Psoriasis

Psoriasis chirwere cheganda chinokonzera kutsvuka kweganda, zviyero zvesirivha, uye kutsamwa. Vazhinji vanhu vane psoriasis vane gobvu, tsvuku, zvinotsanangurwa-zvakanaka zvigamba zveganda zvine mutsindo, sirivheri-chena zviyero. Izvi zvinonzi plaque psoriasis.

Psoriasis yakajairika. Chero ani zvake anogona kuikurira, asi kazhinji inotanga pakati pemakore gumi nemashanu kusvika makumi matatu nemashanu, kana sevanhu vanokwegura.

Psoriasis haina kutapukira. Izvi zvinoreva kuti haina kupararira kune vamwe vanhu.

Psoriasis inoita kunge inopfuudzwa kuburikidza nemhuri.

Akajairika maseru eganda anokura zvakadzika mukati meganda uye anokwira kumusoro pamusoro kamwe chete pamwedzi. Paunenge uine psoriasis, maitiro aya anoitika mumazuva gumi nemana kwete mumavhiki matatu kusvika mana. Izvi zvinoguma nemasero eganda akafa achivaka pamusoro peganda, achiumba kuunganidzwa kwezviyero.

Izvi zvinotevera zvinogona kukonzera kurwisa kweporiori kana kuita kuti zviome kurapa:

• Zvirwere kubva kubhakitiriya kana mavairasi, kusanganisira strep huro uye hutachiona hwepamusoro hwekufema
• Mhepo yakaoma kana ganda rakaoma
• Kukuvadza kune ganda, kusanganisira kucheka, kutsva, kurumwa nezvipembenene, uye kumwe kuputika kweganda
• Mimwe mishonga, inosanganisira antimalaria zvinodhaka, beta-blockers, uye lithium
• Kushungurudzika
• Chiedza chezuva chidiki
• Zuva rakawandisa (kupisa kwezuva)

Psoriasis inogona kuve yakaipa kune vanhu vane immune system isina kusimba, kusanganisira vanhu vane HIV / AIDS.

Vamwe vanhu vane psoriasis zvakare vane arthritis (psoriatic arthritis). Uye zvakare, vanhu vane psoriasis vane njodzi yakawedzera yeakakora chiropa chirwere uye nemoyo kushushikana, senge chirwere chemoyo uye sitiroko.

Psoriasis inogona kuoneka kamwe kamwe kana zvishoma nezvishoma. Kazhinji, inoenda yozodzoka.

Chiratidzo chikuru chemamiriro acho chakatsamwa, chitsvuku, chisina kuchena mapepa eganda. Mabheji anowanzoonekwa pamakumbo, mabvi, nepakati pomuviri. Asi ivo vanogona kuoneka chero kupi, kusanganisira pamusoro wemusoro, chanza, tsoka dzetsoka, uye genitalia.

Ganda rinogona kunge riri:

• Itchy
• Yakaomeswa uye yakafukidzwa nesirivheri, isina ganda ganda (zviyero)
• Pinki-tsvuku muvara
• Yakasimudzwa uye gobvu

Zvimwe zviratidzo zvinogona kusanganisira:

• Joint kana tendon kurwadziwa kana kurwadziwa
• Chipikiri chinoshandurwa, kusanganisira nzara dzakakora, nzara dzeyero-shava, matinji muchipikiri, uye kusimudza kwembambo kubva paganda riri pasi
• Yakakomba dandruff pamusoro wemusoro

Kune mashanu makuru marudzi e psoriasis:

• Erythrodermic - Iko kutsvuka kweganda kwakanyanya uye kunovhara nzvimbo yakakura.
• Guttate - Diki, pingi-dzvuku tsvuku dzinoonekwa paganda. Iyi fomu inowanzo kuve yakabatana ne strep hutachiona, kunyanya muvana.
• Inverse - Hutsvuku hweganda uye kutsamwa kunoitika muhapwa, kugomera, uye pakati pekupindana kweganda pane nzvimbo dzinojairika dzegokora nemabvi.
• Dombo - Rakaonda, dzakatsvuka zvigamba zveganda zvakafukidzwa nezviyero zvisina kuchena, zvesirivha-chena. Iyi ndiyo yakajairika mhando ye psoriasis.
• Pustular - Yero pus-yakazara blister (pustules) yakakomberedzwa neganda dzvuku, rakatsamwa.

Anopa hutano hwako anogona kazhinji kuongorora iyi mamiriro nekutarisa paganda rako.

Dzimwe nguva, ganda rinoputika rinoitwa kutonga kunze kwemamwe mamiriro ezvinhu. Kana iwe uine marwadzo akabatana, mupi wako anogona kuraira zvidzidzo zvekufungidzira.

Chinangwa chekurapa ndechekudzora zviratidzo zvako uye kudzivirira hutachiona.

Nzira nhatu dzokurapa dziripo:

• Mafuta eganda, mafuta ekuzora, makirimu, uye shampoo - Aya anonzi mishonga yekurapa.
• Mapiritsi kana majekiseni anokanganisa maitiro ekudzivirira muviri, kwete ganda chete - Aya anonzi systemic, kana muviri-wakapamhama, kurapwa.
• Phototherapy, iyo inoshandisa ultraviolet mwenje kurapa psoriasis.

MIRAPO INOSHANDISWA PAGANDA (TOPICAL)

Kazhinji yenguva, psoriasis inorapwa nemishonga inoiswa yakanangana neganda kana ganda romusoro. Izvi zvinogona kusanganisira:

• Cortisone makirimu nemafuta
• Zvimwe zvinopesana nezvirwere uye mafuta
• Makirimu kana mafuta ane marara tara kana anthralin
• Makirimu ekubvisa kuyera (kazhinji salicylic acid kana lactic acid)
• Dandruff shampoos (over-the-counter kana mushonga)
• Vanodzivirira
• Mishonga yekunyorera ine vhitamini D kana vhitamini A (retinoids)

SYSTEMIC (MUVIRI-WAKAWANDA) MIRAPO

Kana iwe uine zvine mwero kusvika zvakanyanya psoriasis, mupi wako angangodaro achikurudzira mishonga inodzvinyirira immune mhinduro yekukanganisa mhinduro. Iyi mishonga inosanganisira methotrexate kana cyclosporine. Retinoids, senge acetretin, inogona zvakare kushandiswa.

Mishonga mitsva, inonzi biologics, inowanzo shandiswa sezvavanotarisana nezvinokonzera psoriasis. Biologics inogamuchirwa kurapwa kwe psoriasis inosanganisira:

• Adalimumab (Humira)
• Abatacept (Orencia)
• Apremilast (Otezla)
• Brodalumab (Siliq)
• Certolizumab pegol (Cimzia)
• Etanercept (Enbrel)
• Infliximab (Remicade)
• Ixekizumab (Taltz)
• Golimumab (Simponi)
• Guselkumab (Tremfya)
• Risankizumab-rzaa (Skyrizi)
• Secukinumab (Cosentyx)
• Tildrakizumab-asmn (Ilumya)
• Ustekinumab (Stelara)

PHOTOTHERAPY

Vamwe vanhu vangasarudza kuve nephototherapy, yakachengeteka uye inogona kushanda zvakanyanya:

• Uku ndiko kurapwa uko ganda rako rinonyatso kuoneswa kune ultraviolet mwenje.
• Inogona kupihwa wega kana mushure mekutora mushonga unoita kuti ganda riite sechiedza.
• Phototherapy ye psoriasis inogona kupihwa se ultraviolet A (UVA) kana ultraviolet B (UVB) mwenje.

MIMWE MIRAPO

Kana uine hutachiona, mupi wako achapa mishonga inorwisa mabhakitiriya.

KUCHENGETA KWEMUMBA

Kutevera aya matipi kumba kunogona kubatsira:

• Kugeza zuva nezuva kana kugeza - Edza kusatsvaira zvakanyanya, nekuti izvi zvinogona kutsamwisa ganda uye kukonzera kurwisa.
• Oatmeal baths inogona kunge ichizorodza uye inogona kubatsira kusunungura masikero. Unogona kushandisa over-the-counter oatmeal bath zvigadzirwa. Kana, iwe unogona kusanganisa 1 mukombe (128 gramu) yeoatmeal mubhavhu (bhati) yemvura inodziya.
• Kuchengeta ganda rako rakachena uye rakanyorova, uye kudzivisa yako chaiyo psoriasis zvinokonzeresa zvinogona kubatsira kudzikisa huwandu hwekupisa-kumusoro.
• Chiedza chezuva chingabatsira zviratidzo zvako kuenda. Ngwarira kuti usatsva nezuva.
• Relaxation uye anti-kushushikana matekinoroji - Iko kubatana pakati pekushushikana nemoto we psoriasis haina kunyatsonzwisiswa.

Vamwe vanhu vanogona kubatsirwa neboka rekutsigira psoriasis. Iyo National Psoriasis Foundation chishandiso chakanaka: www.psoriasis.org.

Psoriasis inogona kuve yehupenyu hwese mamiriro ayo anogona kazhinji kudzorwa pamwe nekurapwa. Inogona kuenda kwenguva yakareba uye yobva yadzoka. Nokurapwa kwakakodzera, hazvizokanganisa hutano hwako hwese. Asi ziva kuti kune hukama hwakasimba pakati pe psoriasis nemamwe matambudziko ehutano, senge chirwere chemwoyo.

Bata mupi wako kana iwe uine zviratidzo zve psoriasis kana kana kutsamwa kweganda rako kuchiramba zvisinei nekurapwa.

Udza mupi wako kana iwe uine marwadzo akabatana kana fivha neako psoriasis kurwisa.

Kana uine zviratidzo zveArthritis, taura nedermatologist yako kana rheumatologist.

Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (senge 911) kana iwe uine chirwere chakakomba chinofukidza ese kana mazhinji emuviri wako.

Iko hakuna inozivikanwa nzira yekudzivirira psoriasis. Kuchengeta ganda rakachena uye rakanyorova uye kudzivirira kwako psoriasis zvinokonzeresa kunogona kubatsira kudzikisa huwandu hwekuputika.

Vanopa vanokurudzira mabhati ezuva nezuva kana mashawa kuvanhu vane psoriasis. Dzivisa kukwesha zvakanyanya, nekuti izvi zvinogona kutsamwisa ganda nekukonzera kurwisa.

Plaque psoriasis; Psoriasis vulgaris; Guttate psoriasis; Pustular psoriasis

• Psoriasis pamakwenzi
• Psoriasis - yakasimudzwa x4
• Psoriasis - guttate pamaoko nepachipfuva

Armstrong AW, Siegel MP, Bagel J, et al. Kubva kuMedical Board yeNational Psoriasis Foundation: tarisiro yekurapa kwepaki psoriasis. J Am Acad Dermatol. 2017; 76 (2): 290-298. PMID: 27908543 www.pubmed.ncbi.nlm.nih.gov/27908543/.

Dinulos JGH. Psoriasis uye zvimwe zvirwere zvinowanzoitika papulosquamous. Muna: Dinulos JGH, ed. Habif's Clinical Dermatology. 7th ed. Philadelphia, PA: Elsevier; 2021: chits. 8.

Lebwohl MG, van de Kerkhof P. Psoriasis. Mune: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Kurapa kweGanda Rezvirwere: Dzakakwana Therapeutic Strategies. 5 ed. Philadelphia, PA: Elsevier; 2018: chitsiko 210.

Van de Kerkhof PCM, Nestlé FO. Psoriasis. Mune: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018: chits. 8.