Kulumikizana Kwambiri Pakati pa Genetics ndi Malo Anu
Monga matenda osokoneza bongo, psoriasis ya plaque imakhalabe yodabwitsa mu momwe imayendera matenda. Ngakhale kuti majini amathandiza kwambiri, zina zimakhulupilira kuti zimapereka. Chimene timadziŵa ndi chakuti zikhalidwe zina ndi zikhalidwe zina zimatha kuyambitsa zizindikiro za psoriasis kapena kuonjezera nthawi zambiri kapena kuwopsa kwa chifukwatu. Amachokera ku matendawa mpaka kunenepa kwambiri, mankhwala opanikizika.
Genetics
Mbiri ya banja ndizoopsa kwambiri popanga psoriasis ya plaque. Ndipotu, pafupifupi anthu atatu mwa anthu atatu alionse omwe ali ndi vuto la psoriasis adzanena kuti ali ndi kachilombo kena kameneka. Kuopsa kwa psoriasis kumawoneka ngati makolo onse ali nawo.
Ngakhale asayansi asanatsimikizire momwe ma genetic amagwirira ntchito, apeza malo asanu ndi anai pa jini yomwe imayanjanitsidwa ndi zizindikiro za psoriasis, zomwe zatchula PSORS1 kupyolera mu PSORS9. Mwa awa, pafupifupi 35 peresenti mpaka 50 peresenti ya anthu okhala ndi psoriasis ya plaque adzakhala ndi kusintha kwa chromosomal kwa PSORS1.
Zili kuyembekezera kuti poswa malamulo a sayansi, asayansi akhoza tsiku lina kuti athe "kusintha" kapena kukonzanso kusintha kwa matendawa.
Zovuta Zowonongeka
Ngakhale plaque psoriasis ingakhudze aliyense, pali zifukwa zingapo zomwe zikuwoneka kuti ziwoneke ngati zizindikiro (zomwe zimatchedwanso flares ).
Matenda
Matenda awiri ovuta komanso aakulu omwe amatha kuyambitsa matendawa amatha kuyambitsa psoriasis. Timawona makamaka ndi HIV , matenda aakulu omwe amapezeka ndi kutupa kosalekeza. Ngakhale kuti chiwerengero cha psoriasis n'chosiyana kwambiri ndi chiwerengero cha anthu, matendawa ndi oopsa kwambiri pamene HIV ikukhudzidwa.
Kugonjetsa kwa thupi kumayambira kukhala chinthu chachikulu, kaya ndi chifukwa cha HIV kapena matenda aakulu monga bronchitis, strep throat, kapena chimfine.
Mosiyana ndi zimenezo, kuchiza matenda nthawi zambiri kumachepetsa zizindikiro. Kafukufuku wasonyeza, kuti, mankhwala osokoneza bongo amatha kuchepetsa kukula kwa psoriasis yomwe imapezeka kwa anthu omwe ali ndi matenda a mtima. Zomwezo zimawoneka kuti ndi zoona pamene mankhwala opatsirana pogonana amagwiritsidwa ntchito kwa anthu omwe ali ndi HIV.
Matenda a Khungu
Kusokonezeka kwa khungu kungapangitsenso zizindikiro za plagi psoriasis, yomwe imatchedwa kuti Koebner . Yankho limeneli likuwonetsedwanso ndi zina zomwe zimakhala ngati warts, lichen planus , ndi molluscum contagiosum .
Ambiri mwa anthu anayi omwe ali ndi psoriasis amadziwa izi, zimayambitsa chilichonse kuchokera ku dzuwa ndi tizilombo toyambitsa matenda kuti tizilombo toyambitsa matenda komanso tizilombo ta singano. Kuvulala kwa khungu lakale, monga bala lopaleshoni kapena cholembera, lingakhale malo opangira psoriasis.
Mankhwala
Mankhwala ena amadziwika kuti amachititsa zizindikiro za psoriasis. Iwo samakhudza anthu onse mofanana ndipo sangayambitse zizindikiro konse. Komabe, mankhwala omwe amatchulidwa kawirikawiri ndi awa:
- Lithium
- Beta-blockers
- Mankhwala otsutsana ndi kutupa (osaperoidal anti-inflammatory drugs (NSAIDs)
- Mankhwala osokoneza bongo
- Makanema a calcium
- Kuchepetsa mankhwalawa
Kuonjezerapo, kuthetsa msangamsanga kachipatala kotchedwa corticosteroids yogwiritsira ntchito psoriasis kungakhale ndi "zotsatira" zomwe zimapangitsa kuti ziwonongeke. Pachifukwachi, corticosteroids nthawi zonse iyenera kuchotsedwa pang'onopang'ono, motsogoleredwa ndi dokotala, ngati mankhwalawa sakufunikanso.
Zochitika Zowopsa Kwamoyo
Malingana ndi zoopsa za moyo, zilipo zitatu zomwe zimagwirizana kwambiri ndi chipika cha psoriasis: nkhawa, kusuta, ndi kunenepa kwambiri.
Kusokonezeka maganizo
Kupsinjika maganizo kuli ndi chiyanjano choyambitsa-ndi-zotsatira ndi psoriasis. Kumbali imodzi, kupanikizika kungayambitse zizindikiro, pamene, zina, zizindikiro zingayambitse nkhawa.
Mofananamo momwe thupi limatumizira zizindikiro zotupa kuti zichiritse bala, kupsinjika maganizo kumatha kuyambitsa kutentha komwe kumakhala ndi zotsatira zowonongeka, kuvulaza m'malo mopititsa patsogolo vutoli.
Izi zimapweteka kwambiri kuyambira psoriasis osachiritsika akugwirizanitsidwa ndi chiwerengero chachikulu cha kupanikizika ndi nkhawa. Nthawi zina, kupweteketsa mtima kungathe kuphwanyidwa ndi mankhwala oyenera, kuphatikizapo psychotherapy komanso kugwiritsa ntchito mankhwala osokoneza bongo kapena odetsa nkhaŵa.
Kusuta
Kafukufuku waposachedwapa wasonyeza kuti anthu omwe amasuta fodya kuposa phukusi la fodya tsiku lililonse amakhala ndi psoriasis yovuta kwambiri kuposa omwe amasuta ndudu 10 kapena zochepa tsiku ndi tsiku.
Asayansi sadziwa kuti n'chifukwa chiyani izi zimakhulupirira kuti kusuta kungapangitse chiwerengero cha magalimoto omwe amachokera kumtunda (wotchedwa epidermis ). Awa ndiwo mapuloteni omwe mawonekedwe a chitetezo cha mthupi amathamanga chifukwa cha kusokonezeka kwadzidzidzi. Ena amanena kuti kusuta kumangoyambitsa kapena kumachepetsa yankho lokhalokha.
Kafukufuku womwewo wathenso kuti amayi omwe amasuta ali pachiopsezo chachikulu chotchedwa psoriasis kuposa amuna. Chiwerengero cha zaka zomwe munthu akusuta chimathandizanso.
Kunenepa kwambiri
Kulemera kwambiri kungapangitse kupanga mapangidwe mkati mwa khungu la khungu. Ngakhale chifukwa chenichenicho cha izi sichidziwika, kafukufuku amasonyeza kuti kuwonjezeka kwa mafuta kumawonjezereka kupanga mapuloteni otupa otchedwa cytokines . Ma cytokines samangowonjezera kutupa, kupangitsa zizindikirozo kukhala zovuta, koma zimalimbikitsa mapangidwe a malo m'madera omwe mafuta ambiri ndi akulu (omwe ndi khungu la khungu).
Chiyanjano chikuwonetseranso ndi ubale pakati pa kunenepa kwambiri, shuga, ndi psoriasis. Ngakhale kunenepa kwambiri kungapangitse munthu kukhala ndi chiwopsezo cha mtundu wa shuga wa mtundu wa shuga , chiwindi cha shuga chikhoza kuonjezera chiopsezo komanso kuopsa kwake kwa psoriasis ya plaque ndi 27 peresenti.
> Zotsatira:
> Arias-Santiago, S .; Espiñeira-Caromona, M .; ndi Aneiros- Fernández, J. "The Koebner Phenomenon: Psoriasis mu Tattoos." CMAJ . 2013 Apr 16; 185 (7): 585. PMCID: PMC3626811.
> Armstrong, A .; Harskamp, C .; ndi Armstrong, E. "Gulu la Pakati pa Psoriasis ndi Kulemera Kwambiri Kukonzekera Mwadongosolo ndi Meta-Analysis of Observational Studies." Nthenda ya shuga. 2012 Dec 3; 2: e54. DOI: 10.1038 / nutd.2012.26.
> Armstrong, A .; Harskamp, C .; Dhillon, J. et al. "Psoriasis ndi Kusuta: Kusanthula Kwambiri ndi Kusanthula Meta." Br J Dermatol . 2014 Feb; 170 (2): 304-14. DOI: 10.1111 / bjd.12670.
> 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.
> Mosiewicz, J .; Pietrzak, A .; Chodorowska, G et al. "Malingaliro a statin amagwiritsa ntchito mwa odwala psoriatic." Arch Dermatol Res . 2013 Aug, 305 (6): 467-72. DOI: 10.1007 / s00403-013-1374-1.