He whero, he unahi rānei ōu kiri? He maha atu anō ngā wāhi ka kitea e koe i ētahi wā i tō mahunga, i ō turi, me ō tuke? Kei te mārō, kei te mamae hoki tō tinana, inā koa ō maihao me ō turi, ina ara ake koe i te ata? Mēnā kei a koe ēnei raruraru e rua, tera pea he mate kei a koe e kīia nei ko te 'Psoriatic Arthritis'. Kaua e mataku ina rongo koe i tēnei ingoa. He mea tēnei e pāngia ana e te tini tāngata. I tēnei rā, ka kōrerohia tēnei i roto i tētahi huarahi māmā ka taea e koe te mārama.
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He aha tēnei mate rumatiki psoriatic?
He kupu whakarāpopoto, he momo mate rumatiki te mate rumatiki psoriatic. He mumura o ngā hononga. He maha ngā wā ka pā ki te hunga he mate kiri e kiia nei ko te psoriasis. I ētahi wā, ki te pāngia tētahi o tō whānau e te psoriasis, ka pāngia hoki rātou e te mate.
Nā, me whakamārama ake tātou i tēnei.
- Te mate rumatiki: He mate noa tēnei e pā ana ki ō tātou hononga. Ka puta te mamae me te pupuhi (mumura) i roto, i te taha hoki o ngā hononga.
- Psoriasis: He mate kiri mumura tēnei. I roto i tēnei mate, ka puta mai ngā wāhi whero o te kiri, kapi tonu i ngā unahi hiriwa. Ka kiia ēnei wāhi unahi he papaka. Hei tāpiri, ka matotoru, ka unahi, ka pakupaku rānei ngā maikuku o ētahi tāngata.
Ko ēnei mate e rua, arā, te rumatiki me te psoriasis, kua whakarōpūtia hei mate pūnaha ārai mate . Whakaarohia pēnei: he rite te pūnaha ārai mate o tō tātou tinana, te pūnaha ārai mate, ki tētahi ope taua. Ko tāna mahi he tiaki i a tātou mā te whawhai ki ngā whakaekenga mai i tāwāhi. Engari i roto i tēnei mate "pūnaha ārai mate", ka tīmata hē tō tātou ake pūnaha ārai mate ki te whakaeke i ō tātou ake pūtau hauora. I roto i te rumatiki psoriasis, ka puta tēnei whakaekenga i te wā kotahi ki te kiri me ngā hononga.
Kāore ngā tohu o tēnei mate e pumau tonu. I ētahi wā ka kino haere ngā tohu, ka kiia e tātou ko ngā 'flares' . I ētahi wā ka ngaro ngā tohu. Ki te puta he ira kiri hou, ki te mamae, ki te pupuhi, ki te pakari rānei ō hononga, kia kite koe i tō tākuta me te kōrero mō tēnei.
He pēhea te noa o tēnei āhuatanga?
He iti iho i te 1% o te taupori o te ao e pāngia ana e te mate rumatiki psoriatic. Heoi, ki te mea kua pāngia koe e te psoriasis, he nui ake te tūponotanga ki te pāngia e te mate. Tata ki te 30 i roto i te 100 tāngata e pāngia ana e te psoriasis ka pāngia e te mate rumatiki psoriatic i tētahi wā o ō rātou oranga.
He aha ngā momo matua o tēnei mate?
Kāore te mate rumatiki psoriatic e rite ana mō te katoa. E wehea ana e ngā tākuta kia rima ngā momo matua, i runga i ngā hononga e pāngia ana me te whanaketanga o ngā tohu. He mea nui kia mōhio koe ki ēnei.
| Momo mate | Hei whakarāpopototanga... |
|---|---|
| Te nuinga o te interphalangeal distal | Ko te nuinga o tēnei ka pā ki ngā hononga iti e tata ana ki ngā pito o ngā maihao me ngā matimati. Koinei te momo mate pukupuku kiri e pā ana ki ngā maikuku. Tērā pea ka huri te tae o ō maikuku, ka tihore, ka puta rānei he rua iti. |
| te mate pūkahukahu ōrite | E rima, neke atu rānei ngā hononga ka pāngia e tēnei i te wā kotahi. Ko te tikanga o te kupu 'symmetric' he "symmetrical". Ko te tikanga o tēnei ka pāngia ngā hononga kotahi i ngā taha e rua o te tinana . Hei tauira, ka pāngia pea ō turi me ō tuke e rua i te wā kotahi. He momo noa anō hoki tēnei. |
| Ngā hononga-rua-rua kore-taurite | E pāngia ana e tēnei ngā hononga e rua ki te whā i ngā taha e rua o te tinana, engari kāore i te 'taurite', arā, kāore e pā ki ngā hononga kotahi i ngā taha e rua. Hei tauira, ka pāngia pea te turi matau me te tuke maui. Koinei anō tētahi atu momo e tino kitea ana. |
| Te mate pūkahukahu | He mea hanga tō tātou tuaiwi i ngā wheua iti e kiia nei ko ngā tuaiwi. I roto i tēnei momo mate rumatiki, ka mumura ngā hononga i waenganui i ngā tuaiwi . Ka mamae pea te tuara, ka pakari hoki. I ētahi wā, ka pāngia hoki ngā hope me ngā pakihiwi e te mamae. |
| Ngā whara o te mate pukupuku | Koinei te momo mate pukupuku kiriuhi tino kino, tino onge hoki . Ka pā ki ngā ringaringa me ngā waewae. He tino kino te mumura, ā, ka rewa ngā wheua. I roto i ngā kupu hauora, ka kiia tēnei ko te "osteolysis." Engari he tino onge tēnei mate. Ka kitea tēnei momo i roto i te iti iho i te 5% o te hunga e pāngia ana e te mate pukupuku kiriuhi. |
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Check Availability →He aha ngā tohu ka pā ki a koe?
Ka pāngia ngā hononga katoa o te tinana e te mate rumatiki psoriatic. Mō ētahi tāngata, he tino ngawari ngā tohu. He iti noa iho ngā wāhi iti o te kiri, he mamae, he pakari hoki ngā hononga. Heoi, i te wā e pāngia ana, ka tino kaha te mamae, ā, kāore e taea te whakamahi i ngā hononga, ā, ka puta pea he wāhi nui o te kiri.
Koinei ngā tohu e kitea whānuitia ana:
- Mamae hononga: Ka pā te mamae ki tētahi hononga, neke atu rānei.
- Te pakari o ngā hononga: He uaua ki te piko, ki te totoro rānei i ngā hononga, inā koa ka ara ake koe i te ata.
- Te pupuhi me te whero o ngā hononga: Ka pupuhi pea, ka whero hoki ngā hononga e pāngia ana huri noa i te hononga.
- Mamae o te uaua me te hononga: Te mamae, te ngawari rānei o te wāhi e piri ai ō tātou uaua ki ō tātou wheua (hei tauira, te uaua Achilles).
- Te pupuhi o ngā maihao: Ka pupuhi ngā maihao, ngā matimati rānei, pērā i te hōtiti. Ka karangatia hoki tēnei e ngā tākuta he '(dactylitis)'.
- Ponana kiri: He whero ngā wāhi me ngā unahi hiriwa, inā koa ki te tumuaki, ki ngā turi, ki ngā tuke, me te tuara o raro.
- Ngā panonitanga o ngā maikuku: Te rerekētanga o te tae o ngā maikuku, te pakaru, te matotoru, te wehenga rānei o te maikuku i te kiri.
- Ngenge: Ehara i te ngenge noa iho tēnei. He ngenge nui e kore ai e taea e koe te mahi i tetahi mea, ā, e ahua ana kāore tēnei ngenge e ngaro ahakoa moe koe i te rā roa.
He aha tēnei ka tupu ai? Ko wai te hunga tino mōrearea?
Kāore anō kia tino mōhiotia e ngā tohunga te pūtake o te mate rumatiki psoriatic. Heoi, kua kitea e ētahi rangahau he rite tonu ngā huringa ira o te hunga whai mate nei (ngā whakarerekētanga ira). Heoi, kāore anō kia mārama mēnā ko ēnei huringa ira te take o te mate, mēnā rānei ka puta ēnei huringa i muri i te whanaketanga o te mate.
He mea nui, tata ki te 40% o te hunga e pāngia ana e te mate rumatiki psoriatic, ara tata ki te 40 i roto i te 100, he mema whānau anō tō rātou e pāngia ana e te mate, e tohu ana he mate tuku iho pea.
Nō reira, ki te pāngia tētahi o tō whānau e te mate pūkahukahu, te mate rumatiki rānei, me kōrero ki tō tākuta.
Ahakoa ka taea e tēnei mate te pā ki ngā tau katoa, ko te nuinga o te wā ka pā ki te hunga i waenga i te 30 me te 50 tau.He mea noa tēnei i waenga i te tangata. I te nuinga o te wā, ka puta te psoriasis (he mate kiri) i roto i te hunga rangatahi, i waenganui i te 15-25 tau te pakeke, ā, ka puta ngā tohu o ngā hononga i muri i ētahi tau, i waenganui o te hunga pakeke.
Ka taea e tēnei āhuatanga te whakaputa i ētahi atu mate?
Ae, ko te hunga e pāngia ana e te mate rumatiki psoriatic, tera pea ka piki ake te mōrearea ki te whakawhanake i ētahi atu raruraru hauora. Nā te mumura mau tonu o te tinana tēnei.
Ko ētahi o ngā raruraru tino noa ka puta ko:
- Te toto toto tiketike (hypertension)
- Te pikinga o ngā taumata cholesterol toto (Hyperlipemia)
- Momonatanga
- Mate huka
- Te pouri
- Te mate toto iti
- ngoikore o te uaua
Ka uaua pea te whakakorikori tinana i te mamae o ngā hononga. Engari mā te kore whakakorikori tinana ka nui ake te taumaha o tō tinana, ka nui ake te taumahatanga ki ō hononga. Nō reira, kōrero ki tō tākuta mō ngā whakakorikori tinana iti te pānga , kāore e nui rawa te pēhanga ki ō hononga. He huarahi pai ngā mahi pēnei i te yoga, te hikoi, te whakaora wai rānei, hei pupuri i te hauora o tō tinana, me te kore e nui rawa te taumahatanga ki ō hononga.
Me pēhea te kitenga a te tākuta i tēnei?
Mā te whakamātautau tinana me ētahi atu whakamātautau ka tātaritatia e te tākuta te mate rumatiki psoriatic. Ka pātai atu te tākuta ki a koe mō ō tohumate, ā, ka āta tirohia hoki tō kiri me ō hononga.
Tērā pea ka tukuna koe ki ngā tohunga:
- Rheumatologist: He tākuta tēnei e tohunga ana ki ngā mate hononga, ngā mate pūnaha ārai mate, me ngā mate mumura.
- Tākuta kiri: He tākuta tēnei e tohunga ana ki ngā mate kiri.
Kāore he whakamātautau kotahi hei whakaū i te mate rumatiki psoriatic. Ka whakahaerehia e ngā tākuta he whakamātautau hei whakakore i ētahi atu āhuatanga e puta ai ō tohu.
Ko ētahi whakamātautau ka tonoa pea koe kia mahia:
- Ngā whakamātautau toto: Tirohia mēnā he mate pāwera.
- Ngā whakamātautau whakaahua: Ka taea e ēnei te rapu i te kino, te mumura rānei o ngā hononga.
- Ngā hihi-X
- Matawai MRI
- Matawai CT
- Matawai Ultrasound
He aha ngā maimoatanga mō tēnei?
Ka tohua e tō tākuta he rongoā hei whakahaere i ō tohumate. Ka whakawhirinaki te momo rongoā e hiahiatia ana e koe ki ētahi āhuatanga:
- He aha ngā hononga e pāngia ana e te mate?
- Kia pēhea te kaha o ngā tohu?
- Kia pēhea te nui o te whakararuraru o ēnei tohu i ō mahi o ia rā?
Ko ngā maimoatanga e whakamahia whānuitia ana ko:
- Rongoā mamae: Ka taea te hoko i ngā rongoā mamae hei whakaiti i te mumura, pērā i ngā "NSAID", i te whare rongoā.
- Whakaora makariri, whakaora wera rānei: Whakaitihia te mamae me te kōpikopiko.
- Corticosteroids: He momo rongoā kaha e tere whakaiti ana i te mumura. Ka taea te hoatu i ēnei hei pire, hei werohanga rānei ki roto i te hononga.
- Ngā DMARD (Ngā rongoā ārai rūmātiki whakarerekē-mate): He momo rongoā motuhake ēnei e whakarerekē ana i te ahunga o te mate, arā, ka whakahaere i te mahi a te pūnaha ārai mate me te aukati i te kino o ngā hononga.
- Te whakaora tinana, te whakaora mahi rānei: Ka taea e ēnei te āwhina i a koe ki te ako me pēhea te whakapai ake i te mahi me te kaha o ngā hononga, me te whakangāwari ake i ngā mahi o ia rā.
He mea tika te pokanga?
He tino onge te pokanga mō te mate rumatiki psoriatic. Heoi, mēnā kua tino kino ō hononga i te mate, kua ngaro rānei ō wheua, me mahi pea koe i te pokanga whakakapinga hononga (arthroplasty). Mēnā koinei te āhua, ka whakamāramahia e tō tākuta, e tō taote pokanga rānei te pokanga e hiahiatia ana e koe me ngā mea hei tumanako atu māu.
He kino atu tēnei i te mate rumatiki?
Ko te rumatiki psoriatic me te rumatiki rheumatoid he momo rumatiki e rua. He mate pūnaha ārai mate ngā mea e rua.
- Ko te mate pukupuku psoriatic he momo mumura hononga e pā ana ki te psoriasis (he mate kiri me ngā whao).
- Ko te rumatiki rheumatoid he momo rumatiki e puta mai ana i te whakaekenga a te pūnaha ārai mate i ngā kiko e whakarārangi ana i ngā hononga i ngā taha e rua o te tinana.
Kāore tētahi mate e "pai ake" ana, e "kino ake" ana rānei i tētahi atu. He mate roa (mau tonu) ēnei e rua. Ko te tikanga me whakahaere e koe ō tohumate mō te wā roa, mō tō oranga katoa pea. Mā tō tākuta koe e āwhina ki te kimi i te maimoatanga tika māu, ā, ka āwhina hoki i a koe ki te whakaiti i te pānga o te mate ki tō oranga o ia rā.
Karere Tangohia ki te Kāinga
- Ko te mate kiri (psoriatic arthritis) he mate e puta ana ina honoa te mate kiri (psoriasis) me te mate hononga (arthritis).
- He mate pūnaha ārai mate tēnei, arā, ka whakaekea e te pūnaha parepare o te tinana ō tātou ake pūtau.
- Ko te mamae o ngā hononga, te pakari, te pupuhi, te kiri e tihore ana, me te panoni o ngā maikuku ngā tohu matua.
- Kāore e taea te whakaora katoa i tēnei mate, engari he tino whai hua ngā maimoatanga hei whakahaere i ngā tohu me ngā putanga mai.
- Mena he psoriasis tōu, ā, kei te mamae ō hononga, kaua e warewarehia. Tirohia tō tākuta tonu. Mā te tīmata wawe i te maimoatanga ka āwhina i te ārai i te kino roa ki ō hononga.
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