Pustular psoriasis ndi imodzi mwa mitundu yosiyanasiyana ya psoriasis . Zimayambitsa mbali zina za khungu kuti likhale lofiira, likhale lopweteka ndipo limadzazidwa ndi zotupa, zomwe zimatchedwa pustules.
Pus mkati mwa pustules ndi madzi osapatsirana, oyera. Lili ndi mitsempha yamadzi, maselo oyera a maselo ndi maselo ena omwe thupi limatumiza kumalo komwe kuli kutupa.
Pali mitundu ingapo ya pustular psoriasis. Zikhoza kukhala pambali pazing'ono za thupi - nthawi zambiri, manja okhawo, mapazi, kapena zala kapena zina zazitsamba zimakhudzidwa ndi zomwe zimawoneka kuti ndizofunika kwambiri. Chikhalidwechi chikhoza kubisa mbali zazikulu za thupi. Fomu yowonjezera (von Zumbusch psoriasis) ndi yovuta kwambiri, ndipo mawonekedwewa akhoza kufa.
Nthawi zina pustular psoriasis imawoneka ngati momwe amachitira ndi kugwiritsa ntchito mankhwala opatsirana (tar ndi anthralin) kwa mitundu ina ya psoriasis. Zingakhalenso ngati zimagwiritsidwa ntchito pogwiritsa ntchito mankhwala ena, kuphatikizapo lithiamu, indomethacin (mankhwala opha ululu), komanso mankhwala apamwamba a magazi monga propranolol. Kuletsa kugwiritsa ntchito steroids (mwina pamlomo kapena pamutu) kungathenso kuchotsa pustular psoriasis. Kukhala ndi pakati ndi chinthu china chowopsa.
Pali mitundu yosiyanasiyana ya pustular psoriasis.
Pustular Psoriasis ya Malembo ndi Ma Soles
Mu mtundu uwu wa pustular psoriasis, pustules amayamba kwambiri mu minofu ya magawo apakati a kanjedza ndi instep. Pustules ndiye amasamukira pamwamba pa khungu, kumene amadetsedwa ndi kutsika kwambiri. Pamwamba pa pustules ndi wandiweyani ndi scaly, ndipo sizatsegula.
Dera lozungulira pusule ndi losalala, pinki, ndi lopweteka kwambiri kukhudza.
Pustules pa mapazi a mapazi amayenda movuta kwambiri ndi zopweteka. Pustules pazanja za manja amalepheretsanso kugwira ntchito bwino.
Pustular psoriasis imabwera ndikupita m'magulu a zaka zambiri. Pali nthawi yomwe chikhalidwechi chikusowa, koma chimatsatidwa ndi zopweteka kwambiri. Osuta fodya ali ndi chiopsezo chowonjezeka cha chikhalidwe ichi.
Kuchiza kungaphatikizepo mankhwala monga acitretin, cyclosporine , ndi methotrexate . Njira ina ndi psoralen ultraviolet kuwala A (PUVA), mankhwala othandizira omwe psrugen amatengedwa pamlomo kapena kugwiritsidwa ntchito pamutu ndi khungu lomwe lakhudzidwa ndiyeno limapezeka kuwala kwa ultraviolet. Mafuta a steroid kapena odzola angagwiritsidwe ntchito. Malo okhudzidwawo amakhala odzaza ndi mapepala apulasitiki osagonjetsedwa ndi mpweya ndi madzi, omwe amachititsa kuti kuyamwa kwa steroid kukhale mthupi.
Pustular Psoriasis ya Digits
Mtundu uwu wa pustular psoriasis, wodziwika ndi madokotala monga acrodermatitis continua, nthawi zambiri umakhudza chala chimodzi kapena chala. Pustules amaonekera kumapeto kwa chiwerengero chimenecho, nthawi zambiri kumadera omwe avulazidwa kale kapena akudwala.
Ma pustules amayamba mosavuta, akusiya malo opweteka kwambiri, opweteka kwambiri, omwe amasokoneza madzi nthawi zonse.
Mawonekedwe a zikopa pamwamba pa zilondazo koma nthawi zonse amatsika, kuyambanso kuyambira. Misomali ya zala kapena zala zingasokonezeke ndi kuwonongeka, ndipo chiwerengero chokhudzidwacho chimakhala chopweteka kwambiri, chosokoneza kugwira ntchito kwa dzanja kapena phazi.
Chithandizochi chingaphatikizepo tizilombo toyambitsa matenda komanso tizilombo toyambitsa madzi, kuphatikizapo mankhwala omwa ngati acitretin, cyclosporine kapena methotrexate. Koma mwatsoka, psoriasis imeneyi nthawi zambiri imakhala yovuta kuchiza.
Psoriasis ya Pustular Generus
Mtundu uwu wa pustular psoriasis umayamba ndi kubwezeretsa khungu ndi kuwonekera kwa tizilombo tating'onoting'onoting'onoting'onoting'onoting'onoting'ono ta tizilombo tochepa.
Patapita nthawi, pustules imakula, kufalikira ndi kuphatikiza pamodzi matupi akuluakulu. Ma pustules ndi ofooka komanso ophweka mosavuta, omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda.
Zizindikiro zina za thupi lonse zimachitika, kuphatikizapo malungo, kuzizira, kulemera kwa thupi, kuchepa kwa magazi , kuchepa kwa madzi, kuthamanga kwa mtima, kuyabwa, ndi kutopa kwakukulu. Mavuto aakulu angaphatikizepo kupuma, kuchepa kwa magazi, chibayo, congestive mtima kulephera, ndi matenda a chiwindi. Mukakhala ndi zizindikiro za pustular psoriasis, ndizofunikira kuti mupeze chisamaliro mwamsanga kuchokera kwa dermatologist.
Zachilengedwe za pustular psoriasis zimagwiritsidwa ntchito poyika zojambulazo zomwe zimagwedezeka mu zomwe zimatchedwa yankho la Burow kapena Domeboro - chisakanizo cha aluminium acetate ndi madzi - pa malo omwe akukhudzidwa. Matenda a steroid angagwiritsidwe ntchito. Mavuto aakulu angafune acitretin, methotrexate, kapena cyclosporine.
Zotsatira:
Ferri FF "Psoriasis." Ferri's Clinical Advisor 2008 . Choyamba. Mkonzi. Fred Ferri. Philadelphia: Mosby Elsevier, 2008. 374-5.
Habif TP Clinical Dermatology . Chachinayi. St. Louis: Mosby, 2004.
"Mafunso ndi Mayankho Ponena za Psoriasis." National Institute for Arthritis ndi Musculoskeletal ndi Matenda a Khungu . May 2003. Ma Institutes of Health.
"Pustular Psoriasis." Psoriasis.org . Dec. 2005. National Psoriasis Foundation.