A wasu lokuta, Jiyya ga Yanayi Biyu Zai Kashewa
Mutanen da ke fama da cututtukan zuciya (IBD) ma wasu lokuta sukan bunkasa wasu cututtuka ko yanayi da ake kira bayyanannu-intestinal manifestations (ko wasu lokutan EIMs) . Yanayin fata suna da yawa a cikin mutanen da ke tare da IBD, kuma abin da ke tsammanin ya faru akai-akai a cikin yawan jama'a kuma a cikin mutane tare da IBD shine psoriasis . Mutane da yawa suna iya tunanin psoriasis a matsayin mai raɗaɗi, amma yana da ainihin yanayin da zai iya raba hanya guda mai ƙin ƙwayar cutar kamar yadda Crohn yake.
Saboda yanayin guda biyu na iya haifar da matsala a cikin aiki na tsarin rigakafi, wasu magunguna guda ɗaya suna bi da su. Ga mutanen da ke tare da IBD waɗanda suke da psoriasis, dukansu biyu zasu iya zama mahimmanci yayin zabar warkaswa.
Akwai magungunan maganin da dama don psoriasis riga an samo kuma mafi yawan suna bunkasa a halin yanzu. Mutanen da ke da psoriasis da IBD zasu so su nemi kulawa daga wani likitan ilimin lissafi da ke fama da marasa lafiya tare da IBD kuma zasuyi aiki tare da gastroenterologist .
Menene Psoriasis?
Psoriasis wani cututtuka ne wanda ke haifar da tashe, yazama a kan fata. Raguwa zai iya bayyanawa a kowane ɓangare na jiki, amma yawanci yana nuna sama a kan gefuna, gwiwoyi, da kuma kyalkyali amma ana iya samuwa a kafafu, kusoshi, da akwati. Mafi yawan nau'in psoriasis ana kira plaque psoriasis kuma plaques na iya haifar da shi ko ƙonawa.
Psoriasis yana wucewa ta hanyar lokuttuka da remission. A mafi yawan lokuta, ana bi da psoriasis tare da creams.
Yaya Ƙwararren Ƙwararrun Mutum a Mutum Tare da IBD?
An yi la'akari da IBD matsayin yanayin rikici. Ba abin mamaki ba ne ga mutanen da suke da cutar daya daga cikin marasa lafiya don inganta wani abu. IBD da psoriasis sune duka yanayin da ke da wata sanarwa (wanda ake kira cutar cututtukan) da kuma haifar da kumburi.
A cikin 'yan shekarun nan masu binciken suna gano karin bayani game da haɗin da ke tsakanin IBD da cututtuka na psoriatic. Psoriasis a yawancin jama'a kawai ke gudana a kusan kashi 2 zuwa kashi 3 amma ga mutanen da ke da IBD yana nuna cewa sun fi girma. Nazarin ya nuna cewa mutanen da ke da kwayar cutar Crohn da cututtuka na iya haifar da psoriasis a kashi kimanin kashi 13 cikin 100.
Hanya Hanyar Flammatory
Yayinda masu bincike suka gano game da hanyoyin ƙwayoyin cuta na IBD da psoriasis, wasu suna fyauce tsakanin cututtuka guda biyu ana gano su. Kwayar Crohn da psoriasis suna daukar matakan Th1. Th1 shine mai taimakawa ne wanda yake kawo saurin maganin kumburi yayin da wani abu na waje ya mamaye jiki kamar su kwayoyin halitta, kwayoyin, ko cutar. Ulcerative colitis yana dauke da yanayin Th2 mai kama da juna. Ana kunna kwayoyin Th2 a yayin da akwai kwayar cuta, amsawa mai rashin lafiyar, ko kuma baƙi. Kamar yadda muhimmancin wadannan kwayoyin T ɗin sun fi fahimta game da ci gaban IBD da psoriasis, zai iya kai ga samar da magunguna mafi mahimmanci ga waɗannan cututtuka.
Shin Samun Psoriasis Ƙara Rashin Ci gaban IBD?
Akwai ƙananan binciken da suka shafi haɗarin IBD a cikin mutanen da aka gano tare da psoriasis.
Sun nuna matakan jituwa: Wasu sun nuna haɗarin haɗari na IBD a cikin waɗanda ke da psoriasis da sauransu sun nuna akasin haka. Bugu da ƙari, hanyoyin da aka yi amfani da su a cikin waɗannan nazarin ba su kasance ba tare da kuskuren su ba, wanda ya sa maƙasudin ya fi wuyar tsayawa. A halin yanzu, ba'a san ainihin haɗarin da ake ciki ba, amma akwai kamuwa da yanayin da ke faruwa ga mutane tare da psoriasis tare da kara yawan haɗarin ƙaddamar da cutar Crohn. Haka kuma ba gaskiya ba ne ga cututtuka na ciwon ciki: Akwai ƙaramin shaida cewa mutane da psoriasis na iya kasancewa cikin haɗari na haɓaka tasowa.
Magungunan maganin gargajiya da haske don Psoriasis
Akwai magunguna daban-daban na psoriasis, ciki har da farjin haske, maganin magunguna, da magunguna. A lokuta da yawa, za'a iya amfani da fiye da ɗaya magani a lokaci guda don magance alamun cutar psoriasis. Yawanci, za'a iya gwada hanyoyin gwaji na farko, kafin motsawa zuwa farfadowa ko magunguna.
- Topical jiyya. Akwai nau'o'in creams da kayan shafa masu yawa waɗanda za a iya amfani dashi ga psoriasis, dukansu a kan takaddama da takardun magani. Wasu daga cikin nau'ikan da ke aiki sun hada da corticosteroids , bitamin D , retinoids, anthralin , masu kirkiro calcineurin (Protopic da Elidel) , salicylic acid, da kuma kwalba . A wasu lokuta ana iya amfani da moisturizers don magance bushewa.
- Haske haske. Haske da ke dauke da ultraviolet A da ultraviolet B ana iya amfani da su don bi da psoriasis. Ana amfani da wannan tareda wasu jiyya. Za a iya amfani da hasken rana daga waje don gajeren lokaci. Hakanan za'a iya yin amfani da hasken ultraviolet ta hanyar phototherapy tare da panel mai haske, akwatin, ko akwati. A lokuta masu tsanani, magani zai iya yin amfani da ƙwayar jikin da ya fi dacewa da hasken ultraviolet a lokaci guda kamar farjin haske don inganta shi. Ana amfani da irin laser a wasu lokuta saboda yana iya ƙayyade wurare daban-daban a jiki tare da karfi akan haske ultraviolet B.
Magunguna amfani don bi da Psoriasis
Saboda psoriasis wani cututtukan tsari ne, magunguna waɗanda aka ba da launi ko ta hanyar allura ma za a iya amfani dasu. A wasu lokuta, magunguna da aka yarda da su bi da psoriasis an ba su don bi da wani ko fiye da siffofin IBD, ciki har da methotrexate, cyclosporine, da kuma wasu ilimin halitta:
- Cosentyx (securinumab) : Cosentyx ne wanda ya yarda da maganin psoriasis, rubutun cututtuka na psoriatic, da kuma nau'in arthritis da aka haɗa da IBD da ake kira ankylosing spondylitis, kodayake ba a amince da su bi da kowane nau'i na IBD ba. Cosentyx an ba shi a gida ta hanyar allura tare da fursunin da aka rigaya da sirinji. Abubuwan da suka shafi kwayoyin cutar sun hada da sanyi bayyanar cututtuka, cututtuka, da cututtuka na numfashi na sama.
- Cyclosporine : Cyclosporine wata maganin rigakafin rigakafi ne wanda ake amfani dasu don shawo kan cutar mafi tsanani na psoriasis kuma ana amfani da shi a wasu lokuta a cikin cutar Crohn. Wasu daga cikin cututtuka da yawa sun haɗu da ciwon kai, ciwon ciki, da hawan jini, da kuma gajiya. Ba a yawanci shawarar shawarar yin amfani da dogon lokaci a cikin yanayin psoriasis, kuma an dakatar da shi a karkashin shekara guda.
- Enbrel (kwakwalwa) : Enbrel wani magani ne na kwayoyin halitta wanda aka yarda ya bi da psoriasis da sparkylitis ankylosing. Shi ne mai tsaro na TNF, amma ba a yi amfani da ita ba don bi da kowane nau'i na IBD. An sanya Inbrel a gida kuma mafi rinjaye na kowa shine samun maganin a wurin ginin, irin su redness ko zafi.
- Humira (adalimumab) : Humira wata magani ne wanda ba a iya amfani da su ba don amfani da cutar Crohn da cututtukan daji da psoriasis. Marasa lafiya na iya ba da Humira a gida domin ya zo a cikin wani inji na musamman. Wannan magani ne mai rikici na mutum guda kuma an classified shi a matsayin mai hana TNF. Sakamakon mafi rinjaye na kowa shine jin zafi ko jin haushi a wurin ginin, wanda ake bi da shi a gida tare da kankara ko antihistamines.
- Methotrexate : Wannan magani za a iya ba da launi ko ta hanyar allura, kuma ana amfani dashi don bi da psoriasis da kuma cutar Crohn da sparkylitis ankylosing. Wasu daga cikin halayen haɗari sun hada da tashin zuciya, ciwon kai da damuwa. Mata masu karɓar matsala dole ne su kauce wa ciki saboda wannan magani yana iya haifar da haukarar tayi. Ana amfani da Methotrexate tare da wasu magunguna don IBD da / ko psoriasis.
- Otezla (apremilast) : Otezla magani ce mai mahimmanci kuma shine wanda aka amince dashi don yin amfani da maganin cututtuka na psoriatic a cikin manya kuma an yarda da shi don amfani a psoriasis. Abubuwan da aka fi sani da sunadarai a yayin gwajin gwaji sune ciwon zuciya, ciwon kai, da kuma zawo, amma waɗannan sun inganta bayan da 'yan makonni suka jiyya.
- Stelara (ustekinumab) : Stelara an fara amincewa da psoriasis kuma yanzu an yarda ya bi da cutar Crohn. Stelara magani ne na kwayar halitta wanda ke da interleukin (IL) -12 da kuma IL-23. An ba Stelara farko ta IV amma bayan an ba da kashi na farko a gida ta hanyar allura. Hanyoyin da suka shafi halayen sun hada da jin daɗaɗɗa, da amsawa a wurin injection, ciwon kai, da sanyi-kamar bayyanar cututtuka.
Kalma Daga
Shaida ta nuna cewa psoriasis da IBD sun saba faruwa tare akai-akai fiye da tunani a shekarun baya. Har yanzu ba a bayyana ba idan samun psoriasis ya sa ya fi dacewa cewa mutum zai ci gaba da zama nau'i na IBD. A wasu lokuta ana amfani da magunguna da aka yi amfani da su na IBD don bi da psoriasis. Yawancin lokuta na psoriasis an dauke su da matsakaicin matsakaici kuma za a iya bi da su tare da magungunan haske ko magunguna masu magunguna. Don karin lokuta masu tsanani na psoriasis, inda kashi 5 cikin 100 zuwa kashi 10 ko fiye na jikin ya shafi, za'a iya amfani da magungunan magungunan magungunan ko magunguna. Kamar dai yadda yake tare da IBD, yana da muhimmanci a ci gaba da kula da psoriasis don hana ƙuƙwalwa. Akwai sababbin jiyya don psoriasis a halin yanzu a binciken, kuma makomar don magani na psoriasis yana da haske.
> Sources:
> Gisondi P, Del Giglio M, Cozzi A, Girolomoni G. "Psoriasis, hanta, da kuma gastrointestinal tract." Dermatol Ther . 2010 Mar-Apr, 23: 155-159.
> Li WQ, Han JL, Chan AT, Qureshi AA. "Psoriasis, cututtuka na psoriatic da kuma haɗarin hadarin faruwar cutar Crohn a matan Amurka." Annals na cututtukan rheumatic . 2013; 72: 1200-1205.
> Najarian DJ, Gottlieb AB. "Haɗin tsakanin psoriasis da cutar Crohn." J Am Acad Dermatol . 2003 Yuni; 48 (6): 805-821; quiz 822-824.
> Strober W, Fuss IJ. "Pro-Inflammatory Cytokines a cikin Binciken na IBD." Gastroenterology . 2011; 140: 1756-1767.