Ntau tus tib neeg uas muaj tus mob psoriasis tau tshwm sim tom qab txhaj tshuaj tiv thaiv kab mob. Tsis muaj txoj hauv kev lav paub tias cov teeb meem no yuav tsis nrog kev txhaj tshuaj tiv thaiv kab mob, tab sis muaj cov kauj ruam uas koj tuaj yeem ua los txo qhov kev pheej hmoo ntawm kev kub nyhiab thiab kho lawv yog tias lawv tshwm sim. Txoj hauv kev zoo tshaj los txo koj txoj kev pheej hmoo ntawm kev tawg tuaj yog ua tib zoo xav txog thaum koj tau txais tshuaj tiv thaiv. Koj kuj tseem tuaj yeem tau txais kev txhaj tshuaj tiv thaiv nrog kev pheej hmoo qis ntawm cov teeb meem psoriasis. Tham nrog koj tus kws kho mob txog kev txhaj tshuaj kom nyab xeeb thiab txo koj txoj kev pheej hmoo ntawm psoriasis.
Cov kauj ruam
Txoj Kev 1 ntawm 4: Txo Kev pheej hmoo ntawm teeb meem
Kauj Ruam 1. Teem caij txhaj tshuaj tiv thaiv kab mob
Tau txais kev txhaj tshuaj tiv thaiv thaum koj tab tom ntsib psoriasis flare-up ua rau muaj kev pheej hmoo ntawm muaj cov tshuaj tiv thaiv tsis zoo. Qhia rau koj tus kws kho mob paub tias koj muaj tus mob psoriasis thiab sim ua haujlwm ib puag ncig koj qhov hluav taws kub kom txo koj txoj kev pheej hmoo ntawm muaj teeb meem.
Psoriatic flare-up uas tuaj yeem tshwm sim tom qab koj tau txais kev txhaj tshuaj tiv thaiv hu ua Koebner cov lus teb
Kauj Ruam 2. Tau txhaj tshuaj tiv thaiv thaum huab cua sov
Cov kev tshawb fawb tau qhia tias cov neeg uas muaj tus mob psoriasis feem ntau yuav pom cov tawv nqaij nyob rau lub caij ntuj no ntau dua li lub caij ntuj sov. Yog tias ua tau, sim teem sijhawm txhaj tshuaj rau koj thaum lub hli sov.
Kauj Ruam 3. Tau txhaj tshuaj tiv thaiv kab mob ua ntej pib kho kab mob
Cov tib neeg uas muaj tus mob psoriasis uas xav tau kev txhaj tshuaj tiv thaiv feem ntau yuav tshwm sim yog tias lawv tau txais kev txhaj tshuaj tom qab pib kho tshuaj lom neeg (tshuaj lom neeg). Yog tias koj twb tau pib kho tshuaj lom neeg lawm, koj tus kws kho mob yuav tsum ntsuas koj li ntaub ntawv txhawm rau txiav txim siab tias cov txiaj ntsig ntawm kev txhaj tshuaj tiv thaiv ntau tshaj qhov txaus ntshai.
- Tsis txhob tau txhaj tshuaj tiv thaiv kab mob lossis tiv thaiv cov tshuaj tiv thaiv nyob yog tias koj twb tau txais kev kho mob lom.
- Qee qhov kev txhaj tshuaj tiv thaiv kab mob nyob thiab ua neej nyob uas yuav tsum zam thaum tau txais kev kho mob suav nrog tshuaj tiv thaiv kab mob qhua pias, kab mob qhua pias, mob qog noj ntshav hauv qhov ncauj, ua npaws daj, ua npaws hauv qhov ntswg, thiab mob qhua pias/mob qhua pias/rubella.
Kauj Ruam 4. Sim lwm yam tshuaj tiv thaiv
Qee zaum koj cov kev xaiv raug txwv nrog qhov tshuaj koj tau txais. Txawm li cas los xij, yog tias koj muaj qhov kev xaiv, koj yuav tsum tham nrog koj tus kws kho mob txog kev nrhiav tshuaj tiv thaiv uas muaj kev pheej hmoo qis ntawm cov teeb meem psoriasis. Tsis yog txhua qhov tshuaj tiv thaiv yuav muaj lwm txoj hauv kev, txawm hais tias cov tshuaj tiv thaiv kab mob npaws yog ib hom tshuaj tiv thaiv uas muaj lwm txoj hauv kev.
- Ntau yam tshuaj tiv thaiv kab mob npaws tiv thaiv kab mob ua rau mob psoriasis. Txawm li cas los xij, qee qhov muaj feem ntau dua li lwm qhov ua rau muaj teeb meem loj.
- Piv txwv li cov tshuaj tiv thaiv kab mob hydroxychloroquine, piv txwv li, yog qhov tshuaj tiv thaiv tsawg tshaj plaws ua rau muaj teeb meem rau cov neeg uas muaj tus mob psoriasis.
- Koj tus kws kho mob yog tus tib neeg uas tuaj yeem tawm tswv yim nyab xeeb rau lossis tiv thaiv cov tshuaj tiv thaiv, thiab feem ntau nws yuav raug tshuaj xyuas ib tus zuj zus.
Kauj Ruam 5. Tsis txhob tiv tauj nrog cov tshuaj tiv thaiv tsis ntev los no
Qee tus neeg uas muaj tus mob psoriasis hnyav tuaj yeem tshwm sim tom qab sib cuag nrog ib tus neeg uas tau txhaj tshuaj tiv thaiv kab mob. Cov tib neeg no tuaj yeem muaj teeb meem tshuaj tiv thaiv kab mob psoriasis, txawm tias lawv tus kheej tsis tau txhaj tshuaj tiv thaiv kab mob.
Hom flare-up no tsis zoo li yuav tshwm sim, tab sis nws yuav tshwm sim yog tias koj tiv tauj nrog ib tus neeg uas tau txais kev txhaj tshuaj tiv thaiv kab mob nyob
Txoj Kev 2 ntawm 4: Sim Ua Kev Kho Mob rau Psoriatic Flares
Kauj Ruam 1. Siv tshuaj pleev retinoids
Qee cov tshuaj muaj zog retinoids zoo li tazarotene (Tazorac, Avage) tuaj yeem pab kho tus mob psoriasis flare-ups. Cov tshuaj no txo qhov mob thiab pab ua kom ruaj khov ua haujlwm DNA hauv koj cov tawv nqaij.
- Tshuaj pleev retinoids tuaj yeem ua rau muaj kev cuam tshuam rau qee tus neeg. Koj tuaj yeem txo cov teeb meem no los ntawm kev hnav tshuaj pleev thaiv hnub thaum twg koj siv tshuaj pleev retinoids.
- Qee qhov tshuaj pleev retinoids muaj kev pheej hmoo ntawm kev yug menyuam tsis xws luag. Tsis txhob siv cov tshuaj no yog tias koj cev xeeb tub lossis pub niam mis lossis yog tias koj npaj yuav cev xeeb tub thaum kho koj tus mob psoriasis.
Kauj Ruam 2. Siv tshuaj pleev corticosteroids
Hom tshuaj noj tshuaj no tuaj yeem pab kho mob me me mus rau mob psoriasis los ntawm kev ua raws li cov tshuaj tiv thaiv kab mob. Nco ntsoov, txawm li cas los xij, kev siv cov tshuaj corticosteroids ntau zog lossis siv lawv ntev ntev tuaj yeem ua rau koj cov tawv nqaij thiab txo qhov ua tau zoo ntawm cov tshuaj no.
- Siv cov tshuaj corticosteroids qis rau ntawm lub ntsej muag, chaw mos, thiab lwm qhov chaw rhiab.
- Koj tuaj yeem siv qhov nruab nrab lub zog corticosteroids ntawm koj lub cev ib yam li koj txhais caj npab thiab txhais ceg, vim tias cov cheeb tsam no tsis nkag siab.
- Corticosteroid ointments ua haujlwm zoo tshaj plaws rau qhuav, tawv nqaij, tab sis lawv tuaj yeem ua rau oily thiab nyuaj rau ntxuav tawm.
- Feem ntau nws tau pom zoo tias koj siv cov tshuaj pleev thiab tshuaj pleev los kho tus mob psoriasis ntawm koj lub taub hau thiab siv cov tshuaj corticosteroid mus rau lwm qhov ntawm lub cev.
Kauj Ruam 3. Nug txog calcineurin inhibitors
Calcineurin inhibitors tau pom los pab kho tus mob psoriasis hauv qee tus neeg. Cov tshuaj no ua haujlwm los ntawm kev cuam tshuam kev ua haujlwm ntawm T cell txhawm rau txo qhov mob ntawm daim tawv nqaij thiab tiv thaiv cov quav hniav. Txawm li cas los xij, calcineurin inhibitors muaj kev pheej hmoo ntawm kev phiv loj heev. Nug koj tus kws kho mob yog tias siv sijhawm luv ntawm calcineurin inhibitors tuaj yeem yog rau koj.
- Qee cov tshuaj calcineurin feem ntau tau sau tseg rau kev kho mob psoriasis suav nrog tacrolimus (Prograf) thiab pimecrolimus (Elidel).
- Nco ntsoov tias calcineurin inhibitors tuaj yeem ua rau muaj kev pheej hmoo mob qog noj ntshav thiab qog ntshav qog ntshav. Vim li no, cov kws tshaj lij feem ntau tawm tswv yim txog kev siv lub sijhawm ntev lossis txuas ntxiv ntawm cov tshuaj no.
Kauj Ruam 4. Xav txog anthralin
Anthralin tuaj yeem pab tswj kev ua haujlwm ntawm DNA hauv koj cov tawv nqaij. Nws tseem tuaj yeem tshem cov nplai los ntawm daim tawv nqaij, ua rau lub ntsej muag du dua. Cov tshuaj no tsuas muaj nyob nrog daim ntawv yuav tshuaj, yog li nug koj tus kws kho mob yog tias anthralin tuaj yeem pab koj tus mob psoriasis.
- Anthralin tuaj yeem ua rau tawv nqaij tawv. Nws tseem tuaj yeem ua kom tawv nqaij thiab txhua qhov chaw nws tau ntsib nrog.
- Qee tus neeg tau ntsib kev plaub hau poob tom qab siv anthralin.
- Cov kws kho mob feem ntau pom zoo hu rau kev kho mob anthralin luv luv kom tsis txhob xeb. Tawm anthralin ntawm koj cov tawv nqaij rau lub sijhawm luv luv (feem ntau ntawm 10 thiab 30 feeb), tom qab ntawd ntxuav kom huv.
Kauj Ruam 5. Sim cov vitamin D analogues
Qee cov ntaub ntawv hluavtaws ntawm cov vitamin D tau paub tias ua rau cov tawv nqaij qeeb ntawm kev loj hlob, uas tuaj yeem pab qee tus neeg nrog psoriasis. Cov tshuaj no tsuas muaj nyob ntawm daim ntawv yuav tshuaj. Nco ntsoov, txawm li cas los xij, qee qhov sib piv ntawm cov vitamin D tuaj yeem ua rau tawv nqaij ntxiv.
- Feem ntau cov vitamin D analogues tau qhia rau psoriasis suav nrog calcipotriene (Dovonex) thiab calcitriol (Rocaltrol).
- Qee qhov kev tshawb fawb qhia tias calcitriol yuav ua rau khaus dua li calcipotriene, tab sis nws tuaj yeem kim heev.
Kauj Ruam 6. Xav txog cyclosporine
Cov tshuaj no pab txo koj lub cev tiv thaiv kab mob tiv thaiv kab mob, uas tuaj yeem pab txhim kho cov tsos mob psoriasis. Nws kuj tseem tuaj yeem ua rau daim tawv nqaij ntawm tes loj hlob thiab txo qhov mob, zoo ib yam li methotrexate.
- Cyclosporine, zoo li ntau lwm yam tshuaj tiv thaiv kab mob, tuaj yeem ua rau muaj kev pheej hmoo ntawm teeb meem kev noj qab haus huv. Tsis txhob noj cyclosporine yog tias koj muaj mob qog noj ntshav, ua rau lub cev tsis muaj zog, mob gout hnyav, kab mob hauv lub raum, ntshav siab, lossis yog tias koj cev xeeb tub, pub niam mis lossis tau txais kev kho hluav taws xob.
- Kev pheej hmoo ntawm kev phiv tsis zoo tshwm sim ntau ntxiv thaum siv cyclosporine ntawm kev txhaj tshuaj ntau lossis rau lub sijhawm ntev.
Kauj Ruam 7. Siv methotrexate
Methotrexate yog cov tshuaj noj lub zog qhov ncauj uas tuaj yeem pab ua kom cov tawv nqaij ntawm tes loj hlob thiab txo qhov mob. Cov kws kho mob feem ntau pom zoo kom noj tshuaj methotrexate ntawm koob tshuaj tsawg thiab rau lub sijhawm luv, raws li methotrexate tau paub tias ua rau muaj kev phiv.
- Kev siv tshuaj methotrexate ntau dhau tuaj yeem ua rau mob plab. Kev siv sijhawm ntev tuaj yeem ua rau lub siab puas thiab txo qis cov qe ntshav tsim tawm.
- Tham nrog koj tus kws kho mob txog qhov txaus ntshai thiab txiaj ntsig ntawm methotrexate.
Kauj Ruam 8. Saib mus rau hauv biologics
Biologics yog cov tshuaj tiv thaiv kab mob uas hloov pauv lub cev tiv thaiv kab mob thiab txhim kho nruab nrab mus rau mob hnyav. Cov tshuaj noj tshuaj no tau muab tshuaj rau hauv cov hlab ntshav, tshwj xeeb tshaj yog rau cov tib neeg uas psoriasis tsis tau txhim kho nrog lwm yam kev kho mob.
- Cov tshuaj lom neeg muaj xws li etanercept (Enbrel), infliximab (Remicade), adalimumab (Humira) thiab ustekinumab (Stelara).
- Nco ntsoov tias kev siv tshuaj lom neeg muaj feem pheej hmoo kis mob, tshwj xeeb yog cov neeg mob uas haus luam yeeb, laus dua, muaj keeb kwm kev kis mob, lossis muaj ntshav qab zib.
Txoj Kev 3 ntawm 4: Sim Kho Tus Kheej Psoriasis Kho
Kauj Ruam 1. Siv tshuaj zawv plaub hau thiab tshuaj
Ntau cov tshuaj zawv plaub hau tom khw thiab cov kev daws teeb meem tuaj yeem pab tshem tawm cov tawv nqaij tuag thiab txo qhov tshwm sim ntawm cov tawv nqaij. Cov khoom no feem ntau suav nrog salicylic acid thiab muaj txiaj ntsig zoo tshaj plaws rau kev kho mob psoriasis ntawm tawv taub hau.
Kauj Ruam 2. Sim cov pa roj carbon
Coal tar yog tsim los ntawm cov khoom siv roj av. Nws tuaj yeem siv tshuaj pleev los daws qhov khaus thiab o thiab txo qhov tshwm sim ntawm cov tawv nqaij. Txawm li cas los xij, cov khoom siv roj av muaj cov ntxhiab tsw ntxhiab thiab tuaj yeem ua rau koj cov khaub ncaws thiab txaj txaj.
- Coal tar los hauv zawv plaub hau, cream, thiab roj. Nws muaj nyob hauv ntau lub tsev muag tshuaj yam tsis muaj ntawv yuav tshuaj.
- Cov kws tshaj lij feem ntau qhia tias cov poj niam cev xeeb tub lossis pub niam mis yuav tsum tsis txhob siv cov khoom siv roj av.
Kauj Ruam 3. Ntxuav koj cov tawv nqaij
Ua kom koj cov tawv nqaij noo yog qhov haujlwm tseem ceeb niaj hnub thaum kho psoriasis. Nyob ntawm qhov mob hnyav ntawm koj tus mob psoriasis, koj yuav xav tau ntub dej ntau dua ib hnub. Tham nrog koj tus kws kho mob dermatologist txog yuav ua li cas kom koj cov tawv nqaij noj qab nyob zoo.
- Xaiv cov tshuaj pleev uas muaj cov tshuaj pleev, vim qhov no yuav pab kho koj cov tawv nqaij zoo dua li cov tshuaj pleev los yog tshuaj pleev.
- Yog tias koj muaj tawv nqaij qhuav lossis khaus khaus, koj tuaj yeem pom cov roj ua kom muaj txiaj ntsig zoo dua li tshuaj pleev.
- Moisturize koj cov tawv nqaij tom qab da dej, thaum txias lossis huab cua qhuav, thiab lwm lub sijhawm koj cov tawv nqaij zoo li qhuav lossis khaus.
Txoj Kev 4 ntawm 4: Hloov Txoj Kev Ua Neej
Kauj Ruam 1. Txo koj qib kev ntxhov siab
Kev nyuab siab ua rau tus neeg muaj feem yuav muaj tus mob psoriasis tuaj tom qab txhaj tshuaj. Nrhiav txoj hauv kev los tswj koj kev ntxhov siab tuaj yeem pab txo qis kev mob psoriasis.
- Cov txheej txheem so kom zoo li yoga, kev xav, thiab Tai Chi tuaj yeem pab txo koj qib kev ntxhov siab. Qhov no yuav, nyeg, txo qhov xwm txheej ntawm psoriasis flare-ups.
- Yog tias ua tau, sim teem sijhawm txhaj tshuaj tiv thaiv kab mob hauv koj lub neej.
Kauj Ruam 2. Tiv thaiv koj cov tawv nqaij
Qee tus tib neeg muaj tus mob psoriasis flare-ups tom qab ua rau tawv nqaij. Qhov no tuaj yeem suav nrog ntau dhau rau lub hnub lub hnub ci UV thiab puas me me rau ntawm daim tawv nqaij.
Hnav tsho ntev/ris ntev tau ob peb hnub tom qab tau txais kev txhaj tshuaj tiv thaiv. Sim txwv koj qhov kev raug rau lub hnub
Kauj Ruam 3. Da dej txhua hnub
Thaum koj da dej, koj tab tom tshem cov nplai thiab ib txhij so koj cov tawv nqaij. Qhov no tuaj yeem txo qis cov tsos mob ntawm tus mob psoriasis thiab txhim kho koj cov tawv nqaij.
- Sim ntxiv colloidal oatmeal, Epsom ntsev, los yog Dead Sea ntsev rau koj cov dej da.
- Siv dej sov los siv dej kub los so koj cov tawv nqaij thiab txo qhov ua rau khaus.
- Tsis txhob siv xab npum hnyav/roj, vim cov no tuaj yeem ua rau tawv nqaij ntxiv. Hloov chaw, siv xab npum me me nrog ntxiv cov rog thiab roj.
