Faamai o le Reiter

Reactive gugu po urethra-oculo-sinovalny syndrome, e pei ona muai taʻua syndrome a Reiter - o se faamaʻi faamatalaina e faamai soofaatasi, faiga ma mata genitourinary. I le maʻi fatu o tali immunopathological e sui pipisi i genetically predisposed tagata taitoatasi. E avea o se sui sooupu pipisi tele o taimi e tau atu i le tulai mai o le faamaʻi, galue Chlamydia trachomatis - bacterium pipisi atu i feusuaʻiga lē malupuipuia feusuaiga. Lē gata i lea, o le mafuaaga o le faagasologa pipisi-allergic mafai ona avea nisi pathogenic siama intestinal, aemaise Salmonella, Shigella, Yersinia. Talu ai nei, o nisi tusitala matau, ma le matafaioi o ureaplasma i le atinae o syndrome a Reiter. Le faamai sili ona masani ona aafia ai tagata matutua e oo atu i le 40 tausaga, o le tele itiiti taatele i tamaitai. I le 75% -95% o gasegase faaali a antigen e feaveai HLA-B27, lea e faapea ai o se faailoga mo predisposition tuufaasolo i le faamai.

faaaliga togafitiga

Urinogenous gugu reactive atiina ae, e masani lava 3-4 vaiaso talu le faagasologa inflammatory matuitui i le totoga urogenital. O le faailoga muamua o le faamaʻi e masani lava ona urethritis, prostatitis, cystitis. Urethritis le masani ona faaleo, gasegase maitau faataunuuina mucous mai le urethra, faaletonu po o le tiga ma urination. syndrome a Reiter o toʻilalo manino foi o le mata, lea e tulai mai ina ua mavae le urethritis. E masani ona fai conjunctivitis, e itiiti - keratitis, retinitis, uveitis, iridocyclitis, iritis. e mafai foi ona faaalia Conjunctivitis leaga ma, i le tulaga lenei, alu amanaiaina.

O le averesi, e tasi le masina talu siama matuitui atiina ae pathology o sooga, faaalia gugu asymmetric. E aafia ai le tele o sooga o le vae - interphalangeal, tapuvae, metatarsophalangeal, tulivae. e mumu le paʻu i luga o le soofaatasi, o loo i ai effusion. O se tasi o faaaliga sili ona soo faailoa faamaʻi a Reiter, edema, ma ua manatu defiguratsiya tamatamai lima (tamatamai lima sosiskoobrazny). Aua ua faamatalaina ai le faamai e tiga i le mulivae, le atinae o le "spurs", o se pupuga o le uaua i soʻoga Achilles, sarkoileit, lipoti nisi gasegase tiga i le ivitū.

e faamatalaina foi syndrome a Reiter e faaaliga paʻu ma manuʻa o le membranes mucous. Tiga papala e masani lava ona foliga mai i le gutu ma i luga o le ule glans, balanoposthitis atiina ae po balanitis, glossitis, stomatitis. aliali mai le paʻu erythematous papules po o nofoaga mumu. O se vaega masani o le faamai o manuʻa hyperkeratosis i le alofilima ma tala. Mo faamaʻi faamatalaina i le faaleagaina i le neura o se polyneuritis, māmā, fatugaʻo ma le loto (myocarditis, myocardial). I le faaopoopo atu, gasegase ma loa fiva maualalo togi.

Auga ma togafitiga

Mo auga e taua ai le faailoa o le sootaga i le va pupuga o le faiga urogenital po matuitui enterocolitis ma le atinae o faailoga soofaatasi. O le taua tele o le mauaina o le chlamydia i scrapings mai le urethra po cervix e PCR ma ni polotini e tetee i le toto chlamydia onosai ma antigen HLA-B27. faailoilo itiiti patino o auiliiliga toto togafitiga. I nisi o tulaga, o loo i ai fua faatatau tafia faateleina erythrocyte, leukocytosis, anemia laitiiti.

e aofia ai mo Togafitiga Syndrome a Reiter togafitiga vailāʻau, lea e mafai ai ona aveesea le faatupu, ma le tofiga o fualaau faasaina aneti-inflammatory. A chlamydia ma ureaplasma siama faaaogaina umi fualaau tetracycline, macrolides ma fluoroquinolones. Ma afai e maua i le faamai o le Reiter, e tatau ona maua togafitiga fualaau faasaina protivohlamidiynymi uma paaga. Pe e tatau ona aofia enterogenous gugu yersiniosis, dysentery ma salmonellosis. Ina ia faaitiitia le tiga ma le fula o sooga faatonuina lē steroidal fualaau faasaina aneti-inflammatory, ma i mataupu ogaoga, ma sauniuniga hormonal.