Plaque psoriasis ndiyo inowanzozivikanwa ye psoriasis , inofanirwa nepamusoro pe 90 muzana yezviitiko zvose. Iyo chirwere chinoputika umo masero echiganda anovaka nokukurumidza, achigadzira zviyero uye zvakaoma, zvinoputika. Kunyange zvazvo chikonzero chinokonzera chirwere chacho chichiri chakavanzika, pane zvinhu zvinogona kuunza kana kuwedzera kuputika, kusanganisira kurema, kushushikana, uye kusvuta.
Zviratidzo zvinogona kuva zvakaoma kutarisira, asi pane huwandu hwehuwandu hwemishonga inogona kukanganisa maitiro ezvirwere zvemuviri uye inopa rubatsiro rwakakura.
Zviratidzo
Chronic plaque psoriasis, inozivikanwawo seporioriasis vulgaris, inowanzoonekwa seyakasimudza ganda rinoputirwa rakavharwa ne-silvery-white scales (plaques). Maiti acho anonyanya kuwanikwa pamakumbo, mabvi, scalp, uye kumashure. Plaque psoriasis inogonawo kukanganisa misumari, zvichiita kuti kuve nokudzima, kuvhara, uye kunyange kusungwa kwembambo kubva pamubhedha wemisodzi.
Pasinei nokuti zvinoratidzika sei , psoriasis haina kupararira.
Plaque psoriasis zviratidzo zvinowanzoipisisa munguva yehutachiona, kana munhu akasimbiswa, kana kuti ganda rinokuvadzwa. Zvimwe zvinodhaka zvakadai se beta blockers uye nonsteroidal anti-inflammatory drugs (NSAIDs) zvinogonawo kutora zviratidzo. Kucheka kunoita kuti zvinhu zviwedzere kuipa, zvichikonzera kubuda ropa uye kuonekwa kwakanyanya kweganda rakagadzirirwa.
Zviratidzo zvinogona kuuya uye zvichienda, kazhinji kugara muchiregere kwemwedzi uye kunyange nemakore pane imwe nguva isati yasvetuka pasina chikonzero chakajeka.
Mune zvimwe zviitiko, zviratidzo zvinogona kunge zvakanyanyisa uye kunyange nenguva.
Zvinokonzera
Masayendisiti haasati anzwisisa zvakakwana nzira dzinoita zvirwere zvinotapukira semakondomu sezvinonzi plaque psoriasis, asi vanotenda kuti munhu ane genetics anoita basa guru. Munenge chikamu chetatu chevanhu vane psoriasis vachava nehupenyu hwehutachiona hwehutano uye uchapupu hwechromosomal mutations pane dzimwe nzvimbo dzegene (inonzi PSORS1 kuburikidza ne PSORS9).
Zvimwe zvinokonzera mapeoriasisiti zvinonzi zvave zvichinzi, kusanganisira zvirwere zvakapfuura kana kuiswa kwehutu, asi vazhinji vanofungidzira pane zvakanyanya.
Chero chipi nechipi chinokonzera, mapegi psoriasis achakurumidza kukurumidza kukurumidza kushandiswa kwemasero eganda. Kunyange zvazvo zvivara zveganda zvinoshandiswa zvinoshandiswa mazuva makumi maviri nemasere kusvika makumi matatu, avo vanobatwa neporioriasis yakaiswa panzvimbo imwe neimwe mazuva matatu kusvika mashanu.
Nemhaka yeizvi, masero matsva eganda anowedzera nokukurumidza kupfuura aya ekare anogona kudururwa. Panguva imwecheteyo, mishonga yeropa iri pasi peganda inotanga kuwedzera pakupindura kwechirwere chisingaperi, zvichikonzera kuputika kwepamuviri uye kubwinya.
Kuziva
Plaque psoriasis inonyanya kuongororwa nechitarisiko cheganda. Hapana kuongororwa kwakaitwa ropa kana kuongororwa kuongororwa kunowanzodiwa.
Zvisinei, chiremba achada kuritanidza kubva kune dzimwe mhando dze psoriasis (yakadai sekuttate psoriasis , yakakonzerwa nehutachiona hwe streptococcal, kana pustular psoriasis , inozivikanwa nemabhetera anozadza), pamwe nezvinetso zveganda zvine zvimwe zvakafanana, zvakadai se:
- Mucheka T-cell lymphoma
- Discoid eczema
- Pityriasis rosea
- Ringworm
- Seborrheic eczema
Kana kuongororwa kusingazivikanwi, ganda rinoputika kana kukora rinogona kuitwa uye rinotumirwa kubasa rekuongorora.
Kurapa
Kunze kwokusava nenyasha, mapeji psoriasis anogona kuva mamiriro ezvinhu anotambudza, dzimwe nguva kuderedza kuvimba kwevanhu uye pfungwa yehupenyu. Nenzira yakajeka, kurapwa kwe psoriasis kwave kwakanyanya zvikuru mumakore achangopfuura mumagumo nekunzwisisa kukuru kwekudzivirira mafungiro uye kuzvimirira.
Nhasi zvirongwa zvekurapa zvinosanganisira:
- Nyaya dzepamusoro corticosteroids , iyo inogona kushandiswa nguva dzose asi kazhinji haisviki masvondo masere (nemhaka yengozi yekuonda ganda)
- Phototherapy , iyo chiedza chekudzivirira chechivi chinoshandiswa kupinda mukati meganda uye kunonoka kukura kwemasero eganda
- Zvisiri-biologic zvinodhaka se methotrexate uye cyclosporin , iyo inodzivisa masimba ezvirwere semuviri
- Zvitsva biologic zvinodhaka , zvakadai seEnbrel (etanercept), Humira (adalimumab), Remicade (infliximab), Stelara (ustekinumab), uye Taltz (ixikizumab), iyo inodzivisa zvikamu zvakasiyana zvemuviri wezvirwere
- Otezla (apremilast) , iyo inogamuchirwa kubata zvese psoriasis uye psoriatic arthritis
- Vitamin D3 zvakafanana, izvo zvinoita sechinonoka kugadzirwa kwemasero eganda
- Retinoids, makemikari akabatanidzwa ane chokuita ne vitamini A iyo inotungamirira kugadzirwa kwemasero eganda
Kutsungirira
Kunyange zvazvo mavara eporioriasis angave akaora mwoyo uye akaoma kudzora, kune nzira dzekutarisana nechirwere sezvo iwe uye chiremba wako kutsvaga sarudzo yakasimba.
Mukuru pakati peizvi ndiko kuderedza kushungurudzika. Kuti uite izvi, unoda kuwana nzira dzekusanganisa kudzvinyirira muhupenyu hwako (zvakadai ne yoga kana kufungisisa) asi kutsvaka rubatsiro rwezvemhizha kana iwe uchiramba uchinge uchiwedzera kana kuwedzera zviratidzo zvekuzvidya mwoyo kana kuora mwoyo.
Kudya uye kurovedza muviri kunogonawo kubatsira kubvisa chimwe chekuvhiringidza kunetseka kwekuneta nekuvandudza manzwiro evanhu, simba, uye maitiro.
Shoko Rinobva
Plaque psoriasis inowanzoita kuti vanorwara vanzwe vakasurukirwa uye vanozvifunga. Kana iwe uri iwe, zvakakosha kuyeuka iwe hausi woga uye kuti pane chaizvoizvo mamirioni evanhu kunze uko vane zvinhu zvakafanana sewe.
Tanga kuburikidza nekusvika kune vamwe pane Hurukuro Psoriasis, nhepfenyuro yemagariro evanhu inotungamirirwa neNational Psoriasis Foundation. Iyi nzvimbo yakanaka yekugovana ruzivo, kutsvaga mazano, kana kuwana rubatsiro kubva kune vamwe vakaita sawe.
Kunyange zvazvo pasina kugadzirisa nokukurumidza kwepecoriasis plaque, nekutsigirwa zvishoma uye kushingaira, vanhu vazhinji vanozopedzisira vawana kubata pane zviratidzo zvavo uye vanovandudza hupenyu hwavo hwose hwehupenyu.
> Sources:
> American Academy of Dermatology (AAD) Bhuku reBasa, et al. "Nhungamiro yekuchengetedza kutungamirirwa kweporioriasis uye psoriatic arthritis: chikamu 6. Mirayiridzo yekutarisira kurapwa kwe psoriasis uye psoriatic arthritis: zviitiko zvakarongeka uye uchapupu-hunogadziriswa." J Am Acad Dermatol . 2011 Jul; 65 (1): 137-74. DOI: 10.1016 / j.jaad.2010.11.055.
> Aldredge, L. uye Young, M. "Kupa Nhungamiro Yevarwere Nemapfungwa Mashoma-Ku-Mashoma Avo Ndivo Vakagadzirira Kurapa kweBioologic." J Dermatol Vanachiremba Assoc. 2016; 8 (1): 14-26. DOI: 10.1097 / JDN.0000000000000185.
> Jankovic, S .; Raznatovic, M .; Marinkovic, J. et al. "Njodzi Zviitiko zvePororiasis: Chidzidzo Chekuongorora." J Dermatol. 2009 Jun; 36 (6): 328-34. DOI: 10.1111 / j.1346-8138.2009.00648.x.
> Menter, A .; Gottlieb, A .; Feldman, S. et al. "Nhungamiro yekuchengetedza kutungamirirwa kweporioriasis uye psoriatic arthritis: Chikamu 1. Mifananidzo ye psoriasis uye mirayiridzo yekutarisira kurapa psoriasis ne biologics." J Am Acad Dermatol . 2008; 58 (5): 826-50. DOI: 10.1016 / j.jaad.2008.02.039.