Systemic, is a disease of unknown cause painful and inflamed joints of arthritis (rheumatoid arthritis), the world is seen in all racial and ethnic groups.
Disease is seen in one in every hundred people. Geişme risk in women than men are five times more. The most commonly 30 -40 years experience in the related diseases in men than in women with mild and massive.
Rheumatoid arthritis is usually slow and insidious onset. The initial symptoms of systemic involvement of the joints may or may arise. Tiredness, fatigue, widespread pain and morning stiffness in the joints are visible. And hand temperatures are felt in the knee joint. Difficulty because of pain in patients using the fingers. After the muscles are weak and in pain patients may have problems even using forks and knives. Mild fever, poor appetite and weight loss are common findings.
Deformation of the joints with the progression of the disease begins. For example, the zig-hand fingers, swan neck deformity occurs. Fingers are bent, the cysts can occur on them. Involvement of the elbow in the opening movement of the elbow may be restricted. Once the opening act also restricted the knee and ankle, the patient begins to experience difficulty walking. Apart from joint stiffness may develop in other organs. In addition to cyst formation in the skin, lung and heart disease can be. In the ear hearing loss may occur.
Treatment methods
The goal of treatment, activation of the disease is to reduce and eliminate adverse effects that may occur. Disease, severe tissue destruction and joint deformity are treated before they develop, may be partly under control. Medication and physical therapy to treat two aspects are planned. Anti-inflammatory medicines, cortisone and gold compounds, klorohin, D-penisilemin, systemic methotrexate is used medicines. The goal of physical therapy, to prevent joint limitations, which reduce distortion, to maintain range of motion and relieve pain. Program varies according to the period of the disease. We are also active during the acute phase of disease in the period of rest is recommended that, given some splints and a mild exercise program is planned. Then exercise pool, cycling, group exercise are applied. In active periods of illness, disability and stretching exercises is to open, the pain is to reduce the use of low-frequency current. If you have knee and hip joint involvement, reduce the burden on joints and walking canes and crutches to fix recommended. In daily life, domestic arrangements should be made, should remove the door sills, with the toilet seat and chair to sit in the comfort of the patient should be raised.
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