Cov tshuaj kho rau tus mob psoriasis: tshuaj pleev thiab tshuaj

Zoo Siab

• Cov ntsiab lus tshuaj (cream thiab ointments)
• 1. Corticoids
• 2. Calcipotriol
• 3. Cov tshuaj ntxuav dej thiab emollients
• Cov kev ua haujlwm mauj (cov ntsiav tshuaj)
• 1. Acitretin
• 2. Methotrexate
• 3. Kev Cyclosporine
• 4. Cov kab mob roj ntsha

Psoriasis yog ib tug kab mob mus ntev thiab kho tsis tau, txawm li cas los xij, nws muaj peev xwm los txo cov tsos mob thiab ncua lub sijhawm kho tus mob mus ntev ntev nrog kev kho mob uas tsim nyog.

Kev kho mob rau tus mob psoriasis nyob ntawm hom, qhov chaw thiab thaj chaw ntawm qhov txhab, thiab tuaj yeem ua nrog cream los yog pleev pleev nrog corticosteroids thiab retinoids lossis tshuaj noj hauv qhov ncauj, xws li cyclosporine, methotrexate lossis acitretin, piv txwv li, ntawm kev pom zoo ntawm tus kws kho mob.

Ntxiv nrog rau kev kho tshuaj, nws kuj tseem ceeb kom moisturize tawv nqaij txhua hnub, tshwj xeeb tshaj yog thaj chaw muaj kev cuam tshuam, nrog rau kev zam ntawm cov khoom lag luam uas ua rau tawv nqaij thiab ua kom lub cev qhuav heev.

Qee qhov kev kho mob uas feem ntau yog kws kho mob sau tseg rau kev kho mob ntawm psoriasis yog:

Cov ntsiab lus tshuaj (cream thiab ointments)

1. Corticoids

Cov tshuaj pleev corticosteroids ua tau zoo rau kev kho cov tsos mob, tshwj xeeb tshaj yog thaum tus kab mob muaj txwv nyob hauv thaj av me me, thiab tuaj yeem cuam tshuam nrog calcipotriol thiab cov tshuaj tua kab mob hauv lub cev.

Qee cov piv txwv ntawm cov tshuaj pleev corticosteroids siv nyob rau hauv kev kho mob ntawm psoriasis yog clobetasol cream lossis 0.05% capillary tov thiab dexamethasone cream 0.1%, piv txwv.

Leej twg yuav tsum tsis txhob siv: cov neeg muaj lub siab lub cev tiv thaiv tsis tau rau lub Cheebtsam, nrog rau cov tawv nqaij ua paug los ntawm cov kab mob, hu ua fungi lossis kab mob, cov neeg mob rosacea lossis tsis tuaj yeem tswj tus mob puas tsuaj.

Muaj peev xwm phiv: khaus, mob thiab mob hauv daim tawv.

2. Calcipotriol

Calcipotriol yog ib qho tshuaj analogue ntawm cov vitamin D, uas nyob rau ntawm qhov kev cia siab ntawm 0.005% yog qhia rau kev kho mob ntawm tus mob psoriasis, vim nws ua rau muaj kev txo qis ntawm kev tsim cov psoriatic plaques. Feem ntau, calcipotriol yog siv ua ke nrog corticosteroid.

Leej twg yuav tsum tsis txhob siv: cov neeg muaj lub cev tsis kam yeem rau cov khoom siv thiab hyperkalaemia.

Muaj peev xwm phiv: daim tawv nqaij voos, ua pob, ua xua, keratosis, khaus, erythema thiab kov dermatitis.

3. Cov tshuaj ntxuav dej thiab emollients

Emollient cream thiab tshuaj pleev yuav tsum tau siv txhua hnub, tshwj xeeb tshaj yog kev kho kev kho mob tom qab siv cov corticosteroids, uas pab tiv thaiv kom tsis txhob rov qab tshwm sim hauv cov neeg muaj mob psoriasis me.

Cov tshuaj pleev thiab tshuaj pleev yuav tsum muaj urea hauv ntau qhov uas tuaj yeem sib txawv ntawm 5% mus rau 20% thiab / lossis salicylic acid nyob rau hauv qhov ntau ntawm 3% mus rau 6%, raws li hom tawv nqaij thiab ntau ntawm cov teev

Cov kev ua haujlwm mauj (cov ntsiav tshuaj)

1. Acitretin

Acitretin yog ib qho retinoid feem ntau qhia txog kev kho mob hnyav ntawm tus mob psoriasis thaum nws tsim nyog kom tsis txhob txhaj tshuaj tiv thaiv kab mob thiab muaj nyob rau hauv koob tshuaj 10 mg lossis 25 mg.

Leej twg yuav tsum tsis txhob siv: cov neeg muaj lub siab lub cev tsis zoo rau lub Cheebtsam, cov poj niam cev xeeb tub thiab cov poj niam uas xav kom cev xeeb tub nyob rau xyoo tom ntej, lactating cov poj niam thiab cov neeg muaj mob siab lossis mob raum tsis ua haujlwm.

Muaj peev xwm phiv: mob taub hau, dryness thiab o ntawm cov nqaij mos ua pa, qhov ncauj qhuav, nqhis dej, tawm pob, mob plab zom mov, cheilitis, khaus, plaub hau poob, flaking thoob plaws lub cev, mob nqaij, ua kom ntshav muaj roj thiab triglycerides thiab dav dav.

2. Methotrexate

Methotrexate yog qhia rau kev kho mob ntawm cov mob psoriasis hnyav, vim nws txo qis ntawm txoj kev loj hlob thiab o ntawm daim tawv nqaij. Cov tshuaj no muaj nyob rau hauv 2.5 mg ntsiav tshuaj lossis 50 mg / 2mL ampoules.

Leej twg yuav tsum tsis txhob siv: cov neeg uas muaj qhov tsis haum xeeb rau lub Cheebtsam, cev xeeb tub thiab lactating cov poj niam, cov neeg muaj kab mob txhav, mob ntshav qab zib, mob siab, ua haujlwm siab, mob siab, tiv thaiv kab mob ntshav siab, mob ntshav qab zib lossis mob txha caj qaum, mob ntshav thuv ntshav lossis mob ntshav tsis txaus.

Muaj peev xwm phiv: mob taub hau heev, lub caj dab txhav, ntuav, ua npaws, daim tawv nqaij liab, nce uric acid, txo cov phev nyob rau hauv cov txiv neej, txhaws qa, o ntawm tus nplaig thiab cov pos hniav, raws plab, txo cov ntshav dawb thiab platelet suav, lub raum tsis ua haujlwm thiab pharyngitis.

3. Kev Cyclosporine

Cyclosporine yog ib hom tshuaj tiv thaiv kab mob uas qhia tau tias yuav kho tus mob psoriasis nqua mob mus rau mob hnyav, thiab yuav tsum tsis txhob ntau tshaj 2 xyoos ntawm kev kho mob.

Leej twg yuav tsum tsis txhob siv: cov neeg muaj lub siab lub cev tiv thaiv tsis tau rau lub Cheebtsam, mob ntshav siab, tsis ruaj khov thiab tsis tuaj yeem tswj tau nrog tshuaj, kis kab mob thiab mob qog ntshav.

Muaj peev xwm phiv: raum tsis zoo, kub siab thiab lub cev tsis muaj zog tiv thaiv kab mob.

4. Cov kab mob roj ntsha

Xyoo tsis ntev los no, kev txaus siab hauv kev tsim cov khoom siv roj ntsha nrog cov tshuaj tiv thaiv kab mob uas muaj kev xaiv ntau dua li cyclosporine tau nce ntxiv txhawm rau txhim kho kev nyab xeeb ntawm cov tshuaj psoriasis.

Qee cov piv txwv ntawm cov kab mob roj ntsha tau tsim kho kev kho mob psoriasis yog:

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

Cov chav kawm tshuaj tshiab no muaj cov protein lossis tshuaj tua kab mob monoclonal uas tsim los ntawm cov kab mob hauv lub cev, los ntawm kev siv cov tshuaj biotechnology uas tau pom zoo, uas tau pom tias muaj kev txhim kho hauv cov qhov txhab thiab txo lawv cov kev txuas ntxiv.

Leej twg yuav tsum tsis txhob siv: cov neeg muaj lub siab lub cev tiv thaiv tsis tau rau lub Cheebtsam, nrog lub plawv tsis ua haujlwm, mob kabmob, keeb kwm neoplasia tsis ntev los no, muaj tus kabmob kis tau, siv cov tshuaj tiv thaiv thiab xeeb menyuam.

Muaj peev xwm phiv: qhov chaw txhaj tshuaj tiv thaiv kab mob, kis mob ntsws, mob ntsws, nqaij tawv, neoplasms, kab mob vwm, mob taub hau, kiv taub hau, raws plab, khaus, mob leeg thiab nkees.