I-Reiter's syndrome ibizwa ngokuqhelekileyo njengesifo esithathelwanayo, esithathelwa ngokugqithiseleyo ngendlela yesondo, ebonakalayo ngokutshatyalaliswa kwamalungu amaninzi.
Yintoni i-Reiter's syndrome?
I-Reiter's syndrome kubangelwa ziintlobo ezithile ze-chlamydia (i-Chlamydia trachomatis), ephazamisa ukuphazamiseka kwesistim somzimba, esichaphazelayo kunye nomonakalo kwamanye amalungu:
- izilwanyana (isifo se-arthritis);
- iimbumba ezinqabileyo (conjunctivitis, ukukhukhula);
- izitho ze-urogenital (urethritis, cervicitis);
- Ngamanye amaxesha kukho umonakalo emehlweni kunye nesikhumba.
Ukuphuhliswa kwesi sifo kwizitho kuya kuhamba ngokubini kunye kunye ngokufanayo. Kukhona ingcamango ye-Reiter's syndrome engaphelelanga - inye enye ichaphazelekayo.
Isalathisi sesi sifo silingana nababini nabasetyhini. Nangona ku funeka kuqatshelwe ukuba izibalo zangaphambili zibonakalisa esi sifo njengabantu besilisa, kuba isantya sabasetyhini kunye nabesilisa abanokuxilongwa yi-1:10. Okwangoku, uninzi lwabagulayo-ubudala abaneminyaka eli-20 ukuya kuma-40.
Iimpawu zeReiter's Syndrome
Ixesha lokuxubusha kwesi sifo iiveki ezi-1-4. Ngeli xesha, ukubonakala kwezi zimpawu:
- Impawu zokuqala ze-cervicitis (kwabasetyhini) kunye ne-urethritis (ngamadoda).
- Ukwanda kweso isohlwayo, ukuya kwi- conjunctivitis (kwisithathu sesigulane). Bobabini amehlo abuchaphazelekayo.
- Kwiinyanga ezili-1-1.5 emva kokuvela kweempawu zentsholongwane ka-urogenital, iimpawu zentlungu zivela kumalungu. Ngokuqhelekileyo ngamalungu emilenze - amadolo, amaqaqa, amanxeba eminwe (ukuvuvukala kweminye iminwe ye-sosiskoobraznye).
- Kwimizuzu engama-30-40% yezigulane, ukuqhekeka kwesikhumba kunokwenzeka. Njengomthetho, bahlala kwiintendelezo kunye neengcambu zeenyawo (i-keratoderma - iindawo ezijoliswe kuyo kwi-hyperkeratosis ngokusuka kwimvelaphi ye-skin hyperesia kunye nokuphambuka nokupenda).
- Ukunyuka kwamaqondo obushushu kubakho ngokungekhoyo okanye kungabalulekanga.
- Ezinye izigulane zibika iimpawu zentsholongwane yamathumbu (isifo sohudo) ngaphambi kokuqala kwesi sifo.
Unyango lwe-Reiter's Syndrome
Unyango lwesi sifo unenjongo ezimbini:
- ukulahla i-chlamydia;
- ukukhululeka kwezibonakaliso ezivuthayo.
Ukunyanga umzimba we-chlamydia kudinga ukutyhila ixesha elide kumagciwane. Ubungakanani bonyango lunokufikelela kwiiveki ezi-4-6 kwaye i-antibiotic 2-3 yamaqela e-pharma ahlukeneyo asetyenziswa. Ngokuqhelekileyo, lawa maqela alandelayo:
- i-tetracyclines (i-Doxycycline ngendlela ye-injections);
- i-fluoroquinolones (i-ciprofloxacin, ye -loxacin);
- i-macrolides (i-Erythromycin, i-Azithromycin).
Ukwamkela okufanayo ukulwa ne-antibiotics kunqunywe unyango lwamayeza:
- i-hepatoprotectors ;
- i-immunostimulants;
- iivitamin complexes;
- iibhaktheriya ezixhasa imithi yamathumbu emathunjini.
Ukuncedwa kweempawu kubandakanya ngokususwa kwe-arthritis esebenzayo kwi-Reiter's syndrome. Ulwaphulo luquka ukusetyenziswa kwezidakamizwa ezingekho-steroid (ibuprofen, i-indomethacin, i-diclofenac). Kwiimeko ezinqabileyo kwaye ezinzima kakhulu, kunokwenzeka ukusebenzisa ii-injonome ze-hormone kwi-joint joint. Emva kokususwa kweentlungu ezibuhlungu, kunokwenzeka ukuxhuma iinkqubo ze-physiotherapy.
Iingxaki ze-Reiter's syndrome kunye namanyathelo okukhusela
Esi sifo siyaphathwa kakuhle kwaye emva kweenyanga ezintandathu zidlulela kwiimeko zokuxolelwa. Kwi-20-25% yezigulane ezisebenzayo i-arthritis iyahlala ingapheliyo, ekhokelela ekusebenziseni okungaxhamliyo. Bobabini kwindoda nabasetyhini, i-Reuter's syndrome ingaba nzima ukukhulelwa.
Ukuthintela ukuqala kwe-Reiter's syndrome, kufuneka ube neqabane elithembekileyo lezesondo okanye sebenzisa iikhondom xa kuthengana ngengozi. Kucetyiswa kwakhona ukukhusela ukuvela kwezilwanyana zamathumbu emathunjini.