He aha nā lāʻau olakino e loaʻa ai no ka Psoriasis?

Anter

• Nā lāʻau lapaʻau a me nā lāʻau
• Koho # 1: Acitretin
• Nā hopena o ka acitretin
• Hāpai a me acitretin
• Koho # 2: Cyclosporine
• Nā hopena o ka cyclosporine
• Nā pilikia ʻē aʻe o cyclosporine
• Koho # 3: Methotrexate
• Nā hopena ʻaoʻao o ka methotrexate
• Nā pilikia ʻē aʻe o methotrexate
• Koho # 4: Apremilast
• Nā hopena ʻaoʻao o ka apremilast
• Nā pilikia ʻē aʻe o ka apremilast
• Pehea hou e mālama ʻia ai ka psoriasis?
• ʻO Biologics
• Lapaʻau māmā
• Nā mālama kumuhana
• Ke laina lalo

Nā Kahiāuli

1. ʻOiai me ka mālama ʻana, ʻaʻole e hele a pau ka psoriasis.
2. Hoʻolālā ka mālama ʻana i ka Psoriasis e hōʻemi i nā hōʻailona a kōkua i ka maʻi e hele i ke kala.
3. He koho maikaʻi paha nā lāʻau lapaʻau waha inā ʻoi aku ke koʻikoʻi o kāu psoriasis a pane ʻole paha i nā ʻano lāʻau ʻē aʻe.

Nā lāʻau lapaʻau a me nā lāʻau

ʻO ka maʻi he maʻi autoimmune maʻamau e hana i nā ʻulaʻula, mānoanoa, hoʻā o ka ʻili. Uhi pinepine ʻia nā pākuʻi i nā unahi ʻāhinahina keʻokeʻo i kapa ʻia he plake. I kekahi mau hihia, haki ka ʻili i hoʻopili ʻia, hoʻokahe ʻia, a hū paha. Nui ka poʻe e wela, ʻeha, a palupalu e pili ana i ka ʻili i hoʻopili ʻia.

He kūlana maʻi mau ka Psoriasis. ʻOiai me ka mālama ʻana, ʻaʻole e hele a pau ka psoriasis. No laila, mālama ka mālama ʻana e hōʻemi i nā hōʻailona a kōkua i ka maʻi e komo i ke kala. ʻO ke kala ka wā liʻiliʻi o ka hana maʻi ʻole. ʻO kēia ka mea he nui nā hōʻailona.

Loaʻa i ke ʻano o nā koho lapaʻau i loaʻa no ka psoriasis, me nā lāʻau o ka waha. ʻO nā lāʻau laʻau kahi ʻano o ka hoʻomaʻamaʻa ʻōnaehana, ʻo ia hoʻi e pili i kou kino holoʻokoʻa. Hiki ke ikaika loa i kēia mau lāʻau, no laila kauka wale nā ​​kauka iā lākou no ka maʻi kūpilikiʻi. I nā manawa he nui, mālama ʻia kēia mau lāʻau no ka poʻe i loaʻa ʻole ka kūleʻa nui me nā ʻano lāʻau psoriasis ʻē aʻe. Minamina, hiki iā lākou ke hoʻokumu i nā ʻano ʻaoʻao a me nā pilikia.

Heluhelu e aʻo hou aʻe e pili ana i nā lāʻau lapaʻau waha maʻamau a me nā hopena a me nā pilikia.

Koho # 1: Acitretin

ʻO Acitretin (Soriatane) kahi retinoid waha. ʻO Retinoids kahi ʻano o ka huaora A. ʻO Acitretin ka retinoid waha wale nō i hoʻohana ʻia e mālama i nā psoriasis koʻikoʻi i nā mākua. Hiki iā ia ke kumu i nā hopena ʻino. Ma muli o kēia, hiki i kāu kauka ke kuhikuhi i kēia lāʻau no kekahi manawa pōkole. Ke komo i loko o remission kāu psoriasis, hiki i kāu kauka ke ʻōlelo iā ʻoe e hōʻoki i ka lawe ʻana i kēia lāʻau a hiki i ka loaʻa ʻana o kahi uila ʻē aʻe.

Nā hopena o ka acitretin

ʻO nā hopena ʻaoʻao maʻamau o acitretin e komo pū ana:

• ʻili a me nā lehelehe
• poho lauoho
• waha maloo
• manaʻo kolohe
• nā hoʻololi i kou naʻau a me kāu hana
• kaumaha
• ʻeha poʻo
• ʻeha ma hope o kou mau maka
• ʻeha pū
• hōʻino ka ate

I nā hihia kakaikahi, hiki i nā hopena ʻaoʻao koʻikoʻi ke kū mai. Kāhea koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau mea:

• kahi hoʻololi i ka hihiʻo a i ʻole ka nalo ʻana o ka ʻike maka pō
• ʻeha poʻo poʻo
• nausea
• pokole o ka hanu
• pehu
• ʻeha ka umauma
• nāwaliwali
• pilikia i ka ʻōlelo ʻana
• melemele o kou ʻili a i ʻole nā ​​keʻokeʻo o kou mau maka

Hāpai a me acitretin

E kūkā kamaʻilio e pili ana i kāu hoʻolālā hoʻohua me kāu kauka ma mua o kou hoʻomaka ʻana i ka acitretin. Hiki i kēia lāʻau ke hoʻoulu i nā pilikia me kekahi ʻano hana hoʻomalu hānau. ʻAʻole pono ʻoe e lawe i ka acitretin inā hāpai ʻoe a hoʻolālā paha e hāpai. Ma hope o ka hoʻōki ʻana i ka acitretin, ʻaʻole pono ʻoe e hāpai no nā makahiki ʻekolu e hiki mai ana.

Inā he wahine ʻoe i hiki ke hāpai, ʻaʻole pono ʻoe e inu i ka waiʻona i ka wā e lawe ana i kēia lāʻau a no ʻelua mau mahina ma hope o kou hoʻōki ʻana i ka lawe ʻana. ʻO ka hoʻohui ʻana i ka acitretin me nā wai ʻona e waiho i kahi mea hōʻino i kou kino. Hiki i kēia mea ke hōʻeha maikaʻi i nā hāpai o ka wā e hiki mai ana. Kūpono kēia hopena a i ʻekolu mau makahiki ma hope o kou hoʻopau ʻana i ka lāʻau.

Koho # 2: Cyclosporine

ʻO Cyclosporine kahi pale pale pale. Loaʻa ia e like me nā lāʻau lapaʻau inoa inoa Neoral, Gengraf, a me Sandimmune. Hoʻohana ʻia ia e mālama i ka psoriasis koʻikoʻi inā ʻaʻole holo nā lawelawe ʻē aʻe.

Hana ʻo Cyclosporine ma ka hoʻomalie ʻana i ka ʻōnaehana pale. Pale a pale paha ia i ka overreaction i loko o ke kino e kumu ai nā ʻōuli o psoriasis. He ikaika loa kēia lāʻau a hiki ke hana i nā hopena ʻino.

Nā hopena o ka cyclosporine

ʻO nā hopena ʻaoʻao maʻamau o cyclosporine e komo pū me:

• ʻeha poʻo
• fiva
• ʻeha ka ʻōpū
• nausea
• ka luaʻi
• ulu lauoho makemake ʻole ʻia
• pāhoehoe
• pokole o ka hanu
• lohi a wikiwiki paha ka helu o ka naʻau
• loli i ka mimi
• ʻeha kua
• pehu o kou mau lima a me kou mau wāwae
• ʻāpā ʻaʻano a hoʻokahe paha
• luhi nui loa
• nāwaliwali loa
• hoʻonui i ke kahe o ke koko
• nā lima haʻalulu (haʻalulu)

Nā pilikia ʻē aʻe o cyclosporine

Hiki i ka Cyclosporine ke kumu i nā pilikia ʻē aʻe pū kekahi. Pākuʻi ʻia kēia mau mea:

• Nā launa lāʻau. ʻAʻole hiki ke hoʻohana ʻia kekahi mana o cyclosporine i ka manawa like a ma hope paha o ka mālama ʻana i nā lāʻau psoriasis ʻē aʻe. E haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau a lāʻau paha āu i lawe ai a ke lawe nei. Hoʻopili kēia i nā lāʻau e mālama ai i ka psoriasis, a me nā mālama ʻana no nā kūlana ʻē aʻe. Inā pilikia ʻoe e hoʻomanaʻo i nā lāʻau āu i lawe ai, i hana ai nā poʻe he nui, e noi i kāu kauka lāʻau no kahi papa inoa o kēlā mau lāʻau.
• Poino hakuʻala. E nānā kāu kauka i kou kaʻe koko ma mua a i kou wā e mālama ai me kēia lāʻau. Pono paha ʻoe e loaʻa i nā hoʻokolohua mimi maʻa mau. ʻO kēia i hiki i kāu kauka ke nānā no ka hōʻino ʻana o ka hakuʻala. E hoʻomaha paha kāu kauka a hōʻoki paha i kāu lāʻau me cyclosporine e pale aku ai i kou puʻupaʻa.
• Nā maʻi ʻino. Hāpai ʻo Cyclosporine i kāu makaʻu i nā maʻi. Pono ʻoe e hōʻalo i ke kaʻapuni ʻana i ka poʻe maʻi no laila ʻaʻole ʻoe e ʻohi i kā lākou mau mikena. E holoi pinepine i kou mau lima. Inā loaʻa iā ʻoe kahi hōʻailona o ka maʻi, e kāhea koke i kāu kauka.
• Nā pilikia ʻōnaehana hopohopo. Hiki i kēia lāʻau ke kumu i nā pilikia ʻōnaehana. E haʻi koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli.
  • nā hoʻololi noʻonoʻo
  • nāwaliwali o nā mākala
  • loli ka hihiʻo
  • ʻūpā
  • he nalowale o ka ʻike
  • ka hopu ʻana
  • melemele o kou ʻili a i ʻole nā ​​keʻokeʻo o kou mau maka
  • ke koko i kou mimi

Koho # 3: Methotrexate

Methotrexate (Trexall) pili i kahi papa lāʻau i kapa ʻia antimetabolites. Hāʻawi ʻia kēia lāʻau i nā poʻe me ka psoriasis koʻikoʻi ʻaʻole i kūleʻa nui me nā lāʻau ʻē aʻe. Hiki iā ia ke hoʻolohi i ka ulu ʻana o nā ʻili o ka ʻili a hoʻokū i nā unahi mai ka hana ʻana.

Nā hopena ʻaoʻao o ka methotrexate

ʻO nā hopena ʻē aʻe i ʻike pinepine ʻia o ka methotrexate:

• luhi
• haʻalulu
• fiva
• nausea
• ʻeha ka ʻōpū
• ʻūpā
• poho lauoho
• ʻulaʻula maka
• ʻeha poʻo
• ʻāʻā momona
• nalo ʻai ʻole
• nā maʻi maʻi

Hiki i kāu kauka ke koi aku i kahi folic acid (wikamina B) mea kōkua e pale aku ai i kekahi o kēia mau hopena ʻaoʻao.

I nā hihia kakaikahi, hiki i kēia lāʻau ke hōʻeha i nā hopena weliweli. Hoʻonui ka hopena o ka loaʻa ʻana o kēia mau hopena ʻaoʻao me nā kiʻekiʻena kiʻekiʻe o ka lāʻau. Kāhea koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau mea:

• kahe koko ʻole ʻana
• melemele o kou ʻili a keʻokeʻo o kou mau maka
• mimi ʻeleʻele a i ʻole koko i kāu mimi
• ʻūmū maloʻo e hana ʻole i ka phlegm
• nā hopena maʻi ʻaʻano, e komo pū paha me ka pilikia i ka hanu ʻana, ka pehu, a me ka hives

Nā pilikia ʻē aʻe o methotrexate

Methotrexate hiki i nā pilikia ʻē aʻe pū kekahi. Pākuʻi ʻia kēia mau mea:

• Nā launa lāʻau. ʻAʻole pono ʻoe e hoʻohui i kēia lāʻau me kekahi mau lāʻau ʻē aʻe ma muli o ka makaʻu o nā hopena ʻino. Hoʻopili paha kēia i nā lāʻau anti-inflammatory i loaʻa ma luna o ka pā. E kamaʻilio me kāu kauka e pili ana i nā pilina koʻikoʻi e hiki ke hana inā lawe ʻoe i kekahi mau lāʻau.
• Poino ke ake. Inā lawe ʻia kēia lāʻau no ka manawa lōʻihi, hiki ke hōʻeha i ke ake. ʻAʻole pono ʻoe e lawe i ka methotrexate inā loaʻa iā ʻoe ka hōʻino o ke ake a i ʻole ka mōʻaukala o ka hōʻino ʻana i ka waiʻona a i ʻole ka maʻi ʻona ʻalekohola. Hiki i kāu kauka ke koi aku i kahi biopsy ate e nānā i ka hōʻino o ke ake.
• Nā hopena me ka maʻi puʻupaʻa. E kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kēia lāʻau inā loaʻa ʻoe i ka maʻi puʻupaʻa. Pono paha ʻoe i kahi lāʻau ʻokoʻa.
• Poino i ka hāpai keiki. ʻO nā wahine hāpai, hānai waiū, a i ʻole hoʻolālā e lilo i hāpai e pono ʻole e hoʻohana i kēia lāʻau. ʻAʻole pono nā kāne e hāpai i wahine wahine i ka wā o ka mālama ʻana a ʻekolu mau mahina ma hope o ka hōʻoki ʻana i kēia lāʻau. Pono nā kāne e hoʻohana i nā condom ma loko o kēia manawa.

Koho # 4: Apremilast

Ma 2014, ua ʻae ka US Food and Drug Administration (FDA) i ka apremilast (Otezla) e mālama i ka psoriasis a me ka psoriatic arthritis i ka poʻe mākua. Manaʻo ʻia ʻo Apremilast e hana i loko o kāu ʻōnaehana pale a hoʻemi i ka pane o kou kino i ka puhū.

Nā hopena ʻaoʻao o ka apremilast

Wahi a ka FDA, nā hopena ʻaoʻao maʻamau i ʻike ʻia i ka wā o nā hoʻokolohua hoʻokolohua.

• ʻeha poʻo
• nausea
• pāhoehoe
• ka luaʻi
• ʻōuli anu, e like me ka ihu ihu
• ʻeha ka ʻōpū

Ua hōʻike pū ka poʻe e lawe nei i kēia lāʻau i ke kaumaha pinepine i nā hoʻokolohua hoʻokolohua ma mua o ka poʻe e lawe ana i kahi placebo.

Nā pilikia ʻē aʻe o ka apremilast

ʻO nā hopohopo e pili ana i ka hoʻohana ʻana i ka apremilast me:

• Kaumaha emi. Hiki i ka Apremilast ke hana i ka pohō kaumaha e wehewehe ʻole ʻia. Pono kāu kauka e nānā i kou kaupaona no ka pohō kaumaha ʻole i wehewehe ʻia i ka wā o ka mālama ʻana.
• Nā hopena me ka maʻi puʻupaʻa. E kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kēia lāʻau inā loaʻa ʻoe i ka maʻi puʻupaʻa. Pono paha ʻoe i kahi lāʻau ʻokoʻa.
• Nā launa lāʻau. ʻAʻole pono ʻoe e hoʻohui i ka apremilast me kekahi mau lāʻau ʻē aʻe, no ka mea, hana lākou i ka apremilast me ka liʻiliʻi o ka hopena. ʻO nā laʻana o kēia mau lāʻau e pili ana i ka hopu ʻana i nā lāʻau carbamazepine, phenytoin, a me phenobarbital. E kamaʻilio me kāu kauka e pili ana i nā lāʻau ʻē aʻe āu e lawe nei ma mua o kou hoʻomaka ʻana i ka apremilast.

Pehea hou e mālama ʻia ai ka psoriasis?

Hoʻokomo pū ʻia nā ʻōnaehana ʻōnaehana i nā lāʻau lapaʻau i injected. E like me nā lāʻau lapaʻau waha, nā lāʻau injected i kapa ʻia he biologics e hana ma loko o kou kino holoʻokoʻa e hoʻolohi i ka holomua o ka maʻi. ʻO nā ʻano lāʻau ʻē aʻe e pili ana i ka light therapy a me nā lāʻau kumuhana.

ʻO Biologics

Hoʻololi kekahi mau lāʻau i injected i ka ʻōnaehana pale. ʻIke ʻia kēia mau mea ma ke ʻano he biologics. Ua ʻae ʻia nā meaolaola no ka mālama ʻana i ka psoriasis kaulike a koʻikoʻi. Hoʻohana pinepine ʻia lākou i ka wā i pane ʻole ai kou kino i ka lāʻau kuʻuna a i ʻole i ka poʻe i ʻike pū i ka maʻi psoriatic.

ʻO nā laʻana o nā biologics i hoʻohana ʻia e mālama iā psoriasis me:

• etanercept (Enbrel)
• infliximab (Remicade)
• adalimumab (Humira)
• ustekinumab (Stelara)

Lapaʻau māmā

Hoʻopili kēia hana i ka kaohi i ka mālamalama maoli a i ʻole nā ​​kukui ultraviolet i hana ʻia. Hiki i kēia ke hana hoʻokahi a i ʻole ka hui pū ʻana me nā lāʻau ʻē aʻe.

Loaʻa i nā therapies kūpono:

• Phototherapy UVB
• ololi UVB therapy
• psoralen plus ultraviolet A (PUVA) therapy
• lāʻau lapaʻau laser excimer

Nā mālama kumuhana

Hoʻopili pololei ʻia nā lāʻau kumuhana i kou ʻili. ʻOi aku ka maikaʻi o ka hana ʻana o kēia mau mālama ʻana ma luna o ka akahai a me ka kaulike o psoriasis. I nā hihia ʻoi loa, hui pū ʻia nā mālama kumuhana me ka lāʻau o ka waha a i ʻole ka light therapy.

ʻO nā mālama kumuhana maʻamau e pili pū me:

• moisturizers
• waikawa salicylic
• kākahu lānahu
• hamo korticosteroid
• wikamina D analogues
• retinoids
• anthralin (Dritho-Scalp)
• nā mea hoʻopale kalipine, e like me tacrolimus (Prograf) a me pimecrolimus (Elidel)

Ke laina lalo

Inā loaʻa iā ʻoe ka psoriasis, e kūkākūkā me kāu kauka me ke kauka. Ke holo nei ka maʻi, pono paha ʻoe e hoʻololi i kāu lāʻau. Pono paha ʻoe i nā hōʻailona ʻoi aku ka ikaika inā lilo ka ʻoi aku o ke koʻikoʻi o ka psoriasis a pane ʻole paha i ka lāʻau. I kēia mau hihia, hiki i nā lāʻau lapaʻau waha ke koho maikaʻi.

E kamaʻilio pū me kāu kauka e pili ana i ka hopena o kēia mau lāʻau iā ʻoe. Hana pū me kāu kauka e ʻike i nā mālama e kōkua i ka hōʻoluʻolu i kāu mau hōʻailona psoriasis me ka ʻole o nā hopena ʻoluʻolu ʻole.