I-Psoriasis Izimpawu, kunye Nezizathu Zemibala
Ziziphi iimpawu zeentlobo ezahlukeneyo ze-psoriasis? Yiyiphi impela "i-flare" ye-psoriasis kwaye zeziphi izibangela? Iintsimbi ziphathwa njani, kwaye zingcono, kodwa ziphephe?
Psoriasis
I-Psoriasis yimeko yesikhumba echaphazela ngaphezu kweepesenti ezi-2 zoluntu kwaye ibonakaliswe ukugqithwa kwe-scaly exhaphakileyo kwiindawo ezingaphezulu kweengalo nemilenze kunye ne-scalp.
Kuhlala kuqhutywa kwiintsapho kwaye kudla ngokubangelwa yimicimbi yendalo yemozulu kunye nezifo. Ukukhawuleza kaninzi kubandakanya i-scaly plaques ezikhoyo phezu kwesiseko esibomvu. Umngcipheko wezilonda ziqhelekile, kwaye kule nto inokulinganisa ukusuleleka kwezigulane.
I-Psoriasis Symptoms
Izilonda zesikhumba kunye ne-psoriasis zihluka ngohlobo lwe psoriasis (ezixutywe ngezantsi) kodwa zingabandakanya:
- Isalathisi esilumkileyo esiphila kuyo yonke indawo emzimbeni (kodwa eqhelekileyo kwiindawo ezidlulayo kunye ne-scalp) ngaphezulu kwesiseko esibomvu. Ngamanye amaxesha la macwecwe aya kwandisa kwaye ekugqibeleni ahlangane njengama-patches amakhulu. Izikali zihlala zikhululekile kwaye ziphuma ngegazi xa zihluthwe okanye zihlatywe.
- Ukutshisa, ukomisa, ukuqhawula kunye nokukhathazeka kwesikhumba ejikelezileyo.
- Ukufakela kunye nokuxinwa kwezikhonkwane kunye neminwe.
Iimpawu ezithile ezisekelwe kwi-psoriasis onokuzibandakanya:
- I-plaque psoriasis engapheliyo-I-psqueasis ephambili ye- plaque iyona hlobo eqhelekileyo ye-psoriasis kwaye ithintela kuma-5 ekhulwini kwabemi ngexesha elithile ngexesha lokuphila kwabo. Iqukethe iiplanga ezomileyo kwesikhumba sohlobo olutshintshayo, olunokuqhubeka ixesha elide.
- I-scalp psoriasis - I- scalp psoriasis ngamanye amaxesha ibonakala ngathi i-dandruff (sebrrheic dermatitis) kodwa ihluke ngeendlela ezininzi. Nangona i-seborrheic dermatitis ine-oily appearance, kunjalo, i-scalp psoriasis ibinombane omile, u-silvery. Kungenzeka kube mnene, kunye neentlanzi ezincinci emva kwentloko nentamo, okanye i-generalized, echaphazela intloko yonke.
- I-Guttate psoriasis - i-Guttate i-psoriasis yindlela eqhelekileyo ye-psoriasis edlalwa kubantwana kwiiveki ezimbalwa emva kokusuleleka kwintsholongwane okanye ibhaktheriya (njenge-strep throat.) Ukugqithisa kunamaqhezu amancinci amancinci (i-guttate ithetha ukuhla) ekhumbeni ihlanganiswe ngamanqanaba amancinci.
- I-psoriasis engenayo - I-psoriasis engenayo ifomu ye-psoriasis efunyenwe elukhuni. Ukugqithisa ngokuqhelekileyo kubonakala kufana neebomvu ezibomvu ezenzeke naphi na apho kukho iifumba elukhumbeni, ezinjenge-armpits nangaphantsi kwamabele.
- I-Pustular psoriasis - i- Pustular psoriasis , kuquka uhlobo olulodwa lwe-psoriasis eyaziwa ngokuthi i- Von Zombusch psoriasis luhlobo oluqhelekileyo lwe-psoriasis engakhokelela kwezinye iingxaki. Ukugqithisa kubandakanya izilonda ezizalisiweyo ezikhumbeni. Ngale fomu ye-psoriasis, iimpawu ezinjengomkhuhlane, ukubola, ukukhathala, i-anemia, kunye nezinye iimpawu zenkqubo zikhona. I-pus filled blisters zixhaphake kwizandla nangeenyawo.
- I-Fingernail kunye ne-toenail I-Psoriasis - I-Psoriasis yezikhonkwane inokuba nemibonakalo ehlukeneyo njengokuba zidla ngokudibanisa nezifo. Ukufakwa kwezipikili kunye ne-thickening kuqhelekileyo.
- I-Erythrodermic psoriasis - i-Erythrodermic psoriasis iyaziwa nangokuthi i-psoriasis exfolias
- I-Psoriatic arthritis - Nge- psoriatic arthritis , izilonda ze-psoriasis elukhumbeni zihamba kunye nokuvutha kwamalungu. Ukongeza kwizilonda zesikhumba kunye namajoyino avuvukileyo, abantu banokuvelisa iminwe ebonakalayo, iinguqu kunye ne-conjunctivitis (amehlo obomvu.)
Psoriasis Flares
Enye yeempawu ezixinzezelayo ze-psoriasis yinto ephazamiseka ngokukhawuleza neyingozi kakhulu, kaninzi ngaphandle kwesizathu esicacileyo. Ukujonga okufutshane, nangona kunjalo, kunokuvelisa iinkcukacha ezininzi malunga nezinto ezinokubangela. Unyango lweentaba lunokuba ngumngeni, kwaye kwiimeko ezinzima, kunokufuna i-hospital hospital.
Uninzi lwee-psoriasis zomlilo zingasetyenziswa kunye neyeza ze-psoriasis ezibandakanya ukuhlanganiswa kwezihloko zonyango, imishanguzo ye-systemic kunye nezinye izifo ezifana ne-phototherapy.
Iingxaki zeMilaphu
Izinto ezinokubangela ezininzi ziye zachongwa njengegalelo ekudakiseni i-psoriasis:
- Izinto zangaphandle: Phantse naluphi na ukulimala kwesikhumba (nokuba nokubhala ngomzimba) kunokubangela ukuphuhliswa okanye ukugqithisa kwe-psoriasis kubandakanywa ukushisa kwelanga, ezinye izinto ezinjengamaqabunga, njengendlela yokuphikisana nokusetyenziswa kweziyobisi, ukuhlinzwa, ukutyunjwa okanye ukunyunjwa, kunye neengcambu zentsholongwane . Ukunyuka kwe-psoriasis emva kokulimala kuyaziwa ngokuba yi- Koebner .
- Izifo: Iziganeko ezigqithisileyo, izifo ezinjenge-streptococcal ezifana ne-strep throat zingabangela isifo, ingakumbi ukuqubuka kwe-psoriasis. Ukusuleleka ngentsholongwane kaGawulayo yinto enye eyaziwayo yokunyusa i-psoriasis.
- Ukukhathazeka kwengqondo: Ukulahlekelwa yintsebenzo, ukuqhawula umtshato, ukufa okanye ezinye izinto ezibangela ukukhathazeka ngokomzimba ziye zaziwa ukuba zitshintshwe iiveki ze-psoriasis okanye iinyanga emva koxinzelelo. Abo bahlala ne psoriasis banokuzuza ngokufunda ngokulawula uxinzelelo.
- Uxinzelelo lomzimba: Ukuxinzelela ngokomzimba, okufana nokuhambelana nokuhlinzwa okugqithisileyo okanye ukugula kunokubangela ukuba kubekho ukuphazamiseka.
- Amachiza: Amachiza amaninzi ayaziwa ukuba athabathe i-psoriasis kwaye kufuneka agwenywe ukuba kunokwenzeka kubantu abantu abanesifo. Imizekelo ibandakanya i-beta-blockers, i-ACE inhibitors, i-angiotensin receptor blockers, i-lithium, i-tetracycline antibiotics, imithi engeyi-steroidal anti-inflammatory, kunye ne-antimalarials.
- Ukusetyenziswa kotywala kunye nokubhema ugwayi kubonakala ngathi kunendima ekubangela iirhagi.
Ukunyanga i-Psoriasis Flares
Ngesinye isikhathi, ukulaliswa esibhedlele kwintsimbi ye-psoriasis yayivamile. Ngenxa yokutshintsha kwintlawulo ye-inshurensi (i-Medicare ivumela kuphela iintsuku ezininzi zokubhedlelelwa kwisibhedlele) kwaye izidakamizwa ezisebenza ngamandla kunye nezikhawulezayo, ezininzi iintambo ziphathwa ngokusesikweni.
Izidakamizwa eziqhelekileyo ezisetyenziselwa iintlaka ezinzima ziquka i-cyclosporine, Remicade (infliximab), kunye ne-pustular flares, i-Soriatane (acitretin). Xa i-psoriasis flares, musa ukulibaziseka-kufuna unyango ngokukhawuleza kunye ne-dermatologist efanelekileyo.
Ngaphantsi kwimiba ye-Psoriasis neMpawu
I-psoriasis idla ngokukrakra kwaye ingapheliyo, nangona uhlobo oluthile lokugqithisa luyahluka ngokuxhomekeka luhlobo lwe psoriasis. Iingqungquthela ze-Psoriasis ziqhelekile kwaye zibangelwa ziziintlobo ezahlukeneyo zokucinezeleka. Ngamanye amaxesha, ngakumbi i-pustular psoriasis, iimpawu ze-psoriasis zingabandakanya iimpawu ezinjenge-fever kunye nokunye, kunye nokufakwe esibhedlele. Oko kwathiwa, ukuqhubela phambili kunyango (imichiza enamandla) yenze unyango njengomntu ophulukileyo.
Kulabo abahlala ne psoriasis, "unyango" olufanelekileyo kukuthintela intlaka kwindawo yokuqala. Ziqhelise ngezizathu zeentaba. Qinisekisa ukuba ubona ugqirha owazi imeko yakho kwaye uyaqonda amayeza angadlukisayo iimpawu. Ukuba ubona iimpawu zakho ziba nzima, musa ukulinda. Xa iibhola zibanjwe kwangaphambili kunokuba zikwazi ukunciphisa unyango.
> Imithombo:
> Kim, W., Jerome, D., noJeung. Uxilongo noLawulo lwe-Psoriasis. Ugqirha wezeKhaya waseKhanada 2017. 63 (4): 278-285.
> Korman, N., Zhao, Y., Roberts, J., Pike, J., Sullivan, E., Tsang, Y., kunye noT. Karagiannis. Impact ye-Psoriasis Ukukhupha kunye nokukhutshwa kuMgangatho woBomi kunye noPhuhliso loMsebenzi: I-Real-World Study e-USA. Dermatology Journal Online . 2016. 22 (7).
> Relvas, M., noT. Torres. Psoriasis yabantwana. I-American Journal ye-Clinical Dermatology . Ngo-2017 ngoMeyi 24. (Epub ngaphambi kokuprinta).