7 Nā kumu i manaʻo ʻole ʻia e ʻike ai ʻoe i kāu Rheumatologist ke loaʻa iā PsA

Anter

• 1. ʻAʻole like ka rumatika me ka dermatologist
• 2. Hāʻawi nā Rheumatologists i nā diagnostics ʻoi aku ka pololei
• 3. Loaʻa ka loaʻa ʻole o ka psoriasis e loaʻa iā PsA
• 4. ʻAʻole hana nā Rheumatologists i ke ʻoki
• 5. ʻAʻole pono ke kumukūʻai ʻo Rheumatology
• 6. Hiki i ke Rheumatology ke pale aku i ke kīnā ʻole
• 7. Pono paha ʻoe e ʻike i kahi rumatika ma mua o ka hōʻike ʻana o nā ʻōuli

Me ka helu o nā kauka mua a kūikawā hoʻi i hiki i kēia manawa, hiki i ka paʻakikī ke hoʻoholo ʻana i kahi kanaka ʻoi loa e ʻike no ka psoriatic arthritis (PsA). Inā loaʻa iā ʻoe ka psoriasis ma mua o ka ʻāpana arthritic, a laila loaʻa iā ʻoe kahi dermatologist.

Eia nō naʻe, hiki i kahi rheumatologist wale nō ke kuhikuhi pono a mālama iā PsA. Inā paha he hou ʻoe i ka rumatika a i ʻole he hoʻokiʻoki e pili ana i ka ʻike ʻana i kekahi loea ʻē aʻe, e noʻonoʻo pono i kekahi o nā kumu e pono ai kahi rheumatologist.

1. ʻAʻole like ka rumatika me ka dermatologist

I ka mālama ʻana i ka psoriasis, ʻimi nā mea he nui i ka lāʻau lapaʻau kūikawā ma o ka dermatologist. Mālama kēia ʻano kauka i nā maʻi o ka ʻili, a hiki ke kōkua i ka hoʻolako ʻana i nā lāʻau no ka plake psoriasis a me nā maʻi ʻili e pili ana.

ʻOiai loaʻa paha iā ʻoe nā ʻōuli o ka ʻili i ka wā o ka pā ʻana o PsA, ʻaʻole mālama kahi dermatologist i nā kumu kumu o kēia ʻano ʻānō. Pono ʻoe i ka lāʻau lapaʻau mai kahi rheumatologist me ka hoʻopili ʻana i nā ʻili mai kahi dermatologist. Ma waho o ka mālama ʻana iā PsA, mālama kekahi rheumatologist i kekahi ʻano o nā ʻano pili like, e like me lupus, rheumatoid arthritis (RA), osteoarthritis, pain back pain, a me ka gout.

2. Hāʻawi nā Rheumatologists i nā diagnostics ʻoi aku ka pololei

Hiki i nā maʻi Autoimmune e like me PsA ke paʻakikī e kuhikuhi. Inā ʻoe e ʻike nei i kahi dermatologist no psoriasis, e nīnau paha lākou iā ʻoe i kekahi manawa e pili ana i ka ʻeha hui inā manaʻo lākou iā PsA. Eia naʻe, ʻaʻole hiki i kahi dermatologist ke hōʻoia pono i kēia ʻano. ʻO ka mea a PsA a me RA e kaʻana like i nā hōʻailona like hiki ke hana i ka paʻakikī paʻakikī inā ʻaʻole ʻoe e ʻike i ka loea kūpono.

Hiki i kahi rheumatologist ke hāʻawi i kahi hōʻailona PsA pololei loa. Ma waho o kahi hoʻokolohua kino, e alakaʻi pū kekahi rheumatologist i kahi mau hoʻokolohua koko. Maliʻa paha ʻo nā hoʻokolohua koko koʻikoʻi loa ka mea e nānā i nā kumu rheumatoid (RF) a me nā protein C-reactive. Inā maikaʻi ʻole kāu hōʻike RF, a laila loaʻa iā ʻoe ʻo PSA. Loaʻa nā poʻe me RA nā hopena hōʻike RF maikaʻi.

Pili paha nā hōʻike diagnostic ʻē aʻe:

• ke lawe nei i nā laʻana wai hui
• e hoʻoholo ana i ka nui o ka huʻi pū
• e hoʻoholo ana i ka sedimentation ("sed") e ʻike ai i ka nui o ka mumū
• ke nānā nei i ka nui o nā hono i hoʻopili ʻia

3. Loaʻa ka loaʻa ʻole o ka psoriasis e loaʻa iā PsA

Ua kuhi ke Kulanui ʻAmelika o Rheumatology ma kahi o 15 pākēneka o ka poʻe me psoriasis e hoʻomōhala PsA i kekahi manawa i ko lākou ola. Kuhi ʻia nā haʻawina ʻē aʻe a hiki i ka 30 pākēneka ke hoʻomohala i ka maʻi kō, akā ʻaʻole pono ka psoriatic type.

No ka poʻe me psoriasis, PsA, a i ʻole ʻelua paha, hiki i kēia ke ʻelua mau kumu nui e ʻike ai i ka rheumatologist. No hoʻokahi, ʻo ka psoriasis i ulu i loko o PsA koi i ka mālama ʻana mai kahi rheumatologist e mālama i nā kumu kumu o ka mumū e hoʻopili nei i kou mau hui. Eia kekahi, inā loaʻa iā ʻoe kahi ʻano ʻē aʻe o ke ʻano o ka arthritis, e like me RA, pono ʻoe e ʻimi i ka ʻano like o ka lapaʻau kūikawā.

4. ʻAʻole hana nā Rheumatologists i ke ʻoki

I kekahi ʻano o ke kuʻalā, hiki i ka hōʻeha hui ke lilo i mea nui e pono ai kekahi poʻe i ke ʻoki. He pipiʻi ke ʻoki kino, a ʻo ka hiki i ke kauka ke hōʻike nei i ia ʻano hana ke hoʻohuli i kekahi poʻe mai ka ʻimi ʻana i ka mālama kūikawā. He mea nui ia e ʻike ʻaʻole hana nā rumatika i nā ʻoki. Akā, ʻo kā lākou mea nui e ʻike i ka mālama kūloko kūpono e mālama ai i kāu maʻi i ka wā lōʻihi. ʻO ka hope, e kōkua kēia i ka pale ʻana i ka pono o ke kaha ʻana i ka wā e hiki mai ana.

5. ʻAʻole pono ke kumukūʻai ʻo Rheumatology

ʻOiai hiki i nā kauka lapaʻau kūikawā ke kumu kūʻai hou aʻe e pili ana i nā uku uku a me nā kumukūʻai mua o ka ʻeke, ʻaʻole i ʻoi aku ka pipiʻi o nā rheumatologists i ka holo lōʻihi. Inā ʻoe e ʻike nei i kahi dermatologist, no ka laʻana, a laila ke ʻimi nei ʻoe i kahi mālama kūikawā. ʻO ka makemake ʻana i nā ʻano loea ʻelua hiki ke ʻoi aku ka pipiʻi i mua, akā e loaʻa iā ʻoe ka mālama wā lōʻihi ʻoi aku ka maikaʻi ma mua o ka hoʻāʻo ʻana e loaʻa i ka ʻano lapaʻau like ʻole mai kahi nonspecialist.

Ma mua o ka ʻike ʻana i kahi rumatika, e hōʻoia e hōʻoia i ke kauka āu e makemake ai e ʻike aia i loko o ka pūnaewele o kāu mea lawe ʻinikua - e kōkua kēia i ka mālama kālā. Eia kekahi, e nānā pālua i nā kumukūʻai i manaʻo ʻia a ʻike inā makemake kāu kauka e hana i kahi hoʻolālā uku.

ʻO ka laina lalo ka ʻike ʻana i kahi rumatika ma mua o ka holomua ʻana o PsA e hoʻopakele maoli i ke kālā mai ke ʻoki a me nā haukapila i hiki ke loaʻa mai ka mālama pono ʻana i ka maʻi.

6. Hiki i ke Rheumatology ke pale aku i ke kīnā ʻole

Me PsA, hiki ke maʻalahi i ka nānā nui ʻana i nā ʻōuli manawa pōkole, e like me ka ʻeha i ka wā o nā uila. Eia nō naʻe, ʻoi aku ka nui o ka hopena o ka maʻi i ka maʻi. ʻAʻole i mālama ʻia, ka ʻaukā a me nā waimaka o kou mau ami mai ka huhū e pili ana i ka PsA hiki ke alakaʻi i ke kīnā. Hiki i kēia ke hana i mea paʻakikī hou aʻe e hana i nā hana o kēlā me kēia lā. A i kekahi mau hihia, pono paha ke kōkua mau no nā kumu palekana.

He ʻoiaʻiʻo ʻo ka misiona a rheumatologist ka mea e hoʻolako ai i ka lāʻau lapaʻau, akā ʻo kahi keu keu keu ka hōʻemi ʻana o ka maʻi kīnā mau. Ma waho aʻe o ka hana ʻana i nā hoʻokolohua a me ka kau ʻana i nā lāʻau, e hāʻawi ʻia kahi rheumatologist i nā ʻōlelo aʻoaʻo e pili ana i ka nohona e pale ai i ke kīnā ʻole. Hiki i kēia ke hele mai i ke ʻano o nā hāmeʻa kōkua, e like me ke kiʻi ʻana i nā kōkua e hoʻoliʻiliʻi i kāu mau hono.

Eia hou, hiki i kahi rheumatologist ke kuhikuhi iā ʻoe i nā lawelawe ʻē aʻe i hiki ke hōʻemi i nā manawa o ke kīnā. Hiki i kēia ke hoʻopili i ka hoʻōla kino, ka lāʻau ʻoihana, a i ʻole ka orthopedist.

7. Pono paha ʻoe e ʻike i kahi rumatika ma mua o ka hōʻike ʻana o nā ʻōuli

Once nā ʻōuli o PsA - e like me ka ʻeha hui - hoʻomaka e hōʻike, ʻo ia hoʻi ua hoʻomaka mua ka maʻi e holomua. ʻOiai hiki ke mālama ʻia nā hihia maʻalahi o PsA, hiki i ka ʻeha hui ke hōʻike i ka hana ʻia ʻana o ka pōʻino.

No ke poʻo i nā hopena o PsA, noʻonoʻo paha ʻoe e ʻike i kahi rheumatologist ma mua o kou hoʻomaka ʻana i ka ʻike i nā ʻōuli. E noʻonoʻo paha ʻoe i ka hana ʻana inā loaʻa iā ʻoe ka psoriasis, a i ʻole he moʻolelo ʻohana kāu no nā maʻi rumatika a i ʻole nā ​​kūlana autoimmune.