Imibuzo eyi-10 I-Dermatologist Yakho Ifuna Uyibuze Nge-Psoriasis

-Delile

• 1. Ngithole kanjani i-psoriasis?
• 2. Yini ukubaluleka komlando womndeni wami we-psoriasis noma ezinye izimo zezokwelapha, njenge-lymphoma?
• 3. Ngabe ezinye izimo zami zezokwelapha zithinta kanjani, noma zithintwa yini yi-psoriasis yami?
• 4. Yikuphi ukwelashwa engingakukhetha?
• 5. Yikuphi ukwelashwa ongancoma ukuthi ngikunikeze?
• 6. Yimiphi imiphumela engemihle engaba khona?
• 7. Ngizodinga isikhathi esingakanani ukuba semithini?
• 8. Ngabe ikhona imishanguzo engiyiphuzayo ebhebhethekisa noma ephazamisa imithi yami ye-psoriasis?
• 9. Uma ngiqala i-biologic, ngidinga ukumisa uhlobo lwami lwamanje lokwelashwa kwe-psoriasis yami?
• 10. Kungani ngidinga ukushintsha noma ukushintshanisa imishanguzo yami ye-psoriasis yami?

Ngesikhathi sakho sokugcina ubona udokotela wesikhumba we-psoriasis yakho, ngabe weneliseka ngolwazi olutholile? Uma kungenjalo, kunethuba lokuthi ubungabuzi imibuzo efanele. Kepha kufanele ukwazi kanjani ukuthi ubuze ini?

Ngalokho engqondweni, sibuze uDkt Doris Day, udokotela wesikhumba oqinisekiswe yibhodi ozinze eNew York, ukuthi yimiphi imibuzo ephezulu afisa ukuthi iziguli ze-psoriasis zimbuze yona ngesikhathi sokuqokwa kwazo. Qhubeka ufunda ukuthola ukuthi uthini.

1. Ngithole kanjani i-psoriasis?

Akekho owazi kahle ukuthi yini ebangela i-psoriasis, kepha yisifo sempilo yonke esaziwa ukuthi naso sinezakhi zofuzo. Esikwaziyo ukuthi yisimo sokuzimela lapho amasosha omzimba abangelwa ngephutha, okusheshisa umjikelezo wokukhula kwamaseli esikhumba.

Iseli lesikhumba elijwayelekile liyakhula futhi likhiphe indawo yomzimba ezinsukwini ezingama-28 kuya kwezingama-30, kepha iseli lesikhumba le-psoriatic lithatha izinsuku ezintathu kuya kwezine kuphela ukuvuthwa futhi liye phezulu. Esikhundleni sokuvuthwa ngokwemvelo nokuchitheka kwemvelo, amaseli ayanqwabelana futhi angakha izingqimba ezibomvu ezijiyile ezivame ukuluma futhi zingabukeki.

I-Psoriasis ingakhawulelwa ezindaweni ezimbalwa noma ingafaka izindawo ezilinganiselwe nezikhulu zesikhumba. Ubukhulu be-psoriasis bungahluka kuye ngomuntu nomuntu, futhi kumuntu ofanayo ngezikhathi ezithile. I-psoriasis emnene ibhekwa njengebandakanya ngaphansi kwamaphesenti ama-3 engaphezulu komzimba. I-psoriasis emaphakathi imbandakanya amaphesenti ama-3 kuye kwayi-10. Futhi i-psoriasis enamandla ingaphezu kwamaphesenti ayishumi.

Kukhona nengxenye engokomzwelo ekubekweni kobukhali, lapho ngisho nomuntu onendawo engaphansi komzimba angathathwa njengophethe i-psoriasis elinganiselayo noma enamandla uma isimo sinomthelela omkhulu kwikhwalithi yempilo yabo.

2. Yini ukubaluleka komlando womndeni wami we-psoriasis noma ezinye izimo zezokwelapha, njenge-lymphoma?

Ukuba nomlando womndeni we-psoriasis kuyayandisa ingozi yakho, kepha akusona neze isiqinisekiso sayo. Kubalulekile ukuthi udokotela wakho wesikhumba abe nokuqonda okuphelele ngangokunokwenzeka ngawe, futhi wazi nomlando womndeni wakho we-psoriasis nezinye izimo zezokwelapha ukuze ukwazi ukukuqondisa ngezindlela zakho zokwelashwa ezihamba phambili.

Labo abane-psoriasis banengozi encane yokwanda kwe-lymphoma kubantu abaningi. Udokotela wesikhumba sakho anganquma ukuthi eminye imithi iyancomeka futhi eminye kufanele igwenywe ngokususelwa kulo mlando.

3. Ngabe ezinye izimo zami zezokwelapha zithinta kanjani, noma zithintwa yini yi-psoriasis yami?

I-Psoriasis ikhonjisiwe njengesimo sokuvuvukala okuhlelekile ngokufana nokunye ukuphazamiseka kwamasosha omzimba okuvuvukala. Ngaphezu kwemiphumela yaso esikhumbeni, amaphesenti angama-30 abantu abane-psoriasis nabo bazoba ne-psoriatic arthritis.

Ngaphandle kokuhlangana kwayo nesifo samathambo, i-psoriasis ihlotshaniswa nokudangala, ukukhuluphala ngokweqile, kanye ne-atherosclerosis (uqweqwe olwakhiwe emithanjeni yegazi). Labo abane-psoriasis bangaba nokwanda okwandayo kwesifo senhliziyo, isifo se-cerebrovascular, isifo semithambo yegazi, kanye nengozi eyengeziwe yokufa.

Ukuvuvukala kungaba yincazelo ephathekayo ephathekayo yokuhlangana phakathi kwe-psoriasis nomfutho wegazi ophakeme noma umfutho wegazi ophakeme, kanye nalokho phakathi kwe-psoriasis nesifo sikashukela. Ukucwaninga nokunakwa nakho kugxile ebudlelwaneni obuphakathi kwe-psoriasis, impilo yenhliziyo, nokuhlaselwa yinhliziyo noma i-myocardial infarction.

4. Yikuphi ukwelashwa engingakukhetha?

Akukho ukwelashwa okukodwa kwe-psoriasis okusebenzela wonke umuntu, kepha kunezinketho zokwelashwa ezijabulisayo, ezintsha, nezithuthuke kakhulu eziqonde imbangela eyisisekelo ye-psoriasis kangcono kunanini ngaphambili. Ezinye zisesimo sephilisi, ezinye zingumjovo, kanti ezinye ziyatholakala ngokufakwa.

Kubalulekile ukwazi ukuthi yiziphi izinketho zakho nobungozi nezinzuzo zento ngayinye.

5. Yikuphi ukwelashwa ongancoma ukuthi ngikunikeze?

Njengoba sifuna ukukunikeza izinketho, udokotela wakho uzoba nenketho yeprotocol yokukusiza. Lokhu kuzosuselwa ebukhali be-psoriasis yakho, izindlela zokwelapha ozizame esikhathini esedlule, umlando wakho wezokwelapha, umlando wakho womndeni, kanye nezinga lakho lokunethezeka ngezindlela ezahlukahlukene zokwelashwa.

Kunzima ukubikezela ukuthi yini ezosebenzela umuntu othile. Kodwa-ke, udokotela wakho uzokusiza ukuthi uthole ukwelashwa okuhle kakhulu noma inhlanganisela yezindlela zokwelashwa zakho. Bazokwazisa ukuthi yini ongayilindela ekwelashweni, kufaka phakathi ukuthi kuzothatha isikhathi esingakanani ukubona imiphumela, imiphumela emibi, kanye nesidingo sokuqapha ngesikhathi sokwelashwa.

6. Yimiphi imiphumela engemihle engaba khona?

Kunemiphumela engemihle ngayo yonke imithi. Kusuka ku-topical cortisone kuya ku-phototherapy kuya kuma-immunosuppressant's kuya ku-biologics, ngayinye inezinzuzo nezingozi odinga ukuzazi ngaphambi kokuqala. Ukwazi imiphumela emibi yomuthi ngamunye yingxenye ebalulekile yengxoxo yakho nodokotela wakho.

Uma uqala i-biologic kubalulekile ukuthi uhlolwe isikhumba esihlanjiwe se-protein derivative (PPD) ukuze ubone ukuthi uke wahlaselwa yisifo sofuba phambilini. Imithi ayibangeli isifo sofuba, kepha ingehlisa amandla omzimba wakho wokulwa nokutheleleka uma uke wadalulwa esikhathini esedlule.

7. Ngizodinga isikhathi esingakanani ukuba semithini?

Alikho ikhambi le-psoriasis, kepha izindlela eziningi zokwelapha ezihlukene, zombili ezenziwa ngokwezihloko nezesistimu, zingasula i-psoriasis ngezikhathi ezithile. Abantu kwesinye isikhathi badinga ukuzama ukwelashwa okuhlukile ngaphambi kokuba bathole okubasebenzelayo.

8. Ngabe ikhona imishanguzo engiyiphuzayo ebhebhethekisa noma ephazamisa imithi yami ye-psoriasis?

Udokotela wesikhumba sakho uzodinga ukwazi yonke imithi oyiphuzayo, kokubili incwadi kadokotela kanye ne-counter-counter, ngoba kungenzeka kube nokusebenzisana kwezidakamizwa okudingeka wazi.

Isibonelo, i-acetaminophen ehlangene nezinye ze-biologics ingakhuphula ubungozi bokuhluleka kwesibindi, ngakho-ke inhlanganisela kufanele igwenywe ngangokunokwenzeka. Futhi ukuhlolwa kwegazi njalo ukuhlola ukusebenza kwesibindi kuyadingeka.

Futhi, eminye imithi, njenge-aspirin, ingenza i-psoriasis ibe yimbi kakhulu. Ngenkathi eminye imithi, efana ne-corticosteroids yomlomo, ingaholela ecaleni elisongela impilo le-psoriasis elibizwa ngokuthi i-pustular psoriasis, ngisho nakulabo abane-psoriasis emnene. Lokhu kungenxa yokuthi i-steroid yomlomo iyancishiswa phansi. Uma unikezwe i-steroids yomlomo ngomlomo, qiniseka ukuthi utshela udokotela ukuthi une-psoriasis ngaphambi kokuqala umuthi.

9. Uma ngiqala i-biologic, ngidinga ukumisa uhlobo lwami lwamanje lokwelashwa kwe-psoriasis yami?

Thatha isithombe noma wenze uhlu lwemithi yakho yokwelashwa yamanje ozoyiletha lapho uvakashelwa yihhovisi ukuze udokotela wesikhumba wakho azi ukuthi angayiguqula kanjani noma ayishintshe kanjani imishanguzo yakho ukuze wenze imiphumela yakho ibe ngcono. Kuyasiza futhi ukuletha noma imuphi umsebenzi wakamuva webhu. Udokotela wakho kungenzeka ukuthi uqhubeke nokwelashwa ngezihloko lapho uqala ukwengeza i-biologic, bese ususa lapho umuthi omusha uqala ukusebenza.

10. Kungani ngidinga ukushintsha noma ukushintshanisa imishanguzo yami ye-psoriasis yami?

Nge-psoriasis, kwesinye isikhathi sidinga ukushintshanisa ukwelashwa ngokuhamba kwesikhathi ngoba kungasebenza kancane njengoba umzimba uvumelana nokwelashwa. I-dermatologist yakho ingashintshela kwezinye izindlela zokwelashwa, futhi ingaphenduka ibuyele kokwedlule njengoba umzimba ulahlekelwa ukumelana ngemuva kwenyanga noma ukusetshenziswa kokuyeka. Lokhu akulona iqiniso nge-biologics, kepha kusengenzeka.

Ekukhetheni i-biologic noma enye indlela yokwelashwa, udokotela wakho uzobuyekeza ukwelashwa kwangaphambilini nobungozi nezinzuzo zomuthi ngamunye otholakalayo namuhla ukukusiza ekuqondiseni ekwenzeni izinqumo. Kuyasiza ukwenza uhlu lwezindlela zokwelapha ozizamile, usuku owaqala ngalo futhi wazimisa, nokuthi zikusebenzele kanjani.

Kunezidakamizwa eziningi ezintsha ze-psoriasis ezingena emakethe, ezinye zazo okungenzeka ukuthi awuzange uzame ngaphambili, ngakho-ke qiniseka ukuthi uhlala ubuza noma ulandelela udokotela wakho uma ngabe uhlobo lwakho lwamanje lungasebenzi kahle kuwe.