Psoriasis

Psoriasis ke boemo ba letlalo bo bakang bofubelu ba letlalo, sekala sa silevera le ho teneha. Batho ba bangata ba nang le psoriasis ba na le matlalo a teteaneng, a mafubelu, a hlalositsoeng hantle ka letlalo a nang le sekala se bosootho bo bosoeu. Sena se bitsoa plaque psoriasis.

Psoriasis e tloaelehile. Mang kapa mang a ka e hlahisa, empa hangata e qala pakeng tsa lilemo tse 15 le 35, kapa ha batho ba ntse ba tsofala.

Psoriasis ha e tšoaetsanoe. Sena se bolela hore ha e hasane ho batho ba bang.

Psoriasis e bonahala e fetisoa ke malapa.

Lisele tse tloaelehileng tsa letlalo li hola ka hare letlalong ebe li nyolohela holimo hang hang ka khoeli. Ha o na le psoriasis, ts'ebetso ena e etsahala matsatsing a 14 ho fapana le libekeng tse 3 ho isa ho tse 4. Sena se fella ka hore lisele tsa letlalo tse shoeleng li iketsetse bokaholimo ba letlalo, ebe li etsa pokello ea makhakhapha.

Tse latelang li ka baka tlhaselo ea psoriasis kapa tsa thatafalletsa kalafo:

• Ts'oaetso ea baktheria kapa livaerase, ho kenyeletsoa strep throat le tšoaetso e holimo ea ho hema
• Moea o omileng kapa letlalo le omileng
• Ho lemala letlalong, ho kenyelletsa le ho khaola, ho chesa, ho longoa ke likokoanyana le makhopho a mang a letlalo
• Meriana e meng, ho kenyelletsa lithethefatsi tsa antimalaria, beta-blockers le lithium
• Khatello ea maikutlo
• Khanya ea letsatsi e nyane haholo
• Mahlaseli a letsatsi haholo (ho chesoa ke letsatsi)

Psoriasis e ka mpefala ho batho ba nang le boits'ireletso ba mmele bo fokolang, ho kenyeletsoa le batho ba nang le HIV / AIDS.

Batho ba bang ba nang le psoriasis le bona ba na le ramatiki (psoriatic arthritis). Ho phaella moo, batho ba nang le psoriasis ba na le kotsi e eketsehileng ea lefu la sebete le mafura le mathata a pelo, a kang lefu la pelo le stroke.

Psoriasis e ka hlaha ka tšohanyetso kapa butle. Hangata, ea tloha ebe ea khutla.

Letšoao le ka sehloohong la boemo bo halefisitsoe, bo bofubelu, bo koahetsoeng ke letlalo. Hangata lipalo li bonoa lilomong, mangoleng le bohareng ba 'mele. Empa li ka hlaha kae kapa kae, ho kenyeletsoa letlalo la hlooho, liatla, bohato ba maoto, le litho tsa botona le botšehali.

Letlalo le ka ba:

• Ho hlohlona
• E omme ebile e koahetsoe ka silevera, letlalo le benyang (sekala)
• 'Mala o mofubelu bo pinki
• E phahame ebile e teteaneng

Matšoao a mang a kenyeletsa:

• Bohloko bo kopaneng kapa ba tendon kapa ho opeloa
• Liphetoho tsa lipekere, ho kenyelletsa lipekere tse teteaneng, manala a bosootho bo bosehla, menoana lenaneng le ho phahamisa lenala letlalong le ka tlase
• Sekhahla se matla hloohong

Ho na le mefuta e mehlano e meholo ea psoriasis:

• Erythrodermic - Bofubelu ba letlalo bo matla haholo 'me bo koahela sebaka se seholo.
• Guttate - Matheba a manyenyane, a bofubelu bo pinki a hlaha letlalong. Foromo ena hangata e hokahana le tšoaetso ea strep, haholo ho bana.
• Ho fapoha - Bokhubelu ba letlalo le ho teneha ho etsahala ka mokokotlong, bobeng, le lipakeng tsa letlalo le tlalang ho fapana le libaka tse tloaelehileng tsa litsoeng le mangole.
• Lejoe - Matlalo a matenya, a mafubelu a letlalo a koahetsoe ke makhakhapha a bosoeu, a masoeu. Ena ke mofuta o tloaelehileng haholo oa psoriasis.
• Li-blister tse tlatsitsoeng ka 'mala o mosehla (pustules) li pota-potiloe ke letlalo le lefubelu le le halefileng.

Mofani oa hao oa tlhokomelo ea bophelo hangata a ka tšoaea boemo bona ka ho sheba letlalo la hao.

Ka linako tse ling, biopsy ea letlalo e etsoa ho laola maemo a mang a ka bang teng. Haeba u na le mahlaba a kopaneng, mofani oa hau a ka odara lithuto tsa ho nka litšoantšo.

Morero oa kalafo ke ho laola matšoao a hau le ho thibela tšoaetso.

Likhetho tse tharo tsa kalafo lia fumaneha:

• Litlolo tsa letlalo, mafura, litlolo le shampoo - Tsena li bitsoa kalafo ea lihlooho.
• Lipilisi kapa liente tse amang karabelo ea 'mele ea mmele, eseng letlalo feela - Tsena li bitsoa kalafo ea systemic, kapa ea' mele ka bophara.
• Phototherapy, e sebelisang khanya ea ultraviolet ho phekola psoriasis.

LITLHAKISO TSE SEBELISITSOENG Letlalong (TOPICAL)

Boholo ba nako, psoriasis e phekoloa ka meriana e behiloeng ka kotloloho letlalong kapa hloohong. Tsena li ka kenyelletsa:

• Litlolo tsa Cortisone le mafura
• Litlolo tse ling tse khahlanong le ho ruruha le mafura
• Litlolo kapa mafura a nang le sekontiri sa mashala kapa anthralin
• Litlolo ho tlosa sekhahla (hangata salicylic acid kapa lactic acid)
• Li-shampoo tsa dandruff (li-over-the-counter kapa lengolo la ngaka)
• Diforisa
• Meriana e fanoang ke ngaka e nang le vithamine D kapa vithamine A (retinoids)

LITLHAKISO TSA SETSI (BOPHELO BA BOPHELO)

Haeba u na le psoriasis e mahareng le e matla, mofani oa hau a kanna a khothaletsa meriana e hatellang karabelo e fosahetseng ea sesole sa 'mele. Meriana ena e kenyelletsa methotrexate kapa cyclosporine. Li-retinoids, joalo ka acetretin, le tsona li ka sebelisoa.

Lithethefatsi tse ncha, tse bitsoang biologics, li sebelisoa khafetsa kaha li shebana le lisosa tsa psoriasis. Biologics e amohetsoeng kalafo ea psoriasis e kenyelletsa:

• Adalimumab (Humira)
• Abatacept (Orencia)
• Sebaka sa Apremilast (Otezla)
• Brodalumab (Siliq)
• Pegol ea setifikeiti (Cimzia)
• Etanercept (Enbrel)
• Infliximab (Khopotso)
• Ixekizumab (Taltz)
• Golimumab (Simponi)
• Guselkumab (Tremfya)
• Risankizumab-rzaa (Skyrizi)
• Secukinumab (Cosentyx)
• Tildrakizumab-asmn (Ilumya)
• Ustekinumab (Stelara)

LIPHOTO LEFOTO

Batho ba bang ba kanna ba khetha ho fumana Phototherapy, e bolokehileng mme e ka sebetsang hantle:

• Ena ke kalafo eo letlalo la hao le pepeselitsoeng ka hloko leseli la mahlaseli a kotsi.
• E kanna ea fuoa u le mong kapa kamora ho nka sethethefatsi se etsang hore letlalo le utloe khanya.
• Phototherapy bakeng sa psoriasis e ka fuoa ultraviolet A (UVA) kapa ultraviolet B (UVB).

LITLHARE TSELA

Haeba u na le tšoaetso, mofani oa hau o tla fana ka lithibela-mafu.

TLHOKOMELO LAPA

Ho latela litlhahiso tsena lapeng ho ka thusa:

• Ho hlapa kapa ho hlapa letsatsi le leng le le leng - Leka hore o se ke oa hlatsoa ka thata, hobane sena se ka halefisa letlalo mme sa baka tlhaselo.
• Libate tsa oatmeal li kanna tsa thoba 'me tsa thusa ho theola sekala. U ka sebelisa lihlahisoa tsa bateng tsa oatmeal. Kapa, ​​o ka kopanya kopi e le 'ngoe (ligrama tse 128) tsa oatmeal ka bateng (bate) ea metsi a futhumetseng.
• Ho boloka letlalo la hao le hloekile ebile le le mongobo, 'me u qoba lintho tse u qholotsang tsa psoriasis ho ka thusa ho fokotsa palo ea likhahla.
• Khanya ea letsatsi e ka thusa matšoao a hau hore a fele. E-ba hlokolosi hore u se ke ua chesoa ke letsatsi.
• Phomolo le mekhoa ea ho thibela khatello ea maikutlo - Kamano lipakeng tsa khatello ea maikutlo le li-flares tsa psoriasis ha e utloisisoe hantle.

Batho ba bang ba ka rua molemo sehlopheng sa tšehetso sa psoriasis. National Psoriasis Foundation ke sesebelisoa se setle: www.psoriasis.org.

Psoriasis e ka ba boemo ba bophelo bohle boo hangata bo ka laoloang ka kalafo. E ka tloha nako e telele ebe ea khutla. Ka kalafo e nepahetseng, e ke ke ea ama bophelo ba hau ka kakaretso. Empa hlokomela hore ho na le kamano e matla lipakeng tsa psoriasis le mathata a mang a bophelo bo botle, joalo ka lefu la pelo.

Ikopanye le mofani oa hau haeba u na le matšoao a psoriasis kapa haeba ho teneha ha letlalo ho ntse ho tsoela pele leha o phekoloa.

Bolella mofani oa hau haeba u na le bohloko bo kopantsoeng kapa feberu ka litlhaselo tsa hau tsa psoriasis.

Haeba u e-na le matšoao a ramatiki, buisana le dermatologist kapa rheumatologist.

E-ea kamoreng ea maemo a tšohanyetso kapa u letsetse nomoro ea ts'ohanyetso ea lehae (joalo ka 911) haeba u na le seoa se matla se koahelang mmele ohle kapa boholo ba hau.

Ha ho na mokhoa o tsebahalang oa ho thibela psoriasis. Ho boloka letlalo le hloekile ebile le le mongobo le ho qoba lintho tse u bakang psoriasis ho ka thusa ho fokotsa palo ea likhahla.

Bafani ba khothaletsa libate tsa letsatsi le letsatsi kapa lipula tsa batho ba nang le psoriasis. Qoba ho hlopha ka thata haholo, hobane sena se ka halefisa letlalo mme sa baka tlhaselo.

Plaque psoriasis; Psoriasis vulgaris; Guttate psoriasis; Pustular psoriasis

• Psoriasis likotleng tsa
• Psoriasis - x4 e holisitsoeng
• Psoriasis - guttate matsohong le sefubeng

Armstrong AW, MP ea Siegel, Bagel J, et al. Ho tsoa ho Boto ea Bongaka ea Setsi sa Naha sa Psoriasis: liphofu tsa kalafo ea plaque psoriasis. J Ke Acad Dermatol. 2017; 76 (2): 290-298. PMID: 27908543 www.pubmed.ncbi.nlm.nih.gov/27908543/.

Dinulos JGH. Psoriasis le mafu a mang a amanang le papulosquamous. Ka: Dinulos JGH, e hlophisitsoeng. Habit's Clinical Dermatology. La 7th. Philadelphia, PA: Elsevier; 2021: khaolo ea 8.

Lebwohl MG, van de Kerkhof P. Psoriasis. Ka: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, bahlophisi. Kalafo ea Mafu a Letlalo: Mekhoa e Phethahetseng ea Phekolo. La 5th. Philadelphia, PA: Elsevier; 2018: khaolo ea 210.

Van de Kerkhof PCM, Nestlé FO. Psoriasis. Ka: Bolognia JL, Schaffer JV, Cerroni L, bahlophisi. Dermatology. La 4 ed. Philadelphia, PA: Elsevier; 2018: khaolo ea 8.