What is Scleroderma
Systemic scleroderma - a serious disease of the connective
fabric, wherein the fabric is compacted and it hardens. There is so
called sclerosis (from the Greek sklerosis - hardening). at
systemic sclerosis affected skin, small vessels and internal
organs: gastrointestinal tract, lungs, kidneys, heart. Women suffer
systemic scleroderma three times more often than men. Average age
patients - 30-40 years.
The reason of that
the disease is still unknown. Scientists theorize that
a significant role in the development of systemic sclerosis plays innate
inferiority of the immune system leading to autoimmune disorders.
The human immune system suddenly begins to perceive their own
cells as foreign and destroys them. In this case, its "enemies"
are connective tissue cells. Risk Factors Scleroderma
include hypothermia, trauma, infections.
How is scleroderma
systemic scleroderma affects various systems and organs,
the manifestations of the disease are extremely diverse. More often
disease begins with a so-called Raynaud's syndrome (spasm
small blood vessels). This disturbed blood flow in the fingers
hands: they fade, become cold, they start to hurt.
skin changes. In the early stages of the disease on the face and hands
there are edema (swelling), which are compacted with time.
The color of the skin begins to resemble wax. The disease alters the facial features
patient: it becomes like a mask, and the mouth is narrowed. Fingers
due to thickening of the skin reminiscent of a fake. Over time, the process
It involves the skin of the forearms, chest, neck, legs and feet.
addition, there are signs of joint damage, manifested by pain
and stiffness. Often affects the gastrointestinal tract
and heart. Patients complain of pain when swallowing food, constipation or
diarrhea. They have a shortness of breath, arrhythmia, heart pain, swelling
feet. Approximately 20% of joins kidney disease.
Without treatment, symptoms of the disease is increasing. In the acute form
disease-year survival is less than 20% in chronic
form about half of patients live more than 5 years.
How is the diagnosis and treatment of scleroderma
an urgent need to apply When the above symptoms to rheumatologist.
Most likely the doctor will diagnose immediately after the inspection, but
in severe cases may require joints and skin biopsy. Sometimes
patients prescribed the study of immunity andCBC, in which identifies the common signs of inflammation. Changes of heart are diagnosed using an electrocardiogram and echocardiogram (ultrasound of the heart). Since X-rays are detected using the changes in the lung and joints.
Treatment of systemic sclerosis are used anti-inflammatory
(Corticosteroids), anti-fibrotic (preventing compaction
the connective tissue), vascular, immunosuppressive (suppress
activity of the immune system) and the bracing means. at
chronic course are shown balneotherapy (coniferous, radon
and hydrogen sulfide baths), paraffin and mud wraps, etc.
Are important physiotherapy, Physiotherapy and massage.