Ingabe unamabala abomvu, anamabala esikhumbeni sakho? Ingabe ngezinye izikhathi ubona lokhu ekhanda lakho, emadolweni, nasezindololwaneni? Ingabe uzizwa uqinile futhi ubuhlungu emzimbeni wakho, ikakhulukazi iminwe yakho namadolo, uma uvuka ekuseni? Uma unezinkinga zombili, ungase ube nesimo esibizwa ngokuthi 'i-Psoriatic Arthritis'. Ungesabi uma uzwa leli gama. Lokhu kuyinto abantu abaningi abanayo. Namuhla, sizoxoxa ngalokhu ngendlela elula ongayiqonda.
Iyini le arthritis ye-psoriatic?
Kalula nje, i-psoriatic arthritis uhlobo lwe-arthritis. Kuwukuvuvukala kwamalunga. Ngokuvamile kwenzeka kubantu abanesimo sesikhumba esibizwa ngokuthi i-psoriasis. Ngezinye izikhathi, uma othile emndenini wakho ene-psoriasis, angayihlakulela nayo.
Manje ake sichaze lokhu kakhudlwana.
- I-Arthritis: Lesi yisimo esivamile esithinta amalunga ethu. Sibangela ubuhlungu nokuvuvukala (ukuvuvukala) ngaphakathi nangaphandle kwamalunga.
- I-Psoriasis: Lesi yisimo sesikhumba esivuvukalayo. Kulesi simo, kuvela amabala abomvu esikhumba, ambozwe amabala anombala wesiliva. Lawa mabala anamabala abizwa ngokuthi ama-plaque. Ngaphezu kwalokho, izinzipho zabanye abantu zingaba zijiyile, zibe namabala, noma zibe nemigodi emincane.
Zombili lezi zimo, i-arthritis kanye ne-psoriasis, zihlukaniswa njengezifo ezizimele . Cabanga ngale ndlela: uhlelo lokuzivikela lomzimba wethu, uhlelo lokuzivikela, lufana nebutho. Umsebenzi walo ukusivikela ngokulwa nabahlaseli bakwamanye amazwe. Kodwa kulesi simo "sokuzivikela ngokuzenzakalelayo", uhlelo lwethu lokuzivikela luqala ngephutha ukuhlasela amangqamuzana ethu aphilile. Ku-arthritis ye-psoriatic, lokhu kuhlasela kwenzeka ngesikhathi esisodwa esikhumbeni nasemalungeni.
Izimpawu zalesi sifo azihlali njalo. Ngezinye izikhathi izimpawu ziya ziba zimbi kakhulu, esizibiza ngokuthi 'ama-flares' . Ngezinye izikhathi izimpawu ziyanyamalala. Uma ukhula amabala esikhumba amasha, noma uma uzwa ubuhlungu, ukuvuvukala, noma ukuqina kwamalunga akho, qiniseka ukuthi ubona udokotela wakho futhi ukhulume ngakho.
Sivame kangakanani lesi simo?
Abantu abangaphansi kuka-1% emhlabeni banesifo samathambo esibizwa ngokuthi i-psoriatic arthritis. Kodwa-ke, uma usuvele une-psoriasis, ingozi yakho yokuthola lesi simo iphakeme kakhulu. Abantu abangaba ngu-30 kwabayi-100 abane-psoriasis bazoba nesifo samathambo esibizwa ngokuthi i-psoriatic arthritis ngesikhathi esithile empilweni yabo.
Yiziphi izinhlobo eziyinhloko zalesi sifo?
Isifo samathambo esibizwa ngokuthi i-Psoriatic arthritis asifani kuwo wonke umuntu. Odokotela basihlukanisa sibe izinhlobo ezinhlanu eziyinhloko, kuye ngokuthi amalunga athintekile nokuthi izimpawu ziqala kanjani. Kubalulekile ukuthi uqaphele lokhu.
| Uhlobo lwesifo | Kalula nje... |
|---|---|
| Okuphambili kwe-interphalangeal okude | Lokhu kuthinta kakhulu amalunga amancane eduze kwezihloko zeminwe nezinzwane. Lolu uhlobo oluvame kakhulu lwe-psoriatic arthritis oluthinta izinzipho. Izinzipho zakho zingase zishintshe umbala, zihlubule, noma ziveze imigodi emincane. |
| I-symmetric polyarthritis | Lokhu kuthinta amalunga amahlanu noma ngaphezulu ngesikhathi esisodwa. Igama elithi 'symmetric' lisho "symmetrical". Lokhu kusho ukuthi amalunga afanayo ayathinteka kuzo zombili izinhlangothi zomzimba . Isibonelo, amadolo akho womabili kanye nezindololwane zombili kungathinteka ngesikhathi esisodwa. Lolu futhi uhlobo oluvamile. |
| I-oligoarticular engalingani | Lokhu kuthinta amalunga amabili kuya kwamane ezinhlangothini zombili zomzimba, kodwa 'akulingani', okusho ukuthi akuthinti amalunga afanayo ezinhlangothini zombili. Isibonelo, idolo lesokudla kanye nengqiniba yesobunxele kungathinteka. Lolu futhi olunye uhlobo oluvame kakhulu. |
| I-Spondylitis | Umgogodla wethu wakhiwe ngamathambo amancane abizwa ngokuthi ama-vertebrae. Kulolu hlobo lwe -arthritis, amalunga aphakathi kwama-vertebrae ayavuvukala . Lokhu kungabangela ubuhlungu nokuqina komhlane. Ngezinye izikhathi, ubuhlungu bungazwakala nasezinqeni nasemahlombe. |
| Izifo ze-arthritis | Lolu uhlobo olubi kakhulu nolungavamile lwe-psoriatic arthritis. Luthinta izandla nezinyawo. Ukuvuvukala kukhulu kangangokuthi amathambo angancibilika. Ngokwezokwelapha, lokhu kubizwa ngokuthi "i-osteolysis." Kodwa lesi yisimo esingavamile kakhulu. Lolu hlobo lubonakala kubantu abangaphansi kuka-5% abane-psoriatic arthritis. |
Yiziphi izimpawu ongase uzibone?
I-Psoriatic arthritis ingathinta noma yiliphi ilunga emzimbeni. Kwabanye abantu, izimpawu zincane kakhulu. Kungase kube neziqeshana ezimbalwa zesikhumba ezinobuhlungu nokuqina kwamalunga. Kodwa-ke, ngesikhathi sokuqubuka kwamalunga, ubuhlungu bungaba bukhulu kangangokuthi amalunga awakwazi ukusetshenziswa futhi kungavela iziqeshana ezinkulu zesikhumba.
Lezi yizimpawu ezivame ukubonakala:
- Ubuhlungu bamalunga: Ubuhlungu bungase buvele kwelinye noma ngaphezulu lamalunga.
- Ukuqina kwamalunga: Ubunzima bokugoba noma ukwelula amalunga, ikakhulukazi uma uvuka ekuseni.
- Ukuvuvukala nokubomvu kwamalunga: Amalunga athintekile angase avuvuke futhi abe bomvu nxazonke kwamalunga.
- Ubuhlungu be-tendon kanye ne-ligament: Ubuhlungu noma ukuthamba lapho imisipha yethu inamathela khona emathanjeni ethu (isb., i-Achilles tendon).
- Ukuvuvukala kweminwe: Iminwe noma izinzwane ziyavuvukala njengesoseji. Odokotela babiza lokhu ngokuthi `(dactylitis)`.
- Ukuqubuka kwe-Psoriasis: Amabala abomvu anama-scales anombala wesiliva, ikakhulukazi ekhanda, emadolweni, ezindololwaneni nasemhlane ongezansi.
- Ukushintsha kwezinzipho: Ukushintsha kombala wezinzipho, ukugoba, ukuqina, noma ukuhlukaniswa kwezinzipho nesikhumba.
- Ukukhathala: Lokhu akukhona ukukhathala nje kuphela. Ukukhathala okukhulu okwenza ungakwazi ukwenza lutho, futhi kuzwakala sengathi lokhu kukhathala ngeke kuphele noma ulele usuku lonke.
Kungani lokhu kwenzeka? Ubani osengozini enkulu?
Ochwepheshe abakakazi kahle ukuthi yini ebangela i-psoriatic arthritis. Kodwa-ke, ezinye izifundo zithole ukuthi abantu abanalesi sifo banezinguquko ezifanayo ezakhiweni zabo zofuzo (izinguquko zofuzo). Kodwa-ke, akukacaci ukuthi lezi zinguquko zofuzo zibangela lesi sifo noma ukuthi lezi zinguquko zenzeka yini ngemva kokuba lesi sifo sesiqalile.
Okubalulekile ukuthi cishe abantu abangu-40% abane-psoriatic arthritis, noma cishe abangu-40 kwabayi-100, banelinye ilungu lomndeni elinalesi sifo, okuphakamisa ukuthi kungaba yisifo esizuzwe njengefa.
Ngakho-ke uma kukhona emndenini wakho one-psoriasis noma i-psoriatic arthritis, qiniseka ukuthi utshela udokotela wakho.
Nakuba lesi sifo singavela kunoma yimuphi ubudala, sivame kakhulu phakathi kweminyaka engama-30 nengama-50.Kuvamile kubantu. Ngokuvamile, i-psoriasis (isifo sesikhumba) ikhula kubantu abasha, abaneminyaka engaba ngu-15-25, futhi izimpawu zamalunga zivela eminyakeni eminingana kamuva, phakathi neminyaka yobudala.
Ingabe lesi simo singadala ezinye izifo?
Yebo, abantu abane-psoriatic arthritis bangase babe sengozini encane yokuthola ezinye izinkinga zempilo. Lokhu kungenxa yokuvuvukala okungapheli emzimbeni.
Ezinye zezinkinga ezivame kakhulu ezingase zenzeke yilezi:
- Umfutho wegazi ophezulu (i-Hypertension)
- Ukwanda kwamazinga e-cholesterol egazini (i-Hyperlipidemia)
- Ukukhuluphala ngokweqile
- Isifo sikashukela
- Ukucindezeleka
- I-anemia
- Ubuthakathaka bemisipha
Ubuhlungu bamalunga bungenza kube nzima ukuzivocavoca. Kodwa ukungazivivinyi kungandisa isisindo somzimba wakho futhi kubeke ingcindezi enkulu emalungeni akho. Ngakho-ke, khuluma nodokotela wakho mayelana nokuzivocavoca okunethonya elincane okungabeki ingcindezi enkulu emalungeni akho. Izinto ezifana ne-yoga, ukuhamba, noma ukwelashwa ngamanzi ziyizindlela ezinhle zokugcina umzimba wakho uphilile ngaphandle kokubeka ingcindezi enkulu emalungeni akho.
Udokotela ukuthola kanjani lokhu?
Udokotela uxilonga isifo samathambo se-psoriatic ngokuhlolwa ngokomzimba kanye nezinye izivivinyo eziningana. Udokotela uzokubuza ngezimpawu zakho futhi ahlole isikhumba sakho namalunga ngokucophelela.
Ungathunyelwa kochwepheshe:
- Udokotela Wezifo Zamalunga: Lona udokotela ogxile ezifweni zamalunga, izifo zokuzivikela komzimba, kanye nezimo zokuvuvukala.
- Udokotela Wesikhumba: Lona udokotela ogxile ezifweni zesikhumba.
Akukho ukuhlolwa okukodwa okungaqinisekisa isifo samathambo se-psoriatic. Odokotela bazokwenza ukuhlolwa ukuze banqume ezinye izimo ezingase zibangele izimpawu zakho.
Ezinye izivivinyo ongase ucelwe ukuba uzenze:
- Ukuhlolwa kwegazi: Hlola izinto ezifana nokutheleleka.
- Ukuhlolwa kwezithombe: Lokhu kungabheka umonakalo noma ukuvuvukala emalungeni.
- Ama-X-ray
- Ukuskena kwe-MRI
- Ukuskena kwe-CT
- Ukuskena nge-ultrasound
Yiziphi izindlela zokwelapha lokhu?
Udokotela wakho uzokunikeza ukwelashwa ukuze aphathe izimpawu zakho. Uhlobo lokwelashwa oludingayo luzoncika ezintweni eziningana:
- Yimaphi amalunga athinteka yilesi sifo?
- Zinzima kangakanani izimpawu?
- Lezi zimpawu ziphazamisa kangakanani imisebenzi yakho yansuku zonke?
Izindlela zokwelapha ezisetshenziswa kakhulu yilezi:
- Ama-Painkiller: Ama-Painkiller anciphisa ukuvuvukala, njenge-"NSAIDs", angathengwa ekhemisi.
- Ukwelashwa ngomkhuhlane noma ngokushisa: Nciphisa ubuhlungu nokuqina.
- Ama-Corticosteroids: Uhlobo lwemithi enamandla enciphisa ukuvuvukala ngokushesha. Lokhu kunganikezwa njengamaphilisi noma njengomjovo ngqo emalungeni.
- Ama-DMARD (imithi yokwelapha amalunga eguqula izifo): Lawa uhlobo olukhethekile lwemithi olushintsha indlela isifo esiqhubeka ngayo, okungukuthi, alawula ukusebenza kwesimiso somzimba sokuzivikela futhi ayeke ukulimala kwamalunga.
- Ukwelashwa ngokomzimba noma ukwelashwa ngokomsebenzi: Lokhu kungakusiza ufunde ukuthi ungathuthukisa kanjani ukusebenza kwamalunga kanye namandla awo futhi wenze imisebenzi yansuku zonke ibe lula.
Ingabe ukuhlinzwa kuyadingeka?
Ukuhlinzwa kwe-psoriatic arthritis akuvamile kakhulu. Kodwa-ke, uma lesi sifo silimaze kakhulu amalunga akho noma sibangele ukulahlekelwa amathambo, kungadingeka ukuthi uhlinzwe kabusha amalunga (i-arthroplasty). Kuleso simo, udokotela wakho noma udokotela ohlinzayo uzochaza ukuhlinzwa okudingayo nokuthi yini ongayilindela.
Ingabe lokhu kubi kakhulu kune-rheumatoid arthritis?
I-Psoriatic arthritis kanye ne-rheumatoid arthritis yizinhlobo ezimbili ze-arthritis. Zombili ziyizifo ezizimele.
- I-Psoriatic arthritis uhlobo lokuvuvukala kwamalunga oluhambisana ne-psoriasis (isifo sesikhumba nezinzipho).
- I-rheumatoid arthritis uhlobo lwe-arthritis olubangelwa amasosha omzimba ahlasela izicubu ezihambisana namalunga ezinhlangothini zombili zomzimba.
Isifo esisodwa asisibi kakhulu kunesinye. Zombili ziyizimo zesikhathi eside (ezingapheli). Lokhu kusho ukuthi kuzodingeka uphathe izimpawu zakho isikhathi eside, mhlawumbe impilo yakho yonke. Udokotela wakho uzokusiza ukuthola ukwelashwa okufanele futhi akusize unciphise umthelela wesifo empilweni yakho yansuku zonke.
Umlayezo Wokuya Nawe Ekhaya
- I-Psoriatic arthritis yisimo esenzeka lapho isifo sesikhumba (i-psoriasis) nesifo samalunga (i-arthritis) sihlangana.
- Lesi yisifo esibangelwa ukuzivikela komzimba, okusho ukuthi uhlelo lokuzivikela lomzimba wethu luhlasela amangqamuzana ethu.
- Ubuhlungu bamalunga, ukuqina, ukuvuvukala, ukuxebuka kwesikhumba, kanye nokushintsha kwezinzipho yizimpawu eziyinhloko.
- Lesi sifo asikwazi ukwelapheka ngokuphelele, kodwa kunezindlela zokwelapha eziphumelela kakhulu zokulawula izimpawu kanye nokuqubuka kwamathumbu.
- Uma une-psoriasis futhi uzwa ubuhlungu bamalunga, ungakushayi indiva. Bonana nodokotela wakho ngokushesha. Ukuqala ukwelashwa kusenesikhathi kungasiza ekuvimbeleni ukulimala kwamalunga isikhathi eside.
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