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October 10, 2025
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Ukuqina kwamalunga okuhambisana ne-psoriasis yisimo esiqhubekayo sokuvuvukala esithinta kokubili isikhumba sakho namalunga. Kwenzeka uma isimo sakho sokuvikela umzimba sihlasele ngephutha izicubu eziphilile, kubangele izikhumba ezibomvu, ezinamathelayo ze-psoriasis kanye nobuhlungu nokuvuvukala kwamalunga.
Lesi simo sivame ukubonakala kubantu abasenesikhathi se-psoriasis, nakuba ngezinye izikhathi izimpawu zamalunga zingabonakala kuqala. Nakuba kungase kuzwakale kukhulu ukulawula izinkinga zesikhumba namalunga ndawonye, ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukuthola impumuzo.
Ukuqina kwamalunga okuhambisana ne-psoriasis kuwumqembu wezimo ebizwa ngokuthi yi-spondyloarthritis, lapho ukuvuvukala kuthonya amalunga akho, amithambo, namathambo. Isimo sakho sokuvikela umzimba siqala ukusebenza ngokweqile futhi siqale ukuhlasela izicubu zakho kunokulwa nje nezifo.
Lokhu kuphendula komzimba okuzenzakalelayo kudala ukuvuvukala okubonakala ngezindlela ezimbili eziyinhloko. Uzobubona esi khumbeni sakho njengezikali ezinzima, eziluhlaza ze-psoriasis, futhi uzobuzwa emalungeni akho njengobhlungu, ubunzima, nokuvuvukala.
Lesi simo sithinta cishe u-30% wabantu abane-psoriasis. Sivame ukuvela phakathi kweminyaka engu-30 no-50, nakuba singabonakala kunoma iyiphi iminyaka. Akekho umehluko phakathi kwamadoda nabesifazane ngokuthi bangathuthukisa yini ukuqina kwamalunga okuhambisana ne-psoriasis.
Izimpawu zokuqina kwamalunga okuhambisana ne-psoriasis zingase zihluke kakhulu kumuntu nomuntu, futhi zivame ukuza futhi zihambe ngezikhathi ebizwa ngokuthi yi-flares. Ungase uhlangabezane nezikhathi lapho izimpawu zilula khona noma azibonakali, kulandele izikhathi lapho ziqala khona ukuba namandla.
Nazi izimpawu ezivame kakhulu ongazibona:
Abanye abantu nabo baye baba nezimpawu ezingavamile ezingakhathaza. Lokhu kungafaka ukukhathala okukhulu okuthinta imisebenzi yansuku zonke, noma ukuvuvukala ezindaweni ezinjengomgogodla wakho noma lapho i-tendons zibopha khona emathanjeni.
Izimpawu zivame ukubathinta kakhulu izandla, izinyawo, amadolo, nomgogodla, yize noma iyiphi ijoyinti ingathinteka. Okwenza i-psoriatic arthritis ibe yiyona iwukuthi ingathinta umunwe wakho wonke noma umunwe wokuqala, hhayi amajoyinti kuphela.
Odokotela bahlukanisa i-psoriatic arthritis ngezinhlobo eziningana ngokusekelwe ekutheni yiziphi amajoyinti athintekayo nokuthi isimo siqhubeka kanjani. Ukuqonda uhlobo lwakho oluthile kungasiza ekuqondiseni uhlelo lwakho lokwelashwa.
Izinhlobo eziyisihlanu eziyinhloko ngalinye linephethini yalo yokubandakanyeka kwamajoyinti:
Abantu abaningi baqala ngohlobo olulodwa, kodwa iphethini yakho ingashintsha ngokuhamba kwesikhathi. Uhlobo olungenalulinganiso luvamile kakhulu lapho isimo siqala ukuvela, luthinta cishe ama-35% abantu abane-psoriatic arthritis.
Udokotela wakho uzobona ukuthi unohlobo luni ngokuya ngezimpawu zakho, ukuhlolwa komzimba, kanye nezivivinyo zokwenza izithombe. Lo mhlangano ukusiza ukubikezela ukuthi isimo sakho singathuthuka kanjani kanye nokuthi yiziphi izindlela zokwelapha ezizosebenza kangcono kuwe.
I-Psoriatic arthritis ivelela lapho i-immune system yakho ingasebenzi kahle futhi iqale ukuhlasela izicubu zakho ezempilo. Nakuba singazi kahle ukuthi lokhu kwenzeka kanjani, ucwaningo lubonisa ukuthi kungenzeka kube ukuxubana kwezinto ezivela ezifundweni kanye nezici zezimo ezingqongile.
Izici eziningana zingase zifake isandla ekuthuthukiseni lesi simo:
Ukuba ne-psoriasis akusho ukuthi uzokuthuthukisa ngokuqinisekile i-psoriatic arthritis, kodwa kukwandisa ingozi yakho kakhulu. Izindaba ezinhle ukuthi ukuqonda lezi zici zengozi kungakusiza wena nodokotela wakho ukuba niqaphele izimpawu zokuqala.
Izici zezimo ezingqongile zivame ukusebenza njengeziqalisi kubantu abasenesikhathi eside bekhona ngokufundiswa. Lokhu kusho ukuthi ungaba nezinhlamvu ezikwenza ube sengozini, kodwa udinga isiqalisi esengeziwe ukuze isimo sithuthuke ngempela.
Kufanele ubheke udokotela uma une-psoriasis bese uqala ukuzwa ubuhlungu bezingqondo, ukukhula, noma ukukhubazeka okuhlala isikhathi esingaphezu kwamalanga ambalwa. Ukuxilongwa kwasekuqaleni nokuphathwa kungasiza ukuvimbela ukonakala kwezingqondo nokuthuthukisa umbono wakho wesikhathi eside.
Phawula lezi zibonakaliso zezexwayiso ezidinga ukunakekelwa kwezokwelapha:
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu bezingqondo, ukungakwazi ngokuzumayo ukuhambisa ingqondo, noma izimpawu zokutheleleka njengobushushu kanye nezimpawu zezingqondo. Lokhu kungabonisa izinkinga ezidinga ukwelashwa okusheshayo.
Ungalindi izimpawu zibe zinkulu ngaphambi kokufuna usizo. Ukungenelela kwasekuqaleni kungenza umehluko omkhulu ekulawuleni isimo sakho nokuvimbela ukonakala kwezingqondo okungapheli.
Izici eziningi zingandisa amathuba akho okukhula kwe-psoriatic arthritis. Ukuqonda lezi zici zengozi kungakusiza ukuthi uqaphele izimpawu ngokushesha bese uthatha izinyathelo zokuvimbela lapho kungenzeka.
Izici zengozi ezibaluleke kakhulu zihlanganisa:
Amanye ama-genetic markers nawo adlala indima, ikakhulukazi ama-HLA genes athinta umsebenzi we-immune system. Noma kunjalo, ukuba nalezi genes akusho ukuthi uzokuthola lesimo.
Nakuba ungakwazi ukushintsha i-genetics yakho noma umlando womndeni, ungashintsha amanye ama-risk factors. Ukugcina isisindo esinempilo, ukungabhemi, nokuphatha ukucindezeleka kungakusiza ukunciphisa ingozi yakho yonke nokuthuthukisa imiphumela yakho yempilo uma uthola i-psoriatic arthritis.
Ngaphandle kokwelashwa okufanele, i-psoriatic arthritis ingabangela izingozi ezinkulu ezithinta kokubili izingxenye zomzimba wakho nempilo yonke. Izindaba ezinhle ukuthi ukwelashwa okufanele kusenesikhathi kungavimbela iningi lalezi zinkinga ezingase zivele.
Izingozi ezivame kakhulu zihlanganisa:
Ukuphazamiseka okungavamile kodwa okukhulu kungafaka ukuqothulwa kwamajonyi okukhulu (i-arthritis mutilans) nezinkinga zenhliziyo ezisongela impilo. Lokhu kuvame ukuvela kuphela lapho isimo singalashwa iminyaka eminingi.
Ukuvuvukala kwe-psoriatic arthritis akuthinti nje amajonyi wakho nokwakho. Kuyisimo somzimba esingathinta wonke umzimba wakho, kungakho ukulandelela njalo neqembu lakho lokunakekelwa kwezempilo kubalulekile kangaka.
Abantu abaningi abamukela ukwelashwa okufanele bangagwema le miphumela emibi ngokuphelele. Ukusebenzisana eduze nodokotela wakho ukulawula ukuvuvukala kusenesikhathi futhi njalo kukunika ithuba elihle kakhulu lokuhlala unekhono elihle lamajonyi nempilo enhle.
Nakuba ungakwazi ukuvimbela ngokuphelele i-psoriatic arthritis uma ukhona ngokuzalwa, ungathatha izinyathelo zokunciphisa ingozi yakho nokubambezela ukuqala kwayo. Lezi zindlela zigxile ekunciphiseni ukuvuvukala nokusekela impilo yakho yonke yokukhulisa umzimba.
Nawa amasu okuvimbela asebenza kakhulu:
Uma usuvele une-psoriasis, ukusebenzisana nodokotela wakho wesikhumba ukuze uyigcine ilawulwa kahle kungasiza ekuqedeni ingozi yokuthuthukisa izinkinga zamajozi. Ezinye izifundo zibonisa ukuthi abantu abalawula kahle i-psoriasis banesilinganiso esincane se-psoriatic arthritis.
Ukuqaphela nokuphatha izimpawu ngokushesha kubalulekile. Nakuba ungase ungakwazi ukuvimba le simo ngokuphelele, ukuyibamba ngokushesha kungavimbela ukulimala kwamajozi nezinhlungu ezenza i-psoriatic arthritis ibe buhlungu ngempela.
Ukuhlonishwa kwe-psoriatic arthritis kungaba inselele ngoba ayikho i-test eyodwa eqinisekisa le simo. Udokotela wakho uzosebenzisa ukuxubana komlando wakho wezokwelapha, ukuhlolwa komzimba, nama-test ahlukahlukene ukuze enze ukuhlonishwa.
Inqubo yokuhlola ngokuvamile ihilela izinyathelo eziningi:
Udokotela wakho uzobheka izindlela ezithile ezihlukanisa isifo se-psoriatic arthritis kwezinye izinhlobo ze-arthritis. Lokhu kuhlanganisa indlela amajoinyi akho athinteka ngayo, ukuba khona kwe-psoriasis, kanye nezinguquko ezithile ezibonakala ezifundweni zokwakha izithombe.
Izivivinyo zegazi azikwazi ukuxilonga isifo se-psoriatic arthritis ngokuqondile, kodwa zisiza ekuqedeni ezinye izimo ezifana ne-rheumatoid arthritis. Abantu abaningi abane-psoriatic arthritis abanalo i-rheumatoid factor egazini labo, okusiza ekuhlukaniseni lezi zimo ezimbili.
Ukuxilongwa kuyaqiniswa lapho unazo zombili i-psoriasis kanye nezimpawu zamajoinyi ezichazwe. Noma kunjalo, abanye abantu bathuthukisa izinkinga zamajoinyi ngaphambi kokuba kube khona izimpawu zesikhumba, okwenza ukuxilongwa kube nzima ekuqaleni.
Ukuphathwa kwe-psoriatic arthritis kugqamele ekulawuleni ukuvuvukala, ukunciphisa ubuhlungu, nokuvimbela ukulimala kwamajoinyi. Udokotela wakho uzoqamba uhlelo lokwelapha olufanele ngokusekelwe ekuthini izimpawu zakho zinzima kangakanani namakilasi athinteka.
Izindlela zokwelapha eziyinhloko zihlanganisa:
Imithi ye-Biologic iye yaguqula ukwelashwa kwabantu abaningi abane-psoriatic arthritis. Le mithi iqondisa izindlela ezithile zesimiso somzimba esibandakanyeka ekubuvukaleni futhi ingaba nemiphumela emihle kakhulu kokubili ezimpahleni nasezikhumbeni.
Uhlelo lwakho lokwelashwa cishe luzoshintsha ngokuhamba kwesikhathi njengoba udokotela wakho elandela ukuthi imithi ehlukene isebenza kangcono kangakanani kuwe. Umgomo ukufumana ukuxuba okukunika ukulawulwa okuhle kakhulu kwesimptome ngemiphumela emibi embalwa.
Abantu abaningi badinga ukuzama izindlela eziningi zokwelashwa ngaphambi kokuthola okusebenza kangcono. Lo mkhuba udinga isineke, kodwa abantu abaningi bangafinyelela ekulawulweni okuhle kwesimptome ngendlela efanele.
Ukuphatha i-psoriatic arthritis ekhaya kuhilela ukuxuba kwamasu okuzinakekela okuthuthukisa kakhulu izimpawu zakho kanye nekhwalithi yokuphila. Lezi zindlela zisebenza kangcono uma zixutshwe nezinye izindlela zakho zokwelashwa.
Nawa amasu aphezulu okulawula ekhaya:
Ukudala uhlelo lwansuku zonke oluhlanganisa ukuhamba okuthambile kungasiza ekuqinisiseni amaqakala akho futhi kunciphisa ukuqina ekuseni. Ngisho namaminithi angu-10-15 okwelula noma umsebenzi olula angenza umehluko obonakalayo endleleni ozizwa ngayo.
Qaphela izimpawu zomzimba wakho bese uphumula uma udinga. Phakathi nezikhathi zokuvuvukala, kungadingeka uguqule imisebenzi yakho, kodwa ukuhlala ungasebenzi nhlobo kuvame ukwenza ukuqina kube kubi nakakhulu.
Gcina idayari yezimpawu ukuze uqaphele ukuthi yini esiza futhi yini eyenza izimpawu zakho zibe zimbi. Ulwazi lolu lungaba lubalulekile lapho usebenza neqembu lakho lokunakekelwa kwezempilo ukuze ulungise uhlelo lwakho lokwelashwa.
Ukulungiselela i-aphoyintimenti yakho yedokotela kungasiza ukuqinisekisa ukuthi uthola izinzuzo eziningi ekuhambeleni kwakho. Ukulungiselela okuhle kuvumela udokotela wakho ukuba enze izinqumo ezinhle kakhulu zokwelapha futhi akhulume ngezinkinga zakho ezibaluleke kakhulu.
Nawa amaqhinga okuzilungiselela kahle:
Cabanga ukuqapha idayari yezimpawu amasonto ambalwa ngaphambi kokubonisana kwakho. Qaphela ukuthi izimpawu zakho zishintsha kanjani usuku lonke, yini eyenza zibe ngcono noma zimbi, nokuthi zithinta kanjani imisebenzi yakho yansuku zonke.
Ungangabazi ukubuza nganoma yini ekukhathazayo, ngisho noma kubonakala kuncane. Udokotela wakho udinga isithombe esiphelele sokuthi isimo sithinta kanjani impilo yakho ukuze anikeze ukunakekelwa okuhle kakhulu.
Letha uhlu lwemithi yakho yamanje, kufaka phakathi imithamo nokuthi uyayithatha kangakanani. Lokhu kusiza ukuvimbela ukusebenzisana okubi komuthi futhi kuqinisekisa ukuthi ukwelashwa kwakho kusebenza kahle ndawonye.
I-Psoriatic arthritis iyimo elilawuleka uma lixilongwe ngokushesha futhi liwelashwe ngokufanele. Nakuba kungabonakala kukhulu ekuqaleni, ukuqonda isimo sakho nokusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo kungakusiza ukuba ugcine impilo esebenzayo, enezithelo.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa kwasekuqaleni kwenza umehluko omkhulu emiphumeleni yakho yesikhathi eside. Imithi yanamuhla ingalawula ngokuphumelelayo ukuvuvukala, ukuvimbela ukonakala kwamahlunga, nokuthuthukisa kokubili izimpawu zesikhumba nezamalunga.
Abantu abaningi abane-psoriatic arthritis baphila impilo egcwele, esebenzayo ngokuphathwa okuqondile. Ikhona ekufuneni ukuxuba okulungile kokwelashwa kwezokwelapha, ukuguqulwa kwesitayela sokuphila, namasu okuzinakekela okuhambisana nesimo sakho esithile.
Ungavumeli ukwesaba noma ukungabaza kukuvimbe ekufuneni usizo. Iqembu lakho lokunakekelwa kwezempilo likhona ukukusekela, futhi kunamathuba okwelashwa okuphumelelayo atholakala namuhla kunanini ngaphambili.
I-psoriatic arthritis yisimo esingapheli esingapheli ngokuvamile ngaphandle kokwelashwa. Noma kunjalo, izimpawu zingase zihluke kakhulu ngokuhamba kwesikhathi, ngezikhathi zokuthuthuka (ukukhululeka) kanye nokuqhuma. Ngokwelashwa okuqondile, abantu abaningi bafinyelela ekukhululekeni isikhathi eside lapho izimpawu zincane noma zingabonakali.
Nakuba i-psoriatic arthritis inengxenye yezakhiwo, ayidluliselwa ngqo njengezinye izimo. Ukuba nomuntu womndeni one-psoriasis noma i-psoriatic arthritis kukwandisa ingozi yakho, kodwa abantu abaningi abanezizinto zofuzo abazitholi le simo. Izici zezimo ezingaphandle zidlala indima ebalulekile.
Yebo, cishe u-15% wabantu abane-psoriatic arthritis bathuthukisa izimpawu zezinhlangothi ngaphambi kokuba kuvele noma yiziphi izinkinga zesikhumba. Abanye abantu bangaba ne-psoriasis ebuthakathaka kakhulu engabonakali, noma bangase bathuthukise izimpawu zesikhumba eminyakeni eminingi ngemuva kokuba izinkinga zezinhlangothi ziqale.
Kuthatha isikhathi esingakanani ukwelashwa kwe-psoriatic arthritis ukuze kusebenze?Impendulo yokwelashwa ihluka kuye ngemithi nezici zomuntu. I-NSAIDs inganikeza impumuzo ezinsukwini ezimbalwa kuya emavikini, kuyilapho i-DMARDs ivame ukuthatha amasonto angu-6-12 ukuze ibonise imiphumela ephelele. Imithi ye-Biologic iqala ukusebenza phakathi nezinyanga ezingu-2-3, yize abanye abantu beqaphela ukuthuthuka ngokushesha.
Abantu abaningi abane-psoriatic arthritis baphawula ukuthi izimpawu zabo ziyaqina lapho isimo sezulu sibanda futhi sinomswakama, bese ziphulukana lapho isimo sezulu sishisa futhi somanzi. Nakuba isizathu esiqinisekile singaqondakali ngokuphelele, ukushintsha kokucindezela komoya nokufuma kungathinta amazinga okutheleleka nokuqina kwamajointy.
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