Izimpawu ze-Psoriasis

I-Psoriasis yisimo esingesihle sokuzivikela komzimba esibangela ukulunywa, izibazi zesikhumba ezibizwa ngokuthi ama-plaque. Kuvela kakhulu ezindololwaneni, emadolweni, emhlane ophansi, nasekhanda/ekhanda. Nakuba lingekho ikhambi, ezinye izindlela zokwelapha zingenziwa ukuze kulawuleke izimpawu.

Ake sixoxe ngezimpawu, izimbangela, izinhlobo, ukuxilongwa, nokwelashwa kwe-psoriasis. Sizophinde sihlanganise nezinye izici ezibalulekile, okuhlanganisa - ukuthi umbona nini udokotela, izici eziyingozi, izinkinga zezokwelapha, kanye namakhambi asekhaya.

Izimpawu ze-Psoriasis

I-Psoriasis ibangela okungaphezu nje kwama-plaque esikhumbeni kanye nokuqubuka. Abantu abane-psoriasis bavame ukuba nezimpawu ezengeziwe ezingaba nomthelela omkhulu empilweni yansuku zonke. Ukwazi uhla lwezimpawu ze-psoriasis ezingaba khona kungakusiza ubone isidingo sokufuna usizo lwezokwelapha.

Izimpawu ezijwayelekile ze-psoriasis ngale kwama-plaque esikhumba abonakalayo zifaka:

• Isikhumba esilumayo esingase singakhululeki kakhulu, sibe nomuzwa wokusha noma wokuluma. Ukuluma kungaba kubi ngokwanele ukuthi ungalali ebusuku.
• Izindawo zesikhumba ezomile, eziqhekekile lapho ngisho nokuklwebheka okungaholela ekopheni. Ngenkathi ebandayo - ebusika, lapho kunomoya owomile - isikhumba singaba sengozini yokuqhekeka okubuhlungu.
• Ukugoba, ukuguquguquka kombala, ukubhidlika kanye nokujiya okungavamile kwezinzipho nezinzwane. I-nail psoriasis ingaba namahloni futhi yenza ukunakekelwa kwezinzipho kube nzima.
• Amalunga abuhlungu, athambile angase ashaye, avuvuke noma azizwe eqinile. Ubuhlungu obuhlangene buthinta kufika ku-30% wabantu abane-psoriasis.

Nakuba isilingo sokunwaya izikali ezicasulayo sisisikhulu, umuntu kufanele agweme ukunwaya ukuze angalimazi isikhumba futhi isimo sibe sibi kakhulu. 

Thola usizo lwezempilo ngokushesha uma uzwa ubuhlungu obukhulu, imfiva, nokuvuvukala, njengoba lokhu kungabonisa ukungenwa yizifo ezinzima. Ukunaka zonke izimpawu zakho, hhayi nje ama-plaque esikhumba, kuyisihluthulelo sokulawula ngokwanele i-psoriasis nokugcina izinga lakho lempilo. Xoxa ngemithelela yendlela yokuphila nodokotela wakho ukuze unqume uhlelo lokwelapha olusebenza kahle kakhulu.

Izinkinga ze-Psoriasis

• I-Psoriasis yenzeka lapho amasosha omzimba esabela ngokweqile, okubangela ukuvuvukala. Ngokuvamile, amasosha omzimba alwa namagciwane futhi agweme izifo. Kodwa nge-psoriasis, amasosha omzimba ahlasela amaseli esikhumba anempilo ngephutha.
• Lokhu kusheshisa umjikelezo wokukhula kwamangqamuzana esikhumba, okubangela ukunqwabelana kwamangqamuzana abonakala njengama-plaque. Inqubo yeseli esheshiswayo nayo iholela ekuchithekeni nasekukhuleni.
• Ukwengeza, njengoba i-psoriasis inezici zofuzo, kusho ukuthi uma unomzali oyedwa ophinde abe nalesi sifo, cishe uzokuthuthukisa, nawe.

Izinhlobo ze-Psoriasis

Kunezinhlobo ezahlukene ze-psoriasis, futhi ngayinye inezimpawu zayo ezihlukile:

•  I-Plaque psoriasis Uhlobo oluvame kakhulu; kubangela amabala omile, aphakanyisiwe, ama-scaly
•  I-psoriasis yezinzipho - Ithinta izinzipho, ibangele imigodi, ukukhula okungavamile, nokushintsha kombala
•  I-Guttate psoriasis - Kuthinta abantu abasha/abantwana; kubangela amabala amancane, amabala
•  I-psoriasis ehlukile - Ivela emiphethweni yesikhumba; kubangela amabala abushelelezi, avuvukele
•  I-pustular psoriasis Ibangela amabhamuza agcwele ubomvu ezintendeni zezandla/ezitheni noma ezisabalele
•  I-Erythrodermic psoriasis Ibangela ukuqubuka okukhulu, okuxebukayo ezindaweni ezinkulu

Iyiphi ingxenye yomzimba wami ezothinta i-psoriasis?

Ukuqubuka kwe-psoriasis kungavela noma kuphi esikhumbeni sakho. Itholakala kakhulu ku-:

• Izindololwane namadolo
• Ubuso nangaphakathi emlonyeni wakho
• Scalp
• Izinzipho zeminwe nezinzwane
• Izizukulwane
• Phansi emuva
• Izintende nezinyawo

Kubantu abaningi, i-psoriasis ithinta nje indawo encane yesikhumba. Ezimweni ezimbi kakhulu, ama-patches angahlangana futhi amboze ingxenye enkulu yomzimba wakho.

Sifo

Udokotela uzoxilonga ngokuhlola okubonakalayo kwesikhumba somzimba ukuze athole isici, izilonda eziphakanyisiwe, nezimise okwe-plaque.

• Udokotela uzophinde abuze ngomlando wezimpawu zakho, njengokuthi ukuqhuma kwaqala nini ukuvela nokuthi uma kukhona i-psoriasis endaweni ethile emndenini wakho.
• Yazisa udokotela wakho uma ngabe uke wazama noma yiziphi izindlela zokwelapha zasekhaya. 
• Kufanele futhi ucacise ekunikezeni imininingwane yokuthi izimpawu nezimpawu zakho zikhule kanjani ngokuhamba kwesikhathi ngoba lokhu kungasiza ekuxilongweni okufanele. 
• Ngezinye izikhathi, ukubonakala kwama-plaque kubonisa i-psoriasis, kodwa udokotela wakho angase afise ukuqinisekisa nge-biopsy, ikakhulukazi uma izimpawu zibonakala zingajwayelekile. 
• Ngesikhathi se-biopsy, isampula encane yezicubu zesikhumba ezisuka ku-plaque iyasuswa futhi ihlolwe ngaphansi kwe-microscope, okuvumela udokotela ukuba akhiphe ezinye izimo zesikhumba ezingase zibe khona. 
• Ukuvuleleka nodokotela wakho kubasiza ukuthi benze ukuxilongwa okunembile kwe-psoriasis ukuze ukwelashwa okufanele kuqale.

Ukwelashwa

Umgomo wokwelashwa kwe-psoriasis ukunciphisa izimpawu nokunciphisa ukukhiqizwa ngokweqile kwamangqamuzana esikhumba. Izinhlelo zokwelashwa zenziwe ngendlela efanele ngokusekelwe ezicini ezifana neminyaka yobudala, impilo yonke, kanye nobukhulu bezimpawu.

Amacala amancane angaphendula kahle ku:

• Ama-moisturizers okunciphisa isikhumba esomile, esilumayo
• Ama-creams anemithi nama-shampoos asetshenziswa ezindaweni ezithintekile
• Okulawulwa ngokucophelela ukukhanya kwe-UV ngaphansi kokugadwa udokotela

I-psoriasis enamandla kakhulu ingadinga:

• Amafutha kadokotela aqukethe i-vitamin D, ama-retinoids noma ama-steroids
• Imithi yomlomo yokunciphisa ukukhula kwamangqamuzana esikhumba futhi icindezele amasosha omzimba asebenze ngokweqile
• Imijovo yemithi eqondise ekuphenduleni kokuzivikela komzimba okusebenzayo

Nge-psoriasis emaphakathi ukuya kokuqina, ukuhlanganisa ukwelashwa okuningi kuvame ukunikeza imiphumela engcono kakhulu. Sebenzisana eduze nodokotela wakho ukuze uthole uhlelo lokwelapha olusebenza kahle kakhulu lwesimo sakho ngasinye kuyilapho unciphisa imiphumela emibi. Ukulandelela izimpawu zakho nokuthi ukwelashwa kusebenza kahle kangakanani kungasiza ukulungisa uhlelo lwakho.

Imithi

Amanye amakhambi atholakala ngaphandle kwekhawunta angasiza ekudambiseni izimpawu ze-psoriasis emnene:

• Ithayela Lamalahle: Lokhu kungasiza ukudambisa ukulunywa futhi kunciphise izilonda, ikakhulukazi esikhumbeni, ezintendeni, nasezinyaweni.
• Ama-Hydrocortisone Creams: Lawa angasiza ekwehliseni ukuvuvukala futhi adambise isikhumba esilumayo.
• I-Salicylic Acid: Ngokuvamile isetshenziselwa i-scalp psoriasis, lokhu kungasiza ekunciphiseni ukuvuvuka nokususa izikali.
• Imikhiqizo Yokulwa Nokulunywa: Izinto eziqukethe i-calamine, i-hydrocortisone, i-camphor, noma i-menthol ingaba usizo ekudambiseni ukulunywa.

Ukwelapha Ngezihloko

Udokotela angase atuse imithi yokwelapha egcotshwa ngokuqondile esikhumbeni. Lokhu kuvamise ukuba yisinqumo sokuqala sokuphatha izimpawu ezimaphakathi kuya kwezimaphakathi, ikakhulukazi kulezo ezingenazo i-psoriatic arthritis (PsA).

• Izinhloso zokwelashwa kwe-topical yilezi:
  • Yehlisa ukukhula okusheshayo kwamaseli esikhumba
  • Yehlisa ukuvuvukala
  • Susa ukulunywa noma ukungakhululeki
• Izindlela zokwelapha ezivamile zihlanganisa:
  • I-Corticosteroids, eza ngamandla ahlukahlukene
  • Uvithamini D wokwenziwa
  • Ama-retinoids, okuyizinhlobo ze-synthetic vitamin A
  • I-Pimecrolimus ukhilimu namafutha e-tacrolimus

Izindlela Zokwelapha Ezihlelekile

• Izindlela zokwelapha ezihlelekile zisebenza kuwo wonke umzimba ukuze:
  • Yehlisa ukuvuvukala
  • Yehlisa ijubane ukuqhubeka kwesifo
  • Nciphisa ukuthi kwenzeka kangaki ukuqubuka
• Odokotela bangase bancome lokhu kwelashwa ku:
  • Phatha i-psoriasis emaphakathi ukuya kokuqina
  • Bhekana nezimpawu ezindaweni ezibucayi njengobuso, izandla, noma izitho zangasese
  • Vimbela ukulimala okuhlangene kubantu abane-psoriatic arthritis (PsA)

Uyombona Nini Udokotela?

Bonana nodokotela wakho uma i-psoriasis:

• Ihlanganisa izindawo ezinkulu noma ibangele ukungakhululeki okukhulu
• Ayithuthuki ngamakhambi atholakala ngaphandle kwekhawunta
• Kubi kungazelelwe

Izingozi Zezingozi

I-Psoriasis flares ingabangelwa yizi:

• Ukucindezeleka
• Ukulimala kwesikhumba, ukusikeka noma ukuhlinzwa
• Imithi ethile
• Isimo sezulu esibi kakhulu
• Izifo ezifana ne-strep throat
• Umlando womndeni

Izinkinga

I-Psoriasis iphakamisa ingozi yakho:

• Ukucindezeleka: Amazinga aphezulu okucindezeleka angavusa noma enze ama-psoriasis flare-up abe mabi kakhulu. Ukucindezeleka kungathinta amasosha akho omzimba, okuholela ekwandeni kokuvuvukala futhi kwenze izimpawu ze-psoriasis zibe nzima kakhulu. Ukuthola izindlela zokulawula ukucindezeleka, njengokusebenzisa amasu okuphumula, ukuvivinya umzimba, noma ukwelashwa, kungasiza ukugcina izimpawu zisesimweni.
• Ukulimala Kwesikhumba, Ukusikeka, Noma Ukuhlinzwa: Noma yimuphi umonakalo esikhumbeni, njengokusikeka, ukuklwebheka, noma ngisho nokuhlinzwa, kungaholela ekuqubukeni kwe-psoriasis. Lokhu kungenxa yokuthi inqubo yokuphulukisa ingabangela amasosha omzimba futhi ibangele ukuthi ama-psoriasis plaque akheke endaweni ethintekile. Kubalulekile ukuvikela isikhumba sakho futhi welaphe noma yikuphi ukulimala ngokushesha.
• Eminye Imithi: Eminye imithi ingabangela i-psoriasis noma iyenze ibe yimbi nakakhulu. Lokhu kuhlanganisa i-lithium (esetshenziselwa ukuphazamiseka kwengqondo okuguquguqukayo), izidakamizwa ezilwa nomalaleveva, nezinye izivimba-beta (ezisetshenziselwa umfutho wegazi ophakeme). Uma uthatha le mithi noma eminye, khuluma nodokotela wakho mayelana nezindlela ongakhetha kuzo noma izindlela zokulawula imiphumela engemihle.
• Isimo Sezulu Esidlulele: Kokubili isimo sezulu esibanda kakhulu nesishisa kakhulu singathinta i-psoriasis. Umoya obandayo, owomile ungaholela esikhumbeni esomile, esiqhekekile, okungase kubangele ukuqubuka, kuyilapho izimo ezishisayo nezinomswakama zingabangela ukujuluka nokucasuka. Ukuvikela isikhumba sakho ngezinto zokuthambisa nezingubo ezifanele kungasiza ekunciphiseni le miphumela.
• Izifo ezifana ne-Strep Throat: Izifo, ikakhulukazi i-strep throat, zingabangela i-psoriasis kwabanye abantu. Lapho umzimba wakho ulwa nokutheleleka, ungenza izimpawu ze-psoriasis zibe zimbi kakhulu noma kubangele ukwakheka kwama-plaque amasha. Ukuhambisana nemigomo kanye nokwelapha izifo ngokushesha kungasiza ekunciphiseni le ngozi.
• Umlando Womndeni: I-Psoriasis ijwayele ukugijima emindenini, ngakho ukuba nomlando womndeni walesi simo kungandisa ingozi yakho. Uma i-psoriasis ivamile emndenini wakho, ungase ube maningi amathuba okuba uzithole ngokwakho.
• Ukukhuluphala ngokweqile: Ukuthwala isisindo esiningi kungandisa ukuvuvukala emzimbeni wakho, okungase kube kubi kakhulu izimpawu ze-psoriasis. Ukugcina isisindo esinempilo ngokudla kanye nokuzivocavoca kungasiza ukulawula nokunciphisa ukuqubuka.
• Ukubhema Notshwala: Ukubhema nokuphuzela utshwala kakhulu kungabangela i-psoriasis noma kwenze izimpawu zibe zimbi nakakhulu. Ukuyeka ukubhema kanye nokunciphisa ukuphuza utshwala kungathuthukisa impilo yakho yonke futhi kungase kunciphise ukuqubuka kwe-psoriasis.

Prevention

Kunamasu amaningana angasiza ukunciphisa ingozi ye-psoriasis flare-ups, kuhlanganise:

• Ukuhlonza nokugwema ukudla okudala izimpawu
• Ukugcina isisindo esinempilo
• Ukugcina isikhumba sinomswakama kahle
• Ukuchitha isikhathi endaweni enelanga phakathi nezinyanga zasebusika
• Ukulawula ingcindezi ngokusebenzisa imikhuba efana ne-yoga, ukuzivocavoca, nokuzindla
• Ukugwema ukubhema kanye nokunciphisa ukuphuza utshwala
• Ukusebenzisa amakhambi asekhaya ukuze kuthobe ukulunywa

Ukulandela ukudla okulwa nokuvuvukala kungase kube nenzuzo ekulawuleni izimpawu nokunciphisa ingozi yezinkinga.

Amakhambi Asekhaya Okwelapha I-Psoriasis

Amakhambi emvelo ongawazama ekhaya ahlanganisa:

• Ukugeza okuthambisa ngamafutha, usawoti we-Epsom noma i-oatmeal
• Amakhilimu e-Aloe Vera
• Ukudla okune-Omega-3 njengezinhlanzi, i-flaxseeds, nama-walnuts
• Izithako ze-Turmeric/curcumin
• Amakhilimu amagilebhisi e-Oregon
• AmaHumidifiers
• Amasu okunciphisa ukucindezeleka
• Daily moisturizing

Izincomo zokudla kubantu abane-psoriasis

Ukudla ukudla okunempilo kungasiza ekulawuleni izimpawu zakho uma une-psoriasis. Nawa amathiphu okudla:

• Yidla Izithelo Nemifino Engeziwe: Lokhu kudla kucebile ngamavithamini, amaminerali, nama-antioxidants angasiza ekunciphiseni ukuvuvukala.
• Khetha Okusanhlamvu Okuphelele: Khetha okusanhlamvu okuphelele njengerayisi elinsundu, i-oatmeal, nesinkwa sikakolweni esikhundleni sezinhlamvu ezihlungiwe. Bangasiza ukugcina uhlelo lwakho lokugaya lunempilo.
• Faka Amafutha Anempilo: Engeza imithombo ye-omega-3 fatty acids, njengezinhlanzi ezinamafutha (njenge-salmon), ama-flaxseeds, nama-walnuts. Lawa mafutha angasiza ekunciphiseni ukuvuvukala.
• I-Stay Hydrated: Phuza amanzi amaningi ukuze ugcine isikhumba sakho simanzi futhi usize umzimba wakho ukhiphe ubuthi.
• Nciphisa Inyama Ebomvu Nokudla Okugayiwe: Zama ukunciphisa inyama ebomvu, ukudla okugayiwe, nokudla okulula okunoshukela, njengoba kungandisa ukuvuvukala.
• Gwema Ukudla Okubangela I-Flare-Ups: Abanye abantu bathola ukuthi ukudla okuthile, njengobisi noma i-gluten, kungenza izimpawu zabo zibe zimbi kakhulu. Naka umzimba wakho futhi ucabange ukugwema noma yikuphi ukudla okubonakala kudala ukuqubuka.
• Ukuphuza Utshwala Okumaphakathi: Ukuphuza utshwala ngokusesilinganisweni noma ukubugwema ngokuphelele kungasiza ekunciphiseni ukuqubuka, njengoba utshwala ngezinye izikhathi bungabangela izimpawu ze-psoriasis.

Ukuphila ne-Psoriasis

• Ukuphatha i-psoriasis ngempumelelo:
  • Landela imiyalelo yemithi yakho.
  • Gcoba okokuthambisa njalo, ikakhulukazi ngemva kokugeza noma ukugeza.
  • Gwema ukusebenzisa insipho eqinile.
  • Sebenzisa i-shampoo enemithi uma unezikali ekhanda lakho.
• Ukuze uhlale unempilo ngokuphelele:
  • Xoxa nomhlinzeki wakho wokunakekelwa kwezempilo ngezindlela zokunciphisa ubungozi bezimo ezihlobene njengesifo senhliziyo, ukucindezeleka, nesifo sikashukela.
  • Yehlisa ingcindezi ngokuzindla, ukuzivocavoca, noma ukukhuluma nochwepheshe bezempilo yengqondo.

Isiphetho

Nakuba kungelapheki, i-psoriasis iyalawuleka ngokushintsha indlela yokuphila kanye nokwelashwa. Bonana nodokotela wakho uma izimpawu ziphazamisa impilo yansuku zonke. Ukuhlala unolwazi mayelana nesimo kanye nokwelashwa okutholakalayo kungakusiza uthole uhlelo lokuphatha olusebenzayo.

Imibuzo Evame Ukubuzwa

1. Iyiphi ingxenye yomzimba wami ezothinta i-psoriasis?

Izimpendulo: I-Psoriasis ingavela noma yikuphi kodwa ngokuvamile ihlasela izindololwane, amadolo, iqolo, isikhumba sesikhumba, ubuso, nezitho zangasese. Ezimweni ezibucayi, kwenziwa okwasendaweni, kodwa izimo ezinzima zingafaka izindawo ezinkulu.

2. Kuyini ukuqaqamba kwamalunga e-psoriatic?

Izimpendulo: Cishe amaphesenti angama-30 alabo abane-psoriasis baba ne-psoriatic arthritis, ebangela ubuhlungu bamalunga, ukuqina kanye nokuvuvukala. Ukuyelapha kusenesikhathi kungasiza ekuvimbeleni ukulimala kwamalunga unomphela.

3. Ingabe i-psoriasis ithinta wonke umuntu? Ingabe kuvame kakhulu?

Impendulo: Kulinganiselwa ukuthi cishe u-3% wabantu bakuleli lizwe uphethwe yi-psoriasis. Ingathuthuka kunoma ibuphi ubudala futhi ithinta amadoda nabesifazane bazo zonke izinhlanga ngokulinganayo.

4. Ingabe i-psoriasis ibuhlungu ukuyithinta?

Izimpendulo: Yebo, i-psoriasis izoholela ebuhlungu, ukushisa, nokuluma ngokubangela ukucasuka kwemizwa evuthayo esikhumbeni. Ukuqubuka kungabangelwa ukucindezeleka, ukugula, ukushintsha kwesimo sezulu, nokunye.

5: Yiziphi izimpawu zokuqala i-psoriasis?

Izimpawu zakuqala ze-psoriasis ngokuvamile zihlanganisa amabala abomvu, avuvukele esikhumba ambozwe amazenga esiliva. Ungase futhi uzwe ukulunywa, ukoma, noma ukuqhekeka ezindaweni ezithintekile, okungaba buhlungu.

6: Ingabe i-psoriasis ingasakazeka?

I-Psoriasis ayithathelwana, ngakho-ke ayisakazeki isuka kumuntu iye komunye. Kodwa-ke, lesi simo singaba sibi kakhulu noma sisakazekele ezindaweni ezihlukahlukene zomzimba ngokuhamba kwesikhathi, ikakhulukazi ngaphandle kokwelashwa okufanele.

7: Ubani othola i-psoriasis?

I-Psoriasis ingathinta noma ubani, kodwa ivame kakhulu kubantu abadala. Ivamise ukusebenza emindenini, ngakho-ke uma unelunga lomndeni eline-psoriasis, ungaba sengozini enkulu. Izinto ezinjengokucindezeleka, izifo, nemithi ethile zingayiqala.

8: Ingabe i-psoriasis ingelapheka?

I-Psoriasis okwamanje ayinalo ikhambi, kodwa ingalawuleka ngemithi yokwelapha efana nokhilimu, imithi kanye noshintsho endleleni yokuphila. Lokhu kungasiza ukunciphisa izimpawu futhi kuvimbele ukuqubuka.

9: Ingabe i-vitamin D iyasiza i-psoriasis?

Yebo, i-vitamin D ingasiza ekuthuthukiseni izimpawu ze-psoriasis. Inciphisa ukukhula kwamangqamuzana esikhumba futhi inganciphisa ukuvuvukala. Okhilimu besihloko abaqukethe uvithamini D noma ukuthola ukuchayeka elangeni okumaphakathi kungase kube usizo.

10: Yikuphi ukushoda okubangela i-psoriasis?

Nakuba kungekho ukuntuleka okuthile okubangela i-psoriasis, amazinga aphansi kavithamini D aye axhunyaniswa nezimpawu eziya ziba zimbi. Ukugcina amazinga e-vitamin D anele kungasiza ukuphatha lesi simo.

11: Ingabe ukukhanya kwelanga kuyilungele i-psoriasis?

Ukuchayeka elangeni okusesilinganisweni kungaba yinzuzo ku-psoriasis ngoba kusiza isikhumba sikhiqize uvithamini D, onganciphisa izimpawu. Kodwa-ke, ilanga eliningi lingabangela noma libe nezimpawu ezimbi kakhulu, ngakho-ke kubalulekile ukulinganisa ukuchayeka elangeni.

12: Kungani ngivele ngithole i-psoriasis?

I-Psoriasis ingavela ngokuzumayo ngenxa yezizathu ezinjengokucindezeleka, izifo, ukulimala kwesikhumba, noma imithi ethile. Uma unofuzo, lezi zici zingenza isimo sisebenze.

13: Iqala iminyaka emingaki i-psoriasis?

I-Psoriasis ingaqala kunoma ibuphi ubudala, kodwa ngokuvamile iqala phakathi kweminyaka engu-15 no-35. Abanye abantu bangase babe nayo ngaphambi kwesikhathi noma kamuva ekuphileni.

CARE Medical Team

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