How can rheumatoid arthritis be detected, diagnosed and treated early?

  In clinical work, it is often found that many patients with rheumatoid arthritis miss the best time for internal and external treatment because they do not receive early diagnosis and standardized treatment, resulting in serious joint deformities. However, since the current level of treatment is not yet able to cure rheumatoid arthritis, early detection, early diagnosis and early treatment of rheumatoid arthritis is particularly important. The following is the author’s summary of the experts at the meeting to give patients some advice: 1, how to determine whether they have rheumatoid arthritis.  If you find yourself with swelling and pain in the small joints of the hands and feet, and with the morning stiffness of the joints, which takes a long time to recover, you should be highly suspicious that you have rheumatoid arthritis. If the affected small joints of the hand are mainly distal, then it may be osteoarthritis caused by strain. If you are not very sure, it is best to go to a hospital and consult a specialist rheumatologist. They can give you professional advice.  2. Why rheumatoid arthritis is difficult to diagnose.  Because the outbreak of polyarticular involvement and typical rheumatoid off cases are less common, early manifestations of single or several joint involvement, it is difficult to distinguish from hand tendonitis or osteoarthritis, and early onset, the relevant serological examination indicators, has not been transformed into positive, therefore, atypical rheumatoid arthritis patients from the onset to a definitive diagnosis, may need to experience a suspected diagnosis period of about 1 year to 2 years. Therefore, patients need to visit the hospital regularly for follow-up examinations to achieve a clear and timely diagnosis and to give standardized treatment.  3, rheumatoid arthritis can not be cured but after standard treatment can be better controlled.  If you are diagnosed with rheumatoid arthritis, do not panic, you need to go to a professional rheumatologist to seek help and give you a suitable drug treatment plan, because each patient’s response to different drugs is different, rheumatoid arthritis drug treatment, is an individualized treatment plan. Therefore, it is important to get out of the misconception of “following other people’s medication”.  In addition, reasonable and standardized application of hormones is sometimes necessary, because the longer the acute attack of rheumatoid arthritis lasts, the more serious the irreversible damage to the joints will be, so the short-term, standardized application of corticosteroids during the acute attack is necessary, and the side effects are controllable, so patients do not need to worry too much.  Do not believe in the so-called “ancestral recipes” and “mail-order drugs” of unknown ingredients. Many rheumatoid patients like to buy some informal channels of so-called “health products” “drugs”. The composition of these drugs is unknown, most of them contain large doses of hormones, often with good short-term results after taking, but the long-term application of side effects, and the dose is unknown, so seek standardized rheumatoid off treatment.  4, timely and standardized surgical treatment is necessary.  As most hospitals with rheumatology departments are tertiary general hospitals, so rheumatologists are often limited to medical treatment means, many rheumatoid patients often miss the best time for surgical treatment.  Surgical treatment and medical treatment should be synchronized and complementary, and it is a serious mistake to think that surgical treatment is only applicable to patients with ineffective and inefficient medical treatment, or even advanced rheumatoid off.  For rheumatoid patients, the longer the acute synovitis phase lasts, the more severe the non-reversible destruction of cartilage and bone of the joint. Therefore, if medical medication cannot control the synovitis in a timely manner, then timely surgical synovectomy is necessary to improve the prognosis of the disease by preserving the bone of the joint through some minimally invasive surgery.  For patients with more serious joint destruction, timely artificial joint replacement surgery is also necessary. If we wait until the joint is destroyed and the bone defect is very serious before seeking surgical treatment, it often increases the difficulty of surgical treatment, raises the risk of surgery, aggravates the economic burden of the patient, and the expected effect of surgery should be discounted, and the patient cannot get timely functional improvement and improve the quality of life.  The above are some of the misconceptions that patients tend to go into during the diagnosis and treatment of wind-like off, I hope to provide some help for the majority of patients, and finally, I wish the majority of patients with wind-like off can recover soon through standardized and regular treatment.