I-Psoriasis vs Ringworm: Iingcebiso zokuchonga

Umxholo

• Iimpawu ze psoriasis
• Iimpawu zentshulube
• Ngaba yi-psoriasis okanye umbandamu?
• Unyango lwe-psoriasis
• Unyango lwezihloko
• Unyango olukhanyayo
• Amayeza omlomo okanye atofelweyo
• Unyango lweentshulube
• Nini ukubona ugqirha
• Imbonakalo ye-psoriasis kunye neentshulube
• Q:
• A:

Psoriasis kunye neentshulube

I-Psoriasis yimeko yesikhumba engapheliyo ebangelwa kukukhula ngokukhawuleza kweeseli zolusu kunye nokudumba. I-Psoriasis iguqula umjikelo wobomi beeseli zakho zolusu. Ukutshintshwa kweseli okuqhelekileyo kuvumela iiseli zolusu ukuba zikhule, ziphile, zife, kwaye zitshabalale rhoqo. Iiseli zolusu ezichaphazeleka yi-psoriasis zikhula ngokukhawuleza kodwa aziwi. Oku kubangela ukwanda kweeseli zolusu kumphezulu wolusu, oko kukhokelela kwizitatshi ezibomvu, ezibomvu, ezinamaxolo esikhumba. Ezi patches zixhaphake kakhulu emadolweni, iingqiniba, amalungu esini, kunye neenzwane.

Ngaphezulu kolunye uhlobo lwe-psoriasis olukhoyo. Inxalenye yomzimba wakho echaphazeleka yimeko yesikhumba kunye neempawu ozifumanayo zichonga uhlobo lwepsoriasis onayo. I-Psoriasis ayosuleli.

I-Ringworm (dermatophytosis) bubomvu bethutyana, ukujikeleza okujikelezayo okuvela kulusu lwakho. Kubangelwa usulelo lokungunda. Ukukhawuleza kubonakala njengesangqa esibomvu kunye nesikhumba esicacileyo okanye esiqhelekileyo phakathi. Irhashalala inakho okanye ingangcolisi, kwaye inokukhula ngokuhamba kwexesha. Ingasasazeka ukuba ulusu lwakho ludibana nolusu lomntu owosulelekileyo. Ngaphandle kwegama layo, irhashalala ayibangelwa ngumbungu.

Iimpawu ze psoriasis

Iimpawu zakho ze-psoriasis zinokwahluka kuneempawu zomnye umntu. Iimpawu zakho zingabandakanya:

• amabala abomvu esikhumba
• izikali zesilver ngaphezulu kwamabala abomvu esikhumba
• amabala amancinci okunyuka
• isikhumba esomileyo, esiqhekekileyo esisopha
• ukurhawuzelela okanye ukutshisa
• ukukhathazeka kwiindawo
• amalungu adakumbileyo okanye aqinileyo
• iinzipho ezingqindilili, ezibunjiweyo, okanye ezibunjiweyo

I-Psoriasis inokubangela indawo enye okanye ezimbini, okanye inokubangela ukuba izihloko ezikhulayo zigubungele indawo enkulu.

I-Psoriasis yimeko engapheliyo. Unyango lunokunciphisa iimpawu, kodwa i-psoriasis patches inokuba ngumcimbi kubomi bakho bonke. Ngombulelo, abantu abaninzi banamaxesha asezantsi okanye akukho msebenzi. La maxesha, abizwa uxolelo, anokulandelwa ngamaxesha okwanda komsebenzi.

Iimpawu zentshulube

Iimpawu kunye neempawu zentshulube yeentshulube ziya kutshintsha ukuba usulelo luye lubi Iimpawu zakho zingabandakanya:

• indawo ebomvu, enamaxolo enokuthi okanye ingarhawuzeli
• umda ophakanyisiweyo ujikeleze indawo enamaxolo
• indawo enamaxolo eyandayo eyenza isangqa
• isangqa esinamaqhuma abomvu okanye izikali kunye neziko elicacileyo

Unokuphuhlisa ngaphezulu kwesangqa esinye, kwaye ezi zangqa ziyagqagqana. Eminye imida yeesangqa isenokungalingani okanye ibe gwenxa.

Ngaba yi-psoriasis okanye umbandamu?

Unyango lwe-psoriasis

I-Psoriasis ayinalo unyango, kodwa unyango lunokuphelisa okanye lunciphise ukuqhambuka. Uhlobo lonyango olisebenzisayo luya kuxhomekeka kubukhali kunye nohlobo lwepsoriasis onayo. Ezi zonyango zintathu ziphambili kuludwe ngalunye zezi zonyango zonyango, unyango olukhanyayo, kunye nomlomo okanye amayeza afakiweyo.

Unyango lwezihloko

Ugqirha wakho unokukunika ukhilimu onyangiweyo, ioyile kunye nesinye isisombululo sokunyanga i-psoriasis yakho emnene. Ezi ntlobo zonyango zonyango ziquka ii-corticosteroids, ii-topical retinoids, kunye ne-salicylic acid.

Unyango olukhanyayo

I-Phototherapy isebenzisa ukukhanya ukumisa okanye ukucothisa ukukhula kweeseli zolusu kwiindawo ezichaphazelekayo. Le mithombo yokukhanya ibandakanya ukukhanya kwendalo (ukukhanya kwelanga), imitha ye-UVB, i-photochemotherapy UVA, kunye neelaser. Unyango olukhanyayo lunokusetyenziswa kwiindawo ezichaphazelekayo okanye kumzimba wakho uphela. Ukubonakaliswa kweminye yale mithombo yokukhanya kunokwenza ukuba iimpawu zibe mbi. Sukusebenzisa unyango olukhanyayo ngaphandle kokhokelo lukagqirha wakho.

Amayeza omlomo okanye atofelweyo

Ugqirha wakho unokukunika amayeza omlomo okanye atofelweyo ukuba awuphenduli kakuhle kwezinye iindlela zonyango. Ziyakulungeleka kwiindlela ezahlukeneyo zokumodareyitha ukuya kwi-psoriasis.

La mayeza abandakanya ii-nonsteroidal anti-inflammatory drug (NSAIDs), ii-corticosteroids, okanye iziyobisi ezichaphazela isifo. Banokukunceda ukutshintsha indlela amajoni omzimba asebenza ngayo, ekhokelela ekukhuleni kancinci kweseli kunye nokunciphisa ukudumba.

Iziyobisi eziguqula izifo ezichasayo zingabinayo i-nonbiologics okanye i-biologics.

I-Nonbiologics ibandakanya:

• imethotrexate
• cyclosporine
• isulfasalazine
• ngocomocide
• I-apremilast (i-Otezla)

I-Biologics esetyenziselwa i-psoriasis okanye i-psoriatic arthritis ibandakanya:

• infliximab (I-Remicade)
• I-etanercept (i-Enbrel)
• adalimumab (Humira)
• igolimumab (iSimponi)
• isatifikethi (Cimzia)
• Ukubulala (Orencia)
• secukinumab (iCosentyx)
• brodalumab (uSiliq)
• ustekinumab (uStelara)
• ixekizumab (iTaltz)
• guselkumab (Tremfya)
• itildrakizumab (Ilumya)
• I-risankizumab (iSkyrizi)

Olu nyango luhlala lubangela iziphumo ebezingalindelekanga ezimandundu. Ukusetyenziswa kwabo kulinganiselwe.

Ugqirha wakho unokutshintsha unyango lwakho ukuba alusebenzi okanye ukuba iziphumo ebezingalindelekanga zinzima kakhulu. Ugqirha wakho usenokucebisa ngonyango oludibeneyo, oko kuthetha ukuba usebenzisa ngaphezulu kohlobo olunye lonyango. Ngokwe-National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), usenokukwazi ukusebenzisa iidosi ezisezantsi kunyango ngalunye xa uzidibanisa.

Unyango lweentshulube

I-Ringworm ibangelwa usulelo lokungunda. Iyeza lokubulala iintlungu linokunyanga umqala. Amanye amatyala ombungu uya kuphendula kakuhle kwizithambiso okanye kunyango lwesihloko. Olu nyango, kubandakanya i-terbinafine (Lamisil AT), clotrimazole (Lotrimin AF), kunye ne-ketoconazole, zinokuthengwa ekhawuntareni.

Ukuba usulelo lukhulu, ugqirha wakho angakunika iyeza lokuthambisa okanye lokuthambisa. Amatyala amandundu ngakumbi anokufuna amayeza omlomo.

Nini ukubona ugqirha

Yenza idinga ukubona i-dermatologist yakho ukuba uphuhlise indawo engaqhelekanga kulusu lwakho. Ukuba ucinga ukuba wadibana nomntu okanye isilwanyana esineentshulube, qiniseka ukuxelela ugqirha wakho. Ukuba unembali yosapho ye-psoriasis, yikhankanye loo nto. Kwiimeko ezininzi, ugqirha wakho unokuchonga imeko ngokuqhuba uvavanyo olucokisekileyo lolusu.

Ukuba ufumene ukuba unayo nayiphi na kwezi meko kwaye uqala ukufumana naziphi na kwezi mpawu zilandelayo, thetha nogqirha wakho ngokukhawuleza. Ezi mpawu zibandakanya:

• iintlungu ezibuhlungu nokudumba kwezihlunu
• ubunzima bokusebenza kuba indawo echaphazelekayo idumbile, ibuhlungu, okanye ikuthintele ekugobeni amalungu ngokuchanekileyo
• inkxalabo malunga nokubonakala kwesikhumba sakho
• uphazamiseko kubuchule bakho bokwenza imisebenzi yesiqhelo
• ukukhawuleza okuqhubayo okungaphenduliyo kunyango

Imbonakalo ye-psoriasis kunye neentshulube

Zombini iintshulube kunye ne-psoriasis zinokulawulwa ngokufanelekileyo kwaye zinyangwe. Okwangoku, i-psoriasis ayinakunyangeka, kodwa unyango lunokunciphisa iimpawu.

Unyango lwe-Ringworm lunokuphelisa usulelo. Oku kuya kunciphisa amathuba owabelana ngawo nabanye abantu. Unokudibana nefungus ebangela ukuba umqala ubuye kwakhona kwixa elizayo, kwaye unokufumana olunye usulelo.

Q:

Ndingenza ntoni ukuthintela iimeko ezininzi, ezinje ngeentshulube, ezinokubangela ulusu olurhawuzayo?

Isigulana esingaziwayo

A:

Isikhumba esikhanyayo sinokubangelwa ziimeko ezininzi ezifana ne-eczema, i-psoriasis, umbandamu, iintwala, okanye ezinye izinto ezahlukileyo. Into yokuqala ekufuneka uyenze nakweyiphi na kwezi meko kukuyeka ukukrwempa, kuba oku kunokusasazeka okanye kubangele usulelo. Emva koko, hlola iinwele zakho kunye nokhakhayi ukukhangela iimpawu zeentwala okanye amabala esikhumba esibomvu. Uya kufuna ukuphepha iimvula ezishushu, kunye nekhathalogu nakuphi na ukutya okutyileyo kutshanje. Ukuba ukurhawuzelela kuhlala ngaphezulu kweentsuku ezimbalwa, unokufuna ukubona ugqirha wesikhumba ukuze bafumane unobangela wesikhumba sakho esilumkileyo.

I-Debra Sullivan, i-PhD, i-MSN, i-CNE, iimpendulo ze-COIA zimele izimvo zeengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.