How rheumatologic diseases are treated formally

  In daily life, some people “change” at the mention of “rheumatism”, thinking that “rheumatism is an immortal cancer”, “rheumatism will be disabled “, some people even wrongly believe that “rheumatism is divided into rheumatism and rheumatoid, anti-‘O’ and rheumatoid factor high can be diagnosed rheumatism and rheumatoid”, etc.. These misconceptions and perceptions of people have given the charlatan a ground for survival. Therefore, it is urgent to popularize the knowledge of rheumatism.  Modern medicine believes that “rheumatism” is a general term for a large group of diseases with different causes but common to involve joints and surrounding soft tissues, with pain, swelling and activity disorders as the main clinical manifestations. It includes hundreds of specific diseases, which can be broadly classified into ten categories, including diffuse connective tissue diseases (including rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis, polymyositis/dermatomyositis, vasculitis and dry syndrome), seronegative spondyloarthropathies and osteoarthritis. “rheumatoid diseases.  Rheumatic diseases have a long course, complex diagnosis, difficult treatment, and may lead to very serious consequences. You should try to choose the rheumatology department of a regular national hospital for consultation and treatment. Each rheumatic disease has different characteristics and treatment, and its diagnosis is mainly based on a comprehensive determination of the patient’s clinical characteristics, experiments and special examinations. The main purpose of a rheumatologist’s visit is to diagnose which specific rheumatic disease the patient with rheumatic symptoms is suffering from and to choose the best treatment plan.  It is worth noting that many patients lack trust in the level of doctors due to the lack of knowledge about rheumatic diseases, and often feel little efficacy after receiving only one or two weeks of treatment and then transfer to another hospital for consultation, one after another, the surrounding hospitals are turned around, the disease is still not cured, this way of medical treatment is not scientific. Rheumatism treatment requires time and patience, usually at least three months to six months, or even several years or more, the purpose is to control the progress of the disease. Doctors will develop a long-term systematic and comprehensive treatment plan according to the patient’s condition, and also need to carry out efficacy observation and timely adjustment of the treatment plan according to changes in the condition. Therefore, it is best for patients to be fixed in a regular hospital rheumatology specialist for long-term treatment by a fixed doctor.  So far, the cause and pathogenesis of rheumatic diseases are not well understood, but it is certain that they are not caused by a single factor, but are the result of multiple factors such as genetics, environment, infection, autoimmunity and endocrine action.  Pain is the main symptom of rheumatism, especially pain originating from joints and soft tissues around joints (including joints, neck and shoulder, low back and heel) is most likely to indicate rheumatism. In addition, unexplained myalgia, muscle weakness, rash, photosensitivity, oral and vulvar ulcers, dry mouth and eyes, whitening of fingers (toes) when exposed to cold (Raynaud’s sign), multi-system damage and fever also suggest the possibility of rheumatism, and should be promptly seen by the Department of Rheumatology and Immunology and relevant tests should be performed.  Most rheumatic diseases, including lupus, rheumatoid arthritis and dry syndrome, are difficult to be completely cured, but regular treatment can completely control the development of the disease. During the active period, the patient may take more drugs, but after the disease is controlled, the type and dose of drugs can be reduced, so that the patient can maintain a “disease-free” state and live a normal life for a long time while taking a maintenance amount of drugs.  As a patient with rheumatic disease, you should actively cooperate with the doctor’s treatment, especially after discharge, you need to come to the hospital regularly for follow-up, the first few months can come more frequently, such as a week to half a month to come once, and later, as the disease control and the amount of drugs to reduce the time interval can be gradually extended. The main purpose of the follow-up is to monitor the adverse drug reactions and disease activity, and to adjust the medication at any time.  Patients must take the medication as prescribed by the doctor and not take the initiative to adjust or stop the medication on their own, especially for patients taking hormones, and not to stop it suddenly. Patients with different diseases have different precautions, such as patients with Raynaud’s phenomenon must pay attention to local and general warmth; patients with ankylosing spondylitis should sleep on hard beds, maintain good posture, and do more functional exercises and swimming. Patients with rheumatoid arthritis in the chronic phase must do more functional exercises of the joints to prevent joint deformities. Patients taking hormones for a long time should pay attention to monitoring blood electrolytes, blood lipids, blood sugar, blood pressure, intraocular pressure and bone density, and take calcium and active vitamin D to prevent osteoporosis.