类风湿关节炎,简要回顾了解其基本概念和治疗过程

S. Sweta, A. Chaudhary, V. Pandit, M. Ashawat, Tarun Kumar
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引用次数: 3

摘要

类风湿性关节炎是一种慢性炎症性疾病,其特征是关节僵硬、骨和软骨破坏以及关节上方肿胀。这种情况与主要组织相容性复合体中发现的化学物质有关,也与t细胞有关。这种情况在女性中比男性更严重,在老年人群中也是如此。研究了性别对该病临床病程的影响,但结果好坏参半。遗传、环境、吸烟、年龄等因素是风湿性关节炎的诱发因素。类风湿关节炎患者的其他临床并发症包括抑郁、感染、恶性肿瘤、心血管疾病、肺部疾病等。根据研究,类风湿性关节炎的风险可能受到遗传易感性、环境因素或两者结合的影响。淋巴细胞、中性粒细胞、巨噬细胞等免疫细胞长期以来被认为参与了RA的病理机制。类风湿性关节炎的诊断通过彩色多普勒超声或钆增强磁共振成像可以检测滑膜炎的存在,并且需要血清学检测自身抗体和APRs来诊断类风湿性关节炎。为了治疗和预防类风湿关节炎,采取适当的治疗是非常必要的。因此,在目前的工作中,我们也强调了用于治疗类风湿性关节炎的现有药物。一线治疗药物包括非甾体抗炎药和皮质类固醇。用于类风湿性关节炎的二线药物是疾病修饰抗风湿药物(DMARDs)。60岁以上的患者也需要手术治疗风湿性关节炎。为了减少一些强效药物的副作用包括甲氨蝶呤,维生素D,叶酸和膳食补充剂都被用于治疗。因此,这篇综述文章有助于研究人员了解类风湿性关节炎的基本概况,原因,其他疾病的发展,以及与FDA批准的治疗方法和已发表的专利相关的管理过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rheumatoid Arthritis, A Laconic Review to understand their Basic Concept and Management Process
Rheumatoid arthritis is a chronic inflammatory illness characterized by joint stiffness, bone and cartilage destruction, and swelling above the joints. The condition is linked to chemicals found within the major histocompatibility complex, also as T-cells that are hooked in to them. The condition is more severe in women than in men, also as within the elderly population. The effects of gender on the clinical course of the disease are studied, but the results are mixed. The factor like genetic, environmental, smoking, and age of a person were trigger’s the rheumatoid arthritis. The other clinical complications were observed in patients with rheumatoid arthritis which includes depression, infection, malignancy, cardiovascular disorder, pulmonary disease etc. According to research, RA risk might be impacted by a genetic predisposition, environmental factors, or a combination of both. Immune cells such as lymphocytes, neutrophils, and macrophages have long been thought to have a role in the development of RA involved in pathological mechanism. Rheumatoid arthritis have been diagnosed by imaging with colour doppler sonography or gadolinium-enhanced magnetic resonance imaging can detect the presence of osynovitis, and serologic testing for auto-antibodies and APRs was required to diagnose rheumatoid arthritis. To cure and prevent the patients form rheumatoid arthritis it is very necessary to take suitable treatment. So, in present work we also highlighted the available drugs used for the treatment of RA. The first line therapy agents include Non-steroidalantiinflammatory drugs, and corticosteroids. The second line agents used in RA are Disease modifying Antirheumatic drugs (DMARDs). The patients having age more than 60 years also need surgery to cure rheumatoid arthritis. To decrease the side effects from some potent agents include methotrexate the vitamin D, folic acid, and dietary supplements were used with treatment. So, this review article helps the researcher’s to understand the basic overview of rheumatoid arthritis, causes, other disease development, and management process with regards to available FDA approved therapeutics, and published patents.
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