Ngaba unamabala abomvu naneziqwenga eluswini lwakho? Ngaba ngamanye amaxesha ubona la mabala entloko, emadolweni, nasezingqinibeni zakho? Ngaba uziva uqinile kwaye ubuhlungu emzimbeni wakho, ingakumbi iminwe yakho namadolo, xa uvuka kusasa? Ukuba unezi ngxaki zombini, usenokuba unesifo esibizwa ngokuba yi-'Psoriatic Arthritis'. Musa ukoyika xa usiva eli gama. Le yinto abantu abaninzi abanayo. Namhlanje, siza kuthetha ngale nto ngendlela elula onokuyiqonda.
Yintoni le arthritis ye-psoriatic?
Ngamafutshane, isifo samathambo se-psoriatic luhlobo lwesifo samathambo. Kukudumba kwamalungu. Sidla ngokuvela kubantu abanemeko yesikhumba ebizwa ngokuba yi-psoriasis. Ngamanye amaxesha, ukuba umntu kusapho lwakho une-psoriasis, naye unokuba nayo.
Ngoku masicacise oku kancinci.
- I-Arthritis: Le yimeko eqhelekileyo echaphazela amalungu ethu. Ibangela iintlungu kunye nokudumba (ukudumba) ngaphakathi nangaphandle kwamalungu.
- I-Psoriasis: Le yimeko yolusu ebangela ukudumba. Kule meko, kuvela amabala abomvu eluswini, agqunywe ngamabala esilivere. La mabala aneembambo abizwa ngokuba zii-plaque. Ukongeza, iinzipho zeminwe kunye neenzipho zeenyawo zabanye abantu zinokuba nkulu, zibe namabala, okanye zibe nemingxunya emincinci.
Zombini ezi meko, i-arthritis kunye ne-psoriasis, zihlelwa njengezifo ezizikhuselayo . Cinga ngale ndlela: inkqubo yokuzikhusela yomzimba wethu, inkqubo yokuzikhusela, ifana nomkhosi. Umsebenzi wayo kukusikhusela ngokulwa nabahlaseli bamanye amazwe. Kodwa kule meko "yokuzikhusela ngokuzimela", inkqubo yethu yokuzikhusela iqala ngempazamo ukuhlasela iiseli zethu eziphilileyo. Kwi-psoriatic arthritis, olu hlaselo lwenzeka ngaxeshanye eluswini nasemalungeni.
Iimpawu zesi sifo azihlali zikho. Ngamanye amaxesha iimpawu ziya ziba mandundu, esizibiza ngokuba 'ziiflares' . Ngamanye amaxesha iimpawu ziyaphela. Ukuba kuvela amabala amatsha eluswini, okanye ukuba ufumana iintlungu, ukudumba, okanye ukuqina kwamalungu akho, qiniseka ukuba ubona ugqirha wakho kwaye uthethe ngako.
Ixhaphake kangakanani le meko?
Ngaphantsi kwe-1% yabemi behlabathi bane-psoriatic arthritis. Nangona kunjalo, ukuba sele unayo i-psoriasis, umngcipheko wakho wokuba nale meko uphezulu kakhulu. Malunga nabantu abangama-30 kwabayi-100 abane-psoriasis baya kuba ne-psoriatic arthritis ngaxa lithile ebomini babo.
Ziziphi iintlobo eziphambili zesi sifo?
Isifo samathambo se-Psoriatic asifani kuye wonke umntu. Oogqirha bayahlulahlula sibe ziintlobo ezintlanu eziphambili, kuxhomekeke kumalungu achaphazelekileyo kunye nendlela iimpawu ezikhula ngayo. Kubalulekile ukuba uzazi ezi zinto.
| Uhlobo lwesifo | Kalula nje... |
|---|---|
| Eyona nto iphambili phakathi kwe-interphalangeal | Oku kuchaphazela kakhulu amalungu amancinci kufutshane neencam zeminwe neenzwane. Olu lolona hlobo luqhelekileyo lwe-psoriatic arthritis oluchaphazela iinzipho. Izinzipho zakho zinokutshintsha umbala, zixobuke, okanye zivelise imingxunya emincinci. |
| I-symmetric polyarthritis | Oku kuchaphazela amalungu amahlanu okanye ngaphezulu ngaxeshanye. Igama elithi 'symmetric' lithetha "symmetrical". Oku kuthetha ukuba amalungu afanayo achaphazeleka kumacala omabini omzimba . Umzekelo, amadolo akho omabini kunye neengqiniba zombini zinokuchaphazeleka ngaxeshanye. Olu luhlobo oluqhelekileyo. |
| I-oligoarticular engalinganiyo | Oku kuchaphazela amalungu amabini ukuya kwamane kumacala omabini omzimba, kodwa 'akulingani', oko kuthetha ukuba akuchaphazeli amalungu afanayo kumacala omabini. Umzekelo, idolo lasekunene kunye nengqiniba yasekhohlo zinokuchaphazeleka. Olu lolunye uhlobo oluqhelekileyo. |
| I-Spondylitis | Umqolo wethu wenziwe ngamathambo amancinci abizwa ngokuba yi-vertebrae. Kolu hlobo lwe- arthritis, amalungu aphakathi kwe-vertebrae ayavuvukala . Oku kunokubangela intlungu nokuqina komqolo. Ngamanye amaxesha, intlungu inokuvakala nasezinqeni nasemagxeni. |
| I-arthritis mutilins | Olu lolona hlobo lunzima nolungaqhelekanga lwe-psoriatic arthritis. Luchaphazela izandla neenyawo. Ukudumba kukhulu kangangokuba amathambo anokunyibilika. Ngokwezonyango, oku kubizwa ngokuba yi-"osteolysis." Kodwa le yimeko engaqhelekanga kakhulu. Olu hlobo lubonwa ngaphantsi kwe-5% yabantu abane-psoriatic arthritis. |
Ziziphi iimpawu onokuzifumana?
Isifo samathambo esibizwa ngokuba yi-Psoriatic arthritis sinokuchaphazela naliphi na ilungu emzimbeni. Kwabanye abantu, iimpawu azikho nzulu kakhulu. Kusenokuba namabala amancinci esikhumba aneentlungu nokuqina kwamalungu. Nangona kunjalo, ngexesha lokudumba kwamalungu, intlungu inokuba nkulu kangangokuba amalungu angasetyenziswa kwaye amabala amakhulu esikhumba anokuvela.
Ezi ziimpawu eziqhelekileyo ezibonwayo:
- Intlungu yamalungu: Intlungu inokwenzeka kwilungu elinye okanye ngaphezulu.
- Ukuqina kwamalungu: Ubunzima bokugoba okanye ukolula amalungu, ingakumbi xa uvuka kusasa.
- Ukudumba kwamalungu kunye nokuba bomvu: Amalungu achaphazelekileyo asenokudumba aze abe bomvu ngeenxa zonke zelungu.
- Intlungu yetendon kunye ne-ligament: Intlungu okanye ukuthamba apho izihlunu zethu zinamathela khona emathanjeni ethu (umz., i-Achilles tendon).
- Ukudumba kweminwe: Iminwe okanye iinzwane ziyadumba njengeesoseji. Oogqirha bakwabiza oku ngokuthi `(dactylitis)`.
- Irhashalala yePsoriasis: Amabala abomvu anamaxolo anombala wesilivere, ingakumbi entlokweni, emadolweni, ezingqinibeni, nasezantsi komqolo.
- Ukutshintsha kweenzipho: Ukutshintsha kombala weenzipho, ukuba nemingxunya, ukuqina, okanye ukwahlulwa kwezinzipho eluswini.
- Ukudinwa: Oku akukokudinwa nje kuphela. Kukudinwa kakhulu okukwenza ungakwazi ukwenza nantoni na, kwaye kuvakala ngathi oku kudinwa akuyi kuphela nokuba ulele imini yonke.
Kutheni oku kusenzeka? Ngubani osengozini enkulu?
Iingcali azikayazi kakuhle into ebangela isifo samathambo se-psoriatic. Nangona kunjalo, ezinye izifundo zifumanise ukuba abantu abanesifo banotshintsho olufanayo kwiijini zabo (ii-genetic mutations). Nangona kunjalo, akukacaci ukuba olu tshintsho lwejini lubangela esi sifo okanye ukuba olu tshintsho lwenzeka emva kokuba isifo siphuhlile.
Okubalulekileyo kukuba, malunga nama-40% abantu abane-psoriatic arthritis, okanye malunga nama-40 kwabali-100, banelinye ilungu losapho elinesifo, nto leyo ebonisa ukuba sisenokuba sisifo esidluliselwa kwilifa.
Ngoko ke, ukuba kukho umntu kusapho lwakho one-psoriasis okanye i-psoriatic arthritis, qiniseka ukuba uxelele ugqirha wakho.
Nangona esi sifo sinokuvela nakweyiphi na iminyaka, sixhaphake kakhulu phakathi kweminyaka engama-30 ukuya kwengama-50.Ixhaphakile ebantwini. Ngokuqhelekileyo, i-psoriasis (isifo solusu) ikhula ebutsheni, malunga neminyaka eli-15-25 ubudala, kwaye iimpawu zamalungu zibonakala emva kweminyaka eliqela, phakathi kobomi.
Ngaba le meko ingabangela ezinye izifo?
Ewe, abantu abane-psoriatic arthritis banokuba semngciphekweni omncinci wokufumana ezinye iingxaki zempilo. Oku kungenxa yokuvuvukala okungapheliyo emzimbeni.
Ezinye zezona ngxaki zixhaphakileyo ezinokwenzeka zezi:
- Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
- Ukwanda kwamanqanaba e-cholesterol egazini (i-Hyperlipemia)
- Ukutyeba kakhulu
- Isifo seswekile
- Uxinzelelo
- I-anemia
- Ubuthathaka bemisipha
Iintlungu zamalungu zinokwenza kube nzima ukuzilolonga. Kodwa ukungazilolongi kunokunyusa ubunzima bomzimba wakho kwaye kubeke uxinzelelo olungakumbi kumalungu akho. Ngoko ke, thetha nogqirha wakho malunga nokuzilolonga okungenampembelelo ingako okungabeki uxinzelelo oluphezulu kumalungu akho. Izinto ezifana neyoga, ukuhamba, okanye unyango lwamanzi ziindlela ezilungileyo zokugcina umzimba wakho usempilweni ngaphandle kokubeka uxinzelelo oluphezulu kumalungu akho.
Ugqirha uyifumana njani le nto?
Ugqirha uxilonga isifo samathambo se-psoriatic ngovavanyo lomzimba kunye nezinye iimvavanyo ezininzi. Ugqirha uza kukubuza ngeempawu zakho aze ahlolisise ulusu lwakho kunye namalungu akho ngononophelo.
Ungathunyelwa kwiingcali:
- Ingcali yeRheumatology: Lo ngugqirha ogxile kwizifo zamalungu, izifo zokuzikhusela komzimba, kunye neemeko zokudumba.
- Ingcali yolusu: Lo ngugqirha ogxile kwizifo zolusu.
Akukho vavanyo lunye olunokuqinisekisa isifo samathambo se-psoriatic. Oogqirha baya kwenza uvavanyo ukuze bafumanise ezinye iimeko ezinokubangela iimpawu zakho.
Ezinye iimvavanyo onokucelwa ukuba uzenze:
- Uvavanyo lwegazi: Jonga izinto ezifana nosulelo.
- Uvavanyo lwemifanekiso: Olu vavanyo lunokukhangela umonakalo okanye ukudumba kwamalungu.
- Ii-X-reyi
- Iskeni ye-MRI
- Iskeni ye-CT
- Iskeni ye-ultrasound
Zithini iindlela zonyango zoku?
Ugqirha wakho uza kukunika unyango lokulawula iimpawu zakho. Uhlobo lonyango olufunekayo luya kuxhomekeka kwizinto ezahlukeneyo:
- Ngawaphi amalungu achaphazeleka sesi sifo?
- Zinzima kangakanani iimpawu?
- Ezi mpawu ziphazamisana kangakanani nemisebenzi yakho yemihla ngemihla?
Iindlela zonyango ezisetyenziswa kakhulu zezi:
- Iintlungu: Iintlungu ezinciphisa ukudumba, ezifana ne-"NSAIDs", zingathengwa kwikhemesti.
- Unyango lomkhuhlane okanye ubushushu: Nciphisa iintlungu nokuqina.
- IiCorticosteroids: Udidi olunamandla lwamayeza anciphisa ukudumba ngokukhawuleza. La mayeza anokunikwa njengeepilisi okanye njengenaliti ngqo kwilungu.
- Ii-DMARD (amayeza okuguqula izifo): La luhlobo oluthile lwamayeza atshintsha indlela esi sifo esihamba ngayo, oko kukuthi, alawula ukusebenza kwenkqubo yomzimba yokuzikhusela aze ayeke ukonakala kwamalungu.
- Unyango lomzimba okanye unyango lomsebenzi: Oku kunokukunceda ufunde indlela yokuphucula ukusebenza kwamalungu kunye namandla awo kwaye kwenze imisebenzi yemihla ngemihla ibe lula.
Ngaba utyando luyimfuneko?
Utyando lwe-psoriatic arthritis aluqhelekanga. Nangona kunjalo, ukuba esi sifo sonakalise kakhulu amalungu akho okanye sibangele ukulahleka kwamathambo, kunokufuneka wenze utyando lokutshintshwa kwamalungu (i-arthroplasty). Kwimeko enjalo, ugqirha wakho okanye ugqirha wakho uya kukuchazela utyando olufunekayo kunye noko ukulindeleyo.
Ngaba oku kubi ngaphezu kwesifo samathambo?
I-Psoriatic arthritis kunye ne-rheumatoid arthritis ziintlobo ezimbini ze-arthritis. Zombini zizifo ezizikhuselayo emzimbeni.
- I-Psoriatic arthritis luhlobo lokuvuvukala kwamalungu olunxulunyaniswa ne-psoriasis (isifo solusu kunye neenzipho).
- I-rheumatoid arthritis luhlobo lwe-arthritis olubangelwa yinkqubo yomzimba yokuzikhusela ehlasela izicubu ezijikeleze amalungu kumacala omabini omzimba.
Esinye isifo asibi “ngcono” okanye “sibi” kunesinye. Zombini ziimeko ezihlala ixesha elide (ezingapheliyo). Oku kuthetha ukuba kuya kufuneka ulawule iimpawu zakho ixesha elide, mhlawumbi ubomi bakho bonke. Ugqirha wakho uya kukunceda ufumane unyango olufanelekileyo kuwe kwaye akuncede unciphise impembelelo yesifo kubomi bakho bemihla ngemihla.
Umyalezo Wokuya Ekhaya
- Isifo samathambo esibizwa ngokuba yi-Psoriatic arthritis sisifo esenzeka xa isifo solusu (psoriasis) kunye nesifo samalungu (arthritis) zidityanisiwe.
- Esi sisifo esibangelwa kukuzikhusela komzimba, oko kuthetha ukuba inkqubo yokuzikhusela yomzimba wethu ihlasela iiseli zethu.
- Intlungu yamalungu, ukuqina, ukudumba, ukuxobuka kwesikhumba, kunye notshintsho lwezinzipho zezona mpawu ziphambili.
- Esi sifo asinakunyangwa ngokupheleleyo, kodwa kukho unyango olusebenzayo kakhulu lokulawula iimpawu kunye nokuqhambuka kwesifo.
- Ukuba une-psoriasis kwaye uva iintlungu zamalungu, musa ukuyityeshela. Bona ugqirha wakho ngoko nangoko. Ukuqala unyango kwangethuba kunokunceda ukuthintela umonakalo wexesha elide kumalungu akho.
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