Self-management of rheumatoid arthritis

  Rheumatoid arthritis is a common rheumatic disease that manifests as chronic multi-joint swelling and pain. If uncontrolled, it can cause joint cartilage and bone destruction, resulting in joint deformity and loss of function, and individually can involve the lungs, heart and other important organs, greatly affecting the quality of life of patients. Early diagnosis, standardized, comprehensive and individualized treatment is the key to early remission of rheumatoid arthritis. Among them, strict and effective self-management plays a pivotal role in the treatment process of rheumatoid patients.  1, the premise of effective self-management – confidence: many people will rheumatoid arthritis called “immortal cancer”, which is a one-sided statement. Although, rheumatoid arthritis is a chronic disease, can not be cured, but as long as the standard treatment, can achieve complete clinical remission. Therefore, patients should build confidence to overcome the disease.  2, the key to effective self-management – patience: this “patience” contains two levels of meaning: one is the treatment of rheumatoid arthritis is a long-term process, even if the disease has reached clinical remission, still need to take certain drugs for a long time, especially slow-acting One is that treatment of rheumatoid arthritis is a long-term process. The “cure” for rheumatoid arthritis is a slow-acting anti-rheumatic drug, often taking 2-3 months to see significant results. If patients lack patience, eager to achieve, because the short-term improvement of the disease is not obvious and prematurely stop the drug or change the drug will be counterproductive.  3, the specific implementation of self-management: (1) balanced diet Due to the consumption of the disease and the use of immunosuppressants inhibit the normal immune function, so patients should eat a balanced diet, appropriate high protein, high vitamin, high calcium, high iron diet, eat more fresh fish, green beans, tofu and olive oil, etc., to improve their own nutritional status and improve the ability to resist disease.  (2) Avoid environmental factors that trigger the aggravation of rheumatoid arthritis Maintain proper indoor temperature and humidity, avoid humidity and cold. Avoid infection and overexertion, and lead a regular life so as not to aggravate joint symptoms.  (3) Actively participate in social activities Study, work and live normally during the remission period of joint inflammation, and actively participate in social activities to gain a sense of self-worth and satisfaction from family, friends and work.  (4) Insist on functional exercise The purpose of functional exercise is to relieve pain, reduce deformity and maintain joint function. As far as possible, start at the early stage of the disease, be persistent and progressive, so that the exercise plan is operable. Exercise should be done in such a way that the strength is restored 2 hours after the activity or the next day without excessive fatigue. Avoid excessive activities when joint pain and swelling are obvious to avoid aggravating joint damage. Perform joint stretching exercises to avoid muscle atrophy. Kick, soak in hot springs, and walk in water to exercise joint function, but avoid activities that may aggravate joint damage such as long-time stair climbing and mountain climbing.  (5) Standardize the medication The medication for rheumatoid arthritis mainly includes: non-steroidal anti-inflammatory drugs, slow-acting anti-rheumatic drugs, glucocorticoids and biological agents. Each type of drug has its own indications and respective characteristics and side effects, to choose the appropriate treatment plan under the guidance of a rheumatologist. Take the drugs regularly, and stop taking chances. Stopping or changing the drugs on your own because you are worried about the side effects of the drugs may aggravate your condition.  (6) Regular follow up Regular follow up at the rheumatology outpatient clinic of a general hospital to monitor the side effects of drugs and disease activity indicators, and adjust the drugs according to changes in the disease in a timely manner, so that the disease is always under control in the ideal state.  In conclusion, rheumatoid arthritis is not an immortal cancer. Early clinical remission can be achieved with confidence in overcoming the disease, patient and standardized medication, and regular follow-up.