Kutarisirwa Kwekubereka Muzviitiko zvePsoriasis
Pendauluan
Psoriasis chirwere cheganda chisingaperi chinoratidzwa nekuzvimba uye kuwedzera kwemasero eganda, zvichikonzera mavara matsvuku (plaques) ane makwande machena sesirivha, kuvaviwa, ganda rakaoma, uye kunyange kurwadziwa. Chirwere ichi chiri kudzokera shure, chichikonzerwa nezvinhu zvemajini uye zvemuviri, uye chinokonzerwa nekushushikana, hutachiona, kukuvara kweganda, shanduko yemahormone, mimwe mishonga, uye mararamiro. Panyaya yekuzvitakura, psoriasis inyaya inotyisa nekuti inogona kuitika kuvasikana vechidiki, vakadzi vane pamuviri, vakadzi vachangobva kusununguka, uye vanaamai vanoyamwisa. Kunyangwe psoriasis isingatapukire, kunyunyuta kweganda kunogona kukanganisa kugadzikana kwemurwere, kunaka kwekurara, mufananidzo wemunhu, uye hutano hwepfungwa. Naizvozvo, kutarisirwa kwakakwana kwekuzvitakura kwakakosha kuburikidza nenzira yekubatsirana, yekudzivirira, uye yekurapa, pamwe nerutsigiro rwepfungwa.
Psoriasis uye Kukanganisa Kwayo Pavakadzi
Psoriasis ine mhando dzakasiyana-siyana, iyo inonyanya kuzivikanwa ndeye plaque psoriasis. Nzvimbo dzinowanzoonekwa dzinosanganisira magokora, mabvi, ganda remusoro, musana, uye mapete emuviri, asi inogonawo kukanganisa nzvimbo yenhengo dzesikarudzi dzinonzwa. Muvakadzi, shanduko dzemahormone panguva yekuenda kumwedzi, pamuviri, uye mushure mekusununguka zvinogona kukanganisa mafambiro echirwere. Vamwe vakadzi vane pamuviri vanoona zviri nani muzviratidzo, asi vamwe vanogona kuona kuwedzera kana kudzoka, kunyanya munguva yekusununguka. Migumisiro ye psoriasis haisi yemuviri chete asiwo yepfungwa, senge kuzvidya mwoyo, kunyara, kurega kushamwaridzana nevamwe, uye njodzi yekuora mwoyo. Kana psoriasis ikakanganisa mazamu kana areola, vanaamai vanoyamwisa vanogona kunzwa kurwadziwa kunokanganisa kunyaradzwa kwekuyamwisa.
Basa reVananyamukuta muKutarisira Psoriasis
Vananyamukuta vane basa guru mukupa hutano hwevakadzi hwakakwana. Kana paine psoriasis, vananyamukuta havatsivi basa revanachiremba veganda, asi vanogona kupa ruzivo rwekutanga, dzidzo, kutarisa, rutsigiro rwepfungwa, uye kutumira varwere panguva yakakodzera. Vananyamukuta vanobatsirawo kuona kuti kurapwa kweganda kwakachengeteka kuvakadzi vane pamuviri nevanoyamwisa, sezvo mimwe mishonga yepsoriasis iine njodzi kumwana ari mudumbu kana mucheche.
Kuongororwa kweKubereka
Kuongororwa kwakanaka ndiko kunoita kuti pave nerubatsiro. Vananyamukuta vanofanira kutora nhoroondo yechirwere ichi inosanganisira:
1. Zvichemo zvikuru: kuvaviwa, kurwadziwa, kuoma, maronda, kutsvuka, kurwadziwa, kana ganda rakatsemuka.
2. Nhoroondo yechirwere chazvino: pachakaonekwa, kakawanda kwekudzokera shure, saizi yenzvimbo, zvinokonzeresa (kushushikana, hutachiona hwepahuro, kutonhora, kuneta, kukweshana kweganda).
3. Nhoroondo yemishonga: mafuta e corticosteroid, mafuta e salicylic acid, mafuta anonyorovesa, phototherapy, kana mishonga yemuviri. Bvunza nezvekutevera mitemo uye migumisiro yazvo.
4. Nhoroondo yekuzvitakura: mamiriro epamuviri/kuyamwisa, zera repamuviri, zvichemo zvepamuviri, nhoroondo yematambudziko.
5. Nhoroondo yemhuri: psoriasis inowanzova nechinhu chinogara nhaka.
6. Zvinhu zvinokanganisa magariro evanhu: kushushikana, kunaka kwekurara, rutsigiro rwemhuri, uye kukanganisa kuzvivimba.
Kuongororwa kwemuviri kunoitwa, kuchiona mamiriro eganda: rudzi rweronda, nzvimbo, kuvapo kwehutachiona hwechipiri (matumbu, kutsvuka kwakapararira, kurwadziwa, fivha), uye kuongororwa kuri nyore kwehukosha hwacho. Vananyamukuta vanogonawo kuongorora zviratidzo zvekushaya ropa kana kushaya chikafu muvarwere vane zvirwere zvisingaperi, kunyange zvazvo psoriasis pachayo isiri chikonzero chakananga.
Kuongorora/Kuongorora Dambudziko
Mukurapa kwevana vadiki, ongororo inogona kuunganidzwa inosanganisira:
- Kusagadzikana kweganda kunobatanidzwa nekuzvimba kwenguva refu mu psoriasis.
– Kusagadzikana (kuvaviwa/kurwadziwa) kunokonzerwa nemaronda eganda.
– Njodzi yekubatwa nechirwere chechipiri nekuda kwekukwenya uye ganda rakatsemuka.
– Kukanganiswa kwemufananidzo wemuviri kana kuzvidya mwoyo nekuda kwekuchinja kwechitarisiko.
– Mumadzimai anoyamwisa: kurwadziwa panguva yekuyamwisa kana chironda chacho chikakanganisa zamu/munyatso.
Kuronga Kutarisira
Kuronga kutarisirwa kwevana kunotarisa pazvinangwa zvinotevera: kuderedza zviratidzo, kudzivirira matambudziko, kuvandudza hunyanzvi hwekuzvitarisira, kuchengetedza hupenyu hwakanaka, uye kuona kuchengetedzeka kwemwana ari mudumbu kana mwana. Zvirongwa zvekutarisira vana zvinogona kusanganisira:
1. Kudzidziswa kwezvirwere: psoriasis isingaperi, haitapurirani, inodzoreka, uye ine zvikamu zvekudzokera shure.
2. Kuchengetedza ganda zuva nezuva: shandisa moisturizer, kugeza nesipo isina kunyorova, dzivisa mvura inopisa zvakanyanya, chengetedza hunyoro hweganda.
3. Deredza zvinhu zvinokonzera kushushikana: kudzora kushushikana, kuwana hope dzakakwana, dzivisa kusvuta nedoro, uye deredza kukuvara kweganda (kukwenya, kukwesha zvisina kunaka).
4. Kuongororwa kwepamuviri/kuyamwisa: kuona kuti mishonga nekurapwa hazvina njodzi.
5. Kushandira pamwe nekutumira varwere: kunyanya kana maronda acho akakura, kurwadziwa kwakanyanya, paine hutachiona, kana kuti murwere achida kurapwa nemuviri.
6. Rutsigiro rwepfungwa: mazano ekutanga, rutsigiro rwemhuri, uye kutumira kune mumwe munhu kana paine zviratidzo zvekuora mwoyo kwakanyanya.
Kuitwa Kwekutarisira (Zviito)
1. Kupindira kusiri kwemishonga
Vananyamukuta vanogona kukurudzira matanho akachengeteka uye anobatsira:
– Nyorovesai ganda nguva nenguva kanenge kaviri pazuva, kunyanya mushure mekugeza, kuderedza kuoma uye kuvaviwa.
– Isa mushonga unotonhora panzvimbo inokwenya kuderedza kuda kukwenya.
– Pfeka mbatya dzakapfava dzakagadzirwa nezvinhu zvakapfava kuti uderedze kukweshana.
– Chengeta nzara dzako dzakapfupika uye dzakachena, zvichideredza njodzi yekukuvara paunenge uchikwenya.
– Geza ganda remusoro neshampoo yakapfava. Kana paine makwande akakora, murwere anofanira kuongororwa nachiremba kuti awane shampoo chaiyo.
- Kudzora kushushikana: maekisesaizi ekufema, kuzorora, kuita zvinhu zvishoma, rutsigiro rwemhuri, uye kutaurirana pachena.
2. Kupindira Kwemishonga (Kushanda Pamwe Chete)
Vananyamukuta vanofanira kungwarira nezvemishonga panguva yekuzvitakura uye yekuyamwisa. Kazhinji:
– Zvinonyorovesa nezvinonhuhwirira kazhinji hazvina njodzi.
– Mishonga yecorticosteroids inogona kushandiswa sekurairwa nachiremba; nyamukuta anogona kukubatsira kukudzidzisa nezvekushandiswa kwayo uye kutarisa migumisiro yakaipa.
– Mishonga yemuviri (semuenzaniso, mishonga yemuromo inonzi retinoids kana mimwe mishonga yekudzivirira muviri) ine njodzi panguva yekuzvitakura uye inofanira kutarisirwa nachiremba. Vananyamukuta vanofanira kuona kuti varwere havashandisi mishonga vasina kubvunza chiremba.
- Phototherapy dzimwe nguva inzira inoshandiswa mune dzimwe nguva uye inoda nzvimbo dzakakosha uye kutariswa.
3. Kutarisirwa panguva yekuzvitakura
Muvakadzi vane pamuviri vane psoriasis, chinangwa chekutarisira chinosanganisira:
- Tarisa matambudziko eganda uye kukanganisa kwawo kurara, kushushikana, uye hupenyu hwakanaka.
– Ongorora kana paine zvimwe zvirwere zveganda zvinogona kuwedzera dambudziko racho.
– Dzidzo inovandudzika kune vamwe vanaamai panguva yekuzvitakura, asi kudzoka kwechirwere ichi kunogona kuitika kunyanya mushure mekusununguka.
– Simbisa kukosha kwekutarisa kuna chiremba weganda kana zvichemo zvikawedzera kana kuti zvichida mushonga wakasimba.
– Gadzirisai kutarisirwa kwemwana nguva dzose: kudya kwakaringana, kunyoroveswa nemvura, kudzora huremu, uye kuongororwa kwehutano hwepfungwa.
4. Kutarisirwa Kwemwana Mushure mekusununguka uye Kuyamwisa
Munguva yekusununguka, kuchinja kwemahormone uye kuneta zvinogona kukonzera kudzokera shure kwechirwere. Vananyamukuta vanogona:
- Kurudzira kuzorora zvakakwana, rutsigiro rwemhuri, uye kudzora kushushikana.
– Kana chironda chikakanganisa zamu, nyamukuta achabatsira kuisa chibatiso chekuyamwisa kudzivirira kukuvara kweganda.
– Yeuka kushandiswa kwemakirimu ane mishonga munzvimbo yezamu zvichienderana nekurudziro yachiremba, uye iva nechokwadi chekuti nzvimbo yezamu yacheneswa kana zvichidikanwa usati wayamwisa (zvichienderana nerudzi rwemushonga).
– Tarisa kana kurwadziwa kwekuyamwisa kuchikonzera kudzikira kwekuyamwisa kakawanda, zvichikonzera njodzi yekudya mukaka wemuzamu kana mastitis.
Kuongorora uye Kutevera
Kuongorora kunoitwa nekuongorora:
- Kudzikira kwekuvaviwa, kutsvuka, mavanga, uye kugadzikana kwekurara kwakawedzerwa.
– Hapana zviratidzo zvehutachiona hwechipiri (kurwadziwa kwakanyanya, hurwa, fivha).
- Murwere anotevedzera mitemo yekuchengeta ganda uye anodzivisa kushandiswa kwaro.
– Matambudziko epfungwa: murwere anonzwa aine chivimbo, haanyanyi kunetseka, uye ane rutsigiro rwakanaka.
– Kune vakadzi vane pamuviri: mamiriro emwana ari mudumbu naamai anoramba achitariswa zvichienderana nemitemo yeANC.
– Kune vanaamai vanoyamwisa: kuyamwisa kwacho kwakanaka, hapana mamwe maronda, uye mwana anowana mukaka wemuzamu wakakwana.
Kutevera chirwere kwakakosha nekuti psoriasis inowanzo dzoka. Vananyamukuta vanogona kuronga kuongororwa, kupa ruzivo nezvezvikonzero zvekudzivisa, uye kukurudzira varwere kuti vatsvage rubatsiro rwechiremba nekukurumidza kana paine shanduko dzine chekuita nechirwere ichi.
Mhedziso
Kutarisirwa kwe psoriasis kuburikidza nepamuviri kunoda nzira yakazara inosanganisira kuongororwa kwakazara, dzidzo, kutarisirwa kweganda kwakachengeteka, kurapwa kwezvinokonzera chirwere, rutsigiro rwepfungwa, uye kushanda pamwe chete nachiremba weganda. Kune vakadzi vane pamuviri uye vanoyamwisa, kuchengetedzeka kwekurapa ndiko kunonyanya kukosha nekuti mimwe mishonga ye psoriasis ine njodzi kumwana ari mudumbu kana mucheche. Nekutarisirwa kwakakodzera uye kunogara kuripo, varwere vanogona kubata zviratidzo zviri nani, kudzivirira matambudziko, uye kuchengetedza hupenyu hwakanaka panguva yekubereka, pamuviri, mushure mekusununguka, uye pakuyamwisa.
Kana muchida, ndinogona kupedzisa chinyorwa chino nemaitiro eSOAP midwifery care format, mienzaniso yekuongorora kwe obstetric/NANDA, kana zvidzidzo zvezviitiko (semuenzaniso, mukadzi ane pamuviri ari mu trimester yake yechipiri ane plaque psoriasis).
