Ðe wò ɖawo trɔ alea? Ate ŋu anye ɖa ƒe dɔléle si nye nail psoriasis!

Ðe nèlé ŋku ɖe wò asibidɛwo alo afɔbidɛwo ŋu kpɔ hesusu be, "Oo, nukae gblẽ le wo ŋu? Wotrɔ amadede, teƒewo le wo ŋu, alo ɖeko wowɔ do suewo?" Ɣeaɖewoɣi la, míeléa ŋku ɖe wo ŋu boo o. Gake tɔtrɔ siawo siwo vaa míaƒe ɖawo me ate ŋu anye nu bubu aɖe si le edzi yim le míaƒe ŋutilã me ƒe dzesi ɣeaɖewoɣi. Nail psoriasis nye dɔléle si gblẽa nu le ɖa ŋu. Mina míaƒo nu tso eŋu tsitotsito egbea.

Nukae Nye Nail Psoriasis?

Kpuie ko la, nail psoriasis nye dɔléle si dzɔna le kuxi aɖe si le mía ŋutɔwo ƒe dɔlélenutsiŋutete ŋu ta. Woyɔa esia be dɔléle si tsoa dɔlélenutsiŋutete gbɔ . Nusi dzɔna le afisiae nye be míaƒe ŋutigbalẽ me lãmenugbagbeviwo dzea tsitsi gɔme kabakaba wu alesi wòle be woatsi. Ne míagblɔe tututu la, esia nye ŋutigbalẽdɔléle si woyɔna be psoriasis ƒe akpa aɖe. Gake egblẽa nu le míaƒe asiwo kple afɔwo ƒe ɖawo koŋ ŋu. Zi geɖe la, amesiwo ŋu psoriasis le le woƒe ŋutilã ƒe akpa bubuwo hã kpɔa nɔnɔme sia le woƒe ɖawo me.

Amekawoe le afɔku gã me be woaxɔ ɖa ƒe dɔléle si nye nail psoriasis?

Le nyateƒe me la, amesiame ate ŋu axɔ ɖa ƒe dɔléle sia. Ke hã, anɔ eme be ame aɖewo axɔe. Mina míalé ŋku ɖe amesiwo wonye ŋu:

• Ame siwo xɔ wu ƒe 40.
• Ŋutsuwo (nyɔnuwo hã xɔae, gake ebɔ vie le ŋutsuwo me).
• Ame siwo ŋu psoriasis le xoxo, alo ne psoriasis le ame aɖe ŋu le ƒomea me.
• Esia ate ŋu adzɔ le amesiwo ŋu ƒunukpeƒetetedɔ si nye psoriatic arthritis le hã gome wu .

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, esia mebɔ abe alesi nàsusui ene o. Ebɔ ŋutɔ. Ame siwo ŋu psoriasis le dometɔ siwo wu 50% xɔ nail psoriasis. Azɔ hã, amesiwo ŋu ƒunukpeƒetetedɔ le ƒe 86% gã aɖe hã ŋu ɖa ƒe kuxi siawo le. Eya ta, ne dzesi siawo le ŋuwò la, ɖo ŋku edzi be menye wò ɖeka koe o.

Ðe nail psoriasis nye lãvi?

Ame geɖe susuna be, "Oo, esia anya nye lãvi" ne wokpɔ tɔtrɔ le woƒe ɖawo ŋu. Gake menye lãvi aɖekee nye ɖa ƒe psoriasis o. Abe alesi míegblɔe va yi ene la, enye dɔléle si dɔlélenutsiŋutete ŋutɔ hena vɛ. Esia fia be míaƒe ŋutilã ƒe ametakpɔnu, si nye dɔlélenutsiŋutete, wɔa dɔ akpa eye wòwɔa ŋutigbalẽmenugbagbevi yeyewo kabakaba. Fungi ƒe dɔlékuiwo nye nya si to vovo kura. Gake ne ɖaawo gbɔdzɔ le ɖa ƒe psoriasis ta la, ɣeaɖewoɣi la, woate ŋu atsɔ fungi dɔlékuiwo hã akpe ɖe eŋu.

Nukawoe nye nail psoriasis ƒe dzesiwo?

Enyo, azɔ na míakpɔ tɔtrɔ siwo nàte ŋu akpɔ le ame aɖe si ŋu nail psoriasis le ƒe ɖawo ŋu. Kpɔe ɖa be dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò hã.

• Nail ƒe amadede ƒe tɔtrɔ (`Amadede ƒe tɔtrɔ`):Ŋutilã si le wò ɖa te (si woyɔna be `nail bed`) ateŋu atrɔ amadede. Woate ŋu anye ɣi, dzĩ, pink, alo blɔ. Ɣeaɖewoɣi la, wodzena abe `salmon patches` alo `oil drop spots` ene . Ðeko wòle abe ami ƒe dodo aɖe tsi ɖaa te ene.
• Dowo: Do ​​suesuesue siwo woyɔna be cupuliform depressions ate ŋu adze le ɖaa ƒe anyime. Kpɔe ɖa le susu me be aŋenu aɖe si wotsɔ lɔ̃a avɔe le do suesuesuewo wɔm ɖe ɖaa ŋu. Do siawo ate ŋu anɔ sue ŋutɔ (anɔ abe milimeta 0.4 ene), alo woate ŋu alolo abe pɛnsil ƒe nugbɔ ene (anɔ abe milimeta 2 ene). Woate ŋu ato vovo le woƒe goglome me. Do ɖeka alo eve ate ŋu anɔ ɖa ɖeka dzi, alo do siwo wu ewo anɔ ɖa ɖeka dzi.
• Tɔtrɔ siwo va le ɖa ƒe wɔwɔme ŋu:
• Fliwo ate ŋu adze le ɖaa ƒe go kemɛ dzi kple asi me. Woyɔa esiawo be `Beau ƒe fliwo` .
• ɖaawo va nɔa tsɛ ŋutɔ eye woate ŋu adze ŋeŋe gɔme bɔbɔe, abe bisiklet ene.
• Ŋutilã si le ɖaa ƒe nugbɔ te ate ŋu avuvu eye wòadze egɔme atso ɖaa gbɔ. Woyɔa esia be `onycholysis` . Ne esia dzɔ la, ateŋu adzɔ be fungi ƒe dɔléle evelia `(nail fungus)` nado.

Ðeko dzesi siawo dometɔ aɖewo ate ŋu ana nàse veve, nàse veve, alo nàse veve ne èka asi wò ɖa ŋu. Esia ate ŋu ana wòasesẽ na wò be nàtsi tre, azɔ, alo awɔ dɔ tsɛwo gɔ̃ hã kple asi.

Nukatae ɖa ƒe psoriasis sia va doa mo ɖa?

Nusi koŋ gbɔ esia tsoe nye míaƒe dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie. Etɔxɛe la, lãmenugbagbevi ƒomevi aɖe si woyɔna be T-cells, siwo le abe míaƒe ŋutilã takpɔlawo ene, dzea ŋutigbalẽmenugbagbevi siwo le lãmesẽ me dzi dzedze gɔme vodadatɔe. Le esia ta la, zi geɖe la, míaƒe ŋutigbalẽ wɔa lãmenugbagbevi yeyewo ŋkeke 28 va ɖo 30 ɖesiaɖe, gake le amesiwo ŋu psoriasis le gome la, lãmenugbagbevi yeye siawo dona ŋkeke etɔ̃ va ɖo ene ɖesiaɖe eye wova nɔa ŋutigbalẽa ƒe gowo dzi. Esia tae ŋutigbalẽa biãna eye wòzua ʋuʋudedi ɖo. Le ame aɖewo siwo ŋu psoriasis le gome la, egblẽa nu le ɖawo hã ŋu alea.

Ðe esia xɔa ame mea?

Esia nye kuxi si le ame geɖe ŋu. Nail psoriasis mexɔa ame o. Màte ŋu akakae tso ŋutigbalẽ kple ŋutigbalẽ ƒe kadodo kple ame bubu me ne ele ŋuwò o. Eyata mègatsi dzi ɖe eŋu o. Àte ŋu anɔ agbe abe alesi wòle ene kple ame bubuwo.

Aleke nèwɔ de dzesi esia?

Zi geɖe la, ɖɔkta ate ŋu anya ne nail psoriasis le ŋuwò ne edo wò kpɔ, wòbia wò dzesiwo, eye wòbia be dɔléle sia le wò ƒomea me hã.

Ne ɖɔktaa nya ɖo kpe esia dzi ko la, woate ŋu azã `Nail Psoriasis Severity Index (NAPSI)`.Àte ŋu azã mɔnu aɖe si woyɔna be Psoriasis Score atsɔ adzidze wò psoriasis ƒe sesẽme. Esia bia be nàma wò ɖa ɖe akpa ene me le susu me eye nàna dzesi ene ɖesiaɖe tso 0 va ɖo 4 le psoriasis ƒe dzesiwo nu. Emegbe, wotsɔa dzesiawo katã ƒoa ƒu ɖekae. Dzesi si bɔbɔ fia be wò nɔnɔmea mesẽ nenema gbegbe o. Dzesi kɔkɔ fia be wò nɔnɔmea nu sẽ vie.

Ɣeaɖewoɣi la, ne ɖikeke sesẽ aɖe li be fungi ƒe dɔlélee nye esia la, ɖɔkta ate ŋu awɔ `Potassium Hydroxide (KOH) dzadzraɖo` alo fungi ƒe dekɔnu. Ne dodokpɔ mawo me mekɔ o la, woateŋu azã `PAS stain` (Periodic Acid-Schiff - PAS stain)` atsɔ aɖo kpe esia dzi.

Ðe esia anyo ɖe edzi le eɖokui sia?

Ne míagblɔe tututu la, atike aɖeke meli si woatsɔ ada ɖa ƒe dɔléle si nye nail psoriasis tegbee o. Enye nɔnɔme si nɔa anyi didi, alo `si nɔa anyi didi`. Esia fia be ate ŋu ava eye wòadzo le wò agbemeŋkekewo katã me. Ate ŋu adzɔ be ɣeyiɣi aɖewo nado dzo eye wòaɖe asi le eŋu. Gake ne wowɔ atike nyui na wò la, àte ŋu aɖu dzesiawo dzi eye àte ŋu akpɔ gbɔdzɔe. Eyata mègatsi dzi o.

Nukae nye esia ƒe atikewɔwɔ?

Nail psoriasis dzi kpɔkpɔ ate ŋu asesẽ vie ɣeaɖewoɣi, elabena mewɔa nu nyuie le atikewɔwɔ aɖewo me o. Eyata ɖewohĩ ahiã be mia kple wò ɖɔkta miate atike vovovowo kpɔ ɖekae.

• Corticosteroids: Wò ɖɔkta ate ŋu ana kreme, ami, alo ɖaƒoƒo si me corticosteroids le la wò. Be atike siawo nawɔ dɔ nyuie la, ele be woaɖo ŋutigbalẽ si le ɖaa te (nail bed) kple teƒe si ɖaa dze tsitsi gɔme le (si woyɔna be nail matrix). Esia nye ayemɔ vie. Ahiã be nàzã wo abe zi eve ene gbesiagbe, eye ate ŋu axɔ ɣleti ene va ɖo ade hafi nàkpɔ ŋgɔyiyi ɖedzesi aɖe.
• Atikewo dodo: Ne dɔlélea nu sẽ wu la, wò ɖɔkta ate ŋu azã aŋe nyui aɖe atsɔ ado atike ɖe ŋutigbalẽ si ƒo xlã wò ɖawo me. Esia ate ŋu alɔ dɔlékuiwutikewo abe Etanercept , Adalimumab , alo Ustekinumab ene ɖe eme .
• Atike siwo woano: Le dɔléle sesẽwo me la, wò ɖɔkta ate ŋu aŋlɔ atike siwo woano, tsi alo atikekuiwo na wò. Kpɔɖeŋu aɖewoe nye methotrexate , cyclosporine , alo apremilast. Atikewɔlawo ƒe dzikpɔkpɔ te koe wòle be woazã esiawo.
• Fotodamɔnu: Esia zãa kekeli si woyɔna be ultraviolet si tso akaɖi tɔxɛwo me. Ðɔktaa ate ŋu atsɔ atike aɖe si woyɔna be psoralen akpe ɖe ultraviolet A ( PUVA - Psoralen + Ultraviolet A ) alo ultraviolet B ( UVB - Ultraviolet B) ŋu .) ate ŋu azã. Kekeli ƒe ƒutsotsoe siawo kpena ɖe ŋutigbalẽ kple ɖa ƒe nɔnɔme aɖewo ŋu, siwo dome ɖa ƒe ʋuʋudedi hã le.
• Laser-dɔdamɔnu: Wò ɖɔkta ate ŋu azã laser ƒomevi aɖe si woyɔna be Pulsed Dye Laser (PDL) atsɔ aɖo ʋuka siwo le wò ɖa te. Esia ate ŋu akpe ɖe ŋuwò nàɖe wò ɖa ƒe psoriasis ƒe sesẽ dzi akpɔtɔ. Zi geɖe la, wowɔa laser-dɔdamɔnu sia abe zi ɖeka le ɣleti ade ɖesiaɖe me ene.

Atike kple aɖaŋuɖoɖo kawoe woate ŋu awɔ le aƒeme?

Aƒeme atike ʋɛ aɖewo li siwo dzi nàte ŋu awɔ ɖo be woakpe ɖe ŋuwò nàkpɔ ɖa ƒe dɔléle ƒe dzesiwo gbɔ.

Gake ɖo ŋku edzi be togbɔ be aƒeme atike siawo le dedie na ame akpa gãtɔ hã la, ele vevie be nàƒo nu kple wò ɖɔkta hafi adze wo gɔme, elabena nulɔdɔ ate ŋu anɔ ŋuwò.

• Aloe vera: Aloe vera gel ƒe dɔwɔwɔ tsia dɔdzẽ nu. Esia ate ŋu akpe ɖe ame ŋu be woaɖe ɖa ƒe dɔléle ƒe dzesiwo dzi akpɔtɔ. De aloe vera gel ɖe wò ɖawo kple ŋutigbalẽ si ƒo xlãe ŋu zi geɖe gbesiagbe, vevietɔ hafi nàmlɔ anyi.
• Capsaicin: Esiae nye atike si naa chili peppers xɔa dzo. Kreme alo ami siwo me capsaicin le ate ŋu akpe ɖe ame ŋu wòaɖe ɖa ƒe dɔléle ƒe dzesiwo dzi akpɔtɔ. Ke hã, ƒo asa na asikaka wò ŋkuwo ŋu le wo sisi vɔ megbe, elabena ate ŋu ana nàdo dziku.
• Ƒukukua ƒe dze: Dze sia si wokpɔna tso Ƒukukua me le Asia ƒe Anyieheɣetoɖoƒe ate ŋu akpe ɖe ame ŋu wòaɖe ɖa ƒe dɔléle ƒe dzesiwo dzi akpɔtɔ. Tsɔ dze vi aɖe de tsi fafɛ (si ade Fahrenheit dzidzenu 95) ƒe agba me eye nàtsɔ wò ɖawo aƒo ɖe eme aɖabaƒoƒo 10 ya teti. Wɔ esia zi geɖe le kwasiɖa me.
• Turmeric: Turmeric nye nu ʋeʋĩ si me atike aɖe si woyɔna be curcumin le. Numekukuwo ɖee fia be curcumin ƒe dɔlékuiwutike kple fungi ƒe ŋutete le esi, si ate ŋu akpe ɖe ɖa ƒe psoriasis ƒe dzesiwo ŋu. Àte ŋu atsɔ turmeric akpe ɖe wò nuɖuɖu ŋu alo anoe le atikekui ƒe nɔnɔme me le agbɔsɔsɔ aɖe koŋ me. (Bia wò ɖɔkta tso esia hã ŋu).

Azɔ hã, nya nu tso nusiawo ŋu:

• Klɔ wò asiwo kple ɖawo edziedzi be nàxe mɔ ɖe dɔlékuiwo xɔxɔ nu.
• De atike si naa tsi nɔa wò ɖawo kple ŋutigbalẽ si ƒo xlã wo ŋu.
• Na wò ɖawo nanɔ kpuie.
• De atike si naa ɖa sesẽna ƒe atike si wotsɔna ƒoa ɖae.
• Lã lãgbalẽgoloawo eye nàɖe wo ɖa.
• Do asigɛwo ne èle nu siwo ate ŋu agblẽ nu le wò ɖawo ŋu alo aƒu, abe agbawo kɔklɔ, kamedefefewo, alo dɔwɔwɔ le gota ene wɔm.

Ne nail psoriasis kpe ŋu na wò alo ŋu kpe wò la, àte ŋu atutu wò ɖawo blewuu eye nàtsɔ atike si wotsɔna ƒoa ɖae la atsyɔ doawo kple woƒe amadede ƒe tɔtrɔ dzi. Gake la,Ƒo asa na aʋatso ɖawo zazã. Woate ŋu agblẽ nu le wò ɖa ŋutɔŋutɔwo ŋu.

Aleke nàwɔ aɖe afɔku si le ɖa me psoriasis xɔxɔ me dzi akpɔtɔ?

Le nyateƒe me la, mɔ aɖeke meli si dzi woato axe mɔ ɖe ɖa ƒe dɔléle si nye nail psoriasis nu o. Ne ele ŋuwò la, anɔ eme be ava eye wòadzo le wò agbemeŋkekewo katã me, eye ɣeaɖewoɣi la, anyo ɖe edzi eye ɣeaɖewoɣi hã agblẽ ɖe edzi. Gake ne wowɔ atike nyuie la, woate ŋu aɖe dzesiawo dzi akpɔtɔ, le amesiwo ŋu ɖa ƒe dɔléle sesẽ le gɔ̃ hã gome.

Nukae wòle be makpɔ mɔ na ne nail psoriasis le ŋunye?

Nail psoriasis ate ŋu axɔ dzo eye wòaɖe ɖa le eƒe agbemeŋkekewo katã me. Gake zi geɖe la, woate ŋu aɖu edzi nyuie ne wozãe. Eya ta, misẽ ŋu.

Ðe nail psoriasis ate ŋu ahe kuxi bubuwo vɛa?

Ne nail psoriasis le ŋuwò la, àte ŋu anɔ afɔku me vie be nàxɔ nɔnɔme bubu aɖewo. Esiawo dometɔ aɖewoe nye:

• Suklidɔ
• Dzidɔ
• Lãmetsiŋusẽ si sɔ gbɔ ɖe lãme na ame
• Amidada
• Gbagbãdᴐ

Esia mefia be nusianu ava do o. Ke hã, ele vevie be nànya esia, anɔ agbe si me lãmesẽ le, eye nàwɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖowo dzi.

Aleke malé be na ɖokuinye?

Ne nail psoriasis le ŋuwò la, mɔ nyuitɔ si dzi nàto akpɔ ɖokuiwò dzie nye be:

• No wò atikewo eye nàsi amiwo ɖe wo ŋu abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ.
• Na wò ɖawo nanɔ dzadzɛ ɣesiaɣi, lã wo kpuie, tsɔ tsi si naa tsi nɔa wo ŋu, eye nàkpɔ egbɔ be màgblẽ nu le wò ɖawo ŋu o.
• Ðu nuɖuɖu si da sɔ eye nàde kame. Nu siawo nyo na wò lãmesẽ bliboa.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ele be nàkpɔ wò ɖɔkta godoo ne èto nusiwo gbɔna dometɔ aɖe me:

• Ne èva dze dzesi yeyewo gɔme.
• Ne dzesiawo meva nyo ɖe edzi le atikewɔwɔ vɔ megbe o.
• Ne ŋutigbalẽ si ƒo xlã ɖaa dze abe dɔlékui le eme ene (bibi, aŋutiɖiɖi, aŋutiɖiɖi, alo ɣi; exɔ dzo eye wòvuvu).

Nya kawoe wòle be mabia ɖɔktaa?

Ne èyi ɖɔkta gbɔ la, aɖe vi na wò be nàbia nya siawo abe esiawo ene:

• Aleke tututu nèwɔna anya nenye be nail psoriasis le ŋunye?
• Ne nail psoriasis mele ŋunye o la, nɔnɔme bubu kae ate ŋu anɔ ŋunye?
• Aleke mawɔ axe mɔ na dzesi siawo be woagasẽ ɖe edzi o eye makpɔ nye dzesiawo gbɔ?
• Atike ka ƒomevie nèkafu?
• Ðe atike mawo ƒe nugbegblẽ le ame ŋu aɖewoa?
• Aƒeme atikewɔwɔ kawoe nèkafu?
• Ðe aƒemedɔdamɔnu mawo ƒe nugbegblẽ le ame ŋua?
• Nukae wòle be mawɔ be nye dzesiwo nanyo ɖe edzi?
• Ðe kreme alo ami aɖe li si nàte ŋu aŋlɔ na amea?
• Ðe wòle be makpɔ ŋutigbalẽŋutinunyala alo eŋutinunyala bibi bubua?

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata tso nusiwo me míedzro me la, mele mɔ kpɔm be susu nyui aɖe va su asiwò tso Nail Psoriasis ŋu. Mlɔeba la, nu vevi aɖewo siwo dzi wòle be woaɖo ŋkui lae nye esi:

• Nail psoriasis nye dɔléle si dɔlélenutsiŋutete ŋutɔ hena vɛ. Esia fia be tɔtrɔ si va le mía ŋutɔwo ƒe dɔlélenutsiŋutete me gbɔe wòtso. Esia ate ŋu ana ɖaawo ƒe amadede natrɔ, dowo nado, eye ɖaawo ƒe nɔnɔme natrɔ.
• Esia ate ŋu ana ŋu nakpe wò eye màvo le ɖokuiwò me o. Gake àte ŋu ana wò dzedzeme nanyo ɖe edzi ne ètutu wò ɖawo eye nètsɔ ɖa si wotsɔna ƒoa ɖae. Gake mègaka asi ɖa siwo wowɔ kple asi gɔ̃ hã ŋu o!
• Esia menye dɔléle si xɔa ame me o. Eyata mègatsi dzi ɖe dɔlékuiwo xɔxɔ ɖe ame bubu ŋu o. Woate ŋu aɖu dzesiawo dzi ne wowɔ atike nyui na wo.
• Lé ŋku ɖe wò ɖawo ŋu ɣesiaɣi. Ne ède dzesi tɔtrɔ aɖewo le wò ɖa ŋu la, yi ɖɔkta gbɔ enumake. Zi alesi nèdze atikewɔwɔ gɔme kaba la, zi nenemae emetsonuwo nyona ɖe edzii.

Mègaŋlɔ be o, menye wò ɖeka koe o. Ame geɖe nɔa agbe kple nɔnɔme siawo. Ne èna atikewɔlawo ƒe aɖaŋuɖoɖo nyuitɔ kple beléle nyui la, wò hã àte ŋu aɖu nɔnɔme sia dzi ahanɔ agbe si sɔ.

` Nail Psoriasis, Nail Psoriasis, Ŋutilãmedɔlélewo, Nail Dɔlélewo, Dɔlélenutsiŋutete, Psoriasis, Nail Care