Rheumatic fever symptoms
Rheumatism - is an inflammatory disease that affects the joints, heart and other organs of the body, which sometimes occurs as a complication of streptococcal upper respiratory tract infection (typically streptococcal pharyngitis).
disease characterized by inflammation in one or more sites throughout the body, including the joints, heart, skin and central nervous system.Symptoms usually appear within one - five weeks after infection with streptococcal bacteria group A and include fever, painful and swollen joints and skin rashes.If untreated, symptoms usually subside after about three months.With proper diagnosis and treatment of the disease usually does not last long, though symptoms can last for six months, if the heart is affected.How to use folk remedies in this illness, see here.
most serious manifestations of rheumatic fever are observed when affected by the heart muscle and valves.It can develop and become fatal congestive heart failure.The only long-term complication of rheumatic fever is hea
Rheumatism may occur in some cases in the form of an epidemic outbreak.Like all streptococcal infections, rheumatic fever is most common in children between the ages of 5 and 15 years.
This disease appears due to the accumulation of uric acid in the blood salts.There are two ways of occurrence and development of the disease:.
1. Colds by frequent changes in the weather, drafts in the damp walls of the apartment and other
2. The presence somewhere in the body of an abscess, for example, rotting teeth, diseased tonsils, etc...Find and remove the cause, you can more easily and quickly get rid of the disease.
Susceptibility to disease is often hereditary.Doctors believe that this is a reaction of any body part (joint IPT heart, for example) to streptococcal infection in the throat.If not treated promptly and properly, the attacks can last for weeks or months.Moreover, the disease tends to return again and again throughout his childhood, when a child back in the throat will streptococcal infection.
Sometimes the disease takes a very sharp form with a high temperature.In other cases, it smolders for weeks, followed by a low-grade fever.If there is severe arthritis, he transferred from joint to joint, they swell, turn red, and all this is accompanied by pain.In other cases, arthritis is weak - only mild pain in one or more joints.If hard hit by the heart, the child looks exhausted, pale, he appears dyspnea.Sometimes later found that his heart hurt attack of rheumatic fever, which no one at the time.I noticed.
other words, rheumatism occurs in various forms.Of course, if the child has manifested its serious symptoms, you should consult a doctor.But it is equally important to see a doctor and pulmonary symptoms, such as a certain pallor, fatigue, mild fever, mild pain in the joints.
Today there is a very effective means to suppress streptococcal infection in the throat - the main cause of the disease - and accelerate the termination of rheumatoid arthritis, or heart.Therefore, the heart valves are now not so affected in the first attack.More importantly, a child who has experienced an attack of rheumatism, can protect against new attacks - and of further damage to the heart.He has unlimited time under the supervision of a doctor to take medicine - in the form of tablets or injections (to prevent streptococcal infection) and make it strictly regularly.
Aching joints. In the old days it was natural that the children complain about the "growing pains" in the legs in their hands, and they do not disturb anyone.Since then, it has been found that rheumatic pain may be very weak, and the doctors treat them with an opportunity to each complaint of pain in the joints.But parents sometimes feel rheumatism sole cause of joint pain and worry for no reason.
legs may ache, such as flat feet and weak legs, which happens more often than the end of the day, when the child is tired.Sometimes a child between the ages of two and five years, wakes up crying, complaining of pain in the knees and calves.This occurs at night, but may occur on a daily basis for a week.Typically, a survey shows that the reason is not rheumatism.The most common reason - spasms of the leg muscles.
There are many other causes of pain in the hands and feet, and in each case a doctor should examine the child and make a diagnosis.
manifestations of rheumatic fever are made up of articular syndrome and syndrome of heart disease.
For articular lesions characteristic of arthritis, ie inflammation of multiple joints.And very important diagnostic feature is the volatility of the pain, ie pain today, for example, the knee joint, pain and tomorrow it disappears and appears in the elbow or hip.Joint Patriotic, hot skin over it, any movement it is very painful.Also characteristic fever, occurrence of heavy perspiration, chills, usually not fixed.At the heart lesions observed skin rash - annular erythema, as well as the formation of subcutaneous nodules.Characterized by pain in the heart, disruptions in its work, palpitation.When exertion shortness of breath occurs, then there is a feeling of lack of air.With the defeat of the endometrium and the valve may form heart diseases.
well as multiple lesions of joints with pain volatility, annular erythema and the formation of subcutaneous nodules.Small - it is transferred before the start of angina diseases, fever, inflammatory changes in the blood test.
forecast for improper or late begun treatment unfavorable - formed heart defects.
If rheumatic fever occurs only defeat of the joints, it is possible to complete recovery.
Rheumatic fever begins with a sudden rise in temperature and inflammation of multiple joints simultaneously.Knee, ankle, elbow, wrist, and shoulder joints swell and redden, become hot to the touch, and the slightest movement causes a sharp pain.The pain and inflammation accompanied by increased sweating.
clinical picture of rheumatic fever depends on the severity of the process, the number of affected organs and systems, previous treatment, and comorbidities.In typical cases, the disease (especially primary) develops within 1-2 weeks after undergoing a sore throat or other infection.Repeated attacks, this period may be shorter.In some cases, rheumatism occurs 1-2 days after cooling without any connection with the infection.Recurrences of rheumatic fever often develop after any disease, surgical intervention, physical overload.
In the first period of the disease is often marked by fever (usually up to 37,1- 37,9 ° C);General condition - satisfactory.The most common, most patients only manifestation of rheumatic fever, exciting the internal organs, is currently the inflammatory heart failure.
rheumatic myocarditis complaints are rather modest: weak pain or vague discomfort in the heart, lungs, shortness of breath under load, much less - palpitations or interruptions.
Blood pressure normal or slightly reduced.Sometimes expressed moderate tachycardia, slightly exceeding the level corresponding to the temperature of the patient.Persistent bradycardia (slowing of heart activity) is rare.In children can meet the so-called diffuse rheumatic myocarditis, which manifests itself in violation of the heart function.
From the very onset of the disease, patients complain of dyspnea, was forced to take a forced situation, persistent pain in the heart, heart palpitations.Characteristic "pale cyanosis," and jugular veins.Blood pressure is lowered.To diffuse myocarditis is characterized by the development of heart failure.
Rheumatic endocarditis, as an independent disease, is rare.As a rule, it exhibits the diagnosis of "rheumatic heart disease", although this term refers to the combination of myocarditis and endocarditis.However, since it is the cause of endocarditis of rheumatic heart disease, you need to carefully look for his diverse symptoms of rheumatism clinic.These symptoms, especially the degree of their severity and reversibility is very important to judge the long-term prognosis of the disease as a whole.Sick for a long time to maintain good overall health and ability to work.Only hemodynamic disorders due to unnoticed fledged heart disease make such patients for the first time to see a doctor.The main manifestations of endocarditis detected on an electrocardiogram, phonocardiogram.
With involvement in the joint process of talking about rheumatoid arthritis.It is characterized by rapid onset.A distinctive feature of it is the defeat of large or medium-sized joints (usually the knee, ankle, elbow) at both extremities, as well as the rapid reverse the development process.Patients with joint pain point, change their configuration.
• hypothermia, especially if it is combined with blotting feet;
• infectious diseases, particularly angina;
• excessively warm clothing;
• consumption of ice cream and cold drinks;
• work and (or) living in damp areas;
• insomnia, mental and physical exhaustion.The inflammatory process in rheumatism goes from one joint to the other, at the same sometimes returns to the previously affected joints.In the treatment of pain in mild cases go through the week, and in the most severe may stay for months.
treatment is carried out in a hospital environment.
1. patient mode depends on the presence of rheumatic heart disease and the extent of its activity.The patient must comply with bed rest, but stihanii mode limitations of the process can be reduced.In less severe disease in the first 7-10 days appointed polupostelny mode.Pronounced process assigns strict bed rest.The criteria for the expansion of the motor mode is the pace of the clinical improvement, normalization of ESR and other laboratory parameters.At 40-50 days after onset of the disease the patient should be transferred to the free mode.
2. Diet therapy Diet
patient appropriate treatment table number 10 with a sufficient amount of proteins and restriction of salt.It should also be included in the diet of vegetables and fruits, to provide sufficient levels of vitamin C and potassium, especially circulatory insufficiency.
3. Drug treatment appointed the doctor.
prevention of rheumatic fever is divided into primary and secondary.For primary (aimed to ensure that the disease did not arise) related rehabilitation, that is, the elimination of, chronic foci of infection in the body.Hardening and increase immunity.
Co. secondary prevention, or prevention of exacerbations and repeats, the disease in those who are already ill with them, are:
• Timely and effective treatment of colds, sore throats with the inevitable appointment of antibacterial therapy.
• Antibiotic prophylaxis (bitsillinoprofilaktika) - Appointment of preventive courses of antibacterial drugs for several years people standing registered at the rheumatologist.
best prevention of rheumatic fever is a hardening of the body, and avoiding all the factors that can trigger the occurrence of this disease.
In the world, the interest of physicians to rheumatic diseases in recent years.This is due to their large spread in the population, high temporal and permanent disability of patients.But the knowledge of practitioners still do not have a coherent theory.There is no consensus about the causes of these diseases.Unlike many other diseases immunity to them is not generated.You can not get vaccinated and do not think about it.
Rheumatic diseases do not fall within any particular age group.Rheumatism, diffuse connective tissue disease, systemic vasculitis, rheumatoid arthritis, ankylosing spondylitis, arthritis and a variety of t. E. May occur in each.They also arise in very young children and the elderly.It must not be forgotten.Among children and adolescents disease often affects girls, especially during the onset of menstruation, when the body is rebuilt and is therefore particularly weakened.
Unfortunately, if used in schools and in other institutions paid attention to sports development, regular clinical examination, it is now the children are left to themselves.And we talk about prevention is very difficult.While the child is not sick, it no one pays attention.A rheumatic disease characterized by difficult recognizable is in the early stages, when cure is still possible.Yet knowledge of their causes will help you protect yourself and your children.
first important risk factor - the common cold and infectious diseases.Sore throat, acute respiratory infections, especially transferred to the legs or just insufficiently treated, often leads to complications in the heart and rheumatic diseases.So when recovering from an infection the doctor gives direction to the analysis of blood, do not neglect it.When the disease is angina doctor is obliged to do so.If you do not give directions, you should ask him.It is better to make sure immediately that the inflammation in your body stopped than to treat a variety of complications.Do not be afraid to donate blood, in all health centers for this purpose, disposable and safe for your health syringes.The second thing you should notice is the cases of rheumatic diseases in your family.Scientists believe heredity is one of the risk factors.The "rheumatic" families repeated cases occur 3 times more often than the others, and rheumatic - even 4 times.The probability of the disease in identical twins - about 37%.
Make it a rule at the slightest sign of illness to see a doctor, not delaying this visit.Joint pain, swelling, redness, difficulty of movement, weakness, fever - a reason for an immediate visit to a physician or rheumatologist.Early diagnosis of rheumatic diseases contributes to a significant change in the forecast with a number of severe, even fatal diseases, helping patients return to normal life.Next, pay attention to what to eat.Your diet should be more marine fish, vegetables, fruits, foods rich in vitamins A and C.
If the family is already sick, suffering, such as gout, he needs food diet: meat or fish should be boiled first and thensimmer or bake.Bouillon patient does not come on, it is harmful for gout.Thus, in the course of the disease may be achieved completely satisfactory results.
morning exercise, fresh air, tiring exercise will help to keep a good shape and strengthen the body's resistance, not only to the rheumatic diseases.But even if you do get sick, do not despair, to withdraw into themselves.Depression - a bad assistant in the fight against the disease.