Description arthritis
Inflammatory joint diseases may in practical terms be divided into infectious and noninfectious.
More often we meet with non-infectious inflammation, the underlying autoimmune process, a condition where the immune system attacks and destroys its own tissue. Why this is so is still the subject of numerous rumors, however illuminating basic idea is based on a genetic predisposition in connection with an active infection or administering drugs or vaccines that our immune system to entice misleads. Such support has probablyrheumatoid atritida (popularly rheumatism).
Rheumatoid arthritis is an articular disease occurs predominantly in middle-aged women. Most often, the inflammation of the small joints of the hand, wrist and ankle joints (ankle), but may also be affected large joints (hip, knee).The disease usually begins to manifest very subtle, and morning stiffness of the joints. Only after some time (months to years) appears strong swelling and pain, which leads to deterioration and momentum over time to the formation of deformities (distortion of fingers, hands, etc.).
A similar unit in this direction is also rheumatic (note, not rheumatoid!) Arthritis, which de facto known underlying cause. Created as part of the so-called. Sterile effects of a bacterial infection (some Streptococcus – Streptococcus pyogenes), eg., After streptococcal angina that is not adequately treated with antibiotics. Sterile consequences include heart disease (ie. Rheumatic fever), kidney (postreptokoková glomerulonephritis), nervous system (minor chorea) and joints(rheumatoid arthritis) at the time when it is not possible to prove the causative agent in the blood, however, circulating antibodies that were originally created by the immune system against streptococci and which, unfortunately, have the ability to bind to healthy tissue and direct the immune marches against its own tissues.
Gouty arthritis or disease also known as gout (arthritis Urica) is a metabolic disorder that results in an inflammatory joint disease. The basis of the disease is the increased level of uric acid in the blood which is in the form of crystals of salts (sodium urate) stores in the joints and causes are the inflammatory reaction. Uric acid is produced by metabolism of purines, substances that are abundantly contained in legumes, meat and offal. Part of the patients belong to a group that increasingly accepts such a diet and increasingly consume alcohol. Others have increased production of uric acid, the genetic or be they a enzymatic defect. In most cases, they affectedmen, mostly after age 40 years.
Other units that would be here also could sort them psoriatic arthritis, a joint disease in psoriasis.
Erosive arthritis disability is at elevated parathyroid function (for hyperparathyroidism).
As regards infectious arthritis, the most important bacterial infections (caused most streptococci, but also in borrelia Lyme disease), although shown with a viral infection (herpesvirus, Epstein-Barr virus, hepatitis B virus, arbovirus). Infection into the joint entered either in open joint injury, medical procedure (e.g. puncture or orthopedic surgery), straight segment of infection from around the joint (inflammation of bone, muscle etc.), or the infection may be entered via the blood from another site of infection in the organism.
Risk factors for arthritis
Risk factors for rheumatoid arthritis incidence in the family (ie, a genetic predisposition),increased stress and higher age.
For rheumatoid arthritis is a risk factor to experience a streptococcal disease (angina mostly) that is not adequately treated with antibiotics and, of course, plays the role of a genetic component.
Higher probability of occurrence days is for people who excessively use alcohol and meat (hence the DNA was regarded as a disease of the rich and kings).
prevention of arthritis
Appropriate prevention for most afflicted joints is optimum weight individuals. Overweight joints generally stressed.
Prevention of rheumatoid arthritis is unknown, it is important early diagnosis of the disease and its subsequent treatment.
We prevent rheumatoid arthritis appropriate antibiotic treatment of streptococcal disease.
Gouty arthritis is a disease that is aggravated by a diet rich in purines, and it is therefore appropriate in the diet to limit intake of meat (and fish) guts, meat broth, beans, sauces and cocoa.
Signs and symptoms of arthritis
Joint inflammation usually shows his pain, swelling and, in the case of rheumatoid arthritis (rheumatoid not!), And the days and elevated temperature and redness of the skin over the affected joint.
Rheumatoid arthritis begins insidiously and unobtrusively morning stiffness in the joints, mostly small joints of the hand and wrist. This can usually take several months to years before an escalation of changes in the joint, the swelling, pain and subsequently deformed and loss of function.
Unlike rheumatoid arthritis is rheumatoid arthritis stormy course relatively strong swelling,tenderness and redness of the joint, but generally leaves no consequences, sufficient treatment to mitigate inflammation and pain killers.
Gout usually begins with acute “dnavým ’bout, when the patient wakes up in the early morning forintense pain in any of the joints. The most commonly affected joint is on the big toe (this disability is called gout), as well as the knee (gonagra), ankles and small joints of the feet.Knuckles are affected less frequently (chiragra).
In 90% of the first attack is limited to only one joint (monoartikulární impairment), with increasing duration of the disease state worsens, and may be affected by multiple joints simultaneously (polyarticular impairment).
The affected joint is swollen, red, hot, and so painful that the patient often can not bear even the weight of blankets. Leather is so tense that it glistens, and therefore there has been described so.Phenomenon mirrors.
Seizures last several hours to days, an average of 14 days, and then subside, and followed by a period without seizure, which typically takes 6-24 months. Their underlying cause can often detect, but it may be a psychological stress, disease, surgery, trauma, excess eating or drinking.
treatment of arthritis
Rheumatoid arthritis (rheumatism) is a disease that is not fully curable, but can slow its development or partially suppressed. Treatment must be comprehensive and therefore coversregime measures (bed rest in the acute period, positioning of limbs), the administration of painkillers that also suppress inflammation (NSAIDs) drugs called. Governing the progression of the disease (DMD – disease modifying drugs, such as salt gold, sulfasalazine, penicillamine, azathioprine), corticosteroids (in acute stages) and, finally, rehabilitation and surgical treatment.
More recently it is possible to treat rheumatoid arthritis by means of biological treatment which comprises administering substances depressants specific component of immune processes. This treatment is extremely expensive, however, the most efficient of the current methods.
Rheumatoid arthritis usually subsides without sequelae. Treatment is only supportive to reduce inflammation and pain management.
Gout is a metabolic disease for which it is very important diet, where the aim is not only to reduce uric acid levels in the blood, but also reduce the weight of the patient. I am also recommended leaving or at least reducing alcohol intake.
Drugs are administered depending on what stage the disease is located. The acute condition is administered colchicine (a drug used in the treatment of malaria) that affects the functions of immune cells. Among the seizures are given drugs that reduce the levels of uric acid (allopurinol – MILURIT) and supporting drug excretion of uric acid by the kidneys into the urine (benzbromarone – Normurat).
How can I help myself
It depends what your disease is caused. Not inflammation such as inflammation. In any case, it is advisable to visit a physician who will assess your problem, do basic tests (eg. Blood sampling) and possibly sends you to a specialized clinic (rheumatology, orthopedics).
In our market a wide range of products (supplements, creams, ointments, teas), which serve not only to mitigate the problems associated with joint pain, as well as a suitable nutrition contained in the joint tissues.
It is important to realize that one-off or short-term administration is not enough and it is necessary to use such products regularly to ever be on the joints any lasting effect.
It positively affects the enzyme therapy, which you can buy in a pharmacy called Wobenzym, but its disadvantage remains high price. Help creams such as mobilin (available at pharmacies) orArnika (available in drugstores).
complications arthritis
A possible complication of virtually all inflammatory joint stiffness is up to the so-called development. Ankylosis, which is a condition where the joint no longer functions as a hinge, and thus lose mobility in some patients and in some cases leads to permanent disability.
Rheumatoid arthritis is a disease that may occur otherwise than joint involvement. The severity of these symptoms varies with the length and severity of disability. Typical osteoporosis, in which the basis of inflammatory changes and působcích released by immune cells, then treated with corticosteroids.
Another relatively frequent complication is the inflammation of tendons and articular capsule, which can lead to breakage and formation of ligament deformities.
Patients often complain of muscle weakness, which is probably in direct relation to pain and limitation of movement in the joint, thus elimination of muscle activity, leading to their decline (atrophy).
They can be affected and the skin (rheumatoid nodules, in 20-30% of patients), blood vessels (vasculitis – inflammatory vascular disease), nerves, but also the heart (myocarditis, endocarditis, pericarditis) and lungs (disability pleura, pulmonary fibrosis, rheumatoid nodules in the lungs). In 10-35% of patients there is an impaired eyes in the form of dry keratoconjunctivitis (keratitis and conjunctivitis associated with dry eye). In some patients appear anemia, which probably has several causes.
Rheumatoid arthritis usually occurs without complications.
Probably the most common complication of gouty arthritis include the formation of kidney stones(ie. Urate lithiasis) with renal and joint destruction (chronic tofózní bottom with the creation of the so-called. Tofu, which bearings are deposited crystals of uric acid salts, under the skin around the joints, tendons and ear wattles).
Other Names: joint inflammation, arthritis, infectious arthritis, rheumatoid arthritis, rheumatism, rheumatoid arthritis, gouty arthritis, gout, erosive arthritis, psoriatic arthritis
