Masamba a psoriasis ndiwo mawonekedwe ambiri a psoriasis , omwe amawerengera 90 peresenti ya milandu yonse. Ndi matenda omwe amadzimadzimadzimadzi omwe maselo a khungu amapanga mofulumira, kupanga mamba ndi zowuma, zowonongeka. Ngakhale kuti chifukwa chachikulu cha matendawa chimakhalabe chinsinsi, pali zinthu zomwe zingayambitse kapena kuphulika kwambiri, kuphatikizapo kunenepa kwambiri, nkhawa, ndi kusuta.
Zizindikiro zingakhale zovuta kuyendetsa, koma pali mankhwala ochulukirapo omwe amatha kuyambitsa chitetezo cha chitetezo cha mthupi ndipo amapereka mpumulo waukulu.
Zizindikiro
Mapuloteni otchedwa psqueasis vulgaris, omwe amadziwika kuti psoriasis vulgaris, amapezeka ngati zikopa za khungu lotentha lomwe lili ndi miyala yofiira. Mipata imapezeka pamapiko, mabondo, khungu, ndi kumbuyo. Masamba a psoriasis angasokonezenso misomali, kuchititsa kutaya thupi, kuponyera pansi, komanso ngakhale msomali wa msomali kuchokera pamsana.
Ngakhale kuti zikuwoneka bwanji , psoriasis sagwiritsidwa ntchito.
Zizindikiro za plaque psoriasis zimatha kuwonjezereka panthawi ya matenda, pamene munthu akugwedezeka, kapena ngati khungu likuvulala. Mankhwala ena monga beta blockers ndi antisteroidal anti-inflammatory drugs (NSAIDs) angayambitsenso zizindikiro. Kupalasa kumangowonjezera zinthu, kumayambitsa magazi komanso kuonekera kwa khungu lomwe likukhudzidwa.
Zizindikiro zikhoza kubwera ndi kupita, nthawi zambiri kukhala okhululukidwa kwa miyezi ngakhale zaka pa nthawi isanayambe kuwombera popanda chifukwa chomveka.
Nthawi zina, zizindikiro zimakhala zovuta komanso nthawi zina.
Zimayambitsa
Asayansi samvetsetsa bwino njira zomwe zimayambitsa matenda opatsirana monga maphala a psoriasis, koma amakhulupirira kuti chibadwa cha munthu chimakhala mbali yaikulu. Pafupifupi munthu mmodzi mwa anthu atatu aliwonse omwe ali ndi psoriasis adzakhala ndi mbiri ya banja komanso umboni wa kusintha kwa chromosomal m'malo ena a jini (wotchedwa PSORS1 kupyolera mu PSORS9).
Zina mwazifukwa za psoriasis zakhala zikufotokozedwa, kuphatikizapo matenda apitayi kapena poizoni, koma ambiri amalingalira bwino.
Chilichonse chimene chimayambitsa, psoriasis ya plaque imathandizira mofulumira liwiro limene maselo a khungu amapangidwa. Ngakhale kuti maselo ambiri a khungu amaloledwa masiku 28 kapena 30, omwe amasokonezedwa ndi psoriasis amamasulidwa masiku atatu kapena asanu.
Chifukwa chaichi, maselo atsopano a khungu amatha kuwonjezereka mofulumira kuposa omwe akale angakhetsedwe. Pa nthawi yomweyi, mitsempha ya magazi ili pansi pa khungu idzayamba kukulitsa chifukwa cha kutupa kwanthawi yaitali, kuchititsa kutupa ndi kuphulika komweko.
Kudziwa
Phala psoriasis nthawi zambiri amapezeka ndi mawonekedwe a khungu. Palibe mayesero apadera a magazi kapena mayesero ozindikiritsa omwe amafunikira.
Komabe, dokotala akufuna kusiyanitsa ndi mitundu ina ya psoriasis (monga guttate psoriasis , chifukwa cha matenda opatsirana ndi streptococcal, kapena pustular psoriasis , omwe amadziwika ndi mabulters odzaza), komanso matenda a khungu omwe ali ndi zinthu monga:
- T-cell lymphoma
- Kusokonekera kwa chisokonezo
- Pityriasis rosea
- Mbira
- Sezerrheic eczema
Ngati matendawa sakudziwika, khungu limatulutsa kapenanso kumatulutsa kaboti kuti afufuze.
Chithandizo
Kuwonjezera pa kukhala wosasangalatsa, psoriasis ya plaque ikhoza kukhumudwitsa, nthawi zina kuchepetsa chidaliro cha munthu ndi umoyo wake. Mwamwayi, chithandizo cha psoriasis chapita patsogolo kwambiri m'zaka zaposachedwa ndikukhala ndi chidziwitso chokwanira cha kuteteza thupi kwa munthu komanso kudziletsa.
Zosankha zamakono zamakono zili monga:
- Matenda a corticosteroids , omwe angagwiritsidwe ntchito mosalekeza koma kawirikawiri osachepera masabata asanu ndi atatu (chifukwa cha kuopseza khungu)
- Phototherapy , yomwe kuwala kwa ultraviolet kuwala kumagwiritsidwa ntchito kulowa pakhungu ndi kuchepetsa kukula kwa maselo a khungu
- Mankhwala osagwirizana ndi biologic monga methotrexate ndi cyclosporin , zomwe zimaletsa chitetezo cha mthupi lonse
- Mankhwala atsopano a biologic , monga Enbrel (etanercept), Humira (adalimumab), Remicade (infliximab), Stelara (ustekinumab), ndi Taltz (ixikizumab), omwe amaletsa mbali zina za chitetezo cha mthupi
- Otezla (apremilast) , yomwe imavomerezedwa kuti ikhale ndi psoriasis ndi psematic arthritis
- Mavitamini a vitamini D3, omwe amawoneka kuti amachepetsa kupanga maselo a khungu
- Retinoids, mankhwala omwe amagwirizana ndi vitamini A omwe amachititsa kuti maselo a khungu apangidwe
Kulimbana
Ngakhale plaque psoriasis ikhoza kukhala yokhumudwitsa komanso yovuta kulamulira, pali njira zothetsera matenda pamene iwe ndi dokotala mukufufuza njira yothetsera.
Mmodzi mwa awa ndi kuchepetsa nkhawa. Kuti mukwaniritse izi, muyenera kupeza njira zothetsera nkhawa pamoyo wanu (monga yoga kapena kusinkhasinkha) koma kuti mupeze thandizo la akatswiri ngati mukupitirizabe kukhala ndi nkhawa kapena nkhawa.
Kudya ndi kuchita masewero olimbitsa thupi kungathandizenso kuthetsa mavuto ena opweteka a kunenepa kwambiri pamene mukukweza maganizo, mphamvu, ndi maonekedwe a munthu.
Mawu Ochokera
Masamba a psoriasis nthawi zambiri amachititsa odwala kukhala osungulumwa komanso odzidalira. Ngati ndiwe, ndikofunika kukumbukira kuti siinu nokha ndipo pali mamiliyoni ambiri a anthu kunja uko akuwona zinthu zomwezo monga iwe.
Yambani pofikira ena pa Talk Psoriasis, pulogalamu yowonongeka yomwe imayendetsedwa ndi National Psoriasis Foundation. Ndi malo abwino kwambiri kuti ugawane zambiri, funsani malangizo, kapena kupeza chithandizo kuchokera kwa ena onga inu.
Ngakhale kuti palibe chokhazikitsa mwamsanga kwa psoriasis ya plaque, mothandizidwa ndi khama pang'ono, anthu ambiri potsirizira pake amapeza chithandizo pa zizindikiro zawo ndi kusintha khalidwe lawo lonse.
> Zotsatira:
> Bungwe la American Academy of Dermatology (AAD), et al. "Malangizo othandizira kusamalira ma psoriasis ndi psoriatic nyamakazi: gawo 6. Malangizo othandizira kuchiza psoriasis ndi psoratic nyamakazi: zowonetsera zochitika ndi zochitika zokhudzana ndi umboni." J Am Acad Dermatol . 2011 Jul; 65 (1): 137-74. DOI: 10.1016 / j.jaad.2010.11.055.
> Aldredge, L. ndi Young, M. "Kupereka Malangizo kwa Odwala Ndi Psoriasis Osauka Kwambiri Amene Ali Ofunsira Thandizo la Biologic." J Dermatol Nurses Assoc. 2016; 8 (1): 14-26. DOI: 10.1097 / JDN.0000000000000185.
> Jankovic, S .; Raznatovic, M .; Marinkovic, J. et al. "Zoopsa za Psoriasis: Phunziro Lokuletsa Mlandu." J Dermatol. 2009 Jun; 36 (6): 328-34. DOI: 10.1111 / j.1346-8138.2009.00648.x.
> Limbikitsani, A .; Gottlieb, A .; Feldman, S. et al. "Malangizo othandizira kusamalira psoriasis ndi psoriatic nyamakazi: Gawo 1. Zambiri za psoriasis ndi malangizo a chisamaliro chochiza psoriasis ndi biologics." J Am Acad Dermatol . 2008; 58 (5): 826-50. DOI: 10.1016 / j.jaad.2008.02.039.