Buza ingcali: iPsoriasis kunye nolusu lokuguga

Umxholo

• Ngaba i-psoriasis iya isiba mandundu ngokuguga?
• Ngaba ulusu oluguga luyayichaphazela i-psoriasis?
• Ngaba ukuba ne-psoriasis kuwunyusa umngcipheko wezinye izifo njengoko uneminyaka yobudala?
• Ukuyeka ukuya exesheni kunokuchaphazela njani ukubanakho kwam ukuphatha ukhwekhwe lwam? Ndingazilungiselela njani?
• Ngaba zikhona iimveliso zolusu ezithandwayo okanye izinto zokuphepha? Sebenzisa?
• Ngaba iinkqubo zokuthambisa (njengeBotox) zikhuselekile ukuba zifumaneke?
• Ngaba i-psoriasis yam iya kuze ihambe?

Ngaba i-psoriasis iya isiba mandundu ngokuguga?

Uninzi lwabantu luphuhlisa i-psoriasis phakathi kweminyaka eyi-15 ukuya kwengama-35. Ngelixa i-psoriasis isenokuba ngcono okanye ibembi kuxhomekeka kwizinto ezahlukeneyo zokusingqongileyo, ayibi mbi kunye nobudala.

Ukutyeba kakhulu kunye noxinzelelo zizinto ezimbini ezinokubangela ukuba i-psoriasis flares. Nangona kunjalo, ubukrakra be-psoriasis yakho ekugqibeleni buxhomekeke kwimfuza yakho.

Okukhona uhlala ne-psoriasis, kokukhona kunokwenzeka ukuba uphuhlise imiba yezempilo enxulumene ne-psoriasis. Kodwa i-psoriasis ngokwayo ayinakwenza ukuba ubonakale umdala. Abantu abane-psoriasis baba neempawu zokwaluphala, njengabantu abangenale meko.

Ngaba ulusu oluguga luyayichaphazela i-psoriasis?

Njengokuba ulusu ludala, i-collagen kunye ne-elastic fibers ziba buthathaka kwaye ulusu luyancipha. Oku kuyenza inovakalelo kukonzakala, kukhokelela ekugruzukeni ngokulula kunye nezilonda ezivulekileyo kwiimeko ezinzima.

Lo ngumceli mngeni kuye nabani na, kodwa kunokuba ngumceli mngeni ngakumbi ukuba unayo i-psoriasis. Amacwecwe e-Psoriasis avela kulusu olubuthathaka angakhokelela kwintlungu kunye nokopha.

Ukuba une-psoriasis, kubalulekile ukuzikhusela elangeni kuba ukubonakaliswa kwe-UV kuyaziwa ukuba kubangela ukonakala kolusu. Kuya kufuneka ulumke xa usebenzisa iziqholo ze-steroid ukunyanga i-psoriasis. Ukusetyenziswa gwenxa kwee-steroids kunxulunyaniswa nokuncipha kolusu kunye nophuhliso lweempawu ezoluliweyo, ngakumbi ngokusetyenziswa kwexesha elide ngaphezulu kweminyaka.

Ngaba ukuba ne-psoriasis kuwunyusa umngcipheko wezinye izifo njengoko uneminyaka yobudala?

Ngelixa i-psoriasis ichaphazela ulusu, ngoku siyazi ukuba sisifo se-systemic. Kwi-psoriasis, ukudumba kukhona emzimbeni wonke, kodwa kubonakala kuphela kulusu.

Ngokukodwa kwiimeko ezinzima kakhulu, i-psoriasis inxulumene nesifo se-metabolic syndrome, isifo samathambo kunye noxinzelelo. I-Metabolic syndrome ibandakanya ukunganyangeki kwe-insulin kunye neswekile, i-cholesterol ephezulu kunye nokukhuluphala. Yonyusa umngcipheko wesifo sentliziyo kunye nokubetha.

Uhlobo olufanayo lokuvuvukala oluchaphazela ulusu lunokuchaphazela amalungu, akhokelela kwi-psoriatic arthritis. Inokuchaphazela nengqondo, ekhokelela kwiimpawu zokudakumba.

Ukuyeka ukuya exesheni kunokuchaphazela njani ukubanakho kwam ukuphatha ukhwekhwe lwam? Ndingazilungiselela njani?

Ngexesha lokuyeka ukuya exesheni, amanqanaba ehomoni ayatshintsha, akhokelela kumanqanaba asezantsi e-estrogen. Siyazi ukuba amanqanaba asezantsi e-estrogen kubafazi be-postmenopausal banxulunyaniswa nolusu olomileyo, ukwehla kwemveliso ye-collagen kunye nokuncipha kolusu, kunye nelahleko yokuqina.

Akukho datha ichazayo ukuba ukuya exesheni kunefuthe ngqo kwi-psoriasis. Kodwa idatha elinganiselweyo iphakamisa amanqanaba asezantsi e-estrogen anokuhambelana nokudodobala kwepsoriasis.

I-Psoriasis kunokuba nzima ukunyanga kubantu abanesikhumba esibuthathaka, ke kubalulekile ukuba wenze konke onako ukugcina ulusu lwakho lusempilweni ngaphambi kokuba uyeke ukuya exesheni. Ukunxiba i-sunscreen kunye nokuziphatha okuzikhusela elangeni zezona zinto zibalulekileyo onokuzenza ukukhusela ulusu lwakho xa umncinci.

Ngaba zikhona iimveliso zolusu ezithandwayo okanye izinto zokuphepha? Sebenzisa?

Kubalulekile ukukhathalela ngokukodwa ulusu lwakho ukuba une-psoriasis. Ndihlala ndixelela abaguli bam ukuba bayeke imveliso kunye nokomisa ii-alcohol, iziqholo kunye neesulphate. Zonke ezi zinto zinokubangela ukucaphuka kolusu kunye nokoma.

Ukulimala kolusu kungakhokelela kuqhawulo lwe-psoriasis, olwaziwa njenge-Koebner phenomenon. Ke kubalulekile ukunqanda imisebenzi okanye iimveliso ezinokubangela ukucaphuka.

Ndixelela izigulana zam ukuba zisebenzise izinto ezicocekileyo, zokuhambisa amanzi, ezingezizo ezesepha ezingazukuphazamisa isithintelo solusu. Hlamba ngamanzi adikidiki imizuzu eli-10 okanye ngaphantsi, uze usithambise isikhumba emva kokumphulula.

Ukuba unesikali esityebileyo esikhumbeni sakho okanye kwamanye amalungu omzimba wakho, iimveliso zolusu ezinesalicylic acid zinokuba luncedo. I-salicylic acid yi-beta hydroxy acid ekhupha ulusu ukunceda ukususa isikali kwi-psoriasis plaque.

Ngaba iinkqubo zokuthambisa (njengeBotox) zikhuselekile ukuba zifumaneke?

Iinkqubo zezithambiso ezingafunekiyo zithandwa ngoku kunakuqala. Inaliti efana neBotox inokuphucula ukubonakala kwemibimbi, ngelixa iifilitha zibuyisela ivolumu elahlekileyo. Iilaser zingasetyenziselwa kwanethoni yolusu kunye nokuthungwa, kwaye kude kupheliswe nemithambo yegazi engafunekiyo okanye iinwele. Ezi nkqubo zikhuselekile kubantu abane-psoriasis.

Ukuba unomdla kwinkqubo yezithambiso, thetha nogqirha wakho malunga nokuba ikulungele na. Ngamanye amaxesha, ugqirha wakho unokufuna ukubamba okanye ukuhlengahlengisa amayeza akho. Kubalulekile ukuba bayazi ngembali yakho yonke yonyango kunye namayeza akhoyo ngoku.

Ngaba i-psoriasis yam iya kuze ihambe?

Uninzi lwabantu, i-psoriasis ayizihambeli. Kubangelwa kukudityaniswa kwemfuza kunye nokusingqongileyo.

Kubantu abakhethwe yimfuza, imeko yendalo esingqongileyo isebenza njengonobangela wokukhupha i-psoriasis. Kwiimeko ezinqabileyo, ukuguqulwa kokuziphatha njengokulahleka kwesisindo okanye ukuyeka ukutshaya kunokunxulunyaniswa nokuphuculwa okanye ukucocwa ngokupheleleyo.

Ukuba i-psoriasis yakho ibangelwa lunyango, ukuyeka olo nyango kunokuyiphucula i-psoriasis yakho. Olunye uxinzelelo lwegazi oluphezulu kunye noxinzelelo kuhambelana kakhulu nokubangela i-psoriasis. Thetha nogqirha wakho malunga nawaphi na amayeza owathathayo nokuba anganegalelo kwi-psoriasis yakho.

UJoshua Zeichner, MD, ngumlawuli wezinto zokuthambisa kunye nonyango lwezonyango kwi-Mount Sinai Hospital kwisiXeko saseNew York. Uthetha ngokunyanisekileyo kubaphulaphuli bamanye amazwe kwaye uthatha inxaxheba kwimfundiso yemihla ngemihla kubahlali nakubafundi bezonyango. Uluvo lwakhe lobuchwephesha lubizwa njalo ngamajelo eendaba, kwaye ucaphula rhoqo kumaphephandaba nakumaphephancwadi esizwe, anjengeThe New York Times, Allure, Health's Women, Cosmopolitan, Marie Claire, nezinye. Ugqirha Zeichner uye wavotwa ngoontanga bakhe kuluhlu lwe Castle Connolly yoogqirha abagqwesileyo be New York City.