Overview
银屑病关节炎（PSA）是一种关节炎，会导致关节内外肿胀，僵硬和疼痛。它通常会影响30 percent在已经患有牛皮癣的人中，这种皮肤状况会导致红色，片状皮疹，可能会发痒或酸痛。
像牛皮癣一样，PSA是一种慢性病，如果您没有得到适当的治疗，随着时间的流逝可能会变得更糟。为了获得PSA的最佳护理，您应该看到风湿病学家，专门从事关节，肌肉和骨骼疾病的医生。
以下是有关PSA治疗的七个问题，您可以在下次访问时询问医生。
不幸的是，PSA无法治愈。治疗通常会集中于减轻肿胀，僵硬和疼痛。这可以防止关节进一步损害，并提高您完成日常任务的能力。
这通常包括药物，轻柔运动以及身体或职业疗法的结合。
用于治疗PSA的药物包括：
- Nonsteroidal anti-inflammatory drugs (NSAIDs).These medications relieve pain and reduce swelling. Some are available over-the-counter, such as aspirin and ibuprofen, while stronger drugs are available by prescription.
- 皮质类固醇。这些可以用作平板电脑或注射到关节中，以减轻疼痛和肿胀。
- 疾病改良的抗风湿药（DMARDS）。这些可以缓解症状并减慢关节损伤的进展。
- Biologic drug therapies.Biologics target specific areas of the immune system affected by PsA.
如果您的PSA中等至重度PSA，您的医生可能会建议使用DMARDS或生物制剂。DMARD通过抑制引起炎症的化学物质来解决关节肿胀的根本原因。
Biologics are protein-based drugs given by injection or intravenous infusion. Biologics work by blocking particular cells and proteins from triggering your immune system to attack your joints.
These treatments are generally considered safe, but some people may experience side effects such as liver damage and severe infections. See your doctor for regular blood tests and alert them if you develop symptoms of an infection, such as a fever or sore throat.
您的医生会根据您的PSA的严重程度，症状以及对药物的反应，推荐治疗。
If you have mild PsA, your rheumatologist will likely prescribe NSAIDs to see if they help ease your pain and reduce inflammation.
如果这还不够s own, your doctor can recommend other drugs such as corticosteroids and DMARDs. Biologics may be prescribed if your PsA hasn’t responded to at least two different types of DMARDs.
如果您没有对特定治疗做出反应，您的医生将调整剂量或更换药物。一些药物（例如DMARDS和BIOLOGICS）可能需要数周的时间才能工作。除非建议您停止，否则请继续服用它们。
If the medication stops working, your rheumatologist may suggest taking you off that drug, swapping to alternative treatments, or trying a different combination of medications.
即使您的症状消失了，您的医生通常会建议您继续服药。在一项研究中，研究人员发现more than two-thirdsof participants experienced a recurrence of PsA within six months after stopping their medication.
Since treatment plans are individualized, if remission occurs, your doctor may recommend you step down your medication to the lowest dose needed.
While the medications may relieve your symptoms, they won’t cure the condition. It’s also possible that damage in your joints that may not have been diagnosed earlier will continue to worsen if you stop taking your medication. The goal of treatment with medication is to block ongoing inflammation and minimize the progression of joint damage.
Surgery may be an option if your joints have been badly damaged. Aside from reducing pain, surgery could improve mobility and the appearance of deformed joints.
像其他外科手术一样，关节置换手术需要更长的恢复时间并具有风险。
除了药物外，您还可以尝试管理PSA的各种自我保健策略。
- 饮食。An anti-inflammatory diet and trials off dairy or gluten may be potentially helpful.
- Exercise.定期运动可以帮助防止僵硬并增强肌肉。您的医生可以帮助您根据症状的严重程度来找出练习类型。由于PSA会使您感到异常疲倦，因此请在需要时休息一下。
- 减肥。If you’re overweight, excess weight can put added stress on your joints. This can lead to pain and reduce mobility.
- 限制酒精。酒精可以与某些药物反应或增加某些药物的副作用。与您的医生联系是否可以安全喝酒。
- Reduce stress.接受减轻压力的活动，例如冥想，瑜伽或太极拳。过度的压力会导致爆发并加重您的症状。
- 戒烟。吸烟会引发炎症并恶化PSA。如果您需要帮助戒烟，请与您的医生交谈。
With a regularly monitored treatment plan and self-care approaches, you can manage your PsA symptoms and boost your quality of life. Bring these questions up to your doctor if you have questions about your treatment options or don’t think your treatment is working. They can recommend switching medications or incorporating exercise and other activities for stress relief into your daily routine.