I-Dermatologists ibona ukwanda kwenani labantu abahlukunyezwa yi-psoriasis, isifo esingenasifo esithathelwanayo esinenkinga engapheliyo. I-etiology ye-skin pathology ayizange iqondwe ngokugcwele, kodwa odokotela abaningi bayibheka njengezifo ezizimele, ezakhiwe ngenxa yokusabela okungavamile kokuphila kwamagciwane okuphuma ngaphandle.
Izigaba ze-psoriasis
Ngaphansi kwethonya "lokuziphatha" okunganele "lokuziphatha," amaseli e-epidermal awela ngokushesha kakhulu, futhi inqubo yokuvuselela izicubu iyancipha. Izingxenye ezizimele zesikhumba zivuthayo, zakha i-shiny, i-scaly, iziqhingi "ezibomvu." Ngokuhamba kwesikhathi ukuze uhlolwe futhi uqale ukwelashwa kwesifo, kubalulekile ukwazi ukubona izimpawu zokuqala ze-psoriasis.
I-Psoriasis - isigaba sokuqala - izimpawu
Njengoba lesi sifo sibonakala uhlobo olungajwayelekile lokugeleza, ama-dermatologists abona izigaba eziyinhloko zokuthuthukiswa kwawo:
- okokuqala;
- ukuqhubeka;
- okumile.
Ngamunye wabo ubonakala phambi kwezingxenye ezibukwayo, okuvumela udokotela ukuba ahlaziye kahle izigaba zesifo futhi anikeze ukwelashwa okulungile. Ukwelashwa kwenziwa ngabanye ngesiguli ngasinye emva kwe-anamnesis nokucwaninga okudingekile. Nakhu indlela i-psoriasis eqala ngayo: izimpawu:
- Ukubonakala kwezingxenye zepula noma ze-pustular ezindaweni zokucasula isikhumba.
- Ama-papules noma ama-pustules amancane amancane hhayi amabala anombala anombala obonakalayo nendawo ebomvu.
- Ngemuva kwezinsuku ezingu-3-4, izakhi ze-rash zimbozwe ngamacwecwe amhlophe, okulula kalula.
- Amaphoyinti ephayinti avame ukwanda ngokushesha ngobukhulu nangokwengeziwe.
- Isikhala esiphakathi kwemifucumfucu siwu-hypermic, okusho ukuthuthukiswa kokuvuvukala.
- Noma yimuphi umonakalo omncane esikhumbeni somuntu ogulayo ubonakala ngokubonakala ngokushesha kwezindawo ze-psoriatic (i-Kebner's syndrome).
I-Psoriasis yisigaba sokuqhubeka
Izimpawu zokuqala ze-psoriasis azihlezi ziphazamise isiguli. Isimo sengqondo sokungaboni ngaso inkinga esiphuthumayo siholela ekuguqulweni kwesifo kuya esiteji esilandelayo - okuqhubekayo. Kubonakala ngezici ezilandelayo:
- Ukubonakala kwezimpukane ezintsha ezinonya.
- Ukuhlanganiswa kwezilonda ezincane ezizimele zibe endaweni eqinile yombala obomvu obomvu.
- Ukubamba okungenalutho kungabangela isiguli ukuba sihlanganise izindawo zokuvuvukala, okuholela ekuhlukunyezweni okuphindaphindiwe kwe-epidermis nokwanda kwezikali.
I-Psoriasis - isiteji esimisiwe
Ifomu elimisiwe le-psoriasis libhekwa njengesigaba sokugcina sokuthuthukiswa kwalesi sifo, uphawu oluyinhloko lokugcwaliswa kokubonakala kwamagatsha amasha:
- i-papules;
- i-pustules;
- izikhala.
Ukweqa ngokweqile kuphelile futhi ukukhishwa okusebenzayo kwendawo evuthayo kuqala. Isikhumba siba mncane futhi sicele, sithole umthunzi ophaphathekile. Emzimbeni womuntu, izibalo "zengqondo" zibonakala zifana nebalazwe lezwe. Umphumela wesibonakaliso sesifo yishintsho embala wesikhumba ezindaweni zokucasula (kukhona ukukhanya okukhanyayo noma izindawo ezimnyama). Ngenkathi yokuthethelelwa, angakwazi ukunyamalala.
Izimpawu ze-psoriasis ezandleni
I-Psoriasis ezandleni zindlela ejwayelekile kakhulu yokugula. Ama-dermatologists aqaphela ukuthuthukiswa kwesifo emilenzeni engenhla ezingaphezu kwama-85% kuzo zonke iziguli. Lesi sifo asibheki ngokuqondile empilweni yesiguli, kodwa sibangela ukuqina ngokomzwelo nokuthuthukiswa okulandelayo kwezinkinga zomqondo. Kumele kukhunjulwe ukuthi i-psoriasis ezandleni azithathelisi futhi ayidluliselwa ngoxhumana naye.
Inqubo yokuvuvukala ingaqala ngokuzenzekelayo futhi kunoma iyiphi ingxenye yengalo. Izimpawu zesifo zibonakalisa njengamabala okubomvu owodwa ezintendeni zezandla noma phakathi kweminwe. Ngokungavamile ukuthi uhlangothi olungezansi lwesandla luthintekile. Kuzo zonke izimo, ukuzwela kwesikhumba kuphazamiseka, okwenyusa kakhulu lapho wenza izenzo ezilula.
Isigaba sokuqala sesi sifo sibonakala ngokubonakala esihlakalweni nasesandleni esiphezulu, ikakhulukazi ezinhlangothini, ezinemibala emincane. Ngenhla, zimbozwe ngamacwecwe amhlophe, okulula kalula. Uma uhlanganisa ubuso obunzima, inani lamaseli we-necrotic epithelial landa. Uma ubakhipha, ungabona i-papule egcwele ifilimu ye-psoriatic. Lesi sifo sithuthuka ngokubukeka kwamasununu amasha ahlukile ngobukhulu. Ukuhlanganisana ndawonye, bakha amabala amakhulu, ehlanganiswe ngendwangu yezinhlanzi.
Izimpawu ze-psoriasis emilenzeni
I-Psoriasis emilenzeni ivame ukutholakala ngeziguli ezinokukhubazeka kwesistimu ye-nervous and endocrine. Lesi sifo sithinta isikhumba ngaphezu kwamadolo, amathanga, ama-shin nezinyawo zezinyawo. Ukuba khona kwezimpawu kubonisa isigaba ngasinye sokuthuthukiswa kwesifo ngokuhlukana. Ukubonakaliswa kwendawo kufaka okulandelayo:
- imisindo ye-nodular;
- ukushaywa kwendawo evuliwe;
- ukuvuvukala kwezicubu;
- ukuthuthukiswa kwe-arthritis ngokumelene nesizinda se-pathology engaphansi.
Ngokuya ngobude besifo, ama-papules akhula, amboze ngama-husks, akha izindawo ezinkulu ezibomvu ezibomvu. Ngemuva kokwelashwa, izindawo eziboshiwe zingase zihlale. Ingozi yalesi sifo iqukethe ukuthi kungenzeka ukuthi ukuphikisana kwayo nokuthuthukiswa kwe-pathology kulezi zingxenye: i-psoriatic arthritis ibonakala.
I-Psoriasis yezipikili - izimpawu
I-Psoriasis yezipikili ezisezintweni noma ezinyaweni ingase ibe yinkinga yesifo esiyisisekelo esiphezulu noma esiphansi. Kwezinye izimo, ukukhubazeka kubhekwa njengesilonda esisodwa esizimele samapulangwe e-nail. Bashintsha ngaphandle, balahlekelwa umbala wabo ojwayelekile, bahlanganiswe namabala amancane nezibazi ze-longitudinal. Kunezinhlobo ezimbalwa ezihlukene ze-nail psoriasis:
- i-thimble;
- i-onycholysis;
- onychomadez;
- paronychia.
Cishe zonke izinhlobo zalesi sifo ziholela ekuthuthukiseni kanye / noma emaphoyiseni epulangwe le-nail. Kungakwazi ukugaya futhi uthole isimo esingalungile. Phakathi nesonto elizungezile lezipikili livela enqenqemeni elingalingani le-hue eliphuzi. Nge-paronychia ye-psoriatic, inqubo yokuvuvukala ithinta wonke umunwe. Ukwelapha kuyinde futhi kunzima. Izinkathi zokuxolelwa zilandelwa izikhathi zokubuyela emuva.
I-Psoriasis yezimpawu zekhanda
I-Psoriasis ye-scalp ivame ukukhonza ngokuthi "i-alamu" yokuqala yokuthuthukiswa kwenqubo yokwelapha ezindaweni ezihlukene zomzimba. Njengasezinsukwini zangaphambilini, isibonakaliso esiyinhloko sokuqala kwalesi sifo yiziphuphutheki ezingamniki isiguli unxephezelo. Ukuqhubeka kokuvuvukala kuhambisana nalezi zibonakaliso ze-psoriasis ze-scalp:
- ukwandisa kwamapulethi ahlanganiswe nama-husks;
- ukuvuthwa okwandayo kuphazamisa ukukhipha okukhulu nokucasula;
- Ukwenziwa kwe-microtraumatisation yesikhumba kwenzeka;
- ama-husks emaphepheni ahlukaniswa kalula, futhi ahlangene ndawonye;
- Isikhwama siba seqile futhi sinamandla kakhulu;
- amaseli e-epithelial afile awenza uhlobo lokuduka;
- ama-patches amakhulu abomvu ngendlela yama-plaques enza ama-scabi abuhlungu;
- Ngokuhamba kwesikhathi isikhathi eside kunamahlumela amnyama afaka isikhumba sonke isikhumba ngaphansi kwezinwele;
- ukungabi khona kwelashwa kuholela ekusakazeni kwenqubo kwezinye izindawo - ebunzini, entanyeni, ezindlebeni.
I-Psoriasis ebusweni - izimpawu
Indawo yendawo yendawo yokuvuvukala ayifuni neze umuntu. Lokhu kubonakaliswa kwe-pathology kuyinto engavamile, kodwa isatholakala. Isithombe se-clinical of the illness differs slightly from the manifestation of the symptoms of skin psoriasis kwezinye izingxenye zomzimba. Isigaba sokuqala sibonakala ngokubunjwa kwendawo evuthayo yobuncane. I-speck encane, abaningi abayibona njengendlela yokwelapha yomzimba, ikhula masinyane ngosayizi.
Isikhathi sokuqhuma okusebenzayo kwenzeka ezinsukwini ezimbalwa. Ama-hillocks ama-pink amnyama ahlanganiswe nezikali. Izingxenye eziyinhloko zokubonakaliswa kwezifo kukhona amashiya, amajwabu amehlo, amahlumela e-nasolabial. Inkambo elandelayo yalesi sifo ilandela iphethini yama-classic:
- indawo;
- ifilimu;
- i-speck yegazi;
- ukuyeka ukuqhuma.
I-Psoriasis emzimbeni - izimpawu
I-Psoriasis emzimbeni ingavamile ukutholakala, kepha ibangelwa uhlobo olubi kakhulu lwesifo. Kulokhu, inqubo yokuvuvukala ithinta iningi lesikhumba emzimbeni womuntu. Ama-dermatologists abiza ngokuthi " scaly lichen ", okunzima ukuphatha futhi kuthinta kabi isimo sengqondo seziguli. I-Psoriatic isakaza yonke umzimba, ehlanganiswe ngezikali futhi ibangele ukulimaza okukhulu, ibangela ukucasuka okukhulu nokuhlukunyezwa kwe-epithelium. Lokhu kunzima kakhulu inkambo yesifo ngokwayo.
Ukuqoqa ama-papules kungabangela ukutheleleka ngokutheleleka nokubukeka kwamagundane nama-abscesses. Amabala amakhulu (amacwecwe) esiswini angabangela ukwanda kwendawo ekushiseni, ukubomvu kwesikhumba kanye nezikhwama ezinkulu. Uma ungqimba lwangaphandle lwama-papule luxhuma, kuphuma igazi. Indawo ethintekile ibangela ubuhlungu. Lesi sifo sisakazeka kanyekanye kuwo wonke umzimba futhi sibhekwa njengendlela ehlelekile noma ejwayelekile ye-psoriasis.
I-Psoriasis yamalunga - izimpawu
Odokotela babhekisela lesi sifo ekubhekaneni okuyingozi kakhulu kwe-psoriasis. I-arthritis ye-Psoriatic iqala, izimpawu zayo zifana nokufana nesifo se-rheumatoid arthritis. Kuzo zombili izixuku amathinta athintekile. Ngemuva kwesigaba sokugcina se-psoriasis yama-classic yezandla noma izinyawo, amalunga emilenze avuvuka, avule futhi alethe ubuhlungu obuzwayo. Esikhathini senqubo yokugulisa umzimba, ingxenye eyodwa noma eziningana zingabandakanyeka. Lesi sifo singathuthuka isikhathi esingaphezu kwenyanga eyodwa futhi sinesimo esingapheli njalo.