Kubantu abathile, i- psoriasis ingalawulwa ngokusebenzisa imishanguzo ye-over-the-counter (OTC)-empeleni, eziningi zalezi zindlela zokwelapha ezingavunyelwe ukwelashwa, ozisebenzisayo esikhumbeni sakho, ziyasebenza ngempela.
Lezi mithi ephezulu kakhulu zivame ukusetshenziselwa ukuhlanganiswa nemithi yokwelashwa. Kodwa-ke, qaphela ukuthi izifo ze-OTC nazo zingaba nemiphumela emibi lapho zisetshenziselwa kanye nemithi kadokotela.
Qinisekisa ukuthi ukhuluma nodokotela wezinambuzane noma udokotela mayelana nokuthi ungayisebenzisa kanjani imithi ye-OTC ngaphambi kokungezelele ohlelweni lwakho lokwelapha olunzulu.
I-Over-the-Counter Creamosteroid Cream
Kubantu abaningi, ama-corticosteroid ama-creams angaphezu kwe-anti-anti-corticosteroid ayindlela yokuqala yokuzivikela ngokubhebhetheka kwe-psoriasis. I-Hydrocortisone 1% ukhilimu iyisidakamizwa esivame ukusetshenziswa i-OTC anti-itch.
I-Hydrocortisone ingasebenza kahle ngesikhathi esifushane. Isibonelo, isifundo esisodwa sathola ukuthi emva kwamasonto amane, abangaphezu kwezingxenye ezimbili kwezintathu zabantu abasebenzisa i-hydrocortisone babona i-psoriasis yabo ikhuphuka ngokuphelele. Kodwa-ke, phawula ukuthi lolu cwaningo lusetshenziselwa umuthi wezokwelapha we-Locoid - imikhiqizo engaphezu kweyomthamo oyitholayo esitolo sakho semithi yangakini ingase ingasebenzi kahle.
Le mikhiqizo isebenza ngezindlela ezintathu: ukuvimbela amakhemikhali abangela ukuphendula kwe-itch ebuchosheni, ukuvimbela ukusabela komzimba okuvuthayo nokunciphisa ukugeleza kwegazi endaweni esithintekile ngokuvimbela imithwalo yegazi.
Imiphumela emibi ye-corticosteroids ingabandakanya ukushisa kwisayithi lesicelo, izinguquko embala wesikhumba esithintekile, induna nokunyuka okwesikhashana ekubambeni.
Le mithi ayinconywa ukuba isetshenziswe isikhathi eside ngoba ifakwe engxenyeni yegazi futhi ingathinta izitho zangaphakathi.
Ezimweni ezingavamile kakhulu, i-corticosteroids iye yaboniswa ukuthi ithinte ukusebenzisana okuyinkimbinkimbi kwezingulube ze-pituitary kanye nezidakamizwa, okwenza isimo esibizwa ngokuthi i-Cushing's syndrome.
I-Cushing's syndrome ingabangela ukutholakala kwesisindo, ukukhukhumeza okukhulu, ukugcoba isikhumba, ukulala, nokunciphisa i-libido. Lezi zimpawu zivame ukucaca emva kokusetshenziswa kwezidakamizwa.
Iningi lala miphumela emibi kakhulu kune-cortisone yamandla kadokotela kunezinhlobo ezingaphezu kwe-counter.
Ukumisa i-Itch Nezinye izindlela zokwelapha
Izithako eziningana zemvelo nazo zinganciphisa ukuchekwa okuhambisana ne-psoriasis ukushisa.
Ubufakazi besayense buphoqelela kakhulu i-capsaicin, etholakala kwamaphilisi e-cayenne, futhi le nhlanganisela isebenza ngokuthinta ama-molecule ekupheleni kwezinzwa ezibhekene nokudlulisela izinzwa zobuhlungu nokuxosha ebuchosheni.
I-Capsaicin iyatholakala njengesikhilimu esingokwesibhakabhaka futhi ingatholakala ezinhlobonhlobo zezimpawu, eziningi zazo ezibhalwe ukuphatha ubuhlungu be-arthritis. Ngokusho kwe-National Psoriasis Foundation, ama-creams ne-0.025% we-capsaicin asebenza kahle ekunciphiseni ukubomvu, ukuhlaziya nokukala okuhambisana ne-psoriasis.
Ukwengeza, i-National Psoriasis Foundation ibika ukuthi abanye abantu abane-psoriasis bathola imithi yokusebenzisa i-apula cider uviniga (mhlawumbe ngokuyifaka ebhodini lokugeza noma ukugcoba izindawo ezithintekile kulo), i-emu oli (ngokuyixuba ezindaweni ezithintekile) noma oats (by noma ukungeza kuwo noma ukuwaxuba ube ngamathisela ngamanzi bese uwasebenzisa ngqo esikhumbeni).
Ezinye zalezi zindlela zokwelashwa ezingazange zihlolwe ngokwesayensi ukuze ziphumelele noma zibe nemiphumela emibi, ngakho qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuwasebenzisa.
I-Tar Coal ne- Salicylic Acid
I-tar ephezulu yamalahle ingenzeka indlela yokwelashwa ye-psoriasis endala kakhulu. Iyanciphisa ukuvuvukala okuhambisana ne-psoriasis futhi kunciphise ukukhula kweselula kwesikhumba, okuvame ukwanda ezindaweni ezithintekile.
Ngokuvamile, imikhiqizo enamakha elahleti isetshenziswa ngqo esikhumbeni esithintekile. Ukwandisa ukusebenza kwalo mkhiqizo, i-National Psoriasis Foundation incoma ukuthi i-tar ishiywe isikhumba okungenani amahora amabili.
Iningi labantu lihlanganisa izindlela zokwelapha ezisekelwe ku-tar nangezinye izindlela zokwelashwa. Isu elilodwa elivamile, umgomo weGoeckerman, uhlanganisa ukusetshenziswa kwe-tar ne- ultraviolet (UV) ukukhanya okukhanyayo. I-Tar ingenza isikhumba sizwele kakhulu ekukhanyeni, sikhulise ukusebenza kahle kwe-UV exposure.
Imiphumela emibi yamate wamalahle ayivamile kodwa ingafaka ukucasula isikhumba nokubomvu. Ukuvezwa kokubhekwa okuphezulu kwe-tar kuye kwaxhunyaniswa nengozi yomdlavuza. Ochwepheshe batusa ukuthi abantu abasebenzisa i-tar njengendlela yokwelashwa yesikhathi eside kumele bahlolwe njalo ngomdlavuza wesikhumba.
I-US Food Administration and Drug Administration iye yavuma nokusetshenziswa kwe-salicylic acid ekwelapheni i-psoriasis. Le mithi iyatholakala kuma-creams angaphezu kwe-counter, i-shampoos, amasobho, kanye ne-lotions, futhi iyanciphisa izilinganiso ze-psoriasis futhi isiza imithi ye-topical igxume kakhulu esikhumbeni.
Imithombo:
"Indlela Ehlukile Yokunakekelwa Kwama Psoriasis: Imikhiqizo Yezindaba." I-National Psoriasis Foundation: Imikhiqizo Eminye Yemibuzo Ehlukile . Nov. 2006. National Psoriasis Foundation.
"Yenza (fluticasone propionate)." Ilabhulali Kazwelonke Yezokwelapha yase-US . 2008. Izikhungo zezempilo zikazwelonke.
"I-Hydrocortisone (Hydrocortisone)." Ilabhulali Kazwelonke Yezokwelapha yase-US . 2006. Izikhungo zezempilo zikazwelonke.
"I-Hydrocortisone Topical." Imininingwane yeDruglinePlus . 2007. Izikhungo zezempilo zikazwelonke.
UJames, M. "I-Randomized, Double-blind, Trialenter Trial Ukuqhathaniswa ne-Fluticasone Propionate Cream, 0.05%, ne-Hydrocortisone-17-Butyrate Cream, i-0.1%, i-Applied Twice Daily yamaviki angu-4 ku-Treatment of Psoriasis." I-cutis; Imithi eyinqunyiwe yoMdokotela 67 (Suppl 4) Apr. 2001: 2-9.
"Imikhiqizo engaphezulu kwe-Counter." I-National Psoriasis Foundation: Umhlahlandlela Wokulashwa . 2008. National Psoriasis Foundation.
Reimann, S., T. Luger, D. Metze. "[Ukuphathwa Okuphezulu KwamaCapsaicin E-Dermatology for Treatment of Itching and Pain]." Der Hautarzt; Zeitschrift for Dermatology, Venerology, und Verwandte Gebiete 51. 3 Mar. 2000: 164-172.