How to relieve swelling in rheumatoid arthritis
Khitrov Nikolay Arkadevich
RHEUMATOID ARTHRITIS: STRUGGLE AGAINST RULES
Until recently, rheumatoid arthritiswas considered an incurable disease - once started, he tortures his owner all his life. The trouble that rheumatoid arthritis brings a person to overestimate is difficult. Doctors, rheumatologists call it "joint cancer", patients - "hell on earth." "You can not die from it, but you will suffer all your life" - they complain.
Tell us what is rheumatoid arthritis, how to live with it and how to fight it, we asked the doctor of medical sciences, the head of the rheumatology department of the Central Clinical Hospital Nikolay Arkadievich Khitrov.
Rheumatoid arthritis is an erosive lesion of the joints - on the joint surfaces erosions are formed, which gradually these joints destroy.
REASONS OF RHEUMATOID ART, its originare still not clear. Patients usually associate the onset of the disease with colds, stresses, sore throats, abortions and even bad heredity. Indeed, rheumatoid arthritis is quite common in relatives. There are people who are prone to development from birth. However, to date, doctors believe that the disease causes some viruses, but what exactly, science is not known. Suffers from rheumatoid arthritis is not more than 2% of people on earth. And women among them are 3 times more than men.
The disease can begin at any age. Rheumatoid arthritis occurs in young children and in very elderly people, but most often affects a person in the most active and able-bodied period of life - from 20 to 40 years. Each patient has the disease individually - some can develop over the years, others strike quickly and aggressively. Unfortunately, especially devastatingly rheumatoid arthritis develops in children.
SYMPTOMS - SYMMETRICITY, CONVENTION AND ... BUILDING.
Perhaps one of the main criteria by whichit is possible to identify the disease, is a symmetrical lesion of the joints. Usually a completely healthy person unexpectedly, without any apparent cause, small joints of the hands and feet inflame, and immediately from both sides. Joints ache, swell, swell. During the acute phase of the disease, the patient's temperature rises, as with the flu, he can feel chills, weakness, lack of appetite. Often, due to such "cold" symptoms, a person does not consult a doctor for a long time, trying to independently treat himself from ARI.
Due to chronic inflammation of the patientRheumatoid arthritis loses its appetite and is always lean. I often try to joke with sick women, saying that thanks to the maiden subtlety of the figure of slimness (slender hardly due to contractures) they will always look younger. Unfortunately, asthenia - a bad appetite, causeless weakness, depressed mood - an integral companion and a concomitant symptom of rheumatoid arthritis. The patient is impaired protein metabolism, there is thinning and wear of the muscles (amyotrophy), located near the inflamed joint. Often, other vital organs are often involved in the disease.
The third defining feature of rheumatoid arthritisyou can call morning stiffness. Having woken up, a person does not feel pain, but feels an incomprehensible, but incredibly strong desire not to stir at all. With severe exacerbation, he can lie still for an hour, two or more, until he takes up exercise therapy, does not take medicine. Sometimes the morning stiffness can drag on until evening. I admit, I respect my patients very much. These are courageous people, every day for whom - fighting with pain, contractures, adynamics. Although, as a rule, patients with rheumatoid arthritis are nervous and irritated, because constant exhausting pain prevents them from living, changes their psyche and character.
Rheumatoid arthritis must be treated and treatedFortunately, any general practitioner knows how to properly help a patient. First you need to remove inflammation, which will help reduce pain, reduce fever, weakness and asthenia. Further it is important to stop the destruction of the joints, to help the patient avoid the wheelchair.
Therapy of rheumatoid arthritis is quite cleardeveloped. To remove inflammation, the patient is prescribed steroid (prednisolone and the like) or non-steroidal (orthophene, diclofenac, ibuprofen, etc.) anti-inflammatory drugs. Unfortunately, relieving pain and inflammation, they do not affect deep processes. Baseline therapy, which includes aminoquinoline preparations (plaquenil, delagil), sulfasalazine, the most widely used methotrexate and a new arava preparation, helps to cope with the disease and stop the destruction of the joint tissues.
To most alternative means (people's)medicine in rheumatologists the attitude is negative. Moreover, doctors warn about the harm that a person is doing to himself, running around healers and healers. First of all, firstly, most of the folk remedies are absolutely useless and the relief that the patient sometimes experiences is based solely on the psychotherapeutic effect. And secondly, while the patient loses precious time, the disease progresses. Articular diseases are many, and while any doctor knows perfectly well what exactly the patient suffers and treats it aiming, the medicine man is trying to save the person from "something rheumatic." So neither the healer nor the patient has a clue what they are fighting with.
But it can not be denied that the best means of the people'smedicine can be taken by classical medicine. Many applications, ointments and compresses do help relieve pain. However, like any other heat used in traditional academic medicine. After all, most folk compresses are based on vodka, and because they, while warming the affected area, relieve pain, drain a little - suck blood and lymph from a sore spot. As for other methods, for example, excessive starvation or treatment with herbal decoctions, there is not much benefit from them. Often, confusing rheumatoid arthritis with arthrosis, patients are trying to get "salt", taking a decoction of corn stigmas or horsetail. In fact, for the "salt" take overgrown bone tissue with arthrosis, which, of course, no stigmas can not withdraw. And if it was possible, a person would simply crumble to pieces.
Patient walking through traditional healers, inIn general, it is understandable. Until recently, traditional rheumatology did not spoil patients with bright hopes. Only a few years ago there was a real explosion in rheumatology. Fundamentally new drugs were created, so-called "biological agents". These are some substances that fight cytokines - the culprits of the inflammatory process. While this innovative therapy is used only in a few highly specialized and well-equipped centers. The drugs are quite expensive, as they were invented recently, they are difficult to manufacture, they require more precise mechanisms of action and good clinical studies. But already today rheumatologists of the whole world are sure that there is a great future for anticytokine drugs. There is a hope that the disease with rheumatoid arthritis will be reversed. Some scientists hope to completely cure the incurable disease.
Cytokines (cyto - cell, kinesis - movement,moving) is a kind of "words" with which the cells "negotiate" with each other, how to behave. They can warn each other of danger, or signal the need to start inflammation, so that high temperatures kill a dangerous virus.
Sometimes the cells are wrong. (Their mistake is called molecular mimicry). They, for example, can take the envelope of the virus for the tissues of the joint and, together with the virus, begin to actively destroy their own structures. According to some scientists, molecular mimicry is the main cause of the development of all rheumatic diseases.
"Biological agents" can be compared with"correct" words that are introduced from the outside and cause the cells to work in the right direction. For example, to destroy superfluous inflammatory cytokines, because of which joints and hurt.
WITHOUT THE RIGHT TO MISTAKES
As with any other disease, the courseRheumatoid arthritis in no small measure depends on the patient himself. Unfortunately, among them there is often a belief about the possibility of successful self-treatment. "My illness is chronic, doctors will not help, so I will be treated myself" often such patients argue. However, it is people suffering from rheumatoid arthritis who need to constantly keep in touch with doctors and control the degree of inflammation. After all, many of the drugs that they take, have side effects. For example, non-steroidal anti-inflammatory drugs can cause a stomach ulcer or an increase in blood pressure. Only a doctor can tell what medicine to exclude and what to start using in return.
Often, patients with rheumatoid arthritis are tryingself-treated antibiotics. However, doctors do not have reliable data that this disease lends itself to such therapy and no doctor will prescribe antibiotics as a treatment. The patient himself also should not give his body an extra load.
Further, one should not pursue cheapness. Self-selected cheaper drug may not be sufficiently purified and will give more side effects to an already weakened organism. So the evaluation of the cost of treatment must necessarily be negotiated with the doctor.
And the last.
It is always suffering from rheumatoid arthritispatients often go to healers or apply newfangled, untested means. For some reason, the most fanciful, exotic and non-standard methods of treatment are used for special trust. Of course, it is impossible to prohibit their use, but it is necessary to warn your doctor about applying some miracle powder.
Physical activity is very important for patientsrheumatoid arthritis. It will help prevent atrophy of muscle tissue and the formation of contractures (joint stiffness), will save motor functions. And with rheumatoid arthritis, you can even exercise pain through pain. As for the diet, it is not fully developed. To support the body, the patient is recommended to take a sufficient amount of protein food. And, struggling with exhaustion, do not limit yourself to fats and easily assimilated carbohydrates.
© N.A. Khitrov.
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