rheumatoid arthritis icd 10 | Rheumatoid Arthritis treatment

What’s rheumatoid arthritis?

rheumatoid arthritis icd 10


Rheumatoid arthritis (RA) is an autoimmune the disease that can cause chronic inflammation of the joints and damage throughout your body. This condition can affect many parts of a body including
    Skin
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    Eyes
    Lungs
    Heart
    Kidneys
    Salivary glands
    Nerve tissue
    Bone marrow
    Blood vessels.


we can also observe lupus rheumatoid arthritis icd-10,icd-10 code for rheumatoid arthritis of both hands,rheumatoid arthritis icd-9,icd-10 code for seropositive rheumatoid arthritisinflammatory arthritis icd-10


It is an autoimmune disorder when your immune system mistakenly attacks your own body's tissues & immune system.
As an example suppose our body is a kingdom where Leukocytes, generally known as white blood corpuscles, antibodies are the protector or soldier of that kingdom. But when they insanely attack their own motherland definitely it will collapse. The same thing is happening in this case also.
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where osteoarthritis damage our system naturally and inevitably as a result of normal wear or aging. of, rheumatoid arthritis affects the lining of your joints, causing a painful swelling which leads to bone erosion and joint disorder.
signs and symptoms
    joint pain, such as in the joints of the feet, hands, and knees,
    swollen joints,
    fever,
    limping,
    loss of range of motion,
    tender joints,
    loss of joint function,
    stiff joints,
    fatigue,
    joint redness,
    rheumatoid nodules,
    anemia,
    joint warmth,
    joint deformity, and
    symptoms and signs that affect both sides of the body (symmetry).
Early rheumatoid arthritis affects smaller joints first — as an example the joints of fingers & toes & gradually it spread to the wrists, knees, ankles, elbows, hips, and shoulders. In many cases, symptoms occur in the same joints on both sides of your body.
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author talk:-(must read),Homeopathy


"If we talk about India & other countries , most of the people go for Allopathy but in this sector, RA can be maintained but not cured. we observed that many people who are in a good medication under Allopathy still they have to replace their knees, hip joints etc. & if we talk about the type of medicine it only depends on some steroids which definitely have many side effects.
NOW a days people became frasted with these steroids. they want some thing which enable antibodis to back in form.For that they go for:
  • Homeopathy treatment
  • Ayurvedic treatment
  • acupuncture treatment
My mother age is 52,she has spondylolisthesis in nack,arthritis & 5 monthhs ago anti ccp test revealed that RA already captured her. Right now her anti ccp is 255.36 AU/mL which need to in 25 AU/mL that is huge. from the very 1st time I was looking after her with proper medication,still she was in bed even with steroids. then I switch the treatment to Homeopathy, Now she is recovering from that dark stage but finger crossed, some time she need steroids to get relief from pain.I shere some more important thing which I use to make her stand again which you have to know for your parents, your future & your spouse"

RA can affect many nonjoint points also as we discussed earlier
on


Skin
Eyes
Lungs
Heart
Kidneys
Salivary glands
Nerve tissue
Bone marrow
Blood vessels

Rheumatoid arthritis diagnosis

Doctors generally ask to do many reports for proper findings, One of  the most important are 
  1. RA factor which costs in India around INR 1200
rheumatoid arthritis icd 10 code,

Since no single test can confirm a diagnosis of RA. You may be 
asked for doing other tests also to check  blood for certain substances like antibodies, or check the level of certain substances like
TEST                                                                            REFERENCE RANGE 
Hemoglobin                                                                    Male:12 to 16gms/dl.
                                                                          Female:11.5 to 14.gms/dl.
R.B.C Count                                                                                          3.5--5.5 million/cmm.    
TC (total leucocyte count)                                      4--11 thousand/cmm.
DC( Differential count WBC)
  • Neutrophils                                                                              40-75%
  • Lymphocytes                                                                            20-45%
  • Monocytes                                                                                02-10%
  • Eosinophils                                                                               01-06%
  • Basophils                                                                                   0-02% 


 E.S.R (Erythrocyte Sedimentation Rate)
(Westergren's Method)  1st HR                                                  Male: 0-10mm/1 hr
                                                                         Female:0-12mm/1hr
ANTI NUCLEAR ANTIBODIES( ANA )    E.L.I.S.A                       25 AU/mL
ANTI CCP (ACCP)                                  E.L.I.S.A                       25 AU/mL
(This test's full form is Anti-cyclic-citrullinated-peptide, Antibody hold promise for early & more accurate detection of rheumatoid arthritis before the disease proceeds into irreversible damage)
URIC ACID                                                              Male: 3.5 to 7.2 mg/dl
                                                                            female: 2.6 to 6.0 mg/dl
Rheumatoid Factor (R.F)                                                         <20  IU/ml
Method :Immunotrurbidimetric

Anti Streptolysin- O. (A.S.O)                                      adult: < 200 IU/ml
Method :Immunotrurbidimetric                                  Children: <150 IU/ml

C-Reactive Protein. (C.R.P)                                           adult : < 06 mg/L
Method :Immunotrurbidimetric                                      children:< 12 mg/L
                                                                                  New Born:< 18 mg/L

Risk factors
Factors which may increase your risk of rheumatoid arthritis are :
·         Your sex. Women are more likely than men to develop rheumatoid arthritis.
·         Age. Rheumatoid arthritis can occur at any age, but it most commonly begins in middle age.
·         Family history. If a member of your family has rheumatoid arthritis, you may have more risk of the disease.
 ·     Environmental exposures.  some exposures such as asbestos or silica may increase the risk of developing rheumatoid arthritis. Emergency workers exposed to dust have a higher risk of getting diseases such as rheumatoid arthritis
·         Smoking. smoking cigarettes increases your risk of developing rheumatoid arthritis, .
·         Obesity. Especially women age 50 and younger — who are overweight or obese     appear to be at a somewhat higher risk of developing rheumatoid arthritis.


Complications
rheumatoid arthritis icd 10 
Rheumatoid arthritis increases your risk of developing:
·         Osteoporosis. Rheumatoid arthritis can increase your risk of osteoporosis — a condition that fragile your bones and makes them more prone to fracture.
·         Rheumatoid nodules. These firm bumps of tissue most commonly form around pressure points, such as the elbows. However, these nodules can form anywhere in the body, including the  

       Skin       Eye       Lungs       Heart       Kidneys      Salivary glands       Nerve tissue       Bone marrow       Blood vessels..

·         Dry eyes and mouth. People who have rheumatoid arthritis are much more likely to experience Sjogren's syndrome, a disorder that decreases the amount of moisture in your eyes and mouth.
·         Infections. The disease itself and many of the medications used to combat rheumatoid arthritis can impair the immune system, leading to increased infections.
·         Abnormal body composition. The proportion of fat to lean mass is often higher in people who have rheumatoid arthritis, even in people who have a normal body mass index (BMI).
·         Carpal tunnel syndrome. If rheumatoid arthritis affects your wrists, the inflammation can compress the nerve that serves most of your hand and fingers.
·         Heart problems. Rheumatoid arthritis can increase your risk of hardened and blocked arteries, as well as inflammation of the sac that encloses your heart.
·         Lung disease. People with rheumatoid arthritis have an increased risk of inflammation and scarring of the lung tissues, which can lead to progressive shortness of breath. 
        Lymphoma. Rheumatoid arthritis increases the risk of lymphoma, a group of blood                cancers that develop in the lymph system


Rheumatoid arthritis treatment


There’s no cure for RA, but there are treatments that can help you manage it.

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  Rheumatoid arthritis (RA) can keep both patients and physicians in a rail-track where doc plays a role of the driver & patient as a guard & they figure out the best ways to treat the symptoms and slow the progression of the condition.

Recently, advances in treatment strategies have resulted, known as The treat-to-target 

The treat-to-target approach has resulted in fewer symptoms and higher remission rates for those with RA. The treatment strategy involves:

  • setting a specific testing goal that signals either remission or low disease state
  • testing acute phase reactants and performing monthly monitoring to assess the progress of treatment and management plan
  • switching medication regimen promptly if progress isn’t made.

Treatments for RA help to manage the pain and control the inflammation. Decreasing inflammation can also help to prevent further joint and organ damage.

Treatments may include:

medications
alternative or home remedies

dietary changes

specific types of exercise


Rheumatoid arthritis medications


Some medications help to reduce to damage that RA does to your joints.

The following  medications help reduce the pain and inflammation during RA flares:

•             nonsteroidal anti-inflammatory drugs (NSAIDs)

•             corticosteroids

•             acetaminophen



The following drugs work to slow the damage 


•             Disease-modifying antirheumatic drugs (DMARDs). DMARDs work by blocking the immune system of your body 

 This helps to slow down the progression of RA.


•             This new generation biologic DMARDs works in

a targeted response to inflammation instead of blocking your 

 entire immune system of your body .


•             Janus kinase (JAK) inhibitors. These are a new 

subcategory of DMARDs that block certain immune responses. 

These are drugs that help you to prevent inflammation and stop damage to your joints when 

DMARDs and biologic DMARDs don’t work for you.

Home remedies Rheumatoid 

arthritis


Certain home remedies and lifestyle may help to improve your life living with RA. This includes exercise, rest, and assistive devices.
Exercise

Low-impact exercises can help to improve your joints and increase your mobility. Exercise can also strengthen muscles,

You can also go for a gentle yoga

Get enough rest

 Getting enough sleep will help to reduce inflammation and pain

Apply heat or cold
Ice packs or cold compresses that may be effective against muscle cramps.

You can also go for hot warm showers. This may help to reduce stiffness.

You can also install grab bars and handrails in bathrooms and along staircases to get a grip to maintain your stability

Shop home remedies
•             ice packs
•             canes
•             grab bars
•             handrails

otherwise, you can pray to god the last chance by William Branham Sermons

Rheumatoid arthritis diet


you have to go for foods that have lots of omega-3 fatty acids.

•             fatty fish like salmon, tuna,
herring, and mackerel
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•             chia seeds

•             flax seeds

•             walnuts


Antioxidants, such as vitamins A, C, and E, and selenium, may also help reduce inflammation. Foods high in antioxidants include:

•             berries, such as blueberries, cranberries, goji berries, and  strawberries



•             dark chocolate

•             spinach

•             kidney beans

•             pecans

Eating lots of fiber is also important like whole grain foods, fresh vegetables.

Foods containing flavonoids can also help to counter inflammation in the body. They include:

•             soy products, such as tofu and miso

•             berries

•             green tea

•             broccoli

•             grapes


What you don’t eat is just as important as what you do eat. Make sure to avoid trigger foods. These include processed carbohydrates and saturated or trans fats.
    
please discuss with you dietitian because you may have other problem where above discussed some foods are prohibited for you.  

About Commerce Now

Hi, Myself CMA Mousam Roy having more than 5 years experience in commerce field,teaching field as well as professional field with working with PSU and big Firm.

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