I-pustular psoriasis ingenye yezinhlobo eziningana ze-psoriasis . Kubangela izingxenye zesikhumba ukuba zibomvu, zivule futhi zimbozwe ngethenda, izibhanti ezigcwele ama-pus ezibizwa ngokuthi ama-pustules.
I-pus ngaphakathi i-pustules yi-fluid engenasifo, engahlanzekile. Iqukethe i-lymph fluid, amangqamuzana amhlophe wegazi namanye amangqamuzana umzimba othumela ngokujwayelekile ezindaweni lapho kukhona ukuvuvukala.
Kunezinhlamvu eziningana ze-pustular psoriasis. Kungase ivalwe ezindaweni ezincane zomzimba - ngokuvamile, nje izintende zezandla, izinyawo ezinyaweni, noma iminwe kanye / noma izinzwane zithintekile kulokho okubizwa ngokuthi ifomu eligxile lesi sifo. Isimo singakwazi ukuhlanganisa izindawo ezinkulu zomzimba kanye. Ifomu elijwayelekile (i-von Zumbusch psoriasis) libi kakhulu, futhi leli fomu likwazi ngisho nokubulala.
Ngezinye izikhathi i-pustular psoriasis iyenzeka njengendlela yokusabela ekusetshenzisweni kwezokwelapha (i-tar ne-anthralin) kwezinye izinhlobo ze-psoriasis. Kungenzeka futhi njengendlela yokusabela ekusetshenzisweni kweminye imithi, kuhlanganise i-lithium, i-indomethacin (i-prescription pain killer), kanye nemithi ephakeme ye-blood like propranolol. Ukuyeka ukusetshenziswa kwe-steroids (noma ngomlomo noma ngezingqikithi) kungase kukhishwe isiqephu se-pustular psoriasis. Ukukhulelwa kuyinkinga eyengeziwe engozini.
Kunezinhlobo ezihlukahlukene ze-pustular psoriasis.
Lalela Funda Kudivayisi kuphela Kwengeziwe Buka Kufakiwe Pustular Psoriasis of the Palms and Soles
Kulolu hlobo lwe-pustular psoriasis, ama-pustules ahlakulele kakhulu ezicubu zezingxenye eziphakathi kwesundu nesisindo. Ama-pustules abese edlulela ebusweni besikhumba, lapho besafiphaza futhi bavule obunzima obuhlaza. Ubuso be-pustules bukhulu futhi buyi-scaly, futhi ngeke buvuleke.
Indawo ezungeze i-pustule i-smooth, pink, futhi iyingozi kakhulu ekuthinteni.
Ama-pustules on the soles of the feet enza ukuhamba kunzima kakhulu futhi kubuhlungu. Ama-pustules ezintendeni zezandla nawo aphazamisa kakhulu ukusebenza okujwayelekile.
I-pustular psoriasis iza futhi ihamba ngeziqephu eminyakeni edlule. Kunezikhathi lapho lesi sifo sishabalalala khona, kuphela okumele silandelwe yi-flare-ups ebuhlungu kakhulu. Ababhemayo banengozi enkulu kakhulu yalesi simo.
Ukwelashwa kungabandakanya imithi efana ne-acitretin, i- cyclosporine , ne- methotrexate . Enye indlela i-psoralen ultraviolet ukukhanya A (i-PUVA), ukwelapha okuhlanganiswa lapho i-psoralen yesidakamizwa ithathwa ngomlomo noma isetshenziswe ngokwezihloko kanye nesikhumba esithintekile bese ibonakala ekukhanyeni kwe-ultraviolet. Ama-steroid creams noma ama-ointments angasetshenziswa futhi. Izindawo ezithintekayo ke zihlanganiswa nama-bandage eplastiki angenawo amanzi namanzi, okwandisa ukondla kwe-steroid emaqenjini.
I-Pustular Psoriasis ye-Digits
Lolu hlobo lwe-pustular psoriasis, olwaziwa odokotela njenge-acrodermatitis continua, luvame ukuthinta umunwe owodwa noma uzwane. Ama-pustules avela ekupheleni kwalowo madijithali, ngokuvamile ezindaweni ezilimale ngaphambilini noma ezithelelekile.
Ama-pustules aqhuma kalula, ashiya indawo enesifo esibi kakhulu, esiswini, esiqhekekile esihlala sivuza amanzi.
Amafreyimu we-crabby amafreyini ngaphezu kwesimo sore kodwa njalo ahla, aqala kabusha umjikelezo. Izipikili zeminwe noma izinzwane zingathinteka futhi zikhubazeke, futhi idijithi ethintekayo iyabuhlungu kakhulu, iphazamise ukusebenza kwesandla noma unyawo.
Ukwelashwa kungabandakanya ama-steroids angama-topical kanye nama-bandages angenakuvikela amanzi, kanye nemithi yomlomo njenge-acitretin, i-cyclosporine noma i-methotrexate. Ngeshwa, lolu hlobo lwe-psoriasis luvame ukumelana nokwelapha.
I-Pustular Psoriasis ejwayelekile
Leli fomu le-pustular psoriasis liqala ngokukhishwa kwesikhumba nokubukeka kwamapustules amancane amancane.
Ngokuhamba kwesikhathi, ama-pustules akhula, asakaze futhi ahlangane ndawonye emzimbeni amakhulu. Ama-pustules amancane alula futhi aphukile kalula, okwethula amathuba okuba nesifo sokutheleleka kwe-bacterial in. Lesi simo sithinta futhi izibungu ezingenangqondo, ngakho-ke izikali zomlomo nezilonda zomlomo zivamile.
Ezinye izimpawu zomzimba zomzimba zingase zenzeke, kufaka phakathi umkhuhlane, izikhukhula, ukulahlekelwa isisindo, ukuphazamiseka kwegazi , ukuphela kwamanzi, ukushaya kwenhliziyo okusheshayo, ukuvuza, nokukhathala okukhulu. Izinkinga ezinzima zingase zihlanganise ubunzima bokuphefumula, amazinga aphansi e-calcium egazi, i-pneumonia, ukwehluleka kwenhliziyo ye-congestive, ne-hepatitis. Uma unezibonakaliso ze-pustular psoriasis, kubalulekile ukufuna ukunakekelwa okusheshayo kudokotela we-dermatologist.
I-pustular psoriasis ejwayelekile iphathwa ngokubeka ukugqoka okufakwe kulokho okuthiwa i-Burow's noma i-Domeboro isisombululo - ingxube ye-aluminium acetate namanzi-phezu kwezindawo ezithintekile. I-steroids yama-topical ingasetshenziswa futhi. Amacala amakhulu angadinga i-acitretin, methotrexate, noma i-cyclosporine.
Imithombo:
Ferri FF "I-Psoriasis." UFerri's Clinical Advisor 2008 . Qala kuqala. Ed. UFred Ferri. I-Philadelphia: UMosby Elsevier, 2008. 374-5.
UHabif TP Clinical Dermatology . Okwesine. USt. Louis: uMosby, 2004.
"Imibuzo Nezimpendulo Nge-Psoriasis." Isikhungo seNational for Arthritis and Musculoskeletal and Skin Skin . May 2003. Izikhungo Zikazwelonke Zempilo.
"Pustular Psoriasis." Psoriasis.org . Dec. 2005. National Psoriasis Foundation.