I-Psoriatic arthritis yile iqela leemeko, ezibizwa ngokuba yi- spondyloarthropathies . Ngokuyinhloko, i-psoriatic arthritis ibonwa njengento evuvuzayo ye-arthritis enxulumene nesimo sengqondo se-psoriasis kwaye ngokuqhelekileyo ayiyiyo ingxaki ye- rheumatoid . Kuyathakazelisa, de kube ngama-1950, iimpawu zesifo samathambo esivuthayo esenzeka nge-psoriasis zazibhekwa njengesifo se- rheumatoid arthritis esenzeke ngokukodwa nge psoriasis.
Kancinci, le mibini mibandela yayibhekwa njengeklinikhi ehlukileyo. Ngowe-1964, i-psoriatic arthritis yayibhekwa njengesifo esicacileyo se-American Association of Rheumatism.
Umzekelo oqhelekileyo wokubandakanyeka kwesikhumba kwizigulane ezine-arthritis ye-psoriatic yi-plaque psoriasis (eyaziwa nangokuthi i-psoriasis vulgaris), nangona ezinye iipateni zingenzeka. Kwiimeko ezininzi, i-arthritis ivela kubantu abenze i-psoriasis. Nangona kunjalo, ezinye izigulane zingenakuqonda ukuba zine psoriasis (umzekelo, i-psoriasis ingabonakali kwi-scalp), okanye i-psoriasis inokuphuhliswa emva kwe-arthritis malunga neepesenti ezingama-15 zeengxaki ze-psoriatic arthritis.
Iimpawu zeMpawu kunye neMpawu eziYodwa
Izigulane ze-Psoriatic arthritis zineempawu kunye neempawu zokuqhaqha ngokubambisana, i- enthesitis , okanye ukuvutha komthunzi. Kukho iipatheni ezingama-5 ze-psoriatic arthritis:
- I-oligoarthritis e-Asymmetric (ichaphazela amaqela angaphantsi kwama-5 amancinane okanye amaninzi; iqhagamshelo elichaphazelekayo linye kwicala lomzimba, kungekhona zombini)
- I-Symmetric polyarthritis (ichaphazela amalunga amahlanu okanye ngaphezulu; ukudibanisa okuchaphazelekayo kumacala omabini omzimba, umzekelo, onke amadolo)
- I-Dredominant (DIP) ye-interphalangeal ngokubandakanyeka kokubandakanyeka (ichaphazela ukuphela kweminwe kunye neenzwane)
- I-spondyloarthritis ephezulu (ichaphazela amalunga omgudu)
- I-arthritis mutilans (iphoyisa kwaye ichithe amajoyina athintekileyo)
Umzekelo wokubandakanyeka ngokubambisana kwi-psoriatic arthritis ayigxinyiweyo nangona kunjalo; ingahluka kwaye iguquke. Iprogram ye-polyarticular yinto eqhelekileyo, echaphazela ngaphezu kwe-60 ekhulwini yezigulane ezine-arthritis ye-psoriatic. Umzekelo we-oligoarticular uchaphazela malunga neepesenti ezingama-13 zezigulane ze-psoriatic arthritis. I-DIP edala ivela kwiingaphantsi kwama-5 eepilini. I-spondyloarthritis eninzi ibhekwa njengento engaqhelekanga, nangona ukubandakanyeka kwamagundane kungenzeka kuma-40-70 ekhulwini kwiimeko ze-psoriatic arthritis. Ifomu elibhubhisayo (i-mutilans) ithathwa njengeyinqabileyo, nangona ingahlakulela ngokuhamba kwexesha, ingakumbi ukuba ingaphathwa kakuhle.
Iimpawu eziqhelekileyo ze-psoriatic arthritis ezikunceda ekufumaneni izifo ziquka i-dactylitis kunye ne-enthesitis. I-Dactylitis ibonakaliswe ukuvuvukala okwenziwe ngeminwe okanye iminwe. I-enthesitis ichazwa njengokuvuvukala kwisayithi yeteton okanye i-ligament ukungeniswa kwisithambo. Ngokuqhelekileyo, iziza ezibandakanyekayo ziyi-tendon ye-Achilles kunye ne-fascia plantar. Ezinye izingosi zokufaka ezibandakanyekayo ziquka i-quadriceps okanye i-patellar tendon, i-creak, i-rotator, kunye ne-epicondyles ye-elbow. Ubunzima, ububele kunye nokuvuvukala kuya kwenzeka, kodwa ukubandakanyeka kwezi zindawo ziza kwenzeka ngaphandle kwempawu.
Ezinye izinto ze-psoriatic arthritis zingabandakanya i-tenosynovitis (ukuvuvukala kwe-tendon sheath), iingxaki ze-nail (umz., Izipikili ezikhonjiweyo), kunye neengxaki zamehlo (umzekelo, uveev or iritis).
Ngaphandle kwe-psoriasis kunye ne-dilstrophy yama-nail, ukubonakaliswa kwezifo ezingaphezulu kwezinto eziqhelekileyo akufani kakhulu ne-psoriatic arthritis xa kuthelekiswa nesifo se-rheumatoid arthritis. Kukho iziphakamiso zokuthi izifo zesibindi sokuvuvukala, kunye ne-edema yesigxina se-edema okanye i-lymphedema, inokwenzeka ngokuqhelekileyo phakathi kwezigulane ze-psoriatic arthritis, kodwa ahlale engaqiniseki. I-Amyloid , ngelixa libhekwa njengeliqhelekileyo, lichazwe nge-psoriatic arthritis.
Ukuhlukanisa i-Psoriatic Arthritis evela kwi-Rheumatoid Arthritis kunye nezinye iimeko
Iingcali ze-Diagnosti zijonge iipatheni zokubandakanyeka ngokubambisana xa zihlukanisa i-psoriatic arthritis kwi-rheumatoid arthritis, kunye nezinye iimpawu. I-Dactylitis, ukubandakanyeka kwe-DIP, kunye ne-enthesitis kwinqanaba le-psoriatic arthritis. I-Sacroiliitis okanye intlungu ehambayo evuzayo ebonakalayo kwi-x-ray okanye i-MRI ibhekisela kwisifo se-psoriatic arthritis. Ukubandakanyeka kombane akuthathwa njengento eqhelekileyo ne-rheumatoid arthritis. Ngakolunye uhlangothi, ubukho bee- nodules ze-rheumatoid okanye ezinye izibonakaliso zenkqubo zikhomba kwi-rheumatoid arthritis kunokuba i-psoriatic arthritis.
I-Psoriatic arthritis ifanele ihluke kwezinye i-spondyloarthropathies, ezinjenge -arthritis esebenzayo okanye i- spondylitis e-ankylosing . I-Dactylitis ingaba yinkqubo yeklinikhi yesifo se-arthritis. Kwi-psoriatic arthritis, i-sacroiliitis iyancipha ngakumbi (elinye icala libi ngaphezu kwelinye) xa lifaniswa ne-sacroiliitis ye-spondylitis engabonakaliyo, ngokuqhelekileyo i-symmetric. Kwakhona, i-psoriatic arthritis kufuneka ihluke kwiintlobo ze-arthritis ezinxulumene ne-crystal. Amanqanaba e-urum urate angaphakanyiswa kwi-psoriatic arthritis. Uhlalutyo lwe-Synovial lwamanzi luyakunceda ukuhlukanisa ezimbini.
Akukho mvavanyo ekhethekileyo yebhoratri ye-psoriatic arthritis. Nangona i-rheumatoid engafanelekanga isoloko ithathwa njengento ebonakalayo ye-psoriatic arthritis, iqondo eliphantsi le-rheumatoid lingenzeka nge-psoriatic arthritis. Ama-antibodies eyaziwa ngokuba yi- anti-CCP , ekugqibeleni ayicinga ukuba i-arthritis yesifo se-rheumatoid, ingafunyanwa malunga nama-5 ekhulwini lwezilwanyana ze-psoriatic arthritis. Izinga lokutyalwa , i- CRP , kunye ne-serum amyloid A inokuphakanyiswa kwi-psoriatic arthritis, kodwa ingaphantsi kunezigulane ze-rheumatoid arthritis.
Imithombo:
I-Kelley's Bookbook yeRheumatology. I-ninth edition. Elsevier. Isahluko 77 - I-Psoriatic Arthritis. Oliver Fitzgerald. Fi kelele 03/04/16.
Ulwazi lweMonde: I-Arthritis ye-Psoriatic (Ngaphandle kwezinto ezisisiseko) I-UpToDate. Gladman noRitchlin. Ukuhlaziywa nge- 4/9/15.