He aha te Psoriasis? Tohutohu, Take, me te Maimoatanga

He aha te Psoriasis?

Ko te psoriasis tetahi āhuatanga kiri roa e tere ai te pūnaha ārai mate o to tinana i te whakaputa i ngā pūtau kiri, ā, ka puta mai ai ngā wahi mātotoru, kākā i runga i tō kiri. Whakaarohia he rite tēnei ki te tukanga whakahou kiri o tō tinana e mau ana i te tere.

Engari ki te tango i ngā pūtau kiri i to rātou huringa noa o te 28 rā ki te whāngaia me te maka atu, ka puta mai te psoriasis i tēnei mahi i roto i ngā 3-4 rā noa iho. Ko tēnei huringa tere ka hanga i ngā unahi mātotoru, hiriwa me ngā wahi whero e tohu ana i te āhuatanga.

Kāo kore koe anake e whakahaere ana i tēnei āhuatanga. Ko te psoriasis e pā ana ki te 2-3% o te iwi o te ao, ā, ka puta mai i tetahi tau, ahakoa ko te nuinga o te wā ka whanake i waenga i ngā tau 15-35.

He aha ngā Tohutohu o te Psoriasis?

Ko ngā tohu tino kitea o te psoriasis ko ngā wahi kiri kake, pupuhi kua hipoki ki ngā unahi hiriwa-mā. Ka puta mai ēnei wahi i tetahi wāhi o tō tinana, engari kei a rātou ngā wāhi tino pai.

Ko ēnei ngā tohu matua ka kite koe:

• Ngā wahi kiri mātotoru, whero kua hipoki ki ngā unahi hiriwa
• Kiri maroke, pakaru pea ka toto
• Te ngau, te tahuna, te mamae hoki i ngā wāhi e pā ana
• Ngā pito iti e kākā ana, ina koa ki ngā tamariki
• Ngā kuihi, ngā maripi rānei o ngā maihao me ngā maihao waewae
• Ngā hononga pupuhi me te pakari i etahi wā

Ko te nuinga o te wā ka puta mai ngā wahi i runga i ō ringaringa, turi, pūtake, me te tua raro. Heoi, ka taea e te psoriasis te kore whaitake me te puta mai i runga i ō ringa, waewae, kaki, mata, aha atu rānei i roto i tō waha i etahi wā.

Ka puta mai ā, ka haere atu ngā tohu i roto i ngā huringa, me ngā whakakī mai e roa ana i ngā wiki, i ngā marama rānei e whai ana i ngā wā o te whakaora. Ko tēnei tauira kore whaitake he mea noa ki te psoriasis.

He aha ngā momo Psoriasis?

He maha ngā momo psoriasis rerekē, ia momo he āhuatanga ake. Ko te nuinga o te iwi he psoriasis papa, engari ko te mārama ki ngā momo rerekē ka āhei ki a koe te mohio ki te mea kei te whakahaere koe.

Psoriasis Papa ko te momo tino noa, e pā ana ki te 80-90% o te iwi e pangia ana e te āhuatanga. Ka hangaia e ia aua wahi mātotoru, whero tino kitea kua hipoki ki ngā unahi hiriwa.

Psoriasis Guttate ka puta mai hei ngā pito iti, rite ki te roimata i runga i tō puku, ringa, waewae, me te pūtake. Ko tēnei momo ka puta mai i muri i te mate huaketo, ina koa te mate korokoro strep, ā, he mea noa i roto i ngā tamariki me ngā tāne taitamariki.

Psoriasis Hurihuri ka puta mai i ngā kopiko kiri pēnei i ō pokohiwi, pūhā, i raro i ngā u, me te taha o ngā ira tangata. Ko ēnei wahi he ngawari, whero, engari ehara i te kākā, ā, ka taea te kore ngāwari na te riri me te wera.

Psoriasis Pustular ka hangaia ngā pustules ma i te taha o te kiri whero. Ahakoa tōna ahua, kāore ēnei pustules i pangia, kāore hoki e pā. Ka taea e tēnei momo te noho i ngā ringa me ngā waewae, i etahi wā rānei, ka hipoki te nuinga o tō tinana.

Psoriasis Erythrodermic ko te momo tino onge me te tino kino, e hipoki ana i te nuinga o tō tinana ki te whero, te kiri e wehewehe ana. Ka taea e tēnei momo te mate, ā, me whai āwhina hauora tonu.

He aha ngā Take o te Psoriasis?

Ka whanake te psoriasis ina whiti ke ngā waea o tō pūnaha ārai mate, ā, ka whakaeke i ngā pūtau kiri hauora mā te he. Ko tēnei whakautu ārai mate ka whakaoho i te whakaputa tere o ngā pūtau kiri e hanga ana i aua wahi tino kitea.

He nui te mahi a ō ira i te mea ka whanake koe i te psoriasis. Ki te pēnei koe i tētahi mātua, i tētahi teina rānei e pangia ana e te āhuatanga, he nui ake tō tūponotanga ki te whanake i a koe ano, ahakoa kāore i whakamana.

He maha ngā take ka whakaoho i ngā whakakī mai o te psoriasis ki ngā tāngata e whakapae ana:

• Ngā mate huaketo, ina koa te mate korokoro strep, i ngā mate kiri rānei
• Te ahotea, te tinana me te ngākau
• Ngā whara kiri pēnei i ngā tapahi, ngā kōkō, ngā ngau pepeke, i ngā tahuna rānei o te rā
• Etahi rongoā, tae atu ki te lithium, ngā beta-blockers, me ngā rongoā antimalarial
• Ngā huringa o te rangi, ina koa te makariri, te maroke
• Te whakakī me te inu waipiro nui
• Ngā huringa o te homoni i te wā o te whānautanga, te hapu, i te menopause rānei

He mea nui kia mārama kāore te psoriasis e pā. Kāore e taea e koe te hopu mai i tētahi atu, kāore hoki e horapa mā te pā, mā te whakamahi i ngā taonga whaiaro, mā te noho tata rānei.

I etahi wā, ka taea e te psoriasis te whakaohohia e ētahi atu āhuatanga ārai mate, i ngā mate tino nui rānei, ahakoa he iti ake tēnei i ngā take noa i whakahuatia i runga ake nei.

Nōhea te Tiro ki te Taakuta mō te Psoriasis?

Me titiro koe ki tētahi kaiwhakarato hauora ki te kite koe i ngā wahi whero, kākā tonu i runga i tō kiri kāore e pai ake mā ngā maimoatanga kore-whakahau. Ko te tautuhi me te maimoatanga wawe ka āhei ki te ārai i te āhuatanga kei te kino haere.

Rapua te tiaki hauora ki te pā ana ō tohu ki tō oranga o ia rā, e puta mai ana te kore ngāwari nui, e pā ana rānei ki tō whakawhirinaki ki a koe. Kāore he take ki te mamae pūmau ina wātea ana ngā maimoatanga whai hua.

Whiwhi āwhina hauora tonu ki te pāngia koe e ngā tohu o te psoriasis erythrodermic, pēnei i te whero whānui me te kākā e hipoki ana i te nuinga o tō tinana, te kirika, te wiri, i te ngau nui rānei. Ko tēnei momo onge e hiahia ana ki te maimoatanga āwangawanga.

Me ui atu hoki koe ki te taakuta ki te puta mai te mamae o ngā hononga, te pakari, i te pupuhi rānei me ō tohu kiri, i te mea ka tohu pea tēnei i te mate hononga psoriatic, e pā ana ki te 30% o te iwi e pangia ana e te psoriasis.

He aha ngā Take Tūponotanga mō te Psoriasis?

Ko te mārama ki ō take tūponotanga ka āhei ki a koe te whakatau whakamārama mō te ārai me te tautuhi wawe. Ko etahi take kāore e taea e koe te whakahaere, ā, ko ētahi ka taea e koe te whakauru mā ngā whiringa oranga.

Ko ēnei ngā take tūponotanga matua e piki ake ai tō tūponotanga ki te whanake i te psoriasis:

• Te hītori whānau o te psoriasis, i ētahi atu āhuatanga ārai mate rānei
• Te tau, me te tīmatanga o te pito i waenga i ngā tau 15-35 me tetahi pito i te 50-60 tau
• Te ahotea, ngā wāhanga roa me ngā wāhanga pakari
• Te whakakī, ka taea te whaka kino i te psoriasis kei te pā
• Te inu waipiro nui
• Te momona, ka taea te whakaoho i te psoriasis hurihuri i ngā kopiko kiri
• Etahi mate huaketo, ina koa te mate korokoro strep
• Te mate HIV, ka taea te whakaoho, te whaka kino rānei i te psoriasis

Ko te whai i tetahi take tūponotanga, i te maha atu rānei, kāore e tikanga ka whanake koe i te psoriasis. He tokomaha ngā tāngata e whai ana i ngā take tūponotanga maha kāore e whanake i te āhuatanga, ā, ko ētahi atu e whai ana i ngā take tūponotanga iti ka whanake.

Ko etahi take tūponotanga onge ko te kore o te hua D, etahi āhuatanga ārai mate pēnei i te mate Crohn, me te whakaū ki ngā poizon taiao motuhake, ahakoa kei te rangahau tonu ēnei hononga.

He aha ngā Hua Ka Taea o te Psoriasis?

Ahakoa ko te psoriasis e pā ana ki tō kiri, ka taea e ia te arahi ki ētahi atu take hauora. Ko te mārama ki ēnei hua ka taea ka āhei ki a koe te mahi tahi me tō rōpū hauora ki te tirotiro me te tiaki i tō hauora whānui.

Ko te hua tino noa ko te mate hononga psoriatic, e whanake ana i te 30% o te iwi e pangia ana e te psoriasis. Ko tēnei āhuatanga e puta mai ana te mamae o ngā hononga, te pakari, me te pupuhi ka taea te pā kino ki tō nekehanga me tō kounga o te ora.

Ko ngā tāngata e pangia ana e te psoriasis he nui ake te tūponotanga ki te whanake i ētahi āhuatanga hauora:

• Te mate ngakau, tae atu ki te mate ngakau me te tātaramoa
• Te mate huka me te mate metabolic
• Te toto teitei me te cholesterol
• Te mate puku mumura
• Te pouri me te manukanuka
• Ngā mate moe
• Te mate whatukuhu
• Te mate iwi

Ka puta mai ngā raruraru kanohi i etahi wā, tae atu ki te conjunctivitis, te blepharitis, i etahi wā rānei, te uveitis. Ko ēnei hua he mea tino pea ki te nui o te psoriasis, i te mate hononga psoriatic rānei.

Ko te rongo pai ko te maimoatanga tika me te whakahaere oranga ka taea te whakaiti i tō tūponotanga ki te whanake i ēnei hua. Ko te tirotiro me te tiaki ārai he mea nui ki te pupuri i tō hauora whānui.

Me pēhea te Tautuhi i te Psoriasis?

Ko te tautuhi i te psoriasis e whakauru ana i te tirotiro tinana e titiro ana tō taakuta ki tō kiri, ngā kuihi, me te pūtake. I te nuinga o ngā wā, ko te ahua tino kitea o ngā wahi psoriatic ka ngāwari te tautuhi.

Ka ui atu tō taakuta mō ō tohu, te hītori whānau, me ētahi take pea kua kite koe. Ka hiahia hoki rātou ki te mohio ki ētahi rongoā kei te whakamahi koe me ngā mate hou, i te ahotea rānei kua pā ki a koe.

I etahi wā, ka hiahiatia pea he biopsy kiri hei whakamana i te tautuhi, i te whakakore rānei i ētahi atu āhuatanga. Ko tēnei e whakauru ana i te tango i te tauira iti o te kiri e pā ana ki te tirotiro i raro i te microscope.

Ki te pāngia koe e te mamae o ngā hononga me ngā tohu kiri, ka taea e tō taakuta te tono i ngā whakamātautau toto hei tirotiro i ngā tohu mumura, i ngā X-rays rānei hei titiro ki te kino o ngā hononga e pā ana ki te mate hononga psoriatic.

Kāore he whakamātautau toto kotahi e taea te tautuhi i te psoriasis, engari ka taea e tō taakuta te whakahaere i ngā whakamātautau hei whakakore i ētahi atu āhuatanga ka rite te ahua, pēnei i te eczema, ngā mate huaketo, i ētahi atu mate ārai mate rānei.

He aha te Maimoatanga mō te Psoriasis?

Ko te maimoatanga mō te psoriasis e aro ana ki te whakaiti i te whakaputa o ngā pūtau kiri, te whakaiti i te mumura, me te tango i ngā unahi. Ko tō mahere maimoatanga ka whakawhirinaki ki te kino o tō āhuatanga me te pehea e whakautu ana ki ngā rongoā rerekē.

Ko ngā maimoatanga topical ko te raina tuatahi o te tiaki mō te psoriasis ngawari ki te tūpato. Ko ēnei e whakauru ana i ngā kirikiri corticosteroid, ngā analogs hua D pēnei i te calcipotriene, me ngā retinoids e āhei ana ki te whakarite i te whakaputa o ngā pūtau kiri.

Mō te psoriasis whānui atu, i te psoriasis pakari rānei, ka taea te whai hua te rongoā mā te mārama. Ko tēnei e whakauru ana i te whakaū i te whakaū ki te mārama ultraviolet, ā, ko te UVB, ko te UVA rānei me te rongoā e kiia nei ko te psoralen.

Ka taea te tūtohutia ngā rongoā pūnaha mō te psoriasis tūpato ki te tino kino:

• Methotrexate, e whakaiti ana i te pūnaha ārai mate
• Cyclosporine mō te whakapai tere i ngā take kino
• Biologics, e āhei ana ki ngā wāhanga motuhake o te pūnaha ārai mate
• Ngā retinoids waha pēnei i te acitretin
• Ngā rongoā waha hou pēnei i te apremilast

Kua hurihuri ngā rongoā Biologic i te maimoatanga psoriasis i ngā tau tata nei. Ko ēnei e whakauru ana i ngā rongoā pēnei i te adalimumab, etanercept, me ngā whiringa hou pēnei i te secukinumab me te ixekizumab, ka taea te whakatutuki i ngā reiti whakakore whakamiharo.

Ka taea e tō mahere maimoatanga te whakauru i te whakakotahi i ngā huarahi rerekē, ā, ka roa pea te wā ki te kimi i te mea pai mōu. Ko ngā whai wā tonu me tō kaiwhakarato hauora he mea nui ki te tirotiro i te whakapai me te whakarite i ngā maimoatanga kia rite ki te hiahia.

Me pēhea te Tango i te Maimoatanga Kāinga i te wā o te Psoriasis?

Ko te whakahaere i te psoriasis i te kāinga e whakauru ana i ngā mahi tiaki o ia rā ka taea te whakapai ake i ō tohu me tō ngāwari whānui. Ko te mau tonu te matua ki te kite i ngā whakapainga me ngā mahi tiaki kāinga.

Ko te whakamakuku tetahi o ngā mea tino nui ka taea e koe te mahi. Whakamahia ngā whakamakuku mātotoru, kore kakara tonu i muri i te kaukau i te wā kei te makuku tonu tō kiri ki te ārai i te makuku me te whakaiti i te kākā.

Ko ēnei ngā rautaki tiaki kāinga whai hua ka taea e koe te whakamātautau:

• Tango kaukau mahana me ngā tote Epsom, oatmeal, i ngā otinga tar rānei
• Whakamahia ngā hopi ngawari, kore kakara, ā, karohia te horoi kino
• Whakamahia te whakamakuku i ngā wā maha o ia rā, ina koa ngā hinu mātotoru
• Whakamātautau i ngā maimoatanga kore-whakahau e whakauru ana i te waikawa salicylic, i te tar rānei
• Whakamahia he humidifier ki te tāpiri i te makuku ki te hau o roto maroke
• Whakaū i ngā wāhi e pā ana ki ngā nui iti o te rā o ia rā
• Whakahaerehia te ahotea mā ngā tikanga whakaora, te whakakori tinana, i te whakaaroaro rānei

Karohia ngā take noa pēnei i ngā whara kiri, te ahotea, me ētahi kai e āhei ana ki te whaka kino i ō tohu. Pupuri i te tātai tohu ki te tautuhi i ō take me ō tauira whaiaro.

Ka kite etahi i te whakaora me ngā rongoā taiao pēnei i te keke aloe vera, te hinu tii tii, i te turmeric rānei, ahakoa me kōrero koe ki tō taakuta i mua i te whakamātautau i ēnei, ina koa ki te whakamahi koe i ētahi atu maimoatanga.

Me pēhea te Whakarite mō tō Hui Taakuta?

Ko te whakarite mō tō haerenga ki te taakuta ka āhei ki a koe te whiwhi i te nuinga o tō hui, ā, kia kore ai e wareware koe i ngā korero nui. He iti te whakarite e haere ana ki te whiwhi i te tiaki e hiahia ana koe.

Hangaia he rārangi o ō tohu katoa, tae atu ki te wā i tīmata ai rātou, he aha te mea e pai ake ai, he aha rānei te kino, me ētahi tauira kua kite koe. Tango pikitia o ngā wāhi e pā ana ki te kore e kitea ngāwari i te wā o te hui.

Mau mai he rārangi katoa o ngā rongoā, ngā taapiri, me ngā maimoatanga topical kei te whakamahi koe, i whakamātautau rānei i mua. Whakauruhia ngā hua whakahau me ngā hua kore-whakahau.

Tuhia ngā pātai e hiahia ana koe ki te ui ki tō taakuta:

• He aha te momo psoriasis kei ahau?
• He aha ngā whiringa maimoatanga kei te wātea mōku?
• He huringa oranga kei te āhei ki te āwhina?
• He aha ngā hua kino pea o ngā maimoatanga e tūtohu ana?
• Nōhea i mua i te kite i te whakapai?
• Me manukanuka ahau mō ētahi atu raruraru hauora?

Whakaarohia te mau mai i tētahi mema whānau, i tētahi hoa rānei mō te tautoko, ina koa ki te manukanuka koe mō te hui. Ka āhei rātou ki te āwhina i a koe ki te mahara ki ngā korero nui me te ui i ngā pātai ka wareware pea koe.

Kia pono ki te pehea te pā o te psoriasis ki tō oranga o ia rā, ki te mahi, ki ngā whanaungatanga rānei. Ko ēnei korero e āhei ana ki tō taakuta te mārama ki te pā whānui me te whiriwhiri i te huarahi maimoatanga tino tika.

He aha te Tāruanga Matua mō te Psoriasis?

Ko te psoriasis he āhuatanga roa e taea te whakahaere e pā ana ki ngā miriona o te iwi puta noa te ao. Ahakoa kāore he rongoā, he maha ngā maimoatanga whai hua ka āhei ki te āwhina i a koe ki te whiwhi kiri mā, i te kiri tata mā rānei, ā, ki te ora i te ora katoa, te ora mahi.

Ko te mea tino nui kia mahara ko te psoriasis ehara i tō he, ā, kāore koe e whakaae ki te kore ngāwari, ki ngā whakatau rānei hei mea kore e taea te karo. Me te mahere maimoatanga tika me te mahi tiaki whaiaro, ko te nuinga o te iwi e pangia ana e te psoriasis ka taea te whakatutuki i te whakapai nui i ō rātou tohu.

Ko te tautuhi me te maimoatanga wawe ka taea te whakarereke nui i ō hua roa. Kaua e whakaroa ki te rapu āwhina mai i tētahi kaiwhakarato hauora e mārama ana ki te psoriasis, ā, ka taea te mahi tahi me koe ki te whakawhanake i te rautaki maimoatanga whai hua.

Kia mahara ko te whakahaere i te psoriasis he haerenga i te nuinga o te wā ki te kimi i te mea pai mō tō āhuatanga motuhake. Kia manawanui ki te tukanga, kia mau tonu ki tō mahere maimoatanga, ā, pupuri i te kōrero whakatuwhera me tō rōpū hauora.

Ngā Pātai Nui e Uihia ana mō te Psoriasis

E pā ana te psoriasis?

Kāo, kāore te psoriasis e pā. Kāore e taea te hopu mai i tētahi atu, kāore hoki e horapa mā te pā, mā te whakamahi i ngā taonga whaiaro, mā te kauhoe i roto i te pūngāwai kotahi rānei, i tetahi atu momo hononga rānei. He āhuatanga ārai mate tēnei e whanake ana na tō pūnaha ārai mate me ngā take ira.

Ka taea te whakaora katoa te psoriasis?

I tēnei wā, kāore he rongoā mō te psoriasis, engari ka taea te whakahaere whai hua. He tokomaha ngā tāngata e whakatutuki ana i te whakakore katoa, i te tata katoa rānei o ō rātou tohu me te maimoatanga tika. Ko te whāinga ko te whakahaere i te āhuatanga me te pupuri i ngā wā roa o te whakaora kei reira he iti, kāore rānei ō tohu.

Ka kino ake te psoriasis i te wā?

Ko te psoriasis e pā ana ki te katoa. Ko etahi tāngata he tohu ngawari e mau tonu ana mō ngā tau, ā, ko ētahi atu e pā ana ki ngā whakakī mai tino kino. Me te maimoatanga tika me te whakahaere oranga, he tokomaha ngā tāngata e kite ana i te psoriasis e ngāwari ake ana te whakahaere i te wā, ā, kei te whanake tonu ngā maimoatanga hou.

Ka āhei ngā huringa kai ki te āwhina i te psoriasis?

Ahakoa kāore he kai psoriasis motuhake, ka kite etahi tāngata ko ētahi kai ka whakaoho i ngā whakakī mai. Ko ngā take noa ko te waipiro, ngā kai tukatuka, me ngā kai nui te huka. Ko te kai anti-mumura e whai ana i ngā hua, ngā huawhenua, ngā ika, me ngā witi katoa pea ka āhei ki te āwhina i ētahi tāngata ki te whakahaere pai ake i ō rātou tohu.

He mea haumaru te hapu ki te whai psoriasis ahau?

Ae, ko te nuinga o ngā wāhine e pangia ana e te psoriasis ka taea te whai hapu hauora. Heoi, me kōrero koe ki tō taakuta mō ō rongoā i mua i te ngana ki te whanau, i te mea kāore etahi maimoatanga psoriasis e haumaru i te wā hapu. He mea whakamīharo, he tokomaha ngā wāhine e kite ana i te whakapai o ō rātou psoriasis i te wā hapu na te huringa homoni.