Psoriasis Jiyya

Wadatacce

• Magunguna don psoriasis
• Analogues na Vitamin D
• Man shafawa na kwal ko man shafawa
• Dandruff shamfu
• Salicylic acid da lactic acid
• Jiyya na yau da kullun don psoriasis
• Samun bayanai
• Cyclosporine
• Masu hana PDE4
• Retinoids
• Hydroxyurea
• Immunomodulator magunguna (ilimin halittu)
• Thioguanine
• Amfani da lakabin-lakabin
  
• Phototherapy (farfadowa mai haske)
• Hasken rana
• UVB maganin ƙwaƙwalwar ajiya
• Goeckerman far
• Laser mai ban sha'awa
• Photochemotherapy, ko psoralen da ultraviolet A (PUVA)
• Fushin fenti mai haske

Bayani

Yin maganin psoriasis yawanci yana buƙatar hanyoyi daban-daban. Wannan na iya haɗawa da canje-canje na rayuwa, abinci mai gina jiki, maganin hoto, da magunguna. Yin jiyya ya dogara ne da tsananin alamun alamunku, shekarunku, lafiyarku gaba ɗaya, da sauran abubuwan.

Babu magani ga cutar psoriasis, don haka likitoci galibi za su gwada hanyoyi da yawa kafin su nemi maganin da ya dace da kai.

Zaɓuɓɓukan magani don psoriasis sun dogara da dalilai masu zuwa:

• tsananin psoriasis
• yadda jikin ku ya shafa
• nau'in psoriasis
• Yaya yadda fatar ku ta amsa ga magungunan farko

Yawancin jiyya na yau da kullun ana nufin magance alamun cutar. Suna ƙoƙari su kwantar da fata da fata kuma rage ƙwanƙwasawa. Amfani da kayan kwalliya (OTC) a kai-a kai bayan wanka da shawa na iya taimakawa kiyaye danshi a cikin fata don hana walƙiya. Amma ba zai bi da ƙananan kumburi ba.

Har ila yau, likitocin fata sun ba da shawarar cewa mutane masu cutar psoriasis suna amfani da sabulu marasa ƙamshi da sabulu, mayuka, da mayukan shafawa don kiyaye fushin fata zuwa mafi ƙaranci.

Anan, zamuyi bayanin magungunan yau da kullun na cutar psoriasis, daga magungunan farko kamar mayuka masu laushi zuwa sabon rukunin magungunan da ake kira biologics.

Magunguna don psoriasis

Magungunan da ake amfani da su kai tsaye zuwa fata ana kiran su jiyya na ciki. Sun hada da:

• mayuka
• man shafawa
• lotions
• gels

Yawancin lokaci sune layin farko na magani ga mutanen da ke da cutar psoriasis mai sauƙi zuwa matsakaici. A wasu lokuta, ana amfani dasu tare da wani nau'in magani.

Man shafawa da mayuka masu ɗauke da sinadarin Corticosteroid sune magungunan da aka fi dacewa don cutar psoriasis. Wadannan cututtukan cututtukan steroid marasa ƙarfi suna aiki don sarrafa yawan samar da ƙwayoyin fata da huce fata. Koyaya, wasu ƙwayoyin corticosteroids sun haɗa da ƙwayoyi masu ƙarfi wanda zai iya haifar da alamun ku sosai. Likitanku zai san ƙarfin da zai dace don rage alamunku, maimakon ƙara su.

Magungunan maganin jiki wasu nau'ikan magani ne na daban wanda aka samu daga bitamin A. Suna aiki don daidaita ayyukan ci gaba a cikin kwayoyin fata. Wannan yana jinkirta aikin ƙonewa. Kodayake ba azaman aiki mai sauri kamar maganin shafawa na corticosteroid ba, magungunan yau da kullun suna da raunin sakamako kaɗan. Matan da ke da ciki ko na iya yin ciki kada su yi amfani da waɗannan saboda haɗarin lahani na haihuwa.

Analogues na Vitamin D

Waɗannan su ne nau'ikan roba na bitamin D waɗanda ke rage haɓakar ƙwayar fata. Likitanku na iya rubuta su shi kaɗai ko kuma tare da wasu magunguna don magance psoriasis mai sauƙi zuwa matsakaici. Sun hada da:

• calcipotriene (Dovonex)
• lissafi (Rocaltrol)

Man shafawa na kwal ko man shafawa

Kwal na kwal shine mafi tsufa don maganin psoriasis. Ana yin sa ne daga abubuwan da ake ƙerawa na man fetur. Kayan kwal na kwal na rage sikila, kaikayi, da kumburi. Ana samun manyan ƙididdiga ta takardar sayan magani.

Wadannan creams suna da wasu ƙananan abubuwa, amma. Gwal ɗin kwal ba shi da kyau, kuma yana iya gurɓata tufafi da shimfiɗar gado. Hakanan yana iya samun ƙanshi mai ƙarfi da mara daɗi.

Dandruff shamfu

Akwai likitan magani da criptionarfin dandruff shampoos daga likitanku don magance psoriasis a fatar kan ku.

Salicylic acid da lactic acid

Duk waɗannan acid ɗin suna inganta jujjuyawar ƙwayoyin jikin fatar da suka mutu, wanda ke rage sikila. Hakanan za'a iya amfani dasu tare da sauran jiyya. Suna nan a cikin tsarin OTC da na takaddara.

Jiyya na yau da kullun don psoriasis

Magungunan likita na iya taimakawa wajen magance yaduwar psoriasis ta hanyar magance kumburi.

Doctors galibi sun fi son amfani da matakin mafi ƙarancin magani da ake buƙata don dakatar da bayyanar cututtuka. Suna farawa tare da magani mai mahimmanci a lokuta da yawa. Yayinda fatar ta zama mai tsayayya kuma bata ƙara amsawa ga magani ɗaya ba, ana iya amfani da magani mafi ƙarfi.

Likitanku na iya yin amfani da magungunan ƙwayoyi ko allura idan psoriasis ɗinku ya fi tsanani ko ba ya karɓar zaɓuɓɓuka masu amfani. Yawancin waɗannan kwayoyi suna da sakamako masu illa, don haka likitoci sun taƙaita amfani da su ga mawuyacin hali ko tsayayyar harka kawai.

Samun bayanai

Methotrexate yana rage samar da ƙwayoyin fata kuma yana hana mayar da martani. Likitoci galibi suna ba da wannan ga mutanen da ke da cutar psoriasis mai matsakaiciyar cuta Yana daya daga cikin mahimman magunguna don mutanen da ke fama da cutar erythrodermic psoriasis ko pustular psoriasis. Kwanan nan, likitoci sun fara tsara shi azaman magani don cututtukan zuciya na psoriatic kuma.

Hanyoyi masu illa sun hada da:

• rasa ci
• gajiya
• ciki ciki

Cyclosporine

Cyclosporine magani ne mai matukar tasiri wanda aka tsara don murƙushe tsarin garkuwar jiki. Likitoci galibi suna ba da wannan maganin ne kawai ga mutanen da ke fama da mummunan cutar psoriasis saboda yana raunana garkuwar jiki.

Yawancin likitoci suma suna ba da wannan maganin ne na ɗan gajeren lokaci saboda haɗarin cutar hawan jini. Idan kun sha wannan magani, kuna buƙatar gwaje-gwajen jini na yau da kullun da kuma binciken karfin jini don saka idanu don matsalolin da za su iya faruwa.

Masu hana PDE4

Maganin baka ɗaya ne kawai, wanda ake kira apremilast (Otezla), a halin yanzu ana samunsa a cikin wannan sabon rukunin magungunan don psoriasis. Ba a fahimci yadda apremilast ke aiki don magance psoriasis ba. Ana tunanin yin aiki ta rage ragewar jikin ku ga kumburi.

Retinoids

Retinoids an yi su ne daga abubuwan bitamin A. Suna magance psoriasis matsakaici zuwa mai tsanani ta rage samar da ƙwayoyin fata. Kwararka na iya ba da shawarar cewa kayi amfani da waɗannan tare da maganin wutan lantarki.

Kamar yadda yake tare da sauran magunguna na yau da kullun, waɗannan suna da wasu mawuyacin sakamako masu illa. Likitanku na iya yin odar gwajin jini na yau da kullun don bincika babban cholesterol, wanda matsala ce ta kowa ga mutane akan wannan maganin. Retinoids na iya haifar da lahani na haihuwa. Matan da suke da ciki ko waɗanda suke son yin ciki bai kamata su sha wannan magani ba.

Abinda kawai FDA ta yarda dashi don maganin psoriasis shine acitretin (Soriatane).

Hydroxyurea

Hydroxyurea na cikin rukunin magungunan da ake kira antimetabolites. Ana tunanin yin aiki ta hana hana kwafin DNA. Ana iya amfani dashi tare da phototherapy, amma ba shi da tasiri kamar cyclosporine da methotrexate.

Illolin da ke iya faruwa sun hada da matakan kwayar jinin ja wadanda ba su da yawa (anemia) da kuma raguwar farin kwayoyin halittar jini da platelet. Matan da suke da ciki ko suke shirin yin ciki bai kamata su sha hydroxyurea ba saboda haɗarin haihuwa da ɓarin ciki.

Immunomodulator magunguna (ilimin halittu)

Ilimin halittu shine sabon nau'ikan magungunan da ke ƙaddamar da amsawar garkuwar jikin ku. Ana ba da waɗannan magungunan ta hanyar allura ko jijiyoyin cikin jini (IV). Sau da yawa likitoci suna ba su izini ga mutanen da ke da matsakaiciyar cutar psoriasis waɗanda ba su amsa magungunan gargajiya ba.

Ilimin ilimin ilimin halittu da aka yarda don maganin psoriasis sune:

• adalimumab (Humira)
• karban bayanai (Enbrel)
• certolizumab (Cimzia)
• infliximab (Remicade)
• 'ustekinumab (Stelara)
• secukinumab (Cosentyx)
• ixekizumab (Taltz)
• Brodalumab (Siliq)
• guselkumab (Tremfya)
• 'tildrakizumab (Ilumya)
• risankizumab (Skyrizi)

Biosimilars kuma sabuwa ake dasu, waɗanda suke kama da magungunan ƙwayoyin cuta, amma ba ainihin kwafi ba. Ana sa ran su sami sakamako iri ɗaya kamar magani na yau da kullun. Akwai halin yanzu biosimilars don infliximab da etanercept.

Thioguanine

Ana amfani da sinadarin Thioguanine don yin maganin cutar psoriasis. Duk da yake baya tasiri kamar methotrexate ko cyclosporine, thioguanine yana da raunin sakamako kaɗan. Wannan ya sa ya zama zaɓi na jiyya mafi kyau. Koyaya, har yanzu yana iya haifar da lahani na haihuwa. Mata masu ciki ko shirin yin ciki ya kamata su guji shan shi.

Amfani da lakabin-lakabin

• Amfani da lakabin-lakabin amfani yana nufin cewa magani wanda FDA ta yarda dashi don manufa ɗaya ana amfani dashi don wata manufa daban wacce ba a yarda da ita ba. Koyaya, likita har yanzu yana iya amfani da miyagun ƙwayoyi don wannan dalili. Wannan saboda FDA ta tsara gwajin da yarda da magunguna, amma ba yadda likitoci ke amfani da kwayoyi don kula da marasa lafiya ba. Don haka, likitanku na iya ba da umarnin magani duk da haka suna ganin shine mafi kyau don kulawa.

Phototherapy (farfadowa mai haske)

Phototherapy hanya ce wacce ake fallasar da fata a hankali zuwa hasken halitta ko na wucin gadi na ultraviolet (UV).

Yana da mahimmanci a tattauna batun daukar hoto tare da likitan fata kafin ka fallasa kanka zuwa manyan allunan UV. Maganin daukar hoto na dogon lokaci yana haɗuwa da haɗarin cutar kansa, musamman melanoma. Kada a taɓa gwadawa don kula da kai ta gado mai tanki ko kunar rana.

Hasken rana

Mafi tushen tushen hasken UV shine rana. Yana samar da hasken UVA. Hasken UV yana rage samarda kwayar T kuma yana kashe duk ƙwayoyin T da ke aiki. Wannan yana jinkirta saurin amsa kumburi da juyawar ƙwayoyin fata.

Bayanin taƙaitaccen haske zuwa ƙananan hasken rana na iya inganta psoriasis. Koyaya, tsananin zafin rana ko tsinkayen rana na dogon lokaci na iya kara bayyanar cututtuka. Hakanan yana iya haifar da lalacewar fata kuma yana iya haɓaka damar kamuwa da cutar kansa ta fata.

UVB maganin ƙwaƙwalwar ajiya

Don ƙananan larurar psoriasis, ana iya amfani da jiyya mai haske ta wucin gadi tare da hasken UVB.Saboda ana amfani da akwatunan haske masu fitarwa na UVB akai-akai don wannan nau'in magani, ana iya magance faci guda ɗaya ko ƙananan yankuna na fata, maimakon fallasa dukkan jiki.

Illolin sun hada da kaikayi, bushewar fata da ja a wuraren da aka kula da su.

Goeckerman far

Haɗa maganin UVB tare da maganin kwalta na kwal yana sa hanyoyin kwantar da hankali guda biyu sun fi tasiri fiye da kowane magani shi kaɗai. Tararfin kwal na sa fata ta fi karɓuwa ga hasken UVB. Ana amfani da wannan maganin don larura zuwa matsakaici.

Laser mai ban sha'awa

Laser far wani ci gaba ne mai raɗaɗi a cikin kula da psoriasis mai sauƙi zuwa matsakaici. Lasers na iya ƙaddamar da katakon haske na UVB akan facin psoriatic ba tare da shafar fatar da ke kewaye ba. Amma yana iya zama mai amfani kawai wajen magance ƙananan faci tunda laser ba zai iya rufe manyan yankuna ba.

Photochemotherapy, ko psoralen da ultraviolet A (PUVA)

Psoralen magani ne mai haskakawa wanda za'a iya haɗuwa da UVA light therapy a matsayin magani ga psoriasis. Marasa lafiya suna shan magani ko amfani da sigar cream don fatar kuma shiga akwatin haske na UVA. Wannan maganin yafi tashin hankali kuma galibi ana amfani dashi ne kawai a cikin marasa lafiya masu fama da cutar psoriasis.

Fushin fenti mai haske

Kwararka na iya bayar da shawarar laser fenti mai ƙwanƙwasa idan sauran jiyya suna da iyakacin nasara. Wannan tsari yana lalata ƙananan magudanan jini a cikin wuraren da ke kusa da alamun alamun psoriasis, yana yanke gudan jini da rage haɓakar ƙwayoyin halitta a wannan yankin.