Ukhwekhwe Diagnostic: ngeendlela, uhlalutyo, unyango

Enye izifo yesikhumba iqhelekileyo i "ukhwekhwe", okanye ukhwekhwe. Ngokutsho manani, kuthatha 15% kwezifo dermatological. 3% yabantu ubunzima kwesi sifo, ikakhulu kwiindawo kwimozulu epholileyo. Ukuvuthwa iintlobo kakhulu kwesi sifo. Kwiminyaka yakutshanje, isifo ukhwekhwe into eyiyo hayi kuphela abantu abadala, ukuqhambuka kwesi sifo kubantu abatsha kwaye nkqu nabantwana. It nangoku akazityhilanga zonke izinto ezibangela le sifo.

Yintoni ukhwekhwe

Ukhwekhwe, ekliniki kunye uxilongo ezaziwa yonke wesikhumba sisifo solusu esinganyangekiyo. Luphawulwa ubukho amabala abomvu-elichaziweyo, leyo zigqunywe isikali icolekile ubuhle. Kunye nesifo umsebenzi ubola ngokuhamba kwexesha. Kugula kakhulu ichaphazela isikhumba, nangona kukho iimeko zesi sifo kwamanye amalungu, ingakumbi amalungu nezikhonkwane.

Nangona ukhwekhwe ubizwa ngokuba "ukhwekhwe", ngokwahlukileyo kwezinye iintlobo herpes sifo ayikho esosulelayo. Zapusknoe indlela izifo - inkqubo okwenzeka sangaphandle. Kwiingcamba anzongonzongo (carcinomas) akhiwa keratinocytes, ngoko umntu kufuneka zenziwe ngekeratini - protein, nto leyo izikhonkwane zokwakha, iinwele, isikhumba. Keratinocytes kuphuhliso eqhelekileyo ukusuka asezantsi ukuya nwebu kuzinambuzane ngokukhawuleza, ngexesha malunga enye ngenyanga.

Xa izigulane ukhwekhwe, keratinocytes ndikwandise kakhulu ngokukhawuleza kwaye uye umaleko phezulu iintsuku 4. Isikhumba angabi nako ngokukhawuleza kangaka balahle ezi seli, inani labo ngalo lonke ixesha, kwaye kukho ezomileyo, amabala natywinwa eluswini ngokohlobo umonakalo. Umaleko esezantsi dermis, apho imithambo yegazi kunye nkovu ke, imizwa, asha, idumbile. Uxilongo lwe ukhwekhwe kuya kunceda ukuqinisekisa ukuba hlobo luni sifo.

Types kunye neempawu

Iintlobo ngeentlobo ukuphazamiseka kungenziwa ngeendlela ezahlukeneyo, ukulandela loo khosi okanye ngaxeshanye. Zininzi iintlobo eyodwa ukhwekhwe:

• Pyatnovidny. Uhlobo kakhulu. irhashalala ibonakaliswa eluswini, eziquka iindawo ezincinane kuqala, ngoko ezikhulayo, livela kwindawo enye kwelinye icala lomzimba. Olu hlobo sifo kunokwenzeka emva igciwane lohlobo okanye streptococcal emva unyango kunye corticosteroids. amabala Small, ukwandisa ithuba zibe nophawu, simanyene kwiindawo ezinkulu. Ukuba umonakalo kunokwenzeka legazi minor (ngena auspitsy). Iindawo laloyisa: amadolo, iingalo, iinyawo (ezantsi), isundu, amathanga, amathole, ehlise umva. Ngowe-50% ezigulane babe ukhwekhwe ye entlonzeni, le umonakalo kuvela kumda wokukhula iinwele. Uxilongo lwe ukhwekhwe ebantwaneni oluqhutywa ncakasana kwangeendlela ezifanayo abadala.
• Teardrop. Ifomu ezinqabileyo kwesi sifo. kuvela umonakalo ngesiquphe ngeenyawo zakhe, izandla zakhe phezu kwentloko yakhe. Ngokufuthi nyamalala ngokwabo, kodwa baphinde kuvela kwiimeko uxinezeleko.
• Reverse. Le fomu nzima ukunyanga. Nangokurhala, iindawo agudileyo kokuba nomzimba nezibaya (phantsi nencum, kwekhwapha, indawo nasemiphakathweni).
• Seborrheic. Amabala amabala abomvu enamaxolo, ibekwe ngaphezu ngamaphiko zamagxa, emva iindlebe, kwi amakhwapha, nasemiphakathweni kunye nobuso. ISADC unyango nzima. Xa lokufunyaniswa ukhwekhwe seborrheic lujolise yokuba, nakuba umonakalo ulusu ixesha elide, akukho alopecia, olindelwe iinwele.
• izikhonkwane P soriaz. Kule hlobo izandla neenyawo phezu isikhonkwane ipleyiti umbala utshintsho, wakubo. Ngokufuthi, le hlobo ukhwekhwe na oqhagamshelwano phakathi kwamalunga psoriatic. Ngokuqhelekileyo nail ukhwekhwe sifo lwenziwa ngaphandle kobunzima. Maxa wambi wenziwe uviwo histological.
• samathambo Psoriartrichesky. isifo yokukrala esa nangokurhala, ukuqina kwamalunga. Yahlulahlulwe yaba iintlobo: macala, azilingani, mutiliyny.
• erythroderma Psoriatic. uhlobo Heavy ezinqabileyo apho phantse yonke umzimba wambu enamaxolo uqweqwe ebomvu.
• Pustular. Imilenze neengalo zibe pustules. Olu hlobo kungenzeka ngokuzimeleyo, okanye abe ngaxeshanye kunye nezinye iintlobo ukhwekhwe. Kwimeko yokugqibela, oku kuyingozi kakhulu.

Ezibangela isifo

Umyalezo weimeyile, iimpawu lwezonyango (ukhwekhwe uphethwe akuthethi kunokubangela iingxaki) kudala kufundwe, kodwa ke apha izizathu zokuba kutheni sifo kwenzeka, kodwa uphando:

• Medicine uthi ukhwekhwe kwenzeka xa ukungaphumeleli amajoni omzimba, kuba kwizinto ezahlukeneyo ezibangela ukuba banoxanduva ulwahlulo oluchanekileyo kweeseli zolusu. iimpendulo elingalunganga omzimba unobangela nangokurhala, yenyuka kakhulu ekuveliseni iiseli akuqolanga.
• indima ebalulekileyo kule sifo, ufuzo udlala. 35% ezigulane babe ezi ngxaki yemfuza. Umba yemfuza yi sezifo ezixhaphakile ukhwekhwe.
• Zidlala indima ebalulekileyo ngexesha iimeko zemozulu yesi sifo. A sezulu owomileyo ebandayo kwenzeka kwesifo. Abanye bayahlupheka ukusuka ubuntununtunu ekukhanyeni kunye namava lula kuphela ebusika, xa kwelanga kuba ngaphantsi kakhulu.
• imizwa enamandla ntshikilelo. Likakade kwenzeka stress ukhwekhwe, ukuphazamiseka ngokweemvakalelo, uxinezeleko nexhala.
• Gciwane. Ezinye kwiintsholongwane engabangela lubandakanywe nezenzo ukhwekhwe, kusenokuba streptococci, echaphazela iphecana eliphezulu zemiphunga. Kudla idluliselwe pharyngitis, tonsils, sinusitis ngexesha oonobangela elivisayo of ukhwekhwe guttate. Ezinxulumene ukhwekhwe ne-HIV, kunye kwezinye iimeko, iHPV (papilloma virus).
• ukulimala isikhumba. Loo abasabela ngayo umzimba kuthiwa Koebner nesenzeko xa ulusu yonakele nemigca ebomvu. Kwezi sayithi kunokubangela ukhwekhwe. Elo nxeba kwiindawo eziye ayichaphazeleki azotywe.
• Iziyobisi kungabangela ukhwekhwe zezi: ACE-iziyobisi, beta-blocker, chloroquine, lithium, NSAIDs (indomethacin), dlala ihomoni, namafutha ezahlukeneyo steroid ukuba afikelela kwiindawo ezinkulu yesikhumba.

ukhwekhwe Diagnostic Methods

Ugqirha sungula izifo, sithabathela ingqalelo:

• umfanekiso bezonyango sifo;
• phenomenon ebusweni Koebner;
• iimpawu triad psoriatic.

Uxilongo lwe ukhwekhwe isekelwe triad psoriatic - simanga ezenzeka xa sisusa uqweqwe. Le nto ingaba:

• amabala stearic agudle papule ibonakala exwebula, elijongeka stearin ezicujiweyo;
• ukopha ingongoma, emva kokuba terminal kokuphalwa umboniso kuvela amachaphaza ngamnye igazi;
• Kebnera izilonda ezintsha kuvela kwindawo kwayo yokulola, ingakumbi kwisigaba zale sifo.

Ngamanye amaxesha kuyimfuneko iimviwo histological ukumisela utshintsho.

iimvavanyo zegazi

Ukuba ugqirha kunzima ukubona ngemiqondiso zangaphandle, amisiweyo ilabhoratri une ukhwekhwe, iimvavanyo zilandelayo zibandakanyiwe kuwo:

• Zalisa segazi, oko ayibandakanyi WBC kunye ESR. Ukhwekhwe badla iqabane igazi kunye leukocytosis.
• into samathambo kuyanceda ukubona iproteni abanamanqanaba kwandisa xa naziphi na iziganeko arhabaxa. Xa ukhwekhwe, umphumo kufuneka ezimbi. Nguwo lo ke umahluko ukusuka isifo samathambo xa le into inyuswe.
• ESR (neentlenge rate erythrocyte). Esi salathisi ifanele eqhelekileyo. Le Okungumahluko ukhwekhwe pustular okanye ukhwekhwe erythrodermic.
• Uric acid. Xa ukhwekhwe, kuyanda izinga. samathambo Psoriatic kufana sifo, esibonakala overestimation igazi uyondelelwano lwee- uric acid. Kulo mzekelo, kukho uxilongo ngokupheleleyo ukhwekhwe, uhlalutyo yenye manqanaba.
• antibodies HIV. Usuleleko sisoloko sisenza iimpawu iimpawu ukhwekhwe ngequbuliso.

Ukhwekhwe: umehluko uphethwe

Ukuziqhelisa lwezonyango, kukho izinto ezithile xa iimpawu ezifanayo zifana izifo ezahlukeneyo. Kuyimfuneko ukuba ukwahlula kwimo enye evela nabanye abafana naye, oku kunceda umahluko isifo ukhwekhwe. Likhangeleka efanayo phezu Iimpawu zokuqala ukhwekhwe kunye ulele ebomvu. Ukuba abele amanyathelo afanelekileyo therapeutic, ugqirha kufuneka bazi ngokucacileyo evelela iinkalo. Hlola, ugqirha ubona yesihloko ngokuqhelekileyo papules, leyo zigqunywe esikalini ezimhlophe ubuhle, ke ngoko ibe nelitye psoriatic. izinto yezifo erhangqwe Corolla ebomvu, ekuthiwa kodini Pilnova, loo nto ibonisa ukuba kukho ukuqhubela phambili ukhwekhwe. diagnosis umahluko kuvumela ukuchonga oko. Asinto nzima ukuseka uxilongo emva kokuba scratchboard (poskablivanii), nto leyo yenza kube lula ukufumanisa ngezenzeko ukubonakala triad psoriatic.

Ebukhulwini sifo

Ukhwekhwe, isifo kwaye afumane unyango oluqhutywa kwiklinikhi nganye dermatological, abe ubucaka ezahlukileyo sifo. Ukususela ukusuka kwenye, papules ezimbini ukhwekhwe kuphuhlisa ukuba postuleznogo uhlobo, maxa wambi ubomi babantu busengozini. Kukho degrees eziliqela nobukhali ukhwekhwe:

• ukhwekhwe Soft. Kwiimeko apho phezu amaxolo umzimba kuhlawulwa yi-3%, wayedla sichaphazele% 2 kuphela ulusu.
• ukhwekhwe Moderate. Isikhumba banazo 3-10%.
• ukhwekhwe Severe. Kulo mzekelo, esi sifo sichaphazela ngaphezulu kwama-10 ekhulwini ulusu. Kulinganiselwa ubungnqongqo kwaye impembelelo sifo kumgangatho yesigulane yobomi.

Kwakhona kukho isindululo omnye Ukuhlelwa, equka inkqubo enamanqanaba amabini, apho izigulane bohlulwa kwi abadinga unyango systemic nabeengingqi.

Common nzima ukunyanga ukhwekhwe kakhulu. Ezinye fom amelana kakhulu unyango, nokuba ukuba ngaba awusebenzi enzima. Oku kubandakanya:

• ukhwekhwe ezintendeni kunye amathe;
• kulusu usonga (eguqulweyo ukhwekhwe);
• samathambo psoriatrichesky;
• ukhwekhwe echaphazela entlonzeni.

unyango ukhwekhwe

Unyango lwe ukhwekhwe kakhulu kwaye ulungise ziquka iindlela ezifana phototherapy, amayeza systemic, ezidibeneyo unyango laser excimer, ezivame kakuhle kakhulu.

TNF inhibitor ukunciphisa umsebenzi yeemeko omzimba ezinceda kwiintlobo okunzima ukhwekhwe, kodwa ezinobuzaza xa kunokuthi kwenzeke kwezinye izifo.

"Ustekinumab." Isixhobo iqulathe lomzimba monoclonal. Kuyanceda ngeyeza lweefomu kakhulu kunye neliphakathi sifo. Uphando olwenziwe ukuza kuthi ga ngoku, ngalo mzuzwana iimpawu ezintle nakuye.

Kukho iziyobisi ezintsha ukuba okwangoku ziqondwa ngokupheleleyo. izifundo zokuqala kubonisa ukuba imeko iyathembisa. Kukho iindlela akakuvumeli. Ukusetyenziswa namafutha aqholiweyo ezahlukeneyo, isipreyi, izithambiso kuvumela kudanjiswe iimpawu ukhwekhwe. Ekliniki, uxilongo kunye nonyango lwesifo ezichazwe ziinzululwazi zonyango abaninzi. Ke wachaza iindlela ezintathu ezingundoqo ukuba unyango lwesifo:

• arhente mlonyeni (izithambiso, ishampu, namafutha aqholiweyo, isipreyi).
• Imithi. amachiza asetyenziswa (lwezitofu, tablets) asichaphazeli nje isikhumba kodwa emzimbeni wonke.
• Phototherapy. Kuba unyango yokukhanya ezisetyenziswayo.

Kuba unyango umntu ngamnye ikhethiwe ngamnye, kuthathelwa ingqalelo zonke iimpawu ngamnye kumzimba, kwakunye nohlobo lwe esi sifo.

iindlela ezizezinye

Abo abaphethwe kwikhondo elide ukhwekhwe, zama ukuba bafune ezinye uhlobo kweendlela ezizezinye, non-emveli ukunyanga esi sifo. Kodwa ke kubalulekile ukukhumbula ukuba oku akuthethi isikhumba eqhelekileyo, nangona ufana tile. Isizathu sokuba kuxhomekeke ngaphakathi emzimbeni. iindlela zonyango kungcono ukuya kwagqirha.

Umzekelo, kwafunyaniswa ukuba iti eluhlaza abangaphangeliyo ukukhula iiseli yesikhumba, kodwa uphando olwenziwe ngoko kude kuphela izilwanyana. Basabela ukuba umzimba womntu, akukho kodwa kwaziwa.

iindlela ezingaqhelekanga ezithile amalungiselelo esintu kuba unyango lwe ukhwekhwe, kodwa ubungqina ngokwezonyango esiqinisekisiweyo of ukusebenza kwabo nangoku khona.

Musa ukuyisebenzisa ngokwabo kwakhona wayiva iintsomi kungafakwa, kufuneka uqinisekise, ngokubonisana ugqirha, oko akuthethi ukuba umzimba wakho ukwenza okubi ngakumbi.

amayeza esintu kunye nezongezo zokutya akukho esweni le nkqubo, ngoko kufuneka imvume yokuthengisa ukuba abenzi. Musa ukulibala ukuba nantoni na imvelaphi emifuno nalo lube neziphumo zalo, kwezinye iimeko, banokufuna umonakalo kwimpilo.

Maxa wambi, izigulane ukuba iingxaki zokwenene emva kokusebenzisa amayeza endalo.

lithetha ngendlela kuyathandabuzeka equlethe zinc pyrithione. Kumazwe amaninzi, eli ephindeneyo nokuba aluvumelekanga ukusebenzisa, kodwa, ngelishwa, ezi zixhobo zifumaneka kwi-intanethi.

Ezisetyenziselwa ukunyanga Gotu Kola kwifomu ethile cream. Ukuba usebenzisa le imifuno ngaphakathi, mhlawumbi njengokubonisa iindidi yeziphumo ebezingalindelekanga. Kuba abafazi abakhulelweyo, kuba nalo isisu yingozi.

zokuthintela izifo

Nangona isibakala sokuba kukho uluvo ocacile malunga ngeengozi tikaka kunye nokukhanya kwelanga ukuze ukhwekhwe iluncedo kakhulu. Rhoqo abantwana Akukho nje eliphakathi liphuhlisa dynamics ezintle inciphise ixhala ntshikilelo.

Phakathi kokuwela kunye neemvakalelo ezingakhiyo kukho ubudlelwane, ukuze lula iimpawu naziphi na iindlela anti-uxinezeleko. Ukutyelela therapist ngengqondo akumkhululi kakhulu iimpawu.

Ukuba ulusu yome kakhulu, abafuna oqalayo, ungazama ndlela zilandelayo:

Phakathi imizuzu eli-15, ukuthatha ibhafu yamanzi ashushu. Emva koko sebenzisa salicylic acid, olususa isikali nasesikhumbeni. Emva koko sebenzisa i cream ukuthambisa - "Tsetafil" vaseline okanye "Eucerine". Ebusuku uyakwazi ukubeka phezu iiglavu amafutha.

Ukususela ukurhawuzelelwa kunye ukuluma kuya kunceda nentambiso yamehlo "Capsaicin", apho esisebenza ngayo iimbewu pepper Chili. Kuyanceda okudambisa pruritus psoriatic. Ekuqaleni ndandicinga nokushisa, kodwa ke siyaphela.

izinto yesondlo. Izigulane kufuneka zibe nobungakanani eyaneleyo ukuze ndibagqibele folic acid. Ikhoyo nokubakho ekutyeni efana hlaza, imifino eluhlaza, iziqhamo, ertyisi, iimbotyi ezomileyo, isibindi, igwele, isiselo se-orenji.

Kuyimfuneko ukuba afake iimveliso ekutyeni equlethe omega-3 ukusetyenziswa fish oil, nto leyo eye iipropati anti-ukudumba, asinto ibe nafuthe luncedo izifo sokuhlasela.