Arthritis - joint inflammation.However, this is a simplified formulation.In fact, the term "arthritis" combines more than 200 rheumatic diseases and conditions affecting the joints around the tissue.Arthritis also means any disorder that affects the joints.
Arthrosis is sick of 10 to 15 % of the world's population.With age, the risk of arthritis increases significantly.Often, arthrosis symptoms are already found in 30-40 years.27% of people over 50 suffer from arthritis.And after 60 years, almost everyone suffers from this disease.The frequency of arthrosis is the same in men and women.The exception is the arthrosis of the interfaces - this type of arthritis is most commonly found in women.
The causes and nature of the disease can be different.Arthrosis can develop on a rheumatic basis.This applies to people with chronic rheumatism.Diseases sometimes occur full "groups": arthritis is associated with rheumatism, varicose veins with thrombosis, vascular sclerosis, stroke, etc.Everything in the body is interconnected.Arthrosis can also be an autoimmune disease.This means that the immune system, whose purpose is to protect you from viruses and bacteria, suddenly begins to attack healthy cells.The mystery of why the body begins to attack itself has not yet been discovered.
But still, most often arthritis is a sign of rheumatoid arthritis, and represents destructive changes in cartilage and bone tissue that occurs with age as a result of natural aging.Eloquence and statistics.After reaching 60-70 years, arthritis is diagnosed in 60-70% of people.The words "arthrosis" and arthritis are similar only phonetic, but the causes are completely different and, accordingly, treatment.When emphasizing changes in arthritis and arthritis, it is important to accomplish a different direction in which there is a devastating and deforming process.If you have arthritis, then metabolism in the union is disturbed, its elasticity is lost, the cartilage is thinner and each movement causes pain.If you have arthritis, then your immune system has taken the knot, your body works against its tissues and this becomes the cause of inflammation, pain and changes that are deforming.It is important to understand this because it determines the treatment.While authritis will be suppressed by autoimmune processes, mechanical recovery of the joint will be the main purpose for treating patients with arthritis.
The first hit is taken from the knee joints, elbow joints, hands.Thus, knee joint arthritis is more common.Over time, arthritis deformity occurs, the joints begin to deform, due to bending, the affected places can get strange sketches.In particular, there are terms such as "Neck of Swan", "Loop Button".If a person has arthrosis deformity and fingers are affected, then externally they may become shorter.
Deformation of arthrosis is a disease of modernity, a sedentary lifestyle led us to it.Nature was destined to live differently, but by automating the processes, a person "won" many wounds that people pay for all the benefits received.Arthrosis deformity affects, as a rule, by supporting the joints.The arthrosis of the knee joint is explained, because its feature, unlike other joints in large loads it carries.Nature did not particularly take care of the feeding of such places overwhelmed with work.And since the cartilage of the knee joint does not have its own vessels, as a result of aging or under the influence of infections or injuries, it can be atrophy.
There are about 200 different types of arthritis, they all have different nature, can be caused by different external or internal factors, but their purpose is one - our nodes.To better understand the importance of the problem, we give some sad numbers:
- About 21% of the planet's population suffers arthritis,
- 31% of arthritis suffering cannot work,
- One of 250 children under 18 years of age suffers from arthritis,
- Of all cases of disability, 18% falls to arthritis,
- Losses from arthritis reached 1.2% of Gross Domestic Product 2003.
Attempts to overcome the situation are in vain, the numbers deteriorate from year to year.It is predicted that by 2030, 25% of the world's population will already suffer from arthritis to one scale or another.
Symptoms
Arthritis can develop slowly, or may arise suddenly.Common pain can occur, disappear and reappear.In this sense, arthritis is quite plastic, but it is impossible to confuse it with another disease.Here are his main symptoms:
Pain.It can be constant or coming, dumb and sharp.It can occur at rest or during movement, appear in a coupling or in different joints.
Edema.Most often, the affected knot looks swollen, warm to the touch, sometimes the rash is observed.Edema lasts three days or longer, then passes.It can occur periodically, for example, two or three times a month.
rigidity.Classic arthritis symptoms that occur in the morning or during long rest periods: sitting in a chair, riding in a car, etc.
These symptoms can be mild, medium or severe.They can stay the same for many years, they can begin to progress.Severe arthritis is a chronic pain and inability to get involved in any physical work.
Over time, arthritis can lead to irreversible changes, visible to the joints.They can become node, limbs - crooked.Most often damage can only be seen in X -ray.Some types of arthritis affect the heart, eyes, lungs, kidneys and skin.
Localization: What is the difference between arthritis and arthritis?
Both diseases can affect any union, but in most cases the localization of the pathology can indirectly indicate its nature.Thus, for example, arthritis has so -called "damage joints" and "exclusion joints" - depending on the spread of the disease.
First of all, arthritis is amazed:
- Handcuffs and metacarpal phalancing joints;
- Inter -phalaranx proximal connections;
- knee and ankle;
- In particular, finger joints;
- Elbow connections.
Change of arthritis and arthritis
The lesions can be at the same time symmetrical (rheumatoid arthritis) and asymmetric (psoriatic and other species).
Arthrosis chooses the supporting joints that anatomically experience a large load.These include:
- knees;
- Parleen -phalanx fingertips;
- Distal finger joints;
- hip;
- ankle;
- Intervertebral.
What is the difference between arthritis from arthritis of the joints to the diagnosis?
The primary diagnosis of arthritis and arthritis means visual examination and palpation of joints that have become a source of complaints.A previous disease, damage can also be given a hint.
A comprehensive analysis of blood and urine can determine the difference between arthritis and arthritis.It can determine the presence of bacterial pathogens, an increased level of leukocyte, rapid resolution of red blood cells and other inflammation markers (for example, a rheumatoid factor. If the result is "pure", other studies are described.
X -Redaging for arthritis indicates narrowing of the joint gap, thinning of the cartilage layer, and, depending on the stage of the disease, the presence of osteophytes.With arthritis, visible changes have not been observed.
In diagnosis, hardware research methods (ultrasound, CT, MRI) and minimal invasive intervention (arthroscopy) can be used.
Diagnosis of arthritis
What is the difference in the treatment of arthritis and arthrosanny with predictions.Arthrosis is always incurable - this is a chronic disease and can only adhere to.Arthritis can also be chronic (rheumatoid, idiopathic, psoriatic), and a transient phenomenon (infectious).
Let us consider in more detail the basic features and changes in the therapy of these diseases.
Here are the main types of this disease, depending on the provocative factors:
- Inflammatory
- Degenerative arthritis
- Infectious arthritis
- Metabolic arthritis
It is known that the immune system is our protector.It is what generates inflammation to save the body from infection.Sometimes there are malfunctions in the functioning of the immune system.One of them is the attack of their joints and, as a result, inflammation.Most often, this leads to erosion and damage to the joints and tissues around them.
Inflammatory arthritis includes very commonrheumatoidANDPsoriaticarthritis.Doctors believe that the main reason for their appearance lies in genetics.External factors also play an important role.For example, smoking can cause rheumatoid arthritis in people with certain genes.
With inflammatory arthritis (autoimmune), early diagnosis and aggressive treatment are essential.Slowing the disease minimizes or even prevents irreversible damage to the joints.
From the name it is clear that it is caused by the degradation of the union, more precisely, its cartilage.As a result, the cartilage becomes thinner or generally disappears, the bone begins to rub in the bone, which causes edema, pain, further immobility of the joint.To offset the loss of cartilage, the body begins to rebuild the bone in an effort to restore stability, bone developments develop - osteophytes that force the union to deform.
In the risk group are athletes engaged in heavy physical work and older people.Risk factors also include excess weight, genetic predisposition, trauma experienced.
Inflammation of the joints caused by infections: bacteria, viruses, fungi.Examples of microorganisms capable of locating in the joints are: Salmonella, Chlamydia, Gonorrea, Hepatitis C
Modern antibiotic treatment destroys infection, however, with delayed treatment, damage to the joint can become irreversible, and the disease becomes chronic.
Acute joint disease caused by a high level of uric acid in the body.It is formed in the digestive system, as a product of harvest purines.They are rich in foods such as liver, anchors, sprats, beers, legumes, etc.
In a healthy organism, uric acid is dispersed into the bloodstream, enters the kidneys and excreted by the body in the urine.In some people, the uric acid content is higher than usual.This condition is called hyperuricemia.
Uric acid can accumulate in the joints, forming sharp needle crystals, which causes severe paingout.Gout may appear episodically depending on the level of uric acid, or it can go to a chronic form.
Crystallization is a physical process depending on the temperature.The lower the process of crystallization goes faster.This explains the fact that gout most often affects the "coldest" joints of the limbs, such as a finger on the arm or foot.
If you read the first part of the article, you probably noticed that degenerative arthritis is very similar to arthrosis.That's true!This is the same disease that has another name -osteoarthritis(osteoarthrosis).
It was this kind of arthritis that was widespread.About 12% of adults (over 25 years) of the planet's population suffer from them.The knee joint osteoarthritis is one of the five major causes of disability.Among the arthritis suffering from arthritis, there are 60%, men 40%.
Treatment of arthritis and arthritis.
In the treatment of arthritis and arthritis, different methods are used.First of all, you should consult a doctor to clarify the diagnosis.The best results of diagnosing joint disease are given by radiography and MRI.Along with this, the doctor also determines the necessary laboratory tests.
It is necessary to limit the axial load to the joints.The treatment of the disease is performed in two directions: removal of the inflammatory process, the restoration of the cartilage and the ligamentous tissue.Physical therapeutic education, orthopedic regime, therapeutic diet, physiotherapy: for arthrosis -arthritis, thermal and ultrasound procedures, electrophoresis, magnetotherapy, amplulosotherapy, paraffin applications.An intra -articular administration of hyaluronic acid preparations is also possible - this is one of the most important ingredients of synovial fluid.It provides the food of the intra -articular hyaline cartilage, which does not have its blood vessels, reduces friction between the common bone surfaces and provides softness of movement (special intraarticular lubrication).
PREVENTION
Most often, arthritis has a slow, chronic character.Almost almost impossible to completely eliminate the cause of the disease.Therefore, its treatment is more likely to be the nature of the fight against symptoms (for example, with pain).It is not possible to completely restore the combination function.
At the same time, preventing arthritis is quite simple - it is moderate physical activity and conveys your weight.So loss at 6 kg weight.Reduces the risk of developing the knee node osteoarthritis in a woman with 50%.Moderate physical activity (3 times a week) reduces the risk of osteoarthritis in older people by 47%.