Ngokuhambela phambili kwezonyango, kukho amayeza amatsha nalungileyo amaninzi okunyanga i-psoriasis kwiminyaka yakutshanje. Izigulane ezininzi ziye zakwazi ukucoca izilonda zesikhumba kwaye zibuyele kubomi bazo obuqhelekileyo ngonyango. Nangona kunjalo, kukho enye ingxaki elandelayo, leyo, indlela yokususa umbala oseleyo (amabala) emva kokuba izilonda zesikhumba zisusiwe?
Emva kokufunda amanqaku amaninzi esayensi yezempilo yaseTshayina nakwamanye amazwe, ndiwashwankathele la manqaku alandelayo, ndinethemba lokuba aza kuba luncedo kuye wonke umntu.
Iingcebiso ezivela kwiingcali zesikhumba zasekhaya
I-Psoriasis ibeka ulusu esichengeni sokudumba ixesha elide kunye nosulelo, nto leyo ebangela ulusu olonakeleyo olunamabala abomvu ezicubu phezu komphezulu, kunye neempawu ezifana nokuqhekeka kunye nokuqhekeka. Emva kokukhuthazwa kukudumba, ukujikeleza kwegazi phantsi kolusu kuyehla, nto leyo enokubangela iimpawu zendawo zokuguquka kombala. Ke ngoko, emva kokuphola, kuya kufunyaniswa ukuba umbala wesilonda solusu umnyama (okanye ukhaphukhaphu) kunombala ojikelezileyo, kwaye kuya kubakho neempawu zobumnyama besilonda solusu.
Kule meko, ungasebenzisa i-ointment yangaphandle kunyango, njenge-hydroquinone cream, enokufezekisa isiphumo esithile sokuthintela ukuveliswa kwe-melanin kwaye ikwanayo nesiphumo sokunciphisa i-melanin. Kubantu abaneempawu ezinzima ze-melanin, kuyimfuneko ukuyiphucula ngeendlela zomzimba, ezifana nonyango lwe-laser, olunokubola amasuntswana e-melanin angaphantsi komzimba kwaye lubuyisele ulusu kwimeko eqhelekileyo.
—— Li Wei, iSebe leDermatology, iSibhedlele sesiBini esiManyeneyo seSikolo sezonyango seYunivesithi yaseZhejiang
Ungatya ukutya okuninzi okutyebileyo kwi-vitamin C kunye ne-vitamin E, okuya kunceda ekunciphiseni ukwenziwa kwe-melanin eluswini kwaye kukhuthaze ukususwa kwee-deposits ze-melanin. Amanye amayeza aluncedo ekupheliseni i-melanin precipitation angasetyenziswa apha ekhaya, njenge-hydroquinone cream, i-kojic acid cream, njl.
Ikhrimu ye-retinoic acid inokukhawulezisa ukukhutshwa kwe-melanin, kwaye i-nicotinamide inokuthintela ukuthuthwa kwe-melanin ukuya kwiiseli ze-epidermal, zonke ezichaphazela ukuchacha kwe-melanin. Ungasebenzisa nonyango lwe-laser olunamandla okanye olune-pigmented pulsed ukuze ususe amasuntswana e-pigment angaphezulu eluswini, nto leyo edla ngokuba luncedo ngakumbi.
—— Zhang Wenjuan, iSebe leDermatology, iSibhedlele sabantu kwiYunivesithi yasePeking
Kucetyiswa ukusebenzisa i-vitamin C, i-vitamin E, kunye ne-glutathione kumayeza omlomo, anokuthintela ngempumelelo ukuveliswa kwee-melanocytes kwaye anciphise inani leeseli ze-pigment eziye zavela, ngaloo ndlela kufezekiswa isiphumo sokwenza mhlophe. Ukusetyenziswa kwangaphandle, kucetyiswa ukusebenzisa i-hydroquinone cream, okanye i-vitamin E cream, enokujolisa ngqo kwiindawo ezinombala ukwenza mhlophe.
——Liu Hongjun, iSebe leDermatology, iShenyang Seventh People's Hospital
UKim Kardashian, isosholi saseMelika, naye unesifo se-psoriasis. Wakha wabuza kwi-social media wathi, “Ndingayisusa njani i-pigment eseleyo emva kokuba i-psoriasis isusiwe?” Kodwa kungekudala emva koko, wabhala kwi-social media esithi, “Ndifunde ukuyamkela i-psoriasis yam kwaye ndisebenzise le mveliso (isiseko esithile) xa ndifuna ukufihla i-psoriasis yam,” waza wafaka ifoto yokuthelekisa. Umntu oqondayo angabona kwangoko ukuba uKardashian usebenzisa eli thuba ukuzisa iimpahla (ukuthengisa iimpahla).
Isizathu sokuba uKardashian asebenzise isiseko ukugubungela amabala e-psoriasis sikhankanyiwe. Mna ngokwam, ndicinga ukuba singalandela le ndlela, kwaye kukho uhlobo lokufihla i-vitiligo olunokuqwalaselwa.
I-Vitiligo ikwasisifo esinxulumene nokuzikhusela komzimba. Ibonakaliswa ngamabala amhlophe anemida ecacileyo eluswini, nto leyo echaphazela kakhulu ubomi obuqhelekileyo bezigulane. Ke ngoko, abanye abaguli abane-vitiligo baya kusebenzisa ii-masking agents. Nangona kunjalo, le arhente yokugquma yenzelwe ukuvelisa uhlobo lweproteni yebhayoloji i-melanin efana nomzimba womntu. Ukuba izilonda zakho ze-psoriasis zisusiwe kwaye zishiywe zinombala okhanyayo (omhlophe), ungacinga ukuyizama. Kucetyiswa ukuba udibane neengcali ukuba zenze isigqibo.
Izicatshulwa ezivela kumanqaku esayensi yezempilo yangaphandle
I-Psoriasis iyaphela kwaye ishiye amabala amnyama okanye akhanyayo (hyperpigmentation) anokuphela ngokuhamba kwexesha, kodwa ezinye izigulana zifumanisa ukuba ziphazamisa kakhulu kwaye zifuna ukuba la mabala aphele ngokukhawuleza. Emva kokuba i-psoriasis iphelile, i-hyperpigmentation enzima inokupheliswa nge-tretinoin (tretinoin) engaphandle, okanye i-hydroquinone engaphandle, ii-corticosteroids (ii-hormone). Nangona kunjalo, ukusebenzisa ii-corticosteroids (ii-hormone) ukunciphisa i-hyperpigmentation kuyingozi kwaye kuchaphazela ngakumbi izigulana ezinolusu olumnyama. Ke ngoko, ixesha lokusetyenziswa kwe-corticosteroid kufuneka lilinganiselwe, kwaye oogqirha kufuneka baxelele izigulana ukuba ziphephe iingozi ngenxa yokusebenzisa kakhulu.
——UDkt. Alexis
“Nje ukuba ukudumba kuphele, umbala wesikhumba udla ngokubuyela kwimo eqhelekileyo kancinci. Nangona kunjalo, kungathatha ixesha elide ukutshintsha, ukusuka kwiinyanga ukuya kwiminyaka. Ngeli xesha, kunokubonakala ngathi sisilonda.” Ukuba umbala wakho wesilivere we-Psoriatic awuphucuki ngokuhamba kwexesha, buza ugqirha wakho wesikhumba ukuba unyango lwe-laser lufanelekile na kuwe.
—Amy Kassouf, MD
Ixesha elininzi, akufuneki wenze nantoni na ukunyanga i-hyperpigmentation kwi-psoriasis kuba iyaphela yodwa. Kungathatha ixesha elide ukuba unesikhumba esimnyama. Ungazama iimveliso zokukhanyisa ukuze ukhanyise i-hyperpigmentation okanye amabala amnyama, zama ukukhangela iimveliso eziqulathe enye yezi zithako zilandelayo:
● 2% i-hydroquinone
● I-asidi ye-Azelaic (i-asidi ye-Azelaic)
● I-Glycolic acid
● I-Kojic Acid
● I-Retinol (i-retinol, i-tretinoin, ijeli ye-adapalene, okanye i-tazarotene)
● IVithamin C
★ Soloko uqhagamshelana nogqirha wesikhumba ngaphambi kokuba usebenzise ezi mveliso, kuba ziqulathe izithako ezinokubangela ukudumba kwe-psoriasis.
Ixesha lokuthumela: Matshi-15-2023