Subscribe
73
Li Jing
Rheumatology
About me
Graduated from Sanquan College of Xinxiang Medical College in 2010, and has been working at Kaifeng Central Hospital since graduation.
Proficient in diseases
Proficient in the diagnosis and treatment of acute and chronic kidney disease, acute and chronic pyelonephritis, nephrotic syndrome, lupus, gout, and rheumatoid arthritis.
Voices
Does rheumatic fever spread?
Firstly, rheumatic fever is a group of delayed sequelae caused by an infection of Group A Streptococci, simply put, it refers to a type of reactive arthritis that appears after an upper respiratory tract infection. It is associated with this streptococcus, and mostly occurs during the cold and humid seasons of winter and spring. It can affect people of any age, but is most commonly seen in children aged 5-14 and adolescents. Therefore, it is not a contagious disease, but rather a set of symptoms, such as fever and joint pain, appearing in individuals with weakened immune systems following an upper respiratory tract infection. Some people may even experience valvular heart disease. However, if treated actively in the early stages, the disease usually does not lead to any long-term consequences, unless it goes untreated or is treated under poor medical conditions, which may then result in rheumatic arthritis and rheumatic heart disease.
What should you pay attention to with rheumatoid arthritis?
Firstly, rheumatoid arthritis is an autoimmune disease. It cannot be cured but can only be managed with medications to control the condition, relieve clinical symptoms, delay the onset of joint deformities, reduce complications, and improve quality of life. These are the main goals of treatment. Therefore, in the treatment process, the following points should be noted: First, do not stop taking medication on your own. After the condition stabilizes, reduce the medication slowly under the guidance of a physician; Second, diagnosis and treatment should be as early as possible to prevent the appearance of joint deformities; Third, during treatment, it's important to periodically recheck blood routine, liver and kidney functions, and electrolytes; Fourth, avoid excessive fatigue. However, one should not be inactive; physical exercise is an important part of the treatment process for rheumatoid arthritis; Fifth, pay attention to keeping warm, avoid getting cold, and avoid the intake of raw and cold foods. These are some important precautions to take.
What should I do in the late stage of ankylosing spondylitis?
Firstly, ankylosing spondylitis is an autoimmune disease primarily affecting the axial joints, but it can also present with extra-articular manifestations. Severe cases can lead to ankylosis and deformities of the spine, which are complications of late-stage ankylosing spondylitis. At this stage, surgery is needed to manage the activity of the disease. If the activity of the disease is not controlled, even joint replacement can still lead to the progression of the disease and further damage to the joint structures. For severe disabling deformities, spinal orthopedic surgery can be considered, and spinal surgery is required when an acute fracture occurs.