Let's Talk About Rheumatoid Arthritis

无论你刚刚被诊断或担心，你可以有类风湿性关节炎，你可能紧张，困惑，甚至有点害怕。这是正常的，每个人都特色在HealthCentral以慢性病症感觉就像你现在要做的。但是，我们和他们，在这里为您服务。On this page alone, you’ll discover the realities and challenges of the condition, but also the best treatments, helpful lifestyle changes, where to find your rheumatoid arthritis (RA) community, and all the crucial information to help you not merely manage—but thrive. We’re sure you’ve got a lot of questions...and we’re here to answer them.

What Is Rheumatoid Arthritis, Anyway?

术语“关节炎”感觉熟悉，因为：谁没见过股票图像elderly-person-gripping-knee? But in fact, the word is often used incorrectly. First, "arthritis" is a catchall term; there isn’t just one variety. Rheumatoid arthritis (RA) is the second most-common type, affecting approximately 1.3 million people in the United States, 70% of whom are women, according to the Arthritis Foundation. Second, RA doesn’t affect only the retirement set, nor does it hit just knees and hands. RA is an autoimmune disorder that causes systemic inflammation, which primarily infiltrates the joints but also has effects beyond them. While it can occur at any time, RA typically develops between ages 40 and 60. That being said, RA can also affect children via a condition called juvenile idiopathic arthritis.

To really understand RA, it helps to have an image in your mind of how joints work. So, picture this: Joints contain several structures that allow you to move easily.

• 当健康，骨骼的关节末端免受由称为弹性光滑材料相互摩擦cartilage（是的，同样的东西，你的耳朵制成的）。
• The entire joint is surrounded by a capsule, known as the滑膜囊。
• A thin layer of tissue called the滑膜lines the sac.
• The membrane secretes lubricatingsynovial fluid，这降低了摩擦，保护移动过程中的软骨和关节。

But here’s what happens when RA strikes: The immune system essentially misfires and sets its sights on the synovial membrane, attacking as if it’s a foreign invader.

In the early stages, the synovial membrane becomes inflamed and thickened, causing pain and limiting joint movement. Some people report feeling a warm or even burning sensation around the affected joints as well as a stiffness that makes movement slow. Over time, untreated inflammation can damage cartilage and bones. The space between bones can become smaller, causing joints to become unstable, misaligned, more painful, and sometimes even immobile.

最后，炎性组织开始建立，有时会造成结节以形成围绕的区域中，最常用的沿前臂，肘，关节和压力点，如骶骨，枕部和脚跟的后部。这些结节会与疾病活动波动。但是，如果你想像有人用自己手中的关节炎，在最远的手指关节非常坚定的结节实际上是那些见于骨关节炎和不是类风湿性关节炎。虽然RA是已知的引起关节疼痛和炎症，它可以在整个身体引发其他症状，包括眼睛干涩，胸痛，和骨质疏松症。

值得注意的:在你觉得任何关节疼痛,这是common to experience general, nonspecific RA symptoms; unfortunately, they’re the kind that seem to go witheverything-fever，乏力，食欲不振，因此与RA连接它们并不经常发生。而且密封性你在你的关节感觉可能只在上午的一个问题（使它看起来像没有这么大的交易）。休息，您有任何滑液由软骨吸收了，就像海绵吸水。当您移动，软骨“挤”和沐浴液联合。在上午的第一件事情，还有的只是不会有很多额外的流体，以保持事情宽松。但是您移动越多，流体被释放。

What Causes Rheumatoid Arthritis in the First Place?

Scientists believe that the overactive immune response that precipitates RA is triggered by a complex interaction between genetic and environmental factors. Ital on thecomplexpart, because not even the top minds in medicine have figured out the exact cause of rheumatoid arthritis. As they continue to chip away at the mystery, a few specific correlations have been identified or are currently being investigated:

• Genetics:某些基因增加risk for developing rheumatoid arthritis。For example, the genetic marker HLA-DR4 has been found in 60% to 70% percent of people of European ancestry with RA. But, what’s a “genetic marker”? It’s any variation in your DNA that may indicate an increased risk of developing a specific condition. However, simply having the gene does not mean that you have RA or that you will develop it. Because there are so many other factors that impact the development of rheumatoid arthritis and because the gene alone cannot confirm diagnosis or predict it in the future, docs do not perform genetic testing when diagnosing RA.

• Being a woman:Since women get the disease three times more often than men, some experts believe hormonal factors may play a role in causing rheumatoid arthritis. It has been shown that estrogen can rev up the B cells (those are the white blood cells that attack the synovial membrane) and thus exacerbate autoimmune diseases like RA.

• Viruses and infections:While we know that RA occurs because the immune system attacks the body’s healthy tissue, the medical jury’s still out on the导致该响应。Some researchers believe that healthy cells may get mixed up in the action when the body senses danger from a virus or infection; when the immune system kicks into gear and attacks the germs (aka an immune response), the body’s own tissue may get assaulted, too. That's when autoimmune diseases like RA pop up, and healthy joints fall under siege.

难道我有风湿性关节炎的症状是什么？

有与你的医生讨论RA，当你经常出一个无形的手的说明一个道理！风湿性关节炎最常碰到手和手腕的小关节首先，你可能会觉得温暖，肿胀或压痛。RA的关节疼痛已在各种方式深，隐约而痛苦的，悸动，温，热，招标进行了描述。然而，大多数人认为疼痛通常在清晨变得更糟。它可以至少需要30至45分钟，关节松动，感觉更好，所以一般不活动期间后再次恶化。

也就是说,signs of rheumatoid arthritis can also extend to your elbows, shoulders, knees, hips, ankles, feet, and neck. RA symptoms also tend to occur symmetrically; that is, joints on both sides of the body are usually affected at the same time. In some cases, other organ systems—including the eyes, heart, and lungs—may become inflamed too, leading to blurred vision, fluid build-up around the heart or lungs, along with chest pain and shortness of breath. (Right now, though, take a long, deep breath: RA is a serious illness, but complications can be controlled and even prevented. More on that below.)

Many people experience symptoms in lengthy episodes of days to years (it’s unpredictable like that), which may be separated by remission periods, when your RA symptoms subside. In fact, women with RA who are pregnant typically experience a complete hiatus of all RA-related symptoms through the pregnancy, because the hormones and immune system adjust to the state of the body. The symptoms usually return full force post-partum, as the body returns to its normal hormonal balance and immune-system functioning.

RA的早期症状可能包括：

• 疲乏无力
• Low-grade fever
• General feeling of poor health
• Loss of appetite and weight loss
• 紧关节,通常身体的两侧,that may be warm to the touch

随着长期的，未经处理的类风湿性关节炎，可能会出现这些额外的症状：

• 刚度（尤其是起床后）
• Hard—but painless—skin lumps, known as rheumatoid nodules, on the hands, elbows, knees, or toes that can range in size from a pea to a mandarin orange
• 弯曲和变形的关节
• 口干
• 红，眼睛发痒
• Chest pain and breathing difficulty (in advanced cases where inflammation affects heart and lungs)

当打电话给你的医生或风湿病

Make an appointment with a doctor if you're experiencing morning stiffness with any of the other early symptoms of RA, including fevers and weight loss. If you are not diagnosed, a primary-care doctor can refer you to a rheumatologist to run the necessary tests for rheumatoid arthritis. If you have rheumatoid arthritis and you experience a major flare or new symptoms, you should contact your rheumatologist or primary-care doctor to get help.

How Do Doctors Diagnose Rheumatoid Arthritis?

RA is diagnosed based on your medical history, a physical examination, and laboratory and imaging tests (e.g., X-rays).

可用于帮助诊断类风湿性关节炎实验室检查包括：

• Anti-cyclic citrullinated peptide (anti-CCP) antibody:Antibodies are proteins made by your body to fight off foreign substances. Anti-CCP is an antibody present in most RA patients. This simple blood test looks for the presence and level of the antibody.
• 全血细胞计数（CBC）：This common test is used to measure levels of red blood cells, white blood cells, and platelets in the blood. A low red blood cell count can be an indication of the chronic inflammation seen in.
• C-reactive protein (CRP):Your blood is drawn, then checked for the presence of the CRP protein, which is produced by your liver and can be found in your blood in response to inflammation.
• Erythrocyte sedimentation rate (ESR):后的血液样品添加至管中，技术人员措施的速率红细胞下降到管的底部。快速沉淀表明炎症，血细胞结块在一起和下降更快。
• Rheumatoid factor:又称乳胶凝集试验，该验血来检测这种抗体，这是在谁拥有RA大多数患者升高的水平。
• X-rays:Images produced from X-rays show the amount of damage that RA inflammation has caused in your joints.
• MRI:Magnetic resonance imaging uses a magnetic field, radiofrequency, and computer technology to get quality images that are so sensitive, they can detect RA damage six months before it shows up on an X-ray.
• Ultrasound:Sometimes referred to as ultrasonography, this is a very sensitive test that exposes both the bone erosion that happens in RA damage as well as the presence of inflammation.
• Synovial fluid analysis:In this test, which is performed when a joint has pain, inflammation, or swelling, fluid is drawn from the joint to help determine a potential diagnosis. It could be an infection, gout, or arthritis, among other things. It’s important for docs to get this right because, obviously, gout—for example—has a completely different treatment plan than RA.

What Is the Best Treatment for RA?

治疗的目标是超级简单：让你在你需要的所有方式移动。这意味着减少和停止理想，疼痛和炎症，最终可导致关节损伤。当RA是早期诊断（检查这些症状！），你是积极的配合治疗，你就更有可能避免并发症的发生以后。

Treat-to-Target (T2T) is a newish treatment strategy that sets remission or minimal disease activity as the objective. How it works: Disease activity is frequently monitored and if the target (remission!) is not met, meds and doses are adjusted right then and there, at your appointment. How exactly? Docs follow a predetermined protocol, which could include medication, therapy, dietary changes, RA-friendly exercises, surgery, or a combination of treatment options.

Medications for RA: You’ve Got Options

还有更多的类风湿性关节炎的药物和治疗方法的选择，现在比现有以往，这使得它更容易找到最适合你的治疗方案。

RA medications include (listed, in general, in order of whether your RA is mild, moderate, or severe):

NSAIDS

Nonsteroidal anti-inflammatory drugs (NSAIDs) do not slow the progression of RA, but your doctor may prescribe large doses of one to treat the chronic pain due to inflammation. Common NSAIDs include ones you know:

• 阿司匹林（咛，拜耳）
• 塞来昔布（西乐葆）
• Disalcid (salsalate)
• Ibuprofen (Advil and other brands)
• 萘普生（的Aleve等品牌）
• Relafen (nabumetone)
• COX-2 inhibitors, a subclass of NSAIDs that have a lower risk of internal bleeding or stomach ulcers—a common side effect of other NSAIDs that are used in large doses for a long time. If youdoneed high doses of those other NSAIDs, it should be a short-term fix.

DMARDs

这些疾病的抗风湿药物（因此：DMARDs治疗）的帮助下通过阻断炎症保留关节。由于潜在的副作用不可预知的风险的DMARDs，如胃部不适，感染，脱发，和肝损伤，你必须密切定期（每周，每隔几个月）的实验室测试服用这些药物时监控。的DMARD包括：

• Trexall (methotrexate)
• Azulfidine (sulfasalazine)
• 阿拉瓦（来氟米特）
• Plaquenil (hydroxychloroquine)

Biologics

Also known as biologic response modifiers, these medications are designed to control certain parts of the immune system—in fact, they’re a type of antibody. But instead of locking onto bacteria or a virus, they target, then shut down, the proteins that fuel inflammation. (Cool, right?) Today, there are many different biologics available, so doctors categorize them based on the cells they put a bull’s-eye on.

• Tumor necrosis factor inhibitors (TNF-inhibitors)- 如Humira的（阿达木单抗），依那西普（依那西普），的Cimzia（赛妥珠单抗），SIMPONI（戈利木单抗），和是Remicade（英夫利昔单抗）-put在肿瘤坏死因子，即在人与RA中过量产生的天然存在的物质的制动器;它是第一炎症RA一个人变的主要原因。他们通过自我注射或静脉滴注取决于药物递送。
• B-cell inhibitors,如利妥昔单抗(美罗华)throu管理gh an IV and kill B-lymphocytes that can spark inflammation.
• 白细胞介素-1（IL）受体阻滞剂, like Kineret (anakinra), are self-injected daily; they target interleukin-1, an inflammatory compound in the body.
• 白细胞介素6抑制剂如自注射Kevzara（的sarilumab）和IV给药或自注射的Actemra（托珠单抗），停止白细胞介素-6的蛋白质附着于细胞和触发炎症。
• T-Cell inhibitors一样ORENCIA（阿巴西普），锁存器上，以T细胞的表面（也称为炎症引起的白血细胞）。医生会给你通过静脉这种药。

这些药物可以减缓RA的进展，甚至带来缓解长时间。缺点？传授的方法，你必须给自己拍摄或浏览静脉滴注中心定期，因为他们平息你的免疫系统，你可能会更容易感冒，其他感染。

类固醇

Oral corticosteroids, such as Deltasone (prednisone), offer quick relief from symptoms of rheumatoid arthritis and, in advanced cases, can prevent RA-related inflammation from harming your eyes and internal organs. Because prednisone has serious side effects when used for extended periods, it is often reserved for severe flare-ups or when other treatments are ineffective. Injections of corticosteroids into an affected joint may also be helpful.

Surgery

There are some RA cases—usually advanced and/or undertreated—where surgery may be a necessary consideration. Meaning: The pain is likely debilitating, and you no longer have normal joint function. There are two surgery types:

• Synovectomy.Any time swelling has gotten so bad that you’re having a hard time moving and functioning, this surgery may be performed. It removes the diseased synovial membrane from affected joints to reduce swelling and pain and help prevent further joint damage.
• Arthroplasty.这种手术替换受损的关节用机械之一，恢复关节功能或修复畸形。每年有超过一百万关节置换手术进行，主要是髋关节或膝关节，但肩，肘，并在手脚关节可更换为好。关键你的医生讨论：该类型的活动，你希望关节置换后继续。这将有助于您的文档选择合适的假体类型和植入技术，同时也让您更加深入地了解手术的风险和局限性。

Other Types of Therapy That Can Help

如果你有RA，是的，你有慢性疾病。但也有一些事情可以做，除了典型的吃药，为了帮助你感觉最好。为此，考虑各种领域，包括精神病学，营养和健康radiology.Other相关专业也可能是你的团队来协助您以下的零件组装专家组成的医疗团队：

• 运动。你的医生可能会开一个锻炼计划，还是劝你看到的物理或职业治疗师。虽然演习是太剧烈可能会加剧你的症状，programs with gentle exercises can increase the range of motion of your joints。Some exercises are easier to perform in a pool or hot tub because water helps support the body. Talk to your doctor about which techniques would be best for you.

• 睡觉。鉴于怎么不舒服的情况是，超过一半的人与RA有麻烦sleeping at night。Plus, RA-related inflammation tends to deplete energy levels faster than for those without RA—so a solid eight hours of shut-eye is even more critical. Start tonight by using pillows as extra support where needed (for example, under a painful shoulder or between stacked knees).

• 压缩。由于热工程，以减少肌肉紧张，促进血液循环，也有许多RA说，将温暖的东西（一个新鲜来自该干燥器帽衫会做！），使关节运动和其他体力活动之前感觉更好。冷敷，在另一方面，减小RA耀斑后发炎，肿胀，和酸痛。

• 外用药膏。应用霜或含有辣椒素洗液（从辣椒提取物！），或许可以舒缓轻微的关节疼痛。同上，用于那些有樟脑，薄荷脑，或松节油。尝试：辣椒素注入Capzasin HP CrèmeorJ.R. Watkins White Cream Liniment, which has both camphor and turpentine oil.

• Splints.Your rheumatologist may prescribe splints for areas that are trouble spots for you. During severe episodes, they'll help relieve pain by immobilizing your joints.

• Diet.While most evidence about the role of diet with RA is anecdotal, there are some studies that indicate certain foods may be helpful. In particular, the Mediterranean diet (aka the anti-inflammatory diet)—which emphasizes fish, olive oil, and vegetables—has been shown to have some impact on inflammation, likely due to the omega-3 fatty acids in certain fish. Several smaller studies also tout the helpfulness of a vegan or vegetarian diet on RA. Learn all aboutRA and diet这里。

What Triggers a Rheumatoid Arthritis Flare-up?

像龙卷风，类风湿性关节炎的触发器是不可预测的。获得更多的控制，最好的方法？查明你的耀斑背后的罪魁祸首。每个人的不同，但典型的罪犯包括：

• Stress
• 感染，包括流感和感冒，激活你的免疫系统
• 身体创伤，如手术或骨折
• Post-pregnancy
• 可怜的牙齿健康
• 某些食物，包括加工小吃，红肉和多余的精制糖
• 太多的运动
• Dramatic, sudden changes in weather

Does RA Have Serious Complications?

它可以。从类风湿性关节炎副作用的条件本身的表现和有两个品种：那些来自未处理或undertreated RA，和那些造成关节损伤。Common complications of RAinclude:

• 心脏病。It affects more than half of all people with RA.
• 类风湿结节，这发生在30％至RA患者的40％，并且比痛苦更麻烦。
• Osteoporosis-related fractures. These are 25% to 30% more common in people with RA than the general population.
• 感染（流感，葡萄球菌，肺炎）。他们两次共同在人与RA。
• Lung disease。It develops in nearly one-fourth of RA patients.
• Dry eye。This is the most common eye complaint for people with RA.

About 10% of people diagnosed with RA (and diligently treated) experience complete remission within one year, and roughly 40%go into remission在两年之内。这是由于在过去的二十年中，治疗显著的进步。

This is exactly why it’s so critical not to ignore symptoms—or to put off getting help. If the disease progresses and is not treated, that’s when the worst side effects can occur: severely restricted range of motion or, worse, gradual destruction of the joints. The inflammatory process slows down as fibrous tissue forms or bones fuse, and joints stop functioning altogether.

Prevention

While there is no known way to keep from getting rheumatoid arthritis, there are plenty of steps you can take to prevent complications and feel better overall.

• Quit smoking.A Swedish study of 34,101 women reported that even light cigarette smoking is associated with increased risk of RA in women and that quitting (or not starting at all) may reduce the risk.
• Maintain a healthy weight to ease pressure on your joints.If you are overweight, you may want to consider a weight-loss plan, as excess pounds can put unnecessary stress on your joints. Consider working with a dietitian to help build a personalized diet or program that targets your specific goals (i.e. less sugar and more omega-3 fatty acids/fish) for managing your RA.
• Eat a healthy diet.While there is no prescribed diet for RA, aim to avoid foods that cause inflammation, like packaged snacks,and include foods that promote bone health and immune function.
• Start or keep up with an exercise routine.研究表明，运动可以帮助缓解RA症状，甚至提高一天的日常运作。它也可以让你更加灵活，可以帮助您更好的睡眠，并提高你的耐力。

What’s Life Like for People With RA?

一天到一天的类风湿关节炎通常包括疼痛和疲劳，这可以，无可否认，是压倒性的。您可能还需要对付的人谁不真正了解你的病情，并不能完全掌握你正在经历什么。如果RA是比较新的给你，或者你疲惫不堪，在不断的痛苦，我们知道如何不可能能感受到聚集力量来寻找良好的护理和尝试新的治疗方法。所以，从小事做起：首先教育自己RA，然后努力建立在你的生活与RA的人谁信心的工作。

Emotional Health

谁有风湿性关节炎的人常常觉得他们必须mask or disguise their issues，它可以在你的大脑真正流失。最佳的解决方案？

• Speak up.Simply talking with friends and family about what you're going through with RA can remove that burden of solitude—and help your people help you in the way you need it.
• Find ways to relieve stress.Try creating a self-care routine and exploring alternative treatments like meditation.
• Consider talking to a therapist.Being diagnosed with RA often triggers a grieving process as you mourn the healthy you and work toward acceptance of your situation. You may feel depressed, particularly if your disease is super active. By prioritizing your mental health and linking up with a counselor or therapist (your family doc or rheumatologist can refer you to one), you will set yourself up to follow through with all other aspects of RA management.

Sex Life

Fifty-nine percent of those with RA, per a study published in风湿病, felt the disease had a negative effect on their sex life. And no wonder: Depending on its severity, RA itself—along with some of the meds used to treat it—can decrease desire due to fatigue, stiffness, vaginal dryness, erectile dysfunction, and a decreased libido.

那么，有什么解决？耐心，沟通和理解你和你的伴侣之间显然是关键。也有一定的性别立场，可能对你的感觉更加舒适，通常是基于你最OUCHY关节：

• For wrist and/or elbow pain:Lie on your back or side, and place pillows under your elbows as needed.
• For neck pain:不要把你的枕头脖子后面或向前弯曲，当你在做爱你的背部。并且一定要告诉你的医生有关RA可能会如何影响你的脖子，以及如何保护它。
• For hip pain:如果它伤害左右移动你的臀部，发生性关系在一汤匙的位置，你身后的合作伙伴。
• For knee pain:You want to keep your knees straight, so try being on the bottom in the missionary position or lie on your sides facing each other.

Pregnancy

It’s complicated enoughwithoutRA—so of course getting pregnantwiththe condition comes with a billion extra questions.我将不得不把我的药物？(There are some medicines that are unsafe to take during pregnancy, while others are fine.)Will I pass RA on to my children?（总之，不一定。）了解尽可能多地了解将要考虑的问题，以及关于药物的风险倾诉你的风湿病早期（你开始尝试最好，之前）。

在哪里可以找到类风湿关节炎社区？

RA影响了人口的这样一个很小的比例，如果没有积极寻找，运行到另一个RA-ER IRL是可能象在电影影院小卖部看上一个查尔斯顿咀嚼。然而，寻找你的人，那些谁知道exactlywhat you’re going through—is just as important to your mental wellbeing as finding a treatment plan that works. Form connections, discover resources, share both pain and inspiration, and make new friends, starting here.

热门RA Instagrammers

• Britt Johnson,@hurtblogger

Follow because:她一直通过泥和几乎卡在那里，并没有粉饰现实。她不, however, find light and love in the tiniest places, constantly reminding you that if she can find the strength, so can you.

• 西瑞利，@thebarbellbeautie

Follow because:她可能是怕针（你好，Humira的镜头），但她不怕杠铃。服务你的日常锻炼的灵感和实际锻炼的剂量程序，没有忽略配有慢性疾病的行使问题。

• Renee Anderson,@the_rheumatoid_arthritis_mama

Follow because:她’s relatable on every level: She covers all aspects of how RA affects her life—and shares that emotional rollercoaster in her captions—including how she maintains a robust marriage in a hurting bod, keeps mommin’ through exhaustion, and fuels her health with arthritis-approved recipes.

• Eileen Davidson,@chroniceileen，chroniceileen.com

Follow because:她’s a mega-advocate who is hellbent on making her rounds to raise awareness about what it’s really like to have RA, and she makes no (sore) bones about it. She’s a born storyteller, with a side of sass.

• Aimée Matsumoto,@fitaimee_ra

Follow because:Just when you think you can’t rock mom life (or even have it at all), splurge on In-N-Out Burger, or muster the energy to exercise, Aimee is here to prove you wrong onallof it—period.

Top RA-Related Podcasts

• Chronic Briefs。By versatile and hilarious writer Daniel Malito (who has had juvenile arthritis for more than 25 years, since he was 11 years old), the archives of this RA-related podcast are poignant and sometimes LOL-funny.
• Chronic Sex。Sex educator and activist Kirsten Schultz hosts this explicit—as in, NSFW unless you’re wearing headphones!—podcast, uncovering truths about how chronic illness and disability (including RA) affect relationships, sex, and sexuality.
• 疾病+健康。Artist and health advocate Cara Gael O’Regan has lived with Ehlers-Danlos Syndrome, another joint-related condition, for more than two decades; here, she does in-depth interviews on some of the toughest topics—insurance coverage, disability, mortality—as they intersect with chronic conditions and pain.
• Arthritis and Work by the Arthritis Society。虽然它不是一个持续的系列，这是一个金矿扎实工作相关的特定资源，以平衡职业，当你有RA。

Top RA Support Groups and Non-Profits

• Arthritis Foundation。This org and its award-winning magazine,Arthritis Today, help you create a personalized plan for a full life. From quizzes (“What’s Your Arthritis Diet?”) and expert Q&A’s to customizable programs and tools (“Track and React,” a symptom-tracking app), the Arthritis Foundation encourages you to look at your RA diagnosis holistically.
• The Arthritis National Research Foundation。For more than four decades, this group has provided grants and organized fundraising for arthritis research into the causes and prevention of, and new treatments for, chronic joint conditions. Whether you're heavy into science or not, this is where you'll want to look for researchers’ latest and greatest RA findings.
• 类风湿关节炎支持网络。它的目标是什么？提供了最新信息，以便人们RA知道他们的处方药和替代疗法的选择，充分了解他们的诊断。该网站也有资源的宝库，包括风湿病目录。
• 我的RA队。This massive social network virtually connects you with others who have rheumatoid arthritis. It’s great for emotional support, practical advice, and real-world insights on managing the condition.