fsoriazi

fsoriazi – qronikuli arainfeqciuri daavadeba, dermatozia da ZiriTadad azienebs kans. dResdReobiT am daavadebas automimunur bunebas miaweren. Cveulebriv fsoriazi mSrali, wiTeli, kanidan wamoweuli warmonaqmnebiT aris warmodgenili kanze. Tumca ki zogierT daavadebuls kanze aranairi xiluli dazianeba ara aqvT. fsoriazis mier gamowveul laqebs fsoriazuli folaqebi ewodebaT. es laqebi Tavisi bunebiT qronikuli anTebiTi ubnebia limfocitebis, makrofegebisa da keratocitebis Warbi proliferaciiT da Warbi aingiogeneziT kanqveSa SreSi.

fsoriazi gvxvdeba yvela asakSi, orfazovani pikia 16-22 da 57-60 wlis asakSi. aSS-Si avadoba aris 1-2%, am pacientebis 40% uCivis sasqeso organoebis dazianebas (Farber EM et al, 1992; MacDonald A. et al, 2007; Buechner SA, 2002).

sasqeso organoze Cndeba mrgvali, an ovaluri folaqebi,mowiTalo an movardisfro ferisaa, romelic xSrad dafaruli moTetRo an vercxlisferi
nadebiT. fsoriazs xSirad Tan sdevs qavili da fsiqosocialuri darRvevebi. fsoriazi mwvavdeba stresis, Tambaqosa da alkoholis Warbi gamoyenebis, mwvave infeqciebis (gansakuTrebiT streptokokuli), zogierTi mediamentis miRebisas (mag, β-blokerebis, liTiumis).

fsoriazis diagnozi naTeli fsoriazuli folaqebi aRmoCenisas. Tuki dazianeba aratipiuria, saWiro xdeba biofsia. mkurnaloba damokidebulia imaze daavadeba lokalizebulia, Tu gavrcelebulia.

mkurnalobis dros arCevis preparati dabalaqtiuri, an saSualo attivobis topikuri kortikosteroidebi. kortikosteroidebis wasma samarisia dReSi erTxel. dozis gadaWarbebis Tavidan acilebis mizniT, saWiroa kortikosteroidebis xmareba 2 kviris ganmavlobaSi da Semdeg saWiroa gadasvla dasvenebis dReebSi gamoyenebaze gadasvla (Lebwohl M., 2005). Tuki xangrZliv mkurnalobazea saubari sasurvelia iseTi preparatebis gamoyeneba, romleic ar iwveven kanis atrofias (mag, takrolimusi, an pimekrolimusi). lokalizebuli formebis dros arCevis preparatia vitamin D3-s analogebi, romleic kanze daitanebian dReSi 1-2-jer.