Phekolo ea ramatiki

Psoriatic ramatiki ke bothata bo kopaneng (ramatiki) bo atisang ho hlaha ka boemo ba letlalo bo bitsoang psoriasis.

Psoriasis ke bothata bo tloaelehileng ba letlalo bo bakang matheba a mafubelu letlalong. Ke boemo bo sa feleng (bo sa foleng) ba ho ruruha. Psoriatic arthritis e hlaha ho batho ba ka bang 7% ho isa ho 42% ba nang le psoriasis. Nail psoriasis e hokahane le ramatiki ea psoriatic.

Maemong a mangata, psoriasis e tla pele ho ramatiki. Ho batho ba 'maloa, ramatiki e tla pele ho lefu la letlalo. Leha ho le joalo, ho ba le psoriasis e matla, e pharalletseng ho bonahala ho eketsa menyetla ea ho fumana ramatiki ea psoriatic.

Lebaka la ramatiki ea psoriatic ha le tsejoe. Liphatsa tsa lefutso, sesole sa 'mele le maemo a tikoloho a ka bapala karolo. Ho ka etsahala hore mafu a letlalo le a kopaneng a ka ba le lisosa tse tšoanang. Leha ho le joalo, li kanna tsa se ke tsa etsahala hammoho.

Ramatiki e kanna ea ba bonolo 'me ea kenyelletsa manonyeletso a' maloa feela. Manonyeletso a qetellong ea menoana kapa menoana ea maoto a ka ameha haholo. Psoriatic ramatiki hangata ha e tšoane e baka ramatiki ka lehlakoreng le leng la 'mele.

Ho batho ba bang, lefu lena le ka ba matla mme la ama manonyeletso a mangata, ho kenyeletsoa le mokokotlo. Matšoao mokokotlong a kenyelletsa ho satalla le bohloko. Hangata li hlaha mokokotlong o tlase le sacrum.

Batho ba bang ba nang le ramatiki ea psoriatic ba ka ba le ho ruruha ha mahlo.

Boholo ba nako, batho ba nang le ramatiki ea psoriatic ba na le liphetoho tsa letlalo le lipekere tsa psoriasis. Hangata, letlalo le mpefala ka nako e le 'ngoe le ramatiki.

Li-tendon li ka chesoa ke ramatiki ea psoriatic. Mehlala e kenyelletsa tendon ea Achilles, fascia ea semela, le sheath tendon letsohong.

Nakong ea tlhahlobo ea 'mele, mofani oa tlhokomelo ea bophelo o tla batla:

• Ho ruruha ho kopaneng
• Matlalo a letlalo (psoriasis) le ho phunya manala
• Bonolo
• Ho ruruha mahlong

Li-x-ray tse kopaneng li ka etsoa.

Ha ho na liteko tse ikhethang tsa mali bakeng sa ramatiki ea psoriatic kapa psoriasis. Ho ka etsoa liteko tsa ho thibela mefuta e meng ea ramatiki:

• Lebaka la ramatiki
• Lisireletsi tse khahlanong le CCP

Mofani oa thepa a ka etsa liteko tsa lefutso le bitsoang HLA-B27 Batho ba nang le seabo mokokotlong ba na le monyetla oa ho ba le HLA-B27.

Mofani oa hau a ka fana ka lithethefatsi tse seng khahlanong le ho ruruha (li-NSAID) ho fokotsa bohloko le ho ruruha ha manonyello.

Ramatiki e sa ntlafatseng le li-NSAID e tla hloka ho phekoloa ka meriana e bitsoang lithethefatsi tse fetolang li-antirheumatic drug (DMARDs). Tsena li kenyelletsa:

• Methotrexate
• Leflunomide
• Sulfasalazine

Apremilast ke moriana o mong o sebelisetsoang ho phekola ramatiki ea psoriatic.

Meriana e mecha ea biologic e sebetsa bakeng sa ramatiki ea "psoriatic" e sa laoloeng le li-DMARD. Meriana ena e thibela protheine e bitsoang tumor necrosis factor (TNF). Hangata li thusa mafung a letlalo le lefu le kopaneng la ramatiki ea psoriatic. Meriana ena e fanoa ka ente.

Meriana e meng e mecha ea biologic e teng ho phekola ramatiki ea psoriatic e ntseng e tsoela pele leha ho sebelisoa li-DMARD kapa li-anti-TNF. Meriana ena e boetse e fanoa ka ente.

Manonyeletso a bohloko haholo a ka alafshoa ka liente tsa steroid. Tsena li sebelisoa ha ho ameha lenonyeletso le le leng kapa a 'maloa feela. Boholo ba litsebi ha li khothaletse li-corticosteroids tsa molomo bakeng sa ramatiki ea psoriatic. Ts'ebeliso ea bona e ka mpefatsa psoriasis mme ea kena-kenana le phello ea lithethefatsi tse ling.

Maemong a sa tloaelehang, ho ka hlokahala opereishene ho lokisa kapa ho kenya manonyeletso a senyehileng.

Batho ba nang le ho ruruha ha leihlo ba lokela ho bona ngaka ea mahlo.

Mofani oa hau a ka fana ka maikutlo a motsoako oa phomolo le boikoetliso. Phekolo ea 'mele e ka thusa ho eketsa motsamao o kopaneng. U ka sebelisa kalafo ea mocheso le serame.

Lefu lena ka linako tse ling le bobebe 'me le ama manonyeletso a' maloa feela. Leha ho le joalo, ho batho ba bangata ba nang le tšenyo ea ramatiki ea psoriatic manonyellong e etsahala nakong ea lilemo tse 'maloa tsa pele. Ho batho ba bang, ramatiki e mpe haholo e ka baka ho holofala matsohong, maotong le mokokotlong.

Batho ba bangata ba nang le ramatiki ea psoriatic ba sa ntlafatseng le li-NSAID ba lokela ho bona rheumatologist, setsebi sa ramatiki, hammoho le dermatologist ea psoriasis.

Kalafo ea kapele e ka fokotsa bohloko le ho thibela tšenyo e kopanetsoeng, le maemong a mabe haholo.

Bitsa mofani oa hau haeba u ba le matšoao a ramatiki hammoho le psoriasis.

Ramatiki - psoriatic; Psoriasis - ramatiki ea psoriatic; Spondyloarthritis - ramatiki ea psoriatic; Lipesaleme

• Psoriasis - guttate matsohong le sefubeng
• Psoriasis - guttate lerameng

Bruce IN, Ho PYP. Likarolo tsa bongaka tsa ramatiki ea psoriatic. Ho: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, bahlophisi. Rheumatology. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 128.

Gladman D, Rigby W, Azevedo VF, le al. Tofacitinib bakeng sa ramatiki ea psoriatic ho bakuli ba nang le karabelo e sa lekaneng ho li-inhibitors tsa TNF. N Engl J Med. 2017; 377:1525-1536.

Smolen JS, Schöls M, Braun J, le al. Ho phekola axial spondyloarthritis le peripheral spondyloarthritis, haholo-holo psoriatic ramatiki, ho lebisa tlhokomelo: Tlhatlhobo ea 2017 ea likhothaletso ke sehlopha sa machabeng. Ann Rheum Dis. 2018; 77 (1): 3-17. PMID: 28684559 pubmed.ncbi.nlm.nih.gov/28684559/.

Veale DJ, Orr C. Tsamaiso ea ramatiki ea psoriatic. Ho: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, bahlophisi. Rheumatology. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 131.