Reiter ọrịa

Mere ogbu na nkwonkwo ma ọ bụ urethra-oculo-sinovalny syndrome, dị ka na mbụ na-akpọ Reiter si syndrome - a ọrịa ji nkwonkwo ọrịa, genitourinary usoro na anya. Mgbe ọrịa obi na ọrịa bụ immunopathological Jeremaya mere ka nje elekọta mmadụ na genetically predisposed ndị mmadụ. Dị ka ọrịa na-efe gị n'ụlọnga kasị akpatakarị ntoputa nke ọrịa, na-eme Chlamydia trachomatis - na nje bacteria-ebute site ná site unprotected mmekọahụ. Ọzọkwa, ihe na-akpata na-efe efe-anabata usoro nwere ike ịbụ na ụfọdụ pathogenic nsia bacteria, karịsịa Salmonella, Shigella, Yersinia. Nso nso a, ụfọdụ ndị dere mara, na ọrụ nke ureaplasma na mmepe nke Reiter si syndrome. The ọrịa Ọtụtụ na-emetụta ndị ikom dị afọ ruo afọ 40, ọtụtụ obere nkịtị na nwanyi. Na 75% -95% nke ọrịa na-egosi a ụgbọelu antigen HLA-B27, nke a na-ewere a welara maka mkpụrụ ndụ ihe nketa pụrụ ịrịa ọrịa.

adakarị ngosipụta

Urinogenous reactive ogbu na nkwonkwo na-amalite, na-emekarị 3-4 izu mgbe nnukwu mkpali usoro ke urogenital akụkụ. The mbụ mgbaàmà nke ọrịa ndị na-emekarị urethritis, prostatitis, cystitis. Urethritis anaghị adịkarị akpọ, ọrịa mara mucous orùrù si urethra, ahụ erughị ala ma ọ bụ ihe mgbu na urination. Reiter si syndrome bụkwa o meriri anya, nke pụtara mgbe urethritis. Ekwukarị conjunctivitis, ọtụtụ obere - keratitis, retinitis, uveitis, iridocyclitis, iritis. Conjunctivitis nwekwara ike igosipụta agụghị oké na, na nke a, na-aga hụrụ.

Ná nkezi, otu ọnwa mgbe nnukwu ọrịa amalite daa ọrịa nke nkwonkwo, na-egosipụta akpàràkpà ogbu na nkwonkwo. Ọ na-emetụta ọtụtụ nkwonkwo ụkwụ - interphalangeal, ụkwụ, metatarsophalangeal, ikpere. The akpụkpọ n'elu nkwonkwo bụ red, e effusion. Otu n'ime ndị kasị ugboro ugboro ngosipụta na-egosi Reiter ọrịa, edema, na a na-ewere defiguratsiya mkpịsị aka (sosiskoobrazny mkpịsị aka). N'ihi na ọrịa e ji ihe mgbu na ọba ụkwụ, mmepe nke "spurs", ihe mbufụt nke ndị òtù Achilles akaị, sarkoileit, ụfọdụ ọrịa na-akọ ihe mgbu na spain.

Reiter si syndrome na-ji akpụkpọ ngosipụta na ọnya nke mucous membranes. Na-egbu mgbu ọnyá na-emekarị na-egosi na ọnụ na na glans amụ, balanoposthitis-emepe emepe ma ọ bụ balanitis, glossitis, stomatitis. The akpụkpọ egosi erythematous papules ọ bụ ọbara ọbara tụrụ. A ananu nke ọrịa na-hyperkeratosis ọnya na ọbụ na ọbụ. N'ihi na ọrịa ji mmebi nke ụjọ usoro dị ka a polyneuritis, akpa ume, akụrụ na obi (myocarditis, myocardial). Ke adianade do, ọrịa na ogologo-ẹkenịmde ala-ọkwa fever.

Na ịgwọ

Maka nchoputa ọ dị mkpa ka a mata na mmekọrịta dị n'etiti mbufụt nke urogenital usoro ma ọ bụ nnukwu enterocolitis na mmepe nke nkwonkwo mgbaàmà. Nke dị oké mkpa bụ nchọpụta nke chlamydia na scrapings si urethra ma ọ bụ cervix site PCR na-alụso ọrịa ọgụ na ọbara chlamydia ndidi na antigen HLA-B27. Naa kpọmkwem egosi nke na-adakarị ọbara analysis. N'oge ụfọdụ, e nwere ubara erythrocyte sedimentation ọnụego, leukocytosis, nta anaemia.

Reiter si ọrịa Ọgwụgwọ-agụnye ọgwụ nje ọrịa, nke na-enye ohere iji kpochapụ pathogen, na nhọpụta nke mgbochi mkpali ọgwụ ọjọọ. Mgbe chlamydia na ureaplasma ọrịa ogologo eji ọgwụ nje tetracycline, macrolides na fluoroquinolones. Ma ọ bụrụ na chọpụtara na Reiter ọrịa, ọgwụgwọ protivohlamidiynymi ọgwụ ọjọọ ga-enweta ma mmekọ. Mgbe enterogenous ogbu na nkwonkwo ga-ekwe yersiniosis, ọnyụnyụ ọbara na salmonellosis. Iji belata ihe mgbu na ọzịza nke nkwonkwo kenyere ndị na-abụghị steroidal mgbochi mkpali ọgwụ ọjọọ, na n'oké ikpe, na mmiri ọgwụ preparations.