Psoriasis Symptoms, uye Causes of Flares
Ndezvipi zviratidzo zvemhando dzakasiyana dze psoriasis? Chii chaicho "chirwere" che psoriasis uye chii chinokonzera? Ko mirara inobatwa sei, uye zviri nani zvakadaro, inodziviswa?
Psoriasis
Psoriasis chirwere cheganda chinokanganisa kupfuura 2 muzana yevanhu uye chinoratidzwa nechisimba chinonzi scaly chinowanzosvika pane kubwinya kwemaoko nemakumbo uye chekudzivirira.
Inotanga kumhanya mumhuri uye inowanzokonzerwa nemamiriro ezvinhu ezvakatipoteredza zvakadai semamiriro ekunze uye zvirwere. Kurwisana kazhinji kunowanzoitwa scaly plaques iyo iripo pamusoro pechigadziko chakatsvuka. Mhedziso yezvipembenene inowanzosiyana, uye mune izvi inogona kufanana nezvirwere zvinoputika.
Psoriasis Symptoms
Ganda rezvipembenene rine psoriasis zvinowirirana zvichienderana nemhando ye psoriasis (yakurukurwa pasi) asi inogona kusanganisira:
- Silvery scaly patches chero ipi zvayo pamuviri (asi inowanzoonekwa pane zvinyorwa zvinowedzera uye chekudzivirira) pamusoro pedenga rakasvibiswa. Dzimwe nguva mahwendefa aya anowedzera uye pakupedzisira anounganidza pamwe sematanda makuru. Zviyero zvinowanzosununguka uye zvinosvibiswa pazvinenge zvichisvibiswa kana kuti zvikanyiwa.
- Kupisa, kuoma, kupenga uye kuora kweganda rakapoteredza maronda.
- Kupera uye kuwedzerwa kwezvigunwe neminwe.
Zvimwe zviratidzo zvawakabva pamhando ye psoriasis iwe unogona kusanganisira:
- Chronic plaque psoriasis - Chronic plaque psoriasis ndiyo yakanyanya kunyanya ye psoriasis uye inokwira kusvika ku5 muzana yevanhu pane imwe nguva munguva yeupenyu hwavo. Inosanganisira makanda akaoma paganda rekukura kwakasiyana-siyana, rinogona kuramba kwenguva refu.
- Scalp psoriasis - Scalp psoriasis dzimwe nguva inoratidzika semakumbo (seborrheic dermatitis) asi yakasiyanawo nenzira dzakawanda. Kunyange zvazvo seborrheic dermatitis ine chimiro chemafuta, zvisinei, scalp psoriasis inowanzove yakasviba, yakajeka. Zvinogona kuva zvinyoro, uye zviduku zviduku pamusana wemusoro nemutsipa, kana zvizvarwa zvekare, zvichibata musoro wose.
- Guttate psoriasis - Guttate psoriasis iyo inowanzoonekwa yevana psoriasis iyo inowanzoonekwa muvana masvondo mashomanana mushure mehutachiona kana bhakitiriya (yakadai se strep throat.) Kurwisana kune maduku madhinki anonzi pink (guttate zvinoreva kudonha) paganda riri rakafukidzwa nezvidiki zvishoma.
- Inverse psoriasis - Inverse psoriasis inorudzi rwe psoriasis inowanikwa mumapurasitiki. Izvo zvinowanzoita sezviri nyore zvakasvibirira zvitsvuku izvo zvinoitika chero pane pane mahwendefa eganda, zvakadai mumakumbo uye pasi pezamu.
- Pustular psoriasis - Pustular psoriasis , kusanganisira imwe yemaporioriasis inozivikanwa seVon Zombusch psoriasis iyo inowanzojairika ye psoriasis iyo inogona kutungamirira kune zvimwe zvinetso zvakawanda. Rushino inosanganisira zvipembenene zvakazara zveganda paganda. Nechimiro che psoriasis, zviratidzo zvakadai sefivha, chills, kuneta, anemia, uye zvimwe zviratidzo zvinoshandiswa zvinogona kuvapo. Ikoko inoputika blisters yakazara zvikuru pamaoko netsoka.
- Fingernail uye inenail Psoriasis - Psoriasis yezvipikiri inogona kuva nekuonekwa kwakasiyana-siyana sezvo idzi dzinowanzobatanidzwa nehutachiona hwezvirwere. Kugadzika kwezvipikiri pamwe nekuwedzera kunowanzoitika.
- Erythrodermic psoriasis - Erythrodermic psoriasis inozivikanwa seexfoliative psoriasis
- Psoriatic arthritis - Ne psoriatic arthritis , zvipembeno zveporiorias paganda zvinosangana nekuputika kwezvibatanidzwa. Pamusoro pezvipembenene zveganda uye masangano anoputika, vanhu vanogona kukura masiki-kuonekwa neminwe, kushandiswa kwembambo, uye conjunctivitis (maziso matsvuku.)
Psoriasis Flares
Chimwe chezvinhu zvinotambudza zvakanyanya zveporioriasis inowanzoerekana ichikurira uye yakaipisisa zviratidzo, kazhinji pasina chikonzero chaicho. Kunyatsocherechedza, zvisinei, zvinogona kupa zvinyorwa zvishoma sekukwanisa kuita zvinhu zvinokurudzira. Kurapa kwemaira kunogona kuva kwakaoma, uye mumatambudziko akawanda, kunogona kudikanwa muchipatara kwenguva pfupi.
Mavara mazhinji eporioriasis anogona kugadziriswa nemishonga inonzi psoriasis kusanganisira kusanganiswa kwemashoko ekurapa, systemic mishonga, uye mamwe marapirwo akafanana nephototherapy.
Zvinokonzera Flara
Zvimwe zvinokonzera kukonzera zvakaratidzwa sechichiita kuwedzera kupisa psoriasis:
- Zvimwe zvekunze: Pedyo nekukuvadzwa kune ganda (kunyange kutora mifananidzo) kunogona kukonzera kukura kana kuwedzerwa kwe psoriasis kusanganisira zuva, kushandiswa kwemishonga, kushandiswa, kucheka kana kukanda, uye viral rashes . Kuwedzera kwe psoriasis mushure mekukuvara kunozivikanwa seKoebner chiitiko .
- Zvirwere: Zvinonyanya kukosha, streptococcal zvirwere zvakadai se strep throat zvinogona kukonzera chirwere chacho, kunyanya kuputika kwe guttate psoriasis. Utachiona hweHIV humwe hunozivikanwa huri kukura psoriasis.
- Mafungiro ezvepfungwa: Kurasikirwa kwebasa, kurambana, rufu kana zvimwe zvinokonzera kushungurudzika zvakave zvichizivikanwa kuti zvinopisa mavhiki kana mwedzi ye psoriasis mushure mekushungurudzika. Vaya vari kurarama ne psoriasis vanogona kubatsirwa nekudzidza nezvekushungurudzika mupfungwa.
- Kushungurudzika mupfungwa: Kuzvidya mwoyo, kwakadai sekubatanidzwa nekuvhiyiwa kukuru kana kurwara kunogona kuita kuti tisave.
- Mishonga: Mishonga yakawanda inozivikanwa kuti inokonzera psoriasis uye inofanira kudziviswa kana zvichibvira kune vanhu vane chirwere. Mienzaniso inosanganisira beta-blockers, ACE inhibitors, angiotensin receptor blockers, lithium, tetracycline mishonga inorwisa mabhakitiriya, mishonga isina-steroidal anti-inflammatory, uye antimalarials.
- Doro inoshandiswa uye kusvuta fodya zvakare inoratidza kuti inobatanidzwa mukukonzera marara.
Kurapa Psoriasis Flares
Pane imwe nguva, kugadziriswa kwe psoriasis moto kwaiwanzoitika. Pamusana pekushandurwa kwehushuwarimi reimbursement (Medicare inongobvumira chete mazuva akawanda echipatara nokuda kwechiganda cheganda) uye zvinodhaka zvakanyanya uye zvinokurumidza-kushandisa madhiragi, mazhenje akawanda ikozvino anorapwa mukurasika kwepati.
Zvinodhaka zvinowanzoshandiswa pamagetsi akadai zvinosanganisira cyclosporine, Remicade (infliximab), uye pustular flares, Soriatane (acitretin). Apo psoriasis moto, usanonoka-kutsvaga kurapwa nokukurumidza ne dermatologist anokwanisa.
Pasi Pano paPororiasis Symptoms and Flares
Izvo zvipfeko zve psoriasis zvinowanzogumbura uye zvisingaperi, kunyange rudzi rwemhando yehushonga hunopesana zvikuru zvichienderana neshoko re psoriasis. Psoriasis flares inowanikwa uye inogona kukonzerwa nekusiyana kwakasiyana-siyana kwezvinonetsa. Pane dzimwe nguva, zvikurukuru ne pustular psoriasis, psoriasis zviratidzo zvinogona kusanganisira zviratidzo zvinoshandisa zviratidzo zvakadai sefivha nezvimwe, uye kuchipatara zvinogona kudiwa. Izvozvo zvakati, kufambira mberi mukurapa (mishonga yakasimba) yakagadzira kurapwa sechirwere chinowanzoitika.
Kune avo vari kurarama ne psoriasis, "kurapa" kwakanaka ndekudzivirira marara munzvimbo yekutanga. Zvizivikanise nechinokonzera marara. Iva nechokwadi chokuti uri kuona chiremba anoziva nezvehutano hwako uye anonzwisisa mishonga inogona kuipa zviratidzo. Kana ukacherechedza zviratidzo zvako zvichiwedzera, usamirira. Apo mirara inobatwa kare pane zvisingagoni kuderedzwa nechisimba.
> Sources:
> Kim, W., Jerome, D., uye J. Yeung. Kuongororwa uye Kutungamira kwePororiasis. Canadian Family Physician . 2017. 63 (4): 278-285.
> Korman, N., Zhao, Y., Roberts, J., Pike, J., Sullivan, E., Tsang, Y., naT. Karagiannis. Migumisiro yePororiasis Kuratidza uye Kuregererwa Pamusoro Pehupenyu Hwokuita uye Basa Rokubudirira: Chidzidzo Chaicho-Munyika muU.SA. Dermatology Online Journal . 2016. 22 (7).
> Relvas, M., naT. Torres. Pediatric Psoriasis. American Journal of Clinical Dermatology . 2017 May 24. (Epub mberi kwekudhinda).