Psoriasis kwesifo: izindlela, ukuhlaziywa, ukwelashwa

Esinye sezifo isikhumba ezivamile kuyinto "psoriasis", noma psoriasis. Ngokwezibalo, kuthatha 15% izifo dermatological. 3% labantu yilesi sifo, ikakhulukazi ezindaweni umoya obandayo. Ukwandisa mkhuba amafomu ezinzima zalesi sifo. Eminyakeni yamuva, uphethwe psoriasis kuyinto langempela hhayi kuphela abantu abadala, namacala alolu uphethwe ngo intsha kakhulu ngisho nezingane imbala. Kusenzima hhayi wachazela zonke izimbangela yalesi sifo.

Kuyini psoriasis

Psoriasis, umtholampilo nokuhlola aziwa zonke wesikhumba kuyinto esingamahlalakhona sesikhumba isifo. Libhekene khona izindawo abomvu ezichazwe, okuyinto lihambisana ngokuziphatha nginesikali olungaqinile silvery. Nge isifo umsebenzi onakala ngokuhamba kwesikhathi. Ukugula kakhulu zithinta isikhumba, nakuba kukhona amacala lesi sifo nezinye izinhlaka, ikakhulukazi emalungeni kanye nezinzipho.

Nakuba psoriasis ibizwa ngokuthi "psoriasis", ngokungafani nezinye izinhlobo herpes isifo akuyona esithathelwanayo. Zapusknoe mshini isifo - inqubo okwenzeka kule epidermis. Esikhathini ezijulile (basal) izingqimba ezakhiwe keratinocytes ke omunye, kufanele wenziwe yi-keratin - amaprotheni, okuyinto ukwakhiwa izinzipho, izinwele, isikhumba. Keratinocytes ekuthuthukisweni evamile kusukela ephansi kuya ungqimba engenhla lihamba ngokushesha, inyanga eyodwa ngesikhathi.

In iziguli psoriasis, keratinocytes nande ngokushesha futhi bathuthele ungqimba phezulu izinsuku 4. Isikhumba akakwazi ngokushesha ngakho ukuqeda lezi amaseli, inani labo elikhula njalo, futhi kukhona ezomile, nezimagqabhagqabha uphawu esikhumbeni ngesimo zingcwecwe. Isendlalelo engezansi dermis, lapho igazi lymph izitsha, ekupholiseni izinzwa, elikhanyayo, evuvukele. Ukuxilongwa psoriasis kuzosiza ukucacisa uhlobo lesi sifo.

Izinhlobo kanye nezimpawu

Imihlobo ehlukeneko iziyaluyalu singenzeka ngezindlela ezahlukene, ukulandela yanjalo noma kanyekanye. Izinhlobo eziningana abahlukene psoriasis:

• Pyatnovidny. Uhlobo oluvame kakhulu. ukuqubuka lapho kubonakala esikhumbeni, esehlanganise izindawo ezincane kuqala, bese ezikhulayo, ivela endaweni efanayo ngakolunye uhlangothi zomzimba. Lolu hlobo isifo kungenzeka ngemuva kokuxinwa igciwane lohlobo noma streptococcal emva kokwelashwa ne corticosteroids. izindawo ezincane, okwandisa kukufake qwembe united ezindaweni ezinkulu. Uma umonakalo kungenzeka ukopha ezincane (ngemvume auspitsy). Izindawo linqoba: ngamadolo, izindololwane, izinyawo (ngezansi), izintende, emathangeni, amankonyane, wehlise back. Ngo-50% eziguli babe psoriasis we ekhanda, zingcwecwe ivele umngcele izinwele zikhula zibheke ngakhona. Ukuxilongwa psoriasis ezinganeni wenziwa elibalulekile izindlela efanayo abadala.
• Unyembezi. Ifomu ezingavamile lesi sifo. Zingcwecwe zavele ngezinyawo zakhe, izandla zakhe phezu kwekhanda lakhe. Ngokuvamile ayanyamalala bebodwa, kodwa kungase kubuye kuvele ezimweni ezicindezelayo.
• Reverse. Leli fomu kunzima ukuyelapha. Ukuvuvukala, ezindaweni ezibushelelezi kokuba nomzimba folds (ngaphansi webele, ikhwapha, imbilapho endaweni).
• Seborrheic. Izindawo zibomvu zibe maholoholo nezimagqabhagqabha, engaphezulu izindwani ehlombe, ngemuva ezindlebeni, e emakhwapheni, imbilapho kanye ebusweni. Amenable ekwelashweni kanzima. Ngo sitholakele psoriasis seborrheic igxile yokuthi, naphezu isikhumba umonakalo eside, akukho Alopecia, ehlambulula izinwele.
• izinzipho P soriaz. Kulesi hlobo izandla nezinyawo ku nail ipuleti umbala ushintsho, wakubo. Ngokuvamile, lolu hlobo psoriasis kuhlobene ne arthritis psoriatic. Ngokuvamile nail psoriasis uphethwe Kwenziwa ngaphandle nobunzima. Ngezinye izikhathi kwenziwe luhlolo histological.
• sokuqaqamba kwamalunga Psoriartrichesky. isifo ukuvuvukala eholela ukuvuvukala nokuqina kwamalunga. It ihlukaniswe yaba izinhlobo eziningana: ziyalingana, azilingani, mutiliyny.
• erythroderma psoriatic. ifomu Heavy ezingavamile lapho cishe wonke umzimba limbozwa obomvu zibe maholoholo uqweqwe.
• Pustular. Imilenze nezingalo yakha pustules. Lolu hlobo kungenzeka ngokuzimela, noma ngesikhathi esifanayo namanye amafomu psoriasis. Kulo mBhalo, lokhu kuyingozi kakhulu.

Izimbangela zesifo

Omsakazo, izici zokwelapha (psoriasis uphethwe akakubangeli izinkinga) Sekuyisikhathi eside wafunda, kodwa nazi izizathu zokuthi kungani isifo kwenzeka, namanje uphenyo:

• Medicine uthi psoriasis kwenzeka uma ukwehluleka kwesimiso somzimba sokuzivikela ezifweni, ngoba izici ezihlukahlukene banesibopho division lesifanele kwamangqamuzana esikhumba. Engalungile izimpendulo mzimba imbangela ukuvuvukala kuphinde kukhiqizwe landa kakhulu lamaseli abonisa ukungavuthwa.
• indima ebalulekile yalesi sifo, ufuzo udlala. 35% eziguli babe lezi zinkinga zofuzo. Isici izakhi zofuzo izimbangela ehola psoriasis.
• Zidlala indima ebalulekile phakathi izimo zezulu lesi sifo. A kubanda ezomile kungenzeka kokugqashuka. Amanye ezwa ukuzwela ekukhanyeni nesipiliyoni lula kuphela ebusika, lapho ukukhanya kwelanga kakhulu ukubuyeka.
• Umuzwa onamandla futhi ukucindezeleka. Uyahluleka uma elwa nokuphuza zenzeka psoriasis ukucindezeleka, izinkinga ezingokomzwelo, ukucindezeleka nokukhathazeka.
• Ukutheleleka. Ezinye lamagciwane engabangela nesenzakalo psoriasis, kungase streptococci, ezithinta elingenhla ipheshana zokuphefumula. Ngokuvamile idluliselwe pharyngitis, namathansela, sinusitis phakathi nenkathi yokuqhuma kobusha izimbangela psoriasis guttate. Iphathelene psoriasis kanye negciwane lesandulela ngculaza, kanye kwezinye izimo, i-HPV (womuntu papilloma virus).
• isikhumba ukulimala. ukusabela komzimba okunjalo kwezinkolo kubizwa ngokuthi i-Koebner mkhuba lapho isikhumba lilimele njengoba imigqa ebomvu. Kulezi zindawo kungase kubangele psoriasis. Kungase ukuthuthukisa ezindaweni ezingafakwanga ehlaselwe ukuhlukumezeka.
• Izidakamizwa kungaba avuse psoriasis yilezi: ACE-izidakamizwa, beta-blocker, chloroquine, lithium, ama-NSAID (indomethacin), progesterone hormone, yokugcoba ahlukahlukene steroid ezimboze izindawo ezinkulu isikhumba.

psoriasis Yokucwaninga Izindlela

Udokotela bani sungula isifo, ucabangela:

• isithombe emitholampilo ye isifo;
• khona Koebner mkhuba;
• Izimpawu ze-triad psoriatic.

Ukuxilongwa psoriasis kusekelwe triad psoriatic - into ezenzeka ngenkathi nokususa uqweqwe. Lesi simo esiyingqayizivele sibangelwa kungaba:

• amabala stearic scouring papule kungabonakala nasemkhakheni uyaxebuka, okuyinto ifana stearin ecubuziwe;
• ukopha iphuzu, ngemva ukuphela ifilimu esusa avele amathonsi ngabanye wegazi;
• Kebnera izilonda emisha ivela endaweni ukushukuma, ikakhulukazi esigabeni acute lesi sifo.

Ngesinye isikhathi kuyadingeka luhlolo histological ukunquma izinguquko.

ukuhlolwa kwegazi

Uma udokotela kunzima ukuxilonga ngu izimpawu zangaphandle, esimisiwe laboratory uphethwe psoriasis, tivivinyo ezilandelayo zifakiwe kuwo:

• Qedela segazi, ayihlanganisi WBC futhi ESR. ngokuvamile Psoriasis umngane igazi futhi leukocytosis.
• Isici samathambo kusiza ukuthola iprotheni kabani ezingeni kwandisa lapho iyiphi izenzakalo ukuvuvukala. Ngo-psoriasis, umphumela okufanele ukuthi akanalo igciwane. Lona umehluko kusuka samathambo uma lokhu isici luyanda.
• ESR (erythrocyte sedimentation rate). Le nkomba kufanele kube evamile. Ukukhethwa kuyinto psoriasis pustular noma psoriasis erythrodermic.
• Uric acid. Ngo-psoriasis, izinga ukwanda. arthritis psoriatic sifana sifo, libhekene overestimation we lokuhlushwa igazi uric acid. Kulokhu, ukuxilongwa ephelele psoriasis, ukuhlaziywa ingenye izigaba.
• HIV amasosha omzimba. Lesifo ngokuvamile kubangela izimpawu ngokuzumayo izimpawu psoriasis.

Psoriasis: umehluko ukuxilongwa

Ngo umkhuba emtholampilo, kunezikhathi lapho izimpawu ezifanayo zifane izifo ezahlukene. Kuyadingeka ukuhlukanisa umbuso owodwa kusukela nabanye abafana naye, lokhu kusiza uphethwe umehluko psoriasis. Kubukeka efanayo phezu izimpawu zokuqala psoriasis futhi ulele abomvu. Ukwabela izinyathelo ezanele zokwelapha, udokotela kufanele wazi ngokucacile evelela izici. Hlola, udokotela ubona cluster ejwayelekile ka papules, okuyinto embozwe izikali ezimhlophe silvery, base bakha-plaque psoriatic. izakhi sokugembula Umncele obomvu Corolla, okuthiwa usebe Pilnova, kubonisa ukuthi kukhona ukuqhubeka psoriasis. Imiphumela yaloku kuhlola okungenhla Ukwahlukaniswa evumela ukuba kungaziwa ukuthi kwakuyisifo sini. Akunzima ukusungula uphethwe emva scratchboard (poskablivanii), okuyinto enze kube nokwenzeka ukubona izenzakalo ukuvela kokuthi triad psoriatic.

Kobukhulu isifo

Psoriasis, ukuxilongwa kanye nokwelashwa wenziwa umtholampilo dermatological ngamunye, has a kobukhulu ezahlukene zesifo. Kusukela komunye, papules ezimbili psoriasis eba ukuba postuleznogo uhlobo, ngezinye izikhathi ukuphila kusengozini. Kukhona degrees eziningana kobukhulu psoriasis:

• psoriasis Soft. Ezimweni lapho ebusweni isikhumba emzimbeni imbozwe 3%, ngokuvamile likuthonyile% 2 kuphela kwesikhumba.
• psoriasis Lokulingene. Isikhumba kuthintwa 3-10%.
• psoriasis Sinzima. Kulokhu, lesi sifo sihlasela ezingaphezu kwezingu-10 amaphesenti kwesikhumba. It kulinganiswa kobukhulu futhi ithonya isifo ku izinga lesiguli zokuphila.

Liphinde ezihlongozwayo omunye ngezigaba, okubandakanya uhlelo ezimbili abaphuma, lapho iziguli zihlukaniswe phezu abadinga imishanguzo eluhlelweni kanye lendawo.

Common futhi nzima aphathe psoriasis ezinzima. Ezinye izinhlobo amelana kakhulu ekwelashweni, ngisho noma azisebenzi esindayo. Lokhu kuhlanganisa:

• psoriasis phezu kwezintende zezandla kanye ematheni;
• esikhunjeni folds (ephambene psoriasis);
• sokuqaqamba kwamalunga psoriatrichesky;
• psoriasis ezithinta ekhanda.

ukwelashwa psoriasis

Ukwelashwa psoriasis ngokulinganisela ezinzima futhi zihlanganisa izindlela ezifana phototherapy, imithi letindzala, kuhlanganiswe futhi excimer ukwelashwa laser, ngokuvamile kuphumelela kakhulu.

TNF inhibitor ukunciphisa umsebenzi izici mzimba ezisiza amafomu ezinzima psoriasis, kodwa yezinkinga kungavuka ezinye izifo.

"Ustekinumab." Ithuluzi yakhiwa omzimba monoclonal. Kuyasiza ikhambi amafomu ngokulinganisela ezinzima futhi lesi sifo. ucwaningo Izidakamizwa kwenziwa kuze kube, okwamanje izimfanelo ezinhle kwembulwe.

Kukhona imithi entsha ukuthi azikaqondakali ngokugcwele. izifundo olwandulelayo akhombise umkhuba omuhle. Kukhona izindlela ukuthi, akakuvumeli. Ukusetshenziswa yokugcoba ahlukahlukene, izifutho, okhilimu uvumele ekudambiseni izimpawu psoriasis. Umtholampilo, ukuxilongwa kanye nokwelashwa kwezifo echazwe ososayensi abaningi bezokwelapha. Kuthe kusenjalo bakhomba ongakhetha ezintathu eziyinhloko for ekwelapheni isifo:

• ejenti Nezokusigcoba (okhilimu, amashampu yokugcoba, izifutho).
• Imithi. izidakamizwa asetshenzisiwe (imijovo, amaphilisi) zingathinti nje isikhumba kodwa futhi wonke umzimba.
• Phototherapy. Ukuze ekwelapheni ukukhanya ukusetshenziswa.

Ukuze ukwelashwa umuntu ngamunye kukhethwe ngamunye, ikhumbula zonke izici ngamunye we umzimba, kanye uhlobo nendlela lesi sifo.

izindlela

Labo uhlushwa Yiqiniso isikhathi eside psoriasis, zama ukufuna ezinye uhlobo okunye, izindlela ze-non-yendabuko elapha lesi sifo. Kodwa kuwufanele ukukhumbula ukuthi lokhu akukona iziyaluyalu isikhumba ezivamile, nakuba kufana ezimise okwama-tile. Isizathu sokuba kube lingaphakathi emzimbeni. ongakhetha Ukwelashwa kungcono ishiyelwe kudokotela.

Ngokwesibonelo, kwatholakala ukuthi itiye eliluhlaza sivimbela ukukhula kwamangqamuzana esikhumba, kodwa ucwaningo kwenziwe kuze kube manje kuphela izilwane. Wenzenjani ngabe emzimbeni womuntu, is ayikaziwa.

izindlela Unconventional ukunikela amalungiselelo athile herbal ekwelapheni psoriasis, kodwa ubufakazi isifo efakazelwe of ukusebenza kwazo ngempumelelo akukakabi khona.

Ungayisebenzisi ngokwabo futhi wezwa ezinye ikhambi Folk, kudingeka uqinisekise, ngokuxoxisana udokotela, ke akakubangeli umzimba wakho engozini eqhubekayo.

Amakhambi kanye Izithako zokudla azinakwa uhlelo, ngakho imvume bawathengisele esandleni abakhiqizi liyadingeka. Ungakhohlwa ukuthi iyiphi into Lokudabuka yemifino Ubuye imiphumela engemihle, futhi kwezinye izimo, kungase kubangele ngisho ukulimala kwezempilo.

Ngezikhathi ezithile, iziguli abanezinkinga yangempela ngemva kokusebenzisa amakhambi emvelo.

Kuyangabazeka kahle indlela equkethe zinc pyrithione. Emazweni amaningi, lokhu kwakwakhe is ngisho kungavunyelwe ukusebenzisa, kodwa, ngeshwa, la mathuluzi ezitholakalayo kuyi-Internet.

Isetshenziselwa ukwelapha Gotu Kola ngesimo ukhilimu. Uma usebenzisa le imbiza ngaphakathi, mhlawumbe ibonakalisa ezihlukahlukene amathuba okuba nemiphumela engemihle. Kwabesifazane abakhulelwe, kubuye kube isisu kuyingozi.

ekuvimbeleni izifo

Naphezu kweqiniso lokuthi kukhona umbono ocacile ngezingozi yilanga nokukhanya kwelanga ukuze psoriasis iyasiza. Avamile ukwamukelwa ranta ngokulinganisela eba Dynamics omuhle kunciphisa ukukhathazeka nokucindezeleka.

Phakathi lokubuya kwesifo kanye nemizwelo emibi kukhona ubuhlobo, ukuze ukwazi ukudambisa izimpawu kwanoma iyiphi izindlela anti-ukucindezeleka. Ukuvakashela owelapha kwengqondo kakhulu ekudambiseni izimpawu.

Uma isikhumba esomile kakhulu, Ukulunywa siqala, ungazama izindlela ezilandelayo:

Ingakapheli imizuzu engu-15, ukugeza ngamanzi afudumele. Khona-ke ukusebenzisa salicylic acid, okususa izikali kusukela isikhumba. Khona-ke sebenzisa ukhilimu ukuthambisa - "Tsetafil" ngovaselina noma "Eucerine". Ebusuku ungakwazi agqoke amagilavu amafutha.

Kusukela ukulunywa futhi ukuluma kuzosiza zenkolo "Capsaicin", lapho isithako kukhona imbewu upelepele. Kusiza ekudambiseni pruritus psoriatic. Ekuqaleni Ngazizwa ukuncinza, kodwa ke buphela.

izici yokudla okunempilo. Iziguli kufanele kube eliningi eyanele ukuze uqede i-folic acid. Kuqukethwe okunjenge asparagus, imifino eluhlaza, izithelo, uphizi, ubhontshisi, isibindi, imvubelo, orange juice.

Kuyadingeka ukuba afake imikhiqizo yokudla equkethe i-omega-3 izinhlanzi uwoyela ukusetshenziswa, okuyinto ine impahla eqeda ukuvuvukala, it has nethonya elizuzisa yezifo sokuhlasela kwamasosha omzimba.