00:00Dr. Risa Caldoza
00:30at kung paano natin masasuportahan
00:32ng mga taong nakaranas nito. Rise and shine,
00:34Dr. Risa. Good morning.
00:36Good morning, Dr. Alright.
00:37Tell us about itong kondisyon ng psoriasis.
00:39At paano po ba ito naiiba sa iba pong sakit
00:41sa balat doon? Psoriasis
00:43is an autoimmune skin
00:45disease. To make it
00:47easier for people to understand,
00:50ang autoimmune kasi, yan
00:51yung defense system mo, ang immune system
00:53yung defense system ng katawan mo.
00:55So, pag may
00:57psoriasis ka, ang nangyayari,
00:59instead of fighting off infection
01:01sa labas, pina-fight niya
01:03yung skin cells mo. Ang nangyayari,
01:06nagpapatong-patong
01:07yung skin cells mo na dapat 30 days
01:09nag-shed off yan.
01:11In 3 to 4 days, nag-shed off
01:13na siya. So, ang nangyayari, nagpapatong-patong
01:15nagko-cause siya ng mga patches.
01:18Okay. Tapos red siya,
01:19tapos inflamed, and
01:21para siyang may scaling.
01:23Para siyang isda, may scales.
01:25So, parang ganun na nangyayari. Okay.
01:27When do I say na meron akong psoriasis?
01:30Ano yung mga simptomas ito?
01:31The most common symptom
01:33is dry scaling skin.
01:35Okay.
01:35Para siyang white patches.
01:37So, ang doktor kasi,
01:39di ba, pupunta ka dyan,
01:40ikaw magkoconsult ka,
01:41kukuhaan ka ng history,
01:43and then sa simptomas mo,
01:44makikita namin yan.
01:45Kasi maraming diseases din
01:46na nagmi-mimic
01:47ng psoriasis.
01:48So, kailangan talaga sila pumunta
01:50sa kanilang derma,
01:52o sa kanilang primary doctor.
01:53Anong sanhiyok trigger po nito?
01:55Actually, hereditary siya.
01:58Malaking factor ang genetics.
02:00Ibig sabihin,
02:01isa sa tatlong pasyente
02:03yung nakikita namin yan,
02:04normally,
02:05ang parents niyan,
02:06meron.
02:06So, pag ang mother mo
02:07and father mo,
02:08merong psoriasis,
02:1070% chance,
02:11may psoriasis yung
02:12magiging anak nila.
02:15Pag ang isang parent lang naman,
02:16mother mo lang,
02:1715% chance,
02:18magkakaroon ko ng psoriasis.
02:20Lifestyle hindi naman?
02:21Malaki rin ang lifestyle.
02:22Kasi ang trigger
02:23ng lifestyle factors.
02:26Okay.
02:26For example, stress.
02:27O yun?
02:28Malaking 45% stress
02:30ang factor ng flare-ups.
02:32Kasi it's a lifetime disease.
02:34Pang matagalan talaga ito,
02:35wala siyang cure,
02:36pero natitreat natin
02:37yung sintomas.
02:38So, good stress
02:39or bad stress?
02:41Bad stress normally
02:42because yung mga
02:43inflammation sa katawan natin,
02:45ititrigger niya
02:46para magkaroon ka
02:48ng flare-ups.
02:49Minsan,
02:50may scratches.
02:51Kunyara,
02:52nascratch yung balat mo.
02:54Nagtitrigger minsan
02:55ang flare-up ng psoriasis.
02:56Minsan,
02:57medications.
02:58May mga
02:58naiinom tayo
02:59na can trigger
03:00your flare-up ng psoriasis.
03:03Nakakahawa rin po ba ito?
03:04Yan,
03:04hindi talaga siya nakakahawa.
03:06I want to
03:06stress that, no?
03:08Kasi there's a stigma.
03:09Pag ang pasyente
03:10may psoriasis,
03:12kasi ang pangit ko siya
03:13talagang tignan eh.
03:14Parang siyang dandruff,
03:15kaya lang nasa skin mo.
03:17So,
03:18pag nakikita nila,
03:18minsan nagdudugo pa yan.
03:20Kala nila,
03:21ay,
03:21ayaw ko na lumapit
03:22kasi nakakahawa.
03:24But,
03:24hindi po ito nakakahawa.
03:25I want to stress that.
03:26Let's take away
03:27the stigma of psoriasis.
03:29Hindi siya nakakahawa.
03:30It's an autoimmune disease.
03:32Pwede mo siyang
03:33ihug.
03:34O,
03:34wala po yung problema dyan.
03:36Alisin natin yung stigma.
03:37Dapat.
03:39Well,
03:39ano naman po yung mga
03:40available treatments
03:41for this talk?
03:42Maraming tayong
03:42available treatments, no?
03:44Although,
03:44as I said,
03:45hindi talaga siya curative.
03:46Hindi siya forever mawawala.
03:48Pag nagflare up siya,
03:50pwede nating lagyan
03:50ng mga topical.
03:51Ibig sabihin,
03:52pinapahid
03:53ng mga gamot.
03:54May mga steroids
03:55na pwedeng ilagay.
03:56Moisturizers,
03:57salicylic acid,
03:58marami,
03:59pwedeng ilagay, no?
04:00Kasi makati siya eh.
04:01So, talagang
04:02gusto natin
04:03maibsan yung kate.
04:05So, we have to
04:06moisturize the skin.
04:08Tapos,
04:08meron din pwedeng
04:09light therapy.
04:11We call it phototherapy.
04:13Meron tayong
04:13UV light
04:15na nilalagay
04:16dun sa mga lesions,
04:17dun sa mga
04:18flare ups.
04:20Tapos,
04:20nawawala siya.
04:21Medyo,
04:21may kamahalan nga lang
04:22ng konti.
04:23Okay, so,
04:24nawawala naman yung psoriasis sa atin?
04:25Yung flare ups.
04:26Pero,
04:27andun pa rin siya
04:27sa loob ng katawan.
04:28So, pag na-trigger siya,
04:29Okay.
04:30Lalabas na naman siya.
04:31Lalabas na naman siya.
04:33Kaya iwas stress dapat.
04:34Kailangan din.
04:35Oh, easier said than done.
04:36Pero talagang yun kasi,
04:38sabi ko nga,
04:3943%,
04:4045%
04:41ng flare ups
04:42is caused by stress.
04:43Ayun.
04:44Kaya dapat,
04:45hindi ka,
04:46ano,
04:46broken hearted.
04:47Oo.
04:48So, ikaw,
04:48hindi mo naman naranasan yun.
04:50Wala pa naman.
04:51Pero, mga patients ka na...
04:52Marami.
04:53Marami.
04:54Sa Philippines,
04:55ang statistics natin ngayon,
04:56nasa mga 1 to 2 million
04:58ng buong populasyon
04:59ng Pilipinas,
05:00merong psoriasis.
05:01Ayun.
05:02Kaya mahalaga
05:03na makapagbigay ng informasyon,
05:05tamang informasyon, no?
05:06How do we do that?
05:07Okay.
05:07Marami tayo ngayon
05:08mga organizations na,
05:10like,
05:10SOAR Philippines,
05:11psoriasis Philippines,
05:12na may adbukasya
05:13para sa psoriasis,
05:15para matanggal nga yung stigma.
05:16So, they teach patients,
05:17they teach healthcare providers,
05:20para,
05:20kasi pag better informed ka,
05:22mas maganda yung choices mo.
05:24Okay.
05:25Well,
05:25ngayon po,
05:26psoriasis awareness month,
05:28ano po siguro yung pinakamahalagang
05:29bensahin na naisin
05:30yung iparating sa ating mga viewers?
05:32The most important for me
05:33is always,
05:34tanggal natin yung stigma
05:36ng psoriasis.
05:37It's not contagious.
05:39Hindi po siya contagious.
05:39Pwede niyo pong embrace
05:42ang inyong mga mahal sa buhay
05:44na may psoriasis.
05:45And then,
05:46there are treatments available
05:47para po,
05:49we can live a good quality of life
05:53kahit meron tayong psoriasis.
05:55Alright.
05:55On that note,
05:56maraming salamat
05:56sa paglalaan na oras sa amin,
05:58Dr. Risa Caldoza,
06:00fellow ng Philippine Academy
06:01of Medical Specialists
06:03in Dermatology and Asphetics.
06:05Thank you so much, Doc.
06:05Thank you very much.
