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RHEUMATOID
ARTHRITIS
Rheumatoid arthritis is an autoimmune disease that causes chronic inflammation of the joints. Rheumatoid arthritis can also cause inflammation of the tissue around the joints, as well as other organs in the body. Autoimmune diseases are illnesses which occur when the body tissues are mistakenly attacked by its own immune system. The immune system is a complex organization of cells and antibodies designed normally to "seek and destroy" invaders of the body, particularly infections. Patients with these diseases have antibodies in their blood which target their own body tissues, where they can be associated with inflammation. Because it can affect multiple other organs of the body, rheumatoid arthritis is referred to as a systemic illness and is sometimes called rheumatoid disease.
While rheumatoid arthritis is a chronic illness, meaning it can last for years, patients may experience long periods without symptoms. Typically, however, rheumatoid arthritis is a progressive illness that has the potential to cause joint destruction and functional disability.
A joint is where two bones meet to allow movement of body parts. Arthritis means joint inflammation. The joint inflammation of rheumatoid arthritis causes swelling, pain, stiffness, and redness in the joints. The inflammation of rheumatoid disease can also occur in tissues around the joints, such as the tendons, ligaments, and muscles.
In some patients with rheumatoid arthritis, chronic inflammation leads to the destruction of the cartilage, bone and ligaments causing deformity of the joints. Damage to the joints can occur early in the disease and be progressive. Moreover, studies have shown that the progressive damage to the joints does not necessarily correlate with the degree of pain, stiffness, or swelling present in the joints.
Rheumatoid arthritis is a common rheumatic disease, affecting more than two million people in the United States. The disease is three times more common in women as in men. It afflicts people of all races equally. The disease can begin at any age, but most often starts after age forty and before sixty. In some families, multiple members can be affected, suggesting a genetic basis for the disorder.
Signs and Symptoms
The
signs and symptoms of rheumatoid arthritis may come and go over time. They
include:
Pain
and swelling in the smaller joints of your hands and feet Overall aching or
stiffness of the joints and muscles, especially after sleep or after periods of
rest Loss of motion of the affected joints Loss of strength in muscles attached
to the affected joints Fatigue, which can be severe during a flare-up Low-grade
fever Deformity of the joints as time goes on
Rheumatoid
arthritis usually causes problems in many joints at the same time. Joints in the
wrists, hands, feet and ankles are the ones most often affected. The disease can
also involve your elbows, shoulders, hips, knees, neck and jaw. It generally
affects both sides of the body at the same time. The knuckles of both hands
might be one example.
Small
lumps, called rheumatoid nodules, may form under the skin of your elbow, your
hands, the back of your scalp, over your knee or on your feet and heels. These
nodules can range in size — appearing as small as a pea to as large as a
walnut. Usually the lumps aren't painful.
In
contrast to osteoarthritis, which affects only your bones and joints, rheumatoid
arthritis can cause inflammation of tear glands, salivary glands, the lining of
your heart and lungs, the lungs themselves and, in rare cases, your blood
vessels.
Although
rheumatoid arthritis is often a chronic disease, it tends to vary in severity
and may even come and go. Periods of increased disease activity — called
flare-ups or flares — alternate with periods of relative remission, during
which the swelling, pain, difficulty in sleeping and weakness fade or disappear.
The
flexibility of your joints may be limited by swelling or deformity. But even if
you have a severe form of rheumatoid arthritis, you'll probably retain
flexibility in many joints. You may also have less pain than the appearance of
deformed joints suggests.
Causes
As
with other forms of arthritis, rheumatoid arthritis involves inflammation of the
joints. A membrane called the synovium lines each of your joints. When you have
rheumatoid arthritis, white blood cells — whose normal job is to attack
unwanted invaders such as bacteria and viruses — move from your bloodstream
into your synovium. There, these blood cells appear to play an important role in
causing the synovial membrane to become inflamed.
This
inflammation results in the release of proteins that, over months or years,
cause thickening of the synovium. These proteins also can damage cartilage,
bone, tendons and ligaments. Gradually, the joint loses its shape and alignment.
Eventually, it may be destroyed.
Some
researchers thinks that rheumatoid arthritis is triggered by an infection —
possibly a virus or bacterium — in people with an inherited susceptibility.
Although the disease itself is not inherited, certain genes that create a
susceptibility are. People who have inherited these genes will not necessarily
develop rheumatoid arthritis. But they may have more of a tendency to do so than
others. The severity of their disease may also depend on the genes inherited.
Medical Advice Timing
See
western or chinese doctor if you have persistent discomfort and swelling in
multiple joints on both sides of your body. Your physician can work with you to
develop a pain management and tole treatment plan. Also seek medical advice if you
experience side effects from arthritis medications. Side effects may include
nausea, abdominal discomfort, black or tarry stools, changes in bowel habits,
constipation or drowsiness.
Screening And Diagnosis
Rheumatoid
arthritis symptoms, your doctor will likely conduct a physical examination and
order laboratory tests to determine if you have this form of arthritis. A blood
test that indicates your erythrocyte sedimentation rate ( "sed" rate)
can indicate the presence of an inflammatory process in your body. People with
rheumatoid arthritis tend to have abnormally high sed rates. The sed rates in
those with osteoarthritis tend to be normal.
Another
blood test looks for an antibody called rheumatoid factor. Four out of five
persons with rheumatoid arthritis eventually have this abnormal antibody,
although it may be absent early on in the disease. It's also possible to have
the rheumatoid factor in your blood and not have rheumatoid arthritis.
Doctors
may take X-rays of your joints to differentiate between osteoarthritis and
rheumatoid arthritis. A sequence of X-rays obtained over time can show the
progression of arthritis.
Complications
Rheumatoid
arthritis causes pain and may also cause fatigue and stiffness. It can lead to
difficulty with everyday tasks, such as turning a doorknob or holding a pen.
Dealing with the pain and unpredictability of rheumatoid arthritis can also
cause depression.
In
the past, people with rheumatoid arthritis may have ended up confined to a
wheelchair because damage to joints made it difficult or impossible to walk.
That's not as likely today because of better treatments and self-care methods.
Treatment
Tole Treatments for arthritis until today still depends on steriod for the western world, it is
to help to reduce pain and to delay.
Medications
Medications
for rheumatoid arthritis can relieve its symptoms and slow or halt its
progression. They include:
Yet
taking NSAIDs can lead to such side effects as indigestion and stomach bleeding.
Other potential side effects may include damage to the liver and kidneys,
ringing in the ears (tinnitus), fluid retention, and high blood pressure .
However, there is evidence that by suppressing COX-1, NSAIDs may cause stomach
and other problems because COX-1 is the enzyme that protects your stomach
lining. The jury is still out, but some doctors are concerned that COX-2
inhibitors may increase a user's risk of HEART ACTTACK . Further review by the
Food and Drug Administration is needed.
Corticosteroids .
These medications reduce inflammation and slow joint damage. In the short term,
corticosteroids can make you feel dramatically better. But when used for many
months or years, they may become less effective and cause serious side effects.
Side effects may include easy bruising, thinning of bones, cataracts , weight
gain, a round face, diabetes and high blood pressure . Doctors often prescribe a
corticosteroid to relieve acute symptoms, with the goal of gradually tapering
off the medication. Disease-modifying antirheumatic drugs (DMARDs) . Physicians
have begun to prescribe DMARDs to limit the amount of joint damage that occurs
in rheumatoid arthritis. Taking these drugs at early stages in the development
of rheumatoid arthritis is especially important in the effort to slow the
disease and save the joints and other tissue from permanent damage. Because many
of them act slowly (it may be weeks to months before you notice any benefit),
DMARDs typically are used with a NSAID or a corticosteroid
These medications can have potentially serious side effects such as increased
susceptibility to infection and disease.
THE TOLE'S WAY
The Tole's way of alternative treatment has
gone through 140years of research in rhuematoid arthritis and has finaly come
out with the complete treatment for this deathly disease.Total treatment but long
treatment with acupuncture and special herbs grown by our Master and dieting,Qi
qong,mental therapy.
Early
cases we have about 90% complete treatment and for intermidiate and late state only
partial recovery.
Self Care
Treating
rheumatoid arthritis typically involves using a combination of medical tole treatment and self-care strategies. The following self-care procedures are important
elements for managing the disease.
Exercise
regularly. Different types of exercise achieve different goals. Check with your
doctor or physical therapist first and then begin a regular exercise program for
your specific needs. If you can walk, walking is a good starter exercise. If you
can't walk, try a stationary bicycle with no resistance or do hand or arm
exercise. A chair exercise program may be helpful. Aquatic exercise is another
option, and many health clubs with pools offer such classes. It's good to move
each joint in its full range of motion every day. As you move, maintain a slow,
steady rhythm. Don't jerk or bounce. Also, remember to breathe. Holding your
breath can temporarily deprive your muscles of oxygen and tire them. It's also
important to maintain good posture while you exercise. Avoid exercising tender,
injured or severely inflamed joints. If you feel new joint pain, stop. New pain
that lasts more than 2 hours after you exercise probably means you've overdone
it. If pain persists for more than a few days, call your doctor.
Control
your weight. Excess weight puts added stress on joints in your neck, hips, knees
and feet — places where arthritis pain is commonly felt. Excess weight can
also make joint surgery more difficult and risky. Eat a healthy diet. A healthy
diet emphasizing fruit, vegetables and whole grains can help you control your
weight and maintain your overall health, allowing you to deal better with your
arthritis. However, there is no special diet that can be used to treat
arthritis. It hasn't been proven that eating any particular food will make your
joint pain or inflammation better or worse. Apply heat. Heat will help ease your
pain, relax tense, painful muscles and increase the regional flow of blood. One
of the easiest and most effective ways to apply heat is to take a hot shower or
bath for 15 minutes. Other options include using a hot pack, an electric heat
pad (set on its lowest setting) or a radiant heat lamp with a 250-watt reflector
heat bulb to warm specific muscles and joints. If your skin has poor sensation
or if you have poor circulation, don't use heat tole treatment.
Coping
Skills The degree to which rheumatoid arthritis affects your daily activities
depends in part on how well you cope with the disease. Physical and occupational
therapists can help you devise strategies to cope with specific limitations you
experience as the result of weakness or pain. Here are some general suggestions
to help you cope:
Keep
a positive attitude. With your doctor, make a plan for managing your arthritis.
This will help you feel in charge of your disease. Studies show that people who
take control of their tole treatment and actively manage their arthritis experience
less pain and have less difficulty functioning. Use assistive devices. A painful
knee may need a brace for support. You also might want to use a cane to take
weight off the joint as you walk. The cane should be used in the hand opposite
the affected joint. If your hands are affected, various helpful tools and
gadgets are available to help you maintain an active lifestyle. Contact your
pharmacy or health care provider for information on ordering items that may help
you the most. Know your limits. Rest when you're tired. Arthritis can make you
prone to fatigue and muscle weakness — a deep exhaustion that makes everything
you do a great effort. A rest or short nap that doesn't interfere with nighttime
sleep may help.
Avoid
grasping actions that strain your finger joints. Instead of using a clutch
purse, for example, select one with a shoulder strap. Use hot water to loosen a
jar lid and pressure from your palm to open it, or use a jar opener. Don't twist
or use your joints forcefully. Spread the weight of an object over several
joints. For instance, use both hands to lift a heavy pan.
Take
a break periodically to relax and stretch. Maintain good posture. Poor posture
causes uneven weight distribution and may strain ligaments and muscles. The
easiest way to improve your posture is by walking. Some people find that
swimming also helps improve their posture. Use your strongest muscles and favor
large joints. Don't push open a heavy glass door. Lean into it. To pick up an
object, bend your knees and squat while keeping your back straight
Chinese Master
THE TOLE ACUPUNCTURE-HERBAL MEDICAL CENTRE
Suite 4.08 &4.10 , 4th Floor, Medical specialist Floor,
Menara KH (Menara Promet), Jalan Sultan Ismail,
50250 Kuala Lumpur.
Malaysia
Tel: 603-21418370, 603-21451671
Fax: 603-2732 6887
tole88@gmail.com
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