Apo Nguva ndeyeItenzi
Kushingaira kunongova chinhu chimwe chete chechirwere chinogona kukosha-kuchengeteka, migumisiro, zvikwereti, uye zvikonzero zvekurapa nei chimwe chirwere chisingagone kushandiswa chinongova zvishomanana zvevamwe vakawanda. Asi kana nguva iri yezvakakosha, zvinodhaka zvinodhaka zvinogona kunge ndizvo zvakataurwa nachiremba. Fungidzira kuti iwe uri mwedzi uri kure nemugwagwa uye unoda kuzorora padziva, asi unonzwa usinganzwisisiki nekuda kwekubuda kwe psoriasis.
Ndiyo mhando yemamiriro ezvinhu apo iwe unoda kujekeswa, nekukurumidza . Heano mishonga mishomanana inotanga kukurumidza kuitika uye kuchenesa kukwanisa kufunga.
Clobex Spray
Clobex spray inongova clobetasole, iyo yakanyanyisa corticosteroid , mumotokari inopera. Imotokari ndiyo nheyo iyo mushonga unosanganiswa; motokari yacho inopa chirwere ichi kune ganda sezvinoita motokari yeUPS inopa zvinhu mumba mako. Chimwe chinhu pakushandisa zvinodhaka nemotokari inoita kuti iwedzere kupfuura dzimwe motokari. Mukutsvakurudza, 8 kubva pavatatu varwere vane muongorori-kusvika-wakanyanya plaque-aina psoriasis yakanatswa kana kuti yakajeka mushure mevhiki ina chete yekurapa. Ndiyo mashoko akanaka. Nhau dzakaipa masvondo mana ndiyo nguva yakawanda iyo iwe unogona kushandisa zvakachengetwa izvi zvinodhaka. Mushure mokudaro, iwe unoda kutenderera pane chimwe chinhu.
Ndinofarira kushandisa Clobex spray sechirevo chekuita zvishoma nezvishoma-kuita, asi zvichida kuchengeteka, kwenguva yakareba mishonga zvinongotanga kukurumidza kuchenesa.
Semuenzaniso, Clobex spray mumwedzi wokutanga weimwe nzira yeSoriatane kana biologic inogona kukurumidza kukurumidza kupindura kupfuura mishonga yekupedzisira yega. Mushure memwedzi wokutanga, kuputika kweClobex kunorega nenguva iyo inononoka kuita zvinodhaka yakave nemukana wekutamba.
Zvimwe zvinokonzerwa neClobex spray ndezvenyeredical corticosteroids kusanganisira kudonha kweganda, kutarisa uye kupera kwekugadzirwa kwemhuka yehomoni cortisol.
Nekambani pfupi yakabvumidzwa, matambudziko aya haashoma kuitika. Clobex spray haisi yevana, kana kuti inoshandiswa pachiso, pane zvinyorwa kana nzvimbo inogomera.
Cyclosporine
Cyclosporine inonyanya kushandiswa kugadziriswa kwechirwere chechirwere sechirwere chekurwisa-asi dzimwe nguva chinoshandiswa mu psoriasis. Neoral ibasa re cyclosporine rinowanikwa mune mapiritsi nemafomu emvura. Cyclosporine inoshanda nekukurumidza ye psoriasis, pamwe nekuvandudzwa kunoonekwa mukati mevhiki yekutanga kune varwere vakawanda.
Mimwe migumisiro yemigumisiro yemishonga inonyanya kuderedza. Mune mamwe mazwi, doses yakakwirira inotungamirira kukuvandudza nokukurumidza uye inoita kuti kuve nekukurumidza kwemigumisiro yakadai seyopfungwa yehupombwe nehutachiona. Psoriasis varwere vane nhoroondo yehutano hwePUVA vane njodzi yakanyanya yekugadzira kenza yeganda pavanoshandisa cyclosporine. Biologics, iyo inoratidzika ine ngozi yakachengeteka yekubatsira kuenzaniswa kana ichienzaniswa ne cyclosporine, ine zvimwe kana zvishoma kuderedza ichi chirwere che psoriasis mune varwere vakawanda.
Humira
Humira inowanzoonekwa seyokukurumidza pane mujenya. Iyo inoberekawo kuchenesa kwakanaka nevarwere vakawanda vari 90% vakabviswa kunze kwekukwikwidza biologic zvinodhaka. Humira aimbobvumirwa kuti ave nechirwere chemapiriniti pane imwe yero jekisi rimwe nerimwe vhiki.
Apo mishonga yacho yaibvumidzwa kuti ive ye psoriasis, chirwere chakawedzerwa icho chaicho chaicho chakadaidza miviri miviri yemishonga pamusoro pevhiki yekutanga yekurapa. Shanduko iyi yakakurumidza kusimbisa kuvandudzwa kunoonekwa mu psoriasis maererano nepfuura dosing purogiramu.
Humira angawedzera hutachiwana hwehutachiwana hwehutachiona kana hutsinye. Nenzira yakanaka, sezvo dhiyabhorosi yakawanda uye yakawanda inosvika pachena, njodzi idzi dziri kuonekwa sedzisina kunetseka kudarika pakutanga dzakatarisirwa mamwe makore akapfuura.
Zviri nani Dhiyabhorosi Ringave Rubatsira
Kunyange zvazvo zvinodhaka zvataurwa pamusoro apa zvichiita nokukurumidza, zvishomanana zvidzidzo zvakaenzana nazvo kune mamwe mishonga zvakaitwa. Makambani emishonga haawanzoiti kuenzanisa zvidzidzo zvemishonga yavo kune mumwe (pane kudaro vanofarira kuedza kusvika kune placebo ).
Nokudaro kwenguva iyo ndiyo yakawanda nyaya yekufungidzirwa kukurumidza kudarika yakaoma, inotonhorera.
Kunobva:
Camisa C. Handbook of Psoriasis, 2nd Ed. Blackwell Publishing, USA 2004.