Psoriasis bincike: hanyoyin, analysis, magani

Daya daga cikin na kowa fata cututtuka ne "psoriasis", ko psoriasis. Bisa kididdigar da, yana daukan 15% na dermatological cututtuka. 3% na yawan fama da wannan cuta, mafi yawa a yankunan da wani sanyi sauyin yanayi. Kara Trend na tsanani siffofin da cutar. A cikin 'yan shekaru, ganewar asali na psoriasis ne ainihin ba kawai ga manya, lokuta da wannan ganewar asali a sosai matasa da kuma ko da yara. Shi ne har yanzu ba su bayyana duk daga cikin Sanadin wannan cuta.

Mene ne psoriasis

Psoriasis, asibitin da bincikowa da wanda ake da aka sani ga kowane likitan fata ne a kullum fata cuta. Halin da gaban ja-tsare spots, wanda aka rufe da ƙwayoyi silvery ma'auni. Tare da cuta aiki ƙãrẽwa kan lokaci. The rashin lafiya, yafi rinjayar da fata, ko da yake akwai lokuta da cutar zuwa wasu gabobin, musamman gidajen abinci da kuma kusoshi.

Ko da yake psoriasis ake kira "psoriasis", da bambanci ga sauran iri herpes cuta ba m. Zapusknoe inji na cuta - wani tsari da ya auku a cikin epidermis. A cikin zurfin (muhimmi) yadudduka kafa ta keratinocytes, to, wanda ya kamata a yi na keratin - da gina jiki, wanda yake shi ne yi kusoshi, gashi, fata. Keratinocytes a al'ada ci gaba daga cikin ƙananan zuwa babba Layer motsi da sauri, game da wata daya lokaci.

A marasa lafiya da psoriasis, keratinocytes ninka ma da sauri da kuma matsawa zuwa saman Layer na 4 days. A fata ne ba su iya haka da sauri rabu da wadannan Kwayoyin, su lambar ne kullum girma, kuma akwai bushe, shãfe haske faci a kan fata a cikin nau'i na plaques. Ƙananan Layer na dermis, inda jini da kuma Lymph tasoshi, jijiyoyi, inflamed, kumbura. Ganewar asali na psoriasis zai taimaka domin sanin irin cutar.

Nau'in da cututtuka

Daban-daban na cuta na iya faruwa a hanyoyi daban-daban, su bi alternately ko lokaci guda. Da dama jinsin iri psoriasis:

• Pyatnovidny. Mafi na kowa irin. Bayyana rashes a kan fata, rufe kananan yankunan farko, sa'an nan girma, bayyana a cikin wannan matsayi a kan kishiyar sashi na jiki. Wannan irin cuta ne zai yiwu bayan fama da kwayar ko streptococcal kamuwa bayan lura da corticosteroids. Kananan spots, da kara nuna a cikin plaque, sõyayya a manyan yankunan. Idan lalacewa ne yiwu qananan hemorrhage (shiga auspitsy). Places galaba: gwiwoyi, magincirõri, feet (kasa), dabino, cinyoyinsa, 'yan maruƙa, runtse baya. A 50% da marasa lafiya da psoriasis na fatar kan mutum, da plaques bayyana a kan iyakar gashi girma. Ganewar asali na psoriasis a yara ne da za'ayi a gaske wannan hanyoyi kamar manya.
• Teardrop. A rare nau'i na cutar. Plaques bayyana ba zato ba tsammani a kan ƙafafunsa, hannunsa a kan kansa. Sau da yawa sun bace da kansu, amma na iya sake fito fili a stressful yanayi.
• Baya. Wannan nau'i ne da wuya mu bi. Kumburi, m yankunan da ciwon jiki folds (a karkashin ƙirji, hamata, makwancin gwaiwa yankin).
• Seborrheic. A spots ne ja scaly faci, located sama da kafada ruwan wukake, bayan da kunnuwa, a cikin armpits, makwancin gwaiwa da fuska. Amenable don magani da wahala. A ganewar asali seborrheic psoriasis mayar da hankali ne a kan gaskiyar cewa, duk da tsawon lokaci fata lalacewa, babu wani alopecia, thinning gashi.
• P soriaz kusoshi. A irin wannan hannayenku da ƙafãfunku a ƙusa farantin launi canji, rabe. Sau da yawa, irin wannan psoriasis aka juna tare da psoriatic amosanin gabbai. Yawancin lokaci ƙusa psoriasis ganewar asali ne da za'ayi ba tare da wahala. Wani lokaci yana da za'ayi histological jarrabawa.
• Psoriartrichesky amosanin gabbai. Kumburi cuta da take kaiwa zuwa kumburi da kuma stiffness a gidajen abinci. An kasu kashi da dama iri: tsakaitã, asymmetrical, mutiliyny.
• Psoriatic erythroderma. Tã rare fom in wanda kusan duk jiki da aka rufe da wani ja scaly ɓawon burodi.
• Pustular. Da kafafu da kuma makamai samar da pustules. Wannan irin na iya faruwa da kansa, ko zama lokaci guda tare da sauran siffofin psoriasis. A karshen harka, wannan shi ne mai hadarin gaske.

A Sanadin cutar

Etiology, asibiti siffofin (psoriasis ganewar asali ba ya haifar da matsaloli) ya dade da aka yi karatu, amma a nan su ne dalilan da ya sa cutar ya auku, har yanzu diddigin:

• Medicine ya ce psoriasis faruwa a lokacin da gazawar da tsarin na rigakafi, domin daban-daban dalilai da suke da alhakin daidai rabo na fata Kwayoyin. Mara daidai rigakafi martani hanyar kumburi da kuma haifar da karuwar samar da m Kwayoyin.
• Muhimmiyar rawa a wannan cuta, gadar hali taka. 35% da marasa lafiya da wadannan matsaloli ne a kayyade. A kayyade factor ne manyan Sanadin psoriasis.
• Taka muhimmiyar rawa a lokacin da yanayi da cutar. A bushe sanyi weather iya faruwa fashewa. Wasu sha daga haske ƙwarai da gudanarwa da kwarewa ne kawai in winter, lokacin da hasken rana ne da yawa kasa.
• Karfi da motsin zuciyarmu da kuma danniya. Sake komowan cutar faruwa a psoriasis danniya, wani tunanin cuta, ciki da tashin hankali.
• Kamuwa da cuta. Wasu kwayoyin da ƙwayoyin cuta iya fararwa da ya faru na psoriasis, shi yana iya zama streptococci, shafi na sama na numfashi fili. Sau da yawa canjawa wuri pharyngitis, tonsillitis, sinusitis a lokacin samartaka haddasawa na guttate psoriasis. Dangantawa da psoriasis da kwayar cutar HIV, kazalika da a wasu lokuta, HPV (mutum papilloma virus).
• fata rauni. Irin wannan dauki na jiki ne da ake kira Koebner sabon abu a lokacin da fata ne lalace kamar yadda ja Lines. A wadannan shafukan na iya haifar da psoriasis. Yana iya ci gaba, a yankunan da aka ba fama da rauni.
• Kwayoyi iya tsokana psoriasis ne: ACE-kwayoyi, beta-blockers, chloroquine, lithium, NSAIDs (indomethacin), progesterone hormone, daban-daban steroid man shafawa da cewa rufe manyan yankunan da fata.

psoriasis bincike Hanyar

A likita wanda ya tabbatar da cuta, daukan la'akari:

• na asibiti hoto da cutar.
• gaban Koebner sabon abu.
• bayyanar cututtuka na psoriatic triad.

Ganewar asali na psoriasis dogara ne a kan psoriatic triad - wani sabon abu da ke faruwa a lokacin da scraping plaque. Wannan sabon abu zai iya zama:

• stearic stains scouring papule za a iya lura peeling, wanda kama mashed stearin.
• zub da jini batu, bayan da m kankare film bayyana mutum saukad da na jini.
• Kebnera sabon raunuka bayyana a shafin na ruri, musamman a cikin m lokaci na cuta.

Wani lokaci ya zama dole histological jarrabawa domin sanin canje-canje.

jini gwaje-gwaje

Idan likita ne da wuya a gane asali da na waje da ãyõyinMu, nada dakin gwaje-gwaje ganewar asali na psoriasis, da wadannan gwaje-gwaje suna kunshe a cikin ta:

• Complete jini count, shi ba ya hada WBC da ESR. Psoriasis ne sau da yawa wani abõki anemia da kuma leukocytosis.
• Rheumatoid factor taimaka wajen gane mai gina jiki, wanda matakin qara lokacin da wani kumburi mamaki. A psoriasis, sakamakon ya zama korau. Wannan ne bambanci daga rheumatoid amosanin gabbai a lokacin da wannan factor aka ƙara.
• ESR (erythrocyte sedimentation rate). Wannan nuna alama ya zama al'ada. A togiya ne pustular psoriasis ko erythrodermic psoriasis.
• Uric acid. A psoriasis, rabon ƙaruwa. Psoriatic amosanin gabbai kama gout, halin da overestimation na jini taro na uric acid. A wannan yanayin, wani cikakken ganewar asali na psoriasis, bincike ne daya daga cikin matakai.
• HIV antibodies. Kamuwa da cuta sau da yawa yana sa kwatsam bayyanar cututtuka na psoriasis bayyanar cututtuka.

Psoriasis: bambanci ganewar asali

A asibiti yi, akwai lokatai da lokacin da irin wannan cututtuka kama daban-daban cututtuka. Wajibi ne a rarrabe daya bayyana daga wasu kamar shi, wannan yakan taimaka wa bambanci ganewar asali na psoriasis. Ga alama irin wannan a farko alamun psoriasis da kuma ja lichen. Domin sanya isasshen warkewa matakan, likita ya san fili banbamta fasali. Duba, likita gani da hankula tari na papules, wanda aka rufe da fari silvery Sikeli, to, su ne samar da wata psoriatic plaque. Pathological abubuwa kẽwayesu ja corolla, da ake kira da baki Pilnova, shi ya nuna cewa akwai ci gaban psoriasis. Bambanci ganewar asali damar su gane shi. Ba shi da wuya a tabbatar da ganewar asali bayan da scratchboard (poskablivanii), wanda sa shi yiwuwa a gane mamaki bayyana a psoriatic triad.

The mai tsanani da cuta

Psoriasis da bincike da kuma magani ne da za'ayi a cikin kowane dermatological asibitin, yana da wani daban-daban mai tsanani da cuta. An fara daga daya, biyu papules psoriasis tasowa zuwa postuleznogo type, wani lokacin shi ne barazana ga rayuwa. Akwai da dama digiri na tsanani daga psoriasis:

• Soft psoriasis. Lokuta inda surface na fata a jiki aka rufe da 3%, sau da yawa ko shafa kawai 2% na fata.
• Matsakaici psoriasis. The fata ne ta shafa 3-10%.
• Mai tsananin psoriasis. A wannan yanayin, cutar rinjayar fiye da kashi 10 na fata. Yana kuma auna mai tsanani da kuma rinjayar da cutar a haƙuri da ingancin rayuwa.

Haka kuma an samarwa wani rarrabuwa, wanda ya shafi wani biyu-bene tsarin, a cikin abin da marasa lafiya ya kasu a kan bukatar tsari da kuma gida magani.

Common da wuya mu bi da tsanani psoriasis. Wasu siffofin ne sosai resistant zuwa magani, ko da idan suka ba su shafi nauyi. Wannan ya hada da:

• psoriasis a kan dabĩnai da soles.
• a cikin fata folds (kishiya psoriasis).
• psoriatrichesky amosanin gabbai.
• psoriasis shafi nunawa.

psoriasis magani

Jiyya na tsanani da kuma matsakaici psoriasis hada da hanyoyin kamar phototherapy, tsari magunguna, a hade da excimer Laser jiyya, wanda sau da yawa sosai tasiri.

TNF hanawa rage aiki na rigakafi da abubuwan da taimaka a mai tsanani siffofin psoriasis, amma rikitarwa iya faruwa a sauran cututtuka.

"Ustekinumab." A kayan aiki qunshi wani monoclonal antibody. Ya taimaka magani ga mai tsanani da kuma matsakaici siffofin da cutar. Drug nazari zuwa yanzu, a lokacin da m halaye aka saukar.

Akwai sabuwar kwayoyi da aka ba tukuna cikakken gane. Inda bincike nuna wani tabbatacce Trend. Akwai hanyoyin da cewa ba su amince. A amfani da daban-daban man shafawa, sprays, creams da damar rage bayyanar cututtuka na psoriasis. A asibitin da bincike da kuma lura da cutar da aka bayyana da yawa likita masana kimiyya. Sun gano uku main zažužžukan domin lura da cuta:

• Topical jamiái (creams, shampoos, man shafawa, sprays).
• Magani. Amfani da kwayoyi (injections, Allunan) shafi ba kawai fata amma kuma a kan dukan jiki.
• Phototherapy. Domin lura da used haske.

Domin kowane mutum da magani aka zaba akayi daban-daban, shan la'akari duk mutum halaye da kwayoyin, kazalika da irin da kuma nau'i na cutar.

madadin hanyoyin

Wadanda suka sha wahala daga shafe tsawon hanya na psoriasis, kokarin neman fitar da wasu irin madadin, ba na gargajiya da hanyoyin da curing cutar. Amma yana da daraja tuna cewa wannan ba wani na kowa fata cuta, ko da yake yana kama shingles. Dalilin shi ya ta'allaka ne a cikin jiki. Jiyya zažužžukan a yale su ga likita.

Alal misali, an gano cewa, koren shayi damuarn ci gaban da fata Kwayoyin, amma bincike da aka yanzu kawai a dabbobi. Me dauki zai jikin mutum, aka ba tukuna sani.

Unconventional hanyoyin bayar da wasu shirye-shirye na ganye domin lura da psoriasis, amma asibiti tabbatar shaidar da inganci ne har yanzu ba a can.

Kada ka yi amfani a kan kansu sake ji wasu jama'a magani, kana bukatar ka tabbatar, tare da shawara da likita, shi ba ya haifar da jikinka don kara cuta.

Na ganye magunguna da kuma abin da ake ci kari ba su kula da tsarin, don haka da izinin sayar da su ga masana'antun da ake bukata. Kada ka manta da cewa duk wani abu na kayan lambu asalin ma yana da nasa gefen effects, a wasu lokuta, mai yiwuwa ma ya sa lalacewar kiwon lafiya.

Lokaci-lokaci, marasa lafiya da ciwon real matsaloli bayan yin amfani da halitta magunguna.

M dace wajen dauke da tutiya pyrithione. A ƙasashe da dama, wannan fili ne ko da haramta yin amfani da, amma, da rashin alheri, wadannan kayayyakin aiki, suna samuwa a kan yanar-gizo.

Amfani domin lura da Gotu Kola a cikin wani nau'i na cream. Idan ka yi amfani da wannan ganye a ciki, watakila wata alama da dama illa. Ga mata masu ciki, shi ne kuma m zubar da ciki.

cutar rigakafin

Duk da cewa akwai wani unambiguous ra'ayi game da illar da kunar rana a jiki da kuma hasken rana domin psoriasis da amfani sosai. Regular tallafi matsakaici sunbathing tasowa m muhimmancin rage tashin hankali da danniya.

Tsakanin cutar ta koma dawowa kuma korau motsin zuciyarmu akwai dangantaka, don haka ba za ka iya kwanciyar hankali da bayyanar cututtuka na wani anti-danniya hanyoyin. A ziyarar da ilimin da kuma psychologist muhimmanci canja bayyanar cututtuka.

Idan fata ne ma bushe, itching arba'in, za ka iya kokarin da wadannan nufin:

A cikin mintina 15, sama da dumi wanka. Sa'an nan tambaya da salicylic acid, wanda ta kawar da Sikeli daga fata. Sa'an nan amfani da softening cream - "Tsetafil" Vaseline ko "Eucerine". A dare za ka iya sa a kan wani moisturizing safar hannu.

Daga itching da kuma hangula zai taimaka salve "Capsaicin", inda da aiki sashi ne da tsaba barkono barkono. Ya taimaka wajen taimaka psoriatic pruritus. A farko Na ji wani kona abin mamaki, amma sai fades.

sinadirai dalilai. Marasa lafiya ya zama a isa yawa zuwa cinye folic acid. An kunshe ne a cikin abinci, irin su bishiyar asparagus, leafy ganye, 'ya'yan itãcen marmari, Peas, bushe da wake, da hanta, yisti, orange ruwan' ya'yan itace.

Wajibi ne a hada a rage cin abinci da kayayyakin dauke da Omega-3 kifi mai amfani, wanda yana da anti-mai kumburi Properties, shi yana da amfani sakamako a autoimmune cututtuka.