Ukusuka ekuxilongweni kuya ekuprofetheni
I-arthritis ye-Psoriatic ihlukaniswa njengenye ye-spondyloarthropathies (iqembu lezimo ezixhunyaniswe nesifo samathambo). Kubalulekile ukuthi uhlolwe ngokunembile nge-arthritis ye-psoriatic ukuze ukhetho lwezokwelapha lungacatshangwa ekuqaleni kwaleso sifo. Kukhona izinto ezingu-10 okufanele wazi nge-arthritis ye-psoriatic.
1 - I-arthritis ye-Psoriatic uhlobo lwe-arthritis ehambisana nesifo se-skin psoriasis.
I-arthritis ye-Psoriatic iyimithi engapheli yesifo samathambo.
Kwezinye iziguli, izimpawu ezihambisana ne-psoriatic arthritis zinomoya omnene. Kulezo ziguli ezinezifo ezincane, izimpawu zingafika futhi zihambe. Kwezinye iziguli ezine-arthritis ye-psoriatic, inkambo yesifo iqhubeka njalo.
2 - I-arthritis ye-Psoriatic ingathinta noma yikuphi ukujoyina emzimbeni.
Ngokujwayelekile, i-psoriatic arthritis ithinta amalunga amakhulu emiphahla engezansi, amalunga okuhlukanisa eminwe nezinzwane, kanye nasemaceleni nasemagumbini e-sacroiliac . Kunamaphethini angu-5 emitholampilo we-arthritis ye-psoriatic engekho ngokukhethekile futhi angase aguquke ukusuka komunye kuya kwesinye:
- i-arthritis e-monoarticular ne-oligoarticular asymmetrical
- isifo samarthritis esiyindilinga
- ukubandakanya okuhlangene okuphakathi kwe-interphalangeal
- i-arthritis mutilans
- uhlobo lwe- axial noma lwe-spondylitis
Uhlobo ngalunye luchazwa ku- Psoriatic Arthritis - I-Basic Facts
3 - Amaphesenti angaba ngu-40 ama-psoriatic arthritis aba nomlando womndeni we-psoriasis noma i-arthritis.
Isizathu se-arthritis ye-psoriatic asaziwa.
Iziguli ezinomlando womndeni we-psoriasis noma i-arthritis zisekela inkolelo yokuthi izici zofuzo zingase zihlobene nesizathu. Izimbangela zemvelo nazo zingadlala indima. Isibonelo, i-psoriasis ingabangela i- strep throat kwezinye izimo.
4 - Amaphesenti angaba ngu-15 abantu abane psoriasis ekugcineni bahlakulela i-psoriatic arthritis.
Izimpawu ze-psoriasis kanye nokuvuvukala okungahleliwe kuvame ukukhula ngokwehlukana neziguli ze-psoriatic arthritis.
Ezingamaphesenti angu-85 eziguli ze-psoriatic arthritis, izimpawu ze-psoriasis zithuthuka ngaphambi kwezimpawu ze-arthritis . I-arthritis iqala ngaphambi kwe-psoriasis ngamaphesenti angaba ngu-15 weziguli ze-psoriatic arthritis. I-Psoriasis ne-arthritis ingahlakulela iminyaka ngaphandle.
5 - I-arthritis ye-Psoriatic ingase ingabhekwa njenge-gout noma i-arthritis ye-rheumatoid.
I-gout ne- rheumatoid arthritis yabelana ngezinye izimpawu nezimpawu ezihambisana ne-psoriatic arthritis. Izivivinyo kumele zenziwe ukuze zikhishwe kwezinye izimo. Amanxusa abuhlungu, avuvukile avamile kuzo zonke izimo ezintathu ezishiwo. Isikhumba kanye nezinguquko ze-nail ezihambisana ne-psoriasis zisiza ukuphazamisa ukuxilongwa. Ngezinye izikhathi i-skin biopsies itholakala ukusiza ukuxilonga i-psoriatic arthritis.
6 - I-Psoriatic arthritis, ngokungafani ne-arthritis ye-rheumatoid, ingadinga kuphela ukuphathwa uma izimpawu zivela.
Uma izimpawu zingaphansi kwegazi kanye ne-psoriatic arthritis engasebenzi kakhulu, kungenzeka ukuthi umise ukwelashwa kwezinye iziguli kuze kuvele izimpawu. Ama-NSAID ( izidakamizwa ezingavimba ukuvuvukala ) ngokuvamile ziyi-line yokuqala yokwelapha i-psoriatic arthritis. I-DMARD ( izidakamizwa zokuguqula izifo ) zingase zengezwe ekwenzeni ukwelashwa. Izidakamizwa ze-biologic nazo ziphakathi kwezinketho zokwelashwa.
7 - Kukhona izici ezibikezela ukuhlaselwa okubi kakhulu kweziguli ze-psoriatic.
Isibikezelo sezilwane ze-psoriatic arthritis sibi nakakhulu uma:
- ukubandakanya isikhumba esiningi
- umlando oqinile womndeni we-psoriasis
- ubulili besifazane
- Izifo ziqala eminyakeni engaphansi kwengu-20 ubudala
- ukuveza izakhi zofuzo HLA-B27, HLA-DR3, HLA-DR4
- i-polyarticular (okungukuthi, i-arthritis ethinta amalunga amaningana) noma i-arthritis eyingozi (okungukuthi, ukulimala okuhlangene kusuka ekuvuvukeni)
8 - Mayelana namaphesenti amabili abantu baseCaucasus eNyakatho Melika ine psoriasis. Kulabo bantu, amaphesenti angu-5 kuya kwangu-7 anesifo samathambo esivuthayo ngesinye isimo.
Ngokusho kwe-Arthritis Foundation, amaphesenti angu-95 abantu abane-arthritis ye-psoriatic avuvuka ngamalungu engaphandle komgogodla futhi amaphesenti angaphezu kuka-80 anezilonda ze-nail.
I-arthritis yengqondo ngokuvamile iqala phakathi kweminyaka engama-30 kuya kwangu-50 ubudala. Amadoda nabesifazane babonakala benengozi elinganayo yokuthuthukisa i-psoriatic arthritis.
9 - Kukhona ingozi ephindwe kabili yokuthuthukisa i-psoriatic arthritis ngezihlobo zokuqala zeziguli ezinesifo.
Abacwaningi baye baqaphela ukuthi ngamawele afanayo, kune-concordance engamaphesenti angama-70 (okungukuthi, izinga lokufanana phakathi kwamawele amabili ngokuqondene nokuba khona noma ukungabikho kwesifo esithile) se-psoriasis. Ngokuthakazelisayo, kukhona ingozi ephindwe kabili yokudlulisa i-psoriatic arthritis ngubaba obathintekile uma kuqhathaniswa nomama othintekile.
10 - Azikho izivivinyo zama-laboratory noma imiphumela ecacile ye-X-ray enikeza ukucaciswa okucacile kwe-psoriatic arthritis.
Ukuvivinya i-laboratory ukuvuvukala okungafani (okungukuthi, sedrate ne- CRP ) kungaphakanyiswa lapho i-psoriatic arthritis isebenza. Ngokuvamile, isiguli se-psoriatic arthritis asinayo isifo se- rheumatoid . Uma isifo se-rheumatoid siphumelele , kungenzeka kube i-psoriasis ehlangene nesifo samathambo, esikhundleni se-psoriatic arthritis.
> Imithombo:
> I-Psychothematic Arthritis. Education Patient - American College of Rheumatology. May 2004.
> I-Psychothematic Arthritis. UDon Martin, MD, isikhungo sika-Arthritis sikaJohn Hopkins. Julayi 3, 2007.