According to physicians, rheumatoid arthritis is one of the most common inflammatory diseases of the joints. What you need to know about this ail in order to score alarm in time and not to bring yourself to trouble?
Content
Rheumatoid arthritis (RA) is a chronic inflammatory disease of the junction tissue of joints, with increasing involvement in the pathological process of internal organs. Rheumatoid arthritis is the most common chronic inflammation of the joints.
Women are sick three times more often. The disease begins most often in 30-50 years, and the average age of patients with a diagnosis «rheumatoid arthritis» is 58 years old. Mortality in this group of patients is 27%. This shows that the effectiveness of the treatment of the disease is at an extremely low level, and the prognosis of the disease remains unfavorable. The most important socio-economic effect of the Republic of Armenia is disruption.
Disability may be violated in the early stages, and its decline becomes a constant problem, it takes place in 27% of patients in the first 3 years from the beginning of the RA and more than 85% with the duration of the disease from 8 to 11 years.
The reasons for the occurrence of rheumatoid arthritis to date are definitely not known enough. Last years, many experts tend to the viral theory of rheumatoid arthritis. It is assumed that the disease causes the accurately not yet identified virus, the action of which leads to failures in the immune system and the development of immunopathological reactions. The consequence of these complex processes is the aggression of the immune system against the cells of its own organism.
The factors predispose to the development of rheumatoid arthritis include genetic predisposition, age for over 40 years, female floors, preceding skin allergic diseases and naso-cell infections.
How does rheumatoid arthritis manifest
The most typically gradual, slow development of the disease (the so-called classic course of the flow). Pains appear, feeling of stiffness and swelling of the joints, more often in the second half of the night and in the morning. Characterized by the feeling of stiffness in the joints, more pronounced in the morning. From the very beginning of the disease, the symmetry of the lesion of the joints is characteristic. For rheumatoid arthritis, the early defeat of interphalating joints is also characteristic.
Approximately 10% of patients with rheumatoid arthritis begins and continuously proceeds in the form of a lesion of one or several joints, mostly large. Most often it is the knee and wilderness, less often elbow and ankle joints. Not rare in such patients near the joints, it is possible to detect subcutaneous nodules of the rounded shape, up to 2-3 cm in diameter. The nodules have a dense consistency, painless and often movable.
With the course of the disease, internal organs are affected (up to 60% of cases). Most often «suffer» kidney, which determines the further course and outcome of the disease.
A small part of patients with RA can begin. High «unfortunate» Fever with chills - the first and most pronounced symptom of this option of illness.
Currently, rheumatologists allocate a few clinical options for the flow, but the juvenile rheumatoid arthritis deserves special attention. It develops more often in girls under the age of 6 years. It comes usually sharply, with the lesion of large joints, eyes and the presence of skin rashes.
Taking into account the fact that the disease is chronic, and a factor that serves as a starting mechanism in the emergence of this disease is not known, the prevention and treatment of rheumatoid arthritis with all the diversity of drugs and the high professionalism of our rheumatologists remains a difficult task. In the event of the above symptoms, you should not immediately run to the reception to the rheumatologist, contact the precinct therapist.
After the appointment of a series of laboratory and, possibly, x-ray research, if necessary, you will receive a direction to the rheumatologist. He, in turn, determining the degree of activity of the process, will decide, treats you in a stationary or outpatient.
The first thing you will appoint a doctor in the absence of contraindications are non-steroidal anti-inflammatory funds (NSAIDs) - Indomethacin, Ortophen, Voltaren, Naproxen, Ibuprofen and T.NS. They are relatively inexpensive and there are in any pharmacy.
It must be remembered that when using non-steroidal anti-inflammatory drugs, the development of gastrophotas, a specific syndrome, which is characterized by the lesion of the gastric mucosa (hemorrhage, erosion, ulcers).
Gastropathy Risk Factors:
- elderly age;
- Detected earlier ulcer or gastrointestinal bleeding;
- simultaneous reception of glucocorticoids;
- Long-term reception of the NSAID in large doses or simultaneous reception of 2-3 drugs of this group.
If inflammation in one or more large joints is explicitly expressed, you will most likely be offered to introduce directly into the joint corticosteroid hormones (hydrocortisone, methipred, kenologist). From this procedure, as, however, and from any other you can refuse. The most efficient and frequently used drugs in the treatment of RA are gold salts. Although for therapy with these fairly expensive drugs can not wait. Therapeutic effect appears in 3-4 months after the start of treatment, and after the discharge of the drug is high, the likelihood that therapeutic effect will disappear. Therefore, drugs must be taken constantly.
To date, laser therapy, radiotherapy and local radionuclide therapy are used (the radioactive drug is injected into the joint), remote local televisherapy (the external irradiation of the joint joint) and the operational treatment of the affected joint.
If there are indications and a certain amount of monetary signs, all these treatments are available in Petrozavodsk. It should be noted that treatment «at home» will differ little from «Metropolitan», Well, except worth.
Out of exacerbation, daily physical exercises need to preserve joint mobility. Depending on the degree of violation of functions, this can be special complexes of therapeutic gymnastics, walking or swimming. Useful warm baths, hydrotherapy.
Selection of a complex of exercise and physiotherapy conduct specialists. They are in particularly difficult cases give recommendations on the work of labor and life.
Diets impeding the progression of rheumatoid arthritis, no. Meals should be full and balanced, to avoid overeating.
Changes in the joints, characteristic of RA, were found in Egyptian mummies (2600 g. BC). On Rubens canvases depict people with rheumatoid lesions of hands (1577-1640.).
And how are they?
The average cost of hospitalization of one patient with rheumatoid arthritis during the exacerbation of the disease in the United States - about 4 thousand dollars. The cost of outpatient maintenance of one patient per year is about 2,000 dollars.
