Psoriatic Arthritis Rash: Komwe Amawonekera Komanso Momwe Angachiritse

Zamkati

• Zithunzi zotupa za nyamakazi ya Psoriatic
• Kodi mungadziwe bwanji khungu la nyamakazi ya psoriatic?
• Kodi ziphuphu zamatenda a psoriatic zimapezeka kuti?
• Njira zochiritsira zotupa zamatenda a psoriatic
• Zithandizo zaposachedwa
• Mankhwala apakamwa kapena obayidwa
• Mankhwala owala
• Zithandizo zapakhomo
• Malangizo ndi zidule
  
• Maganizo anga ndi otani chifukwa cha zotupa zanga?
• Kodi mungakhale ndi nyamakazi ya psoriatic popanda zotupa?
• Kodi pali zizindikiro zina za PsA?

Kodi aliyense amene ali ndi psoriasis amakhala ndi zotupa zamatenda a psoriatic?

Matenda a Psoriatic (PsA) ndi mtundu wamatenda omwe amakhudza 30 peresenti ya anthu omwe ali ndi psoriasis, akuti Arthritis Foundation. PsA ndi matenda osachiritsika omwe amatha kupitilira nthawi, amatsogolera kutupa, kulimba, komanso kupweteka.

Pafupifupi 85 peresenti ya anthu omwe ali ndi PsA adzakumana ndi zizindikilo za khungu nthawi yayitali asanakhuzike mafupa, inatero National Psoriasis Foundation. Chimodzi mwazizindikiro zodziwika bwino za PsA ndikutuluka: khungu lakuda lakuda lokutidwa ndi zigamba zoyera.

Ngati mukukula ndi zizindikiro za PsA, ndikofunikira kuti mupeze chithandizo mwachangu. Izi zitha kuchepetsa chiopsezo chanu chakuwonongeka kwamalumikizidwe okhudzana ndi vutoli.

Pitilizani kuwerenga kuti muphunzire momwe mungadziwire kuthamanga kwa PsA, komwe ingawonekere, ndi momwe mungachiritsire.

Zithunzi zotupa za nyamakazi ya Psoriatic

Kodi mungadziwe bwanji khungu la nyamakazi ya psoriatic?

Ziphuphu za PsA zimawoneka chimodzimodzi ndi zotupa za psoriasis. Mtundu wofala kwambiri wa zotupa za psoriasis umakweza zigamba za khungu lofiira lokutidwa ndi masikelo oyera oyera. Izi zimatchedwa zipika.

Mipata imatha kuyabwa, kuwotcha, kapena kupweteka. Ngati muli ndi zikwangwani, ndikofunikira kuti musazikanda. Kukanda kungapangitse chikwangwani kukhwima kapena kutsegula khungu kumatenda.

Ziphuphu zikhoza kubwera ndikupita. Mutha kukhala ndi nthawi yayitali musanachite zinthu mopupuluma. Zinthu zina, monga matenda, kupsinjika, ndi kuvulala, zitha kuyambitsa kuphulika kwanu.

Ngati muli ndi psoriasis ndikuwona kusintha kwamachitidwe anu aziphuphu kapena malo, onani dokotala wanu. Izi zikhoza kukhala chizindikiro cha PsA kapena vuto lina.

Kodi ziphuphu zamatenda a psoriatic zimapezeka kuti?

Kusiyanitsa kwakukulu pakati pa zotupa za psoriasis zachikhalidwe ndi zotupa za PsA ndiye malo aziphuphu.

Ziphuphu za PsA zimayamba ku:

• zigongono
• mawondo
• khungu
• kutsikira kumbuyo
• maliseche
• mozungulira batani lamimba
• pakati pa matako

Komabe, totupa titha kuwoneka paliponse pathupi lanu, kuphatikiza zikhatho za manja anu ndi mapazi anu.

Nail psoriasis imagwirizanitsidwa ndi PsA, nayenso. Zingakhudze zikhadabo zonse zazing'ono komanso zala zanu.

Nail psoriasis itha kuyambitsa:

• kuphwanya
• kusandulika
• misomali yothanirana ndi bedi la msomali (onycholysis)
• chifundo

Njira zochiritsira zotupa zamatenda a psoriatic

Njira yanu yothandizira imasiyana malinga ndi mtundu wa psoriasis womwe muli nawo komanso kuopsa kwa zizindikiritso zanu. Ndi PsA, dongosolo lanu lazachipatala liphatikizanso mankhwala othandizira kuthana ndi zizindikilo za nyamakazi.

Pofulumira, dokotala akhoza kukupatsani:

• mafuta onunkhira komanso khungu lanu
• mankhwala akumwa kuti achepetse kupanga khungu
• mankhwala ochepetsera kuti achepetse kutupa

Cholinga cha mankhwalawa ndikuchepetsa mapangidwe polepheretsa khungu kuti likule msanga komanso kusalaza khungu lanu.

Zithandizo zaposachedwa

Mankhwala apakalembedwe amathandizira kuchepetsa kuyabwa, kuuma, ndi kutupa komwe kumachitika chifukwa cha kuthamanga kwa PsA.

Kutengera ndi mankhwala, izi zitha kuchitika ndi:

• zonona
• gel
• mafuta odzola
• shampu
• utsi
• mafuta onunkhira

Mankhwalawa amapezeka m'makalata awiri (OTC) ndi mitundu ya mankhwala.

Mankhwala ochiritsira a OTC amaphatikizapo salicylic acid ndi phula la malasha. Mankhwala ochiritsira amakhala ndi ma corticosteroids kapena mavitamini.

Zolemba pamankhwala wamba ndi monga:

• calcitriol, mavitamini D-3 omwe amapezeka mwachilengedwe
• calcipotriene, vitamini D-3 wopangidwa ndi labu
• calcipotriene kuphatikiza ndi corticosteroid betamethasone dipropionate
• tazarotene, chochokera ku vitamini A
• anthralin, mawonekedwe opangidwa ndi labu a zinthu zachilengedwe chrysarobin

Dongosolo lanu la chithandizo lingaphatikizepo kuphatikiza kwa OTC ndi mankhwala akuchipatala. Inu ndi dokotala mungafunike kuyesa kuti mupeze zomwe zikukuyenderani bwino.

Mankhwala ena, monga corticosteroids, atha kukhala ndi zotsatirapo zikagwiritsidwa ntchito kwakanthawi. Lankhulani ndi dokotala wanu za zabwino zomwe zingachitike komanso zoopsa zomwe zingachitike chifukwa cha njira iliyonseyi.

OTC moisturizer amatha kukuthandizani kuti muchepetse khungu lanu ndikuthana ndi kuyabwa, koma zonunkhira zokha nthawi zambiri sizichiritsa zolembazo.

Mankhwala apakamwa kapena obayidwa

Pali mankhwala osiyanasiyana omwe amayang'ana kupanga khungu kapena chitetezo chamthupi. Izi zikuphatikiza:

Corticosteroids

Mankhwalawa amatsanzira cortisol, mahomoni odana ndi zotupa omwe amapezeka mwathupi lanu. Izi nthawi zambiri zimatengedwa pakamwa ndipo zimathandiza kuchepetsa kutupa. Mitundu ya jakisoni imatha kukupatsani mpumulo wakanthawi wotupa.

Kugwiritsa ntchito nthawi yayitali kumatha kubweretsa kutupa pankhope komanso kunenepa. Zingakulitsenso chiopsezo chanu cha kufooka kwa mafupa.

Mankhwala osokoneza bongo (DMARDs)

Mankhwalawa amaletsa mankhwala m'thupi lanu omwe amayambitsa kutupa. Izi zitha kuthandiza kuchepetsa kuwonongeka kwamagulu. Ma DMARD amatengedwa pakamwa koma amathanso kubayidwa.

Zamoyo

Mankhwalawa amatha kuteteza kutupa kwama cell. Biologics nthawi zambiri amabayidwa. Mitundu yayikulu ya biologics ndi anti-chotupa necrosis factor-alpha mankhwala, abatacept, ndi ustekinumab. Iliyonse imatchinga mapuloteni osiyanasiyana mthupi.

Chiwopsezo chanu chotenga kachilomboka chitha kuwonjezeka mukamatenga biologics popeza imagwira ntchito poletsa chitetezo chamthupi.

Mankhwala owala

Kuwala kwachilengedwe kapena kochita kupanga mumayendedwe angagwiritsidwe ntchito kuchepetsa kuthamanga kwa psoriasis.

Njira zodziwika bwino ndi izi:

UVB makina owala

Kuwonetsa kuthamanga kwanu ndi ma radiation a UVB opangidwa ndi makina owunikira kwakanthawi kochepa kangapo pamlungu kungathandize kuchepetsa kutupa. Ma dermatologists nthawi zambiri amakhala ndi makina a UVB ogwiritsira ntchito nyumba. Muthanso kugula kuti mugwiritse ntchito kunyumba.

UVA makina owala

Njirayi imagwiritsa ntchito makina owala omwe amapanga ma radiation a UVA. Mukaphatikiza ndi psoralen, mankhwala omwe amachititsa khungu lanu kukhala lowunika kwambiri, njirayi imatha kukonza psoriasis yayikulu. Izi zimatchedwanso photochemotherapy.

Chotupitsa laser

Laser ya excimer, yomwe imayika ma radiation amphamvu kwambiri a UVB pamatenda a psoriasis, ndiyo njira yolimbana kwambiri ndi zotupa. Izi zimagwiritsidwa ntchito muofesi ya dokotala ndipo nthawi zambiri zimafunikira magawo ochepa kuposa mankhwala ena a UV.

Lankhulani ndi dokotala wanu za ngati magawo kunyumba kapena kuofesi ali oyenera.

Zithandizo zapakhomo

Zosintha zina pamoyo zingathandizenso kuchepetsa kuyabwa ndi kutupa.

Malangizo ndi zidule

• Sungani khungu lanu kukhala lonyowa, makamaka mpweya ukauma. Muyenera kuyika mafuta okuthandizani kangapo patsiku.
• Sambani madzi ofunda kuti muchepetse khungu komanso lotupa. Onjezerani mchere wa Epsom, colloidal oatmeal, kapena mafuta kuti mulowerere. Gwiritsani ntchito sopo wofatsa wokha.
• Pewani zinthu zomwe zimawoneka ngati zimayambitsa kuphulika, monga kupsinjika, mowa, kusuta, kapena mafuta onunkhiritsa.
• Idyani chakudya chopatsa thanzi ndikuchita masewera olimbitsa thupi pafupipafupi kuti mukhale ndi thanzi labwino.

Maganizo anga ndi otani chifukwa cha zotupa zanga?

Psoriasis ndi matenda osachiritsika, ndipo palibe mankhwala omwe amadziwika mpaka pano. Zimakhudza munthu aliyense mosiyana. Kuthamanga kwanu kumatha msanga kumadalira kuuma kwake ndi mphamvu ya mapulani anu.

Zingatenge kanthawi kuti inu ndi dokotala wanu mupeze mankhwala osiyanasiyana omwe amachititsa kuti ziphuphu zitheke. Ziphuphu za Psoriasis nthawi zambiri zimawonekera, ndipo mudzakhala ndi nthawi yokhululukidwa, koma imatha kuyambiranso.

Mukaphunzira kuzindikira ndikupewa zomwe zimayambitsa kukwiya, mutha kuchepetsa kuchuluka kwakanthawi.

Kodi mungakhale ndi nyamakazi ya psoriatic popanda zotupa?

Ngakhale kuthamanga ndi chizindikiritso chofala cha PsA, mutha kukhala ndi PsA popanda kupsa mtima. Pafupifupi 15 peresenti ya anthu amakhala ndi PsA popanda kukhala ndi psoriasis, akuti National Psoriasis Foundation. Nthawi zina, anthu amakhala ndi PsA ndi psoriasis nthawi yomweyo.

M'mikhalidwe iyi, ndikofunikira kudziwa zomwe zizindikiro zina za PsA ndizomwe.

Kodi pali zizindikiro zina za PsA?

Ngakhale kuti zotupa zimakonda kugwirizanitsidwa ndi PsA, sichizindikiro chokha.

Zizindikiro zina ndizo:

• kutopa
• kuuma m'mawa ndi kupweteka kwa msana
• kutupa, kupweteka, kapena kukoma pamafundo
• kupweteka kwa tendon kapena ligament
• kuchepetsedwa kwamayendedwe amalumikizidwe
• kusintha kwa misomali, monga kubowola ndi kulimbana
• zala zotupa ndi zala zakuphazi zomwe zimawoneka ngati soseji (dactylitis)
• mavuto amaso, kuphatikiza kufiira, kuyabwa, ndi conjunctivitis

Zizindikiro ndi kuuma kwawo zimasiyana malinga ndi munthu. Zizindikiro zambiri zimafanana ndi matenda ena, monga nyamakazi, nyamakazi, ndi gout.

Ngati mukukumana ndi zizindikiro, onetsetsani kuti mwalankhula ndi dokotala. Kupeza matendawa posachedwa kungathandize kuti mukhale ndi moyo wabwino pakuwongolera zizindikilo ndikuchepetsa chiopsezo chanu chazovuta zazitali.