Mea Kākau: Lewis Jackson
Lā O Ka Hana: 13 Mei 2021
HōʻAno Hou I Ka Lā: 21 Iune 2024
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He aha ka psoriatic arthritis?

ʻO Psoriatic arthritis (PsA) kahi kūlana e hui pū i nā pehu, nā ʻeha ʻeha o ka maʻi kōpaʻa me ka psoriasis. Hana pinepine ʻo Psoriasis i nā aniani, nā ʻulaʻula scaly e hōʻike i ka ʻili a me ka poʻo.

Ma kahi o 7.5 miliona mau ʻAmelika i loaʻa ka psoriasis, a hiki i ka 30 pākēneka o kēia poʻe e hoʻomohala iā PsA. Hiki i ka PsA ke akahai a koʻikoʻi paha a hoʻopili i hoʻokahi a i ʻole nā ​​ami.

Inā loaʻa iā ʻoe a i ʻole kahi mea aloha i kahi hōʻailona o PsA, he mau nīnau paha kāu e pili ana i ke ʻano o ke ola me kēia ʻano.

Nā ʻano o ka psoriatic arthritis

Aia he ʻelima mau ʻano o PsA.

Symmetric PsA

Hoʻopili kēia ʻano i nā hono like ma nā ʻaoʻao ʻelua o kou kino, no laila ʻo kou mau kuli hema a me ʻākau, no ka laʻana. Hiki i nā ʻōuli ke like me nā rheumatoid arthritis (RA).

ʻOi aku ka maʻalahi o ka Symmetric PsA a hoʻemi i ka deformity hui ma mua o RA. Eia nō naʻe, hiki i ka symmetric PsA ke hoʻopau ʻia. Ma kahi o ka hapalua o ka poʻe me PsA i loaʻa kēia ʻano.

Asymmetric PsA

Hoʻopili kēia i kahi hui a hui paha ma kekahi ʻaoʻao o kou kino. ʻIke paha kou mau hono a ʻulaʻula. ʻO ka asymmetric PsA he akahai. Hoʻopili ia ma kahi o 35 pākēneka o ka poʻe me PsA.


ʻO Distal interphalangeal predominant PsA

Pili kēia ʻano i nā hono kokoke i kou mau kui. ʻIke ʻia kēia mau mea ʻo nā hono distal. Loaʻa ia ma kahi o 10 pakeneka o ka poʻe me PsA.

ʻO Spondylitis PsA

Pili kēia ʻano PsA i kou iwi kuamoʻo. Hiki ke hoʻopili ʻia kou kuamoʻo holoʻokoʻa mai kou ʻāʻī a i kou kua i lalo. Hiki i kēia ke hōʻeha i ka neʻe. Pā paha i kou mau lima, nā wāwae, nā wāwae, nā lima, a me nā pūhaka.

ʻO nā mutilans Psoriatic arthritis

ʻO kēia kahi ʻano ʻino, deforming o PsA. Ma kahi o 5 pākēneka o ka poʻe me PsA i loaʻa kēia ʻano. Hoʻopili pinepine ka psoriatic arthritis mutilans i kou mau lima a me kou mau wāwae. Hiki iā ia ke hōʻeha i kou ʻāʻī a me kou kua i lalo.

He aha nā hōʻailona o ka psoriatic arthritis?

ʻOkoʻa nā hōʻailona o PsA no kēlā me kēia kanaka. Hiki iā lākou ke akahai a paʻakikī. I kekahi manawa e hele ke ʻano o kou ʻano i ke kala kala ʻana a maikaʻi kou manaʻo no kekahi manawa. I nā manawa ʻē aʻe eʻoi aʻe ka maikaʻi o kāu mau ʻōuli. Pili pū kāu mau ʻōuli i ke ʻano o ka PsA i loaʻa iā ʻoe.

ʻO nā hōʻailona laulā o PsA e:


  • pehu, palupalu nā hui ma kekahi a i ʻole ʻelua ʻaoʻao o kou kino
  • ʻoʻoleʻa kakahiaka
  • nā manamana lima a me nā manamana wāwae
  • ʻeha nā ʻeha a me nā ʻāʻī
  • pākuʻi ʻili scaly, i mea e ʻoi aku ka maikaʻi inā lele ka ʻeha pū
  • ʻili poʻo flaky
  • luhi
  • kuʻi kui
  • ka hoʻokaʻawale ʻana o kou kui mai ka moena kui
  • ʻulaʻula maka
  • ʻehaʻeha maka (uveitis)

ʻO Spondylitis PsA, i kahi kikoʻī, hiki ke hana i nā ʻōuli penei:

  • ʻehaʻeha a me ka ʻoʻoleʻa
  • ʻeha, pehu, a nāwaliwali i kāu:
    • pūhaka
    • nā kuli
    • kuʻekuʻe wāwae
    • wawae
    • kuʻekuʻe lima
    • lima
    • nā kūpeʻe lima
    • nā ami ʻē aʻe
    • nā manamana wāwae a me nā manamana lima paha

Hoʻopili ka Symmetric PsA i nā hui ʻelima a ʻoi paha ma nā ʻaoʻao ʻelua o kou kino. Hoʻopili ka Asymmetric PsA ma lalo o ʻelima mau hono, akā hiki iā lākou ma nā ʻaoʻao ʻaoʻao.

Hoʻololi nā psilatic arthritis mutilans i kou mau ami. Hiki iā ia ke hoʻopōkole i nā manamana lima a me nā manamana wāwae. ʻO Distal PsA ke kumu o ka ʻeha a me ka pehu ʻana i nā hui hope o kou manamana lima a me kou manamana wāwae. E heluhelu hou aʻe e pili ana i nā hopena 11 o psoriatic arthritis ma kou kino.


Nā kiʻi o psoriatic arthritis

He aha ke kumu o ka psoriatic arthritis?

I PsA, hoʻouka kāu ʻōnaehana pale i kou mau ami a me ka ʻili. ʻAʻole maopopo nā kauka i ke kumu o kēia hoʻouka. Manaʻo lākou he kumu ia mai ka hui pū ʻana o nā gen a me nā ʻano kaiapuni.

Holo ʻo PsA i loko o nā ʻohana. Ma kahi o 40 pākēneka o nā kānaka me kēia ʻano he hoʻokahi a ʻoi paha nā ʻohana me PsA. ʻO kekahi mea i ke kaiapuni e hoʻonāukiuki pinepine i ka maʻi no ka poʻe me ka maʻamau e hoʻomohala iā PsA. He virus paha ia, kaumaha nui, a ʻeha paha.

Pehea e mālama ai i ka psoriatic arthritis?

ʻO ka pahuhopu o ka mālama ʻana iā PsA e hoʻomaikaʻi i nā hōʻailona, ​​e like me ka ʻili o ka ʻili a me ka huʻi pū.

Paipai nā kulekele hou i ka hana "treat to target", i hoʻokumu ʻia i nā makemake o kēlā me kēia kanaka. Hoʻoholo ʻia kahi pahuhopu hana maʻamau a pehea e ana ai i ka holomua, a laila hana ke kauka me ʻoe e koho i nā lāʻau.

He mau koho lapaʻau ʻokoʻa kāu. E hoʻopili kahi papa hana maʻamau i hoʻokahi a ʻoi paha o kēia mau mea:

Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)

Kōkua kēia mau lāʻau i ke kaohi i ka ʻeha hui a me ka pehu. ʻO nā koho over-the-counter (OTC) e komo pū me ibuprofen (Advil) a me naproxen (Aleve). Inā maikaʻi ʻole nā ​​koho OTC, hiki i kāu kauka ke kuhikuhi i nā NSAID i nā koina kiʻekiʻe.

Inā hoʻohana hewa ʻia, hiki i nā NSAID ke kumu:

  • huhū o ka ʻōpū
  • kahe ʻana o ka ʻōpū
  • maʻi hohola
  • hahau
  • hōʻino ka ate a me ka hakuʻala

Disease-modifying antirheumatic drug (DMARDs)

Hoʻoemi kēia mau lāʻau i ka mumū e pale ai i ka hōʻino pū a lohi i ka holomua o PsA. Hiki ke lawelawe ʻia iā lākou e nā ala like ʻole, e like me ka waha, ka hoʻopili ʻana, a i ʻole ka hoʻokomo ʻana.

ʻO nā DMARD i kuhikuhi pinepine ʻia e komo pū me:

  • methotrexate (Trexall)
  • leflunomide (Arava)
  • sulfasalazine (Azulfidine)

ʻO Apremilast (Otezla) kahi DMARD hou aku i lawe waha ʻia. Hana ia ma ke kāpae ʻana i ka phosphodiesterase 4, kahi enzyme i pili i ka mumū.

Nā hopena ʻaoʻao DMARD e:

  • hōʻino ka ate
  • kāohi iwi o ka iwi
  • maʻi kīnā

ʻO Biologics

I kēia manawa ʻelima mau ʻano lāʻau biologic no ka mālama ʻana i ka maʻi psoriatic. Hoʻokaʻawale ʻia lākou e like me ka mea a lākou e māka a pale ai (ālai a hoʻēmi paha) i ke kino:

  • tumzeris factor-alpha (TNF-alpha) nā mea kūpale:
    • adalimumab (Humira)
    • certolizumab (Cimzia)
    • golimumab (Simponi)
    • etanercept (Enbrel)
    • infliximab (Remicade)
  • interleukin 12 a me 23 (IL-12/23) nā mea kūpale:
    • ustekinumab (Stelara)
  • interleukin 17 (IL-17) nā mea kūpale
    • secukinumab (Cosentyx)
    • brodalumab (Siliq)
    • ixekizumab (Taltz)
  • interleukin 23 (IL-23) nā mea kūpale
    • guselkumab (Tremfya)
    • tildrakizumab-asmn (Ilumya)
  • Nā mea hoʻowahawaha T-cell
    • abatacept (Orencia)

Wahi a nā kulekele lapaʻau hou i hoʻokuʻu ʻia i Nowemapa 2018, ua paipai ʻia kēia mau lāʻau i mea lapaʻau lālani mua.

Loaʻa iā ʻoe nā biologics ma o ka hoʻopili ʻana ma lalo o kou ʻili a i ʻole he infusion. Ma muli o ka hōʻemi ʻana o kēia mau lāʻau i kāu pane pale, hiki iā lākou ke hoʻonui i kou makaʻu no nā maʻi ʻino. ʻO nā hopena ʻē aʻe e komo pū me ka nausea a me ka diarrhea.

ʻO Steroids

Hiki i kēia mau lāʻau ke hoʻohaʻahaʻa i ka pehu. No PsA, hoʻopili pinepine lākou i nā hono i hoʻopili ʻia. ʻO nā hopena me ka ʻeha a me ka makaʻu iki o ka maʻi pū.

Nā Immunosuppressants

ʻO nā lāʻau e like me azathioprine (Imuran) a me cyclosporine (Gengraf) e hōʻoluʻolu i ka pane pale pale overactive ma PsA. ʻAʻole lākou e hoʻohana pinepine ʻia i kēia manawa ke loaʻa nā mea pale TNF-alpha. Ma muli o ka nāwaliwali o ka pane pale pale, hiki i nā immunosuppressants ke hoʻonui i kou makaʻu no nā maʻi.

Nā mālama kumuhana

Hiki i nā kalima, nā gel, nā wai ʻauʻau, a me nā hamo ke hōʻoluʻolu i ka wīwī o ka huhū o PsA. Loaʻa kēia mau ʻano ma luna o ka pāʻai a me kahi kuhikuhi.

Nā koho ʻē aʻe:

  • anthralin
  • ʻO ka calcitriol a i ʻole ka helu kalipotriene, nā ʻano o ka wikamina D-3
  • waikawa salicylic
  • holika steroid
  • ʻo ka tazarotene, kahi kumu o ka wikamina A

ʻO ka light therapy a me nā lāʻau PsA ʻē aʻe

Hoʻohana ka light therapy i ka lāʻau lapaʻau, a ukali ʻia e ka mālamalama mālamalama, e mālama ai i ka huehue o ka ʻili psoriasis.

Mālama pū kekahi mau lāʻau ʻē aʻe i nā hōʻailona PsA. Hoʻopili kēia i ka secukinumab (Cosentyx) a me ustekinumab (Stelara). Hoʻokomo ʻia kēia mau lāʻau i lalo o kou ʻili. Hiki iā lākou ke hoʻonui i kou makaʻi no nā maʻi a me ka maʻi ʻaʻai. E aʻo hou aʻe e pili ana i nā koho lapaʻau he nui no PsA.

Hiki i nā loli nohona ke hōʻoluʻolu i nā hōʻailona psoriatic arthritis?

Aia kekahi mau mea hiki iā ʻoe ke hana ma ka home e hoʻomaikaʻi i kāu mau ʻōuli.

Hoʻohui i ka hoʻoikaika kino i kāu hana maʻamau o kēlā me kēia lā

Ke mālama nei i kou mau ami e neʻe hiki ke maʻalahi i ka ʻoʻoleʻa. Ke hana nei ma kahi o 30 mau minuke i kēlā me kēia lā e kōkua iā ʻoe e lilo i ka nui o ke kaupaona a hāʻawi iā ʻoe i ka ikaika hou. E noi i kāu kauka he aha ke ʻano o ka hoʻoikaika kino e palekana no kāu hui.

ʻOi aku ka mālie o ka holo kaʻa, ka hele wāwae ʻana, ʻauʻau ʻana, a me nā hana wai ʻē aʻe ma mua o nā ami ma mua o nā haʻuki hopena nui e like me ka holo ʻana a i ʻole ke pāʻani ʻana i ka tennis.

E uhaʻi i nā ʻano maikaʻi ʻole

Maikaʻi ʻole ka puhihihi ʻana i kou mau ami a me ke koena o kou kino. E noi i kāu kauka e pili ana i ka ʻōlelo aʻoaʻo, ka lāʻau, a i ʻole ka nicotine pani e kōkua iā ʻoe e haʻalele.

Hoʻopau pū kekahi i kāu inu waiʻona. Hiki iā ia ke launa pū me kekahi mau lāʻau PsA.

Hōʻoluʻolu i ke koʻikoʻi

Hiki i ka haʻalulu a me ke kaumaha ke hōʻoi aku iʻoi aku kaʻino o ka wela o ka arthritis. E noʻonoʻo, hoʻomaʻamaʻa i ka yoga, a hoʻāʻo paha i nā ʻenehana hōʻoluʻolu koʻikoʻi e hoʻomaha ai i kou noʻonoʻo a me kou kino.

E hoʻohana i nā pūʻulu wela a anuanu

Hiki i nā kaomi mehana a me nā ʻeke wela ke hōʻoluʻolu i ka ʻehaʻeha o nā mākala. Hiki i nā ʻeke anuanu ke hōʻemi i ka ʻeha i kou hono.

Neʻe e pale i kou mau ami

E wehe i nā puka me kou kino ma kahi o kou mau manamana lima. E hāpai i nā mea kaumaha me nā lima ʻelua. E hoʻohana i nā puka hāmole e wehe i nā uhi.

E noʻonoʻo i nā mea hoʻohui kūlohelohe a me nā mea ʻala

ʻO ka omega-3 fatty acid kahi anti-inflammatory waiwai. ʻO kēia mau momona olakino, i loaʻa i loko o nā mea hoʻopihapiha, hoʻemi i ka mumū a me ka ʻoʻoleʻa i nā hono.

ʻOiai ke noiʻi nei he mau pono olakino, ʻaʻole mālama ka Food and Drug Administration i ka maʻemaʻe a me ke ʻano o nā mea hoʻopiha. He mea nui e kamaʻilio me kāu kauka ma mua o kou hoʻomaka ʻana e lawe i nā mea hoʻopiha.

Pēlā nō hoʻi, ka turmeric, kahi mea ʻala ikaika, lawelawe pū kekahi i kahi lāʻau o nā anti-inflammatory waiwai a kōkua paha i ka hōʻemi ʻana i ka mumū a me ke kū ʻana o PsA. Hiki ke hoʻohui ʻia ʻo Turmeric i kekahi pā. Hoʻoulu kekahi poʻe i loko o ka tī a i ʻole lattes, e like me ka waiū gula.

ʻO nā lāʻau kūlohelohe ʻē aʻe a me nā ʻano lāʻau ʻē aʻe hiki ke pōmaikaʻi a maʻalahi hoʻi i kekahi mau ʻōuli o PsA.

ʻO ka papaʻai psoriatic arthritis

ʻOiai ʻaʻohe mea ʻai a meaʻai ʻole e hoʻōla iā PsA, hiki i kahi papaʻai kaulike ke kōkua i ka hōʻemi ʻana i ka mumū a me ka hoʻomāmā ʻana i nā ʻōuli. Hiki i nā hoʻololi olakino i kāu papaʻai ke uku nui loa no nā hono a me ke kino i ka holo lōʻihi.

I ka pōkole, ʻai i nā huaʻai a me nā mea kanu hou. Kōkua lākou i ka hoʻohaʻahaʻa i ka hoʻowahāwahā a mālama i kou kaupaona. Hoʻokomo ka nui o ke kaupaona i nā kaomi i nā ʻeha i ʻeha. Palena i ke kō a me ka momona, nā mea kuni. E hoʻokau i kahi kumu no nā momona momona, e like me ka iʻa, nā ʻanoʻano, a me nā hua hua.

Nā pae o ka maʻi psoriatic

ʻAʻole ʻo PsA e hāhai i ke ala like no kēlā me kēia kanaka i ʻike ʻia me kēia ʻano. Loaʻa paha i kekahi poʻe nā ʻōuli mālie a me ka hopena o ka hopena i kā lākou mau hono. No nā poʻe ʻē aʻe, hiki i ka deformity hui a me ka hoʻonui ʻana i ka iwi ke kū hope loa.

ʻAʻole maopopo i ke kumu e ʻike ai kekahi poʻe i ka holomua wikiwiki o ka maʻi a me nā poʻe ʻē aʻe ʻaʻole. Akā hiki i ka ʻike mua a me ka mālama ʻana ke kōkua i ka ʻeha a hoʻolohi i ka pōʻino o nā hono. He mea nui ʻoe e kamaʻilio pū me kāu kauka ke hoʻomaka koke ʻoe e ʻike i nā hōʻailona a i ʻole nā ​​hōʻailona e kuhikuhi iā PsA.

ʻO ke kau mua ʻo PsA

I nā mahele mua o kēia arthritis, ʻike paha ʻoe i nā ʻōuli mālie e like me ka huʻi pū ʻana a hoʻemi i ke ʻano o ka neʻe. Hiki paha kēia mau ʻōuli i ka manawa like ke hoʻomohala ʻoe i nā maʻi ʻili psoriasis, a i ʻole hiki i nā makahiki i hala.

ʻO nā NSAID ka mālama maʻamau. Māmā kēia mau lāʻau i ka ʻeha a me nā ʻōuli, akā ʻaʻole lākou e hoʻolohi iā PsA.

ʻO PsA kaulike

Kaukaʻi ʻia i ke ʻano o ka PsA iā ʻoe, e ʻike paha ke kau waena a waena paha i nā ʻōuli e hōʻemi ana e pono ai nā lāʻau holomua hou aʻe, e like me DMARDs a me biologics. Hiki i kēia mau lāʻau ke kōkua i ka hōʻoluʻolu i nā ʻōuli. Hiki iā lākou ke kōkua i ka hoʻolohi i ka holomua o ka hōʻino pū kekahi.

Paa-pae PsA

I kēia manawa, loli nui ka iwi iwi. Hiki paha i ka deformity hui a me ka hoʻonui ʻana i ka iwi. Mālama nā mālama ʻana e hōʻoluʻolu i nā ʻōuli a pale i nā kūpikipiki paʻakikī.

ʻIke i ka maʻi psoriatic

No ke kuhi ʻana iā PsA, pono i kāu kauka e kāpae i nā kumu ʻē aʻe o ka maʻi rumitis, e like me RA a me ka gout, me ke kiʻi a me nā hoʻokolohua koko.

Nānā kēia mau hoʻokolohua kiʻi no ka hōʻino o nā hono a me nā aʻa ʻē aʻe:

  • X-kukuna. Kuhi kēia mau mea no ka mumū a me ka hōʻino o nā iwi a me nā hono. ʻOkoʻa kēia ʻino ma PsA ma mua o nā ʻano ʻē aʻe o ka arthritis.
  • MRI. Hana nā nalu uila a me nā mākēneki ikaika i nā kiʻi o loko o kou kino. Hiki i kēia mau kiʻi ke kōkua i kāu kauka e nānā no ka hui pū ʻana, ka tendon, a i ʻole ka hōʻino ligament.
  • Nānā CT a me nā ultrasounds. Hiki i kēia mau mea ke kōkua i nā kauka e hoʻoholo pehea ka holomua o PsA a pehea e loli ai nā hono.

ʻO nā hoʻokolohua koko no kēia mau mea e kōkua i ka loiloi i nā mumū i loko o kou kino.

  • Pūmua C-reactive. ʻO kēia kahi mea a kou ake e hoʻopuka ai ke loaʻa ka mumū i kou kino.
  • ʻO ke ana sedimentation ʻErythrocyte. Hōʻike kēia i ka nui o ka mumū i kou kino. Eia naʻe, ʻaʻole hiki ke hoʻoholo inā mai ka mumū mai PsA a i ʻole nā ​​kumu kūpono ʻē aʻe.
  • Mea Rheumatoid (RF). Hoʻopuka kāu ʻōnaehana pale i kēia autoantibody. Aia mau ia ma RA akā maikaʻi ʻole ma PsA. Hiki i kahi hōʻike koko RF ke kōkua i kāu kauka e haʻi inā he PsA a RA paha kāu.
  • Pōʻai hui. Lawe kēia hoʻomeheu hoʻāʻo i kahi wai liʻiliʻi mai kou kuli a i ʻole nā ​​hui ʻē aʻe. Inā aia nā aniani uric acid i loko o ka wai, loaʻa iā ʻoe ke gout ma kahi o PsA.
  • Nā hunaola ʻulaʻula. ʻO ka helu haʻahaʻa o ke koko ʻulaʻula haʻahaʻa mai ka anemia ka mea maʻamau i ka poʻe me PsA.

ʻAʻole hiki i kahi koko a me nā hoʻokolohua kiʻi ke hoʻoholo inā he PsA kāu. Hoʻohana kāu kauka i kahi hui o nā hoʻokolohua e kāpae i nā kumu kūpono ʻē aʻe. E aʻo hou e pili ana i kēia mau hoʻāʻo a me ka mea a lākou e haʻi aku ai i kāu kauka e pili ana i kou mau hono.

Nā kumu pilikia no ka psoriatic arthritis

E loaʻa paha iā PsA inā ʻoe:

  • loaʻa iā psoriasis
  • he makua a he kaikaina paha me PsA
  • aia ma waena o nā makahiki o 30 a me 50 (ʻoiai hiki i nā keiki ke kiʻi ʻia kekahi)
  • ua loaʻa ka ʻāʻī strep
  • loaʻa iā HIV

Hāʻawi ʻo PsA iā ʻoe i ka makaʻu no nā pilikia i hoʻopili ʻia:

  • ʻO nā mutilans psoriatic arthritis
  • nā pilikia o ka maka, e like me ka conjunctivitis a i ʻole ka uveitis
  • maʻi maʻi maʻi

He aha ka mea e hoʻonāukiuki i kahi psoriatic arthritis flare-up?

ʻO PsA flare-up e hoʻonui i ke kūlana no kekahi manawa. Hiki i kekahi mau mea ke hoʻokau aku i nā lapalapa PSA. ʻOkoʻa nā mea hoʻonāukiuki o kēlā me kēia kanaka.

E aʻo i kāu mau mea hoʻonāukiuki, e mālama i kahi diary hōʻailona. I kēlā me kēia lā, e kākau i kāu mau hōʻailona a me kāu e hana nei i ka wā i hoʻomaka ai lākou. E hoʻomaopopo hoʻi inā ua loli ʻoe i kekahi mea i kāu hana maʻamau, e like me inā ua hoʻomaka ʻoe e lawe i kahi lāʻau hou.

Pākuʻi ʻia nā PsA maʻamau i:

  • nā maʻi, e like me ka ʻāʻī strep a me nā maʻi hanu luna
  • nā hōʻeha, e like me keʻoki, ʻoki, a sun lā paha
  • ʻili maloʻo
  • hoʻoluhi
  • anu, maloo ke aniau
  • puhipaka
  • inu ʻona ana
  • hoʻoluhi
  • kaumaha kaumaha
  • nā lāʻau, e like me ka lithium, beta-blockers, a me nā lāʻau antimalarial

ʻOiai ʻaʻole hiki iā ʻoe ke hōʻalo i kēia mau mea hoʻonāukiuki āpau, hiki iā ʻoe ke hoʻāʻo e mālama i ke koʻikoʻi, hōʻoki i ka puhi ʻana, a ʻokiʻoki i kāu inu waiʻona.

E noi i kāu kauka inā lawe ʻoe i nā lāʻau i ʻike ʻia e hoʻonohonoho i nā hōʻailona PsA. Inā pēlā, makemake paha ʻoe e hoʻololi i kahi lāʻau hou.

ʻAʻole hiki ke hoʻopau i nā lapalapa ahi, akā hiki iā ʻoe ke hoʻoikaika a aʻo i nā ala e hōʻemi ai i ka maka o ka lapalapa.

Psoriatic arthritis vs. rheumatoid arthritis

ʻO PsA a me RA ʻelua o kekahi mau ʻano arthritis. ʻOiai lākou e kaʻana like i kahi inoa maʻamau a me nā ʻōuli like like, ʻo nā kumu kumu like ʻole ke kumu o lākou.

Hana ʻo PsA i ka poʻe me psoriasis. ʻO kēia kahi ʻano ʻili e hana ai i nā leona a me nā kiko scaly ma ka ʻili o ka ʻili.

ʻO RA kahi maʻi maʻi autoimmune. Kū ia i ka wā e hoʻouka kuhi hewa ke kino i nā aʻa i paʻa i nā hono. ʻO kēia ke kumu o ka pehu ʻana a laila ʻeha a me ka luku pū ʻia.

Hoʻolike like ʻo PsA i nā kāne a me nā wahine, akā ʻoi aku ka ulu o ka wahine i ka RA. Hōʻike pinepine ʻo PsA ma waena o nā makahiki o 30 a me 50 no ka nui o nā kānaka. Hoʻokumu mua ʻo RA ma hope iki i ka makahiki waena.

I ko lākou wā mua, hāʻawi like nā PsA a me RA i nā ʻōuli like like. Hoʻopili kēia i ka ʻeha, pehu, a me ka ʻoʻoleʻa hui. Ke holo nei nā kūlana, e ʻoi aku ka maopopo o ke ʻano o kāu.

ʻO ka mea pōmaikaʻi, ʻaʻole pono ke kauka e kali no ka holomua o ka maʻi kōpaʻa i mea e loaʻa ai kahi hōʻailona. Hiki i nā hoʻāʻo ʻana i ke koko a me nā kiʻi ke kōkua i kāu kauka e hoʻoholo i ke ʻano e hoʻololi i kou mau hono.

E heluhelu hou aʻe e pili ana i kēia mau ʻano a pehea e mālama ʻia ai.

Outlook

ʻOkoʻa ka kuanaʻike o kēlā me kēia. Loaʻa i kekahi poʻe nā ʻōuli ʻoluʻolu wale ke kumu o nā pilikia i kēlā me kēia manawa. Loaʻa i nā poʻe ʻē aʻe nā hōʻailona ʻoi loa a hoʻonāwaliwali hoʻi.

ʻO ke koʻikoʻi o kāu mau hōʻailona, ​​ʻo ka nui o ka PsA e hoʻopili i kou hiki ke hele a puni. ʻO ka poʻe me ka nui o nā ʻino hui pū he mea paʻakikī paha ke hele wāwae, piʻi i ke alapiʻi, a hana i nā hana o kēlā me kēia lā.

E hoʻopili ʻia kāu kuanaʻike inā:

  • Ua loaʻa iā ʻoe kahi hōʻailona o PsA i kou wā ʻōpio.
  • Ua koʻikoʻi kou ʻano ke loaʻa kāu kuhi.
  • Uhi ʻia ka nui o kou ʻili i nā huehue.
  • Loaʻa iā PsA kekahi poʻe o kou ʻohana.

I mea e hoʻomaikaʻi ai i kāu kuana, e hāhai i ka lāʻau hoʻomalu i kau ʻia e kāu kauka. Hiki paha iā ʻoe ke hoʻāʻo hou aʻe i hoʻokahi lāʻau e ʻike ai i nā mea e pono ai nāu.

E heluhelu i kēia ʻatikala ma ka Paniolo

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