Xa ixesha livela kwi-Essence
Ukukhawuleza kuyimpawu enye yezidakamizwa ezinokubaluleka-ukhuseleko, iziphumo ezibi, iindleko kunye nezizathu zonyango ukuba kutheni isilwanyana esingeke sisetyenziswe kuphela ezimbalwa zabanye abaninzi. Kodwa xa ixesha liyiyona nto, isicatshulwa esinokukhawuleza sisenokuthi nje oko ugqirha wayala. Khawucinge ukuba unyangenyanga ukusuka kwinqanawa kwaye ufuna ukuphumla kwiqula, kodwa uzive ungakhululekile ngenxa yokuphuka kwe-psoriasis.
Yiyo nje uhlobo lweemeko xa ufuna ukucocwa, ngokukhawuleza . Nazi a mayeza ambalwa ngokukhawuleza kokuthatha isenzo kunye nokucima amandla okuqwalasela.
Clobex Spray
I-Clobex spray yinto nje ye-clobetasole, i- corticosteroid enamandla, kwi-vehicle spray. Isithuthi sisiseko apho idiza idibene khona; isithuthi sithumela isikhumba kwisikhumba nje njenge-UPS 'sithuthi sithumela iimveliso kwindlu yakho. Into ethile malunga nokusebenzisa isilwanyana kunye nesithuthi sefrayim yenza ukuba ihambe ngokukhawuleza kunezinye iinqwelo. Kwizifundo, izigulane ezi-8 kwabangama-10 ezine-storiasis ezinomlinganiselo oyimilinganiselo okanye i-psoriasis ezinobunzima zicacile okanye zicace emva kweeveki ezine zonyango. Yiyo iindaba ezilungileyo. Iindaba ezimbi iiveki ezine lixesha elikhulu lokuba ungasebenzisa ngokukhuselekileyo eli chiza. Emva koko, kuya kufuneka utshintshe kwenye into.
Ndiyakuthanda ukusebenzisa i-Clobex ukutshiza njengesigxina kwisenzo esicothayo, kodwa mhlawumbi isigxina esilondekileyo, ixesha elide nje ukuqala ukucima ngokukhawuleza.
Umzekelo, iClobex yokuphalaza ngenyanga yokuqala kwinqanaba le-Soriatane okanye i-biologic inokuphendula ngokukhawuleza kunokuba izidakamizwa zokugqibela zodwa. Emva kwenyanga yokuqala, i-Clobex isiphelisi sichithwa ngelixa ixesha isicatshulwa esilulayo senze ithuba lokukhaba.
Imiphumo emibi ye-Clobex spray yiyo ye-corticosteroids yama-topical kuquka ukucocwa kwesikhumba, amanqaku afana kunye nokuveliswa kwemveliso yendalo ye-hormone cortisol.
Ngethuba elifutshane elivunyiweyo, ezi ngxaki zingenakwenzeka. I-Clobex spray ayikho ebantwaneni, okanye isetyenziswe ebusweni, kwi-underarms okanye kwindawo ye-groin.
Cyclosporine
I-Cyclosporine isetyenziswa ngokuqhelekileyo kwizigulana zokuguqula izidalwa njengezilwanyana ezichasayo kodwa ngamanye amaxesha zisetyenziswa kwi-psoriasis. I-Neoral yi-brand ye cyclosporine ekhoyo kwipilisi kunye nefom ye-liquid. I-Cyclosporine isebenza ngokukhawuleza kwi-psoriasis, kunye nokuphuculwa okuthile okuphawuliweyo kwiveki yokuqala kwizigulane ezininzi.
Iziphumo ezichaphazelekayo zonyango zixhomekeke kakhulu kumthamo. Ngamanye amazwi, amanani aphakamileyo aholele ekuphuculeni ngokukhawuleza kwaye kubangele ukuqala ngokukhawuleza kweziphumo ezichaphazelekayo ezifana ne-kidney toxicity and hypertension. Izigulane ze-Psoriasis ezineembali zonyango lwe- PUVA zinomngcipheko ophezulu wokuphuza umdlavuza wesikhumba ngelixa usebenzisa i-cyclosporine. I-Biologics, ebonakala ngathi inomngcipheko okhuselekileyo wokufumana inzuzo ngokuthelekiswa ne-cyclosporine, ininzi okanye isancinci isilwanyana se psoriasis kwizigulane ezininzi.
Humira
U-Humira ngokuqhelekileyo uthathwa njengeyona ndlela ekhawulezayo kweso. Kwakhona kuvelisa ukucoceka kakuhle kunye nezigulane ezininzi zibe zi-90% ezichanekileyo kuneziyobisi eziphilayo ezikhuphisanayo. U-Humira wayevunywe ngaphambili kwi-psoriatic arthritis kwisilinganiso senjoza enye nganye iveki.
Xa isicatshulwa savunywa kwi-psoriasis, kwongezwa umthamo oye wabiza ngokuphindwe kabini ukusetyenziswa kwamachiza ngaphezulu kweveki yokuqala yonyango. Olu tshintsho lwanyusa ngokukhawuleza ukuphuculwa okwenziwe kwi-psoriasis ngokubhekiselele kwishedyuli yangaphambili ye-dosing.
U-Humira unokwandisa umngcipheko wokusuleleka kakubi okanye ukugula. Ngethamsanqa, njengoko i-data engaphezulu kwaye ngaphezulu ivela ekukhanyeni, le mingcipheko ibonakala ingakhathazeki kakhulu kunokuba ikulindeleke ngaphambili kwiminyaka ethile edlulileyo.
Idatha engcono iyakunceda
Nangona iziyobisi ezikhankanywe ngasentla zibonakala zikhawulezileyo, zifundo ezimbalwa ezizifanisayo nezinye iziyobisi zenziwe. Iinkampani zonyango aziqhelanga ukuba zihlolisise izidakamizwa zazo ngokumelene nomnye (kunokuba zifuna ukuvavanya ngokumelene ne- placebo ).
Ngoko ke ixesha lokuba yinto ebonakalayo ijubane kunezinto ezinzima, ezibandayo.
Umthombo:
ICamisa C. I-Handbook ye-Psoriasis, u-2 Ed. Blackwell Publishing, eU.SA 2004.