For the treatment of rheumatism used a three-phase system:
- first stage — inthe active phase disease — long-term (
weeks) treatment in a hospital; 4-6
- the second stage — poslebolnichnoe
- the third stage — preventive treatment and supervision in the community rheumatologist.
Treatment rheumatism should be possible earlier.
In the active phase rheumatismtreatment performed in a hospital, if this can not be done, the patientshould comply with bed rest at home. Motor mode expands as subsiding rheumatic process or reduction of heart failure. Usually it takes about 2 weeks.
Food must be varied rich complete proteins (no less than 1 g / kg of body weight per day).
Of the medicines used in the treatment of rheumatism:
- Antibiotics (Mainly penicillin
- NSAIDs (Diclofenac, naproxen, etc.);
- glucocorticoids (Prednisone, dexamethasone, etc.);
(Stimulate specific defenses). gamma globulin
The combination of drugs and the inclusion in the treatment of other drugs depends on the severity of the disease and involvement in the different organs. When a persistent inflammation of the joints are used intra-articular injection of drugs.
In addition to drugs, usually used and physiotherapy treatments for rheumatism. They are an integral part of the treatment, and are the primary means of medical rehabilitation.
When prolonged pain in the joints in the active and inactive phase may be used:
- ultraviolet light;
- Electrophoresis of drugs;
- solljuks warming lamp or infrared lamp;
- paraffin baths.
In the active phase rheumatic process in order to improve blood circulation, eliminate the effects of immobility is recommended to massage the limbs. Also in the range of therapeutic interventions necessarily involve the exercise therapy.
If formed heart disease, it is treated surgically (in the absence of contraindications).
When protracted course of rheumatic fever may need cleaning blood from the "aggressive" antibodies and toxins using plasmapheresis.
After removing the aggravation, the scheme appointed rheumatologist, several times a year spend bitsillinoprofilaktiku (periodic single intramuscular injection of long-acting form of penicillin). In most cases, it helps avoid repeated rheumatic attacks.