Hoʻomaʻo Psoriasis

Anter

• Nā mālama kumuhana no ka mea, psoriasis
• Nā Huahana analog D
• ʻO nā kalima kalo a me nā hamo
• Nā shampoos Dandruff
• ʻO ka waikawa salicylic a me ka waikawa lactic
• Nā ʻōnaehana ʻōnaehana no ka psoriasis
• Methotrexate
• Cyclosporine
• Nā mea hoʻopukapuka PDE4
• Retinoid
• ʻO Hydroxyurea
• Nā lāʻau Immunomodulator (biologics)
• ʻO Thioguanine
• Hoʻohana lāʻau hoʻohana inoa ʻole
  
• Phototherapy (kukui therapy)
• Kukui lā
• Phototherapy UVB
• Hoʻoikaika Goeckerman
• Kukuna Excimer
• ʻO Photochemotherapy, a i ʻole psoralen a me ultraviolet A (PUVA)
• ʻO ka kukuna kala ʻele

Hōʻike Overview

ʻO ka mālama ʻana i ka maʻi maʻamau i nā ʻano ʻokoʻa he nui. Pākuʻi paha kēia i nā loli nohona, meaʻai, phototherapy, a me nā lāʻau. Pili ka mālama ʻana i ke koʻikoʻi o kāu mau ʻōuli, kou mau makahiki, kou olakino holoʻokoʻa, a me nā kumu ʻē aʻe.

ʻAʻohe mea ola no ka psoriasis, no laila e hoʻāʻo pinepine nā kauka i kekahi mau hana ma mua o ka loaʻa ʻana o ka lāʻau kūpono iā ʻoe.

Nā koho lapaʻau no ka psoriasis pili i kēia mau kumu:

• ka paʻakikī o kāu psoriasis
• ʻehia ka nui o kou kino
• kou ʻano psoriasis
• pehea ka maikaʻi o ka pane ʻana o kou ʻili i nā mālama mua

ʻO nā ʻano maʻamau he nui e mālama i nā hōʻailona o ka maʻi. Hoaʻo lākou e hōʻoluʻolu i ka ʻili a me ka ʻili ʻana o ka ʻili a hoʻoliʻiliʻi i ka lapalapa ʻana. ʻO ka hoʻohana mau ʻana o nā mea hoʻoliʻiliʻi over-the-counter (OTC) ma hope o ka ʻauʻau ʻana a me nā ua hiki ke kōkua i ka mālama ʻana i ka wai ma ka ʻili e pale ai i ka palu ʻana. Akā ʻaʻole ia e mālama i ka hoʻohaʻahaʻa o ke kumu.

Paipai pū nā Dermatologists i ka poʻe me psoriasis e hoʻohana i nā kopa ʻaʻohe mea ʻala a me nā kala ʻole, nā mea holoi lole, a me nā mea hoʻoluʻu e hoʻoliʻiliʻi loa i ka huhū o ka ʻili.

Maʻaneʻi, e wehewehe mākou i nā maʻamau maʻamau no psoriasis, mai nā lālani mua e like me nā kalima topical i kahi papa hou o nā lāʻau i kapa ʻia he biologics.

Nā mālama kumuhana no ka mea, psoriasis

ʻO nā hana i noi pololei ʻia i ka ʻili i kapa ʻia nā mālama kumuhana. Pākuʻi ʻia lākou:

• nā kalima
• mea hamo
• ʻaliona
• nā gels

ʻO lākou ka maʻamau o ka lālani mua o ka mālama ʻana no ka poʻe me ka psoriasis akahai a haʻahaʻa. I kekahi mau hihia, hoʻohana ʻia lākou i ka hui pū me kekahi ʻano lapaʻau ʻē aʻe.

ʻO nā kalima Corticosteroid a me nā hamo ka mea maʻamau maʻamau no ka psoriasis. Hana kēia mau lāʻau steroid-low dose i ka mālama ʻana i ka hana nui o nā huna o ka ʻili a hōʻoluʻolu i ka ʻili. Eia nō naʻe, ʻo kekahi o nā corticosteroids me nā steroid ʻoi aku ka ikaika e hōʻino loa paha i kāu mau ʻōuli. E ʻike kāu kauka i ka ikaika pololei e hōʻemi i kāu mau hōʻailona, ​​ma mua o ka hoʻonui ʻana iā lākou.

ʻO nā kumuhana retinoids he ʻano ʻokoʻa o ka mālama kumuhana topical i lawe ʻia mai ka wikamina A. Hana lākou e normalize i ka hana ulu i nā hunaola ʻili. Hoʻohiohi kēia i ke kaʻina hana. ʻOiai ʻaʻole wikiwiki e like me ka hamo corticosteroid, ʻoi aku ka liʻiliʻi o nā hopena o ka retinoids topical. ʻAʻole pono nā wahine hāpai a hāpai paha i kēia mau mea no ka pilikia o ka hānau hānau.

Nā Huahana analog D

ʻO kēia nā ʻano synthetic o ka wikamina D e lohi i ka ulu ʻana o ka ʻili o ka ʻili. Kauoha paha kāu kauka iā lākou wale nō a i ʻole me nā ʻano lāʻau ʻē aʻe e mālama ai i ka psoriasis akahai a haʻahaʻa. Pākuʻi ʻia lākou:

• kalipona (Dovonex)
• kaleka (Rocaltrol)

ʻO nā kalima kalo a me nā hamo

ʻO ke kalo ka lāʻau lapaʻau mua loa no psoriasis. Hana ʻia ia mai nā mea hana o ka hana ʻaila. ʻO nā huahana kalo ka hoʻohaʻahaʻa ʻana i ka unahi ʻana, ka ʻili ʻana, a me ka mumū. Loaʻa nā noʻonoʻo kiʻekiʻe e ke kuhikuhi.

Loaʻa i kēia mau kalima nā hemahema. Kūpikipiki ke kalo lānahu, a hiki ke hoʻohaumia i ka lole a me nā kapa moe. Hiki iā ia ke loaʻa kahi ʻala ikaika a ʻoluʻolu ʻole hoʻi.

Nā shampoos Dandruff

Loaʻa nā shampoos dandruff lāʻau lapaʻau a me ka lāʻau i kauoha ʻia mai kāu kauka e mālama iā psoriasis ma kou poʻo.

ʻO ka waikawa salicylic a me ka waikawa lactic

Paipai nā ʻona ʻelua i ka sloughing o nā hunaola ʻili make, kahi e hoʻēmi ai i ka unahi ʻana. Hiki iā lākou ke hoʻohana pū ʻia me nā ʻano lāʻau ʻē aʻe. Loaʻa lākou i ka OTC a me nā ʻano hana kuhikuhi.

Nā ʻōnaehana ʻōnaehana no ka psoriasis

Hiki i nā lāʻau lapaʻau ke kōkua i ke kaua ʻana i ka hoʻolaha ʻana o ka psoriasis ma ke kamaʻilio ʻana i ka lī.

Makemake mau nā kauka e hoʻohana i ka pae haʻahaʻa o ka lapaʻau e pono ai e hōʻoki i nā ʻōuli. Hoʻomaka lākou me kahi lapaʻau kumuhana i nā manawa he nui. I ka pale ʻana o ka ʻili a pane hou ʻole i hoʻokahi lapaʻau, hiki ke hoʻohana ʻia i kahi lāʻau ʻoi aku ka ikaika.

Kauoha paha kāu kauka i nā lāʻau waha a i ʻole injection inā ʻoi aku ke koʻikoʻi o kāu psoriasis a pane ʻole paha i nā koho kumuhana. ʻO ka hapa nui o kēia mau lāʻau i loaʻa nā hopena ʻaoʻao, no laila kaohi ʻana o nā kauka i kā lākou hoʻohana ʻana i nā hihia paʻakikī a hoʻomau wale paha.

Methotrexate

Hoʻemi ka Methotrexate i ka hana ʻana o nā huna o ka ʻili a hoʻopau i ka pane pale. Kauoha pinepine nā kauka i kēia i ka poʻe me ka psoriasis kaulike a koʻikoʻi. ʻO ia kekahi o nā hana kūpono loa no ka poʻe me ka erythrodermic psoriasis a i ʻole ka pustular psoriasis. I kēia mau lā, ua hoʻomaka nā kauka e kuhikuhi iā ia ma ke ʻano he lāʻau lapaʻau no ka maʻi o psoriatic.

Nā hopena pili me:

• nalo ʻai ʻole
• luhi
• hoʻohuhū ʻōpū

Cyclosporine

ʻO Cyclosporine kahi lāʻau lapaʻau kūpono e hoʻolālā ʻia e kāohi i ka ʻōnaehana pale. Kau pinepine nā kauka i kēia lāʻau i nā poʻe me nā hihia koʻikoʻi o ka psoriasis no ka mea hoʻonāwaliwali ia i ka ʻōnaehana pale.

Hoʻouna wale ka hapa nui o nā kauka i kēia lāʻau no nā lōʻihi pōkole o ka manawa no ka makaʻu no ke kaʻe kiʻekiʻe. Inā ʻoe e lawe i kēia lāʻau, pono ʻoe i nā hoʻokolohua koko maʻamau a me nā loiloi o ke kahe o ke koko e nānā no nā pilikia kūpono.

Nā mea hoʻopukapuka PDE4

Hoʻokahi wale nō lāʻau lapaʻau waha, i kapa ʻia ʻo apremilast (Otezla), i kēia manawa i kēia papa hou o nā lāʻau no ka psoriasis. ʻAʻole maopopo maopopo i ka hana ʻana o ka apremilast e mālama ai i ka psoriasis. Manaʻo ʻia e hana ma ka hōʻemi ʻana i ka pane o kou kino i ka puhū.

Retinoid

Hana ʻia nā Retinoids mai nā huaola A derivatives. Mālama lākou i ka mea kaulike a hiki i ka psoriasis koʻikoʻi ma o ka hōʻemi ʻana i ka hana ʻana o nā hunaola ʻili. E ʻōlelo paha kāu kauka e hoʻohana ʻoe i kēia mau mea me ka light therapy.

E like me nā lāʻau lapaʻau ʻōnaehana ʻē aʻe, loaʻa i kēia mau mea kekahi hopena hopena ʻē aʻe. Hiki paha i kāu kauka ke kauoha i nā hoʻokolohua koko maʻamau e nānā ai no ka kiʻekiʻe o ke kolesterol, a he pilikia maʻamau ia no ka poʻe ma kēia lāʻau. Hiki i nā Retinoids ke kumu i nā kīnā hānau. ʻO nā wahine hāpai a makemake paha e hāpai, ʻaʻole pono lākou e lawe i kēia lāʻau.

ʻO ka retinoid waha wale nō i ʻāpono ʻia e ka FDA no ka mālama ʻana i ka psoriasis he acitretin (Soriatane).

ʻO Hydroxyurea

No Hydroxyurea kahi papa o nā lāʻau i kapa ʻia antimetabolites. Manaʻo ʻia e hana ia ma ke kāpae ʻana i ka hoʻopili ʻana o DNA. Hiki ke hoʻohana ʻia me ka phototherapy, akā ʻaʻole ia he maikaʻi e like me cyclosporine a me methotrexate.

ʻO nā hopena ʻē aʻe e pili pū me nā pae o ke koko ʻulaʻula haʻahaʻa loa (anemia) a me ka hōʻemi ʻana o nā hunaola keʻokeʻo a me nā pā. ʻO nā wahine hāpai a hoʻolālā paha i ka hāpai ʻana ʻaʻole pono e lawe i ka hydroxyurea ma muli o ka hopena o nā hānau hānau a me ka hānau ʻole.

Nā lāʻau Immunomodulator (biologics)

ʻO Biologics kahi papa hou o nā lāʻau e kuhikuhi i ka pale pale o kou kino. Hāʻawi ʻia kēia mau lāʻau i ka injection a i ʻole infravenous infusion (IV). Kauoha pinepine nā kauka iā lākou i ka poʻe me ka psoriasis kaulike a koʻikoʻi ʻaʻole i pane i nā hoʻoponopono kuʻuna.

ʻO nā biologics i ʻae ʻia no ka mālama ʻana i psoriasis:

• adalimumab (Humira)
• etanercept (Enbrel)
• certolizumab (Cimzia)
• infliximab (Remicade)
• ustekinumab (Stelara)
• secukinumab (Cosentyx)
• ixekizumab (Taltz)
• brodalumab (Siliq)
• guselkumab (Tremfya)
• tildrakizumab (Ilumya)
• risankizumab (Skyrizi)

Loaʻa hou ʻia nā Biosimilars, i like ia me nā lāʻau biologic inoa inoa, akā ʻaʻole kope kikoʻī. Makemake ʻia lākou e loaʻa nā hopena like me ka lāʻau maʻamau. Aia nā biosimilars i kēia manawa no infliximab a me etanercept.

ʻO Thioguanine

Hoʻohana ʻia ʻo Thioguanine i kahi lepili e mālama ai iā psoriasis. ʻOiai ʻaʻole maikaʻi e like me methotrexate a i ʻole cyclosporine, ʻoi aku ka liʻiliʻi o nā hopena o ka thioguanine. Hana kēia i kahi koho lapaʻau maikaʻi aʻe. Eia nō naʻe, he kumu ia no ka hānau hānau. ʻO nā wahine hāpai a hoʻolālā paha e hāpai e pono e hōʻalo i ka lawe ʻana iā ia.

Hoʻohana lāʻau hoʻohana inoa ʻole

• ʻO ka hoʻohana ʻana i ka lāʻau lapaʻau i hōʻailona ʻia ʻo ia ka lāʻau i ʻae ʻia e ka FDA no hoʻokahi kumu i hoʻohana ʻia no kahi kumu ʻē aʻe i ʻae ʻole ʻia. Eia nō naʻe, hiki i ke kauka ke hoʻohana i ka lāʻau no ia kumu. ʻO kēia no ka mea hoʻoponopono ka FDA i ka hoʻāʻo a me ka ʻae ʻana o nā lāʻau, akā ʻaʻole pehea e hoʻohana ai nā kauka i nā lāʻau e mālama ai i kā lākou mau maʻi. No laila, hiki i kāu kauka ke kuhikuhi i kahi lāʻau akā manaʻo lākou ʻoi aku ka maikaʻi no kāu mālama.

Phototherapy (kukui therapy)

ʻO Phototherapy kahi kaʻina hana e hōʻike pono ʻia ai ka ʻili i ka mālamalama maoli a i ʻole artipolipo (UV) kukui.

He mea nui e kūkākūkā i ka phototherapy me kāu dermatologist ma mua o ka hōʻike ʻana iā ʻoe iho i nā koina kiʻekiʻe o ke kukui UV. Hoʻopili ʻia ka phototherapy lōʻihi me ka nui o nā hanana o ka maʻi ʻaʻai, e like me ka melanoma. Mai hoʻāʻo e mālama iā ʻoe iho me kahi moe tanning a i ʻole sun sun.

Kukui lā

ʻO ke kumu maoli o ka mālamalama UV ka lā. Hana ia i nā kukuna UVA. Hoʻoemi ke kukui UV i ka hana ʻana o ka pūnaewele T a make loa i nā hunaola T i hoʻoheheʻe ʻia. Hoʻoiho kēia i ka pane inflammatory a me ka huli ʻana o ka ʻili o ka ʻili.

Hōʻike pōkole i nā liʻiliʻi o ka lā e hoʻomaikaʻi i ka psoriasis. Eia nō naʻe, hiki i ka lā lā nui a i ʻole ka lā lōʻihi e hoʻopōʻino i nā ʻōuli. Hiki iā ia ke hōʻeha i ka ʻili a hoʻonui paha i kou manawa o ka hoʻomōhala ʻana i ka maʻi ʻaʻai.

Phototherapy UVB

No nā hihia maʻalahi o ka psoriasis, hiki ke hoʻohana ʻia i nā hana hoʻomālamalama me nā kukui UVB.Ma muli o ka hoʻohana pinepine ʻia ʻana o nā pahu kukui uila UV-UV no kēia ʻano lapaʻau, hiki ke mālama ʻia i nā pākuʻi hoʻokahi a i ʻole nā ​​wahi liʻiliʻi o ka ʻili, ma kahi o ka hōʻike ʻana i ke kino holoʻokoʻa.

ʻO nā hopena me ka ʻili, ka ʻili maloʻo a me ka ʻulaʻula i nā wahi i mālama ʻia.

Hoʻoikaika Goeckerman

Hoʻohui ʻia ka hoʻomaʻamaʻa UVB me ka mālama tar tarena i ʻoi aku ka maikaʻi o nā hoʻoponopono ʻelua ma mua o nā lāʻau wale nō. Hoʻomaopopo ka ʻalā lānahu i ka ʻili i ka mālamalama UVB. Hoʻohana ʻia kēia lāʻau no nā hihia akahai a kaulike.

Kukuna Excimer

ʻO ka Laser therapy kahi mea hoʻohiki hoʻohiki i ka mālama ʻana i ka maʻi akahai a ʻano kaulike. Hiki i nā Lasers ke hoʻokūkū i nā kaola kukuna o ka mālamalama UVB ma nā pā psoriatic me ka ʻole o ka ʻili a puni. Akā maikaʻi paha ia i ka mālama ʻana i nā pā liʻiliʻi mai ka hiki ʻole i ka laser ke uhi i nā wahi nui.

ʻO Photochemotherapy, a i ʻole psoralen a me ultraviolet A (PUVA)

ʻO Psoralen kahi lāʻau hoʻomālamalama hoʻomālamalama e hui pū ʻia me ka UVA light therapy ma ke ʻano he lapaʻau no psoriasis. Lawe nā mea maʻi i ka lāʻau a noi i kahi mana kalima i ka ʻili a komo i kahi pahu kukui UVA. ʻOi aku ka ikaika o kēia lāʻau lapaʻau a hoʻohana wale ʻia i nā mea maʻi me ka kaulike a koʻikoʻi i nā hihia o ka psoriasis.

ʻO ka kukuna kala ʻele

Hiki i kāu kauka ke koi aku i ka laser pulse pulupulu inā loaʻa nā kūleʻa ʻē aʻe i ka kūleʻa. Luku kēia hana i nā kīʻaha koko liʻiliʻi ma nā wahi e pili ana i nā plake psoriasis, ʻoki ʻana i ke kahe o ke koko a hoʻemi i ka ulu ʻana o ka cell i kēlā wahi.