Cudurka Reiter ee

Waxyeelo arthritis ama kaadi-oculo-sinovalny syndrome, sida horay loo yaqaan Reiter ee syndrome - cudur lagu gartaa cudurka wadajir ah, nidaamka genitourinary iyo indhaha. At cudurka wadnaha waa immunopathological reactions in waxii jeermis ah ee shakhsiyaadka hiddo hiddaha. Sida wakiilka faafa inta badan keenta in la ah ee cudurka, u dhaqmo trachomatis Chlamydia - bakteeriyo kala qaado galmada aan layska ilaalin. Waxaa intaa dheer, sababta oo ah habka faafa-xasaasiyad laga yaabaa in qaar ka mid ah bakteeriyada mindhicirka pathogenic, gaar ahaan Salmonella, Shigella, Yersinia. Recently, qorayaasha qaar ka mid ah la ogaado, iyo doorka ureaplasma horumarinta Reiter ee syndrome. Cudurku wuxuu inta badan saameeyaa rag da'doodu tahay ilaa 40 sano, inta badan ka yar caadiga ah ee haweenka. In 75% -95% bukaannada muujiyaan a antigen side HLA-B27, taas waxaa loo arkaa calaamad for cabista hidde cudurka.

daliilka kiliinikada

Waxyeelo arthritis Urinogenous yeesho, sida caadiga ah 3-4 todobaad ka dib markii habka ba'an bararka ee xubnaha Fistula. Calaamadaha ugu horeeya ee cudurka sida caadiga ah waa urethritis, prostatitis, cystitis. sida caadiga ah Urethritis aan kaga hadlay, bukaanka dheecaan ogow axaleedka ka kaadi mareenka, raaxo la'aan ama xanuun marka la kaadinayo. Reiter ee syndrome sidoo kale waa guuldarro muuqata ee isha, taasoo dhacda ka dib markii urethritis ah. Inta badan odhan conjunctivitis, wax badan ka yar - keratitis, retinitis, uveitis, iridocyclitis, iritis. Daafka sidoo kale la liidata sheegi karaa oo, haddii ay taasi ku, la dareemin.

Celcelis ahaan, hal bil ka dib markii caabuq ba'an uu yeesho cudurada kalagoysyada, muujiyey sinnayn arthritis. Wuxuu saameeyaa kala goysyada ugu cagaha - interphalangeal, canqowga, metatarsophalangeal, jilibka. maqaarka ka badan laabatooyinku uu guduudan yahay, waxaa jira effusion. Mid ka mid ah daliilka ugu badan oo muujinaya cudurka Reiter ee, barar, iyo waxaa loo arkaa farta defiguratsiya (farta sosiskoobrazny). Waayo, cudurka waxa lagu gartaa xanuun u gaddoomaysaan Cidhibtiinii ka, horumarinta "Spurs", barar ku dhaca seedka ah, sarkoileit, bukaanada qaar ka mid ah soo sheegaan xanuun dhabarta.

Reiter ee syndrome waxaa sidoo kale lagu gartaa daliilka maqaarka iyo lesions ah xub-axaleedka. nabaro xanuun badan sida caadiga ah u muuqan in afka iyo guska hessho, balanoposthitis soo koraya ama balanitis, glossitis, stomatitis. Maqaarka ayaa u muuqda papules erythematous ama baro casaan ah. feature A caadiga ah ee cudurka waa lesions hyperkeratosis ee Timir iyo calaacalaha. Waayo, cudurka lagu gartaa waxyeello ku habka dareemayaasha jirka sida polyneuritis ah, sambabada, kelyaha iyo qalbigaba (myocarditis, myocardial). Intaa waxaa dheer, bukaan oo qaba qandho-fasalka hooseeyo dheer-qabtay.

Cilad-iyo daaweynta

Si xanuunkan waxaa muhiim ah in la ogaado xiriirka ka dhexeeya caabuq nidaamka Fistula ama enterocolitis ba'an horumarinta calaamadaha wadajir ah. Of muhiimadda weyn yahay ogaanshaha ee chlamydia in xago ka kaadi mareenka ama makaanka afkiisa by PCR iyo unugyada chlamydia dhiig bukaanka iyo antigen HLA-B27. Tilmaamayaasha yar gaarka ah ee falanqaynta dhiig kiliinikada. Xaaladaha qaarkood, waxaa jira heerka korodhka erythrocyte Kimikada, leukocytosis, dhiig yar.

Reiter ee Syndrome Daaweynta waxaa ka mid ah therapy antibiotic, kaas oo u ogolaanaya in la baabi'iyo pathogene ah, iyo magacaabidda daawooyinka anti-bararka. Marka chlamydia iyo cudurka ureaplasma dheer loo isticmaalo antibiotics tetracycline, macrolides iyo fluoroquinolones. Oo haddii laga helay cudurka Reiter ee, daroogada protivohlamidiynymi daaweynta waa in ay helaan labada lamaane. Marka enterogenous arthritis waa in laga joojiyaa yersiniosis, dabadhiig qaba iyo salmonellosis. Si loo yareeyo xanuunka iyo bararka kalagoysyada qoro daawooyinka anti-bararka non-steroidal, iyo xaaladaha daran, iyo diyaarinta hormoon.