Reiter's syndrome inowanzonzi chirwere chinotapukira, chinoparidzirwa zvikuru kuburikidza nenzira yepabonde, iyo inoratidzwa nekukundwa kwenhengo dzinoverengeka.
Chii chinonzi Reiter's syndrome?
Reiter's syndrome inokonzerwa nemamwe marudzi e-chlamydia (Chlamydia trachomatis), zvichiita kuti kuve nekuvhiringidzika kwezvirwere zvezvirwere zvezvirwere zvezvirwere, izvo zvinozoitika pamwe nekuparara kwevamwe nhengo:
- joints (reactive arthritis);
- mucous membrane (conjunctivitis, kukorera);
- urogenital nhengo (urethritis, cervicitis);
- Dzimwe nguva pane kuora kwemaziso uye ganda.
Kubudirira kwechirwere munhengo kunogona kuenda pamwe chete uye nguva dzose. Iko kune pfungwa yekusakwana kweReiter's syndrome - imwe nhengo inoshandiswa.
Chiratidzo chechirwere chinenge chakafanana kune varume nevakadzi. Kunyange zvazvo zvichifanira kuonekwa kuti matanho akare akacherechedza chirwere ichi sevarume vakawanda, sezvo chiyero chevakadzi nevarume vane chiitiko ichi chaiva 1:10. Panguva ino, huwandu hwevaya vanorwara-hutano hwemakore kubva pamakore makumi maviri kusvika makumi mana.
Zviratidzo zveReiter's Syndrome
Nguva yekudzivirira chirwere ichi chirwere chevhiki 1-4. Munguva iyi, kuonekwa kwezviratidzo zvakadaro:
- Zviratidzo zvekutanga zve cervicitis (mumadzimai) uye urethritis (mumarume).
- Kuwedzera kwehasha kweziso, kusvika ku conjunctivitis (mune chechitatu chevarwere). Zvose maziso anotarisana.
- Inenge mwedzi 1-1.5 mushure mekuonekwa kwezviratidzo zvehutachiona hwehurogenital, zviratidzo zvinorwadza zvinowanikwa muzvibatanidzwa. Kakawanda ndiwo masangano emakumbo - mabvi, maziso, majozvi emunwe (kuvhiringidza sosiskoobraznye minwe).
- Muna 30-40% yevarwere, mashizha paganda anogoneka. Semitemo, iyo inowanikwa munzvimbo dzakasimudza uye zvigaro zvemakumbo (keratoderma - nzvimbo dzepamusoro dze hyperkeratosis nechekuguma kweganda hyperemia nekuputika nekupenya).
- Kuwedzera kwekushisa kunowanzosipo kana kusina basa.
- Vamwe varwere vanotaura zviratidzo zvemukati chirwere (chirwere) musati watanga chirwere chacho.
Kurapa kweReiter's Syndrome
Kurapa kwechirwere kune zvinangwa zviviri:
- kubvisa chlamydia;
- kusunungurwa kwezviratidzo zvinopisa.
Kurapa muviri weChlamydia kunoda kuratidzwa kwenguva refu nemishonga inorwisa mabhakitiriya. Nguva yehutano inogona kusvika kumasvondo mana kusvika ku6 uye 2-3 ma antibiotic emapoka eparma akasiyana anoshandiswa. Kazhinji, aya ndiwo maboka anotevera:
- tetracyclines (Doxycycline muchimiro chejojo);
- fluoroquinolones (ciprofloxacin, ofloxacin);
- macrolides (Erythromycin, Azithromycin).
Kufanana kwekugamuchira mishonga inorwisa mabhakitiriya inonzi yakagadzirirwa kurapwa:
- hepatoprotectors ;
- immunostimulants;
- vitamini complexes;
- mabhakitiriya anotsigira maruva omukati.
Kununurwa kwezviratidzo kunonyanya kubviswa kwekuvhiringidzika kwechirwere chetachiona muReiter's syndrome. Therapy inosanganisira kushandiswa kwemishonga isina-steroid (ibuprofen, indomethacin, diclofenac). Muchidimbu uye kunyanya mamiriro akaoma, zvinokwanisika kushandisa majekiseni ehomoni mubatanidzwa. Mushure mokubviswa kwekutambudzika kwakanyanya, zvinobvira kubatanidza physiotherapy maitiro.
Zvinetso zveRititer's syndrome uye zvidziviriro zvekudzivirira
Ichi chirwere chinoporesa uye pashure pemwedzi mitanhatu inopinda munharaunda yekuregererwa. Muna 20-25% yevarwere vanoita basa reArthritis vanogara vasingagumi, izvo zvinotungamirira kusina kubatana. Zvose muvarume nevakadzi, Reuter's syndrome inogona kuomeswa nekushaya vana.
Kuti udzivise kutanga kweReiter's syndrome, iwe unofanirwa kuva newavo vanoita zvepabonde vanovimba navo kana kushandisa kondomu kana muchida kuonana. Inokurudzirwawo kudzivisa kuitika kwepachivi zvirwere.