Mafunso 10 Dermatologist Wanu Akufuna Kuti Mufunse Za Psoriasis

Zamkati

• 1. Kodi ndinapeza bwanji psoriasis?
• 2. Kodi kufunikira kwa mbiri ya banja langa la psoriasis kapena matenda ena, monga lymphoma?
• 3. Kodi matenda anga ena amakhudza bwanji, kapena amakhudzidwa ndi, psoriasis yanga?
• 4. Kodi njira zanga zochiritsira ndi ziti?
• 5. Kodi mungandipatse chithandizo chotani?
• 6. Kodi zotsatira zake zingakhale zotani?
• 7. Ndiyenera kukhala nthawi yayitali bwanji ndikumwa mankhwala?
• 8. Kodi mankhwala omwe ndikumamwa angawonjezeke kapena kusokoneza mankhwala anga a psoriasis?
• 9. Ngati ndiyambitsa biologic, kodi ndiyenera kuyimitsa mtundu wanga wamankhwala ochiritsira psoriasis yanga?
• 10. Kodi ndichifukwa chiyani ndiyenera kusintha kapena kusinthasintha mankhwala anga a psoriasis yanga?

Nthawi yomaliza pomwe mudamuwona dermatologist wa psoriasis yanu, mudakhutitsidwa ndi zomwe mwapeza? Ngati sichoncho, pali mwayi kuti simunali kufunsa mafunso oyenera. Koma mukuyenera kudziwa bwanji zopempha?

Tili ndi malingaliro amenewo, tidafunsa Dr. Doris Day, katswiri wodziwa zamatenda ku New York, mafunso apamwamba omwe akufuna kuti odwala a psoriasis amufunse nthawi yomwe amakhala. Pitilizani kuwerenga kuti mumve zomwe amayankhula.

1. Kodi ndinapeza bwanji psoriasis?

Palibe amene amadziwa bwino zomwe zimayambitsa psoriasis, koma ndimatenda amoyo omwe amadziwika kuti amakhalanso ndi chibadwa. Chomwe tikudziwa ndichakuti zimangokhala zokha pomwe chitetezo chamthupi chimayambitsidwa molakwika, chomwe chimafulumizitsa kukula kwa maselo akhungu.

Selo labwinobwino la khungu limakhwima ndikutuluka panja pa thupi m'masiku 28 mpaka 30, koma khungu la psoriatic limangotenga masiku atatu kapena anayi okha kuti likhwime ndikupita kumtunda. M'malo mokhwima mwachilengedwe ndikuthira, maselowo amaunjikana ndipo amatha kupanga zikwangwani zofiira zomwe nthawi zambiri zimakhala zoyipa komanso zosawoneka bwino.

Psoriasis imatha kuchepa ndi malo ochepa kapena imatha kukhala ndi zigawo zikuluzikulu pakhungu. Kulimba kwake kwa psoriasis kumatha kusiyanasiyana pakati pa munthu ndi munthu, komanso mwa munthu yemweyo nthawi ndi nthawi. Psoriasis wofatsa amawonedwa kuti amakhala ndi zochepera 3 peresenti ya mawonekedwe amthupi. Psoriasis yapakati imakhudza 3 mpaka 10 peresenti. Ndipo psoriasis yayikulu imaposa 10 peresenti.

Palinso chinthu china chokhudzidwa ndikukulitsa mwamphamvu, komwe ngakhale munthu yemwe ali ndi vuto locheperako thupi amatha kuwerengedwa kuti ali ndi psoriasis yapakatikati kapena yayikulu ngati vutoli limakhudza moyo wawo.

2. Kodi kufunikira kwa mbiri ya banja langa la psoriasis kapena matenda ena, monga lymphoma?

Kukhala ndi mbiri yabanja ya psoriasis kumakuwonjezera chiopsezo, koma sichitsimikizo chilichonse. Ndikofunikira kuti dermatologist wanu amvetsetse bwino momwe angathere za inu, komanso adziwe mbiri ya banja lanu la psoriasis ndi zina zamankhwala kuti athe kukutsogolerani pazithandizo zanu zabwino kwambiri.

Omwe ali ndi psoriasis ali ndi chiopsezo chowonjezeka cha lymphoma kuposa anthu ambiri. Dermatologist wanu atha kusankha kuti mankhwala ena ndi abwino ndipo ena ayenera kupewedwa kutengera mbiri iyi.

3. Kodi matenda anga ena amakhudza bwanji, kapena amakhudzidwa ndi, psoriasis yanga?

Psoriasis yawonetsedwa kuti ndi yotupa yokhazikika yofananira ndi zovuta zina zoteteza kumatenda. Kuphatikiza pa zotsatira zake pakhungu, 30 peresenti ya anthu omwe ali ndi psoriasis adzakhalanso ndi matenda a psoriatic.

Kuphatikiza pakuphatikizana ndi nyamakazi, psoriasis imalumikizidwa ndi kukhumudwa, kunenepa kwambiri, ndi atherosclerosis (cholengeza m'mitsempha). Omwe ali ndi psoriasis amathanso kukhala ndi chiwopsezo chowonjezeka cha matenda amischemic, matenda am'mitsempha, matenda a mtsempha wamagazi, komanso ngozi zakufa.

Kutupa kumatha kukhala chifukwa chomveka bwino chokhudza kuyanjana kwa psoriasis ndi kuthamanga kwa magazi kapena kuthamanga kwa magazi, komanso pakati pa psoriasis ndi matenda ashuga. Kafukufuku ndikuwunikiranso za mgwirizano wapakati pa psoriasis, mtima wamtima, ndi matenda amtima kapena infarction yam'mnyewa wamtima.

4. Kodi njira zanga zochiritsira ndi ziti?

Palibe chithandizo chimodzi cha psoriasis chomwe chimagwira aliyense, koma pali njira zosangalatsa, zatsopano, komanso zamankhwala zotsogola zomwe zimayambitsa zomwe zimayambitsa psoriasis kuposa kale. Ena ali ngati mapiritsi, ena ndi jakisoni, ndipo ena amapezeka kudzera kulowetsedwa.

Ndikofunika kudziwa zomwe mungasankhe komanso zoopsa ndi zabwino zake.

5. Kodi mungandipatse chithandizo chotani?

Zomwe tikufuna kukupatsani zosankha, dokotala wanu adzakhala ndi njira yoti ikuthandizireni. Izi zidzatengera kuuma kwa psoriasis yanu, chithandizo chomwe mudayesapo m'mbuyomu, mbiri yanu yazachipatala, mbiri ya banja lanu, komanso gawo lanu lotonthoza ndi mankhwala osiyanasiyana.

Ndizovuta kuneneratu zomwe zingagwire ntchito kwa munthu winawake. Komabe, dokotala wanu adzakuthandizani kupeza chithandizo chabwino kwambiri kapena kuphatikiza kwa chithandizo. Adzakuwuzani zomwe mungayembekezere kuchokera kuchipatala, kuphatikiza kuti zitenga nthawi yayitali bwanji kuti muwone zotsatira, zoyipa zake, komanso kufunika kowunika munthawi ya chithandizo.

6. Kodi zotsatira zake zingakhale zotani?

Pali zovuta zina ndi mankhwala aliwonse. Kuyambira topical cortisone mpaka phototherapy mpaka immunosuppressant's mpaka biologics, iliyonse ili ndi maubwino ndi zoopsa zomwe muyenera kudziwa musanayambe. Kudziwa zoyipa zamankhwala aliwonse ndi gawo lofunikira pokambirana kwanu ndi dokotala.

Ngati mukuyamba biologic ndikofunikira kukhala ndi khungu loyera la protein (derivative derivative (PPD) khungu kuti muwone ngati mudakumana ndi chifuwa chachikulu m'mbuyomu. Mankhwalawa samayambitsa chifuwa chachikulu, koma amachepetsa chitetezo chamthupi chanu cholimbana ndi matendawa ngati mudadziwikiratu m'mbuyomu.

7. Ndiyenera kukhala nthawi yayitali bwanji ndikumwa mankhwala?

Palibe mankhwala a psoriasis, koma mitundu ingapo yamankhwala, yonse yapakhungu komanso yamachitidwe, imatha kuchotsa psoriasis kwakanthawi. Nthawi zina anthu amafunika kuyesa mankhwala osiyanasiyana asanapeze omwe amawathandiza.

8. Kodi mankhwala omwe ndikumamwa angawonjezeke kapena kusokoneza mankhwala anga a psoriasis?

Dermatologist wanu adzafunika kudziwa mankhwala aliwonse omwe mukumwa, mankhwala onse komanso owonjezera, popeza pakhoza kukhala kuyanjana kwa mankhwala omwe muyenera kudziwa.

Mwachitsanzo, acetaminophen kuphatikiza ma biologics ena kumatha kuwonjezera chiopsezo cha chiwindi kulephera, kotero kuphatikiza kuyenera kupewedwa momwe zingathere. Ndipo kuyesa magazi nthawi zonse kuti aone momwe chiwindi chimagwirira ntchito kumafunika.

Komanso, mankhwala ena, monga aspirin, amatha kupangitsa psoriasis kukulira. Ngakhale mankhwala ena, monga corticosteroids am'kamwa, atha kubweretsa vuto lowopsa la psoriasis lotchedwa pustular psoriasis, ngakhale kwa iwo omwe ali ndi psoriasis wofatsa. Izi ndichifukwa choti steroid yamlomo ikuchepetsedwa. Ngati mwalamulidwa kumwa steroids mukamwa, onetsetsani kuti mwauza dokotala kuti muli ndi psoriasis musanayambe kumwa mankhwala.

9. Ngati ndiyambitsa biologic, kodi ndiyenera kuyimitsa mtundu wanga wamankhwala ochiritsira psoriasis yanga?

Tengani chithunzi kapena lembani mndandanda wamankhwala omwe mulipo pakadali pano kuti mubwere nawo kuofesi kuti dermatologist wanu adziwe momwe mungasinthire mankhwala anu kuti mukwaniritse zotsatira zanu. Zimathandizanso kubweretsa ntchito yaposachedwa ya labu. Dokotala wanu atha kukupemphani kuti mupitilize chithandizo cham'mutu mukamangowonjezera biologic, kenako ndikunyamuka pomwe mankhwala atsopanowo ayamba kugwira ntchito.

10. Kodi ndichifukwa chiyani ndiyenera kusintha kapena kusinthasintha mankhwala anga a psoriasis yanga?

Ndi psoriasis, nthawi zina timafunikira kusinthasintha chithandizo pakapita nthawi chifukwa chimakhala chosagwira ntchito momwe thupi limasinthira kuchipatala. Dermatologist wanu amatha kusinthana ndi njira zina zamankhwala, ndipo amatha kusinthana ndi am'mbuyomu popeza thupi silitha kulimbana pakatha mwezi umodzi kapena atasiya ntchito. Izi sizowona kwenikweni pa biologics, komabe zitha kuchitika.

Posankha njira yothandizira biologic kapena chithandizo chilichonse, dokotala wanu adzawunikanso zamankhwala am'mbuyomu ndi kuopsa ndi zabwino za mankhwala aliwonse omwe alipo lero kuti akuthandizireni popanga zisankho. Ndizothandiza kulemba mndandanda wazithandizo zomwe mwayesapo, tsiku lomwe mudayamba ndikuziyimitsa, ndi momwe zidakugwirirani ntchito.

Pali mankhwala atsopano a psoriasis omwe amalowa mumsika, ena omwe mwina simunayesepo kale, onetsetsani kuti nthawi zonse mufunsane kapena kutsatira ndi dokotala ngati vuto lanu silikukuyenderani bwino.