ʻO Psoriasis

ʻO ka Psrama kahi ʻano ʻili e hōʻili i ka ʻula i ka ʻili, nā unahi silvery, a me ka huhū. ʻO ka hapa nui o ka poʻe me psoriasis he mau mānoanoa, ʻulaʻula, ho'ākāka maikaʻi ʻia o ka ʻili me nā unahi flaky, kala keʻokeʻo. Kapa ʻia kēia inoa ʻo ka plake psoriasis.

He mea maʻamau ka Psoriasis. Hiki i kēlā me kēia ke hoʻomohala iā ia, akā hoʻomaka pinepine ia ma waena o nā makahiki 15 a me 35, a i ʻole a ʻelemakule ka poʻe.

ʻAʻole hiki i ka Psirus ke lele. ʻO kēia ʻaʻole hoʻolaha ia i kekahi poʻe ʻē aʻe.

Hoʻoholo ʻia ʻo Psoriasis e nā ʻohana.

Ulu hohonu nā hunaola ʻili i loko o ka ʻili a piʻi aʻe i ka ʻili ma kahi o hoʻokahi manawa i ka mahina. Ke loaʻa iā ʻoe ka psoriasis, hana kēia hana i 14 mau lā ma mua o 3 a 4 mau pule. ʻO kēia ka hopena i ke kūkulu ʻana o nā hunaola ʻili make ma luna o ka ʻili, e hana ana i nā hōʻiliʻili o nā unahi.

Hiki i ka mea aʻe ke hoʻouka i kahi hoʻouka o psoriasis a i ʻoi aku ka paʻakikī i ka mālama ʻana:

• Nā maʻi mai nā koʻohune a i nā mea hoʻomaʻi paha, e pili ana i ka ʻāʻī strep a me nā maʻi hanu luna
• ʻEleʻele maloʻo a i ʻole ʻili maloʻo
• ʻO ka hōʻeha i ka ʻili, e like me ka ʻoki ʻana, nā wela, nā nahu o nā mea kolo, a me nā ʻili ʻili ʻē aʻe
• ʻO kekahi mau lāʻau, e laʻa me nā lāʻau antimalaria, beta-blockers, a me ka lithium
• Kaumaha
• Liʻiliʻi loa ka lā
• Nui loa ka lā (sunburn)

ʻOi aku paha ka maikaʻi o ka maʻi Psoriasis i ka poʻe i loaʻa ka ʻōnaehana pale nawaliwali, e like me ka poʻe me ka maʻi HIV / AIDS.

Kekahi kanaka me ka psoriasis kekahi i ka maʻi o ka maʻi (psoriatic arthritis). Eia kekahi, ʻo ka poʻe me psoriasis ka piʻi nui o ka maʻi momona o ka ate a me nā maʻi o ka maʻi puʻuwai, e like me ka maʻi puʻuwai a me ka hahau.

Hiki ke kū koke a lohi paha ʻo Psoriasis. I nā manawa he nui, hele aku a hoʻi.

Hoʻonāukiuki ʻia ka hōʻailona nui o ke ʻano, ʻulaʻula, pākaʻi flaky o ka ʻili. ʻIke pinepine ʻia nā plaques ma nā kuʻe lima, nā kuli, a me ka waena o ke kino. Akā hiki iā lākou ke hōʻike ma nā wahi āpau, e laʻa me ke poʻo, nā lima, nā wāwae o ka wāwae, a me nā genitalia.

ʻO ka ʻili paha:

• ʻAilana
• Maloʻo a uhi ʻia me ke kālā, ʻili flaky (unahi)
• Pink-ʻulaʻula i ke kala
• Hānai ʻia a mānoanoa

Hiki i nā ʻōuli ʻē aʻe ke:

• ʻEha a ʻeha a ʻeha paha
• Hoʻololi ka kui, me nā kui mānoanoa, nā kui melemele-ʻeleʻele, nā niho i ka kui, a me ka hāpai ʻana o ke kui mai ka ʻili ma lalo.
• Pāpā nui ma ka ʻili

Aia he ʻelima mau ʻano nui o psoriasis:

• Erythrodermic - He ikaika loa ka ʻulaʻula o ka ʻili a uhi i kahi ākea.
• ʻO Guttate - Hōʻike nā wahi liʻiliʻi, ʻulaʻula-ʻulaʻula i ka ʻili. Hoʻopili pinepine ʻia kēia palapala i nā maʻi strep, keu hoʻi i nā keiki.
• Huli - Ke ʻulaʻula o ka ʻili a me ka huhū ma nā ʻūlima, ʻūlū, a ma waena o ka ʻili e hoʻopili ʻia ana ma mua o nā wahi maʻamau o nā kuʻekuʻe a me nā kuli.
• Plaque - uhi ʻia nā ʻāpana manoanoa, ʻulaʻula o ka ʻili e nā unahi pehu, a me ke keʻokeʻo keʻokeʻo. ʻO kēia ka ʻano maʻamau o ka psoriasis.
• Pustular - Hoʻopuni ʻia nā pā melemele i piha i ka pus (pustules) e ka ʻulaʻula, ʻili huhū.

Hiki i kāu mea mālama ola ke hōʻoia maʻamau i kēia ʻano ma ka nānā ʻana i kou ʻili.

I kekahi manawa, hana ʻia kahi biopsy ʻili e kāpae i nā kūlana kūpono ʻē aʻe. Inā loaʻa iā ʻoe ka ʻeha pū, hiki i kāu mea hāʻawi ke kauoha i nā noi kiʻi.

ʻO ka pahuhopu o ka mālama ʻana e kaohi i kāu mau ʻōuli a pale i ka maʻi.

ʻEkolu mau koho lapaʻau i loaʻa:

• ʻO nā wai ʻili, nā hamo, nā kalima, a me nā shampoos - Kāhea ʻia kēia mau mea nā mālama kumuhana.
• ʻO nā pila a i ʻole nā ​​injection e hoʻopili i ka pane o ke kino o ka pale, ʻaʻole wale ka ʻili - Kapa ʻia kēia mau ʻōnaehana, a i ʻole ke kino ākea.
• Phototherapy, kahi e hoʻohana ai i ka kukui ultraviolet e mālama iā psoriasis.

Nā lāʻau lapaʻau i hoʻohana ʻia ma ka ʻili (TOPical)

ʻO ka hapanui o ka manawa, mālama ʻia ʻo psoriasis me nā lāʻau i kau pono ʻia ma ka ʻili a i ʻole ke poʻo. Pākuʻi ʻia kēia mau mea:

• ʻO nā kalima Cortisone a me nā hamo
• ʻO nā kalima anti-inflammatory ʻē aʻe a me nā hamo
• ʻO nā kalima a me nā hamo i loaʻa ka lama lānahu a anthralin paha
• ʻO nā kalima e hoʻoneʻe i ka unahi ʻana (maʻa mau ka waika salicylic a i ʻole ka waikawa lactic)
• Dandruff shampoos (over-the-counter a kuhikuhi ʻole)
• Moisturizers
• Nā lāʻau i kuhikuhi ʻia me ka lāʻau D a i ʻole ka wikamina A (retinoids)

Nā ʻlelo Lapaʻau (BODY-WIDE)

Inā he kaulike kou a hiki i ka psoriasis koʻikoʻi, e hōʻike paha kāu mea hāʻawi i nā lāʻau e kāohi i ka pane hewa o ka ʻōnaehana pale. Hoʻopili kēia mau lāʻau i ka methotrexate a i ʻole cyclosporine. Hiki ke hoʻohana pū ʻia nā Retinoids, e like me ka acetretin.

ʻO nā lāʻau hou, i kapa ʻia he biologics, hoʻohana pinepine ʻia e like me kā lākou pahuhopu i nā kumu o ka psoriasis. Ua ʻae ʻia nā Biologics no ka mālama ʻana i nā psoriasis:

• Adalimumab (Humira)
• ʻO Abatacept (Orencia)
• ʻO Apremilast (Otezla)
• Brodalumab (Siliq)
• ʻO Certolizumab pegol (Cimzia)
• Etanercept (Enbrel)
• Infliximab (Remicade)
• Ixekizumab (Taltz)
• Golimumab (Simponi)
• ʻO Guselkumab (Tremfya)
• Risankizumab-rzaa (Skyrizi)
• ʻO Secukinumab (Cosentyx)
• Tildrakizumab-asmn (Ilumya)
• ʻO Ustekinumab (Stelara)

PHOTOTAPAI

Koho paha kekahi poʻe i ka loaʻa ʻana o ka phototherapy, kahi palekana a hiki ke maikaʻi loa:

• ʻO kēia kahi lapaʻau e hōʻike pono ʻia ai kou ʻili i ke kukui ultraviolet.
• Hāʻawi ʻia hoʻokahi ʻia a ma hope paha o kou lawe ʻana i kahi lāʻau e hoʻohuli i ka ʻili i ka mālam.
• Hiki ke hāʻawi ʻia i ka Phototherapy no psoriasis e like me ke kukui ultraviolet A (UVA) a i ʻole ultraviolet B (UVB).

NA LAAU HOU

Inā loaʻa ʻoe i kahi maʻi, e kuhikuhi ana kāu mea hāʻawi i nā lāʻau antibiotic.

MALAMA HOME

Ma hope o kēia mau ʻōlelo aʻoaʻo ma ka home e kōkua paha:

• E ʻauʻau ana i kēlā me kēia lā a i ʻole ʻauʻau - E hoʻāʻo e holoi ʻole i ka paʻakikī, no ka mea hiki i kēia ke hoʻonāukiuki i ka ʻili a hoʻomaka i kahi hoʻouka.
• Hōʻoluʻolu paha nā ʻauʻau Oatmeal a kōkua paha e hoʻokuʻu i nā unahi. Hiki iā ʻoe ke hoʻohana i nā huahana ʻauʻau oatmeal over-the-counter. A i ʻole, hiki iā ʻoe ke kāwili i 1 kīʻaha (128 gram) o ka oatmeal i loko o kahi pahu (ʻauʻau) o ka wai mehana.
• Ke mālama nei i kou ʻili maʻemaʻe a maʻū, a me ka hōʻalo ʻana i kāu mau mea e hoʻonāukiuki i psoriasis e kōkua paha i ka hōʻemi ʻana i ka nui o nā uila.
• Hiki i ka lā ke kōkua i kāu ʻōuli ke hele. E akahele o loaʻa ka lā i ka lā.
• Hoʻomaha a me nā hana anti-stress - ʻAʻole maopopo maikaʻi ka loulou ma waena o ke koʻikoʻi a me nā lapalapa o psoriasis.

Hiki ke pōmaikaʻi kekahi poʻe i kahi hui kākoʻo psoriasis. He waiwai maikaʻi ka National Psoriasis Foundation: www.psoriasis.org.

Hiki i ka Psirus ke lilo i ke ola āpau e hiki ke kāohi pinepine ʻia me ka lāʻau. Hele lōʻihi paha ia a hoʻi. Me ka lapaʻau kūpono, ʻaʻole ia e hoʻopili i kou olakino holoʻokoʻa. Akā e makaʻala aia he loulou ikaika ma waena o psoriasis a me nā pilikia olakino ʻē aʻe, e like me ka maʻi puʻuwai.

Kāhea aku i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o psoriasis a i ʻole inā hoʻomau mau ka huhū o kou ʻili me ka hoʻomaʻamaʻa ʻia.

E haʻi i kāu mea hāʻawi inā loaʻa iā ʻoe ka ʻeha pū a i ʻole ke kuni me kāu mau hōʻeha psoriasis.

Inā loaʻa iā ʻoe nā ʻōuli o ka maʻi kōkō, e kamaʻilio me kāu dermatologist a i ʻole rheumatologist.

E hele i ka lumi pilikia a kāhea paha i ka helu kūloko kūloko (e like me 911) inā loaʻa iā ʻoe kahi maʻi ahulau e uhi ana i nā mea āpau a i ʻole ka hapa nui o kou kino.

ʻAʻohe ala i ʻike ʻia e pale aku ai i ka psoriasis. Ke mālama nei i ka ʻili maʻemaʻe a maʻū a me ka hōʻalo ʻana i kāu mau mea ʻo psoriasis e kōkua i ka hōʻemi ʻana i ka nui o nā uila.

Paipai nā mea hoʻolako i nā ʻauʻau i kēlā me kēia lā a i ʻole nā ​​ua no nā poʻe me psoriasis. Hōʻalo i ka ʻōpala paʻakikī ʻana, no ka mea hiki i kēia ke hoʻonāukiuki i ka ʻili a hoʻomaka i kahi hoʻouka.

Pākuʻi psoriasis; Psoriasis vulgaris; Guttate psoriasis; Pustular psoriasis

• ʻO Psoriasis ma nā knuckles
• Psoriasis - hoʻonui ʻia x4
• Psoriasis - guttate ma nā lima a me ka umauma

Armstrong AW, Siegel MP, Bagel J, et al. Mai ka Papa Lapaʻau o ka National Psoriasis Foundation: nā pahuhopu lapaʻau no ka plake psoriasis. ʻO J Am Acad Dermatol. 2017; 76 (2): 290-298. PMID: 27908543 www.pubmed.ncbi.nlm.nih.gov/27908543/.

ʻO Dinulos JGH. ʻO Psoriasis a me nā maʻi papulosquamous ʻē aʻe. I: Dinulos JGH, hoʻoponopono. ʻO Dermatology Lapaʻau ʻo Habif. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 8.

Lebwohl MG, van de Kerkhof P. Psoriasis. I: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Ka mālama ʻana i ka maʻi ʻili: nā ʻōnaehana Therapyutic Comprehensive. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 210.

Van de Kerkhof PCM, Nestlé FO. ʻO Psoriasis. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 8.