Красная волчанка – болезнь, встречающаяся в любом возрасте, но чаще всего у детей. Ее относят к иммунокомплексным заболеваниям, которые отличаются быстрой генерализацией патологического процесса, яркими периферическими синдромами, тяжелыми висцеральными проявлениями, гипериммунными кризами.
Что обозначают все эти непонятные медицинские термины? В переводе на обычный язык это значит, что красная волчанка – системное заболевание с серьезным нарушением иммунитета.
Иммунная система начинает вырабатывать антитела к клеткам своего организма. Эти антитела постепенно разрушают клетки и ткани. Из-за этого страдает весь организм: капилляры, мышцы, слизистые оболочки, сердце, почки, суставы и даже психика. Развивается воспаление в органах и тканях, что, конечно, приводит к нарушению их функций.
Почему заболевание красная волчанка развивается у детей?
Теорий причин развития данной болезни несколько, и ученые пока не могут прийти к единому мнению, то есть точные причины возникновения заболевания красной волчанкой не выявлены. Среди теорий происхождения красной волчанки и генетическая и аллергическая, и инфекционная.
Анализ статистических данных показал, что после изобретения антибиотиков и некоторых других препаратов количество больных данным заболеванием значительно увеличилось. Кроме антибиотиков к препаратам-виновникам относят сульфаниламиды, противосудорожные средства и вакцины. Возможно, что иммунитет, не получая нагрузки, предназначенной природой, начинает работать фактически против самого себя.
На сегодняшний день четко выделяются те факторы, которые могут стать толчком к развитию болезни, так как начало красной волчанки, как правило, совпадает с каким-то из них.
Провоцирующие факторы:
- Хроническая вирусная инфекция
- Злоупотребление солнцем или солярием
- Изменение гормонального фона
- Сильный стресс или психологическая травма
- Переохлаждение
- Вакцинация

Подъем заболеваемости красной волчанкой приходится на период самого активного развития организма, начиная с девятилетнего возраста. Пик отмечается в 12-14 лет. Однако нередки случаи заболевания у маленьких детей, причем в несколько раз чаще страдают девочки. Скорее всего, это связано с гормональными, изменениями в организме.
Стоит ли бояться беременным мамам?
Красная волчанка и беременность – тоже нередкое сочетание. В период беременности и после родов тоже наступают ситуации риска для проявления красной волчанки, если организм был к ней предрасположен. Также для молодой женщины толчком может послужить прием гормональных контрацептивов, так как они усиливают аллергизацию организма. Всё это становится тяжелым испытанием для иммунитета, который дает своеобразный ответ.
Многие задумываются, заразна ли болезнь красная волчанка? Как передается и заболеют ли дети, если больны родители.
Некоторые особенности болезни и способы ее передачи
Упрощенно механизм развития синдрома красной волчанки можно описать как разрушение антителами здоровых клеток и превращение их в измененные, волчаночные клетки. Поэтому можно смело ответить, заразная она или нет – красная волчанка не является заразным заболеванием, и передается она только по наследству.
И то, не само заболевание, а лишь предрасположенность к нему. По этой причине врачи рекомендуют молодым пациенткам быть очень осмотрительными при планировании беременности и отдавать себе отчет в том, что могут передать будущему ребенку предрасположенность к красной волчанке.
Еще несколько десятилетий назад многие считали это заболевание заразным. Наверное, из-за кожных проявлений, особенно бросающейся в глаза яркой сыпи на лице, которая по своим очертаниям напоминает бабочку.

Заболевание коварное, оно может долго «тлеть» в организме в хронической форме и проявляться лишь кожной сыпью. Однако иммунные изменения накапливаются, и любой провоцирующий фактор может привести к обострению.
В острой стадии проявляются интоксикация, повышение температуры, уменьшение подвижности, головная боль, поражение кожи. Через несколько месяцев в процесс уже могут быть вовлечены почки и другие органы.
Виды красной волчанки
- Системная
- Дискоидная
- Диссеминированная
Системная форма
Самый опасный вид – это системная красная волчанка. Именно она поражает весь организм, приводит к изменениям в составе крови, к нарушениям в работе внутренних органов. При данном виде заболевания возможен летальный исход, который наступает чаще всего из-за серьезных поражений печени или почек.
Современные методы лечения существенно облегчают и продлевают жизнь больным системной красной волчанкой. Если когда-то продолжительность жизни таких пациентов была ограничена несколькими годами, то сегодня эти цифры составляют 20 и более лет.
Один из видов красной волчанки, похожий на системную, – лекарственная красная волчанка. Заболевание вызывается приемом лекарств и во многих случаях прекращается при их отмене.
Диссеминированная и дискоидная формы болезни
Диссеминированная и дискоидная красная волчанка – это такие виды болезни, при которых поражается преимущественно кожа, то есть это кожные формы болезни. Чаще всего страдает лицо, реже волосистая часть головы и верхняя часть тела. Здесь формируются красные пятна в виде нескольких очагов. При эрозивно-язвенной форме болезни очаги поражения формируются на губах и в полости рта.
Эти виды волчанки не так опасны, как системная красная волчанка, потому что болезнь редко заходит глубже, чем кожа и слизистые оболочки. Поэтому такую форму часто называют кожная красная волчанка. Болезнь не затрагивает внутренние органы. При анализах волчаночные клетки не выявляются или выявляются в очень небольших количествах.

Различаются эти два вида красной волчанки глубиной проникновения болезненных процессов в кожу. При диссеминированной волчанке происходит лишь поверхностная атрофия кожи. При дискоидной – затрагиваются глубокие слои, формируются грубые рубцы.
Теперь давайте поговорим о том, как вылечить красную волчанку и лечится ли она в принципе?
Лечение красной волчанки и насколько оно эффективно
Лечение проводит ревматолог после тщательного обследования. Обычно оно продолжается всю жизнь. Больного ставят на учет и регулярно контролируют его состояние. Максимум, чего можно добиться при лечении красной волчанки, – это стойкой ремиссии. Тогда заболевание не будет иметь ярких проявлений, но полное излечение пока невозможно.
Если болезненный процесс идет быстро, уже пострадали внутренние органы, то, возможно, придется привлекать к лечению и других специалистов, например нефролога, невропатолога, эндокринолога.
Симптомы красной волчанки мы подробно описываем в отдельной большой статье. Поэтому советуем ознакомиться и с ней, для более полной картины проявлений этого заболевания.
Сыпь на лице может оказаться и нейродермитом, о котором мы пишем здесь. Ознакомьтесь с его симптоматикой, чтобы быть уверенными.
Необходимые лекарства и условия
Лечение системной красной волчанки проводят с помощью кортикостероидных гормонов, иммунодепрессантов, антималярийных препаратов. В тяжелых острых случаях нужно проводить интенсивное лечение, чтобы спасти жизнь больного.
В дальнейшем специалист назначает необходимые лекарства, как правило, их бывает несколько. Обязательно назначается комплекс витаминов, диета и некоторые ограничения, связанные с образом жизни.
В частности, следует ограничить пребывание на солнце, стоит пользоваться защитными кремами. Не стоит следовать модной нынче тенденции проводить отпуск в жарких экзотических странах. Смена климатической зоны, интенсивное воздействие солнца очень часто вызывает обострения или провоцирует появление красной волчанки.
Дискоидная красная волчанка не требует применения гормональных средств. При этом виде заболевания назначают обычные противовоспалительные средства, витамины.
Мази и диеты
Для того, чтобы избавить больного от кожных проявлений, применяют различные мази и кремы. Особенно хороший эффект достигается при использовании фторсодержащих препаратов. Однако высыпания на коже вновь появляются, как только прекращается использование мазей.
Диета – одна из составляющих лечения. Нужно ограничить простые углеводы (сладости, мучные изделия), потому что они поддерживают воспаление в организме. И второе важное условие – это отсутствие продуктов, которые могут вызывать аллергию или усиливать аллергизацию организма.

Обратите внимание!
При любых видах красной волчанки нельзя применять средства, которые стимулируют иммунитет, они только усилят течение заболевания.
Помогут ли народные средства при красной волчанке?
Лечение красной волчанки народными средствами, например фитотерапией, прекрасно сочетается с медикаментозными рецептами докторов. Часто сами врачи рекомендуют кроме фармакологических препаратов и растительные средства. Они помогают мягко очищать организм, успокаивать воспаление, смягчать побочные эффекты от приема лекарств.
Из трав возможно применение зверобоя, подорожника, крапивы, мать-и-мачехи, душицы. Перед их использованием не забудьте проконсультироваться с лечащим врачом.
Возможна ли профилактика?
В качестве профилактики обострений врачи рекомендуют вовремя проходить курсы лечения, придерживаться режима питания, беречься от солнышка, стараться организовать жизнь ребенка так, чтобы его реакция на проблемы и трудности не вредила нервной системе. Важно минимизировать влияние провоцирующих факторов.
Что в итоге важно знать?
- Чаще всего страдают девочки и женщины
- Заболевание длится всю жизнь
- Сколько живут с красной волчанкой? Благодаря современным методам лечения – 20 и более лет
- Как лечить волчанку лучше всего вам подскажет ревматолог после тщательного обследования
- Адекватным системным лечением можно добиться стойкой ремиссии
- Правильный образ жизни и питание помогут преодолеть проявления красной волчанки
- Обращаться к врачу нужно при самых первых симптомах.
Видео о волчанке
Обязательно посмотрите выпуск передачи «Жить здорово», посвященный красной волчанке:
Что вы знаете про синдром Рея? Вы знали, что это крайне опасное состояние, которое может привести к летальному исходу. И что прием аспирина увеличивает шансы возникновения этой болезни в 35 раз?
Вы знаете как проявляется серозный менингит? Здесь мы рассказываем, как можно определить эту болезнь у своего ребенка.
А чтобы избежать менингита, нежно придерживаться определенных правил: http://bo-bo-bo.ru/bolezni/infekcionnye/seroznyjj-meningit-profilaktika-posledstviya.html Профилактика – лучше лечения!
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