Rheumatoid arthritis: symptoms, diagnosis and treatment of the disease
Rheumatoid arthritis is a systemic failure of joints in which the inflamed connective tissue-type chronic polyarthritis. The disease occurs 2 times more often in women than in men. Usually there is symmetry of inflammation of the joints and bones of the limb.
The causes of the disease
According to doctors, the disease can develop under a variety of environmental exposures subject to hereditary predisposition. The etiology of the disease is accompanied by some infectious agents provocateurs: Streptococcus (group b), Epstein-Barr, Mycoplasma. Initial symptoms of rheumatoid arthritis appear in the background of a weak immune system, so this type of disease refers to an autoimmune form of the disease. The exact cause of the disease and systematic treatment is still not installed. However, the most provoking risk factors of this disease:
Inflammation occurs when exposed to infected antibodies on the cell structure of the synovial sheath. The joints become swollen, painful by any touch from the outside, increased body temperature and disturbed the overall dynamics of static movement of the bone endings.
Occurring bad conductivity in the blood vessels, especially in the redness in inflamed areas of the body.
The symptoms of the disease
Disease arthritis starts immediately. It is very important not to miss the moment when disease symptoms are manifested at a very early stage of development. To prevent and to treat this form of the disease much easier. Much more difficult to treat arthritis in a more neglected state. It is clear to all. To progress the disease at an early stage of development begins with the gradual destruction of smaller joints such as hands and toes. Patients complain of sudden stiffness in the plastic movements. Habitual action (brushing teeth, combing and so on) becomes difficult, fingers do not obey, bending at the joints difficult.
Symptoms of rheumatoid arthritis of the foot expressed in the aching pain and difficulty in movement. The patient complains of fatigue when walking, the legs are constantly «twists». Sometimes it is impossible to put on shoes without assistance. Appear limp and a stiffness in the movements. Similar symptoms and arthritis other parts of the skeleton. In rheumatoid arthritis the symptoms of the disease are very pronounced on the outer and inner signs.
For a more accurate diagnosis you should consult a doctor who will be able to confirm it properly and prescribe treatment.
Diagnosis of the disease
In 1997, the American College of rheumatology has proposed criteria for the diagnosis of rheumatoid arthritis, which is used to the present day. There are 7 criteria for the diagnosis. When you confirm 4 of the 7 signs of rheumatoid arthritis diagnosis is considered reliable:
Unfortunately, these symptoms can be diagnosed only at a late stage of the disease. Therefore, when the first sensations uncomfortable condition should consult a specialist.
It should be understood that the treatment of rheumatoid arthritis is a very complex and lengthy process. To the end to eliminate the defective condition of the bone joints is not possible today. In the initial phase of drug treatment for rheumatoid arthritis is to suppress the inflammatory processes in the bone tissue, removing puffiness and suppressing pain. Plastic articular muscles to the end is restored. However, timely initiation of treatment of rheumatoid arthritis able to stop the destructive processes in molecular structure of the cartilage of the joints.
Clinical and laboratory remission and prevention destructional development of the joints will be a priority in the complex treatment of rheumatic manifestations. Treatment of arthritis begins with the use of nonsteroidal anti-inflammatory drugs (NSAIDs) and glucocorticosteroids (GCS).
With the help of NSAIDs inhibited the activity of cyclooxygenase, i.e. the enzyme that regulates the biological transformation of arachidonic acid to prostaglandins. The use of drugs non-steroidal group is assigned with a small dosage. They should be easily absorbed by the body and have little toxicity. In this group are ibuprofen, diclofenac, Ketonal, Movalis.
Drugs of this pharmacological group in the future easily excreted. If the use of «light» asteroidov gives the desired result, at this stage, you can temporarily suspend the pharmacological treatment. Low efficiency is assigned to the «heavy» artillery. To more complex group of non-steroidal drugs include indomethacin, piroxicam, Ketorolac. This pharmacological group has a stronger localization effect on inflamed areas. Note that slow hatchability from the body of toxic substances when using these medicines can lead to side effects. Therefore, treatment should conducted under the additional supervision of other professionals. Side effects of drugs of the NSAID group may cause disruptions in parts of the stomach and duodenum.
Special care in the application of nesteroidne medicines should comply with the elderly. Often elderly people have diseases such as hemorrhoids, peptic ulcer, intestinal bleeding. Women in menopause possible hormonal abnormalities.
Mandatory participation in the treatment process of doctor. If medication rheumatoid arthritis does not give positive results and the disease continues to progress, then surgical intervention is necessary.
Physical therapy and diet
If rheumatoid arthritis has signs of low or moderate activity, the medical gymnastic exercises will be an effective addition to common treatment. Physical load on the joints will promote the dynamic recovery of atrophied muscle tissue and will complement the comprehensive therapeutic treatment of bone cartilage. In a more severe form of the disease or under-activity of rheumatoid arthritis there is a need for sanatorium treatment. A prerequisite for comprehensive therapy of rheumatoid arthritis is compliance with dietary recommendations on rational nutrition. Unloading therapy will improve health and reduce disease activity.
Clinical symptoms are markedly reduced when using food with low energy content and increases the immune activity of the organism. To the recommended products can include products of plant groups. Vegetarian diet increases the elasticity of muscles thanks to the positive effects at the molecular particles of tissue segments. To undesirable diet are products containing natural fats of animal origin and dairy food group. There are many recommended diets in rheumatoid arthritis. For more expert advice you should consult a doctor-dietitian.
Prevention of rheumatoid arthritis
As the signs and causes of diseases in rheumatology is not fully understood, and the treatment of rheumatic deviation is experimental. Therefore, all preventive measures are recommendatory in nature. Any signs of disease symptoms should cause alarm and attention to your body. Recommended simple exercise on bone joints, it is possible to exercise swimming. Unacceptable hazardous sports and exercises associated with great fatigue of the muscles. Mud bath in inpatient institutions will strengthen health and will give vital momentum weakened body. Frequent exposure to fresh air and water treatments are tempering effect on the immune system.
Enjoy a full life, and the disease will retreat. Be always cheerful and healthy!