezayo kuyimfuneko ukunciphisa ukusetyenziswa ukutya ngumthombo carbohydrate ngokulula ukutya (yobusi, iswekile, jam, jam kunye namakhekhe).

Ukususela yokudla yomguli kuyimfuneko kwakhona ngaphandle iimveliso ezo zisekelwe iimbotyi, amakhowa, isipinatshi, nangwevu nee-ertyisi. Kodwa juice yomdiliya kunye abavuni beediliya ngokwayo ukuba usebenzise kangangoko kunokwenzeka. Imifuno kufuneka ngokomgangatho Yibilise kakuhle, kunye nenyama kunye nentlanzi ziye yathamba kancinci kuphela okanye ebilisiweyo.

Ukuba ukhangela isifundo: "rheumatism: Iimpawu kunye Unyango imilenze" ngokwembono amayeza emveli, kubalulekile ukuphawula ukuba, ngokutsho oogqirha, ukuba silwe komtshiso oko kunokunceda isanti. Ukwenza oku, kufuneka ihlanjwe kwaye wayigocagoca ngesihlungulo, kukhethwa ezincinane. Eyona ndlela ifanelekileyo kukuba intlabathi yolwandle. Emva bazama kuyimfuneko ebilandelwa ukuba degrees 50, uyithululele engxoweni ngelaphu obutofotofo. Yiyo le bag ngesanti ashushu isicelo kwindawo apho ziviwa intlungu. Kodwa le ndlela akuyomfuneko ukuba isicelo kwabo bantu abathe ukuba unesifo isifo sentliziyo kunye ulusu, isifo sephepha, ukudinwa kunye ukudumba.

Enye msebenzi, nto leyo kufuneka bazazi bonke abanomdla isihloko: "rheumatic umkhuhlane: iimpawu kunye nonyango iinyawo", na udongwe. Ingasetyenziswa ngokohlobo Oluma kunye usonga. Ezifanelekileyo izifo ezifana udongwe wenza ukukwazi layo ukususa intlungu nokunciphisa ukudumba.

ukuvimbela

Ukuze kuthintelwe ukwenzeka imilenze samathambo, kufuneka unikele ingqalelo iinjongo ezimbini: ukukhusela umzimba kwizifo olutsha usulelo streptococcal kwaye nokomeleza amajoni omzimba. Oku kuthetha ukuba, kangangoko kunokwenzeka, bonke abo babandezeleka ukusuka rheumatism, ukuya kutyelela shwe ezikhethekileyo.

Emva kokuba uthabathe amanyathelo olungiso, oko kuyimfuneko iminyaka 1-2 yi musa ukuya ngeenjongo zokuzonwabisa imozulu yalapha, contenting ezinemiphetho lweenkobe. Ekubeni unyango unyawo samathambo kubandakanya ezintsonkothileyo, kuyimfuneko ukuba athathele ingqalelo yonke imibandela ukuba ukudala iimeko azivumi ukuba uphuhliso sifo. Ukuba kwiminyaka embalwa emva kokuba samathambo ukuya komnye ummandla kwemozulu, uya ujamelene zokungaqheli, mvisiswano leyo, kwelinye icala, kungakhokelela kubunzima ezithile.

Abo namava samathambo, musa ukuba babandakanyeka ayithi nkxu emanzini abandayo kunye nenkqubo bed elide. edlalwa Active akunqwenelekile ngenxa yokuba nesifo sentliziyo buthathaka ayikho kodwa ilungele imithwalo enzima. Kodwa ukubonisa kufanele bakwenze, ngokunjalo lukhuni onobuchule. Kwimeko ukunyusa izinga ukuba ibetha 120 intliziyo, kunye ukubonakala uphelelwa ngumphefumlo kufuneka ngokuyimfuneko ukuze sime.

iziphumo

Rheumatism kungenziwa ayintsokothanga kwaziwe ukuba izifo ezifuna ingqwalasela eyodwa ngenxa kumngcipheko yeengxaki ezibalulekileyo. Ngoko ke, njengokuba kunjalo nasiphi na isigulo kakhulu, iimpawu ukudumba kwizicwili kuyimfuneko ukuba usabele ngokukhawuleza - yiya kugqirha kwaye uqale unyango. Kakade ke, hlala ukhumbula malunga nothintelo.