Prurigo Nodularis uye Ganda Rako

Zvemukati

• Zviratidzo
• Mifananidzo
• Kurapa
• Musoro wemishonga
• Majekiseni
• Systemic mishonga
• Dzimwe nzira dzokurapa
• Mishonga mitsva
• Mamwe mazano ekugadzirisa yako PN
• Tsigiro
• Zvinokonzera
• Zvekukurumidza chokwadi
• Kudzivirira
• Kutora

Prurigo nodularis (PN) yakanyanyisa kupwanya ganda kuputika. PN mapundu paganda anokwanisa kutakura saizi kubva padiki kwazvo kusvika pahafu yehafu pakureba. Kuwanda kwema nodule kunogona kusiyana kubva pa2 kusvika ku200.

Pfungwa yakajairika ndeyekuti inoitika nekuda kwekukwesha ganda. Ganda rinotsemuka rinogona kuve nekuda kwezvikonzero zvinoverengeka, senge:

• ganda rakaoma
• utachiona kusagadzikana
• chirwere chetsvo chisingaperi

Kuchema kwePN kunogona kukuvadza mukuomarara kwayo. Iyo inofungidzirwa kuve ine yepamusoro-soro itch kusimba kwechero ipi inonzwika ganda mamiriro.

Kukwaya kunoita kuti iko kunetse kuwedzere uye kunogona kukonzera kuti mamwe mapundu aoneke uye kuwedzera mapundu aripo.

PN inonetsa kurapa. Ngatitarisei zviratidzo uye nzira dzekutarisira PN.

Zviratidzo

PN inogona kutanga sediki, tsvuku inonzwika bundu. Izvo zvinoitika nekuda kwekukwesha ganda. Iwo mapundu anowanzo kutanga pamaoko ako kana makumbo asi anogona zvakare kuoneka pane ese muviri wako, chero kwaunokwenya.

Iwo maqhumu anogona kuve anonamira zvakanyanya. Mapundu anogona kunge ari:

• zvakaoma
• chakakora uye chine ganda
• yakatarisana neruvara kubva patoni yenyama kusvika ku pink, brown, kana nhema
• scabby
• warty akatarisa

Ganda pakati pemapundu rinogona kuoma. Vamwe vanhu vane PN zvakare vanoona kupisa, kugeda, uye tembiricha misiyano mumabumps, maererano neya 2019 ongororo.

Iwo mapundu anogona kukudziridza hutachiona hwechipiri kubva kazhinji kukwenya.

Iko kurira kwakanyanya kunogona kukuvadza, kudzivirira kuzorora kwekurara uye kukanganisa maitiro ako ezuva nezuva. Izvi zvinogona kuita kuti vanhu vane PN vanzwe kushungurudzika uye kushushikana.

Mapundu anogona kugadzirisa kana munhu akamira kuakwenya. Ivo vanogona kusiya mavanga mune dzimwe nguva.

Mifananidzo

Kurapa

Chinangwa chekurapwa kwePN ndechekutyora itch-kukwenya kutenderera nekubvisa iko kunhuwa.

Anopa hutano hwako anozoda kurapa chero mamiriro ezvinhu ari kukonzeresa kukwenya kwako.

Iyo yakajairwa PN kurapwa inosanganisira ese epamberi makirimu uye systemic zvinodhaka zvekuzorora.

Nekuti kurumwa kuri kwakanyanya uye kesi imwe neimwe yakasiyana, ungafanira kuyedza nhevedzano yemarapirwo akasiyana kuti uwane zvinoshanda zvakanyanya kwauri.

PN chirwere chisina kunyorwa.

Mune vamwe vanhu, hapana chikonzero chinozivikanwa chekurumwa. Kune vanhu ava, hapana imwe chete inoshanda kurapwa.

Parizvino, iyo US Food and Drug Administration (FDA) haina kubvumidza chero marapirwo ekurapa PN. Nekudaro, kune akawanda madhiragi ari kuferefetwa ayo anogona kunge achishandiswa asiri-label kurapa mamiriro acho.

Ive neshuwa yekukurukura zvinokwanisika mhedzisiro mhedzisiro yemishonga uye kushandisa mishonga kure-chitaridzi pamwe nemupi wako wehutano mupi.

Musoro wemishonga

Anopa hutano hwako anogona kupa mamwe ma over-the-counter (OTC) kana mishonga yemushonga yekurapa kuti iturike uye kutonhodza ganda rako.

Mienzaniso inogona kusanganisira:

• topical steroid makemikari akadai clobetasol kana calcineurin inhibitors senge pimecrolimus. (Izvi zvinogona kuvharwa kuvabatsira kushanda zvinobudirira.)
• misoro yemarasha tara
• misoro vhitamini D-3 mafuta (calcipotriol)
• capsaicin kirimu
• menthol

Majekiseni

Anopa hutano hwako anogona kupa corticosteroid (Kenalog) majekiseni emamwe ma nodule.

Systemic mishonga

Anopa hutano wako anogona kupa kana kuraira OTC antihistamines kuti ikubatsire kurara husiku.

Vanogona zvakare kupa mishonga iyo inowanzo shandiswa seanodzvinyirira kukubatsira kuti urege kukwenya. Paroxetine uye amitriptyline zvakave nekubudirira mukubatsira PN maqhubu kuvandudza.

Dzimwe nzira dzokurapa

Therapies iyo inogona kubatsira kudzikisa iwo maqhuqhu uye kubvisa kunhuwa anosanganisira:

• Cryotherapy. Cryotherapy ndiko kushandiswa kwetembiricha inotonhora-inotonhora pane chironda
• Phototherapy. Phototherapy inoshandisa ultraviolet mwenje (UV).
• Psoralen inoshandiswa pamwe chete neUV. Psoralen neUVA zvinoshandiswa pamwechete zvinozivikanwa sePUVA.
• Pulsed dhayi laser. Pulsed dhayi laser inzira yekurapa inoshandiswa kuuraya masero anorwara.
• Excimer laser kurapwa. A excimer laser pa308 nanometer ine PN iyo isina kupindura kune mamwe marapirwo.

Mubatsiri wako wezvehutano anogona zvakare kuratidza tsika yekudzosera kurapwa kuti ikubatsire iwe kurega kukwenya.

Mishonga mitsva

Mimwe miedzo inosanganisira kushandisa madhiragi-kurebera yakaratidza kuvimbisa mukuderedza kunhuwa.

• naloxone intravenous uye naltrexone yemumuromo mu-opioid receptor vanopikisa, iyo inogona kuve nemhedzisiro mhedzisiro.
• immunosuppressants, ayo anosanganisira cyclosporine uye methotrexate
• gabapentinoids, iyo inoshandiswa kune vanhu vasingateereri kune mamwe marapirwo kana vane marwadzo europathies anorwadza
• thalidomide, iyo yakaratidzirwa kuva inoshanda, asi inoonekwa seyokupedzisira sarudzo nekuda kwemhedzisiro inogona kuitika
• nalbuphine uye nemolizumab, izvo zvava kuongororwa
• isoquercetin, inova inogadzirwa nemiti yequercetin
• , unova mushonga wekubaiwa jekiseni

Mamwe mazano ekugadzirisa yako PN

Ganda remunhu wese rakasiyana, uye zvinogona kutora imwe nguva kuti uwane maitiro anobatsira kuchenesa kwako.

Musanganiswa wemishonga unogona kushanda zvakanyanya. Izvo zvakakosha kuyedza kutyora itch-kukwenya kutenderera kudzivirira mamwe maqhubu uye kubvumidza ekare kuti agadzirise.

Mukuwedzera kune yakatemwa mishonga uye OTC mafuta:

• Shandisa chando kurongedza kunzvimbo dzinotyisa.
• Tora inodziya, ipfupi yekugeza ne colloidal oatmeal.
• Nyorovera kakawanda neVaseline kana hypoallergenic cream.
• Shandisa sipo isina kunhuwirira uye zvimwe zvigadzirwa zveganda rakajeka.

Tsigiro

Bata Nodular Prurigo International kuti uwane rumwe ruzivo kana kujoina yavo yakavanzika Facebook boka kana kuvhura Facebook boka.

Kutora chikamu muPN kliniki kuyedzwa zvakare sarudzo.

Zvinokonzera

Chikonzero chaicho chePN hachina kunyatsonzwisiswa, asi maronda acho anotendwa kuti mhedzisiro yakanangana neganda rinonhuwa, iro rinogona kunge riri nekuda kwezvikonzero zvakawanda.

PN yave ichibatanidzwa nemamiriro akati wandei, kusanganisira:

• atopic dermatitis (eczema)
• chirwere cheshuga
• chisingaperi itsvo kutadza
• chisingaperi hepatitis C
• kusagadzikana kwetsinga
• kusagadzikana kwepfungwa
• post-herpetic neuralgia
• lymphoma
• lichen planus
• congestive moyo kutadza
• chisingaperi obstructive pulmonary chirwere (COPD)
• HIV
• mimwe mishonga yekurapa yegomarara (pembrolizumab, paclitaxel, uye carboplatin)

Zvinofungidzirwa kuti PN inoitika kana mamwe mamiriro achikonzeresa kuramba uchimenya nekukwaya (an itch-scratch kutenderera), zvichikonzera hunhu hunhu.

Kunyangwe panogadziriswa mamiriro, PN inonzi dzimwe nguva inoenderera.

Zvakare, ongororo ye2019 inotaura kuti vangangoita gumi nenhatu muzana yevanhu vane PN havana chirwere chinotungamira kana zvinhu.

Vatsvakurudzi vari kutarisa nzira dzepasi dzinobatanidzwa muPN, dzinosanganisira:

• shanduko mumasero eganda
• tsinga dzemagetsi
• neuropeptides uye neuroimmune system shanduko

Sezvo chikonzero chekuvandudza kwePN chichijeka, vatsvagiri vanotarisira kuti kurapwa kuri nani kunogoneka.

Zvekukurumidza chokwadi

• PN inonyanya kuwanikwa muvanhu vari pakati pemakore makumi maviri nemakumi matanhatu.
• PN inobata varume nevakadzi zvakaenzana.
• PN ishoma. Kune mashoma zvidzidzo zvehuwandu hwayo kana chiitiko. Chidzidzo che2018 chevarwere mazana mapfumbamwe nepfumbamwe vane PN chakawana kuti varwere vemuAfrica vekuAmerica vaifanira kuve nePN kupfuura varwere vachena.

Kudzivirira

Kusvikira iyo chaiyo yekukonzera mashandiro ePN inozivikanwa, zvinonetsa kudzivirira. Kwete kukwenya ganda inogona kunge iri nzira chete.

Kana iwe wakatemerwa PN, nekuda kweiyo genetics kana chirwere chiri pasi, tarisa ganda rako nokungwarira. Ona mutapi wezvehutano kuti arapwe chero chisingaperi chinogara kwenguva refu. Edza kumisa chero itch-kukwenya kutenderera isati yatanga.

Mishonga mizhinji inogona kubatsira kudzikamisa kuchenesa zvisati zvave kunetsa kuitisa.

Kutora

PN inonyanya kuchena ganda mamiriro ayo anogona kunge achiremadza. Chikonzero chayo chaicho hachina kunyatsonzwisiswa, asi chinozivikanwa kuti chinofambidzana nemamwe mamiriro akati wandei.

Mishonga yakawanda inogoneka, asi zvinogona kutora nguva kuti ubudirire kubata PN yako. Zvichida kuti mubatanidzwa wemusoro, zvinodhaka, uye mamwe marapirwo achashanda kwauri.

Nhau dzakanaka ndedzekuti mishonga mitsva yakati wandei nemishonga iri kuvandudzwa uye kuongororwa. Sezvo vatsvagiri pavanodzidza zvakawanda nezve PN mashandiro, mamwe marapiro anoshanda anozogadzirwa.