Nā hoʻoponopono no ka psoriasis: mea hamo a me nā huaale

Anter

• Nā kumuhana kumuhana (nā kalima a me nā hamo)
• 1. Corticoids
• 2. Calcipotriol
• 3. Moisturizers a me nā emollients
• Nā ʻōnaehana hana ʻōnaehana (papa)
• 1. Acitretin
• 2. Methotrexate
• 3. Cyclosporine
• 4. Nā mea ola biological

He maʻi mau a he maʻi hoʻi ʻole ka Psoriasis, akā naʻe, hiki ke hoʻomaha i nā ʻōuli a hoʻolōʻihi i ke kala ʻana o ka maʻi no nā wā lōʻihi me ka lapaʻau kūpono.

ʻO ka mālama ʻana no ka psoriasis kaukaʻi ʻia i ka ʻano, ka wahi a me ka laulā o nā leona, a hiki ke hana ʻia me nā kalima a me nā hamo me nā corticosteroids a me nā retinoid a i ʻole nā ​​lāʻau oral, e like me cyclosporine, methotrexate a i ʻole acitretin, no ka laʻana, ma ke ʻōlelo a ke kauka.

Ma waho aʻe o ka lāʻau lapaʻau, he mea nui nō hoʻi ia e hoʻoulu i ka ʻili i kēlā me kēia lā, ʻo ia hoʻi nā wahi i hoʻopilikia ʻia, a me ka pale ʻana i nā huahana abrasive e hoʻonāukiuki i ka ʻili a me ka maloʻo nui.

ʻO kekahi o nā lāʻau e kuhikuhi pinepine ʻia e ke kauka no ka mālama ʻana i nā psoriasis ʻo:

Nā kumuhana kumuhana (nā kalima a me nā hamo)

1. Corticoids

Kūpono nā corticosteroids kumuhana i ka mālama ʻana i nā ʻōuli, keu hoʻi ke kaupalena ʻia ka maʻi i kahi wahi liʻiliʻi, a hiki ke hoʻopili ʻia me ka calculipotriol a me nā lāʻau ʻōnaehana.

ʻO kekahi mau laʻana o ka topical corticosteroids i hoʻohana ʻia i ka mālama ʻana i ka psoriasis ʻo ka kalima clobetasol a i ʻole ka 0.05% capillary solution a me ka dexamethasone cream 0,1%, no ka laʻana.

ʻO wai ka mea pono ʻole e hoʻohana: ka poʻe me ka hypersensitivity i nā ʻāpana, me nā maʻi ʻili i hoʻokumu ʻia e nā virus, fungi a bacteria paha, ka poʻe me ka rosacea a i ʻole ka dermatitis perioral uncontrolled.

Nā hopena ʻē aʻe i hiki: ʻume, ʻeha a me ka wela i ka ʻili.

2. Calcipotriol

ʻO Calcipotriol kahi analogue o ka wikamina D, kahi ma kahi o ka 0,005% i hōʻike ʻia no ka mālama ʻana i ka lāʻau ʻo psoriasis, no ka mea he kōkua ia i ka hoʻoliʻiliʻi o ka hoʻokumu ʻia o nā psoriatic plaques. I ka hapanui o nā hihia, hoʻohana ʻia ka calcipotriol me ka corticosteroid.

ʻO wai ka mea pono ʻole e hoʻohana: ka poʻe me ka hypersensitivity i nā mea hana a me ka hyperkalaemia.

Nā hopena ʻē aʻe i hiki: ka huhū o ka ʻili, ka hū, ka ʻūlū ʻana, ka keratosis, ka ʻili, ka erythema a me ka dermatitis pili.

3. Moisturizers a me nā emollients

Pono e hoʻohana i nā kalima emollient a me nā hamo i kēlā me kēia lā, ʻo ia hoʻi ma ke ʻano he mālama mālama ma hope o ka hoʻohana ʻana o nā corticosteroids, ka mea e kōkua ai e pale i ka hoʻi hou ʻana i ka poʻe me ka psoriasis akahai.

Pono e loaʻa i kēia mau kalima a me ka hamo ka urea i loko o nā concentrations i hiki ke loli ma waena o 5% a 20% a me / a i ʻole acid salicylic i loko o nā concentrations ma waena o 3% a me 6%, e like me ke ʻano o ka ʻili a me ka nui o nā unahi.

Nā ʻōnaehana hana ʻōnaehana (papa)

1. Acitretin

ʻO Acitretin kahi retinoid i hōʻike pinepine ʻia e mālama i nā ʻano koʻikoʻi o ka psoriasis ke pono e pale i ka pale maʻi pale a loaʻa i nā kaona o 10 mg a i ʻole 25 mg.

ʻO wai ka mea pono ʻole e hoʻohana: ka poʻe me ka hypersensitivity i nā mea hana, nā wahine hāpai a me nā wahine e makemake e hāpai i nā makahiki e hiki mai ana, nā wahine lactating a me nā poʻe me ke ake nui a i ʻole ka hakuʻala ʻole.

Nā hopena ʻē aʻe i hiki: headache, dryness and inflammation of the mucous membrane, maloʻo ka waha, make wai, thrush, gastrointestinal kāna hana, cheilitis, ʻume, lauoho lauoho, flaking ma loko o ke kino, nā ʻeha ʻeha, hoʻonui ʻia ke koko a me nā triglycerides a me ka edema nui.

2. Methotrexate

Hōʻike ʻia ʻo Methotrexate no ka mālama ʻana i nā maʻi ʻoi loa, ʻoiai e hoʻemi ana i ka nui a me nā mumū o nā ʻili ʻili. Loaʻa kēia lāʻau i nā papa 2.5 mg a i ʻole 50 mg / 2mL ampoules.

ʻO wai ka mea pono ʻole e hoʻohana: ka poʻe me ka hypersensitivity i nā mea, nā wahine hāpai a me nā lactating, nā kānaka me ka cirrhosis, ka maʻi ethyl, ka maʻi hepitis, ka hōʻeha o ke ake, nā maʻi nui, nā maʻi maʻi immunodeficiency, aplasia a i ʻole hypoplasia spinal, thrombositopenia a i ʻole anemia pili a me ka ulia gastric ulcer.

Nā hopena ʻē aʻe i hiki: ʻeha ʻeha ke poʻo, ʻāʻī ʻoʻoleʻa, luaʻi, kuni, ʻulaʻula o ka ʻili, hoʻonui i ka waikawa uric, hoʻemi i ka helu sperm i nā kāne, thrush, mumū o ke alelo a me nā gums, diarrhea, hoʻoliʻiliʻi ke keʻokeʻo koko keʻokeʻo a me ka helu o ka platelet, kōlea a me ka pharyngitis

3. Cyclosporine

ʻO Cyclosporine kahi lāʻau immunosuppressive i kuhikuhi ʻia e mālama i ke akahai a i nā maʻi kūpilikiʻi, ʻaʻole pono e ʻoi aku ma mua o 2 mau makahiki o ka mālama ʻana.

ʻO wai ka mea pono ʻole e hoʻohana: ka poʻe me ka hypersensitivity i nā ʻāpana, hypertension koʻikoʻi, kūpaʻa ʻole a kaohi ʻole ʻia me nā lāʻau, nā maʻi ʻino a me ka maʻi ʻaʻai.

Nā hopena ʻē aʻe i hiki: nā maʻi hakuʻala, hypertension a nāwaliwali nā pūnaewele pale.

4. Nā mea ola biological

I nā makahiki i hala iho nei, ua hoʻonui ka hoihoi i ka hoʻomohala ʻana i nā mea olaola me nā waiwai pale pale i ʻoi aku ke koho ma mua o ka cyclosporine i mea e hoʻomaikaʻi ai i ka ʻike palekana o nā lāʻau psoriasis.

ʻO kekahi mau laʻana o nā mea olaola i hoʻomohala hou ʻia no ka mālama ʻana i psoriasis:

• Adalimumab;
• Etanercept;
• Infliximab;
• Ustecinumab;
• ʻO Secukinumab.

ʻO kēia papa hou o nā lāʻau i loko o nā protein a i ʻole nā ​​monopona monoclonal i hana ʻia e nā meaola, ma o ka hoʻohana ʻana i ka biotechnology recombinant, i hōʻike i kahi hoʻomaikaʻi o nā leona a me ka hoʻemi ʻana i kā lākou hoʻolōʻihi.

ʻO wai ka mea pono ʻole e hoʻohana: ka poʻe me ka hypersensitivity i nā mea, me ka puʻuwai puʻuwai, ka maʻi demyelinating, ka moʻolelo hou o neoplasia, maʻi maʻi, ka hoʻohana ʻana i nā lāʻau āpau i hāpai ʻia a hāpai.

Nā hopena ʻē aʻe i hiki: ʻO nā hopena o ke kahua injection, nā maʻi, tuberculosis, ka hopena o ka ʻili, neoplasms, nā maʻi demyelinating, headache, dizziness, diarrhea, itching, muscle pain and tiredness.