Good care is a very important point in the treatment of lupus (systemic lupus erythematosus). Learn to recognize all the warning signs of acute illness that takes your body. These signs include increased fatigue, joint pain, rash or fever. When you notice any of these signs, take action to keep symptoms under control.

Stress can exacerbate symptoms of lupus. Try not to expose yourself to stress.

• Follow a simple daily routine.
• Try to make a list of duties for other minimal.
• Transfer your responsibilities to others.
• Exercise regularly. Everyday walking, for example, can reduce stress How to beat stress? Create an oasis , Clear your mind, improve your mood and overcome fatigue.
• Use relaxation techniques such as meditation, yoga and guidance of images to calm your body and mind.

Fatigue often accompanies lupus patients. To beat the fatigue, you must:

• Many vacationers. Some people with lupus need 12 hours of sleep each night.
• Do not hurry. Limit tiring activities.
• Ask for help from others. Do not try to do everything yourself.
• Take short breaks from your daily activities. Think of the reduced working day, or help in parenting, at least in those periods when the disease appears sharper.
• Exercise regularly. Physical activity increases energy and helps you to stay in good shape. Hiking and swimming are good people with lupus.
• If you suspect that depression contributes to your fatigue, consult your doctor or a specialist in the field of psychiatry as quickly as possible. Ask your doctor for corticosteroid ointments to relieve symptoms of the disease in the skin, which bring a lot of problems. If you are worried that you have to face a rash from lupus or if you have scars from an illness, you can try to make up, for example Kovermark to hide scars or rashes.

Ultraviolet rays increase the worsening of the disease in most people with lupus. Exposure to ultraviolet rays, namely sunlight may increase or cause skin rashes, joint pain Joint pain - how to understand what is going on?   or fatigue, or can make these symptoms more acute. To minimize your stay under ultraviolet light, you need to:

• Avoid the sun. If you must be in the sun, cover your arms and legs, put on a hat and apply sunscreen Sunscreen is not just for the beach   broad spectrum of activity with a high level of protection from sunlight, to protect your skin. Re-apply the cream after swimming, sweating or if the towel. Try different creams. Some may cause skin irritation or too easily washed off.
• Do not take to the streets when the sun's rays are the strongest. In general, the time between 10h and 4h morning of the day, especially in summer.

Good general medical care is very important. A healthy lifestyle not only improves the quality of your life, but also reduces the chances of frequent and severe exacerbation. If you take good care of your health, it also reduces the risk of heart attacks and stroke. Good health care includes:

• Timely vaccination for protection against other diseases, such as pneumonia Pneumonia - Symptoms and Causes   and influenza.
• Treating high blood pressure and high cholesterol.
• Adoption of drugs to prevent osteoporosis caused by corticosteroids.
• Prevention of plaque in the arteries (atherosclerosis), which can be enhanced due to corticosteroids.
• Protection against infections that you can easily pick up due to lowered immunity.
• Other good habits that will help protect you:
• Regular physical exercise.
• Good awareness about the disease and care for themselves.
• Smoking cessation. Studies show that smoking increases the signs of the disease, and may also reduce the effectiveness of some medications. Experts advise people suffering from lupus, avoid any products containing tobacco.
• A healthy balanced diet.
• Regular visits to the dentist.
• Regular eye examinations by an ophthalmologist.
• Creating a Statement of support from family, friends and medical personnel.

Some people with lupus are sensitive to antibiotics called sulfonamides. These include Bactrim, Septra, and many others. Your doctor may prescribe a medicine not related to sulfonamides, if necessary.

If you have lupus, and you are a woman of childbearing age, pay special attention to issues related to pregnancy before conception and during pregnancy. The majority of women with the disease are well beyond the control can take birth control pills if they choose this method of protection, and for many other women lupus has no role to become pregnant and during pregnancy itself. But some women with lupus, especially if it is in the active phase, are at high risk of complications during pregnancy. All women of childbearing age should be attending rheumatologist when they are going to get pregnant.

Home treatment and regular check-ups are sometimes suitable for mild forms of the disease lupus, or for a period of remission. Try to always be under the supervision of a doctor, so that he can monitor your condition. It is important to identify and timely assistance in case of damage of an organ.

It is important that the people around you understand what lupus, how it affects your life, and how you can best deal with it. Help them understand your limitations and needs, when you have an exacerbation of the disease. Support Group - a perfect place where you can learn from others how to deal with problems.

Congenital hypothyroidism called cretinism. The term "nerd" was introduced in the XVII century Platter. In the XIX century it introduced the concept of sporadic cretinism. Then the connection was established cretinism with hypothyroidism. Today it is a well-studied disease, which is the main treatment is replacement therapy.

What is cretinism, its types and causes of

Cretinism - a syndrome characterized by irreversible damage to the nervous, mental and physical development, associated with deficiency of thyroid hormones Deficiency of thyroid hormone - revealed a previously unknown reason   during brain development.

Cretinism may be endemic and sporadic endemic (ie, constantly present in some areas) cretinism (as well as endemic goiter) occurs in children with a deficiency of iodine in the area. But it matters and genetic factors, as in the areas of endemic goiter cretinism is found mainly in families where there are marriages between relatives. In such areas cretinism occurs in 1-4% of the population. Because of iodine prophylaxis the incidence of endemic cretinism in developed countries has decreased significantly.

Causes of sporadic cretinism - it's mostly hereditary enzyme defects, providing the biochemical processes of synthesis of thyroid hormones. The cause of sporadic cretinism may also be treating the mother during pregnancy, drugs that suppress the activity of the thyroid gland, or radioactive iodine. Deficiency of thyroid hormones in the third trimester of pregnancy (after 24 weeks), when the brain is developing especially actively leads to delay physical and mental development.

Symptoms of congenital hypothyroidism

The main signs of congenital hypothyroidism is a sharp delay physical and mental development and neurological disorders. The first signs of congenital hypothyroidism may show up in the first months of life. But more often it becomes apparent only in 4-6 years of life.

• There are two forms of cretinism: nervous and myxedema. Nervous form of manifest violation of hearing and speech, a significant decrease in intelligence, movement disorders and their coordination. Symptoms of hypothyroidism in this form of cretinism are mild. With myxedema form, on the contrary, there are significant signs of hypothyroidism.
• Appearance nerds Character: small stature, malformations with short arms and legs, stupid expression. The mouth is almost always ajar, the language does not fit in your mouth, a short neck, stomach protruding, some patients have a goiter. The muscles are poorly developed, slow motion, gait unsteady. Always there is a delay of sexual development.
• X-ray examination of the skeleton revealed violations: violation of his maturation, underdevelopment of the skull base. Sharp delayed ossification especially noticeable during childhood and adolescence.

Mental disorders can be of varying degrees - from mild to very severe. If hypothyroidism started at three-four years old, severe mental disorders arise. But even in the most severe cases the intellectual processes are slowed, the ability to retain information and assimilate new weakened.

In congenital hypothyroidism in the 2-3 month baby found an unusual lethargy, drowsiness, lack of normal reactions to light and sound. In the future, there are no inherent liveliness of children, visual attention, delayed speech development. Circle nerds have limited information and in severe cases, narrowed down to vague ideas about the most basic needs. Many patients still available mastering simple skills, but to do the job they are slow. Frequently interrupted her and need stimulation. Patients are apathetic, indifferent, drowsiness, constantly freezing. They are closed, secretive and unfriendly, hardly come into contact, but if the contact is still being established, they can be very frank. Sometimes the background of such mental changes occur mood swings.

Diagnosis and treatment of congenital hypothyroidism

From laboratory data characterized by increased thyroid stimulating hormone pituitary gland and lowering the concentration of thyroid hormones Thyroid hormones: mechanism of action and physiological effects . Diagnosis at an early age is hard enough. In older children the diagnosis is based on characteristic symptoms and confirmed by laboratory and radiological studies.

Treatment of congenital hypothyroidism - a replacement thyroid hormone therapy The thyroid gland - is responsible for your hormones . The prognosis depends on the age at which treatment was initiated. When it was launched in the first months of life, developmental defects of the brain can be overcome.

Galina Romanenko