“不死癌症”—类风湿关节炎

2022-08-31 风湿闰月说 网络

早期诊断、规范治疗,类风湿关节炎病情还是能够得到有效的控制。

类风湿关节炎是“不死的癌症”吗?就类风湿关节炎的难缠性以及顽固,这种描述还是有一定的道理。但我们一定要这么悲观看待类风湿关节炎吗?其实,早期诊断、规范治疗,类风湿关节炎病情还是能够得到有效的控制。

类风湿关节炎(Rheumatoid Arthritis),简称为类风湿、类风关、RA。类风湿关节炎在炎性关节炎中是最常见的,在全世界的患病率是0.5-1%。发病率在全世界基本是相似的,几乎不受地域或者种族的影响。

而我们国家发病率就低一点,大概是0.3%。世界上大多数人群的类风湿关节炎的患病率约是1%,也就是说100个人中大约有1个人患有类风湿关节炎。而且女性的患病率是男性的2倍。

类风湿关节炎是一种怎么的疾病?

类风湿关节炎是一种主要累及手足小关节炎的对称性的炎性多关节炎,也可累大关节。没有控制好的类风湿关节炎可以导致关节严重畸形,功能丧失,造成残疾。

有些患者会说,类风湿关节炎只是关节的问题,那我手脚关节不痛,那我就是好了,可以停药了吧?这种想法是切切不能有的!

第一,类风湿关节炎不仅表现在关节,还有可能有关节外的全身表现。这些关节外表现包括类风湿结节、肺部受累、血管炎、眼部病变等,还有可能加速动脉粥样硬化而增加死亡率。

第二,目前任何一种治疗方法或方案都不能彻底治愈类风湿关节炎,最好的治疗目标是缓解疾病,须坚持用药。

类风湿关节炎患者的预后越来越好

经过近一个世纪多的发展,很多数据显示类风湿关节炎患者的预后越来越好。国外研究显示,1995年以后确诊的类风湿患者与1995年之前确诊的患者相对,寿命延长了约9年。数据也显示有严重关节外表现的患者越来越少见,关节的置换率也在下降。在门诊,坐着轮椅来就诊的病人也不像以前那么多。随着生活水平和网络的发展,患者意识到这个疾病严重性以及早期治疗的迫切性。这种意识使得类风湿关节炎的治疗变得更加及时、顺利。

所以对于类风湿关节炎,我们应该保持一种积极乐观的态度。虽说目前我们无法“战胜”这“不死的癌症”,但我们应该尽力和医生一起拉住“Ta”。毕竟世界那么大,我们还有好多事要去体验,不要让类风湿关节炎阻碍我们出去走一走。

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