Hauv kab lus no peb yuav ua tib zoo saib seb rheumatism tshwm sim nws tus kheej hauv tus menyuam li cas. Cov tsos mob, ntau yam, kev kho mob, kev kuaj mob thiab kev tiv thaiv yog cov teeb meem tseem ceeb uas peb yuav tsom mus rau.
Cia tam sim ntawd kos koj lub ntsej muag rau qhov tseeb tias rheumatism tuaj yeem txhim kho tau txhua lub hnub nyoog. Qhov no yog ib tug kab mob ntawm ib tug kab mob-allergic xwm. Qhov ntau yam ntawm kev kho mob tshwm sim yog vim lub fact tias rheumatism tsis cuam tshuam rau ib lub cev, tab sis connective cov ntaub so ntswg uas muaj nyob rau hauv tag nrho cov tib neeg lub cev. Xav txog cov tsos mob ntawm rheumatism hauv cov menyuam yaus.
Qhov no yog dab tsi?
Cia peb pib peb tsab xov xwm nrog lub tswv yim ntawm "rheumatism". Tus kab mob no yog dab tsi? Qhov no yog lub npe ntawm tus kab mob inflammatory uas cuam tshuam rau tag nrho lub cev tib lub sijhawm (uas yog, nws yog qhov systemic). Lub hauv paus chiv keeb ntawm rheumatism yog kis kab mob-allergic. Nws muaj lwm lub npe: Sokolovsky-Buyo kab mob.
Tus kab mob no tshwm sim los ntawm kev puas tsuaj rau cov ntaub so ntswg. Cov ntaub so ntswg ntawm cov hlab plawv thiab cov hlab plawv hauv nruab nrab feem ntau cuam tshuam. Muaj ib qho kev txheeb caiscov ntaub ntawv uas qhia tias cov poj niam feem ntau raug kev txom nyem los ntawm tus kab mob no - peb zaug ntau tshaj li cov txiv neej. Txawm li cas los xij, qhov sib txawv no ploj mus thaum neeg laus.
Tus yam ntxwv ntawm rheumatism hauv menyuam yaus yog dab tsi? Cov tsos mob thiab kev kho mob ntawm tus kab mob thaum yau yog txawv me ntsis. Qhov no yog vim qhov tseeb tias cov menyuam yaus rheumatism muaj qee yam nta, xws li:
- ntau tshaj tawm qhov hnyav ntawm kev puas tsuaj rau cov hlab plawv;
- hloov pauv hauv lwm lub cev thiab lub cev;
- qhov muaj peev xwm hloov pauv tus kab mob mus rau hauv daim ntawv ntev (feem pua ntawm qhov tshwm sim hauv menyuam yaus yog qhov siab heev);
- recurrence.
Daim ntawv mob ntev tshwm sim nws tus kheej raws li hauv qab no: tom qab kho, muaj lub sijhawm so, tab sis tom qab ib ntus qhov teeb meem rov tshwm sim. Nws yog ib nqi sau cia hais tias relapses ntawm rheumatism yog pom nyob rau hauv cov me nyuam ntau zaus.
Cov tsos mob ntawm rheumatism hauv cov menyuam hnub nyoog 2 lossis 10 xyoo yog qhov zoo ib yam. Thov nco ntsoov tias cov menyuam yaus hnub nyoog xya mus rau kaum tsib xyoos tshwj xeeb tshaj yog raug rau tus kab mob. Cov menyuam yaus rheumatism hem nrog ntau yam teeb meem, nrog rau lub plawv tsis ua haujlwm. Rheumatism feem ntau pib tsim tom qab kis kab mob. Cov no suav nrog ua npaws liab, tonsillitis, thiab lwm yam.
Tshwj xeeb yog feem ntau pom muaj nyob rau hauv cov hlab plawv. Rheumatism yog tshwm sim thoob plaws ntiaj teb, tshwj xeeb tshaj yog nyob rau hauv cov teb chaws txom nyem uas tus nqi ntawm tus kab mob siab heev.
Peb yuav soj ntsuam cov tsos mob thiab kuaj mob ntawm tus kab mob thaum yau tom qab, tab sis tam sim no kuv xav mloogntawm Jones cov txheej txheem. Nws yog ib qho tseem ceeb kom nco ntsoov tias nws txawv ntawm cov qauv loj thiab me. Yog tias tsawg kawg ib qho kos npe los ntawm thawj qeb tau pom, ces qhov no txaus los kuaj tus kab mob.
| Big Criteria | Cov Cai Me |
| Carditis (tshwj xeeb hauv 70% ntawm cov neeg mob), polyarthritis (75%), erythema (txog 10%), chorea (txog 10%), subcutaneous nodules (txog 20%). | Ua npaws, mob caj dab, keeb kwm ntawm rheumatism, nce ESR lossis CRP. |
Symptoms
Tam sim no peb yuav los saib xyuas cov tsos mob ntawm tus mob rheumatism hauv tus menyuam. Raws li tau hais ua ntej, rheumatism tuaj yeem rhuav tshem cov ntaub so ntswg hauv ob peb lub cev ib zaug. Qhov no tuaj yeem piav qhia ntau yam ntawm ntau yam tshwm sim ntawm tus kab mob. Txhua yam nyob ntawm daim ntawv thiab qhov hnyav ntawm cov txheej txheem.
Tus neeg sawv cev ntawm rheumatism txhawb kev tsim cov tshuaj hu ua C-reactive protein. Nws yog nws uas ua rau mob thiab puas rau cov ntaub so ntswg. Ib zaug ntxiv, peb kos koj cov xim rau qhov tseeb tias rheumatism tsis tshwm sim los ntawm kos. Cov txheej txheem ntawm nws txoj kev loj hlob pib tom qab kis kab mob. Nyob rau hauv tag nrho, muaj peb hom kab mob, peb yuav tham txog lawv me ntsis tom qab. Lub ntsiab feature ntawm rheumatism yog ib qho mob tshwm sim. Cov tsos mob muaj xws li:
- nce siab hauv lub cev kub;
- qaug zog;
- xav siab.
Cov tsos mob thawj zaug tau teev tseg tam sim no. Hauv cov menyuam yaus (2xyoo) cov tsos mob ntawm rheumatism tuaj yeem yog:
- chim siab;
- kua muag;
- pw tsaug zog thiab lwm yam.
Ntxiv mus, lwm cov tsos mob uas qhia txog ib qho ntawm cov kab mob rheumatism yuav maj mam koom nrog lawv. Rheumatism nyob rau hauv cov me nyuam, cov tsos mob thiab kev kho mob uas peb xav nyob rau hauv tsab xov xwm, muaj peev xwm tshwm sim nws tus kheej nyob rau hauv ntau txoj kev, tab sis nyob rau hauv hais txog 85% ntawm cov neeg mob, tus kab mob no hem muaj mob plawv.
Kev faib tawm
Nyob rau hauv tag nrho, muaj peb hom kab mob:
- siab;
- ntshai.
Peb yuav tham txog lawv kom meej me ntsis tom qab.
Nws tsim nyog sau cia tias cov tsos mob ntawm tus kab mob streptococcal rheumatism hauv cov menyuam yaus tsis tuaj yeem tsis pom. Tus kab mob ib txwm ua rau muaj qhov tshwm sim hauv daim ntawv ntawm cov teeb meem, lossis rheumatism ua ntev.
Cov tsos mob ntawm tus mob rheumatism hauv cov menyuam yaus hnub nyoog 10 xyoo thiab qis dua yog txawv kiag li. Ib tus kws tshaj lij uas paub txog tuaj yeem kuaj pom tus kab mob tau yooj yim ntawm txhua theem.
Rheumatism muaj ob theem:
- active;
- tsis ua haujlwm.
Cov qauv rau kev ua kab mob yog dab tsi? Cov no suav nrog:
- qhov hnyav ntawm qhov tshwm sim;
- hloov chaw kuaj cov cim.
Raws li qhov no, muaj peb qib ntawm rheumatism. Lawv tau nthuav tawm hauv cov lus hauv qab no.
| thawj degree | yam tsawg kawg nkaus | Tshuaj kho mob thiab kuaj pom muaj mob me heev nyob rau theem no. |
| Second degree | kev ua haujlwm nruab nrab | Qib thib ob ntawm streptococcal rheumatism hauv cov menyuam yaus, cov tsos mob uas twb tau hais meej meej lawm, yog kuaj tau yooj yim. Qhov no yog vim qhov chaw kho mob, hluav taws xob thiab lwm yam cim tau pom lawm. |
| Third degree | Max activity | Cov yam ntxwv muaj xws li: kub taub hau, cov tsos mob ntawm tus kab mob plawv rheumatic, articular syndrome, kev hloov pauv tam sim hauv kev kuaj ntsuas thiab lwm yam. |
daim ntawv kos npe
Tam sim no xav txog cov tsos mob ntawm rheumatism hauv tus menyuam ntawm daim ntawv articular. Cia peb pib tshooj nrog me ntsis ntawm cov ntaub ntawv txheeb cais. Cov me nyuam yaus tsis tshua poob rau hauv pawg no. Hauv yuav luag 20% ntawm cov neeg mob, articular rheumatism manifests nws tus kheej ntawm cov hnub nyoog ntawm ib thiab tsib xyoos; thiab yuav luag 80% - los ntawm kaum mus rau kaum tsib xyoos.
Cov tsos mob ntawm rheumatism ntawm cov pob qij txha hauv cov menyuam yaus tuaj yeem tshwm sim raws li hauv qab no:
- fever;
- tsis muaj zog;
- mob taub hau;
- mob pob qij txha;
- liab thiab o ntawm pob qij txha thiab lwm yam.
Txawm hais tias muaj cov kab mob ntau heev, cov kab mob tseem tsis tau txheeb xyuas. Undoubtedly, rheumatism muaj tus cwj pwm kis. Cov kab mob no cuam tshuam rau feem ntau cov qog ntshav nyob hauv nasopharynx. Cov kab mob cuam tshuam nrog yav dhau los tonsillitis, caries, thiab cov txheej txheem inflammatory.
Nws tsim nyog sau cia tias muaj ntau qhov kev xavtshwm sim ntawm tus kab mob. Rheumatism ntawm cov pob qij txha hauv cov menyuam yaus, cov tsos mob thiab kev kho mob uas peb xav txog hauv tsab xov xwm no, raws li feem ntau, yog ib qho kab mob sib kis. Qhov no yog qhov kev xav dav dav tshaj plaws. Yog tias koj ua raws li qhov kev xav no, ces rheumatism yog qhov tshwm sim ntawm kev tsis haum tshuaj hauv tib neeg lub cev. Vim yog nkag mus rau hauv lub hlwb ntawm cov khoom pov tseg ntawm cov kab mob nyob rau hauv lub sij hawm incubation, lub cev yog reconfigured. Streptococci hauv qhov no muaj peev xwm ua rau cov tsos mob saum toj no ntawm rheumatism.
Nws twb tau hais tias qhov ua rau mob rheumatism feem ntau yog kis kab mob yav dhau los (tshwj xeeb, ua npaws liab). Txawm li cas los xij, lwm yam piv txwv tuaj yeem muab tau:
- hypothermia;
- overvoltage.
Ntau cov tsos mob qhia tau tias CNS (central nervous system) koom nrog hauv cov txheej txheem no. Cov tsos mob no suav nrog:
- chorea;
- lub cev muaj zog;
- mob hlwb;
- kab mob paj hlwb thiab lwm yam.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias tag nrho cov kab mob saum toj no feem ntau nrog rheumatism. Cov kev tshawb fawb pom tau hais tias qhov reactivity ntawm cerebral cortex yog txo qis. Qhov no tuaj yeem txiav txim tau yooj yim los ntawm tus kws tshaj lij uas paub txog. Vim li cas qhov no tshwm sim? Qhov no feem ntau cuam tshuam nrog kev nce siab ntawm cov chaw subcortical, uas cuam tshuam rau tag nrho lub cev.
Heart shape
Tam sim no peb muaj me ntsis tham txog lub plawv daim ntawv ntawm rheumatism nyob rau hauv ib tug me nyuam, cov tsos mob ntawm nomob. Peb tam sim ntawd kos koj cov xim rau qhov tseeb tias cov teeb meem hauv lub plawv tuaj yeem pib ob qho tib si ib txhij nrog cov kab mob rheumatism, thiab maj mam tshwm. Ib daim ntawv loj ntawm rheumatism yog tus cwj pwm los ntawm qhov tseeb tias cov tsos mob ntawm lub plawv tsis ua hauj lwm tshwm sim qeeb heev, uas yog, tus kab mob tsim imperceptibly.
Peb tau hais ua ntej tias lub cim ntawm kev mob rheumatism yog qhov tshwm sim sai thiab ua phem. Muaj mob ntse, thiab lwm yam. Txawm li cas los xij, qee tus menyuam yaus yuav yws yws ntawm qhov mob me me thiab qaug zog. Txawm li ntawd los, teeb meem hauv plawv tuaj yeem txhim kho. Txhawm rau zam qhov tshwm sim loj thiab pib kho raws sijhawm, mus ntsib kws kho mob tshwj xeeb txawm tias muaj kev tsis txaus siab.
Rheumatism ntawm lub plawv hauv cov menyuam yaus, cov tsos mob thiab kev kho mob uas peb yuav xav txog tam sim no, feem ntau hu ua kab mob plawv rheumatic. Thawj theem xyaum tsis manifest nws tus kheej nyob rau hauv txhua txoj kev. Cov tsos mob muaj xws li:
- faus;
- no games;
- tsis kam khiav;
- dyspnea;
- mob siab;
- tawv nqaij.
Daim ntawv hnyav yog nrog rau qhov kub siab, feem ntau tsis tshaj peb caug-tsib degrees. Qhov xwm txheej ntawm tus me nyuam yog qhov tsis zoo txhua hnub.
Daim ntawv plawv ntawm rheumatism tuaj yeem ua rau qee qhov teeb meem hauv lub plawv qhia hauv cov lus hauv qab no.
| endocarditis | kev ua txhaum ntawm sab hauv ntawm lub siab |
| myocarditis | medium |
| pericarditis | outdoor |
| pancarditis | tag nrho peb |
Txhua yam no ua rau muaj kab mob plawv, uas yog, cov txheej txheem inflammatory kis mus rau li qub. Nws yog ib qho tseem ceeb heev uas yuav tsum paub tias kev kho mob raws sij hawm thiab ua raws li cov kev cai tswj hwm yog tus yuam sij rau kev zoo siab rau yav tom ntej. Ntau tus menyuam yaus uas raug mob plawv ua rau lub neej ib txwm muaj (mus kawm ntawv, tawm mus nrog phooj ywg, mus ncig ua si, thiab lwm yam). Yog tias qhov xwm txheej tsis raug saib xyuas, ces tus kab mob yuav siv sij hawm hnyav, uas cuam tshuam rau lub xeev kev noj qab haus huv raws li hauv qab no:
- kev muaj kab mob plawv;
- ua pa tsis muaj zog;
- lub siab loj.
x
Lwm qhov tshwj xeeb ntawm cov kab mob hnyav yog cov pob liab liab ntawm daim tawv nqaij. Nrhiav kev kho mob tam sim ntawm thawj cov tsos mob! Kev kho mob raws sij hawm yog lub caij nyoog rau lub neej ib txwm muaj rau menyuam yaus uas yuav tsum tsis txhob nco.
Nruas form
Nyob rau hauv nqe lus ntawm tsab xov xwm no peb yuav xyuam xim rau cov paj hlwb ntawm rheumatism nyob rau hauv cov me nyuam. Cov tsos mob thiab kev kho tus kab mob yog cov teeb meem tseem ceeb uas peb yuav sim piav qhia hauv kab lus no.
Ib qho tshwj xeeb ntawm cov paj hlwb ntawm rheumatism hauv cov menyuam yaus yog chorea, kev puas tsuaj rau qee qhov ntawm lub hlwb. Chorea nthuav dav zuj zus, cov tsos mob yuav suav nrog:
- mood change;
- chim siab;
- kua muag;
- leeg twitches (ceeb toomtias cov tsos mob no muaj peev xwm nce mus ntxiv; ib txhia niam txiv xav tias tus me nyuam grimacing thiab phem, txawm tsis paub qhov tseeb ntawm tej xwm txheej);
- kev qhuab ntuas;
- kev tsis txaus siab;
- kev sau ntawv hloov;
- zoo li hais lus slurred;
- loose gait.
Rau qhov tsis muaj kev qhuab qhia thiab tsis saib xyuas, kuj tseem tsim nyog ua qee qhov kev qhia meej. Qhov tseeb, tus menyuam tsis yog rau txim. Nws yeej tsis tuaj yeem hnav nws nkawm khau kom zoo nkauj, feem ntau tso cov diav rawg, diav, cwjmem thiab lwm yam khoom. Ua tib zoo saib cov tsos mob no. Muaj ntau confuse qhov no nrog qaug zog los yog carelessness. Qhov tseeb, tus me nyuam xav tau koj kev pab. Cov tsos mob no yuav tshwm sim li peb lub hlis. Ua tib zoo saib xyuas tus cwj pwm thiab tus mob ntawm tus menyuam, kom tsis txhob nco lub sijhawm thiab pib kho raws sijhawm.
Txoj xov zoo ntawm tus kab mob no yog tias lub plawv puas nyob rau hauv lub paj hlwb ntawm rheumatism yog heev tsawg. Yog hais tias tus kab mob tau muab ib qho teeb meem rau cov hlab plawv system, ces tus kab mob no yooj yim heev. Yog tias koj pom tsawg kawg qee qhov kev hloov pauv ntawm tus cwj pwm ntawm tus menyuam, sab laj nrog kws kho mob.
Tam sim no cia peb mloog me ntsis rau hyperkinesis. Qhov no yog ib qho mob uas tshwm sim ntawm qhov siab ntawm tus kab mob. Thaum lub sij hawm no, ib tug neeg yeej ib txwm nyob rau hauv lub zog (nws tsis tuaj yeem zaum, sawv lossis pw tsaug zog). Muaj cov nqaij leeg tsis txaus ntseeg uas tuaj yeem cuam tshuam rau tus menyuam thaum noj mov (kev cog lus ntawm cov leeg ntawm tus nplaig,daim di ncauj, thiab lwm yam). Lawv kis mus rau lwm cov leeg nqaij, cov cim hauv qab no yuav tshwm sim:
- blinking tas li;
- tus nplaig tawm;
Thov nco ntsoov tias thaum pw tsaug zog, tag nrho cov tsos mob ntawm hyperkinesis ploj mus. Ntxiv nrog rau tag nrho cov tsos mob saum toj no, kev kuaj xyuas tuaj yeem kuaj pom cov leeg nqaij qis. Tsis muaj kev ntsuam xyuas tshwj xeeb yuav tsum tau ua hauv cov ntawv hnyav, thaum nws pom ntawm qhov muag liab qab. Ib tug me nyuam uas muaj tus kab mob hnyav tsis tuaj yeem tuav nws lub taub hau lossis zaum. Raws li txoj cai, tag nrho cov tsos mob tshwm sim los ntawm peb lub lis piam mus rau peb lub hlis. Tom qab ntawd lawv maj mam txo qis. Nco ntsoov nco ntsoov tias kev rov tshwm sim yog qhov tshwm sim ntau heev (lub sijhawm tshwm sim yog li ib xyoos tom qab kis tas, qee zaum ua ntej ntau).
Nrog chorea, lub cev kub yuav nce me ntsis (txog 37.5 degrees). Tej zaum yuav muaj o thiab mob hauv pob qij txha.
Yog vim li cas
Nyob rau hauv nqe lus ntawm tsab xov xwm no peb yuav sim tshuaj xyuas kom meej cov lus nug ntawm qhov ua rau mob rheumatism hauv menyuam yaus. Raws li tau hais ua ntej, txawm tias cov tshuaj niaj hnub tsis tuaj yeem muab cov lus teb raug rau cov lus nug no. Muaj ntau ntau txoj kev xav, thiab pib los ntawm lawv, peb tuaj yeem xaus tias ntau yam tuaj yeem ua rau ua rau.
| Factor | Kev piav qhia |
| Cov kab mob kis tsis ntev los no | Cov no suav nrog mob ua pa nyuaj, tonsillitis, kub taub hau, tonsillitis thiab lwm yam. Nws yog ib qho tseem ceeb kom nco ntsoov tias lawv yog tshwm sim los ntawm pab pawg A streptococcus.tsis yog lub ntsiab mob rau kev loj hlob ntawm rheumatism. Qhov no yuav tsum muaj kev ua haujlwm tsis zoo ntawm lub cev tiv thaiv kab mob. Tsuas yog nyob rau hauv rooj plaub no, nws pib tua cov hlwb noj qab haus huv. Qhov no tshwm sim nws tus kheej nyob rau hauv rooj plaub uas qhov kev kho mob tau pib tawm ntawm lub sijhawm (kawg) lossis nws tsuas yog tsis ncaj ncees lawm. |
| Qhov thib ob yog keeb kwm | Nyob rau hauv cov kev tshawb fawb thiab kev tshawb fawb, nws tau pom tias cov kab mob tshwm sim kuj tseem ua lub luag haujlwm hauv kev txhim kho rheumatism. Nws tau raug sau tseg tias tus kab mob no feem ntau tshwm sim hauv cov tswv cuab ntawm tib tsev neeg. |
| Kev thauj mus los ntev ntawm tus kab mob streptococcal | Raws li txoj cai, streptococcus tuaj yeem nyob hauv nasopharynx tau ntev, vim tias lub cev tiv thaiv kab mob ua haujlwm tsis zoo. Qhov tshwm sim - kev loj hlob ntawm rheumatism. |
| yam me me | Txawm hais tias nws yuav zoo li cas txawv txawv, muaj lwm yam (me) uas tuaj yeem ua rau kev loj hlob ntawm rheumatism thaum yau. Cov no muaj xws li: hypothermia, overwork, khoom noj khoom haus tsis zoo. Qhov no cuam tshuam li cas rau kev loj hlob ntawm tus kab mob? Yooj yim yooj yim, cov xwm txheej no muaj kev cuam tshuam tsis zoo rau tus menyuam lub cev tiv thaiv kab mob. Raws li qhov tshwm sim, qhov tshwm sim ntawm kev mob rheumatism nce ntau zaus. |
Diagnosis
Dab tsi yog rheumatism hauv menyuam yaus (cov tsos mob, duab, ua rau muaj nyob rau hauv tsab xov xwm), tam sim no, peb cia siab, nws yog qhov tseeb. Peb tig mus rau kev kuaj mob ntawm tus kab mob. Yuav pib nrog, nws yuav tsum tau hais tias leej twg tuaj yeem xav tias tus me nyuam muaj kab mob, pib nrog niam txiv thiabcov kws qhia ntawv thiab xaus nrog kws kho menyuam yaus lossis kws kho mob rheumatologist.
Lub tsev kho mob rheumatism hauv cov menyuam yaus (kev kho mob tshwm sim) muaj ntau yam. Nws yog ib qho tseem ceeb kom paub cov ntsiab lus tseem ceeb:
- carditis (txhua yam);
- chorea (peb tau mob siab rau tus kab mob no ua ntej);
- muaj cov nodules hauv qab daim tawv nqaij ntawm tus menyuam;
- erythema;
- polyarthritis;
- tsis ntev los no tus kab mob strep;
- hereditary factor.
Yog tus menyuam muaj yam tsawg kawg ib yam ntawm cov tsos mob no, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Ntxiv nrog rau cov qauv no, muaj lwm yam:
- arthralgia;
- fever;
- hloov pauv ntshav suav.
Kev kuaj mob, nws tsis txaus los tshuaj xyuas thiab nug tus neeg mob. Rau qhov kev kuaj mob kom raug, nws yuav tsum tau ua ntau yam kev sim, uas suav nrog lub hauv siab x-ray, ECG, echocardiography.
X-ray pab txiav txim siab txog kev teeb tsa ntawm lub plawv, ECG yuav pom cov kab mob plawv (yog tias muaj), Echocardiography txiav txim siab muaj kab mob plawv.
Kev kho mob
Peb tau saib qhov kev kuaj mob thiab cov tsos mob ntawm rheumatism hauv cov menyuam yaus. Kev kho tus kab mob yog cov lus nug tom ntej. Hauv qhov no, yuav tsum muaj kev sib koom ua ke. Kev kho mob Rheumatism aims ntawm:
- mob nyem;
- effect on streptococcal flora.
Rheumatism hauv cov menyuam yaus (cov tsos mob, kev kho mob thiab cov duab uas peb tab tom txiav txim siab) tau kho hauv tsev kho mob. Thov nco ntsoov tias txoj kev kho tau ua tiav txawm tias qhov no yog qhov xav tau.kab mob.
Tus me nyuam xav tau:
- txaj so nrog kev nce qib hauv kev ua si;
- khoom noj kom raug, noj zaub mov muaj ntau ntxiv ntawm cov poov tshuaj;
- koom haum ua si lom zem.
Kev kho tshuaj yog raws li:
- tshuaj tua kab mob;
- hormonal;
- anti-inflammatory;
- vitamin complexes;
- poov tshuaj npaj;
- immunostimulants.
Txhua cov tshuaj no pab tua cov kab mob microflora. Yog li ntawd, cov txheej txheem inflammatory raug tshem tawm thiab cov tsos mob ntawm tus kab mob no tau pom zoo txo qis. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev kho tshuaj yuav muaj qee qhov kev mob tshwm sim:
- kev txhim kho ntawm qhov txhab;
- pas plab;
- cuam tshuam hauv kev ua haujlwm ntawm cov qog endocrine.
Kev Tiv Thaiv
Nqe lus no tau mob siab rau kev tiv thaiv mob rheumatism hauv menyuam yaus. Paub qhov txawv ntawm kev tiv thaiv thawj thiab theem nrab. Hauv thawj kis, kev saib xyuas yog them rau txoj kev loj hlob ntawm tus menyuam:
- khaw;
- khoom noj kom raug;
- sport;
- tawm tsam pab pawg A streptococcus kab mob.
Secondary aims los tiv thaiv rov qab:
- "Bicilin 5" - 1.5 lab units ib zaug hauv plaub lub lis piam rau cov menyuam kawm ntawv;
- "Bicilin 5" ntau npaum li cas ntawm 0.75 lab units ib zaug txhua ob lub lis piam rau cov menyuam kawm ntawv preschool.
Thov nco ntsoov tias nws raug pom zoo kom tiv thaiv kom tsis txhob mob hnyavtxhua xyoo, txhua hli. Lub sijhawm pom zoo yog tsib xyoos.
Huab cua
Ntau leej niam muaj peev xwm tiv tau tus kab mob no los ntawm kev mus rau tom tsev kho mob raws sij hawm pab kho mob. Yog tias koj ua raws li kev tiv thaiv ntawm rheumatism, tom qab ntawd kev rov qab los yuav tsis ua rau muaj kev hem thawj rau lub neej. Peb tau txheeb xyuas kom meej txog qhov teeb meem ntawm rheumatism hauv cov menyuam yaus, cov tsos mob, tshuaj xyuas. Cov kev kwv yees yog dab tsi?
Nco ntsoov tias kab mob rheumatic hauv li 25 feem pua ntawm cov neeg mob yog nrog los ntawm kev loj hlob ntawm cov kab mob plawv. Rov tshwm sim tsis tso lub sijhawm kom tsis txhob muaj kev puas tsuaj ntawm lub valve. Yog li ntawd, yuav tsum tau phais plawv. Cov txiaj ntsig tuag los ntawm lub plawv tsis ua haujlwm yog kwv yees li 0.4%. Nws yuav tsum raug sau tseg tias qhov tshwm sim ntawm tus kab mob yog nyob ntawm qhov raug thiab ncua sij hawm ntawm kev kho mob.
