Psoriasis

Psoriasis yog ib hom tawv nqaij ua rau tawv nqaij liab, ua paug daj ntseg, thiab voos. Feem ntau cov neeg uas muaj psoriasis muaj tuab, liab, zoo-thaj ua rau thaj tawv nqaij nrog flaky, nyiaj-dawb teev. Qhov no hu ua plaque psoriasis.

Psoriasis muaj ntau. Txhua tus tuaj yeem tsim tus mob no, tab sis nws feem ntau pib thaum hnub nyoog 15 txog 35, lossis thaum tib neeg laus zuj zus.

Psoriasis tsis yog tus kab mob sib kis. Qhov no txhais tau tias nws yuav tsis kis rau lwm tus neeg.

Psoriasis zoo li yuav hla dhau ntawm cov tsev neeg.

Cov kab mob ntawm daim tawv nqaij ib txwm loj zuj zus rau ntawm daim tawv nqaij thiab sawv rau saum npoo ib zaug ib hlis. Thaum koj muaj mob psoriasis, txoj kev no yuav siv sij hawm 14 hnub es tsis yog nyob rau hauv 3 rau 4 lub lis piam. Qhov no ua rau cov kab mob ntawm cov tawv nqaij tuag txhim tsa rau ntawm daim tawv nqaij nto, ua rau kev sib sau ua ke ntawm cov nplai.

Cov hauv qab no tuaj yeem ua rau muaj kev cuam tshuam ntawm psoriasis lossis ua rau nws nyuaj los kho:

• Kev kis mob los ntawm cov kab mob los yog kab mob, nrog rau mob caj pas thiab mob ntsws sab
• Qhuav cua lossis daim tawv nqaij qhuav
• Kev raug mob rau ntawm daim tawv nqaij, nrog rau kev txiav, kub hnyiab, yoov tom, thiab lwm yam tawv nqaij ua pob
• Qee cov tshuaj, suav nrog cov tshuaj tiv thaiv kab mob, beta-blockers, thiab lithium
• Kev ntxhov siab
• Tsawg dhau hnub ci
• Ntau dhau hnub ci (tshav kub)

Psoriasis yuav mob heev dua rau cov neeg uas lub cev tsis muaj zog tiv thaiv, nrog rau cov neeg mob HIV / AIDS.

Qee cov neeg muaj mob psoriasis kuj mob caj dab (mob psoriatic mob caj dab). Ib qho ntxiv, cov neeg muaj mob psoriasis muaj kev pheej hmoo ntawm daim siab ua rog thiab cov hlab plawv, xws li mob plawv thiab mob hlab ntsha tawg.

Psoriasis tuaj yeem tshwm sim sai lossis maj mam. Ntau ntau zaus, nws ploj mus thiab rov qab los.

Cov tsos mob tseem ceeb ntawm tus mob yog khaus, liab, flaky plaques ntawm daim tawv nqaij. Cov Plaques feem ntau pom ntawm lub lauj tshib, hauv caug, thiab nruab nrab ntawm lub cev. Tab sis lawv tuaj yeem tshwm sim nyob txhua qhov chaw, suav nrog ntawm tawv taub hau, xib teg, taw ntawm taw, thiab genitalia.

Daim tawv nqaij yuav yog:

• Khaus
• Qhuav thiab them nrog nyiaj, tawv nqaij tawv (nplai)
• Paj yeeb-liab hauv cov xim
• Txhawb nqa thiab tuab

Lwm cov tsos mob tuaj yeem suav nrog:

• Mob los yog mob leeg los yog mob
• Cov ntsia hlau hloov, nrog rau cov ntsia hlau tuab, daj-xim av ntsia hlau, dents nyob rau hauv tus ntsia thawv, thiab nqa ntawm cov ntsia hlau los ntawm daim tawv nqaij hauv qab
• Ua rau muaj hau tawv taub hau

Muaj tsib hom mob psoriasis:

• Erythrodermic - Daim tawv nqaij liab yog mob siab heev thiab npog thaj tsam loj.
• Guttate - Me me, liab-liab me ntsis tshwm rau ntawm daim tawv nqaij. Daim foos no feem ntau txuas rau mob kis, tshwj xeeb yog rau cov menyuam yaus.
• Rov qab - daim tawv nqaij liab thiab tawv nqaij tshwm sim hauv qhov tsos, puab tais, thiab nyob hauv nruab nrab ntawm daim tawv nqaij sib tshooj ntau dua li thaj chaw ntau dua ntawm lub lauj tshib thiab hauv caug.
• Quav Hniav - Cov tawv tuab, tawv liab ua ke los ntawm daim tawv muag, nplai nyiaj-dawb. Nov yog hom psoriasis feem ntau.
• Pustular - Cov hlwv daj daj uas muaj puv (pustules) yog puag ncig los ntawm daim tawv liab, khaus.

Koj tus kws kho mob feem ntau tuaj yeem kuaj tus mob no los ntawm kev saib ntawm koj cov tawv nqaij.

Qee zaum, kuaj ib qho nqaij ntawm daim tawv nqaij yog ua tiav los txiav tawm lwm yam mob uas yuav ua tau. Yog tias koj muaj mob mob tej pob txha, koj tus kws kho mob yuav xaj cov duab tshawb fawb.

Lub hom phiaj ntawm txoj kev kho yog tswj koj tus mob thiab tiv thaiv tus kab mob.

Muaj peb txoj kev kho mob:

• Daim tawv nqaij pleev, tshuaj pleev, pleev thiab zawv plaub hau - Cov no yog hu ua kev kho mob saum toj.
• Tshuaj lossis txhaj tshuaj uas cuam tshuam rau lub cev kev tiv thaiv lub cev, tsis yog daim tawv xwb - Cov no hu ua kev kho mob hauv nruab cev, lossis thoob plaws lub cev.
• Kev siv tshuaj pleev duab, uas siv duab hluav taws xob ultraviolet los kho tus mob psoriasis.

TSHUAJ SIV ntawm daim tawv nqaij (XAIV)

Feem ntau, mob psoriasis kho nrog cov tshuaj uas tau tso ncaj qha rau ntawm daim tawv lossis tawv taub hau. Cov no suav nrog:

• Cortisone cream thiab tshuaj pleev
• Lwm yam tshuaj los tiv thaiv pleev thiab tshuaj pleev
• Cov tshuaj pleev los yog tshuaj pleev uas muaj roj av los sis anthralin
• Cov tshuaj pleev plhu kom tshem tawm cov kev sib tw (feem ntau yog salicylic acid lossis lactic acid)
• Cov tshuaj zawv plaub hau (cov tshuaj yuav tom khw los yog tshuaj sau ntawv)
• Lub tshuab ntxuav dej noo
• Cov tshuaj uas kws kho mob sau ntawv muaj vitamin D lossis vitamin A (retinoids)

COV KHO MOB (BODY-WIDE) KHO MOB

Yog tias koj muaj nqaj mob psoriasis mus rau mob hnyav, koj tus kws kho mob yuav pom zoo kom muab cov tshuaj tiv thaiv kab mob rau lub cev tsis ua haujlwm. Cov tshuaj no suav nrog methotrexate lossis cyclosporine. Retinoids, xws li acetretin, kuj tseem siv tau.

Cov tshuaj tshiab dua, hu ua biologics, feem ntau siv raws li lawv lub hom phiaj ua rau mob psoriasis. Kev siv tshuaj lom neeg pom zoo rau kev kho mob ntawm psoriasis muaj xws li:

• Adalimumab (Humira)
• Abatacept (Orencia)
• Apremilast (Otezla)
• Brodalumab (Siliq)
• Certolizumab pegol (Cimzia)
• Etanercept (Enbrel)
• Infliximab (Remicade)
• Ixekizumab (Taltz)
• Golimumab (Simponi)
• Guselkumab (Tremfya)
• Risankizumab-rzaa (Skyrizi)
• Secukinumab (Cosentyx)
• Tildrakizumab-asmn (Ilumya)
• Ustekinumab (Stelara)

PHOOJ YWG

Qee tus neeg tuaj yeem xaiv tshuaj kho duab, uas muaj kev nyab xeeb thiab tuaj yeem ua haujlwm zoo:

• Qhov no yog kev kho mob uas koj cov tawv nqaij ua kom zoo zoo rau lub teeb ci ultraviolet.
• Nws muab tau ib leeg lossis tom qab koj noj tshuaj uas ua rau tawv nqaij rhiab rau pom kev.
• Kev kho xim rau kev saib xyuas psoriasis tuaj yeem muab ua ultraviolet A (UVA) lossis ultraviolet B (UVB) lub teeb.

LWM YAM KEV KHO

Yog tias koj muaj mob, koj tus kws kho mob yuav muab tshuaj rau noj.

TSEV zov

Ua raws li cov lus qhia no hauv tsev yuav pab tau:

• Ua dej da lossis da dej txhua hnub - Sim tsis txhob txhuam nws ntau dhau, vim tias qhov no tuaj yeem ua rau tawv nqaij thiab ua rau muaj kev tawm tsam.
• Oatmeal chav da dej tej zaum yuav xis nyob thiab yuav pab tau kom plam nplai. Koj tuaj yeem siv cov khoom lag luam da dej Oatmeal tus nqi dhau los. Lossis, koj tuaj yeem sib tov 1 khob (128 grams) ntawm oatmeal mus rau hauv lub tub (da dej) ntawm dej sov.
• Ua kom koj cov tawv nqaij huv si thiab noo noo, thiab zam koj cov kev ntxim hom mob psoriasis tuaj yeem pab txo qis ntawm cov ntshav tawg.
• Tshav ntuj yuav pab koj cov tsos mob mus. Xyuam xim tsis txhob tshav ntuj.
• So kom txaus thiab tiv thaiv kev ntxhov siab - Qhov txuas ntawm kev ntxhov siab thiab flares ntawm psoriasis tsis to taub zoo.

Qee tus neeg yuav tau txais txiaj ntsig los ntawm kev txhawb nqa psoriasis. National Psoriasis Foundation yog ib qho chaw zoo: www.psoriasis.org.

Psoriasis tuaj yeem yog lub neej ntev uas tuaj yeem tswj tau nrog kev kho. Nws yuav ploj mus ntev thiab rov qab los. Nrog rau kev kho mob kom raug, nws yuav tsis cuam tshuam rau koj kev noj qab haus huv tag nrho. Tab sis nco ntsoov tias muaj kev sib txuas los ntawm tus mob psoriasis thiab lwm yam teeb meem kev noj qab haus huv, xws li mob plawv.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm tus mob psoriasis lossis yog tias koj cov tawv nqaij tseem mob siab txawm tias kho tau.

Qhia rau koj tus kws kho mob yog tias koj mob pob qij txha los yog kub ib ce nrog koj cov mob psoriasis.

Yog tias koj muaj cov tsos mob ntawm kev mob caj dab, tham nrog kws kho mob lossis kws kho pob txha.

Mus rau chav kho mob ceev lossis hu rau tus npawb xov tooj xwm ceev hauv nroog (xws li 911) yog tias koj muaj mob hnyav uas tau npog thoob plaws lossis koj lub cev tag nrho.

Tsis muaj txoj kev paub tiv thaiv tus mob psoriasis. Ua kom daim tawv nqaij kom huv si thiab noo noo thiab zam koj cov kev ntxim hom mob psoriasis tuaj yeem pab txo qis ntawm kev xoo pob taws.

Cov kws kho mob pom zoo kom da dej txhua hnub lossis nqais dej rau cov neeg muaj mob psoriasis. Zam tsis txhob txhuam qhov muag heev, vim tias qhov no tuaj yeem ua rau tawv nqaij thiab ua rau muaj kev tawm tsam.

Cov quav hniav psoriasis; Psoriasis vulgaris; Guttate psoriasis; Pustular psoriasis

• Psoriasis ntawm lub pob nyem
• Psoriasis - ua qauv loj x4
• Psoriasis - guttate ntawm caj npab thiab hauv siab

Armstrong AW, Siegel MP, Bagel J, li al. Los ntawm Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv ntawm National Psoriasis Foundation: kev kho mob cov hom phiaj rau cov quav hniav mob psoriasis. J Am Acad Dermatol. 2017; 76 (2): 290-298. PMID: 27908543 www.pubmed.ncbi.nlm.nih.gov/27908543/.

Dinulos JGH. Psoriasis thiab lwm yam kab mob papulosquamous. Hauv: Dinulos JGH, ed. Habif Qhov Chaw Kho Mob Dermatology. 7 tus ed. Philadelphia, PA: Elsevier; 2021: chap 8.

Lebwohl MG, van de Kerkhof P. Psoriasis. Hauv: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Kev Kho Mob Ntawm Cov tawv nqaij: Cov Tshuaj Txhuam Kho Kom Zoo. Thib 5 ed. Philadelphia, PA: Elsevier; 2018: cha 210.

Van de Kerkhof PCM, Nestlé FO. Psoriasis. Hauv: Bolognia JL, Schaffer JV, Cerroni L, eds. Lub cev ntaj ntsug. 4 tug ed. Philadelphia, PA: Elsevier; 2018: chap 8.