Pustular psoriasis ndeimwe yemhando dzakawanda dze psoriasis . Inokonzera chikamu cheganda kuti chidzikinurwe, chidzivirire uye chifukidzwe nethenda, pus-filled filled blister iyo inonzi pustules.
Iyo pus mukati pustules ndiyo isingaiti, ine mvura yakachena. Iine lymph fluid, masero masero eropa uye mamwe masero ayo muviri unowanzoendesa kunzvimbo uko kune kuputika.
Iko kune mazita mashoma emutauro wepustular psoriasis. Inogona kuvharirwa kumaduku maduku emuviri - kazhinji, zvigaro zvemaoko, zviso zvetsoka, kana zvigunwe uye / kana zvigunwe zvinokanganiswa mune izvo zvinonzi chimiro chetachiona chechirwere. Mamiriro acho anogona kuvhara nzvimbo huru dzemuviri zvakare. Chimiro chinowanzoitwa (von Zumbusch psoriasis) chakanyanya kuoma, uye chimiro ichi chinogona kunyange kuuraya.
Dzimwe nguva pustular psoriasis inoitika senzira yekushandiswa kwemishonga yepamusoro (tar uye anthralin) kune mamwe mavara e psoriasis. Izvo zvinogonawo kuitika senzira yekushandiswa kwemimwe mishonga, kusanganisira lithium, indomethacin (muurayi anouraya mishonga), uye kuwedzerwa kweropa mishonga yemishonga yakadai sepropranolol. Kuvhara kushandiswa kwe steroid (kana mumuromo kana pamagumo) kunogona kukanganisa chikamu che pustular psoriasis. Kuva nepamuviri kune imwe ngozi ngozi.
Kune mhando dzakasiyana siyana dzepustular psoriasis.
Pustular Psoriasis yePalms uye Soles
Mune chimiro chepustular psoriasis, pustules inokura mukati mezvikamu zvepakati mativi emuchindwe uye mhuka. Izvo zviputi zvinotamira kune pamusoro peganda, apo dzinosviba uye dzinosvibira zvakasvibira. Pasi pemapustules yakaoma uye yakaoma, uye haichazovhuni.
Nharaunda yakapoteredza pustule inotapira, yakasvibirira, uye yakaoma kwazvo kumubata.
Pustules pamakumbo etsoka anoita kufamba kwakaoma zvikuru uye kunorwadza. Pustules pazvanza zvemaoko anovhiringidza zvikuru nekugadzirisa kushanda.
Pustular psoriasis inouya uye inoenda mune zvikamu pamakore. Kune dzimwe nguva apo mamiriro acho anenge achida kuparara, kungofanirwa kuteverwa nekunetseka kukuru-ups. Vakasvuta vane ngozi yakawanda yeiyo mamiriro.
Kurapa kunogona kusanganisira mishonga yakadai seyakacitretin, cyclosporine , uye methotrexate . Imwe nzira ndeye psoralen ultraviolet chiedza A (PUVA), chirwere chinosanganisa umo chirwere chemhuka chinonzi drug psoralen chinotorwa nemuromo kana chichishandiswa pamusoro uye ganda rakakanganiswa rinobva razarurirwa kuvivi re ultraviolet. Steroid creams kana mafuta anokwanisawo kushandiswa. Nzvimbo dzakakanganiswa iyo zvino dzakafukidzwa nemabhandi epurasitiki emhepo uye asingadziviriri, izvo zvinowedzera kuwedzerwa kwe steroid mumatumbu.
Pustular Psoriasis of the Digits
Rudzi urwu rwepustular psoriasis, rinozivikanwa navanachiremba se acrodermatitis continua, rinowanzova nemumwe chete kana kuti zvigunwe. Pustules inowanikwa pamagumo eyoyo chidimbu, kazhinji mune imwe nzvimbo yakambokuvadzwa kana kuti inotapukirwa.
Izvo zviputi zvinoputika zvakanyanya, zvichisiya donda, rakaonda, rinoputika rinogara richidonha mvura.
Chikafu chinokonzera mavara pamusoro pehutachiona asi nguva dzose chinodonha kubva, chichitangazve kutenderera. Zvipikiri zveminwe kana zvigunwe zvingave zvichitambudzwa uye zvakasvibiswa, uye iyo inobatwa nhamba inorwadza zvikuru, inopesana nekushanda kwesimba kana rutsoka.
Mishonga inogona kusanganisira inonzi steroids uye mishonga yemhepo-uye mvura isingagumi, pamwe nemishonga yemuromo yakadai seacitretin, cyclosporine kana methotrexate. Zvinosuruvarisa, zvakadaro, rudzi urwu rwe psoriasis runowanzosimba kurapwa.
Generalized Pustular Psoriasis
Iyi iyo pustular psoriasis inotanga nekudzikinura kweganda uye kuonekwa kwediki, pidules-size size pustules.
Nokufamba kwenguva, pustules inokura, inopararira uye inounganidza pamwe mumitumbi mikuru. Izvo zviputi zvinenge zvisina simba uye zviri nyore kuputsika, izvo zvinotaurira kukanganisa kunokonzerwa nehutachiona hwehutachiwana huri mukati. Mamiriro acho ezvinhu anokanganisawo mucous membrane, saka muromo wemapapiro nemakumbo emuromo zvinowanzojairika.
Zvimwe zviratidzo zvemuviri zvinogona kuitika, kusanganisira fivha, chills, kuora muviri, anemia , kushaya mvura, kukurumidza kwema moyo, kubvisa, uye kuneta kwakanyanya. Zvimwe zvinetso zvakakomba zvinogona kusanganisira matambudziko ekufema, kushaya ropa kemikari, pneumonia, congestive moyo kusakwanisa, uye hepatitis. Kana iwe uine zviratidzo zve generalized pustular psoriasis, zvakakosha kutsvaga kutarisirwa kubva kune dermatologist.
Generalized pustular psoriasis inorapwa nekuisa zvipfeko zvakakonzerwa mune zvinonzi Bhurow's or Domeboro solution - musanganiswa wealuminium acetate nemvura - pamusoro penharaunda. Nyaya dzemawere steroid dzinogona kushandiswa zvakare. Matambudziko akakura angada acitretin, methotrexate, kana cyclosporine.
Sources:
Ferri FF "Psoriasis." Ferri's Clinical Advisor 2008 . Kutanga kupera. Ed. Fred Ferri. Philadelphia: Mosby Elsevier, 2008. 374-5.
Habif TP Clinical Dermatology . Fourth ed. St. Louis: Mosby, 2004.
"Mibvunzo Nemhinduro Pamusoro pePororiasis." National Institute for Arthritis uye Musculoskeletal uye Skin Diseases . May 2003. Nheyo dzeNational Health.
"Pustular Psoriasis." Psoriasis.org . Dec. 2005. National Psoriasis Foundation.