Psoriasis

Psoriasis ndimkhalidwe wakhungu womwe umayambitsa kufiira kwa khungu, sikelo zasiliva, ndi kukwiya. Anthu ambiri omwe ali ndi psoriasis amakhala ndi zikopa zakuda, zofiira, zowoneka bwino za khungu lokhala ndi mamba ofiira, oyera ngati siliva. Izi zimatchedwa plaque psoriasis.

Psoriasis ndichofala. Aliyense akhoza kukhala nawo, koma nthawi zambiri amayamba pakati pa zaka 15 mpaka 35, kapena anthu akamakalamba.

Psoriasis siyopatsirana. Izi zikutanthauza kuti sichifalikira kwa anthu ena.

Psoriasis ikuwoneka kuti imadutsa m'mabanja.

Maselo abwinobwino akhungu amakula pakhungu ndikumakwera pamwamba kamodzi pamwezi. Mukakhala ndi psoriasis, izi zimachitika m'masiku 14 osati masabata atatu kapena anayi. Izi zimapangitsa kuti maselo akhungu lakufa amange pakhungu, ndikupanga magulu amiyeso.

Zotsatirazi zingayambitse matenda a psoriasis kapena zikhale zovuta kuchiza:

• Matenda ochokera ku mabakiteriya kapena mavairasi, kuphatikizapo strep throat ndi matenda apamwamba opuma
• Mpweya wouma kapena khungu louma
• Kuvulaza khungu, kuphatikizapo mabala, kuwotcha, kulumidwa ndi tizilombo, ndi zilonda zina za khungu
• Mankhwala ena, kuphatikizapo mankhwala a antimalaria, beta-blockers, ndi lithiamu
• Kupsinjika
• Dzuwa laling'ono kwambiri
• Kuwala kwa dzuwa kwambiri (kutentha kwa dzuwa)

Psoriasis ikhoza kukhala yoyipa kwambiri mwa anthu omwe ali ndi chitetezo chamthupi chofooka, kuphatikiza anthu omwe ali ndi HIV / AIDS.

Anthu ena omwe ali ndi psoriasis amakhalanso ndi nyamakazi (psoriatic arthritis). Kuphatikiza apo, anthu omwe ali ndi psoriasis ali ndi chiopsezo chowonjezeka cha matenda amtundu wa chiwindi komanso matenda amtima, monga matenda amtima komanso sitiroko.

Psoriasis imatha kuwoneka mwadzidzidzi kapena pang'onopang'ono. Nthawi zambiri, chimapita kenako ndikubwerera.

Chizindikiro chachikulu cha vutoli chakwiya, chofiira, chikwangwani chofewa. Ma plaque nthawi zambiri amawoneka pamakona, mawondo, ndi pakati pa thupi. Koma amatha kuwonekera kulikonse, kuphatikiza pamutu, mgwalangwa, kumapazi, komanso kumaliseche.

Khungu likhoza kukhala:

• Zovuta
• Wouma wokutidwa ndi siliva, khungu lolimba (masikelo)
• Mtundu wofiira pinki
• Anakulira komanso wandiweyani

Zizindikiro zina zitha kuphatikiza:

• Ululu wophatikizana kapena tendon kapena kupweteka
• Kusintha kwa misomali, kuphatikiza misomali yolimba, misomali ya bulauni wachikaso, mano mu msomali, ndikukweza msomali pakhungu pansi pake
• Zovuta kwambiri pamutu

Pali mitundu isanu yayikulu ya psoriasis:

• Erythrodermic - Kufiira khungu ndikolimba kwambiri ndipo kumaphimba dera lalikulu.
• Guttate - Mawanga ofiira ofiira ofiira amawoneka pakhungu. Fomuyi nthawi zambiri imalumikizidwa ndi matenda opatsirana, makamaka ana.
• Zosintha - Kufiira kwa khungu ndi kukwiya kumachitika m'makhwapa, kubuula, komanso pakati pakhungu lolumikizana m'malo modzidzimutsa m'zigongono ndi mawondo.
• Chidutswa - Zakuda, zamagulu ofiira a khungu zimaphimbidwa ndi mamba osalimba, oyera ngati siliva. Uwu ndiye mtundu wofala kwambiri wa psoriasis.
• Pustular - Ziphuphu zodzala mafinya (pustules) ndizunguliridwa ndi khungu lofiira, lokwiyitsa.

Wothandizira zaumoyo wanu amatha kuzindikira kuti ali ndi vutoli poyang'ana khungu lanu.

Nthawi zina, kuyezetsa khungu kumachitika kuti athetse zina zomwe zingachitike. Ngati muli ndi ululu wophatikizana, omwe amakupatsani mwayi amatha kuyitanitsa maphunziro azithunzi.

Cholinga cha chithandizo ndikuteteza zizindikilo zanu ndikupewa matenda.

Njira zitatu zamankhwala zilipo:

• Mafuta odzola, mafuta opaka, mafuta opaka tsitsi, ndi mankhwala ochapira khungu - Izi zimatchedwa mankhwala apakhungu.
• Mapiritsi kapena jakisoni omwe amakhudza chitetezo chamthupi, osati khungu lokha - Izi zimatchedwa systemic, kapena thupi lonse, mankhwala.
• Phototherapy, yomwe imagwiritsa ntchito kuwala kwa ultraviolet kuchiza psoriasis.

CHITHANDIZO CHOGWIRITSA NTCHITO PA Khungu (NKHANI)

Nthawi zambiri, psoriasis imathandizidwa ndi mankhwala omwe amaikidwa molunjika pakhungu kapena pamutu. Izi zingaphatikizepo:

• Mafuta a Cortisone ndi mafuta
• Mafuta ena odana ndi zotupa ndi mafuta
• Zokongoletsa kapena zodzola zomwe zimakhala ndi phula la malasha kapena anthralin
• Zokongoletsa zochotsa makulidwe (nthawi zambiri salicylic acid kapena lactic acid)
• Shampoos zojambulira (pa-counter kapena mankhwala)
• Zowonjezera
• Mankhwala akuchipatala okhala ndi vitamini D kapena vitamini A (retinoids)

ZOCHITIKA (Thupi lonse)

Ngati muli ndi psoriasis yapakati mpaka yayikulu, omwe amakupatsani mwayiwu angakulimbikitseni mankhwala omwe amalepheretsa yankho lolakwika la chitetezo cha mthupi. Mankhwalawa akuphatikizapo methotrexate kapena cyclosporine. Retinoids, monga acetretin, amathanso kugwiritsidwa ntchito.

Mankhwala atsopano, otchedwa biologics, amagwiritsidwa ntchito kwambiri chifukwa amalimbana ndi zomwe zimayambitsa psoriasis. Biologics yovomerezeka kuvomereza psoriasis ndi iyi:

• Adalimumab (Humira)
• Abatacept (Orencia)
• Chililabombwe (Otezla)
• Brodalumab (Siliq)
• Chitsimikizo cha pegol (Cimzia)
• Etanercept (Enbrel)
• Infliximab (Kutulutsa)
• Ixekizumab (Taltz)
• Golimumab (Simponi)
• Guselkumab (Tremfya)
• Risankizumab-rzaa (Skyrizi)
• Gawo Secukinumab (Cosentyx)
• Tildrakizumab-asmn (Ilumya)
• Ustekinumab (Stelara)

CHITHUNZI

Anthu ena atha kusankha kukhala ndi phototherapy, yotetezeka komanso yothandiza:

• Awa ndimankhwala omwe khungu lanu limadziwika bwino ndi kuwala kwa ultraviolet.
• Itha kuperekedwa yokha kapena mutamwa mankhwala omwe amachititsa khungu kumvetsetsa kuwala.
• Phototherapy ya psoriasis itha kuperekedwa ngati ultraviolet A (UVA) kapena kuwala kwa ultraviolet B (UVB).

CHithandizo CHINA

Ngati muli ndi matenda, omwe amakupatsani mankhwala amakupatsani mankhwala opha tizilombo.

KUSAMALIRA KWA PANSI

Kutsatira malangizowa kunyumba kungathandize:

• Kusamba kapena kusamba tsiku lililonse - Yesetsani kuti musamapukuse kwambiri, chifukwa izi zimatha kukhumudwitsa khungu ndikupangitsa kuti pakhale ngozi.
• Malo osambira a oatmeal amatha kukhala otonthoza ndipo angathandize kumasula masikelo. Mutha kugwiritsa ntchito mankhwala osambira oatmeal. Kapena, mutha kusakaniza 1 chikho (128 magalamu) a oatmeal mu mphika (osamba) amadzi ofunda.
• Kusunga khungu lanu loyera komanso lonyowa, komanso kupewa zomwe zimayambitsa ma psoriasis kungathandize kuchepetsa kuchuluka kwa ziwopsezo.
• Kuwala kwa dzuwa kumathandizira kuti zizindikilo zanu zizichoka. Samalani kuti musapse ndi dzuwa.
• Kupumula komanso njira zotsutsana ndi kupsinjika - Kulumikizana pakati pamavuto ndi ma psoriasis sikumveka bwino.

Anthu ena atha kupindula ndi gulu lothandizira la psoriasis. National Psoriasis Foundation ndi chida chabwino: www.psoriasis.org.

Psoriasis imatha kukhala yamoyo wonse yomwe nthawi zambiri imatha kuwongoleredwa ndi chithandizo chamankhwala. Ikhoza kuchoka kwa nthawi yayitali kenako ndikubwerera. Mukalandira mankhwala oyenera, sizingakhudze thanzi lanu lonse. Koma dziwani kuti pali mgwirizano wamphamvu pakati pa psoriasis ndi mavuto ena azaumoyo, monga matenda amtima.

Lumikizanani ndi omwe amakupatsani ngati muli ndi zizindikiro za psoriasis kapena ngati khungu lanu likupsa mtima ngakhale mutalandira chithandizo.

Uzani wothandizira wanu ngati muli ndi ululu wophatikizana kapena malungo ndi psoriasis yanu.

Ngati muli ndi zizindikiro za nyamakazi, lankhulani ndi dermatologist kapena rheumatologist.

Pitani kuchipinda chodzidzimutsa kapena itanani nambala yadzidzidzi yakomweko (monga 911) ngati mwayamba kubadwa kumene komwe kumakhudza thupi lanu lonse kapena thupi lanu lonse.

Palibe njira yodziwika yopewera psoriasis. Kusunga khungu loyera komanso lonyowa komanso kupewa zomwe zimayambitsa psoriasis kungathandize kuchepetsa kuchuluka kwa ziphuphu.

Othandizira amalimbikitsa kusamba tsiku lililonse kapena kusamba kwa anthu omwe ali ndi psoriasis. Pewani kupukuta kwambiri, chifukwa izi zimatha kukhumudwitsa khungu ndikupangitsa kuti pakhale ngozi.

Chidutswa cha psoriasis; Psoriasis vulgaris; Guttate psoriasis; Pustular psoriasis

• Psoriasis pachimake
• Psoriasis - yakulitsa x4
• Psoriasis - guttate pamanja ndi pachifuwa

Armstrong AW, MP ya Siegel, Bagel J, et al. Kuchokera ku Medical Board ya National Psoriasis Foundation: chithandizo chamankhwala a plaque psoriasis. J Am Acad Dermatol. 2017; 76 (2): 290-298. PMID: 27908543 www.pubmed.ncbi.nlm.nih.gov/27908543/.

Dinulos JGH. Psoriasis ndi matenda ena obwera chifukwa cha papulosquamous. Mu: Dinulos JGH, mkonzi. Chipatala cha Habif's Dermatology. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 8.

Lebwohl MG, van de Kerkhof P. Psoriasis. Mu: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, olemba. Kuchiza kwa Matenda a Khungu: Njira Zambiri Zakuchiritsira. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 210.

Van de Kerkhof PCM, Nestlé FO. Psoriasis. Mu: Bolognia JL, Schaffer JV, Cerroni L, olemba. Matenda Opatsirana. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 8.