Ukutholakala kwe-plaque psoriasis kuvame ukuqondakala. Kuyinto evamile kakhulu ukuthi abahlinzeki abaningi bezempilo babone njalo-ungabona udokotela wakho ohlala njalo ukuze athole ukuxilongwa kwakho. Odokotela bezingane, odokotela bezokwelapha zangaphakathi, kanye nodokotela womndeni odokotela bonke banolwazi ngalesi simo.
Ngokungafani nezinye izimo zezokwelapha ezilukhuni ukuzihlukanisa, i-psoriasis yama-plaque ivame ukutholakala ngokushesha.
Uma i-plaque psoriasis yakho ngesizathu esithile kunzima ukuyihlolisisa noma yokwelapha, udokotela wakho ohlala njalo angase akutshele kudokotela wezinambuzane .
I-plaque psoriasis cishe ihlolwe njalo nge-clinically. Lokhu kusho ukuthi udokotela wakho uzokwazi ukukutshela ukuthi une-plaque psoriasis onomlando wakho wezokwelapha kuphela nokuhlolwa ngokomzimba.
Ukuhlola Ukuzihlola Nekhaya
Ungazami ukuxilonga i-psoriasis yakho ekhaya noma nje usebenzisa i-intanethi. Kuhle ukucwaninga izimpawu zakho. Noma kunjalo, izinhlobo eziningi zezokwelapha zingabangela ukuqhuma nokukhwabanisa isikhumba. Uma uziphatha ngokwakho ukuthi ucabanga ukuthi yi-psoriasis, ungenza isimo sakho sesikhumba sibe sibi nakakhulu. Esikhundleni salokho, thola usizo lochwepheshe wezezempilo owathembayo.
Noma kunjalo, kungasiza ukucabanga ngempawu zakho ngaphambi kokuba ubone umqeqeshi wezempilo. Lokhu kungakusiza uqiniseke ukuthi ungashiyi yonke imininingwane ebalulekile uma uchaza isimo sakho.
Umlando Wezokwelapha
Ukukuxilonga, udokotela wakho uzothatha umlando wakho wezokwelapha. Lokhu kuzofaka phakathi ukubuza mayelana nezimpawu zakho nokuthi bangase bashintshe kanjani ngokuhamba kwesikhathi.
Udokotela wakho uzophinde abuze mayelana nezinye izimo zezokwelapha kanye nomlando wezokwelapha womndeni wakho. Eminye yale mibuzo ingase ingabonakali ukuthi ihlangene ne-psoriasis, kodwa ingasiza ekufikeni kwesifo esifanelekile.
Ukuhlolwa Kwemvelo
Udokotela wakho uzophinde ahlole ukuhlolwa kwezokwelapha ngokucophelela. Lokhu kuzobandakanya ukuhlolwa okusheshayo kwesikhumba sakho.
I-plaque psoriasis ijwayele ukubonakala ngokuqondile ngamaphethini udokotela wakho angayisebenzisa ukusiza ukuxilonga isimo sakho. Isibonelo, izindawo ezibomvu ezithintekile zesikhumba zivame ukuvela ngezikali ze-silvery. Udokotela wakho uzohlola ezinye izingxenye zomzimba wakho ukuthi i-psoriasis ingathinta futhi, njengamalungu akho, izipikili zakho, noma isikhumba sakho sekhanda.
Amalebhu, Izivivinyo, nokufanekisa
Awekho ukuhlolwa kwegazi okungasetshenziswa ukusiza ukuhlola i-plaque psoriasis. Ukucabanga ngezokwelapha akuyona ingxenye yenqubo yokuxilonga.
Ngokuvamile, udokotela angase adinge ukuthatha i- biopsy yesikhumba ukuze ahlolisise kahle i-plaque psoriasis yakho. Uzothola ukuhlinzekwa komzimba wendawo ukuze unqande indawo. Khona-ke umuntu uzosusa indawo encane yesikhumba lapho unayo izimpawu. Uchwepheshe uhlola isikhumba sakho ngaphansi kwe-microscope. Lokhu kuvumela ukuthi ochwepheshe bahlolisise izinguquko ezithile ezenzeka esikhumbeni sakho. Lokhu kungasiza ukulawula ezinye izimo zesikhumba ezingabonakala zifana ne-psoriasis ye-plaque.
Udokotela wakho angase futhi adinge izivivinyo ezithile ze-laboratory uma uqala imithi ye-plaque psoriasis. Nokho, lokhu akuyona ingxenye yenqubo yokuxilonga.
Ukuhlola Okuqinekile
Njengengxenye yokuxilongwa kwakho, udokotela wakho angase afune ukuhlola ubunzima besimo sakho. Lokhu kungakusiza ulandele inqubekelaphambili yakho, futhi kwenziwa ngokuhlola ukuthi umzimba wakho uphethwe kangakanani.
Udokotela wakho angase akhulume ukuthi une-psoriasis enomnene, elinganiselayo noma enamandla, ngokususelwa ekutheni izimpawu zakho zinamandla kangakanani. Iningi labantu abane psoriasis banezifo ezincane kuphela. Lesi yisifo esithinta ngaphansi kwama-5 amaphesenti omzimba wakho wendawo, futhi engathinti izitho zangasese, ubuso, izandla, noma izinyawo.
Kwezinye izimo, udokotela wakho angase afune ukuthola ukuhlolwa okuningiliziwe nakakhulu kwesibindi sakho se-plaque psoriasis.
Isibonelo, udokotela wakho angase akhulume iphesenti yomzimba wakho obonakala sengathi uthintekile. Lokhu kungakusiza wena nodokotela wakho kangcono ukuthi uqaphele ukuthi umzimba wakho uphendule kahle kangakanani ukwelashwa kwe-psoriasis.
Ukuhlonza okuhlukile
Njengengxenye yokuxilongwa, udokotela wakho uzokutshela uhlobo oluthile lwe-psoriasis onalo. Isibonelo, i-pustular psoriasis ne-guttate psoriasis zinezimpawu ezihlukile uma kuqhathaniswa ne-psoriasis ye-plaque.
- Inverse psoriasis (ukuqhuma okuncane kwesibindi okuthinta kakhulu izikhumba zomzimba)
- I-erythrodermic psoriasis (ene-red rash egcwele)
- I-pustular psoriasis (enezikhukhula ezigcwala ama-pus entendeni nezintambo zakho)
- I-Guttate psoriasis (imivimbo emincane ebomvu, evame ukuhlakazeka esihlahleni, okungase kuvame kakhulu ezinganeni kunabantu abadala)
Udokotela wakho uzodinga futhi ukuqinisekisa ukuthi une psoriasis hhayi isimo esithile lesikhumba. Ezinye izimo zesikhumba ngezinye izikhathi zingafana ne-psoriasis ngokubukeka. Ezinye izimo ezingabonakala ezifanayo zifaka:
- I-Eczema
- I-seborrheic dermatitis
- I- simphen simplex chronicus
- I-Tinea corporis (ukutheleleka kwe-fungal yesikhumba)
Udokotela wakho uzocabangela lezi zimo nezinye izikhumba lapho ekukuthola nge-plaque psoriasis. Ngokuvamile, ungase uthole ukuxilongwa okuhlukile ngaphambi kokugcina uthola ukuthi une psoriasis. Noma ungase utholakale ukuthi unesifo se-psoriasis ngaphambi kokugcina uthola ukuhlolwa okuhlukile, okulungile.
Ngenxa yokuthi ukuxilongwa kungumtholampilo, amaphutha azokwenzeka ngezikhathi ezithile. Lesi yisinye isizathu kubalulekile ukuqhubeka usebenza nochwepheshe wezezempilo ukuze ubone ukuthi izimpawu zakho ziphendula kanjani. Uma unemibuzo mayelana nokuxilongwa kwakho, ungangabazi ukubuza umhlinzeki wakho wezokwelapha.
Ukuqhathanisa ukuphikisana
Abanye abantu abane-psoriasis ye-plaque banamakhomishri ezokwelapha ahlobene nesimo sabo. Ngokwesibonelo, abanye banesifo se-psoriatic arthritis . Ngakho njengengxenye yomlando wakho wezokwelapha nokuhlolwa, udokotela wakho uzobheka izibonakaliso zalokhu futhi.
Ezinye izinkinga ezifana nesifo senhliziyo nesifo sokucindezeleka nazo zivame kakhulu kubantu abane-psoriasis, ngakho-ke umhlinzeki wakho wokunakekelwa kwezempilo angase futhi akudinge ukukubonisa ngalezi zinye izimo njengengxenye yokuxilongwa kwakho.
Kwezinye izimo, ungadinga ukuhlolwa okungeziwe ukuze uhlolisise ama-comorbidities. Isibonelo, uma unezimpawu zobuhlungu obuhlangene, udokotela wakho angase afune ukuhlolwa okuqondile kwegazi. Lezi zingasiza ukulawula ezinye izimbangela zobuhlungu obuhlangene, njenge- rheumatoid arthritis .
Kodwa akuwona wonke umuntu one-psoriasis ozodinga ukuhlolwa okunjalo. Umhlinzeki wakho wezokwelapha uzokutshela ukuthi noma iyiphi yalezi zivivinyo ezengeziwe kungadingeka.
> Imithombo:
> Luba KM, Stulberg DL. I-psoriasis yama-plaque engapheli. Am Fam Physician . 2006; 73 (4): 636-44.
> UMenzi A, uGottlieb A, Feldman SR, et al. Iziqondiso zokunakekela ukuphathwa kwe-psoriasis ne-arthritis ye-psoriatic: Isigaba 1. Sibutsetelo se-psoriasis kanye nemihlahlandlela yokunakekelwa kwe-psoriasis nge-biologics. J Am Acad Dermatol . 2008; 58 (5): 826-50. i-doi: 10.1016 / j.jaad.2008.02.039.
> Isisindo N, McBane S. Psoriasis. Am Fam Physician . 2013 Meyi 1; 87 (9): 626-33.