Rheumatic fever - is a very common disease throughout the world. This disease affects not only the joints, but also the heart, nervous system, lungs. In the early stages the changes in the internal organs still reversible, so the treatment of rheumatic fever should be initiated as early as possible.
Proper nutrition and treatment - important components of treatment
If rheumatic fever is mild, the patient must comply polupostelny mode to ten days after the onset of the disease. This means that a person can only move in their room or ward. He was allowed to get out of bed only to take food and personal hygiene. All the rest of the time the patient must spend in bed.
In marked heart lesion is assigned to strict bed rest for a period of two to three weeks. When a patient is forbidden to get out of bed and move it. Next to such patients should always be caregivers.
Engine mode expands when it is improvement of the general condition of the patient, and the test results are close to normal range. The patient is transferred to the idle mode after about forty days after the start of treatment.
The diet should be varied. It is recommended to eat food that is rich in vitamins and complete proteins. Recent increases the body's immune defenses and improve contractility of the heart muscle (myocardium). They also reduce the severity of allergic reactions that underlie the development of rheumatic fever. Vitamin C normalizes metabolism
Improves metabolism and losing weight without dieting
in connective tissues and has anti-inflammatory action. B vitamins beneficial effect on the state of the myocardium. Therefore, fruits and vegetables should always be in the patient's diet. When poor circulation is limited to the use of salt.
Use the drug must directly affect the cause of the disease, reduce inflammation and improve the metabolic processes in the affected tissues.
In rheumatoid arthritis antibiotics are appointed on a mandatory basis. They help to destroy streptococci group A - microorganisms that cause rheumatism. Preferably use antibiotics penicillin:
- Bitsillin 5
Penicillin is injected intramuscularly four times a day, and is appointed for ten days. After that, be sure to begin to use antibiotics which are more durable. This group of drugs include ekstentsillin and bitsillin -5. They are also administered intramuscularly, but once every three weeks. These drugs are used for at least five years if the patient does not have heart disease (carditis). In cases where carditis is accompanied by the formation of valvular heart disease, a long-acting antibiotics are appointed for life. If the patient is allergic to penicillin, instead recommend using erythromycin - the preparation of the macrolide.
In order to eliminate inflammation, apply:
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
NSAIDs not only reduces inflammation but also exert analgesic and antipyretic action. They also improve blood circulation. Drugs in this group:
- Acetylsalicylic acid
Glucocorticoids are used in cases where rheumatic fever is accompanied by severe heart damage. The most common prednisolone
Prednisolone - against inflammation, allergy and pain, but with complications
. At its cancellation appointed NSAIDs to avoid exacerbation of the disease.
To improve the metabolic processes in the myocardium require the appointment of the following drugs:
- Pyridoxal phosphate (a form of vitamin B6)
- Kobamamid (a form of vitamin B12)
- Kokarboksilazu (a form of vitamin B1)
- Lipoic acid
- Potassium Orotate
Physical factors are an important part of the treatment of rheumatism. They increase the overall resistance, anti-inflammatory, analgesic, resolving effect. The use of physical therapy also prevents the development of autoimmune processes that underlie the development of the disease. This means that the immune system no longer attacks the body's own normal tissues.
In the period of acute rheumatic fever it is recommended to ultraviolet radiation, which is assigned to the area of the joints of patients. In the inactive phase of the disease is the common UV irradiation. At the same time, you can use iontophoresis with calcium or salicylates. If joint pain
Joint pain - how to understand what is going on?
there are long-term, it will help to reduce their inductothermy, exposure lamp solux joints, UHF and paraffin baths. In foci of chronic infections affect recommended using ultraviolet rays, microwaves or UHF electrophoresis with antibiotics.
To improve circulation and eliminate the effects of inactivity in the active phase is recommended that you massage the limbs, as well as segmental massage. Therapeutic exercise after decrease in acute need to be in range of these activities.
In the sanatorium treatment of patients sent no earlier than six months after the exacerbation subsided. Patients with minimal activity of rheumatic process recommended treatment in local health centers and at an earlier date.
Balneotherapy (spa treatment) are widely used to treat patients with rheumatism
Rheumatic fever - are possible complications of heart
. Most often appointed hydrogen sulfide, radon, carbon dioxide and oxygen baths. Mud in the form of applications to the affected joints is also very effective.
Treatment of rheumatic fever have to be comprehensive - include all of the components. For this it is carried out in three stages: the hospital (in the hospital), outpatient (at the clinic) and the sanatorium. It is the consistent treatment gives the best results.