I-Psoriasis ingenye yama-dermatoses angapheliyo anithinta cishe u-2% wabantu bomhlaba. Ukushisa okubomvu okukhanyayo ngendlela yama-plaque, ehlanganiswe nezikali zesiliva, ebonakala nalesi sifo, ingakwazi ukushaya noma iyiphi ingxenye yomzimba. Mayelana nalokhu, iziguli zizwa ukungakhululeki okukhulu ngokomzimba nangokwengqondo, ukuphazamisa impilo yansuku zonke nemisebenzi yobuchwepheshe.
Ukwelashwa kwe-psoriasis kwenziwa ngezindlela eziyinkimbinkimbi ngokusetshenziswa kwemithi yesenzo sendawo nesistimu. Ngaphezu kwalokho, izindlela zokwelapha zisetshenziswa kabanzi ngokwanele kuzo zonke izigaba zesifo, ezinye zazo zivumela ukufezekisa umphumela wokwelapha owaziwayo. Omunye wabo ukwelashwa kwe-psoriasis nge-ultraviolet, eye yaziwa futhi yasetshenziswa iminyaka eminingi.
I-Ultraviolet ne-psoriasis
Ngesikhathi ukwelashwa kwesikhumba nge-ultraviolet, umgodi wemisebe yobude obuningi nobukhulu obuvezwe izibani ze-fluorescent, i-laser noma i-diode ekhanyayo ekhishwa ezindaweni ezithintekile. Izindlela zokwenza izinqubo ze-ultraviolet aziqali ngokuphelele, kodwa-ke, kukholelwa ukuthi imisebe ye-UV ivimbela umsebenzi wamangqamuzana omzimba okuhlasela amangqamuzana e-epidermal ku-psoriasis futhi abangela izinqubo zokuvuvukala ngokubunjwa kwesibalo se-character.
Kunezindlela eziningana zokwelashwa kwe-ultraviolet ye-psoriasis, ehlukaniswe ngamaqembu amabili:
- Izindlela zokuphototherapy - esekelwe ekusetshenzisweni kwezigaba ezahlukene zamagagasi emisebe ye-ultraviolet ngaphandle kokuhlanganiswa nezinye izindlela. Ngalesi dermatosis, i-phototherapy ekhethiwe, ukwelashwa kwe-ultraviolet ephakathi nendawo encane kanye nokusetshenziswa kwe-ultraviolet ukukhanya ngokuvamile kuvunyelwe.
- Izindlela ze-Photochemotherapy zisekelwe ezinhlobonhlobo ezahlukene zokusetshenziswa okuhlangene kwemisebe ye-ultraviolet ende kanye nama-photosoralitizer ye-psoralen (izidakamizwa ezikwazi ukuthola amaza akhanya). Okuyinhloko yalezi zindlela yizinqubo zokusebenzisa ngomlomo noma ngaphandle kwe-psoralens, kanye nama-baths e-PUVA.
Ukuze kusetshenziswe ukwelashwa kwe-ultraviolet, ukufakwa okuhlukahlukene kusetshenziselwa: amakhabishi okugcoba umzimba okugcwele, izixhobo zokuqeda izindawo ezithile, namadivaysi ekwehliswa kwendawo kuphela ezindaweni ezithintekile. Umthamo wokuqala wama-radiation, ubude kanye nemvamisa yezinqubo kukhethwe kuye ngohlobo lwesilonda, uhlobo lesikhumba, ukuzwela kwesiguli kuya emisebeni kanye nezinye izici.
Kumele kuqashelwe ukuthi namuhla kunezibani ezikhethekile ze-UV zokusetshenziswa kwi-psoriasis, kodwa izazi eziningi aziwamukeli ukwelashwa okunjalo ekhaya. Lokhu kungenxa yokuthi ngenxa yokungahambisani nomthamo kanye nesikhathi sokuchayeka emisebeni, izinkinga ezihlukahlukene zivame ukukhula. Ngakho-ke, izinqubo kufanele zenziwe emahhovisi ezokwelapha ngaphansi kokuqondiswa kwabasebenzi.
Ukungafani nokuphathwa kwe-psoriasis nge-ultraviolet
Ngaphambi kokuqala ukwelashwa, iziguli kufanele zihlolwe ukuze zibone ukuthi kungenzeka yini ukuphikisana nale nqubo yokwelapha. Ngenxa yalokhu, okulandelayo kuqokiwe:
- ukuhlaziywa okujwayelekile kwegazi nomchamo;
- ukuhlola igazi kwegazi ;
- ukubonisana komjozi wezifo zamasosha, i-endocrinologist, i-ophthalmologist, njll.
Izinqubo zingavunyelwe ezimweni ezilandelayo:
- ukungahambisani nemisebe ye-ultraviolet;
- Izifo zesikhumba ezinonya nezilonda ezinqanda;
- dermatomyositis;
- I-Gorlin's syndrome;
- i-porphyria ;
- i-systemic lupus erythematosus, nabanye.
Ngaphezu kwalokho, inhlanganisela ye-UV-irradiation ne-psoralens iphikisana lapho:
- ukukhulelwa kanye nokulahlwa;
- i-cataract;
- ukungabi khona kwe-lens;
- izinkinga ezibalulekile zesibindi nezinso;
- ukwelashwa nge-arsenic ne-radiation ionizing esikhathini esidlule.