Ingabe ubhekene namabala acwebezelayo esikhumbeni sakho anama-blister agcwele ubomvu? Ake sixoxe nge-Pustular Psoriasis!

Ingabe ezinye izindawo zesikhumba sakho zibomvu, ziqhekekile, futhi zigcwele amabhamuza amancane agcwele ubomvu (ama-pustules)? Mhlawumbe lezo zindawo zibuhlungu futhi ziyaluma. Lokhu kungaba yinto okufanele uyikhathazeke. Namuhla, ake sixoxe ngalesi simo sesikhumba esibizwa ngokuthi i-Pustular Psoriasis ngokuningiliziwe. Ungesabi, into ebaluleke kakhulu ukuqaphela.

Iyini i-Pustular Psoriasis? Kalula nje...

Kalula nje, i-Pustular Psoriasis uhlobo lwe-psoriasis, noma njengoba sonke sazi, isimo sesikhumba. Kodwa lena ihlukile ku-psoriasis evamile. Okusho ukuthi, kuvela ama-blister amancane agcwele ubomvu (ama-pustules) kanye nama-plaque abomvu, anama-scaly esikhumbeni. Lawa angavela noma kuphi emzimbeni. Ngezinye izikhathi, lapho la ma-blister eqhuma, angaba buhlungu futhi abe buhlungu. Khumbula, i-psoriasis iyisifo esingamahlalakhona . Lokho kusho ukuthi ingaqhuma futhi iphele impilo yonke.

Ubani othola i-Pustular Psoriasis?

Ungase uzibuze ukuthi ubani ongase abe nalesi simo. I-pustular psoriasis ivame ukwenzeka kubantu asebenayo kakade i-psoriasis . Izigidi zabantu emhlabeni wonke zine-psoriasis. Kulabo, amaphesenti amancane kuphela (cishe ama-3%) abantu abane-psoriasis abazobhekana nezimpawu ze-pustular psoriasis okungenani kanye empilweni yabo. Nakuba i-psoriasis ingathinta abantu banoma yibuphi ubudala, ivame kakhulu kubantu abadala kunasezinganeni.

Ingabe i-Pustular Psoriasis iyisifo esingavamile?

I-pustular psoriasis ayivamile kangako. Kodwa-ke, kukhona olunye uhlobo lwe-psoriasis olubi kakhulu olubizwa ngokuthi i-Generalized Pustular Psoriasis (GPP) . Lolu lubhekwa njengohlobo olungavamile kakhulu lwe-psoriasis. Ku-Generalized Pustular Psoriasis, ama-psoriasis patches asakazeka endaweni enkulu yomzimba. Akukhona lokho kuphela, ungase ube nezimpawu ezifana nomkhuhlane, ubuhlungu bomzimba, kanye nokukhathala. Uma la ma-patches esikhumba asakazeka ngokushesha, lokho futhi kuyisibonakaliso se-GPP.

Uyini umehluko phakathi kwe-Palmoplantar Pustulosis ne-Pustular Psoriasis?

Manje ungase uzibuze, ingabe i-Palmoplantar Pustulosis ibizwa nangokuthi i-Pustular Psoriasis? Yebo, i-Palmoplantar Pustulosis nayo uhlobo lwe-Pustular Psoriasis. Kodwa-ke, kulokhu, izimpawu zithinta izintende zezandla zakho kanye nezinyawo zakho kuphela. Yingakho ibizwa nangokuthi i-Palmoplantar Pustular Psoriasis.

Uyini umehluko phakathi kwe-Pustular Dermatosis ne-Pustular Psoriasis?

Esinye yi-Pustular Dermatosis . Lesi futhi yisimo lapho isikhumba siba namaqhubu.I-Pustular dermatitis yisimo lapho ama-blister agcwele ubovu akheka ngaphansi kwengqimba ephezulu yesikhumba (ungqimba olungaphansi kwe-corneal). Lawa ma-blister avame kakhulu ezindaweni lapho isikhumba sihlangana khona nesikhumba. Isibonelo, i-groin nasemakhwapheni. Nakuba isici esiyinhloko se-pustular dermatosis kanye ne-pustular psoriasis ukuba khona kwama-blister agcwele ubovu, i-pustular dermatosis ayinawo ama-plaque anombala ongwevu, anombala ohlukile njenge-psoriasis. Yilowo umehluko omkhulu.

Yiziphi izinhlobo eziyinhloko ze-Pustular Psoriasis?

I-pustular psoriasis ingahlukaniswa ngezinhlobo ezimbili eziyinhloko, kuye ngokuthi ithinta kanjani umzimba nokuthi ithinta kuphi:

1. I-Generalized Pustular Psoriasis (GPP): Lokhu ngezinye izikhathi kubizwa ngokuthi i-Erythrodermic Psoriasis. Lolu uhlobo olungavamile nolunzima kakhulu lwe-psoriasis. Kulesi simo, ama-patches e-psoriasis asakazeka ngokushesha endaweni enkulu yomzimba, ngokuvamile enama-blisters agcwele ubomvu. Izimpawu zingase zihlanganise nomkhuhlane, ukubanda, ukulunywa okukhulu, ubuthakathaka bemisipha, kanye nokukhathala . Uma unezinye zalezi zimpawu, kufanele ubone udokotela ngokushesha. I-GPP ingaba yisifo esingamahlalakhona kwabanye abantu, noma ibe yesikhashana kwabanye.

2. I-Localized Pustular Psoriasis: Lokhu kwenzeka lapho izimpawu zikhawulelwe endaweni ethile yomzimba. Lokhu kwaziwa nangokuthi i-Acute Psoriasis. Kunezinhlobo ezimbili ezivamile zalokhu:

• I-Palmoplantar Pustular Psoriasis: Lokhu kuthinta izintende zezandla nezinyawo kuphela.
• I-Acrodermatitis Continua ye-Hallopeau: Lokhu kuthinta izinzipho zeminwe kanye nezinzwane.

Ziyini izimpawu ze-Pustular Psoriasis?

Uma une-Pustular Psoriasis, ungase ube nezimpawu ezifana nalezi:

• Isikhumba siyaqina, siphenduke umbala, siqhekeke, bese kuvela amabala aqinile (ama-plaque).
• Ukwakheka kwama -blister agcwele uketshezi (ama-pustules noma ama-blister) kulezi zindawo.
• Ukuzwa ubuhlungu obuncane noma ukulunywa .

La maqhubu angahlangana, akhule abe makhulu, futhi aqhume. Isikhumba singaba nomuzwa ozwela kakhulu futhi sibe buhlungu. Ngemva kokuqhuma kwamaqhubu, amaqhubu amasha angakheka endaweni efanayo.

Izimpawu ezithile ze-Generalized Pustular Psoriasis (GPP)

Ngokuvamile, lapho kuvela i-Pustular Psoriasis, izimpawu zingase zibe khona endaweni encane kuphela, njengezintende zezandla zakho. Kodwa-ke, njengoba kushiwo ngaphambili, ezimweni ezingavamile, la ma-blister agcwele ubomvu angasakazeka emzimbeni wonke. Lokhu kubizwa ngokuthi i-Generalized Pustular Psoriasis (GPP) . Kulesi simo, ungase ubhekane nalezi zimpawu ezengeziwe:

• Umkhuhlane kanye nokubanda.
• Ubuthakathaka bemisipha.
• Ukukhathala ngokweqile.
• Ubuhlungu obukhulu kanye nokulunywa.
• Ukwanda kwesilinganiso senhliziyo (isilinganiso senhliziyo esisheshayo).
• Ukuphelelwa amanzi emzimbeni.
• Imilenze evuvukile.

Okubalulekile:Uma unezimpawu ze-Pustular Psoriasis kanye nalezi zimpawu ze-Generalized Pustular Psoriasis (ikakhulukazi ukuqubuka kwesikhumba okusabalele, umkhuhlane, kanye nobuthakathaka bemisipha), bona udokotela ngokushesha ngaphandle kokulibala. Lokhu kungaba yisimo esiphuthumayo sezokwelapha.

Izimpawu ze-Pustular Psoriasis zithinta kakhulu kuphi emzimbeni?

Lezi zimpawu zingavela noma kuphi esikhumbeni, kodwa izindawo ezivame kakhulu yilezi:

• Izinyawo
• Isikhumba sekhanda
• Ubuso
• Izandla

Yini ebangela i-Psoriasis ye-Pustular?

Isizathu esiyinhloko salokhu ukusebenza ngokweqile kwesimiso somzimba wakho sokuzivikela. Ngokuvamile, isimiso sethu sokuzivikela sisivikela ezifweni namagciwane. Kodwa-ke, kumuntu one-psoriasis, isimiso sokuzivikela esikhumbeni siba namandla ngokweqile, futhi amangqamuzana esikhumba anempilo ahlukana ngokushesha kakhulu bese eqala ukukhula amasha. Ngemuva kwalokho, amangqamuzana esikhumba afile aqoqana ebusweni, akhe izikali noma ama-flakes. Ngenxa yalokhu kusebenza ngokweqile, uhlobo lweseli lesistimu yokuzivikela olubizwa ngokuthi ama-neutrophils luqoqana ezingxenyeni eziphezulu zesikhumba. Yilokho okubangela lawo ma-pustules.

Yiziphi izinto ezingabangela i-Pustular Psoriasis ibe yimbi kakhulu?

Izinto ezithile zingabangela ukuthi lezi zimpawu ze-Pustular Psoriasis zande ngokuzumayo noma zibonakale zintsha. Lezi zimbangela sizibiza ngokuthi . Izimbangela ezivamile zifaka:

• Ukusabela komuthi: Kungabangelwa izinto ezifana neminye imithi yokwelapha izinhlungu kanye nemithi yokucindezeleka kwegazi okuphezulu.
• Izinguquko endleleni yakho yansuku zonke: Ngokungazelelwe uthuthela endaweni ehlukile, usebenzisa uhlobo olusha lwensipho noma ukhilimu.
• Ukucindezeleka: Lesi yisici esiyinhloko esithinta izifo eziningi zesikhumba.
• Ukuchayeka kakhulu elangeni (Ukuchayeka kwe-Ultraviolet): Imisebe ye-UV ingaba yimbangela kwabanye abantu.
• Ukutheleleka: Isibonelo, ukutheleleka ngamagciwane njengeStreptococcus noma iStaphylococcus .

Cabanga nje, uqale ukusebenzisa iloshini entsha yomzimba, noma wawucindezelekile ngenxa yokuhlolwa okukhulu. Ngezikhathi ezinjengalezi, izimpawu ze-Pustular Psoriasis zingavela ngokuzumayo esikhumbeni sakho.

Ingabe i-Psoriasis ye-Pustular Iyathelelana?

Cha, i-Pustular Psoriasis ayithelelani nhlobo. Lawo ma-blister obovu ngezinye izikhathi angaphuma uketshezi, futhi nakuba kungase kubonakale sengathi ukutheleleka, akusona isifo. Awukwazi ukusabalalisa lesi sifo komunye umuntu ngokuthintana ngokomzimba. Ngakho ungakhathazeki ngakho.

Itholakala Kanjani I-Psoriasis Ye-Pustular?

Udokotela uzonquma ukuthi unayo yini i-Pustular Psoriasis ngokwenza ukuhlolwa ngokomzimba. Uzokubuza imibuzo mayelana nezimpawu zakho kanye nomlando wezokwelapha. Ngokuvamile, ukubukeka okubonakalayo kwezimpawu kungakusiza ukuthi uthole ukuxilongwa okunembile.

Kodwa-ke, ngezinye izikhathi lezi zimpawu zingafana nezinye izimo zesikhumba, ngakho-ke kungase kudingeke ukuhlolwa okwengeziwe. Isibonelo:

• Ukuhlolwa kwesiko: Hlola ukutheleleka.
• I-biopsy yesikhumba: Ukuqinisekisa i-psoriasis.
• Ukuhlolwa kokungezwani komzimba: Hlola ukuthi kukhona yini okukubangelayo.

Uma udokotela wakho esola ukuthi une-Generalized Pustular Psoriasis (GPP) , angase futhi acele ukuhlolwa kwegazi, ikakhulukazi i- Complete Blood Count (CBC) .

Khumbula, lapho welapha izifo ezifana ne-Psoriasis kanye ne-Pustular Psoriasis, kungcono ukubona udokotela wesikhumba .

Iphathwa Kanjani I-Psoriasis Ye-Pustular?

Kunezinhloso eziningana eziyinhloko ekwelapheni i-pustular psoriasis:

• Ukuhlanza isikhumba ngokususa ubomvu nama-pustules.
• Ukuqeda izimpawu ezifana nokulunywa nobuhlungu.
• Ukuvimbela ukutheleleka uma amabhamuza eqhuma.

Udokotela wakho angase asikisele izindlela zokwelapha ezifana nalezi:

• Imithi yokwelapha, amafutha noma okhilimu: Lena yindlela yokuqala yokwelapha. Lokhu kufaka phakathi izinto ezifana nama-corticosteroids kanye nama-Vitamin D analogues.
• I-Phototherapy: Ukwelashwa okusebenzisa ukukhanya kwe-ultraviolet (UV) okulawulwayo ukuze kuqondiswe esikhumbeni.
• Imithi yomlomo: Imithi efana ne-Methotrexate, i-Cyclosporine, i-Acitretin. Le mithi inikezwa uma isifo sinzima kancane.
• Ukwelashwa kwezinto eziphilayo: Lokhu kuyindlela yokwelapha entsha nethuthuke kakhulu. Lokhu kuyimithi enikezwa njengomjovo. Isebenza ngokuqondisa ngqo izinqubo ezithile ohlelweni lokuzivikela komzimba.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Uma izimpawu ze-pustular psoriasis sezivele futhi ukwelashwa kuqala, kungathatha amasonto kuya ezinyangeni ukuthi isikhumba siphele ngokuphelele. Ukwelashwa kuvame ukusebenza ngezigaba eziningana. Okokuqala, amabhamuza agcwele ubomvu ayasuswa, bese amaseli esikhumba afile ayamiswa ekuqongeleleni ebusweni besikhumba, bese umbala wesikhumba uncipha. Uma ukhathazekile ngesikhathi sokwelashwa, khuluma nodokotela wakho ngakho.

Ingabe i-Pustular Psoriasis ingavinjelwa?

Akunakwenzeka ukuvimbela ngokuphelele i-Pustular Psoriasis, njengoba kuyisifo sokuzivikela komzimba. Kodwa-ke, kunezinto ongazenza ukuze unciphise ingozi yokuqubuka kwamathumbu:

• Hlala ugcina isikhumba sakho sihlanzekile ngokusebenzisa insipho noma isihlanzi esithambile nesinobungani nesikhumba.
• Sebenzisa njalo i-moisturizer. Isikhumba esomile singasenza isimo sibe sibi kakhulu.
• Lawula ukucindezeleka. Izinto ezifana nokuzindla nokuzivocavoca umzimba zingasiza.
• Gwema izinto ezibangela izimpawu zakho zibe zimbi kakhulu ngangokunokwenzeka. Njengoba kushiwo ngaphambili, uma une-allergy ekudleni okuthile, emithini, noma ezimonyweni, zigweme.

Yini ongayilindela uma une-Pustular Psoriasis?

I-Psoriasis yisimo esingamahlalakhona, esihlala isikhathi eside. Lokhu kusho ukuthi izimpawu zingase zivele zivele bese ziphela. Ayikho ikhambi le-pustular psoriasis. Kodwa ungakhathazeki. Udokotela wakho angakusiza ukuthi uphathe izimpawu zakho futhi uthole izimbangela zakho.

Uma izimpawu zakho ziba zimbi kakhulu, zama ukubhala phansi noma yiziphi izimbangela ocabanga ukuthi zingase zibangele zona. Uma izimpawu zakho ziba zimbi kakhulu ngemva kokusebenzisa okuthile noma ucindezelekile, lezo zingaba yizimbangela zakho. Zama ukuzigwema ngangokunokwenzeka. Uma unenkinga yokubona izimbangela, khuluma nodokotela wakho.

Kufanele ubonane nini nodokotela?

Kufanele nakanjani ubone udokotela kulezi zimo:

• Uma izimpawu ziba zimbi kakhulu ngemva kokwelashwa.
• Uma unezimpawu zokutheleleka, njengobuhlungu obukhulu, ukuvuvukala, noma umkhuhlane. (Ukutheleleka kungavela emaqakaleni aphukile.)
• Uma izimpawu zingathuthuki naphezu kokwelashwa.
• Uma izimpawu zakho zithinta imisebenzi yakho yansuku zonke kuze kube yilapho ungakwazi ukuzenza.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma unezimpawu ze- Generalized Pustular Psoriasis (GPP) , okusho ukuthi unama-blisters agcwele ubomvu esikhumbeni sakho kanye nalokhu okulandelayo, hamba uye ekamelweni eliphuthumayo ngokushesha:

• Imfiva
• Ubuthakathaka bemisipha
• Ubuhlungu obukhulu
• ukulunywa okukhulu

Lesi yisimo esisongela ukuphila, ngakho-ke ukwelashwa okusheshayo kubalulekile.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Uma uya kudokotela, ungakhohlwa ukubuza le mibuzo:

• Yini engabangela ukuthi i-psoriasis yami ivele ngokuzumayo?
• Ngingakuvimbela kanjani ukutheleleka uma amabhamuza ami eqhuma?
• Yini okufanele ngiyenze uma la ma-blister enza kube nzima kimi ukusebenzisa izandla zami noma ukuhamba?
• Ingabe ikhona imiphumela emibi kulezi zindlela zokwelapha?
• Imithi yokwelapha kufanele isetshenziswe isikhathi esingakanani futhi kanjani?

I-pustular psoriasis ingaba yisimo esicasulayo nesinzima ukusiphatha ngezinye izikhathi, njengoba izimpawu zingafika zidlule. Abanye abantu abane-psoriasis bakuthola kuwusizo ukukhuluma nochwepheshe wezempilo yengqondo uma lezi zimpawu zithinta ukuzethemba kwabo noma ukuzethemba.

Umlayezo Wokuya Nawe Ekhaya

I-pustular psoriasis uhlobo lwe-psoriasis olubangela amabala abomvu, anamabala esikhumba, kanye nama-blister agcwele ubomvu. Ayithelelani.

Kodwa-ke, isimo esibi esibizwa ngokuthi i-Generalized Pustular Psoriasis (GPP) sidinga ukunakekelwa kwezokwelapha okusheshayo. Uma uhlangabezana nezimpawu ezifana nomkhuhlane, ukuqubuka okusabalele, noma ubuhlungu bemisipha, bona udokotela ngokushesha.

Lesi simo singalawulwa kahle ngokwelashwa okufanele kanye nokushintsha indlela yokuphila. Sebenzisana nodokotela wakho ukuze wakhe uhlelo lokwelashwa olusebenza kahle kuwe. Ungakhathazeki, awuwedwa. Uma ukwazi lokhu futhi ukukuphatha kahle, ungaphila impilo evamile.

I- Psoriasis ye-Pustular, Ukhwekhwe, Izifo Zesikhumba, Amaqhubu e-Pustular, Izifo Zesikhumba, Amasosha Omzimba, Ukwelashwa Kwesikhumba