Rheumatic and rheumatoid polyarthritis - what's the difference?
Contrary to common misconception, rheumatoid and rheumatic polyarthritis are different diseases, which have different causes, symptoms and treatment. At the same time, if the rheumatic form is a "banal" disease, then with rheumatoid it is much more complicated. Let's see, what are the differences between these diseases?
What is the difference between rheumatic fever and rheumatoid arthritis?
As the name suggests, rheumatism is the cause of rheumatic arthritis, which occurs after a badly transmitted flu or sore throat. The disease develops sharply, the temperature rises, while the joints suffer symmetrically, they become painful to the touch. Pain sensations are usually "volatile".The disease usually affects the small joints of the hands and feet, but is the main danger of this disease in the fact that in the absence of the necessary treatment, lesions of the heart valve are also possible, which leads to the development of its vices.
Rheumatoid polyarthritis is more complicated, because the cause of its development is not known to this day. This disease also develops differently - in this case the progression of the disease is rather slow and gradual. The pains are moderate enough, while they are localized in a few other joints - wrist, metatarsophalangeal, metacarpophalangeal and interphalangeal. Also, the stiffness and swelling of these joints is noted. Gradually, the process extends to larger joints - hip, shoulder, knee and elbow, the characteristic feature of this disease - deformation of the joints - begins to appear after a while, which is not observed in the rheumatic form of the disease. In addition, joint damage also leads to atrophy of certain muscles. As you can see, the outcome of rheumatic polyarthritis can be significantly more complicated than with rheumatoid form, since there are a number of problems with the diagnosis and selection of appropriate treatment.
What are the symptoms of this disease?
As we have already said, the distinctive feature of this disease is that it develops gradually, that is, there are simply no obvious symptoms at the first stages of the development of the disease. But there are a number of symptoms that you should pay attention to as early as possible to diagnose the disease and begin treatment.
One of the most noticeable manifestations of the disease is symmetrical joint damage. In this case, the number of affected joints usually indicates the degree of development of the disease. In addition, attention should be paid to other, less obvious symptoms:
- appearance of asthenovegetative syndrome and chronic fatigue, constant weakness;
- joint stiffness in the mornings, which gradually passes during the day;
- occurrence of painful sensations during prolonged sitting position;
- periodic muscular pain;
- symptoms similar to the symptoms of influenza, including fever;
- depression, weight loss, anemia;
- periodic outbreaks of the disease, which are followed by remissions.
As you can see, the symptoms are not too obvious, which is why most people ignore them for a long time and turn to specialists quite late. The situation is complicated by the fact that the diagnosis of this disease is quite complex and a "problem" - it includes a biochemical analysis of the blood and monitoring changes occurring in the joints( using radiography) in combination with the rest of the disease. Only after a very detailed study in the patient's medical history does the record "rheumatoid polyarthritis" appear and appropriate treatment is prescribed.
How is this disease treated?
First of all, the doctor's question is not how to treat rheumatoid polyarthritis, but what caused it. It is from this that further treatment will depend and only if the initial problem is eliminated will this treatment be sufficiently effective. So, when suspected of having an infection( tuberculosis, for example) should be treated with antibacterial drugs. If there are no bright extra-articular manifestations, the treatment usually begins with the selection of suitable non-steroidal anti-inflammatory drugs, and intra-articular corticosteroids are also often used. Since rheumatoid arthritis is of an immunocomplex nature, plasmapheresis courses are often used, which usually gives a good and fairly stable effect.
But one of the serious problems is that such treatment rarely gives a steady effect, therefore basic means are also used. They act slowly, but the effect is lasting and steady. True, they need to be applied for at least six months, and if a positive effect is found, then such treatment can last for years.
As you can see, rheumatoid polyarthritis requires "self-respect", the treatment of this disease lasts a very long time, while such drugs are used that can not be replaced by folk remedies.
The diet for rheumatoid arthritis also plays an important role. Actually, it does not fight directly with the disease itself, but serves to prevent the development of osteoporosis, because with such a disease, the calcium balance in the body is disrupted. In this situation, a diet is suggested in which the calcium content is increased. At the same time, calcium preparations are usually prescribed, which for better assimilation are "complete" with vitamin D.
Also, treatment is accompanied by physical therapy, massage and physiotherapy procedures. LFK in this case is necessary simply to maintain the mobility of the joints, as well as to maintain the muscles in the tone. Without the necessary loads, muscle atrophy will begin, and the joints will soon be "frozen".Physiotherapy as a whole performs purely auxiliary functions and the meaning in its application is only in the early stages of the development of this disease or with a mild symptom.
What is rheumatic polyarthritis and its symptoms, treatment and prognosis
Rheumatic polyarthritis is a very common disease, which is an inflammation of the connective tissue of the joints, in which the heart is affected. This serious illness can lead to disability and loss of ability to work. As a result of rheumatic polyarthritis, small joints most often suffer - joints of hands and wrists, feet and ankles.The insidiousness of the disease lies in the fact that the inflammation of the joints can be reversible, and the effect on the heart is irreversible and quite significant. Timely diagnosis of rheumatic polyarthritis will identify the disease in the early stages and avoid complications and possible disabilities.
The etiology of development of rheumatic polyarthritis is not fully understood, but it is known that it is caused by group A hemolytic streptococcus. Factors such as genetic predisposition, malnutrition, bad habits can contribute to the onset of the disease.
Polyarthritis occurs due to the following conditions:
- , a transmitted disease of a viral or infectious nature - tonsillitis, sinusitis, tonsillitis;
- disruption of the endocrine system;
- diseases of the nervous system;
- joint injury;
- excessive hypothermia of the body;
- is a disorder of the body's immune system;
- allergic diseases.
Usually arthritis can occur after a sore throat or other transferred infectious disease in 1-2 weeks. According to statistics, rheumatic polyarthritis is more affected by men than women. The disease affects both young people and older people, the age category of patients is 20-50 years. Children can also be ill, since the causes of the disease are associated with streptococcal infection, which is common among children. Therefore, it is necessary to carefully and carefully treat infectious diseases in children, in order to avoid such complications and prevent an unfavorable outcome of the disease.
How is rheumatic polyarthritis manifested?
The onset of rheumatic polyarthritis is acute. Approximately in 2-3 weeks after the transferred or carried acute infectious disease joint disease begins to be shown.
Symptoms of the disease:
- high body temperature, sometimes reaches 40 degrees;
- severe pain in the joints of the aching character;
- significant swelling of the joints;
- deformation of fingers and toes;
- is a migrating pain;
In medical practice rheumatic polyarthritis is divided into 2 types:
- Seronegative - with this type of disease in the blood there is no rheumatoid factor, and the disease itself has an acute onset. The patient has signs: an increase in lymph nodes, weakness, an increase in body temperature, body weight decreases, and hemoglobin level in the blood decreases.
- Seropositive - rheumatoid factor in the blood is present, the disease itself is of a latent nature, and mostly small joints are affected and internal organs and vessels are affected. The patient notes the presence of morning stiffness of the joints, their swollen condition and soreness. Deformation of joints and proliferation of joints can occur.
The main difference between these two forms is the features of the course of the disease and the effect on the patient's body. So, seropositive polyarthritis leads to irreversible changes in the organs and joints of a person, which subsequently leads to disability.
How is the disease treated?
Treatment of rheumatism should be comprehensive - anti-inflammatory and antibacterial. It is necessary to comply with bed rest, in which a comfortable position will be taken, since pain in the limbs is a great inconvenience. Diet should consist of easily digestible food with a restriction of salt. Treatment is carried out both in hospital and outpatient settings.
Since the main causative agent of this disease are foci of bacteriological infections, antibiotics of the penicillin series should be used in treatment. The resulting pain and inflammation in the joints are removed by the use of non-steroidal anti-inflammatory drugs. Glucocorticoid hormones are used in case of intolerable pain. If rheumatic polyarthritis has passed into a severe form and the functioning of the joints is completely impaired, it is advisable to use the surgical method of treatment.
After removal of acute symptoms and the main treatment, patients with rheumatism should be observed by a rheumatologist and receive appropriate treatment 2 times a year( in spring and autumn) to prevent recurrence of the disease.
As prevention of rheumatic polyarthritis, it is necessary to treat all emerging foci of infections and strengthen immunity in a timely and qualitative manner.
Rheumatic polyarthritis: the complexity of treatment and recoveryRheumatism is one of the most famous diseases in modern society.
The disease affects almost all human organs, including joints.
It occurs due to ingestion of streptococci, and is characterized by damage to the joints, connective tissue, cardiomyocytes and nerve cells.
Streptococci in our lives
Almost all people experience streptococcal infection.
It manifests itself in the form:
- acute respiratory diseases of the respiratory system;
- urogenital infections;
- infective endocarditis;
- pustular lesions of the skin - furuncles, carbuncles.
Also, if you get into the body of streptococcal infection develop rheumatism of the joints and rheumatic polyarthritis.
Who is at risk for getting sick?
Rheumatic polyarthritis occurs in people with a genetic predisposition and in the presence of M-serotype of β-hemolytic streptococcus group A.
The risk factors for the development of rheumatic fever and rheumatic polyarthritis include:
- young age from 17 to 35 years;
- frequent pustular skin lesions;
- frequent acute respiratory viral diseases( more than 3 times a year);
- presence in relatives of anamnesis of any connective tissue diseases;
- is not a complete treatment of bacterial diseases;
- individually low sensitivity to antibiotic therapy;
- autoimmune diseases;
- presence of autoimmune diseases in relatives;
- presence of the HLA-B27 gene.
Cells of M-serotype of β-hemolytic streptococcus group A have a similar structure with cardiomyocytes and human chondrocytes.
Once in the body, they trigger a systemic inflammatory reaction that attacks streptococci. Because of the similarity of the structure of the cells, the immune system of the human body also begins to attack the cells of the heart and joints, resulting in damage to the heart structures and the development of rheumatic polyarthritis.
The most common disorder occurs after:
- visits to dentists;
- suffered acute infectious diseases;
- in the presence of chronic persistent streptococcal infection in the body.
Rheumatic and rheumatoid polyarthritis: do not mix it up!Rheumatic polyarthritis is the most striking symptom of rheumatism.
As a rule, in case of rheumatic polyarthritis large joints are affected - ulnar, knee, and shoulder joints.
It is noted that the distal joints of the fingers and the joints of the joints in rheumatic polyarthritis are never affected. This is a distinctive feature of rheumatic polyarthritis from rheumatoid.
Quite often, many people confuse these two diseases.
There are several reasons why this happens:
- is similar in names;
- both diseases affect the joints of the hands and large joints;
- a pronounced clinical picture of polyarthritis;
- limitation of joint activity.
However, there are significant differences between these diseases:
- In rheumatoid polyarthritis, the small joints of the hand and foot are mostly affected, while in rheumatic cases, large joints - knee, elbow, hip, and shoulder joints - are more often affected.
- In rheumatic polyarthritis, distal interphalangeal and interstitial joints are never affected, while in rheumatoid arthritis their changes are most pronounced.
- The migrating nature of joint damage in rheumatism.
- In rheumatic polyarthritis, deformity of the joints does not develop practically. With rheumatoid arthritis, there is a complete deformation of the joints up to ankylosis and loss of ability to work, as well as the ability to self-service.
A feature of the development of rheumatic polyarthritis is the defeat of symmetrical joints and the migrating nature of the lesion.
So, the knee and elbow joints can suddenly develop.
In doing so, a person will feel pain in the joint, discomfort when performing any movements, and also see visual redness and swelling of the joint.
Regardless of the medications, a week later the joints return to their normal state with no pathological manifestations.
After 3-4 weeks, again, there may be similar symptoms of joint damage - knee, elbow, wrist, ankle, hip, hand and foot joints.
After a half and two weeks the symptoms disappear again and appear after 2-3 weeks.This happens before the permanent joint damage, which does not disappear after a while. Such damage to the joints is called migratory or volatile.
Clinical manifestations of rheumatic polyarthritis are not limited to joint damage, the disease is also characterized by changes in the skin in the form of annular erythema, symptoms of heart damage and formation of valvular defect, symptoms of nervous system damage - chorea in children and decreased attention in adults.
It is quite easy to diagnose the disease.
For this you need:
- take into account the migratory nature and symmetry of joint damage;
- look at what joints remain healthy;
- identify antistreptococcal antibodies;
- in time to diagnose the characteristic changes in the heart - the defeat of the mitral, aortic and tricuspid valves of the heart.
Aims and methods of therapy
The objectives of treatment of rheumatoid arthritis:
- maximum excretion of the causative agent of the disease from the body;
- elimination of the aggressive influence of the immune system on the body cells;
- reduction of pain and inflammatory symptoms;
- improving the quality of life of the patient.
For the treatment of the disease, the following groups of drugs are used:
- non-steroidal anti-inflammatory preparations to reduce pain and inflammatory syndromes in the joints;
- immunosuppressors to reduce the activity of the immune system;
- antibiotic therapy for the elimination of streptococci from the body.
These groups of drugs can significantly alleviate the course of the disease and improve the quality of life of the patient.
Another complication is that the use of non-steroidal anti-inflammatory drugs to treat the disease can cause persistent bronchospasm and peptic ulcer.
Therefore, these drugs should be used with caution to people with a history of peptic ulcer and chronic obstructive pulmonary disease.
Folk remedies for
To alleviate pain and inflammatory syndromes, traditional medicine can also be used, after consultation with a doctor:
- add turmeric to food;
- every evening to drink warm milk with a little addition of turmeric and curry;
- apply gauze dressings impregnated with a warm decoction of chamomile on the affected joints for 3-5 minutes 2-3 times a day;
- lubricate the affected joints with celandine;
- apply gauze dressings impregnated with a warm decoction of propolis to the affected joints for 4 minutes daily 3 times a day.
Complexities of recovery of
Unfortunately, there is no complete recovery for rheumatic polyarthritis.
However, taking non-steroidal anti-inflammatory drugs and daily charging for the affected joints can significantly alleviate the condition of a person.
There is no joint deformation in the disease. The main complication of rheumatic polyarthritis can be considered persistent severe pain syndrome and discomfort during movements.
Prognosis for people with mild synovial syndrome, favorable. With adequate drug therapy, disability remains.
To prevent disease, the following rules should be followed:
- timely treatment of acute infectious diseases;
- high-grade treatment of chronic infections in the body;
- reception of antibiotics when visiting a dentist.
Rheumatic polyarthritis is one of the most severe manifestations of rheumatism. This condition can develop in people of any age in the presence of a genetic predisposition.
Complete cure of the disease is impossible, but with rational therapy, it is possible to reduce the manifestations of polyarthritis and maintain a high quality of life.
The essence and classification of rheumatoid polyarthritis, its etiology and pathogenesis. Characteristics of the condition of joints, tendons, muscles and internal organs in the presence of disease. Conducting differential diagnostics, methods of treating rheumatoid arthritis.
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Systemic connective tissue diseases. Etiology and pathogenesis of rheumatoid arthritis, its clinical manifestations, diagnostic criteria. Characteristic lesions of internal organs. Signs of damage to the tendons and changes in the muscles, knee joints.presentation, added 05/26/2015
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Ministry of Education and Science of the Russian Federation
7.1 Basic therapy for rheumatoid arthritis
7.2 Biological preparations for the treatment of rheumatoid arthritis
7.5 Additional medical therapies
Rheumatoid polyarthritis: clinical picture and treatment
Rheumatoid polyarthritis is a systemic lesion of connective tissue located near the joints. When the disease occurs, progressive damage to the joints is observed with the development of persistent deformation, disfiguring limb. Also, this severe disease affects the kidneys, spleen, skin and lymph nodes.
RPA is an autoimmune disease of unknown etiology. According to experts, the main causes of rheumatoid polyarthritis are:
- Hereditary predisposition.
- Some environmental factors. Deficiency of vitamin D.
In people who are prone to autoimmune diseases, one of the above factors can activate the immune system, and it, due to its "erroneous orientation", begins to attack the tissues of its own organism. As a consequence, the inflammatory process develops in the joints and various organs. When RPA is formed, lymphocytes are activated, and in inflamed tissues cytokines( hormone-like proteins and peptides synthesized by cells of the immune system that act on other cells, depressing their functions) appear.
Mechanism of development of
When the immune reactions of the body are distorted, the antibodies produced by it begin to affect their own tissues and organs. Most often, the emergence of an autoimmune process involves the destruction of own joint tissues. As a consequence, biologically active substances begin to be released into the articular cavity, and leukocytes( phagocytes) aspire there.
At the same time on the cartilaginous surfaces there are small flat ulcer defects that destroy the articular cartilage and involve the adjacent parts of the bones in the inflammatory process. As a result, small cyst formations are formed on them. Over time, the articular cartilage thinens, their surfaces converge, until complete closure( ankylosis).At the same time there is a decrease in the volume of movements in the affected joints, up to complete immobilization. In the case when a young patient with a sore throat has a symmetrical lesion of large joints in the background of a febrile condition, rheumatic polyarthritis is often diagnosed. In contrast to the resistance of rheumatoid polyarthritis, this form of pathology has a migratory character. It is characterized by two main symptoms of acute rheumatism: polyarthritis and carditis( inflammation of one of the cardiac layers).This condition is characterized as a systemic disease of connective tissue, in which the inflammatory process is localized primarily in the cardiovascular system.Note: Most often, children and adolescents up to 15-17 years old suffer from rheumatic fever.
The outcome of rheumatic polyarthritis with a timely begun adequate treatment is favorable, without residual morphological changes in the joints.
Symptoms of rheumatoid polyarthritis usually appear after colds or other infectious diseases( sore throats, flu, otitis), and after hypothermia.
Note: Women suffer from RPA three times more often than men.
- In the earliest stages of the disease, there are minor pains in the muscles of the upper and lower extremities, as well as the feeling of stiffness that is observed in the mornings, and only takes place in the afternoon.
- Then there is a slight increase in body temperature( up to 37.5 degrees), heart rate increases, appetite disappears.
- After about 1-2 months, there is a loss of body mass, pain develops and swelling occurs in the small joints of the hands and feet.
This disease can occur at almost any age, but most often it is diagnosed in women aged 18 to 50 years.
- For RPA, the progressive nature of joint pain and the symmetry of joint damage are characteristic. This pathology is prone to relapse. Patients complain of pain in the joints even in a state of rest, but during movement and with changing weather they are aggravated. The disease occurs with the gradual involvement of new joints in the inflammatory process.
- In the diagnosis of rheumatoid polyarthritis there is persistent swelling of the joints, slight hyperemia and defiguration( change in their outlines).The hands of patients with rheumatoid polyarthritis are constantly red, the musculature of the upper and lower extremities is weakened, the nails are brittle and deformed, longitudinal striation( white bands) is noted on them. Skin is often sticky and cold, on the areas of inflamed joints nodal seals are revealed. Sometimes lymph nodes and spleen increase, and skin rashes appear.
Rheumatoid polyarthritis is a serious illness that lasts for years and has a disappointing prognosis. It is characterized by disfiguring the joints, reducing their mobility( up to complete immobilization), as well as persistent damage to internal organs.
Diagnosis and Treatment of
Many of our readers are interested in how to treat rheumatoid polyarthritis. Before proceeding to treatment, it is necessary to confirm or deny this ailment. For this, the patient is assigned a clinical, laboratory and radiological study. In advanced cases, anemia is noted, and the number of leukocytes decreases. ESR in patients with RPA is steadily increased, and also a reaction to C-reactive protein is noted, the concentration of fibrinogen and sialic acid is increased. On the X-ray, there is a noticeable narrowing of the joint slits, in the bones, an insufficient amount of calcium. Treatment of the disease is assigned to the cut after the diagnosis. It provides for the use of highly effective anti-inflammatory drugs and immunostimulating drugs.
Note: To date, there are many good reviews about such drugs as lonazolac, thioprofenic acid, calcium cabazalate, piroxicam, etc.
Without fail, patients suffering from RPA undergo hormonal therapy, the introduction of immunoactive drugs and gold preparations. Well-proven blood purification procedures( hemosorption and plasmaphoresis) and treatment of rheumatoid polyarthritis with folk remedies. In severe cases, a surgical operation involving the removal of the spleen( with Felty syndrome) is indicated. However, patients should pay attention to their food. Diet for rheumatoid polyarthritis is prescribed so that the food is low-calorie, but, at the same time, rich in proteins and vitamins, as well as the importance of drinking regimen( patients are advised to consume at least two liters of fluid per day).
Rheumatic polyarthritis is a disease of the joints of a chronic nature that affects all functional systems of the body. In this case, the weakest and most affected areas are the upper and lower extremities.
What exactly is the true cause of the disease, is still not known. Although the basis for the diagnosis is taken several factors. As a rule, preference in this matter is given to genetic predisposition, misconduct, dietary disorders and other reasons that can trigger the disease process.
The chronic form develops after acute acute polyarthritis and is used to injure healthy joints. In medical practice, there are cases of arthritis and rheumatism.
Rheumatoid and rheumatic polyarthritis
Patients very often confuse two types of arthritis. However, rheumatoid arthritis differs significantly from rheumatoid arthritis.
Judging by the name, rheumatic polyarthritis is one of the forms of rheumatism. At the same time, rheumatism is an independent disease that occurs as a complication after the flu or sore throat( but not only).
As for rheumatoid arthritis, it proceeds in a completely different way and arises against the background of injuries, allergic reactions, ingestion of viruses and bacteria. It can also be caused by hereditary factors.
A distinctive feature of the disease is the slow development and asymptomatic course of the incubation period. The causes are caused by the appearance of depression, fatigue, minor stiffness in the joints and weight loss.
However, the symptoms are so weakly expressed that people simply do not pay attention to it, and when you see a doctor, the ailment already makes itself felt and is not at the first stage of development.Back to the table of contents
Signs of rheumatic polyarthritis
Symptomatic of this disease manifests itself not immediately, but gradually. Judging by the external signs, the onset of the disease is fever and aching sensations in the joints.
Then the joints begin to noticeably swell, often the extremities swell. And this happens with additional deforming processes, such as bending fingers on the hands, accompanied by swelling.
Rheumatic polyarthritis can be of varying severity. Sometimes a patient can feel a strong pain in the whole body, not being able to even move. He simply becomes disabled for a period of time and can only lie.
This disease, which was called "knotty rheumatism", is one of the forms of chronic rheumatic polyarthritis. For the disease is characterized by the formation of nodes under the skin that hurt. Their location is usually the elbows, shins, knees, ankles, fingers and toes.
The surprising fact is that the formations are not fixed in nature, but are somewhat mobile and have a habit of disappearing on their own, when the organism's condition favors it.
After the end of the incubation period, the disease is rapidly gaining momentum, and its symptoms are manifested in acute form. In addition, rheumatic polyarthritis develops accompanied by remission fever, with an increase in body temperature to 40 degrees( sometimes even up to 42).At the same time, the patient begins to fever and shiver, he sweats heavily, because the protective reactions of the body trigger in the presence of heat.
The disease is rapidly progressing, and acute pains in the joints already begin to testify about this. With gestures, the pain intensifies and does not let go, and after a while the swelling of the soft tissues in these areas begins to appear additionally.Back to the table of contents
Diagnosis of the disease
Rheumatic polyarthritis in severe form is characterized by paroxysmal manifestations, and in this case, almost complete functional restoration of the joints is possible.
Rheumatism in almost every case has a negative effect on cardiac activity, which is revealed during the examination. Accurate diagnosis of the disease occurs, based on the indicators of clinical analysis and some changes in the procedure of electrophoresis.
The overall clinical picture indicates ultimately that joint disorders are reversible and respond well to treatment, while cardiac changes can lead to disability.
It turns out that the outcome of rheumatic polyarthritis acquires a twofold character. And the main danger of the disease with qualitative and timely treatment is precisely the occurrence of side effects.Back to the table of contents
Treatment of rheumatic polyarthritis
Treatment of this disease is based on the removal of the activity of inflammatory processes with the appointment of appropriate medications as soon as signs of the disease appear. In addition, the replacement of joints with the possibility of surgical intervention is envisaged.
In recent years, aromatherapy has become popular. This method belongs to the category of alternative medicine. With aromatherapy, inflammatory processes in the joints are significantly reduced, the body is cleared - toxins and poisons are released from it.
The procedure involves the use of essential oils based on medicinal plants. In this case, the color of chamomile, calendula, lavender, immortelle, melissa and other mint varieties is well suited. To cleanse the body use black pepper, cypress, ginger, sage, rosemary, dill seeds. The pain is removed by eucalyptus oil and incense.
A good result is noted after taking medicinal baths. In this case, you can separately steal the affected areas of hands and feet and add chamomile oil. Also suitable yarrow, lavender, calendula, lemon balm and immortelle. On the water basin usually two or three drops of one of the means are enough. If possible, they should be combined.
Another effective tool is the use of compresses. For this, the therapeutic anti-inflammatory oil is diluted with water a few drops into a glass of water. Copiously moistened in the composition of gauze, folded in several layers, should be applied to the affected areas.
In the list of complex treatment is strongly recommended to include massage sessions with aromatic therapeutic oils.
They stimulate the circulatory process and activate the protective functions of the body. The essence of the procedure consists in applying the oil in a pure form to the sore spots and stroking them with light massage movements for 20 minutes. Most of all for such actions a combination of chamomile oil with oils of immortelle, patchouli and yarrow will do. And chamomile need three drops, and all other funds usually add two.
For the massage to remove pain, use of incense, ginger, lemon balm and lavender is used. All ingredients are added to neutral refined lean oil two drops each.
Rheumatoid polyarthritis: causes, symptoms, treatment
In the inflammatory process in the joints of the seropositive type, intensive treatment is mandatory: rheumatoid polyarthritis treatment is performed under the strict supervision of a physician. The main goal is to reduce the progression of the disease and remove the inflammation. Along with medication, physiotherapy and a set of special exercises are often prescribed to the patient. In rare cases, surgery is required.
For the removal of soreness in the tissues, various ointments are used as a local remedy. With a competent integrated approach, not only slowing the development of the disease is achieved, but also its complete stop. Much depends on the patient's endurance, patience and perseverance. Its leading task is the systematic implementation of special exercises.
The danger of seropositive polyarthritis is that there is a restriction of cartilage mobility and their deformation. The disease can flow slowly or be rapidly progressive. Possible outcome of rheumatic polyarthritis is disability .
Causes and Symptoms of the
Disease Today, all the factors that provoke rheumatoid polyarthritis are not known exactly - the causes of death remain a secret for modern scientists. Among the possible triggering mechanisms, the "gaps" in the immune system that are genetically dependent are particularly prominent. The complication of the disease is the suddenness of the inflammatory process and its symmetry.
Causes of the disease
Inflammation with subsequent changes in connective tissue is closely related to the immune system. Due to its certain restructuring, attacks of joints and adjacent structures occur, causing subsequently irreversible changes in shape and the corresponding symptoms.
Often this pathology is noted in genetically predisposed people. To launch an inadequate attack of the immune system under the influence of external and internal factors:
- to certain microorganisms - viruses, mycoplasmas, mycobacteria;
- to allergens, toxins( tobacco smoke is not excluded in this list);
- level and character of female sex hormones: stihanie occurs during pregnancy and with the use of oral contraceptives, and the intensification begins after childbirth;
Symptoms of rheumatoid polyarthritis
Most of the rheumatoid polyarthritis begins as a common inflammation of the joints, which makes it flow like a normal polyarthritis. This lasts until there are irreversible changes in the connective tissue fibers. In this case, the joints are difficult to treat with standard medical devices.
There are a number of symptoms that indicate for rheumatic polyarthritis: symptoms of morning stiffness and immobilization of for 30 minutes. Typically, it takes time and a little massage to "warm up" the joint. Define the ailment will help and test "compression", when the doctor with his hand tightly squeezes the patient's brush. When inflamed joints there is a characteristic pain, and the test is considered positive.
Confirmation of the diagnosis is the presence of more than 3 swollen joints. Small cartilage of fingers - metacarpophalangeal and interphalangeal, often affected by rheumatism. Also, the pathology can be accompanied by temperature jumps without any apparent cause. Often there is weakness in the body, and there are other signs of a general nature.
Subsequently, articular syndrome taking into account the type of cartilage acquires unique manifestations:
- brush - the joints of the fingers and wrists thicken, they are deformed in such a way that the entire brush looks like a "swan neck";
- spine - sometimes subluxations of the vertebrae occur in the cervical region, which can occur simultaneously with compression of the spinal cord or blood vessels;
- stop - begins to deflect in the direction of the thumb, and then all the others, "freezing" in a bent position;
- laryngeal joints - shortness of breath, relapsing bronchitis, coarsening of the voice, violation of the natural swallowing process( dysphagia).
Rheumatoid polyarthritis in children is mostly characterized by the same negative manifestations of the disease as in adults. However, it also has some peculiarities. In children, there is less visceral-articular form, describing the lesion of not only cartilage, but also internal organs. Enough rapid and intensive course of the disease.
Treatment of rheumatoid polyarthritis
After confirmation of the diagnosis of rheumatoid polyarthritis, treatment begins in several directions. This anti-inflammatory therapy( non-steroidal, steroid), the use of chondroprotectors( restore the structure and functions of cartilage), biological agents( affect those immunity segments that are involved in pathogenesis).Corrective nutrition in rheumatoid polyarthritis is important.
The basis of the treatment regimen in adult patients and children is the same, but it is important not to forget that babies are much more often and more excruciated than non-statutory manifestations of the disease. At the same time, very carefully and carefully carried out with confirmation of diagnosis, rheumatoid arthritis - drugs are mostly very toxic.
As far as the rheumatoid polyarthritis does not show its symptoms - the treatment should be carried out in a complex way:
- drug therapy is the first step. It includes specific basic drugs, non-steroidal anti-inflammatory drugs, as well as glucocorticoids inside or into the cartilage cavity. The choice of medicines is great and how to treat rheumatoid polyarthritis is only a doctor;
- Restriction of the load on the diseased cartilage with the help of a variety of orthopedic adaptations. This also helps to avoid additional injuries;
- physiotherapy favors alleviation of symptoms and nutritional trophism of the joints;
- LFK in rheumatic polyarthritis helps maintain muscle tone, holding, or even improving the motor abilities of cartilage. A special daily complex of exercises is the guarantee of effective therapy at home.
In the formation and development of such an insidious disease as a rheumatoid polyarthritis-diet, first of all it will consist of removal / restriction of provocative products. Mainly, cereal and milk food causes intolerance and deterioration of the main clinical and laboratory parameters in the patient. A bad component of cereals is gluten.
It is better to drink from a liquid 6 - 8 glasses of ordinary filtered water a day. To help reduce the level of inflammation will help omega-3 fatty acids. It is important to introduce in the menu soy, rapeseed oil, flax seeds and pumpkin. Omega-3 acids will also remove the harmful effects of corticosteroids - frequent helpers in the treatment of rheumatoid polyarthritis. Reduce the risk of cardiovascular disease.
You can drink herbal teas, eat broths from vegetables. Useful tinctures of parsley, dog rose, vegetable juice from the root of beets and carrots. Diet with rheumatoid polyarthritis admits the use of fermented milk products: cheese, cottage cheese, yogurt. Eggs can also be eaten, but not more than 3 pieces per week. Daily you can put on the table boiled fish or beef, but not more than 150 grams.
Methods of traditional medicine
Treatment of rheumatoid polyarthritis with folk remedies is designed to reduce the bright inflammatory manifestations of the disease, to facilitate the overall well-being of the patient.
In addition to this , unconventional therapy can significantly improve the movement and maneuverability of affected cartilage , and also effectively restore the natural course of biological processes in them.
Usually, treatment of rheumatoid polyarthritis with folk healing methods involves the use of phytovans, decoctions and herbal infusions. The leading ingredient in the recipes is often medicinal herb.
Often when overcomes rheumatic polyarthritis - treatment is carried out using infusion or decoction from the root of gentian yellow. To prepare the preparation 10 grams of root, the plants are immersed in a glass of boiling water. After stirring the tea a little, it is left to be infused for a while. Use a decoction of 1 tbsp.l.three times a day. Preferably thirty minutes before eating.
One of the prescriptions well describes how to cure rheumatoid polyarthritis through external application of St. John's wort oil. First, the jar is filled with several handfuls of freshly picked flowers, poured with olive or sunflower oil until the flowers are completely covered. For a week the vessel is placed on a sunny window-sill. Then squeeze the oil and apply for grinding or compress.
The main thing to understand is that treatment of rheumatoid polyarthritis should not be postponed. It is not recommended and without prescription of the doctor to start self-therapy of the disease. The best option is a timely visit to the clinic and a comprehensive attack of the disease, competently thought out by an experienced specialist.