Zomwe Zimayambitsa khungu Langa la Psoriasis Ndipo Ndimazichiza Motani?

Zamkati

• Khungu la psoriasis pakhungu
• Scalp psoriasis zimayambitsa komanso zoopsa
• Mbiri ya banja
• Kunenepa kwambiri
• Kusuta
• Kupsinjika
• Matenda a virus ndi bakiteriya
• Kodi khungu la psoriasis limayambitsa tsitsi?
• Momwe mungachiritse khungu la psoriasis
• Chithandizo chamankhwala
• Anthralin
• Calcipotriene
• Betamethasone ndi calcipotriene
• Tazarotene
• Methotrexate
• Retinoids pakamwa
• Cyclosporine
• Zamoyo
• Chithandizo cha kuwala kwa ultraviolet
• Zithandizo zapakhomo
• Shampu za psoriasis
• Kodi muyenera kuchotsa ma flakes anu?
• Khungu psoriasis vs. dermatitis
• Nthawi yoti muwonane ndi dokotala
• Tengera kwina

Khungu la psoriasis pakhungu

Psoriasis ndichikhalidwe chosatha cha khungu chomwe chimayambitsa kuchuluka kwa maselo akhungu m'malo osiyanasiyana amthupi. Maselo akhungu owonjezerawa amapanga zigamba zofiira zomwe zimatha kuwotcha, kuyabwa, kuphwanya, komanso kutuluka magazi.

Pamene psoriasis imakhudza khungu, amatchedwa scalp psoriasis. Scalp psoriasis imakhudzanso kumbuyo kwa makutu, mphumi, ndi khosi.

Scalp psoriasis ndizofala. Akatswiri akuganiza kuti psoriasis imakhudza 2 mpaka 3 peresenti ya anthu padziko lonse lapansi. Ngati sanalandire chithandizo, amatha kuyambitsa zizindikiro za psoriasis. Zimayambitsanso kutupa kosatha komwe kumalumikizidwa ndi zovuta monga:

• nyamakazi
• insulin kukana
• cholesterol yambiri
• matenda amtima
• kunenepa kwambiri

Chithandizo cha khungu la psoriasis chimasiyana kutengera kukula kwake ndi malo. Nthawi zambiri, mankhwala a psoriasis kumutu, khosi, ndi nkhope amakhala odekha kuposa mankhwala omwe amagwiritsidwa ntchito mbali zina za thupi.

Pali umboni wosatsimikizika kuti mankhwala ena apanyumba angathandize kuchepetsa zizindikiro za khungu la psoriasis. Izi zimagwiritsidwa ntchito bwino limodzi ndi chithandizo chamankhwala chomwe chatsimikiziridwa kuti ndichothandiza pochiza vutoli.

Pali mitundu ingapo ya psoriasis, kuyambira wofatsa mpaka wolimba. Scalp psoriasis ndi mtundu wa plaque psoriasis, womwe ndi mtundu wofala kwambiri. Zimayambitsa zofiira, zofiira, zotchedwa plaques, ndipo zimakhudza mbali iliyonse ya thupi. Plaque psoriasis ndi mtundu wofala kwambiri wa psoriasis womwe umakhudza mutu, nkhope, kapena khosi.

Scalp psoriasis zimayambitsa komanso zoopsa

Asayansi sadziwa kwenikweni chomwe chimayambitsa khungu ndi mitundu ina ya psoriasis. Amaganiza kuti zimachitika pamene chitetezo chamthupi cha munthu sichikugwira ntchito moyenera.

Wina yemwe ali ndi psoriasis amatha kupanga mitundu yambiri yamaselo oyera omwe amatchedwa T cell ndi neutrophils. Ntchito ya T cell ndikudutsa mthupi, kumenyana ndi mavairasi ndi mabakiteriya.

Ngati munthu ali ndi ma T cell ambiri, amatha kuyamba kuukira maselo athanzi molakwika ndikupanga maselo ena akhungu ndi maselo oyera amwazi. Maselowa amawoneka pakhungu pomwe amayambitsa kutupa, kufiira, zigamba, ndi kupindika pakhungu la psoriasis.

Moyo ndi ma genetics amathanso kukhala okhudzana ndi psoriasis. Zinthu zotsatirazi zitha kukulitsa chiopsezo cha psoriasis ya khungu:

Mbiri ya banja

Kukhala ndi kholo limodzi lokhala ndi psoriasis ya khungu kumakulitsa chiopsezo chanu chokhala ndi vutoli. Muli ndi chiopsezo chokulirapo chotenga matendawa ngati makolo anu onse ali nawo.

Kunenepa kwambiri

Omwe amalemera mopitilira muyeso amawoneka kuti amakhala ndi khungu la psoriasis. Omwe onenepa kwambiri amakhalanso ndi zikopa ndi zikopa zambiri pomwe zotupa zina za psoriasis zimakonda kupangika.

Kusuta

Chiwopsezo chanu cha psoriasis chimawonjezeka ngati mumasuta. Kusuta kumayambitsanso kuopsa kwa zizindikiro za psoriasis mwa iwo omwe ali nako.

Kupsinjika

Kupsinjika kwakukulu kumalumikizidwa ndi psoriasis chifukwa kupsinjika kumakhudza chitetezo chamthupi.

Matenda a virus ndi bakiteriya

Omwe ali ndi matenda obwerezabwereza komanso chitetezo chamthupi, makamaka ana achichepere komanso omwe ali ndi kachilombo ka HIV, ali ndi chiopsezo chowopsa cha psoriasis.

Omwe ali ndi psoriasis ya scalp amatha kuzindikira kuti zizindikilo zawo zikukulira kapena kuyambitsidwa ndi zinthu zingapo. Izi zimaphatikizapo:

• kusowa kwa vitamini D
• uchidakwa
• Matendawa, kuphatikizapo matenda opatsirana pakhosi kapena khungu
• kuvulala pakhungu
• kusuta
• mankhwala ena, kuphatikizapo lithiamu, beta-blockers, mankhwala opatsirana ndi malungo, ndi ayodini
• nkhawa

Kodi khungu la psoriasis limayambitsa tsitsi?

Kutaya tsitsi ndi gawo lofala la khungu la psoriasis.Mwamwayi, tsitsi limabwereranso msanga psoriasis itachiritsidwa ndikukhazikika.

Momwe mungachiritse khungu la psoriasis

Kuchiza khungu la psoriasis kumatha kuteteza zizindikilo zoopsa, kutupa kosatha, komanso kutayika tsitsi. Mitundu yamankhwala omwe mungafune imadalira kuuma kwa khungu lanu la psoriasis.

Dokotala amatha kuphatikiza kapena kusinthasintha njira zingapo kutengera zosowa zanu. Nawa mankhwala odziwika bwino a khungu la psoriasis:

Chithandizo chamankhwala

Mankhwala otsatirawa atsimikiziridwa kuti amachiza khungu la psoriasis:

Anthralin

Anthralin ndi kirimu wopaka pamutu kwa mphindi mpaka maola musanatsuke. Tsatirani momwe dokotala wanu akugwiritsirani ntchito ndi malangizo ake.

Anthralin imagulitsidwa pansi pa mayina awa ku United States: Drithocreme, Dritho-Scalp, Psoriatec, Zithranol, ndi Zithranol-RR.

Calcipotriene

Calcipotriene imapezeka ngati zonona, thovu, mafuta odzola, komanso yankho. Lili ndi vitamini D, yemwe amatha kusintha momwe maselo amkhungu amakulira mbali zina za thupi zomwe zimakhudzidwa ndi psoriasis. Amagulitsidwa ku United States pansi pa dzina la Calcitrene, Dovonex, ndi Sorilux.

Betamethasone ndi calcipotriene

Kuphatikizana kwa corticosteroid (betamethasone) ndi vitamini D (calcipotriene) kumathandizanso kufiira, kutupa, kuyabwa, ndi zizindikilo zina za khungu la psoriasis ndikusinthanso momwe maselo akhungu amakulira m'malo omwe akhudzidwa.

Ku United States mankhwalawa amagulitsidwa ngati Enstilar, Taclonex, ndi Taclonex Scalp.

Tazarotene

Tazarotene imabwera ngati thovu kapena gel ndipo imatha kupakidwa kumutu kuti ichepetse kufiira komanso kutupa komwe kumalumikizidwa ndi psoriasis ya khungu. Amagulitsidwa pansi pa mayina a Avage, Fabior, ndi Tazorac.

Methotrexate

Methotrexate ndi mankhwala akumwa omwe amatha kuyimitsa khungu kuti lisakule. Iyenera kutengedwa panthawi yomwe dokotala wanu wakupatsani.

Mayina amtundu wogulitsidwa ku United States ndi Rheumatrex Dose Pack ndi Trexall.

Retinoids pakamwa

Mankhwala amlomo am'kamwa amapangidwa kuchokera ku vitamini A wopangidwa kuti achepetse kutupa ndi kukula kwamaselo. Zitha kutenga kulikonse kuyambira milungu iwiri mpaka 12 kuti igwire ntchito. Amagulitsidwa ngati acitretin (Soriatane) ku United States.

Cyclosporine

Cyclosporine imagwira ntchito pochepetsa chitetezo chamthupi ndikuchepetsa kukula kwamitundu ina yama cell. Zimatengedwa pakamwa kamodzi tsiku lililonse nthawi imodzimodzi tsiku lililonse. Kuchita bwino kwa cyclosporine pochiza psoriasis kwa nthawi yayitali sikumveka bwino.

Cyclosporine imagulitsidwa ngati Gengraf, Neoral, ndi Sandimmune ku United States.

Zamoyo

Biologics ndi mankhwala ojambulidwa opangidwa kuchokera kuzinthu zachilengedwe zomwe zimachepetsa chitetezo chamthupi. Izi zitha kuchepetsa kutupa ndi kufiira komwe kumachitika chifukwa cha psoriasis.

Zitsanzo ndi adalimumab (Humira) ndi etanercept (Enbrel).

Chithandizo cha kuwala kwa ultraviolet

Phototherapy ndi mankhwala opepuka omwe amawonetsa khungu lomwe lakhudzidwa ndi kuwala kwa ultraviolet (UV). Ultraviolet B (UVB) imathandiza pochiza psoriasis. Dzuwa lokhazikika limatulutsa kuwala kwa burodibandi koma kuwala kwa psoriasis ndi kuwala kochita kupanga ndi kotsekemera kwa UVB.

Mabedi osanjikiza sakuvomerezeka chifukwa amagwiritsa ntchito kuwala kwa UVA, osati UVB. Kugwiritsa ntchito malo ogwiritsira ntchito khungu kumawonjezera chiopsezo cha khansa ya khansa ndi 59 peresenti.

Mankhwala a laser avomerezedwa posachedwa ndi US Food and Drug Administration (FDA) ndipo ndi othandiza kwambiri pakhungu la psoriasis.

Zithandizo zapakhomo

Zithandizo zapakhomo sizimatsimikiziridwa kuti zimachepetsa zisonyezo za psoriasis. Koma anthu ena amati atha kuthandiza kuchepetsa zizindikilo zikagwiritsidwa ntchito limodzi ndi chithandizo chamankhwala.

Nawa mankhwala azotchuka kunyumba kwa psoriasis ya khungu:

• zonona za aloe vera zimagwiritsidwa ntchito katatu patsiku kumutu ndi madera ena omwe akhudzidwa
• apulo cider viniga yankho, kutsuka m'malo omwe akhudzidwa
• soda ndi phala lamadzi, zomwe zimachepetsa kuchepa kwa khungu
• capsaicin cream, yomwe imagwiritsidwa ntchito pochepetsa kupindika, kufiira, ndi kutupa
• kokonati kapena mafuta avocado, kuti muchepetse madera omwe akhudzidwa
• adyo, pureed ndikusakanizidwa ndi aloe vera ndikugwiritsa ntchito tsiku lililonse ngati kirimu kapena gel osakaniza ndikutsukidwa
• mahonia aquifolium (mphesa ya Oregon) kirimu, mankhwala azitsamba omwe amatha kuchepetsa chitetezo chamthupi
• oatmeal bath kuti muchepetse kuyabwa, kutupa, ndi kuphulika
• omega-3 fatty acids omwe amatengedwa ngati nsomba kapena zowonjezera mafuta mafuta kuti achepetse kutupa
• nyanja kapena Epsom mchere wosamba kuti muchepetse kufiira ndi kutupa
• mafuta a tiyi kuti achepetse kutupa
• turmeric kuti ichepetse kutupa
• vitamini D kuti muchepetse kufiira ndi kutupa

Shampu za psoriasis

Mankhwala otchedwa Psoriasis shampu ndi mankhwala odziwika kunyumba. Ngakhale mutha kupeza mankhwala ochapira mankhwala ochokera kwa dokotala, pali zinthu zambiri zotsatsa zomwe zingathe kuchepetsa zizindikilo zanu popanda mankhwala.

Kafukufuku akuwonetsa kuti shampoo yothandiza kwambiri imakhala ndi chimodzi mwazinthu izi:

• mfiti
• phula lamakala
• salicylic acid

Kodi muyenera kuchotsa ma flakes anu?

Pewani kusungunula ma flakes anu, chifukwa izi zimatha kutayika tsitsi. Ngati mukufuna kukonza mawonekedwe a khungu lanu la psoriasis, akatswiri akuwonetsa kuti muzitha kutulutsa ma flakes anu pang'ono.

Khungu psoriasis vs. dermatitis

Zizindikiro zina, monga kufiira ndi khungu losalala, zimagawidwa ndi psalp psoriasis ndi dermatitis. Zinthu zonsezi zimatha kukhudza khungu. Ngakhale chithandizo chamankhwala amtunduwu chimachulukana, ndimikhalidwe ina yosiyana siyana.

Ndi psoriasis ya scalp, muwona mamba ofiira osalala omwe amatha kupitilira tsitsi lomwe limayambitsa kuyabwa, kuyabwa, ndi kufiira. Mu dermatitis, mamba ndi achikasu komanso amaphatikizidwa ndi ma dandruff.

Scalp psoriasis imayambitsidwa ndi kusowa kwa chitetezo chamthupi. Dermatitis imayambitsidwa ndimatenda osiyanasiyana akhungu ngati ma allergen.

Dokotala amatha kusiyanitsa pakati pamutu wa psoriasis ndi dermatitis poyang'ana dera lomwe lakhudzidwa. Nthawi zina, zitha kukhala zovuta kudziwa kusiyana.

Dokotala wanu amatha kupukuta khungu kapena kutenga khungu lotchedwa biopsy. Scalp psoriasis iwonetsa kuchuluka kwa maselo akhungu, pomwe dermatitis iwonetsa khungu lomwe lakwiya ndipo nthawi zina mabakiteriya kapena bowa.

Nthawi yoti muwonane ndi dokotala

Onani dokotala pazosintha zilizonse pakhungu lanu zomwe sizingathetse okha kapena ndi chithandizo chanyumba. Adzathandiza kupanga mapulani a chithandizo choyenera kwa inu.

Tengera kwina

Scalp psoriasis ndimatenda akhungu omwe amachititsa kufiira, kutupa, ndi kupindika pamutu komanso mbali zina za mutu, khosi, ndi nkhope.

Zithandizo zapakhomo zitha kukhala zothandiza pochepetsa zizindikilo mukazigwiritsa ntchito limodzi ndi mankhwala omwe dokotala wanu akukulangizani. Chithandizo choyenera cha vutoli chitha kuthandiza kuchepetsa mavuto komanso chiwopsezo cha matenda akulu omwe amalumikizidwa ndi psoriasis ya khungu.