Kusamalira Zizindikiro Kumabweretsa Chithandizo Choyenera
Psoriatic arthritis ndi mtundu wa kutupa kwa nyamakazi wokhudzana ndi matenda aakulu a psoriasis. Nthawi zambiri zimakhalapo pamene anthu ali pakati pa zaka 30 ndi 50, koma akhoza kuyamba ali mwana. Amuna ndi akazi amawoneka kuti amavutika ndi matenda a psoriatic. Pali chiopsezo chowonjezeka chokhala ndi vuto ngati wina ali ndi makolo kapena abale omwe ali ndi matendawa.
Ndikofunika kuzindikira zizindikiro za nyamakazi ya psoriatic kotero dokotala akhoza kuchita kafukufuku weniweni ndikupempha chithandizo choyenera.
Zizindikiro za nyamakazi za m'maganizo zimakhala zosiyana komanso zimakhala zosiyana. Zizindikiro zingasinthe ngakhale kwa munthu yemweyo kwa nthawi ndithu. Zizindikiro za matenda a nyamakazi zimatha kuchitika nthawi iliyonse, zimatha, kenako zimatha. Panthawi ina kukhala ofatsa ndi osapitirira, odwala ena a psoriatic amatha kutupa kumene kumafuna chithandizo choyenera kuteteza kuwonongeka kwa mgwirizano ndi kulemala.
Matenda a Psoriatic ndi sponeythroththathy, omwe amatanthauza kuti alibe vuto la chifuwa chachikulu ndipo amadziwika ngati spondyloarthropathy (mwachitsanzo zinthu zomwe zimadziwika ndi kutupa kwa msana). Maphunziro a Labamu odwala nyamakazi amatsanzira nyamakazi koma nyamakazi imakhala yosasangalatsa komanso yowonongeka ndi HLA-B27 nthawi zambiri.
Zizindikiro Zodziwika
Kawirikawiri zizindikiro zokhudzana ndi matenda a psoriatic zikuphatikizapo:
- Ululu ndi kutupa mu ziwalo chimodzi kapena zingapo, nthawi zambiri mawonekedwe, mawondo, mabotolo, ndi ziwalo pamapeto kwa zala ndi zala
- Kutupa kwala zala ndi zala zomwe zimawatsogolera kuoneka ngati soseji
- Kumva kupweteka kumbuyo kapena matako kukuwa
- Siliva kapena imvi amawoneka pamphuno, pamapiko, pamadzulo, kumapeto kwa msana
- Kupaka zipilala kapena zopangira
- Kutopa
- Kuuma kwa m'mawa kwa ziwalo
- Tendinitis
- Conjunctivitis
Mitundu Isanu
Mitundu isanu kapena machitidwe a nyamakazi ya psoriatic akhoza kusintha kuchokera ku umodzi kupita kwina ndipo ikhoza kuchitika:
1) Matenda a psymatic achematicric
Matenda ambiri a psoriatic ayamba kuzindikiridwa panthawiyi. Matenda a psoriatic asymmetric amaphatikizapo zigawo zingapo za malekezero amodzi (mwachitsanzo, chigoba chakumanzere ndi bondo lakumanja). Zimakhudza pafupifupi anthu 30 mpaka 50 peresenti ya odwala psoriatic nyamakazi.
2) Matenda a psmaticric psoriatic
Nthaŵi zambiri, mawonekedwe osakanikirana amatha kusintha kukhala odwala psoriatic nyamakazi, omwe amadziwika ndi ululu ndi kutupa m'magulu kumbali zonse ziwiri za thupi. Nthawi zambiri zala ndi zala zimakhudzidwa. Mtundu uwu ndiwo mtundu wambiri wa matenda a psoriatic, omwe amachititsa odwala 30 mpaka 50 peresenti ya odwala psoriatic nyamakazi.
3) Matenda a psoriatic odwala kwambiri omwe amatha kusokonezeka kwambiri
Fomu iyi imaphatikizapo ziwalo pafupi ndi misomali ya zala ndi zala. Kusintha kwa misomali, kuphatikizapo pitting, splitting, degeneration ndi zina ziwonetsero za msomali ndizofala. Mankhwala ena angasokonezedwe. Matenda oterewa amachititsa 25 peresenti ya milandu.
4) Amagazi a mutilans
Matenda a mitsempha mumatenda amadziwika kwambiri (5 peresenti ya milandu yonse), yopweteka komanso yowononga nyamakazi.
Amadziwika ndi matenda otchedwa enthesitis (kutupa kumene mafupa ndi mitsempha amagwirizanitsa ndi fupa) komanso amadziwika ndi kubwezeretsa mafupa a phalangeal.
5) Psoriatic spondylitis kapena axial nyamakazi
Fomu iyi imakhala ndi sacroiliitis (kutupa kwa malo amtundu womwe sacrum imayanjana ndi fupa la Ilium) ndi spondylitis (kutupa kwa chimodzi kapena zingapo zowonjezera) zikuchitika mosiyana kapena palimodzi. Zimakhudza pakati pa 30 ndi 35 peresenti ya odwala psoriatic nyamakazi.
Malingana ndi American College of Rheumatology, pafupifupi 15 peresenti ya odwala psoriasis amayamba nyamakazi ya psoriatic.
Matenda a nyamakazi angapangitse odwala ena asanafike psoriasis.
Machiritso Ochiritsa
- Lemezani zizindikiro ndikupempha uphungu wa rheumatologist.
- Sungani diary kapena magazini kuti musindikize kusintha kwa zizindikiro kuti muthe kulongosola bwino nkhani zofunikira kwa dokotala wanu.
- Khalani ogwirizana ndi dongosolo lanu la mankhwala.
- Umoyo wanu ukhoza kukhala wabwino ndi kusamalira bwino matenda.
> Zotsatira:
> Emery P. ndi Ash Z. MD. Psoriatic Arthritis. American College of Rheumatology. Kusinthidwa September 2013.
> Louie, Grant MD. Psoriatic Arthritis. Johns Hopkins Nyamakazi ya Amayi. Idasinthidwa pa Oktoba 3, 2012.
> Kelley's Textbook of Rheumatology. Elsevier. Kusindikiza Kwachisanu ndi Chinayi. Mutu 77. Psoriatic Arthritis.