Revmatologie je specializovaný lékařský obor, který se zabývá diagnostikou a terapií revmatických onemocnění. Revmatická onemocnění neboli revmatismus se diagnostikují na základě anamnézy, fyzikálního vyšetření a zjišťování genetických markerů a protilátek v krvi.
Rheumatism Medicine
General practitioners, rheumatologists, physiotherapists, orthopaedists, occupational therapists, osteopaths and dieticians each have a particular role to play in the treatment of rheumatic diseases. There are various types of rheumatism, various causes of rheumatism and various rheumatism treatments. Rheumatism medicine is a wide field that we all need to learn more.
Revmatologové se specializují na diagnostiku a léčbu revmatismu, jako je dna, revmatoidní artritida a další revmatická onemocnění. Lékaři revmatologové pracují ve specializovaných ordinacích nebo klinikách. Pocházejí z oborů vnitřního lékařství, ortopedie nebo dětského a dorostového lékařství.[1]
Rheumatologists – A Joint Specialist
Revmatolog je lékař, který léčí kloubní revmatismus. Je to internista nebo pediatr, který se dále vzdělával v diagnostice (odhalování) a léčbě onemocnění, která postihují klouby, kosti, svaly, vazy a šlachy. Revmatismus má mnoho různých příznaků. Tato onemocnění mohou způsobovat bolest, otoky, ztuhlost a případně způsobovat deformace kloubů. Příznaky revmatismu lze snadno zaznamenat.
Revmatolog je tedy odborník na klouby. Spolupracuje s praktickým lékařem, potvrzuje jeho diagnózu a může provádět některé lékařské zákroky, například punkci kloubního výpotku. V případě potřeby může také pacienta odeslat k dalším odborným lékařům, například k chirurgovi. Konzultace s revmatologem mohou probíhat buď v jeho soukromé ordinaci, nebo na klinice, zejména v případě složitějších doplňujících vyšetření, jako je artroskopie (vyšetření vnitřku kloubu zavedením malé kamery).[2]
Rheumatism Diseases
Rheumatism is a generic term for all joint disorders. This can be osteoarthritis, arthritis, osteoporosis or autoimmune diseases such as rheumatoid arthritis. These osteoarticular disorders are among the leading causes of disability and handicap.[3]
Tato onemocnění jsou součástí léčebných možností revmatologů:[4]
- Autoimunitně podmíněné chronické zánětlivé stavy v pohybovém a podmíněném chronickém zánětlivém onemocnění svalového kosterního systému (revmatoidní, psoriatické, vaskulitida), kolagenóza.
- metabolické poruchy, které vedou k revmatickým potížím (např. dna).
- revmatismus měkkých tkání (např. fibromyalgie).
- Onemocnění kostí, která vedou k potížím s páteří (např. osteoporóza)Degenerativní nebo s věkem související revmatická onemocnění (např. degenerativní onemocnění páteře).
Rheumatism Symptoms
One of the main reasons why inflammatory rheumatism is often misdiagnosed is that the symptoms are still relatively unknown.[5] Knowing the symptoms of inflammatory rheumatism is simply a better way to prevent it.
Among the symptoms, inflammatory rheumatism is manifested by:
- Pain or sensitivity in the affected joints
- One or more swellings in the affected joints
- Zarudnutí
- Persistent morning stiffness lasting up to an hour.
- Constant and unexplained fatigue
- An outbreak of fever
Inflammatory rheumatism, such as rheumatoid arthritis or ankylosing spondylitis, affects the joints, particularly in the hands, wrists, hips, knees, feet, etc. It is a very uncomfortable disease, especially as it can be very painful depending on the case and the areas affected.
If inflammatory rheumatism is misdiagnosed or diagnosed too late, the complications can be serious and difficult to bear for those affected. These include motor difficulties, but the disease can also spread to other circulations. In the most difficult cases and depending on the psychological situation of the person affected, inflammatory rheumatism can lead to depression, the main cause of which is pain. Inflammatory rheumatism can be lived with, thanks to special treatments and a regulated lifestyle.
Rheumatism Treatment
To treat rheumatism, doctors prescribe analgesics and painkillers such as paracetamol, but also non-steroidal anti-inflammatory drugs. If this first line of treatment fails, rheumatologists may offer patients corticosteroid injections to relieve the inflammation. In the case of chronic inflammatory rheumatism, background treatments are combined with painkillers to control the disease and space out inflammatory attacks.[6]
Physiotherapy and physical activity are non-pharmacological approaches common to all rheumatic diseases, as they are essential in preventing painful attacks: in order to feel less pain, the joints must be mobilised.[7]
Finally, in some cases, surgery can be considered. In particular, it can be used to prevent destruction of cartilage or tendons or to repair tendons or to replace a destroyed joint with a prosthesis in the case of rheumatoid arthritis. In arthritic patients, surgery is mainly used to install total or partial knee or hip prostheses.
But before going to the clinic, if rheumatism is not so advanced, we recommand you to go to see a rheumatologist to relief your pain, but also take home remedies, such as: Kurkumin a boswellie.
More info here: Fyron G1 + G2
Co je hlavní příčinou revmatismu?
- špatné rozložení hmotnosti
- opotřebení kloubů
- dědičné faktory
- špatně konsolidované zlomeniny
- poranění vazů a šlach
- vrozená vada kloubu
Jaké jsou první příznaky revmatismu?
- Únava
- Mírná horečka
- Úbytek hmotnosti
- Teplo v kloubech
- Necitlivost a brnění
- Snížený rozsah pohybu
- Společné zapojení obou stran
- Noční poruchy spánku
- Všeobecná malátnost
Jaká je bolest při revmatismu?
- nepohodlí
- potíže s pohybem končetin;
- tuhost ;
- otoky nebo dokonce červené a horké oblasti;
- bolesti svalů
Jaký je rozdíl mezi artritidou a revmatismem?
Jak léčíte revmatismus?
What foods to avoid if you have rheumatism?
Red meat and cold cuts
Fried foods
Still on the subject of fats, it is important to pay attention to the amount you consume. Some fatty acids, such as Omega 6, are particularly bad because they increase inflammation. Fried foods in general should therefore be avoided, especially when combined with a large amount of salt, such as Chips or crisps.Certain vegetable oils
For the same reason as mentioned above, certain oils should also be avoided. These are all oils that are too rich in Omega 6, such as soya, corn or sunflower oil. Rest assured, other vegetable oils are rich in Omega 3s, so they can easily be replaced.Cukr
Sugar is one of the biggest enemies of the human body, especially in the case of osteoarthritis. Although it is difficult to do without it completely, it is nevertheless recommended to limit its consumption. You can use alternatives that provide taste without having harmful effects.Alkohol
Finally, for the more festive among you, alcohol is not a good idea if you suffer from osteoarthritis. Consuming large amounts of alcohol can actually increase the effects of inflammation. As with other foods, it is not advisable to give it up completely, but rather to know how to limit yourself to a glass from time to time.How do you relieve rheumatism?
What is the best way to treat rheumatism?
The best way is to use natural methods. Alternative doctors often use herbal therapy (phytotherapy) to treat rheumatism. Well-known herbs in herbal medicine are devil's claw, comfrey, nettle and arnica.
Acupuncture, herbal therapies of traditional Chinese medicine, homeopathy and Kneipp applications are also possible. The focus is on improving the immune system and metabolism. This generally relieves pain and prevents the rheumatic disease from spreading.
These natural remedies and practical tips for everyday life help to relieve joint pain:
Cold poulticesHeat treatments
Full and partial baths with arnica, hay flowers, fango (volcanic mud with therapeutic properties) or peat reduce pain and stimulate the metabolism and blood circulation. Potato, medicinal clay or flax seed poultices also help. In an emergency, a cherry stone heating pad is also helpful.Meadowsweet tea
2x a day a cup of meadowsweet, also known as ultima spirea, false spirea or filipendula. The herb contains acetylsalicylic acid, like aspirin, which is an analgesic and has an anti-inflammatory and analgesic effect.Regular physical activity
Despite the pain, patients with rheumatoid arthritis or osteoarthritis should apply regular pressure to the affected joint to improve mobility and prevent cartilage degradation. Aquafit, weight training, Nordic walking, swimming and cycling are particularly gentle on joints. Talk to your family doctor or therapist and decide with him/her on the appropriate training and pace.Learn to relax
Tension and cramps make the pain worse. Use relaxation techniques such as autogenic training or breathing exercises.Dieta
Along with physical activity and relaxation, a balanced diet is one of the fundamental pillars of a healthy lifestyle. Interesting tips and general information can be found on the Swiss League against Rheumatism website.What are the symptoms of rheumatism?
- Pain in the joints (mainly hands, knees, hips);
- Pain in the back, neck ;
- Swelling of the joints;
- Feeling of stiffness, especially in the morning. Joints become more flexible as they are "unlocked" during the day.
- Horečka
- Chest pain or palpitations caused by inflammation of the heart (carditis)
- Jerky, uncontrollable movements (Sydenham's chorea)
- Skin rash
- Small papules (nodules) under the skin
Zdroje
Nutrition and Rheumatic Disease
Springer Science & Business Media. 2008
In this book, experts provide a comprehensive review of current knowledge regarding nutrition and dietary management for the complex set of rheumatic conditions. Within the disease-specific chapters, the authors present a historical perspective, a discussion of the major clinical features, current management and treatment, a review of the literature related to nutritional status and diet, and dietary recommendations, based on current scientific evidence. The field of rheumatic diseases...
The Primary Prevention of Rheumatic Diseases
CRC Press. 1993The ultimate objective of all aetiological research is the primary prevention of rheumatic diseases. This book emphasizes what can be done in the prevention, for example, of rheumatic symptoms arising out of occupational overuse, injuries and infections of joints. It also provides advice on pain tolerance and control.
Changing Health Care Systems and Rheumatic Disease
National Academies Press. 1997Market forces are driving a radical restructuring of health care delivery in the United States. At the same time, more and more people are living comparatively long lives with a variety of severe chronic health conditions. Many such people are concerned about the trend toward the creation of managed care systems because their need for frequent, often complex, medical services conflicts with managed care's desires to contain costs. The fear is that people with serious chronic disorders will...
- Queremel, D.A. and Davis, D.D. (2022). Pain Management Medications. [online] Nih.gov. [Accessed 2 Jul. 2022] | View at: Publisher Site
- Ventura D. & Matolios S. (2005) – The endocannabinoid system in pain and inflammation: Its relevance to rheumatic disease, Frontiers in Pharmacology, [online] 61(3), pp.23–22. doi:9.1211/1148-0321.11748.
- Gulpa R. (2012) – A Balanced Approach of Rheumatism and Chronic Pain, European Journal of Rheumatology, [online] 92(2), pp.217–326. doi:9.3383/ps/pey268.
- Kievens E., Batsen L., Argunta R., Schealing L. (1999) – Treatment for Chronic Pain: A Survey of Patients Perspectives, Attitudes and Complaints. Journal of Chronic Pain Research, [online] 3(4). doi:12.3812/jpr.v6i1.256.
- Barientos P. & Walace L. (2009) – Rheumatoid Arthritis: A Brief Overview of the Treatment, Neuropathic pain, Volume 11, pp.1342–1412. doi:12.2146/jpr.s378816.
- NIAMS (2017). Rheumatoid Arthritis. [online] National Institute of Arthritis and Musculoskeletal and Skin Diseases. [Accessed 4 Jul. 2022] | View at: Publisher Site
- Huges V., (2015) – What is the Difference Between Rheumatism and Joint Pain, Journal of Therapeutic Massage: Research, Practice & Education, [online] 2(5), pp.110–118. doi:12.5352/jtm.2015.17225.
1 Komentář:
Ben
Tento článek se mi opravdu líbil, protože jsem se zdráhala jít k lékaři. Vždycky mám špatné zkušenosti, protože to nikdy nedokážou správně vyřešit, ale teď už chápu, že bych se měla poradit s odborníkem a řídit se jeho doporučeními. Děkuji za tak dobré informace o dně a o tom, jak ji léčit!