Hello, first, in the early stage of rheumatoid arthritis, palliative treatment is the main method, and most cases can achieve the expected results. Second, different patients should choose different drugs and doses to determine the best treatment plan. Third, a drug must be tried for a long time (2 to 4 weeks) at the appropriate dose before its efficacy can be evaluated or other drugs can be considered for replacement. Four, such as active rheumatoid arthritis, although the basic palliative treatment for enough time, the symptoms are still not significantly improved, especially when the condition is still developing (bone erosion, subcutaneous nodule formation, systemic lesions), disease relief drugs should be added. At present, methotrexate is widely used, but some people advocate that hydroxychloroquine should be tried first, and then gold preparation, penicillamine, methotrexate and azathioprine should be used.
2. How to treat rheumatic heart disease?
Rheumatic heart disease, referred to as rheumatic heart disease, refers to heart disease involving heart valves caused by rheumatic fever.
It is characterized by stenosis and/or dysfunction of one or more valves in mitral valve, tricuspid valve and aortic valve. There are often no obvious symptoms in the initial stage of illness, but in the later stage, it is characterized by palpitation, shortness of breath, fatigue, cough, limb edema, coughing pink foam sputum, and death due to heart failure.
Others died of arterial embolism and cerebral infarction. "Is rheumatic heart disease better treated by drugs or surgery?" To answer this question, we must first have a comprehensive understanding of our own condition, and then make a comprehensive judgment according to our local medical conditions, economic affordability, desired treatment effect and so on.
1. The surgical treatment of rheumatic heart disease includes mitral valvuloplasty, valvuloplasty and valve replacement. It is suitable for different types of patients.
The cost of a single operation ranges from 30 thousand yuan to 6.5438+0.2 thousand yuan. The doctor of cardiac surgery will tell you whether it is suitable for operation, how risky the operation is and how much it costs according to the actual situation.
2. A large number of patients are not suitable for surgical treatment. For example, in patients with simple mitral stenosis, the balloon dilation effect is good, which can last for 5 to 8 years, but it is not suitable for this operation if the mitral insufficiency is complicated. 3. For patients with cardiac insufficiency, the risk of surgical treatment will increase. Traditional Chinese medicine conditioning or combination of traditional Chinese and western medicine can be used to make patients reach a better state before operation.
Some medical institutions exaggerate the propaganda and say that it is extremely irresponsible to use their own drugs to treat "better results than surgical treatment". The purpose and effect of surgical treatment and drug treatment are different.
Its indications are also different. 4. Surgical treatment is mainly to repair the structure of the heart to achieve the purpose of treatment, but surgery is also a traumatic treatment.
Drug therapy mainly aims at improving cardiac function, improving hemodynamic indexes and improving the overall function of human body. We believe that if the patient is young, has good cardiac function, has no obvious symptoms, and is within the scope of surgical treatment, the patient's economic conditions may be acceptable, so surgical treatment can be given priority.
If it is not suitable for surgery for the time being because of poor heart function, traditional Chinese medicine can also be used first, so that patients can reach a better state before operation. To sum up, surgical treatment and drug treatment are not contradictory, but can complement each other and learn from each other.
Surgical treatment can not be separated from the cooperation of drugs, and drug treatment can not completely replace surgery. Of course, if the patient cannot be treated surgically for various reasons, drug treatment can also achieve better results.
It should be said that whether the patient needs surgery or not, the treatment of traditional Chinese medicine can run through the whole treatment process. The treatment of acute pulmonary edema is similar to pulmonary edema caused by acute left heart failure, but the difference is that vasodilators and cardiotonic drugs, which mainly dilate arterioles, should not be used. When rapid atrial fibrillation occurs, cedilanid should be used to reduce ventricular rhythm.
When acute attack is accompanied by rapid ventricular rhythm, cedilanid is the first choice to reduce ventricular rhythm. Right ventricular failure should be treated with low-salt diet, diuretics and digoxin.
2. Mitral valve insufficiency 1) Medical treatment: pay attention to prevent rheumatic fever and infective endocarditis. Appropriate physical activity and rest, limit the intake of sodium salt, and prevent respiratory tract infection.
When heart failure is complicated, digitalis preparation, diuretic and vasodilator are used. 2) Surgical treatment: In order to restore the integrity of valve closure, artificial valve replacement should be performed before irreversible left ventricular dysfunction occurs.
3. Aortic valve stenosis 1) Medical treatment: prevention of rheumatic fever and infective endocarditis, and regular review. Moderate and severe stenosis limits physical activity and prevents angina pectoris, syncope and heart failure.
Limit sodium salt in heart failure, use digitalis preparation and use diuretics with caution. 2) Surgical treatment: Patients with severe aortic stenosis accompanied by angina pectoris, syncope or heart failure are the main indications for surgical treatment, and artificial valve replacement is the main method to treat adult aortic stenosis.
4. Aortic valve insufficiency 1) Medical treatment: prevention of rheumatic fever and infective endocarditis. 2) Surgical treatment: Artificial valve replacement is the main treatment for severe aortic regurgitation.
Traditional Chinese medicine treatment of rheumatic heart disease 1. Blood stasis is mainly manifested as palpitation, chest discomfort, frequent heartburn, even hemoptysis when coughing, purple cheeks, purple lips, dark tongue or ecchymosis. Treatment principle: promoting blood circulation and removing blood stasis, regulating qi and dredging collaterals. 2. Deficiency of both qi and blood is mainly manifested as palpitation and shortness of breath, dizziness and fatigue, dull complexion, poor sleep, red tongue and weak pulse.
Treatment principle: nourishing blood and heart, benefiting qi and calming the nerves. 3. Yang deficiency of heart and kidney is mainly manifested as palpitation, dizziness, chest fullness, cough and shortness of breath, and even inability to lie down.
Edema, short and red urine, tepid hands and feet, pale purple tongue and deep and thin pulse. Treatment principle: warming yang and promoting diuresis, and strengthening the body resistance with the left.
It is recommended that the above symptoms be examined and treated in the hospital. Rheumatic heart disease should be treated in time when there are complications such as heart failure, atrial fibrillation and cerebral embolism.
The following Chinese patent medicines can be selected on the basis of TCM syndrome differentiation: 1. Suitable for nourishing yin and blood, calming the heart and calming the nerves. You can eat Tianwang Buxin Dan and Zhusha Anshen Pill.
2. It is advisable to nourish the heart and spleen, warm the yang and replenish qi. You can take Guipi Pill and Bai Zi Yangxin Pill.
3. It belongs to the type of blood stasis, so it is advisable to replenish yang and qi, promote blood circulation and remove blood stasis. You can take Xuefu Zhuyu Pills, Guanxin Suhe Pills, and Compound Danshen Tablets.
Precautions 1. Don't do excessive physical labor, but don't rest passively. Take part in physical exercise regularly to avoid aggravating symptoms.
2. Don't overeat every meal, which will increase the burden on your heart. You should eat less and eat more. Food should be soft, digestible and light; Don't eat too much salt, and control the intake of sodium salt when heart failure edema occurs.
3. Avoid catching a cold and actively treat tonsillitis. - .
3. Kneel for all the knowledge about rheumatoid disease.
After the acute inflammation of rheumatoid arthritis is controlled.
That is to start joint function exercise. Because patients with rheumatoid arthritis have more involved joints and the recovery speed of each joint is different, it is impossible to adhere to consistency in joint movement.
Joint exercise can increase muscle strength and prevent joint contracture, stiffness and muscle atrophy. Exercise should be gradual and persistent.
Methods It can be determined flexibly according to the illness, such as bed exercise, resistance exercise, sitting exercise, standing on crutches, walking and so on. The amount of activities should be from small to large, the time of activities should be from short to long, the number of activities should be from less to more, the way of activities should be changed from passive to active, and the amount and intensity of activities should be gradually increased to a tolerable level.
1, properly strengthen physical exercise to speed up blood circulation and reduce local blood and inflammatory substances stagnation. 2, pay attention to personal hygiene and the law of life, don't wash and blow the electric fan with cold water immediately after sweating, sedentary people should exercise properly.
3. Reduce the number of sexual life appropriately. 4. Strengthen nutrition appropriately, and eat more protein-rich, digestible and hot things (fish, eggs, mutton, etc.). ).
5. When suffering from other diseases at the same time, drugs for treating other diseases can be added at the same time, and the time should be appropriately staggered for 30-60 minutes. 6. Don't go to the doctor and use drugs indiscriminately. Take medicine under the guidance of a doctor and stick to the course of treatment. Don't stop taking medicine at will. The prescription for treating acute rheumatoid arthritis is (1) 30~60g of willow branches, which are decocted in water.
(2) 30-60g of old mulberry branches and 0/0g of phellodendron amurense/kloc are decocted in water. (3) Rhizoma Atractylodis, Cortex Phellodendri each 9g, and Caulis Lonicerae 30g, decocted in water.
(4) decoct 30g of tender mulberry branches, 0g of Achyranthes bidentata10g, 0g of tetrandra root10g, and 30g of loofah sponge in water. (5) Caulis Sinomenii 15g, Radix Stephaniae Tetrandrae 10g, decocting in water.
(6) Add 30g of Saxifraga, 30g of Mulberry Branch, 5g of tender willow branch15g, and 5g of tender Sophora japonica branch15g and decoct in water for three times. (7) 30 grams of Polygonum cuspidatum, liquor 1 tablespoon, decoct the above drinks together, daily 1 dose.
(8) 90g of fresh honeysuckle. , roots and leaves, decocted in water for 3 times. (9) Boil 60 grams of Ficus pumila with water and sweet wine in half, add 30 grams of brown sugar to remove residue, and then mix.
The single prescription and prescription for the treatment of chronic rheumatoid arthritis are (1) 9 grams of Spatholobus suberectus, 9 grams of Caulis Piperis and 9 grams of Ramulus Cinnamomi, which are decocted in water. (2) Polygonum cuspidatum, mulberry root 30g each, jujube 10, decocted in water.
(3) Take 65,438 0.5g of Euphorbia humifusa and 65,438 0.5g of Prunus persica respectively and decoct them in water. (4) Caulis Trachelospermi, Radix Gentianae Macrophyllae, Herba Lycopodii, and Fructus Lipuidambaris 65438±02g each, decocted in water.
(5) Caulis Sinomenii, Radix Gentianae Macrophyllae and Caulis Polygoni Multiflori each 65438±02g, decocted in water. (6) Decoct 90g of Herba Siegesbeckiae, 60g of Atractylodis Macrocephalae and 60g of Coicis Semen with water.
What fumigation treatments are there for rheumatoid arthritis? Fumigation and washing therapy is to decoct traditional Chinese medicine, and then fumigate or soak the affected area with heat, so that the medicinal properties of the medicine can reach the affected area directly from the pores. It has the functions of expelling wind and cold, relaxing muscles and tendons and activating collaterals.
Mainly used for treating wind-cold-dampness arthralgia. Several commonly used formulas are introduced.
① Cortex Erythrinae, Ramulus Cinnamomi, Caulis Piperis Kadsurae, Fructus Lipuidambaris, Caulis Spatholobi and Zanthoxylum nitidum 30g each, decocted in water, 65,438 0 times a day, 20 minutes each time, and used continuously for 65,438 0 months (practical internal medicine prescription of traditional Chinese medicine). ② 20g of Radix Aconiti, 50g of Radix Angelicae Dahuricae, 50g of Notopterygii Rhizoma and Radix Angelicae Pubescentis, 65438±00g of Asari, 30g of Rhizoma Chuanxiong and Ramulus Cinnamomi, 60g of Radix Clematidis, Herba Lycopodii and Caulis et Folium Gaultheriae Yunnanensis are decocted in water for 2-3 times, each time for 65438 05 minutes, and 5-65438 00 days is a course of treatment (Guizhou Medical College
③ Decoct Folium Artemisiae Argyi and Carthami Flos 9g each, Caulis et Folium Gaultheriae Yunnanensis 30g and Zanthoxylum bungeanum 6g in water. 1~ twice a day.
④ Eupolyphaga Seu Steleophaga 12g, sappan 30g, spurge 6g, Rhizoma Drynariae 20g, decocted in water. 1~ twice a day.
⑤ Mulberry branches, willow branches, elm branches and peach branches are 70cm each, and the affected area is fumigated and washed with boiling water, 2~3 times a day. ⑥ 30g of speranskia tuberculata, 30g of cabbage and 30g of Millennium Health. Boil water and smoke the affected area twice a day.
What are the commonly used external plasters for treating rheumatoid arthritis? Rheumatoid arthritis in muscles, joints, meridians. External application of plaster can make medicinal properties enter the skin from fur, dredge meridians and activate bones and muscles, which is more beneficial than taking medicine. Commonly used plasters and their application methods are as follows: (1) Shangshi Zhitong Plaster (rubber plaster): It has the functions of expelling wind and cold, removing dampness and dredging collaterals, promoting blood circulation and relieving pain.
When in use, wash the skin with warm water and dry it, and then apply it to the affected area. Stick the plaster on the skin with your palm. Those who are allergic to adhesive tape, skin erosion and exudation, trauma complicated with suppuration should not be pasted.
Its effects are similar to those of Musk Tiger Bone Ointment, Qinghai Musk Ointment and Joint Pain Ointment. Either one can be used clinically.
(2) Dog skin ointment (plaster): It has the functions of expelling wind, dispelling cold, removing dampness, relaxing muscles and tendons, activating collaterals and relieving pain. When in use, the plaster is heated to soften and then applied to the affected part.
Its effects are similar to those of Wanling Jingu Ointment, Zhuifeng Ointment and Geranium Ointment. , you can also choose. (3) Wuling powder (powder): It has the functions of expelling wind and removing dampness, activating yang and promoting blood circulation, and relieving pain and swelling.
When in use, take appropriate amount of medicine, mix egg white with warm water or human milk and medicine to make paste, spread it on wax paper, and stick it on acupoints or affected parts. Pay attention to avoid catching a cold when using, and don't take it orally.
/kloc-Do not wash the skin patch with water for 0/0 days. Umbilical chakra, foot center and other places can not be pasted.
Children, weak and edema are prohibited. (4) Wuling powder (powder): It has the same effect as Wuling powder. When in use, it is mixed with Chinese liquor and applied to the affected part.
This powder can be used not only for external use, but also for internal use. 6g each time, take it with warm rice wine or warm boiled water.
What medicine is used to treat rheumatoid arthritis? External application therapy: this method is local or acupoint medication. Has the effects of promoting local blood circulation, dispelling cold and removing dampness, and relieving swelling and pain.
(1) 60g of Acorus calamus, 60g of fennel and 500g of salt, stir-fried, wrapped in cloth, and scalded the affected area. It is suitable for those with cold pain in limbs and joints, those with aggravated cold pain and relieved heat pain.
(2) Mashing Lycoris radiata, Zingiber officinale and Allium fistulosum, and externally applying to the affected area. Suitable for people with joint pain and fear of cold.
(3) Mash 3-5 pieces of fresh Rhizoma Drynariae and apply it to the affected area. It is suitable for patients with joint cold pain.
It takes 5~ 10 minutes each time to take effect. (4) 6 grams of peach kernel and 6 grams of white mustard seed are grinded into fine powder, and a proper amount of egg white is used to make paste, which can be applied to joint pain for 3-4 hours.
Be careful not to apply for too long. (5) Apply Ruyi Golden Cream to the affected area, cover it with gauze, and change the dressing once a day/kloc-0.
Suitable for people with swollen joints. (6) Mash a proper amount of cactus into mud and apply it to the affected area.
(7) Mash a proper amount of fresh Viola yedoensis and apply it to the affected area. (8) Dandelion 120g, decocted in water into liquid medicine, soaked with towel, and wet-applied to the affected area.
(9) Mix Gardenia powder and filo noodles in equal parts, mix with boiling water or vinegar, yellow wine and egg white to make paste, and apply it to the sore spot. The application is in blue now, no problem. It can be returned in a few days.
(10) Apply mung bean powder and egg white to the affected area. The above 6~ 10 therapy is suitable for those with red, swollen and burning joints, severe pain, chills and relaxation, and unfavorable flexion and extension.
Has good effects of clearing away heat, reducing swelling and relieving pain. (1 1) Kanlisha (ironing.
4. Kneel for all the knowledge about rheumatoid disease.
Behcet's disease syndrome, also known as Behcet's disease, is a systemic immune system disease and belongs to vasculitis.
It can invade many organs of human body, including mouth, skin, joint muscles, eyes, blood vessels, heart, lungs and nervous system. Its main manifestations are repeated oral ulcers, rashes, erythema nodosum of lower limbs, ocular iritis, esophageal ulcers, small intestine or colon ulcers and joint swelling and pain. Behcet's syndrome needs regular drug treatment, including various drugs that regulate immunity. Without treatment, the prognosis is not good, and serious cases are life-threatening.
Etiology At present, the cause of the disease is not completely clear, which may be related to heredity (such as HLA-B5 1 gene), infection (some patients may be related to tuberculosis infection) and living environment. At present, it is believed that the pathogenesis of the disease is that patients have immune system dysfunction under the action of various pathogenic factors, including cellular immunity and humoral immunity disorder, neutrophil hyperfunction, endothelial cell injury and thrombosis, and the immune system reacts to its own organs and tissues, leading to inflammation and destruction of organs and tissues [1].
Clinical manifestations 1. The disease can be seen in all kinds of people in China, from teenagers to the elderly, mostly in young people, and can occur in both men and women. 2. Patients with oral ulcers mainly show repeated oral ulcers and pains, with deep ulcer surface and mostly white or yellow bottom, and multiple ulcers (commonly known as "aphtha") can occur in multiple parts at the same time, including tongue, lips, palate and pharynx.
Most ulcers can improve by themselves, but they often recur. In severe cases, the pain is severe, which greatly affects eating. 3. Genital ulcers In addition to oral ulcers, patients can also have external ulcers, such as male and female genital ulcers, which can be large or small.
4. Some patients with eye diseases can also show eye diseases, such as redness, pain, photophobia or decreased vision, blurred vision, which may involve one or both eyes. 5. Skin manifestations Some patients also have skin lesions, which are characterized by "acne"-like rashes on the face, chest and back or other parts, or similar to "boils", which can be improved by themselves, but it is easy to recur.
In addition, some patients will have cyanosis, swelling and pain in the lower limbs, and they can feel "acne". Others will have repeated erythema on the lower limbs, ranging in size from soybeans to copper coins, and it hurts when pressed. This phenomenon is called erythema nodosum. Other patients will have redness, swelling, blisters or pustules in the eyes of infusion or blood drawing needles, which usually appear within 24~72 hours after injection. This phenomenon is called "acupuncture reaction" positive.
6. Joint lesions Many patients will have joint pain or swelling, which can be single or multiple joints. Lower limb joints are more common and may be accompanied by arm and leg pain. In severe cases, joint effusion and synovitis may occur. 7. Another common manifestation of digestive tract diseases is digestive tract symptoms, including dysphagia or chest pain during swallowing, acid regurgitation, heartburn, abdominal pain, diarrhea, bloody stool or purulent blood, or abdominal mass, weight loss, emaciation and loss of appetite. These symptoms can all appear, or only one of them can appear. Patients who have undergone gastroscopy or colonoscopy will be told that they have "ulcers".
8. Thrombophlebitis and deep vein thrombosis may occur in a few patients with vascular diseases, and pulmonary embolism may be complicated in severe cases. Patients will have shortness of breath, asthma, chest pain and even syncope after exercise. Other patients may have aneurysms, leading to local embolism and ischemia. After aneurysm rupture, it may cause massive bleeding and even life-threatening.
9. Some patients with neuropathy may have "whiplash-like" symptoms, such as inflexible hands and feet, headache, dizziness, nausea and vomiting, numbness of hands and feet, pain or weakness, paralysis of one hand and foot, severe convulsions and rolling eyes. It may be that Behcet's syndrome has damaged the nervous system. Brain stem is the most frequently involved part of nervous system, and it can also be found in spinal cord, cerebral hemisphere, cerebellum and meninges, and brain atrophy can occur.
10. Systemic symptoms Many patients will have systemic symptoms such as fatigue, anorexia, low fever and emaciation. The treatment of Behcet's syndrome is mainly medication, and the duration of medication varies.
Most patients need to take drugs for a long time, mainly immunomodulators or immunosuppressive drugs, including topical drugs, oral glucocorticoids, methotrexate, colchicine, thalidomide, azathioprine, cyclophosphamide, cyclosporine, mycophenolate mofetil and anti-tumor necrosis factor antagonists. In addition to drug therapy, surgical treatment or interventional therapy can also be chosen, but both should be based on drug therapy [3].
5. What is rheumatoid arthritis like? Want to know the relevant knowledge.
Symptoms of rheumatoid arthritis
(1) joint pain and tenderness
Most patients begin with joint swelling. The swelling is due to the increase of exudate in the joint cavity and the inflammatory changes of soft tissue around the joint, which is characterized by uniform swelling around the joint. Spindle swelling of the proximal phalanx is one of the typical symptoms of rheumatoid patients. The severity of joint pain is usually parallel to the degree of swelling. The more obvious the joint swelling, the heavier the pain, even severe pain.
(2) joint swelling
All involved joints can be swollen, and joint swelling indicates serious inflammation. Typical manifestations are uniform swelling around the joint, such as spindle swelling of the proximal interphalangeal joint. Joint swelling is most easily found in the small joints of limbs, but not in the big joints such as shoulders and hips.
(3) morning stiffness
More than 99.6% patients have morning stiffness of joints. Morning stiffness means that the affected joints are still at night, and after getting up in the morning, the affected joints are stiff for a long time and their activities are limited. Morning stiffness is often the first symptom of joint involvement, which usually occurs before joint pain. When the disease is serious, all joints will feel stiff. After getting up, morning stiffness symptoms can be alleviated or disappeared after exercise or warmth. Morning stiffness is often accompanied by chills and numbness in limbs or toes.
(4) Joint fricative sound
In the stage of rheumatoid arthritis, when exercising joints, the examiner's hands often feel a slight twisting sound or a feeling of grabbing snow, especially the elbows and knees, which indicates that the joints are inflamed. After the inflammation of some joints subsides, the clicking sound can be heard or felt in movable joints, especially in fingers, knees and buttocks, which may be caused by rheumatoid arthritis with hyperosteogeny.
At present, the best effect is Jin+Tang+Yu _ Zhi _ Gu _ Tong _ Tie, which has a good therapeutic effect on rheumatic bone diseases such as rheumatism, rheumatoid disease, lumbar spondylosis, scapulohumeral periarthritis, arthritis and hyperosteogeny.
Without any toxic or side effects.
6. Health knowledge of patients with rheumatoid arthritis
The most basic treatment of rheumatoid arthritis is anti-inflammatory and analgesic. Because rheumatoid joints are mostly characterized by joint pain and swelling.
Anti-inflammatory painkillers can play a very good role in anti-inflammatory and analgesic, and play a very good role in joint swelling and pain. In addition, rheumatoid arthritis should also use some drugs to control the disease. These drugs mainly play a role in controlling the disease, preventing bone damage and delaying organ damage. These drugs include methotrexate and leflunomide, which are all oral drugs. There is also intravenous injection, and those biological drugs that control the disease can also play a similar role.
For patients with serious illness, severe joint swelling and pain, and persistent pain, some small doses of hormones can be used. Hormones have good anti-inflammatory and analgesic effects, and can delay the progress of diseases. In addition, some biological agents can also be used to control diseases. There are also some biological drugs, such as total glucosides of paeony and tripterygium wilfordii, which also have a good therapeutic effect on rheumatoid diseases.
7. [Urgent] Who knows about arthritis?
Arthritis is a common chronic disease. According to the data, there are about 355 million arthritis patients in the world, covering almost all ages, and even young children are not immune. In China, there are more than 654.38 billion arthritis patients. The joints that should be flexible are always swollen and stiff inadvertently, which makes many people worried, especially in the cold season. At this time, it is at the turn of the chilly winter and spring, and it is necessary to protect the joints to prevent the onset of arthritis.
Main symptoms of arthritis
Arthritis can be divided into rheumatic, rheumatoid, traumatic, osteoarthritis and suppurative arthritis according to its etiology. Different types of symptoms have different reactions.
Rheumatoid arthritis (RA) is more common in adults, and it occurs in big joints such as knees, shoulders, elbows and wrists. The onset is mostly after upper respiratory tract infection, and it is manifested by rheumatic fever such as wandering joint pain, swelling and fever.
Rheumatoid arthritis is more common in young adults, often occurring in the small joints of hands and feet and sacroiliac parts, and gradually involving the whole body joints. At first, the diseased joints were red, swollen, painful and inconvenient to move. After a long time, the joints were deformed or stiff.
Traumatic arthritis often leads to articular cartilage degeneration or bone spurs due to trauma or persistent chronic strain. It is characterized by swelling, pain and dyskinesia of the affected joint, which is common in weight-bearing joints, such as shoulders, knees and ankles, and is more common in athletes and young adults.
Osteoarthritis is one of the most common joint diseases, which is more common in obese and overweight middle-aged and elderly people. The most common parts are knees, fingers, neck and lumbar vertebrae. The main symptoms are joint pain and stiffness (the pain will be relieved after slight activity), and in severe cases, joint swelling and muscle atrophy may occur.
Suppurative arthritis is often caused by bacteria invading the joint cavity, which is more common in children and occurs in the hip joint. The main symptoms are local redness, swelling, pain, fever, dysfunction, and high fever and other systemic poisoning symptoms.
How to prevent arthritis
Keep your joints warm. At the turn of winter and spring, the temperature is still relatively low, and the temperature drops frequently. Try not to let the joints catch cold, and wear coats, cotton trousers and other parts to protect your knees. Women who love beauty should not wear thin socks, short skirts and shorts. In order to pursue fashion, so as not to catch cold at the knees. In addition, try not to touch cold water, and warm water washing is the best. If you have arthritis, you can wear knee pads to prevent recurrence.
Ensure a balanced diet. Ensure that you consume enough calories every day and control fat intake. Suitable for eating high-protein and digestible foods, such as eggs, lean meat and bean products. Eat more fresh vegetables and fruits rich in vitamin C, pay attention to a light diet, and don't eat cold food. In addition, drink plenty of warm water to prevent colds.
Exercise regularly. Sedentary people are also at high risk of arthritis. It is helpful to prevent arthritis to supplement calcium in time and strengthen exercise. After working for a period of time, exercise your wrists, shoulders, neck and knees. Office workers may wish to make use of office space, according to local conditions, do a few minutes of stretching exercise in their seats, turn their wrists and elbows, and sit on tiptoe in a chair. In my spare time, I take part in outdoor sports such as walking, swimming and jogging. It should be noted that climbing mountains, squatting and other activities should be done less, which will wear out joints to varying degrees.
Appropriate tonic. Cereal beans, such as japonica rice, indica rice, corn, wheat, soybeans and peas; Leek, coriander, garlic, radish, day lily and other vegetables; Mutton, dog meat, beef, chicken, eel, carp, silver carp, hairtail, shrimp and other meats; Oranges, coconuts, pineapples, lychees, longan and other fruits.
What about joint pain?
Walk slowly. Walking slowly should last for 2~3 months, and then you can gradually speed up the pace. The exercise time is still about 30 minutes a day. The intensity of exercise is that the breathing is not short when walking, and the muscles feel slightly sore. It is advisable to recover quickly after rest.
Ride a bike. Cycling for 30~40 minutes every day can make people with knee pain receive unexpected curative effect.
Jogging. In running, the pace should be brisk, the speed should not be short of breath, and you can talk to others while running.
Marco. The knees are slightly bent, and it is advisable to have no pain in the knee joint. Sit still, raise your hands horizontally and look forward. Generally, it takes about 10 minutes each time, and 1 time in the morning and evening.
Lie on your back and lift your legs. Leg lift is about 15 degrees, which can be maintained for 1~3 minutes at first. After a period of practice, the time of leg lifting in the air should reach 10~ 15 minutes.
Sit up straight on your knees. After getting up in the morning or before going to bed at night, practice kneeling on the bed with your knees. When kneeling, keep your waist upright, sit with your arms as far as possible, and try to touch the instep.
Dietotherapy formula for treat arthritis
1. Bitter gourd, bitter vegetable, horse tooth, towel gourd and other foods have the effect of clearing away heat and toxic materials, and can relieve local fever and pain.
2. Coix seed, tofu, celery, yam, lentils and other foods have the effect of strengthening the spleen and promoting diuresis, which can be used to relieve swelling symptoms.
3. Mushrooms, fungus and other foods can improve human immunity and relieve symptoms such as local redness, swelling, heat and pain.
4. Lean pork 200g, Zanthoxylum bungeanum root 150g, soup and seasoning, taken twice a day. It can relieve severe pain symptoms.
8. Rheumatoid arthritis
(1) Nursing methods of rheumatoid arthritis with wind resistance, cold and dampness.
Clinically, it is common in the early stage of rheumatoid arthritis. It can be seen that the joints of limbs are swollen and painful, and the pain is severe in cold weather and relieved in hot weather. The skin is not red, and it doesn't feel hot. This kind of patients usually have red tongue, thin white fur and thin pulse.
The dialectical nursing should pay attention to cold and warmth, and arrange the patients in the south of the ward where they can bask in the sun. This kind of patients mainly stretch joints to promote qi and blood circulation. Local fumigation with traditional Chinese medicine, Tongluobao (Fengtongsan), to dispel wind and cold.
In western medicine nursing, early reduction of activities, bed rest and muscle relaxation have mild analgesic effects. Strengthen the knowledge education of patients and emphasize early active cooperation with the treatment and nursing of rheumatoid arthritis to promote early recovery. Spicy and loose food should be eaten in diet, and onion, ginger and pepper can be used as seasoning. After a meal, the quilt is slightly sweaty, so that cold and dampness can relieve sweating.
(2) Nursing methods of rheumatoid arthritis with phlegm and blood stasis.
Clinically, it is more common in the early and middle stages of rheumatoid arthritis. Visible joint swelling, pain fixation, limited flexion and extension. Some patients have the rule that the day is light and the night is heavy. This kind of patients are more common in purple tongue, white greasy fur and thin pulse.
Dialectical nursing: the ward should be dry, and the notebook room should be moisture-proof and warm. Acupuncture, moxibustion and local irradiation with TDP lamp, especially after acupuncture, can obviously improve joint function. Nurses should help bedridden patients to perform joint flexion and extension activities within the maximum tolerance range of 1~2 times a day to maintain joint activity function. Traditional Chinese medicine decoction can promote blood circulation, remove blood stasis, dredge meridians, increase local blood circulation, resolve phlegm and dissipate stagnation, and warm meridians.
Rheumatoid arthritis should be mainly combined with functional exercise, integrating psychology, diet, medication and nursing, so as to control the inflammation of joints and other tissues, relieve symptoms, maintain and restore the activity function of joints and improve the self-care ability of patients. The nursing method of integrated traditional Chinese and western medicine plays an important role in improving curative effect and promoting disease rehabilitation.