I-Psoriatic Arthritis Rash: Lapho Ivela Futhi Ungayiphatha Kanjani

-Delile

• Izithombe ze-Psoriatic arthritis rash
• Ungakukhomba kanjani ukuqubuka kwesikhumba kwe-psoriatic arthritis?
• Kubonakala kuphi ukuqubuka kwe-psoriatic arthritis?
• Izinketho zokwelapha ukuqubuka kwe-psoriatic arthritis
• Amakhambi asematheni
• Izidakamizwa zomlomo noma ezijojowe
• Ukwelashwa okulula
• Amakhambi asekhaya
• Amathiphu namasu
  
• Uyini umbono wami ngokuqubuka kwami?
• Ungaba nayo i-psoriatic arthritis ngaphandle kokuqubuka?
• Ingabe zikhona ezinye izimpawu ze-PsA?

Ngabe wonke umuntu one-psoriasis uba nokuqubuka kwe-psoriatic arthritis?

I-Psoriatic arthritis (PsA) uhlobo lwesifo samathambo oluthinta amaphesenti angama-30 abantu abane-psoriasis, kulinganiselwa i-Arthritis Foundation. I-PsA yisifo esingalapheki se-autoimmune esingaholela ekuvukeleni okuhlangene, ukuqina nobuhlungu.

Cishe amaphesenti angama-85 abantu abane-PsA bazobhekana nezimpawu zesikhumba isikhathi eside ngaphambi kokuba amalunga abo athinteke, kubika iNational Psoriasis Foundation. Esinye sezimpawu ezivame kakhulu ze-PsA ukuqubuka: isikhumba esibomvu esijiyile esimbozwe ngamachashazi amhlophe aluhlaza.

Uma uba nezimpawu ze-PsA, kubalulekile ukuthi ufune ukwelashwa ngokushesha okukhulu. Lokhu kunganciphisa ubungozi bokulimala ngokuhlanganyela okuhambisana nesimo.

Qhubeka ufunde ukuze ufunde ukuthi ungabona kanjani ukuqubuka kwe-PsA, lapho kungavela khona nokuthi ungaphatha kanjani.

Izithombe ze-Psoriatic arthritis rash

Ungakukhomba kanjani ukuqubuka kwesikhumba kwe-psoriatic arthritis?

Ukuqhuma kwe-PsA ngokujwayelekile kubukeka kufana nokuqubuka kwe-psoriasis. Uhlobo oluvame kakhulu lwezimpawu zokuqubuka kwe-psoriasis ezikhuphule amabala wesikhumba esibomvu embozwe ngezikali ezimhlophe zesiliva. Lokhu kubizwa ngokuthi izingcwecwe.

Amapuleti angaluma, ashise noma alimaze. Uma unamapuleti, kubalulekile ukuthi ungawahlikihle. Ukunwaya kungadala ukuthi uqweqwe lukwazi ukuqina noma luvule isikhumba ekuthelelekeni.

Ukuqubuka kungafika kudlule. Ungahle ube nezikhathi ezinwetshiwe lapho ungenamawala. Izimo ezithile, njengokutheleleka, ukucindezeleka, nokulimala, kungadala ukuqhuma kwakho.

Uma une-psoriasis futhi ubona ushintsho kuphethini yakho ejwayelekile yokuqubuka noma indawo, bheka udokotela wakho. Lokhu kungaba uphawu lwe-PsA noma esinye isimo esingaphansi.

Kubonakala kuphi ukuqubuka kwe-psoriatic arthritis?

Umehluko omkhulu phakathi kokuqubuka kwendabuko kwe-psoriasis kanye ne-PsA ukuqhuma yindawo yokuqubuka.

Ukuqhuma kwe-PsA kuvame ukukhula ku:

• Izindololwane
• amadolo
• isikhumba sekhanda
• emuva emuva
• izitho zangasese
• uzungeze inkinobho yesisu
• phakathi kwezinqa

Kodwa-ke, ukuqubuka kungavela noma kuphi emzimbeni wakho, kufaka phakathi izintende zezandla zakho namathe ezinyawo zakho.

I-Nail psoriasis ivame ukuhlotshaniswa ne-PsA, nayo. Kungathinta zombili izinzipho nezinzwane.

I-Nail psoriasis ingadala:

• ukuphosa
• ukushintsha kombala
• izinzipho zokukhipha embhedeni wezipikili (i-onycholysis)
• ububele

Izinketho zokwelapha ukuqubuka kwe-psoriatic arthritis

Uhlelo lwakho lokwelashwa luzohluka ngokuya ngohlobo lwe-psoriasis onalo nobukhulu bezimpawu zakho zokuqubuka. Nge-PsA, uhlelo lwakho lokwelashwa luzobandakanya nemithi yokusiza ukulawula izimpawu ze-arthritis.

Ngokushesha, udokotela wakho angakubeka:

• okhilimu namafutha okuthambisa isikhumba sakho
• izidakamizwa zomlomo ukunciphisa ukukhiqizwa kwamangqamuzana esikhumba
• ukwelashwa okulula ukunciphisa ukuvuvukala

Inhloso yokwelashwa ngamawala ukunciphisa ukwakheka kwamacwecwe ngokumisa amangqamuzana esikhumba ukuthi angakhuli ngokushesha okukhulu nangokushelela isikhumba sakho.

Amakhambi asematheni

Imithi yezihloko ingasiza ekunciphiseni ukulunywa, ukoma nokuvuvukala okubangelwa ukuqubuka kwe-PsA.

Ngokuya ngemithi, lokhu kungafinyelelwa nge:

• ukhilimu
• ijeli
• into yokugcoba
• imoto
• fafaza
• amafutha

Le mithi iyatholakala kuwo womabili ama-over-the-counter (OTC) namafomula kadokotela.

Izindlela zokwelapha ezivamile ze-OTC zifaka phakathi i-salicylic acid ne-tar tar. Imithi yokwelashwa ngokuvamile iqukethe ama-corticosteroids noma okuphuma ku-vithamini.

Izihloko ezivamile zemithi zifaka:

• calcitriol, uhlobo olwenzeka ngokwemvelo lukavithamini D-3
• i-calcipotriene, ifomu elenziwe elebhu elenziwe ngovithamini D-3
• i-calcipotriene ihlangene ne-corticosteroid betamethasone dipropionate
• i-tazarotene, isuselwa ku-vitamin A
• i-anthralin, ifomu elenziwe elebhu lezinto ezenzeka ngokwemvelo i-chrysarobin

Uhlelo lwakho lokwelashwa lungafaka inhlanganisela ye-OTC nemithi kadokotela. Wena nodokotela wakho kungadingeka ukuthi nizame ukuthola ukuthi yiziphi izinhlanganisela ezisebenza kangcono kuwe.

Eminye imithi, efana ne-corticosteroids, ingaba nemiphumela emibi uma isetshenziswa isikhathi eside. Khuluma nodokotela wakho ngezinzuzo nezingozi ezingaba khona ezihambisana nenketho ngayinye.

Ama-moisturizers we-OTC angakusiza ukwehlisa isikhumba sakho futhi ulwe nokushaywa, kepha ama-moisturizers awodwa ngeke awaphilise amapuleti.

Izidakamizwa zomlomo noma ezijojowe

Kunezinhlobonhlobo zemithi ekhomba ukukhiqizwa kwamangqamuzana esikhumba noma amasosha akho omzimba. Lokhu kufaka phakathi:

Ama-Corticosteroids

Le mithi ilingisa i-cortisol, ihomoni elwa nokuvuvukala eyenzeka ngokwemvelo eyenziwe ngumzimba wakho. Lezi zivame ukuthathwa ngomlomo futhi zingasiza ukunciphisa ukuvuvukala. Amafomu afakiwe angahlinzeka ukukhululeka kwesikhashana kokuvuvukala.

Ukusetshenziswa kwesikhathi eside kungadala ukuvuvukala kobuso nokuzuza kwesisindo. Kungase futhi kwandise ingozi yakho ye-osteoporosis.

Izidakamizwa zokuguqula izidakamizwa (i-DMARD)

Le mithi icindezela amakhemikhali emzimbeni wakho abangela ukuvuvukala. Lokhu kungasiza ukunciphisa ukuvimbela ukulimala okuhlangene. Ama-DMARD athathwa ngomlomo kepha angajova.

I-Biologics

Le mithi ingavimbela ukuvuvukala ezingeni lamaselula. I-Biologics ijwayele ukujova. Izinhlobo eziyinhloko ze-biologics yimithi elwa ne-tumor necrosis factor-alpha, i-abatacept, ne-ustekinumab. Ngamunye uvimba amaprotheni ahlukene emzimbeni.

Ingozi yakho yokutheleleka ingakhuphuka ngenkathi uthatha i-biologics ngoba isebenza ngokucindezela amasosha akho omzimba.

Ukwelashwa okulula

Ukukhanya kwemvelo noma okwenziwe ngamanani alawulwayo kungasetshenziswa ukunciphisa ukuqubuka kwe-psoriasis.

Izindlela ezijwayelekile zifaka:

Umshini wokukhanya we-UVB

Ukudalula ukuqubuka kwakho emisebeni ye-UVB ekhiqizwa ngumshini okhanyayo isikhathi esincane izikhathi ezimbalwa ngesonto kungasiza ukunciphisa ukuvuvukala. Odokotela besikhumba bavame ukuba nemishini ye-UVB yokusetshenziswa ekhaya. Ungazithenga futhi ukuze uzisebenzisele ukusetshenziswa ekhaya.

Umshini wokukhanya we-UVA

Le ndlela isebenzisa umshini okhanyayo okhiqiza imisebe ye-UVA. Uma ihlanganiswe ne-psoralen, umuthi owenza isikhumba sakho sizwele kakhudlwana ekukhanyeni, le ndlela ingathuthukisa i-psoriasis enamandla. Lokhu kwaziwa nangokuthi yi-photochemotherapy.

I-Excimer laser

I-excimer laser, egxila emisebeni ye-UVB enamandla kakhulu ezindaweni ze-psoriasis, iyindlela ebhekiswe kakhulu yokulawula ukuqubuka. Lokhu kusetshenziswa ehhovisi likadokotela futhi imvamisa kudinga izikhathi ezimbalwa kunezinye izindlela zokwelapha ze-UV.

Khuluma nodokotela wakho mayelana nokuthi izikhathi zasekhaya noma zehhovisi zikulungele yini.

Amakhambi asekhaya

Izinguquko ezithile zendlela yokuphila zingasiza futhi ekulawuleni ukulunywa nokuvuvukala.

Amathiphu namasu

• Gcina isikhumba sakho sithanjisiwe, ikakhulukazi lapho umoya womile. Kungase kudingeke ukuthi usebenzise i-moisturizer izikhathi ezimbalwa ngosuku.
• Thatha okugeza okufudumele ukuze uzolise isikhumba esilumayo nesivuvukele. Faka usawoti we-Epsom, i-colloidal oatmeal, noma u-oyela ukuze ungene. Sebenzisa kuphela insipho emnene.
• Gwema izinto ezibonakala zibanga ukuqubuka, njengokucindezeleka, utshwala, ukubhema, noma amakha athile.
• Yidla ukudla okunempilo futhi uvivinye umzimba njalo ukukhulisa impilo yakho yonke.

Uyini umbono wami ngokuqubuka kwami?

I-Psoriasis yisifo esingelapheki, futhi alikho ikhambi elaziwayo okwamanje. Ithinta wonke umuntu ngokuhlukile. Ukuthi ukuqubuka kwakho kusheshe kusheshe kangakanani kuncike ebukhulwini nasekusebenzeni kohlelo lwakho lokwelashwa.

Kungathatha isikhashana ukuthi wena nodokotela wakho nenze inhlanganisela yokwelashwa okugcina ukuqubuka kulawulwa. Ukuqhuma kwe-Psoriasis kuvamise ukucaca, futhi uzoba nesikhathi sokuxolelwa, kepha kungaphinda kuqhume futhi.

Uma ufunda ukubona nokugwema okudala ukuqhuma, ungakwazi ukunciphisa imvamisa yazo.

Ungaba nayo i-psoriatic arthritis ngaphandle kokuqubuka?

Yize ukuqubuka kuyinkomba ejwayelekile ye-PsA, ungathuthukisa i-PsA ngaphandle kokuqubuka. Cishe amaphesenti ayi-15 wabantu athuthukisa i-PsA ngaphandle kokuba ne-psoriasis phambilini, ilinganisela iNational Psoriasis Foundation. Kwesinye isikhathi, abantu baba ne-PsA ne-psoriasis ngasikhathi sinye.

Kulezi zimo, kubalulekile ukuthi wazi ukuthi yiziphi ezinye izimpawu ze-PsA.

Ingabe zikhona ezinye izimpawu ze-PsA?

Yize ukuqubuka kuvame ukuhlotshaniswa ne-PsA, akuyona kuphela uphawu.

Ezinye izimpawu zifaka:

• ukukhathala
• ukuqina kwasekuseni nobuhlungu obuphansi emuva
• ukuvuvukala, ubuhlungu, noma isisa emalungeni
• ubuhlungu be-tendon noma i-ligament
• kunciphise ububanzi bokunyakaza emajoyintini
• izinguquko zezipikili, njengokugwaza nokuqhekeka
• iminwe evuvukile nezinzwane ezibukeka njengamasoseji (dactylitis)
• izinkinga zamehlo, kufaka phakathi ubomvu, ukucasuka, kanye ne-conjunctivitis

Izimpawu nokuba namandla kwazo kuyahluka kuye ngomuntu nomuntu. Izimpawu eziningi zilingisa ezinye izifo, njenge-osteoarthritis, i-rheumatoid arthritis, ne-gout.

Uma uhlangabezana nezimpawu, qiniseka ukuthi ukhuluma nodokotela wakho. Ukuthola ukuxilongwa ngokushesha kungasiza ekuthuthukiseni ikhwalithi yempilo yakho ngokulawula izimpawu nokunciphisa ubungozi bezinkinga zesikhathi eside.