Intlungu yedolo yePsoriatic Arthritis

I-Psoriatic arthritis inokukhula kubantu abane-psoriasis, echaphazela amalunga ahlukeneyo, ngakumbi amadolo. I-Psoriasis yimeko yolusu ebangela ukuba iiseli zolusu zakhiwe kwaye zenze amabala okurhawuzelelwa, ulusu olomileyo olwaziwa ngokuba plates. I-Psoriatic arthritis sisifo sokuvuvukala kwexesha elide esinokubangela ukuvuvukala, ukuqina, kunye neentlungu. Iimpawu zinokuba mbi kakhulu ngokuhamba kwexesha ngaphandle konyango. Ukuxilongwa kwangoko kubalulekile ukunciphisa umonakalo kumalungu kunye nokucothisa inkqubela yemeko ngonyango.

I-Psoriatic Arthritis

Iimpawu ze-Psoriatic arthritis ezifana nokuqina kunye nokudumba kunokubonisa ngokwahlukileyo kumntu nomntu. Ngokomzekelo, abanye abantu abane-psoriatic knee arthritis baya kuba nokuqina okanye intlungu kwelinye idolo, ngelixa abanye bafumana iimpawu emadolweni omabini. I-Psoriatic arthritis emadolweni inokubangela ukudumba kwindawo ejikelezileyo:

• IiLigaments
• Tendons
• Iimbrane zeSynovial
• Iimpawu zinokuvela nakwi:
• Iibhokhwe
• iinyawo
• Hands

iimpawu

Iimpawu zihlala ziqala phakathi kweminyaka engama-30 kunye nengama-50. Iimpawu eziqhelekileyo ziquka:

• Ubunzima emva kokuphumla okanye ukulala.
• Ukudumba.
• Ukuvuvukala emadolweni kunye nommandla ojikelezayo.
• Isikhumba esishushu okanye esishushu emadolweni ukusuka ekudumbeni.
• Intlungu ngaphakathi nangaphandle kwamalungu, iitendon, okanye iiligaments.
• Ukunamathela ngokudibeneyo, ubunzima bokuhamba, okanye ukunciphisa uluhlu lwentshukumo.

Ezinye iimpawu ziquka:

• Umqolo obuhlungu
• Ukukhathala
• Intlungu kunye nokubomvu emehlweni
• Iminwe okanye iinzwane ezidumbileyo
• Ubunzima bokuhamba kwiintlungu ezinyaweni okanye kwi-tendon ye-Achilles.
• Ukugoba izikhonkwane okanye ukwahlula.

Ubunzima be-psoriasis abubonisi iimpawu ze-psoriatic arthritis. Iimpawu zinokuhamba ngepatheni yokubuyela umva kunye nokuxolelwa. Abantu ngabanye banokuhlaselwa ngequbuliso apho iimpawu ziba mandundu kwixesha elifutshane. Emva kokuqhambuka, iimpawu zinokuphucuka njengoko imeko isiya ekuxolweni. Iimpawu zisenokungabonakali ixesha elide de kube kuphinde kuqhambuke. Ngokomzekelo, umntu unokuba ne-psoriasis enzima kodwa kuphela i-psoriatic arthritis.

Izizathu

I-Psoriatic arthritis ikhula xa amajoni omzimba ahlasela ngempazamo iiseli kunye nezicubu ezisempilweni. Impendulo engalunganga yokuzikhusela komzimba ibangela ukuba umzimba ukhawuleze uvelise iiseli zolusu ezintsha ezibeka phezu komnye zenza amacwecwe. Xa imeko ichaphazela amalunga, ikhokelela ekudumbeni. Nangona kungekho sizathu esicacileyo se-psoriatic arthritis, abaphandi baye bafumanisa ukudibanisa kwi-genetics kunye nokusingqongileyo, kunye nabantu abanezihlobo ezisondeleyo ezine-psoriatic arthritis banokuthi bahlakulele imeko. Ezinye izinto ezinokuchaphazela uphuhliso ziquka:

• I-psoriasis enzima
• Ukwenzakala okubuhlungu
• ukutyeba
• Isifo sezikhonkwane
• ukutshaya

Imeko inokwenzeka nakweyiphi na iminyaka, kodwa ngokutsho Isiseko seSizwe sePsoriasis, abantu abaninzi baqala ukuqaphela iimpawu malunga neminyaka elishumi emva kokuba i-psoriasis yabo iqalile. Nangona kunjalo, kuphela i-30% yabantu abane-psoriasis abahlakulela i-psoriatic arthritis.

Ukuqondwa

Oogqirha basebenzisa izixhobo zokucinga ukuxilonga i-psoriatic arthritis emadolweni. Baza kusebenzisa:

• MRI
• X-ray
• omoya
• Ukubanceda bajonge izitenxo okanye iimpawu zokudumba kwindawo edibeneyo kunye nezicubu ezijikelezileyo.
• Iimvavanyo ezongezelelweyo zisetyenziselwa ukulawula ezinye iindlela eziqhelekileyo ze-arthritis ezifana rhumatoid kunye ne-osteoarthritis.
• Uvavanyo lwegazi lujonga ukuvuvukala kunye nezilwa-buhlungu ezithile.
• Kwezinye iimeko, ulwelo oluncinci olusuka kumdibaniso luthathwa ukunceda ukuphelisa ukuba nokwenzeka kwezinye iimeko ezinjengosulelo.

impatho

Okwangoku alukho unyango lwe-psoriatic arthritis, kodwa unyango luyaphuhliswa kwaye lubonisa isithembiso solawulo lwexesha elide. Unyango lwangoku lujolise ekulawuleni iimpawu kunye nokuphucula umgangatho wobomi kumntu ngamnye.

Biologics

Amayeza ebhayoloji afana isimilo necrosis factor okanye ii-TNF inhibitors ziyacetyiswa njengonyango lodidi lokuqala kubantu abaninzi abanoxilongo olutsha lwe-psoriatic arthritis. La mayeza anceda ukuvala i-TNF, edlala indima ebalulekileyo ekudumbeni. Ziye zabonisa ukuba zisebenza kakuhle ekunciphiseni ubunzima beempawu kunye nokuphindaphinda kwe-flare-ups. I-Biologics inokubangela iziphumo ebezingalindelekanga ezingafunekiyo, ngakumbi kubantu abafumana usulelo rhoqo kwaye bafuna ukujongwa rhoqo.

Amayeza amaNcinci amaNcinci

Abantu abangakwaziyo ukusebenzisa amayeza ebhayoloji banokucetyiswa iklasi entsha yamayeza ebizwa ngokuba ziimolekyuli ezincinci zomlomo okanye ii-OSM. Imizekelo ibandakanya i-apremilast - Otezla kunye ne-tofacitinib - Xeljanz.

Izifo-ukuguqula Amachiza eAntirheumatic

Izifo eziguqula iziyobisi ezichasayo – iiDMARDs lukhetho lwexesha elide. Zisetyenziselwa ukucothisa ukuqhubela phambili kwe-psoriatic arthritis, kwaye imizekelo ibandakanya i-methotrexate kunye ne-cyclosporine. Ii-DMARD zisebenza ngcono xa umntu eqala ukuzithatha kwangoko njengoko zinokuthatha ixesha lokusebenza. Nangona kunjalo, abantu bayakhuthazwa ukuba baqhubeke bezithatha, nokuba iimpawu aziphucuki ngoko nangoko.

Ukunciphisa Ukukrala

Ugqirha unokumisela amayeza achasene nokudumba-i-NSAIDs kunye nenaliti ye-corticosteroid xa iimpawu zedolo zivutha. Olu lunyango lwexesha elifutshane olubonelela ngokukhawuleza, njengoko ukusetyenziswa kwexesha elide kunokukhokelela kwimiphumo emibi. Abantu ngabanye banokufumana isiqabu ngokuzikhathalela okudityanisiweyo okubandakanya:

• Ukuthatha ii-NSAID ezingaphezulu kwe-counter ezifana ne-ibuprofen/Advil okanye naproxen/Aleve.
• Ukusebenzisa iipakethi zomkhenkce kunye nobushushu.
• Ukuzivocavoca okuthambileyo ukukhuthaza uluhlu olupheleleyo lokunyakaza.
• Ukuzolula kancinci okanye i-yoga kunokunceda ukukhulula izihlunu eziqinileyo.
• IChiropractic.
• Ukwenza i-Acupuncture.
• I-Masaji yoNyango.
• Ukutya okuchasayo.
• Ukuvuselela kombane.

Unyango lweChiropractic lunokunceda:

• Ukuphelisa umvandedwa.
• Thintela ukuqhawuka kwezihlunu.
• Amalungu okulungelelanisa.
• Ukuphucula ukuhamba.

Nangona kunjalo, i-chiropractic ayilona unyango oluphambili lwe-arthritis kodwa ijoliswe ukuba isetyenziswe ngokudibeneyo ukukhulula intlungu, ukukhulula kunye nokwelula imisipha kunye nokulinganisela umzimba.

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InBody

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Amandla, Ukulungelelana, kunye nokuPhuculwa koBume boMzimba

Ukomelela okusebenzayo kukukwazi ukuhamba kakuhle yonke imihla. Iinzuzo zomsebenzi womzimba nazo zinegalelo ekuphuculeni ukubunjwa komzimba. Ukusebenza ukufikelela kwinqanaba elithile lokufaneleka kokusebenza kunokuncedisa inkqubo yokuguga ebonakaliswe ukunciphisa izinga lomzimba. Ukungasebenzi kungenxa yokuba abantu bephulukana noMzimba oBonelekileyo njengoko bekhula, nto leyo ekhokelela ekunyukeni kwamafutha omzimba. I-Lean Body Mass inegalelo kumlinganiselo womzimba wonke we-Basal Metabolic Rate okanye i-BMR, ekwaziwa njenge-metabolism. Eli linani leekhalori ezifunwa ngumzimba ukuxhasa imisebenzi ebalulekileyo. Wonke umntu uyakhuthazwa ukuba abandakanyeke uqeqesho lwamandla okanye imithambo yokuxhathisa, kodwa ngokukodwa abantu abadala. Oku kunokunceda ukubuyisela ukulahleka kwemisipha enokukhokelela ekwandeni kobunzima bomzimba obunzima. Ukonyuka kwe-Lean Body Mass yonyusa i-BMR, enceda ukuthintela ukwanda kwamafutha.

Ucaphulo

Chang, KL, et al. (2015). Ulawulo lweentlungu ezingapheliyo: Unyango lwe-Nonpharmacological for chronic pain [Abstract]. www.ncbi.nlm.nih.gov/pubmed/25970869

Ukunyamekela kweChiropractic kwi-arthritis. (nd). isifo samathambo

IChiropractic: Ngokunzulu. (2019). nccih.nih.gov/health/chiropractic-in-depth

Ukufumana njani ukuxolelwa kwi-psoriatic arthritis. (nd). arthritis.org/diseases/more-about/how-to-achieve-remission-in-psoriatic-arthritis

Ukuphila nge-psoriatic arthritis. (nd). psoriasis.org/living-with-psoriatic-arthritis/

Sankowski, AJ, et al. (2013). I-Psoriatic arthritis. www.ncbi.nlm.nih.gov/pmc/articles/PMC3596149/