Ramatiki ea Psoriatic ke ea sehlopha sa maemo, a tsejoang e le spondyloarthropathies . Haholo-holo, ramatiki ea psoriatic e nkoa e le mofuta oa lefu la ramatiki le amanang le boemo ba letlalo la psoriasis 'me ka tloaelo ha bo na lebaka la ho ramahaneng . Hoa thahasellisa hore, ho fihlela lilemong tsa bo-1950, matšoao a lefu la masapo a bakoang ke psoriasis a ne a nkoa e le lefu la ramatiki la lefu la masapo le ileng la hlaha ka psoriasis.
Butle-butle, maemo ana a mabeli a ne a nkoa e le a fapaneng le a bongaka. Ka 1964, lefu la psoriatic le ne le khetholloa e le lefu le khethollang ke Mokhatlo oa Amerika oa Rheumatism.
Tsela e tloaelehileng ka ho fetisisa ea ho kenngoa ha letlalo ho bakuli ba nang le ramatiki ea psoriatic ke plaque psoriasis (e tsejoang hape e le psoriasis vulgaris), le hoja mekhoa e meng e ka etsahala. Maemong a mangata, ramatiki e hlaha ho batho ba thehileng psoriasis. Leha ho le joalo, bakuli ba bang ba ka 'na ba se ke ba hlokomela hore ba na le psoriasis (ka mohlala, psoriasis e ka hlokomeleha sepakapakeng), kapa psoriasis e ka hlaha ka mor'a lefu la ramatiki hoo e ka bang karolo ea 15 lekholong ea lisosa tsa masapo a psoriatic.
Mehlala ea Matšoao le Litšobotsi Tse Tšoanang
Bakuli ba lefu la kelello ba na le matšoao a matšoao a kopane, enthesitis , kapa ho ruruha ha mokokotlo. Ho na le mekhoa e 5 ea lik'hemik'hale ea ramoriki ea psoriatic:
- Oligoarthritis e se nang mali (e ama manonyeletso a manyenyane kapa a maholo ho tlasa 5; motsoako o amehileng o ka lehlakoreng le leng la 'mele, eseng ka bobeli)
- Symmetric polyarthritis (e ama litho tse 5 kapa ho feta; motsoako o amehileng o mahlakoreng ka bobeli a 'mele, mohlala, mangole ka bobeli)
- Palo e kopanetsoeng e kopanetsoeng ea li-predominant (DIP) ea predominant (DIP) (e ama ho kopana ha menoana le menoana)
- Sefondyloarthritis e kholo (e ama manonyeletso a mokokotlo)
- Ramatiki ea mutilans (e senya le e senya manonyeletso a amehileng)
Leha ho le joalo, mokhoa oa ho kenyelletsa letsoho la masapo a psoriatic ha o tiisetsoe; e ka fapana mme ea fetoha. Polyarticular mokhoa o tloaelehileng ka ho fetisisa, o amang batho ba fetang karolo ea 60 lekholong ea bakuli ba nang le ramatiki ea lefu la psoriatic. Mohlala oa oligoarticular o ama batho ba etsang karolo ea 13 lekholong ea lefu la masapo a psoriatic. DIP e tloaelehileng e etsahala ka tlase ho 5 lekholong ea bakuli. Ho na le ntho e tloaelehileng ea spondyloarthritis, le hoja ho na le karolo e itseng ea mokokotlo e ka hlahang likarolong tse 40 ho ea ho 70 lekholong tsa masapo a psoriatic. Tsela e senyang (mutilans) e nkoa e le ea sa tloaelehang, le hoja e ka hlaha ka mor'a nako, haholo-holo haeba e sa phekoloe.
Lintho tse tloaelehileng tsa ramatiki ea psoriatic tse thusang ho hlahloba lefu lena li akarelletsa dactylitis le enthesitis. Dactylitis e khetholloa ke ho ruruha ho bōpehileng joaloka menoana kapa menoana. Boloetse ba pelo bo hlalosoa e le ho ruruha setsing sa tendon kapa ligament e kenang ka masapo. Hangata, libaka tse kenyelletsoang ho kena ho tsona ke tendon ea Achilles le plantacious fascia. Liwebsaete tse ling tse kenyeletsang li kenyeletsa li-tendon tsa quadriceps kapa patellar, li-creak, li-rotator, le li-Epicondyles tsa sethapo. Bohloko, bonolo le ho ruruha li ka etsahala, empa ho kenya letsoho ha libaka tsena tse ngata ho ka etsahala ntle le matšoao.
Lintho tse ling tsa ramatiki ea psoriatic li kenyeletsa tenosynovitis (ho ruruha ha seton sheath), mathata a lipekere (mohlala, lipekere tse koetsoeng), le mathata a mahlo (mohlala, uveitis kapa iritis).
Ntle ho psoriasis le ho senyeha ha lipekere, ho bonahatsa maloetse a mangata a sa tloaelehang ha ho tloaelehe hakaalo le ramatiki ea psoriatic ho bapisoa le ramatiki ea ramatiki. Ho 'nile ha e-ba le litlhahiso tsa hore mafu a ho ruruha a malapa, hammoho le li-edema tsa maoto kapa li-lymphedema, a ka' na a hlaha hangata har'a bakuli ba masapo a psoriatic, empa a ntse a sa tsitsa. Li-Amyloid , ha li ntse li nkoa e le tse sa tloaelehang, li 'nile tsa hlalositsoe ka lefu la psoriatic ramatiki.
Ho khetholla Ramatiki ea Psoriatic ho tswa ho Rumatoid Arthritis le Maemo a mang
Litsebi tsa lingaka li shebile mekhoa ea ho kopanela li kopaneng ha li khetholla ramatiki ea psoriatic ho tsoa ho ramatiki ea ramatiki, hammoho le litšobotsi tse ling. Dactylitis, ho kenella ha DIP, le enthesitis ho supa lefu la masapo a psoriatic. Sacroiliitis kapa mahlaba-morao a amanang le ho ruruha a bakoang ke x-ray kapa MRI e boetse e bua ka ramatiki ea psoriatic. Ho kenella ha lesela ha ho nkoa e le ntho e tloaelehileng ka ramatiki ea ramatiki. Ka lehlakoreng le leng, ho ba teng ha rheumatoid kapa ho hlahisa maikutlo a mang a tsamaiso ho latela lefu la ramatiki ho e-na le ramatiki ea psoriatic.
Matšoao a mafu a kelello a tlameha ho khetholloa ho tsoa ho li-spondyloarthropathies tse ling, tse kang ramatiki ea ho itšireletsa mafung kapa ankylosing spondylitis . Dactylitis e ka boela ea e-ba tšebetso ea bongaka ea ramatiki ea mafu a mahlahahlaha. Ka ramatiki ea psoriatic, sacroiliitis e tloaelehile haholo (lehlakoreng le le leng le leholo ho feta le leng) le bapisoa le sacroiliitis ea ankylosing spondylitis, e tloaelehileng e lekanang. Hape, ramatiki ea psoriatic e tlameha ho khetholloa ke mefuta ea ramatiki e amanang le kristale. Litekanyo tsa urate tsa serame li ka 'na tsa phahama ka masapo a psoriatic. Tlhahlobo ea metsi ea Synovial e thusa ho khetholla tse peli.
Ha ho na tlhahlobo e khethehileng ea laboratori bakeng sa ramatiki ea psoriatic. Le hoja ntho e mpe ea lefu la masapo e 'nile ea nkoa e tšoana le ramatiki ea psoriatic, maemong a tlaase a lefu lena a ka' na a e-ba le lefu la psoriatic ramatiki. Li-antibodies tse tsejoang e le anti-CCP , tseo pele li neng li nahanngoa e le tse tobileng ho ramatiki ea lefu la masapo, li ka fumanoa hoo e ka bang karolo ea 5 lekholong ea bakuli ba masapo a psoriatic. Sekhahla sa li-sedimentation , CRP , le serum amyloid A e ka phahamisoa ke ramatiki ea psoriatic, empa e tlase ho feta bakuli ba ramatiki ba lefu la masapo.
Lisebelisoa:
Kelley's Textbook ea Rheumatology. Khatiso ea borobong. Elsevier. Khaolo ea 77 - Psoriatic Arthritis. Oliver Fitzgerald. E fihlile ka 03/04/16.
Boitsebiso ba mokuli: Ramatiki ea Psoriatic (Ka Ntle ho Lintho Tsa motheo) UpToDate. Gladman le Ritchlin. E fetotsoe 4/9/15.