Uyawabona yini amabala abomvu, anamabala, futhi ajiyile esikhumbeni sakho? Ngezinye izikhathi lezi zindawo zingase zilume futhi. Kujwayelekile ngokuphelele ukuzizwa ukhathazekile uma ubona izinguquko ezinjengalezi. Namuhla, sizokhuluma ngesimo sesikhumba esivamile abantu abaningi abanaso, kodwa abavame ukungasiqondi ngokugcwele. Sibizwa ngokuthi i-Psoriasis , noma njengoba ochwepheshe bezokwelapha besibiza kanjalo, ( Psoriasis ) .
Kuyini (i-Psoriasis)?
Kalula nje, i-Psoriasis yisimo sokuvuvukala kwesikhumba sakho. Kwenzeka ngenxa yokungasebenzi kahle kwesimiso somzimba wakho sokuzivikela . Nakuba isimiso sakho sokuzivikela somzimba ngokuvamile senzelwe ukulwa namagciwane abangela ukugula , kumuntu one-Psoriasis, ngephutha siqala ukuhlasela amangqamuzana akho esikhumba aphilile. Yilokhu okuholela kulawo mabala abomvu, ajiyile, anamaxolo esiwabiza ngokuthi ama-plaque .
Into ebaluleke kakhulu okufanele uyikhumbule ukuthi i-Psoriasis iyisimo esingamahlalakhona (sesikhathi eside) . Lokhu kusho ukuthi ayiziqedi nje yodwa futhi ingavuka ngezikhathi ezithile. Kodwa-ke, ungakhathazeki; ngokwelashwa okufanele, ingaphathwa kahle kakhulu.
Yiziphi izinhlobo eziyinhloko ze-(Psoriasis)?
Ake sibheke izinhlobo eziyinhloko ze-Psoriasis. Indlela ezibonakala ngayo ingahluka kumuntu nomuntu.
- I-Plaque psoriasis : Lolu uhlobo oluvame kakhulu , oluthinta cishe abantu abangu-80% kuya ku-90% abanalesi simo. Lubonakala ngamabala ajiyile, anamabala esiliva.
- I-Inverse psoriasis: Lolu hlobo lwenzeka emagobolondweni esikhumba, njengamakhwapha, i-groin, noma ngaphansi kwamabele . Lawa mabala abushelelezi, abomvu, futhi anama-scales ambalwa.
- I-Guttate psoriasis: Lokhu kungavela ngezinye izikhathi ngemva kokutheleleka nge-Streptococcal (umphimbo we-strep). Kuvela njengamabala amancane, abomvu, anesimo se-teardrop. Kuvame kakhulu ezinganeni nakubantu abadala abasebasha .
- I-Psoriasis ye-Pustular: Lolu hlobo lunezimbotshana ezigcwele ubomvu obungathelelani phezu kwezimbotshana.
- I-Erythrodermic psoriasis: Lolu uhlobo olubi futhi olungavamile lapho kuvela khona ukubomvu nokuphuma kwesikhumba engxenyeni enkulu yomzimba (ngokuvamile engaphezu kuka-90%). Uma ubona lokhu, kufanele ufune usizo lwezokwelapha ngokushesha.
- I-Sebopsoriasis: Lokhu kuvame ukuvela ebusweni nasekhanda, kubonakale njengamaqhubu aphuzi, anamafutha, anamaqhubu noma amabala. Inezici ezifanayo ne-Psoriasis kanye nesimo sesikhumba esibizwa ngokuthi i-Seborrheic dermatitis.
- I-psoriasis yezinzipho: Lokhu kubangela izinguquko ezinziphoni, okuhlanganisa ukushintsha kombala, ukugoba (ukuqhekeka okuncane), ukuphuka kanye nokuqina.
I-Psoriasis ingavela kuphi emzimbeni wakho?
Ukuqubuka kwe-Psoriasis kungavela noma kuphi emzimbeni wakho. Kodwa-ke, kuvame ukutholakala ku:
- Izindololwane namadolo
- Ubuso kanye nangaphakathi komlomo (nakuba kungavamile)
- Isikhumba sekhanda
- Izinzipho zeminwe nezinzwane
- Izindawo zangasese (sicela ungabi namahloni okuxoxa ngalokhu nodokotela wakho)
- Umhlane ophansi
- Izintende zezandla nezinyawo
Kwabaningi, i-Psoriasis ithinta izindawo ezincane zesikhumba kuphela, kodwa ezimweni ezimbi kakhulu, la mabala angahlangana ukuze amboze izindawo ezinkulu zomzimba wakho.
Kuyini (i-Psoriatic arthritis)?
Abanye abantu abane-Psoriasis bangase babe ne -Psoriatic arthritis . Kalula nje, lolu uhlobo lwe-arthritis olubangela ubuhlungu nokuvuvukala emalungeni . Njenge-Psoriasis, lubangelwa ukusabela okungavamile kwesistimu yomzimba yokuzivikela. Nakuba kungebona bonke abane-Psoriasis abazoba nalokhu, cishe oyedwa kwabathathu abantu bangaba nalokhu. Ukwelashwa kusenesikhathi kungavimbela ukulimala kwamalunga unomphela , ngakho-ke uma uzwa ubuhlungu bamalunga kanye nesimo sesikhumba sakho, sicela wazise udokotela wakho ngokushesha.
Ubani othola i-Psoriasis futhi ivame kangakanani?
I-Psoriasis ingathinta noma ubani wanoma yimuphi ubudala, ubulili, noma uhlanga. Yisimo esithinta izigidi zabantu emhlabeni jikelele. E-United States, kulinganiselwa ukuthi sithinta abantu abangaphezu kuka-3%. Uma uke watholakala unaso, khumbula ukuthi awuwedwa.
Ingabe (i-Psoriasis) ne-Eczema ziyinto efanayo?
Abantu abaningi badidanisa i-Psoriasis ne-Eczema ngoba zombili zihilela ukushintsha kombala wesikhumba, ukuqubuka, kanye nokulunywa. Kodwa-ke, lezi yizimo ezimbili ezihlukile.
I-Psoriasis ivame ukuba namabala aqinile, aphakanyisiwe anama-scales esiliva (ama-plaque).
I-Eczema ivame ukuba nokuqubuka okomile, okufana nama-blister kanye nokoma okukhulu.
I-Eczema ivame ukuhlotshaniswa nokulunywa okukhulu kakhulu kune-Psoriasis. Indlela engcono kakhulu yokwazi ngokuqinisekile ukuthi yini onayo ukuxhumana nodokotela.
Ibukeka kanjani (i-Psoriasis)?
Uphawu oluphawulekayo lwe-Psoriasis ukuba khona kwama-plaque. Angavela kanje:
- Amabala aphakeme, ajiyile noma amabala esikhumbeni.
- Isikhumba esishintshile umbala (umbala ungahluka kusukela kobomvu kuya konsundu noma onsomi, kuye ngokuthi isikhumba sakho sinjani).
- Indawo enamaxolo noma egobile ephuma kalula.
Ngokuvamile kuqala njengamaqhubu amancane akhulisa futhi akhe ama-scales. Uma uklwebha indawo, ama-scales angase aqhekeke, okungase kuholele ekuphumeni kwegazi. Njengoba isimo siqhubeka, kungase kwakheke izilonda ezinkulu. Izimpawu ze-Psoriasis zingahluka kusukela kwezincane kuya kwezinzima.
Ziyini izimpawu ze-(Psoriasis)?
Ngaphezu kwama-plaque esikhumba, ungase ube nezimpawu ezifana nalezi:
- Isikhumba esilumayo (ngezinye izikhathi ukulunywa kungaba nzima)
- Isikhumba esomile, esiqhekekile
- Ubuhlungu noma ubuhlungu
- Izipikili eziqhekekile, eziqhekekile, noma eziqhekekile
- Ubuhlungu bamalunga (ngenxa yesifo samathambo se-Psoriatic)
Uma uklwebha amabala akho, ungalimaza isikhumba, okungaholela ezifweni . Ukutheleleka kungaba kubi kakhulu. Uma uzwa ubuhlungu obukhulu, ukuvuvukala okukhulu, noma umkhuhlane , lokhu kungaba izimpawu zokutheleleka. Ezimweni ezinjalo, funa usizo lwezokwelapha ngokushesha (shayela izinsizakalo eziphuthumayo noma uvakashele isibhedlela esiseduze).
Yiziphi izimbangela (i-Psoriasis)?
Imbangela eyinhloko ye-Psoriasis uhlelo lokuzivikela olusebenza ngokweqile oluholela ekuvuvukeni kwesikhumba.
Empeleni, uma une-Psoriasis, isimiso sakho somzimba sokuzivikela asisebenzi ngendlela efanele. Esikhundleni sokukuvikela ezinsongweni zangaphandle njengebhaktheriya, sibona ngephutha amangqamuzana akho aphilile njengabahlaseli bakwamanye amazwe. Ngenxa yalokho, isimiso somzimba sokuzivikela sibangela impendulo yokuvuvukala, ebonakala esikhumbeni sakho njengalezo zinhlayiya ezibonakalayo.
Ngokuvamile, kuthatha cishe izinsuku ezingama-30 ukuthi amangqamuzana amasha esikhumba akheke futhi athathe indawo yamadala. Kodwa-ke, ngenxa yesimiso sakho sokuzivikela somzimba esisebenza ngokweqile, le nqubo isheshiswa ibe yizinsuku ezintathu noma ezine kuphela. Lokhu kushintsha okusheshayo yingakho lawo mabala amakhulu, anamabala aqinile akheka esikhumbeni sakho.
I-Psoriasis ivame ukuba semindenini . Lokhu kubonisa ukuxhumana kwezakhi zofuzo, okusho ukuthi kungenzeka ukuthi lesi simo singazuzwa njengefa.
Yini ebangela ukuqubuka kwe-Psoriasis?
Uma uphila ne-psoriasis, izici ezithile zingabangela ukuqubuka kwamabala. Lokhu sikubiza ngokuthi 'izibangeli.' Lezi zibangeli ziyahlukahluka kumuntu nomuntu; okuthinta umuntu oyedwa kungase kungabi namthelela komunye.
Isibonelo, uma ubhekene namazinga aphezulu okucindezeleka ngokomzwelo —njengokucindezeleka okuhlobene nomsebenzi—kungabangela ukuthi amabala akho aphinde avele. Ezinye izinto ezivame ukubangela lokhu kucindezeleka zihlanganisa:
- Izifo: Ikakhulukazi izifo zomphimbo ezifana nokutheleleka kwe-Streptococcal .
- Ukulimala kwesikhumba: Ngisho nemihuzuko emincane, ukusikeka, noma ukunqunywa ngokuhlinzwa kungaholela ekuqhumeni kwesikhumba.
- Imithi ethile: Njenge -Lithium (esetshenziselwa ukuphazamiseka kwemizwelo) kanye nama-beta-blockers (anikezwe umfutho wegazi ophakeme).
- Izinguquko zesimo sezulu: Ukwehla okungazelelwe kwezinga lokushisa noma isimo sezulu esomile nesibandayo kungenza isimo sibe sibi kakhulu.
Ingabe i-Psoriasis iyathelelana?
Cha, i-psoriasis ayithelelani. Awukwazi ukuyibamba ngokuthinta umuntu onayo. Lesi simo siwukusabela kwamasosha omzimba kwangaphakathi, hhayi ukutheleleka kwangaphandle. Ngakho-ke, asikho isizathu sokuzihlukanisa nabanye noma sokwesaba ukuxhumana nabantu.
I-Psoriasis itholakala kanjani?
Uchwepheshe wezempilo, ikakhulukazi udokotela wesikhumba , uzohlola isikhumba sakho futhi axoxe ngezimpawu zakho ukuze anqume ukuthi une-psoriasis. Ungabuzwa imibuzo efana nale:
- Ingabe ukhona emndenini wakho onomlando wezinkinga zesikhumba?
- Lezi zimpawu zaqala nini ukubonakala?
- Uke wazama noma yiziphi izindlela zokwelapha ekhaya?
- Uke wabhekana nalezi ziqeshana ngaphambili?
- Yimaphi ama-shampoo noma insipho oyisebenzisayo njengamanje?
Nakuba ukuba khona kwama-plaque kuyisibonakaliso esinamandla, ezinye izimo zesikhumba zingabonakala zifana. Ukuqinisekisa ukuxilongwa, udokotela wakho angase enze i -skin biopsy , lapho isampula encane yesikhumba ihlolwa khona ngaphansi kwe-microscope.
Iphathwa kanjani i-Psoriasis?
Kunezindlela eziningana zokuphatha izimpawu ze-psoriasis. Ukwelashwa okuvamile kufaka phakathi:
- Okhilimu be-steroid: Ukunciphisa ukuvuvukala.
- Izithambisi zesikhumba esomile: Ukusiza ukugcina umswakama.
- Imithi yokwelapha isikhumba (isib. i-Anthralin): Ukunciphisa ukukhula ngokweqile kwamaseli esikhumba.
- Ama-lotion noma ama-shampoo anemithi: Ikakhulukazi ekwelapheni i-psoriasis yesikhumba.
- Amafutha e-Vitamin D3.
- Ama-Vitamin A noma ama-retinoid creams.
Uma ama-patches ekhawulelwe ezindaweni ezincane, ukhilimu okhethekile uvame ukwanele. Kodwa-ke, uma isimo sisakazeke kabanzi noma uma uzwa ubuhlungu bamalunga, ukwelashwa okunamandla kungadingeka. Sicela uqaphele ukuthi ubuhlungu bamalunga bungaba uphawu lwe-psoriatic arthritis.
Udokotela wakho uzonquma uhlelo lokwelashwa olungcono kakhulu ngokusekelwe ku:
- Ubunzima bama-patches.
- Indawo yezindawo ezithintekile.
- Iminyaka yakho.
- Isimo sakho sempilo iyonke.
Kuthiwani uma ukwelashwa okujwayelekile kungasebenzi kahle?
Uma izimpawu zakho zingathuthuki ngokunakekelwa okujwayelekile, noma uma umzimba wakho uthintekile ngaphezu kwe-10%, udokotela wakho angase asikisele izindlela zokwelapha ezithuthukisiwe:
- Ukwelashwa ngokukhanya (Phototherapy): Ukusebenzisa ubude obuqondile bokukhanya kwe-LED noma kwe-UV ukunciphisa ukuvuvukala nokukhula kancane kwamaseli.
- Ukwelashwa kwe-PUVA: Ukuhlanganisa umuthi i-Psoralen nokuchayeka ekukhanyeni kwe-ultraviolet.
- Ama-Retinoids: Imithi ehlobene ne-Vitamin A. Lawa ayasebenza kodwa anemiphumela emibi engaba khona, njengezingozi ngesikhathi sokukhulelwa.
- Ukwelashwa ngamasosha omzimba (i-Biologics kanye ne-small molecule inhibitors): Le mithi ihlose izingxenye ezithile zesistimu yomzimba ukuze imise impendulo eyisisekelo yokuzivikela komzimba.
- I-Methotrexate:Kunqunyelwe izimo ezinzima. Ngenxa yokuthi kungathinta ukusebenza kwesibindi, udokotela wakho uzodinga ukuhlolwa kwegazi njalo kanye nokuhlolwa kwesibindi okungenzeka kube khona.
- I-Cyclosporine: Isebenza kahle kakhulu ezimweni ezinzima kodwa idinga ukubhekwa ngenxa yezingozi zomfutho wegazi ophakeme kanye nokulimala kwezinso.
Isinyathelo esibaluleke kakhulu ukuxoxa ngalezi zindlela zokwelapha kahle nodokotela wakho futhi uqonde yonke imiphumela emibi engaba khona. Yazisa udokotela wakho njalo nganoma yimiphi eminye imithi oyithathayo.
Ingabe zikhona ezinye izinkinga ezihlobene ne-Psoriasis?
Kwabanye, i-psoriasis ingaphezu nje kokuba namabala alumayo noma abonakalayo; kuyisimo esithinta umzimba wonke. Ngaphandle kwezinkinga zamalunga njenge-arthritis, ungase ube nengozi eyengeziwe yalokhu okulandelayo:
- Isifo sikashukela
- Ukukhuluphala ngokweqile
- I-cholesterol ephezulu
- Ukushaya kwenhliziyo
- Ukuhlaselwa yinhliziyo
KwaNirogi Lanka , sigcizelela impilo esebenzayo. Udokotela wakho uzoqapha umfutho wegazi lakho kanye nentuthuko yakho iyonke. Ungasiza ekunciphiseni izingozi zakho ngokuthi:
- Ukugcina ukudla okunempilo.
- Ukuzivocavoca njalo.
- Ukuqinisekisa ubuthongo obanele.
- Ukugwema ukubhema.
Ngizobona imiphumela ngokushesha kangakanani ngemva kokwelashwa?
Ukuqhuma kwe-psoriasis kungahlala kusukela emavikini ambalwa kuya ezinyangeni eziningana. Imithi ingasheshisa kakhulu ukuphulukiswa. Uma izimpawu seziphelile, ungena esimweni 'sokuxolelwa.' Nakuba lokhu kungahlala izinyanga noma ngisho neminyaka, lesi simo singase siphinde sivele. Ngokubona nokugwema izimbangela zakho, ungasiza ekwandiseni isikhathi sakho sokuxolelwa.
Yini okufanele ngiyilindele ukuphila ne-Psoriasis?
I-Psoriasis ivame ukubonakala lapho umuntu esemdala, yize ukuqala kwayo kuyahlukahluka. Ngokuqonda izimbangela zakho ezithile, ungalawula ukuvama kokuqubuka kwesikhumba. Uma uzizwa ungakhululekile ngokomzimba noma ukhathazekile ngokuxhumana nabantu, sicela uxhumane nodokotela wakho . Akudingeki ulwe wedwa.
Ingabe ikhona ikhambi elihlala njalo le-Psoriasis?
Ngeshwa, ayikho ikhambi elihlala njalo le-psoriasis. Kuyisifo esingamahlalakhona, okusho ukuthi nakuba izimpawu zingase zivele zidlule impilo yakho yonke, ungazilawula ngempumelelo futhi uphile impilo esezingeni eliphezulu ngokwelashwa okufanele.
Ungakwazi yini ukuvimbela i-Psoriasis?
Nakuba kungekho ndlela eyaziwayo yokuvimbela i-psoriasis ngokugcwele, unganciphisa kakhulu izingozi ngokulandela uhlelo lokwelashwa lukadokotela wakho ngenkuthalo, ulondoloze indlela yokuphila enempilo, uvikele isikhumba sakho, futhi ugweme 'izinto ezibangela ukuqubuka' kwamangqamuzana.
Ngingasiphatha kanjani isimo sami?
Ukuze uphathe ngempumelelo i-psoriasis nge-Nirogi Lanka, gxila kulezi zinyathelo:
- Landela ngokuqinile uhlelo lwemithi olunikezwe udokotela wakho.
- Sebenzisa njalo i-moisturizer, ikakhulukazi ngemva nje kokugeza.
- Gwema ukusebenzisa insipho enamandla engase icasule isikhumba sakho.
- Uma uhlangabezana ne-psoriasis yesikhumba, sebenzisa i-shampoo enomuthi njengoba kuqondiswe.
Ngaphezu kwalokho, gxila enhlalakahleni iyonke ngokwenza okulandelayo:
- Xoxa nodokotela wakho ngendlela yokuphatha izingozi ezihlobene nesifo senhliziyo, ukucindezeleka, noma isifo sikashukela.
- Nciphisa ukucindezeleka ngokuqaphela, ukuzivocavoca njalo, noma ukubonisana nochwepheshe wezempilo yengqondo.
Kufanele ngimbone nini udokotela?
Zihlole njalo isikhumba sakho ukuze uqaphe izinguquko. Uma ubona ukuthuthuka kwesikhumba okusha, ukuqubuka okuqhubekayo, noma uma isimo esikhona sibonakala siba sibi kakhulu, xhumana nodokotela ngokushesha. Uma kwenzeka isimo esiphuthumayo sezokwelapha, sicela ushayele izinsizakalo eziphuthumayo zasendaweni yakho.
Yimiphi imibuzo okufanele ngiyibuze udokotela wami?
- Ngingazibona futhi ngizigweme kanjani izimbangela ukuze ngilawule izimpawu zami?
- Yiluphi uhlelo lokwelapha olusebenza kahle kakhulu esimweni sami esithile?
- Ingabe kukhona ezinye izinguquko zendlela yokuphila ezingasiza ekunciphiseni izimpawu zami?
- Uma okhilimu abangokhilimu abanikezi impumuzo, yiziphi izindlela zami zokwelapha ezihlukile?
- Ingabe kukhona ithuba lokuphumula isikhathi eside kwesimo sami?
I-Psoriasis yisimo sesikhumba esivuvukalayo esibonakala ngokulunywa okungahlala impilo yonke. Sibangelwa amasosha omzimba asebenza ngokweqile, hhayi ukutheleleka, futhi asithelelani . Uma ubona izinguquko eziqhubekayo esikhumbeni sakho, khuluma nochwepheshe wezempilo. Nakuba kungekho ikhambi elihlala njalo, ukwelashwa kwanamuhla kungagcina lesi simo silawulwa kahle.
Izinto Ezibalulekile Okufanele Uzicabangele
Sesixoxe okuningi nge-psoriasis namuhla. Nazi izinto ezibaluleke kakhulu okufanele uzikhumbule:
- I-Psoriasis ayithelelani. Asikho isizathu sokuzihlukanisa noma sokwesaba ukuxhumana nabantu.
- Kuyisifo sokuvuvukala esibangelwa ukusebenza ngokweqile kwesimiso somzimba sokuzivikela.
- Nakuba kungekho ikhambi elihlala njalo, kunezindlela zokwelapha ezisebenzayo zokulawula izimpawu.
- Uma usola ukuthi une-psoriasis noma uhlangabezana nezimpawu, funa iseluleko sochwepheshe bezokwelapha. Gwema ukuzama ukuzixilonga noma ukuzelapha.
- Ukucindezeleka, izifo, kanye nokulimala kwesikhumba kungabangela ukuqubuka kwesikhumba. Qaphela indawo ohlala kuyo kanye nemikhuba yakho.
- Indlela yokuphila enempilo—okuhlanganisa ukudla okulinganiselayo, ukuvivinya umzimba njalo, kanye nokulala ngokwanele—kudlala indima ebalulekile ekuphatheni isimo sakho.
Uma wena noma othile omaziyo ephila ne-psoriasis, ungalilahli ithemba. Ngokuqondiswa nokunakekelwa okufanele kwezokwelapha, ungalawula lesi simo futhi uphile impilo egcwele nesebenzayo.
Amagama angukhiye: I-Psoriasis, Isifo Sesikhumba, I-Dermatology, Isimiso Sokuzivikela Emzimbeni, I-Psoriatic arthritis, Ama-patches Esikhumba, Isikhumba Esilumayo
