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DEFINITION
The rheumatoid arthritis is a chronic inflammatory illness of the joints, which causes pain, rigidity, distension and loss of the mobility of the body. Sometimes he accompanies himself of other problems in different organs of the body.
CAUSES
It is an autoimmune illness, this is that the proper immune system attacks to the joints because he does not recognize them like proper and for it they catch fire. There seem to be certain proteins (scoreboards) in the surface of the cells that are transmitted by familiar heredity and predispose to this illness.
It affects more the women that the men, and usually begin between 20 and 40 years.
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| Normal joint |
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with Osteoartritis |
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with Rheumatoid arthritis |
I DIAGNOSE
The most typical symptoms to be able to come to the diagnostic sound:
- Presence of arthritis of more than 6 weeks of duration.
- Rigidity to articulate morning prolonged.
- Presence of typical nodules in the skin.
If these symptoms are present there are realized blood test and radiographies, in them we can concentrate on the results that support the diagnosis:
- Erosions you will articulate visible for radiology.
- Factor reumatoide positive (in more than 75 % of the cases).
TREATMENT
The target of the treatment is to improve the mobility of the joints and to diminish the pain of the same. For it the anti-inflammatory not esteroideos (AINEs) is used, and if he does not answer well there are used medicines that modify the immune answer such like the golden salt, the metotrexate, the cloroquina, the sulfasalacina, azatioprina and the D-penicilamina.
Sometimes there are used the combinations of both and associate steroids, especially if the affectation of other organs of the body.
A good program of exercises of rehabilitation is necessary to support the functionality of the joints.
The surgery is used for cases of functional incapability of certain joints realizing a sinovectomía or the entire reemplacement of the joints (hip and knee).
WHAT DOCTOR CAN TREAT ME?
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