I-Psoriatic Arthritis vs. I-Rheumatoid Arthritis: Funda Umehluko

-Delile

• Yini ebangela iPSA neRA?
• I-psoriatic arthritis
• Isifo samathambo
• Ziyini izimpawu zesimo ngasinye?
• I-psoriatic arthritis
• Isifo samathambo
• Ukuthola ukuxilongwa
• Ukwelashwa
• I-psoriatic arthritis
• Isifo samathambo
• Lapho uzobona udokotela wakho

Ukubuka konke

Ungacabanga ukuthi isifo samathambo yisimo esisodwa, kepha kunezinhlobo eziningi zesifo samathambo. Uhlobo ngalunye lungabangelwa yizici ezahlukahlukene eziyisisekelo.

Izinhlobo ezimbili ze-arthritis yi-psoriatic arthritis (PsA) ne-rheumatoid arthritis (RA). Kokubili iPSA neRA kungaba buhlungu kakhulu, futhi womabili aqala kumasosha omzimba. Noma kunjalo, ziyizimo ezihlukile futhi ziphathwa ngokuhlukile.

Yini ebangela iPSA neRA?

I-psoriatic arthritis

I-PsA ihlobene ne-psoriasis, isimo sofuzo esibangela ukuthi amasosha akho omzimba akhiqize amangqamuzana esikhumba ngokushesha okukhulu. Ezimweni eziningi, i-psoriasis ibangela izigaxa ezibomvu nezikali zesiliva ukwakheka ebusweni besikhumba. I-PsA iyinhlanganisela yobuhlungu, ukuqina, nokuvuvukala emajoyintini.

Kufika kumaphesenti angama-30 alabo abane-psoriasis abaphethwe yi-PsA. Ungaba ne-PsA noma ngabe ungakaze ube nesikhumba. Lokhu kuyiqiniso ikakhulukazi uma unomlando womndeni we-psoriasis.

I-PsA ivame ukuqala phakathi kweminyaka yobudala engama-30 nengama-50. Abesilisa nabesifazane banamathuba afanayo okuba nalesi simo.

Isifo samathambo

I-RA yisimo sokuzilimaza esidala izinhlungu nokuvuvukala emalungeni, ikakhulukazi ku:

• izandla
• izinyawo
• izihlakala
• Izindololwane
• amaqakala
• intamo (ukuhlangana kwe-C1-C2)

Amasosha omzimba ahlasela ulwelwesi lwamajoyinti, abangele ukuvuvukala. Uma i-RA ishiywa ingalashwa, ingadala ukulimala kwamathambo nokukhubazeka ngokuhlanganyela.

Lesi simo sithinta abantu abayizigidi eziyi-1.3 e-United States. Ungahlakulela i-RA ngenxa yezakhi zofuzo, kodwa abantu abaningi abanalolu hlobo lwe-arthritis abanawo umlando womndeni waleso simo.

Iningi lalabo abane-RA ngabesifazane, futhi livame ukutholakala kulabo abaneminyaka yobudala engama-30 kuye kwengama-50.

Ziyini izimpawu zesimo ngasinye?

I-psoriatic arthritis

Izimpawu ezivame ukubangelwa yi-PsA zifaka:

• ubuhlungu obuhlangene endaweni eyodwa noma eziningi
• iminwe nezinzwane ezivuvukele, okubizwa nge-dactylitis
• Ubuhlungu beqolo, obaziwa ngokuthi i-spondylitis
• ubuhlungu lapho imisipha nemisipha ijoyina khona amathambo, okubizwa ngokuthi yi-enthesitis

Isifo samathambo

Nge-RA, ungahle uhlangabezane nenye yezimpawu eziyisithupha ezilandelayo:

• izinhlungu ezihlangene ezingathinta nezinhlangothi zombili zomzimba wakho ngokulingana
• ukuqina ekuseni okuthatha imizuzu engama-30 kuye emahoreni ambalwa
• ukulahlekelwa amandla
• ukulahlekelwa isifiso sokudla
• umkhuhlane
• izigaxa ezibizwa ngokuthi "amaqhuqhuva e-rheumatoid" ngaphansi kwesikhumba sengalo ezungeze izindawo ezinamathambo
• amehlo acasukile
• umlomo owomile

Ungaqaphela ukuthi izinhlungu zakho ezihlangene ziyafika zidlule. Uma uzwa ubuhlungu emajoyintini akho, kubizwa ngokuthi i-flare. Ungathola ukuthi izimpawu ze-RA zivele ngokuzumayo, zihlale isikhathi eside, noma zinciphe.

Ukuthola ukuxilongwa

Uma usola ukuthi une-PsA, RA, noma olunye uhlobo noma isifo samathambo, kufanele ubone udokotela wakho ukuthola isimo. Kungaba nzima ukucacisa i-PsA noma i-RA ezigabeni zayo zokuqala ngoba zombili lezi zimo zingalingisa ezinye. Udokotela wakho oyinhloko angakudlulisela ku-rheumatologist ukuze uqhubeke nokuhlolwa.

Kokubili iPSA neRA kungatholakala ngosizo lokuhlolwa kwegazi, okungakhombisa izimpawu ezithile zokuvuvukala egazini. Ungadinga ama-X-ray, noma ungadinga i-MRI ukuthola ukuthi isimo siwathinte kanjani amalunga akho ngokuhamba kwesikhathi. Ama-Ultrasound angenziwa futhi ukusiza ukuxilonga noma yiziphi izinguquko zethambo.

Ukwelashwa

I-PsA ne-RA zombili izimo ezingapheli. Alikho ikhambi lomunye wabo, kepha kunezindlela eziningi zokuphatha ubuhlungu nokungahambi kahle.

I-psoriatic arthritis

I-PsA ingakuthinta emazingeni ehlukene. Ngobuhlungu obuncane noma besikhashana, ungathatha izidakamizwa ezingezona ukuvuvukala (ama-NSAID).

Uma uhlangabezana nezinga lokungezwani noma uma ama-NSAID engasebenzi, udokotela wakho uzokunikeza imishanguzo yokulwa ne-rheumatic noma anti-tumor necrosis. Ngokuqhuma okukhulu, ungadinga imijovo ye-steroid ukunciphisa izinhlungu noma ukuhlinzwa ukulungisa amalunga.

Isifo samathambo

Kunezindlela eziningi zokwelapha i-RA ezingakusiza ukuphatha isimo sakho. Kwenziwe imishanguzo eminingi eminyakeni engama-30 edlule enikeza abantu ukukhululeka okuhle noma okuhle kakhulu kwezimpawu ze-RA.

Eminye imishanguzo, efana nokuguqula izifo izidakamizwa ezilwa nerheumatic (DMARDs), kungamisa ukuqhubeka kwesimo. Uhlelo lwakho lokwelashwa lungabandakanya nokwelashwa ngokomzimba noma ukuhlinzwa.

Lapho uzobona udokotela wakho

Uma une-PsA noma i-RA, kuzodingeka uhlole udokotela wakho njalo. Uma enye yalezi zimo ishiywa ingalashwa, umonakalo omkhulu ungenziwa emajoyintini akho. Lokhu kungaholela ekuhlinzweni noma ekukhubazekeni okungenzeka.

Usengozini yezinye izimo zezempilo, njengesifo senhliziyo, ne-PsA ne-RA, ngakho-ke ukukhuluma nodokotela wakho ngezimpawu zakho nanoma yiziphi izimo ezikhulayo kubaluleke kakhulu.

Ngosizo lukadokotela wakho nabanye ochwepheshe bezokwelapha, ungaphatha i-PsA noma i-RA ukudambisa izinhlungu. Lokhu kufanele kuthuthukise impilo yakho.