Reiter's syndrome yog ib tus kab mob rheumatic. Nws cuam tshuam rau pob qij txha, mucous daim nyias nyias ntawm lub qhov muag, nrog rau cov kab mob urogenital. Raws li, ib tug neeg tsim prostatitis, conjunctivitis, urethritis thiab lwm yam kab mob. Lawv tuaj yeem tshwm sim ua ntu zus lossis ib txhij.
Tus kab mob no tshwm sim vim muaj teeb meem nrog lub cev tiv thaiv kab mob, ua rau lub plab hnyuv lossis cov kab mob genitourinary. Thaum lub sij hawm kuaj mob, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas cov kev hloov hauv cov ntshav, nrog rau tsim kev sib txuas nrog tus kab mob yav dhau los. Kev kho mob yog qhov zoo tshaj plaws nrog tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob. Cov kab mob zoo li no feem ntau tuaj yeem rov zoo dua, thiab nws tuaj yeem ua mob ntev.
Kev piav qhia kab mob
Reiter's syndrome hauv 80% ntawm cov neeg mob cuam tshuam rau cov txiv neej hnub nyoog 20 txog 40 xyoo. Cov poj niam raug kev txom nyem los ntawm tus kab mob no ntau dua, cov me nyuam xyaum tsis cuam tshuam. Tus kab mob ua rau tus kab mob yog chlamydia. Cov kab mob no tuaj yeem ua rau cab hauv tus tswv tsev rau lub sijhawm ntev. piav kab mobtsim muaj qee zaum tom qab ncua colitis. Qee lwm yam kab mob kuj ua rau nws. Nrog rau cov caj ces predisposition, qhov pathology no yuav tshwm sim hauv qee tus neeg mob.
Tus kab mob no tau muab faib ua ntau theem hauv nws txoj kev kawm. Peb tab tom tham txog kab mob thiab immunopathological. Thawj yog tus cwj pwm los ntawm qhov tseeb hais tias cov kab mob nyob rau hauv lub genitourinary ib ntsuj av. Qhov thib ob theem qhia tias ib tug neeg tau pib muaj kev puas tsuaj rau lub conjunctiva thiab pob qij txha.
YKev faib tawm ntawm pathology
Tam sim no, muaj ob hom ntawm Reiter's syndrome. Peb tab tom tham txog kev sib kis thiab sib kis. Thawj qhov tshwm sim tom qab ib tus neeg tau kuaj pom tias muaj kab mob genitourinary. Kev sib kis, ntawm qhov tod tes, tuaj yeem tshwm sim rau ntau yam laj thawj, raws li txoj cai, lawv muaj tus kab mob salmonella, dysentery, thiab lwm yam.
Nyob rau hauv cov kab mob, nws tuaj yeem ua rau mob hnyav, uas yog, tsis pub dhau rau lub hlis, ncua sijhawm, mus txog ib xyoos, thiab mob ntev. Qhov kawg yog tus kab mob uas rov muaj dua ib xyoos.
Cov tsos mob ntsig txog Genito
Thaum kuaj pom tus mob Reiter's syndrome, nws tseem ceeb heev uas yuav tsum pom muaj teeb meem hauv cov kab mob genitourinary. Lawv yog thawj lub cim. Cystitis, urethritis, prostatitis thiab lwm yam tshwm sim. Cov txiv neej muaj mob hauv plab plab, tso zis ntau zaus, mob, kub hnyiab lossis khaus thaum lub zais zis. Hauv cov poj niam, muaj qhov tsis zoo ntawm qhov chaw mos, qhov mob thaum tso zis, nrog rau qhov tsis xis nyob hauv plab plab. ATsmears thiab tso zis tuaj yeem pom leukocytosis.
Raws li koj pom, ob leeg poj niam thiab txiv neej muaj cov tsos mob zoo sib xws ntawm tus kab mob no. Yog tias ib qho tshwm sim tshwm sim, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd txhawm rau kho tus kab mob raws sijhawm.
Cov tsos mob ntsig txog lub zeem muag
Twb qee lub sijhawm tom qab pom cov teeb meem nrog cov kab mob genitourinary, tus neeg lub qhov muag ua rau mob. Qhov no kuj yog ib qho ntawm cov tsos mob ntawm Reiter's syndrome. Tom qab ib pliag, qhov no ua rau kev txhim kho ntawm conjunctivitis, nws tuaj yeem ua rau neuritis, keratitis, thiab lwm yam. Tearing tuaj yeem nce ntxiv, pom kev tsis pom kev, liab liab, photophobia tshwm sim, thiab cov kua paug thiab mob kuj tuaj yeem tshwm sim. Qee lub sij hawm nws tshwm sim tias pom qhov muag pom tsuas yog ob peb hnub xwb, thiab tom qab ntawd dhau los ua npub.
Cov tsos mob sib koom ua ke
Ib qho ntawm cov tsos mob tseem ceeb ntawm Reiter's syndrome yog teeb meem nrog pob qij txha. Nws tshwm sim ib thiab ib nrab mus rau ob lub hlis tom qab pib tshwm sim. Thaum xub thawj, tsuas yog ib lossis ob lub pob qij txha ua rau mob, tab sis tom qab ib ntus polyarthritis tshwm sim. Feem ntau, cov pob qij txha ntawm ob txhais ceg raug suav hais tias muaj teeb meem, o tuaj ntawm hauv qab mus rau hauv qab. Ntawd yog, pob taws pob taws cuam tshuam ua ntej, tom qab ntawd lub hauv caug pob qij txha, thiab lwm yam. Tej zaum yuav muaj mob, asymmetry ntawm o, discoloration ntawm daim tawv nqaij, raws li zoo raws li o nyob rau hauv lub cheeb tsam ntawm o. Qee zaum tus txha caj qaum tuaj yeem cuam tshuam. Yog li ntawd, ib tug neeg muaj qhov tsis xis nyob thaum sawv ntxov.
Yog hais tias peb tham txog kev puas tsuaj rau cov pob qij txha ntawm ko taw, ces txhais taw tiaj tiaj. Raws li kev txheeb cais, ib nrab ntawm cov neeg mob, cov tsos mob zoo li no ploj mus nrog kev kho kom raug, 30% rov zoo dua, thiab 20% tsim mob caj dab ntev.
Lwm yam tshwm sim
Qee zaum muaj cov chav kawm tsis yog tus qauv ntawm Reiter's syndrome. Qhov no qhia tau hais tias lwm yam kabmob kuj yuav raug cuam tshuam. Cov pob liab liab tshwm rau ntawm daim tawv nqaij, uas tej zaum yuav zoo li pob. Raws li txoj cai, xws li manifestations cuam tshuam lub xib teg thiab soles. Thaum lub sij hawm, tev thiab keratinization ntawm daim tawv nqaij yuav tshwm sim. Hauv qee tus neeg mob, cov mucous daim nyias nyias ntawm lub qhov ncauj thiab qhov chaw mos raug cuam tshuam. Nco ntsoov tias mob caj dab yog cov tsos mob tseem ceeb, yog li qhov mob ntawm cov leeg thiab ligaments tuaj yeem tshwm sim. Yog li ntawd, ib tug neeg yuav muaj kev tsis xis nyob, liab thiab o. Muaj tsawg zaus, tus mob no tuaj yeem ua rau mob raum, mob ntsws, thiab mob plawv.
Txoj kev kuaj mob
Ua ntej pib kev kho mob ntawm Reiter's syndrome, nws yog ib qho tsim nyog yuav tsum ua qhov kev kuaj mob kom nkag siab tias yuav tsum tau kho li cas. Ua ntej tshaj plaws, tus kws kho mob ua tib zoo saib xyuas tus neeg mob cov lus tsis txaus siab, tshwj xeeb tshaj yog tias nws nyuam qhuav muaj kab mob genitourinary lossis plab hnyuv.
Yuav kom paub meej qhov kev kuaj mob los ntawm kev saib xyuas kev kho mob, nws yog ib qho tsim nyog yuav tsum ua cov kev sim kuaj. Nws yog ib qho tsim nyog los pub ntshav txhawm rau txheeb xyuas qhov muaj tus kab mob chlamydia, tib yam kab mob tuaj yeem pom nyob rau hauv cov mucous daim nyias nyias ntawm lub qhov muag, hauv cov zis lossis qhov chaw mos, hauv cov kua dej sib koom ua ke. Tom ntej no, koj yuav tsum uantshav chemistry los kuaj rheumatoid factor. Yog hais tias peb tham txog kev puas tsuaj ntawm cov pob qij txha, ces X-ray, MRI thiab CT yog sau.
Kev kho mob
Tau pom qhov ua rau ntawm Reiter's syndrome, nws yog qhov yuav tsum tau pib kho. Kev kho mob tag nrho tuaj yeem siv sijhawm li 3 txog 12 lub hlis. Nws tsom kom tsis txhob mob, txo cov tshuaj tiv thaiv autoimmune thiab tshem tawm kev kis kab mob.
Thaum nws los txog rau kev loj hlob ntawm tus kab mob chlamydia, tus kws kho mob tau sau tshuaj tua kab mob hauv cov koob tshuaj ntau tshaj. Txhawm rau kom tsis txhob rov kis tus kab mob, nws raug nquahu kom sau cov tshuaj no rau tus neeg sib deev. Cov tshuaj tua kab mob yuav tsum tau qaug dej qaug cawv ntev heev, lub sijhawm tsawg kawg yog 3 lub lis piam, qhov siab tshaj plaws yog 8 lub lis piam. Qhov no tuaj yeem ua rau kev txhim kho ntawm candidiasis lossis teeb meem nrog kev zom zaub mov. Txhawm rau kom cov txiaj ntsig zoo li no tsis cuam tshuam, nws yog ib qho tsim nyog yuav tsum haus cov tshuaj multivitamin tshwj xeeb, hepatoprotectors thiab tshuaj antimycotic. Ua tsaug rau lawv, cov nyhuv ntawm lub cev ntawm cov tshuaj tua kab mob yuav raug txo kom tsawg. Nws kuj tseem pom zoo kom noj cov enzymes proteolytic txhawm rau txhawm rau txhim kho kev ua haujlwm tau zoo.
Yog tias ib tus neeg muaj qhov mob hnyav ntawm qhov muag, nws yuav tsum haus cov tshuaj tua kab mob, nrog rau siv cov tee lossis tshuaj pleev. Cov tom kawg yuav tsum yog raws li tetracycline. Koj tuaj yeem siv cov tshuaj pej xeem hauv daim ntawv ntawm tinctures ntawm tshuaj ntsuab. Txhawm rau txo qhov mob ntawm qhov muag, koj yuav tsum siv chamomile thiab calendula.
Yuav tshem tawm cov teeb meem sib koom ua ke, kho mob caj dab, yog qhov tsim nyogsiv cov tshuaj tiv thaiv kab mob. Cov tshuaj glucocorticoids lossis cov tshuaj uas tsis yog-steroidal anti-inflammatory siv. Ob pawg ntawm cov tshuaj tuaj yeem txo qhov mob, thaum muaj qhov kub thiab txias - khob nws, nrog rau txo qhov o. Ntau tus neeg mob sau cov kev tshuaj xyuas zoo txog qhov kev kho no.
Reiter's syndrome kuj tuaj yeem tshwm sim los ntawm kub taub hau lossis qaug cawv. Nyob rau hauv cov ntaub ntawv no, tus neeg mob tau sau tshwj xeeb txhais tau tias tso cai tsis tau tsuas yog kom alleviate tus neeg mob tus mob, tab sis kuj yuav ua rau kom cov hauj lwm zoo ntawm lwm yam tshuaj siv. Qee cov neeg mob, tom qab tso tseg cov txheej txheem inflammatory, tau muab tshuaj kho mob physiotherapy nyob rau hauv daim ntawv ntawm physiotherapy ce, electrophoresis, magnetic therapy.
Immune System Therapy
Syndrome kuj txhais tau tias siv cov tshuaj thaum lub sijhawm kho uas cuam tshuam cov lus teb ntawm lub cev tiv thaiv kab mob. Raws li txoj cai, nws cov txheej txheem ua rau lub fact tias cov ntaub so ntswg puas tag. Cov tshuaj no siv tau ntev. Lub sijhawm tsawg kawg yog 4 lub hlis. Yog tias peb tab tom tham txog tus kab mob hnyav, ces tus neeg mob feem ntau yuav tau haus tshuaj tag nrho nws lub neej. Cov nyiaj zoo li no tuaj yeem ua rau lub xeev tsis muaj zog ntawm lub cev tiv thaiv kab mob, nws ua rau qaug zog, raws li, tib neeg lub cev tuaj yeem yooj yim succumb mus rau kab mob. Yog li ntawd, koj yuav tsum haus cov tshuaj immunomodulators nyob rau hauv parallel. Txhawm rau ua kom muaj kev ua haujlwm ntawm kev tiv thaiv, koj tuaj yeem siv ultraviolet cov ntshav irradiation.
txoj kev ntxiv
Txij li lub hnub raug ua rau muaj kev loj hlob ntawm Reiter's syndrome,ntau yam teeb meem yuav tshwm sim. Yog tias tsis muaj kev kho kom raug thiab tsim nyog, tus kab mob no yuav tsum tau kho mob hnyav dua li tau piav qhia saum toj no. Hauv cov theem tom ntej ntawm tus mob, kev txhim kho ntawm tus kab mob HIV tuaj yeem pom, yog li nws yog qhov yuav tsum tau kuaj xyuas nws qhov muaj nyob. Tom qab qhov tshwm sim tsis zoo, cytostatics raug tshuaj.
Qee tus neeg mob tau qhia kom kawm cov tshuaj hormones. Qee zaum kev nyuaj siab tuaj yeem tsim tawm tsam keeb kwm ntawm tus kab mob no, uas ua rau muaj kev ntshai. Feem ntau nyob rau theem no, cov neeg mob tsis ntseeg qhov kws kho mob qhia rau lawv, yog li nws yog qhov zoo tshaj los sau tshuaj tiv thaiv kev nyuaj siab uas yuav ua rau tus neeg rov qab zoo li qub.
Thawj 3 lub hlis muaj mob, tus neeg mob yuav tsum siv nyiaj raws li kev saib xyuas ntawm kws kho mob. Kev ntsuam xyuas yuav tsum tau ua txhua ob lub lis piam los kuaj xyuas qhov ua tau zoo ntawm kev kho mob. Ib hlis ib zaug, koj yuav tau mus kuaj tom qab qhov kawg ntawm kev kho mob. Yog tias rau lub hlis (los yog ua ntej) tom qab kev kho mob ntawm tus kab mob, prostatitis tshwm sim, nrog rau qhov mob ntawm cov pob qij txha, tom qab ntawd koj yuav tsum tau rov mus pw hauv tsev kho mob, vim qhov no suav tias yog kev rov qab los.
kev kho neeg zoo
Hauv kev kho mob ntawm Reiter's syndrome, nws tseem ceeb heev uas yuav tsum ua raws li cov lus pom zoo. Tom qab kev sib tham ua ntej nrog tus kws kho mob, cov tshuaj tshuaj tuaj yeem siv tau. Xav txog cov txheej txheem nrov tshaj plaws thiab ua tau zoo:
- Decoction ntawm aspen yuav pab tshem tawm cov txheej txheem inflammatory. Nws cov tawv ntoo muaj txiaj ntsig zoo. Nws yog tsim nyog los ncuav me ntsis bark (1 tablespoon) nrog ib khob dej, ua noj nyob rau hauv ib tug da dej rau txog ib feem peb ntawm ib teev. Lub decoction yuav tsum tau infused rau tsawg kawg 45 feeb. Nws tuaj yeem tov nrog tshuaj yej, nws raug tso cai haus hauv nws daim ntawv ntshiab. Txawm li cas los xij, koj yuav tsum tsis txhob haus ntau tshaj 3 zaug hauv ib hnub.
- Ib decoction ntawm oat straw tuaj yeem muab cov nyhuv zoo sib xws. Nws yog tsim nyog los noj 200 g ntawm raw cov ntaub ntawv, ncuav dej thiab ua noj nyob rau hauv ib saucepan rau ib nrab ib teev. Nws yuav tsum tau borne nyob rau hauv lub siab hais tias cov kua yuav tsum txaus rau ib tug xis da dej (kwv yees li 5 litres). Tom qab lub decoction tau txias lawm, nws yog ib qhov tsim nyog los raus ob txhais ceg los yog ob txhais tes rau hauv dej, nyob ntawm seb cov pob qij txha raug cuam tshuam.
- Koj tuaj yeem siv decoctions ntawm dandelions thiab primrose. Lawv yuav tsum tau noj ntawm qhov ncauj. Txhawm rau ua noj, koj yuav tsum siv ib tablespoon ntawm nyom qhuav, ntim nrog dej npau npau (200 ml). Koj tuaj yeem haus dej tom qab ib teev, raws li lub broth yog infused. Kev ua noj yuav tsum muab faib ua plaub zaug thiab noj txhua hnub.
Huab cua
txhawm rau kuaj xyuas Reiter's syndrome nyob rau lub sijhawm, kev sim yuav tsum tau ua tsis tu ncua. Raws li txoj cai, yog tias kev kho mob pib raws sijhawm, qhov kev cia siab yuav zoo. Feem ntau, hauv cov neeg mob, tus kab mob nkag mus rau hauv kev kho kom ruaj khov, tab sis qhov no tsis suav nrog qhov muaj peev xwm rov qab los. Nyob rau hauv tsawg tshaj li ib nrab ntawm cov neeg mob, tus kab mob no yuav ua tau ntev, uas yuav ua tau rau flatfoot, nqaij atrophy, thiab lwm yam. Kev tiv thaiv, nws yog ib qho tsim nyog los tiv thaiv kab mob hauv plab hnyuv thiab urogenital, nrog rau kev kho cov kab mob tshwm sim hauv lub sijhawm.
ntsuas kev tiv thaiv
Raws li tau hais los saum toj no, nws yog ib qho tseem ceeb kom saib xyuas lub xeev ntawm koj lub cev. Txawm li cas los xij, qhov no tsis yog txhua yam. Tsis muaj kev tiv thaiv tshwj xeeb, yog li nws yog qhov yuav tsum tau kuaj xyuas cov kab mob venereal hauv lub sijhawm thiab kho lawv. Ua li no, cov teeb meem tuaj yeem zam tau.
Yog tias nws yog daim ntawv mob ntev, ces yuav tsum tiv thaiv kev rov qab los. Yog vim li cas koj thiaj li yuav tsum tau mus kho mob tsis tu ncua hauv sanatoriums, qhov twg ntau yam kev kho av nkos tau ua. Txhua tus neeg mob uas twb tau kuaj pom tus mob Reiter's syndrome ib zaug yuav tsum tau sau npe nrog lub tsev kho mob thiab kuaj xyuas ib ntus. Thaum lub sij hawm exacerbation, koj yuav tsum tau ua raws li kev noj haus, uas yog, tsis txhob noj cov zaub mov muaj roj, nrog rau cov tais diav uas ua rau mob pancreas.
