Chiganda cheganda chiremera chakasimba, chakasimba, chisingasviki chinowanzosvika mamita masentimita pakureba (zvishoma kudarika hafu yemasendi) uye zvinosanganiswa nehuwandu hwemaperembudzi, kazhinji psoriasis. Izwi rokuti plaque ndiro chiFrench che "plate" rinofanirwa nokuti zvipembenene zvinowanzoita sediki (tsvina) mahwendefa.
Overview
Chiganda cheganda, kana chironda chikuru, chinogona kunge chakanyoroka kana kuti chichiita sechinhu chakakomberedzwa cheganda chisingaoneki chakakwirira pamusoro peganda.
Danda reganda rinogona kunge rakatsanangura miganhu kana kwete, uye inogona kutora maitiro akasiyana, kusanganisira:
- Annular (mhete-yakagadzirwa)
- Dzinga (hafu-mwedzi-wakagadzirwa)
- Polygonal (yakasiyana uye kwete geometric)
- Polymorphic (maitiro akasiyana)
- Serpiginous (nyoka-yakaumbwa)
- Poikilodermatous (variegated)
Mabheti anokwanisa kuonekwa kupi zvako mumuviri, asi anoonekwa kakawanda pamakumbo, mabvi, scalp uye pasi kumashure. Chiyero cheganda chinokonzerwa nemavara chinopesana. Dzimwe nguva mahwendefa eganda ari mashoma mavara madiki anotaridzika akafanana neaini; dzimwe nguva zvikafu zvakakura zvinoputika zvikamu zvakakura zvemuviri, sezvinonzi forearms.
Zviratidzo
Zviratidzo zvinosanganiswa nemapande zvinowirirana zvichienderana nehutano huripo (ona pasi apa.) Kazhinji, zvisinei, pane zviratidzo zvishoma zvinosanganiswa nemapande ane chokuita nemamiriro ose:
- Itching uye kupisa
- Kusuruvara (kazhinji kunzwa kwakadzika, kusina hanya)
- Kuzvimba uye kuomesera pamasangano apo mapepa aripo
Zvinokonzera
Iko kune dzimwe nzira dzakasiyana dzakasiyana-siyana shure kwekuumbwa kweplates, kunyange zvazvo plaque psoriasis yakadzidzwa zvikuru kwazvo.
Kunyange zvazvo chikonzero chaicho che psoriasis chisingazivikanwi, chinofungidzirwa kuti chinosanganiswa nemasikirwo emusikirwo uye chirwere chechichena cheropa chese: T lymphocyte, kana kuti " T cell ". T masero anoramba achishanda kuti adzivirire mavairasi uye mabhakitiriya, asi kune avo vane psoriasis, masero eT anonyanya kushanda uye anokonzera kurwisa masero echeche ane utano.
Nekudaro, pane kunyanya kuderedzwa kwemasvikiro ehutano ane utano uye mamwe masero eT uye masero machena eropa, izvo zvinokanganisa kukonzera kweganda.
Mitsva yeganda idzva rinosvika kumucheto wekunze kweganda nokukurumidza: mumazuva apo inotora mavhiki. Nemhaka yekuti ganda rakafa nemasero machena eropa hazvigoni kudurura zvakakwana, vanovaka uye vanoita matema, scaly plaques pamusoro peganda.
Associated Conditions
Kune marudzi akasiyana-siyana akasiyana-siyana emapurasitiki uye mamiriro ezvinhu ayo mapepa angave aripo. Izvi zvinosanganisira:
- Eczema - Uyewo inonzi atopic dermatitis, kana kuti allergic dermatitis, rashes (uye plaques) kubva kune eczema inobatana nekutenderera kune chimwe chinhu chinosangana neganda.
- Psoriasis - Mamiriro ezvinhu anokanganisa zvikamu zviviri kubva muzana zvevanhu, mapundu e psoriasis anowirirana nezvimwe zvinhu zvinosanganisira zvirwere zvekudzivirira muviri, zviratidzo zvekuberekwa, uye zvakatipoteredza. Kune mhando dzakasiyana-siyana dze psoriasis, asi plaque psoriasis , inozivikanwawo se psoriasis vulgaris, ndiyo inowanzozivikanwa.
- Pityriasis rosea - Sekukanganiswa kwenguva pfupi, pityriasis inonyanya kuitika muvana vakwegura uye vechidiki. Chikonzero chacho hachizivikanwe panguva ino, asi chinogona kusiyaniswa kubva kune dzimwe mamiriro ehuputi anokonzera matanda emucheka kuburikidza nekuvapo kweheald patch , iyo huru uye yakashata chigamba chinogona kuva inch kusvika masendimita masendimita pakureba inoitika pakutanga.
- Seborrheic dermatitis - Chirwere cheganda chinopisa chinokanganisa ganda rine gland rinoputika, seborrheic inonyanyozivikanwa sechiitiko chinokonzera kushungurudza.
- Tinea versicolor - Uyewo inonzi pityriasis versicolor, tinea versicolor inowanzovhiringidzika nemamwe mashizha. Ihwo hutachiona hwehutachiona hunokonzerwa nemasidhari Pityrosporum orbiculare uye Pityrosporum ovale inowanika pamusoro peganda uye nemvere dzemawere . Inenge iri dambudziko chete apo pane kuwanda kwemafungus. Sezvo mbiriso inogumbura inopedza kuburitsa kwe melanin ne melanocytes (iyo chemikemikari inokonzera tan), kuputika kazhinji kunowanzoitwa hypopigmented, kuva chiedza kupfuura ganda rakapoteredza. Kune mamiriro ezvinhu mazhinji anowedzera dambudziko remamiriro aya, kunyanya kuve nepamuviri. Inogona kuongororwa mune imwe nzira yakafanana nedzimwe zvirwere zvefungal, asi inogonawo kuonekwa mumakiriniki nemwenje weTosi. (Pasi pechiedza chitsvuku, kupisa kunopisa chimiro chechivara.)
- Nyeredzi - Ringworm, inozivikanwawo se tinea corporis, ihwo humwe hutachiona hwehutachiona hunogona kukonzerwa nefungidzi yakasiyana-siyana inonzi dermatophytes. Iyo fungi inorarama pamasero akafa pamusoro peganda, uye inokura kazhinji pakati pezvigunwe nezvigunwe, pamakumbo, Iyo fungus inowedzera mumamiriro okunze ane mvura uye inowanzoitika mukugadzirisa, nekuda kwekuvharana kwepedyo nekuputika. Utano hwakashata hunogonawo kuwedzera ngozi.
Kuziva
Mabheti ndeimwe yemhando dzakasiyana-siyana dzezvipembenene zvinoratidzira zvinoratidza chirwere cheganda. Mabheti anogona kunge akaoma kuti aongorore nokuti kune mamiriro ezvinhu mazhinji eganda anogona kukonzera mapepa, asi pane zvimwe zvakawanikwa zvinogona kubatsira mukuudza izvi zvakasiyana. Semuenzaniso, seborrheic dermatitis plaques inopisa, inopisa, yakatsvuka uye inowanika pane zvikamu zvine mafuta zvemuviri, kusanganisira chiso nebhokisi. Pityriasis rosea plaques inotanga ne rimwe herald patch ndokupararira. Maiti acho akafanana nematavi emiti.
Chiedza cheA Wood chinogona kushandiswa kuongororwa tinea versicolor, iyo inogonawo kuonekwa yakasiyana nekuda kwehupopigmentation. KOH kuongororwa kweKOH inogona kuva yakanaka nedzimwe yemamiriro aya. Dzimwe nguva, kugadzirisa zvirwere hakugone kuonekwa kana kuti kushandiswa kweongororo yekuongorora, uye chirwere cheganda chichadiwa kuti chiongorore chirwere cheganda.
Kurapa
Kurapa kwechivara cheganda kunobva pane kurapwa kwechirwere chepachirwere. Izvo zvakati, zvisinei nehosha yeganda iyo yavanobatanidzwa nayo, mapepa anowanzopindura kurapwa nekasikiki kana marashi , sa corticosteroid kana retinoid . Mishonga yemumuromo, sa antihistamine, inogonawo kunyorwa kuti ibatsire kudzora kusveta (kusvetwa kunogona kukonzera kushungurudza kune zvimwe zvezviitiko izvi.) Plaque psoriasis inogona kurapwa uchishandiswa kurapa kwechiedza.
Utano hwakanaka, kushandiswa nguva dzose kwemhepo inonwisa mvura, oatmeal kushambidzika uye kubuda kwezuva (painenge uchipfeka SPF, zvechokwadi) zvose zvinonzi kunoderedza kusagadzikana uye kuchengetedza ganda rine utano, kunyange zvazvo zvisingakwanisi kudzivisa zvachose mapepa kubva kuitika.
> Sources:
> Errichetti, E., naG. Stinco. Dermoscopy in General Dermatology: A Practical Overview. Dermatology uye Therapy . 2016. 6 (4): 71-507.
> Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill yembudzi, 2015. Print.