Psoriatic Arthritis vs. Rheumatoid Arthritis: E aʻo i nā ʻokoʻa

Anter

• He aha ke kumu o PsA a me RA?
• Pāleʻa psoriatic
• Rheumatoid arthritis
• He aha nā hōʻailona no kēlā me kēia kūlana?
• Pāleʻa psoriatic
• Rheumatoid arthritis
• Ke kiʻi nei i kahi hōʻailona
• Nā hoʻoponopono
• Pāleʻa psoriatic
• Rheumatoid arthritis
• I ka manawa e ʻike ai i kāu kauka

Hōʻike Overview

Manaʻo paha ʻoe he maʻi hoʻokahi ka maʻi kōkō, akā nui nā ʻano o ka maʻi o ka maʻi. Hiki ke kumu ʻia kēlā me kēia ʻano e nā kumu kumu like ʻole.

ʻElua mau ʻano o ka maʻi he psoriatic arthritis (PsA) a me ka rheumatoid arthritis (RA). Hiki i nā PsA a me RA ke ʻeha loa, a hoʻomaka lāua ʻelua i ka ʻōnaehana pale. Eia nō naʻe, ʻokoʻa nā kūlana a mālama pinepine ʻia lākou.

He aha ke kumu o PsA a me RA?

Pāleʻa psoriatic

Pili ʻo PsA i ka psoriasis, kahi ʻano genetical e kumu i kāu ʻōnaehana pale kino e hana i nā hunaola ʻili me ka wikiwiki. I ka hapanui o nā hihia, hana ka psoriasis i nā puʻupuʻu ʻulaʻula a me nā unahi kālā e hana ma ka ʻili o ka ʻili. ʻO PsA kahi hui o ka ʻeha, ʻoʻoleʻa, a me ka pehu ʻana i nā hono.

Hiki i ka 30 pākēneka o ka poʻe me psoriasis e ʻeha iā PsA. Hiki iā ʻoe ke loaʻa iā PSA inā ʻaʻole ʻoe e ʻaʻā i ka ʻili. Heʻoiaʻiʻo loa kēia inā loaʻa iā ʻoe kahi moʻolelo ʻohana o ka psoriasis.

Hoʻomaka pinepine ʻo PsA ma waena o nā makahiki 30 a 50. E hoʻomohala like paha nā kāne a me nā wahine i kēia ʻano.

Rheumatoid arthritis

ʻO RA kahi ʻano autoimmune e hōʻeha i ka ʻeha a me ka mumū i nā hono, ʻo ia hoʻi i ka:

• lima
• wawae
• nā kūpeʻe lima
• kuʻekuʻe lima
• kuʻekuʻe wāwae
• ʻāʻī (C1-C2 ami)

Hoʻopuka ka ʻōnaehana pale i ka uhi o nā hono, e hoʻoulu ana. Inā haʻalele ʻole ʻia ʻo RA, hiki iā ia ke hōʻeha i ka iwi a me ka deformity hui.

Hoʻopili kēia ʻano i ka 1.3 miliona mau kānaka ma ʻAmelika Hui Pū ʻIa. Hiki paha iā ʻoe ke hoʻomohala iā RA ma muli o nā genetics, akā nui nā poʻe me kēia ʻano o ka arthritis ʻaʻole i loaʻa kahi moʻolelo ʻohana o kēia ʻano.

ʻO ka hapanui o nā mea me RA he wahine, a ʻike pinepine ʻia i kēlā mau makahiki mai 30 a 50 mau makahiki.

He aha nā hōʻailona no kēlā me kēia kūlana?

Pāleʻa psoriatic

ʻO nā ʻōuli e hana pinepine ʻia e PsA:

• ʻeha hui i hoʻokahi a ʻoi paha mau wahi
• pehu nā manamana lima a me nā manamana wāwae, i kapa ʻia ʻo dactylitis
• ʻeha kua, i kapa ʻia ʻo spondylitis
• ʻeha kahi e hui ai nā ligament a me nā iwi i nā iwi, i kapa ʻia he enthesitis

Rheumatoid arthritis

Me RA, ʻike paha ʻoe i hoʻokahi a ʻoi paha o nā hōʻailona ʻeono e hiki mai ana.

• ʻeha puʻeha e hiki ke hoʻopili i nā ʻaoʻao ʻelua o kou kino symmetrically
• ʻoʻoleʻa i ke kakahiaka e mau ana mai 30 mau minuke a i kekahi mau hola
• lilo o ka ikehu
• nalo ʻai ʻole
• he kuni
• kapa ʻia nā puʻupuʻu i kapa ʻia ʻo "rheumatoid nodules" ma lalo o ka ʻili o ka lima e pili ana i nā wahi iwi
• nā maka huhū
• waha maloo

E ʻike paha ʻoe i kou ʻeha pū ʻia e hele mai a hele. Ke ʻike ʻoe i ka ʻeha o kou mau ami, kapa ʻia ia he lapalapa. Hiki paha iā ʻoe ke ʻike koke ʻia nā hōʻailona RA, lohi, a mae paha.

Ke kiʻi nei i kahi hōʻailona

Inā manaʻo ʻoe he PsA kou, RA, a i ʻole he ʻano ʻē aʻe a i ʻole ka maʻi kōpaʻa, pono ʻoe e ʻike i kāu kauka e hōʻoia i ke ʻano. Hiki iā ia ke paʻakikī e hoʻoholo iā PsA a i ʻole RA i kāna mau hanana hoʻomaka no ka mea hiki i nā kūlana ʻelua ke hoʻohālikelike i nā poʻe ʻē aʻe. Hiki i kāu kauka mālama mua ke kuhikuhi iā ʻoe i ke rheumatologist no ka hoʻāʻo hou ʻana.

Hiki ke ʻike ʻia nā PsA a me RA me ke kōkua o nā hoʻokolohua koko, kahi e hiki ai ke hōʻike i kekahi mau hōʻailona hōʻeha i ke koko. Pono ʻoe i nā kukuna X, a i ʻole he MRI paha ʻoe e hoʻoholo ai i ka hopena o ke ʻano i kou mau ami i ka hala ʻana o ka manawa. Hiki pū kekahi i nā ultrasounds ke kōkua i ke kuhi ʻana i nā loli o ka iwi.

Nā hoʻoponopono

ʻO PsA a me RA nā kūlana mau. ʻAʻohe mea ola no kekahi o lāua, akā nui nā ala e mālama ai i ka ʻeha a me ka hōʻoluʻolu ʻole.

Pāleʻa psoriatic

Hiki iā PsA ke hoʻopili iā ʻoe ma nā pae like ʻole. No kaʻehaʻuʻuku a wā pōkole paha, hiki iā ʻoe ke lawe i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs).

Inā ʻoe e ʻike i ka hoʻonui ʻia o ka hōʻoluʻolu a i ʻole inā maikaʻi ʻole nā ​​NSAID, e kuhikuhi aku kāu kauka i nā lāʻau anti-rheumatic a i ʻole anti-tumor nekrosis. No nā lapalapa ahi, pono ʻoe i nā injection steroid e hoʻoliʻiliʻi i ka ʻeha a i ʻole ke ʻoki kino e hoʻoponopono ai i nā hono.

Rheumatoid arthritis

Nui a hewahewa nā RA i hiki ke kōkua iā ʻoe e hoʻokele i kāu ʻano. Ua hoʻomohala ʻia kekahi mau lāʻau i loko o 30 mau makahiki i hala e hāʻawi i ka poʻe i ke kōkua maikaʻi a maikaʻi paha o nā hōʻailona RA.

ʻO kekahi mau lāʻau, e like me ka hoʻololi ʻana i nā maʻi anti-rheumatic (DMARDs), hiki iā ia ke hoʻopau i ka holomua o ke ʻano. Pākuʻi ʻia paha kāu hoʻolālā hoʻolālā i ka hoʻōla kino a i ʻole ke ʻoki kino.

I ka manawa e ʻike ai i kāu kauka

Inā loaʻa iā ʻoe he PsA a RA paha, pono ʻoe e nānā pinepine me kāu kauka. Inā haʻalele ʻole ʻia kekahi o kēia mau ʻano, hiki ke hōʻeha ʻia i kāu mau ami. Hiki i kēia ke alakaʻi i nā ʻoki kūpono a me ke kīnā ʻole.

Aia ʻoe i ka makaʻu no nā kūlana olakino ʻē aʻe, e like me ka maʻi puʻuwai, me PsA a me RA, no laila ke kamaʻilio ʻana me kāu kauka e pili ana i kāu mau hōʻailona a me nā kūlana hoʻomohala he mea nui loa.

Me ke kōkua o kāu kauka a me nā ʻoihana olakino ʻē aʻe, hiki iā ʻoe ke mālama iā PsA a i ʻole RA e hoʻomaha ai i ka ʻeha. Pono kēia e hoʻomaikaʻi i kou ola.