Treatment of disease Reiter

Content

  • What is the Reiter's disease
  • How is the treatment of rarery disease

  • Distinguish two forms of this disease. One (postentterocolic) arises after a person suffered enterocolitis - inflammation of the intestine. But much more often encounter with a sporadic (or venereal) form of this disease related precisely with chlamydia. It is the Beach of young, strong, capable men and women who do not even suspect that you can get so sick.

    This disease is also caused by chlamydia. Half patients, the causative agent is distinguished from the urethra, conjunctival bag of eyes and affected joints. Fortunately, it develops not in all patients with chlamydia, but only in those 70-90%, in which the so-called histocompatibility antigen is present under the HLA labeling. B27, which is inherited. The role of this antigen in the body is not fully solved until the end, but it has been established that its carriers have a risk of sulcope with seronegative arthritis, among which the Reiter's disease is and is 40 times higher than those of other people.


    What is the Reiter's disease

    This is a comprehensive disease characterized by the fact that arthritis, conjunctivitis and urethritis arise at the same time. Sometimes they also join the inflammation of the skin and other mucous membranes.

    As it appears? First, the diarrhea (liquid chair) appears, after the one day, it develops urethritis with weak manifestations, then, after a couple of weeks, the process sharply sharpens, the temperature rises to 33 °C (lasts a few months!) and pain in the joints begin, mainly in the joints of the toes (they become like sausages), knees, in the ankle and small joints. The skin over the affected joints blushes, compacted, the mobility of the joint is limited.

    Very quickly in the disease are involved and joints located near the radiation or spiral-rising principle. Recently manifests conjunctivitis. It happens (almost half of the cases of diseases of the Reiter's disease), which is involved in the disease and the rest of the body: the nails are affected, the skin on the feet feet (keratodermia), painless ulcers appear on the mucous membrane of the mouth, the extreme flesh is amazed in men (Balanit or Balanopostitis), Myocardium, kidneys suffers, meningitis and meningoencephalitis, as well as pneumonia. In pain­Osteoporosis began to actively develop (weakening bones due to an increase in their porosity). Can suffer and the spine, and with the greater probability, the longer the disease lasts. To find out if you need to go­Calm X-ray pelvis. Sometimes such dangerous eye lesions are developing, as injected with iridocyclite, which are able to lead to­Pot. In general, all organs and fabrics can be amazed.


    How is the treatment of rarery disease

    Treatment of disease Reiter
    I say a little that the Reiter's disease requires leakage­- to be treated, and more thoroughly about­at once, there must be both partners, and the same methods and the same doctor. When developing­From the arthritis of the removal of chlamydia - the matter is very difficult, because the process in this case has already been generally generalized, that is, it has spread to the entire body: on joints, lymph nodes and other organs. Therefore, antibiotics are prescribed, primarily a tetracycline row, macrolides, less often - fluoroquinolones, and not less than a month! Immunomodulators affect the immune system. Of course, painful preparations are used. Hormonal corticosteroid drugs in tablets that help with rheumatoid arthritis, are ineffective here, but local ointments and injections help well.

    After the first monthly course of antibiotics, only half of the patients are cured. Why? The fact is that chlamydia in the body is able to move into a special prominent form. They are inside the cells, but do not develop into mature forms, and stored as if in a bank. In this state, antibiotics do not act on them and the result of the analysis on chlamydia will be the denial­tie, although the pathogens themselves are not going anywhere. «Wake up» They are about a month - names­But at this time you need to pass again. No chlamydia? Then you have to wait another month,­Radia injection immunomodulator. And only the EU­Lee and third analysis (another one month)­it turns negative, we can assume that the disease is defeated.

    However, approximately a quarter patients never manage to get rid of chlamydia, and Reiter's disease becomes chronic. Such patients will have to be observed at the roar­Matologi.

    Remember! At first problems with urination, run to a doctor to a urologist or dermatovenerologist. At this stage it is still possible to stop the disease and not to develop the inflammation of the joints. But if the term is missed - hurry not to the urologist, but to a rheumatologist, only he can help.

    Leave a reply