Why You Should Know Your Type of Arthritis

和erstanding Your Diagnosis and Treatment Plan

It's not uncommon to hear people say "I have arthritis." Generally speaking, they are correct, but more accurately, they have a specific类型的关节炎的。有超过100种类型的关节炎。大部分的100种罕见疾病。你可以在所有的两只手算你可能听说过的类型和两个手指才是最提及,并认为最常见的:(osteoarthritis类风湿关节炎)。

症状暗示性关节炎

People who are experiencing early, vague symptoms related tojoint pain,joint stiffness, joint swelling, or运动的有限范围may suspect arthritis. But arthritis symptoms, especially早期关节炎症状,可以与其他条件重叠。

It is important to have a doctor assess your symptoms and accurately diagnose your condition. Before x-rays are taken or blood tests are ordered, you may not know if you are dealing with an acute joint injury or a chronic disease. To determine the cause of your symptoms, your doctor must take your medical history, perform a physical examination, and order diagnostic tests. While the pattern of symptoms will give clues, symptoms alone do not formulate a diagnosis.

诊断权条件的重要性

当谈到最初的症状,人们往往自我治疗咨询医生之前。也许没有伤害来源于采取刺在自我治疗,但有可能没有显著的好处无论是。通常情况下,人们尝试共同以上的非处方治疗,希望事情会有所作为。许多人谁选择自我治疗发现,症状持续。他们意识到他们正在踩水,如果不是越来越差,没有医生的输入。其他人不断地自我治疗或者只是住在一起的症状,冒着是来自延迟适当的治疗后果。

美国疾病控制和预防估计的中心,虽然超过1000万名美国人患有慢性关节症状,大部分都没有被评估或由医生治疗。的220万人民应该有风湿性关节炎在美国,超过70万没有被诊断或治疗。谁被确诊患有风湿性关节炎的150万,超过80万的护理初级保健医生的下,而不是风湿病(a specialist in arthritis and rheumatic diseases).

少数关节可能参与配合医生初步磋商。可能没有当结果回来可以多透露从血液测试or X-rays. But your doctor will order more extensive tests until a diagnosis can be made.

Early, Disease-Modifying Treatment Brings Best Results

有些类型的关节炎是炎症,而其他非炎症。类风湿关节炎,psoriatic arthritisankylosing spondylitisare examples ofinflammatory arthritis。骨关节炎是一种类型的关节炎的已被列为非炎性(尽管较新的研究已经表明有可能是一个涉及与骨关节炎炎症过程)。

一类被称为药物disease-modifying anti-rheumatic drugs(的DMARDs)是有效的许多患者患有炎性类型的关节炎。当DMARDs的指示,早期治疗是至关重要的。14个涉及超过1,400名患者的临床试验的荟萃分析证实,早期DMARD的使用是重要的,而真正的召开,无论DMARD的规定的类型。谁接受DMARD治疗的早期患者比那些谁耽误了治疗和预防关节损伤的最佳机会更好的结果。

Researchers are working on the development of disease-modifying osteoarthritis drugs (DMOADs), too. At this point, there are no osteoarthritis drugs that can slow progression of the disease. Drugs such asnonsteroidal anti-inflammatory drugs(非甾体抗炎药)和止痛药主要影响的症状,不是疾病的进展。当只有一个或少数关节都参与,可的松或海尔根的注射剂可以被用于得到控制带来的炎症。

底线

It's important to know your type of arthritis so that you can receive the proper treatment. Early,积极治疗is essential for bringing arthritis under control and slowing progression of the disease. Your doctor will guide you to thebest treatment optionwith the goal of controlling symptoms and preventing permanent joint damage. Whether you start with NSAIDs (nonsteroidal anti-inflammatory drugs), corticosteroids, DMARDs,biologics, or a combination, early treatment is the way to go.

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Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial process了解更多关于我们如何事实检查,并保持我们的内容准确,可靠,值得信赖。
  • Primer on the Rheumatic Diseases. Chapter 2 - Evaluation of the Patient. John J. Klippel. Arthritis Foundation. Thirteenth Edition.
  • 类风湿关节炎: Early Diagnosis and Treatment. Pages 77-83. John J. Cush MD, Michael E. Weinblatt MD, Arthur Kavanaugh, MD. Third Edition. Professional Communications Inc. Copyright 2010.