I-plaque psoriasis iyindlela ejwayelekile kunazo zonke ye- psoriasis , ebalwa ngamaphesenti angu-90 azo zonke izimo. Kuyinto isifo esizimele lapho amangqamuzana esikhumba akha khona ngokushesha, enza ama-scales kanye nama-patch dry. Nakuba imbangela eyinhloko yalesi sifo ihlala imfihlakalo, kunezici ezingase zenze noma zibhebhetheke kakhulu ukuqhuma, kuhlanganise nokukhuluphala, ukucindezeleka nokubhema.
Izimpawu zingaba nzima ukuphatha, kodwa kukhona uhla oluqhubekayo lwezidakamizwa ezingashukumisa ukuphendula komzimba futhi zinikeze usizo olukhulu.
Izimpawu
I-psoriasis ye-plaque engapheli, eyaziwa nangokuthi i-psoriasis vulgaris, ngokuvamile ibonakala njengezikhukhula ezikhukhumeziwe zesikhumba esivulekile esinezikali ezimhlophe (ama-plaques). Ama-plaques atholakale kakhulu emaceleni, ngamadolo, e-scalp, nangemuva. I-plaque psoriasis nayo ingathinta izipikili, ibangele ukuguqulwa kwamatshe, ukubeka phansi, ngisho nenqola ye-nail kusuka embhedeni wesipikili.
Naphezu kwendlela ebukeka ngayo , i-psoriasis ayithathelisi.
Izimpawu ze-plaque psoriasis zivame ukonakala ngesikhathi sokutheleleka, uma umuntu ecindezelwe, noma uma isikhumba sikalimazekile. Imithi ethile efana ne- beta blockers kanye nezidakamizwa ezingezona ukuvuvukala (non-steroidal anti-inflammatory drugs) (NSAIDs) nazo zingabangela izimpawu. Ukukhipha kungenza izinto zibe zimbi nakakhulu, kubangele ukuphuma kwegazi kanye nokuqina okubonakalayo kwesikhumba esithintekile.
Izimpawu zingase zifike futhi zihambe, ngokuvamile zihlale zikholelwa izinyanga ngisho neminyaka ngesikhathi ngaphambi kokuba zifake izizathu ezingekho isizathu.
Kwezinye izimo, izimpawu zingase zibe ngebhayisikili ngisho nangonyaka.
Izimbangela
Ososayensi abakaziqondi ngokugcwele izindlela ezithinta izifo ezizimele njenge-plaque psoriasis, kodwa bakholelwa ukuthi izakhi zofuzo zomuntu zidlala indima ebalulekile. Cishe ingxenye yesithathu yabantu abane-psoriasis bayoba nomlando womndeni wesifo kanye nobufakazi bokushintsha kwe-chromosomal ezindaweni ezithile zegesi (eyaziwa nge-PSORS1 nge-PSORS9).
Ezinye izimbangela ze-psoriasis ye-plaque ziye zaphakanyiswa, kufaka phakathi izifo ezedlule noma ukutholakala kwezinto ezinobuthi, kepha iningi lithathwa kalula.
Kungakhathaliseki ukuthi i-trigger, i-psqueasis yama-plaque izosheshisa ngokusheshisa isivinini esakhiwa ngamaseli esikhumba. Ngenkathi amangqamuzana avamile esikhumba ashintshwa zonke izinsuku ezingu-28 kuya kwezingu-30, labo abathinteka nge-plaque psoriasis bashintshwa njalo ezinsukwini ezintathu kuya kwezinhlanu.
Ngenxa yalokhu, amangqamuzana omzimba wesikhumba azothola ngokushesha kunokuba amadala angaphala. Ngesikhathi esifanayo, izitsha zegazi nje ngaphansi kwesikhumba zizoqala ukwandisa ukuphendula ukuvuvukala okungapheli, kubangele ukuvuvukala nokubomvu endaweni.
Ukuxilongwa
I-plaque psoriasis ivame ukutholakala ngokubonakala kwesikhumba. Akukho ukuhlolwa kwegazi okukhethekile noma izivivinyo zokuxilonga ngokuvamile ezidingekayo.
Kodwa-ke, udokotela uzofuna ukuwuhlukanisa nezinye izinhlobo ze-psoriasis (njenge- guttate psoriasis , okubangelwa ukutheleleka kwe-streptococcal, noma i- pustular psoriasis , ebonakala ngamabhanti agcwele ama-pus), kanye nezifo zesikhumba ezinezici ezifanayo, njenge:
- I-T-cell lymphoma ene-Cutaneous
- I-Discoid eczema
- I-Pityriasis rosea
- I-Ringworm
- I-eczema yeSeborrheic
Uma ukuxilongwa akuqinisekisiwe, i-biopsy isikhumba noma i-scraping ingenziwa futhi ithunyelwe ebhodini lokuhlaziywa.
Ukwelapha
Ngaphandle kokungakhululeki, i-psoriasis ye-plaque ingaba yisimo esicindezelayo, ngezinye izikhathi singenzi ukuzethemba komuntu nomqondo wokuphila. Ngenhlanhla, ukwelashwa kwe-psoriasis kuye kwaqhubeka kakhulu eminyakeni yamuva nje ngokuya nokuqonda okuqhubekayo kwe-immunology nokuzimela.
Izinketho zamanje zokwelapha zihlanganisa:
- I-corticosteroids yezihloko , ezingasetshenziswa ngokuqhubekayo kodwa ngokuvamile zingekho amasonto ayisishiyagalombili (ngenxa yobungozi bokukhanda isikhumba)
- I-phototherapy , lapho ukukhanya kwe-ultraviolet okufakelwa khona kusetshenziselwa ukungena esikhunjeni bese kuphuza ukukhula kwamangqamuzana esikhumba
- Izidakamizwa ezingekho ze-biologic ezifana ne- methotrexate ne- cyclosporin , ezivimbela isistimu yomzimba wonke
- Izidakamizwa ezintsha ze- biologic , njenge-Enbrel (etanercept), i-Humira (i-adalimumab), i-Remicade (infliximab), i-Stelara (ustekinumab), ne-Taltz (ixikizumab), ezivimbela izingxenye ezithile zesistimu yomzimba
- I-Otezla (apremilast) , evunyelwe ukuphatha kokubili i-psoriasis ne- psoriatic arthritis
- Ama-analogs e-Vitamin D3, abonakala ephuza ukukhiqizwa kwamangqamuzana esikhumba
- Ama-retinoids, ama-chemical compounds ahlobene ne-vitamin A elawula ukukhiqizwa kwamangqamuzana esikhumba
Ukubhekana
Nakuba i-psoriasis ye-plaque ingaba ingcindezi futhi inzima ukulawula, kunezindlela zokubhekana nesifo njengoba wena nodokotela wakho sifuna isisombululo esimeme.
Okuyinhloko phakathi kwalokhu ukunciphisa ukucindezeleka. Kuze kube sekugcineni, udinga ukuthola izindlela zokungagcini nje ukucindezeleka empilweni yakho (njengokuthi i-yoga noma ukuzindla) kodwa ukufuna usizo lochwepheshe uma unomqondo oqhubekayo noma okhungathekile wokukhathazeka noma ukucindezeleka.
Ukudla nokuzivocavoca kungasiza ekunciphiseni ukucindezeleka okuvuthayo kokukhuluphala ngenkathi kuthuthukiswa isimo somuntu jikelele, amandla, nokubukeka.
Izwi elivela
I-plaque psoriasis ingabangela ukuthi abagulayo bazizwe behlukanisiwe futhi beziqhenya. Uma ngabe nguwe, kubalulekile ukukhumbula ukuthi awodwa wodwa nokuthi kukhona izigidi zabantu abavela ngaphandle lapho bethola izinto ezifanayo njengawe.
Qala ngokufinyelela kwabanye ku-Talk Psoriasis, yesikhulumi sezokuxhumana esiphethwe yi-National Psoriasis Foundation. Yindawo enhle yokwabelana ngolwazi, funa iseluleko, noma uthole ukwesekwa kwabanye abafana nawe.
Nakuba kungekho ukulungiswa okusheshayo kwe-plaque psoriasis, ngokusekelwa okuncane nokukhuthaza, abantu abaningi ekugcineni bathola isibambiso kwizimpawu zabo futhi bathuthukise ikhwalithi yabo yonke yokuphila.
> Imithombo:
> I-American Academy of Dermatology (AAD) Umsebenzi Weqembu, et al. "Iziqondiso zokunakekela ukuphathwa kwe-psoriasis kanye ne-psoriatic arthritis: isigaba 6. Imihlahlandlela yokunakekelwa kokwelashwa kwe-psoriasis kanye ne-psoriatic arthritis: izethulo ezisekelwe ecaleni kanye neziphetho ezisekelwe ebufakazini." J Am Acad Dermatol . 2011 Jul; 65 (1): 137-74. I-DOI: 10.1016 / j.jaad.2010.11.055.
> U-Aldredge, uL. and Young, M. "Ukuhlinzeka Isiqondiso Sabantu Abagulayo abane-Psoriasis enesimo esincane kakhulu. Abani Abafaki Izicelo Ze-Biologic Therapy." J Dermatol Abahlengikazi Assoc. 2016; 8 (1): 14-26. I-DOI: 10.1097 / JDN.0000000000000185.
> Jankovic, uS .; URaznatovic, uM .; UMarinkovic, J. et al. "Izingozi Ze-Psoriasis: Isifundo Sokulawula Amacala." J Dermatol. 2009 Jun; 36 (6): 328-34. I-DOI: 10.1111 / j.1346-8138.2009.00648.x.
> I-Menter, A .; I-Gottlieb, A .; UFeldman, S. et al. "Imihlahlandlela yokunakekela ukuphathwa kwe-psoriasis ne-arthritis ye-psoriatic: Isigaba 1. Sibutsetelo se-psoriasis nemihlahlandlela yokunakekelwa kwe-psoriasis nge-biologics." J Am Acad Dermatol . 2008; 58 (5): 826-50. I-DOI: 10.1016 / j.jaad.2008.02.039.