Ðe teƒe dzĩ siwo me ʋuʋudedi le le wò ŋutigbalẽ ŋua? Ðe nèkpɔa nusiawo geɖe wu ɣeaɖewoɣi le wò ta, klo, kple abɔta? Ðe wò hã nèsena le ɖokuiwò me be yeƒe ŋutilã, vevietɔ wò asibidɛwo kple klowo, hã le veve sem ne èfɔ le ŋdi mea? Ne kuxi siawo evea siaa le ŋuwò la, ɖewohĩ dɔléle aɖe si woyɔna be ‘Psoriatic Arthritis’ ate ŋu anɔ ŋuwò. Mègavɔ̃ ne èse ŋkɔ sia o. Esia nye nusi le ame geɖe si. Egbea, míaƒo nu tso esia ŋu le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.
Nukae nye ƒunukpeƒetetedɔ sia?
Kpuie ko la, ƒunukpeƒetetedɔ nye ƒunukpeƒetetedɔ ƒomevi aɖe. Enye ƒunukpeƒewo ƒe dɔdzẽ. Zi geɖe la, edzɔna ɖe amesiwo ŋu ŋutigbalẽ ƒe dɔléle aɖe si woyɔna be psoriasis le ŋu. Ɣeaɖewoɣi la, ne psoriasis le wò ƒomea me la, ate ŋu axɔe hã.
Azɔ mina míagaɖe nya sia me vie.
- Ƒunukpeƒetetedɔ: Esia nye dɔléle si bɔ si gblẽa nu le míaƒe ƒunukpeƒewo ŋu. Enaa vevesese kple vuvu (dɔdzẽ) le ƒunukpeƒewo kple eƒe golɔgoewo me.
- Psoriasis: Esia nye ŋutigbalẽ ƒe dɔléle si me dɔdzẽ le. Le nɔnɔme sia me la, ŋutigbalẽ ƒe akpa dzĩwo dona, eye klosalo ƒe ʋuʋudediwo tsyɔ wo dzi. Woyɔa ʋuʋudedi siawo be kpe gbadzɛwo. Tsɔ kpe ɖe eŋu la, ame aɖewo ƒe asibidɛwo kple afɔbidɛwo ate ŋu aƒo, aŋɔ, alo do suesuesuewo nanɔ wo me.
Wobu nɔnɔme siawo evea siaa, ƒunukpeƒetetedɔ kple ƒunukpeƒetetedɔ, be wonye dɔléle siwo dɔlélenutsiŋutete hena vɛ . Bu eŋu ale: míaƒe ŋutilã ƒe ametakpɔnu, si nye dɔlélenutsiŋutete, le abe aʋakɔ ene. Eƒe dɔe nye be wòakpɔ mía ta to avuwɔwɔ kple duta amedzidzelawo me. Gake le ``autoimmune'' nɔnɔme sia me la, mía ŋutɔwo ƒe ametakpɔnu dzea mía ŋutɔwo ƒe lãmenugbagbevi siwo le lãmesẽ me dzi dzedze gɔme vodadatɔe. Le ƒunukpeƒetetedɔ me la, amedzidzedze sia dzɔna ɖe ŋutigbalẽ kple ƒunukpeƒewo dzi le ɣeyiɣi ɖeka me.
Dɔléle sia ƒe dzesiwo menɔa anyi ɖaa o. Ɣeaɖewoɣi la, dzesiawo nu sẽna ɖe edzi, si míeyɔna be ‘flares’ . Ɣeaɖewoɣi la, dzesiawo nu yina. Ne ŋutigbalẽ me ʋuʋudedi yeyewo va le ŋuwò, alo ne wò ƒunukpeƒewo le veve sem, vuvu, alo le sesẽm la, kpɔ egbɔ be yeyi ɖɔkta gbɔ eye yeƒo nu tso eŋu.
Aleke gbegbee nɔnɔme sia bɔe?
Ame siwo mede 1% le xexeame o ye ŋu ƒunukpeƒetetedɔ le. Gake ne psoriasis le ŋuwò xoxo la, afɔku si le eme be nàxɔ dɔlélea la lolo wu sã. Ame siwo ade 30 le 100 ɖesiaɖe me siwo ŋu psoriasis le la axɔ psoriatic arthritis le woƒe agbemeɣeyiɣi aɖe me.
Nukawoe nye dɔléle sia ƒomevi vevitɔwo?
Psoriatic arthritis menye nu ɖeka na amesiame o. Ðɔktawo mae ɖe hatsotso vevi atɔ̃ me, le ƒunukpeƒe siwo ŋu wògblẽ nu le kple alesi dzesiawo dzenae nu. Ele vevie be nànya nusiawo.
| Dɔléle ƒomevi | Kpuie ko la,... |
|---|---|
| Distal interphalangeal ye xɔ aƒe ɖe eme | Esia gblẽa nu le ƒunukpeƒe sue siwo te ɖe asibidɛwo kple afɔbidɛwo ƒe nugbɔ ŋu koŋ. Esiae nye ƒunukpeƒetetedɔ ƒomevi si bɔ wu si gblẽa nu le ɖa ŋu. Wò ɖawo ate ŋu atrɔ amadede, woaɖe wo ɖa, alo do suesuesuewo nado. |
| Ƒunukpeƒetetedɔ si sɔ kple wo nɔewo | Esia gblẽa nu le ƒunukpeƒe atɔ̃ alo esi wu nenema ŋu le ɣeyiɣi ɖeka me. Nya 'symmetric' gɔmee nye "symmetrical". Esia fia be ƒunukpeƒe ɖeka mawo ke gblẽa nu le ŋutilãa ƒe akpa eveawo ŋu . Le kpɔɖeŋu me, ate ŋu agblẽ nu le wò klowo kple abɔta eveawo siaa ŋu le ɣeyiɣi ɖeka me. Esia hã nye ƒomevi si bɔ. |
| Oligoarticular si mesɔ o | Esia gblẽa nu le ƒunukpeƒe eve va ɖo ene ŋu le ŋutilã ƒe akpa eveawo, gake menye ‘nusɔsɔ’ o, si fia be mekpɔa ŋusẽ ɖe ƒunukpeƒe ɖeka ma ke dzi le akpa eveawo o. Le kpɔɖeŋu me, ate ŋu agblẽ nu le ɖusime klo kple miame abɔta ŋu. Esia hã nye ƒomevi bubu si bɔ wu. |
| Spondylitis ƒe dɔléle | Ƒu suesuesue siwo woyɔna be vertebrae ye le míaƒe akɔta. Le ƒunukpeƒetetedɔ sia ƒomevi me la, ƒunukpeƒe siwo le akɔtaƒuwo dome la xɔa abi . Esia ate ŋu ana akɔta nase veve eye wòasẽ. Ɣeaɖewoɣi la, woate ŋu ase veve le akɔta kple abɔta hã. |
| Ƒunukpeƒetetedɔ ƒe mutilans | Esiae nye ƒunukpeƒetetedɔ ƒomevi si nu sẽ wu eye mebɔ o wu . Ekpɔa ŋusẽ ɖe asiwo kple afɔwo dzi. Dɔdzẽa nu sẽ ale gbegbe be ƒuawo te ŋu ƒuna. Le atikewɔwɔ me la, woyɔa esia be ``ƒumeŋuɖui.'' Gake esia nye nɔnɔme si mebɔ kura o. Wokpɔa ƒomevi sia le amesiwo ŋu psoriatic arthritis le siwo mede 5% o me. |
Dzesi kawoe nàte ŋu akpɔ?
Psoriatic arthritis ate ŋu agblẽ nu le ƒunukpeƒe ɖesiaɖe si le ŋutilãa me ŋu. Le ame aɖewo gome la, dzesiawo nu mesẽna kura o. Ðewohĩ ŋutigbalẽ ƒe akpa sue ʋɛ aɖewo koe anɔ anyi eye ƒunukpeƒeawo nase veve vie eye woasẽ. Gake le ƒunukpeƒetetedɔa me la, vevesesea ate ŋu asẽ ale gbegbe be womate ŋu azã ƒunukpeƒeawo o eye ŋutigbalẽ ƒe akpa gãwo ate ŋu adze.
Esiawoe nye dzesi siwo wokpɔna zi geɖe:
- Ƒunukpeƒeveame: Vevesese ate ŋu adzɔ le ƒunukpeƒe ɖeka alo esi wu nenema me.
- Ƒunukpeƒewo ƒe sesẽ: Esesẽna be woabɔbɔ alo akeke ƒunukpeƒewo, vevietɔ ne èfɔ le ŋdi me.
- Ƒunukpeƒewo ƒe vuvu kple bibi: Ƒunukpeƒe siwo ŋu dɔlélea le ate ŋu avuvu eye woabiã ƒo xlã ƒunukpeƒea.
- Tendon kple ligament pain: Vevesese alo vevesese le afisi míaƒe lãmekawo léna ɖe míaƒe ƒuwo ŋu (e.g., Achilles tendon).
- Asibidɛwo ƒe vuvu: Asibidɛwo alo afɔbidɛwo vuvu abe soseti ene. Ðɔktawo hã yɔa esia be `(dactylitis)`.
- Psoriasis ƒe ʋuʋudedi: Dzĩ siwo ƒe amadede nye klosalo, vevietɔ le ta, klo, abɔta, kple akɔta ƒe akpa si le anyime.
- Taɖa ƒe tɔtrɔ: Taɖa ƒe amadede ƒe tɔtrɔ, do ƒe dodo, eƒe ƒoƒo, alo ɖaa ƒe vovototo tso ŋutigbalẽa gbɔ.
- Ðeɖiteameŋu: Menye ɖeɖiteameŋu koe esia nye o. Ðeɖiteameŋu si gbɔ emee nana màte ŋu awɔ naneke o, eye wòwɔna na wò abe ɖeɖiteameŋu sia nu madzo o ne èdɔ alɔ̃ ŋkeke bliboa gɔ̃ hã.
Nukatae esia dzɔna ɖo? Amekae le afɔku me wu?
Eŋutinunyalawo menya nusi tututu hea ƒunukpeƒetetedɔ vɛ haɖe o. Gake numekuku aɖewo ɖee fia be tɔtrɔ mawo tɔgbe le amesiwo ŋu dɔlélea le ƒe domenyiŋusẽfianu me (domenyiŋusẽfianu ƒe tɔtrɔ). Gake womenya haɖe nenye be domenyiŋusẽfianu ƒe tɔtrɔ siawoe hea dɔlélea vɛ loo alo ne tɔtrɔ siawo dzɔna le dɔlélea ƒe dzɔdzɔ vɔ megbe o.
Vevietɔ la, amesiwo ŋu ƒunukpeƒetetedɔ le la dometɔ siwo ade 40%, alo abe ame 40 le 100 ɖesiaɖe me, ƒe ƒometɔ bubu aɖe si ŋu dɔlélea le, si fia be ate ŋu anye domenyiŋusẽfianu ƒe nɔnɔme.
Eyata ne psoriasis alo psoriatic arthritis le wò ƒomea me la, kpɔ egbɔ be yegblɔe na wò ɖɔkta.
Togbɔ be dɔléle sia ate ŋu adzɔ le ƒe ɖesiaɖe me hã la, ebɔ wu le ƒe 30 va ɖo ƒe 50 dome.Ebɔ ɖe amewo dome. Zi geɖe la, psoriasis (ŋutilãdɔ) dzea sɔhɛwo dzi, le ƒe 15-25 lɔƒo, eye ƒunukpeƒewo ƒe dzesiwo dzena le ƒe geɖe megbe, le woƒe tsitsime.
Ðe nɔnɔme sia ate ŋu ahe dɔléle bubuwo vɛa?
Ẽ, amesiwo ŋu ƒunukpeƒetetedɔ le ate ŋu anɔ afɔku me vie be woaxɔ lãmesẽkuxi bubuwo. Esia tso dɔdzẽ si nɔa ŋutilãa me atraɖii gbɔ.
Kuxi siwo ate ŋu ado mo ɖa wu dometɔ aɖewoe nye:
- Ʋusɔgbɔdɔ (Hypertension) .
- Ʋumemi ƒe agbɔsɔsɔ si le ʋu me ƒe dzidziɖedzi (Hyperlipemia) .
- Amidada
- Suklidɔ
- Teteɖeanyi
- Ʋusɔgbɔdɔ
- Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ
Ƒunukpeƒewo ƒe vevesese ate ŋu ana kamedede nasesẽ. Gake kamemademade ate ŋu ana wò kpekpeme nadzi ɖe edzi eye wòana wò ƒunukpeƒewo natsi dzimaɖi geɖe wu. Eyata ƒo nu kple wò ɖɔkta tso kamedede siwo mekpɔa ŋusẽ boo o siwo metsɔa nyaƒoɖeamenu fũu na wò ƒunukpeƒewo o ŋu. Nuwo abe yoga, azɔlizɔzɔ, alo tsi me dɔdamɔnu ene nye mɔ nyui siwo dzi nàto ana wò ŋutilã nanɔ lãmesẽ me evɔ màde nuteɖeamedzi geɖe wò ƒunukpeƒewo dzi o.
Aleke ɖɔkta awɔ ake ɖe esia ŋu?
Ðɔkta aɖe to ŋutilãmedɔdada kple dodokpɔ bubu geɖe me dea dzesi ƒunukpeƒetetedɔ. Ðɔktaa abia nya wò tso wò dzesiwo ŋu eye wòalé ŋku ɖe wò ŋutigbalẽ kple ƒunukpeƒewo ŋu nyuie.
Woate ŋu aɖo wò ɖe eŋutinunyala bibiwo hã gbɔ:
- Lãmetsiŋutinunyala: Esia nye ɖɔkta si bi ɖe ƒunukpeƒedɔlélewo, dɔléle siwo dɔlélenutsiŋutete hena vɛ, kple dɔdzẽ ƒe nɔnɔmewo me.
- Ŋutilãŋutinunyala: Esia nye ɖɔkta si bi ɖe ŋutigbalẽdɔlélewo me.
Dodokpɔ ɖeka aɖeke meli si ate ŋu aɖo kpe ƒunukpeƒetetedɔ dzi o. Ðɔktawo awɔ dodokpɔwo atsɔ aɖe nɔnɔme bubu siwo ate ŋu ahe wò dzesiwo vɛ la ɖa.
Dodokpɔ aɖewo siwo woate ŋu abia tso asiwò be nàwɔ:
- Ʋudodokpɔ: Kpɔ nuwo abe dɔlékuiwo ene ɖa.
- Nɔnɔmetatawo dodokpɔ: Esiawo ate ŋu adi be ƒunukpeƒewo gblẽ alo abi.
- X-ray-wo wɔwɔ
- MRI-dɔdamɔnu ƒe fotoɖeɖe
- CT-dɔdamɔnu
- Ultrasound ƒe fotoɖeɖe
Nukawoe nye atike siwo wozãna na esia?
Wò ɖɔkta aŋlɔ atike na wò be wòakpɔ wò dzesiwo gbɔ. Atikewɔwɔ si ƒomevi nèhiã la anɔ te ɖe nu geɖe dzi:
- Ƒunukpeƒe kawoe dɔlélea gblẽa nu le?
- Aleke gbegbee dzesiawo nu sẽe?
- Aleke gbegbee dzesi siawo doa kplamatse wò gbesiagbedɔwo?
Dɔdamɔnu siwo wozãna wue nye:
- Vevesesenutsitikewo: Woateŋu aƒle vevesesenutsitike siwo ɖea dɔdzẽ dzi kpɔtɔna, abe ``NSAIDs'' ene, le atikedzraƒe.
- Vuvɔ alo dzoxɔxɔ ƒe atikewɔwɔ: Ðe vevesese kple sesẽme dzi kpɔtɔ.
- Corticosteroids: Atike sẽŋu aɖe si ɖea dɔdzẽ dzi kpɔtɔna kabakaba. Woate ŋu ana esiawo abe atikekui ene alo abe atike si wodona ɖe ƒunukpeƒea tẽ ene.
- DMARD (Disease-modifying antirheumatic drugs): Esiawo nye atike tɔxɛ aɖe si trɔa dɔlélea ƒe zɔzɔ, si fia be wokpɔa dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi eye wodzudzɔa nusiwo gblẽ le ƒunukpeƒewo ŋu.
- Lãmesẽfefewɔwɔ alo dɔdamɔnu: Esiawo ate ŋu akpe ɖe ŋuwò nàsrɔ̃ alesi nàwɔ ƒunukpeƒewo ƒe dɔwɔwɔ kple ŋusẽ nanyo ɖe edzi eye gbesiagbedɔwo nanɔ bɔbɔe wu.
Ðe wòhiã be woawɔ dɔ na amea?
Amekoko na ƒunukpeƒetetedɔ mebɔ kura o. Gake ne dɔlélea gblẽ nu le wò ƒunukpeƒewo ŋu vevie alo wòna ƒuwo vuvu la, ahiã be woawɔ dɔ na wò atsɔ aɖɔli ƒunukpeƒewo (arthroplasty). Ne edzɔ alea la, wò ɖɔkta alo amekola aɖe aɖe amekoko si hiã wò kple nusi nàkpɔ mɔ na la me na wò.
Ðe esia vɔ̃ɖi wu ƒunukpeƒetetedɔa?
Psoriatic arthritis kple rheumatoid arthritis nye ƒunukpeƒetetedɔ ƒomevi eve. Wo ame evea siaa nye dɔléle siwo dɔlélenutsiŋutete hena vɛ.
- Psoriatic arthritis nye ƒunukpeƒetetedɔ ƒomevi aɖe si do ƒome kple psoriasis (ŋutilã kple ɖa ƒe dɔléle).
- Rheumatoid arthritis nye ƒunukpeƒetetedɔ ƒomevi aɖe si dɔlélenutsiŋutete ƒe amedzidzedze ɖe lãmeka siwo le ƒunukpeƒe siwo le ŋutilã ƒe akpa eveawo dzi la hena vɛ.
Dɔléle ɖeka me "nyo wu" alo "vɔ̃ɖi" wu evelia o. Wo ame evea siaa nye nɔnɔme siwo nɔa anyi didi (siwo nɔa anyi didi). Esia fia be ahiã be nàɖu wò dzesiwo dzi ɣeyiɣi didi aɖe, ɖewohĩ wò agbemeŋkekewo katã. Wò ɖɔkta akpe ɖe ŋuwò nàkpɔ atike nyuitɔ na wò eye wòakpe ɖe ŋuwò nàɖe ŋusẽ si dɔlélea kpɔna ɖe wò gbesiagbegbenɔnɔ dzi dzi akpɔtɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Psoriatic arthritis nye nɔnɔme si dzɔna ne ŋutigbalẽdɔ (psoriasis) kple ƒunukpeƒetetedɔ (ƒunukpeƒetetedɔ) va kpe ta.
- Esia nye dɔléle si dɔlélenutsiŋutete wɔna, si fia be míaƒe ŋutilã ŋutɔ ƒe ametakpɔnu dzea mía ŋutɔwo ƒe lãmenugbagbeviwo dzi.
- Ƒunukpeƒewo ƒe vevesese, sesẽ, vuvu, ŋutigbalẽ ƒe ʋuʋu, kple ɖa ƒe tɔtrɔe nye dzesi vevitɔwo.
- Womate ŋu ada dɔléle sia keŋkeŋ o, gake atikewɔmɔnu siwo wɔa dɔ ŋutɔ li siwo dzi woato aɖu dzesiwo kple eƒe dzodzo dzi.
- Ne psoriasis le ŋuwò eye nèle ƒunukpeƒewo le veve sem la, mègaŋe aɖaba ƒu edzi o. Kpɔ wò ɖɔkta enumake. Ne èdze atikewɔwɔ gɔme kaba ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe wò ƒunukpeƒewo ƒe gbegblẽ ɣeyiɣi didi nu.
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