Ngokuthuthuka kwezokwelapha, kunemithi emisha nemisha yokwelapha i-psoriasis eminyakeni yamuva nje. Iziguli eziningi zikwazile ukuhlanza izilonda zesikhumba futhi zibuyele empilweni evamile ngokwelashwa. Kodwa-ke, kulandela enye inkinga, okungukuthi, ungasusa kanjani umbala osele (amabala) ngemva kokuba izilonda zesikhumba sezisusiwe?
Ngemva kokufunda izihloko eziningi zesayensi yezempilo yaseShayina neyakwamanye amazwe, ngifingqe umbhalo olandelayo, nginethemba lokuthi uzoba usizo kuwo wonke umuntu.
Izincomo ezivela kodokotela besikhumba basekhaya
I-Psoriasis iveza isikhumba ekuvuvukeni nasekuthelelekeni isikhathi eside, okuholela esikhumbeni esonakele esineziqephu ezibomvu zezicubu ebusweni, ezihambisana nezimpawu ezifana nokuqhekeka kwesikhumba kanye nokuqhekeka. Ngemva kokukhuthazwa ukuvuvukala, ukujikeleza kwegazi ngaphansi kwesikhumba kuyehla, okungase kubangele izimpawu zendawo zokuguquka kwesikhumba. Ngakho-ke, ngemva kokululama, kuzotholakala ukuthi umbala wesilonda sesikhumba umnyama (noma ulula) kunombala ozungezile, futhi kuzoba nezimpawu zokuguquka kwesilonda sesikhumba.
Kulesi simo, ungasebenzisa amafutha angaphandle ekwelapheni, njengokhilimu we-hydroquinone, ongafeza umphumela othile wokuvimbela ukukhiqizwa kwe-melanin futhi ube nomphumela wokunciphisa i-melanin. Kubantu abanezimpawu ezinkulu ze-melanin, kuyadingeka ukuyithuthukisa ngezindlela zomzimba, njengokwelashwa nge-laser, okungabola izinhlayiya ze-melanin ezingaphansi kwesikhumba futhi kubuyisele isikhumba esimweni esijwayelekile.
—— Li Wei, uMnyango Wezokwelapha Kwesikhumba, Isibhedlela Sesibili Esihlangene SaseZhejiang University School of Medicine
Ungadla ukudla okwengeziwe okucebile ngevithamini C kanye nevithamini E, okuzosiza ekunciphiseni ukwakheka kwe-melanin esikhumbeni futhi kukhuthaze ukususwa kwama-melanin deposits. Eminye imithi ewusizo ekuqedeni i-melanin precipitation ingasetshenziswa endaweni, njengekhilimu ye-hydroquinone, ukhilimu we-kojic acid, njll.
Ukhilimu we-retinoic acid ungasheshisa ukukhishwa kwe-melanin, kanti i-nicotinamide ingavimbela ukuthuthwa kwe-melanin kumaseli e-epidermal, wonke anomphumela othile wokwelapha ekushayweni kwe-melanin. Ungasebenzisa futhi ukwelashwa kwe-laser okukhanyayo noma okune-pigmented pulsed ukuze ususe izinhlayiya ze-pigment eziningi esikhumbeni, okuvame ukusebenza kangcono.
—— Zhang Wenjuan, uMnyango Wezifo Zesikhumba, Isibhedlela Sabantu SaseYunivesithi YasePeking
Kunconywa ukusebenzisa i-vitamin C, i-vitamin E, kanye ne-glutathione njengemithi yomlomo, engavimbela ngempumelelo ukukhiqizwa kwama-melanocyte futhi inciphise inani lamaseli e-pigment asele akhekile, ngaleyo ndlela kufezwe umphumela wokwenza mhlophe. Ekusetshenzisweni kwangaphandle, kunconywa ukusebenzisa ukhilimu we-hydroquinone, noma ukhilimu we-vitamin E, ongaqondisa ngqo izingxenye ezinombala ukuze zenze mhlophe.
——Liu Hongjun, uMnyango Wezifo Zesikhumba, Isibhedlela Sabantu Seventh saseShenyang
Usosomabhizinisi waseMelika uKim Kardashian naye unesifo se-psoriasis. Wake wabuza ezinkundleni zokuxhumana ukuthi, “Ungasusa kanjani umbala osele ngemva kokususwa kwe-psoriasis?” Kodwa ngemva nje kwalokho, wathumela ezinkundleni zokuxhumana ethi, “Ngifunde ukwamukela i-psoriasis yami futhi ngisebenzise lo mkhiqizo (isisekelo esithile) lapho ngifuna ukufihla i-psoriasis yami,” futhi wafaka isithombe sokuqhathanisa. Umuntu oqondayo angabona ngokushesha ukuthi uKardashian usebenzisa ithuba lokuletha izimpahla (ukuthengisa izimpahla).
Isizathu sokuthi kungani uKardashian asebenzise isisekelo ukumboza amabala e-psoriasis sishiwo. Mina ngokwami, ngicabanga ukuthi singalandela le ndlela, futhi kukhona uhlobo lokufihla i-vitiligo olungacatshangelwa.
I-Vitiligo nayo iyisifo esihlobene nokuzivikela komzimba. Ibonakala ngamabala amhlophe anemingcele ecacile esikhumbeni, okuthinta kakhulu impilo evamile yeziguli. Ngakho-ke, ezinye iziguli ezine-vitiligo zizosebenzisa ama-masking agents. Kodwa-ke, le agent embozayo yenzelwe ukukhiqiza uhlobo lwe-biological protein melanin elingisa umzimba womuntu. Uma izilonda zakho ze-psoriasis zisuliwe futhi zishiywa zinombala okhanyayo (omhlophe), ungacabanga ukuyizama. Kunconywa ukubonisana nochwepheshe ukuthi banqume.
Izingcaphuno ezivela ezihlokweni zesayensi yezempilo yangaphandle
I-Psoriasis iyaphela futhi ishiye amabala amnyama noma akhanyayo (i-hyperpigmentation) angase anyamalale ngokuhamba kwesikhathi, kodwa ezinye iziguli zithola ukuthi zikhathaza kakhulu futhi zifuna amabala asheshe aphele. Ngemva kokuba i-psoriasis isiphelile, i-hyperpigmentation enzima ingaqedwa nge-tretinoin (tretinoin) engaphandle, noma i-hydroquinone engaphandle, ama-corticosteroids (ama-hormone). Kodwa-ke, ukusebenzisa ama-corticosteroids (ama-hormone) ukuze kuncishiswe i-hyperpigmentation kuyingozi futhi kuthinta kakhulu iziguli ezinesikhumba esimnyama. Ngakho-ke, isikhathi sokusetshenziswa kwe-corticosteroid kufanele silinganiselwe, futhi odokotela kufanele bafundise iziguli ukuthi zigweme izingozi ngenxa yokusetshenziswa ngokweqile.
——UDkt. Alexis
"Uma ukuvuvukala sekuphelile, ithoni yesikhumba ivame ukubuyela esimweni sayo esijwayelekile kancane kancane. Kodwa-ke, kungathatha isikhathi eside ukushintsha, kusukela ezinyangeni kuya eminyakeni. Phakathi naleso sikhathi, kungabukeka njengesilonda." Uma umbala wakho wesiliva we-Psoriatic ungathuthuki ngokuhamba kwesikhathi, buza udokotela wakho wesikhumba ukuthi ukwelashwa nge-laser kuyindlela enhle yini kuwe.
—Amy Kassouf, MD
Esikhathini esiningi, awudingi ukwenza lutho ukwelapha i-hyperpigmentation ku-psoriasis ngoba iyaphela yodwa. Kungathatha isikhathi eside uma unesikhumba esimnyama. Ungazama futhi imikhiqizo yokukhanyisa ukuze ukhanyise i-hyperpigmentation noma amabala amnyama, zama ukufuna imikhiqizo equkethe esinye sezithako ezilandelayo:
● 2% i-hydroquinone
● I-Azelaic acid (i-Azelaic acid)
● I-Glycolic acid
● I-Kojic Acid
● I-Retinol (i-retinol, i-tretinoin, ijeli ye-adapalene, noma i-tazarotene)
● I-Vitamin C
★ Njalo thintana nodokotela wesikhumba ngaphambi kokusebenzisa le mikhiqizo, njengoba iqukethe izithako ezingase zibangele ukuqubuka kwe-psoriasis.
Isikhathi sokuthunyelwe: Mashi-15-2023