Expert reminder: protecting the cold weather better joint

As the cold weather, arthritis and to let many people "suffering".

Chinese society of Rheumatology society Chairman, Peking Union Medical College Hospital Chief Physician Rheumatology immune branch fengchun Zhang said that currently, the only bone arthritis in China is about more than 50 million people.

Arthritis is a disease that does not necessarily refer to a disease, but the concept of the Chinese people is rheumatism, Rheumatoid, arthritis and various causes are arthritis, it is most common in patients with rheumatoid arthritis, osteoarthritis and spinal osteoarthritis, gouty arthritis, rheumatoid arthritis is the largest human harm an arthritis disease statistics, United States, China has recently caused labour statistics, the forfeit of a disease is arthritis.

Incentives

Gout, joint affected are easy to trigger arthritis

Days are cool, but there is still a lot of girls like to wear boots, short skirts or shorts walking in the autumn.

Although it looks "pretty", but don't know often knee, shoulder joint, spine, exposed to the cold wind would have on the body produces many adverse effects.

Fengchun Zhang said, autumn and winter does not note the legs warm easily induced rheumatoid arthritis, "currently there are about 500 million rheumatoid arthritis patients, the illness of the peak age mainly in 40-50 years old, female.

So when the young women will pay attention to the issue of joint thermal. ”

And for men, and more generally of gout, which led to the prevalence of gouty arthritis.

Used to be the big man age of onset, now young adults. First, then increase the uric acid uric acid crystals cause gouty arthritis.

Prevention and control

Rheumatoid arthritis can control

Because rheumatoid arthritis incurable, many people are on the treatment of rheumatoid arthritis have a negative attitude.

To this, Mr. fengchun that rheumatoid arthritis is not the proper treatment of cancer, if you can get very good control. Patients with rheumatoid arthritis when first should ensure good mentality, insist on long-term follow-up to the hospital. In therapy achieved certain results should have a doctor evaluate whether they should be discontinued, unauthorized withdrawal due to illness easily.

Fengchun Zhang said that rheumatoid arthritis treatment are now mainly to drug therapy, physical therapy, most can only play the analgesic effects, and surgical treatment requirement for indications.

Drug treatment is divided into two categories, the first type is analgesic drugs, the most commonly used but does not block the development of the condition; the second category is improving patient drug, illness can be partially blocking progress. In addition, in recent years, a class of biological agents, targeted therapies, very strong anti-inflammatory effect, on behalf of the drug is tumor necrosis factor antagonists. This class of biological agents have the following characteristics: first, it works faster, medication after a few days or even a day can alleviate the symptoms. Secondly, the treatment effect is strong, traditional drug therapy only 60%-70% effective, biological agents can reach 70%-80%, traditional drug therapy is only partly alleviated, overall mitigation 50%, this drug may ease to 70%, 80% or even 100 percent easing. "Study abroad in some of the recent data show that conventional drug treatment although clinical signs are gone, but part of the patient's bone destruction is continuing, and biological agents can control clinical symptoms and stop the bone destruction, early use of biological agents can make the joint non-deformation, compared to patients in managing their own. ”

■ Questions

Rainy days and joint pain are not all arthritis

Rainy-day joint soreness Q is the precursor of arthritis?

Fengchun Zhang: rainy day joint pain, not necessarily suffering from arthritis.

But rainy-day joint soreness of the crowd some may develop arthritis, but some people just take joint discomfort, strict sense does not necessarily arthritis. It is recommended that rainy day joint soreness crowd as early as possible to get medical help, the early identification of whether suffering from arthritis, early treatment to control the disease as early as possible.

Arthritis of the precursor general performance for different degrees of swelling, if sustained joint pain back pain and swelling associated with the Festival, the Basic can certainly suffer from arthritis.

The most classic of the diagnosis of rheumatoid arthritis, we press the United States Institute of Rheumatology, joint swelling and pain lasts 6 weeks. Exactly this standards despite the sometimes early diagnosis, but we emphasize once the Festival will be careful, usually swollen joint problems, and probably of rheumatoid arthritis.

■ Protection

Don't keep a hand carry heavy objects

Living a healthy lifestyle helps protect joints, arthritis is also conducive to the development of disease control.

Adhere to proper exercise: select can increase joint flexibility, stretching of the muscles strength as well as the strengthening of sports such as swimming, walking, cycling, etc., in the process of attention to prevent movement joints subjected to inappropriate external force.

Avoid excessive use of joint: if try to share the load (using both hands weight), using large joints (e.g. door, try to use shoulder instead of the hand), stand good posture.

Knee and hip arthritis patients avoid long standing, kneeling and dunwei. From the sitting position to stand up, his hands raised bracket support or knees.

Note the prevalence of joint protection: on sick joints should be properly protected, do not damage or excessive activity again.

First of all should give joint to adequate rest, if necessary, to reduce the available support, such as joint or elbow pain serious shoulder, you can use the triangle cloth hanging limb, local hot also helps relieve the pain, and promote recovery. Wear elastic shoe insoles with appropriate, also wearing knee pads or winding elastic bandage, can reducePain. Cervical osteoarthritis patients avoid long desk, looked up or go neck, sleep with a pillow suitable height; spinal patients best sleep hard beds.

Use the accessibility tools: you can use canes, walking, accessibility tools, in order to enhance the patient in the daily lives of independence, not because of joint pain and immobility.

(Editors: Luo Li-ping)