Psoriasis chirwere: nzira, pachisara kurapwa

Chimwe chezvinhu zvakafanana zvirwere ganda iri "psoriasis", kana psoriasis. Maererano nenhamba, zvinotora 15% dermatological zvirwere. 3% vemo achitambura nechirwere ichi, kunyanya munzvimbo ine inotonhorera ekunze. Kuwedzera zvinoitwa kwazvo siyana chirwere. Mumakore achangopfuura, chirwere kubva psoriasis ndiyo chaiyo kwete chete nokuda vakuru, nyaya nechirwere ichi vari vaduku chaizvo vanhu uye kunyange vana. Zvichiri asina kutaurwa zvose zvinokonzera chirwere ichi.

Chii psoriasis

Psoriasis, kiriniki uye Diagnostics izvo vanozivikanwa mumwe dermatologist chinhu chirwere chamaperembudzi. Dzinoratidzwa kuvapo tsvuku-kunotsanangurwa makwapa, izvo akafukidzwa chinopfupfuduka silvery pachikero. With chirwere basa decays pamusoro nguva. The chirwere kunyanya chinobata ganda, kunyange pane zviitiko chirwere kune dzimwe nhengo, kunyanya mapfundo nezvipikiri.

Kunyange zvazvo psoriasis anonzi "psoriasis", mukusiyana nedzimwe mhando herpes chirwere haisi chinotapukira. Zapusknoe mashandiro zvirwere - Maitikiro acho rikaitika Epiderme e. Pakadzika (basal) akaturikidzana inoumbwa ne keratinocytes, ipapo munhu anofanira kuitwa puroteni - puroteni, inova kuvakwa zvipikiri, bvudzi, ganda. Keratinocytes chaiye kukura apasi kusvika chapamusoro vari kutamira nokukurumidza, nguva vanenge imwe mwedzi.

In varwere psoriasis, keratinocytes muwande zvakare nokukurumidza uye vatamire pamusoro paiva 4 mazuva. The ganda haasi kukwanisa kukurumidza kudaro kubvisa masero aya, nhamba yavo iri kuramba kukura, uye varipo yakaoma, rakanamatidzwa makwapa akasvibirika paganda dziri plaques. Rezasi rukoko pamusoro dermis, apo ropa uye node midziyo, tsinga, zvomoto, kuzvimba. Chirwere kuti psoriasis kuchabatsira kuona mhando chirwere.

Types uye zviratidzo

Mhando dzakasiyana-siyana zvirwere zvinogona kuitika nenzira dzakasiyana, kutevera rave kana panguva imwe chete. Vanoverengeka marudzi akajeka psoriasis:

• Pyatnovidny. The inonyanya mhando. Kwakaratidzwa rashes paganda, kufukidza nzvimbo duku rokutanga, ipapo kukura, rinowanika munzvimbo imwe nzvimbo iri divi muviri. Izvi Chirwere zvinogoneka pashure kutambura akabatwa kana streptococcal noutachiona pashure kurapwa pamwe corticosteroids. mavara Small, kuwedzera yakava Dombo, vakabatana munzvimbo huru. Kana kukuvara zvinogoneka zviduku ropa (wemasaini auspitsy). Places ikakunda: mabvi, emaoko, tsoka (pazasi), michindwe, dzakatendereka, mhuru, tikarega shure. Muna 50% wevarwere vane psoriasis pamusoro ganda romusoro, ivo plaques aonekwa pamuganhu bvudzi kukura. Chirwere kuti psoriasis muvana rinoitwa munguva yainyorwa chete nzira sezvo vakura.
• Teardrop. A isingawanzowanikwi chimiro chirwere. Plaques kuonekwa pakarepo patsoka dzake, maoko ake pamusoro wake. Kazhinji ivo inonyangarika vega, asi vanogona kuzodzosera kubuda mu zvinokangaidza.
• Harungashandurwi. fomu Izvi zvakaoma kurapa. Kuzvimba, kumeso dzine muviri matanga (pasi mazamu, hapwa, groin nharaunda).
• Seborrheic. The mavara vari tsvuku scaly makwapa akasvibirika, riri pamusoro pamafudzi mashizha, shure hura, iri muhapwa, groin uye chiso. Amenable kurapwa yakaoma. In nechirwere pamusoro seborrheic psoriasis chinotaura nezvokuti, pasinei kwenguva ganda zvakakanganisika, hapana alopecia, rive dete bvudzi.
• P soriaz zvipikiri. In ichi mhando maoko netsoka pamusoro chipikiri hwendefa ruvara shanduko, stratified. Kazhinji, kwakadai psoriasis iri interconnected pamwe psoriatic chearthritis. Kazhinji chipikiri psoriasis chirwere rinoitwa pasina dambudziko. Dzimwe nguva aiita histological kuzviongorora.
• Psoriartrichesky chearthritis. Anogumbura chirwere inotungamirira kuzvimba uye kuomarara majoini. Rakakamurwa marudzi akawanda: zvakafanana, ichibata, asymmetrical, mutiliyny.
• Psoriatic erythroderma. Heavy kushoma chimiro umo anenge ose muviri akafuka dzvuku scaly goko.
• Pustular. Makumbo uye maoko anoumba pustules. Izvi mhando zvingaitika vakazvimiririra, kana kuva pamunhu yaizoshanda panguva nevamwe mhando psoriasis. Mukupera nyaya, izvi ngozi chaizvo.

Zvinokonzera chirwere

Etiology, kurapwa zvinhu (psoriasis chirwere haakonzeri matambudziko) yagara adzidza, asi pano tiri nei chirwere kunoitika, achiri kuongororwa:

• Medicine inoti psoriasis kunoitika apo kukundikana zvirwere, nokuti siyana zvinoita kuti vari kukonzera yakarurama weboka ganda masero. Zvisiri zvirwere mhinduro chikonzero kuzvimba uye zvinoshamisa zvakawedzera masero saibva.
• Basa rinokosha pakuita chirwere ichi, nhodzera anoridza. 35% wevarwere vane matambudziko aya magene. Majini chinokonzera ndiko zvinokonzera vakuru psoriasis.
• Play basa rinokosha panguva okunze ari chirwere. A yakaoma kunze kuchitonhora zvingaitika yatanga. Vamwe vanotambura chiedza nehanya uye kufambisa ruzivo chete yechando, kana chiedza chezuva shoma zvikuru.
• manzwiro akasimba uye mupfungwa. Kusvutazve muna psoriasis kushushikana, mupfungwa zvirwere, mwoyo uye kufunganya.
• Chirwere. Vamwe utachiona uye mavhairasi kungamutsawo panowanikwa psoriasis, kungava streptococci, kukanganisa repamusoro kufema turakiti. Kazhinji Kutamiswa pharyngitis, tonsillitis, sinusitis panguva yokuyaruka zvinokonzera kuti guttate psoriasis. Chokuita psoriasis uye HIV, uyewo dzimwe nguva, HPV (human papilloma utachiona).
• ganda gumo. Kwakadaro zvakaitwa mumuviri anonzi Koebner Fani kana ganda wakaremara sezvo tsvuku mitsetse. At nzvimbo izvi zvingakonzera psoriasis. Zvingaita kuva munzvimbo yakanga isina kukanganiswa dambudziko.
• Zvinodhaka kungakonzera psoriasis vari: ACE-zvinodhaka, Beta-blockers, chloroquine, lithium, NSAIDs (indomethacin), progesterone kemikari, siyana steroid nezvizoro kuti kufukidza nzvimbo yakakura ganda.

psoriasis chirwere Nzira

Chiremba anodzika chirwere, anofungawo:

• mashoko navanachiremba mufananidzo pamusoro chirwere;
• Kuvapo Koebner Fani;
• zviratidzo psoriatic vanamwari vatatu vatatu.

Chirwere pamusoro psoriasis pazvikanganiso psoriatic vanamwari vatatu vatatu - kutanga kuitika kana tichibvisa Dombo. Fani iyi inogona kuva:

• stearic echitema scouring papule inogona kuchengetwa peeling, izvo sokunge mashed stearin;
• ropa nguva, mushure chinouraya ngaarayire firimu kuzviratidza madonhwe ropa;
• Kebnera maronda zvitsva ngavauye panguva nzvimbo dzishande, kunyanya rikwanise chokutambudzika chirwere.

Dzimwe zvakafanira histological kuti tione kuchinja.

miedzo ropa

Kana chiremba ari kunetsa kuziva nokuda zvokunze nezviratidzo, vakagadzwa rabhoritari chirwere pamusoro psoriasis, zvinotevera miedzo vanobatanidzwa mairi:

• Complete ropa count, hazvina vanosanganisira WBC uye ESR. Psoriasis kazhinji shamwari kupererwa neropa uye leukocytosis.
• Rheumatoid chokufunga kunobatsira kuona munhu puroteni ane pamwero kunowedzera kana chero anogumbura mananara. In psoriasis, mugumisiro inofanira kuva asina kunaka. Ndiwo musiyano kubva dzinonzi rheumatoid arthritis kana chinhu ichi inowedzerwa.
• ESR (erythrocyte sedimentation zvazvingava). chakarurama ichi chinofanira kuva zvakajairika. Kunze iri pustular psoriasis kana erythrodermic psoriasis.
• Uric acid. In psoriasis, mwero inowedzerawo. Psoriatic chearthritis afanane gout, vaine overestimation ropa wevasungwa pakati uric acid. Muchiitiko chino, chirwere pakati psoriasis kwakakwana, ongororo mumwe nzendo.
• HIV antibodies. The chirwere kunowanzokonzera kamwe zviratidzo psoriasis zviratidzo.

Psoriasis: differential kuongorora chirwere

In kurapwa tsika, pane nguva apo zviratidzo zvakafanana akafanana zvirwere zvakasiyana. Zvakakosha kusiyanisa imwe hurumende nevamwe vakaita saiye, unobatsira differential zvokuongorora kuti psoriasis. Unotarisira zvakafanana pamusoro zviratidzo psoriasis wokutanga uye tsvuku lichen. Kuti ndipe yakakwana kuchirapa matanho, chiremba vanofanira kuziva zvakajeka kuzivisisa zvinhu. Wongorora, chiremba anoona hwokufananidzira nesumbu papules, izvo akafukidzwa chena silvery zviyero, vakabva kuumba psoriatic Dombo. Pathological zvinhu bordered tsvuku Corolla, unonzi nomukombero Pilnova, zvinoratidza kuti pane kuchiita psoriasis. Differential chirwere kunoita kuziva izvozvo. Hazvina kuoma kuti ndisimbise nechirwere mushure scratchboard (poskablivanii), izvo zvinoita kuti rione mananara anooneka psoriatic vanamwari vatatu vatatu.

The kwokuomerwa chirwere

Psoriasis, chirwere uye kurapwa kuri kuitwa nomumwe dermatological kiriniki, ane yakasiyana kwokuomerwa chirwere. Kutanga kubva, vaviri papules psoriasis hwapedyo kuti postuleznogo mhando, dzimwe nguva ndiwo upenyu pangozi. Pane mwero wandei nekuomarara psoriasis:

• Soft psoriasis. Nyaya dzatongwa pemvura ganda iri muviri kuchizvivanza 3%, kazhinji kunyange nedambudziko 2 chete% ganda.
• Mwero psoriasis. The ganda iri kukanganiswa 3-10%.
• Zvakakomba psoriasis. Panyaya iyi, chirwere chinobata zvinopfuura 10 muzana ganda. It akayera kwokuomerwa uye uyewo zvinoitwa hosha pamusoro unhu murwere woupenyu.

Zvinonzi zvakare aronga mumwe kupatsanura, unosanganisira maviri weDanho hurongwa, umo varwere vakakamurwa pamusoro vanoda systemic uye nemakanzuru kurapwa.

Common uye zvakaoma kubata zvakakomba psoriasis. Dzimwe mhando husingakwanisi chaizvo kurapwa, kunyange kana vasingakupi anoshandawo rinorema. Izvi zvinosanganisira:

• psoriasis pamusoro emichindwe uye inotsika;
• mu ganda matanga (Ivan Kuchin psoriasis);
• psoriatrichesky chearthritis;
• psoriasis kukanganisa romusoro.

psoriasis kurapwa

Treatment chakakomba uye mwero psoriasis anosanganisira nzira dzakadai phototherapy, systemic mishonga, kubatanidzwa uye excimer Laser kurapwa, izvo kazhinji chaizvo.

TNF FIs kuderedza basa masoja zvinhu kuti kubatsira kwazvo nzira psoriasis, asi matambudziko munogona zvimwe zvirwere.

"Ustekinumab." The turusi unotora munhu monoclonal antibody. Zvinobatsira mushonga zvakakomba uye nepakati siyana chirwere. tsvakurudzo Drug inoitwa saka kure, panguva unhu hwakanaka zvinoratidzwa.

Kune mishonga Newest zvichigere ainyatsonzwisisa. zvidzidzo rokutanga kunoratidza zvakanaka muitiro. Pane nzira kuti hakutenderwi. Kushandiswa siyana mafuta okuzora, bhurandi, mumakenduru achibvumira kuderedza zviratidzo psoriasis. The kiriniki, chirwere uye kurapwa zvirwere zvinorondedzerwa nemasayendisiti akawanda zvokurapa. Vakaziva nzira huru nhatu nokurapa chirwere:

• Topical vamiririri (mumakenduru, shampoos, mafuta okuzora, bhurandi).
• Mishonga. Kushandisa zvinodhaka (majekiseni, mapiritsi) kukanganisa ganda asiwo muviri wose.
• Phototherapy. Nokuti mishonga kushandiswa chiedza.

Nokuti mumwe munhu kurapwa anosarudzwa nomumwe, kufungisisa zvose nomumwe zvechadenga muviri, uyewo mhando uye chimiro chirwere.

dzimwe nzira

Vaya vanotambura kubva kwenguva refu nzira psoriasis, edza kutsvaka dzimwe non-tsika nzira achirapa hosha vamwe mhando. Asi zvinokosha kuyeuka kuti ichi hachisi rinowanika ganda zvinetso, kunyange zvazvo afanane shingles. Chikonzero nokuti riri mukati mumuviri. Marapirwo zvakanaka kusiyira kwachiremba.

Somuenzaniso, zvakanga vakawana kuti girini the kuchititadzisa kukura ganda masero, asi tsvakurudzo kuitwa saka kure chete nemhuka. Sei dai muviri, haisati kuzivikanwa.

Unconventional nzira kupa dzimwe gadziriro mishonga kuti kurapa psoriasis, asi akaora yakaonekwa kuti ndeyechokwadi uchapupu efficacy wavo achiri asipo.

Usashandisa pamusoro vakazvinzwa zvakare vamwe chevarwere chingamubatsira, unofanira kuva nechokwadi, mune zano chiremba, zvinoita haakonzeri muviri wako zvimwe kukuvadza.

Mishonga Mishonga uye Mishonga zvokuwedzera havasi kuongororwa ne hurongwa, saka mvumo kuatengesera vagadziri rotsvakwa. Usakanganwa kuti chero fuma yose miriwo mavambo anewo ayo nemishonga, mune zvimwe zviitiko, vangave kunyange kukonzera kukuvara kuutano.

Apo neapo, varwere vane matambudziko chaiwo pashure vachishandisa mishonga.

Zeza kunyatsoshanda zvinoreva ane zingi pyrithione. Munyika dzakawanda, remubatanidzwa iyi kunyange wairambidza kushandisa, asi, zvinosuruvarisa maturusi izvi zvinowanikwa paIndaneti.

Kushandiswa pakurapa Gotu Kola ari muchimiro cream. Kana kushandisa mushonga uyu mukati, zvichida rimwe kuratidzwa zvakasiyana siyana nemishonga. Nokuti vakadzi vane pamuviri, zviri zvakare pamuviri ngozi.

dziviriro chirwere

Pasinei chokwadi kuti pane inonzwisisika maonero nezvengozi sunburn uye chiedza chezuva, nokuti psoriasis inobatsira chaizvo. Kugara kuitwa mwero sunbathing hwapedyo emuchina zvakanaka kunoderedza kufunganya uye kuzvidya mwoyo.

Pakati kuitazve uye rekusuwa pane ukama, saka unogona kuderedza zviratidzo chero Anti-kunetseka nzira. Kushanyira munhu chiremba uye wepfungwa yekudyidzana kuderedza zviratidzo.

Kana ganda iri rakaoma, kuvava kunotangira, unogona kuedza zvinotevera zvinoreva:

Mumaminitsi 15, kugeza nemvura inodziya. Zvadaro shandisa salicylic acid, iyo inobvisa chikero kubva ganda. Zvadaro shandisa kunyoroveswa ruomba - "Tsetafil" Vaseline kana "Eucerine". Usiku unogona kupfeka moisturizing Magorovhosi Chipfeko.

From kuvaviwa uye akashatirwa kuchabatsira salve "Capsaicin", apo basa chirungiso ndivo mbeu chili. Rinobatsira kutapudza psoriatic pruritus. Pakutanga ndakanzwa kutekenyedzwa kutsva, asi zvino rinosvava.

muviri zvinhu. Varwere vanofanira kuva yakakwana kwazvo kuti uparadze folic acid. MuRugwaro zvirimo zvokudya zvakadai asiparagasi, vachiwaridza hanyanisi, michero, pizi, bhinzi yakaomeswa, chiropa, mbiriso, orenji muto.

Zvakakodzera kusanganisira vari kudya zvinhu ine naOmega-3 hove mafuta kushandisa, ine Anti-anogumbura ehupfumi, ine kushanda muna autoimmune zvirwere zvinobatsira.