Psotic arthritis yana cikin ƙungiyar yanayi, wanda ake kira spondyloarthropathies . Mahimmanci, ilimin cututtuka na psoriatic an gane shi azaman ƙwayar cututtuka wanda ake dangantawa da fata yanayin psoriasis kuma yawancin shine mummunan ga matsalar rheumatoid . Abin sha'awa, har zuwa shekarun 1950, alamun bayyanar cututtuka na ƙwayar cuta da ke faruwa tare da psoriasis an dauke shi azaman maganin wariyar launin fata wanda ya faru daidai da psoriasis.
A hankali, an lura da yanayin biyu a matsayin asibiti. A shekara ta 1964, an rarraba ilimin cututtuka na psoriatic a matsayin wata cuta mai cutarwa ta Ƙungiyar Rheumatism na Amirka.
Mafi yawan al'amuran fata akan marasa lafiya da cututtuka na psoriatic sune psoriasis (wanda aka sani da psoriasis vulgaris), ko da yake wasu alamu zasu iya faruwa. A mafi yawan lokuta, arthritis yana tasowa a cikin mutanen da suka kafa psoriasis. Duk da haka, wasu marasa lafiya ba su san cewa suna da psoriasis (alal misali, psoriasis za su iya zuwa ba a gane shi ba a cikin ɓacin rai), ko kuma psoriasis zasu iya ci gaba bayan arthritis a cikin kimanin kashi 15 cikin yawan ƙwayoyin cuta na jini.
Alamar cututtukan cututtuka da hanyoyi masu mahimmanci
Magungunan cututtukan zuciya na Psoriatic marasa lafiya suna da alamu da bayyanar cututtuka na haɗin ƙonewa, enthesitis , ko ƙananan ƙone. Akwai sifofin asibiti biyar na psithic arthritis:
- Maɗaukaki na asymmetric (yana rinjayar mitoci 5 ko manyan haɗin gwiwa, haɗin da aka haɗa ya kasance a gefe guda na jiki, ba duka biyu ba)
- Symmetric polyarthritis (rinjayar 5 ko fiye da gidajen abinci, shafi haɗin gwiwa yana a bangarorin biyu na jiki, alal misali, duka gwiwoyi)
- Ƙwararrun (DIP) haɗin gwiwar haɗin gwiwa ta tarayya (rinjayar haɗin gwiwa na yatsunsu da yatsun kafa)
- Ƙwararren spondyloarthritis (rinjayar da gidajen kashin baya)
- Arthritis mutilans (deforms da kuma hallaka tasoshin shafi)
Abinda ke haɗuwa da hadin gwiwa a cikin rubutun cututtuka na psoriatic ba a gyara ba tukuna; zai iya bambanta kuma yana cigaba. Siffar polyarticular ita ce mafi yawan al'ada, yana dauke da fiye da kashi 60 na marasa lafiya da cututtuka na psoriatic. Abubuwan da ke samuwa a jikin mutum ya shafi kashi 13 cikin 100 na marasa lafiya na jini. Dipancin DIP yana faruwa a ƙasa da kashi 5 na marasa lafiya. Musamman spondyloarthritis an dauke shi wanda ba a sani ba, ko da yake wasu cututtuka na kashin baya na iya faruwa a kashi 40-70 na lokuta na cututtuka na psoriatic. Halin ƙaddarar (mutilans) ana daukar abu mai ban mamaki, ko da yake yana iya bunkasa a tsawon lokaci, musamman ma idan ba a bi da shi ba.
Hanyoyi na al'ada wanda ke taimakawa wajen bincikar cutar ya hada da dactylitis da enthesitis. Dactylitis yana nuna nauyin fuka-fuki na yatsun kafa ko yatsun kafa. Shigar da ƙwayar cuta ta zama ƙananan fuska a kan shafin yanar gizo na tendon ko haɗin ligament zuwa kashi. Yawancin lokaci, shafukan intheseal da suka shafi yanar gizo sune tarkon Achilles da fasarar shuka. Sauran shafukan intanet wanda za a iya shiga sun haɗa da quadriceps ko tendon patellar, iliac crest, rotator cuff, da kwakwalwan hannu. Pain, tausayi, da kumburi zai iya faruwa, amma haɗin waɗannan tashoshin yanar gizo na iya faruwa ba tare da bayyanar cututtuka ba.
Sauran fasali na cututtuka na psoriatic na iya haɗa da tenosynovitis (ƙin ƙusar gashin jijiya), matsalolin ƙusa (misali, kusoshi mai safa), da kuma matsalolin ido (misali, uveitis ko iritis).
Baya ga psoriasis da ƙusa dystrophy, bayyanar cututtuka na karin kayan aiki da yawa ba su da yawa tare da cututtukan cututtuka na psoriatic idan aka kwatanta da rheumatoid arthritis. Akwai shawarwari cewa cututtukan zuciya na ƙwayar cuta, da magungunan ƙwayar cuta ko kuma lymphedema, na iya faruwa fiye da tsakanin marasa lafiya na zuciya na psoriatic, amma har yanzu bai kasance ba. Amyloid , yayin da ake la'akari da raguwa, an kwatanta shi da rubutun cututtuka.
Musanya bambancin cututtuka na Psoriatic daga Rheumatoid Arthritis da sauran Yanayi
Masu bincike sun dubi alamu na haɗin gwiwa a yayin da aka bambanta cututtuka na psoriatic daga cututtuka na rheumatoid, da sauran halaye. Dactylitis, DIP hannu, da kuma enthesitis nufi zuwa psoriatic arthritis. Sacroiliitis ko cututtukan da ke dauke da cututtuka na flammory a kan x-ray ko MRI kuma suna nunawa ga cututtuka na psoriatic. Ba a yi la'akari da shigarwar spine ba tare da maganin cututtuka na rheumatoid. Hakanan, kasancewar nodules na rheumatoid ko wasu bayyanar da ke nunawa na nuna alakar wariyar launin fata fiye da rubutun cututtuka.
Ya kamata a bambanta da cututtukan cututtuka na Psoriatic daga sauran spondyloarthropathies, irin su arthritis mai amsawa ko sparkylitis ankylosing . Dactylitis kuma zai iya kasancewa na asibiti na cututtukan maganin ƙwayar cuta. A cikin rubutun cututtuka na psoriatic, sacroiliitis na nuna cewa ya zama mafi kuskure (ɗaya bangaren ya fi muni) idan aka kwatanta da sacroiliitis na spondylitis, wanda yake da mahimmanci. Har ila yau, ya kamata a bambanta ilimin cututtuka na psoriatic daga cututtukan arthritis. Za a iya ɗaukar nauyin ƙwayar cutar ta jiki a cikin rubutun cututtuka na psoriatic. Neman nazarin ruwa na al'ada ya taimaka wajen rarrabe su.
Babu takamaiman gwaje gwaje-gwajen gwajin gwaji don psotic arthritis. Duk da yake wani nau'i mai rheumatoid mai ban sha'awa ya kasance abin la'akari da halayyar cututtuka na psoriatic, ƙananan matakai na rheumatoid factor zai iya faruwa tare da psotic arthritis. Magunguna da aka sani da anti-CCP , da farko sunyi tunanin cewa sune maganin cututtuka na rheumatoid, ana iya samuwa a kimanin kashi 5 na marasa lafiya na cututtuka na psoriatic. Rawan ƙwaƙwalwar , CRP , da kuma amyloid magani A iya ɗaukaka shi a cikin rubutun cututtuka na psoriatic, amma kasa da ƙwayar marasa lafiya na arthritis.
Sources:
Kelley's Textbook na Rheumatology. Tsarin na tara. Elsevier. Babi na 77 - Psoriatic Arthritis. Oliver Fitzgerald. Samun shiga 03/04/16.
Bayanan Bincike: Psoriatic Arthritis (Beyond the Basics) UpToDate. Gladman da Ritchlin. Updated 4/9/15.