Causes of rheumatism
The disease causes beta-hemolytic streptococcal infection group A. Because of these specific bacterial tonsillitis we get sick, sore throat and pharyngitis. If the time to neutralize the upper respiratory illness and prevent complications, the risk of developing rheumatoid arthritis minimum. Insights noted that after the "love" with insidious streptococcus from 0.4 to 3% of people ill with rheumatism.
At the fair sex risk, children and adolescents (from7-8 to 14-17), as well as people who have a family or are there cases of rheumatoid lesions of the connective tissue. The easiest target for rheumatism - a man who had endured severe form of streptococcal infection or suffering from frequent infectious diseases nasopharynx.
Rheumatism: "own" against "their"
Rheumatism is a paradoxical disease. When streptococcus bacteria enter the body, the immune system immediately responds to an illegal invasion by the production of specific antibodies. They calculate the streptococcal “enemy” by specific features of its structure. The trouble is that the myocardium and connective tissue are composed of molecules similar in structure - their antibodies are taken for foreign! The price of such a “mistake” is the health of the heart, blood vessels and joints, which undermine inflammatory processes, deforming the joints and provoking various heart defects.
Symptoms of the disease
The diagnosis determines the rheumatologist based on clinical and immunological blood test. The findings indicate rheumatic inflammation and the presence of specific substances in the body which appear after 6-7 days after disease onset.
To assess the condition of the heart, usingelectrocardiography (ECG) and echocardiography. Using x-ray provides information on the state of the joints. When the doctor needs more detailed picture of the disease, he shall designate procedures such as biopsy of the joint, arthroscopy and joint fluid diagnostic puncture.
our website notes, the sooner confirmeddisease than previously assigned treatment, the better. At the heart of the complex therapy - reduction in the level of activity of Streptococcus and inflammation, prevention of heart disease.
Treatment of rheumatic fever consists of several "steps".
Hospital treatment involves drug therapybalanced diet and a range of therapeutic physical exercises, adapted to the condition of each patient. Penicillin is used as a basic tool in the fight against rheumatism for 10-14 days, which is dictated by the streptococcal nature of the disease. A drug belonging to the group of non-steroidal anti-inflammatory drugs (Meloxicam, Nimesulide, Celecoxib) is also prescribed in isolation. Long-term treatment - at least 1-2 months until the active phase of the disease is completely completed.
If for rheumatism is complicated by the presence in the patient of chronic tonsillitis, treatment with penicillin extend. There is another option when, in addition to penicillin appoint another antibiotic. This can be Amoxycillin, Clarithromycin, Azithromycin, Cefuroxime.
If the degree of inflammatory activity causesconcern among doctors refer to glucocorticoid treatment (hormone therapy). For example, an initial dose of prednisolone used for two weeks until the desired effect is noticeable, then the amount administered is gradually reduced every 6-7 days, based on clinical and laboratory parameters.
At the initial stage of the disease whenIt noted the minimal degree of inflammatory activity, appoint quinoline drugs (delagil, Plaquenil). Take them for a long time - from several months to 1-1.5 years depending on the nature of rheumatism.
Treatment in a cardio-rheumatological sanatorium. At this stage, before the patient and his physician task bring disease to complete remission and to restore the functional capacity of the cardiovascular system.
The resort continues to treatment, which started in the hospital, adding to its medical-health regime (physiotherapy, hardening).
Regular monitoring in the clinic It provides for the prevention of recurrence of the disease and its progression. For this use penicillin prolonged action (mainly bicillin 5 once in 2-4 weeks year).
2 times a year, the patient undergoes outpatientexamination, it shows the wellness activities and physiotherapy. If rheumatic heart was not damaged, prevention based on bitsillinoterapii carried out for 5 years after the last attack. In spring and autumn bitsillina addition to the patient within one month of being treated with non-steroidal anti-inflammatory drugs.