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रुमेटीइड आर्थराइटिस (गठिया) में देरी न करें जल्द ही रुमेटोलॉजिस्ट से संपर्क करें
Author DrAshiSh@dmin

रुमेटीइड आर्थराइटिस (गठिया) में देरी न करें जल्द ही रुमेटोलॉजिस्ट से संपर्क करें – डॉ. आशीष बाड़ीका

रुमेटीइड आर्थराइटिस (गठिया) का प्रारंभिक उपचार शुरू करना महत्वपूर्ण है। प्रारंभिक उपचार जोड़ों को नुकसान की प्रगति को रोक देगा। रुमेटोलॉजिस्ट नैदानिक परीक्षाओं, रक्त परीक्षण, एक्स-रे और एमआरआई परीक्षण रिपोर्ट के माध्यम से जोड़ों में क्षति का आकलन करते हैं।

रूमेटोइड गठिया का प्रारंभिक उपचार कैसे होता ? | How is Rheumatoid Arthritis Initially Treated?

रूमेटोइडआर्थराइटिस (गठिया) का प्रारंभिक उपचार डीएमएआरडी (डिजीज मॉडीफाइंग ड्रग्स) है। जैसा की नाम स्व-व्याख्यात्मक है यह रोग प्रक्रिया को संशोधित करता है। दर्द निवारक और कम खुराक वाले स्टेरॉयड का उपयोग प्रारंभिक उपचार के रूप में किया जाता है और फिर धीरे-धीरे बंद कर दिया जाता है। इन दवाओं से डरो मत। रुमेटोलॉजिस्ट दवाओं को संभालने के लिए अच्छी तरह से प्रशिक्षित हैं।
उपरोक्त उपचार का प्रभाव नहीं आने पर रोगियों में रूमेटोइड गठिया के उन्नत उपचार का उपयोग किया जा सकता है। रुमेटीइड गठिया के उपचार में जीवनशैली में बदलाव महत्वपूर्ण हैं।

रूमेटोइड आर्थराइटिस (गठिया) वाले लोग बेहतर परिणामों के लिए जीवनशैली में कुछ बदलाव करें।

• रोज़ाना व्यायाम शुरू करें: कठोरता के मुद्दों से उबरने के लिए कुछ कम प्रभाव वाले व्यायाम जैसे स्ट्रेचिंग और योग करना शुरू करें।
• धूम्रपान से बचें: जो लोग धूम्रपान करते हैं उन्हें रूमेटोइड गठिया से पीड़ित होने का उच्च जोखिम होता है। आपको रुमेटीइड गठिया है, तो नुकसान को कम करने के लिए धूम्रपान छोड़ दें।
• आपको वजन घटाने की रणनीतियों पर ध्यान देना शुरू करना चाहिए।
• आपके खाने की आदतों में बड़े बदलाव की वास्तव में आवश्यकता नहीं है। ओमेगा 3फैटी एसिड युक्त भोजन रूमेटोइडआर्थराइटिस रोगियों के लिए अच्छा है|
• अपने लिए सही इलाज पाने के लिए अपने रुमेटोलॉजिस्ट से सलाह लें।

SLE/ Lupus - How Long Does it Take to Treat it - Dr. Ashish Badika
Author DrAshiSh@dmin

Systemic Lupus Erythematosus (SLE) – Some Facts on Treatment – Dr. Ashish Badika

The treatment time for SLE depends on these factors:

  1. How Does your Body Respond to the Treatment?

Some medicines like Disease-Modifying Anti-Rheumatic Drugs can slow down lupus. Hydroxychloroquine is an example of DMARD. It may take anywhere from 1 to 3 months for you to start feeling better.

2. How Acute is Your Condition?

SLE affects your body either suddenly or gradually. Depending on this the disease may respond gradually to treatment.

3. Which Treatment Will be Suitable for Your Body?

SLE is a chronic disease without any permanent cure. But if controlled well a person can lead a normal life. The treatment can improve symptoms, prevent health problems mainly caused by SLE and other side effects. However, the treatment completely depends on the symptoms you have and the organs that are affected.

Medicines and lifestyle changes have brought positive results to many patients. They are living a long and fulfilling life because of effective treatments.

4. Which Organ is Affected Due to SLE?

SLE mainly affects your joints, blood vessels, brain, heart, kidneys, and skin.

Thus, your treatment will mainly depend on which organs are affected and what drugs shall be offered to cure these infections.

But nothing to worry about, all these organs can be healed by systematically following the doctor’s advice. So, instead of worrying, one must trust their doctor and treatments.

Contact your rheumatologist for a personalized opinion or if you have a family history of SLE.

Dr. Ashish K Badika has 3 years of advanced training in Rheumatology and Clinical Immunology including 2 years Post Doctoral.

He has extensive exposure to Systemic Autoimmune Disorder (Rheumatoid arthritis, Psoriatic arthritis, Seronegative spondyloarthritis, Systemic lupus erythematosus, Scleroderma, Gout, Myositis, Sjogren’s Syndrome, Vasculitic conditions, and Paediatric rheumatology disorders).

Systemic Lupus Erythematosus (SLE)/Lupus Treatment - Dr. Ashish Badika
Author DrAshiSh@dmin

Systemic Lupus Erythematosus (SLE)/Lupus Treatment – Dr. Ashish Badika

Once you have been diagnosed with Lupus the treatment should be started at the earliest. The sooner it begins the better it is.

You will receive lupus treatment depending on the symptoms, the severity of your condition, and the organ involvement. Mild cases don’t always need special medications or treatment.

Lupus is treated by a range of medications:

  • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs or pain medications are generally used for patients of SLE with arthritis.

  • Steroids

Steroids can be used in low doses for arthritis in SLE. You may also need to take steroids in higher doses if lupus is affecting your internal organs.

  • Immunosuppressants

For serious cases of lupus, immunosuppressive drugs may be effective including azathioprine,  mycophenolate mofetil, methotrexate,  cyclosporine & Cyclophosphamide.

  • Biologics

Biological treatment in form of Rituximab and Belimumab(not available in India) is also available and may be used by rheumatologists whenever needed.

Consult your doctor before taking any treatments.

Due to the fact lupus may be having different presentations at different times, you should visit your rheumatologist regularly.

Dr. Ashish K Badika has 3 years of advanced training in Rheumatology and Clinical Immunology including 2 years Post Doctoral.

He has extensive exposure to Systemic Autoimmune Disorder (Rheumatoid arthritis, Psoriatic arthritis, Seronegative spondyloarthritis, Systemic lupus erythematosus, Scleroderma, Gout, Myositis, Sjogren’s Syndrome, Vasculitic conditions, and Paediatric rheumatology disorders).

Systemic Lupus Erythematosus (SLE) / Lupus Complications - Dr. Ashish Badika
Author DrAshiSh@dmin

Systemic Lupus Erythematosus (SLE) /Lupus Complications – Dr. Ashish Badika

Lupus can have many complications.

Complications in Pregnancy

Women with lupus are more likely to have miscarriages and premature delivery. When lupus is active avoid pregnancy. The disease if well controlled for 6 months is the best time to conceive. Patients of lupus with antiphospholipid antibodies also need special care when they plan for pregnancy.

Despite all this, It is possible to successfully carry a child in women with lupus. Talk with your rheumatologist about the risks of lupus flares in pregnancy for the best results.

Osteoporosis

This can happen due to prolonged use of steroids and also can be due to chronic inflammation. Bones become brittle and there is a risk of fracture with a minor injury.

Avascular Necrosis

This can happen due to decreased blood supply to the bone. Can cause severe joint pains. The patient may require surgery.

Mental Health Problems

Lupus patients may also suffer from behavioral disorders including psychosis, Maintaining good mental health is difficult when dealing with the physical and emotional stress of chronic illness.

All of these problems can have serious consequences on a person’s daily life. Seeking medical care at the earliest opportunity is advised.

Dr. Ashish K Badika has 3 years of advanced training in Rheumatology and Clinical Immunology including 2 years Post Doctoral.

He has extensive exposure to Systemic Autoimmune Disorder (Rheumatoid arthritis, Psoriatic arthritis, Seronegative spondyloarthritis, Systemic lupus erythematosus, Scleroderma, Gout, Myositis, Sjogren’s Syndrome, Vasculitic conditions, and Paediatric rheumatology disorders).

Systemic Lupus Erythematosu (SLE) with Multi-Organ Involvement - Dr. Ashish Baika
Author DrAshiSh@dmin

Systemic Lupus Erythematosus (SLE): Multi-Organ Involvement – Dr. Ashish Baika

Systemic Lupus Erythematosus (SLE) affects different vital organs of the body like the Kidneys, Brain, heart, skin, liver, blood system, and many more.

Lupus in Kidney: SLE in the kidney is called Lupus Nephritis. It causes kidney disease and may get worse with time. It will lead to kidney failure. Half of the patients suffering from Lupus are diagnosed with kidney disease at some or other time during the course of the disease.

Brain: Also called as Neuropsychiatric lupus. People suffering from it have problems like seizures, headaches, memory loss, psychiatric problems, etc.

Heart: Lupus can affect various layers of the heart. Patients may have symptoms of shortness of breath, chest pain, etc. It can lead to heart attacks also.

Lungs: Lupus can cause fluid collection in the lungs called as pleural effusion. Patients may have chest pain, difficulty in breathing, cough.

Systemic Lupus Erythematosu (SLE): Multi-Organ Involvement - Dr. Ashish Baika

Skin: Most common rash is Malar rash also called as butterfly rash seen on the face. Although lupus can have any kind of skin rashes all over the body.

Blood system: It can cause a decrease in various cells like WBC, RBC, and platelet counts.

Joints: This is called inflammatory arthritis. It is very common in  Lupus. Lupus is a multi-system disease and patients must reach a Rheumatologist at the earliest.

Dr. Ashish K Badika has 3 years of advanced training in Rheumatology and Clinical Immunology including 2 years Post Doctoral.

He has extensive exposure to Systemic Autoimmune Disorder (Rheumatoid arthritis, Psoriatic arthritis, Seronegative spondyloarthritis, Systemic lupus erythematosus, Scleroderma, Gout, Myositis, Sjogren’s Syndrome, Vasculitic conditions, and Paediatric rheumatology disorders).

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