Rheumatoid arthritis treatment options.

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rheumatoid arthritis treatment options  

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Arthrosis

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Rheumatoid Arthritis

Rheumatoid arthritis treatment options.


The principles of treatment of rheumatoid arthritis
 

Cure Rheumatoid arthritis is not easy. Strictly speaking, to achieve a complete cure of the disease can in very rare cases, because most used in medicine today has only a symptomatic effect. Such drugs eliminate the manifestations of the disease (pain, inflammation of the joints), but no effect on its causes.

For example, as a means of first aid for joint pain using non-steroidal anti-inflammatory drugs (NSAIDs): flexion, diclofenac, indomethacin, piroxicam and other NSAIDs brufen able to make life easier for the patient, while rheumatoid arthritis treated with some non-steroidal anti-inflammatory drugs is impossible.

NSAIDs act precisely in the period of their application, without the express scope of the future. And as with rheumatoid arthritis take medications have a long time, "classic" non-steroidal anti-inflammatory drugs can cause various side effects. Most often, they have a negative effect on the stomach, causing in some cases the development of gastritis or peptic ulcer disease.

Fortunately, the development of pharmacology is not standing still, and scientists have developed a new group of non-steroidal anti-inflammatory drugs - there were so-called "selective" anti-inflammatory drugs. Selective NSAIDs (drug Movalis) are much milder "classic" and much less give any complications. Movalis with rheumatoid arthritis in most cases can be used for a long time, for several months and sometimes years, with minimal risk of side effects.

In addition to NSAIDs, to provide rapid assistance to suffering from rheumatoid arthritis, many doctors, especially overseas, do not hesitate to prescribe anti-inflammatory corticosteroid hormones (prednisone, metilpred, hydrocortisone, etc.).

The use of such hormones is almost always helps to clear improvement in the patient's condition. Immediately reduced joint pain, morning stiffness disappears, weakness and chills. Naturally, for such a quick result of any patient is ready to pay money, not small - that is the main stimulus of Western medicine.

Unfortunately, patients receiving corticosteroid hormones are often unaware that they are powerful enough to hit all the body's systems. Because corticosteroids - hormones of stress. And while the patient is taking these hormones, it is good. But it is necessary to cancel or reduce the dose of the disease on the human begin  literally double or triple the force. In addition, these hormones have a huge number of contraindications, and in addition, they lower the immune system.

So, before you assign a patient to hormone therapy, the physician must weigh three times what would be more of such treatment - of harm or benefit.

You can ask me if the anti-inflammatory and hormonal relieve pain and inflammation only in the period of their use, are just "on now", what then should try to cure the patient?

The main treatment for rheumatoid arthritis are the so-called basic drugs. They act on the ground, generating the disease, its "base." Apply these tools with an eye to the future, based on their ability to influence the causes of disease and terminate its development. But we must bear in mind that, unlike hormones and NSAIDs do not provide basic drugs momentary positive effect, that is, they do not eliminate the symptoms of the disease in the first days and weeks of medication. As a rule, they are able to act, not earlier than one month - in this major drawback of basic drugs.

At the present time as a basic therapy using drugs more often than the five groups: gold salts, antimalarial means the antimicrobial drug sulfasalazine, penicillamine and immunosuppressive tools.

Preparations of gold (krizanol, auranofin) - the most popular group of rheumatologists at the basic drugs for the treatment of rheumatoid arthritis. Preparations of gold bring substantial relief of about 70% of patients, but a third of patients may experience complications during treatment of rheumatoid arthritis: an allergic skin rash, inflammation of the mouth, blood oppression and degradation in the kidneys.

D-penicillamine (kuprenil) is usually given in cases where the patient does not bring zolototerapiya facilitate the preparations of gold, or when necessary to cancel due to adverse reactions. However, D-penicillamine is as effective as drugs of gold, quite a toxic drug, which is significantly more likely to cause complications. They usually occur in the first two months of medication, but, fortunately, quickly disappear after discontinuing the drug.

Complications may occur rash, upset the stomach and intestines, inflammation of the kidneys, jaundice, arising due to stagnation of bile, as well as changes in the blood. Therefore, when using D-penicillamine as a "reference" means the patient must at first once a week and blood tests every two weeks - the analysis of urine. It is important to note that the D-Penicillamine is contraindicated in pregnant women and those patients who have diseases of the blood and kidneys.

Sulfasalazine (salazopiridazin) - an antimicrobial agent, is somewhat less effective than the drugs of gold, but successfully competing with D-penicillamine, especially since it is much better tolerated than these drugs. Side effects of sulfasalazine developed in only 10 - 20% of patients, and these complications are never heavy. They occur mainly in the disorder chair and a rash.

Detract from the dignity of the drug only a slow development of its therapeutic effect. Improving the treatment of rheumatoid arthritis sulfasalazine are usually noted only after three months of therapy, and the "peak form" is achieved after six months, after which the treatment of rheumatoid arthritis sulfasalazine finish.

Anti-malarial drugs and Plaquenil delagil once used to treat infectious disease dengue fever (malaria). However, in the twentieth century, they drew attention to rheumatologists. They noticed that for very long-term use delagil and Plaquenil can affect the activity of rheumatoid process.

Although the efficacy of these drugs is not very high and they act slowly, we are forced to use them today, and feel as the relative scarcity of antirevmatoidnyh. Indeed, sometimes there are situations when other basic facilities and tried unsuccessfully canceled because of inefficiency or of major side effects. It was then necessary to use even weaker, but still have a specific action antiartritnym delagil and Plaquenil.

Perparaty cytotoxic, or so-called immunosuppressants (metotreksant, azathioprine, cyclophosphamide, hlorbutin, leykeran) rheumatologists have borrowed oncologists. Cytotoxic drugs used in oncology for the suppression of the immune system and inhibition of cell division, including cancer. Moreover, cancer patients, these drugs are prescribed in large doses, which leads to a lot of complications. In this regard, both doctors and patients are very wary of the use of cytotoxic drugs, for fear of severe side effects.

But when it comes to the use of these drugs in the treatment of rheumatoid arthritis, the risk is clearly exaggerated, because in arthrology cytostatics used in much smaller doses than in Oncology - about 3 - 10 times smaller! Such small amounts of immunosuppressive drugs often cause side effects, but the therapeutic effect is often significant. The use of cytotoxic drugs helps at least 70% of patients with the greatest benefit drug brings suffering from rapidly progressive severe rheumatoid arthritis.

Side effects are possible with 15 - 20% of patients, and are rarely severe. Most often it is an allergic rash, a feeling of "chills" in the skin, upset the chair and moderate disturbances of urination. All these signs usually disappear after drug withdrawal.

If everything is in order and the patient can easily tolerate cytotoxic therapy, we can expect a marked improvement, being within 2 - 4 weeks after initiation of treatment of rheumatoid arthritis.

Rheumatoid Arthritis. Causes of rheumatoid arthritis.


For the treatment of rheumatoid arthritis


So, there are five groups of basic drugs for treatment of rheumatoid arthritis. Their advantages and disadvantages, we have just considered. But what is the drug preferred in each case? That this question can be answered only by your treating rheumatologist. Only he knows (or at least should know), when and how a basic tool to apply in your case. Although the lack of basic facilities is just that it is difficult to predict with absolute probability, will give a cure for therapeutic effect. Only a month or two of the drug can be an answer to this question. And if the drug does not work, we have to change it again and wait for the result of a month or two.

Thus, the selection of basic therapy often takes four - six months. The term, of course, extremely long for the ailing person, but you have to humble ourselves - no other choice we have. You can, however, try to improve the patient's condition at this time with a local impact on the joints. For this purpose, apply Dimexidum applications, laser therapy, cryotherapy, and intraarticular administration of corticosteroid hormones.

Applications to Dimexidum applied to the most inflamed and painful joints. In patients with rheumatoid improvement is noted after 6 - 7 days of therapy Dimexidum and becomes even more pronounced after two weeks of a series of applications. In total, the positive effect is expressed in 80% of patients.

Intraarticular injection of corticosteroid hormones (kenalog, hydrocortisone, diprospan, flosterona) helps the patient through a period of particularly acute inflammation of individual joints. For intraarticular injection hormones quickly relieve pain and reduce inflammation of the joints, but usually lack of therapeutic effect for only two - three weeks. Then again the inflammation begins to slowly increase.

Attention! It is desirable to hold no more than two - three injections of corticosteroids in every joint. In addition, we must remember that not too much to get involved injections of hormones to make them too often - in other hormones will have a negative impact on the entire body. Therefore, the intervals between such treatments should not be less than 7 - 10 days. But, of course, intra-articular injections can make life easier for the patient, even in severe cases of rheumatoid arthritis.

Cold Laser therapy for rheumatoid arthritis has a mild anti-inflammatory effect. Laser is used as a separate treatment of rheumatoid arthritis and in combination with basic therapy.

Quantum laser-irradiated joints are not the patient, and the region of the cubital vein - that is, the radiation effect on the blood circulating inside the body. It is believed that after the laser irradiation of blood in the body there are a variety of positive changes: normal immune system, improves blood flow to organs and tissues, decreases inflammation and suppresses any foci of infection.

The most favorable results have been reported in patients with indolent, mild form of rheumatoid arthritis. In severe forms of the disease is not very effective laser

The treatment of rheumatoid arthritis is made up of 15 - 20 procedures in a day.

Cryotherapy (freezing treatment is local) has been successfully used in both acute and chronic phase of rheumatoid arthritis. The treatment is virtually harmless and has no contraindications, unfortunately, it is expensive. Improvement after cryotherapy is marked at 60 - 70% of patients with rheumatoid arthritis.

The rest of physiotherapy, including massage, carried out only when the pass exacerbation of rheumatoid arthritis and blood counts will come back to normal. Only do physical therapy at normal body temperature, blood tests, and good in the absence of redness and swelling of the joints.

 

Arthritis treatment for Vityas cold laser

For the treatment of arthritis, modern medicine uses cold laser therapy. The effectiveness is verified in practice. The use of home medical laser - Vityas cold laser for the treatment of arthritis will help you to feel again the joy of life and health.

1.1 arthritis,  arthrosis

1.2  ARTHRITIS,  GONARTHROSIS

1.3   ARTHRITIS,  HIP  JOINT ARTHROSIS

1.4  ARTHRITIS,  RADIAL  WRIST  JOINT  ARTHROSIS

1.5 ARTHRITIS,  ARTHROSIS OF PHALANGES OF  HAND  AND FOOT

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The photo shows the course ARTHRITIS,  ARTHROSIS OF PHALANGES OF  HAND  AND FOOT for using a Vityas cold laser.

 

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Rheumatoid Arthritis. Rheumatoid arthritis overview. Causes of rheumatoid arthritis.

 

Quantum laser therapy information

 

Arthritis. Arthritis treatment for Vityas cold laser.

 

Laser therapy - treatment of quantum cold laser.

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1 TRAUMATOLOGY and Quantum therapy laser acupuncture Vityas:

 

1.1 arthritis,  arthrosis

1.2  ARTHRITIS,  GONARTHROSIS

1.3   ARTHRITIS,  HIP  JOINT ARTHROSIS

1.4  ARTHRITIS,  RADIAL  WRIST  JOINT  ARTHROSIS

1.5 ARTHRITIS,  ARTHROSIS OF PHALANGES OF  HAND  AND FOOT

1.6 CALCANEAL SPUR

1.7 OSTEOCHONDROSIS OF BACK BONE, RADICULITIS

1.8 NEURODYNIA

1.9 BONE FRACTURES

1.10 CONCUSSIONS, hydradenites

1.11 OPEN WOUNDS

1.12  TROPHIC  ULCER, LONG  OPEN  WOUNDS, DECUBITUS

1.13 HUMEROSCAPULAR PARASYNOVITIS

1.14 MYSITIS, PERITENDITIS, SPRAIN

2 SKIN DISEASES and cold laser device Vityas:

2.1 DERMATITIS, ECZEMA

2.2 FURUNCULOSIS, VERRUCAS

2.3 HERPES OF SKIN AND GENITAL ORGANS

2.4 WRINKLES

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1.1   ÀRTHRITIS,  ÀRÒHROSE

1.2  Gonitis,  Gonarthrose

1.3  Koxitis,  Koxarthrose

1.4 Arthritis -, Arthrose des proximalen Handgelenkes

1.5  Fingerarthritis, Fingerarthrose

1.6   Fersensporn

1.7 Osteochondrose, Radikulitis

1.8   Neuralgie

1.9 Knochenbruch

1.10 Schweißdrüsenabszeß, Kontusionen

1.11 Îffene Wunden

1.12 Trophisches Geschwür, Dekubitalgeschwür, Wunden  mit der grossen Heilungsdauer

1.13 Duplay Krankheit

1.14 Myositis, Tendovaginitis, Muskel- und Sehnenzerrung

 

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Vityas cold laser-Rheumatoid arthritis treatment options.

Rheumatoid arthritis treatment options.