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I was almost 19 years old, a college student, filled with ambition and dreams. I remember exiting the Science Building at the university after one of my classes, on one particular day. My legs, especially my right knee, felt uncharacteristically weak and painful as I descended the stairs. This was the first day of a life-altering condition.
The problem with my knee persisted over the next few weeks. I began my search for answers and medical care with my family Internist. He did the basic tests and diagnostics he could do, then fast-forwarded me to an Orthopedic Surgeon for a consultation. I had the doctors perplexed. I was seemingly too young to have arthritis, though my x-rays showed significant changes in my knee joints. My laboratory blood tests did not confirm rheumatoid arthritis. The thought at first was that I must have a sports injury. I was sent home and told to take 8 aspirins a day. With each pill I swallowed I also swallowed some hope that this would end soon.
The end never came. Instead of experiencing an end to the pain in my knee, I experienced a gradual shifting of the pain to my hip. From my left side it traveled to my right. It felt like something was taking a journey through my body. It made the journey, making stops along the way at each of my joints. It spent enough time at each stop to do some damage and then move on to the next stop. The extensive damage was enough to cement the diagnosis of rheumatoid arthritis.
I battled back against the arthritis in typical fashion by listening to doctor's advice and consuming everything they prescribed for me. I made every effort to interrupt the journey of the arthritis through my body. At times it felt like I was winning, and more often it felt like the arthritis was winning. As years passed, I experienced gradual destruction of my joints. I experienced limitations imposed by the disease. I experienced loss.
The loss was slow, just like the progression of the disease. Aspects of my life that I had carved out for years were being taken away from me. There seemed to be a slow erosion of my life taking place directly proportional to the erosion of my joints. Changes and limitations mounted over time and the loss I was experiencing, though gradual, seemed overwhelming at times.
There are many ways to react to loss, especially the loss of oneself. The physical changes in me were making me into someone different than I had been. I determined that I needed the mental changes to correlate with the physical changes. I needed not to view the changes in me as a "loss" but rather as a "transformation". I really wasn't "disappearing", but I was "changing". It became clear to me over time that the changes in me physically were beyond my control. I made every effort to counteract the changes with excellent medical care, but the changes were still occurring.
It was obvious to me that I had some choices to make within myself. I could allow the physical decline to negatively impact my life, or I could alter my life in ways to better coincide with my physical condition. It gradually became as much a mental battle as it had been a physical battle. Arthritis had not destroyed my life, but it had changed it. The focus had to shift from what I had lost to what I still had.
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Rheumatoid arthritis is a chronic disease characterized by an inflammation in the joint area. Rheumatoid arthritis is said to be a disease of the immune system. What happens inside the body of a patient diagnosed with rheumatoid arthritis is that his immune system mistakenly thinks that his own body tissues are harmful bacteria or viruses. And so the antibodies move to attack them. But these tissues are actually healthy tissues. In fact, they are the main ones that compose the joints. When this happens, the particular area where antibodies attacked becomes severely inflamed.
Rheumatoid arthritis can be caused by a number of factors. While it is rather hard even for the doctors to tell their patient what actually makes them contract the disease, the most common of all factors are listed below:
Viruses, Fungi, and Bacteria
These elements have long been suspected to be the root causes of rheumatoid arthritis. But then again, it hasn't been proven that they alone are sufficient to cause the disease. What is certain is that viruses, fungi, and bacteria play a certain role in the development of the disease, as they trigger the body's immune system to act. Therefore, it can not be ruled out that these infectious agents may have something to do with rheumatoid arthritis.
Genetics
There are also studies showing that rheumatoid arthritis can be inherited. There have been worldwide researches performed to seek the main cause of this disease. And with that many researches conducted, all of experts behind them can't rule genetics as a factor. In a certain group of patients who suffers from rheumatoid arthritis, it was found out that a number of them have family members who are suffering from the disease in one way or another. This had caused scientists to assume that certain types of rheumatoid arthritis can be transferred genetically.
Allergens
Because rheumatoid arthritis involves the immune system, it is reasonable to assume that certain allergens cause the antibodies to attack the joints. Allergens fall under the environmental factors that could trigger the disease. These could be the food you eat, exposure to certain types of bacteria in the air, and the deficiency of certain types of vitamins in the body. It is therefore important that a series of consultations with a health expert is carried out so that it becomes easy for them to determine what triggers a particular rheumatoid arthritis attack. Defining one's allergen is very helpful in preventing the disease.
Changes in One's Hormones
One other cause of rheumatoid arthritis would be the changes in one's hormones. For the females, it was found out that during pregnancy, their levels of progesterone and estrogen becomes relatively high. However, after giving birth, it drastically decreases. This is one of the reasons why rheumatoid arthritis often happens in a woman after child birth.
On the flip side, some mothers have experienced improved rheumatoid arthritis condition during the entire length of their pregnancy. But after the time the baby is born, they experience a certain degree of flare up.
Smoking
There have been relevant studies that show smoking tobacco can increase a person's risk of developing rheumatoid arthritis, now or at any time in the future. On the other hand, for those people who already have rheumatoid arthritis and still continue to smoke, their chances of having an attack are higher than those who don't. There are certain substances found inside a tobacco that triggers the attack.
These are the different and most common causes of rheumatoid arthritis. Knowing the main root of the disease is going to be very helpful in preventing its occurrence altogether. And if the main cause of rheumatoid arthritis is defined, the very people who are suffering from it may act accordingly to make sure they keep away from the very things that cause the disease. Doing so will spare them of the intense pain, swelling, and stiffness in the joint and muscle that can be affected by the disease.
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