I-Psoriasis vs. Ringworm: Izeluleko Zokukhomba

-Delile

• Izimpawu ze-psoriasis
• Izimpawu zesibungu
• Ingabe yi-psoriasis noma umbandamu?
• Ukwelashwa kwe-psoriasis
• Ukwelashwa kwezihloko
• Ukwelashwa okulula
• Imithi yomlomo noma ejojowe
• Ukwelashwa kwesibungu
• Ukubonana nodokotela nini
• I-Outlook ye-psoriasis nesibungu
• Q:
• A:

I-Psoriasis nesibungu

I-Psoriasis yisimo sesikhumba esingapheli esidalwa ukukhula okusheshayo kwamaseli esikhumba nokuvuvukala. I-Psoriasis ishintsha umjikelezo wempilo wamaseli akho esikhumba. Ingeniso ejwayelekile yeseli ivumela amangqamuzana esikhumba ukuthi akhule, aphile, afe futhi ashelele ngokujwayelekile. Amaseli esikhumba athinteka yi-psoriasis akhula ngokushesha kepha awa. Lokhu kubangela ukuqubuka kwamangqamuzana esikhumba ebusweni besikhumba, okuholela ezingxenyeni ezijiyile, ezibomvu, ezinamaxolo esikhumba. Lezi zingqimba zivame kakhulu emadolweni, endololwaneni, esithweni sangasese, nasezinzwaneni.

Izinhlobo ezingaphezu kweyodwa ze-psoriasis zikhona. Ingxenye yomzimba wakho ethinteka yisimo sesikhumba kanye nezimpawu ozizwayo zinquma uhlobo lwe-psoriasis onayo. I-Psoriasis ayithelelani.

I-ringworm (dermatophytosis) ukuqubuka okwesikhashana okubomvu, okuyindilinga okuvela esikhunjeni sakho. Kubangelwa ukutheleleka kwefungal. Ukuqhuma ngokujwayelekile kuvela njengombuthano obomvu onesikhumba esicacile noma esibukeka kahle phakathi nendawo. Ukuqhuma kungenzeka noma kungalume, futhi kungakhula ngokuhamba kwesikhathi. Kungasakazeka futhi uma isikhumba sakho sixhumana nesikhumba somunye umuntu esinegciwane. Naphezu kwegama layo, ukuqubuka kwezikelemu akubangelwa yisibungu.

Izimpawu ze-psoriasis

Izimpawu zakho ze-psoriasis zingahluka kunezimpawu zomunye umuntu. Izimpawu zakho zingafaka:

• amabala abomvu esikhumba
• izikali zesiliva phezu kwezikhumba ezibomvu zesikhumba
• amabala amancane wokukala
• isikhumba esomile, esiqhekekile esingopha
• ukulunywa noma ukushiswa
• ukukhathazeka emabala
• amalunga abuhlungu noma aqinile
• izipikili ezijiyile, ezijiyile noma ezigayiwe

I-Psoriasis ingadala i-patches eyodwa noma ezimbili, noma ingadala amaqoqo ezindawo ezikhulayo ukumboza indawo enkulu.

I-Psoriasis yisimo esingelapheki. Ukwelashwa kunganciphisa izimpawu, kepha ama-psoriasis patches angaba yinkinga impilo yakho yonke. Ngokujabulisayo, abantu abaningi babhekana nezikhathi zomsebenzi ophansi noma ongenawo nhlobo. Lezi zikhathi, ezibizwa ngokuthi ukuthethelelwa, zingalandelwa yizikhathi zomsebenzi owandisiwe.

Izimpawu zesibungu

Izimpawu nezimpawu zesibungu ziyoshintsha uma ukutheleleka kuba kubi kakhulu. Izimpawu zakho zingafaka:

• indawo ebomvu, enesikhala esingahle noma esingalume
• umngcele ophakanyisiwe ozungeze indawo enesikhala
• indawo enesikhumba enwebekayo eyakha isiyingi
• indilinga enamaqhuqhuvana abomvu noma izikali nesikhungo esicacile

Ungahlakulela imibuthano engaphezu kweyodwa, futhi le mibuthano ingahlangana. Eminye imingcele yemibuthano ingahle ingalingani noma ingajwayelekile.

Ingabe yi-psoriasis noma umbandamu?

Ukwelashwa kwe-psoriasis

I-Psoriasis ayinalo ikhambi, kepha izindlela zokwelapha zingaphela noma zinciphise ukuqubuka. Uhlobo lokwelashwa olisebenzisayo luzoya ngobukhulu nohlobo lwe-psoriasis onayo. Izindlela zokwelashwa ezintathu eziyinhloko ngasinye salezi zigaba ukwelashwa ngezihloko, ukwelashwa okulula, nemithi yomlomo noma ejojowe.

Ukwelashwa kwezihloko

Udokotela wakho angahle anikeze ukhilimu, umuthi wokugcoba, nesinye isixazululo sokuphatha i-psoriasis yakho emnene naphakathi. Lezi zinhlobo zemithi yokwelashwa zihlanganisa ama-topical corticosteroids, ama-topical retinoids, ne-salicylic acid.

Ukwelashwa okulula

I-Phototherapy isebenzisa ukukhanya ukumisa noma ukubambezela ukukhula kwamaseli esikhumba ezindaweni ezithintekile. Le mithombo yokukhanya ifaka ukukhanya kwemvelo (ilanga), imisebe ye-UVB, i-photochemotherapy UVA, nama-lasers. Ukwelashwa okulula kungasetshenziswa ezindaweni zakho ezithintekile noma emzimbeni wakho wonke. Ukuvezwa kweminye yale mithombo ekhanyayo kungenza izimpawu zibe zimbi kakhulu. Ungasebenzisi ukwelashwa okulula ngaphandle kokuqondiswa udokotela wakho.

Imithi yomlomo noma ejojowe

Udokotela wakho angakunikeza imithi yomlomo noma ejojowe uma ungaphenduli kahle kwezinye izindlela zokwelashwa. Zifanele izinhlobo ezahlukahlukene ze-psoriasis emaphakathi kuya enzima.

Le mithi ifaka izidakamizwa ezingezona ukuvuvukala (ama-NSAID), ama-corticosteroids, noma izidakamizwa eziguqula izifo zokulwa nezifo. Bangasiza ekuguquleni ukuthi amasosha omzimba asebenza kanjani, okuholele ekukhuleni kweseli lesikhumba kancane futhi kunciphise ukuvuvukala.

Izidakamizwa zokuguqula izifo ezithinta isifo zingaba yi-nonbiologics noma i-biologics.

I-Nonbiologics ifaka:

• imethotrexate
• cyclosporine
• sulfasalazine
• leflunomide
• i-apremilast (Otezla)

Ama-biologics asetshenziselwa i-psoriasis noma i-psoriatic arthritis afaka:

• infliximab (i-Remicade)
• i-etanercept (Enbrel)
• i-adalimumab (Humira)
• golimumab (Simponi)
• isitifiketi (Cimzia)
• i-abatacept (i-Orencia)
• secukinumab (Cosentyx)
• brodalumab (Siliq)
• ustekinumab (Stelara)
• ixekizumab (Taltz)
• i-guselkumab (Tremfya)
• i-tildrakizumab (Ilumya)
• i-risankizumab (Skyrizi)

Lezi zindlela zokwelapha zivame ukudala imiphumela emibi kakhulu. Ukusetshenziswa kwabo kunomkhawulo.

Udokotela wakho angashintsha ukwelashwa kwakho uma kungasebenzi noma uma imiphumela emibi kakhulu. Udokotela wakho futhi angancoma ukwelashwa okuhlanganisiwe, okusho ukuthi usebenzisa izinhlobo ezingaphezu kweyodwa zokwelashwa. Ngokusho kweNational Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), ungakwazi ukusebenzisa imithamo ephansi yokwelashwa ngakunye uma uyihlanganisa.

Ukwelashwa kwesibungu

I-ringworm ibangelwa ukutheleleka kwefungal. Umuthi olwa nokubola ungaphatha umbandamu. Ezinye izimo zesibungu zizophendula kahle emafutheni noma ekwelashweni ngezihloko. Lezi zindlela zokwelapha, kufaka phakathi i-terbinafine (Lamisil AT), i-clotrimazole (iLotrimin AF), ne-ketoconazole, zingathengwa ekhawunteni.

Uma ukutheleleka kunzima, udokotela wakho angakunika incwadi kadokotela yamafutha noma ukhilimu. Izimo ezinzima kakhulu zingadinga imithi yomlomo.

Ukubonana nodokotela nini

Yenza i-aphoyintimenti yokubona udokotela wesikhumba sakho uma ngabe usuthole indawo engajwayelekile esikhumbeni sakho. Uma ucabanga ukuthi uhlangane nomuntu noma isilwane esinesibungu, qiniseka ukuthi utshela udokotela wakho. Uma unomlando womndeni we-psoriasis, yisho futhi lokho. Ezimweni eziningi, udokotela wakho angakwazi ukuxilonga lesi simo ngokuhlola ngokuphelele isikhumba.

Uma uthola ukuthi unalezi zimo futhi uqala ukuhlangabezana nalezi zimpawu ezilandelayo, khuluma nodokotela wakho ngokushesha okukhulu. Lezi zimpawu zifaka:

• amalunga obuhlungu nokuvuvukala kwemisipha
• ubunzima bokusebenza ngoba indawo ethintekile ivuvukile, ibuhlungu, noma ikuvimbela ukuba ugobe amalunga akho kahle
• ukukhathazeka ngokubukeka kwesikhumba sakho
• ukuphazamiseka emandleni akho okwenza imisebenzi ejwayelekile
• ukuqubuka okuba kubi okungaphenduli ekwelashweni

I-Outlook ye-psoriasis nesibungu

Kokubili i-ringworm ne-psoriasis kungalawulwa ngempumelelo futhi kwelashwe. Njengamanje, i-psoriasis ayelapheki, kepha ukwelashwa kunganciphisa izimpawu.

Ukwelashwa kwe-ringworm kungaqeda ukutheleleka. Lokhu kuzonciphisa amathuba okuthi wabelane ngawo nabanye abantu. Ungahlangana nesikhunta esidala isibungu futhi esikhathini esizayo, futhi ungathola esinye isifo.

Q:

Yini engingayenza ukuvimbela izimo eziningi, ezifana nesibungu, ezingadala ukuqaqamba kwesikhumba?

Isiguli esingaziwa

A:

Isikhumbuzi esilumayo singabangelwa yizimo eziningi ezifana ne-eczema, i-psoriasis, i-ringworm, izintwala, noma okunye ukusabela okweqile. Into yokuqala okufanele uyenze kunoma yiliphi lalawa macala ukuyeka ukunwaya, ngoba lokhu kungasabalalisa noma kubangele ukutheleleka. Okulandelayo, hlola izinwele zakho nekhanda lakho ukuze ubheke izimpawu zezintwala noma amabala esikhumba esibomvu. Uzofuna ukugwema imvula eshisayo, futhi wenze ikhathalogu noma yikuphi ukudla osukudlile muva nje. Uma ukulunywa kuhlala isikhathi esingaphezu kwezinsuku ezimbalwa, ungahle uthande ukubona udokotela wesikhumba ukuze bakwazi ukuthola imbangela yesikhumba sakho esilumayo.

UDebra Sullivan, PhD, MSN, CNE, Izimpendulo ze-COIA zimele imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.