Rheumatism - treatment of
Rheumatism is a common disease that affects the connective tissues of the joints. Most often accompanied by seasonal exacerbations and disorders in the work of the cardiovascular system.
Causes of rheumatism
Appears due to streptococcal infections, poor heredity, slagging of blood due to improper diet. The disease can be an exacerbation of scarlet fever, transferred "on the legs" of angina, pharyngitis.
Diagnosis of rheumatism
In the laboratory it is difficult to determine the rheumatic cause of pain.
There are a few diagnostic options but they are quite complex:
- analysis for the presence of Group A streptococci;
- hematological analysis( blood biochemistry) for the presence of rheumatism in the acute phase.
Most often, the diagnosis is made due to clinical symptoms of rheumatism. To laboratory methods resort very rarely.
You can see violations when performing:
- USD of the heart;
- ECG( manifested in violation of the heart rate);
Treatment of rheumatism
When exacerbating the disease recommend bed rest, sometimes - hospitalization for several weeks. How to treat rheumatism is decided only by a doctor, combining medicamental therapy with folk remedies or procedures that can be done at home. The most commonly prescribed anti-inflammatory drugs along with glucocorticoids "Prednisol"
Additionally, depending on the situation, antibiotics penicillin group with immunostimulants "Histoglobulin" are prescribed.
The main cure for rheumatism is sleep and rest, proper nutrition. To avoid the consequences of the disease, physiotherapy is used. Warm spots with UHF lamps, electrophoresis, radon and ozone baths.
Treatment of rheumatism with folk remedies is recommended in conjunction with drug therapy, under the supervision of a doctor. Thanks to home procedures you can remove puffiness when exacerbating, dull pain, remove strong inflammation by natural means.
The main recipes of traditional medicine in its composition have a lemon. It helps to remove inflammation, use its juice and peel. Also effective are: infusion of birch buds, animal fat( bear, nutria, badger).
How to cure rheumatism completely, without relapses - has not yet been studied. Very often the disease begins to appear with new strength in the off-season, after a cold, flu, and an exacerbation of heart diseases.
Ointment for rheumatism
Ointment for rheumatism can be prepared at home - this will require:
- dry mustard.
This agent has a local effect, relieves acute pain and inflammation.
Prevention of rheumatism
Prevention of rheumatism is divided into the main and secondary:
The main prevention means prevention of the disease:
- increase immunity, temper the body, monitor food, rest;
- timely treatment of streptococcal infections.
The auxiliary should direct all forces to prevent relapses of rheumatic attacks.
Diet for rheumatism involves reducing allergens in foods, removing inflammation, correcting metabolic disorders,reduces the harm from drugs.
Nutrition for rheumatism is prescribed taking into account the propensity to kidney diseases, problems with the gastrointestinal tract, circulatory disorders or metabolic processes of the body. It is recommended to pay attention to bread without salt, vegetable soups, dairy products( especially cottage cheese and hard cheese), cooked in a double boiler, diet meat and fish, cooked fruits and vegetables, cereals, compotes.
It should be excluded from the diet of spices, spicy food, canned food, legumes, liver, fried meat and fish, cocoa, coffee, confectionery, baking.
Treatment of rheumatism with modern and folk remedies
Rheumatism is a systemic disease of connective tissues and vessels, which is of an infectious and allergic nature. This disease develops more often, as a complication of acute streptococcal infection in children and adolescents from 7 to 15 years, but rheumatism can affect the body of an adult, especially the elderly, with weakened immunity.
There are five variants of the localization of the rheumatic inflammatory process:
Rheumatic carditis - affects all the membranes of the heart: pericardium, endocardium, but primarily the myocardium;
Rheumatic arthritis - joint form of the disease;
Rheumatic cholangitis - rheumatic vasculitis of small vessels of the brain;
Rheumo-erythritis is a cutaneous form of the disease;
Rheumatic fever is a rheumatic inflammation of the bronchi, lungs and pleura.
In very rare cases, rheumatic peritonitis of internal organs, as well as rheumohepatitis or rheumatic rhinitis may develop. But usually the infection does not reach the organs of the digestive tract, liver and kidneys.
If there is a suspicion of rheumatism, treatment should be started immediately, because this disease is dangerous for its formidable complications, especially the development of severe heart disease. Rheumatism in children and adults is treated by a doctor specializing in specialty - rheumatologist. And today we will tell you all about the modern therapy of this disease, folk methods of treatment, sanatorium-and-spa activities and the optimal diet for patients.
Treatment of rheumatism in adults
Experienced rheumatologist at the first stage of treatment of rheumatism throws all his strength to suppress streptococcal infection, because it was the main cause of the disease. The second most important after antibiotic therapy is hormone therapy, because too much current inflammatory process threatens irreversible destructive changes in the heart. The third important place is immunomodulatory therapy, sanatorium and physiotherapy, dispensary observation, tempering - in short, all the measures necessary to prevent recurrence of rheumatism and return the patient to a healthy, active life.
Treatment of rheumatism in adults is performed in three stages:
Therapy in a hospital( 1,5-3 months);
Treatment in a special sanatorium with a cardiorevmatologic direction;
Regular visit to the polyclinic for dispensary registration.
Medical therapy of rheumatism
Antimicrobial, anti-inflammatory, corticosteroid, antihistamine, analgesic, immunomodulating drugs, as well as cardiac glycosides, non-steroidal anti-inflammatory drugs of the new generation, vitamins, potassium and magnesium are included in the basic composition of the antirheumatic program.
The main goal of hormonal therapy is to avoid the development of pancarditis, the total defeat of all the membranes of the heart. To stop the acute inflammatory process, patients under constant dynamic ECG observation during 10-14 days are administered corticosteroids: prednisolone or methylprednisolone. Strengthen the anti-inflammatory effect can be drugs such as diclofenac: diclobene, diclouran, voltaren. They are taken either orally( in tablets) or rectally( in suppositories).
A new word in the non-hormonal treatment of rheumatism is NSAIDs( non-steroidal anti-inflammatory drugs): aeralt, ketonal, nemulide, ambien, nimasil, tselebreks. The last drug at a dosage of 200-400 mg / day is the optimal choice, because it combines high efficiency and complete safety - tselebrex almost does not give side effects from the gastrointestinal tract, unlike other anti-inflammatory drugs.
To eliminate the root cause of rheumatism, streptococcal infection, the following types of beta-lactam antibiotic are used:
Amoxicillin - 1.5 g three times a day;
Phenoxymethylpenicillin - similarly;
Benzathinpenicillin - Injection in the case of severe gastrointestinal side effects with oral administration of penicillins;
Cefadroxil - or another antibiotic from the cephalosporin group, 1g twice daily if penicillins are intolerant.
Treatment of prolonged and often relapsing rheumatism is performed using cytostatic immunosuppressants: azathioprine( imarant), chlorbutin, endoxan, 6-mercaptopurine. Chlorbutin is prescribed at 5-10 mg per day, and the calculation of the remaining drugs of this group is made based on the patient's body weight: 0.1-1.5 mg / 1 kg. Immunosuppressants - this is an extreme measure, which has to go to suppress the inadequate hyperreaction of immunity to the causative agent of infection. In addition to the above medicines for the treatment of rheumatism in adults, cardiac glycosides, drugs for the maintenance of cardiac metabolism( pumpan, mildronate, taurine, phytorelax, instenon, trimetazidine, tonsiginal, molsidomine, hawthorn extract), as well as drugs that saturate the blood with potassium and magnesium, magnetores, asparks).
A heavy patient with bed rest is shown a diet with a low fat and carbohydrate content, total salt rejection and a decrease in fluid intake up to one liter a day. If there is severe sweating, a small amount of salt is added to the food, since sodium chloride helps to retain moisture in the body.
The ration of a patient with rheumatism is enriched with vegetables, fruits and freshly squeezed juices. Fish, poultry and lean meat are boiled, baked or steamed. One day is made mono-unloading: the patient uses only kefir, potatoes, salad, apples, cottage cheese with milk or dried fruits.
To eat with rheumatism should be small portions of 5-6 times a day, avoid sharp dishes and sauces, refuse from bakery products and products that cause fermentation and gas formation( cabbage, grape juice, legumes, fat whole milk, lemonade).
Balneotherapy is the best spa treatment for rheumatism
Mineral waters gently and naturally regulate hemodynamics, increase cardiac output and normalize the heartbeat, so balneotherapy is recommended as an optimal end of the main stage of treatment of rheumatism. Staying in the seaside resort positively affects the general well-being and mood of the patient, and this is very important for successful recovery.
The following types of mineral waters are used for balneotherapeutic treatment of rheumatism:
If against a background of rheumatism a mitral-aortic heart disease develops in the patient, carbon dioxide and radon baths, which effectively restore hemodynamics and normalize the heart rhythm, are best for the patient. Patients in a state of persistent remission are shown applications from medical mud to the area of joints affected by rheumatism.
Balneotherapy has a complex positive effect on the exhausted organism: it strengthens the immune system, activates the work of the endocrine glands, improves digestion and stimulates a good appetite, eliminates insomnia, weakness and apathy. Only patients with heart failure of stage 2A and above, as well as patients with aortic heart disease of stage CH and above, balneotherapy, unfortunately, is contraindicated.
Treatment of rheumatism in a sanatorium should not be limited to taking medicinal baths and drinking mineral water. Useful walks in the fresh air, moderate physical activity, stay on the beach, because the sea climate itself has a surprising effect on the sick body. Strengthen the beneficial effect of balneotherapy can be the intake of vitamins, minerals and drugs that nourish the hearts and strengthen the immune system( we mentioned them above).
Clinical examination of rheumatic patients
When the main stage of treatment of rheumatism is left behind, it is necessary to visit your rheumatologist or local therapist on a regular basis, so that at the first signs of remission, urgent measures should be taken. Close monitoring of the patient's condition with rheumatism and preventive courses of taking maintenance medications is the key to a stable remission.
Clinical examination for rheumatism solves several problems:
Control over the patient's condition and prompt response to any changes in his condition;
Assignment of drugs to normalize blood circulation and support the heart if necessary;
Consultation with a surgeon and performing a heart surgery, if required;
Analysis of the patient's ability to work and resolving questions about assigning a disability group;
Recommendations for lifestyle, nutrition, hardening and physical activity.
Treatment of rheumatism in children
Unfortunately, rheumatism most often chooses children and adolescents as its victims, moreover, in the same patients in a mature and advanced age the disease usually recurs, and strikes a new blow to the joints and heart. A child with acute rheumatism usually has to be placed in a hospital for a long( 1.5-2 months) course of treatment. Therapeutic tactics are selected individually, based on localization, the severity of the inflammatory process and the degree of destructive influence on the heart. Treatment of rheumatism in children is not only the intake of medications, but also special physiotherapy procedures and a special diet. But first things first.
Medical treatment of rheumatic fever in children is performed with the help of the following drugs:
Analginum or amidopyrine - 0,15-0,2 grams for every year of a child's life per day, but not more than 2,5 grams;
Aspirin ( acetylsalicylic acid) - 0.2-0.25 grams per year of life per day;
Salicyalat sodium - 0.5 grams for each year of life per day, the dosage is divided into 4-6 receptions and after the subsidence of acute symptoms of rheumatism is gradually reduced, but not earlier than a month after the first recorded attack of the disease;
Butadione - for children under 7 years, 0.05 g three times a day, from 0 to 8 years - 0.08 g, and for adolescents over 10 years - 0.1-0.12 g.
In modern practice of treatmentrheumatism in children is often used combined preparations of pyrabutol and rheopyrin, which contain both amidopyrine and butadione. Dosage is also calculated based on the age of the small patient.
In the first, acute stage of rheumatic fever, to overcome the inflammatory process and prevent irreversible damage to the heart membranes is possible only with the help of synthetic hormones - corticosteroids. The most popular representatives of this class of medicines for the treatment of rheumatism: voltaren and indomethacin( methindol).Hormonal therapy is performed for at least a month.
Therapy of Sluggish Rheumatism in Children
If the disease develops very slowly, and until it causes a significant damage to the heart muscle, you can avoid the appointment of glucocorticoids, and instead of hormones, use drugs from the chloroquine group - plaquenil or delagil. Dosage is calculated based on body weight: 0.5-10 mg per kilogram.
A child over the age of seven is still advisable to prescribe a hormonal drug to suppress the inflammatory process: prednisolone, dexamethasone, triamcinolone at a dosage of 10 to 20 mg per day, depending on the age, weight and nature of the course of rheumatism.
If the body has parallel infectious processes, for example, a cold, then in addition to corticosteroids, a 14-day course of antibiotics is prescribed. The choice of the drug remains at the discretion of the attending physician and depends on the type of infection.
In addition to medical treatment, dry heat is used, warming up with solux, ultraviolet and UHF irradiation. Sluggish rheumatism in children does not require a permanent stay in a medical hospital - usually the child is treated at home and visits the treatment room.
Therapy for acute rheumatic fever in children
A substance called curcumin, which is extracted from the popular spice of turmeric, can have a therapeutic effect on patients with rheumatoid arthritis. In addition, the data obtained from many studies suggest that curcumin eliminates the inflammatory process that occurs in some cancers, promotes the treatment of psoriatic lesions, intestinal diseases, Alzheimer's disease. The substance has proven itself as a fighter with autoimmune pathologies and chronic pain.
Omega-3 removes inflammation of the joints
The use of polyunsaturated Omega-3 acid is not to be doubted. Her ability to relieve inflammation from the joints in many diseases( rheumatism, arthritis, arthrosis) has long been proven.
Its action is due to three main mechanisms:
Therefore, it is so important to take Omega-3 not only during the development of the inflammatory process, but also for the prevention of joint diseases.
The roots of aconite from rheumatism
The most radical folk remedy for treating rheumatism is homeopathy using poisonous aconite, which is considered to be the most effective remedy. Natural poison, penetrating the body, triggers an immune response, with which you can defeat any disease, including cancer and rheumatism. If in the first case the poisonous tincture is taken orally by a special scheme, then in the second it is used for rubbing into the joints affected by rheumatism.
Tincture for external use. . Take 50 grams of grated akonite root of Dzungarian, pour half a liter of good vodka, tightly seal the jar( ideally - from dark glass) and insist 2 weeks in a dark, cool place, from time to time shaking. Avoiding penetration of light and air is very important, since the toxic alkaloids of aconite are volatile and are susceptible to oxidation. Ready tincture strain and store in the refrigerator in the same tightly ukuporennoy container.
At night, rub it into the aching joints in turn, that is, not all at once, but first in the right knee, then in the left one;in the right elbow, then in the left, and so on. Tincture of aconite very strongly stimulates blood circulation and accelerates the heartbeat somewhat - this effect will be felt right away. After rubbing the patient's joint, it is necessary to wrap a flannel or tie a scarf, in the morning, how to remove the bandage, first wait 2 hours, and then wash or wipe the limb with cool water.
Decoction for external use. To prepare the broth, take 10 g of root and pour half a liter of water. The resulting mixture is placed in an enamel saucepan on a fire and cook for 2 hours. After cooling, it is filtered. Such decoction can wipe the affected joints up to 3 times a day. It so intensifies the blood circulation that you can immediately feel an extraordinary palpitation.
Aconite tincture for internal use. For the preparation of alcohol tincture, take 2.5-3 g of dry root in a crushed form and pour 100 grams of vodka. The container must be made of dark glass. After it is placed in a warm place for 2 weeks and insisted. Before use, you must strain.
The reception scheme is as follows:
Take the tincture followed by courses, the number of which should be three. The break between the courses is 5 days.
It is important to remember that the plant is poisonous, so compliance with precautionary measures will not be superfluous. Treated places should be wiped, hands thoroughly washed. When symptoms of poisoning appear, it is necessary to wash the intestines and stomach, as well as seeking medical help and refusing to take the medicine.
Among the alarming signs of poisoning can be identified:
With prolonged chronic and often recurrent rheumatism, coniferous tincture can become a real salvation. It is prepared from fresh May needles of pine and medical alcohol. Fill a full liter can of needles, pour alcohol to the top, seal with a tight lid and insist in a dark and warm place for three weeks, periodically shaking. Strain the ready folk remedy for rheumatism and take it 8 drops per piece of sugar for half an hour before meals three times a day for 4-6 months.
Treatment of rheumatism with folk remedies
There are 2 interesting folk recipes that help with rheumatism:
Author of the article: Muravitsky Igor Valerevich, rheumatologist;Sokolova Nina Vladimirovna, phyto-therapeutist, especially for the site ayzdorov.ru
If the child is diagnosed with pathological changes in the cardiovascular system and circulatory insufficiency, he is shown treatment with drugs of the glycoside group: 0.05% solution of strophanin, extract of digitalis( 0,03-0,075 g three times a day), 0,06% solution of Korglikona. In addition to glycosides, diuretics are used to treat acute rheumatism in children: fonurit and euphyllin.
In case of rheumatism to the standard set of antibiotics and corticosteroids it is expedient to add vitamins of group B( first of all, pyridoxine at 50 mg per day), as well as vitamin C in glucose solution( 1 ml of 5% solution per 10-15 ml of 20%solution) to maintain the body;the introduction is carried out intramuscularly, the course - 10 days.
Novocain and preparations of the antihistamines group: claritin, cetrin, loratadine are used to alleviate the pain syndrome and blunt the severity of the symptoms in the treatment of acute childhood rheumatism.
The course of treatment of acute rheumatism in children takes from one and a half to two months on average. Then the child is sent for a couple of months to the sanatorium-resort institution, gain strength and recover from a serious illness. Despite the final recovery, all the children who have suffered rheumatism create a special medical card of the form Ns30, which is stored in the polyclinic by the district pediatrician and serves as a constant reminder of the special status of the small patient.
Modern methods of treatment of rheumatism allow in 85-90% of cases to expect a complete recovery of the child, but nevertheless, 10-15% of children can not avoid the development of heart disease. If such unhappiness has occurred, you will have to avoid physical exertion for the rest of your life, adhere to a special diet and take supportive medications. That is why it is so important to sound an alarm in time and to see a doctor at the first sign of a terrible illness.
5 most effective remedies for rheumatism
Turmeric: relief from pain
Rheumatism: symptoms of folk remedies, traditional medicine, how to cure rheumatism of joints
Rheumatism is an inflammatory disease in which the pathological process is localized primarily in the heart. The disease develops in people predisposed to it, regardless of age. Even with the first symptoms of rheumatism, treatment with folk remedies is possible - this will help to avoid the progression of the disease. Recipes from rheumatism include infusions, decoctions, ointments, baths and other products.
Rheumatism is a special inflammatory process that can "beat" not only the joints, but also to the heart.
The insidiousness of the disease is that when the joint manifestations seem to have died down, the heart( myocarditis) or its valvular apparatus( endocarditis) may begin to subside.
Causes and symptoms of rheumatism
The causes of rheumatism can be both untreated infectious and even simple colds, and reduced immunity.
Treatment for symptoms of rheumatic fever, such as rheumatic polyarthritis, a cut of soreness, redness and swelling of large joints, as well as an increase in temperature is prescribed by a doctor. Otherwise, 10-12 days after the abatement of the "articular attack", heart lesions may also join.
Before you can cure rheumatism with folk remedies, take a medical examination.
Treatment of rheumatism of joints with folk remedies
To rheumatism, "pripchechvav" itself with joints, did not take afterwards even for the heart, in an acute period it is necessary to take aspirin and herb collections containing salicylic compounds and providing not only analgesic and anti-inflammatory, but alsodiaphoretic action:
1. In folk treatment of rheumatism and with articular rheumatic attack, the following collection can be effective: flowers of cornflower, marigolds of medicinal and juniper fruits - 5 g each;leaves of nettle dioecious, flowers of black elderberry - 10 g;birch leaves, horsetail grass, willow bark - for 20 g. Infusion is prepared based on 1 tablespoon of collection per 1 cup of boiling water. Take it in hot form in small sips for 1 glass every 2 hours.
2. Infusion from bark of buckthorn - 10 g, leaves of birch - 40 g, bark of willow - 50 g. The method of its preparation is similar to the previous one. It is taken 2 glasses a day.
3. Treatment of rheumatism with folk remedies includes infusion, which is prepared in the same way as the first two: black elder flowers, nettle leaves, parsley root, willow bark - 30 g. This infusion is taken 1 glass 2 times a day in a warmform.
Treatment courses with all these infusions from 1 to 3-4 weeks.
In the treatment of rheumatism joints folk remedies the following baths are recommended:
1. From bran.
2. Fresh birch leaves.
3. From young shoots and leaves of poplar black( they, like birch leaves, need to collect half a bucket, pour boiling water to the top and cover tightly, insist during the night and take a bath after that, followed by a 5-7-minute stay in it, not wiping the sore spots, wrap them up and go to bed).
4. Salted( 2-3 kg of sea salt per bath).
5. Alkaline( if you do not have alkali at home, it can be prepared from pure wood ash, which is filled with water, boiled, then settled for a whole night or the whole day - clean liquor is obtained from above, it is taken for a bath, shaken with water).In such a bath the patient should sit for 10-15 minutes at a temperature of 30-32 ° C.
Folk recipes from rheumatism
With rheumatism, folk medicine advises wiping sick joints with camphor or bodjazhyi ointment. The latter is prepared from 1 part of the powder of the spaghetti and 9 parts of the internal lard. Ointment should be rubbed for 10 to 15 minutes.
In the early stages of the development of rheumatism, it is not bad to put bees on sick places( but this can be done only if the person has no allergy to bee venom).
It is believed that the rheumatic process will weaken if you go to the bath and, after splashing well there, rub the ointment made of melted fat and salt( in the end of bath procedures, wash the lubricated areas with hot water).
People have long existed a way of treating articular rheumatism with earthworms. Collecting worms, you need to wash them, put them in a glass jar, tie it with paper, and put it on the sun for a few days until the porridge comes out of porridge. This porridge and you need to rub the sore spots.
Effective folk remedy for rheumatism: lubricate diseased joints and ointment, prepared from birch buds( or birch leaves) or pine needles. It is prepared in the following proportion: 1 part of the powder of dried buds( or leaves) or needles mixed with 2 parts of fat.
In the villages, until now, the joints affected by rheumatism are smeared with pure tar or a mixture of radish juice and kerosene.
You can rub the sick joints with pepper( or infusion of red hot pepper on alcohol), and before grinding, you should add a little vegetable oil( any) to the pepper.
Very effective and can be rubbing the joints with ant alcohol( it is prepared by pouring a bottle, two-thirds filled with live ants, up to the top with alcohol, giving this content to infuse for at least a day).
From the very beginning of "rheumatic attack" it is shown to drink nouvats or infusions from medicinal herbs.
1. Infusion of young shoots of cranberries is prepared as follows: a third of the bottle is filled with shoots, and the rest is filled with alcohol, insists on sun and takes 1 glass 2 times a day.
2. The following infusion is even more effective: 4 pieces of hawthorn, hips, pine buds are taken;3 parts of leaves of plantain and strawberry;on 2 parts of leaves of mint and grass of motherwort. Then 1-2 tablespoons of the mixture are poured 300-400 ml of boiling water and insist 20-30 minutes. Drink the whole batch of cooked infusion during the day.
3. Navar celery: 100 grams of celery( leaves with spine) are boiled in 200 g of water until 1 glass remains, filter and drink this portion throughout the day.
4. You can take a day for 2-3 cups of cook from the "bear's ears"( 1 teaspoon of herbs per 1 cup of boiling water).
5. And it is still good to drink lemon juice( from 1 lemon to a quarter of a glass of water).
What is rheumatism and how to treat it? What is rheumatism?
What is rheumatism? Rheumatic fever( rheumatic fever) is a disease that, according to popular expression, "licks the joints and bites the heart."These exact words reflect exactly the essence of the rheumatic process, because the disease has an autoimmune mechanism of development and damages mainly the membranes of the heart and joints.
Rheumatism what is it? It's without age. The cause of this disease in most cases is an acute acute streptococcal infection in people predisposed to the disease, mainly at a young age. Pay attention to the allergic nature, infectious-toxic damage, viruses, heredity. There are often cases of family illnesses of this disease.
Symptoms of rheumatism
Rheumatism is most often manifested by joint damage( arthritis develops) and heart( carditis).A typical onset of the disease is the appearance of signs of arthritis 2-4 weeks after acute or exacerbation of chronic streptococcal infection( angina, pharyngitis, ARVI), or carditis symptoms, but after 3-6 weeks.
Signs of rheumatism in adults
Rheumatism of the heart is carditis. Symptoms of rheumatic carditis are often low-intensity pain or discomfort in the heart, increased sweating, fever, fatigue, shortness of breath, palpitations, irregular heartbeat, swelling of the legs.
Rheumatoid arthritis is manifested by inflammatory changes in large joints: edema, redness, fever, pain and mobility restriction. It is characterized by volatility( migratory nature), symmetry and benign flow( no deformation of the joints).
Rheumatic disease develops more often at the age of 8-16 years, the ratio of women to men is 3: 1. Over the past 10-16 years, the clinical picture of rheumatism has changed markedly: more often there are primary chronic forms of the disease, when doctors state the presence of already established heart defects.In Russia there are about 230 thousand patients with rheumatic fever. Annually about 6000 patients are registered, of which one third are people of young and able-bodied age. To date, unfortunately, there is no tendency to reduce the incidence of rheumatism.
Than to treat rheumatism of joints? First of all, is treated by by contacting a doctor. In case of untimely treatment of the patient to the doctor, or the untimely begun treatment of the disease, rheumatic fever turns into chronic form, when heart disease is formed, which eventually may lead to the development of heart failure( swelling of the feet, dyspnea, palpitation, arrhythmia, enlargement of the liver, etc.).Mainly provoking moments are hypothermia, chronic infections, especially the defeat of tonsils.
How to treat rheumatism at home
No need to treat rheumatism at home. The disease is easier to prevent than treat. From the timely and adequate treatment depends on the rate of progression of the disease. And here a great role is played by timely appeals to otolaryngologists( ENT doctors), pediatricians, family doctors. If the diagnosis of rheumatic fever has already been confirmed, then such patients should be on dispensary records at the place of residence. And when there is a question of an operative intervention concerning a heart disease - cardiosurgeons come to the aid.The optimal preventative ways to overcome rheumatism is the treatment of chronic tonsillitis, pharyngitis, angina, since the role of beta-hemolytic streptococcus today has not lost its relevance. If necessary, a tonsillectomy should be performed( removal of chronically affected tonsils), but the otorhinolaryngologist decides this issue after examining the ENT status. The second point is an increase in immunity in such patients. If the diagnosis is established, then systematic prevention with an appropriate program is important.
Acute rheumatic fever lasts about 6-12 weeks. The faster the treatment starts, the more likely that doctors will be able to achieve a significant improvement faster and prevent the patient from developing a heart defect. The popular expression "rheumatism is a disease that licks the joints and bites the heart" reflects the deeper essence of the disease: through the mild symptoms of carditis the patient does not immediately turn to the doctors, postponing the visit until "better time", and the lost time later manifests itself in the formation of heart defects thatalready, unfortunately, do not have the reverse development. So not for long get disability with rheumatism.
Primary prevention of rheumatic disease is a fight against the source of infection - sanitation of foci, which may lead to acute rheumatic fever in the future. Dress appropriately according to the season, try to avoid hypothermia, constantly lead a healthy lifestyle, temper the body( morning exercises, walks in the fresh air), take care that food has always been vitaminized fruit, vegetables, fresh and quality.
For secondary prevention of rheumatism apply a variety of methods. They are long-term and should be controlled by specialists. Rheumatic fever is easier to prevent than treat.
The disease is an inflammatory pathology of connective tissue, which is mainly localized within the cardiovascular system.
Rheumatism is a disease that develops, as a rule, against the background of an exacerbation of a certain infection in people with an increased degree of predisposition to such pathologies. Rheumatism most often affects children, as well as adolescents( the age range is seven to fifteen years).
The main factor causing the appearance of rheumatism is hemolytic streptococcus( group A).It often affects the upper respiratory tract and provokes joint rheumatism.
The condition for the development of the disease - the presence of streptococcal infection in the nasopharyngeal zone or untimely, incorrect treatment. A confirmation that the etiology of rheumatism is directly related to streptococcus is that rheumatism often develops and spreads at the first stages of the formation of so-called "closed collectives".
The process of pathology of leg joints is due to the presence of a significant number of toxins and antigens that affect connective tissues, causing complications of rheumatism.
Streptococcus infection plays an important role in the occurrence of age-related rheumatic carditis. In this situation, immunity does not work, and this, in turn, serves as a reason for finding other factors that fit into the problem of rheumatism: etiology.
In the situation of resolving the issue of the origin of rheumatism, there are two main aspects:
- the role of group A streptococcal infection;
- study of the predisposition to the disease with rheumatism of the joints of the legs.
To develop chronic rheumatism, a subjective, increased immune response to streptococcal type antigens is required, as well as the extent of this reaction. This is evidenced by some signs of rheumatism of the joints of the legs with a dynamic study of antibodies to streptococcus.
The mechanism for starting the disease begins with the effect on the body of bacteria - beta-hemolytic streptococci( group A).They can provoke:
- sore throat;
Chronic rheumatism occurs only when the patient has defects related to the functioning of the immune system. So, statistics show that only from 0, 3 to 3 percent of people who have suffered infectious diseases caused by streptococcus( photo), subsequently face rheumatism.
Rheumatism of the joints of the legs is characterized by the presence of risk factors that should be considered:
- the presence of rheumatism or diseases affecting the connective tissues of family members of the first degree of kinship - sisters or brothers. Parents;
- belonging to the female sex;
- age range from 7 to 15 years;
- regular infections in the nasopharynx, streptococcus;
- rheumatism of the legs arises because of the presence in the human body of a specific protein - a B-cell marker type D8 / 17.
Rheumatism in children affects the joints of the legs, when when streptococcus enters the body, it begins to fight the infection with the development of special antibodies. Cells recognize bacteria through molecules that are on their surface.
In the presence of predisposition to rheumatism, in the cardiac muscle there are structural units similar in structure to streptococcus.
Chronic rheumatism is associated with an attack of antibodies of "native" cells of the body. So there is an inflammatory process, develops rheumatism of the joints of the legs. The connective tissue can be deformed - heart defects develop, the morphological structure of the joints changes, and rheumatism arises.
There is a certain classification of rheumatic fever, several types of disease are distinguished:
- Polyarthritis, it is also articular rheumatism. Often affects the knees, elbows, shoulders, rarely - toes and hands. The acute form of the disease is characterized by swelling, the presence of an inflammatory process in the zone affected by rheumatism. Sweating, general weakness in the whole body, elevated temperature can be observed.
- Rheumatic carditis is another type of rheumatism;is manifested by the presence of a general intoxication of the body, heart pain of varying intensity, tachycardia may manifest itself.
- Rheumatism is fraught with the appearance of lesions of the smallest vessels in the brain, a disease called rheumatic chorea. The main signs - the violation of coordination of movement, psycho-emotional disorders.
- Classification of rheumatism involves the isolation of skin manifestations of diseases. These are specific nodules and erythema.
- Pleurisy rheumatic - severe pains in the chest area are observed, respiratory activity becomes more difficult. The temperature can rise, there is a cough and shortness of breath.
Initial signs of rheumatism appear several weeks after the patient has transferred an infectious disease - for example, pharyngitis or sore throat.
At first the patient experiences weakness, joints begin to ache, hyperthermia is observed.
Rheumatism in children can develop in a latent form: thus, a small temperature can rise, there is a slight general malaise, cardiac work is not broken, joint pains are absent. In such cases, rheumatism of the joints ends with chronic arthritis. Rheumatism in children affects the middle, as well as large joints. There are such signs of the disease:
- pain in the drains;
- tingling in the elbows and wrists;
- pain in the knees.
Rheumatism of the joints can have blurred symptoms - they then disappear, then reappear. Nevertheless, you can not relax - rheumatism in children should be diagnosed in time and appropriate therapy is prescribed.
Additional signs of rheumatism - pronounced problems with the heart: the pulse may be disturbed, irregularities in the rhythm are observed, the heart hurts. Also, the patient may experience shortness of breath, there is general weakness, increased sweating. These symptoms are caused by the inflammatory processes that are observed in the heart - rheumatic carditis. The consequence of the disease is heart disease.
In the case when rheumatism affects the nervous system, the patient may experience involuntary jerking of the limbs, as well as muscles of the face and neck. This symptomatology was called small chorea. There are signs on average in 15% of patients. Basically, these girls are from 6 to 15 years old.
Rheumatism, diagnosed only in clinical settings, is subsequently subject to a thorough correction by a rheumatologist.
The rheumatologist performs a complex of necessary measures with the help of which the diagnostics of rheumatism is carried out. Most often, he undergoes a comprehensive comprehensive examination of the patient.
The first appointment is a general analysis of the blood composition for inflammation. The second is an immunological study aimed at revealing substances characteristic of rheumatism.
Additional technologies - ECG, X-ray. If necessary, to identify rheumatism, arthroscopy, articular biopsy, puncture for the subsequent study of the composition of fluid in the joints is prescribed.
The first stage is indicated by antibiotic therapy. Anti-inflammatory drugs are also prescribed. If the case is severe, the rheumatologist prescribes corticosteroids.
Prevention of rheumatism in children includes:
- gymnastics and physiotherapy;
- correction of lifestyle( in particular, the regime of the day and nutrition);
Classification of drugs that are issued by a rheumatologist when a disease is detected, is as follows:
- antimicrobial agents;
- anti-inflammatory drugs.
The basis for the optimal treatment of rheumatism is such a consistent mechanism: the clinical stage - procedures at home and in the office of a doctor - rheumatologist - spa therapy.
First, special anti-inflammatory therapy is carried out, rehabilitation is carried out, then the patient is sent to a specialized medical sanatorium intended especially for patients with rheumatism. At the third stage of therapy - medical examination. The procedure sets itself such functional tasks:
- activities aimed at the final fight against rheumatism;
- the implementation of symptomatic treatment for circulatory dysfunction in those patients who suffer from the presence of heart defects, their possible correction;
- rehabilitation period;
- preventive measures.
Prevention of rheumatism and its treatment at home - the task is quite feasible. There are several effective recipes designed to combat the disease.
- A couple of peeled large bulbs are cooked for 15 minutes in a liter of water. The drug is taken in the morning after awakening on an empty stomach, before going to sleep. Dosage is a glass. Good prevention of rheumatism.
- To the aching joints of the feet, a fresh grated onion is applied for no more than half an hour. Periodicity - several times a day.
- Rheumatism in children is susceptible to the treatment of raw potatoes. To do this, you need to double fold any fabric, in the middle of which is placed a potato gruel. The compress is placed in the affected area of the joints of the legs. From above it is necessary to cover the area with something warm. The procedure is repeated every two days.
- Children's rheumatism responds well to a combination of taking potato juice and an external compress from this root. The procedure should be carried out within a month.
- Broth, cooked potato peel, is suitable for making compresses that are applied to joints affected by rheumatism.
Herbal preparations intended for the treatment of rheumatism of leg joints:
- At 10 grams of St. John's Wort, one glass of warm water is needed. This mixture should be boiled for half an hour on a small fire. A remedy for rheumatism is taken during the day before meals( at a time - a third of the container).
- Leaves of cowberry in a jar, top up with water, insist. The drug is taken twice a day for two teaspoons.
- On two small spoons of blueberry berries you should take a glass of boiling water. Infused broth for half an hour. Take the remedy several times a day on a large spoon.
Timely diagnosis of rheumatism of the joints of the legs, as well as its qualitative prevention and treatment, allow to minimize the negative consequences to which the disease leads.