The condition of patients at different levels of development, the treatment of osteoarthritis, including drug treatment, adjuvant therapy and surgery. Surgical treatment for advanced disease has been developed to patients is, after all, a good treatment; for patients as early as the mid-term, general, drug therapy and adjuvant therapy in conjunction with other methods. The right to take active and effective means of treating disease as soon as possible, as soon as possible to control the disease.
Surgical treatment of osteoarthritis
Currently, osteoarthritis commonly used method of surgical treatment, including arthroscopic surgery, osteotomy, and artificial joint replacement.
Cartilage debris falling to the intra-articular form of loose bodies that we normally say "joint mice", to be used in arthroscopic surgery to remove. Arthroscopic surgery can be a good joint to identify and estimate the extent of the lesion on the articular cavity for irrigation and clean-up, can eliminate the intra-articular loose bodies, so that the activities of the capacity of patients with a certain degree of improvement.
Osteotomy is a variety of orthopedic joints to improve the balance of power lines. Tibial osteotomy is mainly used inside and outside the varus knee (that is, "O" or "X"-type legs) of the patients, through surgery to make the legs bent as much as possible returned to normal.
If the patients to severe stages of disease progression, severe loss of articular cartilage, joint space is too small, the loss of joint function, serious impact on daily life, by the conservative treatment fails, artificial joint replacement should be considered, mainly knee and hip replacement surgery. Through the joint replacement can be a better ability to resume joint activities to improve the quality of life of patients, but the artificial joint replacement surgery trauma larger, replacement of the life of artificial joints have a limit, and higher operation costs.
Adjuvant therapy of osteoarthritis
Adjuvant therapy is a joint disease in patients with early and mid-term when used with the drug treatment methods. Adjuvant therapy is usually we are talking about physical therapy and physical therapy, such as grilled electricity, massage, massage, acupuncture and other methods. Although the adjuvant treatment of osteoarthritis of the effect is not fundamental, but can be reduced in patients with localized discomfort, sedation of the patients, the role of relaxation and pain relief.
At the same time, the patient should be actively self-care, attention to diet, proper exercise, such as swimming, cycling and other sports. To avoid incorrect posture and movement of hazardous joints, such as mountain climbing, and so long伏案. The protection of joints, reducing the load, such as the use of knee pad in the knee, when sitting to stand up with support, etc.. At the event, to be used crutches, walking assist device, such as activities or walking.
Drug treatment of osteoarthritis
Treatment of disease under normal circumstances, the use of surgery in the past, drug treatment is more choice of doctors and patients a more effective treatment.
Of osteoarthritis, the therapeutic drug can be divided into two categories: non-specific drugs and specific drugs, that is, "symptomatic treatment" of drug and "therapeutic" drug. Many people may not know, "symptomatic treatment" and "therapeutic" the difference between these two concepts, we first take a look at their meaning: here the "symptomatic treatment" and said that the meaning we usually different, we usually say that only "the right medicine" to cure disease, "illness" is said to be a proper understanding of disease, what disease was on what drug; symptomatic treatment where the "Syndrome" refers to the surface of the disease symptoms, such as the teeth were borers have a bad toothache, toothache is a symptom.
"Symptomatic treatment" means to eliminate or improve the symptoms of disease, also known as the symptoms. Like a toothache pain medication used to relieve pain, stop toothache, that is, to eliminate the symptoms, but not to fill teeth, and pain will be over time. Using this treatment, then we usually describe the "symptoms without curing the disease."
Those who can address the reasons for the treatment of diseases called "a result of treatment", also known as root. Also examples of just a toothache, a good supplement to tooth decay, dental pain is not, and this is a result of treatment. Therefore, due to a more thorough treatment, the general not easy to relapse.
Non-specific drug treatment of osteoarthritis (symptomatic treatment)
Osteoarthritis of the non-specific drug therapy, which is symptomatic treatment, commonly used non-steroidal anti-inflammatory drugs, they are commonly referred to as painkillers. Painkillers, as its name suggests, that is, with the role of pain, to ease the headache, muscle pain, including osteoarthritis associated with joint pain, these drugs are not specifically targeted for the treatment of osteoarthritis, so we have to the drug known as "symptomatic treatment "of drugs. Fast effect of these drugs for pain caused by a variety of reasons, the effect of pain is better, to ease osteoarthritis pain patients have a good effect. Metabolism of such drugs in the body faster, and once finished metabolism pain started immediately to maintain a very short time. Importantly, the pain control of the disease symptoms of the phenomenon of the surface, but the disease continues to cover up the essence of development.
There is also a symptomatic treatment - steroid-type drugs, such drugs must be carried out intra-articular injection, but also to achieve the purpose of rapid anti-inflammatory pain, but a year can not exceed 3 - 4 times, if the long-term use may aggravate the joint cartilage damage, as well as the symptoms of osteoarthritis.
Non-specific drug treatment of osteoarthritis, the disease can only temporarily alleviate symptoms, but not really the cause of osteoarthritis - the role of articular cartilage, it can not prevent the development of osteoarthritis patients.
Osteoarthritis Chinese medicine treatment:
Chinese medicine is an integral part of traditional medicine, breadth and depth, and has a long history, is China's national essence, thousands of years do not know how many incurable diseases cured, by the people has always been pride.
For the treatment of joint disease, many people also rely on Chinese medicine and massage, massage and Chinese medicine treatment. Massage joints is physiotherapy practices, as long as the medical institutions in the formal treatment, patients generally can rest assured.
Chinese medicine treatment for arthritis of the traditional theory that the "cold wind evil,痹阻meridians, resulting in channel access, non-general pain", it is based on traditional Chinese medicine in general Qufeng cold-dispelling, spasmolytic Tongluo, for the purpose of activating blood stasis.
Chinese medicine treatment of joint stiffness can relax the muscles, lifting the muscle cramps, clear the meridians can be achieved, reducing the role of pain.
Today's clinical emphasis on "evidence-based medicine", meaning that is to say, we reached a conclusion, we must have adequate basic medicine, clinical research findings to support this conclusion. If we say that a certain treatment or drug can be "a result of cure" osteoarthritis, it must be proved by evidence that such methods or that the drug can return to normal articular cartilage cells play a role in metabolism.
Chinese medicine has not yet been found to repair articular cartilage, or the role of articular chondrocytes. Physiological anatomy shows that articular cartilage is not blood vessels, often mentioned in Chinese medicine, "Blood stasis" theory can play a role on the articular cartilage, further studies have yet to be
Generated by the process of arthritis:
1. The health of joints, including strong bones, it is mainly essential minerals in the formation of collagen matrix. Joints of a capsule containing synovial fluid, which protects the ends of bones would not be adjacent to the impact of bone and cartilage, because synovial fluid lubricating the joints can be effective.
2. Joint fatigue and dietary imbalances could lead to, cartilage immersed in the acidic body fluids will be degradation of the lubricating effects of synovial fluid will deteriorate. At the same time, the loss of cartilage components exist in the cartilage and bone, causing bone became smooth and the end of the formation of spur (large protruding bones). Inflammation caused by joint movement will be restricted.
3.will result in the loss of a large number of calcium and calcium balance disorders will lead to calcium accumulation in soft tissues, causing muscle pain, arthritis in patients with air temperature end of the bone will be joint, combined.
Arthritis refers to inflammation, infection, trauma or other factors of disease caused by arthritis is rheumatoid disease subjects. Its main characteristic is the joint swelling, heat, pain and dysfunction. Many diseases can cause arthritis diseases, following the more common in clinical.
Osteoarthritis
Also known as degenerative joint disease, osteoarthritis. Hyperosteogeny and is closely related to human aging, the majority of the elderly may be associated with Hyperosteogeny naturally susceptible to osteoarthritis. Clinical data show that 45 years of age osteoarthritis prevalence rate is only 2% of people over the age of 65 the prevalence rate as high as 68%. It seems the doctors, the elderly people are suffering from varying degrees of osteoarthritis.
Rheumatoid Arthritis
The disease usually small joints (finger joints, wrist, etc.) for pain, and the incidence was the symmetry of the joints. 80% of patients with rheumatoid arthritis in 35 to 50 years old, but the elderly, the incidence of child care equally. Its etiology and genetic, infection, environment, immunization with the complex relationship, clinical cure was not complete and can only control the disease through drug therapy to maintain joint function.
Ankylosing Spondylitis
More performance for the spine, sacroiliac joint arthropathy, such as the central axis. Unclear etiology, is generally believed that genetic factors, environmental factors caused by the interaction. The disease mostly male, age more than 40 years ago, severe cases can lead to spinal and joint deformities and affect people's daily lives.
Reactive arthritis
Due to gastro-intestinal system, urinary system infection, such as joint inflammation triggered by lesions of the joints. Reduce infection rates, improve the immune system have a certain role in prevention and treatment.
Gouty arthritis
Due to urate crystal deposition caused by arthritis. Unilateral incidence for acute arthritis to a sudden leg swelling big toe, pain as the main symptoms around week course which will help to ease, but easy to relapse. Prevention is to change the eating habits of life, eating offal, seafood and other food-induced hyperuricemia.
All the women were taking part in the Iowa Women's Health Study, a long term research project tracking participants' lifestyles, such as smoking, and included the ages at which a woman started and gave up smoking and how many cigarettes she smoked every day.
The results showed that smoking almost doubled the odds of developing rheumatoid arthritis in women who had not inherited the most well established genetic risk factor for the disease, HLA-DRB1 SE.
However, among those women who had inherited the genetic risk factor HLA-DRB1 SE, exposure to tobacco smoke was not associated with an increased risk of the disease.
The authors point out that this research was limited to older white women, so it is not yet clear if other age groups and ethnicities would be similarly affected.
Increased odds of rheumatoid arthritis in women smokers without genetic risk factor
Smoking interacts with genetic risk factors in the development of rheumatoid arthritis among older Caucasian women Online First Ann Rheum Dis 2006; doi: 10.1136/ard.2005.049676
Smoking increases the chance of developing rheumatoid arthritis in women who otherwise lack genetic risk factors for the disease, reveals research published ahead of print in the Annals of the Rheumatic Diseases.
Rheumatoid arthritis is a chronic, inflammatory disease in which the patient's immune system attacks the joint linings. It is the most serious and debilitating form of arthritis.
Interaction between genes and environmental factors is considered to be fundamentally important in complex autoimmune diseases, such as rheumatoid arthritis.
The authors base their findings on a comparison of 115 postmenopausal women with the disease and 466 women without.