Why rheumatism patients have poor treatment outcomes

  One, is not in six months time, adhere to a specialist in the treatment of rheumatoid medication, in the end, the most important to find and fix an effective program, which requires a process of exploration for both doctors and patients. Although we know that rheumatoid medication is a limited number of drugs, what we do not know is what kind of drugs and doses, and how long they can be taken cumulatively, will definitely have an effect on a patient. Therefore, finding the right medication and the right dose is the task of early treatment. The effective dose of drugs for the treatment of rheumatoid is a range, for example, the common methotrexate is 7.5mg to 20mg, and Erovalbum is 10mg to 20mg. In terms of single drugs, the dose of medication is a number of programs, and if you choose to combine drugs, there are more programs. In fact, the drug regimen for the treatment of rheumatoid often requires a combination of immunosuppressants, non-steroidal anti-inflammatory drugs, and even hormones and biological agents, making the situation very complex. At the same time, immunosuppressants are characterized by chronic onset of action, and for each drug, there is no clear clinical onset of action, unlike NSAIDs, if there is no effect within 2 weeks, it can be concluded that the drug is not suitable for this patient.  Therefore, the first visit to the rheumatology department with the first dosing regimen may not always have the desired effect. We patients need to fix in a doctor, follow-up several times, rather than change doctors, change drugs.  Second, is not too much psychological pressure It is often said that doctors treat diseases but not lives. Specialists in many cases can only try to provide appropriate treatment for patients with their professional expertise, but can not do the psychological aspects of the relief work, because they really do not have that time! Under the heavy psychological burden, can directly affect the effectiveness of drug treatment. Rheumatoid was originally designated as a physical and mental disease category in medicine, and it is a little more closely related to the patient’s psychology, behavior, and habits.  In fact, some lingering difficult to heal rheumatoid patients, often have similar personality traits, is more typical of the neurotic personality type. This type of personality is relatively weak in psychological tolerance and prone to psychological stress. It is not just rheumatoid patients who behave this way, but also in other chronic disease populations. Those patients with mild disease performance are often optimists.  Third, is not too much physical strength, energy pay patients in the absence of disease, is the backbone of the unit, is the pillar of the family, now sick, “backbone” and “pillar” of the identity has not changed, on the contrary, the appearance of the disease, more is increased to continue to do On the contrary, the emergence of the disease has increased the pressure to continue to be the “backbone” and “pillar”, and I am worried that my illness will bring bad situations to my work and family. Therefore, in terms of daily work and life, may be in a state of overload, such a situation, of course, will also affect the effectiveness of treatment.  Rheumatoid is actually a disease that is afraid of exertion, especially in the active period. Exertion will directly affect the increased activity of the disease or lead to recurrence of the disease in remission. Some patients in the treatment, often accompanied by a small recurrence, it may be related to exertion. Sometimes, a single hyper-physical activity, which was well controlled, may trigger a significant rebound of symptoms. Therefore, a full course of treatment is needed to give rheumatoid a treatment and recovery process that meets the needs, and is not simultaneous with the normalization of indicators and the disappearance of symptoms. When everything seems to be fine, it still takes a relatively long time to be in the recovery period, during which you still cannot treat yourself completely “as normal” and still need to take good care of your basic body.