I-Psoriatic Arthritis - Iimpawu neNyango eyanceda ngokwenene

I-Psoriatic arthritis ngumphumo wobukho kumntu we-psoriasis okanye ukuthambekela kwangasesi sifo. Emva kokuphanda esi sifo, izazinzulu zenza izigqibo ezininzi ezithandekayo malunga neyona ndlela kunye neendlela zokonyango.

I-Psoriasis kunye ne-psoriatic arthritis

I-psoriatic arthritis iyaqondwa ngokudibanisa izifo ezimbini: i-psoriasis kunye ne-rheumatoid arthritis. Ngokwezibalo zonyango, i-psoriatic arthritis ikhona kwi-10% yezigulane ezine-psoriasis. Ekuqaleni, izigulana ziyakhala isikhalazo malunga nokubonakala kwesilinganiselo esibomvu esikhumbeni. Kule meko, oogqirha baxilonga i-psoriasis, i-arthritis iqala ukuzibonakalisa emva kwexesha kunye neentlungu okanye imilenze. Kwiimeko ezinqabileyo, lesi sifo siqala ngeengxaki ezidibeneyo, kwaye ulusu lubukeka lunempilo ngexesha elifanayo.

Ukufunda i-psoriatic arthritis, iimpawu kunye nokonyango, oogqirha beza kufikelela kwisigqibo sokuba lesi sifo sibhekisela kwingqondo ye-psychosomatic, oko kukuthi, ngokuphathelele ngqo kwinkqubo yesantya. Abasetyhini banamalungu angaphezu kweemvakalelo zobuntu, ngoko banokubandezeleka kwesi sifo kaninzi kunamadoda. Isizathu esibalulekileyo sokulimala kwe-psoriatic kunye noxinzelelo olude okanye olude, ukukhathazeka kwengqondo.

I-Psoriatic Arthritis - Iimpawu

Iimpawu ze-psoriatic arthritis ngokufanayo zifana neempawu ze-arthritis eziqhelekileyo. Ukuxilongwa kwe-psoriatic arthritis, oogqirha baqwalasela iimpawu ezinjalo:

• ukukhathazeka kwamalungu kunye nokuvuvukala kweendawo ezikufutshane;
• ulusu olujikeleze iqela elichaphazelekayo luya kuba nomkhuhlane;
• ukuxelwana kungenziwa ngamalungu amancinci;
• Amalungu angathintekayo angaba nombala obomvu okanye umbala obomvu;
• Amaxesha amaninzi amathintelo ahlukeneyo achaphazelekayo, okubangela ukuvakalelwa okubuhlungu kunye neengxaki ekuhambeni;
• Iminwe kwimilenze kunye neengalo zifutshane okanye zandiswe;
• umonakalo odibeneyo ulinganiselwe;
• ukuqina kokusa kwamalungu.

I-Psoriatic arthritis yeminwe

Oogqirha, ukufunda i-psoriasis, i-arthritis, iimpawu zesi sifo, waphetha ukuba i-psoriatic arthritis yeminwe yindlela eqhelekileyo ye-psoriatic arthritis. Ngolu hlobo lwesifo, izilonda ze-arthritic zichaphazela kuphela iminwe yamalungu angaphezulu. Esi sifo sinokuqala ngeembonakalo ze-psoriatic, ezongezwa kwizilonda zomnwe, kwaye zingaqala ngeempawu zesifo se-arthritis.

Ukufunda isifo se-psoriatic yeminwe sinokwenzeka ngeempawu:

• Amalungu amancinci amacandelo angaphezulu aba buhlungu;
• Amalungu eminwe ayakhula, kwaye ukuvuvukala kunokusasazeka kwiimichilo ezungezile;
• Amalungu aphihliweyo, iminwe ishintshe ukuma: thintela kwaye ufutshane;
• kwindawo edibeneyo, isikhumba sitshisa, sithola umthunzi omnyama;
• Isici esahlukileyo se-psoriatic arthritis kukutshatyalaliswa kwetafile: izipikili zilahlekelwa ngumbala, ziba zibala, ziguqulwe okanye zithe.

I-Psoriatic arthritis yemilenze

I-Psoriatic arthritis yonyawo idla ngokugqithisileyo ifunyanwe njengesithende, i-fasciitis, i-gout, i-arthritis. Ukongeza, i-psoriatic arthritis inokufana nokubonakaliswa kwezifo ezizimelayo ezifana ne-lupus, njl. Ngokungafani nezinye izifo ezibizwa ngokuba zizifo ezinzima, ezivela ngenxa yemithwalo enzima kwimilenze, i-psoriatic arthritis ivela ngenxa ye-psoriasis.

I-Psoriatic arthrosis okanye i-arthritis yonyawo ibonakalisa intlungu ebuhlungu kumalungu kunye nezicubu ezijikelezayo. Ikhumba elijikeleze iqela elichaphazelekayo liyajika libomvu okanye liluhlaza. Ngenxa yokuphazamiseka kokudibanisa ngokwayo, ukuhanjiswa kungenziwa, kubangela iintlungu ezongezelelweyo kunye nokubangela ubunzima ekuhambeni. Amalungu atshabalalayo akhokelela ekutshintsheni ekubunjweni kwezwane ezincinci: bafutshane kwaye banqande.

I-Psoriatic arthritis - ukuxilongwa

Ukuxilongwa kwe "psoriatic arthritis" kunokunikwa isigulane esineziganeko ezintathu zezi zimpawu:

• umntu ovela kwizihlobo ezikufutshane wayegula okanye egula nge psoriasis ;
• Ikhumba kunye neipilisi zezipiko zichaphazeleka yi-psoriasis;
• I-X-ray ibonakalisa ukutshabalaliswa kwamathambo kunye ne-periosteal stratifications, ngaphandle kokuba i- osteoporosis ye- periarticular region ingabonwa;
• Kwizithende zivakalelwa xa zihamba;
• i-arthritis yamalungu esandla esiphakathi kwesikhonkwane kunye ne-phalanx ephakathi yeminwe;
• Zonke izihlanganisi ezintathu zomnwe wokuqala ziguqulwa;
• isalathiso sesilungu esingaphantsi sitshintshiwe;
• i-rheumatoid factor is negative;
• I-X-ray ibonisa ukungaqhelekanga kumalungu e-sacroiliac;
• kwimihlobiso esondelene ne-vertebral i - calcium salts .

I-Psoriatic arthritis - iimvavanyo

Ukumisela i-psoriatic arthritis, ukuhlolwa kwangaphandle kwesigulane, ukuxilongwa kwebhubhoratri nokuqokelela i-anamnesis kuyimfuneko. Ukuxilongwa kwe-arthritis kuqhutywa ngoncedo lwaloo vavanyo:

1. I-X-ray yendawo echaphazelekayo. Umfanekiso uza kubonisa utshintsho olwenziwe kumalungu.
2. Uvavanyo lwegazi olwandisiweyo. Egazini, i-anemia, i-ESR eyandisiweyo kunye ne-fibrinogen, i-sialic acid, i-immunoglobulin A, G, no-E. ingabonwa.
3. Uhlalutyo lwe-intraarticulate synovial fluid. Utywala oluthatyathwe ukuhlalutya phambi kwe-psoriatic arthritis luya kukhululeka, kunye nenani eliphezulu le-neutrophils.

I-Psoriatic arthritis - unyango

Ngaphambi kokunyanga i-psoriatic arthritis, ugqirha umisela uviwo olunzulu olumnceda ukuba aqonde ukulingana kwamalungu. Ukunyaniseka, kunzima ngakumbi ukususa iimpawu zayo. Isigulane sifanele siyazi ukuba esi sifo asikwazi ukuphiliswa. Oogqirha banokukunceda ukunciphisa imeko kunye nokuyeka iinkqubo zokulungisa. Inkathalo yonyango ingaquka ukusetyenziswa kwamachiza, ukutya kokutya, i-physiotherapy, i-gymnastics yokwelapha, ukuguquka kwendlela yokuphila.

I-Psoriatic arthritis - iingcebiso zeklinikhi

Uluhlu lweengcebiso malunga nendlela yokuphilisa i-psoriatic arthritis luquka iziphakamiso zokutshintsha imikhwa ethile:

1. Iiklasi ze-physiotherapy. Esi sifo, ukuhamba ngokukhawuleza nokubhukuda kukuhle.
2. Xa kukho intlungu kumalungu, kufuneka uziphelise. Amajoyina akakwazi ukulayishwa ngaphezulu.
3. Ukukhethwa kweembadada kuyimfuneko. Akunakwenzeka ukuvumela amajoyina ukuba aphuhliswe izicathulo eziqinileyo.
4. Kubalulekile ukulala ngokupheleleyo. Ukwenza oku, kufuneka uhambe ngaphambi kokulala, umoya wendlu yokulala, ungadli itiye kunye nekhofi yobusuku, ungaboni amafilimu kunye neenkqubo ezikhuthazayo.
5. Ukulawulwa kwemiqathango ngumsebenzi obalulekileyo kwisigulane esinesifo se-psoriatic arthritis. Ukubuya ngokuthe ngqo kuya kuphepha ukuhlaselwa kwezempilo.
6. Kubalulekile ukhethe i-comfortable comfortable pose for sleep. Kucetyiswa ukuba ne-matrikhi ne-pillow yokulala.
7. Kubalulekile ukukholisa ubomi obuqilileyo, ukulinganisa , ukuzama ukungabi nokwesaba nokugwema uxinzelelo.

Ukulungiselela i-psoriatic arthritis

Ukunikezela iziyobisi unyango lwe-psoriatic arthritis kufuneka ugqirha, njengokuba unyango lungakhokelela kwimiphumo ebuhlungu. Ukunyanga okunzima kwesi sifo kubandakanya amalungiselelo enkqubo yezobisi:

1. Iziyobisi ezingenasifo. Zisetyenziselwa ukunciphisa umsebenzi we-immune system. Isidakamizwa esithandwa kakhulu yi-methotrexate kwi-psoriatic arthritis. Isilwanyana senza ukuba kube lula ukuyeka inkqubo yokuphuhlisa. Unyango lwe-psoriatic arthritis kunye ne-methotrexate ithathwa njengesiseko. Ukongeza, i-Sulfasalazine isetyenziselwa i-psoriatic arthritis, i-Cyclosporine, i-Leflunomide, i-Azathioprin kunye nezofana nazo.
2. Iilungiselelo lokuvimbela iiprotheni eziphambanisayo ezinomzimba eziphantsi kwe-molecular: Adalimumab, Infliximab, Etanercept.
3. Iqela lamachiza amatsha kunyango lwe-psoriatic arthritis ziquka u-Otela kunye noTaltz (Isekizumab). Iyokugqibela ineendleko eziphezulu, ngoko ke ayifumaneki kwizigulane ezininzi.
4. Ifom ephezulu ye-psoriatic arthritis ibonisa ukuhlanjululwa kwegazi ngoncedo lwe-plasmapheresis.

I-Psoriatic arthritis - unyango kunye nezilwanyana zomntu

Ukunyangwa kwezilwanyana ze-psoriatic arthritis kunokuyongezwa kakuhle kwiinkonzo zamachiza. Ezi ndlela zithandwayo ziyaziwayo:

1. Unyango lwamasebe asepruce. Ukwenza oku, lungiselela ukumnika kwamagatsha e-spruce, upholise kwiqondo lokushisa lama-38 degrees uze ukhulise amabala amakhulu. Emva kwenkqubo, ezi ndawo kufuneka zifakwe kwaye zigcinwe malunga neyure. Ikhosi iqukethe iinkqubo ezi-5.
2. Iitera zeeruba. Ngesi sifo kunceda ukusela izidalwa zezityalo ezinjalo: I-St. John's wort, amaqabunga e-birch, i-dandelion, i-juniper, i-blackberry.
3. Turpentine cindezela. Thatha amaconsi amancinci, 2 tbsp. l. ioli yemifino, 1 tbsp. l. ikroti. Hlanganisa izinto kunye nokusebenza kwidibaniselwano ezichaphazelekayo. Gcina ubusuku bonke, phinda iintsuku ezili-10.
4. I-ointment esekelwe kwioli ye-eucalyptus. Kubalulekile ukucwangcisa iigonsi zeehaps, iintyatyambo ze-clover e-sweet and St. Wort's wort. Hlanganisa iqoqo ngeoli ye-eucalyptus kunye ne-petroleum jelly kwaye usebenzise kwiindawo ezikhukhulayo.

Ukutya kwi-psoriatic arthritis

Isondlo esifanelekileyo kunye ne-arthritis yinxalenye ebalulekileyo yonyango. Ukutya okugqwesileyo kwizigulane ezine-arthritis ye-psoriatic kukutya kwe-Pegano . Umbhali wokutya uthetha ukutya ukutya okuncinci, kodwa kaninzi. Uluhlu lweemveliso ezicetyiswayo lubandakanya okusanhlamvu, imifuno, iziqhamo. Kwinqanaba elincinci lokucetyiswa kokutya izitya zentlanzi. Ezi zinto zilandelayo zivaliwe:

• itiye kunye nekhofi;
• utywala;
• iiskese, i-buns, isonka esitsha;
• ezinqiniweyo, ezinqatha, ukutshaya, ukutya okunesityu kunye nokutya okunesonka;
• imbotyi;
• inyama.