There are many different methods for treatment of rheumatoid arthritis, the choice of which depends on the type of disease, degree of activity, the flow pattern of changes of the joints, number of affected joints, extraarticular manifestations and other factors.
General principles for the treatment of rheumatoid arthritis
Cure Rheumatoid Arthritis
Arthritis - a variety of forms and complications
absolutely impossible today. But you can reduce the inflammatory and allergic processes, relieve pain, improve joint function and prevent the complete immobility of patients. Thus begins a complex than before treatment, the better the prognosis.
Treatment of rheumatoid arthritis should be comprehensive and systematic. Of course, it should take place only on prescription, which may be combined outpatient, inpatient and spa treatments.
The main focus of treatment should be integrated suppression of the autoimmune process that underlies the destruction of the joints, pain and loss of motor function. The structure of the complex treatment must necessarily include anti-inflammatory medication and pain relief in joints. Another important area of complex treatment is cleansing the body of toxic products of metabolism, inflammatory and allergic reactions.
Finally, during remission should be paid great attention to reducing treatment - restoration of blood flow, metabolism
Metabolism: The basis of life of all living things
and operation of the affected joints. To this end, in addition to medication, different kinds of physical therapy, including in terms of the resort.
The suppression of the autoimmune process in rheumatoid arthritis
This treatment is called the base, in its basic framework used drugs that suppress immunological processes and proliferation of connective tissue cells. This prevents the growth of fresh connective tissue in the joints, which destroys the cartilage and leads eventually to the bone growths in the articular surfaces.
All basic drugs act very slowly, they need to apply at least six months to see the effect. Nevertheless, this basic treatment, which should be administered to the patient as soon as possible.
For basic drugs include methotrexate, sulfasalazine and leflunomide. Last drug (or leflunomide Arava) has fewer side effects than the other two. Leflunomide is a new drug, its mechanism of action is that it blocks an enzyme that promotes activation of the immune system.
Anti-inflammatory treatment of rheumatoid arthritis begins to take place nonsteroidal anti-inflammatory drugs (NSAIDs), which have both inflammatory and analgesic effects. These drugs include aspirin, diclofenac, ibuprofen, nimesulide and so on. These drugs rapidly reduce inflammation and pain, but as in rheumatoid arthritis they have to apply for a long time, for each individual patient should choose a drug that he's better moves.
The main drawback of these drugs is that they can cause erosive and ulcerative lesions of the gastrointestinal tract. More recent second generation of NSAIDs (e.g., nimesulide) have a less pronounced side effects, however, it is.
If you remove the inflammation and pain using NSAIDs fails, prescribed glucocorticosteroid (GCS) drugs - hormones that instantly removes all the phenomena of inflammation. In some cases, corticosteroids are administered directly into the joint. These drugs also have their side effects: decreased immunity, increased blood pressure, a negative effect on bone, and so on. But nowadays developed short courses corticosteroids that reduce inflammation and pain, and have no time to have significant side effects.
Today, new drugs are available to relieve inflammation and pain - Biologicals. They suppress the activity of the protein, which is called tumor necrosis factor and plays an important role in the inflammatory process. These drugs include etanercept (Enbrel), infliximab (Remicade) and adalimumab (Humira). All they quickly reduce inflammation and pain. Other biologicals anakinra (Kineret) has a different mechanism of action, it binds to a particular protein that activates cells of the affected tissues.
In severe rheumatoid arthritis
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such methods of cleansing the body
Cleansing the body - comprehensive restoration
toxins as hemosorbtion and plasmapheresis - a special way the blood is purified and injected back to the patient. With the same purpose may be used courses ehnterosorbentov example enterosgelya, which is characterized in that when administered only removes toxic substances leaving useful.
In remission apply physiotherapy, physical therapy and spa treatments.
Treatment of rheumatoid arthritis must be durable, while much depends not only on the doctor, but also from the patient.