Genetics uye zvakatipoteredza zvinotamba nheyo dzinokosha
Psoriasis inogara isingagadzirwi nehutachiona hunozivikanwa nehutanda hweganda rakatsvuka, rakasviba, uye rakashata. Inogona kusiyanisa zvakasimba nedzimwe mamiriro ezvinhu anongoshanda chikamu chemuviri chete apo vamwe vanosanganisira muviri wose.
Kune mishanu mikuru mikuru ye psoriasis yakatsanangurwa zvakajeka nekuonekwa kwavo uye chikamu chemuviri chavanokwanisa kuita:
- Plaque psoriasis ndiyo mhando huru uye ine zvinhu zvatinoti tibatane nemamiriro acho ezvinhu: zvinoputika, zvitsvuku zvakatsva uye silvery, zviyero zvakashata. Iko kunowanzoonekwa kakawanda kumashure kwemaoko, shisa, shins, uye kumativi ose.
- Guttate psoriasis ine mavara, ane mavara akadzika-teardrop anowedzera maruva-salmoni ane ruvara uye anowanzooneka pamaoko, makumbo, mudumbu, uye pachipfuva.
- Pustular psoriasis inoratidzwa nediki, pus-filled filled blisters. Izvo zvinokurumidza dzimwe nguva zvinongowanikwa pamichindwe kana zvigadzi; pane dzimwe nguva, vanofukidza muviri wose.
- Inverse psoriasis inowanzosiyana-siyana zvinorwadza zvinokanganisa mapepa eganda, zvakadai pasi pemakumbo, mazamu, mazamu, kana mabheti.
- Erythrodermic psoriasis inowanikwa apo kuora kunowanzopararira uye kunogona kukonzerwa nechimwe chezvinhu zvakanyorwa pamusoro apa.
Zvimwe zvinetso zvekudzivirira muviri ndezvipi izvo muviri wechirwere chemuviri unozvishandura pachawo uye zvisingaoneki kurwisa masero ane utano. Mune psoriasis, DNA yakabudiswa kubva kune masero echepuru akafa inoita kuti maitiro ezvirwere emasero anodzivirira anobva audzwa kuti auraye masero ane utano munzvimbo yacho.
Kunyange zvazvo chikonzero chaicho che psoriasis chisingazikamwi, zvinofungidzirwa kuti kusanganiswa kwezvinhu zvinobatsira pakukura kwechirwere.
Genetic Causes of Psoriasis
Vatsvakurudzi vakawana zvipfumbamwe zvakasiyana-siyana zvakasiyana-siyana izvo zvingabatanidzwa pakuita psoriasis. Chimwe chezvinhu izvi zvinochinja, chinonzi PSORS-1, chinoratidzika secho chikuru. Kuchinja-shanduka kwakafanana neizvi kunoshandisa kuti mamwe masero anowanzoshanda sei.
Ne psoriasis, kuchinja kwezvinhu kunoratidzika kunokanganisa zvinonzi "mubatsiri" T-cells, rudzi rwemagetsi emuviri anonyatsotaura "muurayi" T-masero muchitungamiri chemasukisi uye masero ayo anorehwa kuparadza.
Immune System Zvinokonzera Psoriasis
Mune simba rinowanzoshanda remune system, masero machena anobudisa zvirwere kana aripo pamberi pevanhu vokunze kune dzimwe nyika sevana bhakitiriya nemavirusi. Aya masero machena eropa anobudisawo makemikari anoshingaira kukurudzira kudzivirirwa mumuviri.
Ne psoriasis, masero matsvuku eropa anokurumidza kuwedzerwa. Vanotanga kurwisa ganda uye vanobva vasiya chikwata chezviitiko izvo zvinoita kuti masero eganda awedzere nekukurumidza zvakanyanya sekuti aunganidze pamusoro pepamusoro.
Kutenderera kwaanoita ganda rinowanzoitwa, rinokura, uye rinotora rinotora mazuva makumi matatu. Asi mumapuroriasis, ganda rinopinda nepakati pekufamba-famba muchinguva chiduku semazuva matatu kusvika matanhatu. Izvi zvinowedzera kukurumidza zvinokonzerwa nekushungurudzika kwechikafu tinouya kuzobatana ne psoriasis.
Kuwedzererwa kwemasero aya kunokonzera kusunungurwa kwemakemikari anonzi cytokines anongowedzera kuvhunika.
Zvimwe Zvinokonzera Maitiro ePororiasis
Haasi munhu wose ane genetic propensity for psoriasis achawana psoriasis. Mune zvimwe zviitiko, kushandiswa kwebumbiro rinowanikwa chete kunowanikwa muhupo hwegadziriro yezvakatipoteredza .
Izvi zvinokonzera kunze zvinogona kusanganisira:
- ganda rinokuvadza, kusanganisira kubrasi, kupisa kwezuva, uye kuputika kwemishonga
- kutonhora mamiriro okunze
- kushungurudzika
- utachiona
- low calcium
- mamwe mishonga, yakadai seACE inhibitors, beta-blockers, uye lithium
Sources
- > Habif, T. "Psoriasis." Clinical Dermatology, 4th Edition. Ed. Thomas Habif, MD. New York: Mosby, 2004. 209-239.
- > Smith, C., naBarker, J. "Psoriasis uye vatungamiri vayo." British Medical Journal. 2006; 333: 380-384.