Mea Kākau: John Stephens
Lā O Ka Hana: 25 Ianuali 2021
HōʻAno Hou I Ka Lā: 3 Apelila 2025
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Hoʻolālā kēlā me kēia kanaka me psoriasis i ka psoriatic arthritis ruash?

ʻO Psoriatic arthritis (PsA) kahi ʻano o ke ahulau e loli ana i ka 30 pākēneka o nā kānaka me ka psoriasis, kuhi ʻia ʻo ka Arthritis Foundation. ʻO PsA kahi maʻi maʻi autoimmune mau i hiki, i ka hala ʻana o ka manawa, ke alakaʻi i ka hui pū, ka ʻoʻoleʻa, a me ka ʻeha.

Ma kahi o 85 pākēneka o ka poʻe i loaʻa iā PsA e ʻike i nā ʻōuli o ka ʻili ma mua o ka hoʻopili ʻia ʻana o kā lākou mau ami, i hōʻike ʻia e ka National Psoriasis Foundation. ʻO kekahi o nā ʻōuli maʻamau o PsA kahi wīwī: ʻili ʻulaʻula mānoanoa i uhi ʻia me nā pā keʻokeʻo flaky.

Inā hoʻomohala ʻoe i nā ʻōuli o PsA, he mea nui e ʻimi ʻoe i ka lāʻau i ka wā hiki wawe. Hiki i kēia ke hōʻemi i kou makaʻi no ka hōʻino hui e pili me ke ʻano.

E hoʻomau i ka heluhelu ʻana e aʻo ai pehea e ʻike ai i kahi wīwī PsA, kahi e ʻike ʻia ai, a pehea e mālama ai iā ia.

Nā kiʻi wīwī ʻo Psoriatic arthritis

Pehea e hiki ai iā ʻoe ke ʻike i ka wīwī o ka ʻili psoriatic?

ʻO ke ʻano o ka psy PsA e like me ka psoriasis rash. ʻO ka hiʻohiʻona maʻamau o ka psoriasis rash hiʻohiʻona i hoʻāla ʻia i nā pā o ka ʻulaʻula i uhi ʻia me nā unahi keʻokeʻo keʻokeʻo. Kapa ʻia kēia mau mea he pāka.


ʻEwili paha nā pākana, ʻā, a ʻeha paha. Inā loaʻa iā ʻoe nā pālaki, he mea nui ʻaʻole e wili iā lākou. ʻO ka wili ʻana paha ka mea e mānoanoa ai ka pākaukau a wehe paha i ka ʻili i ka maʻi.

Hele mai paha ka ʻehu a hoʻi. Loaʻa paha iā ʻoe nā wā lōʻihi ke ʻole ʻoe e ʻino. ʻO kekahi mau kūlana, e like me nā maʻi, ke koʻikoʻi, a me nā ʻeha, hiki ke hoʻowalewale i kāu maʻi ʻeha.

Inā loaʻa iā ʻoe ka psoriasis a ʻike i kahi loli i kāu maʻamau a me kou wahi maʻamau, e ʻike i kāu kauka. He hōʻailona paha kēia no PsA a i ʻole kekahi ʻano kumu e aʻe.

Ma hea e hōʻike pinepine ʻia ai ka wīwī psoriatic?

ʻO ka ʻokoʻa nui ma waena o kahi kūpikipiki kūpikipiki a me kahi kūpilikiʻi PsA kahi wahi wikiwiki.

Hoʻomohala maʻamau ʻo PsA rash i kāu:

  • kuʻekuʻe lima
  • nā kuli
  • ʻili poʻo
  • kua malalo
  • genital
  • a puni ka pihi ʻōpū
  • mawaena o ka papa kuhina

Eia nō naʻe, hiki i ka hū ke hōʻike i nā wahi āpau o kou kino, e like me nā poho o kou mau lima a me kou mau wāwae.

Hoʻohui pinepine ʻia ʻo Nail psoriasis me PsA. Hiki iā ia ke hoʻololi i nā manamana lima a me nā manamana wāwae.


Kumu psoriasis ke kumu:

  • pitting
  • hoʻoliʻiliʻi
  • e wehe i nā kui kuʻi mai ka moena kui (onikolisis)
  • palupalu

Nā koho lapaʻau no ka wīwī psoriatic arthritis

E loli ana kāu papa hana e pili ana i ke ʻano o ka psoriasis i loaʻa iā ʻoe a me ke koʻikoʻi o kāu mau ʻōuli ʻōiwi. Me PsA, e hoʻopili pū kāu papa hoʻolālā i nā lāʻau e kōkua i ke kaohi ʻana i nā ʻōuli o ke kō.

No ka hū, hiki i kāu kauka ke kauoha:

  • nā kalima a me nā hamo e hōʻoluʻolu i kou ʻili
  • nā lāʻau lapaʻau waha e hoʻēmi i ka hana ʻana o ka ʻili ʻili
  • light therapy e hōʻemi i ka pehu

ʻO ka pahuhopu o ka mālama wikiwiki ʻana e hōʻemi i ka hoʻoliʻiliʻi o ka pālolo ma ka hoʻōki ʻana i nā ʻili o ka ʻili mai ka ulu ʻana a me ka hoʻomaʻamaʻa ʻana i kou ʻili.

Nā hoʻoponopono kumuhana

Hiki i nā lāʻau lapaʻau kumuhana ke kōkua i ka hoʻokuʻu ʻana i ka ʻili, ka maloʻo, a me ka mumū i hoʻokumu ʻia e ka huhū o PsA.

Kaukaʻi ʻia i ka lāʻau, hiki ke hoʻokō ʻia kēia me kahi:

  • kalima
  • ʻalā
  • ʻaliona
  • shampoo
  • ʻehu
  • hamo

Loaʻa kēia mau lāʻau i loko o nā counter over-the-counter (OTC) a me nā formulate kuhikuhi.


ʻO nā lāʻau lapaʻau maʻamau ʻo OTC e hoʻopili maʻamau i ka waikawa salicylic a me ke kākahu. ʻO nā lāʻau lapaʻau i kau pinepine ʻia i loko o nā corticosteroids a i ʻole nā ​​derivatives vitamina.

ʻO nā kumuhana kumumanaʻo maʻamau nā:

  • ʻO ka calcitriol, kahi ʻano maoli o ka wikamina D-3
  • ʻO ka calcipotriene, kahi ʻano lāʻau i hana ʻia e ka lab-D
  • hoʻohui pū ʻia ʻo ka calculipotriene me ka corticosteroid betamethasone dipropionate
  • Tazarotene, kahi kūmole o ka wikamina A
  • anthralin, kahi ʻano hana i hana ʻia o ka chrysarobin kūlohelohe

Pili paha kāu papa hana i ka hui ʻana o OTC a me nā lāʻau i kuhikuhi ʻia. Pono ʻoe a me kāu kauka e hoʻokolohua e ʻike i nā hui e kū pono iā ʻoe.

ʻO kekahi mau lāʻau, e like me nā corticosteroids, loaʻa paha nā hopena ʻē aʻe ke hoʻohana lōʻihi ʻia. E kamaʻilio me kāu kauka e pili ana i nā pono kūpono a me nā pilikia e pili ana i kēlā me kēia koho.

Hiki i nā moisturizer OTC ke kōkua i ka hōʻoluʻolu i kou ʻili a pale i ka makaʻu, akā ʻaʻole nā ​​moisturizers wale nō e hoʻōla i nā pā.

Nā lāʻau lapaʻau waha a i ʻole injected

Aia nā ʻano lāʻau like ʻole e kuhikuhi i ka hana ʻana o ka ʻili o ka ʻili a i ʻole kāu ʻōnaehana pale. Pākuʻi ʻia kēia mau mea:

Corticosteroids

Hoʻohālike kēia mau lāʻau i ka cortisol, kahi kūlohelohe anti-inflammatory hormone i hana ʻia e kou kino. Lawe pinepine ʻia kēia mau mea e ka waha a hiki ke kōkua i ka hōʻemi ʻana i ka pehu. Hiki i nā ʻano injected ke hāʻawi i ke kōkua no ka wā pōkole.

Hiki i ka hoʻohana wā lōʻihi ke hopena i ka pehu ʻana o ka helehelena a me ka loaʻa ʻana o ke kaumaha. Hiki paha iā ia ke hoʻonui i kou makaʻi no ka osteoporosis.

Disease-modifying antirheumatic drug (DMARDs)

Hoʻopau kēia mau lāʻau i nā lāʻau i loko o kou kino e hoʻonā i ka wela. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka hōʻino pū ʻia. Lawe pinepine ʻia nā DMARD e ka waha akā hiki ke ʻīkī pū kekahi.

ʻO Biologics

Hiki i kēia mau lāʻau lapaʻau ke pale i ka mumū ma kahi pae pūnaewele. Hoʻokomo pinepine ʻia nā Biologics. ʻO nā ʻano nui o nā biologics nā lāʻau anti-tumor nekrosis factor-alpha, abatacept, a me ustekinumab. Kākoʻo kēlā me kēia pale i nā protein i loko o ke kino.

E hoʻonui paha kou makaʻu no ka maʻi i ka lawe ʻana i nā biologics mai kā lākou hana ʻana ma ke kāohi ʻana i kāu ʻōnaehana pale.

Lapaʻau māmā

Hiki ke hoʻohana i nā kukui kūlohelohe a i ʻole ʻimi hoʻopunipuni i nā nui i kāohi ʻia e hōʻemi i ka wīwī o psoriasis.

ʻO nā ala maʻamau e pili pū me:

Mīkini kukui UVB

Ke hōʻike nei i kou kolo i ka radiation UVB i hana ʻia e kahi mīkini māmā no ka manawa liʻiliʻi i kekahi mau manawa o ka pule e hiki ke kōkua i ka hōʻemi ʻana i ka mumū. Loaʻa pinepine i nā dermatologists nā mīkini UVB no ka hoʻohana home. Hiki iā ʻoe ke kūʻai aku iā lākou i kālepa e hoʻohana ai ma ka home.

Mīkini kukui UVA

Hoʻohana kēia ala i kahi mīkini kukui e hana i ka radiation UVA. Ke hoʻohui ʻia me psoralen, kahi lāʻau e hoʻomālamalama ai i kou ʻili, hiki i kēia hana ke hoʻomaikaʻi i ka psoriasis koʻikoʻi. ʻO kēia ka mea i kapa ʻia ʻo photochemotherapy.

Kukuna Excimer

ʻO kahi laser excimer, ka mea e noʻonoʻo nui i ka radiation UVB ikaika loa ma nā wahi psoriasis, kahi hana i hoʻomākaukau ʻia e kaohi i ka hū. Hoʻohana ʻia kēia i ke keʻena o ke kauka a koi pinepine i nā kau liʻiliʻi ma mua o nā mālama UV ʻē aʻe.

E kamaʻilio me kāu kauka e pili ana inā kūpono nā kau home a i ʻole keʻena ma luna ou.

Nā hoʻoponopono home

Hiki i kekahi mau loli nohona ke kōkua i ka mālama ʻana i ka aniani a me ka mumū.

Nā ʻōlelo aʻoaʻo a me nā hana maʻalea

  • E mālama i kou ʻili i pulu, keu hoʻi ke maloʻo ka lewa. Pono paha ʻoe e hoʻopili i kahi mea hoʻoluʻu i kekahi mau manawa o ka lā.
  • E ʻauʻau mehana e hoʻoluʻolu i ka ʻili ʻili a me ka wela. Hoʻohui i nā paʻakai ʻo Epsom, colatidal oatmeal, a i ʻole nā ​​aila e pulu i loko. E hoʻohana i nā kopa maʻalahi wale nō.
  • Hōʻalo i nā mea e hoʻonāukiuki i nā maʻi ahulau, e like me ke koʻikoʻi, ʻalekohola, puhipaka, a me kekahi mau ʻala.
  • ʻAi i ka papaʻai olakino a loaʻa ka hoʻoikaika kino maʻamau e hoʻonui i kou olakino holoʻokoʻa.

He aha koʻu kuanaʻike no koʻu hū?

He maʻi maʻi mau ka Psoriasis, a ʻaʻohe lāʻau i ʻike ʻia i kēia manawa. Hoʻopili ia i kēlā me kēia kanaka i ka ʻokoʻa. Pehea ka wikiwiki o ka hoʻomaʻemaʻe o kou wīwī e pili ana i kona koʻikoʻi a me ka maikaʻi o kāu hoʻolālā lapaʻau.

Lōʻihi paha kahi manawa no ʻoe a me kāu kauka e hana ai i kahi hui o nā mālama e mālama ai i ka hū i lalo o ka kaohi. Hoʻomaʻemaʻe pinepine ka psyssssss rash, a loaʻa iā ʻoe kahi manawa o ke kala ʻana, akā hiki ke lele hou.

Inā ʻoe e aʻo e ʻike a pale i nā mea e hoʻonāukiuki ai, hiki paha iā ʻoe ke hōʻemi i ke alapine o lākou.

Hiki iā ʻoe ke loaʻa i ka psoriatic arthritis me ka hū ʻole?

ʻOiai ʻo ka pīpī kahi hōʻailona maʻamau o PsA, hiki iā ʻoe ke hoʻomohala iā PsA me ka loaʻa ʻole o ka pehu. Ma kahi o 15 pākēneka o ka poʻe e hoʻomohala iā PsA me ka loaʻa ʻole o ka psoriasis ma mua, kuhi ʻia ka National Psoriasis Foundation. I kekahi manawa, hoʻomōhala ka poʻe iā PsA a me psoriasis i ka manawa like.

I kēia mau hanana, pono e makaʻala i nā ʻano o nā hōʻailona ʻē aʻe o PsA.

Aia kekahi mau hōʻailona ʻē aʻe o PsA?

ʻOiai pili pinepine ʻia ka wīwī me PsA, ʻaʻole ia ka hōʻailona wale nō.

ʻO nā ʻōuli ʻē aʻe e like me:

  • luhi
  • ʻāʻī o ke kakahiaka a ʻeha hoʻi i hope
  • pehu, ʻeha, a palupalu paha i nā hono
  • ʻeha a ʻeha ligament paha
  • hoʻemi i ke kaʻina o ka neʻe i nā hono
  • loli ke kui, e like me ka pitting a me ka haʻi ʻana
  • pehu nā manamana lima a me nā manamana wāwae e like me nā sausages (dactylitis)
  • nā pilikia o ka maka, me ka ʻulaʻula, ka huhū, a me ka conjunctivitis

Hōʻokoʻa nā ʻōuli a me ko lākou koʻikoʻi i kēlā me kēia kanaka. Hoʻohālike nā ʻōuli he nui i nā maʻi ʻē aʻe, e like me osteoarthritis, rheumatoid arthritis, a me ka gout.

Inā ʻoe e ʻike nei i nā ʻōuli, e kamaʻilio me kāu kauka. ʻO ka loaʻa ʻana o kahi hōʻailona i ka wā hiki ke hiki ke kōkua i ka hoʻomaikaʻi ʻana i kou ola o ke ola ma o ka mālama ʻana i nā ʻōuli a hoʻemi i kou makaʻi no nā pilikia lōʻihi.

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