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相关概念视频

Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

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Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
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Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab...
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Rheumatic Heart Disease IV: Nursing Management01:20

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AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
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Inflammatory Bowel Disease IV: Pharmacological Management01:29

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Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
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Rheumatic Heart Disease I: Introduction01:23

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Inflammatory Bowel Disease V: Surgical Management01:21

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
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生物疗法时代的风湿手术:面向风湿病学家的概述

Jin Woo Park1, Ji Sup Hwang2, Hyun Sik Gong2

  • 1Department of Orthopedic Surgery, Kangwon National University Hospital, Kangwon National University College of Medicine, Chuncheon, Korea.

Journal of rheumatic diseases
|July 21, 2023
PubMed
概括

类风湿性关节炎 (RA) 可以损害手和手腕. 虽然生物药物改善了结果,但手术对于严重病例至关重要,尽管其使用方式各不相同,这表明需要更好的风湿病科医生-外科医生沟通.

关键词:
生物疗法是一种生物疗法.手 手 手的 手的 手.类风湿性关节炎 类风湿性关节炎 类风湿性关节炎手术 手术 手术他们的手腕.

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科学领域:

  • 类风湿病学 类风湿病学
  • 手术手术手术手术手术
  • 整形外科 整形外科 整形外科

背景情况:

  • 类风湿性关节炎 (RA) 经常导致显著的手和手腕功能障碍.
  • 虽然生物疗法改善了缓解率,但晚期RA仍然需要手术干预.
  • 对于RA手术手术的手术率的变化表明临床不确定性.

研究的目的:

  • 提供RA患者常见的手和手腕问题的综述.
  • 增强类风湿病学家对RA手术选择的理解.
  • 为了促进知情的患者咨询和转介给手术医生.

主要方法:

  • 关于常见的类风湿手和手腕疾病的文献综述.
  • 概述了当前的RA手术指示和手术程序.
  • 讨论导致手术率变化的因素.

主要成果:

  • 关节炎显著影响手和手腕功能,需要多学科的方法.
  • 生物疗法减少了,但并没有消除手术的需要.
  • 外科手术率的差异凸显了跨学科沟通中的潜在差距.

结论:

  • 了解手术选择对于管理RA患者的风湿病学家至关重要.
  • 风湿病学家和手术医生之间改善的沟通可以优化治疗途径.
  • 外科干预仍然是治疗严重的RA相关手和手腕形和疼痛的关键组成部分.