Rheumatoid arthritis is a common rheumatic disease, with multiple, symmetrical multi-joint swelling and pain as the main manifestation, which can cause joint deformities, resulting in loss of joint function, and is also a systemic autoimmune disease, which can also affect the lungs, blood vessels, heart, kidneys, endocrine, skin, oral cavity and other organs. At present, it is believed that heredity, sex hormones, and infections are the main causes of rheumatoid disease.
Taking medicines does not relieve symptoms, what should rheumatoid patients do?
The treatment of rheumatoid arthritis is mainly based on drug treatment, which is mainly divided into two categories according to the efficacy, one is to improve the condition of anti-rheumatic drugs, the main role is long-term anti-inflammatory and relieve the damage of synovial hyperplasia to the joints, and the second is anti-inflammatory and analgesic drugs, the main role is to alleviate joint swelling, pain, morning stiffness and other symptoms.
Today we take a look at what other ways to help improve the condition when patients are not effective in medication, it is difficult to eliminate the symptoms of joint swelling and pain, and prevent deformities from occurring!
<h1 class= "pgc-h-arrow-right" > four therapies that patients with rheumatoid can try! </h1>
When patients take the drug correctly and try a variety of combination drug regimens, still can not prevent the development of the disease, that is, the real drug treatment effect is not good, then consider the treatment other than drugs, to help patients eliminate symptoms and improve the condition!
01 / Immunosorbent therapy
Immunosorbent therapy is a new technology developed on the basis of blood purification, which combines highly specific antigens, antibodies or substances with specific physicochemical affinities with adsorbent materials to make adsorbents, draws the patient's own blood out of the body, enters the device equipped with adsorbent, removes various toxins and pathogenic factors in the blood, and then transfuses them back into the patient's body, so as to achieve the elimination of pathogenic factors, regulation of immune function, restoration of cell function and other effects, to help patients alleviate the disease.
Immuno-purifying therapy for the treatment of rheumatoid arthritis
02 / Needle knife mirror treatment
Acupuncture knife mirror is a new technology that combines traditional Chinese medicine and modern medical minimally invasive interventional treatment, operating in an endoscopic system environment, so as to quickly release joint adhesions, consume inflammatory factors, peel off diseased tissues, achieve the role of soft group repair and release, and can also excrete inflammatory factors and immune complexes from the body through lavage, so as to eliminate joint pain, block synovial inflammatory hyperplasia, and restore joint function.
Needle knife mirror for rheumatoid arthritis
03 / Synovectomy
In the early stage of rheumatoid arthritis, the lesion site is mainly in the synovium, which is manifested by synovial inflammation, hyperemia, swelling and proliferation, and there is no or only mild change and destruction of cartilage and bone, but with the development of the disease, the lesions of the synovium can cause damage to cartilage and bone, resulting in joint deformities.
Synovectomy is considered in patients who cannot control the condition with a combination of drugs. The removal of hypertrophic synovial tissue under arthroscopic visitation can reduce the pressure in the joint cavity, relieve the symptoms of pain, reduce the release of joint fluid and inflammatory substances, prevent further destruction of bone and cartilage, and also eliminate mechanical obstruction caused by proliferating synovial membranes, interference with joint straightening and inflammatory stimulation caused by muscle spasms, joint flexion contractures, and contribute to the improvement of joint mobility.
Synovectomy can help patients eliminate pain, relieve bone and cartilage damage, improve joint function, and is suitable for large joints such as knees, elbows, and shoulders, not for small joints of the fingers.
Arthroscopic stromal resection
04 / Joint replacement
If the patient's lesions are advanced, joint deformities appear, which obviously affect physiological functions, and after conservative treatment is ineffective, artificial joint replacement surgery should be considered, which is mainly suitable for knee and hip joints.
Rheumatoid arthritis involves most of the small joints of the hands and feet, but the knee and hip joints are also more common, and these two joints are directly related to the body's standing and walking functions. For advanced patients, the joint space disappears or is significantly narrowed, the joint cartilage and subchondral bone are seriously damaged, the joint function is seriously lost, which can cause disability, and the patient can only be bedridden, at this time in order to avoid the side effects of long-term bed rest, the patient should consider replacing the artificial joint.
Artificial joint replacement surgery is the ultimate means of treating joint diseases, reasonable application can make the joint "come back to life", and with the continuous improvement of materials, design and surgery, the life of artificial joints and the success rate of surgery are now guaranteed, and after surgery, it can effectively eliminate pain symptoms and improve the patient's daily mobility and improve the quality of life.
Patients with end-stage rheumatoid arthritis should consider replacing artificial joints
<h1 class = "pgc-h-arrow-right" > the drug treatment is not effective, reflect on whether the treatment is correct! </h1>
When the patient's medication is improper, the drug intolerance, and the medication compliance is poor, it may also lead to poor drug treatment, which is not necessary to discontinue drug treatment, but should be followed up in time and cooperate with the doctor to find a suitable drug treatment plan.
01 / Rational use of medicine
Some patients with rheumatoid arthritis, when they have not been diagnosed in the early stage, have no standardized diagnosis and treatment, and rely on painkillers to reduce swelling and relieve pain, resulting in the gradual aggravation of the damage of intra-articular structures, and pain relief is becoming more and more difficult.
In rheumatoid arthritis lesions, joint swelling and joint destruction are controlled by different signaling pathways, and even if NSAIDs or glucocorticoids eliminate symptoms, synovial inflammation, synovial hyperplasia, and joint destruction may still be "dark and dark". Simply taking painkillers cannot avoid the occurrence of joint deformities and disabilities.
In particular, we should pay attention to hormone abuse, which is very common, because hormones have an "immediate effect" on swelling and pain relief, which is easy to be relied on by patients, and it is easy to be packaged as "special drugs" and "ancestral drugs" by unscrupulous businessmen, deceiving patients who lack knowledge and awareness of disease prevention and treatment, especially be vigilant!
The role and characteristics of four types of rheumatic drugs
02 / Dressing change
When the patient's tolerance to a certain drug is not good, there will also be a situation where the drug effect is not good, and then a similar drug should be replaced to continue to observe the efficacy.
When using NSAIDs, when a NSAID is not effective, do not increase the dose, increasing the dose does not increase the efficacy, but will increase the risk of adverse reactions, do not use two or more NSAIDs at the same time, but replace a NSAID. If NSAIDs do not relieve swelling and pain, consider using hormones.
There are also many kinds of disease-modifying anti-rheumatic drugs, the most commonly used traditional synthetic classes, including methotrexate, sulfasalazine, leflunide, hydroxychloroquine, etc., this type of drug has a slow onset of action, usually more than 1 month, so the drug does not work may also be the drug does not work, if the onset time does not work, then change an anti-rheumatic drug.
Commonly used traditional synthetic antirheumatic drugs onset time
03 / Improve medication adherence
No matter which kind of anti-inflammatory analgesic or anti-rheumatic drugs, there is its correct use, patients should follow the doctor's instructions to take drugs, do not add drugs without authorization, stop the drug, otherwise it will reduce the compliance of treatment, and have an adverse effect on the effect of treatment.
It is important to follow your doctor's advice
04 / Do a good job of basic treatment
The treatment of rheumatoid arthritis requires a combination of multiple treatments, of which the basic treatment is throughout the treatment. Some patients, obviously taking medication on time, but the condition does not improve, it may be that the basic treatment is not done well. The basic treatment of rheumatoid mainly includes appropriate rest, away from cold and damp stimuli, avoiding colds or infections, maintaining a good psychological state, correct movement of joints and muscle exercise, reasonable diet and other aspects, if not done well, may make the effect of drug treatment adrift.
Treatment of rheumatoid arthritis