Matenda a Psoriatic ndi matenda aakulu a kutupa nyamakazi . Ikhoza kukhala patsogolo ndipo imatsogolera kuwonongeka kwamuyaya ndi kulemala. Kawirikawiri, psoriatic nyamakazi imatengedwa kukhala yosawerengeka, koma imakhala yowoneka bwino pakati pa anthu okhala ndi psoriasis, omwe amadwala pakati pa 6-10% ya odwala psoriasis. Amakhala ofala kwambiri pakati pa anthu omwe ali ndi psoriasis yoopsa, omwe amachititsa 20-40% a gululo la odwala.
Ndikofunika kuzindikira zoopsa zokhudzana ndi matenda a psoriatic. Chinthu choopsa ndi khalidwe kapena chinthu chomwe chimapangitsa kuti munthu akhale ndi matenda kapena chikhalidwe. Zinthu zoopsa zimaikidwa ngati zosinthika kapena zosasinthika. Chinthu chosasinthika chingapereke mpata woteteza psoriatic nyamakazi kapena kuchepetsa kuwonongeka komwe kungayambitse.
Kuzindikiritsa zoopsa za psoriatic nyamakazi kunali posachedwa. Panali zochepa zofufuza za matenda omwe anawona kuti ziwopsezo za psoriatic matenda mpaka chaka cha 2000. Palinso kafukufuku ochepa omwe adafufuza zoopsa zomwe zimayambitsa matenda a psoriatic pakati pa anthu omwe ali ndi psoriasis. Akatswiri ofufuza atha kuganiza kuti mwina matenda a psoriatic amayamba chifukwa cha mitundu yambiri ya majeremusi, immunologic, ndi zilengedwe zoopsa.
Zachibadwa
Pafupifupi 40% a odwala psoriasis kapena psoriatic nyamakazi ali ndi mamembala omwe ali ndi psoriasis kapena psoriatic nyamakazi. Kafukufuku wasonyeza kuti odwala omwe ali ndi banja la mbiri ya nyamakazi ya psoriatic anali ndi nthawi 27-48 zovuta kuti adziwe matenda kusiyana ndi omwe alibe mbiri ya banja.
Matenda a Psoriatic amaonedwa kuti ndi "oyenera kwambiri" kuposa matenda ena omwe amadzimadzimutsa okha .
Ana a makolo omwe ali ndi psoriasis amatha kukhala ndi psoriasis katatu ndipo amakhala ndi chiopsezo chachikulu chokhala ndi nyamakazi ya psoriatic poyerekeza ndi ana a makolo opanda psoriasis. Ngati mapasa omwewo ali ndi nyamakazi ya psoriatic, mapasa ena ofanana ndi omwe amatha kukhala ndi matendawa kapena kuti akhale nawo pamapeto pake. Majini ambiri omwe amapezeka ndi matenda a psoriatic amakhalanso ndi psoriasis. Koma, si majini onse omwe amagwirizana ndi matenda onsewa.
Immunologic
Matenda osiyanasiyana a chitetezo cha mthupi amachititsa kuti chiopsezo cha nyamakazi chiwonjezeke. Ma maselo a T omwe amapezeka ali mnofu wa khungu ndi ziwalo. Amagwiritsidwanso kuti maginito , monga TNF-alpha, amachititsa mbali yotupa yomwe imayambitsa kuwonongeka kwa khunyu komanso kutupa kwa khungu kumayambiriro a nyamakazi.
Chilengedwe
Pali zinthu zina zachilengedwe zomwe zimaoneka ngati zokhudzana ndi chiopsezo cha matenda a psoriatic. Kuwonetsa kwa matenda ena kumawoneka kuti ndi kotheka, makamaka matenda a streptococcal. Kugwirizana sikunatsimikizidwe kapena kutsimikiziridwa ngakhale.
Matenda a Psoriatic amakhalanso ofala kwambiri kwa anthu omwe ali ndi kachirombo ka HIV kamene kamakhala ndi kachilombo koyambitsa matenda.
Chochitika cha Koebner, chomwe chimapezeka mu 52% mwa anthu omwe ali ndi psoriasis molingana ndi Kelley's Textbook of Rheumatology, amaonedwa kuti ndi chilengedwe china. Choyamba chofotokozedwa ndi Dr. Heinrich Koebner (dermatologist yolemekezeka kwambiri kuchokera mu zaka za m'ma 1800) mu 1876, psoriatic zilonda mawonekedwe a khungu lomwe silinatuluke pambuyo potsatira ngozi ya khungu. Chomwe chimayambitsa chochitika cha Koebner sichinali chodziwikiratu koma mapulotini, mapuloteni opsinjika, ma molekyulu, ndi autoantigens angakhale nawo.
Zotsatira:
Kudziwa Zowopsa kwa Psoriatic Arthritis: Scientific Opportunity Akuyendera Kusowa Kwachipatala. Ogdie ndi Gelfand. JAMA Dermatology. July 2010.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2917977/
Malingaliro oleza mtima: Nyamakazi ya Psoriatic (Pambuyo pa Zamaziko) Gladman ndi Ritchlin. Zaposachedwa.
http://www.uptodate.com/contents/psoriatic-arthritis-beyond-the-basics
Psoriatic Arthritis. M. Elaine Husni. Clinical Cleveland. August 2010.
http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/rheumatology/psoriatic-arthritis/
The Koebner Phenomenon. Makliniki mu Dermatology. Sagi L. ndi Trau H. March-April 2011.
http://www.ncbi.nlm.nih.gov/pubmed/21396563
Kelley's Textbook ya Rheumatology. Kusindikiza kwachisanu ndi chinayi. Elsevier. Mutu 77. Psoriatic Arthritis. Oliver Fitzgerald.