Psoriasis matenda: njira, kusanthula chithandizo

Mmodzi wa matenda ambiri khungu ndi "psoriasis" kapena psoriasis. Malinga ndi kafukufuku, pamafunika 15% ya matenda dermatological. 3% ya anthu amadwala matenda, makamaka m'madera ndi kozizira. Kuwonjezeka makhalidwe a mitundu choopsa cha matenda. M'zaka zaposachedwapa, matenda a psoriasis ndi zenizeni osati kwa akulu, milandu matenda izi achinyamata kwambiri ndipo ngakhale ana. Mpaka pano sichinaululidwe zonse zimene zimayambitsa matenda.

psoriasis Kodi

Psoriasis, chipatala ndi diagnostics amene amadziwika kuti aliyense dermatologist ndi aakulu khungu matenda. Yodziwika ndi kukhalapo kwa mawanga ofiira chimatanthauza, amene yokutidwa ndi flaky mamba silvery. Ndi matenda ntchito limawola n'kusanduka pa nthawi. matenda makamaka zimakhudza khungu, ngakhale pali milandu ya matenda ziwalo zina, makamaka zimfundo ndi misomali.

Ngakhale psoriasis amatchedwa "psoriasis", mosiyana ndi ena mitundu ya nsungu matenda si opatsirana. Zapusknoe limagwirira wa matenda - ndondomeko imene kumachitika mwa khungu. Mu zakuya (woyambira) zigawo popangidwa ndi keratinocytes, ndiye munthu ayenera kukhala ndi keratin - mapuloteni, zomwe ndi misomali zomangamanga, tsitsi, khungu. Keratinocytes mu chitukuko zachilendo kwa m'munsi wosanjikiza chapamwamba ikuyenda msanga, mwezi nthawi.

Odwala ndi psoriasis, keratinocytes kuchulukitsa mofulumira ndi kusuntha wosanjikiza pamwamba pa masiku 4. Khungu sangathe msanga kuchotsa maselo amenewa, chiwerengero chawo nthawi zonse kukula, ndipo pali youma, losindikizidwa pakhungu mu mawonekedwe a mipukutuyi. Wosanjikiza apansi dermis, kumene magazi ndi lymph ziwiya, mitsempha chofuna, kutupa. Matenda a psoriasis kudzakuthandizani kudziwa mtundu wa matenda.

Mitundu ndi zizindikiro

Pali mitundu yosiyanasiyana ya matenda angayambe m'njira zosiyanasiyana, kutsatira alternately kapena imodzi. mitundu yambiri yosiyanasiyana ya psoriasis:

• Pyatnovidny. Mtundu ambiri. totupa owonetseredwa pa khungu, kuphimba madera aang'onoang'ono choyamba, ndiye kukula, amapezeka mu malo omwewo mbali ina ya thupi. Mtundu wa matenda n'zotheka pambuyo akudwala tizilombo streptococcal mankhwala ndi corticosteroids. Small mawanga, kuwonjezeka kukhota mu zolengeza, ogwirizana m'madera ambiri. Ngati zowonongeka n'zotheka zazing'ono kukha mwazi (lowani auspitsy). Places akugonjetsa: mawondo, elbows, mapazi (pansi), kanjedza, ntchafu, ng'ombe, kuchepetsa kumbuyo. 50% odwala ndi psoriasis a khungu, ndi mipukutuyi awonekere malire kukula tsitsi. Matenda a psoriasis ana ikuchitika kwenikweni njira yomweyo monga akulu.
• Teardrop. A mtundu chosowa cha matenda. Mipukutuyi kuoneka mwadzidzidzi pa mapazi, manja ake pa mutu wake. Nthawi zambiri kutha okha, koma kachiwiri kutuluka mu mavuto.
• Chigamulocho. fomu iyi ndi ovuta kuchiza. Kutupa, m'madera yosalala chifukwa thupi makutu (pansi pa chifuwa, armpit, groin m'dera).
• Seborrheic. The mawanga ndi wofiira wazikang'a yamawangamawanga, ili pamwamba masamba phewa, kumbuyo kwa khutu, mu m'khwapa, groin ndi nkhope. Amenable mankhwala movutikira. Mu matenda a psoriasis seborrheic tikunena chakuti, ngakhale yaitali kuwononga khungu, palibe alopecia, kupatulira tsitsi.
• P soriaz misomali. Mu mtundu uwu wa manja ndi miyendo pa msomali mbale kusintha mtundu, stratified. Nthawi zambiri, mtundu wa psoriasis chiri cholukanalukana ndi psoriatic nyamakazi. Kawirikawiri msomali psoriasis matenda ikuchitika mosavuta. Nthawi zina ikuchitika Kupenda histological.
• Psoriartrichesky nyamakazi. matenda yotupa chopita kutupa ndi stiffness mu malo. Iwo agawidwa mitundu ingapo: symmetrical, asymmetrical, mutiliyny.
• Psoriatic erythroderma. Lolemera osowa fomu yomwe pafupifupi thupi lonse ali ndi wofiira wazikang'a kutumphuka.
• Pustular. Miyendo ndi manja kupanga pustules. mtundu uwu kumachitika paokha, kapena kukhala nthawi imodzi ndi njira zina psoriasis. Zikatero, ichi ndi choopsa kwambiri.

Zimayambitsa matenda

Etiology, mbali matenda (psoriasis matenda sayambitsa mavuto) akhala afufuza, koma apa ndi zifukwa matenda kumachitika, komabe ankafufuza:

• Medicine limanena kuti psoriasis kumachitika pamene kulephera kwa chitetezo cha m'thupi, chifukwa zinthu zosiyanasiyana kuti ali ndi udindo magawano zolondola maselo a khungu. Pachithunzichi mayankho m'thupi chifukwa kutupa ndi kudzimenya kuchuluka yopanga maselo mwana.
• yofunika kwambiri matenda, chibadwa masewero. 35% odwala ndi mavuto awa ndi chibadwa. Chinthu kumtundu zimayambitsa atongi wa psoriasis.
• Mbali yofunika kwambiri pa nyengo ya matenda. A kouma ozizira kumachitika yoyamba. Ena amavutika tilinazo kuwala ndi zomwe zinachitikira okha m'nyengo yozizira, pamene dzuwa ndi zochepa kwambiri.
• Zinthu ndi nkhawa. Musabise zimachitika nkhawa psoriasis, matenda maganizo, ovutika maganizo.
• Infection. Ena mabakiteriya ndi tizilombo tina lingachititse zosayembekezereka wa psoriasis, kungakhale streptococci, okhudza thirakiti chapamwamba kupuma. Nthawi zambiri anasamutsa pharyngitis, zilonda zapakhosi, sinusitis pa unyamata zimayambitsa cha psoriasis guttate. Kugwirizana ndi psoriasis ndi HIV, komanso zina, HPV (anthu papilloma HIV).
• khungu choipa. Kuti zimenezi zingachitike kwa thupi amatchedwa Koebner chodabwitsa pamene khungu chawonongeka ngati mizere yofiira. Pa malowa zikhoza psoriasis. Iwo akhoza kukhala m'madera amene sanali anakhudzidwa ndi zoopsazo.
• Mankhwala kungakhale psoriasis ndi: Ace-mankhwala, beta-blockers, ndi chloroquine, lifiyamu, NSAIDs (indomethacin), progesterone timadzi, mafuta zosiyanasiyana steroid kuti kuphimba malo akulu a pakhungu.

psoriasis matenda Njira

Dokotala amene amakhazikitsa matenda, amaganizira:

• ndi matenda chithunzi cha matenda;
• pamaso Koebner chodabwitsa;
• zizindikiro za wa ku psoriatic.

Matenda a psoriasis zachokera wa ku psoriatic - chodabwitsa ndi zikuchitika pamene kuchipala zolengeza. zodabwitsazi angakhale:

• Madontho stearic otsukira ndikupha tizilombo papule zingaoneke khungu, amene amaoneka ngati yosenda stearin;
• magazi mfundo, pambuyo osachiritsika anafukula filimu kuoneka madontho munthu magazi;
• Kebnera zotupa latsopano kuonekera pa malo kukondoweza, makamaka gawo pachimake cha matenda.

Nthawi zina m'pofunika histological kuti tione kusintha.

mAGAZI

Ngati dotolo n'zovuta oterewa ndi zizindikiro zakunja yoikidwiratu zasayansi matenda a psoriasis mayesero omwe ali m'gulu kuti:

• Complete magazi, sakuikamo WBC ndi ESR. Psoriasis zambiri mnzake wa magazi m'thupi ndi leukocytosis.
• Rheumatoid chinthu kumathandiza kudziwa mapuloteni amene mlingo kumawonjezera pamene zochitika aliyense yotupa. Mu psoriasis, chifukwa ayenera kukhala negative. Izi ndi kusiyana kwa nyamakazi pamene chinthu ichi kuchuluka.
• ESR (erythrocyte sedimentation mlingo). chizindikiro ichi ayenera kukhala zachibadwa. Kupatulapo ndi pustular psoriasis kapena erythrodermic psoriasis.
• asidi Uric. Mu psoriasis, mlingo ukuwonjezeka. Psoriatic nyamakazi akufanana gout, yodziwika ndi kudziŵerengera kopambanitsa ndende magazi asidi uric. Pankhaniyi, ndi matenda wathunthu wa psoriasis, kusanthula ndi imodzi mwa magawo.
• chitetezo HIV. The matenda zimayambitsa zizindikiro mwadzidzidzi zizindikiro psoriasis.

Psoriasis: masiyanidwe matenda

Zochita matenda, pali zochitika zina pamene zizindikiro zofanana amafanana ndi nthenda zosiyanasiyana. M'pofunika kusiyanitsa boma limodzi kuchokera ena onga iye, izi zimathandiza masiyanidwe matenda a psoriasis. Izo zikuwoneka zofanana pa zizindikiro loyamba psoriasis ndi wofiira ndere. Ndinapereka miyeso chokwanira achire, dokotala ayenera kudziwa bwino kusiyanitsa mbali. Akaonetsetse, dokotala amaona m'bulu ankaikira papules, amene yokutidwa ndi woyera mamba silvery, iwo kupanga zolengeza psoriatic. zinthu Pathological m'mphepete corolla wofiira, ndilo lotchedwa felemu Pilnova, izo zikusonyeza kuti pali kupitilira cha psoriasis. matenda masiyanidwe zimathandiza kudziwa izo. N'kosavuta kukhazikitsa matenda pambuyo scratchboard (poskablivanii), zomwe n'zotheka kudziwa zochitika mu wa ku psoriatic.

The kukula kwa matenda

Psoriasis, matenda ndi mankhwala ikuchitika lililonse chipatala dermatological, ali kusalekerera zosiyanasiyana matenda. Kuyambira munthu, papules awiri psoriasis akufotokozera kuti postuleznogo mtundu, nthawi zina ndi moyo pachiswe. Pali madigiri angapo azikhala psoriasis:

• Zofewa psoriasis. Nthawi imene padziko khungu pa thupi ataphimbidwa ndi 3% nthawi zambiri anakhudzidwa 2 okha% a khungu.
• Wongolerani psoriasis. Khungu anakhudzidwa ndi 3-10%.
• Aakulu psoriasis. Pankhaniyi, matendawa amakhudza maperesenti oposa 10 a khungu. Womwewo choopsa komanso chikoka cha matenda pa khalidwe la moyo wodwalayo.

Ena akufuna gulu lina, imene imakhudza dongosolo ziwiri gawo, yomwe odwala agawanika pa kufunika kwa zokhudza zonse ndipo m'dera chithandizo.

Common ndi kovuta kuchiza psoriasis kwambiri. Mitundu ina ndi kugonjetsedwa kwambiri mankhwala, ngakhale ntchito kwa katundu. Izi zikuphatikizapo:

• psoriasis pa Yakanjedza ndi zidendene;
• mu khungu makutu (osiyanitsidwa psoriasis);
• psoriatrichesky nyamakazi;
• psoriasis okhudza khungu.

psoriasis chithandizo

Chithandizo cha kwambiri ndi zolimbitsa psoriasis monga njira monga phototherapy, zokhudza zonse mankhwala, pamodzi ndi excimer laser mankhwala, zomwe kawirikawiri kwambiri.

TNF zoletsa kuchepetsa ntchito zinthu m'thupi kuti kuthandiza m'njira choopsa cha psoriasis, koma mavuto angayambe kudwala matenda ena.

"Ustekinumab." Chida zizindikiro oteteza monoclonal. Amathandiza mankhwala likamanena kwambiri ndi zolimbitsa matendawa. kafukufuku mankhwala imachitika patali chotero, pa mphindi makhalidwe abwino zavumbulutsidwa.

Pali mankhwala zatsopano kuti si bwino. maphunziro kuyambirira zikuonetsa azimuth positive. Pali njira zimene osayenerera. Kugwiritsa ntchito mafuta zosiyanasiyana, opopera, creams kulola kuchepetsa zizindikiro za psoriasis. Chipatala, matenda ndi mankhwala a matenda anafotokoza asayansi ambiri mankhwala. Iwo anazindikira options zitatu zikuluzikulu zochizira matenda:

• wothandizila apakhungu (creams, mankhwala ochapira tsitsi, mafuta, opopera).
• Mankhwala. Ntchito mankhwala (jakisoni, mapiritsi) zimakhudza osati khungu komanso thupi lonse.
• Phototherapy. Zochizira kuwala ntchito.

Pakuti aliyense chithandizo munthu amusankha payekha, kutenga nkhani makhalidwe payekha onse a chamoyo, komanso mtundu ndi mtundu wa matenda.

njira zina

Amene amadwala njira yaitali psoriasis, yesani kufunafuna mtundu wina wa njira, atsopano njira ya kuchiritsa matenda. Koma M'pofunikanso kukumbukira kuti si matenda a pakhungu wamba, ngakhale akufanana matailosi. Chifukwa tili ndi thupi. chithandizo yabwino kumanzere kwa dokotala.

Mwachitsanzo, anapezeka kuti tiyi wobiriwira kumabwezera mmbuyo kukula kwa maselo a khungu, koma kafukufuku ikuchitika mpaka okha nyama. Zotani kuti thupi la munthu, sanayambebe kudziwika.

njira sagwirizana nazo kupereka mankhwala zochizira psoriasis, koma umboni kukomoka chotsimikiziridwa cha efficacy awo akadali palibe.

Musagwiritse ntchito pa okha kachiwiri anamva ena mankhwala wowerengeka, muyenera kuonetsetsa mogwirizana ndi dokotala, sayambitsa thupi lanu mavuto ena.

mankhwala azitsamba ndi zowonjezera zakudya si kuunikira dongosolo, kotero chilolezo kukagulitsa iwo opanga chofunika. Musaiwale kuti chinthu chilichonse chiyambi masamba alinso zotsatira zake zam'mbali zina, akhoza ngakhale kuwononga thanzi.

Nthawi zina odwala ndi vuto lenileni akachoka mankhwala achilengedwe.

N'zokayikitsa Mwachangu njira munali nthaka pyrithione. M'mayiko ambiri, pawiri izi ngakhale analetsa ntchito, koma, mwatsoka, zipangizo zilipo pa Intaneti.

Ntchito zochizira Gotu Kola mu mawonekedwe a kirimu ndi. Ngati inu ntchito therere ili mkati, mwina kumasonyeza zosiyanasiyana zotsatira zoyipa. Kwa amayi oyembekezera, izo ndi oopsa mimba.

kupewa matenda

Ngakhale kuti pali maganizo lomveka za kuopsa n'komwe ndi dzuwa kwa psoriasis ndi zothandiza. Zonse umwana zolimbitsa sunbathing akufotokozera mphamvu zabwino kumachepetsa nkhawa ndi nkhawa.

Pakati muyambirenso ndi maganizo pali chiyanjano, kotero inu mukhoza tisaletse zizindikiro za njira iliyonse odana ndi nkhawa. Tinapita ku dokotala ndiponso zamaganizo kwambiri matenda a.

Ngati khungu ndi kouma, kuyabwa kumayamba, mungayesere njira zotsatirazi:

Pasanathe mphindi 15, amasamba ofunda. Ndiye ntchito salicylic, amene amachotsa sikelo pa khungu. Ndiye ntchito olimbikitsa kirimu - "Tsetafil" Vaselini kapena "Eucerine". Usiku angathe kuika magolovesi ndi moisturizing.

Kuyambira kuyabwa ndi mkwiyo kudzakuthandizani wamwalira "Capsaicin" kumene pophika yogwira ali mbewu ya tsabola tsabola. Izi zimathandiza kuthetsa psoriatic pruritus. Poyamba ndinkaona kutengeka moto, koma ndiye chimazilala.

zinthu zakudya. Odwala ayenera kuchuluka zokwanira kudya folic acid. Iwo uli mu zakudya monga katsitsumzukwa, leafy amadyera, zipatso, nandolo, nyemba zouma, chiwindi, yisiti lalanje madzi.

M'pofunika monga mu mankhwala zakudya zokhala ndi Omega-3 nsomba mafuta ntchito, omwe ali katundu odana ndi yotupa, izo limachita bwino matenda autoimmune.