Psoriasis Symptoms, ndi Causes of Flares
Kodi zizindikiro za mitundu yosiyanasiyana ya psoriasis ndi ziti? Kodi ndi "zotani" za psoriasis komanso zomwe zimayambitsa zotani? Kodi flares imachitiridwa bwanji, komanso bwino, kupewedwera?
Psoriasis
Psoriasis ndi chikopa cha khungu chomwe chimakhudza anthu oposa 2 peresenti ya anthu ndipo amadziwika ndi mphutsi yotentha yomwe imakhala yowonjezereka pamtunda wa mikono ndi miyendo ndi scalp.
Zimayendetsedwa m'mabanja ndipo nthawi zambiri zimachitika chifukwa cha chilengedwe monga nyengo ndi matenda. Nthaŵi zambiri chiphuphuchi chimakhala ndi miyala yotchedwa scaly plaques yomwe ilipo pamunsi. Mphepete mwa zilondazi nthawi zambiri zimasiyana, ndipo izi zimatha kufanana ndi matenda opatsirana.
Psoriasis Symptoms
Khungu limadwala ndi psoriasis zosiyanasiyana malinga ndi mtundu wa psoriasis (wotchulidwa m'munsimu) koma angaphatikizepo:
- Mbalame yamatenda imayendera paliponse pa thupi (koma imakhala yowonjezereka pa malo otchedwa extensor ndi scalp) pamwamba pa nsalu yofiira. Nthawi zina zipikazi zimafutukuka ndipo pamapeto pake zimakanikirana ngati ziboliboli zazikulu. Masikelo amamasuka nthawi zambiri ndipo amawotcha magazi akamapukutidwa kapena kuwombedwa.
- Kuwotcha, kuyanika, kunyoza ndi kupweteka kwa khungu lozungulira zozizira.
- Pitting ndi thickening ya zopangira ndi zikhomo.
Zizindikiro zomwe mumakhala nazo pogwiritsa ntchito psoriasis mungakhalepo:
- Chronic plaque psoriasis - Chronic plaque psoriasis ndi mtundu wobiriwira wa psoriasis ndipo umakhudza pafupifupi 5 peresenti ya anthu panthawi ina m'moyo wawo. Zili ndi mapepala owuma pa khungu la kukula kwake, komwe kungapitirire kwa nthawi yaitali.
- Scalp psoriasis - Khungu la psoriasis nthawi zina limawoneka ngati tizilombo toyambitsa matenda (seborrheic dermatitis) koma ndi losiyana m'njira zambiri. Ngakhale kuti seborrheic dermatitis imakhala ndi maonekedwe obiriwira, komabe, psalpasitiki yamtambo nthawi zambiri imakhala ndi youma, kuwala. Zikhoza kukhala zofatsa, ndi zikopa zazing'ono kumbuyo kwa mutu ndi khosi, kapena zowonjezera, zomwe zimakhudza mutu wonse.
- Guttate psoriasis - Guttate psoriasis ndi mtundu wambiri wa psoriasis omwe nthawi zambiri amawoneka mwa ana masabata angapo pambuyo pa matenda a tizilombo kapena mabakiteriya (monga strep throat.) Kuphulika kumakhala ndi madontho ang'onoang'ono a pinki (guttate amatanthauza kugwa) pakhungu lomwe liri chophimbidwa ndi mamba ang'onoang'ono.
- Psysiasis yotsutsana - Inverse psoriasis ndi mawonekedwe a psoriasis omwe amapezeka m'matumba. Nthawi zambiri kawirikawiri amawoneka ngati zofiira zofiira zomwe zimapezeka paliponse pakhungu, monga m'mimba ndi pansi pa mabere.
- Pustular psoriasis - Pustular psoriasis , kuphatikizapo mtundu wina wa psoriasis wotchedwa Von Zombusch psoriasis ndi mawonekedwe osazolowereka a psoriasis omwe angabweretse mavuto ena ambiri. Chiphuphuchi chimakhala ndi zilonda zodzaza khungu. Ndi mtundu uwu wa psoriasis, zizindikiro monga fever, chills, kutopa, kuchepa magazi, ndi zizindikiro zina zowoneka zikhoza kukhalapo. Mafinya amadzaza kwambiri m'manja ndi m'mapazi.
- Nkhumba zachitsulo ndi zokhazokha Psoriasis - Psoriasis ya misomali ikhoza kukhala ndi maonekedwe osiyanasiyana monga izi nthawi zambiri zimakhala ndi matenda opatsirana. Kuphatika kwa misomali pamodzi ndi kuuma kumakhala kofala.
- Erythrodermic psoriasis - Erythrodermic psoriasis imatchedwanso exfoliative psoriasis
- Matenda a Psoriatic - Ndi matenda a psoriatic , psoriasis zilonda pakhungu zimaphatikizidwa ndi kutupa kwa ziwalo. Kuwonjezera pa zotupa za khungu ndi ziwalo zotupa, anthu akhoza kukhala ndi zala zooneka ndi soseji, kusintha kwa msomali, ndi conjunctivitis (maso ofiira.)
Psoriasis Flares
Chimodzi mwa zinthu zovuta kwambiri pa psoriasis ndi nthawi zozizwitsa zowonongeka komanso zoopsa kwambiri, nthawi zambiri popanda chifukwa. Kuyang'anitsitsa, komabe, kungapereke zifukwa zingapo zokhuza zinthu zomwe zingakhale zolimbikitsa. Kuchiza mazira kungakhale kovuta, ndipo panthawi zovuta kwambiri, kungapangitse kuchipatala mwachidule.
Mafuta ambiri a psoriasis angathe kuthandizidwa ndi mankhwala a psoriasis kuphatikizapo mankhwala othandizira, mankhwala othandizira, komanso mankhwala ena monga phototherapy.
Zimayambitsa Mitambo
Pali zinthu zambiri zokopa zomwe zawoneka kuti zikuthandizira kuwononga psoriasis:
- Zomwe zimachokera kunja: Pafupifupi chilichonse chovulaza khungu (ngakhale kujambula zojambulajambula) chingayambitse chitukuko kapena kuwonjezereka kwa psoriasis kuphatikizapo kutentha kwa dzuwa, zinyama zina, monga mankhwala osokoneza bongo, mankhwala, mabala, kapena mabala. Kuchuluka kwa psoriasis pambuyo povulazidwa kumatchedwa chochitika cha Koebner .
- Matenda: Zodabwitsa kwambiri, matenda a streptococcal monga strep throat angayambitse matenda, makamaka kuphulika kwa guttate psoriasis. Vuto la HIV ndilo vuto lina lodziwika kuti limapangitsa psoriasis.
- Maganizo a maganizo: Kuwonongeka kwa ntchito, kuthetsa banja, imfa kapena zinthu zina zopweteketsa mtima zakhala zikudziwika kuti zatha masabata kapena miyezi ingapo pambuyo pa zovutazo. Anthu omwe amakhala ndi psoriasis amatha kupindula ndi kuphunzira za kusokonezeka maganizo.
- Kupsinjika maganizo: Kuvutika maganizo, monga opaleshoni yaikulu kapena matenda kungayambitse vuto.
- Mankhwala: Mankhwala ambiri amadziwika kuti amachititsa psoriasis ndipo ayenera kupeŵa ngati n'kotheka kwa anthu omwe ali ndi matendawa. Zitsanzo ndi monga beta-blockers, ACE inhibitors, angiotensin receptor blockers, lithiamu, tetracycline mankhwala, ma anti-antibiotic anti-inflammatory, komanso antitimalarials.
- Kuledzera mowa ndi kusuta fodya kumawonekeranso kukhala ndi gawo loyambitsa moto.
Kuchiza Psoriasis Flares
Panthawi ina, anthu odwala matenda a psoriasis anali odwala kwambiri. Chifukwa cha kusintha kwa kubwezera inshuwalansi (Medicare imalola masiku ambiri ochiritsira kuchipatala) ndi mankhwala ena amphamvu komanso ofulumira, amoto ambiri amachiritsidwa panopa.
Mankhwala omwe amagwiritsidwa ntchito kwambiri pamoto woopsa amaphatikizapo cyclosporine, Remicade (infliximab), ndi pustular flares, Soriatane (acitretin). Pamene psoriasis amatha, musachedwe-funani mankhwala mwamsanga ndi dermatologist oyenerera.
Mfundo Zofunika pa Psoriasis Zizindikiro ndi Mapulogalamu
Mphuno ya psoriasis nthawi zambiri imakhala yokhumudwitsa komanso yosasintha, ngakhale mtundu wa mtundu wa mphutsi umasiyana kwambiri ndi mtundu wa psoriasis. Mazira a Psoriasis ndi ofala ndipo amatha kuyambitsa zovuta zosiyanasiyana. Nthaŵi zina, makamaka ndi pustular psoriasis, psoriasis zizindikiro zimaphatikizapo zizindikiro monga chimfine ndi zina, ndipo kuchipatala kungafunike. Izi zinati, kupita patsogolo kwa chithandizo (mankhwala amphamvu) kwachiritsira kuchipatala monga chodziwika kwambiri.
Kwa omwe akukhala ndi psoriasis, "chithandizo" chabwino ndicho kuteteza moto pa malo oyamba. Dzidziwe nokha ndi zifukwa za flares. Onetsetsani kuti mukuwona dokotala yemwe akudziwa za matenda anu ndipo amamvetsetsa mankhwala omwe angawonongeke. Mukawona kuti zizindikiro zanu zikuwonjezereka, musayembekezere. Pamene nkhuni zimagwidwa kale kuposa momwe nthawi zambiri zimatha kuchepetsedwa ndi nkhanza.
> Zotsatira:
> Kim, W., Jerome, D., ndi J. Yeung. Kuzindikira ndi Kusamalira Psoriasis. Canadian Family Physician . 2017. 63 (4): 278-285.
> Korman, N., Zhao, Y., Roberts, J., Pike, J., Sullivan, E., Tsang, Y., ndi T. Karagiannis. Zotsatira za Psoriasis Flare and Remission on Quality of Life and Work Zokolola: Phunziro Padziko Lonse ku USA. Dermatology Online Magazini . 2016. 22 (7).
> Relvas, M., ndi T. Torres. Psoriasis. American Journal of Clinical Dermatology . 2017 May 24. (Epub patsogolo pa kusindikiza).