Rheumatic fever is still common in children

GREAT TEACHER Faculty of Medicine, University of North Sumatra, Prof. dr. Abdullah Afif Siregar, SpA (K), SpJP (K), said, rheumatic fever (DR) are still common in children in developing countries, particularly the children aged 5-15 years.

"In 1994 an estimated worldwide there are 12 million people with DR and rheumatic heart disease (PJR) and about 3 million have heart failure and require repeated hospitalization at the hospital," he said in Medan, on Saturday (12 / 4).

It said the inaugural speech himself into a Permanent Professor at the Faculty of Medicine, USU. Abdullah added that the prevalence in developing countries ranged from 7.9 to 12.6 per 1,000 children school and relatively stable.

He said the latest data on the prevalence of DR in Indonesia for the year 1981-1990 from 0.3 to 0.8 were found among 1000 school children and much lower compared with other developing countries. "Statistics hospitals in developing countries indicated that about 10-35 per cent and heart disease patients who go into hospital is a patient of DR and PJR," he said.

He further said the data coming from developing countries show the mortality due to DR and PJR is still a problem and there were acute deaths due to DR in children and young adults. In developed countries the incidence and prevalence of DR PJR were much reduced and not even be found anymore, but lately in the report showed an increase in some developed countries.

 

"It is reported in several places in the United States in the mid and late 1980s increased the incidence of DR, as well as on Aboriginal populations in Australia and New Zealand," he said.

Rheumatic fever is a systemic inflammatory process caused by the bacteria streptococcus B - hemolitius group A that attacks the throat channel. It is an autoimmune reaction and most often occurs at the age of 5-15 years. The symptoms are fever accompanied by inflammation of the heart, inflammation of the joints (joint pain that moves mainly large joints), redness on the skin bumps skin and uncontrolled body movements, usually occurs in children aged 10-14 years.

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Muscle Joint Pain? gymnastics Rheumatism

DO you often feel pain or stiffness in the joints or spine? Frequent joint pain walking, climbing stairs, getting out of bed, or often kesulitas when dressed? Could be what you experience is one of the symptoms of rheumatic disease.

Joint pain due to arthritis is still considered to be trivial to most people. Though the pain that arises can be very annoying and limiting your daily activities. In Indonesia, the prevalence of rheumatic diseases according to research results Zeng QYet al 2008 reached 23.6 percent to 31.3 percent. However, low awareness and knowledge society and still growing myths about arthritis is still a problem.

To overcome the pain caused by arthritis, patients should consult with a physician is to receive appropriate treatment. But now, there are easy ways to relieve pain and prevent the occurrence of rheumatic diseases with a method of body movement exercises known as rheumatism.

Gymnastics rheumatic formally introduced to society at Manggala Wanabakti, Jakarta Sunday (25 / 5) coincides with the celebration of eight years eksitensi Celecoxib, Pfizer arthritis drug, in Indonesia. In the event, as many as 700 participants aged 30-70 years - most of whom suffer from arthritis - took part.

Gymnastics rheumatic introduced are the result of Pfizer's creation along with two medical rehabilitation experts from the Faculty of medicine RSCM DR. Dr. Angela B.M Tulaar SpRM and Dr. Siti Annisa Nuhonni SpRM. Two specialists were collecting references from various sources and then translate it into the body movements with the help of a professional gymnastics instructor.

"Movements in gymnastics is also created thanks to the help of Namarina ballet school. People will be able to follow and do it with DVDs that will guide distributed free of charge. This DVD is not for sale commercially. Patients will get it after the consultation and recommendations from doctors, "said Marketing Manager of PT Pfizer Indonesia Dr. Dean Martin.

Is not a medicine or therapy
Meanwhile, Dr. Siti Annisa rheumatism reminded that gymnastics is just an effort to prevent and alleviate symptoms of rheumatism gajala and serves as an adjunct therapy to patients with rheumatoid arthritis in phase neighbor. Gymnastics is one of the capital to guide and provide therapy to prevent rheumatic symptoms or symptoms of osteoarthritis.

"So this is not a substitute for medication or therapeutic action by physicians. In patients with rheumatoid arthritis, exercises should be under the supervision of physicians, therapists, instructors or the patients themselves. Notice of each joint and watch out if there are signs of inflammation. The timing and type of exercise also differentiated depending on the stage of disease and the presence or absence of inflammation, "he explained.

In general, continued Dr Siti, rheumatism gymnastics movements intended to improve mobility, function, strength and muscular endurance, aerobic capacity, balance, biomechanics of joints and joint position sense. "Gymnastics is concentrated on the movements of the joints while flexing his muscles and strengthen the bib, because muscle is what helps the joints to sustain the body," said Siti.

Gymnastics rheumatic lasts about 20 to 30 minutes and consists of four stages namely heating, aerobic exercise core I, core exercises and aerobic II cooling. Aerobic exercise I core movements are low impact and more intended to strengthen the heart and lungs. Aerobic exercises II is the basic training that emphasized movement and as a therapy to prevent symptoms or effects of arthritis.

"To achieve maximum results, aerobics can be done 3 to 5 times a week. But if there are signs of inflammation such as pain, swelling, red or movement disorders, stop exercising. Patients should also ask the doctor when may and should exercise," he explained.

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Leg Pain Due to Uric Acid

A 48-year-old father often complained of pain in his legs since the last 3 years. The pain is intermittent. When he was taking medications or herbal arthritis, the pain disappeared. However, after 1-2 months, another recurrence.

Since last month, he complained of pain and swelling at the base of the big toe. It felt great pain, especially at night and when morning walk. At first the left foot, then pain and swelling in the right thumb. These complaints began to be felt after a family party. At that time he ate meat and drank lots of beer.

He tried to drink herbal arthritis, but only slightly reduced. In fact, the pain is now radiating to the ankle and below the knee. This made him afraid, so that eventually went to the doctor. By a physician, he ought to check into the lab, it turns out high uric acid (9mg%).

He recommended rest, should not exercise for a week, given the drug antinyeri / antirheumatic and colchicin. He was advised to eat less meat, seafood, organ meats, yeast-ragian, spinach, cauliflower, beer, and lose weight. Seinggu later he returned to the doctor, his complaint has been greatly reduced and by the doctor added the drug allopurinol to reduce uric acid.

Currently he has been able to exercise morning walk without a complaint and his weight was much reduced. He was conscious of not overeating and leading a healthy lifestyle. Gout disease mainly attacks the joints, usually starting in one joint. The most common is the base of the big toe (metatarsophalangeal joint). Leg became swollen due to accumulated uric acid crystals in joint fluid, thus forming lumps called tophi.

The disease is chronic with periods tend to be asymptomatic and recurrence periods of sudden (acute exacerbations). The pain begins suddenly, especially at night or when exercising in the morning. More common in obese people after eating lots of high purine such as meat, organ meats, yeast, or beer.

In the laboratory examination of blood, patients often experience increased blood uric acid levels. This is due to overproduction of uric acid or uric acid excretion in urine decreased. This could be due to hereditary factors (genetic), but can also by the use of certain drugs (thiazide, aspirin), chronic kidney disease, multiple myeloma, psoriasis, and hypothyroidism.

This disease often relapses and originators of factors is often unclear. Perhaps the factor of high-purine foods, may also be due to chronic inflammation of other organs. Keep in mind, a powerful antioxidant, uric acid produced by the human body when there is inflammation. Therefore, if a relapse of rheumatic gout, do not immediately lower the uric acid with allopurinol. This can result in pain intensified.

To treat arthritis is the pain of gout can be treated with anti-inflammatory analgesic drugs plus colchicin. When the pain had subsided and high uric acid levels can be given allopurinol. Further important attempted prevention (prevention tips) in the form of reducing weight if overweight, low-purine diet, moderate exercise, drink enough water, treat when there is inflammation in the body such as dental caries, sinusitis, sore throat, gastritis, and kidney inflammation. Maintain levels of triglycerides, cholesterol, and uric acid remained normal.

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Myths and Facts About Arthritis

Rheumatism is a disease common in Indonesia suffered the community both young and old. This disease attacks the joints and supporting tissue structures around the joint so that it can cause pain. In severe levels, rheumatoid arthritis can even lead to permanent disability, disability and decreased quality of life.

 

In society, is still growing myths and false assumptions about the disease. Yet these myths are misleading when examined from the medical side and could harm the patient.

Internist and rheumatologist of Rheumatology Division Faculty of Medicine, University of Indonesia (Faculty of medicine), Dr. Bambang Setyohadi, explaining motis and facts about rheumatic diseases. The following bullet point:

1. Frequent bathing the night at a young age lead to arthritis in old age. In fact, so far there has been no corroboration of that evening bath will cause rheumatic diseases. In principle, a night shower or a bath of cold water does not cause arthritis. "In patients with rheumatoid arthritis, a cold shower can make the muscle stiffness or spasms. These conditions usually make the joints, causing pain depressed," says Dr. Gymnastics at the launch Bambang Rematik.di Jakarta, Miinggu (25 / 5) yesterday.

2. Eat spinach kankung or caused arthritis. There is no research that links between spinach or kale with riisko rheumatism. "Even if that should be avoided, if you are destined to suffer from arthritis are foods that can trigger a purine or material will be converted into uric acid such as organ meats, seafood or alcoholic beverages," said Bambang.

3. All rheumatic diseases caused by uric acid. "In fact, only about 10 percent of people with high uric acid arthritis. Many patients with high uric acid just does not have arthritis," said Bambang. According to him, uric acid in the blood are high will not necessarily lead to arthritis. "Rheumatic Disease occurs when uric acid accumulate in the joints and forming deposits of monosodium urate crystals. Disease," he explained.

3. Rheumatic diseases is a bone disease. In fact arthritis is a disease that attacks the joints and consists of various types include osteoarthritis and rheumatoid arthritis. Osteoarthritis most commonly affects large joints that support weight, such as knee joints, pelvis, spine, back and neck even though it was likely to attack other areas while rheumatoid artiritis due to immune system attacks the joint lining or synovial membrane of a clan involved all organs body, can cause disability.

4. Rheumatic disease is only targeting the elderly. In fact, rheumatism attacking everyone, young and old, men and women depending on the type of rheumatic disease. In the rheumatic type osteoarthritis primarily affects people aged over 45 years while the type of Lupus Erythematosus attacked a young woman of childbearing age but can also be about each person. Men are more susceptible to gout.

5. Rheumatic diseases are hereditary. In fact, arthritis is not always passed directly from parent to child. "However, there is a tendency to family factors such as risk factor for rheumatoid arthritis in Rheumatoid Arthritis, Systemic Lupus Erythematosus and Gout," said Dr. Bambang.

6. Pain in the bones at night is a sign of arthritis symptoms. In fact, the symptoms that commonly occur in patients with rheumatoid arthritis are stiffness and inflammation of the joints (red, swollen, painful, hot and generally hard-driven). This phenomenon is not confined at night. Can strike at any time.

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Alcohol Reduce the Risk of Disability People with Arthritis

TURN alcohol is not always bad. Alcohol is said to save people with arthritis rhematoid of disability than those who do not eat them. Similarly, a study published in Scandinavia.

In the study revealed, the patients with rheumatoid arthritis who like to consume alcohol in moderate amounts, about 40 to 45 percent lower risk of illness becomes more severe than those not consuming alcohol. This means people with arthritis are going to survive the disability caused by arthritis.

Among the enthusiasts of alcohol, the risk is decreased by 50 and 55 percent. Surprisingly, the greatest benefits were felt by smokers who are prone to suffer from precisely this type of disease. Rheumatoid arthritis affects between 0.5 to almost one percent, especially in industrialized countries.

This disease occurs when the immune system attacks the joints causing inflammation and destroying the bone and katilase. A number of external factors such as environment, smoking, and derivatives of the cause of this disease.

Henrik Kaellberg of the Institute of Environmental Medicine at Karolinska Institute in Stockholm noted that previous research stating that alcohol actually causes the inflammatory processes that trigger heart attacks.

The doctors advised his patients to stop smoking but allow the consumption of alcohol. Of course with a moderate dose. Although large quantities of alcohol consumption protects a person from rheumatoid arthritis, but cause other health problems.

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