Lefu Reiter e

Arabelang ramatiki kapa urethra-oculo-sinovalny lefu, e le pele e neng e bitsoa Reiter e lefu - lefu le tšoauoa ka lefu e kopanetsoeng, tsamaiso genitourinary le mahlo. Ka lefu le pelo e leng sona liphetoho immunopathological ho mahlahana a tšoaetsanoang ka ho motho ka mong liphatsa tsa lefutso ua tsoaroa ke. E le moemeli tšoaetsanoang hangata ka ho fetisisa e isa ho hlaha ha lefu lena le, sebetsang sebakeng sa hae Chlamydia trachomatis - baktheria fetisoa ka likamano tse sa sireletsehang ea ho kopanela liphate. Ho feta moo, sesosa sa thulaganyou e tšoaetsanoang-alejiki ka 'na ba bang ba pathogenic mala libaktheria, haholo-holo Salmonella, Shigella, Yersinia. Haufinyane tjena, ba bang ba bangodi u hlokomele, 'me karolo ea ureaplasma ka ntshetsopele ya lefu Reiter e. Lefu lena le hangata ka ho fetisisa e ama banna ba lilemo li ho fihlela ho lilemo tse 40, haholo tlase atile basali. Ka 75% -95% ea bakuli bontša microcyteme antigen Hla-B27, eo ho nkoa e le lesupa ho predisposition liphatsa tsa lefutso ho lefu lena.

liponahatso tsa tleleniki

Urinogenous arabelang ramatiki develops, hangata libeke tse 3-4 ka mor'a hore a hlobaetsang le ruruha ka litho tsa urogenital. Matšoao pele lefu lena hangata urethritis, prostatitis, cystitis. Urethritis ha ka tloaelo bitsoa, bakuli ba ela hloko tjhajoloha mucous tswa urethra, boemong bo sa thabiseng kapa bohloko le ho ntša metsi. lefu Reiter ke hape ho bonahalang eka hlōloa ha leihlo, e leng le hlaha ka mor'a urethritis ena. Atisa ho re conjunctivitis, haholo tlase - keratitis, retinitis, uveitis, iridocyclitis, iritis. Conjunctivitis le ka boela la bolela hore hampe le, tabeng ena, tsoela bonoe ke motho.

Ka kakaretso, khoeli e 'ngoe ka mor'a tshwaetso a hlobaetsang le hlaha bolwetse manonyello, o ile a bontša sa karolelano ramatiki. E ama manonyeletso fetisisa ea maoto - interphalangeal, leqaqailaneng, metatarsophalangeal, lengole. Letlalo holim 'a kopanetsoeng e khubelu, ho na le effusion. E mong oa liponahatso fetisisa khafetsa bontšang Reiter oa lefu, edema, 'me ho nkoa defiguratsiya monoana (sosiskoobrazny monoana). Bakeng sa lefu lena e tšoauoa ka bohloko ka heel le, ntshetsopele ya "li susumelletsa", e ruruha le Achilles tendon, sarkoileit, ba bang bakuli ba tlaleha bohloko mokokotlo.

lefu Reiter o boetse o tšoauoa ka liponahatso letlalo le diso tsa lera la ka mucous. liso bohloko hangata hlaha ka molomo le ka botoneng glans, balanoposthitis ho ntshetsa pele kapa balanitis, glossitis, stomatitis. Letlalo bonahala papules erythematous kapa matheba khubelu. A tsobotsi le tloaelehileng la lefu lena le ke hyperkeratosis diso ka liatla le bohato. Bakeng sa lefu tšoauoa ka senya tsamaiso ea methapo e polyneuritis ka, matšoafo, a liphio le pelo (myocarditis, myocardial). Ho phaella moo, bakuli ba nako e telele-e neng e tšoaretsoe feberu tlaase sehlopheng.

Tepelletse maikutlong le kalafo

Bakeng sa fumanoe ke habohlokoa ho tseba hore na le kamano e haufi pakeng tsa ho ruruha ea tsamaiso urogenital kapa a hlobaetsang enterocolitis le tsoelo-pele ea matšoao a kopanetsoeng. Le ea bohlokoa haholo ke ba bonoa ba chlamydia ka scrapings tswa urethra kapa popelo ke PCR le lisireletsi ho mali chlamydia mamello le antigen Hla-B27. litsupa tlase itseng tsa and analysis litleleniki tsa mali. Maemong a mang, ho na le eketsehile ka makhetlo erythrocyte sedimentation sekhahla, leukocytosis, hanyenyane khaello ea mali.

Syndrome Reiter oa Phekolo e akarelletsa phekolo lithibela-mafu, e leng lumella ho felisa pathogen, 'me ha ho khethoa lithethefatsi-ba khahlanong le a hlabang. Ha chlamydia le tshwaetso ureaplasma telele sebediswa lithibela-mafu tetracycline, macrolides le fluoroquinolones. 'Me haeba ho fumanoa le lefu Reiter e, kalafo lithethefatsi protivohlamidiynymi lokela ho fumana banyalani ka bobeli. Ha enterogenous ramatiki lokela ho qheleloa ka thōko yersiniosis, letšollo le salmonellosis. Ho fokotsa bohloko le ho ruruha ea manonyello a laetsoeng bao e seng steroidal-ba khahlanong le a hlabang lithethefatsi, 'me maemong a matla,' me a lokisetsa hormonal.