Ukunyamekela kwiimpawu kubangela unyango olufanelekileyo
I-Psoriatic arthritis yintlobo yokuvuvukala ye-arthritis echaphazelekayo yesikhumba se-psoriasis. Ngokuqhelekileyo ikhula xa abantu bephakathi kweminyaka engama-30 ukuya kwe-50 ubudala, kodwa ingaqala ebuntwaneni. Amadoda nabasetyhini kubonakala bechaphazeleka ngokufanayo nge-psoriatic arthritis. Kukho umngcipheko okhulayo wokuphuhlisa imeko ukuba umntu unabantwana okanye abazalwana kunye nesifo.
Kubalulekile ukuqaphela iimpawu kunye neempawu ze-arthritis ye-psoriatic ukwenzela ukuba ugqirha angenza uvavanyo lwenyama kwaye aphakamise unyango olufanelekileyo.
Iimpawu ze-Psoriatic arthritis zenzeka kwiimeko eziguquguqukileyo kunye nefuthe eliguquguqukayo. Iimpawu zinokutshintsha kumntu ofanayo ngexesha elide. Iimpawu ze-Psoriatic arthritis zenzeka nanini na, zikhupha, zize zinyamalale. Ukucinga ngexesha elilodwa ukuba libe linyameko kwaye lingaqhubekiyo, ezinye izigulane ze-psoriatic arthritis zihlala zivuthayo ezifuna unyango olufanelekileyo ukukhusela umonakalo kunye nokukhubazeka.
I-Psoriatic arthritis yi-seronegative spondyloarthropathy , nto leyo ithetha ukuba ayikho into ehambelana ne-rheumatoid kwaye ikwahlula njenge-spondyloarthropathy (okt iimeko ezibonakaliswe ukuvuvukala komlenze). Iimvavanyo zeLab ze-psoriatic arthritis zifanisa i-rheumatoid arthritis kodwa i- rheumatoid factor ngokuvamile i-negative and genetic marker HLA-B27 ihlala ikhuthaze.
Iimpawu eziqhelekileyo
Iimpawu eziqhelekileyo eziqhelekileyo ezinxulumene ne-psoriatic arthritis ziquka:
- Ubuhlungu kunye nokuvuvukala kwelinye okanye amaninzi amaninzi, ngokuqhelekileyo iimbumba, amadolo, amaqaqa, kunye namalungu ekupheleni kweminwe neenzwane
- Ukuvuvuka kweminwe kunye neenzwane ezibangela ukuba zivele zifana ne-sausage-like
- Iintlungu ezisezantsi okanye iintlungu zomzimba
- Ubumnyama okanye i-gray scaly spots amaxesha amaninzi kwi-scalp, i-elbows, amadolo, ukuphela okuphantsi kwe-backbone
- Ukufakwa kweeminwe okanye izikhonkwane
- Ukukhathala
- Ukuqina koMasa kwamalungu
- Tendinitis
- Conjunctivitis
Iintlobo ezintlanu
Iintlobo ezintlanu okanye iipatheni ze-psoriatic arthritis zingahle ziguquke ukusuka kwelinye ukuya kwelinye kwaye zingaphinde zenzeke:
1) I-asymmetric arthritis
Uninzi lwesifo se-psoriatic lubonakala kuqala kule nqanaba. I-asymmetric arthritis ye-Asymmetric ifaka iincinci ezimbalwa zeempembelelo ngeziganeko (umz. Ichaphazela malunga ne-30 ukuya kuma-50 ekhulwini lwezilwanyana ze-psoriatic arthritis.
2) Isifo se-psoriatic symmetric
Ngamaxesha amaninzi, ifom ye-asymmetric igcina iphelela kwi-psoriatic arthritis, ebonakalisa intlungu kunye nokuvuvukala kumalungu omabini omzimba. Iminwe neenzwane zihlala zichaphazelekayo. Olu hlobo luhlobo oluqhelekileyo lwe-psoriatic arthritis, oluchaphazela i-30 ukuya kuma-50 ekhulwini lwezilwanyana ze-psoriatic arthritis.
3) Isifo se-psoriatic esisodwa esiphambanisayo
Le fom iquka amaninzi afutshane nezipikili zeminwe neenzwane. Utshintsho kwiisilumko, kubandakanywa ukubetha, ukwahlukana, ukuguqulwa kunye nezinye izibonakaliso zesikhonkwane ziqhelekileyo. Amanye amalunga anokuchaphazeleka. Olu hlobo lwe-psoriatic arthritis lubalelwa kuma-25 ekhulwini amatyala.
4) I-arthritis mutilans
I-arthritis mutilans inqabile (iipesenti ezi-5 zazo zonke iimeko), ezibuhlungu kunye nohlobo oluthile lwe-psoriatic arthritis.
Ubonakaliswe yimeko ebizwa ngokuba yi- enthesitis (ukuvuvukala apho iithoni kunye nemigqa ifakwe kwisithambo) kwaye ibonakaliswa nokuhlaziywa kwamathambo e-phalangeal.
5) I-Psoriatic spondylitis okanye i-axial arthritis
Le fomu ibonakaliswa yi-sacroiliitis (ukuvuvukala kwendawo yeplavic apho i-sacrum ifaka i-ilium bone) kunye ne-spondylitis (ukuvuvukala kwesinye okanye i-vertebrae) eyenzeka ngokwahlukileyo okanye ndawonye. Ichaphazela phakathi kwama-30 ne-35 ekhulwini lwezilwanyana ze-psoriatic arthritis.
Ngokwe-American College yeRheumatology, malunga neepesenti ezingama-15 ze-psoriasis izigulane zihlakulela i-psoriatic arthritis.
I-arthritis ingahlakulela phambi kwe-psoriasis kwezinye izigulane.
Ukuphulukisa iingcebiso
- Hlonipha iimpawu kwaye ufune iingcebiso ze- rheumatologist.
- Gcina idayari okanye iphephancwadi ukubhalwa utshintsho kwiimpawu ukuze ukwazi ukuchaza ngokuchanekileyo imiba ebalulekileyo ugqirha wakho.
- Qondana nesicwangciso sonyango.
- Umgangatho wakho wobomi usenokuba luhle ngokulawulwa kwezifo ezifanelekileyo.
> Imithombo:
> Emery P. kunye no-Ash Z. MD. I-Psoriatic Arthritis. Ikholeji yaseMerika yaseRheumatology. Ukuhlaziywa kukaSeptemba 2013
> Louie, Grant MD. I-Psoriatic Arthritis. Johns Hopkins Isikhungo seArthritis. Ukuhlaziywa kwe-Oktobha 3, 2012.
> Kelley's Bookbook yeRheumatology. Elsevier. INguqulelo yesithoba. Isahluko 77. IArthritis ye-Psoriatic.