Kac Para Yarismasi

Arthritis Diet and Exercises

Lupus Treatment – Lupus Education Series

(piano music) – The goal of treatment
is always remission. All patients need to be
on an anti-malarial drug. They are the mainstay of treatment. And these are hydroxychloroquine
or chloroquine. They decrease the chance of flairs by 50%, they help patients live longer, they protect their brain
and their kidney from lupus, they help the skin and the joints. And unless somebody has
difficulty tolerating them we put everybody on them. The risk of using them
is a risk of retinopathy sometimes they can deposit
in the back of the eye. And for those patients we
need regular screening. (piano music) – Now in the olden days
NSAIDs like Ibuprofen and Naproxen were use for
some infestations of Lupus like pericarditis or swollen joints. Now-a-days we generally tend to avoid them because they are associated with higher cardiovascular risk. Patients with Lupus have a base line of elevated cardiovascular risk. So we try to avoid adding to that risk. (piano music) – Corticosteroids we also
try to avoid in the long run. Lupus patients are very sensitive
to steroid side effects. And there’s data that
the incidents of these adverse effects of lupo corticores is more common than in
other auto-immune diseases for unknown reasons. So patients with lupus will gain weight, can have high blood pressure, high cholesterol, glaucoma, cataracts, gastritis or
bleeding from the bowels, osteonecrosis which is like
a heart attack of the bone where the blood vessels constrict and don’t get blood to the bone anymore. There’s an entire range
of metabolic complications that occur with it, so we try to avoid them
unless absolutely necessary. (piano music) – Cardiovascular risk is high in Lupus. It’s again, a common misconception, that the main problem in the long-run is Lupus itself, it’s not. We are pretty good at
treating Lupus flares. We are pretty good at treating infections that may span from the disease itself or from the treatment. But, after 10 or 20 years, the main problem the patients face is cardiovascular risk
that’s highly elevated. So addressing the
cardiovascular risk factors is an extremely important thing. The cardiovascular risk is equivalent to someone who has diabetes. So exercising, avoiding
weight gain, eating healthy, making sure your blood
pressure is under control, making sure your cholesterol
is under control, these are very important things that patients need to work on. (piano music)

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