Rheumatoid arthritis is a serious illness, attracting the attention of doctors from different countries. The lack of clarity of the causes, the severity of the complexity of healing due to the importance of cooperation of doctors to study the disease. Clinical guidelines are developed by the Association of rheumatology with the aim of developing a unified scheme for the identification of disease, development of therapies, the use of modern medicines.
Rheumatoid arthritis in terms of clinical guidelines is described as a chronic disease. The disease causes the autoimmune response of the body bright change protective reaction caused by unclear reason. According to the ICD 10 symptoms of rheumatoid arthritis coded M05-M06 (belong to the class of inflammatory pathologies).
Patients, characterize severe pathological condition, which occurs in different ways in different stages. Clinical guidelines consider several periods of the disease:
Early detection of the disease increases the chances of stopping the pathological process. Medical staff are advised to seek help immediately after finding a suspicious of negative symptoms.
Clinic rheumatoid arthritis noted the following manifestations:
A distinctive feature of the disease is a manifestation of the symmetry of the inflamed joints. For example, inflammation on the right foot is accompanied by a similar lesion of the left limbs. Contact your doctor if symmetrical lesions immediately!
Survey of patients using x-ray show the presence of several stages:
An important condition for correct classification is the professionalism of the medical staff. Experienced doctor right klassificeret disease, will highlight the development of the disease, to clarify the symptoms.
Remember — a distrust of the doctor impedes the performance of treatment. In the absence of contact with the health worker should ask for healing to another specialist.
To make a proper medical report is quite difficult. Doctors are guided by the following principles of diagnosis of the disease:
Important! When inflammation of a joint do not expect changes in other joints! Do not delay treatment to the doctor, wasting time. Early treatment (preferably before six months of the disease) will give a chance for complete preservation of the quality of life of patients.
The doctor diagnosis of rheumatoid arthritis according to clinical recommendations is complex in several ways. Base productions medical reports serve as classification criteria described in the guideline. When doctors wary of the following symptoms:
Of joint damage employees assess on a five-point system. Unit is exposed in a situation of inflammation from 2 to 10 large joints, maximum 5 points the patient with multiple inflamed joints (at least 10 major joints, at least one minor).
Remember — a disease is striking slowly. The development of the disease is characterized by slow increasing pain for several months. Patients with the absence of prominent symptoms, but this symptom is alarming for the doctor. Be sure to track the intensity of negative symptoms, the frequency of manifestations of pain, strength pain.
Diagnostics allows you to specify a medical report by undertaking the following procedures:
Instrumental examinations complement the diagnosis. However, the results of this diagnostic is unlawful to put medical opinion. The presence of the disease must be confirmed by laboratory tests!
Of great importance for a correct medical report laboratory methods are:
Tests for antibodies and a test for the presence of rheumatoid factor is taken from the patient's vein. It is recommended to go to the lab in the morning, do not eat before testing. The day before visiting the laboratory is unacceptable to eat fatty foods, smoked products. Serum blood is able to clot, depriving the patient of the correct results.
Hearing that the disease cannot be cured, the sick feeling of emptiness, anxiety and hopelessness. To succumb to depression is not necessary — medical staff will help you to overcome the disease. Traditionally, chronic rheumatoid arthritis to treat through a comprehensive treatment:
The most difficult thing in the treatment of disease — selection of effective medicines. Predicting the impact of the drug on a particular patient is impossible. Doctors have to observe the action of the medication for about three months (the minimum time is about a month). The absence of the expected result of forcing to change the dose of medicines or change the drug.
A new method in rheumatology recognizes the use of genetic engineering. This group of drugs is genetically engineering designs that inhibit the atypical reaction of the body.
Hope for recovery of patients give injections of infliximab. Infliximab, a synthesis of human and mouse DNA, allowing contact with the negative factors, to neutralize immune responses to extinguish atypical reaction. The end result is the elimination of rheumatoid arthritis. A clear advantage of Remicade:
The disadvantages of the use of infliximab in treatment of rheumatoid arthritis:
The lack of funds for treatment — no reason to be sad. Through experimentation, medical staff give patients free heal. There is no possibility in the experimental group, taking part in testing new drugs. It is important to follow the news, study modern forums, to submit applications for pilot studies.
Biological medicines — another novelty in the field of the fight against disease. The main action of the medicines due to the establishment of specific links with protein molecules that suppress atypical reactions. Clinical practice guidelines for rheumatoid arthritis put forward a proposal to use the new biologic drugs for disease treatment.
The use of several biological medicines — big mistake. You should not consider drugs are harmless, you can mix different types, assign self-treatment. Treated only under the supervision of medical staff!
Rheumatoid arthritis is an extremely complex illness that requires careful treatment. Final healing is impossible, but current clinical guidelines allow you to extinguish manifestations of the disease, to minimize the negative effects, allow patients to enjoy life.