Lu Laobo was pushed into the clinic by a wheelchair, and he and his family knew that he suffered from rheumatoid arthritis, but he couldn't understand why the joint pain was not severe, but people couldn't stand up, they could only sit in a wheelchair!
<h1 class= "pgc-h-arrow-right" > suffered from rheumatoid for three years and only ate "secret medicine", eating until the knees could not stand up! </h1>
Lu Laobo had joint pain four years ago, because he often did farm work, at first he thought it was caused by fatigue, but before long, the pain spread from his hands to his wrists, knees, and shoulders, and he was swollen and painful, and his joints were still very stiff in the morning, and he could not move for half a day.
When the symptoms are mild and severe, when they are serious, Lu Laobo can only rest in bed, but if he does not work for a day, he will be uncomfortable, coupled with the swelling and pain of the joints, the mood is more anxious, sleep is not good, eat is not fragrant, how uncomfortable it is!
Lu Lao bo's children are in the field to work, the New Year can come back, the family only two old people and need to take care of the grandchildren, Lu Lao Bo has not been to the city hospital for medical treatment, one reason is not to go, to take care of grandchildren and the family, another reason is not to pay attention, joint swelling and pain of the elderly many, take some anti-inflammatory painkillers can slowly alleviate, no big deal.
At the end of the year, the children of migrant workers returned, so they took the reluctant Lu Laobo to the hospital for examination, and as soon as they checked, they found rheumatoid arthritis. The doctor repeatedly reminded Lu Laobo to pay attention to treatment, and he would return to the clinic after a month, and the children were very concerned, but Lu Laobo did not care in his heart.
Soon after the children left the door shortly after the New Year, Lu Laobo ate the medicine prescribed by the doctor, felt that the medicine in the city was expensive, the examination was expensive, and did not go to the follow-up clinic, but returned to the old road, just between the joint swelling and pain and taking anti-inflammatory painkillers back and forth.
Lu Laobo found that his joint swelling and pain symptoms were becoming more and more difficult to control, and he did not care on the surface, but he was secretly anxious in his heart, at this time, the emergence of a "special medicine" solved his problem.
One day, the neighbor told Lu Laobo that there was a doctor in the town who sold medicines, selling ancestral "secret medicines" that specialized in treating various joint pains, and many people said that the effect was good. Lu Laobo, who was in a hurry to go to the doctor, was naturally moved, and on a market day, he found a drug seller and bought a course of treatment.
The packaging of the drug is very simple, the transparent medicine bag is only printed with the words "ancestral secret recipe" and "exclusive treatment of various joint pain", and the brown pill reveals a breath of Chinese herbal medicine, which complements the pure natural and no side effects described by the drug seller.
Not to mention, the effect of taking this medicine is really good, the next day, Lu Laobo's joint swelling pain and morning stiffness symptoms have been alleviated to a certain extent, after taking the medicine for a period of time, the joint swelling and pain has not been much committed. This medicine also has a special impression on Lu Laobo, that is, it is much cheaper than the hospital's medicine, so for the next three years, Lu Laobo has been taking this medicine, although the drug seller is not there, but found an agent in the town, and will send the medicine regularly every month.
However, although the joint swelling and pain did not occur frequently, Lu Laobo could feel that he had other problems, and the "secret medicine" did not completely solve the joint problem, he also found that the joint discomfort was becoming more and more difficult to control, called the drug seller, the method of the drug seller was very rough, increase the dose. But with the addition, the joint swelling and pain were more intense, until Lu Laobo could not stand up.
<h1 class= "pgc-h-arrow-right" > "secret medicine" without side effects is actually a lot of hormones with side effects! </h1>
In fact, the "secret medicine" that Lu Laobo believed in was nothing more than a hormone cloaked in a shell of Chinese herbal medicine.
Do glucocorticoids have a therapeutic effect on rheumatoid arthritis? Yes! But the problem is, it does not have the ability to "monoclonal antibody" rheumatoid arthritis!
The main role of glucocorticoids in rheumatoid arthritis is to control symptoms. In terms of swelling and pain relief, glucocorticoids have an "immediate" effect. Many patients take the drug for a few hours, the effect is effective, the next day the morning stiffness symptoms have a significant improvement, after taking a week of joint swelling and pain significantly alleviated. However, after taking the drug for several months, the relief effect on the disease is limited, and increasing the dose will not help.
However, just the effect of reducing swelling and relieving pain can make many patients "desperate". Glucocorticoid abuse is very common, it is understood that in patients with rheumatoid arthritis with a medical history of more than 2 years, more than 30% of those who have used hormones irrationally for a long time, and up to 80% of those who have used hormones irrationally!
There are two general abuses of hormones, one is passive and the other is active!
Passive abuse is the use of hormones without the patient's knowledge, such as Tulu Laobo, who does not know that the drugs he is taking are hormones, or does not know the specific therapeutic effects and side effects of hormones. Active abuse, in order to pursue rapid relief of swelling and pain, some patients use potent hormones or long-term mass use of hormones.
No matter which kind of abuse, the patient's recovery will be detrimental, and there may be other harms.
Therefore, before the patient uses hormones, it is necessary to find out the positioning of hormones, which is mainly used to control rheumatoid symptoms, and has limited effect on intra-articular synovitis, synovial hyperplasia, cartilage and bone destruction. Some people say that small doses of hormones have the effect of alleviating the disease, but hormones also have side effects, although serious side effects are mainly caused by long-term, large, powerful hormones, but small doses of use more, will also produce a lot of side effects.
Why Lu Laobo can't stand up is because of the long-term use of hormones, but it aggravates the destruction of joint cartilage and bone, and on the basis of rheumatoid arthritis, it is secondary to osteoarthritis, and the knee joint structure is seriously damaged. And the side effects of long-term use of hormones, including full moon face, buffalo back, hypertension, osteoporosis, femoral head necrosis, etc., Lu Lao bo eats "secret medicine" after the face becomes round, people become fat, neighbors are praising him for good looks, now think about the side effects of hormones, regret!
<h1 class="pgc-h-arrow-right" > how to use hormones correctly in patients with rheumatoid arthritis? </h1>
To avoid hormone abuse, rheumatoid arthritis should pay attention to the following three aspects of the problem before using hormones:
01 / The timing should be appropriate
It is certainly unreasonable to use glucocorticoids without assessing symptoms.
Considering the side effects of hormones, in general, rheumatoid patients can try not to use hormones without using hormones, and should give priority to topical or oral nonsteroidal anti-inflammatory drugs to reduce inflammation and relieve pain, and can be combined with Traditional Chinese medicine related treatments to alleviate symptoms. However, there are some cases in which hormones have to be used, including:
Acute onset of inflammation in arthritis, severe symptoms, inability of drugs such as nonsteroidal anti-inflammatory drugs to control inflammation;
Patients have severe extra-articular manifestations such as vasculitis, myocarditis, pericardial effusion, interstitial pneumonia, etc.;
Low-dose hormones are used when slow-acting antirheumatics are not yet effective, and slow-acting antirheumatic drugs are gradually reduced when they are effective.
02 / Choose the right medicine
Prednisone, dexamethasone, and cortisone are all hormones, is there a difference? Of course, there is a difference, in fact, hormones are divided into three categories according to their efficacy, namely short-acting hormones, medium-acting hormones and long-acting hormones, the utility is from low to high, the risk of adverse reactions is also from low to high, suitable for rheumatoid arthritis treatment, is a medium-acting hormone, such as prednisone, methylprednisolone, triamcinolone acetonide, etc., and the well-known dexamethasone actually belongs to the long-acting hormone, and is not suitable for rheumatoid arthritis oral administration.
03 / Dosage to be correct
Patients with rheumatoid arthritis use hormones, to follow the principle of small doses, taking prednisone as an example, small doses refer to ≤ 7.5 mg / day, once in the morning oral, patients should not increase the dose in order to pursue efficacy. Low-dose use of prednisone also has a certain anti-joint destruction effect, the course of treatment can be as long as 2 years, but the use of hormones as short as possible, low amounts, the minimum dose per day can be as low as 2.5 mg.
Hormones can also be used by local injection, but it is necessary to pay attention to contraindications to puncture treatment, such as the presence of infection, uncontrolled hyperglycemia, etc., it is not suitable for puncture treatment. Moreover, the closure is not a random needle into the end, the operation should be sterile, to avoid infection, the operation should be correct, to avoid causing intra-joint damage, so to receive treatment in a regular hospital, and one treatment should not exceed two or three parts, the same joint two treatment intervals of at least 3 months.
Finally, hormones have the characteristics of drug withdrawal and rebound, so the drug reduction and drug withdrawal must be standardized, after the condition is stable, to reduce the dosage little by little, until the smooth realization of the drug stoppage, if the drug is stopped suddenly, it may lead to the recurrence of symptoms, which is the drug withdrawal and jump.