Ukuqhathaniswa okungafani kwe-Psoriasis - Kungaba Kanjani?
Ukuhlukunyezwa okuningi kungabangela ukushintsha kwesikhumba njenge psoriasis . Ngokuhlolwa ngokucophelela, kufanele kube khona ukuhlukanisa lezi psoriasis posers kusuka into yangempela. I-Psoriasis ingase idideke nenye ukuqhuma ngokusekelwe endaweni yayo. Isibonelo, izinto eziningi zingabangela ukuqhuma okubomvu kwe-scaly endaweni yokulima ngaphandle kwe-psoriasis. Ake sibheke ukuthi yini enye engaba khona (okubhekwa ngokuthi "ukuxilongwa ngokuhlukana" kwezokwelapha) kwe-psoriasis esekelwe engxenyeni yomzimba ethintekile ukuqhuma.
Scalp Rashes Akuwona Psoriasis
Uma une-scalp on scalp yakho ebukeka sengathi i-scalp psoriasis, yini enye engaba khona?
I-scaly ebomvu i-scalyp ingabangelwa yi- seborrheic dermatitis , eyaziwa nangokuthi i- dandruff . Umehluko wukuthi i- psoriasis ye-scalp ivame ukuqina okuphawulekayo kwesikhumba kanye nezilinganiso eziqinile ezinamathele.
I-seborrheic dermatitis, ngokuphambene, ivame nje ukuba ne-pinkness yesikhumba se-scalp esinamazinga amaningi kakhulu. I-sebrrheic dermatitis ivame ukubandakanya amashiya nezinhlangothi zamakha, ngakho-ke ngezinye izikhathi, ukuzibandakanya kwalezi zindawo kuzosiza ukuhlukanisa lesi sifo kusuka kuma-psoriasis.
Izifo ze-fungal ze-scalp azivamile ezinganeni futhi ngakho ingane ene-scaly scalp ingaba ne-fungus, i-psoriasis noma i-seborrheic dermatitis. Izinwele zingathathwa futhi zihlolwe ngaphansi kwe-microscope ( ukuhlolwa kwe-KOH ) ukusiza ukuqinisekisa ukuxilongwa kwe-fungus.
I-Tinea capitis , eyaziwa nangokuthi "i-ringworm ye-scalp," iyisisusa esivame kakhulu se-scalp esikhonyayo ezinganeni eziphakathi kweminyaka emithathu nesikhombisa. Kubalulekile ukuthi abazali baqaphele ukuthi ukutheleleka akubangelwa imbungu, kodwa kunalokho kungumkhuhlane.
Uma i-rash yakho i-scalp psoriasis, ukuqhuma kungashintsha kusuka ezindaweni ezimbalwa nje zokwehla, ukuya ekugqibeni okubomvu nokwehla kwesibindi okuhlanganisa isikhumba sakho bese uqhubeka phansi ebunzini noma entanyeni yakho. Esikhathini esinzima se-scalp psoriasis, ukuhamba ngezinwele kuhambisana nokulahlekelwa izinwele. Lokho kusho, kanti nakuba kungathatha izinyanga ezimbalwa ukuthola izimpawu zakho zilawulwa, kunezinketho eziningi zokwelapha ezitholakalayo kulabo abahlupheke nalesi simo.
Indawo Yengxubevange Yezingqungquthela ezingezona i-Psoriasis
Igama elithi "izindawo eziguquguqukayo" lisetshenziselwa ukuchaza ama-crease ezicukwaneni ezitholakala emagqumeni, ubuhlungu, nangaphansi kwamabele. Uma lezi zindawo eziguquguqukayo ziba manzi noma zihlale zimanzi, umswakama okhulayo ungabangela ukuqhuma kwe-scaly, ngokuvamile ngezinto ezimbi ezimhlophe ezikhona. Lokhu kutholakala kuvamile nge psoriasis kodwa kwenzeka nezinye izimo kanye.
I-Candidiasis yisimo esibangelwa imbiliso Candida albicans. Mhlawumbe eyaziwa kakhulu ngendima yawo ekwenzeni ukuhlwitha kanye ne-diaper imfucuza ezinganeni nasesiswini sesisu semvubelo kubesifazane, i-Candida ivame ukubangele ukuqhuma emagqumeni, ubuhlungu, nangaphansi kwamabele okungabonakala kufana kakhulu ne-psoriasis.
Ukushisa okubomvu okwebomvu ngezikali ezungeze emaphethelweni kufana neTinea cruris noma " Jock Itch ." Kubangelwa i- ruby Trichophyton rubrum ebonakala ngendlela ehlukile (cishe efana neyezinwele) ngaphansi kwe-microscope. Kuvame ukuphathwa ngama-agent antifungal aphezulu, afana nokwelashwa kwezifo zesilonda.
I-patch emnyama ehlukanisiwe kulezi zindawo ngaphandle kokuqhakazila kungenzeka kube yi- erythrasma , ukutheleleka okuncane kwamagciwane okubangelwa amabhaktheriya eCorynebacterium minutissimum. Ngaphezu kokubangela ukutheleleka ezinyaweni (kaningi phakathi kwezintathu zesithathu neyesine), kungabangela ukuqhuma emgodini, izimpande, nangaphansi kwamabele. Kungase kwahlukaniswe ukubukeka kwayo okubomvu. Lesi simo, esivame kakhulu kulabo abakhuluphele ngokweqile noma nesifo sikashukela, singavame ukuphathwa ngama-antibiotic esiphezulu.
Ukuze uhlukanise lezi zinsalela nezimo ezivela ku-psoriasis, i-dermatologist yakho inezinketho eziningi. Ukuqaphela isikali sesikhumba ngaphansi kwe-microscope kungase kubonise imbangela, njengoba kungase kuhlolwe i-KOH. Ukuhlola indawo enokukhanya kwe-ultraviolet (ukukhanya kwe-Wood) kungase kube usizo, njengoba imvubelo ivula umbala ophuzi ngale nqubo.
Ama-Rashes e-Hand and Foot ayengewona ama-Psoriasis
Ukuhlukana kwezinyawo nezinyawo kungaba nzima kakhulu ukuhlukanisa ne-psoriasis yeqiniso.
I-eczema , ukutheleleka kwe-fungal, ukusabela kokugula, nokucasuka kwamakhemikhali kungabangela ushintsho olungase ludideke nge-psoriasis. Iningi lalezi ziqhumane zibangela ukuqina, ukubomvu, nezikali emhlane wezandla noma izinyawo kodwa kungabangela ukuqhuma kwesibindi ezintendeni nasezintabeni.
Ukuguqulwa kwama-nail nge-psoriasis kuvamile, kepha kungenzeka nasezikhungweni ze-fungal noma eczema enzima ehilela izindawo ze-cuticle.
Ukuxilonga kungaba nzima kakhulu. I-skin biopsies ezivela emanzini ezinyawo nezinyawo zingadideka futhi zivame ukubonisa izici ezixubile esicelweni esifanayo. Ukuhlukanisa ukuhamba ngezinyawo nokuhamba ngezinyawo kudinga i-psoriasis kudinga ikhono elibalulekile futhi kuvame ukuthi kudinga ukuhlolwa kwezinye izingxenye zomzimba ukuze ubheke izinkomba, njenge-scalp, ama-elbow, namadolo. Kubalulekile ukubona udokotela wezidakamizwa ogxile ekuhlukaniseni lezi zinhlupho uma unenkinga ephikisanayo, futhi kwezinye izimo, umbono wesibili ungadingeka.
Ukuhlanganiswa kwe-Psoriasis nezinye izimo zesikhumba ku-scalp, ku-Flexural Creases, naku-izandla nezinyawo
Kubalulekile ukuthi ezinye izimo zesikhumba ezishiwo lapha zingenzeka ngesikhathi esifanayo ne-psoriasis. Empeleni, izimo ezifana ne-Candida zingahamba nge-psoriasis. I-Candidiasis ingashukumisa ukuvimbela amakhemikhali avuthayo (njengama- cytokines ) okwehla kakhulu kwe-psoriasis, kanye neminye imithi yokwelapha i-psoriasis ingadlulisela ukutheleleka nge-Candida.
> Imithombo
- > Armstrong, A., Bukhalo, M., no-A. Blauvelt. Umhlahlandlela weMtholampilo Ukuthola Ukuxilongwa Nokuphathwa Kwe-Candidiasis Kuziguli ezine-Psoriasis. Journal American of Dermatology Clinic . 2016. 17 (4): 329-36.
- > Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. I-New York: Imfundo ye-Mc Graw-Hill, 2015. Phrinta.
- > Park, J., Park, Y., Kim, S. et al. Ukutholakala Kokuhlukana Kwesimo Sokwahlukana Kwengqondo Ye-Psoriasis ne-Seborrheic Dermatitis ye-Scalp. Ama-Annal of Dermatology . 2016. 28 (4): 427-32.