He aha te mate pūkahukahu psoriasis? Ngā tohu, ngā take, me te rongoā

Ko te mate pūkahukahu psoriasis he mate pāwera ngākaha e pā ana ki tō kiri me ō hononga. Ka puta mai i te whakaeke he o tō pūnaha mate i ngā kiko ora, ka puta ai ngā tohu o te psoriasis, arā, ngā papura whero, me te mamae me te pupū o ngā hononga.

Ka puta tēnei mate i ngā tāngata kua pangia e te psoriasis, ahakoa i ētahi wā ka puta tuatahi ngā tohu o ngā hononga. Ahakoa ka ātaahua pea te whakahaere i ngā raruraru o te kiri me ngā hononga, ka āwhina te mōhiotanga ki te aha e puta ana i roto i tō tinana ki a koe ki te mahi tahi me tō rōpū hauora kia kitea ai te whakaora.

He aha te mate pūkahukahu psoriasis?

Ko te mate pūkahukahu psoriasis tētahi o ngā mate e kiia nei ko te spondyloarthritis, he mate pāwera e pā ana ki ō hononga, ngā uaua, me ngā hononga. Ka nui rawa te mahi o tō pūnaha mate, ka tīmata te whakaeke i ō kiko ake, kāore i te whawhai i ngā mate.

Ko tēnei whakautu a te pūnaha mate ka hanga i te pāwera e puta ana i ngā huarahi e rua. Ka kite koe i runga i tō kiri hei ngā unahi hiriwa o te psoriasis, ā, ka mōhio koe i roto i ō hononga hei te mamae, te kī, me te pupū.

Ko te mate e pā ana ki te 30% o ngā tāngata kua pangia e te psoriasis. Ka puta i te nuinga i waenga i ngā tau 30 me te 50, ahakoa ka puta i tetahi tau. Ko ngā tāne me ngā wāhine e rite ana te tūponotanga ki te whanake i te mate pūkahukahu psoriasis.

He aha ngā tohu o te mate pūkahukahu psoriasis?

Ka rerekē haere ngā tohu o te mate pūkahukahu psoriasis mai i te tangata ki te tangata, ā, ka haere mai, ka haere atu i roto i ngā huringa e kiia nei ko ngā mura. Ka pā pea koe ki ngā wā e ngawari ana rānei ngā tohu, kāore rānei e kitea, ka whai ake ngā wā ka kaha ake.

Ko ēnei ngā tohu tino noa ka kitea e koe:

• Te mamae me te kī o ngā hononga, ina koa i te ata, i muri rānei i te noho roa.
• Ngā hononga pupū, ngawari te pā, ka mahana ki te pa.
• Te ngenge e kore e pai ake me te okioki.
• Ngā papura psoriasis i runga i tō kiri, ka puta mai hei ngā wāhi whero, unahi.
• Ngā huringa i ngā maihao, pēnei i te poka, ngā raina, te wehe rānei i te moenga maihao.
• Te pupū o ō maihao, o ō waewae rānei e āhua rite ana ki ngā sāseti.
• Te mamae o te tuara o raro e kino ake ana i te ata.
• Te whero o te kanohi, te mamae rānei.

Ka pā pea ētahi atu tohu iti ki ētahi atu tāngata e āwangawanga ana. Ka uru pea ēnei ki te ngenge nui e āwangawanga ana i ngā mahi o ia rā, te pāwera rānei i ngā wāhi pēnei i tō tuara, i ngā wāhi e hono ana ngā uaua ki ngā wheua.

Ka pā ngā tohu ki ō ringa, ō waewae, ō turi, me tō tuara, ahakoa ka uru tetahi hononga.

He aha ngā momo o te mate pūkahukahu psoriasis?

Ka wehewehe ngā tākuta i te mate pūkahukahu psoriasis ki ētahi momo e whakaū ana i ngā hononga e pā ana, me te āhua o te mate. Ka āwhina te mōhiotanga ki tō momo motuhake ki te aratohu i tō mahere rongoā.

Ko ngā momo matua e rima, ia momo he tauira ake o te hononga:

• Te mate pūkahukahu psoriasis asymmetric: Ka pā ki ngā hononga rerekē i ia taha o tō tinana, i ō ringa me ō waewae.
• Te mate pūkahukahu psoriasis symmetric: Ka pā ki ngā hononga rite i ngā taha e rua o tō tinana, rite tonu ki te mate pūkahukahu rheumatoid.
• Te mate pūkahukahu psoriasis distal interphalangeal: Ka pā nui ki ngā hononga iti e tata ana ki ō maihao me ō maihao waewae.
• Spondylitis: Ka pā nui ki tō tuara me tō upoko, ka puta ai te mamae o te tuara me te kī.
• Arthritis mutilans: He momo kino, onge, ka taea te whakangaro i ngā hononga me te ngaro o ngā wheua.

Ka tīmata te nuinga o ngā tāngata ki tētahi momo, engari ka taea te huri o tō tauira i te wā.

He aha ngā take o te mate pūkahukahu psoriasis?

Ka puta te mate pūkahukahu psoriasis ina he kino te mahi o tō pūnaha mate, ka tīmata te whakaeke i ō kiko ora ake. Ahakoa kāore e tino mōhiotia te take, ka whakaatu te rangahau he whakakotahitanga pea o ngā take ira me ngā whakaohooho taiao.

He maha ngā take ka āwhina ki te whanake i tēnei mate:

• Ngā take ira: Ko te whai whānau kua pangia e te psoriasis, te mate pūkahukahu psoriasis rānei ka nui ake tō tūponotanga.
• Te psoriasis kei te noho: Ko te 85% o ngā tāngata ka whanake i ngā tohu kiri i mua i ngā raruraru hononga.
• Ngā mate: Ka taea e ngā mate huaketo, mate huaketo rānei te whakaohooho i te whakautu o te pūnaha mate.
• Te whara tinana: Ngā whara ki ngā hononga, te ahotea nui rānei ki tō tinana.
• Ētahi rongoā: Ka taea e ētahi rongoā te whakaiti i te psoriasis, te whakaohooho rānei i te mate pūkahukahu.
• Te whakakī: Ka nui ake te pāwera i roto i tō tinana.
• Te momona: Ko te taumaha atu ka whakapā te ahotea ki ngā hononga, ka nui ake te pāwera.

Ko te whai psoriasis kāore e tikanga ka whanake koe i te mate pūkahukahu psoriasis, engari ka nui ake tō tūponotanga.

Nōhea te haere ki te tākuta mō te mate pūkahukahu psoriasis?

Me haere koe ki te tākuta mēnā kei a koe te psoriasis, ka tīmata te mamae o ngā hononga, te pupū, te kī rānei e roa atu ana i ngā rā torutoru. Ka āwhina te whakamōhio wawe me te rongoā ki te aukati i te pakaru o ngā hononga, ka pai ake tō tirohanga roa.

Kia aro ki ēnei tohu whakatūpato e hiahia ana ki te tiaki hauora:

• Te mamae o ngā hononga e kore e pai ake me te okioki, ngā rongoā mamae rānei.
• Te kī o te ata e roa atu ana i te 30 meneti.
• Te pupū o ō hononga, maihao, waewae rānei.
• Te ngenge e āwangawanga ana i ō mahi o ia rā.
• Ngā huringa i ō maihao, pēnei i te poka, te whakaara.
• Ngā papura psoriasis hou, kino ake rānei.
• Te mamae o te tuara e kino ake ana i te ata.

Rapua te tiaki hauora tonu mēnā ka pā ki a koe te mamae nui o ngā hononga, te kore e taea te neke i te hononga, ngā tohu rānei o te mate pēnei i te kirika me ngā tohu hononga. Ka taea e ēnei te tohu i ngā raruraru e hiahia ana ki te rongoā wawe.

He aha ngā take tūponotanga mō te mate pūkahukahu psoriasis?

He maha ngā take ka nui ake ai tō tūponotanga ki te whanake i te mate pūkahukahu psoriasis. Ka āwhina te mōhiotanga ki ēnei take tūponotanga ki a koe ki te mohio wawe ki ngā tohu, ki te tango rānei i ngā mahi aukati i te wā e taea ai.

Ko ēnei ngā take tūponotanga tino nui:

• Te whai psoriasis: Koinei te take tūponotanga kaha rawa, ina koa te psoriasis kino.
• Te hītori whānau: Ko te whai whānau kua pangia e te psoriasis, te mate pūkahukahu psoriasis rānei ka nui ake tō tūponotanga ki te 40%.
• Te tau: Ka puta te nuinga i waenga i ngā tau 30-50, ahakoa ka puta i tetahi tau.
• Te psoriasis maihao: Ko ngā tāngata e pā ana ki te maihao he nui ake te tūponotanga o ngā raruraru hononga.
• Te psoriasis o te pūtake: Ko te pāwera nui o te pūtake e hono ana ki te nui ake o te tūponotanga o te mate pūkahukahu.
• Te momona: Ko te taumaha atu ka nui ake te pāwera, te ahotea rānei ki ngā hononga.
• Te whakakī: Ko te whakakī i te tapeka ka whakaiti i te pāwera i roto i tō tinana.
• Ngā mate: Ka taea e ētahi mate huaketo, mate huaketo rānei te whakaohooho i te mate.

Ka pā ano ētahi tohu ira, ina koa ētahi ira HLA e pā ana ki te mahi o te pūnaha mate. Engari, ko te whai i ēnei ira kāore e whakaatu ka whanake koe i te mate.

He aha ngā raruraru pea o te mate pūkahukahu psoriasis?

Me kore te rongoā tika, ka taea e te mate pūkahukahu psoriasis te arahi ki ngā raruraru kino e pā ana ki ō hononga me tō hauora katoa. Ko te rongo pai, ko te rongoā wawe, tika ka taea te aukati i te nuinga o ēnei raruraru kia kaua e puta.

Ko ēnei ngā raruraru tino noa:

• Te pakaru o ngā hononga me te kōroke: Ngā huringa pumau ki te āhua me te mahi o ngā hononga.
• Ngā raruraru o te tuara: Te hono o ngā wheua e arahi ana ki te iti o te nekehanga.
• Te pāwera o te kanohi: Ngā mate pēnei i te uveitis e taea te pā ki tō tirohanga.
• Te mate ngakau: Te nui ake o te tūponotanga o ngā raruraru o te ngakau na te pāwera ngākaha.
• Te mate metabolic: Ngā reiti teitei o te mate huka, te toto teitei, te momona.
• Te pouri me te manukanuka: Ngā wero hinengaro mai i te noho me te mamae ngākaha.
• Te osteoporosis: Ngā wheua ngoikore mai i te pāwera me ētahi rongoā.

Ko ngā raruraru kino, onge ka uru ki te whakangaro nui o ngā hononga (arthritis mutilans) me ngā raruraru ngakau e wehi ana. Ka puta pea ēnei i te wā e kore ai e rongoātia te mate mō ngā tau maha.

Me pēhea te aukati i te mate pūkahukahu psoriasis?

Ahakoa kāore e taea te aukati katoa i te mate pūkahukahu psoriasis mēnā kei a koe ngā take ira, ka taea e koe te tango i ngā mahi hei whakaiti i tō tūponotanga, hei whakaroa rānei i tō tīmatanga. Ka arotahi ēnei rautaki ki te whakaiti i te pāwera, ki te tautoko rānei i tō hauora pūnaha mate katoa.

Ko ēnei ngā rautaki aukati tino whai hua:

• Kia mau ki te taumaha hauora: Ka whakaiti i te ahotea ki ngā hononga, ka whakaiti i te pāwera.
• Kaua e whakakī: Ko te whakakī ka nui ake te pāwera, ka kino ake te psoriasis me te mate pūkahukahu.
• Whakahaerehia te ahotea: Ka taea e te ahotea roa te whakaohooho i te mahi kino o te pūnaha mate.
• Rongoā wawe i ngā mate: Ka taea e ngā mate huaketo pēnei i te mate korokoro strep te whakaohooho i te mate pūkahukahu psoriasis.
• Tīakina ō hononga: Kia kaua e whakamahi i te ahotea, te whara rānei ki ō hononga.
• Whai wāhi mahi: Ka āwhina ki te pupuri i te ngawari o ngā hononga, ka whakaiti i te pāwera.
• Whai kai hauora: Ka taea e ngā kai anti-inflammatory te whakaiti i te pāwera katoa.

Me pēhea te whakamōhio i te mate pūkahukahu psoriasis?

Ka uaua pea te whakamōhio i te mate pūkahukahu psoriasis, na te mea kāore he whakamātautau kotahi e whakaū ana i te mate. Ka whakamahi tō tākuta i te whakakotahitanga o tō hītori hauora, te tirotiro tinana, me ngā whakamātautau maha hei whakamōhio i te mate.

Ko te tukanga whakamōhio ka uru pea ki ētahi kaupae:

• Hītori hauora: Te kōrero mō ō tohu, tō hītori whānau, me ētahi raru kiri.
• Tirotiro tinana: Te tirotiro mō te pupū o ngā hononga, ngā papura kiri, ngā huringa maihao rānei.
• Ngā whakamātautau toto: Te rapu mō ngā tohu o te pāwera, te whakakore rānei i ētahi atu mate.
• Ngā rangahau whakaahua: Ngā X-rays, MRI, ultrasound rānei hei kite i te pakaru o ngā hononga, te pāwera rānei.
• Te tātaritanga o te wai hononga: Ka hiahiatia i ētahi wā hei whakakore i te mate, ētahi atu take rānei.

He aha te rongoā mō te mate pūkahukahu psoriasis?

Ko te rongoā mō te mate pūkahukahu psoriasis ko te whakahaere i te pāwera, te whakaora i te mamae, te aukati rānei i te pakaru o ngā hononga. Ka hanga tō tākuta i tētahi mahere rongoā motuhake e whakaū ana i te kaha o ō tohu, me ngā hononga e pā ana.

Ko ēnei ngā kōwhiringa rongoā matua:

• NSAIDs: Ngā rongoā anti-inflammatory pēnei i te ibuprofen mō te mamae me te pupū.
• Ngā rongoā whakaiti mate (DMARDs): Ngā rongoā pēnei i te methotrexate e whakaiti ana i te whanake o te mate.
• Ngā rongoā biologic: Ngā rongoā e āta whakaaro ana e aukati ana i ngā wāhanga motuhake o te pūnaha mate.
• Ngā whakaurunga corticosteroid: Te whakauru tika ki ngā hononga e pāwera nui ana.
• Ngā rongoā topical: Ngā kirikiri me ngā hinu mō ngā papura psoriasis.
• Te rongoā tinana: Ngā mahi whakakori tinana hei pupuri i te ngawari o ngā hononga me te kaha.
• Te rongoā mahi: Ngā tikanga hei tiaki i ō hononga i ngā mahi o ia rā.

Me pēhea te tango i te rongoā kāinga i te wā o te mate pūkahukahu psoriasis?

Ko te whakahaere i te mate pūkahukahu psoriasis i te kāinga ko te whakakotahitanga o ngā rautaki tiaki-whaiaro e taea te whakapai ake i ō tohu me tō kounga ora. Ka pai ake te mahi o ēnei tikanga ina whakakotahitia ki ō rongoā hauora kua tohua.

Ko ēnei ngā rautaki whakahaere kāinga tino whai hua:

• Whakamahia te wera me te makariri: Te wera mō te kī o te ata, te makariri mō ngā hononga pupū.
• Kia mahi tonu: Ngā mahi whakakori ngawari pēnei i te kauhoe, te hikoi, te yoga rānei.
• Kia moe pai: Kia 7-9 haora hei āwhina i tō tinana ki te whakahaere i te pāwera.
• Whakahaerehia te ahotea: Whakamātauhia te whakaaroaro, te manawa hohonu, ētahi atu tikanga whakahaere ahotea rānei.
• Kai i te kai anti-inflammatory: Arotahi ki ngā ika, hua, huawhenua, witi katoa rānei.
• Pupuri i te tuunga pai: Ka whakaiti i te ahotea ki tō tuara me ō hononga.
• Whakamahia ngā tikanga tiaki hononga: Kia kaua e pupuri i ngā mea nui rawa, ngā nekehanga rānei.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui tākuta ka āwhina ki te whakarite ka whiwhi koe i te painga nui mai i tō haerenga. Ka taea e te whakarite pai tō tākuta te mahi i ngā whakatau rongoā pai, te whakautu rānei i ō awangawanga tino nui.

Ko te huarahi whakarite pai:

• Aroturukihia ō tohu: Tuhia ngā taumata mamae, te roa o te kī, me ngā hononga e pā ana.
• Rārangihia ō rongoā: Tāpirihia ngā rongoā, ngā taapiri, me ngā rongoā kore-tuku.
• Tuhia tō hītori whānau: Tuhia ētahi whānau kua pangia e te psoriasis, te mate pūkahukahu, ngā mate pūnaha mate rānei.
• Whakaritea ō pūrongo: Tuhia nga mea katoa e hiahia ana koe ki te kōrero.
• Kawea mai tētahi tangata tautoko: Ka taea e rātou te awhina ki te maumahara i ngā mōhiohio, te whakarato rānei i te tautoko hinengaro.
• Tākutia ngā whakaahua: Tuhia ngā huringa kiri, te pupū o ngā hononga rānei.
• Arotakehia tō hītori hauora: Tāpirihia ētahi rongoā o mua me tō hua.

He aha te mea nui mō te mate pūkahukahu psoriasis?

Ko te mate pūkahukahu psoriasis he mate e taea te whakahaere ina whakamōhiotia wawe, ka rongoātia tika. Ahakoa ka ātaahua pea i te tīmatanga, ko te mōhiotanga ki tō mate, te mahi tahi rānei me tō rōpū hauora ka āwhina ki a koe ki te pupuri i te ora mahi, whai hua.

Ko te mea nui rawa hei maumahara ko te rongoā wawe ka nui te rerekētanga ki ō hua roa. Ka taea e ngā rongoā hou te whakahaere tika i te pāwera, te aukati i te pakaru o ngā hononga, te whakapai ake rānei i ō tohu kiri me ō hononga.

Ngā Pātai Nui e Pā ana ki te Mate Pūkahukahu Psoriasis

Ka taea te ngaro ake te mate pūkahukahu psoriasis?

Ko te mate pūkahukahu psoriasis he mate ngākaha e kore e ngaro i te nuinga o te wā me te kore rongoā. Engari, ka rerekē haere ngā tohu i te wā, me ngā wā pai ake (remission) me ngā mura. Me te rongoā tika, ka taea e te tini o ngā tāngata te whiwhi i te remission roa e iti ana, kāore rānei ngā tohu.

He ira te mate pūkahukahu psoriasis?

Ahakoa he waahanga ira te mate pūkahukahu psoriasis, kāore i te tuku tika pēnei i ētahi atu mate. Ko te whai whānau kua pangia e te psoriasis, te mate pūkahukahu psoriasis rānei ka nui ake tō tūponotanga, engari ko te nuinga o ngā tāngata e whai ana i ēnei take ira kāore e whanake i te mate. Ka pā ano ngā whakaohooho taiao.

Ka taea te whai mate pūkahukahu psoriasis me te kore psoriasis?

Ae, ko te 15% o ngā tāngata e whai ana i te mate pūkahukahu psoriasis ka whanake i ngā tohu hononga i mua i ngā raruraru kiri. Ka iti pea te psoriasis o ētahi tāngata, kāore rānei e kitea, ka whanake rānei i ngā tohu kiri i muri i ngā tau i te tīmatanga o ō raru hononga.

E hia te roa o te mahi a te rongoā mate pūkahukahu psoriasis?

Ka rerekē te whakautu rongoā i runga i te rongoā me ngā take takitahi. Ka taea e ngā NSAIDs te whakarato whakaora i roto i ngā rā ki ngā wiki, engari ko ngā DMARDs ka roa pea te 6-12 wiki hei whakaatu i ngā hua katoa. Ka tīmata pea te mahi o ngā rongoā biologic i roto i ngā marama 2-3, ahakoa ka kite ētahi i te whakapai ake i mua atu.

Ka pā te rangi ki ngā tohu mate pūkahukahu psoriasis?

Ka kite te tini o ngā tāngata e whai ana i te mate pūkahukahu psoriasis ka kino ake ngā tohu i te rangi makariri, makuku, ka pai ake i te rangi mahana, maroke. Ahakoa kāore e tino mōhiotia te take, ka pā pea ngā huringa i te pehanga hau me te makuku ki ngā taumata pāwera me te kī o ngā hononga.