O QUE SÃO AS DOENÇAS REUMÁTICAS — Transcript

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1. 0:00Rheumatic diseases or rheumatism. What
2. 0:04is that? Do you know anyone who has a
3. 0:07rheumatic disease? Well, in this video,
4. 0:10I will explain a little about the cause
5. 0:12and what we can do to manage this
6. 0:14problem. I am Dr. Tangui, I’ve been a
7. 0:18doctor for over 20 years, and the main
8. 0:20goal of this channel is to share with
9. 0:23you information related to health,
10. 0:25well-being, and quality of life so you
11. 0:28can live better every day. If you
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13. 0:33channel, leave a like, and share this
14. 0:35video with those you think need this
15. 0:37information, because there is a lot of
16. 0:39content here. So come along with me.
17. 0:47Rheumatic diseases or rheumatism. What
18. 0:50is that? I constantly receive questions
19. 0:53in my office, on Instagram, on WhatsApp
20. 0:55, and here on YouTube, with people
21. 0:57asking: "Doctor, I was diagnosed with
22. 0:59rheumatism, or my mother or my son has
23. 1:01rheumatism." Well, I have to understand
24. 1:05how my immune system works to
25. 1:07understand a little bit about what
26. 1:09these rheumatic diseases are. Folks, we
27. 1:12have three types of cells in our blood.
28. 1:15We have red blood cells that transport
29. 1:17oxygen. We have platelets that are
30. 1:21responsible for clotting, but also
31. 1:23responsible for all the healing factors
32. 1:25in our body. And we have leukocytes or
33. 1:29white blood cells. What do leukocytes
34. 1:32do? They are our defense, like our
35. 1:35police force. They are responsible for
36. 1:39taking care of our body. So, every time
37. 1:42we are attacked by a virus, a bacterium
38. 1:46, or a foreign body. What do you mean
39. 1:48by a foreign body? So, when a thorn
40. 1:50gets into your finger, how does that
41. 1:52work? Our defense system, through its
42. 1:56soldiers, signals to the central hub.
43. 2:00Look, we need to activate and send
44. 2:02leukocytes there to be able to fight
45. 2:04this invading agent. So, every time our
46. 2:09body is attacked, leukocytes spring
47. 2:11into action and produce antibodies.
48. 2:14What are antibodies? They are like
49. 2:17shots fired against the attackers. And
50. 2:20what happens then with rheumatism,
51. 2:22folks? Our organism—we don't know if
52. 2:26this is a genetic cause, if it's a
53. 2:28viral infection that might alter it, or
54. 2:31if it could be an allergic mechanism.
55. 2:35What happens is that our leukocytes
56. 2:39start firing antibodies against our own
57. 2:42organs. So, we have several types of
58. 2:46rheumatism. So it begins to attack, for
59. 2:49example, rheumatoid arthritis. It is a
60. 2:53type of rheumatism that produces an
61. 2:55antibody which often attacks the joints
62. 2:57. So it begins to cause deformity in
63. 3:01the hands, feet, and knees, and
64. 3:04destroys the joints. Because these
65. 3:08antibodies, folks, when they are inside
66. 3:10the joints, they trigger inflammatory
67. 3:13symptoms. So they lead to inflammation
68. 3:18of that joint, leading to redness, pain
69. 3:21, swelling, and joint destruction. So
70. 3:26the big problem with rheumatism, with
71. 3:29certain types of rheumatism, is that
72. 3:32when I start having crises, crises,
73. 3:34crises, these antibodies inside the
74. 3:37joints lead to joint wear. Leading to
75. 3:41what? To practically the loss of this
76. 3:44joint and leading to arthrosis, which
77. 3:46is this premature wear. So, rheumatoid
78. 3:51arthritis, as I mentioned, specifically
79. 3:53attacks the organs of the articular
80. 3:55system, but it also attacks the lungs,
81. 3:58the heart, the eyes, it attacks the
82. 4:00body as a whole. But I have other types
83. 4:03. For example, I have psoriasis, which
84. 4:06is a type of rheumatism. It often
85. 4:09attacks the skin, the scalp, and the
86. 4:11joints of the elbows and knees.
87. 4:14Normally, psoriasis appears a lot in
88. 4:16folds of the skin. Then we have another
89. 4:18type of rheumatism called lupus. What
90. 4:21does lupus do? It attacks organs as a
91. 4:24whole, but lupus has a characteristic
92. 4:26of attacking the face. So, sometimes we
93. 4:29have what we call a butterfly wing.
94. 4:31Butterfly wing lesion. We have several
95. 4:34other types of rheumatism. For example,
96. 4:36I have a rheumatism called Sjögren's
97. 4:37syndrome. In Sjögren's syndrome, do
98. 4:39you know what they attack? Our glands,
99. 4:42especially the lacrimal glands. So the
100. 4:45eye starts to get dry, and the salivary
101. 4:48glands, the mouth starts to get dry. So
102. 4:52our body begins to attack antibodies
103. 4:55against our organs through leukocytes.
104. 5:00And what is the major causal factor for
105. 5:03this? The big problem is that our
106. 5:06emotional state is extremely affected
107. 5:09when we start to have the manifestation
108. 5:11of rheumatic diseases. How so, Tangui?
109. 5:17The person, most of the time, when they
110. 5:20have some intense stress, so it could
111. 5:22be emotional stress from some factor,
112. 5:25if they get too much sun, too much cold
113. 5:28, if they sometimes overeat, every time
114. 5:31they have an excess, most of the time
115. 5:34these leukocytes are activated to fight
116. 5:37, let's say, the external factor, but
117. 5:40they start fighting our own body,
118. 5:44leading to pain from limitation and
119. 5:46inflammation. So, folks, when a person
120. 5:49has symptoms of rheumatism, why do we
121. 5:52need to seek medical help? Most of the
122. 5:56time, we have a specific doctor who
123. 5:57works with this rheumatological area,
124. 5:59which is the rheumatologist. So, they
125. 6:02work by identifying the type of
126. 6:04rheumatism that this person may have.
127. 6:08Nowadays, we have drugs or medications
128. 6:11called immunosuppressants. And now we
129. 6:15also have what is called an
130. 6:16immunomodulator. What can it do? The
131. 6:19immunosuppressant, most of the time, is
132. 6:21a corticosteroid or a non-hormonal
133. 6:23anti-inflammatory. It inhibits the
134. 6:27action of antibodies on the organs.
135. 6:30These are the immunosuppressants. Now,
136. 6:33the immunomodulators, which are more
137. 6:35modern drugs, what do they do? They are
138. 6:38able to modulate the leukocytes, making
139. 6:40them understand that this is a friend.
140. 6:44So, we are able to modulate the
141. 6:46inflammatory response of the leukocytes
142. 6:48. So, when a person starts having any
143. 6:51symptom of rheumatism, the first thing
144. 6:53is to seek medical help. But then I go
145. 6:56back again to the links of health. When
146. 6:59the person is already under follow-up,
147. 7:02I need to connect all the links of
148. 7:04health. Why? If I do physical
149. 7:08activities regularly, I decrease the
150. 7:11incidence of rheumatic crises. If I
151. 7:15sleep properly, this is very important,
152. 7:18if the person doesn't sleep properly, I
153. 7:20can intensify these crises. Adequate
154. 7:24nutrition, obesity is closely related
155. 7:27to inflammation. If the person can
156. 7:30control their weight, control their
157. 7:33diet, I can control the rheumatic
158. 7:36crises. And also, folks, what I told
159. 7:39you, the emotional part, the rheumatism
160. 7:41part, it is closely related to
161. 7:43emotional control. So, whenever I can
162. 7:49invest in techniques like mindfulness,
163. 7:51meditation, attending a religion so
164. 7:54that it gives me emotional support,
165. 7:56having people around, all of this helps
166. 7:59in controlling rheumatism. So, folks, I
167. 8:05hope you understood a little bit about
168. 8:07the path we need to follow to identify
169. 8:09who has this rheumatic disease, control
170. 8:12it, and live a little better. If you
171. 8:15liked this video, leave your like,
172. 8:17subscribe to the channel, share it with
173. 8:19whoever you think needs it, and come
174. 8:21with us, because there will be a lot of
175. 8:23information, many tips on quality of
176. 8:25life, on well-being, so that you, your
177. 8:27family, your friends can live better
178. 8:29every day. Ah.