Ho khetholla ramatiki ea psoriatic e tsoang mefuta e meng ea ramatiki
Matšoao a mafu a Psoriatic a hlalosoa e le mofuta oa ramatiki. Ke ea sehlopha sa maemo, a tsejoang e le spondyloarthropathies . Ho fumanoa ka mokhoa o nepahetseng oa lefu lena ke habohlokoa e le hore phekolo e nepahetseng e ka qaloa.
Ho khetholla Ramatiki ea Psoriatic ea Mefuta e Meng
Ramatiki ea kelello e ka etsisa mefuta e meng ea ramatiki, kahoo ho e khetholla ho tsoa mefuta e meng ke sepheo sa ho hlahlojoa.
Ka linako tse ling ho ferekanyana le ho hlokomolohuoa hampe e le gout, ramatiki ea ramatiki , kapa lefu la osteoarthritis
Ha ho teko e le 'ngoe e khethollang ramatiki ea lefu la psoriatic. Tlhaloso e itšetlehile haholo ka histori ea tsa bongaka, tlhahlobo ea 'mele, le mahlaseli a mangata kapa lithuto tse ling tsa litšoantšo tse batlang bopaki ba tšenyo e kopaneng e bakiloeng ke ho ruruha. Liteko tsa mali le tlhahlobo ea mali ea synovial li ka sebelisoa ho laola mefuta e meng ea ramatiki.
Ha e le hantle, bakuli ba nang le ramatiki ea psoriatic ba na le likarolo tsa mesifa ea lefu lena le litšoantšo tsa letlalo ka mokhoa oa psoriasis. Ka tloaelo, bakuli ba ramatiki ba psoriatic ba na le tšusumetso e mpe ea lefu la rumatoid . Tlhahlobo ea lefu lena le sebelisetsoa ho khetholla ramatiki ea psoriatic ho tsoa ho ramatiki ea lefu la masapo, le hoja 20% ea bakuli ba nang le ramatiki ea lefu la tšoaetso e boetse e e-na le seronegative (e fosahetseng bakeng sa rheumatoid factor). E nkoa e le karolo e le 'ngoe ea bopaki, empa tse ling li lokela ho nkoa.
Mehato ea ho tseba
Litlhahiso tse sebetsang e le bopaki ba ramatiki ea psoriatic li kenyeletsa:
- Ramatiki ea ho ruruha e nang le monoana, mokokotlo, kapa ho kenya letsoho ho kena ho tsona.
- Bopaki ba psoriasis (hona joale, e le karolo ea histori ea bongaka ea mokuli, kapa karolo ea histori ea malapa a bona).
- Ho senyeha ha kelello ea kelello (ho arohana ha lesilana ho tloha betheng ea litlou), pitting, kapa hyperkeratosis [ho matlafala] ho bonahalang nakong ea tlhahlobo ea 'mele).
- Dactylitis (ho ruruha ha hona joale ea litekete kaofela, kapa histori ea dactylitis).
- Bo-rasaense ba X-ray e entsoeng ka masapo a macha haufi kapa a potolohileng manonyeletso a letsoho kapa maoto (ke hore, margins a kopaneng) empa a sa kenye li- osteophyte . (X-ray ke mokhoa o khethiloeng oa litšoantšo o sebelisoang ho lemoha liphetoho tse amanang le ramatiki ea psoriatic. MRI le ultrasound li ka sebelisoa haeba ho hlokahala lintlha tse ling.)
- Ntho e fosahetseng kapa e tlaase ea lefuba. (Le hoja boemo bo bobe ba lefu la mafura bo nkoa e le bopaki bo bohlokoa ba ho khetholla ramatiki ea lefu la psoriatic ho tsoa ho ramatiki ea ramatiki, boemo bo tlaase ba lefu la masapo bo ka fumanoa ho bakuli ba nang le likarolo tse tloaelehileng tsa ramatiki ea psoriatic. rheumatoid factor.)
- Li-antibodies tse bitsoang Cyclic citrullinated antibodies ( anti-CCP ), tseo hangata li neng li nahana hore li na le ramatiki ea lefu la masapo, li teng ho batho ba etsang karolo ea 5 lekholong ea lefu la masapo a psoriatic.
- Sekhahla sa methapo ea methapo ea sekhahla ( sedimentation rate , C-reactive protheine [CRP], le serum amyloid A) e ka phahamisoa ho bakuli ba nang le lefu la psoriatic, empa ka tekanyo e fokolang ho feta ea lefu la ramatiki. Hangata, li-marker li phahamisitsoe ke lefu la polyarticular 'me li bontša hore ho na le mokhoa o bobe oa ho hlasela.
- Hyperuricemia e ka hlaha ka ramatiki ea psoriatic hammoho le ho se tloaelehe ha metsoako .
Ho ea ka Kelley's Textbook of Rheumatology, hoo e ka bang 77% ea bakuli ba nang le ramatiki ea psoriatic ba sa tloaelehang ka x-ray. Hoo e ka bang 47% ea bakuli ba nang le ramatiki ea psoriatic e ncha kapa ea morao-rao ba hlahisoa ke mathata a ka hare ho lilemo tse peli. Lintho tse sa tšoaneng tse boletsoeng ka x-ray ke tsona tse hlalosang mofuta oa psoriatic ramatiki:
- Kenyelletso ea motsoako o sa tloaelehang
- Ho kenngoa ha liphatlalatso tsa liphaphali tsa menoana kapa menoana
- Ho kenyelletsoa ha libaka tsa ho kena
- Ho kenella ka sekhahla (ho se matla le ho se lekane ha ho bapisoa le ankylosing spondylitis )
Ka kakaretso, tsoelo-pele ea radiographic (x-ray) ea ramoriki ea psoriatic matsatsing a eona a pele e etsahala butle.
Ntle le ho kenngoa ha mokokotlo oa lesapo le mokokotlo oa liphaphali tsa menoana le menoana, ramatiki ea psoriatic hangata e ama litho tse khōlō tsa 'mele.
Lisebelisoa:
Kelley's Textbook ea Rheumatology. Khatiso ea borobong. Elsevier. Khaolo ea 77 Ramatiki ea Psoriatic. Oliver Fitzgerald. E fihlile ka 03/08/2016.
Tlhaloso ea mokuli: Ramatiki ea Psoriatic (Ka Ntle ho Lintho Tsa motheo). E maemong. Gladman le Ritchlin. E ntlafalitsoe ka 04/09/2015.
Psoriatic Arthritis. Koleji ea Amerika ea Rheumatology. Emery le Ash. E fetotsoe ka September 2013.