Rheumatoid arthritis(RA) is characterized by the body's immune system mistakenly attacking its own tissues, particularly the synovium — the lining of the membranes surrounding the joints. Over time, this can lead to joint destruction and deformity.
Symptoms and Causes of Rheumatoid Arthritis
The symptoms of RA can vary in severity and may come and go. They commonly include:
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Tender, warm, swollen joints
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Morning stiffness that may last for hours
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Fatigue, fever, and loss of appetite
As the disease progresses, symptoms often spread to the wrists, knees, ankles, elbows, hips, and shoulders. In most cases, symptoms occur in the same joints on both sides of the body.
The exact cause of RA is unknown, but it's believed to be a combination of genetic and environmental factors, such as smoking, exposure to asbestos or silica, and microbial infections, which might trigger the disease in those with an inherited susceptibility.
RA's Impact on Daily Living
RA can significantly affect daily activities. Joint pain and stiffness can make routine tasks challenging, while fatigue may reduce the ability to participate in social and work activities. Moreover, RA can lead to a higher risk of developing osteoporosis and anemia, as well as heart and lung problems.
Treatment of Rheumatoid Arthritis
While there is no cure for RA, treatments can improve symptoms and slow the progression of the disease. Treatment plans often include:
1. Medications:
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Nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain and reduce inflammation.
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Steroids to quickly reduce inflammation and slow joint damage.
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Disease-modifying antirheumatic drugs (DMARDs), like methotrexate, to slow RA's progression.
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Biologic agents, a newer class of DMARDs, which target specific parts of the immune system that fuel inflammation.
2. Lifestyle Modifications:
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Regular physical activity can help keep joints flexible.
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A healthy diet can help control inflammation.
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Smoking cessation, as smoking can aggravate RA and decrease the effectiveness of treatments.
3. Physical and Occupational Therapy:
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These therapies can teach you how to protect your joints and enable you to better manage daily tasks.
4. Surgery:
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In severe cases, surgeries such as synovectomy, tendon repair, joint fusion, or total joint replacement may be necessary.
Conclusion
Rheumatoid arthritis is a challenging condition that affects millions, but with proper treatment and lifestyle adjustments, many individuals with RA lead fulfilling lives. A multidisciplinary approach involving medication, lifestyle changes, and supportive therapies can provide relief from symptoms and help maintain joint function. Early diagnosis and treatment are essential for the best outcomes, emphasizing the importance of regular medical care and monitoring.