The Care of Rheumatoid Arthritis

The Care of Rheumatoid Arthritis
Leroy Gastering

There are different forms of arthritis each painful and possibly debilitating. Often attributed to those of advanced age, arthritis can afflict anyone and can develop for a number of reasons, depending upon the type. Since this particular disease affects the joints, the agility and mobility of the patient can be significantly impacted as it progresses sometimes to the extent of physical deformity.
Rheumatoid arthritis is a disease of the immune system which often targets the hands of the patient. In addition to great pain and inflammation of the joints, those who suffer from this form of arthritis will often experience a deformity of the hands and fingers. The disease typically affects both hands simultaneously and can cause exquisite pain, swelling and loss of normal function, in addition to severe deformity.
In broad terms, arthritis refers to inflammation of the joints. Where rheumatoid arthritis is concerned, the actual linings of the joints is what becomes inflamed. This causes the cartilage in the joints to grow and swell, which over long term erodes the joints. This is what causes the very characteristic crippling deformities that occur in the fingers and hands of rheumatoid arthritis sufferers.
People diagnosed with rheumatoid arthritis comprise only 1% of the population. (Vast numbers of people who suffer from other types of arthritis.) This disease affects women much more frequently than men. So far, there is no known cure for rheumatoid arthritis. Therefore, the only recognized treatment at this point, is to manage the pain. Doctors prescribe various remedies which depend upon the patient’s medical history, overall profile and other related factors.
Of the many types of pain control, oral medications are often used to control the swelling and pain thats associated with rheumatoid arthritis. Other options include braces and splints which gird weakened joints and remove excessive pressure from them and surgery, in more critical cases. The latter option not only aids in reducing pain, but also provides greater mobility and improves the appearance of the hands. These surgeries may consist of a synovectomy, osteomoty or joint replacement.
When diagnosed early enough, there are many steps that can be used to reduce pain and the other consequences of this type of arthritis. So, even though theres no known cure, if one experiences pain, swelling, or diminished use of the hands, one should contact a doctor immediately. A plan can be outlined to reduce pain, and prepare for future surgery.
No-one should have to live with pain of arthritis, now that so much progress has been made in the field of pain management. The first steps in managing the pain may be as simple as common aspirin or other medications. If they do not work, a doctor will then prescribe medication that specifically targets arthritis pain. But before that can happen,there has to be open communication between the doctor and the patient regarding the pain early in the treatment. So, it is not advisable to suffer quietly in this case.

About The Author

Leroy Gastering is the owner of Arthritis Biz, inc. which is a complete resource center for anything and everything related to Arthritis. For more details please visit http://www.arthritisbiz.com.

Insulin To Treat Diabetes

When someone has Type I diabetes, which used to be referred to as Juvenile Diabetes, insulin is the natural treatment. In this case, a person does not produce any insulin and insulin must be injected in order for the patient to survive. Just as there are many different types of oral medications to treat Type II diabetes, there are also many different options when it comes to insulin to treat diabetes.

Years ago, insulin was derived from animals and injected by a needle. Patients often needed multiple insulin injections throughout the day. There were problems with the insulin derived from beef and pork and many patients developed a resistance to the insulin after a period of time. In 1977, modern technology in the treatment of diabetes took a giant leap as human insulin was cloned. Today, insulin to treat diabetes is human insulin and is much more effective than insulin used in the past.

There are many different types of insulin on the market today and, as is the case with oral medications, it may take several different insulin types in order to find the correct balance that will insure good glucose levels. Some insulin, such as Humalog, is very short acting and peaks within an hour after injection. Other insulin, such as Ultra Lente, is very long acting and peaks in 18 hours.

There are three characteristics to insulin. Onset is the time it takes for the drug to reach the bloodstream and begin lowering the glucose. The peaktime is the time when the drug is at the maximum strength and the duration is how long the drug continues to work in reducing the blood glucose level.

Each patient has different needs when it comes to insulin and for this reason, there are many different types of the drug. Cost is also a consideration in many cases as the insulin must be injected every day and, in certain instances, many people have to inject the insulin several times a day.

Another benefit of modern technology in managing people with diabetes through the use of insulin is the insulin pump. This is much more effective than injections as it is a catheter that remains under the skin and separates the insulin into three different types of insulin. Basal insulin is injected continuously. Bolus doses are given to cover any carbohydrates consumed in a meal. You can also have correction doses or supplemental doses. This is especially effective if your blood sugars are high prior to eating.

The use of the insulin pump is much more effective than using injections as it controls your insulin and blood glucose levels on a continuous basis. It is relatively easy to use and most people with Type I diabetes are using insulin pumps.

Not only people with Type I diabetes use insulin. Those with Type II diabetes who have been unable to control their blood sugars through diet and medication are often prescribed insulin. Because the insulin pump is so effective at retaining control of the blood glucose level, many people with Type II diabetes have also opted to use the insulin pump.

Medical science is continuing to search for a cure for diabetes which has reached epidemic proportions in some areas. Until a cure is found, however, there are many ways to treat this disease. When someone gets a diagnoses of diabetes, they often panic and are overwhelmed at all of the information. If you or a loved one is diagnosed with diabetes, become empowered by learning all you can about treating the illness, learning about different medications and making sure that you comply with orders given by your physician.

Patients with diabetes who are compliant and learn about their disease stand the best chance of living a long and productive live, despite having diabetes.

Oral Eczema Treatment

In cases where topical eczema treatment is not successful, doctors may prescribe oral eczema treatment. You may be prescribed one of the following namely antibiotics, antihistamines, corticosteroids and cyclosporine.

The antibiotics given are designed to decrease the irritation caused by Staph bacteria. You will have to take it for the next 14 to 28 days. In cases where you have this condition repeatedly, you may need to take maintenance antibiotics.

Some examples of these antibiotics include Bactroban, Cephalosporins, Cloxacillin, Erythromycin and Fucidin.

Next you have antihistamines which are very helpful in reducing itch. Because the side effect of this is drowsiness, patients are advised to only take it at night. Studies have shown that this will also help with any urticarial component of eczema of this skin condition. Two of these that are commonly used include Doxepin and Hydroxyzine.

You might be wondering if there are antihistamines that do not cause drowsiness and yes there are. But in a study that compared drowsiness and non-drowsiness antihistamines, the one that does not cause drowsiness is not as effective in helping those who have eczema.

Third, you have corticosteroids. There are 4 types of these namely mild, moderate, potent and very potent. The severity of your skin condition will determine how long you have to take the medication. The more severe it is, the shorter the period of time because you may soon suffer from serious side effects such as avascular necrosis of the hip.

Fourth, you have Cyclosporine A or Neoral. This is only used when the first 3 oral medications do not work. What makes this drug so powerful is that it prevents the immune system from sending special cells called lymphocytes into the affected areas of skin. By doing this, it reduces inflammation.

Doctors will usually start by giving you a 3mg. dosage per day and a maximum of 5kg. because of the side effects like hypertension, renal problems and the susceptibility of patients to other types of infections including skin cancer.

Whichever oral medication you are given, it is best to take this with food right after a meal. The only exception is the antihistamine since you have to take this at least 30 minutes before you go off to sleep.

You should follow the dosage as prescribed and if you miss taking one, dont try to take the one scheduled for that day and the one you missed at the same time.

If the medication is working, your doctor will gradually reduce the dosage given and not suddenly. While there are known side effects, you just have to bear with it.

Some of oral medication for eczema can be purchased from the pharmacy without a prescription. Before you go out and get one, better check first with your doctor to make it is safe especially if the one who has the skin disorder is an infant.

Oral eczema treatment is sometimes used with topical products. If you do not see any improvements, perhaps it is time to find other options. You can try wet wrap therapy, light therapy, tar therapy and a list of other options once you have consulted your doctor.

Just remember that although eczema treatment is available, none of these will make it go away permanently so preventive measures must be taken seriously.