Diagnosis and treatment of rheumatoid arthritis

Everyone must be familiar with the disease of arthritis. Many people may be caused by the environment they live in all year round, or because of the hot weather. Many people always like to use air conditioning, which makes it easy to get rheumatoid arthritis. No matter what disease it is, there are many classifications, and the treatment methods are also classified according to the disease classification. So everyone wants to know how rheumatoid arthritis is diagnosed and treated?

1. Migratory arthritis caused by sepsis often has symptoms of primary infection, with positive blood and bone marrow cultures, a tendency for suppuration in the joint exudate, and pathogens being found.

2. Tuberculous arthritis usually affects a single joint, and is more common in joints that are frequently rubbed or weight-bearing by the hands.

3. Allergic arthritis caused by tuberculosis infection.

4. Lymphoma and granuloma.

5. Lyme arthritis, a disease transmitted by ticks.

6. Differentiation of gout. The incidence of gout has a clear increasing trend. In the early stages of gout, it is easy to be confused with arthritis and rheumatoid arthritis.

1. Medication

The principle of treatment is early diagnosis and early, reasonable, combined medication. Commonly used anti-rheumatic drugs are as follows:

(1) Nonsteroidal anti-inflammatory drugs can inhibit the synthesis of prostaglandins and quickly produce anti-inflammatory and analgesic effects. They are effective in relieving pain, but cannot change the course of the disease. Commonly used drugs in clinical practice include glucosamine hydrochloride granules, ibuprofen, penicillamine, diclofenac, aspirin, indomethacin, etc.

(2) Slow-acting antirheumatic drugs are mostly used for rheumatoid arthritis and seronegative spondyloarthropathy. It has a certain control effect on the disease but the effect is slow. Commonly used ones include gold mixture (intramuscular injection or oral administration), penicillamine, sulfasalazine, chloroquine, etc.

(3) Cytotoxic drugs produce immunosuppressive effects through different pathways. Commonly used ones include cyclophosphamide, methotrexate, and Jin Duchun. They are often second-line drugs for systemic lupus erythematosus, rheumatoid arthritis and vasculitis. Although they have more and more serious side effects, they play a big role in improving the prognosis of these diseases.

(4) Adrenal cortical hormones are anti-inflammatory and anti-allergic drugs that significantly improve the prognosis of connective tissue diseases such as systemic lupus erythematosus, but they cannot cure these diseases. Its numerous side effects increase with increasing dosage and prolonged treatment course, so when using it, its efficacy and side effects should be weighed and selected with caution.

2. Surgical treatment

Including different orthopedic surgeries, artificial joint replacement, synovectomy, etc. Surgery cannot cure the disease but can only improve joint function and ability to live better.

3. Bone marrow transplant

It does have significant therapeutic effects in treating rheumatoid arthritis. Autologous bone marrow transplantation, which restores the immune system to promote recovery, has achieved good results in treating childhood rheumatoid arthritis. The specific steps of bone marrow transplantation are: first extract the patient's bone marrow, treat the bone marrow with drugs and radiation to remove the T cells, then inject the treated bone marrow back into the patient's body, and use special drugs to promote the growth of the patient's bone marrow and restore the patient's immune system to normal function. It can prevent patients from suffering from the disease for several years, which is very important for children whose skeletons and joints are growing.

4. Other treatments

Physical, rehabilitation, vocational training, psychological and other treatments are an indispensable part of the comprehensive treatment of this type of disease.

Regarding the diagnosis and treatment of rheumatoid arthritis, we have given you a detailed introduction in terms of both diagnostic measures and treatment methods above. I hope this can help everyone. Rheumatic disease itself will cause great distress to patients, so you must find a treatment method according to your physical condition and get rid of the disease as soon as possible.