Kho Mob Nruab Nrab rau Mob Psoriasis

Cov txheej txheem:

Kho Mob Nruab Nrab rau Mob Psoriasis
Kho Mob Nruab Nrab rau Mob Psoriasis
Anonim

Tus mob hnyav rau mob psoriasis piav qhia ntau npaum li cas ntawm koj lub cev tau npog liab, scaly psoriasis thaj ua rau thaj.

  • Mob psoriasis npog 3% txog 10% ntawm koj lub cev.
  • Tus mob psoriasis npog ntau dua 10% ntawm koj lub cev lossis nyob rau thaj chaw rhiab zoo li koj lub ntsej muag, xib teg, txhais taw, lossis daim tawv nqaij quav.

Kev paub tias koj muaj mob hnyav lossis mob psoriasis pab koj tus kws kho mob txiav txim siab txog kev kho mob. Tab sis nws tsis yog tib qho kev koom tes hauv kev xaiv kev kho mob.

Koj tuaj yeem muaj tus kab mob psoriasis uas cuam tshuam rau koj thiab xav pib kho kom muaj zog. Lossis koj yuav muaj psoriasis hnyav dua uas koj nyuam qhuav pom thiab xav pib nrog kev kho mob me me.

Koj tus kws kho mob tseem yuav xav txog tej yam no thaum pab koj xaiv kev kho mob:

  • hom psoriasis koj muaj
  • Ntau npaum li cas psoriasis cuam tshuam koj lub neej
  • Koj noj qab haus huv
  • Tus nqi kho mob rau koj

Koj tus kws kho mob yuav siv Koo-Menter Psoriasis Instrument los pab txiav txim seb koj xav tau kev kho mob. Cov cuab yeej ib nplooj ntawv no nug cov lus nug kom paub seb psoriasis puas cuam tshuam rau koj lub neej ntau npaum li cas.

Feem ntau, cov kws kho mob pib nrog kev kho mob me ntsis. Yog tias thawj qhov kev kho mob tsis ua haujlwm, koj yuav nce mus rau kev kho mob kom muaj zog thiab muaj zog kom txog thaum koj pom ib qho uas tshem tawm lossis tswj koj tus kab mob psoriasis.

Yog tias koj muaj psoriasis hnyav heev, koj yuav tsum tau noj ntau dua ib qho ntawm cov tshuaj no ib zaug. Qee lub sij hawm ntxiv lub teeb ultraviolet lossis hnub ci rau cov tshuaj psoriasis, txhaj tshuaj, lossis qab zib tuaj yeem pab nws ua haujlwm zoo dua.

Kev Kho Mob rau Mob Ntsws rau Mob Psoriasis

Txawm tias txhua tus neeg mob psoriasis txawv, cov kws kho mob muaj ob peb txoj kev kho mob uas lawv sim rau cov neeg uas muaj mob hnyav rau psoriasis. Cov no suav nrog:

  • YLight therapy (phototherapy)
  • Cov tshuaj uas txwv koj lub cev tiv thaiv kab mob lossis lub hom phiaj tiv thaiv kab mob tiv thaiv kab mob txuas rau psoriasis

Cov kev kho mob no tsom mus rau qeeb ntawm cov tawv nqaij sai sai ntawm cov cell loj hlob hauv psoriasis. Lawv kuj tuaj yeem pab ua kom cov tawv nqaij du thiab txo qhov mob.

YLight Therapy (Phototherapy)

Koj tus kws kho mob dermatologist tau hais kom koj nyob nraum tshav ntuj kom tsis txhob mob qog noj ntshav thiab kev laus. Tab sis nyob rau hauv cov neeg uas muaj psoriasis, lub hnub lub ultraviolet A thiab B (UVA thiab UVB) rays yeej pab kom tshem tau ntawm daim tawv nqaij.

Qee tus kws kho mob pom zoo kom zaum sab nraum lub hnub ob peb feeb hauv ib hnub. Lossis koj tuaj yeem sim kho lub teeb sab hauv tsev uas simulates UVA lossis UVB rays.

Ntawm no yog peb hom kev kho lub teeb rau psoriasis.

1. Ultraviolet B (UVB) Therapy

Nws yog dab tsi: Ultraviolet B (UVB) kev kho mob siv tib hom hluav taws xob ultraviolet pom nyob rau hauv tshav ntuj. Nws yog siv los kho psoriasis uas tsis teb rau cream thiab tshuaj pleev ib ce.

Nws ua haujlwm li cas: Koj lub cev raug UVB teeb los ntawm lub thawv teeb hauv tsev kho mob lossis hauv tsev. Lub teeb UVB nkag mus rau hauv koj cov tawv nqaij thiab ua rau cov tawv nqaij qeeb zuj zus.

Types of UVB therapy:

  • Broadband UVB therapy. Qhov no tso tawm ntau lub teeb ntawm ultraviolet.
  • Narrow-band UVB therapy. Qhov no tso tawm ib txoj kab nqaim ntawm lub teeb ultraviolet mus rau thaj chaw me ntawm daim tawv nqaij.
  • Goeckerman therapy. Koj siv cov coal tar rau ntawm daim tawv nqaij ua ntej raug UVB. (Qhov no tsis tshua muaj siv thiab tsuas yog muaj nyob ntawm ob peb lub chaw.)

Cov kev mob tshwm sim muaj xws li tawv nqaij khaus, liab liab, kub hnyiab lossis khaus khaus, hlwv pob, tawv nqaij qhuav, tshav kub hnyiab, thiab muaj kev pheej hmoo siab rau mob qog noj ntshav.

2. PUVA Therapy (Photochemotherapy)

Nws yog dab tsi: Koj siv tshuaj hu ua psoralen, uas ua rau koj cov tawv nqaij rhiab heev rau lub teeb. Tom qab ntawd koj raug ultraviolet A (UVA) lub teeb.

Nws ua haujlwm li cas: Psoralen yog siv rau koj cov tawv nqaij lossis koj nqa los ntawm qhov ncauj. Peb caug feeb mus rau 2 teev tom qab, koj daim tawv nqaij raug ultraviolet A teeb. Lub teeb slows tawv cell loj hlob.

Cov kev mob tshwm sim tuaj yeem suav nrog xeev siab (los ntawm qhov ncauj psoralens), khaus, liab liab, kub hnyiab, hlwv, freckles los yog tawv nqaij laus, cataracts yog tias koj tsis hnav looj tsom iav dub, thiab muaj kev pheej hmoo siab rau mob qog noj ntshav ntawm daim tawv nqaij, suav nrog melanoma.

3. Kev kho Laser

Nws yog dab tsi: Daim ntawv kho lub teeb uas siv lasers.

Nws ua haujlwm li cas: Lub teeb nyias nyias ntawm lub teeb tsom psoriasis yam tsis cuam tshuam rau ntawm daim tawv nqaij.

Laser hom:

  • Excimer laser. Qhov no tso tawm lub teeb tsom, siab siv lub teeb ntawm ultraviolet lub teeb.
  • Pulsed dye laser. Qhov no rhuav tshem cov hlab ntsha me me uas txhawb kev tsim ntawm psoriasis plaques.

Cov kev mob tshwm sim tuaj yeem suav nrog liab, hlwv, nqaij tawv, lossis caws pliav.

Tshuaj rau Mob Ntsws rau Mob Psoriasis

Cov tshuaj uas koj noj los ntawm ntsiav tshuaj lossis txhaj tshuaj cuam tshuam rau tag nrho lub cev. Koj tus kws kho mob yuav pom zoo ib yam ntawm cov tshuaj no yog tias koj tsis tau teb cov tshuaj pleev ib ce lossis kho lub teeb.

1. Cyclosporine

Nws yog dab tsi: Cyclosporine (Neoral) yog siv los tiv thaiv kev tsis lees paub lub cev hauv cov neeg mob hloov pauv. Nws kuj tau pom zoo los kho psoriasis.

Nws ua haujlwm li cas: Nws inhibits lub cev tiv thaiv kab mob thiab ua kom qeeb ntawm qee lub cev tiv thaiv kab mob. Cyclosporine yog muab los ntawm cov tshuaj ntsiav lossis kua.

Cov kev mob tshwm sim tuaj yeem suav nrog cov tsos mob xws li mob khaub thuas, mob taub hau, ntshav siab, cov roj cholesterol ntau dua, cov tawv nqaij rhiab heev, tingling ntawm caj npab lossis ob txhais ceg, chim plab, qaug zog, raum puas, plaub hau loj hlob, thiab muaj kev pheej hmoo ntxiv rau mob cancer.

2. Methotrexate

Nws yog dab tsi: tshuaj uas thawj zaug siv los kho mob qog noj ntshav.

Nws ua haujlwm li cas: Methotrexate qeeb tus nqi ntawm daim tawv nqaij loj hlob. Methotrexate tuaj yeem muab los ntawm ntsiav tshuaj, kua, lossis txhaj tshuaj.

Cov kev mob tshwm sim muaj xws li xeev siab, ntuav, qaug zog, mob taub hau, mob taub hau, khaus thiab los ntshav, ua npaws, mob qhov ncauj, teeb meem pw tsaug zog, rhiab heev rau tshav ntuj, plaub hau poob, hnoos qhuav, ua tsis taus pa, mob plab, blistering los yog tev tawm pob liab liab, ntshav hauv koj cov quav los yog quav, tso zis ntau zaus, thiab daim siab puas.

Cov poj niam cev xeeb tub muaj feem yuav muaj tus menyuam yug los thaum noj cov tshuaj no. Methotrexate kuj tuaj yeem cuam tshuam cov phev, yog li cov txiv neej yuav tsum zam cov tshuaj no yog tias sim kom muaj menyuam.

3. Biologic Treatments

Nws yog dab tsi: Cov tshuaj biologic tsom lub cev tiv thaiv kab mob uas ua rau mob.

Nws ua haujlwm li cas: Biologics thaiv cov kab mob tiv thaiv kab mob uas koom nrog psoriasis. Cov tshuaj no tau txhaj tshuaj los yog txhaj tshuaj IV.

tshuaj lom neeg muaj xws li:

  1. Brodalumab (Siliq), ixekizumab (T altz), thiab sekukinumab (Cosentyx). Cov no yog cov tshuaj tiv thaiv kab mob uas khi rau interleukin-17A, cov protein uas cuam tshuam rau qhov mob.
  2. Guselkumab (Tremfya), risankizumab-rzaa (SKYRIZI), thiab tildrakizumab (Ilumya). Cov tshuaj no xaiv thaiv interleukin-23 (IL-23) thiab muab los ntawm kev txhaj tshuaj.
  3. Tumor necrosis factor-alpha blockers, suav nrog adalimumab (Humira), certolizumab pegol (Cimzia), etanercept (Enbrel), thiab infliximab (Remicade). Cov tshuaj no thaiv cov neeg xa xov xo ntawm lub cev tiv thaiv kab mob hu ua TNF-alpha. Cov neeg mob psoriasis muaj cov tshuaj no ntau dhau, uas ua rau mob.
  4. Ustekinumab (Stelara). Cov tshuaj no thaiv cov cytokines hauv lub cev hu ua interleukin-12 thiab interleukin-23, uas tau xav tias yuav txhawb kev loj hlob ntawm daim tawv nqaij thiab mob ntawm psoriasis.

Cov kev mob tshwm sim tuaj yeem suav nrog o lossis pob pob qhov chaw txhaj tshuaj mus rau hauv, muaj kev pheej hmoo rau kev kis kab mob xws li tuberculosis, thiab qog nqaij hlav xws li lymphoma thiab nonmelanoma ntawm daim tawv nqaij mob cancer.

Koj yuav tsum tau kuaj tus kab mob thaum noj tshuaj lom neeg. Koj tseem yuav tau mus kuaj ntshav tas li txhawm rau txheeb xyuas koj cov qe ntshav tiv thaiv kab mob.

4. Vitamin A Derivatives Y

Nws yog dab tsi: Ib daim ntawv ntawm cov vitamin A.

Nws ua haujlwm li cas: Cov tshuaj no pab tswj cov tawv nqaij sai npaum li cas.

Muaj ob hom vitamin A:

  1. Acitretin hauv ib ntsiav tshuaj (Soriatane)
  2. Tazarotene nyob rau hauv ib lub qab zib, gel, los yog ua npuas ncauj (Avage, Fabior, Tazorac)

Cov kev mob tshwm sim tuaj yeem suav nrog cov plaub hau poob; nyias nyias; qhov ncauj qhuav, qhov muag, thiab tawv nqaij; cov pos hniav los ntshav; ntshav ntswg; mob taub hau; pob qij txha los yog mob leeg; nce qib roj hauv cov ntshav; thiab rhiab heev rau tshav ntuj.

Cov poj niam cev xeeb tub lossis npaj yuav cev xeeb tub yuav tsum tsis txhob siv cov tshuaj no vim muaj kev pheej hmoo yug menyuam loj.

5. Apremilast (Otezla)

Nws yog dab tsi: Cov tshuaj hauv qhov ncauj tau pom zoo los kho mob caj dab psoriatic thiab cov quav hniav psoriasis rau cov neeg laus.

nws ua haujlwm li cas: Apremilast yog ib qho inhibitor ntawm phosphodiesterase-4 (PDE-4), uas tswj kev mob hauv lub cell.

Cov kev mob tshwm sim muaj xws li raws plab, xeev siab, thiab mob taub hau. Cov kev mob tshwm sim no tuaj yeem nres nrog kev kho mob ntxiv. Hauv kev tshawb fawb, cov neeg tsawg tsawg tau tso tseg tsis noj Apremilast vim yog qhov tsis zoo tshwm sim. Qee cov neeg koom kuj tau piav qhia qhov poob phaus. Nws tau pom zoo tias cov neeg siv tshuaj tau kuaj xyuas lawv qhov hnyav tsis tu ncua thiab saib xyuas kev nyuaj siab.

6. Lwm yam Immunosuppressive

Muaj ob peb yam tshuaj uas ua rau lub cev tsis muaj zog thiab tuaj yeem siv rau hauv cov rooj plaub uas tau xaiv, tab sis siv "tawm daim ntawv lo" (Lawv tsis yog FDA pom zoo rau psoriasis lossis psoriatic mob caj dab). Lawv suav nrog azathioprine, hydroxyurea, thiab 6-thioguanine.

Pom zoo:

Nthuav cov khoom
Ua Haujlwm Nrog Koj Cov Kws Kho Mob Rheumatoid Arthritis
Nyeem ntxiv

Ua Haujlwm Nrog Koj Cov Kws Kho Mob Rheumatoid Arthritis

Koj puas pom tus kws kho mob rheumatoid rau koj tus mob rheumatoid? Nws tuaj yeem ua qhov txawv ntawm koj qhov RA mus li cas. Cov kws kho mob no kho mob caj dab thiab lwm yam teeb meem ntawm pob qij txha, pob txha, thiab cov leeg. Yog tias koj tsis muaj, nug koj tus kws kho mob kom xa mus.

Cov tsos mob mob caj dab: Koj Puas Yuav Hu Rau Tus Kws Kho Mob?
Nyeem ntxiv

Cov tsos mob mob caj dab: Koj Puas Yuav Hu Rau Tus Kws Kho Mob?

Mob, o, rhiab, thiab mob pob qij txha tuaj yeem yog cov cim qhia ntawm kev mob caj dab. Nov yog thaum koj yuav tsum xav txog mus ntsib kws kho mob rau cov tsos mob ntawm kev mob caj dab lossis kev sib koom ua ke. kev kho tsev tsis tau pab.

Mob caj dab caj dab thiab qoj ib ce
Nyeem ntxiv

Mob caj dab caj dab thiab qoj ib ce

Yog, koj tuaj yeem! Ua kom nquag plias yog ib qho zoo tshaj plaws uas koj tuaj yeem ua rau koj txoj kev noj qab haus huv, txawm tias koj muaj mob caj dab rheumatoid (RA). Koj tsuas yog yuav tsum paub ua haujlwm li cas hauv koj qhov kev txwv.