"Yes, I'm talking about the refrigerator!"

Xu Weiguo suddenly realized that he seemed to have said a lot, and a lot of knowledge was far ahead of this era, but he couldn't deny it after he had said it.

Of course, Xu Weiguo could tell from the look in Wu Lan's father's eyes that he didn't know much about refrigerators, which is why Xu Weiguo was so hesitant.

Sure enough.

Wu Lan's father didn't understand most of what Xu Weiguo said.

But there is an unclear feeling.

So he nodded, "It seems that Xiaolan didn't lie to me. You do know a lot."

As he spoke, Wu Lan's father pointed to the TV on the cabinet and said, "Then do you know anything about this TV?"

Just when Xu Weiguo was going to talk about TV sets.

Wu Lan walked out with two cups of tea and said with a smile: "Dad, on the way back, my brother already told me about the TV. He knows a lot more than you!"

"I think if the TV or refrigerator breaks down in the future, I can definitely ask my brother to come over and take a look."

Xu Weiguo quickly waved his hand and said: "It seems that there is no problem, but just repair it, professionals do professional things!"

"Young man is so humble!" Wu Lan's father said with a smile.

"Dad, my brother has such a character. In his words, he is low-key. I forgot to tell you that the renovation of the radiator in the old courtyard in the red wall compound was my brother's work!" Wu Lan was very proud.

Said.

"Oh!" Wu Lan's father's eyes lit up when he heard this, "You installed all those radiators in the old yard?"

Wu Lan smiled and said: "Dad, it's not just the installation, it was also designed by my brother. Not only did it all install it in the old yard, but it also installed it all in the family area of ​​our special housing unit!"

"By the way, brother, I am also from the Special Housing Department, and my home can be considered a family building. Can you also install it in my home?"

Xu Weiguo smiled helplessly: "There is no problem with the installation, but this is a big project for your house!"

The amount of work required for a three-story building is not small.

"Xiao Xu, I've seen the radiator in the old yard. It's very good. If you have time, help me install it here. My leg was injured earlier, and now I'm getting older.

Coupled with the cold weather, my limbs hurt so much." Wu Lan's father smiled and said: "But don't worry, I will pay for the materials and labor costs, so you won't suffer any loss."

Without waiting for Xu Weiguo to agree, Wu Lan nodded directly, "Dad, you said this, I agreed for my brother!"

"Brother, it's no problem!"

"Um, no problem!" Xu Weiguo nodded. Installing the radiator was not uncomfortable. Wu Lan helped because his sister helped him. However, he was staring at Wu Lan's father's legs at the moment, "If I am not wrong in my judgment,

If so, you must have arthritis!"

"Xiao Xu, do you still know about this?" Wu Lan's father was a little surprised.

Xu Weiguo nodded, "I know a little bit."

"Then tell me quickly." Wu Lan's father said anxiously.

Xu Weiguo said: "Arthritis generally refers to inflammatory diseases that occur in human joints and surrounding tissues and are caused by inflammation, infection, degeneration, trauma or other factors. It can be divided into dozens of types. The clinical manifestations are redness and swelling of the joints.

, heat, pain, dysfunction and joint deformity, which in severe cases can lead to joint disability and affect the patient's quality of life."

"Most arthritis has a long course, is difficult to heal, and is difficult to treat. Therefore, early detection, early diagnosis, and early treatment can help prevent the progression of arthritis and improve the prognosis of patients. Joint pain: Arthritis is the most

Main manifestations. Different types of arthritis can show different pain characteristics. Joint swelling: Swelling is a common manifestation of joint inflammation and is also the result of inflammation progression. It is not necessarily related to the degree of joint pain. It is generally proportional to the disease. Joint

Dysfunction:Joints

Pain and inflammation cause edema of tissues around joints, protective spasm of surrounding muscles and destruction of joint structures, resulting in limited joint movement. Patients with chronic arthritis may suffer permanent loss of joint function due to long-term limited joint movement. Signs: Different

The signs of arthritis vary depending on the type. They may include erythema, deformity, soft tissue swelling, joint redness, exudation, bony swelling, bone crepitus, tenderness, muscle atrophy or weakness, limited joint range of motion, and nerve root compression.

Physical signs."

"Rheumatoid arthritis, rheumatoid arthritis is a common acute or chronic connective tissue inflammation. It can recur and involve the heart. It is clinically characterized by wandering pain in joints and muscles. It is an allergic disease. It is a rheumatic fever

One of the main manifestations is acute fever and joint pain. Typical manifestations are mild or moderate fever, migrating polyarthritis, and affected joints.

Most of them are large joints such as knees, ankles, shoulders, elbows, wrists, etc. It is common to transfer from one joint to another. The local lesions appear red, swollen, burning, and severe pain. Some patients also have several joints affected at the same time. Atypical patients

There is only joint pain without other inflammatory manifestations. Acute inflammation usually subsides in 24 weeks without leaving sequelae, but it often recurs. If rheumatism affects the heart,

Myocarditis may occur, and even heart valve disease may remain. Rheumatoid arthritis is one of the most common types of chronic arthritis. It is related to genetics, bacterial and viral infections, and environmental factors including smoking. It can occur at any age.

, but it is more common in women aged 40 to 60. Osteoarthritis is more common in middle-aged and elderly people, and the onset is mostly slow. Hands, knees, hips and

Spinal joints are easily affected, while metacarpophalangeal, wrist and other joints are less affected. The condition usually worsens with activity or is relieved by rest. Morning stiffness usually lasts less than half an hour. Nodules can be seen on physical examination when the hands are affected, and the knee joints may

There is a feeling of friction when touched. It is not accompanied by extra-articular manifestations such as subcutaneous nodules and vasculitis. Most rheumatoid factors are negative, and a few elderly patients may have low-titer positive rheumatoid factors.

Gouty arthritis, gout is a metabolic disease caused by abnormal purine metabolism leading to increased uric acid synthesis. Abnormal renal function may also cause an increase in uric acid levels due to a decrease in the renal uric acid clearance rate. The uric acid in the plasma reaches saturation, resulting in monosodium urate

Crystals are deposited in the relatively vascular-less tissue surrounding distal joints. The appearance of such crystals

It can now lead to acute inflammatory synovitis of a single or multiple joints. Gout is more common in men, and the big toe is the most common affected area. Most gout patients will develop the first metatarsophalangeal at some time in their lives.

Joint involvement. Other areas of the foot that may be affected are the dorsum of the foot, heel, and ankle. Ankylosing spondylitis, more common in young men

, has an obvious familial tendency. The central axis joints such as the sacroiliac and crestal joints are mainly affected. Peripheral joints may also be affected, but most of them manifest in the large joints of the lower limbs, which are asymmetrical swelling and pain, often accompanied by

There is pain at the tendon and ligament attachment points such as the spinous process, greater trochanter, Achilles tendon, and cristacostal joints. When the disease is severe, stiffness of the spine and neck may occur.

The movement of the vertebrae, lumbar spine, and thoracic spine is limited, and "hunchback" appears, which seriously affects the patient's daily life. Extra-articular manifestations are mostly iridocyclitis, heart block disorder, and aortic valve insufficiency. The sacroiliac lining can be seen on the line film

Joint invasion, destruction or fusion. Patients over 90 years old are b27 positive and rheumatoid factor negative.

Reactive arthritis has an acute onset, and there is often a history of intestinal or urinary tract infection before the onset. Large joints, especially lower limb joints, are mainly affected asymmetrically, and there is generally no symmetry in the proximal interphalangeal joints of the fingers, wrists, etc.

Arthritis and other small joints are affected. It may be accompanied by ophthalmia, urethritis, uritis and fever, etc. B27 may be positive and rheumatoid disease

If sub-negative, patients may develop linear changes of asymmetric sacroiliitis. Infectious arthritis is related to bacterial infection. Common pathogenic bacteria include Staphylococcus aureus, Neisseria pneumoniae, Neisseria meningitidis, Neisseria gonorrhoeae, and Streptococcus

, Mycobacterium tuberculosis. The pathogenesis includes direct bacterial infection and the release of toxins by bacteria during the infection process or

Diseases caused by metabolites include subacute bacterial endocarditis, post-scarlet fever arthritis, etc. Arthritis caused by direct bacterial infection manifests as joint redness, swelling, heat and pain, and joint dysfunction. Asymmetric involvement of weight-bearing joints of the lower limbs. Large joints

Involvement is more common, such as hip and knee joints. Joint cavity puncture fluid often shows purulent changes. Smear or

Bacteria can be found in culture. Mycobacterium tuberculosis-infected arthritis tends to occur in young people. There is evidence of tuberculosis in other parts of the body including lung or lymph node tuberculosis. There may be erythema nodosum, serum rheumatoid factor is negative. Tuberculin test is positive. Bacterial metabolites

Or arthritis caused by toxins can heal itself in 12 weeks, and joint symptoms are migratory.

Others, such as traumatic arthritis, psoriatic arthritis, enteropathic arthritis, etc. Autoimmune diseases such as systemic lupus erythematosus, Sjögren's syndrome, scleroderma and tumors are also often involved in the occurrence and development of the disease.

Manifestations of arthritis appear."

"Is there any treatment method? I have been suffering from arthritis these years. I have seen many doctors, but to no avail." Perhaps because he knew that Xu Weiguo had cured Uncle Wu Lan, Wu

Father Lan also has great hopes for Xu Weiguo.

Xu Weiguo: "Drug treatment depends on the type of arthritis, the characteristics of symptoms, and associated diseases. The principle of treatment is early diagnosis, early and reasonable use, and combined medication. Commonly used anti-rheumatic drugs are as follows: nonsteroidal drugs

Anti-inflammatory drugs: They can inhibit the synthesis of prostaglandins and quickly produce anti-inflammatory and analgesic effects, which are helpful in relieving pain.

It has a good effect and can relieve headaches, muscle pain, including joint pain associated with osteoarthritis. This type of drug takes effect quickly and is metabolized quickly in the body. Once the metabolism is completed, the pain starts again immediately and lasts for a short time. It cannot change the course of the disease.

Course of disease. Commonly used clinical drugs include ibuprofen, penicillamine, diclofenac, aspirin, indomethacin, etc.

Chondroprotective agents: For example, glucosamine sulfate can promote the synthesis of cartilage, inhibit the decomposition of articular cartilage, and also has anti-inflammatory effects. The sulfate radicals rich in glucosamine sulfate itself are also one of the necessary components for the synthesis of cartilage matrix. Such drugs

It can relieve pain symptoms, improve joint function, and long-term use can also delay the destruction of joint structures. Glucosamine sulfate has a slow onset of action, but the drug is safe and suitable for long-term use as a basic treatment drug.

Slow-acting antirheumatic drugs: mostly used for rheumatoid arthritis and seronegative spinal arthropathy. They have a certain control effect on the disease but have a slow onset of action. Commonly used drugs include gold mixture for intramuscular injection or oral administration, penicillamine, and sulfasalazine.

Ding, chloroquine, etc.

Cytotoxic drugs: produce immunosuppressive effects through different pathways. Commonly used ones include cyclophosphamide, methotrexate, Jinduchun, etc. They are often second-line drugs for systemic lupus erythematosus, rheumatoid arthritis and vasculitis. Although they have side effects

They are more common and more serious, but they have a great effect on improving the prognosis of these diseases.

Adrenocortical hormone: It is an anti-inflammatory and anti-allergic drug that can significantly improve the prognosis of connective tissue diseases such as systemic lupus erythematosus, but it cannot cure these diseases. Its many side effects increase with the increase in dosage and the extension of treatment course. If long-term

Use can aggravate the damage of articular cartilage and symptoms of osteoarthritis. Therefore, when using it, you must weigh its efficacy and side effects and choose carefully.

Antibiotics, etc.: Streptococcal infection can cause arthritis manifestations of rheumatic fever. Penicillin is the most effective drug to control streptococcal infection in the acute phase. Patients with acute rheumatic fever use long-acting antibiotics for a long time to prevent the occurrence of long-term rheumatic carditis.

Prevention should not be shorter than 5 years for adults, and should be maintained for children until at least 18 years old. Tuberculous arthritis and fungal arthritis require active and effective anti-tuberculosis or antifungal drug treatment.

Treatment of gouty arthritis: including drug treatment in the acute phase, including high-dose nonsteroidal anti-inflammatory drugs or colchicine, and uric acid-lowering treatment in the remission phase. Uric acid-lowering drugs mainly include allopurinol, which inhibits uric acid production, and promotes uric acid production.

Uric acid excretion benzomalone.

Surgical treatments mainly include articular puncture, synovectomy, joint replacement, joint orthopedics, joint fusion, etc. Bone marrow transplantation does have a significant effect in the treatment of rheumatoid arthritis. Autologous bone marrow transplantation promotes recovery by restoring immune system function.

This method has achieved good results in the treatment of children with rheumatoid arthritis. Immunotherapy and biological therapy are the main links in the onset of arthritis and the progression of lesions, such as target molecule therapy for cytokines, plasma exchange, and immune purification.

, immune reconstruction, mesenchymal stem cell transplantation, etc., are mainly used in

Patients with severe arthritis that is ineffective, rapidly progressing and refractory to other treatments, mainly rheumatoid arthritis. Other treatments include physical, rehabilitation, vocational training, psychological and other treatments. The main physical treatments include the following: direct current therapy and drug iontophoresis

, low frequency pulse electrotherapy, medium frequency current

Therapy, high-frequency electrotherapy, magnetic field therapy, ultrasound therapy, acupuncture, light therapy, that is, infrared, ultraviolet, and cold therapy. Rehabilitation and vocational training focus on functional exercise and lifestyle adjustment. Hospitals with qualified conditions should be under the supervision of rehabilitation specialists.

Perform functional exercises under guidance."

"Of course, some treatments are not available in our country, and the conditions for surgery are not mature yet. The best option at present is drug treatment. I can prepare some traditional Chinese medicine for you. Don't you still have stomach pain? I have cured it for you!

”
Chapter completed!