I-Psoriasis iyisifo esikhumbeni esijwayelekile kakhulu esikhulelwe, esithinta abantu abayizigidi ezingu-7.5 baseMelika. Ingahlanganiswa nezinye izinkinga ezihlukahlukene ezihlanganisa ubuhlungu obuhlanganyelwe kanye nokubhujiswa kanye nezifo ezinzima ezifana nesifo sikashukela, ukuhlasela kwenhliziyo, nokushaywa yisifo sohlangothi. I-Psoriasis ivame ukuhlotshaniswa nesifo se-nail, kanye nezinguquko nezinkinga ezinezinyopho, izikhonkwane, noma kokubili.
Lezi zinkinga zezinyosi zingabangela ukucindezeleka okukhulu, okuholela ebuhlungu ngemisebenzi yansuku zonke, ukuhlazeka ngokugubha izandla noma emsebenzini, ngisho nokuhamba nobunzima. Isifo se-nail singase sibe nzima kakhulu ukuphatha, ngezinye izikhathi siphikelela ngisho nalapho sonke isikhumba singcono ukwelashwa.
Ukutholwa okuvamile kunazo zonke izipikili zeziguli ezine-psoriasis kulungiswa . Kunezintambo ezincane noma imigodi phezulu kwesikhali, okubonakala kahle lapho ukukhanya okuncane kukhanya ngokuqondile esipikili. Ukupaka kungenzeka kubantu abangenawo i-psoriasis, futhi. Uma kukhona i-psoriasis ngaphansi kwesipikili, ngezinye izikhathi isicu se-nail singasusa isikhumba ngaphansi, esingenza ukuphela kwe-nail kube mhlophe. Lokhu kubizwa ngokuthi i- onycholysis ye-distal futhi ingenza izipikili zibuhlungu noma zibambe kalula izingubo. Uma lezi zindawo ziphakeme phezulu esikhwameni, zibizwa ngokuthi amafutha ophahla futhi zibukeka njengezintambo ezincane ze-orange ngaphansi kwepikili.
Ama-drop drop amafutha aqondile kakhulu kuma-psoriasis futhi ngokuvamile akenzeki kwezinye izimo noma izipikili ezijwayelekile. Ngesikhathi seso sibi kakhulu, i-psoriasis ibangela ukuthi konke ukupihla kube mnandi, kuvezwe, futhi kugwebe.
I-Psoriasis ngezipikili ngokuvamile ivame ukubhekwa njenge-nail fungus. Nakuba zombili zivamile, izikhunta zezinyosi ngezinye izikhathi zingelashwa ngezokwelapha (nakuba zivame ukuphindaphinda).
Njengoba imithi yokwelashwa yamazinyo ingaba nemiphumela emibi kakhulu futhi ibaluleke kakhulu, kubalulekile ukuba izipikili zivivinywe yi-dermatologist (eneziko noma i-biopsy) ukufakazela ukuthi u-fungus ukhona ngaphambi kokuqala ukwelashwa uma une psoriasis. Ezinye izimo zesikhumba (njenge-lichen planus noma imithi yokuphendula) zingabangela nezinzipho ezinzima, eziphazamisayo.
Izinketho zokwelapha
Ukwelashwa kwe-nail psoriasis kuyashesha futhi kuvame kunzima. Njengoba kuthatha izinyanga ezingaba ngu-3 ukukhulisa umunwe futhi izinyanga ezingu-6 ukukhulisa ineneil, ngisho nemithi ephumelelayo iyothatha okungenani ukuthi isikhathi eside ngaphambi kokuba i-nail ibonakale evamile.
I-Biotin : I-Biotin iyinvithamini yeB B evame ukuthathwa ukuze izipikili zikhule ziqine futhi zivame ngokwengeziwe. Thatha ama-micrograms angu-2500 ngosuku. Leli dose lingaphezu kokuvame ukutholakala ku-vitamin amaningi yansuku zonke kodwa lingathengwa kakhulu ezitolo noma izidakamizwa ezitolo. Njengezo zonke izipikili zokwelashwa, udinga ukuphikisana ne-vitamin regimen okungenani izinyanga ezingu-3 ukubona inzuzo (noma izinyanga ezingu-6 uma kwenzeka izintambo).
I-steroids yama-topical : I-steroid yezihloko zivame ukusiza esikhumbeni se-psoriasis kodwa kungaba nzima ukusebenzisa ngendlela engasiza izipikili. Ngokuvamile, amaconsi amanzi ahamba phambili futhi asetshenziselwa ukusibeka ngaphansi kwesilwane (lapho uhlangana khona nesikhumba) kanye nesikhumba ngakwesokudla ngemuva kwesipikili.
Ukusebenzisa ngokweqile ama-steroids angama-topical kungabangela ukucwilisa isikhumba ("atrophy") futhi welula amanothi, ngokuvamile ahlala njalo.
I-steroids egayiwe : Izijovo ze-steroid ngaphansi nangemva kwesipikili zingase zibe usizo kakhulu kwi-nail psoriasis. Ngeshwa, nazo zibuhlungu kakhulu futhi zidinga ukuphindwa izikhathi ezingu-2-4 ngonyaka ukugcina umphumela omuhle. Ukuze unciphise ubuhlungu, udokotela wakho angasebenzisa ama-shooting numbing ukuze alele iminwe ngaphambi kokunikeza izijovo.
Imithi yangaphakathi : Imithi yangaphakathi ifuna ukuzolalisa izingxenye zesimiso somzimba sokuzivikela ezihlasela isikhumba bese senza i-psoriasis. Lezi zihlanganisa imithi endala njenge methotrexate ne-cyclosporine kanye namaphilisi amasha njenge-apremilast ( Otezla ) noma ama-shots afana ne-adalimumab ( Humira ) noma i-secukinumab (i- Cosentyx ).
Iningi lalezi zikhathi zingenza izifo ze-nail zibe ngcono. Isibonelo, i-secukinumab (i- Cosentyx ) isanda kuboniswa ukwenza i-nail psoriasis ibe ngcono kangcono kuma-45% weziguli emva kwezinyanga ezingu-4, futhi iphilisi ebizwa ngokuthi i-apremilast (i- Otezla ) yaboniswa ukwenza i-nail psoriasis cishe ibe ngu-60% kangcono uma kuthathwe enye ngonyaka. Le mithi ivame ukubiza futhi ingaba nemiphumela emibi edinga ukuqapha ngokucophelela nodokotela wakho.
Imicabango yokuvala
I-Psoriasis eminwebeni noma izintambo zingabonakalisa nokukhubaza. Kungaba mnene noma kunzima futhi ngezinye izikhathi akuhlobene nokuqina kwe-psoriasis yesikhumba. Uma unesihlungu se-nail psoriasis, bheka i-dermatologist eqinisekiswe yibhodi ukuqinisekisa ukuxilongwa nokusiza ukuthi udale uhlelo lwezokwelapha. Nakuba kungase kube kancane futhi kunzima ukuphatha, izinketho ezintsha zinikeza ithemba lokunakekelwa kwamahlombe.