I-Pustular psoriasis yenye yeendidi ezininzi ze-psoriasis . Kubangela ukuba iinxalenye zesikhumba zibe zibomvu, zivule kwaye zugutyungwe ngethenda, i-blisters ezaliswe ngamathambo abizwa ngokuba yi-pustules.
I-pus ngaphakathi kwepustules yi-non-effective, eluhlaza. Iqukethe i-lymph fluid, amaseli egazi ezimhlophe kunye nezinye iiseli ezithunyelwa ngumzimba kwiindawo apho kukho ukuvutha.
Kukho iincincipes eziliqela ze-pustular psoriasis. Inokuthi ivalwe kwiindawo ezincinci zomzimba - ngokuqhelekileyo, nje iintende zezandla, iingqatha zeenyawo, okanye iminwe kunye / okanye iinzwane zichaphazelekayo kwinto ebizwa ngokuba yindlela ejolise kuyo yesifo. Le meko inokufikelela kwiindawo ezinkulu zomzimba ngokunjalo. Ifomu jikelele (von Zumbusch psoriasis) yimbi kakhulu, kwaye le fomu inokuba yingozi.
Ngamanye amaxesha i-pustular psoriasis iyenzeka njengendlela yokusabela ekusebenziseni unyango lwama-topical (tar kunye ne-anthralin) kwezinye iifrigiasis. Kwakhona kunokusabela ngokusetyenziswa kwamanye amayeza, kuquka i-lithium, i-indomethacin (umbulali wezinhlungu zesifo somzimba), kunye neyeza eziphambili zegazi ezinjengepropranolol. Ukuyeka ukusebenzisa i-steroid (mhlawumbi ngomlomo okanye i-topical) kunokukhawulela isiqendu se-pustular psoriasis. Ukukhulelwa kungumngcipheko owongeziweyo.
Kukho iintlobo ezahlukeneyo ze-pustular psoriasis.
I-Pustular Psoriasis yePalms and Soles
Kule fom ye-pustular psoriasis, iipustules zikhula ngokujulile kwizicubu zamacandelo aphakathi entendeni kunye nokuhamba. Ama-pustules aze abuyele emkhatsini wesikhumba, apho afihle khona aze ahlambuluke. Umphezulu weepustules unqabile kwaye unobunzima, kwaye awuyi kuvulwa.
Ummandla ojikeleze i-pustule iphosa, i-pinki, kwaye ibuhlungu kakhulu kumgca.
Iipustules kwiintsika zeenyawo zihamba nzima kwaye zibuhlungu. Iipustules kwiintende zezandla nazo ziphazamisa kakhulu ukusebenza ngokuqhelekileyo.
I-Pustular psoriasis iza kwaye ihamba kwiziqwenga ngaphaya kweminyaka. Kukho amaxesha apho iimeko ziphantse zinyamalale, kuphela zilandelwe zibuhlungu kakhulu. Ababhemayo banomngcipheko omkhulu kwimeko.
Unyango lunokubandakanya imishanguzo efana ne-acitretin, i- cyclosporine , ne- methotrexate . Olunye ukhetho ngu-psoralen ultraviolet ukukhanya A (PUVA), unyango oludibeneyo apho i-psoralen yesicatshulwa ithathwa ngomlomo okanye isetyenziselwa i-topically kunye nefuthe elichaphazelekayo libonakaliswe ekukhanyeni kwe-ultraviolet. Iipetrodi okanye i-ointments zingasetyenziswa. Iindawo ezichaphazelekayo ke zifakwe ngamabhanki angaphantsi kwamanzi kunye ne-plastiki anganyanga amanzi, okwandisa ukutshatyalaliswa kwe-steroid kwizicubu.
I-Pustular Psoriasis ye-Digits
Olu hlobo lwe-pustular psoriasis, olwaziwa oogqirha njenge-acrodermatitis continua, luhlala luchaphazela ngomnwe omnye okanye inzwane. Iipustules zibonakala ekupheleni kwelo lididi, ngokuqhelekileyo kwindawo esele yalimala okanye ikhulelwe.
Iipustules ziyaqhuma lula, zishiya indawo enqabileyo, enobulwelwe, ephahliweyo ehlala ivuza umbane.
Iifom ze-crabby fust phezu kwendawo yesifo kodwa rhoqo ihla, iqala kwakhona umjikelezo. Izipikili zeminwe okanye iinzwane zingathinteka kwaye ziphuhliswe, kwaye idijithi echaphazelekayo ibuhlungu kakhulu, iphazamise ukusebenza kwesandla okanye unyawo.
Unyango lunokubandakanya i-steroids yama-topical kunye nama-bandages angagxininiswa ngamanzi, kunye neyeza zomlomo ezifana ne-acitretin, i-cyclosporine okanye i-methotrexate. Ngelishwa, nangona kunjalo, lolu hlobo lwe-psoriasis luvame ukuxhatshazwa kunyango.
I-Pustular Psoriasis
Le fom ye-pustular psoriasis iqala ngokubuyiselwa kwesikhumba kunye nokubonakala kwincinci emancinci.
Ngokuhamba kwexesha, iipustules zikhula, zisasazeka kwaye zidibanisa kunye namaziko amakhulu. Ama-pustules ayanqabile kwaye aphule ngokulula, azisa ubungqina obunobungozi bokungenwa kwintsholongwane ye-bhakteria. Iimeko zichaphazela iimbumba ezinamaqabunga, ngoko ke izikali zomlomo kunye nezilonda zomlomo ziqhelekile.
Ezinye iimpawu zomzimba zomzimba ziyakwenzeka, kubandakanywa umkhuhlane, ukubola, ukulahleka kwesisindo, ukuphazamiseka kwegazi , ukukhulelwa kwamanzi, ukutshabalalisa intliziyo ngokukhawuleza, ukubetha kunye nokukhathala okukhulu. Iingxaki ezinzima kunokuba zibandakanye ubunzima bokuphefumula, amanqanaba aphantsi e-calcium, i-pneumonia, ukungaphumeleli kwintliziyo yesifo, kunye ne-hepatitis. Xa unempawu ze-pustular psoriasis, kubalulekile ukunyamekela ngokukhawuleza kwi-dermatologist.
I-pustular psoriasis eyenziwa ngokuqhelekileyo iphathwa ngokubeka iingubo ezifakwe kwizinto ezibizwa ngokuba yi-Burow's okanye iDomeboro isisombululo - umxube we-aluminium acetate kunye namanzi-kwiindawo ezichaphazelekayo. I-steroids yesicatshulwa isenokusetyenziswa. Iziganeko ezinzima zifuna i-acitretin, methotrexate, okanye i-cyclosporine.
Imithombo:
UFerri FF "I-Psoriasis." Umcebisi weCliniki kaFerri 2008 . Okokuqala. Ed. UFred Ferri. Philadelphia: UMosby Elsevier, 2008. 374-5.
UHabif TP Clinical Dermatology . Okwesine. USt. Louis: Mosby, 2004.
"Imibuzo Neempendulo Nge-Psoriasis." Isizwe seSizwe seArthritis kunye neMisculoskeletal kunye nezifo zesikhumba . Meyi 2003. amaZiko eZiko lezeMpilo.
"Pustular Psoriasis." Psoriasis.org . NgoDisemba 2005. iNational Psoriasis Foundation.