|
According to Ayurveda
The cause of arthritis, Indivisuals who are immuno-compromised
and have unhealthy life style (Who eat lot high sugary
and fatty food and have limited physical activity .Excessive
Consumption of following foods can cause arthritis.
-- Salt ,citrus,pungent,acidic,and high fat foods ,eating
during indigestion ,eating excessive no vageterian foods
,foods like urid dal,radish vinegar,buttermilk, alcohol
,beer ,unsuitable combination of foods eating food prior
to previous meal being digested,erratic life style with
excessive sleeping during the day and not sleeping during
the night can cause arthritis in above group of people
.
Approach of Ayurveda in Arthritis
According to Ayurveda genetic and environmental factor
a big role in causing arthritis .We can think of arthritis
as a plant needs soil for growth .Soil here equalises
genetical factors .The seeds is planted in the soil
.The seed is the non –genetical risk factors.The
richer the soil in genes associated with arthritis,
person need fewer seeds for a plant to grow .Thus several
cases of arthritis, it is likely that
Rheumatoid Arthritis
Introduction - Rheumatoid Arthritis (RA) is a chronic,
systemic, progressive and disabling auto-immune disease
affecting adult population. It is a incredibly painful
condition can cause serious physical,mental and economic
consequences.The disease can progress very rapidly (
depand upon the severity and aggressiveness of the disease)
and causing swelling, damaging cartilage and bone around
the joints. Any joint may be involved but commnly the
hands,feet and wrists joints are involved. Being a systemic
disease it can effect the internal organs such as lung
, heart, etc.
Histo-pathophysiology
of Rheumatoid Arthritis (RA)
Rheumatoid Arthritis is a chronic and progressive
inflammatory disorder,charcterised by synovitis and
joint destruction . The pathogenesis of RA is a complex
process ,involving synovial cell proliferation and fibrosis
,pannus formation ,cartilage and bone erosion .Synovium
intimal layer is grately hypertrophied (8-10 layers
thick) which is normally 1-3 cells thick.And subintimal
area of the synovium where normally has very few cells,In
RA this area is heavily ifiltrated with inflammatory
cells,including
T and B lymphocytes, macrophages and mast cells. The
intense cellular infiltrate is accompanied by new blood
vessel growth (angiogenesis)
In RA hypertrophied synovium (also called pannus) invades
and erodes contiguous bone and cartilage .As such, it
can be thought of as a tumour-like tissue.
Cartilage
Cartilage primarily composed of type II collagen and
proteoglycans ,this is normally a very resilient tissue
that absorbs considerable impact and stress .In RA ,Its
intigrity ,Resilience and water content all are impaired
.This apper to be due to elaboration of proteolytic
enzymes (collagenase,stromelysin) both by synovial lining
cells and by chondrocytes themselves .Polymorphonuclear
leukocytes in the synovial fluid may also contribute
to this degradative process .
Bone
Primarily composed of type –I collagen,
invading synovium causes erosion of contiguous bone
via release of prostaglandins and proteases by synovial
cells and ,possible by osteoclasts .Synovial cavity
–Synovial cavity normally only a potential space
with 1-2 ml of highly viscous fluid with few cells.In
RA ,Large collections of fluid (effusion) occur which
are the filtrates of plasma and therefore exudative
–e.i.,high protein content ). The synovial fluid
is highly inflammatory, unlike the rheumatoid synovial
tissue that is infiltrated with lymphocytes and macrophages
but not neutrophil, the predominant cell in the synovial
fluid is the neutrophil .
These all above changes is mediated by an independent
network of cytokines,prostanoids and proteolytic enzymes
.Proinflammatory cytokines ,such as interleukin-1 and
tumour necrosis factor –alpha are central mediators
in RA..This is illustrated in patients with RA ,who
experience an initial cell mediated response that leads
to the presence of elevated levels of IL-1 in the synovial
fluid .Furthermore ,IL-1 concentrations in the plasma
have been reported to correlate with the disease activity
.It has also been demontrated that patients with erosive
RA have higher synovial and circulating levels of IL-1
than patient without eros IL-1 has a wide range of activities
within the reumatoid joint that are believed to contribute
towards the painful inflammatory signs and symptoms
of RA .IL-1 is a key mediator of synovial inflammation
and pannus formation ,and is thought to contribute to
the impairment of tissue repair processes and the destruction
of bone cartilage in RA. |