| Abstract | Psorijatični artritis (PsA) manifestira se kao upalna reumatska bolest, kroničnog karaktera
te se uvelike javlja kod osoba koje boluju od psorijaze. Pojava simptoma od strane zglobova u
obliku artritisa najčešće dolazi poslije uspostavljanja dijagnoze psorijaze kao primarne kožne
bolesti. Seropozitivitet bolesnika sa psorijatičnim artritisom je jednak kao i u opće populacije,
tako da se bolest ubraja u skupinu seronegativnih artritisa. Patogeneza PsA nije u potpunosti
razjašnjena, najnovija saznanja govore u prilog činjenici kako skup različitih čimbenika kao
što su genetička predispozicija i brojni izvanjski elementi uzrokuju imunološke reakcije koje
dovode do pojave same bolesti. Od simptoma na koje se bolesnici žale su bol i ukočenost
zglobova pogođenih upalnim promjenama. Klinička slika psorijatičnog artritisa može se
različito manifestirati, kod nekih su više zahvaćeni sami zglobovi a kod nekih okolne zglobne
strukture. Kako je nastanak i razvoj same bolesti izrazito kompleksan uspostava dijagnoze u
ranoj fazi bolesti je vrlo otežana. Kako bi se uspostavila dijagnoza bolesnici prolaze
dijagnostičke pretrage kao što su radiološka dijagnostika i laboratorijske pretrage krvi.
Liječenje bolesnika koji boluju od psorijaze i psorijatičnog artritisa usmjereno je smanjenju
simptoma koji se manifestiraju na koži bolesnika i smanjenje simptoma koji se manifestiraju
na zglobovima i ostalim strukturama. U svrhu liječenja propisuju se brojni lijekovi u cilju
smanjenja upalnog procesa i smanjenja boli. Smanjenju simptoma bolesti, usporavanje tijeka
bolesti, sprečavanju propadanje zglobnih struktura, te očuvanju postojećeg stanja i postizanja
veće kvalitete života uvelike doprinosi primjena fizioterapijskih procedura. Kako bi
fizioterapijski postupci imali najveći mogući učinak vrlo bitno je provesti fizioterapijsku
procjenu stanja bolesnika na temelju koje se određuje cilj same terapije. Od fizioterapijskih
procedura primjenjuju se: vježbe za kardiovaskularnu kondiciju, vježbe jačanja, poboljšanje
pokretljivosti zglobova, edukaciju i druge terapijske procedure. PsA kao sistemska bolest
negativno utječe na razinu i kvalitete života oboljele osobe, kako bi se smanjile posljedice
takve bolesti nužan je multidisciplinarni pristup. U liječenju bolesti veliki značaj za
poboljšanje zdravstvenog stanja i kvalitete života ima fizikalna terapija. |
| Abstract (english) | Psoriatic arthritis (PsA) manifests itself as an inflammatory rheumatic disease of a chronic
nature, and it mostly occurs in people suffering from psoriasis. The symptoms in the joints in
the form of arthritis most often occur after the diagnosis of psoriasis as a primary skin disease
has been established. The seropositivity of patients with psoriatic arthritis is the same as in the
general population, so the disease is included in the group of seronegative arthritis. The
pathogenesis of PsA has not been fully elucidated, the latest findings support the fact that a set
of different factors, such as genetic predisposition and numerous external elements, cause
immune reactions that lead to the appearance of the disease itself. Among the symptoms that
patients complain about are pain and stiffness in joints affected by inflammatory changes. The
clinical picture of psoriatic arthritis can manifest itself differently; in some the joints
themselves are more affected and in others the surrounding joint structures. Since the origin
and development of the disease is extremely complex, establishing a diagnosis in the early
stages is very difficult. In order to establish a diagnosis, patients undergo diagnostic tests,
such as radiological diagnostics and laboratory blood tests. The treatment of patients suffering
from psoriasis and psoriatic arthritis is aimed at reducing the symptoms that manifest on the
patient's skin and reducing the symptoms that manifest on the joints and other structures. For
the purpose of treatment, numerous drugs are prescribed in order to reduce the inflammatory
process and reduce pain. The application of physiotherapy procedures greatly contributes to
reducing the symptoms of the disease, slowing down the course of the disease, preventing the
deterioration of joint structures, and preserving the existing condition and achieving a higher
quality of life. In order for physiotherapy procedures to have the greatest possible effect, it is
very important to carry out a physiotherapy assessment of the patient's condition, on the basis
of which the goal of the therapy itself is determined. Physiotherapy procedures include:
exercises for cardiovascular fitness, strengthening exercises, improving joint mobility,
education, and other therapeutic procedures. PsA as a systemic disease negatively affects the
level and quality of life of the affected person. Therefore, in order to reduce the consequences
of such a disease, a multidisciplinary approach is necessary. In the PsA treatment, physical
therapy is of great importance for improving the state of health and quality of life. |
