Friday 24 March 2017

Living with Rheumatoid Arthritis (by Ruthphille Graham)



Andrew lived on a beautiful central California coast. He enjoyed reading, fishing, gardening, and listening to worship music.

In October 2004, he noticed he had symptoms of rheumatoid arthritis, which included; fatigue (during the day), unintended weight loss, weakness, fever but was formally diagnosed in January 2009.

Rheumatoid Arthritis is an autoimmune condition that causes chronic inflammation. with RA, your immune system attacks your body's tissues and causes painful swelling of the joints. It also affects the skin, blood vessels, eyes, liver, kidney, gums and lungs. Without treatment, RA can cause severely deformed joints.

 "One of the most frustrating things about RA (Rheumatoid Arthritis) is how precisely individual the disease is. Where a prescription medication could put one patient's RA into remission, it might make another's condition worse". Said Andrew.

Andrew never loses hope and covers each new treatment.

He would be offered to take a combination of DMARD (Disease Modifying Anti-Rheumatoid Drugs) tablets as part of his initial treatment. These medications are particularly effective in easing symptoms of the condition and slowing down its progression. Some examples of DMARDs include; hydroxychoroquine, Sulfasalazine and Leflunomide.

DMARDs work by blocking the effects of the chemicals released when the immune system attacks the joints, which could otherwise cause further damage to nearby bones, tendons, ligaments and cartilage.

So what's the cause of  RA?

Your immune system normally makes antibodies that attack bacteria and viruses, helping to fight infection. If you have rheumatoid arthritis, your immune system mistakenly sends antibodies to the lining of your joints, where they attack the tissue surrounding the joint.

This causes the thin layer of cells (synovium) covering your joints to become sore and inflamed, releasing chemicals that damage nearby bones, cartilage, tendons, ligaments.

If this condition isn't treated, these chemicals gradually cause the joints to lose its shape and alignment. Eventually it can destroy the joint completely.

There are a number of things that may increase your risk of developing rheumatoid arthritis. Some of which include; your genes, hormones and smoking.

Andrew is determined to live life as fully as possibly with the disease while keeping his condition under control.

He would:


  • Take his medications-  Its important to take the medications as prescribed, even if he start to feel better, medications can prevent flare-ups and reduce the risk of further problems suck as joint damage. 
  • Have regular doctor visits- As rheumatoid arthritis is a long-term condition, he would be in contact with his health care team regularly so they can check to ensure his condition is under control and his treatment is right. 
  • Keep well- He would be advised to have a pneumococcal vaccination, a one-off injection that protects against a specific serious chest infection called pneumococcal pneumonia. Get plenty of rest during a flare-up. Putting further strain on very swollen and painful joints can often make the pain and inflammation worse. 
  • Eat healthy and exercise daily- Regular exercise and a healthy diet are recommended for everyone, not just people with rheumatoid arthritis. They can help prevent many conditions, including; heart disease and many forms of cancer. Exercising regularly can help relieve stress, help keep your joints mobile and strengthen the muscles supporting your joints. Exercise can help you lose weight if you're overweight, which can put extra strain on your joints. 

If you care for any one who has RA, inform them of what would happen and things they can do to help keep it under control and also encourage them to see a doctor as soon as possible for the right treatment. 

1 comment:

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