Hello to all of you from the health section of the Magical Fantasy Encyclopedia…
The subject of today’s health article is on rheumatic diseases.
As it is known, the probability of rheumatism in humans is quite high.
Those who suffer from rheumatism are very uncomfortable with this situation.
How is rheumatic disease treated?
Can rheumatism be treated?
questions like these are running through his head.
What is rheumatism?
The word meaning of rheumatism is of ancient Greek origin and means accumulation of inflammatory fluid in the joints with bad properties.
Rheumatic diseases are generally chronic (continuous) diseases. In other words, when a person is diagnosed with a rheumatic disease, that person must learn to live with the disease in a sense.
Rheumatism requires constant and regular doctor follow-up and drug use.
The involvement of muscles and joints as a result of chronic inflammation of the connective tissue in the body is called rheumatic disease.
While the exact causes of these diseases are not known, there is also an attack on the body’s own tissues and genetic predisposition.
The body’s war against its own tissues is called autoimmunity.
In most rheumatic diseases, a series of immunological events occur at the cellular level. Each of the rheumatic diseases creates a separate clinical picture.
What are the types of rheumatism?
The main existing rheumatic diseases are listed below;
Acute joint rheumatism
• Juvenile rheumatoid arthritis (JRA)
• Post-infectious rheumatism
•Systemic lupus erythematosus (SLE)
familial mediterranean fever (FMF)
•Behcet ‘s disease
What are the factors that trigger rheumatism?
The factors that can trigger rheumatism are not fully known.
Genetic structure plays an important role in rheumatic diseases.
People who are overweight can also experience rheumatism with wear on the joints. Extreme inactivity is very effective in some types of rheumatism.
Acute rheumatoid arthritis occurs following throat infections.
Gout, on the other hand, can occur when the serum uric acid level is higher than normal.
acute joint rheumatism;
Acute rheumatoid arthritis is a disease that usually occurs in children between the ages of 5 and 15 and is followed by a beta infection of the throat.
This disease occurs after throat infections that are not treated timely and appropriately.
There is swelling, redness, and pain in large joints such as the wrist, ankle, and knee. This condition, called arthritis, may be temporary. This disease may be accompanied by body rashes, fever may be high throughout the disease and sedimentation may increase.
Beta microbe is detected in throat culture. Cardiac rheumatism may develop during acute joint rheumatism. In cardiac rheumatism, the patient has a murmur and palpitation.
What is inflammatory rheumatism?
Rheumatism is divided into inflammatory and non-inflammatory. There are 3 different formation mechanisms in inflammatory rheumatism.
Microbes can reveal joint diseases. (such as staphylococcus, streptococcus, tuberculosis)
Inflammation can occur without germs. In rheumatoid arthritis, SLE, and ankylosing spondolitis, the body produces inflammation against its own tissues.
In gout, uric acid accumulates in the joint, causing inflammation.
Soft tissue rheumatism is called collagen tissue diseases. Disease symptoms are seen in many tissues, mainly skin and muscles.
What are the symptoms seen in rheumatic diseases?
Arthritis (joint swelling, redness, pain and loss of function)
• Percentage rash
• Hardening of the skin
How is rheumatism diagnosed?
The physician first listens to the patient’s detailed history. He asks if there are rheumatic diseases in the family.
He requests some rheumatic and genetic tests. If necessary, X-rays are taken. The treatment of rheumatic diseases is done by physical therapists and rheumatologists.
What are rheumatism drugs?
• Non-steroidal anti-inflammatory diseases
What is rheumatoid arthritis?
Rheumatoid Arthritis (RA) is an inflammatory rheumatism with a chronic course that mostly affects small joints such as hand and foot joints symmetrically, that is, mutually.
It can affect not only small joints, but also large joints such as knees, hips, and shoulders. It is one of the most common inflammatory rheumatisms in the world and is one of the rheumatisms that cause the most destruction and deformity in the joints.
Why does rheumatoid arthritis occur?
The origin of Rheumatoid Arthritis is actually unknown.
Although genetic predisposition is important for this disease, this is not the case in every patient.
In other words, not every individual with a genetic predisposition develops RA, and there is also the possibility of developing the disease even though there is no genetic predisposition.
Genetic predisposition simply means that the chance of being seen in these people is higher.
In summary, what can be said about its cause today is as follows: RA is a disorder that can occur in individuals with genetic predisposition, with the introduction of some unknown environmental and physical factors. Sometimes the factor that triggers the disease can be a great sadness, stress, microbial factors and other reasons, sometimes there is no triggering factor and it is not a contagious disease.
Age, breed, race, incidence and climatic factors
Although it can be seen at any age, it most often begins between the ages of 20-50. It is 2-3 times more common in women. It can be seen in every country and every race. The incidence may be higher in some breeds and less in others. For example, while this rate is 1 per thousand in South African natives, it goes up to 5 percent in some Native American communities. Research on the incidence of RA in seven European countries, including Turkey, continues.
Climatic features do not affect the occurrence or incidence of RA. In other words, there is no difference between being in a hot or cold area, or being in a humid or dry environment. Climatic factors probably do not affect the incidence of the disease, but may affect greater or lesser incidence of disease-related complaints.
How is joint involvement?
In particular, it holds small joints such as fingers and toes symmetrically, that is, mutually.
Pain in the involved joints is very severe and swelling accompanies the pain either initially or over time. Rarely, the initial onset may also be in large joints such as the shoulder, but over time, small joints are definitely involved and symmetrical small joint involvement is sought for diagnosis. The pain is worse at night and is characterized by prolonged stiffness or stiffness in the inflamed joints, especially in the morning.
Spinal involvement is not expected in RA, but some patients may have involvement of the vertebrae in the neck region, and in this case, severe pain will occur in the upper part of the neck and the back of the head. There may be a rapidly progressive deterioration in the involved joints, and if not treated appropriately, there is a high probability of developing advanced deformity (deformity) over time.
Inflamed joints become uncomfortable and damaged by excessive heat. In other words, excessive heat will increase joint complaints. Therefore, spas are not recommended for such patients.
In addition, applying local cold to newly swollen joints can be comforting.
Is there any internal organ involvement?
As with every chronic disease (diabetes, hypertension, etc.), if not treated, some internal organs may be affected in RA over time. However, there is no obvious internal organ involvement as it is exaggerated by some segments and imposed by the media and media. It is not clear enough whether the involvements depend only on the characteristics of the disease, or whether they result from chronic drug use, or whether the emergence of other disorders is facilitated in these patients who are increasingly condemned to an inactive life.
How is RA treated?
Early diagnosis and early treatment are very important. In this respect, the longer it is delayed, the more difficult it may be to control the patient or the patient may have acquired irreversible damage.
Some drugs (biological agents) released in recent years have provided significant well-being in a significant proportion of patients, and new treatments are coming every year. However, it should not be forgotten that all these treatments do not eliminate the disease, but provide a goodness that is effective only as long as it is used.
Another thing to know about treatment is that the treatment is not the same for every patient.
Different treatments will be applied according to the patient’s condition or the severity of the disease. It is the duty of the physician to find the most appropriate treatment for a particular patient.
Just as being untreated is harmful, the side effects of drug treatments are another problem.
However, this does not necessarily mean that every patient will have side effects of the drug. Many side effects can be avoided thanks to good doctor-patient cooperation. The main problem here is that the patient unconsciously and uncontrollably uses drugs randomly or does not comply with the given treatment and control scheme.
Medication doses must be followed as prescribed by the physician and attention must be paid to nutrition.
Patients with RA have been trained for many years by Physicians and Rheumatology clinics affiliated with Physical Therapy, who know how to approach musculoskeletal system problems as a whole, and who, with the experience of treating these patients for years, determine the benefit/harm ratio that should always be considered in treatment. they are treated.