乾癬是一種頑固的免疫性皮膚問題,病灶外觀是鮮紅的塊狀脫屑,而且會劇烈 搔癢,讓人痛苦不堪。除了先天因素之外,新研究發現,睡眠呼吸中止症和乾 癬有直接的因果關係,而且會互相影響。 這兩種疾病之所以會一起討論,是因為乾癬病人會因為癢而搔抓,影響睡眠品 質,因此過去就有乾癬和睡眠呼吸中止相關的研究指出,睡眠呼吸中止症的病 人,體內的發炎指數很高,免疫細胞會被改變、活化而引發乾癬。 雖然先天因素無法改變,但兩者在預防誘發的方法上,後天有共同的地方,包 括: 1. 戒菸、戒酒:因為菸酒會讓乾癬惡化,也容易造成心血管疾病。吸菸也是睡 眠呼吸中止症的高風險族群。 2. 睡眠正常、紓壓:作息不正常、壓力大會造成免疫系統不穩定,可能誘發或 惡化病情。而壓力大也會惡化睡眠呼吸中止症。 3. 減重:因為肥胖的人容易罹患睡眠呼吸中止症,而且減重也能讓體內發炎程 度降低,且能對各項治療更有反應,最重要的是,不要讓代謝症候群變成乾 癬的併發症,這樣會更不好控制。
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