Funsani Katswiri: Psoriasis ndi Khungu Lakale

Zamkati

• Kodi psoriasis imakulirakulirabe ndi ukalamba?
• Kodi khungu lokalamba limakhudza psoriasis?
• Kodi kukhala ndi psoriasis kumabweretsa chiopsezo cha matenda ena mukamakula?
• Kodi kusamba kumakhudza bwanji kuthekera kwanga kugwiritsa ntchito psoriasis yanga? Ndikonzekere bwanji?
• Kodi pali zinthu zotchuka zosamalira khungu kapena zosakaniza zomwe muyenera kupewa? Kodi mungagwiritse ntchito?
• Kodi njira zodzikongoletsera (monga Botox) zili zotetezeka?
• Kodi psoriasis yanga idzatha?

Kodi psoriasis imakulirakulirabe ndi ukalamba?

Anthu ambiri amakhala ndi psoriasis azaka zapakati pa 15 ndi 35. Ngakhale psoriasis imatha kukhala yabwinoko kapena yoyipa kutengera zinthu zosiyanasiyana zachilengedwe, sizimakulirakulira ndi ukalamba.

Kunenepa kwambiri ndi kupsinjika ndi zinthu ziwiri zomwe zingayambitse psoriasis flares. Komabe, kuuma kwa psoriasis yanu pamapeto pake kumatsimikiziridwa ndi chibadwa chanu.

Mukakhala ndi psoriasis motalikirapo, mumakhala ndi mwayi wopeza zovuta zokhudzana ndi psoriasis. Koma psoriasis yokha siyingakupangitseni kuti muwoneke achikulire. Anthu omwe ali ndi psoriasis amakhala ndi zizindikilo za ukalamba, monganso anthu omwe alibe vutoli.

Kodi khungu lokalamba limakhudza psoriasis?

Pamene khungu limakula, collagen ndi zotanuka zimafowoka ndipo khungu limayamba kuchepa. Izi zimapangitsa kuti zikhale zovuta kuzipweteketsa, zomwe zimapangitsa kuvulaza kosavuta ngakhale zilonda zotseguka pakavuta.

Izi ndizovuta kwa aliyense, koma zitha kukhala zovuta kwambiri ngati muli ndi psoriasis. Zolemba za Psoriasis zomwe zimachitika pakhungu lofooka zimatha kubweretsa kupweteka komanso kutuluka magazi.

Ngati muli ndi psoriasis, ndikofunikira kuti mudziteteze ku dzuwa chifukwa kuwonetseredwa kwa UV kumadziwika kuti kumawononga khungu. Muyeneranso kusamala mukamagwiritsa ntchito ma topical steroid creams pochiza psoriasis. Kugwiritsa ntchito ma steroid mopitilira muyeso kumalumikizidwa ndi kupatulira khungu ndikukula kwa zotambasula, makamaka pogwiritsa ntchito nthawi yayitali pazaka zambiri.

Kodi kukhala ndi psoriasis kumabweretsa chiopsezo cha matenda ena mukamakula?

Ngakhale psoriasis imakhudza khungu, tsopano tikudziwa kuti ndi matenda amachitidwe. Mu psoriasis, kutupa kumakhalapo mthupi lonse, koma kumangowoneka kunja pakhungu.

Makamaka pakavuta kwambiri, psoriasis imalumikizidwa ndi matenda amadzimadzi, nyamakazi, komanso kukhumudwa. Matenda amadzimadzi amaphatikizapo insulin kukana komanso matenda ashuga, cholesterol, komanso kunenepa kwambiri. Zimawonjezera chiopsezo chanu chodwala matenda amtima komanso sitiroko.

Kutupa komweku komwe kumakhudza khungu kumatha kukhudza mafupa, zomwe zimayambitsa matenda a psoriatic. Zitha kukhudzanso ubongo, zomwe zimabweretsa zisonyezo zakukhumudwa.

Kodi kusamba kumakhudza bwanji kuthekera kwanga kugwiritsa ntchito psoriasis yanga? Ndikonzekere bwanji?

Pakati pa kusintha kwa thupi, mahomoni amasintha, zomwe zimapangitsa kuti asafe. Tikudziwa kuti mayendedwe otsika a estrogen mwa azimayi omwe atha msinkhu wokhudzana ndi msambo amalumikizidwa ndi khungu louma, kuchepa kwa kapangidwe ka collagen ndi kupindika kwa khungu, komanso kutha msinkhu.

Palibe chidziwitso chotsimikizika chakuti kusamba kwa thupi kumakhudza mwachindunji psoriasis. Koma zochepa zomwe zikuwonetsa kuti milingo yotsika ya estrogen imatha kuphatikizidwa ndi kukulira kwa psoriasis.

Psoriasis ikhoza kukhala yovuta kwambiri kuchiza anthu omwe ali ndi khungu lofooka, chifukwa chake ndikofunikira kuchita zomwe mungathe kuti khungu lanu likhale ndi thanzi lisanathe. Kuvala zoteteza ku dzuwa ndi kuchita zodzitetezera ku dzuwa ndizofunikira kwambiri pazomwe mungachite kuti muteteze khungu lanu mukadali achichepere.

Kodi pali zinthu zotchuka zosamalira khungu kapena zosakaniza zomwe muyenera kupewa? Kodi mungagwiritse ntchito?

Ndikofunika kusamalira khungu lanu ngati muli ndi psoriasis. Nthawi zambiri ndimawauza odwala anga kuti asatenge mankhwala ndi zouma zakumwa, zonunkhiritsa, ndi sulphate. Zonsezi zimatha kuyambitsa khungu komanso kuwuma.

Zovuta pakhungu zimatha kubweretsa psoriasis, yotchedwa Koebner phenomenon. Chifukwa chake ndikofunikira kupewa zochitika kapena zinthu zomwe zingayambitse mkwiyo.

Ndimauza odwala anga kuti azigwiritsa ntchito zoyeretsera zofatsa, zamadzimadzi, zopanda sopo zomwe sizingasokoneze zotchinga khungu. Sambani ndi madzi ofunda kwa mphindi 10 kapena zocheperapo, ndikunyowetsani khungu mukamauma.

Ngati muli ndi sikelo yolimba pamutu panu kapena ziwalo zina za thupi lanu, mankhwala osamalira khungu omwe ali ndi salicylic acid atha kukhala othandiza. Salicylic acid ndi beta hydroxy acid yomwe imatulutsa khungu kuti lithandizire kuchotsa milu ya psoriasis.

Kodi njira zodzikongoletsera (monga Botox) zili zotetezeka?

Njira zodzikongoletsera zosasunthika ndizofala kwambiri masiku ano kuposa kale. Majekeseni monga Botox amatha kusintha makwinya, pomwe amadzaza voliyumu yotayika. Lasers itha kugwiritsidwa ntchito ngakhale khungu ndi kapangidwe kake, komanso kuthana ndi mitsempha kapena tsitsi losafunikira. Njirazi ndizotetezeka kwa anthu omwe ali ndi psoriasis.

Ngati mukufuna njira yodzikongoletsera, lankhulani ndi dokotala wanu ngati zili zoyenera kwa inu. Nthawi zina, dokotala wanu angafune kugwira kapena kusintha mankhwala anu. Ndikofunika kuti adziwe mbiri yanu yonse yazachipatala komanso mankhwala omwe alipo.

Kodi psoriasis yanga idzatha?

Kwa anthu ambiri, psoriasis sichitha yokha. Zimayambitsidwa ndi kuphatikiza kwa majini ndi chilengedwe.

Mwa anthu omwe amabadwa ali ndi chibadwa, chilengedwe chimakhala choyambitsa kutulutsa psoriasis. Nthawi zambiri, kusintha kwamakhalidwe monga kuchepa thupi kapena kusiya kusuta kumatha kuphatikizidwa ndi kukonza kapena kuyeretsa kwathunthu.

Ngati psoriasis yanu imayambitsidwa ndi mankhwala, kuyimitsa mankhwalawo kumatha kukonza psoriasis yanu. Mankhwala ena othamanga magazi komanso kukhumudwa amakhudzana kwambiri ndi zomwe zimayambitsa psoriasis. Lankhulani ndi dokotala wanu za mankhwala aliwonse omwe mukumwa komanso ngati angapangitse psoriasis yanu.

Joshua Zeichner, MD, ndi director of cosmetic and clinical research of dermatology ku Mount Sinai Hospital ku New York City. Amakamba nkhani mwachangu kwa omvera akumayiko ena ndipo amatenga nawo mbali pophunzitsa tsiku ndi tsiku kwa nzika komanso ophunzira zamankhwala. Lingaliro lake laukatswiri limakonda kupemphedwa ndi atolankhani, ndipo amatchulidwa kawirikawiri m'manyuzipepala ndi magazini amtundu, monga The New York Times, Allure, Women's Health, Cosmopolitan, Marie Claire, ndi ena ambiri. Dr. Zeichner wakhala akuvoteredwa mosalekeza ndi anzawo ku mndandanda wa Castle Connolly wa madokotala abwino kwambiri ku New York City.