With age, the body's joint cartilage will inevitably degenerate and wear, and the degeneration of cartilage begins after the age of 20 and accelerates after the age of 35. Therefore, it is particularly important to pay attention to the maintenance of joints and delay arthritis diseases.
Pocket Medical News specially invited Professor Duan Ting, Director of the Department of Rheumatology and Immunology of Beijing Friendship Hospital affiliated to Capital Medical University, and Professor Mu Xiaohong, Director of the Department of Orthopedics of Dongzhimen Hospital of Beijing University of Traditional Chinese Medicine, to jointly broadcast live to answer questions related to arthritis:
1, why is osteoarthritis chronic, arthritis in the past and present lives.
2. Why are women more likely than men to get arthritis?
3. Are bone spurs a manifestation of joint aging?
4. How to self-test whether you have arthritis?
5. Can osteoarthritis be cured?
6. What are the common treatment drugs for osteoarthritis?
7. Is ammonia sugar useful for joints?
8. Can the three high people eat ammonia sugar?
9. Do people who regularly exercise need to eat ammonia sugar?
10. Do immonia sugar and chondroitin need to be eaten together?
11. Is there anything special about the daily diet of arthritis patients?
First, why osteoarthritis is chronic, the past and present lives of arthritis.
Osteoarthritis is a degenerative joint disease that has a very large relationship with age, just like the hair turns white, the skin is loose and wrinkles appear on the face, which are all natural processes. Therefore, if you have osteoarthritis, don't be afraid, don't worry in particular, we have to face it squarely and face it. From birth, our joints, including muscles, ligaments, and surrounding tissues, are very normal. Over time, as well as the use of joints (running, jumping, going upstairs, going downstairs, climbing mountains, etc.) joints slowly appeared some problems, the earliest problems are the wear and tear of cartilage, and then serious joint swelling, effusion, and finally lead to the loss of joint function. From the age of 30, I began to pay attention to the functional problems of the joints, not to the end, all swollen, effusion, and even unable to move, can not get out of bed, only to remember the maintenance of the joints, so it is too late. It is crucial to recognize the importance of your joints early on.
Why are women more likely than men to get arthritis?
After the age of 45, the level of estrogen declines, and after the age of 50, the decline is obvious, and the estrogen itself has a very good protective effect on the joints and muscles. Entering menopause, problems with the joints and muscles stand out. Men generally have greater muscle strength than women, and strong muscle strength has a very good protective effect on joints. Therefore, women are still more likely to see osteoarthritis. Other congenital factors, such as hip dysplasia, are more common in women. For example, the ligaments of women's joints are more likely to loosen, so women are indeed more likely to get osteoarthritis than men.
3. Are bone spurs a manifestation of joint aging?
Bone spurs are a manifestation of osteoarthritis, how is it formed? With age, the most common is osteoporosis, osteoporosis after the bone to withstand the same force and action, this time more calcium in the bone deposition, deposition after the formation of bone spurs, this is the body's compensatory function is not terrible. Bone spurs grow in a position of frequent activity, when the joints move, you will feel pain, and sometimes bone spurs grow in some places that are not very close to the joint movement, and there are no symptoms. So what about bone spurs? Surgery, plasters, etc. do not have much effect, and it will take longer to remove surgery. So bone spurs are a natural process of chronic joint aging.
How to judge which stage of osteoarthritis you are in?
Osteoarthritis is divided into three degrees, mild, moderate, and severe. How to distinguish these three degrees? First of all, if you go up and down the stairs, the knee joint is uncomfortable and painful, it is mild osteoarthritis. What does moderate look like? Moderate is squatting, for example, the patient squatted to stand up, in the process of knee joint pain, is moderate osteoarthritis. So what is heavy? It is the pain of the knee joint that appears on the flat road, and it has reached a severe degree. Osteoarthritis is a gradual process that develops from mild to severe. The cartilage of the joints is getting worse and worse, and even causes the joint space to become more and more narrow until the joint space disappears, at this time walking can appear pain, very uncomfortable, some people are bedridden can not stand up and walk.
Can osteoarthritis be cured?
Joints you have to use sparingly, this sentence is very critical. Arthritis is a chronic natural development of a process. There is no cure. It is very critical to pay attention to protecting it and maintaining it from mild to moderate and finally to severe. The joints should be used sparingly, if it is to the extent of osteoarthritis, then climb the mountain, go upstairs and downstairs and have an elevator, and do not go up by yourself. Climbing the mountain should also be minimized. For example, some people especially love to be clean, kneeling on the ground to wipe their home clean, then the action of kneeling is the most destructive knee joint, try not to do these postures that damage the normal structure of the joint, then try to protect it.
6. What is the ladder treatment of osteoarthritis?
Step therapy refers to a pyramidal treatment, which is a triangle. The bottom layer is also very important is the basic treatment, including the patient's education, muscle exercise. The second stage in the early stage of arthritis, it is necessary to treat drugs, while adding some basic treatment, such as pain everywhere to find painkillers, painkillers do not cure the symptoms, can improve symptoms, but the problem of the joint itself is still not treated, in addition to painkillers, there are often used glucosamine, as well as joint cavity puncture hormone drugs. When it comes to moderate osteoarthritis, it is necessary to do surgical arthroscopy, cartilage repair, etc. At the top of the pyramid, it is severe, and severe is to consider replacement in the case of complete loss of joint function. At this time, it is still impossible to forget that there are drug treatments, there are basic these treatments. This is what we call ladder therapy.
7. What are the common treatment drugs for osteoarthritis?
Painkillers such as futarin, like Fenbide, are often exposed to and can be bought in pharmacies. But these drugs are symptomatic, temporary pain relief, and fundamental protective effects on the joints are not. And painkillers also have certain side effects, such as side effects on the gastrointestinal tract. There is also a class of drugs, which are drugs with very great benefits for this bone and joint, that is, glucosamine, which is divided into hydrochloric acid and sulfuric acid, and the side effects of crystalline amino sugar sulfate are relatively small, and they are also used a lot in clinical practice. Its role is to really be able to reduce inflammation and pain, to be able to repair cartilage, because cartilage destruction is one of the first problems that occur in osteoarthritis. Long-term use of the joint space will not become narrower and narrower, but will also improve. So glucosamine sulfate is the cure.
8. Is ammonia sugar useful for joints?
At present, the best clinical use is glucosamine sulfate, which is crystalline. A large number of clinical patients have received good results. So what are the effects of true glucosamine on joints? First, inhibition of inflammation, pain and swelling are all related to inflammation. Second, lubrication repair joints, glucosamine sulfate can repair this constantly worn joint cartilage. So we say crystalline glucosamine sulfate, to achieve its curative effect.
9. Do amino sugar and chondroitin need to be eaten together?
Glucosamine sulfate is really an anti-inflammatory and pain-relieving effect. Chondroitin sulfate is clinically, especially in hospitals, as if we have not used it, and may belong to the category of health supplements in pharmacies. Glucosamine sulfate can delay the degeneration of cartilage, and it is very clear to delay the aging of joints. The world's authoritative journals, the study of glucosamine sulfate are confirmed. Chondroitin sulfate is only used in combination with glucosamine sulfate, which may have some effects, but the effect is not very certain. The crystalline glucosamine sulfate, which has been clinically validated for more than 30 years and recommended by authoritative guidelines, is used all over the world.
10. When is the best time to start eating ammonia sugar?
The amount of ammonia sugar in the body, when it is peak, is 25 to 30 years old. After the age of 30, it gradually declines, so when will the joints be protected? Of course, if there is a condition, the sooner the better, our joints are well protected, and its life span is naturally longer. Glucosamine sulfate should be used as early as possible, but also to be applied regularly, generally speaking, it should be about 1500 mg per day, and it should be supplemented for three months a year. It is not that three months must be eaten continuously, continuous eating is better, but also can eat enough for three months throughout the year. Rheumatoid arthritis we advocate even eating enough for half a year. Everyone also asked, glucosamine hydrochloride and glucosamine sulfate, which is better, in the clinic also used a lot of patients, then feel that glucosamine hydrochloride gastrointestinal response seems to be larger, . Glucosamine sulfate diabetes mellitus, high blood pressure can be eaten.
First, why are our knee joints often afraid of cold and wind?
The knee joint is our weather protector, and the joint cartilage defect causes an inflammatory response that irritates the blood vessels in our joints and causes the sensitivity of the blood vessels. For example, the cold climate causes the muscles around the knee joint to contract and the blood flow to slow down, resulting in joint stiffness, mobility disorders, and causes pain in the knee joint. As Chinese medicine says, if you don't close it, it doesn't work, and if you don't understand it, it hurts. Cold irritation causes an increase in the viscosity of the synovial fluid in the joints, which also leads to poor movement, stiffness of the joints, causing pain. Therefore, the warmth of the knee joint is very critical.
Second, is the joint bouncing sound normal?
The bouncing of the joints is physiological and pathological. Physiological pops are some crisp noises when active, which is not accompanied by joint pain, mainly changes in the joint structure when the joint is moving rapidly. It causes some changes in the pressure of the joints, and there are some noises, which is a normal physiological phenomenon.
3. How to self-test whether you have arthritis?
Three signals, the first is that we often sit for a long time or lie for a long time, when standing up, the joints cannot move like stuck, but it is okay to move slightly, at this time to give you a signal, the joints may have problems. The second signal is that when you go up and down the stairs, you will feel discomfort in the knee joint, and even pain. Sometimes it may even be soft, which also indicates that you may have a problem with your knee joint. The third signal will appear some non-specific bouncing of the joint, and with the bouncing there will be pain or functional disorders, and even local swelling pain, which also indicates that you have problems with your bones and joints, indicating that you have metamorphosis, and you need to see a doctor at this time.
Fourth, what you think of as "rheumatism" is actually osteoarthritis.
Rheumatism is an immune disease, and we will see a large number of such patients in rheumatism clinics, which are characterized by wandering, symmetry, and a gradual aggravation. Osteoarthritis patients have another feature, he is the transformation of cartilage led to the shedding of cartilage, its pain is not symmetrical, often because of excessive exercise, chronic strain appeared some external forces, external stimuli to appear this symptom. There is still a big difference from rheumatic immune diseases. Patients with osteoarthritis often have causes of obesity, metabolic diseases, excessive chronic strain, trauma and so on. Arthritis acute attack pain unbearable what do we do?
First of all, for its triggers, we can choose oral anti-inflammatory and analgesic drugs. Secondly, apply the plaster externally to activate the blood and dissolve the stasis and relieve pain. We should pay attention to reducing exercise and paying attention to rest.
5. Is osteoarthritis ammonia hydrochloride or sulfate?
Glucosamine is an amino monosaccharide that is involved in the regeneration of articular cartilage. Sulfate is an important component of protein synthesis in the body. Glucosamine sulfate it has a good feature does not hurt the stomach, it has a relatively small stimulation response to the gastrointestinal tract, we often use a small yellow box clinically, crystalline glucosamine sulfate.
Sixth, how long should I eat ammonia sugar, and can I eat it for a long time?
Osteoarticular metamorphosis is a chronic disease, is irreversible, its repair is also a chronic process, glucosamine can protect the articular cartilage, clinically generally two to three months for a course of treatment, the effect of using more than one year will be more stable, so glucosamine it can be used for a long time.
Do people who regularly exercise need to eat ammonia sugar?
Most people have fitness habits, excessive, improper exercise of our joint cartilage damage is still relatively heavy. It increases the load on our joint cartilage and accelerates its metamorphosis. At this time, it is necessary to properly supplement glucosamine, which can promote the repair of joint cartilage, prevent and alleviate the degree and process of metamorphosis, so people who are fit also need to supplement glucosamine. Here, I would like to remind that appropriate, standardized fitness exercises can play a certain protective role in our cartilage.
8. Do people with high BMI also eat ammonia sugar?
The higher the BMI value, the fatter it is. The increase in body weight is an increase in the load on the joints, which aggravates the metamorphosis of the joint cartilage and also increases the aging of the joints. What do we do at this time? Timely replenishment of glucosamine promotes the repair of cartilage, prevents and slows down the process of joint metamorphosis. Therefore, people with high BMI values should eat ammonia sugar, and weight control is an effective way to prevent osteoarthritis.
Can people with three highs eat ammonia sugar?
Its glucose content is very low, as long as it is used under the guidance of the doctor, according to a certain amount is a reasonable amount to use, there will be no impact on the patient, so the three high patients can eat ammonia sugar.
10. Is there anything special about the daily diet of arthritis patients?
From the perspective of inflammatory reactions, high sugar and high fat are easy to aggravate inflammatory reactions, so in the daily diet we must choose low salt, low fat, low sugar, which is to reduce the inflammatory reaction, will slow down the onset of osteoarthritis. Eat more fruits and vegetables, but also pay attention to a comprehensive diet, it is helpful for the transformation of bones and joints. Also pay attention to bad habits, such as excessive smoking and drinking, which also stimulate the inflammatory response. From the perspective of Traditional Chinese medicine, the main bone of the kidney, liver and kidney deficiency is the main factor in the occurrence of osteoarthritis. Therefore, it is very important for osteoarthritis to supplement the liver and kidneys. In addition, osteoarthritis belongs to the paralysis of Chinese medicine, which is caused by the invasion of wind and cold and wet evil, and it is very critical to avoid wind and cold in daily life.
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