Cututtukan zuciya na Psoriatic

Psoriatic arthritis matsala ce ta haɗin gwiwa (amosanin gabbai) wanda yakan faru tare da yanayin fata da ake kira psoriasis.

Psoriasis cuta ce ta fata gama gari wacce ke haifar da jan launi a fata. Yanayi ne mai ci gaba (mai ɗorewa). Kwayar cututtukan zuciya na Psoriatic yana faruwa a kusan 7% zuwa 42% na mutanen da ke da cutar psoriasis. Nail psoriasis yana da alaƙa da cututtukan zuciya na psoriatic.

A mafi yawan lokuta, psoriasis yana zuwa kafin cututtukan zuciya. A cikin 'yan mutane, amosanin gabbai yana zuwa kafin cutar fata. Koyaya, ciwon mai tsanani, mai yaɗuwa mai yaduwa yana bayyana ƙara damar samun cututtukan zuciya na psoriatic.

Ba a san abin da ke haifar da cututtukan zuciya na psoriatic ba. Kwayoyin halitta, tsarin garkuwar jiki, da abubuwan muhalli na iya taka rawa. Da alama fata da haɗin gwiwa na iya samun dalilai iri ɗaya. Koyaya, baza su iya faruwa tare ba.

Ciwon ƙwayar cuta na iya zama mai sauƙi kuma ya ƙunshi kawai jointsan haɗuwa. Abubuwan haɗin gwiwa a ƙarshen yatsunsu ko yatsun ƙila na iya zama abin damuwa. Cutar cututtukan zuciya na Psoriatic galibi ba shi da daidaito wanda ke haifar da cututtukan zuciya kawai a gefe ɗaya na jiki.

A wasu mutane, cutar na iya zama mai tsanani kuma tana shafar mahaɗan da yawa, gami da ƙashin baya. Kwayar cututtuka a cikin kashin baya sun haɗa da tauri da zafi. Mafi sau da yawa suna faruwa a cikin ƙananan kashin baya da sacrum.

Wasu mutanen da ke fama da cututtukan zuciya na iya zama kumburin idanu.

Yawancin lokaci, mutanen da ke fama da cututtukan zuciya suna da fata da ƙusoshin ƙusa na psoriasis. Sau da yawa, fatar jiki na yin muni a lokaci guda tare da ciwon zuciya.

Tendons na iya zama mai kumbura tare da cututtukan zuciya na psoriatic. Misalan sun hada da jijiyar Achilles, da fascia, da jijiyar jijiyar a hannu.

Yayin gwajin jiki, mai ba da kiwon lafiya zai nemi:

• Kumburin hadin gwiwa
• Facin fata (psoriasis) da rami a cikin kusoshi
• Tausayi
• Kumburi a cikin idanu

Za'a iya yin rayukan haɗin gwiwa.

Babu takamaiman gwajin jini don cututtukan zuciya na psoriatic ko na psoriasis. Gwaje-gwaje don yin sarauta da wasu nau'ikan cututtukan zuciya na iya yi:

• Rheumatoid factor
• Anti-CCP kwayoyin cuta

Mai ba da sabis ɗin na iya yin gwaji don kwayar halittar da ake kira HLA-B27 Mutanen da ke da hannu a baya suna iya samun HLA-B27.

Mai ba da sabis ɗinku na iya ba da magungunan anti-inflammatory marasa steroid (NSAIDs) don rage zafi da kumburin mahaɗan.

Arthritin da ba ya inganta tare da NSAIDs zai buƙaci a bi da shi tare da magungunan da ake kira magungunan ƙwayoyin cuta (DMARDs). Wadannan sun hada da:

• Samun bayanai
• Leflunomide
• Sulfasalazine

Apremilast wani magani ne da ake amfani dashi don maganin cututtukan zuciya na psoriatic.

Sabbin magunguna masu ilimin halittu suna da tasiri don ciwan gaba na psoriatic wanda ba a sarrafa shi tare da DMARDs. Wadannan magunguna suna toshe wani furotin da ake kira tumo necrosis factor (TNF). Suna yawan taimako ga duka cututtukan fata da haɗin gwiwa na cututtukan zuciya na psoriatic. Ana ba da waɗannan magunguna ta hanyar allura.

Sauran sababbin magungunan ilimin halittu suna nan don magance cututtukan zuciya na psoriatic wanda ke ci gaba koda tare da amfani da DMARDs ko wakilan anti-TNF. Wadannan magunguna suma ana basu ta hanyar allura.

Za a iya magance jijiyoyin mai zafi sosai tare da allurar steroid. Ana amfani da waɗannan yayin haɗuwa ɗaya ko jointsan kaɗan. Yawancin masana ba sa ba da shawarar corticosteroids na baka don cututtukan zuciya na psoriatic. Amfani da su na iya tsananta cutar psoriasis da tsoma baki tare da tasirin wasu kwayoyi.

A wasu lokuta ba safai ba, ana iya buƙatar tiyata don gyara ko sauya wuraren haɗin da suka lalace.

Mutanen da ke da kumburin ido ya kamata su ga likitan ido.

Mai ba ku sabis na iya ba da shawarar haɗakar hutu da motsa jiki. Jiki na jiki na iya taimakawa wajen haɓaka haɗin gwiwa. Hakanan zaka iya amfani da magani mai zafi da sanyi.

Cutar wani lokaci yana da sauƙi kuma yana shafar ƙananan haɗin gwiwa kaɗan. Koyaya, a cikin mutane da yawa tare da lalacewar cututtukan zuciya na haɗin gwiwa yana faruwa a cikin farkon shekaru masu yawa. A wasu mutane, mummunan cututtukan gabbai na iya haifar da nakasa a hannu, ƙafa, da kashin baya.

Yawancin mutane da ke fama da cututtukan zuciya waɗanda ba su inganta tare da NSAIDs ya kamata su ga likitan rheumatologist, ƙwararre a cikin amosanin gabbai, tare da likitan fata don psoriasis.

Farkon jiyya na iya sauƙaƙa zafi da hana haɗin gwiwa, koda a cikin mummunan yanayi.

Kira mai ba ku sabis idan kun ci gaba da alamun cututtukan arthritis tare da psoriasis.

Arthritis - psoriatic; Psoriasis - psoriatic amosanin gabbai; Spondyloarthritis - psoriatic amosanin gabbai; Zabura

• Psoriasis - guttate a kan makamai da kirji
• Psoriasis - guttate a kan kunci

Bruce IN, Ho PYP. Hanyoyin asibiti na cututtukan zuciya na psoriatic. A cikin: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. 7th ed. Philadelphia, PA: Elsevier; 2019: babi na 128.

Gladman D, Rigby W, Azevedo VF, et al. Tofacitinib don cututtukan zuciya na psoriatic a cikin marasa lafiya tare da isasshen amsa ga masu hana TNF. N Engl J Med. 2017; 377:1525-1536.

Smolen JS, Schöls M, Braun J, da al. Yin maganin cututtukan zuciya da cututtukan zuciya, musamman ma cututtukan zuciya, don ƙaddamarwa: sabuntawar 2017 na shawarwari ta ƙungiyar aiki ta duniya. Ann Rheum Dis. 2018; 77 (1): 3-17. PMID: 28684559 pubmed.ncbi.nlm.nih.gov/28684559/.

Veale DJ, Orr C. Gudanar da cututtukan zuciya na psoriatic. A cikin: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. 7th ed. Philadelphia, PA: Elsevier; 2019: sura 131.