• Causes and symptoms of rheumatism
  • Treatment of rheumatism

  • Causes and symptoms of rheumatism

    It is believed that the cause of rheumatism is activation
    pathogenic microorganisms, mainly beta hemolytic
    Streptococcus group A. It is he who is given the main role in etiology and
    pathogenesis of rheumatic disease. First, the disease develops on
    Background of streptococcal infection. Secondly, in the blood of patients
    There is a large number of antibodies to the microorganisms of this
    Groups. Thirdly, the prevention of the disease is successfully held
    Antibacterial drugs. So we found out the reason for this
    Cunning disease.
    Now consider what is happening in the body
    man. For example, a man had a sorry, that is, subjected
    Streptococcal infection. Normally, a person is produced
    Sustainable immunity to the antigens of this microorganism. But if protective
    the forces of the body are reduced, then such immunity is not created. At
    Re-introduction of streptococci in the body arises complex immune
    answer. As a result of autoimmune reactions, damage occurs
    own connective tissue.

    Clinical manifestations are diverse.
    Usually rheumatism develops after 1-2 weeks after transferred
    Streptococcal infection (for example, angina, scarletins, pharyngitis).
    Patients complain about temperatures up to 37.5, poor general
    Wellness (weakness, sweating). Later new signs appear,
    pointing. These include the feeling of interruptions in
    Heart work, heartbeat, feeling of chest, shortness of breath. Everything
    These phenomena are associated with the development of myocarditis.
    In addition, joint pain appear (but not always). In case of inspection
    The patient can be detected rash in the form of pale pink rings,
    towering over skin. When palpation they are painless. Localize
    Such rings are mainly on the skin of the chest, abdomen, neck, faces. Wherein
    Pale skin.

    Treatment of rheumatism

    Depending on the flow, three
    The degree of activity of the disease: the most active (acute), moderately
    Active and with minimal activity (sluggishly current). For illness
    are characterized by recurrences (resumption of acute process) under the influence
    adverse factors (infection, hypothermia, physical
    Overvoltage and pr.)

    The complications of rheumatism include the following severe conditions: endocarditis,
    Tricetic overlays on valves can be broken and spread
    Current of blood in various organs and fabrics, causing severe disorders
    blood circulation (ischemia) and, as a result of heart attacks (for example, infarction
    kidneys, spleen and others.). Severe course of the disease can lead to
    Rheumatic pericarditis.
    If the patient enters the active phase of rheumatism, he is sent
    for hospital treatment. As the main etiological factor
    rheumatic disease is streptococcus, then the treatment is directed to
    Fighting with infection, as well as with inflammatory processes caused by
    These microorganisms.

    Antibacterial therapy is prescribed to fight streptococcal infection.
    Most often use the following treatment scheme:
    • Penicillin at 400,000 units 4 times a day introduced intramuscular (course of treatment 10 days)
    • Then Bicyllin-5 is introduced (this is also an antibiotic) of 1,500,000 ... once every 3 weeks (rate of treatment 1.5-2 months)
    • After that it is necessary to carry out year-round bicyllinoprophylaxis under the control of the doctor
    To suppress the inflammatory process, the doctor prescribes nonsteroidal
    Anti-inflammatory means. For example, diclofenac sodium (Ortophen,
    Voltaren), indomethacin, acetylsalicylic acid.

    If the patient has a high
    The activity of autoimmune processes is prescribed immunosuppressive
    Therapy (overwhelming immune processes aimed at damage
    own tissues of the body). For this purpose, corticosteroid
    Preparations (prednisone). If the activity of autoimmune processes
    Small, then the appointment of aminohinoline derivatives is possible
    (Plaquenil, delagil).

    After discharge from the hospital, the patient
    must be observed in a cardiorevmatology office, with a view to
    identifying complications or their prevention, if any.

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