Ukwelashwa kwe-psoriasis

Ukwelashwa kwe-psoriasis

Le psoriasis yisifo esingelapheki esingelapheki, ngakho-ke awusoze waqiniseka ukuthi ukuqhuma ngeke kuphinde kubuye. Noma kunjalo, kungenzeka ukukhulula ifayela le- izimpawu usebenzisa ngempumelelo imikhiqizo yezidakamizwa isetshenziswa ezilondeni. Inhloso ukunciphisa ubukhulu bamapuleti nemvamisa yokuphindaphinda, kepha kunzima ukufezekisa ukunyamalala kwabo ngokuphelele. Kungadingeka ukuzama izindlela zokwelashwa eziningana ngaphambi kokuthola okusebenzayo. Kubalulekile futhi ukuthi usebenzise njalo ukwelashwa futhi ulandele imiyalo kadokotela, noma ngabe lokhu kunenkinga, uma umuntu efuna ukuthola imiphumela emihle.

Ukwelashwa kuncike kakhulu ekusetshenzisweni kwe- ama creams futhi D 'Amafutha emapuletini. Kwezinye izimo, ukwelashwa okunamandla kakhulu kungasetshenziswa ukunciphisa ukwanda kwamaseli esikhumba, kufaka phakathi Phototherapy noma imithi yomlomo. Kodwa-ke, isikhumba singamelana nokwelashwa ngokuhamba kwesikhathi.

Ukwelashwa kwe-psoriasis: qonda yonke into ngemizuzu emibili

Isexwayiso. Imithi ethile yenza isikhumba sizwele kakhulu elangeni. Buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Okhilimu namafutha okugcoba

Kuzo zonke izimo, ifayela le- okhilimu othambisa noma ovuthayo ingaba wusizo ekwehliseni ukulunywa kanye nesikhumba se-hydrate esomiswe izifo nokusetshenziswa kaningi kokhilimu abenziwe ngemithi. Khetha isithambisi sesikhumba esibucayi.

Uma izimpawu zimnene noma zilinganisiwe, udokotela wesikhumba uvame ukusho amafutha okugcoba kuhloselwe ukwehlisa ukuvuvukala.

Lezi ngokuvamile kukhilimu noma okhilimu be-corticosteroid ama-retinoids (tazarotene, Tazorac® eCanada, iZorac® eFrance), izosetshenziswa yodwa noma ngokuhlanganiswa. Ukhilimu weCalcipotriol (iDovonex® eCanada, iDaivonex® eseFrance, uvame ukuhlotshaniswa ne-topic corticosteroid, eDaivobet® eFrance), etholakala ku-vitamin D, nayo isetshenziselwa ukunciphisa ukwanda kwamaseli ku-epidermis. Amafutha e-Corticosteroid akufanele asetshenziswe isikhathi eside ngenxa yengozi ye-Okuqhamuka uma udla imishanguzo (ukulahleka kombala, ukuncipha kwesikhumba, njll.) kanye nokwehla kancane kancane kokusebenza kokwelapha. Kukhona ama-lotion we-corticosteroid ngisho nama-shampoos ezilonda ze-scalp.

Amazwi

- Ukwelashwa kwe-psoriasis yobuso, amafolda esikhumba nezindawo zangasese

Kulezi zindawo, isikhumba sincane futhi i-corticosteroids yama-topical ingadala imiphumela emibi kakhulu yasendaweni. Ngakho-ke zisetshenziswa ngokuqapha ngezikhathi ezithile. Ngokuqondene ne-calcipotriol, iyacasula kakhulu futhi ayivunyelwe ubuso. Amakhrim asuselwa ku- umabhebhana ou i-tacrolimus, ezingabomndeni wama-topical calcineurin inhibitors, kwesinye isikhathi zisetshenziswa eCanada kepha azinayo i-Marketing Authorization (AMM) eFrance ngalokhu.

- Ukwelashwa kwe-psoriasis yezipikili

I-Psoriasis yezipikili kunzima ukuyelapha ngoba ukwelashwa ngezihloko akusebenzi kakhulu. Imijovo ye-Corticosteroid ngesipikili inganikezwa kepha ibuhlungu kakhulu.

I-Phototherapy ne-PUVA-therapy

Ukwelashwa okulula kuhilela ukudalula isikhumba imisebe ye-ultraviolet (UVB noma i-UVA). Zisetshenziswa uma i-psoriasis ihlanganisa ingxenye enkulu yomzimba noma uma ama-flare-ups evamile. Imisebe ye-Ultraviolet ihamba kancane ngamangqamuzana futhi iqeda ukuvuvukala.

Le misebe ingavela emithonjeni ehlukahlukene:

  • Imibukiso emifushane, yansuku zonke e sun. Gwema ukuvezwa isikhathi eside, okungenza izimpawu zibe zimbi kakhulu. Buza nodokotela wakho;
  • Idivayisi yokukhanyisa imisebe ye-UVB ebanzi noma emincane;
  • Kusuka kudivayisi ye-excimer laser. Imisebe ye-UVB inamandla amakhulu, kepha le ndlela yokwelapha isazama24.

I-Phototherapy ivame ukusetshenziselwa ukuhlanganiswa nomuthi womlomo noma we-topical ozisa isikhumba esenzweni semisebe ye-ultraviolet: lokhu kubizwa ngokuthi isithombe. Isibonelo, i Ukwelashwa kwe-PUVA Ihlanganisa ukuvezwa kwemisebe ye-UVA ne-psoralen, into eyenza isikhumba sizwele ekukhanyeni. I-Psoralen ilawulwa ngomlomo noma ngokucwiliswa "kubhavu" ngaphambi kokuvezwa ku-UVA. Izingozi zesikhashana esifushane zokwelashwa kwe-PUVA azinakwa. Esikhathini eside, kungakhuphula kancane ingozi yomdlavuza wesikhumba. Ukwelapha i-psoriasis ngokulingene kuya kokubi, udinga ukwenza izikhathi eziningana ngesonto, cishe amasonto ayisithupha alandelanayo.

Imithi yomlomo

Ezinhlotsheni ezinkulu nezimbi kakhulu ze-psoriasis, kunikezwa izidakamizwa ezinikezwa ngomlomo noma ngomjovo:

  • The ama-retinoids (i-acitretin noma i-Soriatane®), evame ukuhlanganiswa ne-calipotriol noma i-topical corticosteroids. Imiphumela emibi emibi ukoma kwesikhumba nolwelwesi lwamafinyila. Le mithi iyingozi futhi embungwini ngesikhathi sokukhulelwa futhi kufanele iphuzwe kuphela ngokuvimbela inzalo okusebenzayo.
  • Le imethotrexate or i-cyclosporine eyehlisa umsebenzi we izivikeli mzimba (i-immunosuppressant) futhi iyasebenza kakhulu, kepha ebekelwe izigaba zokwelashwa ezimfushane ngenxa yemiphumela emibi (ukulimala kwesibindi nezinso, ingozi yokutheleleka).

Uma ezinye izindlela zokwelapha zehluleka, izidakamizwa ezibizwa ngokuthi "zebhayoloji" (adalimumab, etanercept, infliximab) zingasetshenziswa.

 

Amathiphu wokunakekelwa kwama-psoriasis plaque

  • Imibukiso emifushane futhi ejwayelekile e sun kunganciphisa ukuhlaselwa kwe-psoriasis. Faka isicelo selanga esifanele (ubuncane be-SPF 15) ngaphambi kwesikhathi;
  • Thatha ukugeza nsuku zonke ukuze izingcwecwe zixebuke ngokwemvelo. Faka uwoyela wokugeza, i-colloidal oatmeal, noma usawoti we-Epsom emanzini. Cwilisa okungenani imizuzu engu-15. Gwema amanzi ashisayo kakhulu. Sebenzisa insipho emnene;
  • Gwema ukusebenzisa izinto zokugeza ezicasulayo, isibonelo lezo eziqukethe utshwala;
  • Ngemuva kokugeza noma ukugeza, sebenzisa i i-moisturizer esikhunjeni esimanzi (lokhu kubaluleke kakhulu ebusika);
  • Gwema ukuklwebha nokuhlikihla izindawo ezithintekile. Uma kunesidingo, ngobusuku obubodwa, bopha isikhumba ngokugoqa ngepulasitiki ngemuva kokufaka i- ukhilimu noma amafutha emollient.

Futhi bona ishidi lethu Lesikhumba Esomile.

 

 

shiya impendulo