10 Mibvunzo Yako Dermatologist Anoda Iwe Kuti Ubvunze Nezve Psoriasis

Zvemukati

• 1. Ndakawana sei psoriasis?
• 2. Ndezvipi zvakakosha nhoroondo yemhuri yangu ye psoriasis kana mamwe marapirwo, senge lymphoma?
• 3. Ko mamwe mamiriro angu ekurapwa anokanganisa sei, kana ari kukanganiswa neangu, psoriasis?
• 4. Ndedzipi nzira dzandinorapwa?
• 5. Ndeapi marapirwo aungakurudzira ini?
• 6. Ndeipi mhedzisiro inogona kuitika?
• 7. Ndichatora nguva yakareba sei ndiri pamushonga?
• 8. Pane here mishonga yandiri kutora yakaipa kana kukanganisa mishonga yangu ye psoriasis?
• 9. Kana ndikatanga biologic, ndinofanira here kumisa yangu yazvino regimen yekurapwa kweporiyo yangu?
• 10. Sei ndichifanira kushandura kana kutenderera marapirwo angu epsoriasis?

Kekupedzisira iwe pawakaona dermatologist yako ye psoriasis, wakagutsikana neruzivo rwawakawana here? Kana zvisiri, pane mukana wekuti iwe wanga usiri kubvunza mibvunzo kwayo. Asi iwe unofanirwa sei kuziva zvaunofanira kubvunza?

Tine izvozvo mupfungwa, takabvunza Dr. Doris Day, bhodhi-rakasimbiswa dermatologist inogara muNew York, ndeipi mibvunzo yepamusoro yaanoshuvira varapi veporiori vakamubvunza panguva yavo yekugadzwa. Ramba uchiverenga kuti uwane zvaaida kutaura.

1. Ndakawana sei psoriasis?

Hapana anoziva chaizvo chinokonzeresa psoriasis, asi chirwere cheupenyu hwese chinozivikanwa kuti chinewo chibereko. Zvatinoziva ndezvimwe autoimmune mamiriro apo immune system inokanganiswa zvisirizvo, iyo inomhanyisa iyo kukura kutenderera kwemasero eganda.

Sero rinowanzoitika ganda rinokura uye rinoburitsa pamusoro penzvimbo yemuviri mumazuva makumi maviri nemasere kusvika makumi matatu, asi ganda re psoriatic rinotora mazuva matatu kusvika mana chete kuti rikure uye riende pamusoro. Panzvimbo pekukura zvakasununguka uye kudurura, maseru anoungana uye anogona kugadzira mabara matsvuku akatsvuka ayo anowanzo kuvesa uye asingatarise.

Psoriasis inogona kungogumira kune mashoma mavara kana inogona kusanganisira ine mwero-kusvika-yakakura nzvimbo dzeganda. Kuomarara kwe psoriasis kunogona kusiyana kubva pamunhu kuenda kumunhu, uye mumunhu mumwe chete kubva pane imwe nguva kuenda pane imwe. Nyoro psoriasis inoonekwa seinosanganisira isingasviki 3 muzana yenzvimbo yemuviri. Moderate psoriasis inowanzo sanganisira 3 kusvika ku10 muzana. Uye yakanyanya psoriasis yakakura kupfuura gumi muzana.

Kune zvakare chinhu chezvemweya kune iyo grading yekuomarara, uko kunyangwe mumwe munhu ane mashoma emuviri kufukidza pamusoro angafungidzirwa kuve neepakati nepakati kana yakaoma psoriasis kana mamiriro acho aine chinokanganisa zvakanyanya pahupenyu hwavo.

2. Ndezvipi zvakakosha nhoroondo yemhuri yangu ye psoriasis kana mamwe marapirwo, senge lymphoma?

Kuva nenhoroondo yemhuri ye psoriasis kunowedzera njodzi yako, asi hakusi vimbiso kwayo. Zvakakosha kuti dermatologist yako ive nekunzwisisa kwakakwana sezvinobvira pamusoro pako, uye zvakare uzive nhoroondo yemhuri yako ye psoriasis uye mamwe mamiriro ekurapa kuti ugone kukutungamira nenzira dzakanakisisa dzekurapa.

Vaya vane psoriasis vane zvishoma zvinowedzera njodzi ye lymphoma pamusoro pehuwandu hwevanhu. Dermatologist wako anogona kusarudza kuti mimwe mishonga inodiwa uye mimwe inofanirwa kudzivirirwa zvichibva pane ino nhoroondo.

3. Ko mamwe mamiriro angu ekurapwa anokanganisa sei, kana ari kukanganiswa neangu, psoriasis?

Psoriasis yakaratidzirwa kuve yakasarudzika mamiriro ekuputira mamiriro uye akafanana kune mamwe anogumbura immune immune. Pamusoro pemhedzisiro yaro paganda, makumi matatu muzana yevanhu vane psoriasis vanozovewo ne psoriatic arthritis.

Kunze kwekubatana kwayo neArthritis, psoriasis inosanganisirwa nekushushikana, kufutisa, uye atherosclerosis (inowanda yedombo mumatumbu). Vaya vane psoriasis vanogona zvakare kuve nekuwedzera kuwanda kwechirwere chemoyo ischemic, chirwere checebrovascular, chirwere chetsinga, uye nenjodzi yakawedzera yekufa.

Kuzvimba kunogona kuve tsananguro inogumbuka yeiyo kusangana pakati pe psoriasis neakakwira BP kana hypertension, pamwe neiyo pakati pe psoriasis nechirwere cheshuga. Kutsvagisisa uye kutarisisa kwave kwakanangidzirwawo pakusangana pakati pe psoriasis, hutano hwemwoyo, uye kurwiswa kwemoyo kana myocardial infarction.

4. Ndedzipi nzira dzandinorapwa?

Hapana imwechete psoriasis yekurapa inoshanda kune wese munhu, asi pane zvinonakidza, zvitsva, zvemberi nzira dzekurapa dzinotarisana nechinokonzera chikonzero che psoriasis zvirinani kupfuura nakare kose. Mamwe ari muchimiro chepiritsi, mamwe majekiseni, uye mamwe anowanikwa kuburikidza nekumukiswa.

Izvo zvakakosha kuti uzive izvo zvaunogona kusarudza uye njodzi uye zvakanakira chimwe nechimwe.

5. Ndeapi marapirwo aungakurudzira ini?

Kunyangwe sekuda kwatinoita kukupa iwe sarudzo, chiremba wako achave nesarudzo yeprotocol kuti ikubatsire. Izvi zvichave zvinoenderana nekuomarara kwe psoriasis yako, marapirwo awakaedza munguva yakapfuura, nhoroondo yako yekurapa, nhoroondo yemhuri yako, uye danho rako rekunyaradza nemarapirwo akasiyana.

Zvakaoma kufanotaura zvicha shandira mumwe munhu. Nekudaro, chiremba wako achakubatsira iwe kuti uwane iyo yakanaka kurapwa kana musanganiswa wemarapirwo ako. Ivo vanozokuzivisa iwe izvo zvaunogona kutarisira kubva pakurapwa, kusanganisira kuti zvinotora nguva yakareba sei kuti uone mhedzisiro, mhedzisiro, uye kudiwa kwekutarisa panguva yekurapwa.

6. Ndeipi mhedzisiro inogona kuitika?

Kune mhedzisiro nemhedzisiro. Kubva pamusoro wecortisone kuenda kufototherapy kune immunosuppressant's kune biologics, yega yega ine mabhenefiti uye njodzi dzaunoda kuziva usati watanga. Kuziva mhedzisiro yemushonga wega wega chikamu chakakosha chehurukuro yako nachiremba wako.

Kana iwe uri kutanga biologic zvakakosha kuti uve wakanatswa protein protein derivative (PPD) ganda bvunzo kuti uone kana iwe wakambosangana netibhii munguva yakapfuura. Iyo mishonga haikonzere tibhii, asi inogona kudzikisira immune system yako kurwisa hutachiona kana iwe wakambobuditswa pachena munguva yakapfuura.

7. Ndichatora nguva yakareba sei ndiri pamushonga?

Iko hakuna kurapwa kwe psoriasis, asi marapirwo mazhinji akasiyana, ese epamusoro uye ehurongwa, anogona kujekesa psoriasis kwenguva. Vanhu dzimwe nguva vanofanirwa kuyedza marapirwo akasiyana vasati vawana imwe inovashandira.

8. Pane here mishonga yandiri kutora yakaipa kana kukanganisa mishonga yangu ye psoriasis?

Dermatologist wako anozofanira kuziva mishonga yese yauri kutora, zvese tsamba yekunyorera uye nepamusoro-pekutengesa, nekuti panogona kunge paine kudyidzana kwezvinodhaka iwe kwaunofanirwa kuziva nezvazvo.

Semuenzaniso, acetaminophen inosanganiswa neimwe biologics inogona kuwedzera njodzi yako yekutadza kwechiropa, saka mubatanidzwa unofanirwa kudzivirirwa zvakanyanya sezvinobvira. Uye kugara uchiongororwa ropa kuti uongorore kushanda kwechiropa kunodiwa.

Zvakare, mimwe mishonga, senge aspirin, inogona kuita kuti psoriasis iwedzere. Nepo mimwe mishonga, senge yemuromo corticosteroids, inogona kutungamira kune inoisa upenyu pangozi ye psoriasis inonzi pustular psoriasis, kunyangwe kune avo vane psoriasis nyoro. Izvi zvinodaro nekuti steroid yemumuromo iri kuiswa pasi. Kana iwe wakatemerwa oral steroids nemuromo, ive shuwa kuudza chiremba iwe une psoriasis usati watanga mushonga.

9. Kana ndikatanga biologic, ndinofanira here kumisa yangu yazvino regimen yekurapwa kweporiyo yangu?

Tora pikicha kana nyora runyorwa rwewezvino marapirwo regimen kuti uuye newe kuhofisi yekushanyira kuitira kuti dermatologist yako izive maitiro ekugadzirisa kana kugadzirisa marapirwo ako kuti uwedzere mhedzisiro yako. Izvo zvinobatsirawo kuunza chero razvino basa rebhu. Chiremba wako anogona kuti iwe uenderere mberi nemishonga yekurapa paunotanga kuwedzera biologic, uye wozobvisa sezvo mushonga mutsva uchitanga kushanda.

10. Sei ndichifanira kushandura kana kutenderera marapirwo angu epsoriasis?

Tine psoriasis, isu dzimwe nguva tinofanirwa kutenderera marapirwo nekufamba kwenguva sezvo achigona kushomeka sezvo muviri uchichinjira pakurapwa. Dermatologist wako anogona kubva achinjira kune dzimwe nzira dzekurapa, uye anogona kutenderera achidzokera kune apfuura sezvo muviri uchirasikirwa nemushonga mushure memwedzi kana yekumiswa kushandiswa. Izvi hazvisi zvechokwadi nezve biologics, asi zvinogona kuitika.

Mukusarudza biologic kana chero nzira yekurapa, chiremba wako anoongorora marapirwo ekare uye njodzi uye mabhenefiti emushonga wega wega uripo nhasi kuti akubatsire kukutungamira mukuita sarudzo. Zvinobatsira kuita rondedzero yemarapirwo awakaedza iwe, zuva rawakatanga uye kuvamisa, uye nemashandiro avakakuitira.

Kune akawanda matsva psoriasis madhiragi anopinda mumusika, mamwe acho aungave usina kumboedza kare, saka ive shuwa yekugara uchibvunza kana kuteedzera nachiremba wako kuitira kuti yako yazvino regimen isiri kukushandira iwe.