Psritic Arthritis

An Bayani game da cututtuka na Psoriatic Arthritis

Psotic arthritis wani nau'in ƙwayar cututtukan cututtuka wanda ke da alaka da psoriasis (yanayin fata) da kuma alamar haɗin gwiwa na yau da kullum. Harshen cututtuka na psoriasis da ƙoshin haɗin gwiwa sau da yawa sukan bunkasa dabam. A cikin kashi 85 cikin dari na mutanen da ke fama da cutar, alamun cututtuka na psoriasis sun riga sun fara bayyanar cututtuka na arthritis. Arthritis yana tasowa kafin psoriasis har zuwa kashi 15 cikin dari na wadanda ke dauke da cututtukan zuciya.

> Dubi rubutun wutsiya na psoriatic tare da yatsunsu da tsinkaye.

A cewar CDC, kimanin kimanin miliyan 6.7 a Amurka suna da psoriasis. A cikin mutane tare da psoriasis, kimanin kashi 15 cikin dari na cigaba da ciwon arthritis. Ba'a sani ba daidai ba, amma an kiyasta shine tsakanin kashi 0.3 zuwa kashi 1 cikin dari na yawan jama'a. Shekaru na farko na cututtuka na psoriatic yana yawanci tsakanin shekaru 30 zuwa 50, amma zai iya ci gaba a kowane zamani. Maza maza da mata suna da tasiri sosai.

• Abin da ya sani game da Otezla (Apremilast)

• Stelara wani maganin ƙwayoyi ne na kwayar cutar Psoriasis da cututtuka na Psoriatic Arthritis

Kwayoyin cututtuka da aka haɗa tare da cututtuka na Psoriatic Arthritis

Kwayar cututtukan da ke hade da maganin ƙwayar cututtuka na psoriatic sun bambanta da yadda suke faruwa da kuma abubuwan da aka shafi gidajen. Duk wani haɗin gwiwa a jiki zai iya shawo kan ciwo da tausayi. Akwai matukar damuwa da wahalar matsawa da abubuwan da suka shafi shafa ta hanyar motsi na al'ada. Wasu mutanen da ke fama da cututtuka suna jin dadi da yamma cewa yana da fiye da rabin sa'a. A yayin da psoriasis ke da hannu, akwai alamun ja, tsattsauran wuri, da tayarwa, ko wuraren da aka yi wa fata. Ƙunƙarar ƙwayar ƙwayar cuta na iya bayyana kamar ƙuƙwalwar fingernails. Sauran bayyanar cututtuka da suka hada da psithic arthritis sun hada da gajiya, kumbura yatsun yatsun hannu da yatsun kafa (dactylitis), tendinitis , enthesitis, ciwon baya , da conjunctivitis .

• Alamai da cututtukan cututtuka na Psoriatic Arthritis

Types of Psoriatic Arthritis

Psotic arthritis yana cikin ƙungiyar yanayi da ake kira spondyloarthropathies . Akwai sanannun iri guda biyar da aka gane da maganin cututtuka na psoriatic da suke nuna bambancin su. Nau'in biyar, waɗanda zasu iya fyauce, sune:

• Ƙwararren kwayar cutar kwayar cutar ta shafi shafuka a garesu biyu na jiki (misali, duka gwiwoyi, ƙafa biyu), kuma yawanci yakan rinjayar mahaɗin mahaɗin (polyarthritis) . Yana kama da ilimin cututtuka na rheumatoid amma yana da yawanci tare da rashin nakasa. Kimanin kashi 25 cikin 100 na marasa lafiya na zuciya na jini sunyi irin wannan cuta.
• Asymmetric Psoriatic Arthritis ba zai shafar gidajen abinci guda ɗaya ba a garesu na jiki. Duk wani haɗin gwiwa zai iya shafa, ko da yake. Yatsun-kamar bayyanar yatsunsu da yatsun hannu ne na kowa. Abokan hulɗa na iya zama ja, dumi, kumbura, kuma mai raɗaɗi. Yawanci yana dauke da nau'i na cututtuka na psoriatic, yana iya zamawa cikin wasu mutane. Kimanin kashi 80 cikin dari na mutanen da ke dauke da maganin cututtuka na kwayar cutar suna fama da wannan cuta.

• Dangantaka Mai Mahimmanci na Dubu (DIP) Dandalin Arba'in Psoriatic yana dauke da "classic classic," a cewar National Psoriasis Foundation, ko da yake yana faruwa a kusan kimanin kashi 5 zuwa 10 na wadanda ke da cututtuka na psoriatic. Abubuwa na farko na irin wannan cututtuka na psoriatic sune sanya hannuwan yatsun yatsun hannu da yatsun kafa (haɗin da ke kusa da ƙusa), da kuma shaida na canje-canje.
• Spondylitis Irin Psithic Arthritis yana da ƙonewa na kashin baya a matsayin ainihin alama. Kimanin kashi 5 zuwa 20 cikin dari na mutanen dake dauke da cututtukan cututtuka na psoriatic suna fama da nau'in spondylitis. Game da rabi na wadanda ke da spondylitis suna da kyau ga HLA-B27 , alamaccen kwayar halitta.
• Arthritis Mutilans Irin ƙwayar cututtuka na Psoriatic an dauke shi mai tsanani, damuwa, kuma rare. Kasa da kashi 5 cikin dari na mutanen da ke dauke da cututtukan maganin ƙwayar cuta. Hadaddiyar haɗin kai yana nuna alamar ƙwayar cututtuka da ƙananan ƙwayoyin hannu da ƙafafun da suka shafi. Abun ciwo da rashin jinƙan ciwo suna kuma hade da irin wannan cututtuka na psoriatic.

Binciken asalin cututtuka na Psoriatic Arthritis

Babu wani gwajin da aka yi amfani dashi don tantance zane-zane mai cututtuka. Binciken jiki, x-haskoki, da kuma MRI suna amfani da su don taimakawa wajen tantance ganewar asali. An yi amfani da gwaje-gwaje ta jini da yawa don magance wasu cututtuka da irin wannan cututtuka, irin su cututtuka na rheumatoid, gout, arthritis mai amsawa , spondylitis ankylosing , da osteoarthritis .

Duk da yake wasu nau'o'in cututtuka na psoriatic suna kama da sauran cututtuka na fata, ƙwayar fata, ƙananan ƙwayoyin cuta, da alamu na ƙonewa ya bambance shi daga wasu cututtukan cututtuka masu ciwon ƙura. Da zarar likita ya tabbatar da ganewar asali, magani zai iya farawa. Sakamakon asirin farko da magani na farko yana da muhimmanci a kawo cutar a karkashin iko, samar da mafi kyawun damar hana rashin lafiya, ci gaba da cutar, da kuma haɗin haɗin gwiwa.

• Gwaje-gwaje da kuma ganewar asali na cututtuka na Psoriatic Arthritis

Jiyya na cututtuka na Psoriatic Arthritis

Saboda sinadarin cututtuka na psoriatic yana tattare da bayyanar fata da bayyanarwar hadin gwiwar, manufa ta kowane tsari na kulawa dole ne a damu da dual.

• Cosentyx: Yanayin magani don Ankylosing Spondylitis da Psoriatic Arthritis

• Canje-canje na Dietary zai iya taimakawa wajen magance cututtuka na Psoriatic

Kwararren likitanku zaiyi la'akari da rashin lafiya lokacin zabar magani, kazalika da la'akari da yiwuwar wani magani kan wasu bangarori na cutar. Alal misali, za a yi amfani da magani wanda ya zaɓa don sarrafa maganin cututtuka na arthritis ko cutar da cututtukan fatar jiki na psoriatic arthritis? Har ila yau, maganganun mahimmanci ne a zaɓar wani magani.

Yawancin lokaci, NSAIDs (kwayoyin masu maganin ƙwayoyin cuta ba tare da maganin ƙwayoyin cutar ba) sune maganin farko ga mutanen da ke da alamun bayyanar cututtukan zuciya. Ga mutanen da ke da alamun bayyanar cututtuka, wanda ba su amsawa ga NSAID kadai kadai ba, DMARDs (maganin maganin cututtuka na maganin cututtuka) , irin su methotrexate ko Arava (leflunomide) , za'a iya amfani dashi. Magungunan kwayoyin halittu , irin su masu tayar da TNF , sun dace da mutanen da ke fama da cutar mai tsanani (misali, shaidun ƙwayoyin cuta, daɗaɗɗa da dama, ƙuntataccen aiki ). Corticosteroids ne yawanci ba amfani da psthritic arthritis.

Lokacin da alamun fatar jiki ya kasance shahararren, watakila mawuyacin haɗari kamar haɗin haɗin gwiwar, magunguna waɗanda zasu iya sarrafa dukansu sune mafi kyau. Ma'aikata na TNF suna daukar magani mai mahimmanci ga duka fata da haɗin gwiwar rubutun cututtuka. Methotrexate, photochemotherapy, PUVA, acid retinoic, da cyclosporine A iya taimakawa duka fata da haɗin gwiwa.

Akwai sababbin kwayoyi masu samuwa don cututtukan cututtuka na psoriatic da za a iya la'akari da su:

• Otezla (apremilast)
• Cosentyx (mafi alhẽri)
• Stelara (yanar gizo)

Samun Gudanarwa akan Arthritic Psoriatic

Abin sha'awa, a wani lokaci, an yi zaton cutar arthritis ta zama mummunar cuta. A gaskiya ma, ilimin cututtuka na psoriatic ya fi tsanani fiye da tunanin farko. Hadin yarda na wallafe-wallafe na kimiyya ya nuna cewa, dangane da lalacewar haɗuwa da juna, rashin fahimtar juna ya shafi:

• Matsayin da ya fi girma da ciwon kumburi
• Rawanin ƙaddamar da lalata da CRP
• Haɗin haɗin haɗuwa a kan hasken rana
• Rashin samun amsa mai kyau da wasu magunguna
• Ƙuntata aiki
• Matsayi mara kyau na rayuwa

Don samun iko a kan ilimin cututtuka na psoriatic, yana da mahimmanci don a gwada ku, a bincikar ku, ku kuma kula da ku. Mutanen da ke dauke da maganin arthritis waɗanda suka karbi magani a farkon lokaci suna da mafi kyawun damar magance ci gaban cuta da haɗuwa da haɗin gwiwa. An kuma san cewa cutar arthritis tana hade da haɗuwa, ƙari ƙwayar cuta, da yawan ƙwayar mace-wani dalili da ya sa magani na farko ya zama mahimmanci.

• Psoriatic Arthritis Complications

Gudanar da nasarar ƙwayar cuta na psoriatic yana buƙatar zama mai yarda da tsarin shirinka, motsa jiki, amfani da hanyoyin kare haɗin gwiwar, kula da nauyin nauyin ku, da kuma gudanar da maganganu (misali, cututtukan zuciya).

Kalma Daga

An kira cututtukan cututtukan zuciya na Psoriatic na musamman na cututtukan cututtuka na flammatory saboda hada da psoriasis. Wannan, tare da yiwuwar rikice-rikice da yanayin haɗuwa, ya zama wajibi don samun magani mai mahimmanci da sauri. Makasudin ga mutanen da ke dauke da maganin ƙwayar cututtuka su ne kula da cutar sosai kuma ya rage tasirinta a kan rayuwar rayuwa. A, mun samar muku da gaskiyar da kuke bukata don sanin game da cututtuka na psoriatic. Wannan ilimin zai ba ka damar fahimtar umarnin likitanka, don tsara tambayoyi don neman likita, da kuma karfafawa ta hanyar zaɓin magani, wanda ya haɗa da wasu da suka saba da sabon.

> Sources:

> Gladman DD et al. Psritic Arthritis: cututtuka, cututtuka na asibiti, hanya, da sakamako. Annals na Rheumatic Disease. 2005; 64: ii14-ii17

> Gladman DD da Ritchlin C. Faɗar Gidajen Halitta da Bincike na Arthritis Psoriatic. Na zamani. Updated 02/12/16.

> Gladman DD da Ritchlin C. Bayanin haƙuri: Psoriatic Arthritis (Baya ga Basics). Na zamani. Updated 04/13/16.

> Helmick CG et al. Harshen Psoriasis Daga cikin Ma'aikata a Amurka 2003-2006 da 2009-2010 Nazarin Neman Lafiya ta Jama'a da Gina . Jaridar American Journal of Medicine Preventive . 2014.

> Arthritic Psoriatic, Kwalejin Amirka na Rheumatology. Satumba 2013.