Management / Treatment for Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a chronic, systemic inflammatory disorder that may affect many tissues and organs, but principally attacks synovial joints. The process produces an inflammatory response of the synovium (synovitis) secondary to hyperplasia of synovial cells, excess synovial fluid, and the development of pannus in the synovium. The pathology of the disease process often leads to the destruction of articular cartilage and ankylosis of the joints. Rheumatoid arthritis can also produce diffuse inflammation in the lungs, pericardium, pleura, and sclera, and also nodular lesions, most common in subcutaneous tissue. Although the cause of rheumatoid arthritis is unknown, autoimmunity plays a pivotal role in both its chronicity and progression, and RA is considered a systemic autoimmune disease.




Management / Treatment for Rheumatoid Arthritis

Because the exact cause of Rheumatoid arthritis is unknown, there is no causative treatment that can cure this disease. This should really be explained to patients so that it knows that the treatment given aim to reduce complaints / symptoms of the disease slows progresifvtas.

The main purpose of the Management / Treatment for Rheumatoid Arthritis, as follows:
  • To relieve pain and inflammation
  • To maintain joint function and the maximum ability of the patient
  • To prevent and or correct deformity that occurs in joints
  • Maintaining independence so as not to depend on others.
There are a number of ways that management deliberately designed to achieve the goals mentioned above, namely:

Education
The first step of this management program is to provide adequate education about the disease to patients, families and anyone associated with the patient. Education will include understanding the pathophysiology (disease course), the causes and estimated journey (prognosis) of the disease, all components of program management including complex drug regimens, sources of help to overcome this illness and effective method of management provided by health teams . This educational process must be done continuously.

Rest
It is important because rheumatic usually accompanied by severe fatigue. Although fatigue may arise every day, but there are times when patients feel better or heavier. Patients should be divided into several time a day time activity which was followed by a period of rest.

Physical exercise and thermo-therapy
Specific exercises can be useful in maintaining joint function. This exercise includes active and passive movement on all the joints are sore, at least twice a day. Drugs for pain relief should be given before starting the exercise. Hot compresses on the sore and swollen joints may reduce pain. Paraffin bath with temperature can be regulated and shower with hot and cold temperatures can be done at home. Exercise and termoterapi is best regulated by the health workers who have received specialized training, such as a physical therapist or occupational therapist. Excessive exercise can damage the supporting structure of the joints that are already weakened by the disease.

Diet / Nutrition
Rheumatic Patients do not require a special diet. There are a number of ways with a variety of diets that vary, but all of them unsubstantiated. The general principle for obtaining a balanced diet is important.

Drugs
Administration of drugs is an important part of all rheumatic disease management programs. Drugs used to reduce pain, relieve inflammation and to try to change the course of the disease.

Management / Treatment for Rheumatoid Arthritis

Popular posts from this blog

Administering a Metered Dose Inhaler (self administration)

Nursing School Rankings

10 Beneficial Foods for Maintaining Healthy Skin and Prevent Wrinkles