The misunderstanding already begins with the name of the specialty that could placate suffering: rheumatology. Seriously, when I risk intruding on someone’s life thinking it is a case for the rheumatologist to take a look, by the almost indignant reaction it seems that I am sending the person to the cafundós of the planet Medicine. There is also the one who gives me an expression of “ah, yes, yes, because then, I was thinking even a rheumatologist.” I could bet most would not have the slightest idea of which figure it was.
If you know who I’m talking about, I’m sorry. Just wanted to put everyone in the same line of this text, so … Rheumatologist is the clinician of the locomotor system. It does not care for the broken bone, nor does it pick up the scalpel and operate. Look at the set of skeleton, muscles and joints to understand everything that hinders movement. And there are more than 150 diseases that make our body, trying to get out of the place, creaking, popping, jamming, hurting and locking up. One of them is rheumatoid arthritis, which affects 0.6% to 1% of Brazilians.
We are not particularly unlucky. It is so in all the corners of this world that runs, himself, by leaps and bounds. Rheumatoid arthritis has no race, no right address. It hurts everyone. Pack all. Usually, this is a more likely age to occur, since there is a peak of cases between the ages of 35 and 45 and another between 55 and 60. But there are even more rare episodes of babies with rheumatoid arthritis . That is, the lack of knowledge is the starting point: and why does it happen? There is no answer, not counting the old man tapping the genetics key.
No one still explains why, up to the age of 40, the ratio is three women with the disease for each man. This preference for the female falls a little – two for each – among the sexagenarians.
Is there something we can do to break the havoc? Smoking, who knows. The risk of developing rheumatoid arthritis is three times higher among smokers. Being overweight is another factor. Yes, the disease is more prevalent among obese people – probably because they have an organism, literally inflamed, facilitating evil. Why, it’s an inflammation, triggered by an autoimmune attack.
It starts with the synovial membrane, which packs the entire package of the joint – cartilage, tendons, all-inclusive. Inflamed, this membrane grows and creeps to the ends of the bones and begins to erode. It really invades, no pity. It is as if the bony end were being eaten little by little, until the whole joint, taken by the acting membrane made posture, simply stops moving. “Not so long ago, the destination of those suffering from rheumatoid arthritis was to end up in a wheelchair,” recalls Rina Neubarth Giorgi, MD, chief of rheumatology at the Hospital of the Public Servant of São Paulo.