I-arthritis ye-Psoriatic ingumphumela wokuba khona kumuntu we-psoriasis noma ukuthambekela kwangasese kwalesi sifo. Ngemva kokuphenya lesi sifo, ososayensi benza iziphetho eziningi ezithakazelisayo mayelana nalokho kanye nezindlela zokwelapha.
I-Psoriasis ne-arthritis ye-psoriatic
Ngokwe-arthritis ye-psoriatic kuyaqondwa ukuhlanganiswa kwezifo ezimbili: i-psoriasis nesifo samathambo. Ngokwezibalo zezokwelapha, i-psoriatic arthritis ikhona ku-10% weziguli ezine-psoriasis. Ekuqaleni, iziguli zingakhononda ngokubonakala kwezikali ezibomvu esikhumbeni. Kulesi simo, odokotela baxilonga i-psoriasis, i-arthritis iqala ukuzibonakalisa ngemva kwesikhashana ngobuhlungu noma imilenze yangemuva. Ezimweni ezingavamile, lesi sifo siqala ngezinkinga ezihlangene, futhi isikhumba sibukeka sinempilo ngesikhathi esisodwa.
Ukufunda i-psoriatic arthritis, izimpawu kanye nokwelashwa, odokotela bafinyelela esiphethweni sokuthi lesi sifo sibhekisela ku-psychosomatic, okungukuthi, ngokuhlobene ngqo nesimo sesimiso sezinzwa. Abesifazane bangabameleli abangokomzwelo besintu, ngakho-ke bahlushwa lesi sifo kaningi kunamadoda. Isizathu esiyinhloko sokulimala kokuhlanganyela kwe-psoriatic ukucindezeleka okukhulu noma isikhathi eside, ukuhlukunyezwa kwengqondo.
I-Arthritis Psoriatic - Izimpawu
Izimpawu ze-arthritis ye-psoriatic ngokuvamile zifana nezibonakaliso ze-arthritis evamile. Ukuze kutholakale i-psoriatic arthritis, odokotela banakekele izibonakaliso ezinjalo:
- ukukhathazeka kwamalunga nokuvuvukala kwezizinda ezizungezile;
- isikhumba esizungezile esihlangene sithintekile siyoba nomkhuhlane;
- ukuhlukunyezwa kungahle kwenzeke kumalungu amancane;
- Amalunga afintekayo angase abe nombala obomvu noma obomvu;
- ama-joint joints interverterbral athintekile, okubangela izinzwa ezibuhlungu nezinkinga ekuhambeni;
- Iminwe emilenzeni nasezingalweni iyancishiswa noma ikhulisiwe;
- umonakalo ohlangene ufana nokulinganisa;
- ukuqina kokusa kwamalunga.
I-Psoriatic arthritis yeminwe
Odokotela, ukutadisha i-psoriasis, i-arthritis, izimpawu zalesi sifo, baphetha ngokuthi i-psoriatic arthritis yeminwe yindlela ejwayelekile kakhulu ye-arthritis ye-psoriatic. Ngalolu hlobo lwesifo, izilonda ze-arthritic zithinta kuphela iminwe yemilenze engenhla. Lesi sifo singaqala ngezibonakaliso ze-psoriatic, ezingeziwe ezilonda zeminwe, futhi zingaqala ngezibonakaliso ze-arthritis.
Ukuze ufunde i-psoriatic arthritis yeminwe kungenzeka ngezibonakaliso ezinjalo:
- Amalungu amancane emilenzeni engenhla abe ebuhlungu;
- Amalunga eminwe ayavuvukala, futhi ukuvuvukala kungasakazeka ezinhlobonhlobo ezizungezile;
- amalunga aphelile, iminwe ishintshe ukuma: ukukhukhumeza nokufinyeza;
- endaweni ehlangene, isikhumba sishisa, sithola umthunzi omnyama;
- isici esiyingqayizivele se-psoriatic arthritis ukuhlukunyezwa kweplantshi le-nail: izinzipho zilahlekelwa umbala, zibe ziphaphathekile, ziguqule noma ziwe.
I-Psoriatic arthritis yemilenze
I-arthritis yengqondo yonyawo ivame ukutholwa ngephutha ngokuthi isithende esithende, i-plantar fasciitis, i-gout, i-arthritis. Ngaphezu kwalokho, i-psoriatic arthritis ingafana nokubonakaliswa kwezifo ezizimele njenge-lupus, njll. Ngokungafani nezinye izifo ezibizwa ngokuthi, ezivela ngenxa yemithwalo esindayo emilenzeni, i-psoriatic arthritis iphakama njengomphumela we-psoriasis.
I-Psoriatic arthrosis noma i-arthritis yonyawo ibonakala njengobunzima obukhulu emajoyini nama-tissue azungezile. Isikhumba esizungezile ngokuhlanganyela siphezulu siphezulu noma sibomvu. Ngenxa yokuphazamiseka ekuhlanganyeleni ngokwayo, ukuhlukunyezwa kungase kwenzeke, kubangele ubuhlungu obengeziwe futhi kubangele ukunyakaza ukuhamba. Amalunga afuthayo aholela ekushintsheni okwenziwe ngezwanezwane: anciphisa futhi anqande.
I-Psoriatic arthritis - ukuxilongwa
Ukuxilongwa kwe "psoriatic arthritis" kunganikwa isiguli okungenani ezintathu zezi zimpawu:
- othile ovela ezihlotsheni eziseduze wayegula noma egula nge- psoriasis ;
- isikhumba kanye namapulangwe e-nail kuthinteka yi-psoriasis;
- I-X-ray ibonisa ukubhujiswa kwamatheksi amathanga kanye nama-periosteal stratifications, uma nje i- osteoporosis ye- periarticular region ingabonwa;
- Ezingxenyeni kukhona ukuzwa okubuhlungu lapho uhamba;
- i-arthritis yamalungu esandla phakathi kwe-nail kanye ne-phalanx ephakathi yeminwe;
- wonke amalunga amathathu omunwe wokuqala ashintshiwe;
- isithupha sesigungu esingaphansi sishintshiwe;
- Isisindo se-rheumatoid asibi;
- I-X-ray ibonisa ukungavamile kumajoyini e-sacroiliac;
- kutholakala izicubu eziseduze-vertebral ukufakwa kwe- calcium usawoti .
I-Psoriatic arthritis - izivivinyo
Ukuze kunqunywe i-psoriatic arthritis, ukuhlolwa kwangaphandle kwesiguli, ukuhlolwa kwengculazi nokuqoqwa kwe-anamnesis kuyadingeka. Ukuxilongwa kwe-arthritis kwenziwa ngosizo lwezivivinyo ezinjalo:
- X-ray yendawo ethintekile. Isithombe sizobonisa izinguquko ezishintshayo kumajoyini.
- Ukuhlolwa kwegazi okwandisiwe. Egazini, i-anemia, i-ESR eyengeziwe kanye ne-fibrinogen, i-sialic acid, i-immunoglobulin A, G, ne-E. ingabonwa.
- Ukuhlaziywa kwe-intraarticulate synovial fluid. I-liquid esetshenziselwa ukuhlaziywa phambi kwe-psoriatic arthritis iyoba yilahlekile, ngenani elikhulayo lama-neutrophils.
I-Psoriatic arthritis - ukwelashwa
Ngaphambi kokwelapha i-psoriatic arthritis, udokotela ubeka ucwaningo olunzulu olumsiza ukuba aqonde izinga lokukhubazeka kwamalungu. Uma ucindezela kakhulu, kunzima kakhulu ukususa izimpawu zayo. Isiguli kufanele sazi ukuthi lesi sifo asikwazi ukuphulukiswa. Odokotela bangasiza ekunciphiseni isimo futhi bayeke izinqubo zokukhishwa. Izinkimbinkimbi zokwelapha zingabandakanya ukusetshenziswa kwemithi, ukudla kokudla, physiotherapy, ukuvivinya umzimba, izindlela zokuphila.
I-Psoriatic arthritis - izincomo zomtholampilo
Uhlu lwezincomo zendlela yokwelapha i-psoriatic arthritis luhlanganisa izincomo zokushintsha imikhuba ethile:
- Amakilasi we-physiotherapy. Ngalesi sifo, ukuhamba okusheshayo nokubhukuda kungcono kakhulu.
- Uma kukhona ubuhlungu emajoyini, kufanele uzinike ukuphumula. Amalungu angakwazi ukulayishwa ngokweqile.
- Ukukhetha ngokucophelela izicathulo kuyadingeka. Akunakwenzeka ukuvumela amalunga ukuba aqhutshwe izicathulo eziqinile.
- Kubalulekile ukulala ngokugcwele. Ukuze wenze lokhu, udinga ukuhamba ngaphambi kombhede, umoya wegumbi lokulala, ungadli itiye kanye nekhofi ebusuku, ungaboni amafilimu nezinhlelo ezikhuthazayo.
- Ukulawula ukuthuthwa komzimba kuwumsebenzi obalulekile wesiguli esinesifo se-psoriatic arthritis. Ukubuya ngokuqondile kuzogwema ukuwohloka kwempilo okuqhubekayo.
- Kudingekile ukukhetha indawo ekhululekile yokulala. Kunconywa ukuthi ube ne-mattress ne-pillow yokulala.
- Kubalulekile ukuhola ukuphila okuzolile, okulinganiselwe , ukuzama ukungabi nokwesaba nokugwema ukucindezeleka.
Ukulungiselela i-psoriatic arthritis
Bhala izidakamizwa zokwelapha i-psoriatic arthritis uma udokotela, njengoba ukuzivocavoca kungaholela emiphumeleni edabukisayo. Ukwelashwa okuyinkimbinkimbi kwalesi sifo kuhlanganisa amalungiselelo anjalo okwelapha:
- Izidakamizwa ezingenayo imithi. Zisetshenziselwa ukunciphisa umsebenzi wesimiso somzimba. Isidakamizwa esithandwa kakhulu yi-methotrexate ku-arthritis ye-psoriatic. Isidakamizwa senza sikwazi ukumisa inqubo yokulungisa. Ukuphathwa kwe-arthritis ye-psoriatic ne-methotrexate kubhekwa njengokuyisisekelo. Ngaphezu kwalokho, i-Sulfasalazine isetshenziselwa i-psoriatic arthritis, i-Cyclosporine, i-Leflunomide, i-Azathioprine kanye nemifanekiso yazo.
- Amalungiselelo okuvimbela amaprotheni aphansi amancane amathumba okuvuvukala: Adalimumab, Infliximab, Etanercept.
- Iqembu lemithi emisha yokwelapha i-psoriatic arthritis ihlanganisa u-Otela noTaltz (Isekizumab). Iyokugcina inezindleko eziphezulu, ngakho-ke ayitholakali iziguli eziningi.
- Ifomu elibi le-arthritis ye-psoriatic liyisibonakaliso sokuhlanza igazi ngosizo lwe-plasmapheresis.
I-arthritis yengqondo - ukwelashwa ngamakhambi abantu
Ukwelashwa kwamadoda we-arthritis ye-psoriatic kungaba ukwengeza okuhle ekunakekeleni izidakamizwa. Izindlela zokupheka ezinjalo zithandwa:
- Ukwelashwa kwamagatsha ase-spruce. Ukwenza lokhu, lungiselela ukumnika kwamagatsha ase-spruce, ukupholile ukushisa kwama-38 degrees bese ukhulisa izindawo ezibuhlungu. Ngemuva kwenqubo, lezi zindawo kufanele zihlanganiswe futhi zigcinwe cishe ihora. Inkambo inezinqubo ezinhlanu.
- Ama-herbal tea. Ngalesi sifo kuyasiza ukuphuza izidakamizwa zezitshalo ezinjalo: i-wort St John's, amaqabunga e-birch, i-dandelion, umjunipha, i-blackberry.
- Turpentine cindezela. Thatha amaconsi ambalwa we-turpentine, 2 tbsp. l. amafutha yemifino, 1 tbsp. l. isanqante elalibiwe. Hlanganisa izingxenye futhi usebenzise okuhlangene okuthintekile. Gcina ubusuku bonke, phinda izinsuku ezingu-10.
- Amafutha asekelwe emafutheni e-eucalyptus. Kubalulekile ukucwenga ama-hoes, izimbali ze-clover elihle kanye ne-St John's wort. Hlanganisa iqoqo ngamafutha e-eucalyptus ne-petroleum jelly futhi usebenzise ezindaweni ezivuvukile.
Ukudla kwe-arthritis ye-psoriatic
Ukudla okunempilo nge-arthritis yingxenye ebalulekile yokwelashwa. Ukudla okungcono kakhulu kweziguli ezine-arthritis ye-psoriatic ukudla kwe-Pegano . Umbhali wokudla uthembisa ukudla izingxenye ezincane, kodwa ngokuvamile. Uhlu lwemikhiqizo enconyiwe lubandakanya okusanhlamvu, imifino, izithelo. Inamba encane yokunconywa yokudla izitsha zezinhlanzi. Imikhiqizo elandelayo ivinjelwe:
- itiye nekhofi;
- utshwala;
- amaswidi, ubhontshisi, isinkwa esisha;
- okusemathinini, okunamafutha, ukubhema, ukudla okusawoti nokunambitheka;
- ubhontshisi;
- inyama.