Psoriatic arthritis chirwere chisingaperi chine chirwere cheArthritis . Inogona kuva inopfuurira uye inotungamirira kukuvadza kwekupedzisira pamwe nekuremara. Kazhinji, psoriatic arthritis inofungidzirwa isingawanzoitiki, asi inowanzozivikanwa pakati pevanhu vane psoriasis, inopindirana pakati pe6-10% ye psoriasis varwere. Inowanda kupararira pakati pevaya vane psoriasis yakaoma, iyo inobata 20-40% yeboka iro revarwere.
Zvakakosha kuziva mikana inowanzobatanidzwa ne psoriatic arthritis. Chinhu chinokonzerwa nechiitiko chinhu kana chimwe chinhu chinowedzera mukana wekuti munhu atange chirwere kana chirwere. Zvinokonzera njodzi zvinoratidzirwa sechinoshandiswa kana chisingachinji. Chinhu chinogadziriswa chakaipa chinogona kuunza mukana wekudzivirira psoriatic arthritis kana kudzora kukanganisa kunogona kukonzera.
Kuzivikanwa kwezvipingamupinyi zvinokonzera psoriatic arthritis yakanga yava nguva yekuuya. Pakanga pane zvishoma zvidzidzo zvepidemiological izvo zvakaongorora zviitiko zvinokonzerwa nechirwere che psoriatic kusvikira gore ra2000. Pakavewo nezvidzidzo zvishomanana zvakatsvaga mungozi dzekuvandudza psoriatic arthritis pakati pevanhu vane psoriasis. Vatsvakurudzi vave vakakwanisa kugumisa kuti psoriatic arthritis inogona kuitika nekuda kwekubatana kwema genetic, immunologic, uye zviitiko zvinokonzera njodzi.
Genetic
Inenge 40% yevarwere vane psoriasis kana psoriatic arthritis vane nhengo dzemhuri dzine psoriasis kana psoriatic arthritis. Dzidzo dzakaratidza kuti varwere vane nhoroondo yemhuri ye psoriatic arthritis vaiva 27-48 kazhinji kazhinji yekuwedzera chirwere ichi pane avo vasina mhuri.
Psoriatic arthritis inofungidzirwa kuti "yakanyanya kukodzera" kupfuura dzimwe zvirwere zvinotapukira .
Vana vevabereki vane psoriasis vanowanzoita katatu kuti vape psoriasis uye vane dambudziko guru rekuvaka psoriatic arthritis kana vachienzaniswa nevana vevabereki vasina psoriasis. Kana rimwe rakafanana twine rine psoriatic arthritis, rimwe divi rakafanana rinogona kunge rakanyanya kuva nechirwere kana kuti kuchikudziridza pakupedzisira. Majini mazhinji anobatanidzwa nekunzwisisika kune psoriatic arthritis inobatanidzwawo nekunyengera kune psoriasis. Asi, haasi majee ose anosangana nezvirwere zvose.
Immunologic
Zvimwe zvirwere zvemuviri zvisingabatsiri zvinowedzera kuwedzera ngozi ye psoriatic arthritis. Kushandiswa kwemasero T aripo muhutu hweganda uye majoini. Inofungidzirwawo kuti ma cytokines , akadai seTNF-alpha, anotora chikamu mumararamiro ekuvhiringidza anokonzera kuparara kwechikara uye ganda rinoputika rinosangana ne psoriatic arthritis.
Environmental
Ikoko kune zvakatipoteredza izvo zvinoonekwa zvichienderana nehutano hwekuvandudza psoriatic arthritis. Kuonekwa kune dzimwe zvirwere kunonzi kunogona kuisa njodzi, zvikurukuru streptococcal infections. Kubatana hakubvumirwe kana kuvimbiswa kunyange zvakadaro.
Psoriatic arthritis inowanikwawo kune vanhu vakave vakabatwa nehutachiwana hwehutachiona hweHIV (HIV) yakaenzaniswa nehuwandu hwevanhu.
The Koebner phenomenon, iyo inowanikwa muna 52% yevanhu vane psoriasis maererano neKelley's Textbook yeRheumatology, inofungidzirwa seimwe nzvimbo yezvakatipoteredza. Chokutanga chakatsanangurwa naDkt. Heinrich Koebner (dermatologist anoremekedzwa zvikuru kubva muzana remakore rechi19) muna 1876, zvipembenene zveporiori zvakagadzirwa nechekare risati rapiswa rishure mekurwadziwa kweganda. Chii chinoita kuti chiitiko cheKoebner chisati chinyatsozivikanwa asi ma cytokines, zvinokonzera mapuroteni, kuomerera kwemamolekemu, uye autoantigens zvingabatanidzwa.
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Kuziva Njodzi Zviitiko zvePororiatic Arthritis: Sanivhi Mikana Inosangana Nezvechipatara Chinodiwa. Ogdie naGelfand. JAMA Dermatology. July 2010.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2917977/
Mashoko ekushivirira: Psoriatic arthritis (Beyond the Basics) Gladman naRitchlin. Kusvika pari zvino.
http://www.uptodate.com/contents/psoriatic-arthritis-beyond-the-basics
Psoriatic Arthritis. M. Elaine Husni. Cleveland Clinic. August 2010.
http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/rheumatology/psoriatic-arthritis/
The Koebner Phenomenon. Makliniki muDermatology. Sagi L. uye Trau H. March-April 2011.
http://www.ncbi.nlm.nih.gov/pubmed/21396563
Kelley's Textbook yeRheumatology. Ninth edition. Elsevier. Chitsauko 77. Psoriatic Arthritis. Oliver Fitzgerald.