Reiter ta cuta

Amsawa amosanin gabbai ko mafitsara-oculo-sinovalny ciwo, kamar yadda a baya ya kira Reiter ta ciwo - wata cuta halin da hadin gwiwa cuta, genitourinary tsarin da idanu. A cututtukan zuciya ne immunopathological halayen to dauke da kwayar cutar jamiái a genetically predisposed mutane. Kamar yadda wani dauke da kwayar cutar wakili mafi sau da yawa take kaiwa zuwa fitowan da cutar, abubuwa Chlamydia trachomatis - bacteria daukar kwayar cutar ta hanyar unprotected jima'i. Bugu da ƙari, cikin tafarkin dauke da kwayar cutar-rashin lafiyan tsari na iya zama wasu pathogenic hanji kwayoyin cuta, musamman Salmonella, Shigella, Yersinia. Kwanan nan, wasu mawallafa lura, da kuma rawar da ureaplasma a gaban Reiter ta ciwo. A cuta mafi sau da yawa rinjayar maza masu shekaru har zuwa shekaru 40, da yawa ƙasa da na kowa a cikin mata. A 75% -95% da marasa lafiya nuna wani m antigen Hla-B27, wanda aka dauke maki na kayyade predisposition zuwa cuta.

asibiti manifestations

Urinogenous amsawa amosanin gabbai tasowa, yawanci 3-4 makonni bayan da m kumburi tsari a cikin urogenital gabobin. A farko bayyanar cututtuka da cutar yawanci urethritis, prostatitis, cystitis. Urethritis ba kullum ya furta, marasa lafiya lura mucous sallama daga mafitsara, da rashin jin daɗi ko zafi tare da urination. Reiter ta ciwo ne ma ya bayyana shan kashi na ido, wanda ya auku bayan da urethritis. Sau da yawa ce conjunctivitis, da yawa kasa - keratitis, retinitis, uveitis, iridocyclitis, iritis. Conjunctivitis kuma za a iya bayyana talauci da kuma, a wannan yanayin, ya tafi kada a gane shi.

A kan talakawan, wata daya bayan m kamuwa da cuta tasowa Pathology na gidajen abinci, bayyana asymmetric amosanin gabbai. Ana rinjayar mafi gidajen abinci na ƙafa - interphalangeal, idon, metatarsophalangeal, gwiwarsa. A fata kan hadin gwiwa ne ja, akwai effusion. Daya daga cikin mafi m manifestations nuna Reiter ta cuta, edema, kuma an dauki defiguratsiya yatsa (sosiskoobrazny yatsa). Domin da cutar halin zafi a cikin sheqa, ci gaban da "kakar", wani kumburi da Achilles jijiya, sarkoileit, wasu marasa lafiya bayar da rahoton jin zafi a cikin kashin baya.

Reiter ta ciwo ne ma halin da fata manifestations da raunuka na mucous membranes. M sores yawanci bayyana a cikin bakin da a kan glans azzakari, balanoposthitis tasowa ko balanitis, glossitis, stomatitis. A fata bayyana erythematous papules ko ja aibobi. A na kowa alama da cutar ne hyperkeratosis raunuka a dabĩno da soles. Ga cuta halin lalacewar da juyayi tsarin a matsayin polyneuritis, huhu, koda da kuma zuciya (myocarditis, tsokar). Bugu da kari, marasa lafiya da dogon-aka gudanar low-sa zazzabi.

Ganewar asali da kuma magani

Domin ganewar asali yana da muhimmanci a gane dangantaka tsakanin kumburi da urogenital tsarin ko m enterocolitis da ci gaban hadin gwiwa bayyanar cututtuka. Na bayar da muhimmanci ne ganewa na chlamydia a scrapings daga mafitsara ko cervix da PCR da antibodies zuwa jini chlamydia haƙuri kuma antigen Hla-B27. Kadan takamaiman Manuniya na asibiti jini analysis. A wasu lokuta, akwai karin erythrocyte sedimentation kudi, leukocytosis, kadan anemia.

Reiter ta ciwo jiyya hada da kwayoyin far, wanda damar kawar da pathogen, kuma da nada anti-kumburi kwayoyi. Lokacin da chlamydia da ureaplasma kamuwa dogon amfani da maganin rigakafi tetracycline, macrolides da fluoroquinolones. Kuma idan kamu da Reiter ta cuta, magani protivohlamidiynymi kwayoyi ya kamata sami duka biyu abokan. Lokacin da enterogenous amosanin gabbai ya kamata a cire yersiniosis, dysentery da salmonellosis. Don rage zafi da kumburi da gidajen abinci wajabta ba-steroidal anti-mai kumburi da kwayoyi, da kuma a cikin tsanani lokuta, da kuma hormonal shirye-shirye.