Self-management for patients with rheumatoid arthritis

  In China, due to various reasons, people pay far less attention to rheumatoid arthritis, which often results in delayed diagnosis and improper treatment. As the disease progresses, many patients suffer from joint deformation, loss of function, and serious loss of quality of life, and lose the courage and confidence to face life. So, what should patients do to avoid this tragedy?  Generally speaking, the following points should be noted: 1. Early diagnosis Clinically, if there is pain and stiffness in the joints of the extremities, especially in the joints of both hands, you must go to the hospital as soon as possible to laboratory tests to clarify the diagnosis. Now many provincial and municipal hospitals have carried out rheumatoid antibody tests, such as quantitative rheumatoid factor test, anti-cycloguanine antibody (anti-CCP), anti-perinuclear factor (APF), anti-keratin antibody (AKA), anti-RA33 antibody, etc. If positive, the disease can be basically diagnosed. Of course, there are some cases with significant symptoms and negative rheumatoid factor, but the disease should still be considered based on the exclusion of other diseases. There are also some cases, the laboratory results are positive, but the symptoms are not obvious, in order to exclude other diseases, regular review can be, for the time being, no treatment, close observation.  2, early treatment Rheumatoid arthritis condition is relatively complex, such as irregular treatment can appear joint deformity. Current treatment methods include drug therapy, surgical treatment and rehabilitation. In addition to taking hormones or non-steroidal anti-inflammatory drugs to relieve symptoms, the most important thing is to insist on long-term use of drugs that target the cause of the disease, also known as slow-acting drugs, namely immunosuppressive drugs. It is best to go to a regular rheumatology department of a large hospital, where an experienced doctor will choose the most suitable drug for you according to your specific situation. These drugs require high clinical use and have certain side effects, so they must be taken under the guidance of a primary care physician and cannot be reduced or stopped without authorization. Biological agents are new targeted therapeutic drugs that have emerged in the last decade or so, with significant effects and fewer side effects, but they are slightly more expensive and restricted to patients under greater economic pressure. Chinese medicine has more advantages in the treatment of the disease, we use a combination of Chinese and Western medicine to treat the disease, many rheumatoid are better controlled. Some early or relatively mild cases can be treated with Chinese medicine alone with very good results.  Surgical treatment is also an option in cases of severe joint damage. When the important large joints completely lose function, surgical replacement of artificial joints can be considered.  3, maintain an optimistic attitude Once the disease is diagnosed, it is inevitable that tension and bitterness will arise, but it should be recognized that such emotions are harmful. Should actively face the reality, do not fear, set up a strategic contempt for the disease, tactical emphasis on the disease, to eliminate pain, pessimism and disappointment with spiritual strength. At the same time to understand and understand as much as possible rheumatoid arthritis occurrence, development and change of the law and its treatment countermeasures, and good cooperation with the treating physician.  4, prevent cold and keep warm Pay attention to keep warm, to prevent cold, rain and moisture. Do not wear wet clothes, wet shoes, wet socks, etc., to prevent the wind and cold attack. In the hot summer season, do not be cold and cold drinks.  5.Appropriate exercise Adhere to appropriate joint exercise. The purpose of joint exercise is to maintain the function of the joints and avoid joint deformation. Beneficial exercise can not only make the muscles around the joints more powerful, so that the joints get stronger support, but also relax the tense muscles and relieve the pain caused by muscle tension. Bed rest during the acute period can reduce symptoms, and joint exercises can be performed appropriately during the remission period. Joint exercise can be done from bed to bed, from indoor to outdoor, step by step, not in excess, to be able to tolerate the degree, not too hasty, as long as you persist, will certainly achieve significant results.  We regularly pay attention to this “rheumatism health home” WeChat platform, increase the knowledge and understanding of rheumatic diseases, better to cooperate with doctors, I believe that the disease will be better controlled.