Psoriasis yog ib yam kab mob ntawm daim tawv nqaij uas tshwm sim los ntawm pob khaus thiab scaling nrog rau kev xav nruj thiab khaus khaus.
Qee cov txheeb cais
Yuav ua li cas kho psoriasis mus ib txhis? Tus kab mob no, suav tias tsawg, cuam tshuam txog 4-8% ntawm lub ntiaj teb cov pej xeem (kwv yees li 4.5 lab tus tib neeg). Tsis tas li ntawd, cov teb chaws tsim kho siab kuj tseem tsis tau hla kev puas tsuaj ntawm daim tawv nqaij, vim qhov tseeb tias cov tshuaj kho mob psoriasis tseem tsis tau tsim. Ntawm cov pab pawg neeg, cov neeg dawb muaj ntau dua li cov neeg dub, Hispanics, thiab Indians. Tus kab mob no tsis txawv ntawm poj niam los txiv neej, cuam tshuam rau poj niam thiab txiv neej sib npaug.
Cov tsos mob ntawm psoriasis yog vim muaj caj ces thiab keeb kwm: tawm ntawm 100% ntawm cov neeg mob tshawb fawb, 40-65% ntawm cov kab mob ntawm daim tawv nqaij raug kev txom nyem los ntawm cov txheeb ze thiab phooj ywg. Hauv ntau cov kev tshawb fawb, thaum ntsuas qhov kev pheej hmoo ntawm kev mob morbidity, nws tau pom tias yog ib tus menyuam ntxaib tau kuaj pom tias muaj psoriasis, ces qhov yuav tshwm sim ntawm tus kab mob.qhov thib ob yuav yog 58%. Qhov kev txiav txim siab no tau tshaj tawm rau pej xeem thaum kuaj xyuas 141 khub ntxaib. Yog tias tus kwv tij lossis tus muam raug kev txom nyem los ntawm psoriasis, qhov kev pheej hmoo raug txo mus rau 6%. Muab qhov mob ntawm ob leeg niam txiv hauv 65%, tus menyuam kuj yuav raug cuam tshuam los ntawm tus kabmob no; yog hais tias ib tug ntawm ob peb muaj mob, ces qhov kev pheej hmoo ntawm kev mob yog txo mus rau 20%. Ntxiv mus, qhov degree ntawm tus kab mob thiab nws qhov chaw nyob hauv cov neeg hauv tsev neeg sib txawv tsis sib xws.
Psoriasis tsis kis tau
Muaj kev ntseeg dav dav tias psoriasis kis tau, tshwj xeeb tshaj yog thaum saib tus neeg cuam tshuam los ntawm tus kab mob. Psoriasis tsis kis tau! Tsis txhob kov cov kab mob ntawm daim tawv nqaij, thiab tsis siv cov khoom siv, thiab kev saib xyuas tus neeg mob yuav ua rau muaj kab mob, vim lub hauv paus ntawm tus kab mob yog leukocytes ntawm tus neeg mob nws tus kheej, uas ua siab dawb xav txog yuav ua li cas kho psoriasis mus ib txhis.
Cov cim qhia sab nraud ntawm tus kab mob
Cov cim qhia sab nraud ntawm psoriasis:
- Kev tawg ntawm daim tawv nqaij, feem ntau tshwm sim hauv thaj tsam hauv caug-lub luj tshib thiab ntawm tawv taub hau. Feem ntau lawv nyob symmetrically, tsawg zaus lawv nyob ntawm ib sab ntawm lub cev, strip-zoo li.
- Plaques, uas tau tsa, sib npaug thickenings ntawm daim tawv nqaij liab los yog ci liab, npog nrog cov nplais xoob. Thaum ntxov, lawv qhov loj me yog ob peb millimeters, nce nrog kev loj hlob ntawm tus kab mob mus rau 10 centimeters los yog ntau dua.
- Ntxhais ntsia thawv mob yam ntxwv los ntawm dimples me, daj daj thiab sib cais ntawm qhov kawg ntawm tus ntsia thawv los ntawm tus ntsia thawv txaj.
- Ntau dhau qhuav, flaking, flaking thiab los ntshav ntawm daim tawv nqaij.
Kab mob tuaj yeem tshwm sim:
- nyob rau hauv daim ntawv ib nrab, tus cwj pwm los ntawm muaj ntau qhov chaw ntawm lub cev;
- nyob rau hauv daim ntawv txuas ntxiv, cuam tshuam rau ntawm daim tawv nqaij tag.
Ua rau psoriasis
Psoriasis tshwm sim vim yog ua txhaum ntawm kev ua haujlwm ntawm nws cov dej num los ntawm epidermis, uas ib txwm yuav tsum tau hloov kho ib hlis ib zaug.
Nrog psoriasis, qhov no tshwm sim ntau zaus, uas yog, daim tawv nqaij sim rov ua dua hauv 3-4 hnub. Inflamation yog qhov ua rau cov txheej txheem nrawm-hloov ntawm kev hla dhau ntawm lub voj voog ntawm tes. Qhov no ua rau cov hlwb tshiab tawm los ua tsis tiav, uas tsis yog tsuas yog cuam tshuam rau tag nrho lub cev, tab sis kuj ua rau cov txheej txheem ntawm daim tawv nqaij deterioration, uas yog, mus rau qhov pom ntawm repulsive scaly.
Cov txheej txheem uas ib zaug pib nrog ib tug neeg tag nrho nws lub neej, hloov nrog lub sij hawm ntawm exacerbation thiab ib ntus nyob ntsiag to ntawm daim tawv nqaij tshwm sim (tsis li ntawd, remissions). Yuav ua li cas kho psoriasis mus ib txhis thiab tshem tawm tsis tau tsuas yog psoriatic ua pob liab vog, tab sis kuj mob khaus khaus, uas tseem yuav ua li cas tswj thaum nruab hnub? Thaum tsaus ntuj, tus neeg mob pw tsaug zog yuav tsum tsis quav ntsej qhov txhab, uas ua rau muaj kev puas tsuaj rau cov epidermis thiab ua rau tus kab mob hnyav dua.
yam ua rau psoriasis
Cov yam uas ua rau psoriasis yog:
- metabolic ntshawv siab, nrog rau kev ua haujlwm ntawm lub cev tiv thaiv kab mob thiab endocrine;
- genetic predisposition;
- tshuaj kho mob;
- kab mob yav dhau los (tonsillitis, mob npaws, thiab lwm yam);
- ib puag ncig phem;
- kev nyuaj siab thiab neurosis, kev ntxhov siab tas li.
Qhov tseeb ua rau psoriasis yog noob caj noob ces
Ua rau qhov pib ntawm psoriasis, tsis muaj ib yam ntawm cov saum toj no yog qhov ua rau muaj tus kab mob, qhov tshwm sim uas tsis cuam tshuam rau kev tsis zoo ntawm kev noj qab haus huv thiab txo tus neeg mob kev ua haujlwm. Kev tsis xis nyob tsuas yog tshwm sim los ntawm kev xav tsis zoo, khaus thiab pom ntawm daim tawv nqaij. Nws yog qhov nyuaj tshaj plaws rau tus neeg mob nyob rau hauv cov nqe lus ntawm kev puas siab puas ntsws, txij li thaum koj yuav tsum tsis tu ncua muaj kev ceev faj tus cwj pwm thiab saib ntev ntawm cov neeg nyob ib puag ncig koj. Qhov kev xav ntawm kev nyob ib leeg provoked los ntawm cov tib neeg thiab ib tug unattractive tsos txhawb tus neeg mob mus rau siab mus nrhiav txoj kev uas yuav daws tau cov lus nug ntawm yuav ua li cas kho psoriasis mus ib txhis.
Nyob nrog psoriasis
Thaum koj pom cov tsos mob ntawm psoriasis, tsis txhob ntshai: qhov no tsis yog kev tuag. Hmoov tsis zoo, tseem tsis tau tsim cov tshuaj kho kom zoo, tab sis cov kev kho niaj hnub no tuaj yeem txo qhov kev puas tsuaj, nres kev txhim kho, thiab tseem tswj cov kab mob nrog kev pab los ntawm ntau yam tshuaj.
Tib neeg nyob ib sab ntawm tus kab mob uas tau kho nrog kev pab ntawm cov txheej txheem uas cuam tshuam cov kev ua haujlwm ntawm lub cev tiv thaiv kab mob. Tshem tawm cov tsos mobpsoriasis mus ib txhis, niaj hnub kev kho mob tsis tuaj yeem cuam tshuam qhov tseeb ua rau: kev ua haujlwm dhau los ntawm kev tiv thaiv kab mob ntawm daim tawv nqaij. Tus kab mob, uas kav ntev mus rau xyoo, pib hloov pauv, tom qab ntawd txo qis rau lub sijhawm ntev (txawm ploj mus), tom qab ntawd ua rau hnyav dua. Txawm li cas los xij, psoriasis uas cuam tshuam rau lub cev yuav tsis tso tseg; cov hlwb ntawm lub cev tiv thaiv kab mob yuav ib txwm tua ntawm daim tawv nqaij.
kev kho mob psoriasis
Kev kho tus kab mob psoriasis yog txheej txheem nyuaj, muab faib ua ntau theem nyob ntawm daim ntawv thiab theem ntawm tus kab mob, thaj tsam ntawm daim tawv nqaij, poj niam txiv neej thiab hnub nyoog ntawm tus neeg mob, muaj cov kab mob sib kis, kev txwv ntawm ib txoj kev kho mob lossis tshuaj. Nws yog ib qho tseem ceeb kom mloog lub luag haujlwm ntawm tus kws kho mob cov lus pom zoo, tsis txhob noj tshuaj rau tus kheej thiab tsis txhob dag ntxias los ntawm kev caw cov lus tshaj tawm ntawm "kev kho mob tsis zoo rau psoriasis", uas yog ib qho kev siv nyiaj yooj yim rau cov neeg dag ntxias. Nws yog qhov tsis muaj tseeb los kho psoriasis nrog nws qhov nyuaj thiab tsis meej pem; qee txoj kev tuaj yeem tshem tawm cov tsos mob ib ntus. Kev kho mob tactics yuav tsum raug xaiv ib tus zuj zus, suav nrog kev kho yav dhau los. Hauv cov xwm txheej hnyav, nrog rau qhov txaus ntshai ntawm psoriasis, kev kho mob raug pom zoo hauv tsev kho mob.
kev kho mob psoriasis: txoj kev
kev kho mob psoriasis yog qhov nyuaj thiab suav nrog:
- Hauv zos (sab nraud) kho, nqa tawm los txo qhov mob, txo tev thiab nkag mus rau ntawm daim tawv nqaij. Psoriasis ointment, cream, lotions, raws li ib feem ntawmuas muaj salicylic acid (2%), sulfur (2-10%), urea (2-10%), dithranol (0.25-3%), dexpanthenol, pyrithione. Hauv kev kho mob psoriasis, tar thiab naphthalene npaj tau zoo, muaj kev nyab xeeb hauv kev siv thiab muaj cov tshuaj tua kab mob, tiv thaiv kab mob thiab daws cov nyhuv. Qee lub sij hawm lawv tau muab tshuaj ua ke nrog salicylic acid, uas pab ua kom mos thiab tshem tawm cov nplais.
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Kev kho cov txheej txheem, nyob rau hauv uas cov tshuaj kho mob tshaj plaws rau psoriasis yog cov tshuaj "Methotrexate", uas inhibits cell division. Siv intramuscularly ib zaug ib lub lim tiam rau 6-8 lub lis piam thiab tsom txo qis kev ua kom ntau dhau ntawm daim tawv nqaij, nws tuaj yeem ua rau lub siab ua haujlwm tsis zoo. Tsis tas li, cov kws kho mob hauv qhov me me tau sau cov tshuaj "Cyclosporin" - cov tshuaj tiv thaiv kab mob muaj zog nrog cov txiaj ntsig zoo ntawm kev tiv thaiv kab mob. Nws qhov kev txais tos yog pom zoo nruj me ntsis raws li kev saib xyuas ntawm tus kws kho mob.
- Photochemotherapy (los yog PUVA therapy) yog kev kho mob tshaj plaws rau psoriasis. Hauv lwm lo lus, ultraviolet irradiation (lub wavelength ntawm 360 mm), siv nrog kev siv cov photosensitizers. Cov chav kawm yog tsom rau inhibition ntawm kev faib cell ntau dhau thiab cov txheej txheem autoimmune pathological hauv daim tawv nqaij, ua rau kev puas tsuaj ntawm T-lymphocytes. Photochemotherapy yog contraindicated nyob rau hauv cov neeg uas muaj kev kub siab, uas tau muaj lub plawv nres, nrog rau kev phais kom tshem tawm cov qog. Cov neeg mob no raug muab tshuaj kho mob nkaus xwb.
- Xaiv qhov kev kho duab thaij duab (SPT), uas siv cov kab teeb ntawm qhov ntev315 nm (nanometer - ib billionth ntawm ib 'meter'). Kev kho mob yog kwv yees li 25 - 30 txheej txheem.
- Spa kho mob. Qhov zoo tshaj plaws thiab qab ntxiag txoj kev uas yuav pacify psoriasis. Kev tshuaj xyuas kev kho mob hauv cov xwm txheej tshwj xeeb uas nyiam cov neeg mob psoriasis los ntawm thoob plaws lub ntiaj teb tsuas yog qhov zoo. Cov xwm txheej zoo nkauj, ib puag ncig so, kho cua thiab dej kho yog cov khoom tseem ceeb uas pab txhawb kev rov zoo. Nyob rau hauv cov ntaub ntawv no, lub hiav txwv tuag nyob rau hauv Ixayees yuav pab kho psoriasis - ib tug kim kim, tab sis zoo kev xaiv rau spa kho. Kev txhim kho ntawm daim tawv nqaij tau pom meej meej nrog kev pom zoo nyob ntawm 28 hnub. Ntxiv mus, nws yog ntshaw kom nyob rau hauv lub hnub tsis pub ntau tshaj 6 teev, nyob rau hauv 2 koob tshuaj. Kev da dej hauv dej hiav txwv kuj yuav tsum tau noj - 2 zaug hauv ib hnub, thiab tsis pub tshaj 20 feeb. Raws li lwm txoj hauv kev, koj tuaj yeem xav txog txoj kev siv nyiaj ntau dua - kev kho mob hauv sanatoriums ntawm Pyatigorsk thiab Matsesta.
Tus neeg mob tshuaj xyuas txoj kev kho mob
Kev tshuaj xyuas tus neeg mob ntawm txoj kev kho mob psoriasis txawv: nws txhua tus nyob ntawm qhov kev puas tsuaj ntawm daim tawv nqaij thiab txhais tau tias siv los tshem tawm tus kab mob no.
Hais txog kev kho mob photochemotherapy, "Tebchaws Europe" kev tswjfwm raug pom zoo, pom zoo los ntawm kev kho sai nrog qhov tsawg kawg nkaus ntawm cov hluav taws xob. Hom "American" yog ceev faj ntau, tsim los rau qhov tsawg kawg nkaus tshwm sim ntawm qhov tsis zoo tshwm sim. Ob txoj hauv kev zoo sib npaug, qhov sib txawv tsuas yog nyob rau lub sijhawm kho.
Cov kev mob tshwm sim ntawm qhov kev kho no tuaj yeem sib txawv ntawm daim tawv nqaij khaus thiab qhuav mus rau kev yees duab thiab mob qog noj ntshavepidermis. Nws tag nrho yog nyob ntawm qhov ntsuas hluav taws xob thiab lub sijhawm kho.
Kev kho mob, siv rau cov kab mob hnyav nrog thaj tsam loj ntawm daim tawv nqaij, muaj kev phiv xws li kev cuam tshuam ntawm plab hnyuv, lub raum ua haujlwm thiab cov tsos mob ntawm kev tsis haum tshuaj.
Raws li cov neeg mob cov kev xav, cov av nkos kho tau zoo rau kev tshem tawm psoriasis, suav nrog cov nyhuv sab nraud ntawm cov foci cuam tshuam nrog hilly, sulfide thiab cov av nkos, peat, sapropels. Cov nyhuv anti-inflammatory, absorbable thiab analgesic nyob rau hauv cov ntaub ntawv no tshwm sim vim acids, ions, kab kawm thiab gases uas ntxuav cov tawv nqaij ntawm alkalis, kab mob, acids. Lub sijhawm ntawm cov txheej txheem yuav siv li ntawm 10 mus rau 30 feeb hauv ib hnub thiab ua tiav los ntawm kev siv cov ntawv thov hauv zos ntawm rhuab mus rau 40 o C av.
Cov lus qhia pab rau cov neeg muaj psoriasis
Nrog psoriasis, ntxiv rau txoj hauv kev rau kev kho mob, cov lus pom zoo hauv qab no yuav tsum tau:
- Tsis txhob kov, zuag, xaiv ntawm khaus khaus.
- Cov txheej txheem da dej yuav tsum ua tib zoo ua tib zoo tuav cov tawv nqaij puas. Nws tsis tuaj yeem rub nrog ib daim ntaub ntxhua khaub ncaws; thaum ziab, nws yuav tsum maj mam txhuam nrog phuam, me ntsis nias rau lub cev. Nws yog ib qho tseem ceeb kom ua tib zoo qhuav txhua qhov chaw nyuaj mus txog thiab zais cov quav tom qab da dej, ua tib zoo saib xyuas thaj tsam tom qab auricles, pob ntseg kwj dej, armpits, cheeb tsam umbilical thiab puab tais, daim tawv nqaij folds nyob rau hauv cov qog mammary, daim tawv nqaij.nruab nrab ntawm cov ntiv taw.
- Kev ntxuav tus neeg mob psoriasis yog qhov zoo dua ua nrog cov khoom siv me nyuam yaus. Rau lub ntsej muag, nws yog qhov zoo dua los siv cov tshuaj pleev plhu tshwj xeeb, uas ua rau kom elasticity ntawm daim tawv nqaij thiab txhim kho nws cov tsos, uas muab kev ntseeg siab rau cov neeg mob.
- Khawv koob - los ntawmCov khoom siv ntuj tsim, yuav tsum muaj qhov dav txaus thiab nyiam hnav, tsis muaj cov nyhuv slimming.
- Khoom noj yuav tsum tau kho, tsis suav nrog cawv, kib thiab rog. Lub lim tiam yuav tsum npaj hnub yoo mov.
- cov khoom siv tshuaj pleev ib ce rau psoriasis tau pom zoo rau kev ua haujlwm me me, saib xyuas uas tsis ua rau khaus thiab ua xua. Txwv tsis pub, cov plaques tshiab tuaj yeem tsim. Cov khoom zoo tshaj plaws rau cov tawv nqaij rhiab thiab menyuam yaus, uas suav nrog lactic acid, amino acids, urea - uas muaj cov nyhuv softening, thiab beeswax, petroleum jelly, ceramides thiab zaub roj, uas muaj kev tiv thaiv zoo..
- Psoriasis tawv taub hau yuav tsum tau siv cov tshuaj zawv plaub hau psoriasis keratolytic uas muaj cov nyhuv soothing, soothing thiab kho. Ntawm cov tar, tshuaj zawv plaub hau "Friderm Tar", "Algopiks" muaj cov nyhuv kho; los ntawm antifungal nws yog tsim nyog txwv tsis pub cov kev xaiv ntawm zawv plaub hau "Nizoral" thiab "Sulsena". Shampoo "Algopiks", raws li kev txheeb xyuas, muaj cov ntxhiab tsw ntawm tar, yog li nws yog qhov zoo dua los siv nws rau cov plaub hau ob peb teev ua ntej yuav mus pw. Hais txog nqe qeb - cov cuab yeej pheej yig, kev txhim kho tau pom tom qab siv ib lub lim tiam.
da dej tsis pom zoo vim lawv muaj qhov ziab heev. Nrog lub siab xav muaj zog heev, qee zaus koj tuaj yeem tso cai rau koj tus kheej pw hauv chav da dej, yog tias nws siv sijhawm me ntsis thiab dej kub tsis tshaj 37-38 ° C. Kev da dej nrog psoriasis tsis raug tso cai tsuas yog thaum lub sij hawm exacerbation, thaum lub sij hawm ntawm daim tawv nqaij yog tshwj xeeb tshaj yog yooj yim. Cov ntaub da dej yuav tsum tau ua los ntawm cov ntaub ntawv mos uas tiv thaiv khawb. Thaum mus xyuas lub pas dej ua ntej cov txheej txheem dej, nws raug nquahu kom siv roj av jelly rau cov plaques raws li kev tiv thaiv kev ua ntawm chlorine. Thaum kawg ntawm kev ua luam dej, koj yuav tsum tau yaug nrog dej sov huv thiab siv cov tshuaj pleev psoriasis ntawm lub cev. Los ntawm cov khoom lag luam hauv tsev, Zinocap thiab Solipsor cream, cov tshuaj tsis yog tshuaj hormones, nrog rau cov tshuaj ntsuab tshuaj ntsuab: Psorikon thiab Pulsar, qhia tawm tsam cov txheej txheem ntawm daim tawv nqaij, muaj txiaj ntsig zoo. Kev tshuaj xyuas cov neeg mob ntawm cov tshuaj no muaj ntau yam: ob qho tib si zoo thiab tsis zoo. Nrog rau kev ua haujlwm siab, cov tshuaj no tsis muaj kev tiv thaiv, ua rau lub sijhawm cuam tshuam ntau ntxiv. Hauv particular, qhov no siv rau cov tshuaj "Solipsor". Cream "Zinokap" tsis pab txhua tus, tab sis feem ntau cov neeg mob psoriasis tseem pom zoo nws.
Nws muaj salicylic acid los pab tshem tawm cov nplai, thiab licorice extract soothe irritation thiab soothe khaus khaus. Shampoo rau psoriasis yog siv rau cov hauv paus plaub hau thiab ntxuav tawm tom qab 5 feeb, tom qab uas cov plaub hau yuav tsum tauyaug kom huv si. Koj tuaj yeem sim tshem cov nplai ntawm cov tawv taub hau. Rau qhov no, nws yog ntshaw kom siv keratolytic qab zib rau psoriasis. Txhawm rau kom muaj txiaj ntsig siab tshaj plaws, koj yuav tsum siv nws li 2 teev thiab muab lub hau da dej rau ntawm koj lub taub hau.
Tshuaj pleev ib ce rau kev kho mob psoriasis
Yuav ua li cas kho psoriasis mus ib txhis siv txoj hauv kev?
- Ua tau zoo hauv kev kho pej xeem, kev kho mob raws li birch tar manifests nws tus kheej. Qhov no yog ib qho tshuaj pleev rau psoriasis, uas tuaj yeem yuav ntawm yuav luag txhua lub tsev muag tshuaj. Nws yuav tsum tau lubricate qhov chaw ntawm daim tawv nqaij.
- Koj tuaj yeem npaj cov tshuaj pleev rau psoriasis los ntawm celandine, uas nyob rau hauv daim ntawv qhuav yuav tsum tau hauv av rau hmoov thiab tov nrog qaib cov txwv rog. Qhov tshwm sim muaj pes tsawg leeg yuav tsum tau tuav hauv dej da dej rau ib teev, thiab tom qab ntawd, thaum nws tau txias, lubricate cov quav hniav ntawm daim tawv nqaij.
kev xav zoo
Kev tshawb nrhiav nrhiav kev kho mob psoriasis tseem tab tom ua. Yog li ntawd, muaj kev cia siab tias lub sijhawm tsis nyob deb thaum yuav muaj cov neeg zoo siab dua hauv ntiaj teb uas tau kov yeej tus kabmob.
Thiab tam sim no, pej xeem thiab tshuaj kho mob siv nyob rau hauv ib tug complex, nyob rau hauv tag nrho raws li cov lus pom zoo ntawm tus kws kho mob, yuav pab kho psoriasis. Nyob rau tib lub sijhawm, tus neeg mob yuav tsum tau saib xyuas thiab saib xyuas ntau dua, vim qhov kawg tshwj xeeb xav tau kev txhawb nqa ntawm cov txheeb ze thiab phooj ywg.