Cudurrada xanuunka 'psoriatic arthritis' waa nooc ka mid ah infekshanka xanuunka 'arthritis' . Waxay noqon kartaa mid horumar leh oo horseedi karta dhaawac joogta ah oo joogto ah iyo naafonimo. Guud ahaan, xanuunka 'psoriatic arthritis' waxaa loo tixgeliyaa nadir, laakiin waxa aad ugu badan dadka qaba cudurka psoriasis, taas oo saameysa 6-10% dadka cudurka psoriasis. Xitaa waxaa ka sii daran kuwa qaba cudurka psoriasis ee daran, oo saameeya 20-40% kooxda bukaanka ah.
Waa muhiim in la aqoonsado waxyaabaha keena khatarta la xariira xanuunka 'psoriatic arthritis'. Waxyaabaha halista ah waa sifo ama isir ah oo kordhiya suurtogalnimada qofku uu ku dhici doono cudur ama xaalad khaas ah. Cunsurrada khatarta ah waxaa lagu tilmaamayaa mid la bedeli karo ama aan la beddeli karin. Waxyaabaha halista isbedbedeli kara ayaa laga yaabaa inay soo bandhigaan fursadda looga hortago xanuunka 'psoriatic arthritis' ama inay xakamayso waxyeelada ay keeni karto.
Aqoonsiga saameynta halista ee cudurka psoriasis ee arthritis ayaa soo daahday. Waxaa jiray daraasado cilmi baaris ah oo yaraa oo qiimeeyey khatarta halista cudurka psoriatic illaa sanadka 2000. Waxaa kaloo jira daraasado yar oo baaritaan ku sameeyay qodobada halista ah ee lagu kobcinayo xanuunka psoriatic arthritis ee dadka qaba cudurka psoriasis. Cilmi-baadhayaashu waxay soo gabagaboobeen in cudurka psoriasic arthritis-ka ay u badan tahay inuu ku dhaco sababo la xiriira iskudhafid, hiddo-wade, iyo khataraha deegaanka.
Genetic
Qiyaastii 40% bukaanka qaba cudurka psoriasis ama cudurka psoriasis ee arthritis ayaa leh xubno qoys oo leh cudurka psoriasis ama xanuunka psoriatic arthritis. Daraasado ayaa muujiyey in bukaanada qaba taariikhda qoyska ee cudurka psoriasis ee arthritis-ka ay ahaayeen 27-48 jeer oo ay u badan tahay inay ku dhacdo cudurkan marka loo eego kuwa aan lahayn taariikhda qoyska.
Jirrada "Psoriatic arthritis" waxaa loo tixgeliyaa "mid aad u sareeya" marka loo eego cudurrada kale ee difaaca jirka .
Carruurta waalidiinta qaba cudurka psoriasis ayaa saddex jeer ka badan inay u badan tahay inay ku dhacaan cudurka psoriasis waxayna leeyihiin halis dheeraad ah inay ku dhacdo xanuunka psoriatic arthritis marka la barbar dhigo carruurta waalidkood ee aan lahayn cudurka psoriasis. Haddii lamaane isku mid ah uu leeyahay xanuunka 'psoriatic arthritis', labada kale ee isku midka ah waxay u badan tahay inay sidoo kale qabaan cudurka ama inay ugu dambayntii horumariyaan. Jeermisyo badan oo la xariira dhibaatada cudurka psoriasis ee arthritis-ka ayaa sidoo kale la xidhiidha dhibaatada cudurka psoriasis. Hase yeeshee, dhammaan gen oo dhan lama wadaago labada cudur.
Immunologic
Dhibaatooyinka habka difaaca jirka ee kala duwan ayaa ka qaybqaata kordhinta halista cudurka psoriasis ee xanuunka. Unugyada firfircoon ee T ayaa ku jira unugyada maqaarka iyo xubnaha. Waxaa sidoo kale la aaminsan yahay in cytokines , sida TNF-alpha, ay door ka ciyaaraan geedi-socodka bararka kaas oo horseedaya burbur dillaac ah iyo barar maqaarka oo la xidhiidha cudurka psoriatic arthritis.
Deegaanka
Waxaa jira xaalado degaan oo u muuqda mid la xiriira khatarta ah in uu ku dhaco cudurka psoriasis ee arthritis. Cudurka infakshanka qaarkiis waxaa loo tixgeliyaa halis suurtagal ah, khaasatan infekshinka streptococcal. Xidhiidhka aan la xaqiijin ama la xaqiijiyay inkastoo.
Jirrada xanuunka 'psoriatic arthritis' ayaa sidoo kale ka badan dadka qaba infekshanka fayruska (HIV) marka la barbar dhigo dadweynaha guud.
Xaaladda Koebner, oo ku dhacda 52% dadka qaba cudurka psoriasis iyadoo loo eegayo Kelley "Textbook of Rheumatology", ayaa loo arkaa inay tahay arrin kale oo deegaanka ah. Marka hore wuxuu ku sharraxay Dr. Heinrich Koebner (oo ah dermatologist heer sare ah oo ka soo jeeday qarnigii 19-aad) 1876-kii, dhaawacyada psoriasia waxay ku sameeyaan maqaarka hore ee aan la qoondeeynin ka dib markii uu maqaarku maqnaa. Maxaa sababa ujeedka Koebner weli ma cadda laakiin cytokines, borotiinka cadaadiska, molecules adhesion, iyo autoantigens ayaa laga yaabaa inay lug ku yeeshaan.
Ilaha:
Aqoonsiga Ciladaha Halista ah ee Arthritis Cudurrada: Fursadaha Cilmi-baadhista ah waxay Hirgeliyaan Baahida Caafimaad. Ogdie iyo Gelfand. JAMA Dermatology. Julaay 2010.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2917977/
Macluumaadka bukaan-socodka: Cudurka Psoriatic Arthritis-ka (Beyond Basements) Gladman iyo Ritchlin. UpToDate.
http://www.uptodate.com/contents/psoriatic-arthritis-beyond-the-basics
Cudurka Psoriatic Arthritis. M. Elaine Husni. Cleveland Clinic. Agoosto 2010.
http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/rheumatology/psoriatic-arthritis/
Xiriirka Koebner. Rugaha Dermatology. Sagii L. iyo Trau H. Maarso-Abriil 2011.
http://www.ncbi.nlm.nih.gov/pubmed/21396563
Kelley ee buugta qoraalka ee Rheumatology. Qoraalka sagaalaad. Elsevier. Cutubka 77aad. Arthritis (Psoriatic Arthritis). Oliver Fitzgerald.