Ingabe uneziqephu ezinamabala esikhumbeni sakho? Ake sifunde kabanzi nge-psoriasis.

Ingabe unamabala abomvu, anamabala, najiyile kancane esikhumbeni sakho? Ngezinye izikhathi ungaze uwaklwebhe. Kuvamile ukuzizwa wesaba kancane uma ubona into efana nale. Namuhla sizokhuluma ngesifo sesikhumba esibonisa lezi zimpawu, abantu abaningi abanazo kodwa abangazi kahle. Leyo yi -psoriasis , noma njengoba odokotela beyibiza kanjalo ( Psoriasis ) .

Kuyini i-Psoriasis?

Kalula nje, i-psoriasis yisimo sokuvuvukala esithinta isikhumba sakho . Sibangelwa ukungasebenzi kahle kwesimiso somzimba wakho sokuzivikela. Isimiso sethu sokuzivikela sivame ukulwa namagciwane abangela izifo . Kodwa kubantu abane-psoriasis, isimiso sokuzivikela sihlasela ngephutha amangqamuzana abo esikhumba anempilo. Lokhu kubangela amabala abomvu, anamaqhubu, anamaqhubu esikhumba, abizwa ngokuthi ama-plaque .

Into ebaluleke kakhulu ukuthi i-psoriasis iyisifo esingamahlalakhona . Lokhu kusho ukuthi ayipheli ngokushesha, futhi ingase iqhume ngezikhathi ezithile. Kodwa ungakhathazeki, ingalawulwa kahle ngokwelashwa okuhle.

Yiziphi izinhlobo eziyinhloko ze-psoriasis?

Manje ake sibheke izinhlobo eziyinhloko ze-psoriasis. Indlela ngayinye eveza ngayo ingase ihluke kancane.

• I-Plaque psoriasis : Lolu uhlobo oluvame kakhulu . Cishe abantu abangu-80% kuya ku-90% abane-psoriasis banalolu hlobo. Lubonakala ngamabala esikhumba acwebezelayo, amhlophe njengesiliva.
• I-Inverse psoriasis: Lokhu kwenzeka ezindaweni lapho isikhumba sigoqeka khona. Cabanga ngamakhwapha, i-groin, nangaphansi kwamabele . Lolu hlobo lwe-psoriasis lunezikali ezincane, kodwa amabala abomvu futhi abushelelezi.
• I-Guttate psoriasis: Lokhu ngezinye izikhathi kungalandela ukutheleleka kwe-streptococcal. Kubonakala njengamabala amancane, abomvu, anamabala abukeka njengamaconsi amanzi. Kuvame kakhulu ezinganeni nakubantu abadala abasebasha .
• `I-Psoriasis ephuphuzelayo` (i-Psoriasis egcwele amathumba ): Kulokhu, kuvela amabhamuza amancane agcwele amathumba ezindaweni.
• I-Erythrodermic psoriasis: Lolu uhlobo olubi kakhulu . Isikhumba siba bomvu futhi sibe namaxolo endaweni enkulu yomzimba (ngaphezu kuka-90%). Uma ubona into efana nale, kufanele ubonane nodokotela ngokushesha.
• I-Sebopsoriasis: Lokhu kuvame ukwenzeka ebusweni nasekhanda. Kubonakala njengamabala aphuzi, anamafutha, anamabala kanye namabala. Kuyinhlanganisela ye-dandruff kanye ne-seborrheic dermatitis, esinye isimo sesikhumba.
• I-psoriasis yezinzipho: Kulesi simo, izinzipho ziyashintsha umbala, kwakheke imigodi emincane, izinzipho ziyaqhekeka, bese zijiya.

Kuphi lapho i-psoriasis ingenzeka khona emzimbeni?

Lokhu kuqubuka okunama-scaly kungavela noma kuphi emzimbeni, kodwa kuvame ukubonwa ku:

• Ezindololwaneni nasemadolweni
• Ebusweni nangaphakathi emlonyeni (lokhu akuvamile kangako)
• Ekhanda lesikhumba
• Ezinzipho zezandla nezinyawo
• Eduze kwendawo yangasese (ungabi namahloni okukhuluma ngalokhu, tshela udokotela wakho )
• Umhlane ophansi
• Ezintendeni nasezinyaweni

Kwabaningi abantu, ukuqubuka kuthinta indawo encane yesikhumba kuphela. Kodwa-ke, kwezinye izimo ezinzima, la mabala angakhula ndawonye futhi amboze indawo enkulu yomzimba.

Kuyini (i-psoriatic arthritis)?

Abanye abantu banenkinga enye nge-psoriasis, ebizwa ngokuthi i-psoriatic arthritis . Kalula nje, uhlobo lwe-arthritis olubangela ubuhlungu nokuvuvukala emalungeni . Njenge-psoriasis, lubangelwa nayimpendulo engavamile yesistimu yomzimba yokuzivikela. Akuwona wonke umuntu one-psoriasis oyitholayo, kodwa cishe umuntu oyedwa kwabathathu uzoba ne-psoriatic arthritis. Ukwelashwa kusenesikhathi kungasiza ekunciphiseni ukulimala kwamalunga . Ngakho-ke uma une-psoriasis nobuhlungu bamalunga, qiniseka ukuthi utshela udokotela wakho.

Ubani othola i-psoriasis? Ivame kangakanani?

I-Psoriasis ingathinta abantu babo bonke ubudala, ubulili, kanye nobuhlanga. Ithinta izigidi zabantu emhlabeni jikelele. E-United States kuphela, kulinganiselwa ukuthi abantu abangaphezu kuka-3% banalesi simo. Ngakho-ke, uma unaso, khumbula ukuthi awuwedwa.

Ingabe i-Psoriasis ne-Eczema ziyinto efanayo?

Abantu abaningi badidanisa i-psoriasis ne-eczema ngoba zombili zinezimpawu ezifana nokushintsha kombala wesikhumba, ukucasuka, kanye nokulunywa. Kodwa-ke, lezi yizifo ezimbili ezahlukene.

I-Psoriasis ivame ukubonakala njengama-plaque amakhulu, aphakanyisiwe, anama-scaly.

Ku-eczema, isikhumba siba soma futhi kuvela amabhamuza.

Futhi, i-eczema ingaba lusizi kakhulu kune-scabies evamile, ngakho-ke kungcono ukubona udokotela ukuze uthole ukuthi yini ngempela onayo.

Ibukeka kanjani i-psoriasis?

Uphawu oluyinhloko lwe-psoriasis ukubonakala kwama-plaque. Angabukeka kanje:

• Isichibi noma ukuqubuka esikhumbeni okuphakanyisiwe.
• Isikhumba esinaleli bala sishintsha umbala (singaba bomvu, sibe nsundu, noma sihluke kuye ngombala wesikhumba).
• Amabala abonakala sengathi anezikhwebu, axebuka kalula.

Ekuqaleni, ziqala njengezimpukane ezincane ezikhula zibe zinkulu futhi zibe noqweqwe. Uma uklwebha amabala, uqweqwe lungase luqhekeke futhi luphume igazi. Njengoba la mabala esakazeka, kungakheka izindawo ezinkulu zesikhumba esonakele (izilonda). Izimpawu zokhwekhwe zingahluka kusukela kokulula kuya kokunzima.

Ziyini izimpawu ze-psoriasis?

Ngaphezu kwalezo zindawo zesikhumba (ama-plaque), ungase ube nezimpawu ezifana nalezi:

• Isikhumba esilumayo (ngezinye izikhathi ukulunywa kungaba nzima ukukuthwala)
• Isikhumba esomile nesiqhekekile
• Ubuhlungu besikhumba
• Ukuqhekeka, ukuqhekeka, noma ukuqhekeka kwezipikili
• Ubuhlungu bamalunga (ngenxa ye-`(Psoriatic arthritis)` esikhulume ngayo ngaphambili)

Uma uklwebha amabala, ungaphula isikhumba futhi ubangele izifo . Ukutheleleka kuyingozi. Uma uzwa izimpawu ezifana nobuhlungu obukhulu, ukuvuvukala, kanye nomkhuhlane , kungaba uphawu lokutheleleka. Uma lokhu kwenzeka , funa iseluleko sezokwelapha ngokushesha .

Yini ebangela i-psoriasis?

Imbangela eyinhloko ye-psoriasis ukuvuvukala kwesikhumba okubangelwa uhlelo lokuzivikela olusebenza ngokweqile .

Cabanga nje, uma une-psoriasis, isimiso sakho somzimba sokuzivikela asikwenzi lokho okufanele sikwenze. Ngokuvamile, kufanele sisigcine siphilile ngokubhubhisa abahlaseli bakwamanye amazwe njengamagciwane. Kodwa kulokhu, isimiso somzimba sokuzivikela sicabanga ngephutha ukuthi amangqamuzana aso aphilile angabahlaseli bakwamanye amazwe. Ngenxa yalokho, isimiso somzimba sokuzivikela sibangela ukuvuvukala, noma ukuvuvukala. Yilokho okubona ebusweni besikhumba sakho njengalezo zindawo.

Ngokuvamile kuthatha cishe izinsuku ezingama-30 ukuthi amangqamuzana esikhumba amasha akheke futhi athathe indawo yamadala. Kodwa isimiso sakho somzimba sokuzivikela esisebenza ngokweqile sifinyeza lesi sikhathi sibe yizinsuku ezintathu kuya kwezine. Isivinini amangqamuzana amasha athatha ngaso indawo yamangqamuzana amadala yisona esibangela ukuthi lawo mabala aqhekeke futhi aqhekeke njalo.

Kungasebenza emindenini . Lokhu kusho ukuthi kungase kube nethonya lezakhi zofuzo. Kungenzeka ukuthi izingane zizuze lesi sifo njengefa kubazali bazo.

Yini ebangela ukuqubuka kwe-psoriasis?

Uma une-psoriasis, izinto ezithile zingabangela ukuthi iqhume, okusho ukuthi amabala angabuya. Sibiza lezi ngokuthi 'izibangeli' . Lezi zibangeli zihlukile kuwo wonke umuntu. Into eyodwa ingathinta umuntu oyedwa, kanti enye ingase ingamthinti.

Cabanga nje, kukhona umuntu ogama lakhe linguKamal, unesifo sezinduna. Uma ecindezeleke kakhulu ngokomzwelo , njengalapho enenkinga emsebenzini, lawo mabala ayavela. Kunjalo-ke,

• Izifo: Ikakhulukazi lezo ezenzeka emphinjeni, njenge-"Streptococcal infection".
• Ukulimala kwesikhumba:Kungaba ukusikeka okuncane, ukusikeka, noma ngisho nendawo yokuhlinzwa.
• Imithi ethile: Isibonelo, eminye imithi efana ne-`(Lithium)` (umuthi wesifo sengqondo) kanye ne-`(beta-blockers)` (umuthi we-high blood pressure).
• Izinguquko esimweni sezulu: Izimo ezibandayo ezingazelelwe kanye nesimo sezulu esomile nakho kungaba nomthelela.

Ingabe i-Psoriasis iyathelelana?

Cha, i-psoriasis ayisona isifo esithelelanayo. Awuyitholi ngokuthinta i-psoriasis yomunye umuntu. Iyinkinga yangaphakathi, hhayi into engasakazeka ngaphandle. Ngakho-ke asikho isidingo sokuxosha umuntu one-psoriasis noma ukumhlukanisa nomphakathi.

Ungayithola kanjani i-Psoriasis?

Udokotela, ikakhulukazi udokotela wesikhumba, uzohlola isikhumba sakho, akubuze ngezimpawu zakho, futhi akutshele ukuthi une-psoriasis yini. Udokotela angase akubuze imibuzo efana nale:

• Ingabe ukhona emndenini wakho onesifo sesikhumba esinjalo?
• Kusukela nini lezi zimpawu zikhona?
• Uke wazama noma yiluphi uhlobo lokwelashwa ekhaya?
• Ingabe amabala anjengalawa ake avele ngaphambili?
• Usebenzisa luphi uhlobo lwensipho ne-shampoo?

Nakuba ama-plaque esikhumbeni sakho angase abukeke njengamabala anamabala, ngezinye izikhathi lezi zimpawu zingafana nezinye izimo zesikhumba. Ngakho-ke, ngokuqinisekile, udokotela wakho angenza i-biopsy yesikhumba. Lokhu kuhilela ukuthatha ingxenye encane yesikhumba endaweni bese uyibheka ngaphansi kwe-microscope.

Iphathwa kanjani i-Psoriasis?

Kunezindlela eziningana zokwelapha ezitholakalayo zokuqeda izimpawu ze-psoriasis. Izindlela zokwelapha ezivame ukusetshenziswa yilezi:

• Okhilimu be-steroid: Lokhu kunciphisa ukuvuvukala.
• Izithambisi zesikhumba esomile: Zisiza ukugcina umswakama esikhumbeni.
• Imithi ebambezela ukukhula kwamaseli esikhumba (isib. i-Anthralin): Le mithi ilawula ukuhlukana kwamaseli ngokushesha.
• Ama-lotion noma ama-shampoo anemithi: Lawa asetshenziswa uma kukhona inkwethu esikhumbeni sekhanda.
• Amafutha e-Vitamin D3.
• Ama-Vitamin A noma ama-retinoid creams.

Uma amabala etholakala ezindaweni ezincane zesikhumba sakho, lawa makhilimu angasiza. Kodwa-ke, uma amabala esakazeke endaweni enkulu, noma uma ubuye ube nobuhlungu bamalunga, kungadingeka ezinye izindlela zokwelapha. Ubuhlungu bamalunga buyisibonakaliso sokuthi ungase ube nesifo samathambo.

Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okufanele wena ngokusekelwe kulokhu okulandelayo:

• Ubukhali bamabala.
• Kumayelana nokuthi amabala akuphi emzimbeni.
• iminyaka yakho.
• Impilo yakho iyonke.

Kuthiwani uma kungekho ukwelashwa kwe-psoriasis ngokwelashwa okuvamile?

Ngezinye izikhathi, uma izimpawu ze-psoriasis zingathuthuki ngokwelashwa okujwayelekile, noma uma indawo enkulu yesikhumba sakho (10% noma ngaphezulu) ithintekile, udokotela wakho angase asikisele ezinye izindlela zokwelapha, ezifana nalezi:

• Ukwelashwa ngokukhanya / Ukwelashwa nge-Phototherapy: Ukukhanya kwe-LED okunamaza athile kusiza ukunciphisa ukuvuvukala kwesikhumba nokulawula ukukhiqizwa kwamaseli.
• Ukwelashwa nge-PUVA: Lokhu kuhilela ukuchayeka ohlotsheni lokukhanya kwe-ultraviolet kanye nomuthi obizwa ngokuthi i-Psoralen.
• Ama-retinoids: Lawa imithi ehlobene ne-vitamin A. Nakuba ingasiza ngesikhumba esinama-scaly, ingabangela imiphumela emibi (isib., imiphumela enganeni ngesikhathi sokukhulelwa).
• Ukwelashwa ngokuzivikela komzimba: Imithi emisha efana ne-biologics kanye ne-small molecule inhibitors isebenza ngokuvimbela amasosha omzimba nokuvimba ukusabela komzimba.
• `I-Methotrexate`: Odokotela batusa lo muthi ezimweni ezimbi kakhulu ze-psoriasis. Kodwa-ke, ungathinta isibindi. Ngakho-ke, uma uthatha lo muthi, udokotela wakho uzohlola njalo ukuhlolwa kwegazi lakho. Kungadingeka futhi wenze `(i-biopsies yesibindi)` ukuhlola isimo sesibindi sakho.
• I-Cyclosporine: Nakuba lo muthi ungasiza nge-psoriasis enzima, ungabangela umfutho wegazi ophakeme kanye nomonakalo wezinso.

Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngaphambi kokuqala noma yikuphi kwalokhu kwelashwa futhi uqaphele imiphumela emibi. Uma uthatha noma yimiphi eminye imithi, kufanele utshele nodokotela wakho ngayo.

Ingabe i-psoriasis ingabangela ezinye izinkinga?

Kwabanye abantu abane-psoriasis, lesi simo sesikhumba singabangela okungaphezu nje kokulunywa, ukukhwehlela, kanye nokushintsha kombala. Sibonile ukuthi singabangela ukuvuvukala kwamalunga kanye ne-arthritis. Ngaphezu kwalokho, uma une-psoriasis, ungase ube sengozini enkulu yokuthola lezi zimo ezilandelayo:

• Isifo sikashukela
• Ukukhuluphala ngokweqile
• I-cholesterol ephezulu
• Ukushaya kwenhliziyo
• Ukuhlaselwa yinhliziyo

Uma une-hypertension, udokotela wakho uzohlola umfutho wegazi lakho njalo futhi aqaphe inqubekela phambili yakho ngokwelashwa. Ungenza futhi lezi zinto ukusiza ukuvimbela lezi zinkinga:

• Ukudla ukudla okunempilo okunempilo.
• Ukuzivocavoca njalo.
• Ukulala ngokwanele.
• Gwema ukubhema.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Uma izimpawu ze-psoriasis ziqala ukugqama, zingahlala kusukela emavikini ambalwa kuya ezinyangeni ezimbalwa. Imithi enqunywe udokotela wakho ingasiza isikhumba sakho siphole ngokushesha. Ngemva kokuba izimpawu seziphelile, i-psoriasis yakho 'iba sesimeni sokuphulukiswa'.Lokhu kusho ukuthi izimpawu zingase ziphinde zivele esikhathini esizayo. Lesi sikhathi sokuxolelwa singahlala kusukela ezinyangeni ezimbalwa kuya eminyakeni embalwa. Uma uthola ukuthi 'izinto ezibangela' ezithile zenza izimpawu zakho zibe zimbi kakhulu, ungandisa lesi sikhathi sokuxolelwa ngokuzigwema.

Yini ongayilindela uma une-psoriasis?

Uma une-psoriasis, izimpawu zivame ukuqala ukubonakala usemusha. Kodwa isikhathi eqala ngaso siyahlukahluka kuye ngomuntu nomuntu. Ungase uthole ukuthi ezinye izinto ezibangela imvelo zenza izimpawu zakho zibe zimbi kakhulu. Ukuzigwema kungasiza ekunciphiseni ukuvama kokuqubuka kwesifo esikhathini esizayo.

Ungase uzizwe ungakhululekile, ulunywa, futhi ungakhululekile emphakathini ngenxa yesikhumba sakho. Uma ubhekene nokucindezeleka ngokomzimba noma ngokomzwelo ngenxa yalezi zimpawu, kufanele nakanjani ubone udokotela futhi uthole ukwelashwa .

Ingabe ikhona ikhambi elihlala njalo le-psoriasis?

Ngeshwa, ayikho ikhambi elihlala njalo le-psoriasis. I-Psoriasis yisimo esingamahlalakhona. Lokhu kusho ukuthi izimpawu zingafika futhi zidlule impilo yakho yonke. Kodwa ngokwelashwa okuhle, ungakwazi ukulawula izimpawu zakho futhi uhlale uphilile.

Ingabe i-Psoriasis ingavinjelwa?

Ayikho indlela yokuvimbela ngokuphelele i-psoriasis. Kodwa unganciphisa ingozi yakho ngokulandela ukwelashwa kukadokotela wakho, uphile impilo enempilo, unakekele isikhumba sakho kahle, futhi ugweme 'izinto ezibangela' lesi sifo sibe sibi kakhulu.

Ngizinakekela kanjani?

Indlela yokuphila kahle ne-psoriasis:

• Sebenzisa umuthi njengoba nje udokotela emyalile.
• Sebenzisa njalo i-moisturizer, ikakhulukazi ngemva kokugeza.
• Gwema ukusebenzisa insipho eqinile.
• Uma une-dandruff ekhanda lakho, sebenzisa i-shampoo enomuthi.

Ngaphezu kwalokho, yenza lezi zinto ukuze uhlale uphilile ngangokunokwenzeka:

• Khuluma nodokotela wakho mayelana nendlela yokunciphisa ingozi yakho yezifo ezihlobene nesifo senhliziyo, ukucindezeleka, nesifo sikashukela.
• Nciphisa ukucindezeleka ngokuzindla, ukuzivocavoca, noma ukubona umeluleki wezempilo yengqondo .

Kufanele ngimbone nini udokotela?

Hlola isikhumba sakho njalo ukuze ubone ukuthi kukhona yini ushintsho. Uma ubona noma yiluphi ushintsho esikhumbeni sakho, unesicanucanu esingapholi, noma uma isicanucanu esikhona siba sibi kakhulu, xhumana nodokotela ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

• Ngingasivimbela kanjani lesi sifo ukuthi singabi sibi kakhulu futhi ngilawule izimpawu?
• Yimuphi umuthi ongcono kakhulu kimi?
• Yini enye okufanele ngiyenze ukuze nginciphise izimpawu zami?
• Yiziphi ezinye izinketho enginazo uma okhilimu bengasizi?
• Ingabe ukhwekhwe luyoke luphele ngokuphelele?

I-Psoriasis yisimo sesikhumba esilumayo esingafika sidlule impilo yonke. Ayithelelani, kodwa ibangelwa isimiso somzimba sokuzivikela esisebenza ngokweqile. Uma ubona noma yiziphi izinguquko esikhumbeni sakho ezingaphilile, khuluma nodokotela wakho. Nakuba kungekho ukwelashwa okuhlala njalo kwe-psoriasis, ukwelashwa kungasiza ukulawula izimpawu.

Izinto ezibaluleke kakhulu esizifundile kulokhu (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu nge-psoriasis namuhla, akunjalo? Nazi ezinye zezinto ezibaluleke kakhulu okufanele uzikhumbule:

• I-Psoriasis ayisona isifo esithathelwanayo. Ngakho-ke, asikho isizathu sokuhlukanisa abantu abanalesi simo noma ukubahlukanisa nomphakathi.
• Lesi yisimo sesikhumba esivuvukalayo esibangelwa ushintsho ekusebenzeni kwesimiso somzimba sokuzivikela .
• Nakuba kungekho ikhambi elihlala njalo lalokhu, kunezindlela zokwelapha ezinhle kakhulu zokulawula izimpawu.
• Uma usola ukuthi une-ringworm noma unezimpawu, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko. Ungaziphilisi .
• Lesi simo singaba sibi kakhulu ngenxa yezinto ezifana nokucindezeleka, izifo ezithile, kanye nokulimala kwesikhumba. Kubalulekile ukuqaphela lokhu.
• Ukugcina indlela yokuphila enempilo (ukudla okuhle, ukuvivinya umzimba, ukulala ngokwanele) nakho kusiza ukulawula izimpawu.

Ngakho-ke, uma wena noma othile omaziyo enalesi simo sesikhumba, ungesabi. Ngeseluleko sezokwelapha esifanele kanye nokwelashwa, ungasilawula kahle futhi uphile impilo ejwayelekile.

Isikhumba esikhazimulayo, i-Psoriasis, i-Dermatology, Izifo Zesikhumba, Isimiso Sokuzivikela Emzimbeni, I-Psoriatic Arthritis, Ukuqubuka Kwesikhumba, Isikhumba Esilumayo