Expert's authority of rheumatoid arthritis explains

Expert's authority of rheumatoid arthritis explains


Comfortable autumn has come recently, it turns cool slowly, a lot of friends care rheumatoid arthritis is prevented and treated, often enthusiastic net friend phones the topic coming to consult about rheumatoid arthritis,etc. as a result, small to group into, invite Wang TianMing Professor with everybody of BJ Union Hospital discuss therapeutic method of rheumatoid arthritis mainly in today then. Everybody should understand, rheumatoid arthritis does not have a specific treatment yet so far because of its pathologic characteristic at first, still stay to the treatment of inflammation and sequela, adopt complex treatment, most patients can receive certain curative effect. The current and therapeutic purpose lies in: Control inflammation of joint and other tissues, relieve symptom; Keep the joint function and prevent the deformity; Repair the damaged joint in order to lighten pain and resume the function.
ManageIt is to relieve the joint and pain and prevent the joint from destroying, keep and improve the joint function to treat the purpose. Take different therapeutic method at different stages of disease, the concrete method is as follows,
First, drug therapy
1,Acetic acid hydrogenates and splashes the Buddhist nun to mix the dangerous liquid loose
Can make the injection in some synovial cavities, is suitable for some big single joint obstinate pathological changes, the injection 25- 50mg in the synovial cavity, prevent strictly from and is infected with and osseous and destroyed in the synovial cavity each time. Go the intersection of inflammation and relaxed and comfortable special the intersection of man and the intersection of second and sour ester, it is a that suitable for joint, give long-efficiency the intersection of cortex and steroids of medicine, quantity is 10mg, the knee joint is 30mg.
2,Adrenocortical hormone
The adrenocortical hormone swells and aches to the joint, control inflammation, antiinfectious analgesic effect is fast, but the result is not lasting, do not influence cause of disease and pathogenesis at all. Once medicines stop to recur promptly in short term. Have not been improving to RF, erythrocyte sedimentation rate and anaemia. It can cause the serious side effect, so the regular treatment of the non-performance to employ for a long time, only limited to serious vascular inflammation causes abarticularly to damage the persons who influence the important organ function, if eye complication have, cause, lose one's sight getting dangerous, the intersection of central nervous system and pathological change person, the intersection of heart and block, joint have the intersection of continuation and active slippery the intersection of membrane and inflammation wait for very short-term application, or not good through therapeutic effects such as NSAIDS, penicillamine,etc., symptom is serious, influence daily life, can add and use steroids of low dose of cortex on the basis of original medicine. If effective to write, can increase according to the circumstances, symptom should progressively from decrement to minimum keeping amount control.
3,Butterfly chants(MTX) ammonia first
There is immunity that inhibits and resists inflammatory function, can lower erythrocyte sedimentation rate, improve the bone to corrode, 5- 15mg skin note of every week or taking orally, it is a course of treatment in 3 months. The side effect is apocleisis, disgusting, vomits, oral cavity inflammation, depilates, leucocyte or blood platelet reducing, quality pneumonia and rash among the medicines. May become another relieving medicine selected for use following gold and penicillamine.

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