Prerequisites
Immune disorders contribute to the progress of rheumatism. It is implied that the causative agents of the infection: streptococci, viruses, nonspecific agents cause immune inflammation in the cardiac muscle, then as a result of the configuration of its component to agree on the development of an autoimmune process. Responding to the task, "what is rheumatism?" Doctors say, which is a disease that the result of a systemic inflammatory process: connective tissues change: their mucoid swelling begins, then the tissues change fibrinoid and necrosis; in the cells there are reactions - they are infiltrated by plasmocytes and lymphocytes, then granulomas are formed. Consent statistics, pathology often affects children and young people, if they are genetically predisposed to it. Doctors to this day are studying rheumatism and the prerequisites for inflammations in various areas of the body. In most cases, the prerequisites of rheumatism should be sought in the transmitted infections, mainly angina. Then their pain can appear after 1-3 weeks. Repeated infectious bursts reduce the occurrence of rheumatic inflammation. In some people, signs of rheumatism appear within 1-2 days of hypothermia, which is not associated with infectious agents. Recurrent pathology can be any disease, operation, physical overstrain of the body, due to the presence in the blood of the protein B-cell marker D8/17.Forms and future rheumatism
The international systematization of diseases distinguish two forms of pathology: inactive and active. In turn, activity can exist: small - I; average - II; the largest is III. Depending on the area of development of the rheumatic process, activity, temper (for example, myocardiosclerosis), the course of the disease (acute or acquired) systematizes its subsequent future: articular rheumatism, rheumatoid arthritis or polyarthritis. rheumatic carditis, affecting the heart muscles; rheumatic fever; cutaneous rheumatism; pleural rheumatic; pericarditis. In addition, rheumatic diffuse inflammations of connective tissue include diseases such as reddish lupus and scleroderma, nodular periarteritis (or vasculitis) and dermatomyositis.Symptoms
Symptoms of the disease depend on its type.
Articular rheumatism
Signs of articular rheumatism in adults are noted in the joints of the knees, shoulders, elbows, fingers of the hands and stop. With all this comes: Limiting fever before the temperature of 38-40°C. The daily temperature fluctuates between 1-2°C, the cold is absent; profuse sweating; joint disease that grows to be passive or any active movement accompanied by edema of soft tissue and effusion into the joint deepening. Increases the local temperature of the skin in a problematic place, the disease appears to be pressed with your fingers. Inflamed joints do not allow to execute movements in full and with the maximum amplitude, as rheumatic polyarthritis disorganizes the connective tissue. Large joints become inflamed symmetrically. Inflammation becomes "volatile": it subsides in some joints, but immediately grows in others. Without healing, pain disappears after 2 4 weeks. New curative property can treat inflammation for 1 3 days.
Rheumatic carditis
If there is no immorality of the heart, then the course of rheumatic myocarditis is quite moderate in weight. The action encircles the myocardium and the membranes of the heart. It is accompanied by intoxication, stabbing pains, tachycardia, lowered Gehenna. Often there is a sign of cardiac scarcity: dizziness, fatigue; shortness of breath, arrhythmia; edema and leg pain; darkening in the eye or unconsciousness; sometimes the cervical veins swell, the liver grows; ascites occurs. For fluoroscopy it is possible to pronounce a certain increase in the size of the heart, often on the left, less often - in the form of diffuse expansion. There are cases of a missing blood appeal due to primary rheumatic myocarditis. Children have diffuse myocarditis: the myocardium is sharply inflamed, it swells, its multifunctional activity is violated; worsen the baby's condition shortness of breath, aching unchanged heart disease, more frequent heartbeat; Skin covers are white; the cervical veins swell. For the roentgenogram hence, which is much broadened chest. The apical excitement becomes weak, and the tones are muffled. The pulse is thick and weakly filled. Myocarditis can lead to rheumatic cardiosclerosis, here the myocardium reduces the contractile activity: the apical excitation weakens, the tone is muffled, and systolic voices are manifested. With all this, rheumatic heart diseases develop.Manifestations of other types of disease
There is a capitulation of small cerebral vessels to be rheumatic chorea. Violation of the psyche, swallowing, there is impotence, the movements become uncoordinated. To be skin rheumatism, rheumatic nodules and annular erythema are formed for the skin. Rheumatic fever accompanies pain in the sternum, unproductive cough, shortness of breath, general impotence. Pericarditis can exist dry or exudative. Dry pericarditis is characterized by constant pain in the heart muscle, the noise being the friction of the pericardium in the region of the edge of the sternum on the left. Continues pathology exudative pericarditis - there is effusion, pain subsides when inflamed pericardial sheets are separated due to accumulation of exudate.Stressing of rheumatism
If rheumatism progresses, weights can exist as follows: Kidneys are affected. To be acute rheumatism is observed the emergence of proteinuria and hematuria in connection with generalized vasculitis and to be affected by renal glomeruli and tubules. The digestive organs are affected. As a result of long-term therapy, pharmaceutical properties can cause gastritis. At times ulcers the intestinal tract and the disease, mainly a steroid hormone. Toddlers complain for acute pain in the tummy, as they have reversible allergic peritonitis and other signs of rheumatism. The nervous order and the organs of emotions change, and at times small chorea is diagnosed. It happens in most cases in small girls. Lability of feelings, hypotension of muscle and violent pretentious movements of mimic muscles, limbs and the entire body are characteristic. In addition, there can be development in rheumatism: periarthritis - hip, brachial and ulnar, inflammation of the bag (bursitis); pathologies of the tendons are the supracutaneous muscles, they flow like a simple or calcifying tendinitis or their tearing occurs, and pains occur; tendinitis biceps brachus muscle, accompanied by articular pain in front and on the side; fibrotic endocarditis, interstitial focal myocarditis; metabolic necrosis, which develops heart deficit.
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