Imibuzo eli-10 ugqirha wesikhumba sakho ufuna ukuba ubuze malunga nePsoriasis

Umxholo

• 1. Ndiyifumene njani i-psoriasis?
• 2. Yintoni ebalulekileyo ngembali yosapho lwam ye-psoriasis okanye ezinye iimeko zonyango, ezinjenge-lymphoma?
• 3. Zichaphazela njani ezinye iimeko zam zonyango, okanye zichaphazeleka yi-psoriasis yam?
• 4. Zeziphi iindlela zonyango endinokuzikhetha?
• 5. Luluphi unyango onokulucebisa ngam?
• 6. Zithini iziphumo ebezingalindelekanga ezinokubakho?
• 7. Ndiza kuthatha ixesha elingakanani kumayeza?
• 8. Ngaba akho amayeza endiwasebenzisayo anokuphazamisa amayeza am e-psoriasis?
• 9. Ukuba ndiqala ngebhayoloji, ngaba kufuneka ndiyeke irejimeni yam yangoku yonyango lwepsoriasis yam?
• 10. Kutheni le nto kufuneka nditshintshe okanye ndijikelezise unyango lwam lwepsoriasis?

Ukugqibela kwakho ukubona ugqirha wesikhumba kwi-psoriasis yakho, ngaba wanelisekile lulwazi onalo? Ukuba akunjalo, kukho ithuba lokuba ungabuzi imibuzo eyiyo. Kodwa kuya kufuneka uyazi njani into oza kuyibuza?

Ngale nto engqondweni, sabuza uGqirha uDoris Day, ugqirha wesikhumba oqinisekisiweyo osekwe eNew York, yeyiphi imibuzo ephezulu anqwenela ukuba izigulana ze-psoriasis zimbuze ngexesha lokuqeshwa kwabo. Qhubeka ufunda ukuze ufumane ukuba uthini.

1. Ndiyifumene njani i-psoriasis?

Akukho mntu waziyo kanye ukuba yintoni ebangela i-psoriasis, kodwa sisifo sobomi esaziwa ukuba sinento yemfuza. Into esiyaziyo kukuba yimeko yokuzimela komzimba apho amajoni omzimba abangelwa ngempazamo, akhawulezisa umjikelo wokukhula kweeseli zolusu.

Iseli yesikhumba esiqhelekileyo iyavuthwa ize ikhuphe umhlaba emzimbeni kwiintsuku ezingama-28 ukuya kwezingama-30, kodwa iseli yesikhumba ye-psoriatic ithatha kuphela iintsuku ezintathu ukuya kwezine ukuvuthwa nokuhambela ngaphezulu. Endaweni yokukhula ngokwendalo kunye nokuphalaza, iiseli ziyafumba kwaye zinokwenza amacwecwe abomvu amnyama ahlala erhawuzela kwaye angabukeki.

I-Psoriasis inokulinganiselwa kwiindawo ezimbalwa okanye inokubandakanya indawo ephakathi kwesikhumba. Ubukrakra be-psoriasis bunokwahluka ukusuka komnye umntu ukuya komnye, nakumntu ofanayo ukusuka kwelinye ixesha ukuya kwelinye. I-psoriasis emnene ithathwa njengebandakanya ngaphantsi kweepesenti ezintathu zommandla womzimba. I-psoriasis ephakathi ibandakanya iipesenti ezi-3 ukuya kwezi-10. Kwaye i-psoriasis eqatha ingaphezulu kwepesenti ye-10.

Kukwakho nelinye icandelo leemvakalelo kubunzima bokuhlelwa, apho nokuba umntu onomzimba omncinci ongaphezulu angathathelwa ingqalelo ukuba abe ne-psoriasis yokumodareyitha okanye eqatha ukuba imeko inefuthe elikhulu kubomi babo.

2. Yintoni ebalulekileyo ngembali yosapho lwam ye-psoriasis okanye ezinye iimeko zonyango, ezinjenge-lymphoma?

Ukuba nembali yosapho ye-psoriasis kuyawonyusa umngcipheko, kodwa akukho ndlela yakuqinisekisa ngayo. Kubalulekile ukuba ugqirha wesikhumba abe nokuqonda okunzulu malunga nawe, kwaye uyazi nembali yosapho lwakho ye-psoriasis kunye nezinye iimeko zonyango ukuze ukwazi ukukukhokela kukhetho lwakho olufanelekileyo.

Abo bane-psoriasis banomngcipheko omncinci owonyukayo we-lymphoma ngaphezulu koluntu ngokubanzi. Ugqirha wesikhumba sakho unokuthatha isigqibo sokuba amanye amayeza anokukhetha kwaye amanye kufuneka athintelwe ngokusekwe kule mbali.

3. Zichaphazela njani ezinye iimeko zam zonyango, okanye zichaphazeleka yi-psoriasis yam?

I-Psoriasis ibonakalisiwe ukuba iyinkqubo yokuvuvukala kwenkqubo kunye nokufana nokunye ukuphazamiseka komzimba. Ukongeza kwiimpembelelo zayo kwesikhumba, iipesenti ezingama-30 zabantu abane-psoriasis baya kuba ne-psoriatic arthritis.

Ngaphandle kokudibana kwayo nesifo samathambo, i-psoriasis inxulunyaniswa nokudakumba, ukutyeba kakhulu kunye ne-atherosclerosis (i-plaque ekwakhiweni kwemithambo). Abo bane-psoriasis banokuba nokwanda kwesifo sentliziyo, isifo se-cerebrovascular, isifo semithambo, kunye nomngcipheko wokufa.

Ukuvuvukala kunokuba yinkcazo ebonakalayo yokuhlangana komanyano phakathi kwe-psoriasis kunye noxinzelelo lwegazi oluphezulu okanye uxinzelelo lwegazi, kunye naphakathi kwe-psoriasis neswekile. Uphando kunye nengqwalaselo ikwajolise kumanyano phakathi kwe-psoriasis, impilo yentliziyo, kunye nokuhlaselwa sisifo sentliziyo okanye i-myocardial infarction.

4. Zeziphi iindlela zonyango endinokuzikhetha?

Akukho lonyango olunye lwe-psoriasis olusebenzela wonke umntu, kodwa kukho izinto ezinomdla, ezintsha, kunye nonyango oluphambili olujolise kwesona sizathu se-psoriasis ngcono kunangaphambili. Ezinye zikwimo yepilisi, ezinye ziinaliti, kwaye ezinye ziyafumaneka ngokufakwa.

Kubalulekile ukwazi ukuba zeziphi iindlela onokukhetha kuzo kunye nemingcipheko kunye nezibonelelo zento nganye.

5. Luluphi unyango onokulucebisa ngam?

Ngangoko sifuna ukukunika ukhetho, ugqirha wakho uya kuba nokukhetha umthetho olandelwayo ukukunceda. Oku kuya kusekelwa kubukrakra be-psoriasis yakho, unyango ozamile ngaphambili, imbali yakho yezonyango, imbali yosapho lwakho, kunye nenqanaba lakho lokuthuthuzela ngonyango olwahlukileyo.

Kunzima ukuqikelela ukuba yintoni eya kusebenza kumntu othile. Nangona kunjalo, ugqirha wakho uya kukunceda ufumane olona nyango lungileyo okanye indibaniselwano yonyango lwakho. Baza kukwazisa ukuba ungalindela ntoni kunyango, kubandakanya ukuba kuya kuthatha ixesha elingakanani ukubona iziphumo, iziphumo ebezingalindelekanga, kunye nemfuno yokubeka iliso ngexesha lonyango.

6. Zithini iziphumo ebezingalindelekanga ezinokubakho?

Kukho iziphumo ebezingalindelekanga kuwo onke amayeza. Ukusuka kwi-topical cortisone ukuya kwi-phototherapy ukuya kwi-immunosuppressant's ukuya kwi-biologics, nganye inezibonelelo kunye nemingcipheko ekufuneka uyazi ngaphambi kokuba uqale. Ukwazi iziphumo ebezingalindelekanga zeyeza ngalinye kubalulekile kwingxoxo yakho nogqirha wakho.

Ukuba uqala i-biologic kubalulekile ukuba ube novavanyo lweprotein derivative (PPD) yolusu olucociweyo ukuze ubone ukuba ubukhe wafunyanwa sisifo sephepha ngaphambili. Amayeza awabangeli isifo sephepha, kodwa angathoba amandla omzimba wakho wokulwa usulelo ukuba ukhe wavezwa ngaphambili.

7. Ndiza kuthatha ixesha elingakanani kumayeza?

Akukho lunyango lwe-psoriasis, kodwa unyango oluninzi olwahlukeneyo, olunesihloko kunye nenkqubo, lunokuyicoca i-psoriasis kangangexesha elithile. Abantu ngamanye amaxesha kufuneka bazame unyango olwahlukileyo ngaphambi kokuba bafumane olo lubasebenzelayo.

8. Ngaba akho amayeza endiwasebenzisayo anokuphazamisa amayeza am e-psoriasis?

Ugqirha wesikhumba sakho kuya kufuneka awazi onke amayeza owathathayo, kokubini amayeza kunye neka-counter, kuba kusenokubakho unxibelelwano lweziyobisi ekufuneka ulazi.

Umzekelo, i-acetaminophen edityaniswe nezinye i-biologics inokunyusa umngcipheko wokungaphumeleli kwesibindi, ke indibaniselwano kufuneka ithintelwe kangangoko. Kwaye kufuneka kwenziwe uvavanyo lwegazi rhoqo ukuvavanya ukusebenza kwesibindi.

Kwakhona, amanye amayeza, njengeasprini, angenza i-psoriasis ibe mandundu. Ngelixa amanye amayeza, anjenge-corticosteroids yomlomo, anokukhokelela kwimeko esongela ubomi ye-psoriasis ebizwa ngokuba yi-pustular psoriasis, nkqu nakwabo bane-psoriasis ethambileyo. Kungenxa yokuba i-steroid yomlomo iyancitshiswa. Ukuba umiselwe i-steroids yomlomo ngomlomo, qiniseka ukuxelela ugqirha ukuba une-psoriasis ngaphambi kokuqala amayeza.

9. Ukuba ndiqala ngebhayoloji, ngaba kufuneka ndiyeke irejimeni yam yangoku yonyango lwepsoriasis yam?

Thatha ifoto okanye wenze uluhlu lwerejimeni yonyango lwangoku oza nayo eofisini ukuze utyando lwedermatologist lwazi ukuba lungahlengahlengisa okanye lutshintshe njani unyango lwakho ukuze wenze iziphumo zakho zibe ngcono. Kuyanceda ukuzisa nawuphi na umsebenzi welebhu yamva nje. Ugqirha wakho unokuqhubeka nokunyanga ngamayeza xa uqala ukongeza i-biologic, emva koko uthabathe inyathelo lonyango lokuqala.

10. Kutheni le nto kufuneka nditshintshe okanye ndijikelezise unyango lwam lwepsoriasis?

Nge-psoriasis, ngamanye amaxesha kufuneka sijikeleze unyango ngokuhamba kwexesha kuba zinokungasebenzi kakuhle njengoko umzimba uziqhelanisa nonyango. I-dermatologist yakho inokutshintshela kolunye unyango, kwaye inokubuyela umva ngaphambili kuba umzimba uphulukana nokuxhathisa emva kwenyanga okanye eyekile ukusetyenziswa. Oku kuyinyani kancinci kwi-biologics, kodwa kusenokwenzeka.

Xa ukhetha i-biologic okanye naluphi na unyango, ugqirha wakho uya kujonga unyango lwangaphambili kunye nemingcipheko kunye nezibonelelo zeli chiza ngalinye likhoyo namhlanje ukukunceda ekukhokeleni izigqibo. Kuyanceda ukwenza uluhlu lonyango oluzamile, umhla owaqala ngawo kwaye wabayeka, kunye nendlela abakusebenzele ngayo.

Zininzi iziyobisi ezitsha ze-psoriasis ezingena emarikeni, ezinye zazo ekusenokwenzeka ukuba awuzange uzame ngaphambili, ke qiniseka ukuba uhlala ubuza okanye ulandelela ugqirha wakho ukuba irejimeni yakho yangoku ayisebenzi kakuhle kuwe.