I-Psoriatic Arthritis Rash: Apho ibonakala khona kunye nendlela yokuNyanga

Umxholo

• Iifoto ze-Psoriatic arthritis rash
• Ungasibona njani isikhumba se-psoriatic arthritis?
• Ivela phi i-psoriatic arthritis rash ebonakalayo?
• Ukhetho kunyango lwe-psoriatic arthritis rash
• Unyango lwezihloko
• Amachiza omlomo okanye atofelweyo
• Unyango olukhanyayo
• Unyango lwasekhaya
• Iingcebiso namacebo
  
• Ithini imbono yam ngokungxamiseka kwam?
• Ngaba unayo i-psoriatic arthritis ngaphandle kokukhawuleza?
• Ngaba zikhona ezinye iimpawu zePSA?

Ngaba wonke umntu one-psoriasis uphuhlisa i-psoriatic arthritis rash?

I-Psoriatic arthritis (i-PsA) luhlobo lwe-arthritis oluchaphazela iipesenti ezingama-30 zabantu abane-psoriasis, uqikelelo lwe-Arthritis Foundation. I-PsA sisifo esinganyangekiyo sokuzimela komzimba esinokuthi, ekuhambeni kwexesha, sikhokelele ekuvukeleni ngokudibeneyo, ukuqina, kunye nentlungu.

Malunga neepesenti ezingama-85 zabantu abane-PsA baya kuba namava esikhumba kwangaphambi kokuba amalungu abo achaphazeleke, iNgxelo yeSizwe yePsoriasis Foundation. Olunye lweempawu eziqhelekileyo ze-PsA kukuqunjelwa: isikhumba esibomvu esingqindilili esigutyungelwe ngamabala amhlophe angacacanga.

Ukuba uphuhlisa iimpawu ze-PsA, kubalulekile ukuba ufune unyango ngokukhawuleza. Oku kunokunciphisa umngcipheko womonakalo odibeneyo onxulumene nemeko.

Qhubeka ufunda ukuze ufunde indlela yokuchonga irhashalala ye-PsA, apho inokuvela khona, kunye nendlela yokuyinyanga.

Iifoto ze-Psoriatic arthritis rash

Ungasibona njani isikhumba se-psoriatic arthritis?

Ukukhawuleza kwe-PsA kujongeka njengokufana ne-psoriasis rash. Olona hlobo luxhaphakileyo lweempawu ze-psoriasis eziphakanyisiweyo zaphakamisa amabala obomvu ebomvu ahlanganiswe ngezikali ezimhlophe zesilivere. Oku kubizwa ngokuba ngamacwecwe.

Amacwecwe anokurhawuzelela, atshise, okanye enzakalise. Ukuba uneeplate, kubalulekile ukuba ungazikroli. Ukukhuhla kunokubangela ukuba i-plaque iqine okanye ivule ulusu kusulelo.

Irhashalala inokuza idlule. Unokuba namaxesha ongezelelweyo xa ungxamile. Iimeko ezithile, ezinjengokusuleleka, uxinzelelo kunye nokulimala, kunokubangela ukuqhuma kwakho.

Ukuba unayo i-psoriasis kwaye uqaphele utshintsho kwipateni yakho yesiqhelo okanye indawo, jonga ugqirha wakho. Oku kunokuba ngumqondiso we-PsA okanye enye imeko engaphantsi.

Ivela phi i-psoriatic arthritis rash ebonakalayo?

Umahluko ophambili phakathi kwerhashalala yendabuko kunye ne-PsA rash yindawo ekhawulezileyo.

Ukukhawuleza kwe-PsA kuqhubeka ngokwakho:

• iingqiniba
• amadolo
• ulusu
• umva ongezantsi
• amalungu esini
• ujikeleze iqhosha lesisu
• phakathi kweempundu

Nangona kunjalo, irhashalala inokuvela naphina emzimbeni wakho, kubandakanya iintende zezandla zakho kunye nonyawo lweenyawo zakho.

I-Nail psoriasis inxulunyaniswa ne-PsA, nayo. Inokuchaphazela iinzipho kunye neenzwane.

I-Nail psoriasis inokubangela:

• inja
• umbala omnyama
• iinzipho zokuqhekeka ebhedini yesikhonkwane (onycholysis)
• ukuthamba

Ukhetho kunyango lwe-psoriatic arthritis rash

Isicwangciso sakho sonyango siya kwahluka ngohlobo lwe-psoriasis onayo kunye nobunzima beempawu zakho zokukhawuleza. Nge-PsA, isicwangciso sakho sonyango siyakubandakanya iziyobisi ukunceda ukulawula iimpawu zesifo samathambo.

Ukukhawuleza, ugqirha unokumisela:

• Iikhrimu kunye neoli yokuthambisa ulusu lwakho
• iziyobisi ngomlomo ukunciphisa imveliso yeseli
• unyango olukhanyayo ukunciphisa ukudumba

Injongo yonyango olukhawulezileyo kukunciphisa ukubumba kwamatye ngokunqanda iiseli zolusu ukuba zingakhuli ngokukhawuleza nangokuthambisa ulusu lwakho.

Unyango lwezihloko

Amayeza ezinto eziphambili anokunceda ekunciphiseni ukurhawuzelela, ukoma, kunye nokudumba okubangelwa kukukhawuleza kwe-PsA.

Kuxhomekeke kunyango, oku kunokufezekiswa:

• cream
• ijeli
• into yokuthambisa
• ishampu
• tshiza
• Amafutha

La mayeza ayafumaneka kuzo zombini ii-counter-counter (OTC) kunye neefomula zokumiselwa.

Unyango oluqhelekileyo lwe-OTC lubandakanya i-salicylic acid kunye ne-tar tar. Unyango lukagqirha ngokubanzi luqukethe i-corticosteroids okanye iivitamin.

Iingqungquthela eziqhelekileyo zonyango zibandakanya:

• calcitriol, uhlobo olwenzeka ngokwendalo lwevithamini D-3
• i-calcipotriene, ifom ye-vitamin D-3 eyenziwe ngeelebhu
• i-calcipotriene idityaniswe ne-corticosteroid betamethasone dipropionate
• i-tazarotene, isiphumo sevithamini A
• i-anthralin, uhlobo olwenziwe elebhu kwinto eyenzeka ngokwendalo i-chrysarobin

Isicwangciso sakho sonyango sinokubandakanya indibaniselwano ye-OTC kunye nonyango lwamayeza. Wena kunye nogqirha wakho unokufuna ukufumana ukuba yeyiphi indibaniselwano esebenza ngcono kuwe.

Amanye amayeza, njenge-corticosteroids, anokuba neziphumo ebezingalindelekanga xa esetyenziswa ixesha elide. Thetha nogqirha wakho malunga nezibonelelo ezinokubakho kunye nomngcipheko onxulumene nokukhetha ngakunye.

I-OTC i-moisturizers inokunceda ukuthomalalisa ulusu lwakho kunye nokulwa nokubamba, kodwa i-moisturizers iyodwa ayinakuphulukisa iiplagi.

Amachiza omlomo okanye atofelweyo

Kukho iindidi zeziyobisi ezijolise kwimveliso yeseli yolusu okanye amajoni akho omzimba. Oku kubandakanya:

ICorticosteroids

La mayeza alingisa i-cortisol, ihomoni echasene nokudumba okuvela ngokwemvelo emzimbeni wakho. Ezi zihlala zithathwa ngomlomo kwaye zinokunceda ukunciphisa ukudumba. Iifom ezifakiweyo zinokubonelela ngesiqabu sokudumba okwethutyana.

Ukusetyenziswa kwexesha elide kunokubangela ukudumba ebusweni kunye nokuzuza ubunzima. Inokwandisa umngcipheko we-osteoporosis.

Iziyobisi eziguqula iziyobisi ezichasene ne-antirheumatic (DMARDs)

La mayeza ayayicinezela imichiza emzimbeni wakho ebangela ukudumba. Oku kunokunceda ukunciphisa umonakalo odibeneyo. Ii-DMARD zihlala zithathwa ngomlomo kodwa zinokujova.

Ibhayoloji

La mayeza anokuthintela ukudumba kwinqanaba leeselula. I-Biologics ijojowe. Ezona ntlobo ziphambili zebhayoloji zizinto ezichasene ne-tumor necrosis factor-alpha drug, abatacept, kunye ne-ustekinumab. Nganye ibhloko yeeproteni ezahlukeneyo emzimbeni.

Umngcipheko wosulelo unokunyuka ngelixa uthatha i-biologics kuba isebenza ngokucindezela amajoni akho omzimba.

Unyango olukhanyayo

Ukukhanya kwendalo okanye okwenziweyo kwimilinganiselo elawulwayo kunokusetyenziselwa ukunciphisa irhashalala.

Iindlela eziqhelekileyo zibandakanya:

Umatshini wokukhanya we-UVB

Ukuveza ukungxama kwakho kwimitha ye-UVB eveliswa ngumatshini okhanyayo ngexabiso elincinci lamaxesha amaxesha ambalwa ngeveki kunokunceda ukunciphisa ukudumba. Izazinzulu zihlala zinoomatshini be-UVB abasetyenziselwa ekhaya. Ungazithenga ngorhwebo oza kuzisebenzisa ekhaya.

Umatshini wokukhanya we-UVA

Le ndlela isebenzisa umatshini okhanyayo ovelisa imitha yeUVA. Xa idityaniswe ne-psoralen, iyeza elenza ulusu lwakho lube nokukhanya ngakumbi, le ndlela inokuphucula i-psoriasis ebukhali. Oku kukwabizwa ngokuba yi-photochemotherapy.

Umatshini weLaser

I-laser ye-excimer, egxila kwimitha ye-UVB enamandla ngakumbi kumabala e-psoriasis, yeyona ndlela kujoliswe kuyo ukulawula irhashalala. Oku kusetyenziswa kwiofisi kagqirha kwaye kuhlala kufuna iiseshoni ezimbalwa kunezinye iindlela zonyango lwe-UV.

Thetha nogqirha wakho malunga nokuba iiseshoni zasekhaya okanye ezise-ofisini zikulungele na.

Unyango lwasekhaya

Iinguqulelo ezithile kwindlela yokuphila zinokunceda nasekulawuleni ukurhawuzelela kunye nokudumba.

Iingcebiso namacebo

• Gcina ulusu lwakho lufumile, ngakumbi xa umoya womile. Kuya kufuneka usebenzise i-moisturizer amaxesha ambalwa ngemini.
• Thatha amabhafu ashushu ukuzola ukurhawuzelela nokuqaqamba kolusu. Yongeza iityuwa ze-Epsom, i-colloidal oatmeal, okanye ii-oyile ukuze ungene ngaphakathi. Sebenzisa kuphela iisepha ezimnene.
• Ziphephe izinto ezibonakala ngathi zibangela uqhambuko, ezinje ngoxinzelelo, utywala, ukutshaya, okanye iziqholo ezithile.
• Yitya ukutya okusempilweni kwaye ufumane imithambo rhoqo ukuze ukhuthaze impilo yakho iphela.

Ithini imbono yam ngokungxamiseka kwam?

I-Psoriasis sisifo esinganyangekiyo, kwaye akukabikho nyango lwaziwayo okwangoku. Ichaphazela wonke umntu ngokwahlukileyo. Ukukhawuleza kwakho ukukhawuleza kuphelile kuxhomekeke kubukhulu bayo kunye nokusebenza kwesicwangciso sakho sonyango.

Kungathatha ixesha ukuba wena kunye nodokotela wakho nisebenze ukudibanisa unyango olugcina ukukhawuleza phantsi kolawulo. Irhashalala irhashalala ihlala icacile, kwaye uya kuba nexesha lokuxolelwa, kodwa inokuphinda iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde yenzeke.

Ukuba ufunda ukuqaphela kwaye uphephe ezona zinto zibangela ukuphazamiseka, unganakho ukunciphisa amaxesha abo.

Ngaba unayo i-psoriatic arthritis ngaphandle kokukhawuleza?

Nangona irhashalala sisalathiso esiqhelekileyo se-PsA, unokuyiphuhlisa i-PsA ngaphandle kokungxama. Malunga neepesenti ezili-15 zabantu baphuhlisa i-PsA ngaphandle kokuba babe ne-psoriasis ngaphambili, uqikelelo lweSizwe sePsoriasis Foundation. Ngamanye amaxesha, abantu bakhulisa i-PsA kunye ne-psoriasis ngaxeshanye.

Kwezi meko, kubalulekile ukuba wazi ukuba zeziphi ezinye iimpawu ze-PsA.

Ngaba zikhona ezinye iimpawu zePSA?

Nangona irhashalala inxulunyaniswa ne-PsA, ayisiyiyo kuphela uphawu.

Ezinye iimpawu zibandakanya:

• ukudinwa
• ukuqina kwasekuseni kunye neentlungu ezisezantsi
• ukudumba, iintlungu, okanye ukuthamba kwamalungu
• intlungu okanye i-ligament pain
• Uluhlu oluncitshisiweyo lokuhamba kumalungu
• utshintsho lwezipikili, ezinje ngokukhaba kunye nokuqhekeka
• iminwe edumbileyo kunye neenzwane ezibonakala ngathi ziisoseji (dactylitis)
• iingxaki zamehlo, kubandakanya ubomvu, ukucaphuka, kunye nokudibana

Iimpawu kunye nobukrakra bazo ziyahluka ukusuka komnye umntu ukuya komnye. Iimpawu ezininzi ziyafana nezinye izifo, ezinje nge-osteoarthritis, isifo samathambo kunye negawuthi.

Ukuba ufumana iimpawu, qiniseka ukuba uthethe nogqirha wakho. Ukufumana ukuxilongwa ngokukhawuleza kunokunceda ukuphucula umgangatho wobomi ngokulawula iimpawu kunye nokunciphisa umngcipheko weengxaki zexesha elide.