The causes of carpal tunnel syndrome

Carpal tunnel syndrome is more common in women than men. And more common in the age between 30 to 60 years. When inflammation or tumor occurred in any of the tissues carpal tunnel, they click on the middle nerve, which leads to a sense of pain and numbness and tingling in the fingers and the hand which is part of the nerve that its replenishment. And also happens to put pressure on the median nerve by the use of hand labor in the wrong way, leading to continued pressure on the median nerve and carpal tunnel syndrome.
There are several reasons leading to the occurrence of carpal tunnel syndrome as a result the pressure on the nerve Central

    Frequent use of hand and do repetitive movements of the hand and wrist on an ongoing basis. So spread the carpal tunnel syndrome in those who work so requires, such as typing on a computer keyboard, embroidery, playing handball, musicians, commercial, mechanical, handball players.

May be the result of a broken wrist.
Some diseases lead to the occurrence of carpal tunnel syndrome as they lead to a tumor in the carpal tunnel tissues and thus pressure on the median nerve. And such as diabetes, rheumatoid arthritis, Rheumatoid Arthritis, thyroid hormone deficiency Hypothyroidism.
Spread occurrence of carpal tunnel syndrome during the last months of pregnancy. And usually disappear after delivery.And sometimes are carpal tunnel syndrome for no apparent reason.

What is carpal tunnel

Carpal Tunnel Carpal tunnel is a narrow tunnel in the wrist and a component of the bones of the wrist and carpal ligament browser Transverse Carpal Ligament. Where are the bones of the wrist and carpal ligament browser wall of the tunnel. And contains the tunnel on the middle nerve Median Nerve and ligaments and tendons that are covered with thin membranes.

 And works to protect the carpal tunnel nerve within the middle (central nerve passes through the tunnel). And the function of this nerve is the transfer of sensation in part of the palm and fingers all except Pinky (shown in the picture part of the hand and fingers fueled by the Central nerve).

 And if there is inflammation or swelling in any of the tissues carpal tunnel, they click on the middle nerve, which leads to a sense of pain and numbness and tingling in the fingers and the hand which is part of the nerve that its replenishment. And the so-called carpal tunnel syndrome.

Carpal tunnel syndrome and no cause for concern, with the treatment of pain disappear and return things to normal. But at the same time should not be tolerated in the treatment for a long time until the symptoms do not become permanent and are difficult to recover from

Facility for tennis player

Facility for the tennis player is a common condition of incidence of the disease 1 to 3%. And tear caused by an unexpected and inflammation of the muscles and tendons surrounding the facility arm (elbow) when visibility marrow. And is not limited only to tennis players, the percentage of infection as a result of playing tennis less than 5% of cases. But it was an annex to the tennis player because it is considered a significant problem for some tennis players.


And men are more affected facility for the tennis player from the women. And the infection is often at the age of 30 to 50 years. And is more prevalent in the right arm where the arm that the most widely used. And can also be infected with both arms.

Treatment of reactive arthritis - Reiter's syndrome

Treatment of reactive arthritis - Reiter's syndromeTreatment of arthritis

    NSAIDs non Sterodah Nonsteroidal antiinflammatory drugs: usually start treatment with anti-inflammatory painkillers Sterodah third parties such as aspirin, indomethacin. The most important side effects of these drugs is the disorder of the digestive system and may lead to a stomach ulcer so it must be taken with food.
    

    Corticosteroids Corticosteroids: help reduce inflammation. And tablets are used orally or by injection cartilage.


    Sulphasalazine Sulfasalazine: give good results in cases of chronic arthritis.
    

    Inhibitors of the immune system, such as methotrexate. Used in the form of tablets or injections. And lead to immune system suppression. And resorted to in cases of very severe infections, and chronic. And you need to follow continuously the number of blood cells and liver function tests through continuous.
Inflammation of the eyeUsing a drop of anti-inflammatory for the treatment of conjunctivitis. In severe cases of inflammation of the iris can be used for topical cortisone injection.
Inflammation of the skin around the penisUses a cream containing cortisone.
Treatment of the bacteria that cause the occurrence of diseaseWhen you detect the presence of bacteria in the digestive tract or urinary antibiotic use is appropriate to eliminate them.

Symptoms and diagnosis of reactive arthritis - Reiter's syndrome

Symptoms of Arthritis

    Inflammation in the joints of the knee, ankle, foot, wrist: leads to pain, heat, redness, swelling, and stiffness in the joints.Sometimes inflammation occurs in the joints of the fingers of the hand and foot Vttorm fingers and become like the sausage and sausage fingers calledAnd inflammation may occur in the spine leading to pain and hardening of the back or neck.Inflammation of the cartilage may also occur, especially when inflammation of the cartilage at the sternum corresponding to involvement in healthInflammation of the tendons: all the muscles of the body related to bone by tendons at the end of the muscle. In the case of Reiter's syndrome may occur to those sore tendons, leading to pain during the exercise of any activity or sport.Many patients infected with only articular inflammation without other symptoms.
Other symptoms

    Conjunctivitis Conjunctivitis
    And is the membrane that lines the inner surface of the eyelids and covers the white part of the eye. And lead to redness and irritation and swelling of eye lids. It happens at the beginning of the disease, and may be intermittent which appears and then disappears and returns again.

Urinary tract infections Urinary tract inflammationUsually occurs in inflammation of the urethra (the urethra). And lead to a burning sensation during urination or discharge from the end of the penis Sididip. And may occur in inflammation and peeling skin around the penis. Also may occur in inflammation of the bladder and prostate, leading to a sense of the need to urinate frequently.

Small blistersShow a small blisters filled with fluid and sometimes blood in the skin of the soles of the hands or soles of the feet.


    Inflammation of the intestine
    Which leads to diarrhea, the presence of pus or blood with fecal matter.
Diagnosis of reactive arthritis - Reiter Syndrome DiagnosisThe disease is diagnosed through:

    Medical examination: medical doctor finds detects the presence of inflammation of the joints associated with inflammation of the eye, and the reproductive system, urinary, or digestive system. And ask the doctor about the medical history of the patient to know the likelihood of previous infection bacterial infection in the genital tract, urinary, or digestive system.

    Blood test to measure the erythrocyte sedimentation rate ESR: indicate the high speed sedimentation to the presence of inflammation in the body.

    Blood test for the presence of the gene responsible for disease Ritter HLA-B27 gene marker blood test.

    X-ray of the spine or other joints.

    Analysis and farm stool: You may receive bacteria that cause inflammation of the digestive system.

    Analysis of farm and Paul: You may receive bacteria that cause inflammation of the urinary tract.

What is Reiter's syndrome?

Reiter's syndrome is a chronic inflammation of the joints. And includes three major components: arthritis, conjunctivitis, and inflammation of the reproductive system or urinary or digestive system.
The disease affects all ages but is more prevalent in the age of 30: 40 years.
And the so-called reactive arthritis disease that occurs as a result of the interaction of the immune system to the presence of bacterial infections in the genital tract, urinary, or digestive system. Some people have a genetic susceptibility to the wrong response to the immune system when exposed to certain types of bacteria leads to inflammation of the joints. And the disease causes inflammation of the members of other joints such as the eye, mouth, skin, kidneys, heart, lung.
Interactive causes of arthritis - Reiter's syndrome CausesThere is a specific gene and inheritance leads to abnormal response of the immune system and Reiter syndrome. When someone carries this gene and exposed to infection to a specific type of bacteria leads to immune response in an abnormal manner and the onset of the disease.
And the disease occurs after a bacterial infection of the reproductive system. And more types of bacteria that occurs after the disease is chlamydia. And the disease occurs after infection Baldessantarya also get the digestive system where the type of bacteria such as Salmonella Salmonella, Cigila Shigella, and Alcambjelobkter Campylobacter. And usually appear arthritis 1-3 weeks after the beginning of the bacterial infection.

Log in disease - Calve - Perth

Disease Log in - Calve - Perth, is the name given to the necrosis Great idiopathic osteonecrosis Bmchach femoral head capital epiphysis, has been named the disease the names of three doctors who described the disease, and it happens because of poor blood supply to the femoral head, and have twice the blood supply idiopathic , which is more common in male children, usually on one side of the body, and about 10% of cases, familial familial, and the most important symptoms are distinctive be the pain, hip joint, and disorder gait gait disturbance, and beginning to be gradual, and progress is slow, which is self-limited disease, but when the disease has Émd left with a severe distortion of the femur and the right pelvic bone, and prepare for a secondary degenerative arthritis, and the goal of treatment is to make the sequelae of the disease milder.


The hip jointIs the joint that connects the femur bone pelvis, and consists of the detailed two-part, two femoral head, which is in the shape of the ball, and another part is the cavity of the pelvis called the right, and that the detailed spherical acetabular ball and socket joint allows movement of the leg in the trends of multiple for the body.

There Pinhabat long bones - during periods of growth - parts be responsible for bone growth, which is composed of special types of cartilage, cartilage, or separating these parts and the leg bone cartilaginous disk.
For the femur the head of the femur of these parts is responsible for its growth, and called Mshasha femoral head, which is located within the joint capsule, and blood vessels that feed the region are going next to the neck of the femur, may cause interruption of the supply of blood to the femoral head - for reasons incomprehensible - in the event of malfunction of these vessels, causing illness Log in - Calve - Perth.
Bone always done by the two operations are the construction and demolition, and construction through the cells Albanian of bone osteoblasts, and is destroyed by cells Naqdh of bone osteoclasts, and once the bone, the shape and structure of their portability permanent form and re-shape, and under these two processes solve the bone replaces the bone eroded , and during periods of growth to benefit from this patient Log in - Calve - Perth, where the survival of the femoral head within the cavity of the right to help in the reconstruction of the head round the same rotated cavity right, who works as a template for re-formation of the femoral head, but after puberty and stunted growth of bone, the process of forming and re-shape mutate, and be responsible for replacement of bone where the bone eroded only, without deposition of bone in other places are allowed to change the form of the bone, and therefore require patients Log in - Calve - Perth to stabilize the joint in a situation where the femoral head within the right or to the surgery to restructure the joint angle is kept the survival of the femoral head within the cavity of the right.
Have advised the expert work of the surgery before puberty to install the femoral head within the right, to speed healing, and the speed to allow the child to walk and movement, as an alternative to other means that require comfort for long periods in bed, and also requires restricting the movement of the child to stabilize the joint.Disease always include Mshasha femoral head, and in 15-20% of patients disease Log in - Calve - Perth the infection on both sides of the body bilateral.

Spread of the diseaseIn the United States there is one disease, injury Log in - Calve - Perth every 1,500 children younger than 15 years.

Mortality and morbidity

    Log in disease - Calve - Perth is a self-limited disease, in other words, the disease have a limited path, or stop at the borders of offer, which may end after 2-3 years when you do not treat, and when treatment is less than the period of the disease and also complications.

    The fate of the disease varies from case to case.
Relationship of the disease RaceCaucasians Caucasians are infected, including more than among those who are of other races.

Sex-related diseaseThe infection is 4-5 times higher among males injuries among females.

Age-related diseaseLog in disease - Calve - Perth common vision in people aged 3-12 years, on average at the age of 7 years.

Symptoms

    The symptoms of the disease existed before the child complains that a few weeks, because in most cases the child does not complain with the onset of the disease only when asked.

    Be a gradual onset of the disease, and be slow to offer.

    Hip pain hip, groin or inguinal region, which can spread to the thigh.

    Mild or intermittent pain on the front of the thigh or the knee, must therefore be drawn to the need to examine a child when there is no apparent reason last of the pain in these areas.

    In most cases are discovered when the disease is noted parents - or one of those interested in children - a limp limp in children, causing them to seek medical advice.

    There is usually no history of a bruise.
Tags


    Have a limited range of motion, especially the movement of rotation of the inside of the thigh, and keep the movement of the thigh to the outside, and that usually means there is inflammation of the cartilage, and there may be a gathering of liquid cartilage, which is called infiltration.

    Be a painful gait.

    Atrophy of the muscles of the thigh as a result stemming from the disease.

    Bouts of muscle contraction and spasm of the thigh.

    May occur not equal to the length of the legs as a result of atelectasis.

    There may be atrophy of the affected side of the thigh, and the surroundings is less than the non-infected, and as a result of non-use.

    Short stature, due to delayed bone age in children with disease Log in - Calve - Perth.

    When the work rotation of the hip in and out during the patient lying on his back going guarding guarding, or muscle contraction, especially when the rotation of the inside work.Log in the cause of disease - Calve - Perth is still not clear, however, no acceptable explanation for the disease which is as follows:

    Cut off blood supply to the femoral head epiphysis NA.

    Occurrence of bone infarction, especially cortical bone under the cartilage (due to be coagulation arteries feeding the femoral head), while the articular cartilage continues to grow (and the continued growth in the meniscus is because it derives its nutrition from the synovial fluid inside the joint).

Back to educate occur (blood vessel) revascularization and begin to form new bone.
When revascularization and new bone is, the proportion of patients have the disease arises Log in - Calve - Perth, while other patients have going development and growth of super-natural.
Log in disease - Calve - Perth when there is no break under the cartilage, and this is a result of physical activity, and not the result of direct contusion of the region.
Epiphyseal growth plate changes epiphyseal growth plate fracture occurs as a result under the cartilage.


    There is no evidence that the disease is hereditary, and therefore does not represent a danger to the children of parents infected with this disease.
TestsLaboratory testsLaboratory tests include:

    Full blood count Complete Blood Count.

    Sedimentation rate of erythrocyte sedimentation rate, which may increase in case of an infection.

Ankylosing spondylitis

Is a chronic inflammatory disease that affects the joints and tendons and ligaments in contact with bone, which affects primarily pivot joints, which include the spine, sacroiliac joints and sacroiliac joints, which causes the adhesion of paragraphs, may include peripheral arthritis.
Pathophysiology
Inflammation of the places adhesion ligaments, tendons, bone is the process unsatisfactory First, the growth of bone-interactive, and that grows with each new bout occur, and confusion is a structural first place, and a premium spine ankylosis of the spine, and the inclusion of the joints of the thigh, and knees, and accidentally might include small joints , may also cause inflammation of the plantar fascia
And problems outside of the bone associated with ankylosing spondylitis may include inflammation of the iris, iritis, and uveitis uveitis, and inflammation of the aortic aortitis, and cirrhosis of the lungs, pulmonary fibrosis, and amyloidosis amyloidosis, and inflammatory bowel disease inflammatory bowel disease, and neurological complications are subluxation of the vertebrae cervical first, second, and the tendency for the occurrence of fractures paragraphs cervical result of any minor trauma, and narrowing the spinal spinal stenosis in the lumbar and cervical spine, and chronic inflammation, cauda equina syndrome, and cauda equina syndrome, nerve roots and radiculopathy ill as a result of fracture or compression.

Amyloidosis

Definition of amyloidosis
Naming the Latin of the disease is the sense of starch or cellulose, and amyloidosis is a disease of the signs and symptoms, caused by the deposition of Aiviat anomalous zero-melting outside the cells, which affects the tissues, and Alliiviat consists of clusters proteins defective, and which are in the normal case easy to melt, and in humans about 23 proteins different and unrelated, are known to be Alliiviat amyloid in the neighborhoods, and all types of protein amyloid is composed of protein fibrillar key, which determines the pattern of amyloidosis (90%) in addition to the components of multiple small, and despite the fact that each type of Alliiviat can be accompanied by symptoms and signs of distinct and different, all share in the qualities of a natural and satisfying as follows:

     Appearance of amorphous eosinophilic amorphous eosinophilic appearance, and when the optical microscope examination, and after the work of a textile dye Balheimatoxlin and Eocene.
Bright green fluorescence observed under polarized light polarized light, and after the work of a textile dye Congo red from Congo red staining

Treatment of syndrome Hgren

Home Treatment Home Treatment:Can control the symptoms of AIDS Hgren through self-care and follow some important tips:

    Use drops artificial tears: tears of the alternatives considered in the form of eye drops as they are similar in composition layer that resides natural tears eye and protected. And thus get rid of the problem of dry eyes.

    A lot of drinking fluids especially water. It helps to get rid of dry mouth. And try eating a lemon juice because it works to stimulate the salivary glands to produce saliva.

    Reducing sugars, especially between meals. And to avoid infection tooth decay, which is increasing in cases of acquired Hgren because of dry mouth.

    The use of skin moisturizers in cases of dry skin. And avoid washing hands with hot water. And not to soak the hands in water or any liquid detergent. And advised to use rubber gloves while washing dishes.

    The use of vaginal moisturizers in the case of vaginal dryness.

    Avoid smoking because it may lead to increased drought.
    Side dry air inside the house. And can be used to moisturize the air.

    Avoid sitting in front of a fan or air conditioning.

    Avoid strong air currents and the use of glasses to protect eyes when you exit out of the house.

    The use of nasal spray containing the salt solution to get rid of the dryness of the nose.

    Dental care and attention to washing the teeth after every meal and use toothpaste that contains fluoride.

    Alternatives to the use of saliva in the mouth.
Drug therapy:

    Non-drug anti-inflammatory Sterodah Nonsteroidal anti-inflammatory drugs: aspirin, such as where they help to get rid of the pain and inflammation. And resorted to in case of pain and swelling of joints.
    It is known that this group of drugs affecting the stomach, especially when taken for a long time, so it is recommended intakes during a meal to minimize the impact on the stomach.
    

     Corticosteroids Corticosteroids: reduce inflammation and may slow down the incidence of inflammatory joint.
    And the patient feels much better with the use of cortisone. But with use it for several months or years may become less effective and cause some side effects. In some cases the doctor prescribes eye drops containing cortisone, but are used for a short time.
    

     Pilocarpine Pilocarpine: sometimes used to treat dry mouth. And there are some cases where eating is prohibited, such as asthma cases (sensitivity pectoris), eye cataracts, heart disease, and also in the case of pregnancy and breastfeeding.

    

     Sivimilin Cevimeline: used to treat dry mouth as well as works by stimulating certain glands of the mouth to produce saliva.
    

     Immunosuppression Immunosuppressants: used in cases of lung, kidney, or nervous system. And inhibit the immune system (reducing the activity of the immune system).
Surgical Treatment Surgery:Used for the treatment of dry eye by a surgical operation a small punctal occlusion. Lacrimal canal is closed by the disposal of tears from the eye by placing a plug of silicon or collagen in the channel slot lacrimal drainage tears turn off the spigot of the eye.

Symptoms and diagnosis of syndrome Hgren

The diagnosis of syndrome Hgren is not easy due to the presence of other diseases with similar symptoms syndrome symptoms Hgren.

And the symptoms of the syndrome Hgren the following:

     Dry eyes.

     Dry mouth.

     Tooth decay.

     Tiredness and fatigue.

     Parotid gland enlargement.


     Difficulty in chewing and swallowing.

     Change in sense of taste of foods.

     Hoarseness.

     Oral fungal infection.

     Dry skin or a rash.

     Vaginal dryness.

     Pain and swelling of joints.

Diagnosis Diagnosis
Syndrome is diagnosed Hgren through medical examination and make some tests and medical examinations.

     Blood tests Blood tests:
     Is made of some blood tests such as complete blood picture, erythrocyte sedimentation rate, and blood test to look for the presence of specific antibodies present in the event of injury syndrome Hgren.

     Eye examination Eye tests:
     Where some tests are conducted to evaluate the secretion of tears.

     Image channel salivary
Certain dye is injected to the parotid gland through the mouth is then X-ray work of the salivary glands to determine the flow of saliva into the mouth.

Analysis of urine Urine Examination:
It shows if there is kidney problem or not.

Syndrome causes Hgren

Hgren syndrome occur as a result the immune system disorder, so the body begins to attack the cells and tissues. Whereupon the white blood cells (lymphocytes) to attack some of the glands of the body and eliminate them. And sometimes you attack the body's other organs such as lungs, kidneys, and liver.



And the reason for this is still unknown but is believed to be caused by a combination of factors lead to the disruption of the immune system. These factors include: genetic factors, hormonal factors, or bacterial or viral infection.



Risk factors Risk factors

There are some factors increase the risk of Hgren syndrome, and are:

     The presence of infection in one of the rheumatic diseases such as rheumatoid arthritis, rheumatoid arthritis, systemic lupus erythematosus systemic lupus, scleroderma scleroderma.

     Location: where women are more susceptible to infection syndrome Hgren more than nine times the men.

     Age: risk increases with age more than 40 years.

     A family history of injury syndrome Hgren.

What are the Hgren syndrome?

Hgren syndrome is a disorder of the immune system. And is characterized by dry eyes and dry mouth. And in some cases accompanied him some diseases, the immune system disorder such as rheumatoid arthritis, rheumatoid arthritis and systemic lupus erythematosus systemic lupus.


Syndrome and occur as a result Hgren the immune system to attack healthy tissues of the body, who shall attack the mucous membranes and glands to secrete tears and saliva. This results in a lack of tears and saliva production, resulting in dry eyes and dry mouth. And disease can also affect other tissues in the body.

And the disease affects all ages but is more prevalent in the Age more than 40 years. And is more prevalent in women than men. There is no cure completely from this disease, but treatment includes control of the symptoms suffered by the patient.

Systemic lupus erythematosus

Systemic lupus erythematosus Systemic Lupus Erythematosus or SLE is a disease of autoimmune autoimmune diseases, which is part of a group of diseases attacking the immune system tissues and cells of the body causing the inflammation and damage which is a flaw and that's where the essential function of the functions of the immune system is to identify what is strange and hostile to our bodies - such as microbes, viruses or harmful material - and what is in the structure of our body cells and tissues and organs.

A chronic disease that affects multiple organ multisystem, and is characterized by the existence of periods of activity, exacerbations and periods of latency remissions, and most of the injuries it is among women aged 15 to 45 years ie in the period fertility child bearing age, where the ratio between them from 70 to 90 percent of the total injuries disease, and disease can affect all ages, including newborn neonates.

PathophysiologyEstablished disease as a result response is normal or abnormal environmental factors (such as exposure to UV ultra-violet rays - and contained within the rays of the sun and in the light rays emitted from the light industrial - and such as exposure to infection, or taking certain medications) in people who have a genetic predisposition, As a result of this response consists of antibodies autoimmune diseases attack the body's tissues and inflammation occur by inflamation or damage to vehicles and damage immune immune complexes are deposited in blood vessels and organs of the body.

Symptoms and signsSince the disease affects multiple body organs, the symptoms and signs are numerous and vary from case to case, including:

    Symptoms and signs of disease prevalent
    It is joint pain and inflammation arthralgias and arthritis, and rash face and skin malar and other skin rashes and inflammation of the membranes around the lungs, heart, pleuritis or pericarditis also include the incidence of kidney and central nervous system renal and CNS involvement, as well as a decrease in the number of blood cells types of hematologic cytopenia.


    Different symptoms and signs often from case to case, it is possible that the onset of the disease suddenly increase heat or for months or years in the form of bouts of pain joints and a feeling of fatigue arthralgias and malaise, may be a disease in its infancy in the form of headache or seizures, or mental disorder psychoses .
    He spoke to the symptoms of injury to any member of the body may also occur at intervals Tfaqmat periodic exacerbations - flares.

    

    Symptoms and signs of special joints
    Which will be between the pain intermittent intermittent arthralgias to acute inflammation joints multiple acute polyarthritis occurs in 90 percent of the cases, was preceded by symptoms and signs of other symptoms of the disease several years and are most of the injuries the joints is destroyed or distorted for the detailed nondestructive and nondeforming, but with the long-term illness the joints fingers distortions that may arise.
    

    Signs and symptoms of the skin especially
    Which types:

        Systemic lupus erythematosus injuries severeThis type causes a rash on the cheeks through the nose in the form of bed and be rash red and pink color malar butterfly erythema.


Injuries and systemic lupus erythematosus under severeIt causes skin rashes surface and dry circular ring-shaped on both sides of the body symmetrical, which can appear anywhere in the body, but usually appears on the back, chest, and this kind does not leave fibrosis scars in places that it infects and is accompanied usually symptoms of other systemic meaningful.


Injuries and chronic systemic lupus chronic lupus erythematosusIt is usually called lupus roundThis type is most common, and causes a rash on the form of tablets like the currency coin shaped and are usually on the cheeks and nose, but may occur upper back or on the neck or on the back of the hands or on the lips or the scalp and the rash is red and has scales scaly and this type leaves a lasting impact permanent scars, and may cause permanent loss of hair the place of infection permanent hair loss, and when it hit the scalp and the emergence of areas of hair loss and infected Baltalbh in spots or alopecia General generalized or focal during disease activity, and may cause such ulcers and crusts when you hit the lips. There are other types of skin lesions, a rare species.

        And must be infected with any of these species not to be subjected to the sun and wear sunscreen and that's where the sun over these situations worse, and must put Paints and sunscreen before exposure to the sun half an hour if necessary.


        And cause inflammation of the tissues under the skin and there is a nodular lesions and cause inflammation of blood vessels, redness of the skin mottled mottled erythema Evin, fingers, periungual erythema around the nails occur as clusters of blood under the skin purpura & petechiae.

        

    Signs and symptoms of heart and lungs
    And include the inflammation of repeated membrane around the lungs recurrent pleurisy with an infiltrate of pleural effusion or lack of it has complications such as bleeding from the lungs, pulmonary hemorrhage or clots artery pulmonary pulmonary emboli or high pressure artery pulmonary pulmonary hypertension or contraction of the lungs or the so-called lung syndrome shrinking shrinking lung syndrome . The signs and symptoms of heart disease include inflammation of the membrane about around the heart pericarditis are the most common complication and leak around the heart and pericardial effusion, myocarditis, myocarditis.

    

    Symptoms and signs of lymph nodes and spleen
    The inflammation occurs in lymph nodes generalized adenopathy is common, especially in children and young adults, young adults and people with dark skin blacks and enlarged spleen occurs in 10 percent of the infected cases lupus erythematosus.

    

    Signs and symptoms related to nervous system
    Arise due to the infection of any part of the central nervous system or peripheral central or peripheral nervous or membranes around the brain meninges, and the most common symptoms of small defects in the perception mild cognitive impairment or headache or changes in personality personality changes or lack of arteries brain ischemic stroke or bleeding under the class site of the meninges surrounding the brain subarachnoid hemorrhage or seizures or convulsions, psychoses or mental disorder organic brain syndrome organic brain syndrome or disorder Palmkhikh cerebellar dysfunction or inflammation of the membrane sterile meningitis aseptic meningitis or peripheral nerve disorders or peripheral neuropathies browser myelitis transverse myelitis.

    

    Signs and symptoms especially the kidneys
    It may appear at any time, have them show symptoms of the disease without appearing in any other member, and may be benign or severe, and symptoms include the presence of protein in urine proteinuria and red blood cells, white and high blood pressure with fluids collect between the cells of body tissues. May result in kidney failure kidney injury.

    

    Symptoms and signs of blood
    Include a shortage of red blood cell count any kinds of red, white and platelets.

    

    Symptoms related to digestive system
    There may be abdominal pain, nausea or vomiting, and arises as a result of affected bowel movement or inflammation of blood vessels.

    

    Impact of the disease on pregnancy
    May cause fetal loss in early pregnancy or in the end, however, pregnancy and birth be successful in cases where the disease is latent and active throughout pregnancy.
TestsIncluding:

    Work analysis of blood for the detection of antibodies to the nucleus of cells of the body antinuclear antibodies - ANA

    Work analysis of blood for the detection of antibodies to the cell means anticytoplasmic antibodies

    The work of counting the white blood cells, red and platelets, which fall in the incidence of lupus

    The work of Paul's analysis revealed the presence of protein in urine proteinuria and red blood cells and cells Sididip
DiagnosisBe diagnosed with the disease symptoms, signs and medical examinations. There are standards for doctors to diagnose a clinical and laboratory criteria for clinical and serologic criteria.

Treatment

    You should avoid sun exposure and the development of paints to prevent the impact.

    Give aspirin to prevent clotting.

    Given antimalarials such as chloroquine, hydroxychloroquine hydroxy compound as a treatment reduces the inflammation of the tissues arising as a result of the disease.

    Given steroids and corticosteroids and immunosuppressants immunosuppression, especially in periods of disease activity and severity of severe ongoing active disease.

DiGeorge syndrome

Identify cases that are accompanied by syndrome de George, syndrome arch pharyngeal and heart, face, velocardiofacial syndrome, or syndrome Ashberntzn Shprintzen syndrome, an immune deficiency congenital, characterized by facies anomalies, and congenital defects of the heart, and the lack secrete thyroid-peer thyroid hypoparathyroidism with a lack Pkalseyoum blood, and psychological problems related to perception and behavior, and increased susceptibility to infection, although this case is known syndrome, DiGeorge, although naming defect de George congenital are best suited DiGeorge anomaly, The group of defects is not a syndrome resulting from a single cause, but are the result of the failure of members of the embryonic in normal development.It was Hamnjton Harrington the first to notice the absence of thyroid Altimosah year 1929 in a case, and then noticed for Obdel Lobdell in 1959, that this case was accompanied by then the lack of congenital to the secretion of thyroid-peer thyroid congenital hypoparathyroidism, and was Angelo DiGeorge first noticed considerations immune associated with this case, as was first proposed that the absence of Altimosah gland, the parathyroid gland, which may arise from a disturbance in the development of pharyngeal pouches pharyngeal pockets of the third and fourth.He described Kelly Kelly in Philadelphia, Woody does not Chappelle de la Chapelle in France imbalance partial unilateral Babbga number partial monosomy of chromosome 22 which is a companion to a defect de George congenital, giving the first signs of a genetic defect, and since that time have been described many of the syndromes similar in the pattern of origin and is collected now under the Latin word vehicle means defective heart, and face anomalies, and hypoplasia of the gland Altimosah, and valleys palate, and a lack of calcium blood caused by the deletion of Babbga No. 22, however, this compound word does not summarize the full extent of the symptoms, turbulence is mixed signs and symptoms, while some persons affected by the simple difficulties in learning and craniofacial deformities subtle, others die after birth due to a lack woven gland Altimosah thymic aplasia, and the presence of large imbalances of the heart.Syndrome may be complete in the absence of T cells, or incomplete in the presence and function of T cells.

Diabetes and cholesterol

The increase in cholesterol in the body very common condition in patients with diabetes (over 70% of patients with type II diabetes have such an increase). And cholesterol is an important factor enters in the composition of membranes of living cells. And plays an important role in the formation of many of the basic materials in the body, including hormones, testosterone and estrogen and progesterone, in addition to being essential in the installation of yellow material manufactured in the liver and stored in the gallbladder, in addition to other functions carried out within the body. But increased cholesterol or any other disorder or defect in the manufactured within the body leads to many problems and serious impact on human health and life. The disorder interferes with cholesterol, many diseases have a direct relationship with diabetes and high blood pressure, cholesterol accumulation low-density (LDL) as well as triglycerides in the arteries, especially coronary artery can cause deadly diseases such as hardening of the artery and myocardial infarction.
So I thought I had said something about cholesterol and its effects and its relevance to both diseases former, diabetes and high blood pressure, because he is one of the reasons that help to get complications, in addition to the methods of treatment without drugs suitable for treatment of the effects of bad cholesterol.
Cholesterol is a steroid substance has the advantages of fat, alcoholic, and hence its name associated with disease, hardening of the arteries feeding the heart. There are several types of cholesterol, but what concerns us two main types of cholesterol and low density (LDL) and call it bad cholesterol "does stick to the inner layer of the arteries feeding the heart", and cholesterol high-density (HDL) and call it good cholesterol "to prevent the accumulation of bad cholesterol on the walls of arteries of the heart. "
High-density cholesterol to total cholesterol is a critical factor in determining the seriousness of total cholesterol in the body to human health. And if the ratio of good cholesterol (HDL) is equal to 0.3 or more total cholesterol (a third of the almost total cholesterol), the sum of total cholesterol is not important in terms of health because the ratio of good cholesterol enough to prevent bad cholesterol from sticking to the arteries of the heart. The ratio of good cholesterol (HDL) natural is 45 mg / cm 3 in males while the figure for females is 60 mg / cm 3, and this explains why the rarity of disease, hardening of the arteries in females compared to males, attributed the reason for this is that the hormone estrogen, which is maintained females in larger quantities than males, according to doctors, is the reason for the high ratio of good cholesterol in the body of women, with evidence that menopause is the point of removal of protection for females with regard to the possibility of exposure to disease, hardening of the arteries, it is known that menopause is the point where you start the process of lack of and diminished secretion of the hormone estrogen in females. And must not be less good cholesterol in the body of 25 mg / cm 3 in males, and not less than 45 mg / cm 3 in females.
Prevention and treatment of high cholesterol

    Follow a balanced healthy nutrition with the reduction of animal fat (saturated fat) as well as coconut oil and palm oil (saturated oil).

    Weight loss, whether through sport or diet or both together, and the best combination of the two.

    Focus on eating complex carbohydrates, as well as foods rich in fiber and soluble in water, such as legumes, vegetables and fruits.

    Sport continued and appropriate.

    Control of stress and life's problems.
Drug treatmentThere are several types of drugs used to treat high cholesterol levels and cholesterol Antipyrine called cholesterol-lowering medications or organizations fat Lipid - regulating drugs, which are as follows:

    Statin Statins:
    Such as atorvastatin atorvastatin, and Srivastaten cerivastatin, and Vlovastaten fluvastatin, pravastatin and pravastatin, and Smvastatin simvastatin.

    Be used as a therapeutic first for some types of high cholesterol, the group operates to inhibit the enzyme controls the rate of manufacture of cholesterol in the body called HMG CoA reductase, thus reducing the cholesterol level by reducing the speed of manufacturing cholesterol and increase the ability of the liver to get rid of bad cholesterol in the blood. Usually taken in the evening with dinner or at bedtime to take advantage of the fact that the body produces greater amounts of cholesterol at night. This group is generally safe and tolerable for most patients, and dangerous side effects are rare. Side effects for this group and they get in the muscles, when you get to a doctor should be consulted to replace or reduce the drug dose. This is the best group in the treatment of high cholesterol. This package is suitable for the treatment of diabetic patients with high blood pressure, but must be wary of low blood pressure when standing.
    

    Viberat Fibrates:
    Bzafeiberat such as bezafibrate, and Fanovyprit fenofibrate, and Jamephipprozhel gemfibrozil. This group is working to lower triglycerides significantly. And can reduce triglycerides by 50% and raise HDL by 10-25%. The LDL cholesterol may rise or fall depending on the type of disorder that is treatable. Side effects of are: disorders of the digestive system in a simple, there is a possibility that drugs affecting this group of muscle weakness in the muscles Mspbta myopathy. It was noted there are some cases in which drugs interact with this group Groups drugs Asalafohnaal Joris Sulphonylureas, used in the treatment of diabetic patients.
    

    Exchange resins or resins negative ions Anion-exchange resins:
    Kolstibol such as colestipol, cholestyramine and cholestyramine. Sometimes called intervals or insulators bile acids Bile acid sequestrates, because it is associated with bile acids in the intestine and prevent re-absorption and that the liver converts more cholesterol into bile acids, thereby reducing the level of cholesterol in the blood. This group is usually described with a statin for some patients with coronary heart disease to increase impact and get a higher to lower cholesterol up to 40%. But there must be a difference between a time period dealt with drugs, because drugs of this group affect the absorption of drugs statin group.

    Hinder the absorption of drugs of this group of fat soluble vitamins, and that if he continued dealt with for a long time may require the intake of vitamin A, D and k. Have few side effects because they do not usually suck, but it may delay symptoms in the clotting of blood for bleeding due to vitamin K deficiency. Yuhz usually a period of time not less than 4 hours for other drugs in order to ensure the lack of access to interact with other medicines.
    

    Nicotine acid Nicotinic acid:
    Such as niacin Niacin. Helps to reduce the level of triglycerides by reducing free fatty acids or free-free fatty acids. This medicine may lead to the high level of sugar because of intolerance to glucose glucose intolerance that the doses are large and may lead to worsening of gout gout. Acipimax property of nicotine acid derivatives is characterized by symptoms with fewer side but is less effective in reducing fat.
    

    Natural medicines Neutraceuticals:
    Could benefit the fish oil-rich fish oils with Omega-3 marine triglycerides in cases of high blood fat triglycerides. Believed to stimulate the body to the followers of an alternative path to fat metabolism.
    
Teaching the patientThe responsibility for the patient with all the flags of the return as satisfactory under the responsibility of the doctor, Vaadah most important about these diseases and the meaning of their injury and what the result will be in the case of neglect in addition to the risks of high triglycerides and Alchollstorl.
Must be well aware of the patient that the purpose of giving him this information is not to increase his fears, but hope that the patient is committed to drug therapy and drug to achieve the purpose of treatment.
In addition to the task of the doctor in the treatment of the patient, Valshehadla located it is also a big job in explaining the effect of the drug and its side effects that can appear, and times of taking the drug as well as instructions and the instructions must be provided to the patient, which should focus on medicine as well as to adapt lifestyle to fit with disease and does not conflict with him.
Must always remember that the patient is always in the original treatment, for himself the task of care and the preservation of his health, which is the first person in charge of himself.
The patient not to eat any treatment, drug or drug, without asking your doctor whether this treatment is proportionate to his health. May be of pharmacological therapy interact with medications taken by the patient, leading to lack of access to appropriate treatment or increase the impact of the drug. In case any bidder does not exist already should consult a physician to the possibility that a drug is responsible.
Due to the fact that these diseases have no symptoms, or can be felt by touch, but if levels rose too high. It is necessary to know the patient that the treatment does not have raised the phenomenon can be directly felt by, so the emergence of some side effects, especially at the beginning of treatment, does not mean that treatment is not useful, it should not be less demand for treatment. In addition to attention to the drug not to forget the time or spare medication without consulting your doctor will have serious consequences.
Finally, the patient must remember that these chronic diseases need to be co-existence with them, and lifestyle modifications and adjustment to comply with appropriate healthy living with these diseases