Ukunakekelwa Izimpawu Kuholela Ekunakekeleni Okufanele
I-arthritis ye-Psoriatic iyinhlobo yokuvuvukala kwe-arthritis ehambisana nesimo esingenasifo sesikhumba se-psoriasis. Kuvame ukukhula lapho abantu bephakathi kweminyaka engu-30 no-50 ubudala, kodwa kungase kuqale ebuntwaneni. Amadoda nabesifazane kubonakala sengathi banesifo esifanayo ne-psoriatic arthritis. Kukhona ingozi eyengeziwe yokuthuthukisa isimo uma othile enabazali noma izingane zakubo benesifo.
Kubalulekile ukuqaphela izimpawu nezimpawu ze-arthritis ye-psoriatic ngakho udokotela angenza ukuhlolwa ngokomzimba futhi ancome ukwelashwa okufanele.
Izimpawu ze-Psoriatic arthritis zenzeka ngamaphethini aguquguqukayo futhi ziguquguqukayo. Izimpawu zingase zishintshe kumuntu ofanayo esikhathini esithile. Izimpawu ze-Psoriatic arthritis zingenzeka nganoma isiphi isikhathi, zivule phezulu, bese ziphela. Ucabanga ngesikhathi esisodwa ukuba sibe mnene futhi singenqubekela phambili, iziguli ezithile ze-psoriatic arthritis zine- inflammation eqhubekayo efuna ukwelashwa okufanele ukuvimbela umonakalo ohlangene nokukhubazeka.
I-arthritis ye-Psoriatic yi- spondyloarthropathy ye- seronegative, okusho ukuthi ayinayo isifo se-rheumatoid futhi ihlukaniswe njengesi-spondyloarthropathy (okungukuthi izimo ezibonakala ngokuvuvukala komgogodla). Ukuhlolwa kwe-Lab ye-arthritis ye-psoriatic kufana nesifo samathambo kodwa i- rheumatoid factor ngokuvamile ayikho embi futhi i-HLA-B27 isakhiwe njalo.
Izimpawu Ezivamile
Izimpawu ezivamile, ezivamile ezihambisana ne-psoriatic arthritis zifaka:
- Ubuhlungu nokuvuvukala kwelinye elilodwa noma ngaphezulu, ngokuvamile ama-wrists, amadolo, amaqaqa, namajoyini ekupheleni kweminwe nezinzwane
- Ukuvuvukala kweminwe nezinzwani ezibangela ukuba zivele zifana namasikisi
- Ubuhlungu obuncane bokubuya noma ubuhlungu obuthakathaka
- Ama-scaly ama-scaly amabala ahlala ekhanda, ama-elbows, amadolo, ukuphela okuphansi kwe-backbone
- Ukufakwa kwezigqoko zeminwe noma izinsipho
- Ukukhathala
- Ukuqina kokusa kwamanzi
- I-Tendinitis
- Conjunctivitis
Izinhlobo ezinhlanu
Izinhlobo ezinhlanu noma amaphethini we-arthritis ye-psoriatic angase aguquke ukusuka komunye kuya komunye futhi angase ahambe:
1) I-asymmetric arthritis ye-psoriatic
Iningi le-arthritis ye-psoriatic liyabonakala kuqala kule ndawo. I-asymmetric arthritis ye-asymmetric ihilela izingxenyana ezimbalwa zomkhawulo ngezikhathi ezithile (isib. Lithinta amaphesenti angaba ngu-30 kuya kwangu-50 weziguli ze-psoriatic arthritis.
2) I-Symmetric Psoriatic arthritis
Ngokuphindaphindiwe, ifomu elingu-asymmetric ligcina liguquke ekuguleni komzimba we-psoriatic arthritis, elibhekene nobuhlungu nokuvuvukala emalungwini zomabili zomzimba. Iminwe nezinzwani zivame ukuthinteka. Lolu hlobo luhlobo oluvame kakhulu lwe-psoriatic arthritis, oluthinta iziguli ezingama-psoriatic arthritis ezingama-30 kuya kwangu-50.
3) I-arthritis ephakathi kwe-interphalangeal eyinhloko ye-psoriatic
Leli fomu libandakanya amanxusa asondelene nezipikili zeminwe nezinzwane. Izinguquko ezinzipikili, kufaka phakathi ukubethelwa, ukuhlukanisa, ukuwohloka nezinye izibonakaliso ze-nail zivamile. Amanye amalunga angathinteka futhi. Lolu hlobo lwe-psoriatic arthritis lungama-25 amaphesenti amacala.
4) I-arthritis mutilans
I-arthritis mutilans ingavamile (amaphesenti angu-5 azo zonke izimo), uhlobo olubuhlungu nolulonakalisayo lwe-psoriatic arthritis.
Kubonakala ngesimo esibizwa ngokuthi i- enthesitis (ukuvuvukala lapho izintambo nezitho zomzimba zihlanganiswa nasetheni) futhi kubonakala nokuphinda kwandiswe kwamathambo e-phalangeal.
5) I-Psoriatic spondylitis noma i-axial arthritis
Leli fomu libhekwa yi-sacroiliitis (ukuvuvukala kwendawo ye-pelvic lapho i-sacrum ijoyina khona i-ilium bone) ne-spondylitis (ukuvuvukala kwesinye noma ngaphezulu kwe-vertebrae) eyenzeka ngokwehlukana noma ndawonye. Lithinta amaphesenti angu-30 no-35 wezilwane ze-psoriatic arthritis.
Ngokusho kwe-American College of Rheumatology, iziguli ezingaba ngu-15 ze-psoriasis zakha i-psoriatic arthritis.
I-arthritis ingahlakulela ngaphambi kwe-psoriasis kwezinye iziguli.
Ukuphulukisa Amathiphu
- Hlonipha izimpawu futhi ufune iseluleko se- rheumatologist.
- Gcina idayari noma iphephandaba ukuze ubhale izinguquko ezimpawu ukuze ukwazi ukubika ngokunembile izindaba ezibalulekile kudokotela wakho.
- Hlonipha uhlelo lwakho lwezokwelapha.
- Ikhwalithi yakho yokuphila isengcono ngokuphathwa kahle kwezifo.
> Imithombo:
> Emery P. no-Ash Z. MD. I-Arthritis Psoriatic. I-American College of Rheumatology. Kubuyekezwe ngo-September 2013.
> Louie, Grant MD. I-Arthritis Psoriatic. Isikhungo se-Arthritis sikaJohn Hopkins. Kubuyekezwe ngo-Okthoba 3, 2012.
> Kelley's Bookbook of Rheumatology. Elsevier. I-Ninth Edition. Isahluko 77. I-Psychotherapy Arthritis.