Ðe nèle ʋuʋudedi siwo me ʋuʋudedi le la kpɔm le wò ŋutigbalẽ ŋua? Mina míaƒo nu tso Pustular Psoriasis ŋu!

Ðe wò ŋutigbalẽ ƒe akpa aɖewo biã, wole ƒuƒlu, eye ʋuʋudedi suesuesue siwo le abe notsi ene siwo me ʋuʋudedi (pustules) yɔ fũa? Ðewohĩ teƒe mawo le veve sem vie eye wole ʋuʋum. Esia ate ŋu anye nusi ŋu wòle be woatsi dzi ɖo. Egbea, mina míaƒo nu tso ŋutigbalẽ ƒe nɔnɔme sia si woyɔna be Pustular Psoriasis ŋu tsitotsito. Mègavɔ̃ o, nu vevitɔe nye be nànɔ ŋudzɔ.

Nukae nye Pustular Psoriasis? Kpuie ko la,...

Kpuie ko la, Pustular Psoriasis nye psoriasis ƒomevi aɖe, alo abe alesi mí katã míenyae ene la, ŋutigbalẽ ƒe dɔléle aɖe. Gake esia to vovo na psoriasis si bɔ. Eyae nye be ʋuʋudedi suesuesue siwo yɔ fũ kple ʋuʋudedi (pustules) dona kpe ɖe kpe dzĩ siwo le ŋutigbalẽa dzi ŋu. Esiawo ate ŋu adze le ŋutilãa ƒe akpa sia akpa. Ɣeaɖewoɣi la, ne ƒunukpeƒetetedɔ siawo vuvu la, woate ŋu ave wo eye woase veve. Ðo ŋku edzi be psoriasis nye dɔléle si nɔa anyi didi . Ema fia be ate ŋu atɔ dzo eye wòaɖiɖi le eƒe agbemeŋkekewo katã me.

Amekae xɔa Pustular Psoriasis?

Ðewohĩ ànɔ ɖokuiwò biam be amekae ate ŋu axɔ dɔléle sia wu hã. Zi geɖe la , amesiwo ŋu psoriasis le xoxo la ƒe ƒunukpeƒetetedɔ dzea ame dzi . Psoriasis le ame miliɔn geɖe ŋu le xexeame godoo. Le amesiawo dome la, amesiwo ŋu psoriasis le ƒe alafa memamã sue aɖe (anɔ abe 3%) koe akpɔ pustular psoriasis ƒe dzesiwo zi ɖeka ya teti le woƒe agbenɔɣi. Togbɔ be psoriasis ate ŋu adze ame siwo xɔ ƒe ɖesiaɖe dzi hã la, ebɔ ɖe ame tsitsiwo me wu ɖeviwo.

Ðe Pustular Psoriasis nye dɔléle si mebɔ oa?

Pustular psoriasis mebɔ nenema gbegbe o. Gake psoriasis ƒomevi bubu aɖe li si nu sẽ wu si woyɔna be Generalized Pustular Psoriasis (GPP) . Wobua esia be enye psoriasis ƒomevi si mebɔ o wu . Le Generalized Pustular Psoriasis me la, psoriasis ƒe akpa aɖewo kaka ɖe ŋutilã ƒe akpa gã aɖe. Menye ema ɖeɖeko o, àte ŋu akpɔ dzesiwo abe dzoxɔxɔ, ŋutilã ƒe vevesese, kple ɖeɖiteameŋu hã. Ne ŋutigbalẽ ƒe akpa siawo kaka kabakaba la, ema hã nye GPP ƒe dzesi.

Vovototo kae le Palmoplantar Pustulosis kple Pustular Psoriasis dome?

Fifia ɖewohĩ ànɔ ɖokuiwò biam be, ɖe Palmoplantar Pustulosis hã woyɔna be Pustular Psoriasisa? Ẽ, Palmoplantar Pustulosis hã nye Pustular Psoriasis ƒomevi aɖe. Gake le go sia me la, wò asibidɛwo kple afɔkpodziwo koe dzesiawo dzena le. Esia tae wogayɔnɛ be Palmoplantar Pustular Psoriasis ɖo.

Vovototo kae le Pustular Dermatosis kple Pustular Psoriasis dome?

Bubue nye Pustular Dermatosis. Esia hã nye nɔnɔme si me ŋutigbalẽa ƒoa ƒu le. Pustular Dermatosis ƒe DɔlélePustular dermatitis nye nɔnɔme si me ʋuʋudedi siwo me ʋuʋudedi yɔ fũu la dzɔna le ŋutigbalẽa ƒe akpa si le etame (si nye ŋkume ƒe akpa si le ete) te. Aɖuɖɔtoe siawo bɔ ɖe teƒe siwo ŋutigbalẽa do go kple ŋutigbalẽa le wu. Le kpɔɖeŋu me, akɔta kple akɔta. Togbɔ be nusi koŋ ɖea dzesi le ŋutigbalẽ ƒe dɔléle kple ƒunukpeƒetetedɔ siaa ŋue nye ʋuʋudedi siwo me ʋuʋudedi yɔ fũu ƒe anyinɔnɔ hã la, lãkusi siwo me ʋuʋudedi le, siwo ƒe amadede trɔ abe ʋuʋudedi ene mele lãkusi me o. Emae nye vovototo vevitɔ.

Nukawoe nye Pustular Psoriasis ƒomevi veviwo?

Woate ŋu ama pustular psoriasis ɖe hatsotso vevi eve me, le alesi wògblẽa nu le ŋutilãa ŋu kple afisi wògblẽa nu le nu:

1. Generalized Pustular Psoriasis (GPP): Woyɔa esia ɣeaɖewoɣi be Erythrodermic Psoriasis. Esiae nye psoriasis ƒomevi si mebɔ o eye wòsẽ wu. Le psoriasis sia ƒomevi me la, psoriasis ƒe akpa aɖewo kaka kabakaba ɖe ŋutilã ƒe akpa gã aɖe, eye zi geɖe la, ʋuʋudedi siwo me ʋuʋudedi yɔ fũu nɔa wo me. Dzesi bubuwoe nye dzoxɔxɔ, vuvɔ, ʋuʋudedi sesẽ, lãmekawo ƒe gbɔdzɔgbɔdzɔ, kple ɖeɖiteameŋu . Ne dzesi siawo dometɔ aɖe le ŋuwò la, ele be nàyi ɖɔkta gbɔ enumake. GPP ate ŋu anye nusi nɔa anyi didi na ame aɖewo, alo ɣeyiɣi kpui aɖe na ame bubuwo.

2. Localized Pustular Psoriasis: Esia nye esime dzesiawo le ŋutilã ƒe akpa aɖe koŋ ko. Wogayɔa esia be Acute Psoriasis. Esia ƒomevi eve li siwo bɔ:

• Palmoplantar Pustular Psoriasis: Esia gblẽa nu le afɔtiwo kple afɔkpodziwo ko ŋu.
• Acrodermatitis Continua of Hallopeau: Esia gblẽa nu le asibidɛwo kple afɔbidɛwo ŋu.

Nukae nye Pustular Psoriasis ƒe dzesiwo?

Le Pustular Psoriasis gome la, àte ŋu akpɔ dzesiwo abe:

• Ŋutilãa va zua ƒuƒuie, eƒe amadede trɔna, eƒe ŋutigbalẽa ƒuna, eye teƒe siwo le ƒuƒlu (plaques) dona.
• Tsi yɔ fũu (pustules alo blisters) ƒe wɔwɔme le teƒe siawo.
• Vevesese fafɛ alo ʋuʋudedi ƒe seselelãme .

Aɖuɖɔtoe siawo ate ŋu aƒo ƒu, alolo, eye woagbã. Emegbe ŋutigbalẽa ate ŋu ase veve ŋutɔ eye wòase veve. Ne ʋuʋudediawo vuvu vɔ la, ʋuʋudedi yeyewo ate ŋu ado ɖe teƒe ma ke.

Generalized Pustular Psoriasis (GPP) ƒe dzesi tɔxɛwo .

Zi geɖe la, ne Pustular Psoriasis dze la, teƒe sue aɖe ko, abe wò asibidɛwo ene, dzesiawo ate ŋu anɔ. Gake abe alesi míegblɔe va yi ene la, le go siwo mebɔ o me la, ʋuʋudedi siawo siwo yɔ fũ kple ʋuʋudedi ate ŋu akaka ɖe ŋutilã bliboa me. Woyɔa esia be Generalized Pustular Psoriasis (GPP) . Le go sia me la, àte ŋu akpɔ dzesi bubu siawo hã:

• Asrã kple vuvɔ.
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ.
• Ðeɖiteameŋu si gbɔ eme.
• Vevesese sesẽ kple ʋuʋudedi.
• Dzi ƒe tsotso ƒe dzidziɖedzi (dzi ƒe tsotso kabakaba).
• Tsikuɖiɖi.
• Afɔ siwo vuvu.

Le veviẽ:Ne Pustular Psoriasis ƒe dzesiwo le ŋuwò tsɔ kpe ɖe Generalized Pustular Psoriasis ƒe dzesi siawo ŋu (vevietɔ ŋutigbalẽ ƒe ʋuʋu, dzoxɔxɔ, kple lãmekawo ƒe gbɔdzɔgbɔdzɔ si kaka ɖe teƒe geɖe) la, yi ɖɔkta enumake kaba. Esia ate ŋu anye atikewɔwɔ kpata.

Afikae Pustular Psoriasis ƒe dzesiwo gblẽa nu le wu le ŋutilãa dzi?

Dzesi siawo ate ŋu adze le ŋutigbalẽa ƒe akpa ɖesiaɖe, gake teƒe siwo bɔ wue nye:

• Afᴐwo
• Tagbɔ ƒe ta
• Mo
• Asiwo

Nukae hea Pustular Psoriasis vɛ?

Nusi koŋ gbɔ esia tsoe nye wò ŋutilã ƒe dɔlélenutsiŋutete ƒe dɔwɔwɔ fũ akpa. Zi geɖe la, míaƒe dɔlélenutsiŋutete kpɔa mía ta tso dɔlélewo kple dɔlékuiwo si me. Gake le amesi ŋu psoriasis le gome la, dɔlélenutsiŋutete si le ŋutigbalẽa me wɔa dɔ akpa, eye ŋutigbalẽmenugbagbevi siwo le lãmesẽ me la ma kabakaba ŋutɔ eye wodzea yeyewo tsitsi gɔme. Emegbe, ŋutigbalẽmenugbagbevi kukuwo ƒoa ƒu ɖe eƒe gowo dzi, eye wowɔa ƒuƒu alo ƒuƒu. Le dɔwɔwɔ fũu akpa sia ta la, dɔlélenutsiŋutete ƒe lãmenugbagbevi ƒomevi aɖe si woyɔna be neutrophils ƒoa ƒu ɖe ŋutigbalẽa ƒe akpa siwo le etame. Emae nye nusi hea ʋuʋudedi mawo vɛ.

Nukae nye nusiwo ate ŋu ana Pustular Psoriasis nagado gã ɖe edzi?

Nu aɖewo ate ŋu ana Pustular Psoriasis ƒe dzesi siawo nadzi ɖe edzi zi ɖeka alo adze yeye. Míeyɔa nusiwo ʋãa ame siawo be . Nusiwo gbɔ wòtsona zi geɖe dometɔ aɖewoe nye:

• Alesi wowɔa nui ɖe atike aɖe ŋu: Nusiwo abe vevesesenutsitike aɖewo kple ʋusɔgbɔdɔtikewo ene ate ŋu atsoe.
• Tɔtrɔ siwo nàwɔ le wò gbesiagbedɔwo ŋu: Kasia nàʋu ayi teƒe bubu, nàzã adzalẽ alo kreme yeye aɖe.
• Nuteɖeamedzi: Esia nye nu vevi aɖe si gblẽa nu le ŋutigbalẽdɔ geɖe ŋu.
• Ɣe ƒe keklẽ fũu akpa (Ultraviolet ƒe keklẽ): UV keklẽ ate ŋu anye nusi aʋã ame aɖewo.
• Dɔlékui aɖe: Le kpɔɖeŋu me, dɔlékuiwo ƒe dɔléle abe Streptococcus alo Staphylococcus .

Bu eŋu kpɔ, èdze ŋutilãmemi yeye zazã gɔme, alo nu te ɖe dziwò le dodokpɔ gã aɖe ta. Le ɣeyiɣi siawo tɔgbe me la, Pustular Psoriasis ƒe dzesiwo ate ŋu adze le wò ŋutigbalẽ dzi zi ɖeka.

Ðe Pustular Psoriasis Xɔa Amea?

Ao, Pustular Psoriasis mexɔa ame kura o. Tsi ate ŋu ado le ʋuʋudedi mawo me ɣeaɖewoɣi, eye togbɔ be adze abe dɔlékui ene hã la, menye dɔlékui o. Màte ŋu akaka dɔléle sia na ame bubu to ŋutilã me kadodo me o. Eyata mègatsi dzi ɖe eŋu o.

Aleke Wowɔa Dea Dzesi Pustular Psoriasis?

Ðɔkta aɖe akpɔe ɖa be Pustular Psoriasis le ŋuwò to ŋutilãmedɔdada me. Abia nya wò tso wò dzesiwo kple atikewɔwɔ ŋutinya ŋu. Zi geɖe la, alesi dzesiawo dzena le ŋkume ate ŋu akpe ɖe ŋuwò nàkpɔ dɔlélea nyuie.

Gake ɣeaɖewoɣi la, dzesi siawo ate ŋu asɔ kple ŋutigbalẽ ƒe nɔnɔme bubuwo, eyata ahiã be woagawɔ dodokpɔ bubuwo. Le kpɔɖeŋu me:

• Dekɔnu dodokpɔ: Kpɔe ɖa be dɔlékuiwo le eme hã.
• Ŋutilã me lãmenugbagbeviwo ɖeɖe: Be woatsɔ aɖo kpe psoriasis dzi.
• Nulɔdɔ dodokpɔwo: Kpɔe ɖa be nane ƒe nulɔdɔ le ŋuwò hã.

Ne wò ɖɔkta susui be Generalized Pustular Psoriasis (GPP) , ate ŋu adɔ hã be woado ʋu kpɔ, vevietɔ Complete Blood Count (CBC) .

Ðo ŋku edzi be ne èle nɔnɔmewo abe Psoriasis kple Pustular Psoriasis ene dam la, anyo wu be nàyi ŋutigbalẽŋutinunyala gbɔ .

Aleke Wodaa Pustular Psoriasis?

Taɖodzinu vevi geɖewo li le pustular psoriasis dada me:

• Ŋutilãa ŋu kɔklɔ to ʋuʋudedi kple ʋuʋudedi ɖeɖeɖa me.
• Dzesiwo abe ʋuʋudedi kple vevesese ene dzi ɖeɖe kpɔtɔ.
• Mɔxexe ɖe dɔlékuiwo xɔxɔ nu ne ʋuʋudediwo gbã.

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ atikewo abe:

• Atike siwo wozãna ɖe lãme, ami alo atike siwo wotsɔna ƒoa ƒui: Esiawoe nye atikewɔwɔ gbãtɔ. Esiawo dometɔ aɖewoe nye nusiwo le abe corticosteroids kple Vitamin D analogues ene.
• Fotodada: Atikewɔwɔ si zãa keklẽ si woyɔna be ultraviolet (UV) si dzi wokpɔna tsɔ tɔa ŋku ŋutigbalẽa.
• Atike siwo woano: Atikewo abe Methotrexate, Cyclosporine, Acitretin ene. Wona esiawo ne dɔlélea nu sẽ vie.
• Dɔlékuiwutikewo: Esiawoe nye atike yeye kple esiwo de ŋgɔ wu. Esiawo nye atike siwo wodona abe atike ene. Wowɔa dɔ to ŋkuléle ɖe dɔlélenutsiŋutete ƒe dɔwɔwɔ aɖewo ŋu tẽ me.

Aleke gbegbee nye lãme ahaya kaba le atikewɔwɔ vɔ megbe?

Ne pustular psoriasis ƒe dzesiwo nya dze eye wodze atikewɔwɔ gɔme ko la, ate ŋu axɔ kwasiɖa geɖe va ɖo ɣleti geɖe hafi ŋutigbalẽa nakɔ keŋkeŋ. Zi geɖe la, atikewɔwɔa wɔa dɔ le akpa vovovowo me. Gbã la, woɖea ʋuʋudedi siwo me ʋuʋudedi yɔ fũu la ɖa, emegbe woɖea ŋutigbalẽmenugbagbevi kukuawo ɖa, eye mlɔeba woɖea ŋutigbalẽa ƒe amadede ƒe tɔtrɔ dzi kpɔtɔna. Ne ètsi dzi ɖe ɣeyiɣi didi si woawɔ atike na wò ŋu la, ƒo nu tso eŋu na wò ɖɔkta.

Ðe woate ŋu axe mɔ ɖe Pustular Psoriasis nua?

Manya wɔ be woaxe mɔ ɖe Pustular Psoriasis nu keŋkeŋ o, elabena enye dɔlélenutsiŋutete ƒe dɔléle. Gake nanewo li nàte ŋu awɔ atsɔ aɖe afɔku si le dzobibi me dzi akpɔtɔ:

• Na wò ŋutigbalẽ nanɔ dzadzɛ ɣesiaɣi to adzalẽ alo adzalẽ si fa miamiamia si sɔ na ŋutigbalẽ zazã me.
• Zã atike si naa tsi nɔa lãme na ame ɣesiaɣi. Ŋutilã ƒuƒu ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi.
• Kpɔ nuteɖeamedzi dzi. Nuwo abe ŋugbledede kple kamedede ene ate ŋu akpe ɖe ŋuwò.
• Te ɖa le nusiwo ana wò dzesiwo nagagblẽ ɖe edzi gbɔ alesi nàte ŋui. Abe alesi míegblɔe va yi ene la, ne nuɖuɖu, atike, alo atsyɔ̃ɖomi aɖewo ƒe nulɔdɔ le ŋuwò la, ƒo asa na wo.

Nukae nàkpɔ mɔ na ne Pustular Psoriasis le ŋuwò?

Psoriasis nye dɔléle si nɔa anyi didi, si nɔa ame ƒe agbemeŋkekewo katã me. Esia fia be dzesiawo ate ŋu asẽ eye emegbe woaɖiɖi. Atike aɖeke meli na pustular psoriasis o. Gake mègatsi dzi o. Wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàkpɔ wò dzesiwo gbɔ eye nàde dzesi nusiwo hea wò dɔlélea vɛ.

Ne wò dzesiawo gagblẽ ɖe edzi la, dze agbagba nàŋlɔ nusiwo aʋã wò nèsusu be ate ŋu ahe wo vɛ la ɖi. Ne wò dzesiwo nu sẽna ɖe edzi le nane zazã vɔ megbe alo nu te ɖe dziwò la, esiawo ate ŋu anye nusiwo aʋã wò. Dze agbagba nànɔ adzɔge tso wo gbɔ alesi nàte ŋui. Ne esesẽ na wò be nàde dzesi nusiwo aʋã wò la, ƒo nu kple wò ɖɔkta.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ele be nàkpɔ ɖɔkta godoo le nɔnɔme siawo me:

• Ne dzesiawo gagblẽ ɖe edzi le atikewɔwɔ vɔ megbe.
• Ne dɔlékui aɖe ƒe dzesiwo le ŋuwò, abe vevesese sesẽ, vuvu, alo asrã ene. (Dɔlékuiwo ate ŋu atso ʋuʋudedi siwo gbã gbɔ.)
• Ne dzesiawo meva nyo ɖe edzi o togbɔ be wowɔ atike nɛ hã.
• Ne wò dzesiwo le ŋusẽ kpɔm ɖe wò gbesiagbedɔwo dzi ale gbegbe be màte ŋu awɔ wo o.

Ɣekaɣie wòle be nàyi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne Generalized Pustular Psoriasis (GPP) ƒe dzesiwo le ŋuwò, si fia be ʋuʋudedi yɔ wò ŋutigbalẽ ŋu kpe ɖe esiawo ŋu la, yi xɔ si me wowɔa dɔ kpata le enumake:

• Asrã
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ
• Vevesese sesẽ
• Ʋuʋudedi sesẽ

Esia nye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me, eyata ehiã be woadae kaba.

Nya kawoe wòle be nàbia wò ɖɔkta?

Ne èyi ɖɔkta gbɔ la, mègaŋlɔ be be yeabia nya siawo o:

• Nukae ate ŋu ana nye psoriasis la le fu ɖem zi ɖeka?
• Aleke mawɔ axe mɔ ɖe dɔlékuiwo xɔxɔ nu ne nye ʋuʋudediwo vuvu?
• Nukae wòle be mawɔ ne ʋuʋudedi siawo na wòsesẽ nam be mazã nye asiwo alo azɔ?
• Ðe atikewɔmɔnu siawo ƒe nugbegblẽ le ame ŋu aɖewoa?
• Ɣeyiɣi didi kae wòle be woazã atike siwo wozãna ɖe lãme na ame eye aleke wòle be woazãe?

Pustular psoriasis ate ŋu anye nɔnɔme si me dziɖeleameƒo le eye wòsesẽna be woakpɔ egbɔ ɣeaɖewoɣi, elabena dzesiawo ate ŋu ava eye woadzo. Ame aɖewo siwo ŋu psoriasis le kpɔnɛ be eɖea vi be yewoaƒo nu kple susumedɔdala ne dzesi siawo le ŋusẽ kpɔm ɖe yewoƒe kakaɖedzi alo bubudede wo ɖokui ŋu dzi.

Gbedasi si Wotsɔ Yi Aƒeme

Pustular psoriasis nye psoriasis ƒomevi aɖe si nana ŋutigbalẽ ƒe akpa siwo biã, siwo me ʋuʋudedi le, tsɔ kpe ɖe ʋuʋudedi siwo yɔ fũ kple ʋuʋudedi ŋu. Menye ame si xɔa ame me o.

Gake dɔléle sesẽ aɖe si woyɔna be Generalized Pustular Psoriasis (GPP) hiã be woakpɔ egbɔ enumake. Ne èkpɔ dzesiwo abe asrã, ʋuʋudedi si kaka ɖe teƒe geɖe, alo lãmekawo ƒe vevesese ene la, yi ɖɔkta gbɔ enumake.

Woate ŋu aɖu nɔnɔme sia dzi nyuie ne wodae nyuie eye wotrɔ agbenɔnɔ. Wɔ dɔ kple wò ɖɔkta be nàwɔ atikewɔwɔ ƒe ɖoɖo si awɔ dɔ na wò nyuie wu. Mègatsi dzi o, menye wò ɖeka koe o. Ne ènya esia eye nèkpɔ edzi nyuie la, àte ŋu anɔ agbe si sɔ godoo.

` Pustular Psoriasis, Scabies, Ŋutilãdɔlélewo, Pustular Blisters, Ŋutilãmedɔlélewo, Dɔlélenutsiŋutete, Ŋutilã ƒe Dɔdamɔnu