I vunah hian sen, scaly patches i nei em? Hengte hi i lu, i khup leh i elbow-ah te i hmu tam zawk thin em? Zingkar i thawh hian i taksaah, a bik takin i kut zungtang leh khup ah i khauh a, i na bawk em? Heng harsatna pahnih hi i neih chuan ‘Psoriatic Arthritis’ tih natna i nei thei a ni. He hming i hriat hian hlau suh. Hei hi mi tam takin an neih a ni. Vawiin hian he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
He psoriatic arthritis hi eng nge ni?
A awlsam zawngin sawi ila, psoriatic arthritis hi arthritis chi khat a ni. Ruhkawr natna (inflammation) a ni. A tlangpuiin vun natna psoriasis an tih nei teah a awm thin. A chang chuan i chhungkuaa mi tu emaw chuan psoriasis a vei chuan a vei thei bawk.
Tunah chuan hei hi tlem han sawifiah leh ila.
- Arthritis: Hei hi kan ruhkawr (joints) tichhe thei khawpa natna tlanglawn tak a ni. Ruh chhung leh a chhehvelah na leh a hring (inflammation) a thlen thin.
- Psoriasis: Hei hi vun natna (inflammatory skin condition) a ni. Hetiang dinhmunah hian vun sen hring a lo lang a, silvery scales in a khuh a ni. Heng scaly patches te hi plaques an ti a. Chu bâkah, mi ṭhenkhat kut zungtang leh ke ruhte chu a thim thei a, a hrual a, khur te te a nei thei bawk.
Heng natna pahnih, arthritis leh psoriasis te hi autoimmune diseases tiin an classified a ni . Hetiang hian han ngaihtuah teh: kan taksa invenna, immune system hi sipai rual ang a ni. A hna chu ramdang invader-te do a, min venhim hi a ni. Mahse he ``autoimmune'' dinhmunah hian kanmahni defense system hian kan cell hrisel tak takte chu a rawn bei sual tan ta a ni. Psoriatic arthritis-ah chuan he attack hi vun leh ruhkawr ah a rualin a thleng thin.
He natna lan chhuah dan hi a awm reng lo. A chang chuan a symptoms a na zual a, chu chu ‘flares’ kan ti thin. A chang chuan a symptoms te chu a reh thin. Vun rawng thar i neih chuan, emaw, i ruh natna, a hring emaw, a hring emaw i neih chuan doctor hmu la, sawipui ngei ang che.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Khawvel mihring 1% aia tlem chuan psoriatic arthritis an nei. Mahse, psoriasis i vei tawh a nih chuan, he natna hi i vei theihna chance a sang zawk hle. Psoriasis vei mi 100 zinga 30 vel chuan an dam chhungin engtik lai pawhin psoriatic arthritis an vei ang.
He natna chi hrang hrang hi engte nge ni?
Psoriatic arthritis hi mi zawng zawng tan a inang vek lo. Doctor-te chuan chi pangaah an ṭhen a, chu chu ruh natna leh a lan chhuah dan azirin a ni. Hengte hi i hriat chian a pawimawh hle.
| Natna chi hrang hrang | A awlsam zawngin... |
|---|---|
| Distal interphalangeal a tam zawk | Hei hian kut zungtang leh ke ruh tip bula ruh te te a nghawng ber a ni. Hei hi psoriatic arthritis chi khat, nail natna vei tam ber a ni. I nail te chu a rawng a danglam thei a, a peel thei a, a nih loh leh khur te te a lo awm thei bawk. |
| Symmetric polyarthritis natna a ni | Hei hian a rualin ruh panga emaw a aia tam emaw a nghawng a ni. 'Symmetric' tih thumal hi "symmetrical" tihna a ni. Hei hian taksa sir lehlamah ruhkawr inang chiah chiah a nghawng tihna a ni . Entirnan, i khup pahnih leh i elbow pahnih hi a rualin a nghawng thei. Hei pawh hi chi khat a ni. |
| A rilru a buai em em a, a rilru a hah em em bawk a | Hei hian taksa sir lehlamah ruh pahnih atanga pali a nghawng a, mahse ‘symmetrical’ a ni lova, a sir lehlamah ruh inang a nghawng lo tihna a ni. Entirnan, khup dinglam leh ke veilam chu a nghawng thei a ni. Hei hi chi dang tam ber a ni bawk. |
| Spondylitis natna (Spondylitis) a ni | Kan ruhro hi ruh te tak te, vertebrae an tih atanga siam a ni. Hetiang arthritis chi khatah hian vertebrae inkar ruhte chu a inflamed ta a ni . Hei hian hnungzang na a thlen thei a, a tikhauh thei bawk. A chang chuan hip leh shoulder-ah pawh na a awm thei bawk. |
| Arthritis natna chi hrang hrang | Hei hi psoriatic arthritis chi khat na ber leh hmuh tur awm lo ber a ni. Kut leh ke a nghawng a ni. A inflammation hi a nasat em avangin ruh te chu a hmin thei a ni. Damdawi lam hawi chuan hei hi ``osteolysis'' an ti a, mahse hei hi thil awm lo tak a ni. Hetiang chi hi psoriatic arthritis vei zinga 5% aia tlem lovah hmuh tur a awm. |
Eng symptom nge i neih theih ang?
Psoriatic arthritis hian taksa ruh eng pawh a nghawng thei a ni. Mi thenkhat tan chuan a natna lan chhuah dan hi a na lo hle. Vun tenau tlemte chauh a awm thei a, a ruh natna leh a khauh deuh pawh a awm thei. Mahse, flare-ups lai hian a natna chu a na lutuk thei a, ruhte chu hman theih a ni lo va, vun lian tak tak a lo awm thei bawk.
Hengte hi a lan chhuah dan tlangpui chu a ni:
- Joint pain: Ruh pakhat emaw a aia tam emaw ah natna a awm thei.
- Joint-a stiffness: Joint bending emaw stretching emaw harsa, a bik takin zing i thawh hian.
- Joint swelling and redness: A natna ruhte chu a hring leh a sen vel a ni thei.
- Tendon leh ligament natna: Kan ruh (e.g., Achilles tendon) nena kan taksa ruh inzawm na hmuna natna emaw, natna emaw.
- Kut zungtang hring: Kut zungtang emaw ke ruh emaw chu sausage ang maiin a hring chhuak thin. Hei hi Doctor ten `(dactylitis)` an ti bawk.
- Psoriasis rash: Silvery scales neia sen, a bik takin lu vun, khup, elbow leh hnungzang hnuai lam.
- Nail inthlak danglamna: Nail rawng danglam, pitting, thickening, emaw nail vun atanga inthen.
- Chauhna: Hei hi hahna mai a ni lo. Engmah ti thei lo tura siamtu chu hah lutuk a ni a, nilengin mut pawhin he hahna hi a reh lo ang tih a hriat.
Engvangin nge hetiang hi a lo awm? Tu nge hlauhawm ber?
Mithiamte chuan psoriatic arthritis hi eng nge a thlen tih chiang takin an la hre lo. Mahse, zirchianna thenkhatah chuan he natna vei te hian an genes (genetic mutations) ah hian inthlak danglamna inang chiah an nei tih hmuhchhuah a ni. Amaherawhchu, heng genetic changes te hian natna hi a thlen em tih emaw, heng inthlak danglamna te hi natna a lo awm hnua a lo awm em tih erawh hriat chian a la ni lo.
Pawimawh tak chu psoriatic arthritis vei zinga 40% vel, a nih loh leh mi 100 zinga 40 vel chuan chhungkaw member dang he natna vei an nei a, hei hian thlahtute atanga lo chhuak a ni thei tih a tilang.
Chuvangin i chhungte zingah psoriasis emaw psoriatic arthritis emaw vei an awm chuan doctor hnenah hrilh ngei ang che.
He natna hi kum eng pawhah a awm thei a, mahse kum 30 leh 50 inkar vel a ni tlangpui.Mihring zingah a awm fo thin. A tam zawkah chuan psoriasis (vun natna) hi thalai, kum 15-25 vel inkarah a lo awm a, ruh natna hi kum engemaw zat hnuah, midlife-ah a lang thin.
Hetiang dinhmun hian natna dang a thlen thei em?
Ni e, psoriatic arthritis vei te hian hriselna lama harsatna dang an neih theihna chance a sang deuh mai thei. Hei hi taksaa chronic inflammation vang a ni.
Harsatna lo awm thei zingah chuan:
- Thisen sang (Hypertension) 1.1.
- Thisena cholesterol level sang (Hyperlipemia) .
- Thau lutuk
- Zunthlum
- Lungngaihna
- Thisen tlakchhamna (Anaemia).
- Muscle chak lohna
Joint natna hian exercise lak a ti harsa thei hle. Mahse exercise lak loh hian i taksa rihna a tisang thei a, i ruh (joint)-ah stress nasa zawk a siam thei bawk. Chuvangin, i doctor nen chuan i ruh (joint)-a pressure nasa lutuk lo , low-impact exercise chungchang sawipui rawh. Yoga, kea kal, aqua therapy ang chi thilte hi i ruhkawr (joint)-a stress lutuk awm lovin i taksa hriselna atana hmanraw tha tak a ni.
Engtin nge doctor hian hei hi a hmuh theih?
Doctor chuan taksa enfiahna leh test dang engemaw zat hmangin psoriatic arthritis a nei tih a hmuchhuak a. Doctor chuan i symptoms te a zawt ang che a, i vun leh ruhkawrte uluk takin a enfiah ang che.
Specialist te hnenah pawh refer theih i ni:
- Rheumatologist: Hei hi ruh natna, autoimmune natna, leh inflammatory conditions lama tui tak doctor a ni.
- Dermatologist: Hei hi vun natna lam thiam tak doctor a ni.
Psoriatic arthritis hi test pakhat mah a awm lo. Doctor-te chuan i natna lan chhuahna thlentu tur thil dang hriat loh nan test an ti ang.
Test thenkhat tih tura tih i ni thei:
- Thisen test: Infection ang chi thil a awm leh awm loh enfiah thin ang che.
- Imaging test: Hengte hian ruh (joint) a chhiatna emaw, inflammation emaw a zawng thei.
- X-ray hmanga tih a ni
- MRI scan a ni
- CT scan a ni
- Ultrasound hmanga scan a ni
Hei hi eng enkawlna nge ni?
I doctor chuan i natna lan chhuah dan tur enkawl turin enkawlna a pe ang che. I mamawh enkawlna chi chu thil engemaw zatah a innghat ang:
- He natna hian eng ruh (joint) nge a nghawng?
- Engtiang chiahin nge a symptoms te hi a nasat?
- Heng symptoms te hian i nitin hnathawhnaah eng chen nge a tihbuai?
Enkawlna hman tlanglawn ber berte chu:
- Painkillers: Inflammation tihziaawmna damdawi, ``NSAIDs'' ang chi hi damdawi dawrah lei theih a ni.
- Cold or heat therapy: Natna leh natna tihziaawmna.
- Corticosteroids: Damdawi chi chak tak, inflammation tihziaawmna rang tak a ni. Chungte chu pill angin emaw, injection angin emaw direct-in ruh chhungah pek theih a ni.
- DMARDs (Disease-modifying antirheumatic drugs): Heng damdawi chi khat bik, natna kal dan tidanglam thei, chu chu immune system hnathawh control a, ruh chhiatna a titawp tihna a ni.
- Physical therapy emaw occupational therapy: Hengte hian ruh hnathawh leh chakna tihchangtlun dan tur leh nitin hnathawh awlsam zawka siam dan tur a zirtir thei che a ni.
Surgery neih a ngai em?
Psoriatic arthritis avanga operation hi a tlem hle. Mahse, natnain i ruhte nasa taka a tihchhiat emaw, ruh a tihchhiat emaw a nih chuan ruh thlakna surgery (arthroplasty) tih a ngai mai thei. Chutiang a nih chuan i doctor emaw, surgeon emaw chuan i surgery mamawh leh i beisei tur chu a hrilhfiah ang che.
Hei hi rheumatoid arthritis aiin a na zawk em?
Psoriatic arthritis leh rheumatoid arthritis hi arthritis chi hnih a ni. An pahnih hian autoimmune natna an ni.
- Psoriatic arthritis hi psoriasis (vun leh nail natna) nena inzawm, ruh natna chi khat a ni.
- Rheumatoid arthritis hi taksa sir lehlamah ruhkawr line-a awm tissue te chu immune system-in a beih avanga lo awm a ni.
Natna pakhat chu a dang aiin a "tha zawk" lo va, "a chhe zawk" lo bawk. An pahnih hian hun rei tak (chronic) condition an ni. Chumi awmzia chu i natna lan chhuah dan chu rei tak, i dam chhung zawng pawh i enkawl a ngai dawn tihna a ni. I doctor chuan i tana enkawlna dik tak zawng turin a pui ang che a, natnain i nitin nunah nghawng a neih tlem theih nan a pui bawk ang che.
Take-Home Thuchah a ni
- Psoriatic arthritis hi vun natna (psoriasis) leh ruh natna (arthritis) inzawmkhawma lo awm a ni.
- Hei hi autoimmune disease a ni a, kan taksa invenna system hian kan cell te a bei tihna a ni.
- Joint na, stiffness, swelling, peelling skin, leh nail changes te hi a lan chhuahna ber a ni.
- He natna hi a dam kim thei lo a, mahse a natna lan chhuah dan leh a flare-up te control nan hian enkawlna tha tak tak a awm a.
- Psoriasis i vei a, ruh natna i neih chuan ngaihthah suh. Doctor hmu nghal rawh. Enkawl tan hma hian i ruh (joint) hun rei tak chhung a chhiat loh nan a pui thei a ni.
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