Psoriasis vs. Mphutsi: Malangizo Okuzindikiritsa

Zamkati

• Zizindikiro za psoriasis
• Zizindikiro za zipere
• Kodi ndi psoriasis kapena zipere?
• Chithandizo cha psoriasis
• Mankhwala opatsirana
• Mankhwala owala
• Mankhwala apakamwa kapena ojambulidwa
• Chithandizo cha zipere
• Nthawi yoti muwonane ndi dokotala
• Mawonekedwe a psoriasis ndi zipere
• Funso:
• Yankho:

Psoriasis ndi zipere

Psoriasis ndimatenda achikopa omwe amayamba chifukwa chakukula msanga kwa khungu ndikutupa. Psoriasis amasintha momwe moyo wa khungu lanu umasinthira. Kutuluka kwamaselo wamba kumalola khungu kuti likule, kukhala ndi moyo, kufa, ndikuzimitsa pafupipafupi. Maselo akhungu omwe amakhudzidwa ndi psoriasis amakula mwachangu koma samagwa. Izi zimapangitsa kuchuluka kwa khungu pakhungu, lomwe limatsogolera kumatumba akuda, ofiira, owala khungu. Zigawozi ndizofala kwambiri pamabondo, zigongono, maliseche, ndi zikhadabo.

Pali mitundu yoposa imodzi ya psoriasis. Gawo la thupi lanu lomwe limakhudzidwa ndi khungu komanso zomwe mumakumana nazo zimatsimikizira mtundu wa psoriasis womwe muli nawo. Psoriasis siyopatsirana.

Ringworm (dermatophytosis) ndikutuluka kwakanthawi kofiira, kozungulira komwe kumayamba pakhungu lanu. Zimayambitsidwa ndi matenda a mafangasi. Kuthamanga kumawoneka ngati bwalo lofiira ndi khungu loyera kapena lodziwika bwino pakati. Ziphuphu zikhoza kuyabwa kapena ayi, ndipo zimatha kukula pakapita nthawi. Ikhozanso kufalikira ngati khungu lanu limalumikizana ndi khungu lomwe lili ndi kachilombo ka munthu wina. Ngakhale lili ndi dzina, ziphuphu sizimayambitsidwa ndi nyongolotsi.

Zizindikiro za psoriasis

Zizindikiro zanu za psoriasis zitha kukhala zosiyana ndizizindikiro za wina. Zizindikiro zanu ndi monga:

• zigamba zofiira pakhungu
• masikelo a silvery pazigamba zofiira pakhungu
• madontho ang'onoang'ono okula
• khungu lowuma, losweka lomwe likhoza kutuluka magazi
• kuyabwa kapena kutentha
• kupweteka pamadontho
• zilonda zopweteka kapena zolimba
• misomali yolimba, yopindika, kapena yoluka

Psoriasis itha kuyambitsa zigamba chimodzi kapena ziwiri, kapena itha kuyambitsa magulu amitundu ikuluikulu yomwe imakula kudera lalikulu.

Psoriasis ndi matenda osachiritsika. Chithandizo chitha kuchepetsa zizindikilo, koma zigamba za psoriasis zitha kukhala vuto pamoyo wanu wonse. Mwamwayi, anthu ambiri amakhala ndi zochitika zochepa kapena zosachita chilichonse. Nthawi izi, zomwe zimatchedwa kukhululukidwa, zimatha kutsatiridwa ndi nthawi yochulukirapo.

Zizindikiro za zipere

Zizindikiro za zipere zimatha kusintha ngati matenda ayamba kukulira. Zizindikiro zanu zitha kuphatikiza:

• malo ofiira, owuma omwe atha kapena sangayimbe
• malire okwera mozungulira malo owunduka
• malo okula owala omwe amapanga bwalo
• bwalo lokhala ndi mabampu ofiira kapena masikelo ndi malo owoneka bwino

Mutha kukhala ndi mabwalo angapo, ndipo mabwalowa amatha kulumikizana. Malire ena azungulira akhoza kukhala osagwirizana kapena osasinthasintha.

Kodi ndi psoriasis kapena zipere?

Chithandizo cha psoriasis

Psoriasis ilibe mankhwala, koma mankhwala amatha kapena amachepetsa kufalikira. Mtundu wa chithandizo chomwe mumagwiritsa ntchito chimadalira kuuma kwake ndi mtundu wa psoriasis yomwe muli nayo. Mankhwala atatu mwamagulu onsewa ndi mankhwala am'mutu, mankhwala opepuka, komanso mankhwala am'kamwa kapena obayidwa.

Mankhwala opatsirana

Dokotala wanu akhoza kukupatsani mankhwala a kirimu, mafuta odzola, ndi njira zina zothandizira psoriasis yanu yofatsa. Mitundu iyi yamankhwala ophatikizika am'mutu amaphatikizapo ma corticosteroids, topical retinoids, ndi salicylic acid.

Mankhwala owala

Phototherapy imagwiritsa ntchito kuwala kuyimitsa kapena kuchepetsa kukula kwa maselo akhungu m'malo omwe akhudzidwa. Zowunikira izi zimaphatikizapo kuwala kwachilengedwe (kuwala kwa dzuwa), kunyezimira kwa UVB, photochemotherapy UVA, ndi lasers. Mankhwala opepuka amatha kugwiritsidwa ntchito m'malo anu okhudzidwa kapena thupi lanu lonse. Kuwonetsedwa kwa zina mwazowunikirazi kumatha kukulitsa zizindikilo. Musagwiritse ntchito mankhwala ochepetsa popanda chitsogozo cha dokotala.

Mankhwala apakamwa kapena ojambulidwa

Dokotala wanu akhoza kukupatsani mankhwala akumwa kapena obayidwa ngati simukuyankha bwino mankhwala ena. Ndizoyenera mitundu yosiyanasiyana ya psoriasis yapakatikati mpaka yovuta.

Mankhwalawa amaphatikizapo mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), corticosteroids, kapena mankhwala osintha matenda a antirheumatic. Amatha kuthandizira kusintha momwe chitetezo chamthupi chimagwirira ntchito, zomwe zimapangitsa kuti khungu likuchepa pang'onopang'ono ndikuchepetsa kutupa.

Mankhwala osintha matenda opatsirana pogwiritsa ntchito matenda amatha kukhala nonbiologics kapena biologics.

Nonbiologics ndi awa:

• methotrexate
• cyclosporine
• sulfasalazine
• chinyama
• chifuwa chachikulu (Otezla)

Biologics yogwiritsira ntchito psoriasis kapena psoriatic nyamakazi ndi awa:

• infliximab (Kutulutsa)
• etanercept (Enbrel)
• adalimumab (Humira)
• golimumab (Simponi)
• chitsimikizo (Cimzia)
• akupha (Orencia)
• secukinumab (Cosentyx)
• brodalumab (Siliq)
• ustekinumab (Stelara)
• ixekizumab (Taltz)
• guselkumab (Tremfya)
• tildrakizumab (Ilumya)
• risankizumab (Skyrizi)

Mankhwalawa nthawi zambiri amayambitsa zovuta zina. Ntchito zawo ndizochepa.

Dokotala wanu akhoza kusintha chithandizo chanu ngati sichikugwira ntchito kapena ngati zotsatirapo zake ndizovuta kwambiri. Dokotala wanu angakulimbikitseninso mankhwala othandizira, zomwe zikutanthauza kuti mumagwiritsa ntchito mitundu yopitilira imodzi yamankhwala. Malinga ndi National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), mutha kugwiritsa ntchito mankhwala ochepa mukamaphatikiza.

Chithandizo cha zipere

Mphutsi imayambitsidwa ndi matenda a fungal. Mankhwala osokoneza bongo amatha kuchiza zipere. Matenda ena apakhungu amathandizidwa ndi mafuta kapena mankhwala apakhungu. Mankhwalawa, kuphatikiza terbinafine (Lamisil AT), clotrimazole (Lotrimin AF), ndi ketoconazole, atha kugulidwa pakauntala.

Ngati matendawa ndi oopsa, dokotala wanu angakupatseni mankhwala azodzola kapena zonona. Milandu yowopsa kwambiri imafunikira mankhwala akumwa.

Nthawi yoti muwonane ndi dokotala

Pangani nthawi yokaonana ndi dermatologist ngati mwapeza malo achilendo pakhungu lanu. Ngati mukuganiza kuti mwakumana ndi munthu kapena nyama yomwe ili ndi zipere, onetsetsani kuti mwauza dokotala wanu. Ngati muli ndi mbiri ya banja ya psoriasis, nenani izi. Nthaŵi zambiri, dokotala wanu amatha kupeza vutoli pongoyesa khungu.

Ngati mwapezeka kuti muli ndi imodzi mwazimenezi ndikuyamba kukumana ndi izi, lankhulani ndi dokotala mwachangu momwe mungathere. Zizindikirozi ndi monga:

• zopweteka komanso zotupa zaminyewa
• ovuta kugwira ntchito chifukwa dera lomwe lakhudzidwa ndi lotupa, lopweteka, kapena likukulepheretsani kupindika molumikizana bwino
• nkhawa yokhudza mawonekedwe akhungu lanu
• kusokonezedwa pakukwanitsa kwanu kuchita ntchito zanthawi zonse
• zotupa zowonjezereka zomwe sizikuyankha chithandizo

Mawonekedwe a psoriasis ndi zipere

Zipere ndi psoriasis zimatha kuyendetsedwa bwino ndikuchiritsidwa. Pakadali pano, psoriasis siyingachiritsidwe, koma mankhwala amatha kuchepetsa zizindikilo.

Mankhwala a mbozi amatha kuthetsa matendawa. Izi zimachepetsa mwayi wogawana nawo anthu ena. Mutha kukumana ndi bowa womwe umayambitsanso mbozi mtsogolo, ndipo mutha kudwala matenda ena.

Funso:

Kodi ndingatani kuti ndipewe matenda ambiri, monga zipere, omwe angayambitse khungu?

Wosadziwika wodwala

Yankho:

Khungu loyabwa limatha chifukwa cha zinthu zambiri monga chikanga, psoriasis, zipere, nsabwe, kapena zovuta zina. Choyambirira kuchita mulimonse mwazinthu izi ndikusiya kukanda, chifukwa izi zimatha kufalikira kapena kuyambitsa matenda. Kenako, yang'anani tsitsi lanu ndi khungu lanu kuti muone ngati pali nsabwe kapena zigamba za khungu lofiira. Mudzafunika kupewa mvula yotentha, ndikulemba zakudya zilizonse zomwe mwadya posachedwa. Ngati kuyabwa kumatenga masiku opitilira ochepa, mungafune kuwona dermatologist kuti athe kuzindikira zomwe zimayambitsa khungu lanu loyabwa.

Debra Sullivan, PhD, MSN, CNE, mayankho a COIA amayimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.