How should rheumatoid arthritis be managed?
How should rheumatoid arthritis be managed?
Thanks for the invitation! Arthritis is a big problem, it's hard to treat completely, only slowly is the conditioning, to minimize the disease, we can use three ways of conditioning
First dietary regimen
Fat can produce ketone bodies during oxidation in the body. Excessive ketone bodies can irritate the joints and aggravate the pain, which is extremely unfavorable to the recovery of rheumatoid arthritis, so it is necessary to limit the intake of high-fat foods. At the same time, it is also necessary to control the intake of protein, such as beef, lamb, fish, chicken, lean pork, eggs, dairy products, etc. contain more protein, which will aggravate rheumatoid arthritis.
Second Functional Exercise
Exercise is the most basic, active and effective way to prevent muscle atrophy and joint ankylosis, and to maintain and restore joint function, which cannot be replaced by any other treatment and rehabilitation methods. Life is movement, exercise is more important for rheumatoid patients. Exercise can be done in a variety of ways, such as doing gymnastics, walking, playing tai chi, dancing, climbing, etc., can be chosen according to different people, but walking exercise is the best way. This method is simple and easy to implement, long-term persistence, step by step, rheumatoid patients recovery is extremely favorable.
Third Spiritual Conditioning
The role of mental factors in the rehabilitation and treatment of rheumatoid diseases must not be ignored. Modern physiology has proved that human psychological activities can cause changes within the organism. Such as optimistic mood, firm confidence can mobilize the body's great potential, affect the endocrine, accelerate the metabolic process, enhance the body's ability to resist disease, and promote the healing of the disease.
And one should not consume warm and hot foods such as chili peppers, mustard, ginger, cinnamon, wine, etc., because eating these will hurt the yin and help the fire, aggravating the symptoms. It is not suitable to drink alcohol, because alcohol heat harms the liver and alcohol dampness harms the spleen, and if it is dipped into hot medicines such as appendicia, cinnamon, and fine spices, it will aggravate the internal heat and swelling and pain. If such patients want to take medicinal wine, they can choose cool medicines to be dipped into the wine, so that the nature of the medicinal wine will be cooler. For patients who do not know how to drink wine, it can be diluted or flavored with seasonings and then consumed.
This disease can only be effective if you insist on conditioning, and I hope you all stick to it and have a healthy body!
The principle of treatment for rheumatoid arthritis is early, standardized treatment with regular monitoring and follow-up. The medical profession's current goal in treating rheumatoid arthritis is to achieve disease remission or low disease activity, i.e., standardized treatment, not cure, and we currently have no way to cure rheumatoid arthritis.
Almost all rheumatologic diseases are incurable because they are too complex. Must understand this. Otherwise, it is easy to be cheated by a variety of ancestral secret recipes, and ultimately lost a wife and a soldier.
Once rheumatoid arthritis is diagnosed, treatment with traditional synthetic disease-improving medications should be initiated as early as possible; there are many such medications, and methotrexate alone is preferred. In general, most patients with rheumatoid arthritis can achieve their treatment goals with methotrexate alone. Moreover, small doses of methotrexate have mild adverse effects and are well tolerated over the long term. However, you should know that it is best to take folic acid supplementation while taking methotrexate to minimize gastrointestinal side effects, liver impairment, and other adverse effects.
In addition to methotrexate, we have other improvement medications such as sulphasalazine, leflunomide, and others. If you can't reach your goal with one drug alone, then combine the treatments.
If the treatment is not effective with the above mentioned improvement drugs, it can also be combined with biologics, such as tolizumab, etc. However, this type of drug is very expensive. However, these drugs are very expensive.In 2011, we approved another biological agent, which is Elamod, and it is currently used as long as it is in our country and Japan. Some studies have shown that the combination of elamod and methotrexate improves the clinical manifestations of rheumatoid arthritis during activity.
The Chinese herb Lei Gong Teng also has some therapeutic value, and we have been using this medicine in our country for a long time. However, it is not widely used because the dosage is not easy to grasp and safety is not high.
In addition to medication, rheumatoid arthritis patients should also make efforts in terms of lifestyle, making sure to quit smoking, weight control, proper diet and appropriate exercise. The main aspect of diet is:
Foods to avoid or minimize are trans fatty acids, margarine, foods high in sugar, animal fats, cheese, fried foods, processed meats, refined starchy foods, excessive alcohol and coffee.
It is best to eat a diet rich in whole grain foods, fresh fruits and vegetables, legumes, seeds and nuts. There is evidence that fish oil improves clinical manifestations, and some foods with anti-inflammatory components are also helpful, such as soybeans, legumes, carotenoids, orange juice, spinach, tomatoes, olive oil, canola oil, yogurt, and so on.
I hope this helps people with rheumatoid arthritis arthritis.
Rheumatoid arthritis, is an autoimmune disease, the pathological changes are synovial inflammation and infiltrative growth, if the treatment is not timely, the inflammatory synovium destroys the bone structure of the joints, and it is easy to become disabled. Management of rheumatoid arthritis, the key is early diagnosis, early treatment, especially within two years before the joints have not been deformed, according to the course of treatment to receive regular Western medicine, due to the long course of treatment, must be in the advice of Western medicine, regular checkups of blood, urine routine and liver function, renal function, the general patients in one and a half to two years or so to achieve clinical cure. Chinese medicine treatment of rheumatoid arthritis lack of clinical evidence, is not recommended to use Chinese medicine for long-term treatment, will miss the best time for treatment, the joints once deformation, disability, drugs can not be restored, will be painful for a lifetime.
This one isn't too hard to cure.
It can be used externally in herbs or taken internally.
Topical application is generally recommended as it is at least safe.
I'm still treating quite a bit.
In the case of rheumatism, the essence is wind-cold-dampness, mixed together.
It can be cured with, herbs that remove dampness, wind and cold.
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For those interested in TCM, check out the other responses I posted.
From the perspective of Western medicine, rheumatoid arthritis is a chronic disease of unnamed etiology, and it is impossible to say how it can be treated, but from the perspective of traditional Chinese medicine, this disease is mainly due to the insufficiency of one's own positive qi, and it develops in a cold and damp environment over a long period of time, thus it is considered to be a kind of paralytic disease. Therefore, when treating and regulating the disease, the main thing is to enhance one's positive energy, that is, to strengthen the qi and blood. In your daily habits, avoid raw cold, damp and cold. For example, many elderly women have this disease, mainly in cold water to do housework, washing clothes, washing dishes, washing dishes, decades down the road, the probability of rheumatoid arthritis is particularly high. So you need to either use hot water when doing these things, or put on rubber gloves to avoid contact between your finger joints and cold water.
In the winter in the northeast, many rural areas have a fire kang, after a day of work and rest, the wind chill is deep, this time lying on the fire kang, warm back, a day of wind chill can be cured. Without the conditions of the kang, you can arrange to go to the hot springs, in the northeast of the hot springs of the holy land of Qianshan, every year there are a lot of Russian tycoons over to the hot springs to recuperate, that is, to treat rheumatic diseases.
If you don't have a hot bed or spa, it's a good way to tan your back at home, through glass. For rheumatoid arthritis that is particularly painful, moxibustion of the painful area with moxibustion will also receive immediate results.
In your daily diet, eat more food that warms qi and blood, such as yam, mutton, jujube and astragalus.
Rheumatoid arthritis, is a common condition. Rheumatoid arthritis is a common disease, mostly seen in middle-aged and old people over 40 years old, but also a few teenagers, can occur in a single joint of the body, pain, redness and swelling. The onset of symptoms can take Chinese medicine for two months to cure, hold the disease for a long time to use traditional Chinese medicine prescription for more than two hundred days to cure the time. During the medication period, it is strictly forbidden to have sexual intercourse, eat pears, raw radish. The medication should be used without interruption. The symptomatic parts can be appropriate with hot compresses to accelerate the healing effect. The cure depends on the patient's persistence and cooperation with the doctor.
Various joint inflammations are basically the same, with different single remedies. Patients who understand the medicinal properties can refer to multiple prescriptions and treat themselves. A long time illness becomes a good doctor by itself.
In addition to anti-inflammatory and anti-rheumatic drug therapy for rheumatoid arthritis, a number of non-pharmacological measures and other medical interventions are essential for the integrated treatment of the disease at all stages of the disease. Improving health and specific strategies aimed at minimizing the adverse effects of rheumatoid arthritis and the medications used to treat it also deserve our attention.
These treatments include:
1. Establishing a good long-term doctor-patient relationship with specialized doctors, correcting misconceptions about the disease, and accepting continuous and standardized treatment to reduce pain and swelling and slow down joint destruction.
2. Rest and psychosocial interventions: Because rheumatoid arthritis can cause fatigue, patients may have difficulty performing many normal tasks. Therefore, resting the inflamed joints and the body as a whole by taking naps may be beneficial. Weakness may also be reduced through psychosocial interventions and participation in physical activities.
3. Exercise: Pain and stiffness often cause patients to avoid using the affected joint. This lack of use of the affected joints can lead to decreased joint mobility, joint contractures and muscle atrophy, which can reduce joint stability. Regular exercise is therefore important to prevent and reverse these potentially disabling problems.
4. Physical therapy:
(1) Hot or cold compresses can help relieve pain or stiffness;
(2) Ultrasound therapy has the function of relieving tenosynovitis;
(3) Passive or active exercise to increase and maintain joint mobility;
(4) Rest and splint immobilization at rest to reduce pain and improve function;
(5) Finger splint immobilization to prevent deformity or improve hand function;
(6) Relaxation therapy to relieve secondary muscle spasms.
5. Nutrition and diet: Diets rich in fish oil or with added eicosapentaenoic acid or docosahexaenoic acid may lead to a reduction in arachidonic acid metabolites and cytokines, as well as a reduction in the symptoms of the disease.
6. Interventions to reduce the risk of cardiovascular disease (including smoking cessation) and the risk of osteoporosis
7. Immunizations are given to reduce the risk of infectious complications of immunosuppressive therapy.
Na Cun, Clinical Pharmacy Office, Affiliated Hospital of Chifeng College, Member of the Pharmacy Network
The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.
You can use moxibustion method of conditioning, I have a rheumatoid arthritis through moxibustion cured patients, but must adhere to, he used about 70 boxes of daily ai conditioning his rheumatoid arthritis, the middle of the questioning, but in the family's adherence to, finally cured, moxibustion is thousands of years of inheritance down the treasure, we should carry forward the development of the great. Pictures to support.
Rheumatoid arthritis belongs to the low immunity, the evil of rheumatism invades the muscles and joints of the human body, causing a series of symptoms such as muscle pain, swollen joints, and limited movement. In severe cases, it can involve the heart. Clinical analgesics can only temporarily control the symptoms. The treatment of this disease mainly starts from the daily diet. Eat less fat, sweet and thick food, eat regularly, do not overeat, eat more fruits and vegetables, the spleen and stomach function is good, the body will naturally produce wet transportation out. In addition, do not live in the wetlands for a long time, do not risk wading in the rain, try to reduce the source of wet. In short, strengthen physical exercise, increase the body's immunity, with some physical therapy is the fundamental treatment and prevention of this disease.
Rheumatoid arthritis should first pay attention to keep warm, especially in winter, it is best to use knee pads to avoid pain when the joints are cold. Medicines can be used in combination with external and internal medicines. If you like to drink, you can make some medicinal wine to activate blood circulation and remove blood stasis, and drink 10 to 20ml every night before going to bed to accelerate blood circulation. You can also use electric knee and leg massagers to massage at night in winter. It is available online.
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