Systemic Sclerosis

SYSTEMIC SCLEROSIS Currently there is no (really appropriate) treatment/treatment available SSc disease. Each treatment program is individual in nature treatment of a specific disease. The program may include administering medication (immunosuppressants,penicillamine,anti-inflammatory),exercise,protective techniques joints, skin protection techniques and stress management. Blood pressure monitoring while at home can be a screening to see signs of something renal crisis disorder. Treatment with administration of angiotensin converting enzyme ( ACE) inhibitors (See chapter 10) may provide relief. Prognosis. The prognosis of SSc depends principally on the intensity and rate of involvement of the lungs, liver, intestines and kidneys. Spontaneous recovery period on children are common, but approximately 30% of patients/clients SSc sufferers are predicted to die within 5 years of the attack / suffering from this disease. A person with SSc who can live more than 5 years years (after the initial attack of the disease) with involvement of internal organs those that are not significant are not reliable for assessment of involvement organ. Skin Ulcers Local treatment for ulcers that are the size of a fingertip can be in the form of a bandage in the wound healing process and protects against trauma and infection. Infection in Ulcers can be treated with a trial of anti-Staphylococcus antibiotics oral and surgical procedures are also required in the form of cleaning necrotic tissue. Muscle Myositis can be treated with corticosteroids and sometimes requires the addition of drugs from the immunosuppressive group, where fibrotic myopathy The best management/treatment is with strengthening and ROM exercises exercise. And the efficacy (effectiveness) of tissue mobilization or techniques similar was not researched in more depth. Must be careful when trying/ carry out a treatment on patients that have the skin of most people usually highly sclerotic and sensitive to pressure. Therapy with Using water modalities (Aquatic Therapy) is the best choice for patients with this condition. Joints and Tendons Involution of joints and tendon sheaths (tendon sheathing) is common and this occurs can be treated well by administering NSAIDS. In the early stages of dSSc, there are Tenosynouitis can cause a lot of pain and also limitations joint movement. When administering NSAIDS, aggressive therapy in the early stages is important in preventing or minimizing the occurrence of contractures. Active giving and passive stretching exercises are necessary, but will be difficult to do if there is pain which is great. Analgesic drug classes are needed to optimize the role of implementation of training programs. Dynamic splinting is not effective in preventing contractures occur (flexion contractures). Carpal tunnel syndrome, occurs more often In the past (early) in patients suffering from scleroderma, the reaction is usually good towards providing conservative therapy without doing anything surgery. Exercise For patients/clients suffering from scleroderma, regular exercise will help maintenance of skin and joint flexibility, better maintenance of flow blood and can prevent contractures. Protection against presence swelling and pain in the joints due to stress and strain conditions is an important factor. In this case, teaching (education) is needed for The patient can carry out activities of daily living (ADL) without causing problems stretching of the joint. Besides that, it is also necessary to use a light splint ( small) which aims to protect the joints. Psychological Considerations A person suffering from early SSc with or without organ involvement often feel anxious because their body is changing quickly and unexpectedly.