Every time our RA patients have a follow-up visit, your doctor will ask you to have some lab tests done regularly, and we ourselves should learn more about the significance of these test data in order to accurately understand our disease control.
1, rheumatoid factor RF: RF is one of the indicators for the diagnosis of rheumatoid arthritis. Only 70% of rheumatoid arthritis RF positive.
2, other diseases and some healthy people also positive RF.
3, erythrocyte sedimentation rate ESR: referred to as sedimentation, does not have diagnostic object specificity, but helps reflect the presence and extent of tissue damage and inflammation, normal value: adult male 0-15mm/h; female 0-20mm/h.
4.C-reactive protein (CRP): elevated CRP is seen in various infections, trauma, inflammatory states, and in rheumatic diseases suggesting disease activity.
5.Blood routine: can determine the presence of chronic disease anemia and drug toxicity.
6.Liver and kidney function tests: can determine whether there are toxic side effects of drugs.
7, regular joint film: for the diagnosis of rheumatoid arthritis, the speed of joint destruction, the response to treatment and prognosis are helpful.
Scientific treatment of rheumatoid arthritis.
Early – early detection of symptoms and timely examination.
Combination – several drugs should be taken at the same time.
Standardization – regular checkups at regular hospitals and regular medication.
Long course – chronic disease, long treatment period.
General treatment.
Many foods can play a role in relieving the symptoms of patients with classical wind guan, but the choice of food must be symptomatic, otherwise it will affect the effect. The allopathy here is mainly based on Chinese medicine, which classifies rheumatoid arthritis as paralysis and divides it into four types: wind paralysis, cold paralysis, damp paralysis and heat paralysis.
Different foods are used according to the different types. Wind paralysis is appropriate to use ginger, onion, etc.; cold paralysis is appropriate to use pepper, dry ginger and other foods; wet paralysis is appropriate to use coix seeds, yam, etc.; heat paralysis is appropriate to use winter melon, loofah, mung bean sprouts, etc.
There is still a lot of debate about the dietary treatment of patients with wind-like disease, but there are two main approaches: one is “complementary treatment”; the other is “cancellation treatment”. Since there is no sufficient evidence that dietary treatment can change the course of the disease, patients should not be too concerned about diet.
What foods can relieve the symptoms of wind-like disease: bitter melon, bitter vegetables, horsetail, loofah, etc., have the effect of clearing heat and detoxifying, which can relieve local fever and pain. Foods such as barley, celery, yam and lentils have the effect of strengthening the spleen and relieving dampness, which can be used to relieve the symptoms of swelling. A variety of green vegetables and fruits can meet the body’s demand for vitamins, trace elements and fiber, and also have the function of improving metabolism, which can be used to clear heat and detoxify the body, reduce swelling and pain, thus relieving local symptoms of redness, swelling and heat.
The benefits of rheumatoid arthritis exercise: as the saying goes, “three points of treatment, seven points of nourishment”, rheumatoid off the disease fluctuations and relief are inextricably linked to daily life. When dressing, pay attention to warmth, with seasonal changes to adjust the dress; diet avoid cold; pay attention to the height of the bed and mattress hardness. Due to the obvious joint lesions, special attention should be paid to protecting the joints during activities. Appropriate exercise and physical therapy are helpful to maintain and restore joint function. It is also important to maintain an optimistic and cheerful mood and ensure good sleep for the recovery of rheumatoid arthritis.
Rheumatoid arthritis exercise precautions: start slowly, move smoothly, breathe freely, do not hold your breath, inhale through the nose, exhale through the mouth, stop exercising if your heartbeat is strong and your breathing is heavy; stop exercising if the joint pain from exercise is obvious; change your position frequently to exercise.
Drug treatment
1, non-steroidal anti-inflammatory drugs: play anti-inflammatory and analgesic effect Classification: salicylic acid (aspirin), indoles (anti-inflammatory pain, chinolysis), pyrazolones (pautazone), benzocarboxylic acid (fenbuterol, naproxen), o-aminobenzoic acid (diclofenac), xicam (meloxicam), selective COX-2 inhibitors (Ciloxib), etc.
Side effects of NSAIDs: gastrointestinal side effects, allergic reactions, renal side effects, neurological system, hematological system, liver damage, etc.
Liver damage, etc. The more common is the gastrointestinal side effects, can be taken after meals or add gastrointestinal mucosa protection drugs to avoid.
2, slow-acting anti-rheumatoid drugs: such as hydroxychloroquine, salazosulfapyridine, methotrexate, leflunomide, etc.
3, Traditional Chinese medicine, proprietary Chinese medicine: such as Zhengqing wind pain nin, white peony total glucoside (Pavlin), Leigongteng, etc.
4.Adrenal glucocorticoids: small doses and bridge treatment are needed
5.Biological agents
Treatment of rheumatoid arthritis needs to adjust the dose or type of drugs according to the disease, to achieve the purpose of the least side effects and the best efficacy of drugs, early use of disease-modifying drugs (slow-acting drugs) can control the progress of the disease and reduce disability.
Surgical treatment
Surgical treatment is feasible to improve the function of joints caused by late destruction of joints.
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