Rheumatoid arthritis, diagnosis


  • What causes rheumatoid arthritis?
  • Symptoms of rheumatoid arthritis
  • How the rheumatoid arthritis is diagnosed?
  • Laboratory diagnostics with rheumatoid arthritis
  • Diagnostic instrumental methods for rheumatoid arthritis
  • Treatment of rheumatoid arthritis

  • Rheumatoid arthritis – chronic disease he has gradually
    Progressive current, sometimes intermittent with remissions (periods
    temporary improvement).

    Inflammation of Sustav
    characterized by its swelling, soreness and sometimes appearance
    Redness. As already mentioned, with rheumatoid arthritis can
    Occupic fabrics – Bundles and muscles.

    Sustav inflammation leads to the destruction of the articular cartilage and
    The emergence of the deformation of the joint, which in turn violates it
    Function – Pains occur when driving and refractory.

    Arthritis is a rather common disease, in Russia they
    about 1 million people suffer. Women are sick more often. Disease
    can begin at any age, but more often debuts between 40-60 years


    causes rheumatoid arthritis?

    Etiology (reason) of rheumatoid arthritis unknown. Suspected genetic,
    infectious factors, environmental impact and other. For example,
    It has been proven that smoking increases the risk of rheumatoid arthritis.

    Symptoms of rheumatoid arthritis

    Symptoms of rheumatoid arthritis can appear and disappear into
    depending on the stage of the disease. Stage of sacrament inflammation (and
    Reducing the severity of symptoms and improving the health of patients)
    called remission. Remission may occur or under
    exposure to treatment and last a few weeks, months or even
    years old. When remission stops, the activity of the disease increases, and
    The well-being of patients is worse again – This period is called

    Rheumatoid arthritis, diagnosis
    During exacerbation, patients experience
    Weakness, loss of appetite, temperature increase, muscle and articular
    Pain and stiffness of the joints. Joint joints usually most
    expressed in the morning or after rest periods. The defeat of the joints is called
    Arthritis. Joints become painful and edema. With rheumatoid
    Arthritis is characterized by symmetric damage to the small joints of the brushes and
    stop. Less often occurs isolated lesion of large joints on
    One side – In these cases, difficulties may arise when
    formulation of diagnosis because such a character of arthritis is more common
    When gouging or infectious inflammation of the joint. Rare cases are described
    Defeat T.N. Crycorate-shaped joints that stretch
    vocal cords. These patients develop hoarseness.

    already said rheumatoid arthritis – systemic disease so
    Many authorities may suffer. Inflammation of the gland glasses and mucosa
    leads to the appearance of dryness of these organs – SHEGREEN SYNDROM.
    Rheumatoid inflammation of the lung shell (pleura) is called pleurisy and
    characterized by pain in breast with breathing and cough. Lungs themselves too
    may be inflamed, rheumatoid nodules are formed in them.
    When inflammation of the heart shell – Pericardia – Patients complain on
    Breast pain, which usually decreases when tilting forward and
    Strengthens lying on the back. Chronic inflammation with rheumatoid
    Arthritis can lead to a decrease in blood hemoglobin – Development
    anemia. There may also be a decrease in the number of leukocytes (which leads to
    raising the risk of infectious diseases). If you still have and
    Increased spleen, such a condition is called Felty syndrome.
    Rheumatoid subcutaneous nodules are most often formed on the elbows and near
    fingers, but may appear elsewhere. Rheumatoid nodules themselves
    in itself do not cause symptoms, but sometimes the secondary
    Infectious inflammation. Rare severe rheumatoid complication
    Arthritis is vasculitis (inflammation of vessels). Vasculitis violates
    blood supply to organs and tissues, most often vasculitis manifests itself
    the formation of dark necrotic regions and ulcers on the fingers and on

    How the rheumatoid arthritis is diagnosed?

    When the appearance of the above or similar complaints, it is necessary to come to the reception to
    Doctor specializing in this disease - to a rheumatologist. Doctor
    In detail asks the patient about the complaints, the time of their occurrence,
    preceding diseases and t.D., then conducts inspection of the joints,
    Skin, other organs and systems. After that, a certain
    spectrum of analyzes, including T.N. «Revlmoproby», To confirm the diagnosis
    and determining the degree of activity of the disease. In some cases
    Radiography and other research methods are carried out.

    Laboratory diagnostics with rheumatoid arthritis

    In blood, 80% of patients with rheumatoid arthritis detected special
    antibodies – rheumatoid factor. Availability / absence of rheumatoid factor
    It is important not only for the diagnosis, but also for the forecast of the disease.

    Diagnostic instrumental methods for rheumatoid arthritis

    Picture with rheumatoid arthritis may not show any changes to
    Early stage of the disease. When progressing the disease on
    radiographs appear typical for rheumatoid arthritis erosion
    Joints. Radiography is usually used to observe the course

    Puncture (puncture) joints is called
    Arthrocents. With the needle and syringe, the rheumatologist pumped up the articular
    Liquid, which then steal into the laboratory for analysis. Arthrocents
    used for diagnostics (for example, when you need to distinguish
    rheumatoid arthritis from other types of arthritis) and for medicinal purposes
    (Removing excessive liquid from the joint when inflammation,
    Introduction to the joint of anti-inflammatory drugs).

    Treatment of rheumatoid arthritis

    cure rheumatoid arthritis impossible. Modern methods of treatment
    aimed at reducing inflammation, improve the function of the joints and
    Prevent disability of patients. Previously, the beginning of treatment improves
    forecast. Optimal treatment includes not only medication
    therapy, but also therapeutic physical education, lifestyle change and other

    In the treatment of rheumatoid arthritis
    Two types of preparations are used: anti-filling or
    Fighting drugs «first line» and slow
    Preparates «second line» (they are also called disease-modifying or
    Basic preparations). The first group of drugs refer aspirin and
    Hormones (corticosteroids) that remove inflammation and reduce pain.
    Base preparations (for example, methotrexate) cause remission (relaxing) and
    prevent or slow down the destruction of the joints, but are not
    Anti-inflammatory drugs.

    Surgical treatment is used to correct the pronounced deformations of the joints.

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