Kusiyanitsa nyamakazi ya psoriatic yamagulu ena a nyamakazi
Matenda a Psoriatic amatchulidwa ngati matenda a kutupa nyamakazi. Icho chiri cha gulu la zikhalidwe, lotchedwa spondyloarthropathies . Kuzindikira bwino matendawa n'kofunika kwambiri kuti chithandizo choyenera chiyambe.
Kusiyanitsa nyamakazi ya Psoriatic ndi Mitundu Yina
Matenda a Psoriatic akhoza kutsanzira mitundu ina ya nyamakazi, kotero kusiyanitsa ndi mitundu ina ndiyo cholinga cha kugonana.
Nthaŵi zina zimasokonezeka ndi kusadziwika ngati gout, nyamakazi ya nyamakazi , kapena osteoarthritis
Palibe mayesero omwe amadziwika kuti nyamakazi ya psoriatic. Kusanthula makamaka kumadalira mbiri yanu yachipatala, kuunika kwa thupi, ndi ma-x-ray kapena zochitika zina zofufuza zomwe zimafuna umboni wa kuwonongeka kwa mgwirizano wochokera ku kutupa. Kuyesa magazi ndi synovial fluid angagwiritsidwe ntchito pofuna kuthetsa mitundu ina ya nyamakazi.
Kwenikweni, odwala matenda a psoriatic ali ndi ziwalo za matenda ndi zizindikiro za khungu monga psoriasis. Kawirikawiri, odwala nyamakazi a psoriatic ali ndi vuto la chifuwa chachikulu . Chiyeso cha mankhwala a chifuwachi chimagwiritsidwa ntchito kusiyanitsa nyamakazi ya psoriatic ku matenda a nyamakazi, ngakhale kuti 20% mwa odwala ali ndi matenda a nyamakazi amachitiranso seronegative (zoipa za rheumatoid factor). Izi ndi umboni umodzi, koma zambiri ziyenera kuganiziridwa.
Zotsatira Zoganizira
Zolemba zomwe zimakhala umboni wa nyamakazi ya psoriatic zikuphatikizapo:
- Matenda a kutupa nyamakazi okhala ndi mgwirizano, msana, kapena kuchita nawo chidwi.
- Umboni wa psoriasis (wamakono, monga gawo la mbiri ya odwala, kapena mbali ya mbiri yawo ya banja).
- Kusokonezeka kwa msomali pamasom'pamaso (kugwirana kwa msomali kuchokera pabedi la msomali], pitting, kapena hyperkeratosis [makulidwe] omwe amawonekera panthawi yofufuza).
- Dactylitis (kutupa kwamakono kwa chiwerengero chonse, kapena mbiri ya dactylitis).
- X-ray umboni watsopano fupa mapangidwe pafupi kapena pafupi mapepala a dzanja kapena phazi (mwachitsanzo, mapepala ophatikizira) koma osafuna osteophytes . (X-ray ndi zithunzi zochepetsetsa zomwe zimagwiritsidwa ntchito kuti zizindikire kusintha kwa matenda a psoriatic. MRI ndi ultrasound zingagwiritsidwe ntchito ngati pali zambiri zofunika.)
- Nthenda yoipa kapena yocheperako ya chifuwa chachikulu. (Ngakhale kuti vuto la chifuwa chachikulu cha nthenda yapachifuwa limayesedwa kuti ndilofunika kuwonetsa chidziwitso chosiyanitsa nyamakazi ya psoriatic kuchokera ku matenda a nyamakazi, chiwerengero chochepa cha chifuwa chachikulu chikhoza kupezeka kwa odwala ena omwe ali ndi matenda a nyamakazi. chifuwa chachikulu.)
- Mankhwala amtundu wa peptide ( anti-CCP ), amene amayamba kuganiza kuti ali ndi matenda a nyamakazi, amapezeka pafupifupi 5% mwa odwala psoriatic nyamakazi.
- Pachimake gawo la reactants ( sedimentation rate , C-reactive protein [CRP], ndi seramu amyloid A) akhoza kukwera kwa odwala psematic arthritis, koma kwa digiri yaing'ono kuposa momwe amachitira ndi nyamakazi ya nyamakazi. Kawirikawiri, zizindikirozi zimakwezedwa ndi matenda a polyarticular ndipo zimasonyeza kuti pali vuto loipa.
- Mankhwala a hyperuricemia angakhale ndi nyamakazi ya psoriatic mogwirizana ndi zovuta zamadzimadzi .
Malinga ndi Kelley's Textbook of Rheumatology, pafupifupi 77% mwa odwala omwe ali ndi nyamakazi ya psoriatic ali ndi vuto lalikulu pa x-ray. Pafupifupi 47% mwa odwala omwe ali ndi nyamakazi yatsopano yotchedwa psoriatic amayamba kukula kwa zaka ziwiri. Zizindikiro zosiyana ndi zomwe zimachitika pa x-ray ndi zomwe zimaimira mtundu wa psoriatic nyamakazi:
- Kuphatikizidwa kwa mgwirizano wopanda malire
- Kuphatikizidwa kwa mgwirizano wa interphalangeal wa zala kapena zala
- Kuphatikizidwa kwa malo ochezera
- Kusakanikirana kwa msana (kochepa kwambiri ndi kosafanana poyerekezera ndi ankylosing spondylitis )
Kawirikawiri, kupitirira kwa radiographic (x-ray) ya nyamakazi ya psoriatic m'mayambiriro ake akuchitika pang'onopang'ono.
Kuwonjezera pa kugwiritsidwa ntchito kwa mgwirizano wa msana ndi interphalangeal za zala ndi zala, nyamakazi ya psoriatic imakhudza ziwalo zazikulu za thupi.
Zotsatira:
Kelley's Textbook ya Rheumatology. Kusindikiza kwachisanu ndi chinayi. Elsevier. Chaputala 77 Psoriatic Arthritis. Oliver Fitzgerald. Zapezeka 03/08/2016.
Chidziwitso cha odwala: Nyamakazi ya Psoriatic (Pambuyo pa Zowona). Zaposachedwa. Gladman ndi Ritchlin. Kusinthidwa 04/09/2015.
Psoriatic Arthritis. American College of Rheumatology. Emery ndi Ash. Kusinthidwa September 2013.