Ukuhlukanisa i-psoriatic arthritis evela kwezinye iintlobo ze-arthritis
I-Psoriatic arthritis ihlelwa njengoluhlobo oluvuzayo lwe-arthritis. Liyinkampani yeemeko, ezaziwa ngokuba yi- spondyloarthropathies . Ukufumanisa ngokuchanekileyo isifo kubalulekile ukwenzela ukuba unyango olufanelekileyo luqaliswe.
Ukuhlukanisa i-Psoriatic Arthritis Kwezinye Iintlobo
I-Psoriatic arthritis inokulinganisa ezinye iintlobo zesifo se-arthritis, ngoko ukuhlula kwezinye iindidi kukugxilwa kokuxilongwa.
Ngamanye amaxesha kudideka kunye nokungaqondwa kakubi njenge-gout, i- rheumatoid arthritis , okanye i- osteoarthritis
Akukho vavanyo olulodwa oluchaza i-psoriatic arthritis. Ukuxilongwa kusekelwe ngokusisiseko kwimbali yakho yonyango, uvavanyo lomzimba, kunye ne-x-ray okanye ezinye iifundo zokucinga ezifuna ubungqina bomonakalo odibeneyo obangelwa ukuvuvukala. Uvavanyo lwegazi kunye nohlalutyo lwamanzi oluthile lungasetyenziselwa ukulawula ezinye iintlobo ze-arthritis.
Ngokukodwa, izigulane ezine-arthritis ze-psoriatic zinemigangatho ye-musculoskelet of the disease kunye nokubonakaliswa kwesikhumba ngendlela ye-psoriasis. Ngokuqhelekileyo, izigulane ze-psoriatic arthritis aziyiyo ingxaki ye- rheumatoid . Uvavanyo lwe-rheumatoid factor usetyenziselwa ukuhlukanisa i-psoriatic arthritis kwi-rheumatoid arthritis, nangona i-20% yezigulane ezine-rheumatoid arthritis nazo ziyi- seronegative (engafanelekanga kwi-rheumatoid factor). Kuqwalaselwe ubungqina bunye, kodwa ngaphezulu kufuneka kuthathelwe ingqalelo.
Iimpawu zokuxilonga
Iimpawu ezinobungqina be-arthritis ye-psoriatic ziquka:
- I-arthritis evuthayo kunye nokubandakanya, umgudu, okanye ukuthatha inxaxheba.
- Ububungqina be-psoriasis (ngoku, njengenxalenye yomlando wezonyango, okanye njengengxenye yembali yabo yentsapho).
- I-Psychotic dystrophy (i-onycholysis [ukuhlukaniswa kwesilumko esivela kwibhedi yeesilumko], i-pitting, okanye i-hyperkeratosis [i-thickening] ebonakalayo ngexesha loviwo lwangaphakathi).
- I-Dactylitis (ukuvuvuka kwamanje kwedidi yonke, okanye imbali yedactylitis).
- Ubungqina be-X-ray oluthile lwamathambo olusondeleyo okanye olusondeleyo ngamalungu esandla okanye unyawo (oko kukuthi, iigxina ezidibeneyo) kodwa ngaphandle kwama- osteophyte . (I-X-ray yindlela yokukhetha yokubambisa esetyenziselwa ukufumana utshintsho oluhambelana ne-psoriatic arthritis. I-MRI kunye ne-ultrasound ingasetyenziselwa ukuba kukho iinkcukacha ezifunekayo.)
- Ixabiso le-rheumatoid eliphantsi okanye eliphantsi. (Nangona i-rheumatoid engafanelekiyo ibonwa njengobungqina obubalulekileyo ekuhlukaniseni i-psoriatic arthritis kwi-rheumatoid arthritis, inqanaba eliphantsi le-rheumatoid factor lingatholakala kwezinye izigulane ezinezinto eziqhelekileyo ze-psoriatic arthritis. i-rheumatoid factor.)
- I-cyclic citrullinated pebode antibodies ( anti-CCP ), ecinga ukuba i-rheumatoid arthritis, ikhona kwi-5% yezigulane ze-psoriatic arthritis.
- Izigulane zezigulane eziqhelekileyo (i- sedimentation rate , i -pro-protein protein (CRP), kunye ne-serum amyloid A) inokuphakanyiswa kwizigulane ezine-arthritis ye-psoriatic, kodwa kwizinga elincinane kunokuba lenzeke ngesifo se-rheumatoid arthritis. Ngokuqhelekileyo, la manqaku aphakanyiswe zizifo zeparyarticular kwaye zibonisa ukunyanzeliswa kwezinto ezimbi.
- I-Hyperuricemia ingenzeka nge-psoriatic arthritis ngokubambisana nokungaqhelekanga kwemethambo .
Ngokutsho kweKeley's Bookbook yeRheumatology, malunga ne-77% yezigulane ezinokwenziwa kwe-psoriatic arthritis zinezinto ezingavamile kwi-x-ray. Phantse i-47% yezigulane ezitsha okanye eziza kutshanje zihlakulele i-psoriatic arthritis ziphuhlise iintshukumo ezineminyaka engama-2. Iimpawu ezahlukileyo eziphawuliweyo kwi-x-ray zichaza uhlobo lwesifo se-psoriatic:
- Ukubandakanyeka ngokubambisana
- Ukubandakanywa kwamalungu e-interphalangeal of iminwe okanye iinzwane
- Ukubandakanywa kweziza zokungena
- Ukubandakanyeka komgudu (ubunzima obunzima kunye nobunzima xa kuqhathaniswa ne- spondylitis engasebenzi )
Ngokuqhelekileyo, ukuqhubela phambili kwe-radiogra (x-ray) ye-psoriatic arthritis kumazinga ayo okuqala kwenzeka kancane.
Ngaphandle kokubandakanyeka ngokuqhelekileyo kwintlambo kunye neengxube ze-interphalangeal zeminwe neenzwane, isifo se-psoriatic sichaphazela amaninzi amakhulu omzimba.
Imithombo:
I-Kelley's Bookbook yeRheumatology. I-ninth edition. Elsevier. Isahluko 77 I-Psoriatic Arthritis. Oliver Fitzgerald. Fi kelele 03/08/2016.
Ulwazi olunomonde: I-Psoriatic arthritis (Ngaphandle kweZiseko). Isemgangathweno. Gladman noRitchlin. Updated 04/09/2015.
I-Psoriatic Arthritis. Ikholeji yaseMerika yaseRheumatology. Emery kunye neAsh. Ukuhlaziywa kukaSeptemba 2013