Psoriasis yog ib yam mob uas cov tawv nqaij tuag thiab txhim kho sai. Psoriasis tsim ua pob, ua pob ua pob rau ntawm koj cov tawv nqaij uas tuaj yeem khaus lossis hnov mob. Nws tuaj yeem tshwm sim nyob txhua qhov chaw ntawm lub cev, suav nrog ntawm lub ntsej muag. Yog tias koj muaj psoriasis ntawm koj lub ntsej muag, koj yuav xav kho nws kom zoo, vim cov tawv nqaij ntawm koj lub ntsej muag yog rhiab heev. Nyob ntawm seb koj tus mob psoriasis hnyav npaum li cas, koj tuaj yeem xav siv tshuaj kho mob, kho duab hluav taws xob (lossis kho lub teeb), siv tshuaj kho mob, lossis ua ke ntawm ntau qhov kev kho mob. Kuj tseem muaj qee qhov pov thawj tias kev hloov pauv kev ua neej tuaj yeem txo cov tsos mob psoriasis.
Cov kauj ruam
Txoj Kev 1 ntawm 4: Tswj Psoriasis nrog Kev Kho Tshuaj
Kauj Ruam 1. Siv emollients thiab moisturizers
Ib qho emollient yog cov tshuaj pleev ua kom nplua nuj uas ua rau tawv nqaij. Emollients tsis tsuas yog txo cov tawv nqaij qhuav ua ke nrog psoriasis, tab sis lawv kuj tseem tuaj yeem ua rau koj cov tawv nqaij txais tau lwm yam kev kho mob.
Nug koj tus kws kho mob kom pom zoo cov emollient uas yuav ua haujlwm zoo nrog koj hom tawv nqaij. Tej zaum koj tuaj yeem tuaj yeem yuav cov tshuaj tsw qab zoo nyob ntawm lub txee, lossis koj tus kws kho mob lossis kws kho tawv nqaij tuaj yeem sau ib qho rau koj
Kauj Ruam 2. Nug koj tus kws kho mob txog kev siv corticosteroids
Koj tus kws kho mob yuav pom zoo siv cov tshuaj steroid qab zib lossis tshuaj pleev kom txo qhov mob txuam nrog psoriasis. Tshuaj kho cov tshuaj steroid kuj tseem tuaj yeem txo qhov khaus thiab ua kom cov tawv nqaij tshiab qhuav.
- Tsis txhob siv corticosteroids ntawm koj tus mob psoriasis yam tsis muaj koj tus kws kho mob pom zoo.
- Cov tshuaj steroids tuaj yeem ua rau muaj kev phiv ntau yam, suav nrog ua rau khaus lossis ua pob (hu rau ntawm daim tawv nqaij), tawv nqaij ua rau tawv nqaij, pob txuv tawm, cov plaub hau loj tuaj ntau dhau, lossis hloov xim tawv nqaij. Yog tias koj tau ntsib ib qho ntawm cov tsos mob no, tsum tsis txhob siv cov tshuaj steroids thiab tham nrog koj tus kws kho mob.
Kauj Ruam 3. Siv cov tshuaj vitamin D. hluavtaws
Cov vitamin no ua rau qeeb ntawm kev loj hlob ntawm cov tawv nqaij thiab feem ntau yog siv hauv daim ntawv tshuaj pleev. Txawm li cas los xij, cov vitamin D analogues tuaj yeem ua rau tawv nqaij, yog li lawv yuav tsum tau siv me ntsis thiab nrog ceev faj.
- Feem ntau, vitamin D yuav muab sib xyaw ua ke nrog cov tshuaj corticosteroids.
- Yog tias koj cov tawv nqaij nkag siab rau cov tshuaj vitamin D, Calcitriol (Vectical) yog qhov kev xaiv maj mam. Txawm li cas los xij, Calcitriol tuaj yeem kim.
Kauj Ruam 4. Nug koj tus kws kho mob txog kev siv calcineurin inhibitors
Calcineurin inhibitors, zoo li tacrolimus lossis pimecrolimus, ua haujlwm los ntawm kev tiv thaiv kev tiv thaiv kab mob ntau dhau uas tuaj yeem ua rau mob thiab ua rau cov quav hniav. Lawv tshwj xeeb tshaj yog zoo rau kev kho thaj chaw rhiab, zoo li lub ntsej muag thiab tawv taub hau.
Calcineurin inhibitors yuav tsum tau siv nrog ceev faj, thiab tsuas yog nrog koj tus kws kho mob pom zoo. Kev siv mus ntev tuaj yeem ua rau koj muaj kev pheej hmoo mob qog noj ntshav thiab qog ntshav qog ntshav
Kauj Ruam 5. Kho koj tus mob psoriasis nrog cov roj av
Coal tar yog cov tshuaj qub heev rau psoriasis. Nws txo qhov mob thiab ua kom qeeb ntawm cov quav hniav thiab cov tawv nqaij tuag. Nws feem ntau siv ua ke nrog kev kho ultraviolet (UVB). Txawm li cas los xij, cov pa roj tsw qab tsis zoo, tuaj yeem ua rau koj cov khaub ncaws thiab cov txaj txaj, thiab tuaj yeem ua rau khaus lossis ua xua rau qee tus neeg.
- Coal tar tuaj yeem siv ua ntej yuav mus pw thiab tawm mus ib hmo, lossis thov thaum sawv ntxov thiab ntxuav tom qab 10-15 feeb. Yog tias koj xaiv tawm ntawm cov roj av ntawm koj cov tawv nqaij thaum hmo ntuj, cia nws qhuav li 10-15 feeb ua ntej yuav mus pw kom thiaj li txo qis ntawm koj lub txaj.
- Koj tus kws kho mob yuav pom zoo kom siv cov roj av ua ke nrog cov tshuaj kho mob steroid.
Kauj Ruam 6. Siv cov tshuaj pleev retinoid
Retinoids tau muab los ntawm cov vitamin A thiab tau siv rau ntau yam mob ntawm daim tawv nqaij. Lawv tau thov ncaj qha rau ntawm daim tawv nqaij txhawm rau tshem tawm cov nplai thiab ua kom yooj yim mob. Ib hom kab mob retinoid uas siv rau lub ntsej muag psoriasis yog acitretin.
- Cov tshuaj no yuav tsum tsis txhob noj yog tias koj cev xeeb tub lossis pub niam mis.
- Retinoids tuaj yeem ua rau koj nkag siab zoo rau lub hnub ci. Ib txwm siv tshuaj pleev thaiv hnub ua ntej tawm mus sab nraud thaum koj siv tshuaj pleev retinoid.
Txoj Kev 2 ntawm 4: Tau Txais Kev Kho Mob
Kauj Ruam 1. Kho psoriasis nrog kho UVB
Kev kho ultraviolet B (UVB) ua rau cov tawv nqaij ua kom qeeb, thiab tuaj yeem txo qhov ntsuas thiab cov tawv nqaij tuag uas feem ntau cuam tshuam nrog psoriasis. Txoj kev kho no suav nrog nthuav tawm cov tawv nqaij cuam tshuam rau lub teeb ci ultraviolet rau lub sijhawm luv luv. Qhov zaus ntawm cov kev kho mob no yuav nyob ntawm qhov mob ntawm koj cov tawv nqaij lossis hom kev kho UVB. Kev kho UVB tuaj yeem siv los kho tus mob psoriasis uas tiv taus lwm yam kev kho mob.
- Hom kev kho UVB suav nrog kev kho kab mob UVB dav, nqaim nqaim kho UVB, lossis txwv tsis pub muaj kev tshav ntuj txhua hnub (ua raws koj tus kws kho mob cov lus pom zoo).
- Txhua hom kev kho UVB tuaj yeem ua rau tawv nqaij tawv lossis kub hnyiab. Koj tus kws kho mob tuaj yeem pom zoo kom cov dej noo lossis lwm yam kev kho tshuaj pleev kom txo tau qhov hnyav ntawm cov kev phiv no.
Kauj Ruam 2. Siv psoralen ntxiv rau ultraviolet A (PUVA) rau mob hnyav psoriasis
Txog mob hnyav lossis kho-mob psoriasis, koj tus kws kho mob yuav pom zoo kho PUVA, uas suav nrog tshuaj (psoralen) nrog rau raug UVA lub teeb. Psoralen pab UVA lub teeb nkag mus tob rau hauv koj cov tawv nqaij txhawm rau txhawm rau qeeb kev loj hlob ntawm cov tawv nqaij tshiab.
- Psoralen tuaj yeem siv ua tshuaj noj (hauv ntsiav tshuaj lossis ntsiav tshuaj) lossis ua tshuaj kho mob.
- Kev kho PUVA tuaj yeem ua rau muaj kev phiv loj dua li kev kho UVB, suav nrog xeev siab, mob taub hau, thiab tawv nqaij ua xua. PUVA txoj kev kho kuj tseem tuaj yeem ua rau koj muaj kev pheej hmoo mob qog noj ntshav thiab mob cataracts.
Kauj Ruam 3. Tau txais kev kho lub teeb ua ke
Qee zaum kev kho hluav taws xob ua ke nrog lwm hom kev kho mob. Piv txwv li, koj tus kws kho mob yuav pom zoo ua ke kev kho UVB nrog tshuaj pleev xim rau. Cov pa roj av tsis tsuas yog pab txo cov tsos mob ntawm psoriasis, tab sis nws tuaj yeem ua rau koj cov tawv nqaij tau txais ntau dua rau UVB hluav taws xob.
Txoj Kev 3 ntawm 4: Siv Tshuaj Kho Mob
Kauj Ruam 1. Kho psoriasis nrog methotrexate
Ntxiv nrog rau kev kho tshuaj, koj tus kws kho mob yuav sau tshuaj noj los yog txhaj tshuaj, tshwj xeeb tshaj yog tias koj tus mob psoriasis mob hnyav. Ib qho tshuaj feem ntau tau qhia rau psoriasis yog methotrexate. Qhov no yog tshuaj tiv thaiv kab mob uas tau noj tshuaj ntsiav lossis ua tshuaj. Cov neeg mob feem ntau noj nws txhua lub lis piam hauv cov ntsiav tshuaj.
- Tsis txhob siv methotrexate yog tias koj cev xeeb tub lossis sim xeeb tub. Methotrexate tuaj yeem ua mob hnyav rau tus menyuam hauv plab, thiab tseem tuaj yeem ua rau cov phev hlwb puas.
- Kev siv methotrexate mus sij hawm ntev tuaj yeem ua rau koj lub siab puas. Tsis txhob siv methotrexate yog tias koj muaj kab mob hauv lub siab, thiab tsis txhob siv nws ua ke nrog cawv.
Kauj Ruam 2. Siv cyclosporin
Nov yog cov tshuaj uas tiv thaiv kab mob tiv thaiv kab mob thiab txo qhov mob txuam nrog psoriasis. Nws feem ntau yog noj txhua hnub hauv daim ntawv tshuaj. Cyclosporine tuaj yeem ua rau lub raum puas tsuaj thiab tuaj yeem ua rau koj pheej hmoo kis mob thiab mob qog noj ntshav. Nws yuav tsum tsuas yog coj los ntawm koj tus kws kho mob saib xyuas zoo, nyob rau lub sijhawm luv luv.
Koj cov ntshav siab thiab lub raum ua haujlwm yuav tsum tau saib xyuas thaum koj nyob ntawm cov tshuaj no
Kauj Ruam 3. Siv tshuaj kho qhov ncauj retinoid rau mob hnyav psoriasis
Qhov ncauj retinoids, zoo li acitretin, tej zaum yuav muaj txiaj ntsig zoo rau mob psoriasis uas tsis teb rau lwm hom kev kho mob. Txawm li cas los xij, retinoids tuaj yeem ua rau muaj kev phiv tsis zoo, xws li tawg thiab ua rau daim di ncauj ploj, plaub hau poob, lossis (qee zaum tsawg zaus) daim siab puas. Lawv kuj tseem muaj kev phom sij heev rau kev tsim menyuam hauv plab.
- Yog tias koj tab tom npaj yuav cev xeeb tub, koj yuav tsum tos tsawg kawg peb xyoos tom qab noj qhov ncauj retinoid ua ntej sim xeeb tub.
- Qhov ncauj retinoids tsis tau pom tias ua rau muaj kev hloov pauv hauv cov phev hlwb, yog li nws muaj kev nyab xeeb los sim txiv rau menyuam thaum noj tshuaj retinoids.
Kauj Ruam 4. Coj tus neeg sawv cev tshuaj lom neeg
Cov tshuaj no yog tsim los ntawm cov khoom siv ntuj tsim, xws li cov nroj tsuag lossis cov kab mob me me, thiab qee zaum hu ua kev hloov tshuaj lom neeg lossis hloov kho cov hom phiaj. Lawv cuam tshuam nrog qee qhov tshwj xeeb ntawm lub cev tiv thaiv kab mob, txwv tsis pub nws tawm tsam tawv nqaij thiab ua rau mob. Thaum cov tshuaj no tuaj yeem tiv thaiv mob psoriasis hnyav lossis tawv ncauj, lawv kuj tseem tuaj yeem ua rau koj muaj kev pheej hmoo loj rau kev tsim kev phom sij rau lub neej. Qee tus neeg sawv cev tshuaj lom neeg uas tau sau tseg rau lub ntsej muag psoriasis suav nrog:
- Infliximab (Remicade)
- Etanercept (Txhais)
- Adalimumab (Humira)
- Ustekinumab (Stelara)
- Secukinumab (Cosentxy)
Txoj Kev 4 ntawm 4: Hloov Txoj Kev Ua Neej
Kauj Ruam 1. Ntxuav koj lub ntsej muag txhua hnub
Kev ntxuav tas li tuaj yeem pab ua kom koj cov tawv nqaij nyob ntsiag to thiab tshem tawm qhov khaus, qhuav, thiab mob txuam nrog psoriasis. Ntxuav koj lub ntsej muag nrog dej sov, thiab siv cov tshuaj ntxhua kom huv rau cov tawv nqaij qhuav lossis tawv nqaij, zoo li Cetaphil lossis Cerave. Nco ntsoov ua kom cov dej noo nrog cov nplua nuj, ua kom cov dej noo lossis cov dej noo thaum koj ua tiav.
Kauj Ruam 2. Tsis txhob ua tej yam uas ua rau pom cov tsos mob psoriasis
Ntau yam sib txawv ua rau psoriasis flare-ups hauv tib neeg sib txawv. Saib xyuas kom tsis txhob muaj dab tsi uas tuaj yeem ua rau koj cov tsos mob psoriasis hnyav, yog tias ua tau. Cov tshwm sim muaj xws li:
- Nyuaj siab
- Haus luam yeeb
- Kev tshav ntuj ntau dhau
- Txhua yam uas yuav ua rau raug mob lossis ua rau koj tawv nqaij
Kauj Ruam 3. Txiav cawv
Kev haus cawv ua rau lub cev qhuav dej, thiab cawv tuaj yeem txo qhov ua tau zoo ntawm ntau yam kev kho mob psoriasis. Cawv kuj tuaj yeem cuam tshuam txaus ntshai nrog qee yam tshuaj uas siv los kho tus mob psoriasis. Sim ua kom koj haus cawv tsawg kawg, lossis tshem cawv tag nrho yog tias koj noj tshuaj zoo li methotrexate.
Kauj Ruam 4. Txais kev noj qab haus huv
Muaj qee qhov pov thawj tias cov tsos mob psoriasis tuaj yeem txo qis los ntawm kev tswj qhov hnyav thiab noj zaub mov zoo. Nws muaj peev xwm tias cov zaub mov tsis muaj calorie tsawg, lossis cov zaub mov muaj cov txiv hmab txiv ntoo, zaub, thiab cov protein qis, zoo li kev noj haus Mediterranean, tuaj yeem pab txo qis cov tsos mob psoriasis.
Psoriasis kuj tseem yuav teb rau qee qhov kev noj haus ntxiv, xws li ntses ntses thiab vitamin D
Kauj Ruam 5. Nyob twj ywm
Kev tawm dag zog lub cev kuj tseem tuaj yeem pab txo cov tsos mob psoriasis, txawm hais tias nws tsis meej meej vim li cas. Ob qho tib si raug tshav ntuj thiab tswj qhov hnyav tuaj yeem txo qhov tshwm sim ntawm psoriasis, yog li kev tawm dag zog sab nraum zoov tuaj yeem pab txo qee yam ntawm koj cov tsos mob.
