Kuchokera pa Kuzindikira kwa Matenda
Matenda a Psoriatic amatchulidwa ngati limodzi la spondyloarthropathies (gulu la zikhalidwe zogwirizana ndi nyamakazi ya msana). Ndikofunikira kuti tidziwidwe molondola kuti tili ndi matenda a psoriatic kotero kuti njira zothetsera matenda zikhoza kuganiziridwa kumayambiriro kwa matendawa. Pali zinthu 10 zomwe muyenera kuzidziwa zokhudza nyamakazi ya psoriatic.
1 - Matenda a Psoriatic ndi mtundu wa nyamakazi wokhudzana ndi matenda a khungu psoriasis.
Matenda a Psoriatic ndi matenda aakulu a nyamakazi.
Odwala ena, zizindikiro zokhudzana ndi matenda a nyamakazi ndi ofatsa. Kwa odwala omwe ali ndi matenda ochepa, zizindikiro zimatha kubwera. Kwa odwala ena omwe ali ndi nyamakazi ya psoriatic, njira ya matendayo imapitirizabe.
2 - Matenda a Psoriatic akhoza kuthana ndi chiwalo chirichonse m'thupi.
Kawirikawiri, nyamakazi ya psoriatic imakhudza ziwalo zazikulu za m'munsi mwake, ziwalo zosiyana za zala ndi zala, komanso kumbuyo ndi ziwalo za sacroiliac . Pali magulu asanu omwe ali ndi matenda a psoriatic omwe sagwirizana komanso akhoza kusintha kuchokera kwa wina ndi mnzake:
- Matenda a minoarticular ndi oligoarticular nyamakazi
- symmetrical polyarticular nyamakazi
- kulowerera pakati pa interphalangeal
- nyamakazi mutilans
- mtundu wa axial kapena spondylitis
Mtundu uliwonse ukufotokozedwa mu Psoriatic Arthritis - Mfundo Zenizeni
3 - Pafupifupi 40 peresenti ya odwala psematic odwala matenda a nyamakazi amapezeka m'banja la psoriasis kapena nyamakazi.
Chotsatira cha nyamakazi ya psoriatic sichikudziwikabe.
Odwala omwe ali ndi banja la psoriasis kapena nyamakazi amathandiza chiphunzitso chakuti zibadwa zingakhale zogwirizana ndi chifukwa. Otsogolera zachilengedwe angathandizenso. Mwachitsanzo, psoriasis ikhoza kuyambitsidwa ndi strep throat nthawi zina.
4 - Pafupifupi 15 peresenti ya anthu omwe ali ndi psoriasis amatha kukhala ndi nyamakazi ya psoriatic.
Zizindikiro za psoriasis ndi kutukumula kosakaniza nthawi zambiri zimakhala zosiyana ndi odwala psoriatic nyamakazi.
Pa 85 peresenti ya odwala psoriatic nyamakazi, zizindikiro za psoriasis zimayamba pamaso pa zizindikiro za nyamakazi . Matenda a nyamakazi amayamba pamaso pa psoriasis mpaka 15 peresenti ya odwala psoriatic nyamakazi. Psoriasis ndi nyamakazi zingayambe zaka zosiyana.
5 - Matenda a Psoriatic angasokonezedwe ngati gout kapena nyamakazi ya nyamakazi.
Gout ndi nyamakazi ya nyamakazi imagawana zizindikiro zina zokhudzana ndi nyamakazi ya psoriatic. Mayesero ayenela kuchitidwa kuti athetse zinthu zina. Zowawa, zotupa zimakhala zofala pazochitika zitatu zomwe zatchulidwa. Khungu ndi misomali kusintha mogwirizana ndi psoriasis kumathandiza kuchepetsa matendawa. Nthawi zina zimatulukanso khungu pofuna kuthandiza matenda a psoriatic nyamakazi.
6 - Matenda a Psoriatic, mosiyana ndi nyamakazi ya nyamakazi, amangofunika kuchiritsidwa pamene zizindikiro zimayamba.
Pamene zizindikiro zimachepa ndi psematic arthritis sizingatheke, zimatha kuthetsa chithandizo kwa odwala ena mpaka zizindikiro zikuwonekera. NSAIDs ( mankhwala osagwiritsidwa ntchito ndi anti-inflammatory drugs ) ndiwo mzere woyamba wochizira matenda a psoriatic nyamakazi. DMARD ( matenda osinthira anti-rheumatic drugs ) akhoza kuwonjezeredwa pa njira ya mankhwala. Mankhwala osokoneza bongo ndi amodzi mwa njira zomwe mungasankhe.
7 - Pali zifukwa zomwe zikuwonetseratu kuti anthu odwala psoriatic akudwala kwambiri.
Kuvomereza kwa odwala matenda a nyamakazi ndi ovuta ngati ali:
- kukhudza khungu kwambiri
- mbiri yakale ya banja la psoriasis
- chachikazi
- Matenda amayamba msinkhu wa zaka 20
- kufotokoza kwa majeremusi HLA-B27, HLA-DR3, HLA-DR4
- polyarticular (mwachitsanzo, nyamakazi yogwira ziwalo zingapo) kapena nyamakazi yambiri (mwachitsanzo, kuwonongeka kwa mgwirizano kuchokera ku kutupa)
8 - Pafupifupi 2 peresenti ya anthu a ku Caucasus ku North America ali ndi psoriasis. Mwa anthu amenewo, 5 mpaka 7 peresenti ali ndi nyamakazi yotupa mu mawonekedwe ena.
Malinga ndi Arthritis Foundation, anthu 95 mwa anthu 100 alionse amene ali ndi nyamakazi ya psoriatic amatupa m'magulu kunja kwa msana ndipo oposa 80 peresenti ali ndi misomali ya misomali.
Matenda a Psoriatic amayamba kukula pakati pa zaka 30 ndi 50. Amuna ndi amai amawoneka kuti ali ndi chiwopsezo chofanana chokhazikitsa nyamakazi ya psoriatic.
9 - Pali chiopsezo chokwanira 50 chokhala ndi nyamakazi ya psoriatic pachibale choyamba cha odwala omwe ali ndi matendawa.
Ochita kafukufuku awonanso kuti m'mapasa ofanana, pali 70% ya concordance (ie, kuchuluka kwa kufanana pakati pa mapasa awiri pokhudzana ndi kupezeka kapena kusapezeka kwa matenda ena) kwa psoriasis. Chochititsa chidwi n'chakuti pali chiopsezo chowonjezeka kawiri chogwiritsira ntchito psoriatic nyamakazi ndi abambo okhudzidwa poyerekeza ndi amayi omwe athudzidwa.
10 - Palibe mayesero a labotori kapena zotsatira za X-ray zomwe zimapereka chitsimikizo chotsimikizirika cha matenda a psoriatic nyamakazi.
Kuyesedwa kwa ma Laboratory kwa kutupa kwapadera (ie, sedrate ndi CRP ) kungakwezeke pamene psoriatic nyamakazi ikugwira ntchito. Kawirikawiri, wodwala nyamakazi wodwala nyamakazi ndi wolakwika chifukwa cha chifuwa chachikulu . Ngati nthendayi imakhala yabwino, ikhoza kukhala ya psoriasis kuphatikizapo nyamakazi ya nyamakazi, m'malo mwa nyamakazi ya psoriatic.
> Zotsatira:
> Psoriatic Arthritis. Maphunziro Oleza Mtima - American College of Rheumatology. May 2004.
> Psoriatic Arthritis. Don Martin, MD, Johns Hopkins Nyamakazi ya Amayi. July 3, 2007.