John Myers
ʻO ka psoriasis flare-up he mea maopopo ʻole: lilo ka ʻili i ʻulaʻula a loaʻa ke koko kiʻekiʻe, kahi i hana ʻia ai nā unahi keʻokeʻo keʻokeʻo. Nui nā mea hoʻoulu e pāʻani nei.
ʻulaʻula, nui i kekahi manawa, ʻino nā kiko i uhi ʻia me nā unahi keʻokeʻo ʻālohilohi a i ʻole nā pustules: ʻO kēia ke ʻano o ka psoriasis. Ma kahi o ʻekolu pākēneka o ka poʻe Kelemania i hoʻopilikia ʻia e kēia maʻi ʻili ʻili. ʻAʻole ʻaʻa kekahi poʻe e hele i waho no ka loli nui o ka ʻili inā loaʻa kahi lapalapa.
Ma ke ʻano he maʻi maʻi maʻi, holo ka psoriasis i nā ʻāpana - ʻokoʻa a ʻoi aku ka nui o nā manawa hōʻailona ʻole. Puka maʻamau ka maʻi ma mua o ke 40 makahiki (type 1 psoriasis). Loaʻa ka ʻano hope (type 2 psoriasis) i ka hapa ʻelua o ke ola a ʻoi aku ka maʻalahi. He kakaikahi ka psoriasis i nā keiki, ʻoi aku ka nui o ka neurodermatitis i loko o lākou.
Loaʻa pinepine nā maʻi psoriasis i nā comorbidities e hoʻonui i ke kiʻekiʻe o ka ʻeha. ʻO ka momona a me nā maʻi ʻeha e like me ka maʻi o Crohn i waena o lākou. ʻO ka mea i kapa ʻia ʻo "psoriatic march" ua makaʻu ʻia: ma ke ʻano he ʻōnaehana ʻōnaehana e hiki ke alakaʻi i ka pōʻino i nā moku. Hoʻopili pinepine ʻia ke kiʻi lapaʻau me ka pale ʻana i ka insulin, ka momona momona, ke koko kiʻekiʻe, a me ka paʻakikī o nā ʻaʻa. Hiki i kēia ke manaʻo i ka haʻahaʻa haʻahaʻa o ke ola no ka poʻe i hoʻopilikia ʻia.
ʻO Psoriasis kahi maʻi autoimmune
ʻO ka hoʻololi ʻana o ka ʻili i ka psoriasis maʻamau ke kumu o ka ulu wikiwiki ʻana o ka cell cell. I ka poʻe olakino, hoʻohou ka ʻili o luna (epidermis) iā ia iho ma lalo o ʻehā pule: I kēia manawa, hana ko mākou ʻili i nā pūnaewele hou a hoʻokahe i ka papa luna, ʻo ia hoʻi, keratinized cell layer. ʻOi aku ka wikiwiki o kēia kaʻina hana i ka wā e hoʻomaka ai ka hana hoʻoponopono ma hope o kahi ʻeha - a i ka wā o ka psoriasis flare-up: paʻakikī ka ʻili ma nā wahi i hoʻopilikia ʻia i loko o ʻekolu a ʻeono lā.
Nui nā kumu o psoriasis
ʻO ka ʻoiaʻiʻo o ka loaʻa ʻana o nā ʻili i waho o ka mana aia i loko o nā genes o kahi hapa o ka heluna kanaka: holo psoriasis i nā ʻohana. Eia naʻe, ʻaʻole e puka mai ka maʻi i kēlā me kēia me kahi predisposition hoʻoilina. ʻO nā kumu pilikia nui ka momona, ka waiʻona, a me ka puhi paka. A ke manaʻo ʻia nei nā mea hoʻomaka kūikawā: nā ʻeha ʻili - e like me ka peʻa a i ʻole ka lā - ʻeha mau ka ʻili mai nā lole i paʻa loa, nā maʻi koʻikoʻi i hala, ka loli ʻana o ka hormone, nā toxins kūlohelohe, kekahi mau lāʻau lapaʻau e like me nā beta-blockers, ACE inhibitors, a me nā mea ʻē aʻe. . ʻO ke kaumaha - inā ʻoihana a pilikino paha - hiki ke hoʻopilikia i ka ʻili me ka ʻike ʻole.
Nā hōʻailona o Psoriasis
ʻAʻole hiki ke kuhi ʻia ka psoriasis: ʻike ʻia nā wahi ʻulaʻula ma ka ʻili me ke kahe koko kaumaha, kahi i hana ʻia ai nā unahi keʻokeʻo keʻokeʻo. Hiki ke hoʻololi liʻiliʻi, no ka laʻana ma ka ʻāpana pepeiao, piko, a me ka ʻāpana anal. Hiki ke huki ʻia nā unahi maʻamau me ka manamana lima. Hoʻopili pinepine ʻia nā wahi o ka ʻili i hoʻohola nui ʻia, e like me nā kuʻekuʻe a i ʻole nā kuli, a i ʻole nā wahi e ʻili ai nā lole: nā ʻāʻī a me nā keiki bipi, kahi kāʻei, ʻāʻī, ʻāʻī. Hoʻopilikia pinepine ʻia ke poʻo. ʻAʻohe wahi ʻili i hoʻokuʻu ʻia. Hiki ke hoʻopuehu ʻia nā kiko i nā kiko a i uhi ʻia i nā ʻāpana holoʻokoʻa o ke kino ma kahi ākea. A ʻaʻole ia he mea maʻamau ka hoʻopili ʻia ʻana o nā kui: nā liʻiliʻi liʻiliʻi (pitted nails) mai laila, hiki ke maʻalahi ke nānā ʻia, a i ʻole ka ʻulaʻula melemele-ʻulaʻula (ʻaila stains), e hōʻino i ke ʻano o nā maʻi he nui.
Pehea e ʻike ʻia ai ka psoriasis
Hiki ke ʻano like ka psoriasis māmā i nā maʻi fungal a i ʻole eczema - hiki ke hoʻokuʻu ʻia kēia mau maʻi me ka hoʻohana ʻana i ka hoʻāʻo koko, ke ʻano maʻamau o ka maʻi ʻili a, inā pono, nā laʻana kiko. ʻO ka hiʻohiʻona ʻokoʻa o ka psoriasis ʻo ia ka Auspitz phenomenon (ʻike ʻia ʻo "ke hau koko"): ʻoki ke kauka i kahi unahi, waiho ʻia kahi membrane ʻālohilohi ma lalo. Inā hoʻoneʻe ʻoe i kēlā, kahe ke koko i nā kiko.
Nā noiʻi hou aku i ka psoriatic arthritis
Inā manaʻo ʻia ka psoriatic arthritis, nānā ʻia nā ami i pili me ka hoʻohana ʻana i nā ʻano kiʻi (ultrasound, X-ray, magnetic resonance imaging, a i ʻole scintigraphy). Hiki i nā kiʻi ke hōʻike i ka pae o ka maʻi. ʻAʻole maopopo nā hoʻokolohua Laboratory no ka mea ʻaʻohe māka kikoʻī no ka psoriatic arthritis.
