27 Aug 2011

Understanding Diseases/Rheumatoid Arthritis

Rheumatoid arthritis an inflammatory disease that can start at an early age (from age 20) and whose cause is unknown.  
Their main target is the synovial tissue (covers or "lining" to the joint), suffers from the 1% of the population and can lead to disability and major limitation if not diagnosed or treated. 
Chronic joint disease characterized by involvement of muscles, tendons and cartilage. Sometimes the eyes and blood vessels are affected. It is three times more common in women than in men, aged between 20 and 60, with a point of greatest incidence between 35 and 45.
CAUSE
Unknown, but probably autoimmune origin.
SYMPTOMS
The most characteristic symptoms are: redness, pain, heat and hardening and deformation of any of the joints of the hands, hips, elbows, feet or knees, so symmetrical, starting with the small joints of the hands. Tenths of temperature. Numbness morning of the joints, which is yielding to the activity. nodules under the skin and joint deformities, Fatigue.
RISK FACTORS
Personal or family history of rheumatoid arthritis or other autoimmune diseases.
Women between 20-50 years.
PREVENTION
There are no concrete measures, ignoring the root cause.
DIAGNOSIS AND TREATMENT
Diagnostic blood tests. Radiology. Arthroscopy with biopsy in exceptional cases. Treatment gloves to keep the heat at night. Treating pain with dry or moist heat. Hard mattress or placing a board over the mattress (or mattress sheets or known "bodyguard.") Exercise bound, unless there is low-grade fever, then to rest until they drop. Physical therapy can help improve the condition. Sleeping 10-12 hours and not getting too tired. Medication non-steroidal anti-inflammatory drugs, aspirin and other salicylates, gold salts and immunosuppressive provided by prescription and under close medical supervision, the side effects of these drugs. Cortisone is effective for short periods to relieve pain, but causes more side effects and does not prevent the degeneration of the joints.
Regarding the best time to go to consultation by a joint problem, recommended when:
Muscle pain or arthritis in a sudden and intense back or other joints, and prevent the development of normal activities.
There is discomfort in joints still being tolerable persists for long periods of time (weeks or months), or progressively more intense and limiting (when pain prevents feet or knees down stairs, for example).
Joint inflammation appears with other complaints, including fever, malaise, fatigue, hair loss, skin sensitivity to sun and dry eyes or mouth.
They have problems with arthritis or discomfort in muscles or skeleton only controlled with medication and have not been assessed recently by a specialist.
The results of any lab tests suggest a rheumatic disease, which has not led therapy.
A woman at age close to menopause or after it has received attention and surveillance to monitor the health of your bones and joints.
POSSIBLE COMPLICATIONS
Impaired vision.
Deformities permanent limbs.
Digestive problems by medication.
The disease can be mild or severe.
It is incurable, but the decrease in pain and disability prevention may be possible with early diagnosis and appropriate treatment.
75% of patients on a very considerable improvement. 5-10% does not despite it.

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