Ukuhlukanisa i-psoriatic arthritis evela kwezinye izinhlobo ze-arthritis
I-arthritis ye-Psoriatic ihlukaniswa njengehlobo lokuvuvukala kwe-arthritis. Ivela eqenjini lezimo, ezaziwa ngokuthi i- spondyloarthropathies . Ukuhlolisisa ngokufanele lesi sifo kubalulekile ukuze kuqalwe ukwelashwa okufanele.
Ukuhlukanisa i-Psoriatic Arthritis Eminye Izinhlobo
I-arthritis ye-Psoriatic ingalingisa ezinye izinhlobo ze-arthritis, ngakho ukuhlukanisa nezinye izinhlobo kuhloswe kokuxilongwa.
Ngezinye izikhathi zidideka futhi zingabhekwa njenge-gout, i- rheumatoid arthritis , noma i- osteoarthritis
Ayikho ivivinyo elilodwa elichaza i-psoriatic arthritis. Ukuxilongwa ngokuyinhloko kusekelwe emlandweni wakho wezokwelapha, ukuhlolwa ngokomzimba, kanye nemibala ye-x noma ezinye izifundo ze-imaging ezifuna ubufakazi bokulimala okuhlangene okubangelwa ukuvuvukala. Ukuhlolwa kwegazi nokuhlaziywa kwe-synovial fluid kungasetshenziswa ukulawula ezinye izinhlobo ze-arthritis.
Ngokuyinhloko, iziguli ezine-arthritis ze-psoriatic zinemikhakha ye-musculoskelet of the disease kanye nokubonakaliswa kwesikhumba ngendlela ye-psoriasis. Ngokujwayelekile, iziguli ze-psoriatic arthritis azikho into ephathelene nesifo sokushukela . Isivivinyo sesisindo se-rheumatoid sisetshenziselwa ukuhlukanisa i-psoriatic arthritis e-rheumatoid arthritis, nakuba iziguli ezingu-20% ezine-arthritis ye-rheumatoid nazo ziyi- seronegative (okungenayo isici se-rheumatoid). Kubhekwa njengento eyodwa yobufakazi, kodwa okuningi kufanele kucatshangelwe.
Imfuneko Yokuthola
Imigomo ekhonza njengobufakazi be-arthritis ye-psoriatic ihlanganisa:
- I-arthritis yokuvuvukala ene-joint, umgogodla, noma ukubandakanyeka kokubandakanya.
- Ubufakazi be-psoriasis (okwamanje, njengengxenye yomlando wezokwelapha isiguli, noma njengengxenye yomlando wabo womndeni).
- I-psychiatic nail dystrophy (i-onycholysis [ukuhlukaniswa kwe-nail kusuka embhedeni we-nail], ukubheja, noma i-hyperkeratosis [ukuqina] okubonakala ngesikhathi sokuhlolwa ngokomzimba).
- I-Dactylitis (ukuvuvukala kwamanje kwedijithi yonke, noma umlando we-dactylitis).
- Ubufakazi be-X-ray bethambo olusha oluseduze noma oluzungezile amalunga wesandla noma unyawo (okungukuthi, ama-marginal joint) kodwa ngaphandle kwama- osteophyte . (I-X-ray iyindlela yokukhetha yezithombe esetshenziselwa ukushintsha izinguquko ezihambisana ne-psoriatic arthritis. I-MRI ne-ultrasound ingasetshenziswa uma kudingeka imininingwane eminingi.)
- Isici se-rheumatoid sezinga eliphansi noma eliphansi. (Ngenkathi isifo se-rheumatoid esibi sibhekwa njengobufakazi obubalulekile ekuhlukaniseni i-arthritis ye-psoriatic kusuka ku-arthritis ye-rheumatoid, izinga eliphansi le-rheumatoid factor lingatholakala kwezinye iziguli ezinezici ezijwayelekile zesifo samathambo we-psoriatic. Phakathi kweziguli ezingu-5-16% ze-psoriatic arthritis ezinezinga eliphansi isici se-rheumatoid.)
- I-cyclic citrullinated antibodies ( anti-CCP ), okucatshangwa ukuthi iqondene nesifo se-rheumatoid arthritis, ikhona kuma-5% weziguli ze-psoriatic arthritis.
- Izigaba ze-reactants ezenziwe kahle ( izinga lokuguqula amanzi , i -pro-protein e-C- reactive, kanye ne-serum amyloid A) ingaphakanyiswa ezigulini ezine-arthritis ye-psoriatic, kodwa ngezinga elingaphansi kunesifo se-rheumatoid arthritis. Ngokuvamile, lezi zimpawu ziphakanyiswe izifo ze- polyarticular futhi zibonisa ukuthi kukhona ukuhlaselwa okubi.
- I-hyperuricemia ingenzeka nge-arthritis ye-psoriatic ngokubambisana nokungafani komzimba .
Ngokusho kukaKelley's Textbook of Rheumatology, cishe iziguli ezingama-77% ezakhiwe i-psoriatic arthritis zinezinto ezingavamile kwi-x-ray. Cishe iziguli ezingama-47% ezinezifo zamathambo ezincane noma zamuva zenza i-psoriatic arthritis zithuthukise ukuqhutshwa kweminyaka engakapheli iminyaka emibili. Izici ezihlukahlukene ezibhekwe kwi-x-ray yilokho okuchaza uhlobo lwe-arthritis ye-psoriatic:
- Ukubandakanyeka kokuhlanganyela okungafani
- Ukubandakanywa kwamajoyina okungena phakathi kweminwe noma iminwe
- Ukubandakanywa kwezingosi zokungena
- Ukubandakanyeka komgogodla (okuncane kakhulu futhi okulinganiselwe uma kuqhathaniswa ne- anondlosing spondylitis )
Ngokuvamile, ukuqhubeka kwe-radiographic (x-ray) ye-psoriatic arthritis ezinyathelweni zayo zakuqala kwenzeka kancane.
Ngaphandle kokubandakanyeka okujwayelekile kwamagundane nomgogodla we-interphalangeal weminwe nezinzwane, isifo se-psoriatic ngokuvamile sithinta amalunga amakhulu omzimba.
Imithombo:
I-Kelley's Bookbook of Rheumatology. Umagazini wesishiyagalolunye. Elsevier. Isahluko 77 I-Arthritis Psoriatic. Oliver Fitzgerald. Kufinyelele ngo-03/08/2016.
Ukwaziswa kwesineke: I-Psoriatic arthritis (Ngaphandle Kwezinto Eziyisisekelo). Kusesikhathini. UGladman noRitchlin. Kubuyekezwe 04/09/2015.
I-Arthritis Psoriatic. I-American College of Rheumatology. Emery no-Ash. Kubuyekezwe ngo-September 2013.