Skip to Main Content

Rheumatoid Arthritis

Overview

类风湿性关节炎是一种最常见的慢性关节炎. It causes symptoms such as inflammation in the joints, which can lead to damage to bone and surrounding cartilage, and may affect other organs in the body. 它是一种自身免疫性疾病——一种影响免疫系统的疾病, 导致身体将自己的健康细胞和组织误认为是外来入侵者.

美国有200多万成年人患有类风湿性关节炎. The condition affects all races, ethnic groups and age groups, although it typically occurs in middle-age and older adults. 此外,女性患这种疾病的可能性是男性的两到三倍.

Our Approach to Rheumatoid Arthritis

UCSF为类风湿关节炎提供全面的评估和先进的个性化护理. 因为类风湿性关节炎通常涉及到身体的不同系统, our team includes several types of doctors, such as rheumatologists, 专门矫正手部畸形的整形外科十大赌博平台排行榜, 还有专门治疗关节畸形和关节置换的整形外科十大赌博平台排行榜.

有效的药物可以控制疼痛,减缓类风湿关节炎的发展. These include common pain relief medications, 皮质类固醇和一类叫做疾病缓解抗风湿药的药物. 我们也会开物理疗法来轻轻地加强关节,并可能推荐支持装置, such as splints or crutches, to take stress off the joints. 包括关节置换在内的手术也可用于严重关节损伤的患者.

In addition to caring for patients, 我们的医疗服务提供者进行临床试验,以评估类风湿关节炎的潜在新疗法. 感兴趣的患者可以选择通过临床试验接受研究性治疗.

Awards & recognition

  • usnews-neurology

    Among the top hospitals in the nation

  • usnews-rheumatology

    Best in California and No. 7 in the nation for rheumatology

Signs & symptoms

类风湿性关节炎通常影响手和脚的关节, but larger joints such as hips, knees and elbows also may be involved. The disease affects joints symmetrically, which means that if one hand is affected, the other also will be affected.

Symptoms of rheumatoid arthritis include:

  • Swelling and pain in the joints
  • Difficulty moving
  • Loss of appetite
  • Fever
  • Decreased energy
  • 类风湿性结节,在皮肤下受压力的部位,如肘部

症状的严重程度和范围因人而异. 此外,除关节外,症状还会影响身体的其他部位.

Diagnosis

类风湿性关节炎的症状因人而异,可能与其他形式的关节炎和关节疾病相似. As a result, 你的十大赌博平台排行榜会用各种各样的测试来诊断疾病并排除其他情况.

  • Medical History Your doctor will begin by taking your medical history. This will include asking about your symptoms.
  • Physical Examination Your doctor will conduct a complete physical examination, 包括你的关节和身体的其他部位吗.
  • Laboratory Tests You will be tested for the rheumatoid factor, 哪一种抗体存在于大多数类风湿性关节炎患者的血液中. However, 并非所有类风湿关节炎患者的类风湿因子测试呈阳性,有些测试呈阳性的人从未患上这种疾病. 其他常见的检查包括红细胞沉降率, which indicates inflammation in the body, 还有白血球计数和贫血的血检.
  • X-rays X-rays may be used to determine the amount of joint damage.

Treatments

There currently is no cure for rheumatoid arthritis, although highly effective medications are available. 治疗的主要目标是减轻疼痛和不适, prevent deformities and loss of joint function, and improve a person's function, well-being and quality of life.

Drug Therapy

治疗类风湿性关节炎常用的药物有三类:

  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Corticosteroids
  • Disease modifying anti-rheumatic drugs (DMARDs)

药物可以缓解症状,减缓疾病的发展.

Physical Therapy

Exercise is an essential part of your treatment program. 你的十大赌博平台排行榜和理疗师会帮助你制定一个锻炼计划来加强你的关节,而不会给它们造成压力. 然而,休息对活动性类风湿关节炎患者也很重要. 短时间的休息通常比长时间的不活动更可取.

Joint Protection

手杖、拐杖或助行器可能有助于缓解关节炎关节的压力和紧张. 学习一些对关节压力和疼痛较小的日常活动也可能有所帮助. In addition, 有些人会在短时间内使用关节夹板来休息关节,减少疼痛和肿胀.

Surgery

对于严重关节损伤的患者,有几种类型的手术可供选择. However, 手术并不适合所有人,只有在仔细考虑并与十大赌博平台排行榜讨论后,才能做出接受手术的决定. Commonly performed surgical procedures include:

  • Joint Replacement The damaged joint is replaced with an artificial joint.
  • Tendon Reconstruction The damaged tendon is rebuilt by adding one that is intact. This procedure is used most frequently on the hands.
  • Synovectomy The inflamed synovial tissue, 或者是构成关节和肌腱周围膜的组织, is removed, although it eventually grows back. 这通常是重建手术的一部分,尤其是肌腱重建.

加州大学旧金山分校健康医学专家已经审查了这些信息. 它仅用于教育目的,并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.

Where to get care (2)

    Support services

    ""
    Patient Resource

    Case Management & Social Work

    Connect with a team that can help you find resources, 在UCSF治疗期间为您解决问题并为您提供支持.

    Class

    Mindfulness-Based Stress Reduction Class

    这个为期八周的课程教授正念练习,可以减轻压力,改善你的整体健康, such as meditation and body awareness.

    Patient Resource

    Patient Relations

    We welcome feedback about your experience at UCSF Health. 了解如何与我们联系,提出意见、问题或疑虑.

    Patient Resource

    Spiritual Care Services

    代表多种信仰的牧师可以24小时提供支持, comfort and counsel to patients, families and caregivers.

    Share