I-Psoriatic arthritis: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu nezimpawu eziyinhloko
• Yikuphi ukuhlolwa okuqinisekisa ukuxilongwa
• Izinhlobo ze-psoriatic arthritis
• Yelashwa kanjani
• 1. Ukusetshenziswa kwama-anti-inflammatories
• 2. Ukuhlinzwa
• 3. Isikhathi sePhysiotherapy

I-Psoriatic arthritis, evame ukubizwa ngokuthi i-psoriatic noma i-psoriasis, uhlobo lwesifo samathambo esingapheli esingavela emalungeni abantu abane-psoriasis, okuyisifo esivame ukuthinta isikhumba, esibonakala ngokuvela kwamacwecwe abomvu anwaya futhi acwebe.

Izimpawu eziyinhloko zesifo samathambo se-psoriatic, ngaphezu kokuba khona kwamabala abomvu esikhunjeni, ajwayelekile ku-psoriasis, afaka ukuvuvukala kwamalunga, ukusonteka kwamalunga kanye nobunzima bokuwasusa.

I-Psoriatic arthritis ingavela noma ngasiphi isikhathi, kepha kuvame kakhulu kubantu abadala abaphakathi kweminyaka engama-30 nengama-50, cishe abantu abangaba ngu-30% abatholakala ukuthi bane-psoriasis esikhunjeni abathuthukisa lolu hlobo lwe-arthritis. Bona ukuthi ziyini izimpawu zokuqala ze-psoriasis.

Izimpawu nezimpawu eziyinhloko

Izimpawu nezimpawu ezingakhombisa ukuthi i-psoriatic arthritis iyakhula zihlanganisa:

• Ukuvuvukala nokukhubazeka kumajoyinti athintekile;
• Ubuhlungu nobunzima bokuhambisa amalunga athintekile;
• Tendonitis;
• Ubukhona bamabala abomvu esikhunjeni, kuzipikili noma ekhanda okulinwaya nokuhluba;
• Izinguquko ezingeni le-ocular, inhliziyo, i-pulmonary ne-renal.

Imvamisa, izimpawu zokuqala zalolu hlobo lwe-arthritis zibuhlungu nobunzima bokuhambisa amalunga, ikakhulukazi izandla, ngaphandle kwesidingo sokuvuvukala noma ukuba khona kwamabala esikhunjeni. Ngakho-ke, abantu abahlushwa i-psoriasis futhi abanezimpawu ezihlobene nezinkinga ezihlangene kufanele babonane nodokotela owelapha i-psoriasis ukuqinisekisa ukuxilongwa bese beqala ukwelashwa okufanele kakhulu.

Yikuphi ukuhlolwa okuqinisekisa ukuxilongwa

Ukuxilongwa kwe-psoriatic arthritis kuvame ukwenziwa ngokuhlolwa komlando womtholampilo, ukuqaphela izilonda zesikhumba ezibangelwa yi-psoriasis kanye nokuhlolwa kwe-X-ray ukusiza ukuqinisekisa isifo samathambo.

Kodwa-ke, ukuhlolwa kwesici se-rheumatoid nakho kubalulekile ukusihlukanisa nesifo samathambo, futhi yini ekhombisa ukuthi i-arthritis ingaba umphumela we-psoriasis uma ngabe isifo samathambo singekho futhi izimpawu ze-arthritis zikhona. Uma umphumela wesici se-rheumatoid muhle, imvamisa ukhombisa ukuthi yi-rheumatoid arthritis, futhi ayihlobene ne-psoriasis.

Izinhlobo ze-psoriatic arthritis

Kunezinhlobo eziyisihlanu eziyinhloko ze-psoriatic arthritis:

• I-Symmetrical: Lolu hlobo luthinta amalunga ezinhlangothini zombili zomzimba.
• I-Asymmetric: Kulolu hlobo, izimpawu ziyalinganiselwa, zivame ukuthinta amalunga ama-4 aphezulu ohlangothini lomzimba.
• Ukunciphisa i-Arthritis: Lolu uhlobo olunolaka kakhulu futhi olujwayele ukucekela phansi amalunga wezandla nezinyawo, ikakhulukazi okuthinta iminwe;
• I-Spondylitis: Lolu hlobo lubonakala ngokuqina kwentamo nomgogodla.
• I-distal evelele ye-interphalangeal: Lolu hlobo lubonakala ngokuqina kwamalunga eminwe nasezinzwaneni. Ukukhubazeka kwesipikili kungakhula.

I-rheumatologist izokwazi ukukhomba uhlobo lwe-arthritis umuntu analo futhi ikhombise ukwelashwa okungcono kakhulu ecaleni ngalinye.

Yelashwa kanjani

I-Psoriasis ayikabi nalo ikhambi, ngakho-ke ukwelashwa kuhlose ukunciphisa nokulawula izimpawu futhi kubalulekile ukuvikela lesi sifo ukuthi singabi sibi kakhulu.

Ngakho-ke, omunye wemihlahlandlela yokuqala yokwelashwa ukwenza izinguquko endleleni yokuphila ezisiza ukuvimbela izinto ezinobungozi njengokukhuluphala, umfutho wegazi ophakeme noma isifo sikashukela, kufaka phakathi ukuyeka ukubhema nezinye izidakamizwa, kanye nokuzijwayeza ukuzivocavoca umzimba nokudla okulinganiselwe.

Ngaphezu kwalokho, ezinye izindlela zokwelashwa zifaka:

1. Ukusetshenziswa kwama-anti-inflammatories

Izidakamizwa eziyinhloko ezisetshenziselwa lesi sifo yizidakamizwa ezingezona ukuvuvukala ezinjenge-Ibuprofen noma iNaproxen, ezivumela ukwenziwa ngcono kwezimpawu nezimpawu zesifo esikhathini esifushane, kuqeda ukungakhululeki.

Ezimweni ezinzima kakhulu, noma lapho ukwelashwa ngemithi elwa nokuvuvukala kungaphumeleli, ezinye izinhlobo zemithi zingasetshenziswa, ikakhulukazi ama-corticosteroids kanye nezinguquko zesifundo sesifo, njenge-sulfasalazine, methotrexate noma i-cyclosporine.

2. Ukuhlinzwa

Ukuhlinzwa kwe-psoriatic arthritis kuboniswa lapho lesi sifo sinolaka kakhulu futhi sidala ukulimala kwamalunga. Inhloso yokuhlinzwa ukwenza ngcono noma ukufaka esikhundleni ilunga elilimele, ukuthuthukisa ikhwalithi yempilo.

3. Isikhathi sePhysiotherapy

I-Physiotherapy ingenye ingxenye ebaluleke kakhulu yokwelashwa, njengoba kukhona izivivinyo ezingenziwa ukusiza ukuthuthukisa ukunyakaza okuhlangene, ukuqeda izimpawu ze-tendonitis nokwenza ngcono impilo ngokujwayelekile. Bheka ukuthi yiziphi izinhlobo zokuzivocavoca ezingasiza.

Ngakho-ke, inhloso ukuthi ukwelashwa kwenziwe ngethimba elenza imikhakha ehlukahlukene, elenziwe yithimba lezokwelapha, nodokotela wamathambo, udokotela wamathambo nodokotela ojwayelekile, kanye nodokotela womzimba, isazi sokusebenza kwengqondo kanye nanoma yimuphi omunye uchwepheshe wezempilo ongasiza ekwenzeni ngcono ikhwalithi wempilo.