Musayar bambancin cututtuka na psoriatic daga wasu nau'in maganin ƙwaro
An kwatanta cututtukan cututtuka na Psoriatic a matsayin ƙwayar cututtukan ƙwayar ƙwayar cutar. Yana da wani rukuni na yanayi, wanda ake kira spondyloarthropathies . Tabbatar da hankali akan cutar yana da mahimmanci don a iya fara maganin lafiya.
Musanya bambancin cututtuka na Psoriatic daga sauran nau'in
Psotic arthritis na iya rage wasu cututtukan arthritis, don haka rarrabe shi daga wasu nau'ikan shine mayar da hankali ga ganewar asali.
Wani lokaci yana rikicewa da kuma rashin kuskuren shi kamar gout, rheumatoid arthritis , ko osteoarthritis
Babu gwaji guda daya da ke gano cutar kanjamau. Binciken da aka samo asali ne akan tarihin likita, bincike na jiki, da haskoki x ko wasu hotunan hotunan da ke neman shaidar haɗuwa da lalacewa ta hanyar kumburi. Ana iya amfani da gwajin jini da kuma nazarin ruwa mai tsabta don amfani da maganin jini.
Mahimmanci, marasa lafiya da cututtukan zuciya na psoriatic suna da nau'o'in cututtuka na cutar da bayyanar fata a cikin hanyar psoriasis. Yawancin haka, marasa lafiya na jini na kwayoyin cutar marasa lafiya suna korau ga matsalar rheumatoid . Ana amfani da gwajin gwajin rheumatoid don gane bambancin cututtuka na kwayar cutar daga cututtuka na rheumatoid, ko da yake kashi 20 cikin dari na marasa lafiya da cututtuka na rheumatoid ma sunyi daidai (ƙananan ƙwayar rheumatoid). Ana dauke da takaddun shaida daya, amma dole ne a yi la'akari.
Matsalar Magana
Abubuwan da ke da alamun shaida na cututtuka na psoriatic sun hada da:
- Ƙananan ƙwayoyin cuta na ƙwayoyin cuta tare da haɗin gwiwa, spine, ko shiga intheseal .
- Shaidar psoriasis (a halin yanzu, a matsayin ɓangare na tarihin likita, ko kuma wani ɓangare na tarihin iyali).
- Doriastrophy nail dystrophy (rarrabuwa daga ƙusa daga ɗakin ƙusa), pitting, ko hyperkeratosis [thickening] gani a lokacin duba jiki).
- Dactylitis (kumburi na yau da kullum na duk lamba, ko tarihin dactylitis).
- Shaidun X-ray na sabon kashi a kusa ko a kusa da gidajen hannu ko kafa (watau haɗin haɗin gwiwa) amma ban da osteophytes . (X-ray shine yanayin da aka fi dacewa da hoton da aka yi amfani dashi don gano canje-canje da aka danganta da cututtuka na psoriatic.
- Matsalar rheumatoid ko kaɗan. (Yayin da aka yi la'akari da magungunan rheumatoid abu mai muhimmanci a cikin rarrabantattun cututtuka na cututtuka daga cututtuka na rheumatoid, za'a iya samun matakin ƙwayar rheumatoid a cikin wasu marasa lafiya tare da siffofin fasikanci na psoriatic. Daga tsakanin 5-16% na marasa lafiya na marasa jini na psoriatic suna da ƙananan matakin rheumatoid factor.)
- Cikakken kwayoyin peptide ( anti-CCP ) wanda aka yi la'akari da shi don ƙaddamar da cututtuka na rheumatoid, sun kasance a cikin kimanin kashi 5 cikin dari na marasa lafiya na marasa jini.
- Magunguna masu tsinkaye na lokaci ( ƙarar sikiya , furotin mai C-reactive [CRP], da amyloid Aids) zai iya girma a cikin marasa lafiya da cututtuka na psoriatic, amma zuwa ƙananan digiri fiye da wanda ya faru da cututtukan arthritis na rheumatoid. Yawancin lokaci, waɗannan alamomi suna tasowa da cutar polyarticular kuma suna nuna alamun rashin fahimta.
- Hyperuricemia zai iya faruwa tare da cututtukan cututtuka na psoriatic tare da haɗuwa da ƙwayar cuta .
A cewar Kelley's Textbook of Rheumatology, kimanin kashi 77 cikin dari na marasa lafiya tare da maganin arthritis na psoriatic suna da abubuwan rashin haɗari akan x-ray. Kimanin kashi 47 cikin 100 na marasa lafiya tare da sababbin cututtuka na farko na farko ko kwanan baya sun fara yaduwa cikin shekaru 2. Hanyoyi masu rarrabuwa a kan x-ray sune abin da ke kwatanta nau'in arthritis psoriatic:
- Ƙungiyar haɗin gwiwa ta asymmetric
- Haɗuwa da haɗin gwiwa na yatsunsu ko yatsun kafa
- Ƙaddamar da shafukan intheseal
- Raunin ganyayyaki (ƙanƙan da ƙananan magungunan idan aka kwatanta da magungunan sparkylitis )
Yawanci, cigaba da yaduwar rayuka (x-ray) na ciwon maganin jini a farkon matakan sa a hankali.
Baya ga yadda ake amfani da kashin baya da haɗin gwiwar yatsun hannu da yatsun kafa, cututtuka na psoriatic yawanci yana rinjayar manyan haɗin jiki.
Sources:
Kelley's Textbook na Rheumatology. Tsarin na tara. Elsevier. Babi na 77 Dandalin Rashin Ƙari. Oliver Fitzgerald. Samun shiga 03/08/2016.
Bayanin haƙuri: Psithic arthritis (Baya ga Basics). Na zamani. Gladman da Ritchlin. Updated 04/09/2015.
Psritic Arthritis. Kwalejin Amirka na Rheumatology. Emery da Ash. Updated Satumba 2013.