病症診斷
美國風濕病學會對風濕性關節炎有以下定義標準(需要滿足這些標準中的至少四項)：
晨僵(早晨起床後身體僵硬行動不便)持續1小時以上
14個關節或關節組織中有3個或以上發生關節炎症和軟組織腫脹
手關節關節炎
對稱性關節炎(左右肢同時發生症狀)
皮下結節
類風濕因子高於百分之95
放射變化驗測試顯示關節被侵蝕
西藥治療
以下藥物常用於治療RA：
- 非甾體抗炎藥（NSAIDs）
- 類固醇 Corticosteroids
- 改善抗風濕藥物（DMARDs）
- 免疫抑製劑
- 生物製劑
由於以上大部分屬於處方藥物，建議您進行上述任何藥物治療之前，諮詢醫生和藥劑師的意見。
除了西藥治療，我們推薦以下這些天然營養補充：
多種維他命礦物質綜合配方
目前已有很多研究發現風濕性關節炎患者體內缺乏某些營養素，包括泛酸、維他命A、維他命C、維他命E、硼、銅、鋅和硒。補充這些營養或有助改善風濕性關節炎症狀。
魚油
魚油：建議每日服用最多16粒魚油軟膠囊，或2-3茶匙純魚油。
柳樹皮和乳香提取物
每日3次，每次服1-2粒。
薑黃素
每日3次，每次服1粒。
MSM
每日服用3,000mg或以上。
運動的重要性：
定時運動可以幫助維持關節靈活性和力量。運動也幫您緩解疼痛并保持適當體重，減少肥胖對關節造成的壓力。
Background
Rheumatoid arthritis (RA) is inflammatory and results in hot swollen joints. It is an autoimmune disorder that causes the body’s immune system to attack the joints. Infections are likely common triggers for this attack.
Diagnosing
The American College of Rheumatology has defined the following criteria for rheumatoid arthritis:
Morning stiffness lasting over 1 hour
Arthritis and soft-tissue swelling in over 3 of 14 joints or joint groups
Arthritis of hand joints
Symmetric arthritis
Subcutaneous nodules
Rheumatoid factor at a level above the 95th percentile
Radiological changes suggestive of joint erosion
At least four of these criteria need to be met for a diagnosis of rheumatoid arthritis.
Treatment
The following drugs are used to treat RA:
-Nonsteroidal anti-inflammatory drugs (NSAIDs)
-Corticosteroids
-Disease-modifying antirheumatic drugs (DMARDs)
-Immune suppressants
-Biologic agents
As most of them are prescription drugs we will recommend you to seek the advice of your doctor and pharmacist before starting any of the medication above.
In addition to those, add the following recommended supplements:
Multi-nutrient pills/powder
Many other nutrients, including pantothenic acid, vitamin A, vitamin C, vitamin E, boron, copper, zinc, and selenium have been found to be deficient in those with rheumatoid arthritis, and supplementation with these can be helpful in the treatment of rheumatoid arthritis.
Fish oil
Fish oil: Up to 16 fish oil capsules, or 2-3 tsp of fish oil daily.
Willow Bark and Boswellia
Willow Bark and Boswellia 1-2 tabs 3 times a day.
Curcumin
Take Curcumin 1 tablet 3 times a day
MSM
MSM 3,000+ mg a day.
The importance of exercise:
Regular exercise, consisting of aerobic exercise, strengthening exercises, and flexibility or range-of-motion exercises, can help to maintain joint motion and strength. Exercise also helps you relieve pain and maintain a proper weight, which takes pressure off your joints.
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