Primary and secondary prevention

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As activation of the source of infection betahemolytic Streptococcus group a and improve its toxic properties of depleted function of the pituitary-adrenal axis and the process of destruction of connective tissue increases. Resulting from the destruction of connective tissue products gain antigenic properties and cause the formation of antibodies. Meeting of the antigen and the antibody is at the level of microcirculation, i.e. somewhere in the spaces between the connective tissue and muscle cells. From this point on developing so-called immune inflammation, in this case in endomyocardial.
Of course, this process is much more complicated than in the scheme, because under his influence, there are violations of the protective systems of the body, which define the nature and degree of severity of anatomic and functional changes in the endocardium and myocardium.
These disorders are characterized by certain clinical signs of the disease (by subjective sensations of patients with boundary change of heart, vegetative-vascular disorders), as well as ECG, biochemical and other changes, signaling the deviation of these indicators from the norm.
These brief information is given for the example of rheumatic heart disease to understand the complexity of the pathogenesis of the disease and to comprehend the essence of the preventive action of physical methods of treatment.
What these processes in this case is concluded? Any stress effects can cause changes in the functions of the Central nervous system, and adaptive systems, particularly in less resistance to infection and activation of focal infection, which occurs, for example, when tonsillitis. Therefore, measures to prevent the development of rheumatic heart disease should be aimed at the suppression of activity of focal infection and increase of resistibility of an organism. This goal is achieved, first, through the deliverance of man from chronic nidus of infection, secondly, by using the tempering procedures (wet wiping, circular shower, air and sun baths), as well as through swimming in rivers and pools, morning and industrial gymnastics, sport games and walks.
Essential in the prevention of aggravation of focal infection is the treatment of tonsillitis, carious teeth, inflammatory diseases of the sinuses. It is especially important to make the treatment of these infections in the fall and spring of the year when you may experience of their aggravation.

the sympathetic branch of the autonomic nervous system
Fig. 2. The sympathetic branch of the autonomic nervous system located in different parts of the spine:
1 - in the neck;
2 - breast;
3 - lumbosacral

In connection with the fact that for the prevention of exacerbations of focal infections play a significant role antibiotics, by recommendation of academician A. I. Nesterov in these seasons doctors perform baselineprotection. It is carried out in Antirheumatic the clinics clinics at the place of residence of patients. If the doctor detects other foci of infection (in the biliary system, intestinal, uterine appendages), he appoints a special treatment that becomes ambiguous.
First, it contributes to the suppression of the inflammatory process in these organs and systems (secondary prevention).
Secondly, the treatment of focal infection prevents the increase of sensitivity of the organism (primary prevention) and reduces the likelihood (under the influence of factors such as cooling, emotional and physical overstrain, fatigue) the occurrence of rheumatic heart disease, arthritis, arthritis, inflammation of the lungs.
Other mechanisms underlie the development of dystrophic diseases of the heart, joints, spine, muscles of the stomach and intestines. The Central element in the development of these diseases is a disorder adaptation trophic function of the sympathetic nervous system.
In 1938, the academician L. A. time Arbel stressed that the sympathetic nervous system controls the trophic processes in the body (Fig. 2). By reducing this function develops dystrophy, that is disturbed nutrition of cells and tissues, causing the body is becoming more difficult to adapt to the changing conditions of the environment.