Buza Uchwepheshe: Isikhumba se-Psoriasis nesokuguga

-Delile

• Ingabe i-psoriasis iya iba yimbi ngokukhula?
• Ingabe isikhumba esiguga siyayithinta i-psoriasis?
• Ingabe ukuba ne-psoriasis kukhulisa ubungozi bezinye izifo njengoba ukhula?
• Ukunqamuka kokuya esikhathini kuzolithinta kanjani ikhono lami lokuphatha i-psoriasis yami? Kufanele ngilungiselele kanjani?
• Ingabe kukhona imikhiqizo edumile yokunakekelwa kwesikhumba noma izithako okufanele uzigweme? Izisebenzisile?
• Ingabe izinqubo zezimonyo (njengeBotox) ziphephile ukuzithola?
• Ngabe i-psoriasis yami iyoke ihambe?

Ingabe i-psoriasis iya iba yimbi ngokukhula?

Iningi labantu liba ne-psoriasis phakathi kweminyaka yobudala eyi-15 nengama-35. Ngenkathi i-psoriasis ingahle ibe ngcono noma ibe yimbi kakhulu ngokuya ngezimo ezahlukahlukene zemvelo, ayibi kubi ngokukhula.

Ukukhuluphala nokucindezeleka yizinto ezimbili ezingaba khona eziholela ekuqhumeni kwe-psoriasis. Kodwa-ke, ubukhulu be-psoriasis yakho ekugcineni bunqunywa ngofuzo lwakho.

Uma uhlala isikhathi eside nge-psoriasis, maningi amathuba okuthi uhlakulele izindaba zezempilo ezihlobene ne-psoriasis. Kepha i-psoriasis uqobo ngeke ikwenze ubukeke umdala. Abantu abane-psoriasis baba nezimpawu zokuguga, njengabantu abangenalesi simo.

Ingabe isikhumba esiguga siyayithinta i-psoriasis?

Njengoba isikhumba siguga, i-collagen kanye nemicu e-elastic iyancipha futhi isikhumba siba mncane. Lokhu kwenza kube nokuzwela ekuhlukumezeni, okuholele ekulimaleni okulula ngisho nasezilondeni ezivulekile ezimeni ezinzima.

Lokhu kuyinselelo kunoma ngubani, kepha kungaba yinselelo enkulu nakakhulu uma une-psoriasis. Amapulangwe e-Psoriasis avela esikhunjeni esibuthakathaka angaholela ebuhlungwini nasegazini.

Uma une-psoriasis, kubalulekile ukuthi uzivikele elangeni ngoba ukuvezwa kwe-UV kwaziwa ngokudala ukulimala kwesikhumba. Kumele futhi uqaphele lapho usebenzisa okhilimu be-topical steroid ukwelapha i-psoriasis. Ukusetshenziswa ngokweqile kwe-steroids kuhlotshaniswa nokuncipha kwesikhumba kanye nokwakhiwa kwamamaki wokunweba, ikakhulukazi ngokusetshenziswa kwesikhathi eside eminyakeni.

Ingabe ukuba ne-psoriasis kukhulisa ubungozi bezinye izifo njengoba ukhula?

Ngenkathi i-psoriasis ithinta isikhumba, manje sesiyazi ukuthi empeleni yisifo sohlelo. Ku-psoriasis, ukuvuvukala kukhona emzimbeni wonke, kepha kubonakala ngaphandle kuphela esikhumbeni.

Ikakhulukazi ezimweni ezinzima kakhulu, i-psoriasis ihlotshaniswa ne-metabolic syndrome, isifo samathambo nokudangala. I-Metabolic syndrome ifaka ukumelana ne-insulin nesifo sikashukela, i-cholesterol ephezulu nokukhuluphala. Kwandisa amathuba okuba nesifo senhliziyo nesifo sohlangothi.

Uhlobo olufanayo lokuvuvukala oluthinta isikhumba lungathinta amalunga, okuholele kwi-psoriatic arthritis. Kungathinta ngisho nobuchopho, okuholele ezimpawu zokucindezeleka.

Ukunqamuka kokuya esikhathini kuzolithinta kanjani ikhono lami lokuphatha i-psoriasis yami? Kufanele ngilungiselele kanjani?

Ngesikhathi sokunqamuka kokuya esikhathini, amazinga ama-hormone ayashintsha, okuholela emazingeni aphansi e-estrogen. Siyazi ukuthi amazinga aphansi e-estrogen kwabesifazane be-postmenopausal ahlotshaniswa nesikhumba esomile, ukwehla kokukhiqizwa kwe-collagen nokuncipha kwesikhumba, nokulahleka kokuqina.

Ayikho idatha eqondile yokuthi ukuya esikhathini kunomphumela oqondile ku-psoriasis. Kepha imininingwane elinganiselwe ikhombisa ukuthi amazinga aphansi e-estrogen angahlotshaniswa nokwanda kwe-psoriasis.

I-Psoriasis ingaba nzima ukwelashwa kubantu abanesikhumba esibuthakathaka, ngakho-ke kubalulekile ukwenza okusemandleni ukugcina isikhumba sakho siphilile ngaphambi kokuqala kokuya esikhathini. Ukugqoka i-sunscreen nokwenza ukuzijwayeza ukuvikela ilanga yizinto ezibaluleke kakhulu ongazenza ukuvikela isikhumba sakho lapho usemncane.

Ingabe kukhona imikhiqizo edumile yokunakekelwa kwesikhumba noma izithako okufanele uzigweme? Izisebenzisile?

Kubalulekile ukunakekela isikhumba sakho ngokukhethekile uma une-psoriasis. Imvamisa ngitshela iziguli zami ukuthi zihlukane nemikhiqizo enoma-alcohols omile, amakha, nama-sulfate. Konke lokhu kungadala ukucasuka kwesikhumba nokoma.

Ukuhlukumezeka esikhunjeni kungaholela ekuphumeni kwe-psoriasis, okwaziwa nge-Koebner phenomenon. Ngakho-ke kubalulekile ukugwema imisebenzi noma imikhiqizo engadala ukucasuka.

Ngitshela iziguli zami ukuthi zisebenzise izinto ezihlanza umoya ezimnene, ezihambisa amanzi, ezingeyona insipho ezingeke ziphazamise umgoqo wesikhumba. Shawa ngamanzi afudumele imizuzu eyi-10 noma ngaphansi, bese usimanzisa isikhumba ngemuva kokusiqinisa.

Uma unesikali esinyene ekhanda lakho noma kwezinye izingxenye zomzimba wakho, imikhiqizo yokunakekelwa kwesikhumba equkethe i-salicylic acid ingasiza. I-salicylic acid iyi-beta hydroxy acid exfoliates isikhumba ukusiza ukususa isikali kuma-psoriasis plaque.

Ingabe izinqubo zezimonyo (njengeBotox) ziphephile ukuzithola?

Izinqubo zezimonyo ezingavumelekile zithandwa kakhulu manje kunanini ngaphambili. Imijovo efana neBotox ingakhuphula ukubukeka kwemibimbi, kuyilapho ukugcwalisa kubuyisa ivolumu elahlekile. Ama-Lasers angasetshenziselwa ngisho ithoni yesikhumba nokuthungwa, futhi aqede nemithambo yegazi engadingeki noma izinwele. Lezi zinqubo ziphephile kubantu abane-psoriasis.

Uma unentshisekelo enkambisweni yezimonyo, khuluma nodokotela wakho mayelana nokuthi ikulungele yini. Kwezinye izimo, udokotela wakho angafuna ukubamba noma ukulungisa imithi yakho. Kubalulekile ukuthi bazi ngomlando wakho ophelele wezokwelapha nemithi yamanje.

Ngabe i-psoriasis yami iyoke ihambe?

Kwiningi labantu, i-psoriasis ayizihambeli yodwa. Kubangelwa ukuhlanganiswa kofuzo nemvelo.

Kubantu abakhethwe izakhi zofuzo, isici semvelo sisebenza njengesisusa sokukhipha i-psoriasis. Ezimweni ezingavamile, ukuguqulwa kokuziphatha njengokulahleka kwesisindo noma ukuyeka ukubhema kungahle kuhlotshaniswe nentuthuko noma ukususwa ngokuphelele.

Uma i-psoriasis yakho ibangelwa umuthi, ukumisa lowo muthi kungathuthukisa i-psoriasis yakho. Imithi ethile yomfutho wegazi ophakeme nengcindezi ihlotshaniswa kakhulu ne-psoriasis ebangela. Khuluma nodokotela wakho nganoma imiphi imithi oyiphuzayo nokuthi inganikela yini ku-psoriasis yakho.

UJoshua Zeichner, MD, ungumqondisi ocwaningweni lwezimonyo nemitholampilo kwezesikhumba e-Mount Sinai Hospital eNew York City. Ufundisa ngenkuthalo izethameli zomhlaba wonke futhi ubambe iqhaza ekufundiseni nsuku zonke kubahlali nakubafundi bezokwelapha. Umbono wakhe onguchwepheshe uvame ukubizwa ngabezindaba, futhi ucashunwa njalo emaphephandabeni nakumagazini kazwelonke, njengeThe New York Times, Allure, Women’s Health, Cosmopolitan, Marie Claire, nokuningi. UDkt Zeichner ubelokhu evotelwa ontanga yakhe ohlwini lwamaCastle Connolly odokotela abaphambili baseNew York City.