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类风湿性关节炎可以治愈吗?这4个认知误区要谨记

2022-08-31 风湿闰月说 风湿闰月说

纠正认识上的误区,才能更好认识类风湿关节炎。

说起类风湿性关节炎,很多人并不陌生,这是一种以晨僵、关节疼痛为主要表现的常见疾病,该病容易侵蚀关节,甚则导致患者残疾,严重影响患者生活质量。

类风湿性关节炎的治疗不仅需要医生为每个人制订不同的治疗方案,更需要患者的积极配合和定期复诊,纠正认识上的误区,才能更好认识类风湿关节炎。

类风关的发病有什么特点?

实际上,类风湿性关节炎是一种自身免疫性疾病,病因至今尚未明确。

黄闰月副主任医师指出,本病可发生于任何年龄,发病率大概在0.2%~0.4%,在我国大约有五百万的患者,发病率随着年龄增长而增加,好发于35~50岁,女性多于男性。

类风关4大认识误区

误区一、类风湿关节炎治不治都可以

类风关需长期防治且疗效多数不会立竿见影,人们便产生了“治也治不好,不治也不要命”的感觉。

甚至有不少人认为得了类风湿性关节炎就意味着关节功能障碍,与残疾无异,所以干脆就放弃治疗。

实际上这是对该病存在的错误认识,如果该病做到早期诊断和干预,是完全可以避免残疾,维持正常工作和生活能力,与正常人无异。

类风关早期症状多为晨僵、关节肿痛,如果放任不治疗,部分患者在后期会发展为残疾,就是关节畸形。建议有晨僵、关节肿痛等早期症状的患者,应该及时到医院的风湿免疫科就诊。

目前治疗类风湿性关节炎有使用非甾体类抗炎药、免疫抑制剂、生物制剂等。同时,配合中药治疗可以更快使病情稳定,且可降低复发率。

误区二、类风湿关节炎可以完全治好

类风湿性关节炎虽然在早期治疗时做到与正常人无异,但却无法完全治愈该病。黄闰月大夫解释说,类风湿性关节炎是一种慢性疾病,目前世界上还没有办法治愈,只能通过药物来控制病情。

其实就相当于是高血压、糖尿病等一些慢性疾病,只能通过相应的药物进行控制,但高血压、糖尿病本身是不能治愈的。

误区三、痛则不动

患者在关节肿胀的急性期需要休息,但过了急性期,提倡做一下生活能力的锻炼以及各关节的屈伸锻炼或者理疗。类风湿关节炎者如果肢体长期活动减少可能导致骨质疏松、关节僵直、变形、肌肉萎缩以及深静脉血栓形成。

因此,在非急性期应该坚持适当的锻炼,在锻炼的同时需要注意保暖。中医认为,如果长期没有活动关节,会导致气血不畅,并不利于病情恢复。

误区四、激素治疗类风湿关节炎副作用大、依赖性强

小剂量激素目前依然是治疗难治性类风湿关节炎的重要手段之一。虽然激素药物可能会带来骨质疏松、高血压、高血脂等副作用,但任何药物都会产生副反应,只要是在风湿免疫专科医生的指导下进行治疗是安全的,同时可以辅助一些药进行拮抗激素产生的副反应。

所有类风湿关节炎患者在接受治疗后都应该满足关节症状改善与炎性指标下降这两个条件,当病情稳定,可以在医生的指导下停用激素,并不会产生依赖。

这就要求患者积极和风湿科医生配合,定期复诊,不擅自停药减药。

结语

类风湿关节炎是一种无法彻底痊愈的慢性疾病,但只要规范治疗与管理,是可以达到临床完全缓解以至药物减停的。

从祖国医学角度上,黄大夫认为类风湿关节炎患者大部分存在肝气不舒的情况,从肝论治(疏肝解郁)是类风关的一项治疗原则;同时,随着冬日天气转冷,关节炎也进入了高发季节,中医认为寒则收引,不通则痛,也要顾及蠲痹的原则。

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    2021-11-10 lmm397
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