Kusiyanisa psoriatic arthritis kubva kune dzimwe mhando dzeArthritis
Psoriatic arthritis inorondedzerwa sechirwere chinokonzera arthritis. Iyo ndeyeboka rezviitiko, zvinonzi spondyloarthropathies . Kunyatsoona kuti chirwere ichi chakakosha kuitira kuti kurapa kwakakodzera kunotangwa.
Kusiyanisa Psoriatic Arthritis Kubva Mamwe Mhando
Psoriatic arthritis inogona kutevedzera mamwe maitiro eArthritis, saka kuparadzanisa kubva kune dzimwe mhando ndiyo inonyanya kuongororwa.
Iko dzimwe nguva kuvhiringidzika pamwe uye kusinganzwisisiki segout, rheumatoid arthritis , kana osteoarthritis
Ikoko hakuna chiedzo chimwechete chinoratidza psoriatic arthritis. Kuongororwa kunonyanya kukoshesa munhoroondo yako yezvechiremba, kuongororwa kwepanyama, uye x-ray kana zvimwe zvidzidzo zvekufungidzira zvinotsvaka humwe hutano hwekubatana hunokonzerwa nekuputika. Kuyera ropa uye synovial fluid analysis ingashandiswa kutonga kunze kwemamwe marudzi eArthritis.
Chaizvoizvo, varwere vane psoriatic arthritis vane musculoskeletal zvimwe zvechirwere uye ganda zviratidzo mumhando ye psoriasis. Kazhinji, psoriatic arthritis varwere hazvina kunaka kwehu rheumatoid factor . Rheumatoid factor test inoshandiswa kusiyanisa psoriatic arthritis kubva ku rheumatoid arthritis, kunyange zvazvo 20 muzana yevarwere vane rheumatoid arthritis vanoita seronegative (negative for rheumatoid factor). Inofungidzirwa sechimwe cheuchapupu, asi zvakawanda zvinofanira kuonekwa.
Zviratidzo Zvokuziva
Zviratidzo zvinoshanda seuchapupu hwe psoriatic arthritis dzinosanganisira:
- Inflammatory arthritis nejoka , musana, kana kushingaira.
- Uchapupu hwe psoriasis (ikozvino, sechikamu chemurairo wezvokurapa, kana sechikamu chemhuri yavo).
- Psoriatic nail dystrophy (onycholysis [kuparadzana kwembambo kubva pamubhedha wemisodzi], pitting, kana hyperkeratosis [thickening] inoonekwa panguva yekuongorora mumuviri).
- Dactylitis (ikozvino kurira kweiyo chidimbu, kana nhoroondo ye dactylitis).
- X-ray uchapupu hwetsva pfupa rinoshandiswa pedo kana kumativi akapoteredza echanza kana rutsoka (kureva., Majoini akabatanidzwa) asi kusabvisa osteophytes . (X-ray ndiyo inofanirwa kugadzirwa kwekufungidzira yakashandiswa kuona kuchinja kunosangana ne psoriatic arthritis MRI uye ultrasound inogona kushandiswa kana mamwe mashoko achidikanwa.)
- Izvo zvisina kunaka kana yepamusoro-purogiramu yechiratidzo. (Kunyange zvazvo chirwere cherumatoid chisingaoneki chinoonekwa sechikonzero chinokosha pakusiyanisa psoriatic arthritis kubva ku rheumatoid arthritis, chirwere chakanyanya chemukoko chinogona kuwanikwa mune vamwe varwere vane zviitiko zveporiori arthritis. Pakati pe5-16% ye psoriatic arthritis varwere vane rheumatoid factor.)
- Cyclic citrullinated peptide antibodies ( anti-CCP ), iyo yaifungidzirwa kuti yakanyatsojekesa rheumatoid arthritis, iripo inenge 5% ye psoriatic arthritis varwere.
- Acute phase reactants ( sedimentation rate , C-reactive protein [CRP], uye serum amyloid A) inogona kukwidziridzwa mune varwere vane psoriatic arthritis, asi kusvika kuduku kudarika kunowanikwa nerheatatoid arthritis. Kazhinji, idzi zviratidzo zvakasimudzirwa nechirwere cheparyarticular uye zvinoratidza kurwara kusina kunaka.
- Hyperuricemia inogona kuitika ne psoriatic arthritis pamwe chete nekusagadzikana kwemagetsi .
Maererano neKelley's Textbook yeRheumatology, inenge 77% yevarwere vane chimiro che psoriatic arthritis vane kukanganisa pa x-ray. Inenge 47% yevarwere vane mutsva kana kuti ikozvino ichangobva kuitika psoriatic arthritis inokura matambudziko mukati memakore maviri. Zvinhu zvakasiyana-siyana zvinowanikwa pa-x-ray ndizvo zvinorondedzera rudzi rwe psoriatic arthritis:
- Kubatanidzwa kusina kukwana
- Kusanganiswa kwezvibatanidza zvepakati pezvenwe zveminwe kana zvigunwe
- Kubatanidzwa kwemasangano epakati
- Kusangana kwepamuviri (zvishoma zvakanyanya uye zvisinganzwisisiki zvichienzaniswa ne ankylosing spondylitis )
Kazhinji, kufambira mberi kwei-radiographic (x-ray) ye psoriatic arthritis muzvikamu zvayo zvekutanga kunowira zvishoma nezvishoma.
Kunze kubva pakubatanidzwa kwemupendero wepamusoro uye wepintraxangeal yeminwe nezvigunwe, psoriatic arthritis inowanzobata mazamu makuru emuviri.
Sources:
Kelley's Textbook yeRheumatology. Ninth edition. Elsevier. Chitsauko 77 Psoriatic Arthritis. Oliver Fitzgerald. Yakasvika 03/08/2016.
Mashoko ekushivirira: Psoriatic arthritis (Beyond the Basics). Kusvika pari zvino. Gladman naRitchlin. Updated 04/09/2015.
Psoriatic Arthritis. American College of Rheumatology. Emery uye Ash. Yakapedzwa munaSeptember 2013.