Psoriatic arthritis inokonzerwa nekuvapo mukati memunhu we psoriasis kana chimiro chisinganzwisisiki chechirwere ichi. Sezvo vaongorora chirwere ichi, masayendisiti akaita zvirevo zvizhinji zvinonakidza pamusoro pechikonzero chacho uye nzira dzokurapa.
Psoriasis uye psoriatic arthritis
Ne psoriatic arthritis inonzwisiswa kusanganiswa kwezvirwere zviviri: psoriasis uye rheumatoid arthritis. Maererano nehuwandu hwezvokurapa, psoriatic arthritis iripo mu10% yevarwere vane chirwere che psoriasis. Pakutanga, varwere vanogona kunyunyuta pamusoro pekuonekwa kwemavara matsvuku paganda. Muchiitiko ichi, vanachiremba vanoongorora chirwere cheporioriasis, arthritis inotanga kuzviratidza pachavo mushure mechinguva nemarwadzo emakumbo kana nhengo. Muzviitiko zvisingawanzoitiki, chirwere chinotanga nematambudziko akabatanidzwa, uye ganda rinoratidzika seine utano panguva imwe chete.
Kudzidza psoriatic arthritis, zviratidzo uye kurapwa, vanachiremba vakasvika pakugumisa kuti chirwere ichi chinoreva kugadzirisa pfungwa, ndiko kuti, zvakananga zvakananga nehurumende yenheyo. Vakadzi vanowedzera humiriri hwemweya hwevanhu, saka vanotambura nechirwere ichi kakawanda kupfuura varume. Chikonzero chinonyanya kukanganisa kubatana kwemapisarema chinokanganisa kana kuti kwenguva refu, kunetseka mupfungwa.
Psoriatic Arthritis - Zviratidzo
Zviratidzo zveporiorian arthritis zvinowanzofanana nezviratidzo zveArthritis. Nokuda kwekuongororwa kweporioriatic arthritis, vanachiremba vanocherechedza zviratidzo zvakadaro:
- kusuruvara kwemajoini nekudzimba kwezvivako zvakapoteredza;
- ganda rakapoteredza sangano rakagadzikana richava nefivha;
- kugutsikana kunogona kuitika muzvikamu zviduku;
- Nhengo dzakakanganisa dzinogona kuva nemucheka mutsvuku kana bluish;
- kazhinji kupindirana kwemasangano kunopesana, kunokonzera kushungurudzika uye zvinetso mukufamba;
- Zvigunwe pamakumbo nemaoko zvakapfupiswa kana zvakatambanudzwa;
- kubatana kwakashata isymmetrical;
- kuoma kwemangwanani emajoints.
Psoriatic arthritis yeminwe
Vanachiremba, vachidzidza psoriasis, arthritis, zviratidzo zvechirwere ichi, vakapedzisa kuti psoriatic arthritis yeminwe ndiyo inowanzojairika ye psoriatic arthritis. Nechimiro chechirwere ichi, zvipembenene zveArthritic zvinosanganisa zvigunwe zvemakumbo ekumusoro. Chirwere chacho chinogona kutanga nehuporiori zviratidzo, izvo zvinowedzerwa kune zvigunwe zveminwe, uye zvinogona kutanga nezviratidzo zveArthritis.
Kuti udzidze psoriatic arthritis yeminwe inogoneka nezviratidzo zvakadaro:
- zvinyorwa zviduku zvemakumbo okumusoro zvinorwadza;
- Masangano eminwe inodururwa, uye kupfupa kunogona kupararira kune zvakapoteredza;
- mafundo akaremara, minwe inoshandura chimiro: thicken uye shopeta;
- munzvimbo yakabatana, ganda rinopisa, rinowana mumvuri wakaita;
- chimwe chikamu cheporioriyamu arthritis ndiko kukundwa kwepandepa yemapachipi: misumari inorasikirwa nemuvara, inopenya, mutate kana kuparara.
Psoriatic arthritis yemakumbo
Psoriatic arthritis yetsoka inowanzowanikwa zvisina kururama sechitsinho chinoputika, plantar fasciitis, gout, arthritis. Mukuwedzera, psoriatic arthritis inogona kunge yakafanana nekuratidzwa kwezvirwere zvinokonzerwa nemhepo zvakadai se lupus, nezvimwewo. Kusiyana nezvimwe zvinonzi zvirwere, izvo zvinomuka nekuda kweremoro mutoro pamakumbo, psoriatic arthritis inosvika semugumisiro we psoriasis.
Psoriatic arthrosis kana arthritis yerutsoka inoratidzika sekutambudzika kwakanyanya muzvibatanidza nematukisi akakomberedzwa. Ganda rakapoteredza sangano rinopinda rinoshanduka rutsvuku kana ruvara. Pamusana pekushungurudzika kwekubatana pachetero, kugutsikana kunogona kuitika, zvichikonzera marwadzo ekuwedzera uye zvichikonzera kuoma kufamba. Mazimbe ane chiremera anotungamirira kuchinje mumamiriro ezvigunwe: vanofupisa uye vanopisa.
Psoriatic arthritis - kuongororwa
Kuongororwa kwe "psoriatic arthritis" kunogona kupiwa kumurwere ane zvinenge zvitatu zvezviratidzo izvi:
- mumwe munhu wehama dzepedyo airwara kana anorwara ne psoriasis ;
- ganda uye mapepa emapachipi anokonzerwa ne psoriasis;
- X-ray inoratidza kuparadzwa kwemamwe mapfupa emapfupa uye periosteal stratifications, kunze kwekuti osteoporosis ye periarticular region haina kuonekwa;
- Muzvitsitsinho kune manzwiro anorwadza paunofamba;
- arthritis yezvibatanidza zvoruoko pakati pemisipiresi uye pakati pepalanx yeminwe;
- zvese zvikamu zvitatu zvemunwe wekutanga zvinoshandurwa;
- chigunwe chemuviri wechizasi chinoshandurwa;
- rheumatoid factor is negative;
- X-ray inoratidza kusagadzikana muzvikamu zve sacroiliac;
- mukati me-vertebral tistues deposition ye calcium salts inoonekwa.
Psoriatic arthritis - miedzo
Kuti aone psoriatic arthritis, kunze kwekuongororwa kwevarwere, laboratori inorwara uye kuunganidzwa kweamnesis inokosha. Kuongororwa kweArthritis kunoitwa nekubatsirwa kwedzidzo dzakadaro:
- X-ray yenharaunda yakakanganiswa. Mufananidzo wacho ucharatidza kuchinja kukuru muzvikamu.
- Kuwedzerwa kuwedzerwa ropa. Muropa, anemia, yakawedzera ESR uye fibrinogen, sialic acid, immunoglobulin A, G, uye E. inogona kuonekwa.
- Analysis of intraarticulate synovial fluid. Mvura yakatorwa kuti iongororwe muhupo hwe psoriatic arthritis ichave yakasununguka, pamwe nekuwanda kweeutrophils.
Psoriatic arthritis - kurapa
Asati apora psoriatic arthritis, chiremba anonyora kubvunzurudzwa kwakakwana kunomubatsira kuti anzwisise kuwanda kwehutano hwemasangano. Iyo yakadzika kukunda, zvakanyanya kuoma kubvisa zviratidzo zvayo. Murwere anofanira kuziva kuti chirwere ichi hachigoni kuporeswa. Vanachiremba vanogona kubatsira kuderedza mamiriro ezvinhu uye kumisa kushanduka kwekuita. Iyo yakaoma yekurapa inogona kusanganisira kushandiswa kwemishonga, kudya kwezvokudya, physiotherapy, gymnastics remishonga, mararamiro ekuchinja.
Psoriatic arthritis - kliniki mazano
Nhamba yezvirongwa zvekurapa psoriatic arthritis inosanganisira mazano ekuchinja dzimwe tsika:
- Makirasi e physiotherapy. Nehosha iyi, kufamba nekukurumidza nekushambira kwakanakisisa.
- Kana pane marwadzo muzvibatanidzwa, unofanira kuzvipa zororo. Majozvi haagoni kukwaniswa.
- Kuchengetedza kusarudza shangu kunokosha. Hazvibviri kubvumira joints kuti iwedzere kuputirwa neshangu dzakasimba.
- Zvakakosha kurara zvakakwana. Kuti uite izvi, unofamba kufamba usati warara, mhepo muimba yekurara, usadya tei nekofi yeusiku, usatarisa mafirimu anokurudzira uye mapurogiramu.
- Mamiriro ekudzivirira ibasa rinokosha kune murwere ane psoriatic arthritis. Kudzoka kwakarurama kuchadzivisa kuwedzera kuora kwehutano.
- Zvakakosha kusarudza hutendere hunoita kuti uvete. Zvinonzwisisika kuva neatomical mattress uye mutezo wekurara.
- Zvakakosha kutungamirira hupenyu hwakadzikama, hunotaridzika , kuedza kusave nekutya uye kudzivisa kushungurudzika.
Kugadzirira ye psoriatic arthritis
Kunyora madhiragi ekurapwa kweporioriatic arthritis kudai chiremba, sekuzvimiririra kunogona kutungamirira kumigumisiro inosuruvarisa. Kurapa kwakaoma kwechirwere ichi kunosanganisira zvirongwa zvakadaro zvemishonga:
- Immunosuppressive drugs. Zvinoshandiswa kuderedza basa rezvirwere zvemuviri. Iyo inonyanyozivikanwa nemishonga methotrexate mu psoriatic arthritis. Mishonga inoita kuti zvibvirire kumisa kushanduka kwekuita. Chirwere cheporioriatic arthritis ne methotrexate chinonzi chinokosha. Mukuwedzera, Sulfasalazine inoshandiswa mumapuroriyamu arthritis, Cyclosporine, Leflunomide, Azathioprine uye mifananidzo yavo.
- Kugadzirira kwekuvhara pasi maserosi ekuremera kupisa mapuroteni: Adalimumab, Infliximab, Etanercept.
- Iboka remishonga mitsva yekurapa psoriatic arthritis rinosanganisira Otela naTaltz (Isekizumab). Iyo yekupedzisira ine mari yakakwirira, saka haigoneki kuvarwere vakawanda.
- Iyo yakaoma yehuporiori arthritis chiratidzo chekunatsa ropa nerubatsiro rwe plasmapheresis.
Psoriatic arthritis - kurapwa nemishonga yevanhu
Kurapa kwevanhu ve psoriatic arthritis kunogona kuve kuwedzera kwakanaka kumushonga wemishonga. Mapoka akadai akadaro anozivikanwa:
- Kuchengetedzwa kwebazi rerukato. Kuti uite izvi, gadzirira kuvharwa kwemafruruki, kuitonhorera kusvika kutsigiri ye 38 degrees uye kuwedzeredza mavara. Mushure mekuitwa, nzvimbo idzi dzinofanira kunge dzakaputirwa uye dzakachengetwa kweinenge awa. Dzidzo inosanganisira 5 maitiro.
- Herbal teas. Nechirwere ichi kunobatsira kunwa demoo yemiti yakadaro: St. John's wort, birch mashizha, dandelion, juniper, bheriberry.
- Turpentine compress. Tora madonhe maviri ematpentine, 2 tbsp. l. mafuta ezvirimwa, 1 tbsp. l. grated karoti. Sakanidza zvikamu uye shandisa kune akabatanidzwa akabatanidzwa. Chengeta usiku hwose, dzokorora kwemazuva gumi.
- Mafuta anobva mafuta eucalyptus. Iko kunofanirwa kuchenesa mavhesi ehombodo, maruva emufaro clover uye wort St. John's wort. Sakanidza kuunganidza nemafuta eucalyptus uye petroleum jelly uye kushandiswa kune nzvimbo dzakaputika.
Kudya kweporioriyamu arthritis
Chikafu chakakodzera neArthritis chikamu chinokosha chekurapa. Kudya kwakanakisisa kuvarwere vane psoriatic arthritis ndiko kudya kwePegano . Munyori wekudya anodudzira kudya zviduku zvishoma, asi kazhinji. Nhamba yezvakagadzirwa zvinosanganisira zviyo, miriwo, michero. Mune nhamba shoma yekukurudzirwa kudya hove dzehove. Zvinhu zvinotevera zvinorambidzwa:
- tei nekofi;
- doro;
- sweets, buns, chingwa chitsva;
- makateti, mafuta, kusvuta, zvokudya zvakagadzirwa nemunyu uye zvinonhuwira;
- nyemba;
- nyama.