Ukususela kwiNgcaciso ukuya kwiNgcebiso
I-Psoriatic arthritis ihlelwa njengenye ye-spondyloarthropathies (iqela leemeko ezinxulumene nomgudu wesifo somzimba). Kubalulekile ukuxilongwa ngokuchanekileyo nge-psoriatic arthritis ukwenzela ukuba ukhetho lwezokwelapha lunokuqwalaselwa ekuqaleni kweso sifo. Kukho izinto ezili-10 omele wazi ngazo nge-psoriatic arthritis.
1 - I-arthritis ye-Psoriatic uhlobo lwe-arthritis echaphazelekayo nesifo se-skin psoriasis.
I-Psoriatic arthritis yinto engapheliyo ye-arthritis.
Kwezinye izigulane, iimpawu ezinxulumene ne-psoriatic arthritis zincinci. Kuzo zi gulane ezinezifo ezinzima, iimpawu ziza kwaye zihambe. Kwezinye izigulane ezine-arthritis ye-psoriatic, isikolo sesifo siqhubeka.
2 - I-Psoriatic arthritis inokuchaphazela nayiphi na inxalenye yomzimba.
Ngokuqhelekileyo, isifo se-psoriatic sichaphazela amaninzi amakhulu emacaleni angaphantsi, ama-distal joints of iminwe neenzwane, kunye ne-back and sacroiliac joints . Kukho iipateni ezingama-5 ze-psoriatic arthritis ezingenakulinganiswa kwaye zingahle ziguquke ukusuka kwelinye ukuya kwelinye:
- isifo samarthritis esingaqhelekanga kunye ne-oligoarticalular arthritis
- i-polyarticular arthritis
- ukubandakanyeka kokubandakanya intsebenziswano
- i-arthritis mutilans
- uhlobo lwe- axial okanye lwe-spondylitis
Uhlobo ngalunye luchazwe kwi- Psoriatic Arthritis - Izinto eziSiseko
3 - malunga neepesenti ezingama-40 zezilwanyana ze-psoriatic arthritis zineenkcukacha zentsapho ye-psoriasis okanye i-arthritis.
Isizathu se-psoriatic arthritis asaziwa.
Izigulane ezineenkcukacha zentsapho ye-psoriasis okanye inkxaso ye-arthritis yinkcazo yokuba izifo zofuzo zingangqinelana nesizathu. Iziphumo zendalo zingabamba indima. Ngokomzekelo, i-psoriasis inokubangela i- strep throat kwezinye iimeko.
4 - malunga neepesenti ezili-15 zabantu abane-psoriasis ekugqibeleni bahlakulela isifo se-psoriatic.
Iimpawu ze-psoriasis kunye nokuvutha okungapheliyo rhoqo zikhula ngokuhlukileyo kwizigulane ze-psoriatic arthritis.
Ngama-85 ekhulwini wezilwanyana ze-psoriatic arthritis, iimpawu ze-psoriasis zikhula phambi kweempawu ze-arthritis . I-arthritis iqala phambi kwe-psoriasis kwi-15 yeepesenti ze-psoriatic arthritis. I-Psoriasis kunye ne-arthritis inokuphuhlisa iminyaka.
5 - I-arthritis ye-Psoriatic ingathathwa kakubi njenge-gout okanye i-rheumatoid arthritis.
I-Gout ne- rheumatoid arthritis yabelana ngezinye iimpawu kunye neempawu ezihambelana ne-psoriatic arthritis. Iimvavanyo kufuneka zenziwe ukulawula ezinye iimeko. Iimpawu ezibuhlungu, izibilini eziqhelekileyo ziqhelekileyo kuzo zonke iimeko ezikhankanywe. I-Skin kunye neenguqu zengubo ezihambelana ne-psoriasis zinceda ukunqumla ukuxilongwa. Ngamanye amaxesha i-skin biopsies ifunyanwe ukukunceda ukufumanisa i-psoriatic arthritis.
6 - Isifo sesifo se-Psoriatic, ngokungafani ne-rheumatoid arthritis, sinokufuna kuphela ukuphathwa xa kuvela iimpawu.
Xa iimpawu zengcipheko kunye ne-psoriatic arthritis ayisebenzisekanga, kungenokwenzeka ukuyeka unyango kwezinye izigulane de zivele zivele iimpawu. I-NSAID ( izidakamizwa ezichasene ne-antisteroidal anti-inflammatory ) ngokuqhelekileyo zinelayini yokuqala yonyango ye-psoriatic arthritis. I-DMARD ( izifo ezichasene nezifo ezichasene ne-rheumatic ) zingeniswa kwikhosi yonyango. Iziyobisi ze-biologic ziphakathi kwezinye iindlela zokonyango.
7 - Kukho iziganeko ezichazwe ngokugqithisileyo kwezigulane ze-psoriatic.
Ukugxekwa kwezigulane ze-psoriatic arthritis kuyingozi ngakumbi ukuba:
- ukubandakanya isikhumba
- Imbali yentsapho eqinile ye-psoriasis
- ngokwesini
- Isifo sifika esincinane kuneminyaka engama-20 ubudala
- ukubonakalisa i- gene HLA-B27, HLA-DR3, HLA-DR4
- i-polyarticular (oko kukuthi, isifo samathambo esichaphazela amaninzi amaninzi) okanye isifo samathambo (oko kukuthi, umonakalo ohlanganyelweyo ukuvuvukala)
8 - malunga neepesenti ezi-2 zabantu baseCaucasus eMntla Melika bane psoriasis. Kulabo bantu, ama-5 ukuya kuma-7 ekhulwini anesifo sesifo se-arthritis ngenye indlela.
Ngokutsho kweArthritis Foundation, amaphesenti angama-95 abantu abane-arthritis ye-psoriatic baye bavuvukala kumalungu angaphandle komgudu kunye nama-80 ekhulwini anesilonda sepiki.
I-Psoriatic arthritis ihlala iphakathi kweminyaka engama-30 kuya kwe-50 ubudala. Amadoda nabasetyhini babonakala benomngcipheko olinganayo wokuphucula i-psoriatic arthritis.
9 - Kukho ingozi engama-50 eyandisa ukwanda kwe-psoriatic arthritis kwiintsapho zokuqala zezigulane ezinezifo.
Abaphandi baye bafumanisa ukuba ngamawele afanayo, kukho i-concordance engama-70 ekhulwini (oko kukuthi, isantya sokufana kwimbini yamawele ngokubhekiselele ekubeni khona okanye ukungabikho kwesifo esithile) kwi-psoriasis. Kuyathakazelisa ukuba kukho ingozi ephindwe kabini yokuthumela i-psoriatic arthritis ngutata ochaphazelekayo xa kuthelekiswa nomama ochaphazelekayo.
10 - Akukho ziphumo zelabhoratri okanye iziphumo ezithile ze-X-ray zibonelela ngeendlela ezichanekileyo zokuxilonga i-psoriatic arthritis.
Iimvavanyo zeLebhansi zokuvuvukala okungabonakaliyo (okt, sedrate kunye ne- CRP ) zinokuphakanyiswa xa i-psoriatic arthritis isebenza. Ngokuqhelekileyo, isifo sengqondo se-psoriatic isifo esibi kwi- rheumatoid factor . Ukuba i- rheumatoid factor is positive, ingaba yimeko ye psoriasis idibene ne-rheumatoid arthritis, kunokuba iimeko ze-psoriatic arthritis.
> Imithombo:
> I-Psoriatic Arthritis. Imfundo yeMonde - i-American College yeRheumatology. Meyi 2004.
> I-Psoriatic Arthritis. UDon Martin, MD, uYohn Hopkins Isikhungo seArthritis. Julayi 3, 2007.