Unyango

I-Psoriasis yimeko yesikhumba ebangela ukuba bomvu kwesikhumba, izikali zesilivere kunye nokucaphuka. Uninzi lwabantu abane-psoriasis banamaqatha angqindilili, abomvu, acaciswe kakuhle kwesikhumba esinamaxolo amdaka, amhlophe ngesilivere. Oku kubizwa ngokuba yi-plaque psoriasis.

I-Psoriasis iqhelekile. Nabani na onokuyiphuhlisa, kodwa ihlala iqala phakathi kweminyaka eli-15 ukuya kwengama-35, okanye njengokuba abantu bekhula.

I-Psoriasis ayosuleli. Oku kuthetha ukuba ayisasazeki kwabanye abantu.

I-Psoriasis ibonakala ngathi idluliswa kwiintsapho.

Iiseli zesikhumba eziqhelekileyo zikhula nzulu kulusu kwaye zinyukele ngaphezulu malunga nenyanga. Xa une-psoriasis, le nkqubo yenzeka kwiintsuku ezili-14 endaweni yeeveki ezi-3 ukuya kwezi-4. Oku kukhokelela ekubeni iiseli zolusu olufileyo zikhe phezu kolusu, zenze ingqokelela yezikali.

Oku kulandelayo kunokubangela uhlaselo lwe-psoriasis okanye kwenze kube nzima ukunyanga:

• Usulelo olusuka kwiibhaktheriya okanye kwiintsholongwane, kubandakanya umqala womqala kunye nosulelo oluphezulu lokuphefumla
• Umoya owomileyo okanye ulusu olomileyo
• Ukwenzakala kulusu, kubandakanya ukusika, ukutshisa, ukulunywa zizinambuzane kunye nolunye ulusu
• Amanye amayeza, kubandakanya amayeza e-antimalaria, i-beta-blockers kunye ne-lithium
• Uxinzelelo
• Ukukhanya kwelanga okuncinci
• Ukukhanya kwelanga kakhulu (ukutshiswa lilanga)

I-Psoriasis inokuba mandundu kubantu abanamajoni omzimba abuthathaka, kubandakanya abantu abane-HIV / AIDS.

Abanye abantu abane-psoriasis banesifo samathambo (i-psoriatic arthritis). Ukongeza, abantu abane-psoriasis banengozi enkulu yokufumana isifo sesibindi esinamafutha kunye nokuphazamiseka kwentliziyo, njengesifo sentliziyo kunye nokubetha.

I-Psoriasis inokuvela ngesiquphe okanye kancinci. Amaxesha amaninzi, iyahamba kwaye ibuye ibuye.

Uphawu oluphambili lwale meko luyacaphuka, bomvu, iipleyiti ezingacacanga zolusu. Iiplaque zihlala zibonakala engqinibeni, emadolweni, nakumbindi womzimba. Kodwa zinokubonakala naphina, kubandakanywa nentloko, iintende, iinyawo, kunye nelungu lobufazi.

Ulusu lunokuba:

• Irhawuzelela
• Omile kwaye ugqunywe ngesilivere, ulusu olucekeceke (izikali)
• Ipinki-ebomvu ngombala
• Iphakanyisiwe kwaye ityebile

Ezinye iimpawu zingabandakanya:

• Intlungu edibeneyo okanye yetoni okanye ukuqaqanjelwa
• Utshintsho lwezipikili, kubandakanya iinzipho ezishinyeneyo, iinzipho ezimthubi-mdaka, ukufiphala kwisikhonkwane, kunye nokuphakamisa isikhonkwane kulusu olungaphantsi
• Ubunzima obukhulu kwi-scalp

Kukho iintlobo ezintlanu eziphambili ze-psoriasis:

• I-Erythrodermic -Ubomvu obomvu bukhulu kakhulu kwaye buhlanganisa indawo enkulu.
• I-Guttate-Amabala amancinci abomvu abomvu avela kulusu. Le fomu ihlala inxulunyaniswa nosulelo lwe-strep, ngakumbi ebantwaneni.
• Inverse - Ububomvu besikhumba kunye nokucaphuka kwenzeka emakhwapheni, kwi-groin, naphakathi kokugqagqana kwesikhumba endaweni yeendawo eziqhelekileyo zengqiniba namadolo.
• I-Plaque -I-Thick, i-red patches ebomvu ihlanganiswe ngamanqwanqwa amhlophe, ama-white-scales. Olu lolona hlobo luqhelekileyo lwepsoriasis.
• I-Pustular - Amadyunguza azele bubomvu (pustules) ajikelezwe lulusu olubomvu, olunomsindo.

Umboneleli wakho wezempilo unokuyifumanisa le meko ngokujonga ulusu lwakho.

Ngamanye amaxesha, i-biopsy yesikhumba iyenziwa ukulawula ezinye iimeko ezinokwenzeka. Ukuba uneentlungu ezidibeneyo, umboneleli wakho unoku-odola izifundo zokucinga.

Injongo yonyango kukulawula iimpawu zakho kunye nokuthintela usulelo.

Zintathu iindlela zokhetho ezikhoyo:

• Amayeza okuthambisa ulusu, amafutha okuthambisa, iikhrimu kunye neeshampu - Ezi zibizwa ngokuba lonyango lwezihloko.
• Iipilisi okanye inaliti ezichaphazela ukuphendula komzimba, hayi isikhumba kuphela - Ezi zibizwa ngokuba yinkqubo, okanye umzimba wonke, unyango.
• I-Phototherapy, esebenzisa ukukhanya kwe-ultraviolet ukunyanga i-psoriasis.

UNYANGO OLUSETYENZISWA ESIKHWENI (UMXHOLO)

Uninzi lwexesha, i-psoriasis inyangwa ngamayeza abekwe ngqo kulusu okanye entlonzeni. Oku kunokubandakanya:

• Izithambiso zecortisone kunye namafutha okuthambisa
• Ezinye izithambiso ezichasayo kunye neoli
• Iikhrimu okanye ioyile enetela yamalahle okanye i-anthralin
• Iikhrim zokususa isikalo (ihlala isalicylic acid okanye i-lactic acid)
• I-shampoo ye-Dandruff (i-counter-counter okanye i-prescription)
• Izinto zokuthambisa
• Amayeza amiselweyo anevithamini D okanye ivithamin A (retinoids)

UNYANGO LWENKQUBO (UMZIMBA WONKE)

Ukuba une-psoriasis yokumodareyitha ebukhali, umboneleli wakho unokucebisa amayeza acinezela iimpendulo zesistim somzimba. La mayeza aquka i-methotrexate okanye i-cyclosporine. I-Retinoids, njenge-acetretin, inokusetyenziswa.

Amachiza amatsha, abizwa ngokuba yi-biologics, aqhelekileyo asetyenziswa njengoko ejolise koonobangela bepsoriasis. I-Biologics evunyiweyo kunyango lwe-psoriasis ibandakanya:

• Adalimumab (Humira)
• I-Abatacept (iOrencia)
• Iapremilast (iOtezla)
• IBrodalumab (iSiliq)
• I-Certolizumab pegol (iCimzia)
• I-Etanercept (Enbrel)
• I-infliximab (Remicade)
• Ixekizumab (iTaltz)
• IGolimumab (iSimponi)
• IGuselkumab (iTremfya)
• IRisankizumab-rzaa (iSkyrizi)
• I-Secukinumab (iCosentyx)
• ITildrakizumab-asmn (Ilumya)
• Ustekinumab (Stelara)

IPHOTOTHERAPY

Abanye abantu banokukhetha ukuba ne-phototherapy, ekhuselekileyo kwaye inokusebenza kakhulu:

• Olu lonyango apho ulusu lwakho luvezwa ngononophelo kukukhanya kwe-ultraviolet.
• Inokunikwa yodwa okanye emva kokuba uthathe iyeza elenza ulusu luthathele ekukhanyeni.
• I-Phototherapy ye-psoriasis inokunikwa njenge-ultraviolet A (UVA) okanye ukukhanya kwe-ultraviolet B (UVB).

OLUNYE UNYANGO

Ukuba unentsholongwane, umboneleli wakho uya kukumisela i-antibiotics.

UKUNAKEKELWA KWASEKHAYA

Ukulandela ezi ngcebiso ekhaya kunokunceda:

• Ukuhlamba ibhafu yemihla ngemihla okanye ishawa - Zama ukungakhuhlezi kakhulu, kuba oku kungacaphukisa ulusu kwaye kuxhase uhlaselo.
• Iibhafu ze-oatmeal zinokuthomalalisa kwaye zinokunceda ukukhulula izikali. Ungasebenzisa ngaphezulu kwe-counter-oatmeal iimveliso zebhafu. Okanye, ungaxuba ikomityi enye (i-128 gram) ye-oatmeal kwibhafu (ibhafu) yamanzi ashushu.
• Ukugcina ulusu lwakho lucocekile kwaye lufumile, kwaye ukunqanda okubangela ukuba ukhwekhwe ngokuthe ngqo kunokunceda ukunciphisa inani lokuphazamiseka.
• Ukukhanya kwelanga kunokunceda iimpawu zakho zihambe. Lumka ungatshiswa lilanga.
• Ukuphumla kunye neendlela zokulwa noxinzelelo-Unxibelelwano phakathi koxinzelelo kunye ne-flares ye-psoriasis ayiqondwa kakuhle.

Abanye abantu banokuxhamla kwiqela lenkxaso ye-psoriasis. Isiseko sePsoriasis seSizwe sisixhobo esihle: www.psoriasis.org.

I-Psoriasis inokuba yimeko yobomi bonke enokuthi ilawulwe rhoqo ngonyango. Inokuhamba ixesha elide kwaye ibuye. Ngonyango olululo, aluyi kuchaphazela impilo yakho iphela. Kodwa yazi ukuba kukho unxibelelwano olomeleleyo phakathi kwe-psoriasis kunye nezinye iingxaki zempilo, ezinjengesifo sentliziyo.

Nxibelelana nomboneleli wakho ukuba uneempawu ze-psoriasis okanye ukuba ulusu lwakho luyacaphuka luyaqhubeka ngaphandle konyango.

Xelela umboneleli wakho ukuba uneentlungu ezidibeneyo okanye umkhuhlane xa uhlaselwa yi-psoriasis.

Ukuba unempawu zesifo samathambo, thetha nodokotela wesikhumba okanye ugqirha wamathambo.

Yiya kwigumbi likaxakeka okanye fowunela inombolo yongxamiseko yendawo (enje nge-911) ukuba unesifo esibuhlungu esigubungela wonke okanye uninzi lomzimba wakho.

Akukho ndlela yaziwayo yokuthintela ukhwekhwe. Ukugcina ulusu lucocekile kwaye lufumile kwaye uphephe i-psoriasis yakho enokubangela kunokunceda ukunciphisa inani lokuphazamiseka.

Ababoneleli bacebisa ukuhlamba mihla le okanye iishawari zabantu abane-psoriasis. Kuphephe ukukhuhla kakhulu, kuba oku kungacaphukisa ulusu kwaye kuxhase uhlaselo.

I-plaque psoriasis; Psoriasis vulgaris; I-Guttate psoriasis; Pustular ukhwekhwe

• Psoriasis kumaqhuma
• I-Psoriasis-x4 ekhulisiweyo
• I-Psoriasis - i-guttate kwiingalo nasesifubeni

UAarmstrong AW, iPalamente yeSiegel, uBagel J, et al. Ukusuka kwiBhodi yezoNyango yeSizwe sePsoriasis Foundation: iithagethi zonyango kwi-plaque psoriasis. Ndiyi-Acad Dermatol. Ngo-2017; 76 (2): 290-298. IINKCUKACHA: 27908543 www.pubmed.ncbi.nlm.nih.gov/27908543/.

IDinulos JGH. Psoriasis kunye nezinye izifo papulosquamous. Ku: I-Dinulos JGH, ed. Ugqirha wezonyango waseHabif. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 8.

I-Lebwohl MG, van de Kerkhof P. Psoriasis. Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, ii-eds. Unyango lwezifo zolusu: Amacandelo oBuchule oNyango. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2018: isahluko 210.

UVan de Kerkhof PCM, uNestlé FO. Unyango. Ku: I-Bolognia JL, uSchaffer JV, uCerroni L, ii-eds. Dermatology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 8.