I-Psoriasis Izimpawu, Nezimbangela Zemibala
Ziyini izimpawu zezinhlobo ezahlukene ze-psoriasis? Yini ngempela "ukuphazamiseka" kwe-psoriasis futhi yiziphi izimbangela? Ama-flares aphathwa kanjani, futhi angcono okwamanje, agwenywe?
I-Psoriasis
I-Psoriasis yisimo sesikhumba esithinta ngaphezu kwamaphesenti angu-2 wabantu futhi sibonakala ngokushona kwe-scaly okuvame kakhulu ekugqibeleni kwezingalo nemilenze kanye ne-scalp.
Kuvame ukugijima emindenini futhi kuvame ukubangelwa izimo zemvelo ezifana nesimo sezulu kanye nezifo. Ukushisa ngokuvamile kuvame ukufakwa kwe-scaly plaques ekhona ngaphansi kwesisekelo esibomvu. Amaphethelo wezilonda ngokuvamile ahlukile, futhi kulokhu kungalinganisa ukutheleleka kwezigulane.
I-Psoriasis Symptoms
Izilonda zesikhumba nge psoriasis ziyahlukahluka ngokusho uhlobo lwe-psoriasis (okukhulunywe ngezansi) kodwa zingabandakanya:
- Ama-scaly afaka ama-scaly noma yikuphi emzimbeni (kodwa ejwayelekile kunazo zonke ezindaweni eziqhamukayo kanye ne-scalp) ngaphezulu kwesisekelo esibomvu. Ngezinye izikhathi lezi zinhlayiya zikhula futhi ekugcineni zihlanganiswe njengama-patches amakhulu. Izikali zivame ukuvuleka futhi zikhishwe uma zihlutshiwe noma zihlungiwe.
- Ukushisa, ukomisa, ukuqhekeka nokwehliswa kwesikhumba esungeze ama-scaly patches.
- Ukumisa kanye nokuqina kwezikhonkwane nezinhlamvu.
Izimpawu ezithile ozisekelwe kuhlobo lwe-psoriasis onalo lungabandakanya:
- I-psoriasis yama-plaque engapheli - I-psoriasis yama-plaque yilezi zinhlobo ezivamile kakhulu ze-psoriasis futhi ithinta amaphesenti angu-5 wabantu ngesikhathi esithile sokuphila kwabo. Iqukethe ama-plaque owomile esikhunjeni sobukhulu obuguquguqukayo, obungasaphila isikhathi eside.
- I-scalp psoriasis - I- scalp psoriasis ngezinye izikhathi ingabonakala njenge-dandruff (seborrheic dermatitis) kodwa ihluke ngezindlela eziningi. Nakuba i-seborrheic dermatitis ibukeka ngamafutha, noma kunjalo, i-psalasis ye-scalp ivame ukukhanya okumile, ukukhanya. Kungaba mnene, ngezintambo ezincane ngemuva kwekhanda nentamo, noma okujwayelekile, okuthinta ikhanda lonke.
- I-Guttate psoriasis - I-Guttate psoriasis iyindlela evamile ye-psoriasis evame ukubonwa ezinganeni amasonto ambalwa ngemva kokutheleleka kwegciwane noma igciwane (njenge-strep throat.) Ukuqhuma kunamachashazi amancane ama-pink (guttate kusho ukwehla) esikhumbeni egcwele izilinganiso ezincane.
- I-psoriasis engenayo - I-psoriasis engenayo ifomu le-psoriasis elitholakala ezikhungweni zesikhumba. Ukuvuthwa ngokuvamile kubonakala njengezintambo ezibomvu ezibomvu ezenzeka lapho kukhona khona amafolda esikhumbeni, njengama-armpits naphansi kwamabele.
- I-pustular psoriasis - i- Pustular psoriasis , kufaka phakathi uhlobo olulodwa lwe-psoriasis eyaziwa njengeVon Zombusch psoriasis luhlobo olungavamile lwe-psoriasis olungabangela ezinye izinkinga eziningi. Ukuqhuma kuqukethe izilonda ezigcwele izikhumba esikhumbeni. Ngalolu hlobo lwe-psoriasis, izimpawu ezinjengomkhuhlane, ukubola, ukukhathala, i-anemia, nezinye izimpawu zesistimu kungenzeka zibe khona. Ama-blister agcwele ama-pus agcwele kakhulu ezandleni nasezinyaweni.
- I-Psoriasis - I-Psoriasis yezipikili ingaba nemibono eminingi ehlukene njengoba lokhu kuvame ukuhlanganiswa nokutheleleka kwe-fungal. Ukufakwa kwezipikili kanye nokuqina kujwayelekile kakhulu.
- I-erythrodermic psoriasis - i-erythrodermic psoriasis yaziwa nangokuthi i-psoriasis exfoliative
- I-arthritis ye-Psoriatic - Ne- arthritis ye-psoriatic , izilonda ze-psoriasis esikhumbeni zihambisana nokuvuvukala kwamalungu. Ngaphandle kwezilonda zesikhumba kanye namajoyina avuvukile, abantu bangase bahlakulele iminwe ebonakalayo yokusikisa, izinguquko ze-nail, kanye ne-conjunctivitis (amehlo abomvu.)
I-Psoriasis Flares
Esinye sezici ezicindezelayo ze-psoriasis yizinye izimpawu eziphuthumayo nezimbi kakhulu, ngokuvamile ngaphandle kwesizathu esizwakalayo. Nokho, ukubheka ngokucophelela, kungabonisa izinkomba eziningana mayelana nezici zokukhuthaza. Ukwelashwa kwamalangabi kungaba yinselele, futhi ezimweni ezimbi kakhulu, kungadinga ukuhlala esibhedlela esifushane.
Amaphutha amaningi ama-psoriasis angaphathwa ngemithi ye-psoriasis kuhlanganise nokuhlanganiswa kwezihloko zokwelapha, imithi ehlelekile, nezinye izifo ezifana ne-phototherapy.
Izimbangela Zemibala
Kunezinto eziningana ezibangela ukuthi zithathwe njengengxenye yokwehlisa i-psoriasis:
- Izici zangaphandle: Cishe noma yikuphi ukulimala esikhumbeni (ngisho nokudweba imibala) kungabangela ukuthuthukiswa noma ukuwohloka kwe-psoriasis kufaka phakathi ukushisa kwelanga, ezinye iziqhumane, njengokusabela okwenziwe izidakamizwa ezidakamizwa, ukuhlinzeka, ukusikeka noma ukukhwabanisa, nokuhlukunyezwa kwegciwane . Ukuwohloka kwe-psoriasis ngemuva kokulimala kuyaziwa ngokuthi yi- Koebner .
- Izifo: Okubaluleke kakhulu, ukutheleleka kwe-streptococcal njenge-strep throat kungabangela lesi sifo, ikakhulukazi ukuqubuka kwe-guttate psoriasis. Ukutheleleka ngegciwane lesandulela ngculazi kungenye isimo esaziwayo sokukhulisa i-psoriasis.
- Ukucindezeleka kwengqondo: Ukulahlekelwa umsebenzi, ukuhlukaniswa, ukufa noma ezinye izinto ezibuhlungu ngokomzwelo ziye zaziwa ngokuthi zivule amaviki noma iinyanga ze-psoriasis ngemva kokucindezeleka. Labo abaphila nge-psoriasis bangase bazuze ngokufunda ngokuphathwa kokucindezeleka.
- Ukucindezeleka ngokomzimba: Ukucindezeleka ngokomzimba, okufana nokuhlotshaniswa okukhulu noma ukugula kungabangela ukuphazamiseka.
- Imithi: Imithi eminingi iyaziwa ukuthi idale i-psoriasis futhi kufanele igwenywe uma kungenzeka kubantu abanesifo. Izibonelo zibandakanya i-beta-blockers, i-ACE inhibitors, i-angiotensin receptor blockers, i-lithium, i-tetracycline antibiotics, imithi engeyona i-steroidal anti-inflammatory, kanye nama-antimalarials.
- Ukusetshenziswa kotshwala kanye nokubhema ugwayi kubonakala sengathi kunendima ekudaleni ama-flare.
Ukwelapha i-Psoriasis Flares
Ngesinye isikhathi, ukuhanjiswa kwezidakamizwa ze-psoriasis kwakuvamile. Ngenxa yezinguquko ekubuyiselweni komshuwalense (Medicare ivumela kuphela izinsuku eziningi kakhulu zokubhedlela ngenxa yesimo sesikhumba) kanye nezidakamizwa ezinamandla kakhulu futhi ezisebenza ngokushesha, ama-flare amaningi manje aselashwa ngesilungiselelo sesipiliyoni.
Izidakamizwa ezivame ukusetshenziselwa ama-flare amakhulu zifaka i-cyclosporine, i-Remicade (infliximab), kanye nama-pustular flares, i-Soriatane (acitretin). Uma ama-psoriasis ama-flare, ungalibali-funa ukwelashwa ngokuphuthumayo nge-dermatologist eqeqeshiwe.
Ngezansi kuma-Psoriasis Izimpawu nama-Flares
Ukuvuthwa kwe-psoriasis kuvame ukucasula futhi kungapheli, nakuba uhlobo oluthile lokuqhuma luhluka ngokumangalisayo ngokuya ngohlobo lwe-psoriasis. Ama-flaori ye-Psoriasis avamile futhi angabangelwa ukucindezeleka okuhlukahlukene. Ngezinye izikhathi, ikakhulukazi nge-pustular psoriasis, izimpawu ze-psoriasis zingafaka izimpawu zesistimu ezifana nomkhuhlane kanye nokunye, futhi kungase kudingeke ukwelashwa. Lokho kusho ukuthi ukuthuthukiswa kokwelashwa (imishanguzo enamandla) kwenze ukwelashwa njengomuntu ophulukisayo kakhulu kakhulu.
Kulabo abaphila nge-psoriasis, "ukwelashwa" okufanele ukuvimbela ama-flare endaweni yokuqala. Zazi ngokwakho ngezimbangela zamalaka. Qinisekisa ukuthi ubona udokotela owazi isimo sakho futhi uyaqonda imithi engase ibe yingozi kakhulu. Uma ubona izimpawu zakho ziba nzima, ungalindi. Lapho ama-flares ebanjwe ngaphambili kunalokho angakwazi ukunciphisa ukwelashwa okunonya.
> Imithombo:
> Kim, W., Jerome, D., noJe Yeung. Ukuhlonza nokuphathwa kwe-Psoriasis. I-Canadian Family Physician . 2017. 63 (4): 278-285.
> Korman, N., Zhao, Y., Roberts, J., Pike, J., Sullivan, E., Tsang, Y., noT. Karagiannis. Impact ye-Psoriasis Flare and Remission on Quality of Life and Work Productivity: A Study-World Study e-USA. I-Dermatology Online Journal . 2016. 22 (7).
> Relvas, M., noT. Torres. Psoriasis yezingane. Journal American of Dermatology Clinic . 2017 Meyi 24. (Epub ngaphambi kokuphrinta).