Psoriatic Arthritis - Zizindikiro ndi Chithandizo Chothandiza Kwambiri

Matenda a Psoriatic ndi zotsatira za kukhalapo kwa munthu wa psoriasis kapena chizoloŵezi chachibadwa cha matendawa. Atafufuza za matendawa, asayansi anapeza zokhuza zokhudzana ndi chifukwa chake ndi njira zake zothandizira.

Psoriasis ndi psoriatic nyamakazi

Ndi matenda a psoriatic amadziwika kuti ndi matenda awiri: psoriasis ndi nyamakazi ya nyamakazi. Malingana ndi chiwerengero cha zamankhwala, nyamakazi ya psoriatic imapezeka 10% mwa odwala psoriasis. Poyamba, odwala angadandaule za mawonekedwe ofiira pa khungu. Panopa, madokotala amadziwa psoriasis, nyamakazi imayamba kudziwonetsera patapita kanthawi ndi ululu wam'mbuyo kapena miyendo. Nthawi zambiri, matendawa amayamba ndi mavuto amodzi, ndipo khungu limakhala ngati labwino panthawi yomweyo.

Kuwerenga nyamakazi ya psoriatic, zizindikiro ndi chithandizo, madokotala anazindikira kuti matendawa amatanthauza psychosomatic, yomwe ndi yogwirizana kwambiri ndi dongosolo la mitsempha. Azimayi ali oimira anthu ambiri, choncho amavutika ndi matendawa nthawi zambiri kuposa amuna. Chomwe chimayambitsa kuwonongeka kwa psoriatic ndi vuto lalikulu kapena lalitali, kusokonezeka maganizo.

Psoriatic Arthritis - Zizindikiro

Zizindikiro za nyamakazi zakuthambo zimakhala zofanana ndi zizindikiro za nyamakazi. Kuti apeze matenda a psoriatic, madokotala amatsatira zizindikiro zotere:

• kupweteka kwa ziwalo ndi kutupa kwa madera ozungulira;
• khungu loyandikana ndi olowa nawo lidzakhala ndi malungo;
• Kugonjetsedwa kungabwereke m'magulu ang'onoang'ono;
• Mankhwala okhudzidwa angakhale ndi mtundu wofiira kapena wabuluu;
• Nthawi zambiri zimagwirizanitsa, zomwe zimayambitsa zowawa komanso mavuto;
• Zola za miyendo ndi manja zimfupikitsidwa kapena zitalikitsidwa;
• kuwonongeka kwa mgwirizano ndi kosakwanira;
• kuuma kwa m'mawa kwa ziwalo.

Psoriatic nyamakazi ya zala

Madokotala, kuphunzira psoriasis, nyamakazi, zizindikiro za matendawa, anapeza kuti psoriatic nyamakazi ya zala ndi njira yofala kwambiri ya nyamakazi ya psoriatic. Ndi mtundu uwu wa matendawa, zilonda za nyamakazi zimakhudza zala za m'mwamba. Matendawa amayamba ndi mawonetseredwe a psoriatic, omwe amawonjezeredwa ndi zilonda zala, ndipo akhoza kuyamba ndi zizindikiro za nyamakazi.

Kuphunzira nyamakazi ya psoriatic ya zala ndizotheka ndi zizindikiro zotere:

• Mbali zing'onozing'ono za miyendo yapamwamba zimakhala zopweteka;
• Mphuno ya zala zimakula, ndipo kutupa kumatha kufalikira kumatenda ozungulira;
• Mapepala ali opunduka, zala zimasintha mawonekedwe: thicken ndi kufupikitsa;
• m'dera logwirizana, khungu limatentha, limapeza mthunzi wakuda;
• chosiyana ndi nyamakazi ya psoriatic ndi kugonjetsedwa kwa mbale ya msomali: misomali imataya mtundu, imatuluka, imatha kapena imatha.

Psoriatic nyamakazi ya miyendo

Matenda a Psoriatic a phazi kawirikawiri amapezeka kuti ali chidendene, chitsamba cha fasciitis, gout, nyamakazi. Kuwonjezera apo, nyamakazi ya psoriatic ikhoza kufanana ndi mawonetseredwe a matenda omwe amadzimadzimutsa monga lupus, etc. Mosiyana ndi zina zotchedwa matenda, zomwe zimabwera chifukwa cha katundu wambiri pamilingo, psoriatic nyamakazi imabwera chifukwa cha psoriasis.

Psoriatic arthrosis kapena nyamakazi ya phazi imadziwonetsa ngati ululu wopweteka m'magulu ndi ziwalo zozungulira. Khungu lozungulira chogwedezeka chotembenukira limasanduka wofiira kapena wofiira. Chifukwa cha mavuto omwe ali nawo, mgwirizano ukhoza kuchitika, kuchititsa kupweteka kowonjezereka ndikupangitsa kuvutika kuyenda. Mankhwala opatsirana amachititsa kusintha kwa mawonekedwe a zala: amafupikitsa ndikuwombera.

Psoriatic arthritis - matenda

Matenda a "psoriatic arthritis" angaperekedwe kwa wodwala amene ali ndi zizindikiro zitatu izi:

• wina wa achibale apamtima adwala kapena akudwala psoriasis ;
• khungu ndi mapepala achitsulo zimakhudzidwa ndi psoriasis;
• X-ray imasonyeza kuwonongeka kwa ziphuphu zina zapfupa ndi kuperewera kwa nthawi, malinga ndi kuti matenda otupa mafupa a m'madera ozungulirawo sakuwonedwa;
• Muzitsulo pamakhala zowawa zopita;
• Matenda a nyamakazi ya dzanja pakati pa msomali ndi zala zapakatikati za zala;
• ziwalo zitatu za choyamba chala zimasinthidwa;
• thupi lachimake cha pansi limasinthidwa;
• chifuwa chachikulu cha matendawa ndi zoipa;
• X-ray imasonyeza kusalongosoka kwa ziwalo za sacroiliac;
• pamatenda a pafupi-vertebral deposition of calcium salt amadziwika.

Psoriatic arthritis - mayesero

Kuti mudziwe matenda a psoriatic, kufufuza kwina kwa wodwalayo, kuyezetsa ma laboratory ndi kusonkhanitsa anamnesis n'kofunikira. Kuzindikira matenda a nyamakazi kumachitika mothandizidwa ndi mayesero awa:

1. X-ray ya malo okhudzidwa. Chithunzichi chiwonetseratu kusintha kwa malemba.
2. Kuyezetsa magazi kwakukulu. M'magazi, kuchepa kwa magazi, kuwonjezeka kwa ESR ndi fibrinogen, sialic acid, immunoglobulin A, G, ndi E..
3. Kufufuza kwa intraarticulate synovial madzi. Madzi otengedwa kuti awonedwe pamaso a nyamakazi ya psoriatic adzakhala omasuka, ndi kuchuluka kwa ma neutrophils.

Psoriatic nyamakazi - mankhwala

Asanayambe kuchiritsa matenda a psoriatic, dokotala amapereka ndondomeko yambiri yomwe imamuthandiza kumvetsa kukula kwa ziwalozo. Powonjezera kugonjetsedwa, zimakhala zovuta kwambiri kuchotsa zizindikiro zake. Wodwala ayenera kudziwa kuti matendawa sangathe kuchiritsidwa. Madokotala angathandize kuchepetsa vutoli ndikuletsa njira zopangidwira. Mankhwala ovutawa angaphatikizepo kugwiritsa ntchito mankhwala, chakudya chokwanira, physiotherapy, mankhwala opanga masewero olimbitsa thupi, kusintha kwa moyo.

Matenda a Psoriatic - malingaliro azachipatala

Mndandanda wa mayankho a momwe angachiritse nyamakazi ya psoriatic imaphatikizapo malangizo othandiza kusintha zizoloŵezi zina:

1. Maphunziro a physiotherapy. Ndi matendawa, kuyenda mofulumira ndi kusambira ndibwino.
2. Ngati pali ululu m'magulu, muyenera kudzipumula. Amagulu sangakhoze kulemedwa.
3. Kusamala nsapato ndikofunikira. N'zosatheka kulola ziwalo kuti ziwonongeke ndi nsapato zolimba.
4. Ndikofunika kugona tulo. Kuti muchite izi, muyenera kuyenda musanayambe kugona, kuyendetsa m'chipinda chogona, musadye tiyi ndi khofi usiku, musayang'ane mafilimu ndi mapulogalamu olimbikitsa.
5. Kulamulira kwachangu ndi ntchito yofunikira kwa wodwala ndi nyamakazi ya psoriatic. Kubwerera kumbuyo kudzateteza kuwonongeka kwina kwa thanzi.
6. Ndikofunika kusankha malo abwino ogona. Ndibwino kuti mukhale ndi mattress matriti komanso pillow for sleep.
7. Ndikofunika kutsogolera moyo wamtendere, kuyesa , kuti asakhale wamanjenje komanso kupewa nkhawa.

Kukonzekera kwa nyamakazi ya nyamakazi

Perekani mankhwala ochizira matenda a psoriatic ngati dokotala, monga momwe kudzipatsira mankhwala kumathandizira ku zotsatirapo zomvetsa chisoni. Chithandizo chovuta cha matendawa chikuphatikizapo kukonzekera mankhwalawa:

1. Mankhwala osokoneza bongo. Amagwiritsidwa ntchito kuchepetsa ntchito ya chitetezo cha mthupi. Mankhwala otchuka kwambiri ndi methotrexate mu nyamakazi ya psoriatic. Mankhwalawa amachititsa kuti zitheke kuletsa njira yobweretsera. Kuchiza kwa nyamakazi ya psoriatic ndi methotrexate kumaonedwa ngati kofunikira. Kuwonjezera apo, Sulfasalazine imagwiritsidwa ntchito m'maganizo a psoriatic, Cyclosporine, Leflunomide, Azathioprine ndi mafanowo.
2. Kukonzekera kutseka mapuloteni ofooketsa otsika kwambiri a maselo: Adalimumab, Infliximab, Etanercept.
3. Gulu la mankhwala atsopano ochizira matenda a psoriatic ndi Otela ndi Taltz (Isekizumab). Chomaliza chimakhala ndi mtengo wapatali, choncho sichipezeka kwa odwala ambiri.
4. Mavuto aakulu a nyamakazi ndi chizindikiro choyeretsa magazi mothandizidwa ndi plasmapheresis.

Matenda a Psoriatic - mankhwala ndi mankhwala ochiritsira

Kugwiritsa ntchito mankhwala a psoriatic nyamakazi kungakhale bwino kuwonjezera pa mankhwala osokoneza bongo. Maphikidwe otchuka oterewa ndi otchuka:

1. Kuchiza kwa nthambi za spruce. Pochita izi, konzekerani kulowetsedwa kwa nthambi za spruce, kuzizizira kutentha kwa madigiri 38 ndi kuwalitsa mawanga aakulu. Pambuyo pa ndondomekoyi, malowa ayenera atakulungidwa ndi kusungidwa kwa ola limodzi. Maphunzirowa ali ndi njira zisanu.
2. Matenda a zitsamba. Ndi matendawa ndi othandiza kumwa zakumwa za zomera zotere: St. John's wort, birch masamba, dandelion, juniper, mabulosi akuda.
3. Turpentine compress. Tengani madontho awiri a turpentine, 2 tbsp. l. masamba mafuta, 1 tbsp. l. karoti wouma. Sakanizani zigawozo ndikugwiritsanso ntchito palimodzi. Sungani usiku wonse, bwerezani masiku khumi.
4. Mafuta opangidwa ndi mafuta a eucalyptus. Ndikofunika kukonzanso timadontho ta tchire, maluwa okoma ndi clove ya St. John's. Sakanizani zosonkhanitsa ndi mafuta a eucalyptus ndi mafuta odzola ndipo mugwiritsenso ntchito malo otupa.

Kudya kwa nyamakazi ya psoriatic

Zakudya zabwino ndi matenda a nyamakazi ndi mbali yofunikira ya chithandizo. Chakudya chabwino kwa odwala ndi nyamakazi ya psoriatic ndi zakudya za Pegano . Wolemba za zakudya amasonyeza kudya pang'ono, koma nthawi zambiri. Mndandanda wazinthu zotchulidwa bwino zikuphatikizapo mbewu, ndiwo zamasamba, zipatso. Nambala yowerengeka ya oyamikira kudya mbale za nsomba. Zotsatira zotsatirazi ndiletsedwa:

• tiyi ndi khofi;
• mowa;
• maswiti, mabulu, mkate watsopano;
• zamzitini, mafuta, kusuta, zakudya zamchere ndi zokometsera;
• nyemba;
• nyama.