Chilichonse Chimene Muyenera Kudziwa Zokhudza Matenda a Nyamakazi

Zamkati

• Kodi psoriatic arthritis ndi chiyani?
• Mitundu yamatenda a psoriatic
• Zowoneka PsA
• Wosakanikirana PsA
• Distal interphalangeal makamaka PsA
• Spondylitis PsA
• Matenda a psoriatic nyamakazi
• Kodi zizindikiro za nyamakazi ya psoriatic ndi ziti?
• Zithunzi za nyamakazi ya psoriatic
• Nchiyani chimayambitsa nyamakazi ya psoriatic?
• Kodi matenda a psoriatic amathandizidwa bwanji?
• Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)
• Mankhwala osokoneza bongo (DMARDs)
• Zamoyo
• Steroids
• Odwala matenda opatsirana pogonana
• Mankhwala opatsirana
• Mankhwala opepuka ndi mankhwala ena a PsA
• Kodi kusintha kwa moyo kungathetsere psoriatic nyamakazi?
• Onjezani zolimbitsa thupi pazomwe mumachita tsiku lililonse
• Siyani zizolowezi zoipa
• Pewani nkhawa
• Gwiritsani ntchito mapaketi otentha komanso ozizira
• Sunthani kuteteza malo anu
• Ganizirani zowonjezera zachilengedwe ndi zonunkhira
• Zakudya zamatenda a Psoriatic
• Matenda a nyamakazi a Psoriatic
• Gawo loyambirira PsA
• Wofatsa PsA
• Masana Otsatira Patsogolo
• Kuzindikira nyamakazi ya psoriatic
• Zowopsa za nyamakazi ya psoriatic
• Kodi chingayambitse matenda a nyamakazi ndi chiani?
• Matenda a psoriatic nyamakazi ya nyamakazi
• Chiwonetsero

Kodi psoriatic arthritis ndi chiyani?

Matenda a Psoriatic (PsA) ndimavuto omwe amaphatikiza kutupa, mafupa am'mimba a psoriasis. Psoriasis nthawi zambiri imapangitsa kuti zigamba zofiira, zonyezimira ziziwoneka pakhungu ndi pamutu.

Pafupifupi mamiliyoni 7.5 aku America ali ndi psoriasis, ndipo mpaka 30 peresenti ya anthuwa amakhala ndi PsA. PsA imatha kukhala yofatsa kapena yovuta ndipo imakhudza gawo limodzi kapena ambiri.

Ngati inu kapena wokondedwa wanu adapezeka ndi PsA, mwina mungakhale ndi mafunso okhudza momwe moyo umakhalira ndi vutoli.

Mitundu yamatenda a psoriatic

Pali mitundu isanu ya PsA.

Zowoneka PsA

Mtundu uwu umakhudza ziwalo zomwezo mbali zonse ziwiri za thupi lanu, choncho mawondo anu akumanzere ndi akumanja, mwachitsanzo. Zizindikiro zimatha kukhala ngati za nyamakazi (RA).

Symmetric PsA imakhala yolimba ndipo imayambitsa kupunduka kocheperako kuposa RA. Komabe, PsA yofananira ikhoza kulepheretsa. Pafupifupi theka la anthu omwe ali ndi PsA ali ndi mtundu uwu.

Wosakanikirana PsA

Izi zimakhudza cholumikizira kapena zolumikizira mbali imodzi ya thupi lanu. Malumikizidwe anu amatha kumva kuwawa ndikutulutsa ofiira. Asymmetric PsA nthawi zambiri imakhala yofatsa. Zimakhudza pafupifupi 35 peresenti ya anthu omwe ali ndi PsA.

Distal interphalangeal makamaka PsA

Mtundu uwu umaphatikizapo malo olumikizana kwambiri ndi misomali yanu. Izi zimadziwika ngati malo olumikizirana. Zimapezeka pafupifupi 10 peresenti ya anthu omwe ali ndi PsA.

Spondylitis PsA

Mtundu uwu wa PsA umakhudza msana wanu. Msana wanu wonse kuchokera m'khosi mpaka kumbuyo kwanu ungakhudzidwe. Izi zitha kupangitsa kuyenda kukhala kowawa kwambiri. Manja anu, mapazi, miyendo, mikono, ndi chiuno zingakhudzenso.

Matenda a psoriatic nyamakazi

Uwu ndi mtundu wovuta, wopunduka wa PsA. Pafupifupi 5% ya anthu omwe ali ndi PsA ali ndi mtundu uwu. Matenda a psoriatic nyamakazi amakhudza manja ndi mapazi anu. Zitha kupwetekanso m'khosi mwako komanso kumbuyo.

Kodi zizindikiro za nyamakazi ya psoriatic ndi ziti?

Zizindikiro za PsA ndizosiyana ndi munthu aliyense. Amatha kukhala ofatsa mpaka okhwima. Nthawi zina matenda anu amatha kukhululukidwa ndipo mumva bwino kwakanthawi. Nthawi zina zizindikiro zanu zimatha kukulirakulira. Zizindikiro zanu zimadaliranso mtundu wa PsA womwe muli nawo.

Zizindikiro za PsA zimaphatikizapo:

• kutupa, mafupa ofunda mbali imodzi kapena mbali zonse ziwiri za thupi lanu
• kuuma m'mawa
• kutupa zala zakumapazi
• minofu yopweteka ndi minyewa
• zikopa za khungu, zomwe zimawonjezeka pakakhala kupweteka kwamalumikizidwe
• khungu lopanda pake
• kutopa
• kukhomerera misomali
• kulekanitsidwa kwa msomali wanu ndi bedi la msomali
• kufiira kwamaso
• kupweteka kwa diso (uveitis)

Spondylitis PsA, makamaka, itha kuchititsanso izi:

• kupweteka kwa msana ndi kuuma
• ululu, kutupa, ndi kufooka kwanu:
  • mchiuno
  • mawondo
  • akakolo
  • mapazi
  • chigongono
  • manja
  • manja
  • zimfundo zina
  • zala zotupa kapena zala

Symmetric PsA imakhudza ziwalo zisanu kapena zingapo mbali zonse za thupi lanu. Asymmetric PsA imakhudza zosakwana zisanu, koma amatha kukhala mbali zotsutsana.

Matenda a psoriatic nyamakazi amasokoneza malo anu. Imatha kufupikitsa zala zakumanja ndi zala zakumapazi. Distal PsA imayambitsa kupweteka ndi kutupa kumapeto kwa ziwalo zala ndi zala zanu. Werengani zambiri za zotsatira za 11 za nyamakazi ya psoriatic mthupi lanu.

Zithunzi za nyamakazi ya psoriatic

Nchiyani chimayambitsa nyamakazi ya psoriatic?

Mu PsA, chitetezo chanu chamthupi chimagunda malumikizidwe anu ndi khungu. Madokotala sakudziwa chomwe chimayambitsa ziwopsezozi. Iwo amaganiza kuti zimachokera ku kuphatikiza kwa majini ndi zochitika zachilengedwe.

PsA imayenda m'mabanja. Pafupifupi 40 peresenti ya anthu omwe ali ndi vutoli ali ndi achibale amodzi kapena angapo omwe ali ndi PsA. China chake m'deralo chimayambitsa matendawa kwa iwo omwe ali ndi chizolowezi chokhala ndi PsA. Awa atha kukhala kachilombo, kupsinjika kwakukulu, kapena kuvulala.

Kodi matenda a psoriatic amathandizidwa bwanji?

Cholinga cha chithandizo cha PsA ndikuthandizira kusintha zizindikilo, monga zotupa pakhungu ndi kutupa kwamagulu.

Maupangiri atsopanowa amalimbikitsa njira "zochizira kutsata", kutengera zomwe munthu amakonda. Cholinga chachipatala komanso momwe mungayezere kupita patsogolo kumatsimikizika, kenako dokotala amagwira nanu ntchito kuti asankhe mankhwala.

Muli ndi njira zingapo zochizira. Ndondomeko yamankhwala imaphatikizapo chimodzi kapena zingapo zotsatirazi:

Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)

Mankhwalawa amathandiza kuchepetsa kupweteka pamfundo ndi kutupa. Zosankha za pa-counter (OTC) zikuphatikizapo ibuprofen (Advil) ndi naproxen (Aleve). Ngati zosankha za OTC sizothandiza, dokotala wanu akhoza kukupatsani mankhwala a NSAID pamlingo waukulu.

Ngati agwiritsidwa ntchito molakwika, ma NSAID atha kuyambitsa:

• kupweteka m'mimba
• kutuluka m'mimba
• matenda amtima
• sitiroko
• chiwindi ndi impso

Mankhwala osokoneza bongo (DMARDs)

Mankhwalawa amachepetsa kutupa popewa kuwonongeka kwamagulu ndikuchepetsa kukula kwa PsA. Amatha kutumizidwa ndi njira zosiyanasiyana, kuphatikiza mkamwa, jakisoni, kapena kulowetsedwa.

Ma DMARD omwe amadziwika kwambiri ndi awa:

• methotrexate (Trexall)
• leflunomide (Arava)
• sulfasalazine (Azulfidine)

Apremilast (Otezla) ndi DMARD yatsopano yomwe imatengedwa pakamwa. Zimagwira ntchito poletsa phosphodiesterase 4, enzyme yomwe imakhudzidwa ndi kutupa.

Zotsatira za DMARD ndizo:

• kuwonongeka kwa chiwindi
• kupondereza mafupa
• matenda am'mapapo

Zamoyo

Pakadali pano pali mitundu isanu ya mankhwala a biologic ochizira matenda a psoriatic. Amagawidwa m'magulu molingana ndi zomwe amayang'ana ndikuletsa (kutchinga kapena kuchepetsa) m'thupi:

• chotupa necrosis factor-alpha (TNF-alpha) inhibitors:
  • adalimumab (Humira)
  • chitsimikizo (Cimzia)
  • golimumab (Simponi)
  • etanercept (Enbrel)
  • infliximab (Kutulutsa)
• interleukin 12 ndi 23 (IL-12/23) zoletsa:
  • ustekinumab (Stelara)
• interleukin 17 (IL-17) zoletsa
  • secukinumab (Cosentyx)
  • brodalumab (Siliq)
  • ixekizumab (Taltz)
• interleukin 23 (IL-23) zoletsa
  • guselkumab (Tremfya)
  • tildrakizumab-asmn (Ilumya)
• T-selo zoletsa
  • akupha (Orencia)

Malinga ndi malangizo atsopano omwe adatulutsidwa mu Novembala 2018, mankhwalawa amalimbikitsidwa ngati mankhwala oyamba.

Mumalandira biologics kudzera mu jakisoni pansi pa khungu lanu kapena monga kulowetsedwa. Chifukwa mankhwalawa amalepheretsa chitetezo chanu cha mthupi, atha kukulitsa chiopsezo cha matenda opatsirana. Zotsatira zina zoyipa zimaphatikizapo nseru ndi kutsegula m'mimba.

Steroids

Mankhwalawa amatha kubweretsa kutupa. Kwa PsA, nthawi zambiri amalowetsedwa m'malo olumikizidwa. Zotsatira zoyipazi zimaphatikizapo kupweteka komanso chiopsezo chochepa chotenga nawo mbali.

Odwala matenda opatsirana pogonana

Mankhwala monga azathioprine (Imuran) ndi cyclosporine (Gengraf) amachepetsa kuyankha kwamphamvu mthupi ku PsA. Sagwiritsidwe ntchito pafupipafupi tsopano pomwe ma TNF-alpha inhibitors amapezeka. Chifukwa amafooketsa chitetezo cha mthupi, ma immunosuppressants amatha kuonjezera chiopsezo chotenga matenda.

Mankhwala opatsirana

Zokongoletsa, ma gels, ma lotion, ndi mafuta onunkhira zimatha kuchepetsa kuyabwa kwa PsA. Mankhwalawa amapezeka pa kauntala komanso ndi mankhwala.

Zosankha ndizo:

• anthralin
• calcitriol kapena calcipotriene, omwe ndi mitundu ya vitamini D-3
• salicylic acid
• mafuta odzola
• tazarotene, yomwe imachokera ku vitamini A

Mankhwala opepuka ndi mankhwala ena a PsA

Mankhwala opepuka amagwiritsa ntchito mankhwala, kutsatiridwa ndi kuwunika kwa kuwala, kuchiza zotupa za psoriasis pakhungu.

Mankhwala ena ochepa amathandizanso zizindikiro za PsA. Izi zikuphatikizapo secukinumab (Cosentyx) ndi ustekinumab (Stelara). Mankhwalawa amabayidwa pansi pa khungu lanu. Amatha kuwonjezera chiopsezo chotenga matenda komanso khansa. Dziwani zambiri zamankhwala ambiri omwe mungasankhe a PsA.

Kodi kusintha kwa moyo kungathetsere psoriatic nyamakazi?

Pali zinthu zomwe mungachite kunyumba kuti muwongolere zizindikilo zanu:

Onjezani zolimbitsa thupi pazomwe mumachita tsiku lililonse

Kusunga malo anu osunthika kumatha kuchepetsa kuuma. Kukhala wokangalika kwa mphindi zosachepera 30 patsiku kukuthandizaninso kuti muchepetse kunenepa kwambiri komanso kukupatsani mphamvu zambiri. Funsani dokotala wanu kuti ndi masewera olimbitsa thupi otani omwe ali otetezeka kwambiri pamagulu anu.

Kutchova njinga, kuyenda, kusambira, ndi zina zamadzi ndizabwino pamalumikizidwe kuposa zolimbitsa thupi monga kuthamanga kapena kusewera tenisi.

Siyani zizolowezi zoipa

Kusuta ndi koyipa pamagulu anu komanso thupi lanu lonse. Funsani dokotala wanu za upangiri, mankhwala, kapena cholowa m'malo mwa chikonga kuti akuthandizeni kusiya.

Komanso musamamwe mowa kwambiri. Itha kulumikizana ndi mankhwala ena a PsA.

Pewani nkhawa

Kupsinjika ndi kupsinjika kumatha kupangitsa kuti nyamakazi ifike poipa. Sinkhasinkhani, yesani yoga, kapena yesani njira zina zothanirana ndi nkhawa kuti muchepetse malingaliro anu ndi thupi lanu.

Gwiritsani ntchito mapaketi otentha komanso ozizira

Kuponderezana kotentha ndi mapaketi otentha amatha kuchepetsa kupweteka kwa minofu. Mapaketi ozizira amathanso kuchepetsa kupweteka kwamafundo anu.

Sunthani kuteteza malo anu

Tsegulani zitseko ndi thupi lanu m'malo mwa zala zanu. Kwezani zinthu zolemetsa ndi manja onse awiri. Gwiritsani ntchito zotsegulira mitsuko kuti mutsegule zivindikiro.

Ganizirani zowonjezera zachilengedwe ndi zonunkhira

Omega-3 fatty acids ali ndi zotsutsana ndi zotupa. Mafuta athanzi awa, omwe amapezeka muzowonjezera zambiri, amachepetsa kutupa komanso kuuma kwamafundo.

Ngakhale kafukufuku akuwonetsa kuti pali maubwino azaumoyo, Food and Drug Administration siyiyang'anira kuyera kapena mtundu wa zowonjezera. Ndikofunika kulankhula ndi dokotala musanayambe kumwa mankhwala owonjezera.

Momwemonso, turmeric, zonunkhira zamphamvu, imathandizanso pazinthu zotsutsana ndi zotupa ndipo zitha kuthandiza kuchepetsa kutupa ndi PsA flare-ups. Turmeric imatha kuwonjezeredwa pachakudya chilichonse. Anthu ena amawasokoneza mu tiyi kapena latte, monga mkaka wagolide.

Mankhwala ena achilengedwe ndi njira zina zochiritsira zitha kukhala zopindulitsa ndikuchepetsa zina za PsA.

Zakudya zamatenda a Psoriatic

Ngakhale kuti palibe chakudya kapena chakudya chimodzi chomwe chingachiritse PsA, chakudya chamagulu chingathandize kuchepetsa kutupa komanso kuchepetsa zizolowezi. Kusintha kwathanzi pazakudya zanu kumatha kulipira kwambiri ziwalo zanu ndi thupi lanu m'kupita kwanthawi.

Mwachidule, idyani zipatso ndi ndiwo zamasamba zambiri. Amathandizira kuchepetsa kutupa ndikuwongolera kulemera kwanu. Kulemera kwambiri kumapangitsa kupanikizika kwambiri pamafundo omwe apweteka kale. Chepetsani shuga ndi mafuta, omwe ndi otupa. Ikani mwamphamvu magwero a mafuta athanzi, monga nsomba, mbewu, ndi mtedza.

Matenda a nyamakazi a Psoriatic

PsA satsatira njira yofananira kwa munthu aliyense yemwe amapezeka ndi vutoli. Anthu ena amangokhala ndi zizindikiritso zochepa komanso zovuta pamalumikizidwe awo. Kwa ena, kupindika molumikizana ndi kukulitsa mafupa kumatha kuchitika.

Sizikudziwika chifukwa chake anthu ena amakumana ndi matendawa mwachangu pomwe ena satero. Koma kuzindikira koyambirira ndi chithandizo kumatha kuchepetsa ululu ndikuchepetsa kuwonongeka kwa zimfundo. Ndikofunika kuti mukalankhule ndi dokotala mukangoyamba kumene kukhala ndi zizindikilo kapena zizindikilo zomwe zimafotokoza za PsA.

Gawo loyambirira PsA

M'magawo oyamba a nyamakazi, mutha kukhala ndi zizindikilo zochepa monga kutupa palimodzi ndikuchepetsa mayendedwe. Zizindikirozi zimatha kuchitika nthawi yomweyo kuti mumayamba psoriasis zotupa pakhungu, kapena zimatha kuchitika patapita zaka.

NSAID ndizo mankhwala ochiritsira. Mankhwalawa amachepetsa ululu ndi zizindikilo, koma samachedwetsa PsA.

Wofatsa PsA

Kutengera mtundu wa PsA womwe muli nawo, gawo locheperako kapena lapakatikati lidzawona kukulira kwa zizindikilo zomwe zimafunikira chithandizo chamankhwala chopita patsogolo, monga ma DMARD ndi biologics. Mankhwalawa amatha kuthana ndi vuto. Zitha kuthandizanso kuchepetsa kuwonongeka.

Masana Otsatira Patsogolo

Pakadali pano, mafupa amakhudzidwa kwambiri. Kupunduka kolumikizana ndi kukulitsa mafupa mwina. Mankhwalawa cholinga chake ndi kuchepetsa zizindikilo ndikupewa zovuta zowonjezereka.

Kuzindikira nyamakazi ya psoriatic

Kuti mupeze PsA, dokotala wanu ayenera kuchotsa zina zomwe zimayambitsa matenda a nyamakazi, monga RA ndi gout, ndi kujambula komanso kuyesa magazi.

Mayeso ojambula awa amayang'ana kuwonongeka kwa mafupa ndi ziwalo zina:

• X-ray. Izi zimawunika kutupa ndi kuwonongeka kwa mafupa ndi mafupa. Kuwonongeka uku ndikosiyana mu PsA kuposa mitundu ina ya nyamakazi.
• MRIs. Mafunde a wailesi ndi maginito amphamvu amapanga zithunzi zamkati mwa thupi lanu. Zithunzi izi zitha kuthandiza dokotala kuti awone kuwonongeka kwa mgwirizano, tendon, kapena ligament.
• Kujambula kwa CT ndi ma ultrasound. Izi zitha kuthandiza madokotala kudziwa momwe PsA ilili komanso momwe mafupa amakhudzidwira.

Kuyesa magazi pazinthu izi kumathandizira kuwunika kulikonse komwe kulipo mthupi lanu:

• Mapuloteni othandizira C. Ichi ndi chinthu chomwe chiwindi chanu chimatulutsa pakakhala kutupa mthupi lanu.
• Mlingo wa sedimentation wa erythrocyte. Izi zikuwulula kuchuluka kwa kutupa mthupi lanu. Komabe, sichingadziwe ngati kutupaku kumachokera ku PsA kapena zina zomwe zingayambitse.
• Rheumatoid factor (RF). Chitetezo chanu cha mthupi chimapanga autoantibody. Nthawi zambiri imapezeka mu RA koma yoyipa ku PsA. Kuyezetsa magazi kwa RF kumatha kuthandiza dokotala kuti adziwe ngati muli ndi PsA kapena RA.
• Madzimadzi olowa. Chiyeso chachikhalidwechi chimachotsa pang'ono padzi kuchokera pa bondo kapena chophatikizira china. Ngati timibulu ta uric acid tili mumadzimadzi, mutha kukhala ndi gout m'malo mwa PsA.
• Maselo ofiira ofiira. Maselo ofiira ofiira ochepa ochokera kuchepa kwa magazi amapezeka mwa anthu omwe ali ndi PsA.

Palibe kuyesa magazi kapena kuyerekezera komwe kungatsimikizire ngati muli ndi PsA. Dokotala wanu amagwiritsa ntchito mayeso angapo kuti athetse zina zomwe zingayambitse. Phunzirani zambiri za mayesowa komanso zomwe angakuwuzeni adotolo pamagulu anu.

Zowopsa za nyamakazi ya psoriatic

Mutha kukhala ndi PsA ngati:

• khalani ndi psoriasis
• khalani ndi kholo kapena m'bale wanu ndi PsA
• ali pakati pa zaka 30 ndi 50 (ngakhale ana atha kuzipeza)
• ndakhala ndikumenyedwa pakhosi
• ali ndi HIV

PsA imakuyika pachiwopsezo cha zovuta monga:

• psoriatic nyamakazi mutilans
• mavuto amaso, monga conjunctivitis kapena uveitis
• matenda amtima

Kodi chingayambitse matenda a nyamakazi ndi chiani?

Ziphuphu za PsA zimapangitsa kuti vutoli likule kwambiri kwakanthawi. Zinthu zina zimatha kuyatsa moto wa PsA. Zomwe zimayambitsa aliyense ndizosiyana.

Kuti mudziwe zomwe zimayambitsa, sungani zolemba zanu. Tsiku lililonse lembani zizindikiro zanu komanso zomwe mumachita atayamba. Onaninso ngati mwasintha chilichonse m'zochita zanu, ngati mutayamba kumwa mankhwala atsopano.

Zomwe zimayambitsa PsA zimaphatikizapo:

• Matenda, monga strep throat ndi matenda opuma opuma
• kuvulala, monga kudulidwa, kupukuta, kapena kutentha kwa dzuwa
• khungu lowuma
• nkhawa
• nyengo yozizira, youma
• kusuta
• kumwa kwambiri
• nkhawa
• kunenepa kwambiri
• mankhwala, monga lithiamu, beta-blockers, ndi mankhwala osokoneza bongo

Ngakhale kuti simungapewe zinthu zonsezi, mungayesetse kuchepetsa nkhawa, kusiya kusuta fodya, komanso kuchepetsa kumwa mowa.

Funsani dokotala ngati mumamwa mankhwala aliwonse odziwitsa za PsA. Ngati ndi choncho, mungafune kusinthana ndi mankhwala atsopano.

Sikuti nthawi zonse zimakhala zotheka kuyimitsa moto, koma mutha kukhala olimbikira ndikuphunzira njira zochepetsera ngozi.

Matenda a psoriatic nyamakazi ya nyamakazi

PsA ndi RA ndi mitundu iwiri yamitundu ingapo ya nyamakazi. Ngakhale atha kukhala ndi dzina lofananira komanso zizindikilo zambiri zofananira, zimayambitsa zina zimayambitsa.

PsA imapezeka mwa anthu omwe ali ndi psoriasis. Ichi ndi khungu lomwe limayambitsa zilonda ndi mawanga pakhungu.

RA ndimatenda amthupi okha. Zimachitika thupi likamamenya molakwika ziwalo zomwe zimalumikizana. Izi zimayambitsa kutupa ndipo pamapeto pake kupweteka komanso kuwonongeka.

PsA imachitika pafupifupi chimodzimodzi mwa abambo ndi amai, koma azimayi ali ndi mwayi wokhala ndi RA. PsA nthawi zambiri imawonekera pakati pa zaka 30 mpaka 50 kwa anthu ambiri. RA nthawi zambiri amayamba kanthawi kochepa atakula.

Kumayambiriro kwawo, onse a PsA ndi RA amagawana zofananira zambiri. Izi zikuphatikiza kupweteka, kutupa, ndi kuuma kolumikizana. Pamene zikhalidwe zikuyenda, zitha kumveka bwino kuti muli ndi chikhalidwe chotani.

Mwamwayi, dokotala sayenera kudikirira kuti nyamayo ipite patsogolo kuti apeze matenda. Kuyezetsa magazi ndi kuyerekezera kumatha kuthandiza dokotala kuti azindikire zomwe zikukukhudzani.

Werengani zambiri za izi komanso momwe amathandizidwira.

Chiwonetsero

Maganizo a aliyense ndi osiyana. Anthu ena ali ndi zizindikiro zochepa kwambiri zomwe zimangobweretsa mavuto nthawi ndi nthawi. Ena ali ndi zizindikiro zowopsa komanso zofooketsa.

Zizindikiro zanu zikafika poipa, ndi momwe PsA imakhudzira kuthekera kwanu kozungulira. Anthu omwe ali ndi zovuta zambiri palimodzi amatha kuvutika kuyenda, kukwera masitepe, ndi kuchita zina zatsiku ndi tsiku.

Maganizo anu adzakhudzidwa ngati:

• Mudalandira matenda a PsA mudakali aang'ono.
• Matenda anu anali ovuta kwambiri mutazindikira.
• Khungu lanu lambiri limakutidwa ndi zotupa.
• Anthu ochepa m'banja mwanu ali ndi PsA.

Kuti muwongolere malingaliro anu, tsatirani malamulo omwe dokotala akukupatsani. Muyenera kuyesa mankhwala opitilira umodzi kuti mupeze zomwe zikukuyenderani bwino.

Werengani nkhaniyi m'Chisipanishi