I-Reiter's syndrome ivame ukubizwa ngokuthi isifo esithathelwanayo, esithunyelwa ngokuyinhloko ngendlela yezocansi, ebonakala ngokunqotshwa kwezitho eziningana.
Iyini i-Reiter's syndrome?
I-Reiter's syndrome ibangelwa ezinye izinhlobo ze-chlamydia (i-Chlamydia trachomatis), okwenza kube nokuphazanyiswa kwesimiso somzimba sokuzivikela, esibuye sibhekane nomonakalo kwamanye amalungu:
- amalunga (i-arthritis esebenzayo);
- izibungu zamangqamuzana (conjunctivitis, ukuguguleka kwamanzi);
- izitho ze-urogenital (urethritis, cervicitis);
- Ngezinye izikhathi kunomonakalo emehlweni nasesikhumba.
Ukuthuthukiswa kwesifo ezinzimbeni kungahamba kokubili kanyekanye njalo. Kukhona umqondo we-Reiter's syndrome engaphelele - isitho esisodwa kuphela sithintekile.
Isibonakaliso sesi sifo silingana naso kokubili amadoda nabesifazane. Yize kufanele kuqashelwe ukuthi izibalo zangaphambili zibhekene nalesi sifo njengabantu besilisa abaningi, ngoba isilinganiso samakhosikazi nabesilisa abanalo ukuxilongwa kwakungu-1:10. Okwamanje, iningi lalabo abagulayo - iminyaka esebenzayo kusukela eminyakeni engu-20 kuya kweyama-40.
Izimpawu ze-Reiter's Syndrome
Isikhathi sokugxilwa kwalesi sifo singamaviki angu-1-4. Phakathi nalesi sikhathi, ukubonakala kwezibonakaliso ezinjalo:
- Izimpawu zokuqala ze-cervicitis (kwabesifazane) ne-urethritis (emadodeni).
- Ukwenyuka kweso iso, kuze kufike ku- conjunctivitis (kwesithathu kwesiguli). Kokubili amehlo athintekile.
- Cishe izinyanga ezingu-1-1.5 emva kokubonakala kwezibonakaliso zokutheleleka kwe-urogenital, izimpawu zobuhlungu zivela emalungwini. Ngokuvamile yizihlanganiso zemilenze - amadolo, amaqaqa, amanxeba omunwe (ukuvuvukala kwe-sosiskoobraznye iminwe).
- Ku-30-40% yeziguli, ukukhishwa kwesikhumba kunokwenzeka. Njengomthetho, zitholakala ezindaweni ezisezintendeni nasezinhlakeni ezinyaweni (i-keratoderma - izindawo ezigxile ze-hyperkeratosis ngokusuka kwesikhumba se-skin kanye nokuphahlazeka nokucubungula).
- Ukuphakama kwamazinga okushisa ngokuvamile akukho noma akubalulekile.
- Ezinye iziguli zibika izimpawu zokutheleleka emathunjini (isifo sohudo) ngaphambi kokuqala kwesifo.
Ukwelashwa kwe-Reiter's Syndrome
Ukwelashwa kwesifo kunemigomo emibili:
- ukuqeda chlamydia;
- ukukhululeka kwezibonakaliso zokuvuvukala.
Ukwelapha umzimba we-chlamydia kudinga ukuvezwa isikhathi eside kumithi elwa namagciwane. Isikhathi sokwelashwa singaba amaviki angu-4-6 futhi ama-antibiotic angu-2-3 amaqembu e-pharma ahlukene asetshenziswa. Ngokujwayelekile, lawa ngamaqembu alandelayo:
- tetracyclines (i-Doxycycline ngendlela yamajojo);
- i-fluoroquinolones (i-ciprofloxacin, i-ofloxacin);
- ama-macrolide (i-Erythromycin, i-Azithromycin).
Ukwamukelwa okufanayo kwemithi elwa namagciwane kuyindlela yokwelashwa enqunyiwe:
- i-hepatoprotectors ;
- ama-immunostimulants;
- i-vitamin complexes;
- amabhaktheriya asekela imithi yamathumbu.
Ukukhululeka kwezimpawu kubandakanya ngokususa ukuvuvukala kwesifo samathambo esiphezulu esifubeni sikaReiter. Ukwelashwa kuhlanganisa ukusetshenziswa kwezidakamizwa ezingekho-steroid (ibuprofen, indomethacin, diclofenac). Ezimweni ezingavamile nakakhulu kakhulu, kungenzeka ukuthi usebenzise imijovo ye-hormonal ekuhlanganyeleni okuthintekile. Emva kokukhipha ubuhlungu obukhulu, kungenzeka ukuxhuma izinqubo ze-physiotherapy.
Izinkinga ze-Reiter's syndrome kanye nezinyathelo zokuvimbela
Lesi sifo siyaphathwa kahle futhi emva kwezinyanga eziyisithupha sidlulela esimweni sokuxolelwa. Ezingama-20-25% zeziguli ezithathelwanayo izifo zihlala zingavamile, okuholela ekusebenzeni okuhlangene. Kokubili kumadoda nabesifazane, i-Reuter's syndrome ingaba nzima ngokungazali.
Ukuvimbela ukuqala kwe-Reiter's syndrome, kufanele ube nomlingani othembekile ocansini noma usebenzise amakhondomu uma kwenzeka uxhumane ngengozi. Kunconywa futhi ukuvimbela ukutholakala kwezifo zamathumbu.