Kala saar arimaha cudurka psoriasis ee arthritis-ka noocyada kale ee arthritis-ka
Cudurrada xanuunka 'psoriatic arthritis' waxaa lagu sifeeyay nooc nooc ah xanuunka arthritis. Waxay ka tirsan tahay xaalad ah xaalad, oo loo yaqaano spondyloarthropathies . Si sax ah u baaritaanka cudurka waa mid muhiim ah si daaweynta haboon loo bilaabi karo.
Kala saaraan xanuunka Psoriatic Arthritis-ka Noocyada Kale
Cudurrada xanuunka 'psoriatic arthritis' waxay isku dayi karaan noocyada kale ee arthritis-ka, sidaas darteed kala-duwanaanta noocyada kale waa diiradda lagu ogaado cudurka.
Mararka qaarkood waa lagu wareersan yahay loona fahmaa sida gout, rheumatoid arthritis , ama osteoarthritis
Ma jiro baaritaan keliya oo tilmaamaya xanuunka 'psoriatic arthritis'. Tijaabadu waxay ugu horreyn ku saleysan tahay taariikhdaada caafimaad, baaritaanka jirka, iyo raajada ama daraasado kale oo sawir leh oo raadinaya caddaynta dhaawaca wadajirka ah ee keena caabuqa. Imtixaanka dhiigga iyo falanqaynta dheecaanka synovial ayaa loo isticmaali karaa si loo cadeeyo noocyada kale ee arthritis.
Asal ahaan, bukaanka qaba cudurka "psoriatic arthritis" waxay qabaan qaybo muruq ah oo ku saabsan cudurka iyo muuqaalka maqaarka ee qaabka cudurka psoriasis. Caadi ahaan, dadka cudurka psoriasic arthritis-ku waa kuwa xun ee rheumatoid ah . Imtixaanka baarista rheumatoid waxaa loo isticmaalaa in lagu kala saaro xanuunka 'psoriatic arthritis' laga bilaabo rheumatoid arthritis, inkastoo 20% bukaanka qaba rheumatoid arthritis-ka iyaguna sidoo kale seronegative (negative neglected factor for rheumatoid). Waxaa loo tixgeliyaa hal cad oo caddayn ah, laakiin waa in loo baahan yahay in la tixgeliyo.
Shuruudaha Aqoonsiga
Shuruudaha u adeega caddaynta xanuunka cudurka psoriasis waxaa ka mid ah:
- Xanuun-xannuunka infakshanka leh ee isku-dhafan, laf-dhabarka, ama ka-qaybgalka suurtogalka .
- Caddeynta cudurka psoriasis (hadda, sida qayb ka mid ah taariikhda caafimaadka bukaanka, ama qayb ka mid ah taariikhdooda qoyska).
- Cudurka neefsashada ee Psoriatic (bucholysis [kala soocida ciddiyaha laga soo bilaabo sariirta ciddiyaha], qashin-qaadid, ama hyperkeratosis [dhuubasho] oo lagu arki karo inta lagu jiro baaritaanka jirka).
- Dactylitis (bararka hadda oo ah tiro idil, ama taariikhda xanuunka dactylitis).
- Calaamadaha raajada ee lafaha cusub ee u dhow ama ku dhowaad ee xubnaha ama cagaha (ie, leexashada wadajirka ah) laakiin laga reebo osteophytes . (Raajadu waa qaabka la door bido ee sawir loo isticmaalo si loo ogaado isbeddellada la xidhiidha cudurka psoriasis arthritis-ka MRI iyo ultrasound ayaa loo isticmaali karaa haddii loo baahan yahay faahfaahin dheeraad ah.)
- Cunsurka ama hoos u dhaca heerka rheumatoid. (Inkastoo saameyn xun oo rheumatoid ah loo tixgelinayo caddaynta muhiimka ah ee kala duwanaanshaha xanuunka 'psoriatic arthritis-ka' rheumatoid arthritis-ka, heerka hoose ee rheumatoid ayaa laga heli karaa bukaannada qaarkood oo leh qaababka caadiga ah ee xanuunka 'psoriatic arthritis' 5-16% dadka qaba cudurka psoriasis arthritis saameyn rheumatoid ah.)
- Ciladaha lidka ku ah peptide ee loo yaqaan 'citrullinated peptide' ( anti-CCP ), mar haddii loo maleynayo inay gaar u tahay rheumatoid arthritis, waxay ku jiraan 5% dadka cudurka psoriasis ee arthritis-ka.
- Xajmiga waji-darrada ah ( dheecaanka sareeya , borotiinka C-reactive (CRP) iyo serum amyloid A) ayaa lagu kordhin karaa bukaanka qaba cudurka "psoriatic arthritis", laakiin heerka ka hooseeya marka la sameeyo rheumatoid arthritis. Caadi ahaan, calaamadahani waxay sare u qaadeen cudurka polariciku waxana ay muujinayaan natiijada liidata.
- Hyperuricemia waxay ku dhici kartaa cudurka psoriasis ee arthritis-ka iyada oo lala xiriirinayo astaamaha dheef-shiid kiimikaadka .
Sida laga soo xigtay Kelley 'Textbook of Rheumatology, qiyaastii 77% bukaannada qaba xanuunka psoriasis ee arthritis ayaa leh waxyaabo aan caadi ahayn raajada. Qiyaastii 47% bukaannada qaba cudurka 'psoriatic arthritis' ee cusub ama dhawaan la soo dhaafay ayaa soo afjaraya 2 sano gudahood. Noocyada kala-duwan ee lagu arkay raajada waa waxa lagu qeexay nooca cudurka psoriasis ee arthritis:
- Ku lug lahaansho isku dhafan
- Ka qayb qaadashada isdhexgalinta isdhexgalka ee faraha ama suulasha
- Ka qayb qaadashada goobaha la galo
- Ka-qaybgalka laf-dhabarka (yareyn iyo aan sinnayn marka la barbardhigo antimilosing spondylitis )
Guud ahaan, socodka shucaaca (raajo) (raajo) (x-ray) ee cudurka psoriatic arthritis marxaladdiisa hore waxay u dhacdaa si tartiib tartiib ah.
Marka laga reebo taabashada caadiga ah ee lafdhabarka iyo isdhexgalka xubnaha taranka ee faraha iyo suulasha, cudurka psoriasic arthritis ayaa caadi ahaan saameynaya qaybaha waaweyn ee jirka.
Ilaha:
Kelley ee buugta qoraalka ee Rheumatology. Qoraalka sagaalaad. Elsevier. Cutubka 77 Xanuunada xanuunka ee "Psoriatic Arthritis". Oliver Fitzgerald. Gaaray 03/08/2016.
Macluumaadka bukaanka: Cudurka jaaxada (Psoriatic arthritis) (Beyond Basics). UpToDate. Gladman iyo Ritchlin. La daabacay 04/09/2015.
Cudurka Psoriatic Arthritis. Kulliyadda Maraykanka ee Rheumatology. Emery iyo Ash. La daabacay Sebtembar 2013.