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  • 中英文字幕:手部类风湿性关节炎(Rheumatoid Arthritis of the Hand)
  • 2018年12月05日
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    Rheumatoid Arthritis (RA) of the Hand

    手部类风湿性关节炎

     

     

    Overview(概述)

    Rheumatoid arthritis, a condition that can attack joints throughout the body,  commonly affects the joints of fingers in both hands at the same time. It can cause the joints to become swollen, and possibly deformed, It can cause the joints to become swollen, and possibly deformed, causing disablity.

      类风湿性关节炎是一种可以侵犯全身关节的疾病,通常同时影响双手的指关节。它可导致关节肿胀,并有可能变形、失用。

     

    Causes(原因)

    The causes of RA are not fully understood. It is thought to be caused by inherited genetic factors, but environmental factors may also play a role in triggering the condition. The disorder causes the immune system to attack the joints, causing the synovial membranes that surround the joints to become inflamed and swollen. This inflamed synovium leads to cartilage damage and bone loss around the joint.

      类风湿关节炎的病因尚不完全清楚。它被认为是由遗传基因因素引起的,但环境因素也可能是诱发这种疾病的因素。这种疾病导致免疫系统攻击关节,导致关节周围的滑膜发炎肿胀。这种炎性滑膜导致关节周围的软骨损伤和骨丢失。

     

    Symptoms(症状)

    Symptoms of rheumatoid arthritis in the hand can include stiffness (often worst in the morning),  Symptoms can also include pain and swelling in the joints, especially the joints at the base and middle of the fingers, the hand, and the wrist. The joints may become unstable and deformed. The knuckles may become inflamed, and the fingers may gradually lose their normal alignment. Often, the fingers angle away from the thumb. 

      手部类风湿性关节炎的症状包括关节僵硬(通常在早晨最严重)、疼痛和肿胀,尤其是手指基底部和中部的关节、手和腕关节。关节可能变得不稳定和变形。手指关节可能发炎,手指可能逐渐失去正常的排列。通常,手指偏离拇指成角。

     

    Treatment(治疗)

    Treatment options for Rheumatoid Arthritis include anti-inflammatory medications, and disease-modifying antirheumatic drugs, or DMARDs as they are commonly called,these include a class of drugs called biological response modifiers (biologics for short). Surgery may be required if patients have pain that interferes with their daily activities, limitations in the range of motion, or lose of function due to joint damage.  Your doctor is the best source to determine diagnosis and treatment options for you.

      治疗方案包括抗炎止痛药物、改善病情的抗风湿药物(即常说的DMARDs)以及一类称为生物反应调节剂(简称生物制剂)的药物。如果疼痛影响患者日常生活,活动范围受限或因关节破坏而丧失功能,则需要手术治疗。医生是明确诊断和选择治疗方案的最佳依靠。

     

    (胡佰文  译)