How to Nurse Patients of Rheumatoid Arthritis

How to nurse patients of Theumatoid Arthritis or how patients of Rheumaotid Arthritis manage the daily life? Most of patients know of “30 percent of one disease relies on medical treatment, while 70 percent of it relies on nursing”, so daily nursing is very important for patients, especially for ptients of such chronic disease. How to nurse patients of Rheumatoid Arthritis？
１，patients of Rheumatoid arthritis should avoid the attacking and invading of wind, damp and cold. One cause of this disease is the attacking of wind, damp and cold, so patients need to keep the joint warm which help relieing joint pains and delaying the disease progression.
２，Don’t put on wet or damp shoes, socks and clothes. Keep the living environment clean and dry. Don’t drink cold drink or blowing cold air-conditioning directly or too much, espeically in summer.
３，Diet nursing is of much importance for patients of Rheumatid Arthritis. They need to take in lng-chain unsaturated fatty acids and trace elements like selenium as much as possible, such as fish oil, evening primrose, which can help to ease joint pain and swelling, reduce morning stiffness, and relieve fatigue. Symptoms and patient’s condition varies from patients to patients, so the daily nursing shoud be different and personalized. For the personal daily care, you can ask for our online consultation, which can offer you more specialized daily care and nursing plan for patients of Rheumatoid Arthritis.

Difference between Rheumatosis and Rheumatoid Arthritis

Difference between Rheumatosis and Rheumatoid Arthritis

There are many similarities of Rheumatosis and Rheumatoid Arthritis, such as wind, cold, dampness and arthralgia, while there are essential differences and the implication of Rheumatism is more extensive.
 First, different pathogenesis Rheumatism is caused by pathogenic factors of wind, cold and dampness, but it doesn’t involve heart, not damage the bone substance, and most patients can be cured. Few cases of Rheumatism are caused by streptococcal infection. Rheumatoid Arthritis is a type of autoimmunity disease. Although Rheumatoid Arthritis does not belong to hereditary disease, it may relate to genetic factor and the morbidity among women in 20-40 is much higher.
 Second, pathology The pathological basis of Rheumatism is synovitis and vasculitis, while there is no certain pathological basis.
 Third, symptoms For Rheumatism, the involved joints don’t deform and most the involved joints are large joints. For Rheumatoid Arthritis, usually, the early symptoms of it are joint pain, swelling, stiff, inconvenience of activity and so on. Sometimes, these symptoms are severe, while sometimes are mild. Besides, it recurs repeatedly during the long course of disease. In the initial stage, facet joint of fingers and toes will appear symmetry swelling. And in fater period, there will be joint deformity. Although few patients are complicated with cardiovascular disease, most patients have no symptoms of heart.
Forth, diagnosis Diagnosis of Rheumatoid Arthritis: 1, morning stiffness of joint and surrounding tissue lasts at less 1h (course of disease≥6 weeks); 2, arthritis of three or more than three joints; 3, symmetry arthritis; 4, rheumatoid nodules; 5, positive in rheumatoid factors; 6, radiology change; Diagnosis of rheumatism: there is no certain diagnosis index, but the rheumatoid fact is negative and there is no radiology change.
 Fifth, treatment Usually, there is no effective medicine in western medicine for rheumatism. Patients of rheumatism can be cured soon with traditional Chinese medicine for expelling wind, removing cold, promoting blood circulation and removing stasis. On the contrary, rheumatoid arthritis needs System western medicine treatment in the early stage, and the combined application of Traditional Chinese medicine and western medicine is the best option for patients.

Do I Need to See Rheumatology Doctor if I Have Raynaud’s Phenomenon





Do I Need to See Rheumatology Doctor if I Have Raynaud’s Phenomenon

   Weather is getting colder and colder, doctors find more patients whose hands would turn white and then turn red or porphyreus when they meet cold air or cold water. In thus conditions, do patients need to see a doctor, especially a rheumatology doctor?
 Indeed, this symptom is called Raynaud’s Phenomenon, which gained the name because Doctor Raynaud found it earliest. Certainly, this phenomenon doesn’t occur on hands only. It can involve feet and skin of other parts, while hands are the most common parts. If this kind of symptoms occurs on your body, please pay great attention to it which is reminder of abnormity in the body, instead of a normal physiological reaction.
Usually, this is the early reminder of some serious disease, such as lupus erythematosus, sicca syndrome, dermatomyositis, systemic sclerosis and so on. What is the cause of Raynaud’s Phenomenon? Modern medicine believes that some factors in body cause the inflammation of minute vessels, leading to vasospasm and even lumen stenosis. In normal conditions, vessels can maintain certain blood flow to guarantee blood supply of tissues, so there will no any abnormal sysmptoms. When patients in cold air or water, the vessels will shrink, causing in blood short supply of the surrounding tissues, and then the skin will turn white. After a long time, the blood short supply will aggravate, and then skin will turn purple or red. Besides, most disease with vasculitis is immune disease, such as systemic lupus erythematosus, sicca syndrome, dermatomysitis, microscopic polyangiitis and so on.
So what the patients should do when Raynaud’s Phenomenon occurs?　First, you need to pay enough attention to this symptom. As previously mentioned, some people have this symptom only in winter, so they thought it was chilblain and didn’t pay enough attention to. For some cases, it will progress into classic rheumatic autoimmune disease years later. Second, you should not be scared. Because Raynaud’s Phenomenon is the early symptom of many diseases, the disease can be diagnosed or treated timely if you can see a specialist positively. Third, you need to go to see a rheumatology doctor as early as possible. As it is the early reminder of rheumatic autoimmune disease, patients can be diagnosed exactly and treated properly.

The Recovery Guide for Patients with Polymyositis and Dermatomyositis (PM/DM)




The Recovery Guide for Patients with Polymyositis and Dermatomyositis (PM/DM)

 

1，What patients of Polymyositis and Dermatomyositis (PM/DM) need to pay attention to when they are bucking or difficult in swallowing? PM/DM always infringe the pharyngeal muscle, leading to difficulty in swallowing. When taking food, patients will have symptoms of bucking and difficulty in swallowing. In order to prevent breathing food into trachea, patients had better to sitting or half-sat position, and they had better to taking in semi-liquid diet, such as noodles, porridge, rice thick soup and sesame paste. Usually, patients can have more meals a day but less food at each, and the speed should be slow. 2，can patients of PM/DM recover the self- care ability of daily living soon? The progress of PM/DM is slow and its prognosis is good. Usually, this disease tends to recover in 2-3 years, and prognosis is related to the severity and course of disease. It will take 1-6 months, usually 2-3 months, to improve the patient’s condition from the application of hormone therapy. Therefore, the patients can not recover in short time. Patients should learn more about the common sense of disease, set up confidence of treatment, coordinate with doctor positively. They can begin to do some recover activity when the symptoms relieved. 3，how the patients of PM/DM maintain myodynamia? During the acute stage, patients should rest in bed absolutely. Take in sail so as to avoid or aggravate the muscle damage. We can pat the back of the patients when they turn over to promote the outgoing of sputum, which can prevent the occurring of hypostatic pneumonia. At the same time, it is necessary to intense the skin care to prevent infection. After the beginning of recovery of myodynamia, we need to encourage patients to do some muscle strength exercise. First, arrange some passive movement for the limbs, and then patients can do some active movements.

The Diet Guide for Patients with Polymyositis and Dermatomyositis (PM/DM)



The Diet Guide for Patients with Polymyositis and Dermatomyositis (PM/DM)

 1, why patients of Polymyositis and dermatomyositis (PM/DM) should take food of high protein? For most patients of Polymyositis and dermatomyositis (PM/DM), in order to keep the physical power or recover muscle strength, they need to take food of high protein, such as fish, lean meat, eggs and so on. Besides, patients can eat one extra egg and 50g of lean meat on the basic of three meals.
2, why patients of Polymyositis and dermatomyositis (PM/DM) should take diet of high fibrin? Patients of Polymyositis and dermatomyositis (PM/DM) are more likely to suffer the disease of smooth muscle in digestive tract and disease of sphincter, and the peristalsis of the patients is slower, so the normal defecate function will be damaged, leading to the retention of defecate. Therefore, food of high fibrin can prevent the constipation, including leek, celery, soy-bean milk, carrot and such vegetable and fruit.
 3, what kind of food patients of PM/DM can not take? Patients of PM/DM should not take spicy, cold, greasy and trill food, and patients need to give up smoking drinking. Less marine fish, shrimp, crab and so on should be taken, because this kind of food is easy to cause allergy. In addition, vegetables and meat in the food should be cut up as far as possible, so that the food can be easier to be digested.

Four Simple Diet Therapies for Patients With Gout

Most of the patients with gout know that diet is very important for the control and relieving of this disease, most of the time, while the patients can’t keep on following the diet direction because of the complexity of the diet therapy.
 To offer the patients with gout more useful and practical help, we summarized for simple diet therapy which can control and relieve the suffering diet therapyof you. You can collect them for yourselves or your friends or family.



 First, 250g of Chinese cabbage, stir fried with 20g vegetable oil. It is just so simple and this diet can be taken as often as it can, which mainly suits the remittent stage of gout.

Second, 250g of eggplant, full steamed and then sliced to strip, added with soybean sauce, sesame oil, salt, mashed garlic. This can be taken every other day. And this therapy is suit for the patients in stage of attack.


 Third, 250g of potato, first stir fried with 30g of vegetable oil and then adding few soybean sauce and salt. It can be taken after fully cooked, which is suitable for patients in the stage of attack.

Forth, 250g of turnip, fried with 50g of vegetable oil and then added few semen boitae(about 30g),salt and 500g of water. And cook them well together by stewing. Eat the turnip and take the soup can help the patients to control and reduce the attack of gout.