Matenda a Reiter amatchulidwa kawirikawiri ngati matenda opatsirana, opatsirana kwambiri kudzera mu njira zogonana, zomwe zimawonedwa ndi kugonjetsedwa kwa ziwalo zingapo.
Kodi matenda a Reiter ndi otani?
Matenda a Reiter amayamba chifukwa cha mtundu wina wa chlamydia (Chlamydia trachomatis), zomwe zimapangitsa kuti chitetezo cha mthupi chitengeke, zomwe zimakhudza ndi kuwonongeka kwa ziwalo zina:
- ziwalo (matenda opatsirana pogwira);
- mucous nembanemba (conjunctivitis, kukokoloka kwa nthaka);
- ziwalo za urogenital (urethritis, cervicitis);
- Nthawi zina pamakhala maso ndi khungu.
Kukula kwa matendawa mu ziwalo kungapite palimodzi nthawi zonse. Pali lingaliro la matenda osakwanira a Reiter - chiwalo chimodzi chokha chimakhudzidwa.
Chizindikiro cha matendawa ndi chimodzimodzi kwa amuna ndi akazi. Ngakhale zili choncho, chiwerengero cha amayi ndi amuna omwe ali ndi matendawa ndi 1:10. Pakali pano, ambiri a iwo omwe ali odwala - agwira ntchito kuyambira zaka 20 mpaka 40.
Zizindikiro za Reiter's Syndrome
Nthawi yowonjezera matendawa ndi masabata 1-4. Panthawi imeneyi, maonekedwe a zizindikiro zotere:
- Zizindikiro zoyambirira za cervicitis (mwa akazi) ndi urethritis (mwa amuna).
- Kuwonjezeka kwa diso, mpaka conjunctivitis (mwa atatu mwa odwala). Maso onsewa amakhudzidwa.
- Pafupifupi miyezi 1-1.5 pambuyo pa zizindikiro za matenda a urogenital, zizindikiro za ululu zimawonekera m'magulu. Kawirikawiri zimakhala ziwalo za miyendo - mawondo, zidutswa, ziwalo zala (kutupa sosiskoobraznye zala).
- Mu 30-40% odwala, khungu limatuluka pakhungu. Monga lamulo, iwo amapezeka kumtunda komanso pamtunda wa mapazi (keratoderma - malo ofunika kwambiri a hyperkeratosis motsatira maziko a khungu ndi ming'alu).
- Kuwonjezeka kwa kutentha nthawi zambiri kulibe kapena kulibe phindu.
- Odwala ena amafotokoza zizindikiro za matumbo (kutsekula m'mimba) musanayambe matendawa.
Chithandizo cha Reiter's Syndrome
Kuchiza kwa matendawa kuli ndi zolinga ziwiri:
- kuchotsa chlamydia;
- mpumulo wa zizindikiro zotupa.
Kuchiritsa thupi la chlamydia kumafuna kuwonetsa kwa nthawi yaitali mankhwala opha tizilombo. Kutalika kwa mankhwala kungakhale masabata 4-6 ndipo 2-3 maantibayotiki a magulu osiyanasiyana a pharma amagwiritsidwa ntchito. Kawirikawiri, awa ndiwo magulu otsatirawa:
- tetracycline (Doxycycline mwa mawonekedwe a jakisoni);
- fluoroquinolones (ciprofloxacin, ofloxacin);
- macrolides (Erythromycin, Azithromycin).
Kulandira kwapadera mankhwala opha tizilombo ndi mankhwala othandizira:
- hepatoprotectors ;
- chithunzi;
- mavitamini;
- mabakiteriya omwe amathandiza zomera za m'mimba.
Kupulumutsidwa kwa zizindikiro makamaka kumachotsa kutupa kwa nyamakazi yowonongeka mu matenda a Reiter. Mankhwalawa akuphatikizapo kugwiritsa ntchito mankhwala osagwiritsa ntchito steroid (ibuprofen, indomethacin, diclofenac). Muzosavuta komanso makamaka zovuta, ndizotheka kugwiritsa ntchito jekeseni wamadzimadzi muzowonongeka. Pambuyo pochotsa ululu waukulu, n'zotheka kugwirizanitsa njira za physiotherapy.
Zovuta za matenda a Reiter ndi njira zothandizira
Matendawa amatha kuchiritsidwa ndipo patadutsa miyezi isanu ndi umodzi ndikupita kudziko lachikhululukiro. Mu 20-25% mwa odwala amatha kupuma mosavuta, zomwe zimayambitsa kusagwirizana. Onse mwa amuna ndi akazi, matenda a Reuter akhoza kukhala ovuta ndi infertility.
Pofuna kupewa chiyambi cha matenda a Reiter, muyenera kukhala ndi munthu wodalirika wogonana kapena kugwiritsa ntchito makondomu ngati mutakumana naye mwangozi. Zimalimbikitsidwanso kupewa kutuluka kwa matenda opatsirana m'mimba.