I-arthritis ye-Psoriatic iyinhlobo engavamile yokuvuvukala kwe-arthritis . Kungaba intuthuko futhi kuholele ekulimaleni okuhlanganyelwe kanye nokukhubazeka. Ngokuvamile, i-psoriatic arthritis ibhekwa njengavamile, kodwa ivame kakhulu kubantu abane psoriasis, ethinta iziguli eziyi-6-10% ze-psoriasis. Kuvame nakakhulu phakathi kwalabo abane-psoriasis enamandla, okwenza u-20-40% waleli gembu leziguli.
Kubalulekile ukuqaphela izici eziyingozi ezihambisana ne-psoriatic arthritis. Isici esiyingozi kuyisici noma isici esandisa amathuba okuba umuntu ahlakulele isifo noma isimo. Izici zengozi zibhekwa njengezingaguquguquki noma ezingaguquki. Ingozi engaguquguqukayo ingabonisa ithuba lokuvimbela i-psoriatic arthritis noma ukulawula umonakalo ongabangela.
Ukuhlonza izinkinga ezibangelwa i-psoriatic arthritis kwakusheshe kufika. Kwakukhona izifundo ezimbalwa ze-epidemiological ezazihlola izici ezingozini zezokwelapha ze-psoriatic kuze kube unyaka ka-2000. Kubuye kube nokucwaninga okumbalwa okwenza uphenyo ngezici ezingozini zokuthuthukisa i-psoriatic arthritis phakathi kwabantu abane-psoriasis. Abacwaningi bakwazi ukuphetha ngokuthi i-psoriatic arthritis cishe ivela ngenxa yokuhlanganiswa kwezakhi zofuzo, i-immunologic, kanye nezingozi zemvelo.
I-Genetic
Cishe 40% weziguli ezine-psoriasis noma i-psoriatic arthritis zinamalungu omndeni ane psoriasis noma i-psoriatic arthritis. Ucwaningo luye lwabonisa ukuthi iziguli ezinomlando womndeni we-arthritis ye-psoriatic zaziyizikhathi ezingu-27-48 ezengeziwe zokuthuthukisa lesi sifo kunabangenalo umlando womndeni.
I-arthritis ye-Psoriatic ibhekwa ngokuthi "iyakuthanda kakhulu" kunezinye izifo ezizimele .
Izingane zabazali abane-psoriasis ziningi amathuba okuthuthukisa i-psoriasis futhi zibe nengozi enkulu yokuthuthukisa i-psoriatic arthritis uma kuqhathaniswa nezingane zabazali ngaphandle kwe-psoriasis. Uma iwele elifanayo liphethe i-psoriatic arthritis, elinye iwele elifanayo lingase libe nesifo noma ukuyihlakulela ekugcineni. Izakhi zofuzo eziningi ezihlotshaniswa nokutholakala kwesifo samathambo e-psoriatic nazo zihlotshaniswa nokutholakala kwe-psoriasis. Kodwa, akuzona zonke izakhi zofuzo ezihlobene nazo zombili izifo.
Immunologic
Izivikeli ezihlukahlukene ze-immune zifaka isandla ekwandiseni ingozi ye-psoriatic arthritis. Amaseli e-T asetshenzisiwe avela ezicubu zesikhumba namalungu. Kucatshangwa ukuthi ama-cytokines , afana ne-TNF-alpha, ayingxenye yenqubo yokuvuvukala eholela ekubhujisweni kwe-cartilage kanye nokuvuvukala kwesikhumba okuhambisana ne-psoriatic arthritis.
Environmental
Kukhona izici zemvelo ezibonakala zihlobene nobungozi bokuthuthukisa i-psoriatic arthritis. Ukuvezwa kwezifo ezithile kubhekwa njengengozi engaba yingozi, ikakhulukazi ukutheleleka kwe-streptococcal. Isixhumanisi asizange siboniswe noma siqinisekise noma kunjalo.
I-arthritis ye-Psoriatic ivame kakhulu kubantu abaye bathelwa igciwane lesandulela ngculazi (i-HIV) uma kuqhathaniswa nomphakathi jikelele.
Isenzakalo seKoebner, esenzeka kuma-52% abantu abane psoriasis ngokusho kukaKelley's Textbook of Rheumatology, kubhekwa njengenye into engokwemvelo. Okokuqala echazwe nguDkt. Heinrich Koebner (i-dermatologist ehlonishwa kakhulu kusukela ekhulwini le-19) ngo-1876, izilonda ze-psoriatic zitholakala esikhunjeni esingeke sikhululwe ngemuva kokuhlukunyezwa kwesikhumba. Yini eyenza isenzakalo seKoebner asikacaci kodwa ama-cytokines, amaprotheni okucindezeleka, ama-molecule wokunamathela, kanye nama-autoantigens angabandakanyeka.
Imithombo:
Ukubona Izingozi Ze-Psoriatic Arthritis: I-Scientific Opportunity Ihlangabezana Nesidingo Sokwelashwa. Ogdie noGelfand. I-JAMA Dermatology. Julayi 2010.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2917977/
Ulwazi lwesineke: I-Psoriatic arthritis (Ngaphandle Kwezinto Eziyisisekelo) Gladman noRitchlin. Kusesikhathini.
http://www.uptodate.com/contents/psoriatic-arthritis-beyond-the-basics
I-Arthritis Psoriatic. M. Elaine Husni. Umtholampilo waseCleveland. Agasti 2010.
http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/rheumatology/psoriatic-arthritis/
I-Koebner Phenomenon. Imitholampilo eDermatology. Sagi L. noTrau H. Mashi-Ephreli 2011.
http://www.ncbi.nlm.nih.gov/pubmed/21396563
I-Kelley's Bookbook of Rheumatology. Umagazini wesishiyagalolunye. Elsevier. Isahluko 77. I-Psychotherapy Arthritis. Oliver Fitzgerald.