Talk about "wolf" color change: Lupus treatment
summary
Lupus erythematosus is an autoimmune disease that can involve all systems of the body. Lupus patients often talk about "wolf" color change, the situation can be predestined, this is a life-threatening disease, if not actively treated, the 5-year survival rate is very low. I have been fighting side by side with my "wolf" friends for nearly 30 years, and I have gained a lot. I have received a large number of thank-you letters from "wolf" friends (which accounts for the largest proportion of the patients in the letters). Therefore, I have gained a lot of experience for the majority of patients and peers to taste and reference.
Talk about "wolf" color change: Lupus treatment
Method 1: lupus is a chronic disease, more dangerous and complex, should go to the regular hospital treatment, lupus can involve any organs of the body, especially the kidney, central nervous system and blood system, it is easy to misdiagnosis and mistreatment, lupus patients should go to the rheumatic Immunology Department of the regular hospital. Many small clinics or "God Man" often mislead patients and stop using all the drugs issued by regular hospitals under the names of "ancestral", "traditional Chinese medicine" and "root removal". They only use "secret recipe", which costs a lot of money and has little effect. It also delays the best treatment period and eventually leads to the death of patients. Similar cases are everywhere. In this statement: the condition of lupus is complex and changeable, and there are often some unexpected problems, which need multidisciplinary diagnosis and treatment, especially the diagnosis and treatment of rheumatic immunology doctors. Many drugs can not be stopped at will, including hormone and hydroxychloroquine.
Method 2: lupus patients to maintain a happy mood is conducive to the success of treatment. According to my observation, lupus patients are often excellent and successful in their career and study. Most of them have typical lupus personalities, such as sentimentality, demanding perfection and love to go to extremes. If you look at their palms, you can see that they are very worried. These personality characteristics have some relationship with the onset of the disease. Therefore, once you get lupus, you need to be free from vulgarity. Don't be all-round and keep a happy mood. Usually, listening to nostalgic music or Christian "hymns" will make patients feel very calm and relaxed.
Method 3: according to the severity of clinical manifestations of patients, choose the correct drug treatment. Generally speaking, if there is no organ involvement, only arthritis, rash, fever and fatigue, only hormone, hydroxychloroquine and (or) methotrexate and (or) thalidomide are enough, and the oral hormone dose is often medium dose [0,5mg / (kg, d)]. If one or more important organs are involved, the dose of oral hormone is usually larger, which requires prednisone more than 1 mg / (kg, d), hormone and immunoglobulin short-term pulse therapy, and a combination of immunosuppressive agents, including cyclophosphamide, mycophenolate mofetil, cyclosporine, tacrolimus, azathioprine or leflunomide The first line was cyclophosphamide or mycophenolate, the second line was cyclosporine, tacrolimus or leflunomide, and the third line was rituximab (rituximab). Azathioprine or mycophenolate is the first-line drug for maintenance consolidation therapy. Among all the above drugs, hormone and hydroxychloroquine should be the basic drugs for the treatment of all lupus patients. Unless there are irreversible serious adverse reactions, they are not easy to stop.
matters needing attention
Leflunomide can also be used in lupus patients with joint symptoms and nephritis: leflunomide is less likely to induce menstrual disharmony and gastrointestinal reaction than cyclophosphamide, but there are still some liver damage, leucopenia, increased blood pressure and weight loss.
