I-plaque psoriasis yindlela eqhelekileyo ye- psoriasis , ukubalwa kwamaxabiso angama-90 ekhulwini kuwo onke amacala. Isifo esizimeleyo apho iiseli zeelinen zakha ngokukhawuleza, ukwakha izikali kunye noomile, izilwanyana ezinobumba. Nangona isizathu esisisiseko sesi sifo sihlala sisimfihlelo, kukho izinto ezinokubangela ukuba kubekho ukuqhuma, kubandakanya ukukhuluphala, uxinzelelo kunye nokutshaya.
Iimpawu ziba nzima ukulawula, kodwa kukho ulwahlulo olusasazekayo lwezilwanyana ezinokumelana nokuphendula komzimba kunye nokubonelela ngokukhululeka.
Iimpawu
I-plaque psoriasis, eyaziwa nangokuthi i-psoriasis vulgaris, ibonakala iphakanyisiweyo yesikhumba esikhankanywe ngamacwecwe amhlophe. Iiplati ziqheleke kakhulu kwiindawo, amagolo, isithuthuthu kunye nomva. I-plaque psoriasis inokuchaphazela izipikili, kubangele ukuguqulwa, ukubethelwa, kunye nokuba ngumgca wesikhonkwane esivela kwibheyili.
Nangona kukhangeleka njani , i-psoriasis ayifumananga.
Iimpawu ze-plaque psoriasis zihlala zibuhlungu xa ususuleleke, xa umntu egxininiswe, okanye ukuba ulusu lulimale. Ezinye iziyobisi ezifana ne- beta blockers kunye ne- nonsteroidal anti-inflammatory drugs (NSAIDs) nazo zingabangela iimpawu. Ukukhangela kukwenza izinto zibe zibi nakakhulu, kubangele ukuphuma kwegazi kunye nokubonakala okubonakalayo kwesikhumba esichaphazelekayo.
Iimpawu ziza kwaye zihambe, zihlala zihlala zixolelwe iinyanga kunye neminyaka ngethuba ngaphambi kokuba zitshitshise ngaphandle kwesizathu esicacileyo.
Kwezinye iimeko, iimpawu ezinokuthi zenziwe ngebhayisiki kwaye zize zonyaka.
Izizathu
Iingcali zenzululwazi ayengaqondi ngokugcwele iindlela ezenziwa zizifo ezizimele njenge-plaque psoriasis, kodwa bakholelwa ukuba i-genetics yomntu idlala indima ephambili. Phantse kwisithathu sabantu abane psoriasis baya kuba nembali yentsapho yesi sifo kunye nobungqina bentshintsho ye-chromosomal kwiindawo ezithile ze-gene (ezaziwa njenge-PSORS1 nge-PSORS9).
Ezinye izizathu ze-psoriasis zeplaniasis ziye zacetyiswa, kubandakanywa izifo ezidlulileyo okanye ukutshatyalaliswa kwezinto ezinobungozi, kodwa ezininzi zinokuthi zenzeke.
Kungakhathaliseki ukuba yiyiphi i-trigger, i-psqueasis ye-plaque izokukhawulezisa ngokukhawuleza isantya esenziwa ngayo iiseli zelusu. Ngelixa iintsuku eziqhelekileyo zesikhumba zitshintshwa zonke iintsuku ezingama-28 ukuya kwezingama-30, abo bachaphazelekayo yi-psoriasis ye-plaque bayothatyathwa emva kweentsuku ezintathu ukuya ezintlanu.
Ngenxa yoko, iiseli ezintsha zesikhumba ziya kuqokelela ngokukhawuleza kunokuba abantu abadala bangaphala. Ngelo xesha, imithwalo yegazi ephantsi kwesikhumba iya kuqala ukunyusa ekuphenduleni ukuvuvukala okungapheliyo, kubangela ukuvuvukala kwendawo kunye nokubomvu.
Ukuxilongwa
I-plaque psoriasis isoloko ixilongwa ngokubonakala kwesikhumba. Akukho mvavanyo ekhethekileyo yegazi okanye iimvavanyo zokuxilonga ezifunekayo.
Nangona kunjalo, ugqirha uya kufuna ukuhlula phakathi kwezinye iifriyosiyiti (ezifana ne- guttate psoriasis , eyabangela ukusuleleka kwe-streptococcal, okanye i- pustular psoriasis , ebonakaliswe yi-blisters ezalisiweyo), kunye neengxaki zesikhumba ezinezinto ezifanayo, ezifana ne:
- I-T-cell lymphoma
- Discoid eczema
- Pityriasis rosea
- Ringworm
- Eczema
Ukuba ukuxilongwa akuqinisekanga, i-biopsy okanye i-scraping ye-skin ingenziwa kwaye ihanjiswe ebhodini yokuhlalutya.
Unyango
Ngaphandle kokungakhathazeki, i-plaque psoriasis inokuba yimeko ephazamisayo, ngamanye amaxesha iyonakalisa ukuzithemba komntu kunye nokuphila kakuhle. Ngenhlanhla, unyango lwe-psoriasis luye lwaqhubeka kakhulu kwiminyaka yakutshanje kwintetho kunye nokuqonda okuqhubekayo kwe-immunology nokuzimela.
Izinketho zonyango zangoku ziquka:
- I-corticosteroids yezihloko , ezingasetyenziselwa ngokuqhubekayo kodwa ngokungekho ngaphezulu kweeveki ezisibhozo (ngenxa yengozi yokukhumba isikhumba)
- I-Phototherapy , apho ukukhanya kwe-ultraviolet ekusebenziseni kusetshenziselwa ukungena kwesikhumba kunye nokunciphisa ukukhula kweeseli zesikhumba
- Iziyobisi ezingezizo ze-biologic ezifana ne- methotrexate kunye ne- cyclosporin , ezikhusela isistim somzimba ngokubanzi
- Amachiza amatsha e- biologic , njenge-Enbrel (etanercept), i-Humira (adalimumab), i-Remicade (i-infliximab), i-Stelara (ustekinumab), kunye neTaltz (ixikizumab), enqanda amanqaku athile omzimba
- I-Otezla (apremilast) , evunyelwe ukuphatha i-psoriasis kunye ne- psoriatic arthritis
- Ii-analogs ze-Vitamin D3, ezibonakala ziphosa umveliso weeseli zesikhumba
- I-retinoids, iichiza ezinxulumene ne-vitamin A ezilawula ukuveliswa kweeseli zesikhumba
Ukujamelana
Nangona i-plaque psoriasis inokuphazamisa kwaye kunzima ukulawula, kukho iindlela zokujamelana nesi sifo njengoko wena kunye nogqirha wakho nifuna isisombululo esomeleleyo.
Oyintloko phakathi kwazo kukunciphisa uxinzelelo. Kule nto, kufuneka ufumane iindlela zokunganciphisi nje uxinzelelo ebomini bakho (njengaye yoga okanye ukucamngca) kodwa ukufuna uncedo lwezakhono ukuba unomsebenzi oqhubekayo okanye ogqithiseleyo ukhathazeka okanye uxinzelelo.
Ukutya kunye nokuzilolonga kunokunceda ukunciphisa ubuninzi bokunyamezela kokunyamezela xa uphucula umntu jikelele, amandla kunye nokubonakala.
ILizwi
I-plaque psoriasis inokubangela ukuba abagulayo bazive bekhulile kwaye bazincama. Ukuba ngaba nguwe, kubalulekile ukukhumbula ukuba awunabo kunye nokuba kukho izigidi zabantu abathile belapho bafumana izinto ezifanayo njengawe.
Qala ngokufikelela kwabanye kwiNgxoxo ye-Psoriasis, iqonga leendaba yoluntu elilawulwa yiSizwe soPhando lweSizwe. Yindawo enhle yokwabelana ngolwazi, ufune iingcebiso, okanye ufumane inkxaso evela kwabanye.
Nangona kungekho silungiselelo olukhawulezayo lwe-psoriasis ye-plaque, kunye nenkxaso encinci kunye nokunyamekela, abaninzi abantu banokufumana ukuphathwa kwiimpawu zabo kunye nokuphucula umgangatho wabo wobomi.
> Imithombo:
> I-American Academy yeDermatology (AAD) Iqela loLuntu, kunye al. "Izikhokelo zokunyamekela ukuphathwa kwe-psoriasis kunye ne-psoriatic arthritis: icandelo 6. Izikhokelo zokunyamekela unyango lwe-psoriasis kunye ne-psoriatic arthritis: iintetho ezisekelwe kwimeko kunye nezigqibo ezisekelwe kwiziqinisekiso." J Am Acad Dermatol . 2011 Julayi; 65 (1): 137-74. INGXELO: 10.1016 / j.jaad.2010.11.055.
> Aldredge, L. no-Young, M. "Ukunikezela Isikhokelo Sabantu Abagulayo Ngama-Psoriasis Axhambileyo Abani Abaviwa kwi-Biologic Therapy." I- Dermatol Nurses Assoc. 2016; 8 (1): 14-26. INGXELO: 10.1097 / JDN.0000000000000185.
> Jankovic, S .; Raznatovic, M .; Marinkovic, J. et al. Izinto ezinobungozi ze-Psoriasis: Isifundo soLawulo lwe-Case. " J Dermatol. 2009 Juni; 36 (6): 328-34. INGXELO: 10.1111 / j.1346-8138.2009.00648.x.
> Menter, A .; Gottlieb, A .; Feldman, S. et al. "Izikhokelo zokunyamekela ukuphathwa kwe-psoriasis kunye ne-psoriatic arthritis: Icandelo 1. Ubume be-psoriasis kunye nezikhokelo zokunyamekela unyango lwe-psoriasis kunye ne-biologics." J Am Acad Dermatol . 2008; 58 (5): 826-50. INGXELO: 10.1016 / j.jaad.2008.02.039.