Pāleʻa psoriatic

ʻO Psoriatic arthritis kahi pilikia hui (arthritis) e hana pinepine ʻia me kahi ʻili i kapa ʻia ʻo psoriasis.

ʻO Ps Psama kahi pilikia o ka ʻili maʻamau i kumu i nā ʻulaʻula ma ka ʻili. He kūlana hoʻomau hoʻomau (hoʻomau) ia. Hana ʻo Psoriatic arthritis ma kahi o 7% a 42% o ka poʻe me psoriasis. Pili ka Nail psoriasis i ka psoriatic arthritis.

I ka hapanui o nā hihia, hele mai ka psoriasis ma mua o ka maʻi kō. I kekahi mau poʻe, hele mai ka maʻi ahulau ma mua o ka maʻi o ka ʻili. Eia nō naʻe, ʻo ka loaʻa ʻana o ka psoriasis ākea a ākea e hoʻolaha i ka manawa e loaʻa ai ka maʻi psoriatic.

ʻAʻole ʻike ʻia ke kumu o ka psoriatic arthritis. Hiki paha i nā genes, nā ʻōnaehana pale, a me nā mea o ke kaiapuni ke hana i kekahi kuleana. Maliʻa paha he like nā kumu o ka ʻili a me nā hui pū. Eia nō naʻe, ʻaʻole lākou e hui pū ʻia.

Akahai paha ka ʻōpū a hoʻopili wale i kekahi mau ami. ʻOi aku ka hopena o nā hono ma ka hopena o nā manamana lima a me nā manamana wāwae paha. Hoʻohui pinepine pinepine ʻole ʻo Psoriatic arthritis ma ke ʻaoʻao hoʻokahi o ke kino.

I kekahi poʻe, kaumaha paha ka maʻi a hoʻopili i nā hono he nui, me ke kuamoʻo. ʻO nā ʻōuli i ke kuamoʻo, ʻo ia ka ʻoʻoleʻa a me ka ʻeha. Kū pinepine lākou i ka iwi kuamoo lalo a me ka sakum.

Loaʻa paha i kekahi poʻe me ka psoriatic arthritis ka mumū o nā maka.

ʻO ka hapanui o ka manawa, ʻo ka poʻe me psoriatic arthritis ka ʻili a me nā kui kui o ka psoriasis. ʻO ka pinepine, ʻoi aku ka ʻino o ka ʻili i ka manawa like me ka maʻi kōpū.

Hiki ke hoʻonāukiuki ʻia ʻo Tendons me ka psoriatic arthritis. ʻO nā laʻana e laʻa me ka tendon Achilles, ka fascia plantar, a me ka upena tendon i ka lima.

I ka wā o kahi hoʻokolohua kino, e nānā ka mea mālama ola:

• Huʻi hui
• Nā pā o ka ʻili (psoriasis) a me ke kau ʻana i nā kui
• Malimali
• Hoʻonā i nā maka

Hana ʻia nā x-ray hui.

ʻAʻohe o nā hoʻokolohua koko kikoʻī no ka psoriatic arthritis a no ka psoriasis. E hana ʻia paha nā hoʻāʻo e kāpae i nā ʻano ʻē aʻe o ka maʻi ʻōpū:

• ʻLelo Rheumatoid
• Nā mea ʻino anti-CCP

Hiki paha i ka mea hoʻolako ke hoʻāʻo no kahi ʻāpana i kapa ʻia ʻo HLA-B27 ʻO ka poʻe me ke komo ʻana o ke kua i ka hLA-B27 ka nui.

Hāʻawi paha kāu mea hāʻawi i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e hōʻemi i ka ʻeha a me ka pehu o nā hono.

Pono e mālama ʻia me nā lāʻau i kapa ʻia ʻo ka maʻi e hoʻololi i nā lāʻau antirheumatic (DMARDs) i nā maʻi e hoʻomaikaʻi ʻole me nā NSAID. Pākuʻi ʻia kēia mau mea:

• Methotrexate
• Leflunomide
• Sulfasalazine

ʻO Apremilast kahi lāʻau hou i hoʻohana ʻia no ka mālama ʻana i ka psoriatic arthritis.

Kūpono nā lāʻau biologic hou no ka holomua psoriatic arthritis e kāohi ʻole ʻia me DMARDs. Paʻa kēia mau lāʻau i kahi protein i kapa ʻia ʻo tumrosis factor (TNF). Kōkua pinepine lākou no ka maʻi ʻili a me ka maʻi hui o psoriatic arthritis. Hāʻawi ʻia kēia mau lāʻau i ke kō.

Loaʻa nā lāʻau biologic hou e mālama i nā psoriatic arthritis e holomua nei me ka hoʻohana ʻana o DMARD a i ʻole nā ​​mea anti-TNF. Hāʻawi ʻia kēia mau lāʻau i ke kiki.

Hiki ke mālama ʻia i nā hono ʻehaʻeha loa me nā injection steroid. Hoʻohana ʻia kēia ke pili hoʻokahi a i ʻole kekahi mau ami. ʻAʻole koi ka hapanui o nā loea i nā corticosteroids waha no ka maʻi psoriatic. Hoʻonui paha kā lākou hoʻohana i ka psoriasis a hoʻopilikia i ka hopena o nā lāʻau ʻē aʻe.

I nā hanana kakaʻikahi, pono paha ke ʻoki e hoʻoponopono a hoʻololi i nā hono i hōʻino ʻia.

ʻO ka poʻe me ka mumū o ka maka e ʻike i ka ophthalmologist.

E ʻōlelo paha kāu mea hāʻawi i kahi kāwili o ka hoʻomaha a me ka hoʻoikaika kino. Hiki i ke olakino olakino ke kōkua i ka hoʻonui ʻana i ka neʻe like. Hiki paha iā ʻoe ke hoʻohana i ka hoʻomehana wela a me ke anuanu.

Māmā ka maʻi i kekahi manawa a hoʻopili wale i kekahi mau ami. Eia nō naʻe, i nā poʻe he nui me ka psoriatic arthritis e hōʻino i nā hono i loko o nā makahiki mua. I kekahi mau kānaka, hiki i ka maʻi kōpaʻa maikaʻi loa ke hana i nā deformities ma nā lima, nā wāwae, a me nā kuamoʻo.

ʻO ka hapa nui o nā poʻe me nā psoriatic arthritis e hoʻomaikaʻi ʻole me nā NSAID e ʻike i kahi rheumatologist, kahi loea i ka maʻi kōkō, a me kahi dermatologist no ka psoriasis.

Hiki i ka mālama mua ʻana ke hōʻoluʻolu i ka ʻeha a pale i ka hōʻino pū ʻia, ʻoiai i nā hihia maikaʻi ʻole.

Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i nā ʻōuli o ka maʻi ʻōmaʻomaʻo me psoriasis.

Pākuʻi - psoriatic; Psoriasis - psoriatic arthritis; Spondyloarthritis - psoriatic arthritis; ʻO PsA

• Psoriasis - guttate ma nā lima a me ka umauma
• Psoriasis - hoʻoweliweli i ka papalina

Bruce IN, Ho PYP. Nā hiʻohiʻona olakino o ka psoriatic arthritis. I: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 128.

Gladman D, Rigby W, Azevedo VF, et al. ʻO Tofacitinib no ka psoriatic arthritis i nā mea maʻi me ka pane kūpono ʻole i nā mea hoʻopuka TNF. N Engl J Med. 2017; 377:1525-1536.

ʻO Smolen JS, Schöls M, Braun J, et al. ʻO ka mālama ʻana i ka spondyloarthritis axial a me ka spondyloarthritis peripheral, keu hoʻi i ka psoriatic arthritis, e māka: 2017 hōʻano hou o nā ʻōlelo aʻoaʻo e kahi pūʻulu hana kūwaho. ʻO Ann Rheum Dis. 2018; 77 (1): 3-17. PMID: 28684559 pubmed.ncbi.nlm.nih.gov/28684559/.

Veale DJ, Orr C. Hoʻokele o psoriatic arthritis. I: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 131.