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Rheumatism Doctors or Clinic – Which Treatment is best? Here 9+ explanations

Reumatologi adalah bidang medis khusus yang menangani diagnosis dan terapi penyakit rematik. Penyakit Rematik, atau Rematik, didiagnosis dengan mengambil riwayat medis, melakukan pemeriksaan fisik dan mendeteksi penanda genetik dan antibodi dalam darah.

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.

Ahli reumatologi berspesialisasi dalam diagnosis dan terapi rematik, seperti asam urat, artritis reumatoid dan penyakit rematik lainnya. Dokter reumatologis bekerja di praktik atau klinik spesialis. Mereka berasal dari bidang kedokteran internal, ortopedi atau pediatri dan kedokteran remaja.[1]

Rheumatologists – A Joint Specialist

Seorang rheumatologist adalah dokter yang menangani rematik artikular. Dia adalah seorang internis atau dokter anak yang menerima pelatihan lebih lanjut dalam diagnosis (deteksi), dan pengobatan penyakit yang mempengaruhi sendi, tulang, otot, ligamen, dan tendon. Rematik memiliki banyak gejala yang berbeda. Penyakit-penyakit ini dapat menyebabkan rasa nyeri, bengkak, kaku, dan berpotensi menyebabkan kelainan bentuk sendi. Gejala rematik mudah diketahui.

Dengan demikian, ahli reumatologi adalah spesialis sendi. Ia bekerja sama dengan dokter umum, mengkonfirmasi diagnosis dokter umum dan dapat melakukan prosedur medis tertentu, misalnya menusuk efusi sendi. Ia juga dapat merujuk pasien ke dokter spesialis lain, seperti dokter bedah, jika perlu. Konsultasi dengan ahli reumatologi dapat dilakukan di tempat praktek pribadinya atau di klinik, terutama dalam kasus pemeriksaan pelengkap yang lebih rumit seperti artroskopi (pemeriksaan bagian dalam sendi dengan memasukkan kamera kecil).[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]

Penyakit-penyakit ini adalah bagian dari pilihan pengobatan untuk para ahli reumatologi:[4]

  1. Kondisi inflamasi kronis yang disebabkan autoimun pada gerakan dan penyakit inflamasi kronis bersyarat pada sistem kerangka otot (rheumatoid, psoriatis, vaskulitis), kolagenosis.
  2. Gangguan metabolisme yang menyebabkan keluhan rematik (misalnya, asam urat)
  3. Rematik jaringan lunak (misalnya fibromyalgia).
  4. Penyakit tulang, yang menyebabkan keluhan pada tulang belakang (misalnya, osteoporosis)Penyakit rematik degeneratif atau terkait usia (misalnya, penyakit tulang belakang degeneratif)

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
  • Kemerahan
  • 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 dan Boswellia.

More info here: Fyron G1 + G2

Rheumatism Doctors Rheumatism Doctors

Obat Rematik Rumah Rematik

Apa penyebab utama rematik?

In many cases, rheumatism is a disease caused in part by ageing, joint trauma or excessive stress on cartilage, but also by immune system dysregulation and sometimes by infections or cancerous tumours. A hereditary component has also been identified. However, the exact causes of these disabling diseases are still unknown. Rheumatism causes are very complex…

Memang, di bidang rematik, grafik klinis sangat populer. Penyebabnya begitu banyak sehingga belum banyak dipelajari.

Termasuk di antaranya:

  • distribusi berat badan yang buruk
  • keausan dan kerusakan sendi
  • faktor keturunan
  • fraktur yang tidak terkonsolidasi dengan baik
  • cedera ligamen dan tendon
  • malformasi bawaan dari sendi

Penyakit rematik lainnya disebabkan oleh masalah metabolisme atau kekebalan tubuh, atau berasal dari peradangan. Infeksi virus dan bakteri usus tertentu juga diduga menyebabkan rematik.

Secara umum, penyakit ini berkembang secara kronis dan menyebabkan peradangan sendi, yang dapat menyebabkan kehancurannya.

Apa tanda-tanda pertama rematik?

Sebenarnya, tidak ada penyakit yang disebut rematik. Rematik adalah istilah umum untuk serangkaian gejala yang berkaitan dengan rasa sakit pada sistem lokomotor.

Tanda-tanda pertama rematik adalah rasa kaku yang menyakitkan, nyeri tekan, kemerahan dan pembengkakan pada beberapa sendi, terutama pergelangan tangan, tangan dan jari-jari. Rasa nyeri biasanya terjadi pada malam hari dan pagi hari.

Gradually, the inflammation weakens the cartilage, bone and tendons, leading to disabling deformities. In everyday life, these joint pains are annoying and sometimes very painful. As soon as they appear, they can have repercussions on everyday activities but also prevent us from sleeping at night…

Di sini juga ada tanda-tanda peringatan lainnya:

  • Kelelahan
  • Demam ringan
  • Penurunan berat badan
  • Panas pada persendian
  • Mati rasa dan kesemutan
  • Rentang gerak menurun
  • Keterlibatan bersama di kedua belah pihak
  • Gangguan tidur di malam hari
  • Malaise umum

Selain itu, gejala awal rematik tidak selalu terbatas pada persendian. Mungkin ada manifestasi awal pada organ lain seperti kulit, mata, mulut, saluran pencernaan, paru-paru dan ginjal.

Jadi, gejala pertama rematik tidak terlalu spesifik dan dapat disalahartikan sebagai penyakit lain. Bisa juga terjadi bahwa kita tidak mementingkan gejala-gejala tersebut, menyalahkan mereka pada usia, penuaan atau kurangnya kebugaran fisik.

Seperti apakah nyeri rematik itu?

Nyeri adalah gejala rematik yang paling umum dan biasanya terletak di dalam atau di sekitar persendian. Nyeri ini bisa bersifat sementara atau muncul hanya dengan gerakan, misalnya, di tangan saat menjahit, di lutut saat berjalan atau di punggung saat membungkuk; tetapi juga bisa bersifat tetap dan terus-menerus, bahkan mencegah gerakan atau tidur.

Rasa nyeri kadang-kadang disertai dengan rasa kaku atau mati rasa pada persendian yang membaik dengan gerakan. Tetapi rasa nyeri juga bisa berasal dari otot, tendon atau struktur lain dari sistem lokomotor dan bisa menjadi sangat tidak nyaman.

Rheumatism is usually manifested by “mechanical” pain that is triggered and aggravated by movement. They subside with rest.

Those so-called “mechanical” pain is the main symptom. They lead to :

  • ketidaknyamanan
  • kesulitan dalam menggerakkan anggota tubuh;
  • kekakuan;
  • bengkak, atau bahkan area merah dan panas;
  • nyeri otot

Ini adalah rasa sakit harian dan malam hari yang tidak meninggalkan pasien: lebih dari separuhnya terbangun oleh rasa sakit mereka.

So, rheumatic diseases produce discomfort, prickling, a feeling of heaviness, tightness or tiredness localised in one area of the body (shoulder, neck, lumbar region, legs, etc.) or with a generalised or diffuse distribution, as if the whole organism were involved and which the affected person expresses with a phrase such as: “everything hurts” or “I get up worse than when I go to bed”.

Gejala mendasar adalah pembengkakan sendi. Ini adalah konsekuensi dari akumulasi cairan sinovial di dalam rongga sendi dan dapat disebabkan oleh banyak proses. Ini adalah tanda penyakit sendi yang harus mengarahkan kita untuk berkonsultasi dengan rheumatologist. Penyakit pada sistem lokomotor juga dapat menimbulkan gejala lain, seperti kehilangan nafsu makan, penurunan berat badan, kehilangan kekuatan, kelemahan, kelelahan, demam atau perubahan pada organ atau sistem lain (kulit, mata, mulut, sistem pencernaan, paru-paru, ginjal, dll.).

Apa perbedaan antara artritis dan rematik?

Istilah artritis dan rematik merujuk pada lebih dari seratus kondisi, dengan sifat dan penyebab yang berbeda, yang ditandai dengan nyeri pada persendian. Rematik vs artritis?

Rematik adalah sekelompok penyakit yang terutama ditandai dengan pembengkakan sendi yang menyakitkan. Rematik adalah istilah umum untuk semua gangguan sendi. Ini mengacu pada semua penyakit yang bertanggung jawab atas rasa sakit atau peradangan yang mempengaruhi persendian atau struktur yang terletak di dekatnya, seperti tendon, ligamen, tulang rawan atau cakram intervertebralis. Oleh karena itu, rematik mengacu pada semua penyakit pada sistem lokomotor. Ini bisa berupa osteoartritis, artritis, arthrose, osteoporosis atau penyakit autoimun seperti artritis reumatoid.

The concept of rheumatism does not exist in medical books, so it is not considered a pathology: rheumatism refers to the set of ailments or complaints related to the locomotor system.

Artritis adalah inflamasi pada membran yang mengelilingi sendi. Ini bisa bersifat menular, autoimun (disebabkan oleh sistem kekebalan tubuh yang menyerang sel tulang rawannya sendiri) atau berasal dari metabolisme. Ada beberapa jenis: asam urat, ankylosing spondylitis, artritis reumatoid, dll.

Ada lebih dari seratus penyakit yang berbeda pada sistem muskuloskeletal. Reumatologi adalah spesialisasi medis yang menangani penyakit sistem muskuloskeletal dan penyakit autoimun sistemik, dan dokter yang mengkhususkan diri dalam penyakit ini adalah rheumatologist.

Bagaimana Anda mengobati rematik?

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.

Natural preventive also solutions exist to counter the appearance of rheumatic symptoms!

Baca selengkapnya: Bagaimana Anda mengobati rematik?

What foods to avoid if you have rheumatism?

Osteoarthritis manifests itself as severe pain in the joints. This is usually due to a deterioration of the cartilage which leads to inflammation. Certain foods tend to accentuate this effect and prevent the supply of certain nutrients to these parts of the body. In order to try and control this, certain foods should be avoided.
Red meat and cold cuts
More generally, these are all products rich in saturated fatty acids, which feed the inflammation and tend to aggravate it. Various cheeses and margarine, in particular, can also be mentioned in this context. Without going so far as to cut out all consumption, it is recommended to limit it and to aim for good quality products.
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.
Gula
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?

A person suffering from inflammatory rheumatism must adapt his or her lifestyle to the disease in order to relieve the pain and have a better quality of life.

Inflammatory rheumatism or not, adopting a healthy lifestyle can only be beneficial. In the case of inflammatory rheumatism, a healthy lifestyle helps to regulate the rhythm of life of the person affected. A healthy lifestyle can be as much about a healthy and balanced diet as it is about physical activity.

It is important to choose the right physical activities, otherwise there is a risk of creating complications in addition to the inflammatory rheumatism. Practising an unsuitable sport could completely destroy a damaged joint. While tennis is not recommended because it can cause sciatica, yoga is recommended to relieve joint pain, or walking and cycling.

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 poultices
In case of acute joint pain accompanied by swelling or redness, apply a cold compress or clay poultices made of acetic clay, cottage cheese or medicinal clay several times a day. This has an anti-inflammatory, decongestant and analgesic effect.
Heat 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.
Diet
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?

Rheumatism is usually manifested by "mechanical" pain that is triggered and aggravated by movement. They subside with rest. Daily pains that do not leave the patients: more than half of them are awakened by their pains. Joint stiffness, swelling and discomfort are also common symptoms of all rheumatic diseases. These symptoms diminish during the day when the joints are moved and mobilised.

The most common symptoms of rheumatic fever are:

  • 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.
  • Demam
  • 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

Joint inflammation and fever are the most common initial symptoms. Spontaneous pain suddenly appears in one or more joints that are painful to the touch. They may also be hot, swollen and red. The joints may be stiff and contain fluid. Ankles, knees, elbows and wrists are usually affected. However, the shoulders, hips and small joints of the hands and feet may also be affected. When pain decreases in one joint, it appears in another (migratory arthralgias).

The joint pain may be mild or severe and usually lasts for about 2 weeks, rarely more than 4 weeks.

Rheumatic fever does not lead to long-term joint damage.

Sumber

Nutrition and Rheumatic Disease

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

The Primary Prevention of Rheumatic Diseases

CRC Press. 1993

The 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

Changing Health Care Systems and Rheumatic Disease

National Academies Press. 1997

Market 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...

 

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1 Komentar

  • Ben
    Diposting 1. November 2022 di 12:07

    Saya sangat menyukai artikel ini, karena saya enggan pergi ke dokter. Saya selalu memiliki pengalaman buruk karena mereka tidak pernah melakukannya dengan benar, tetapi sekarang saya mengerti bahwa saya harus berkonsultasi dengan spesialis dan mengikuti rekomendasinya. Terima kasih atas informasi yang bagus tentang Gout dan cara mengobatinya!

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