Ua loaʻa koke anei iā ʻoe nā pehu liʻiliʻi, maneʻo, pālahalaha, poni, a ʻālohilohi ma kou kino, ʻoi aku hoʻi ma kou mau pulima, kuʻekuʻe lima, a me nā wāwae? A i ʻole he mau laina keʻokeʻo e like me ka ʻupena ma loko o kou waha a ma nā ʻaoʻao o kou mau papālina? Ua ʻike paha ʻoe i kahi loli i kou mau kui? He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke ʻike ʻoe i kēia mau mea. Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi ʻili e hoʻopilikia ana i nā poʻe he nui, akā ʻaʻole ia he mea weliweli loa, i kapa ʻia ʻo lichen planus.
I ka ʻōlelo maʻalahi, he aha ka Lichen Planus?
ʻO ka Lichen planus kahi maʻi ʻili e hoʻoulu ai i nā puʻupuʻu liʻiliʻi a piʻi aʻe (papules) e ʻike ʻia ma ka ʻili, ka waha, nā kui, ke poʻo, a i kekahi manawa nā ʻōpū. Hiki ke ʻike ʻia kēia mau mea ma kahi hoʻokahi wale nō, a i ʻole hiki ke ʻike ʻia ma nā wahi he nui o ke kino i ka manawa hoʻokahi.
ʻO nā wahi nui e hiki ai i kēia maʻi ke hoʻopilikia:
- ʻIli: ʻOi loa aku ma nā pulima lima, nā kuʻekuʻe lima, a me nā wāwae ma lalo o nā kuli.
- I loko o ka waha (Oral Mucosa): I loko o nā papālina, ke alelo, a me nā lehelehe.
- Poʻo: ʻO ka ʻili kahi o ka lauoho.
- Nā kui: Ma nā lima a me nā wāwae.
- Nā ʻōpū wahine: Nā wahi ʻōpū kāne a me nā wahine.
He kūlana maoli kēia i hoʻokumu ʻia e kahi kuhihewa liʻiliʻi o kā mākou ʻōnaehana pale. E nānā kākou iā ia me nā kikoʻī hou aku.
He maʻi autoimmune anei kēia? No ke aha e hana ʻia ai kēia?
ʻOiai ʻaʻole i hoʻokaʻawale pono ʻia ka lichen planus ma ke ʻano he maʻi autoimmune, pili ia i kahi kaʻina hana like. E noʻonoʻo i kēia ʻano: ua like ko mākou ʻōnaehana pale me ko mākou pūʻali koa. ʻO kā lākou hana ke pale iā mākou mai nā mea komo hewa mai nā ʻāina ʻē (e like me nā virus a me nā bacteria). ʻO kahi ʻāpana kūikawā o kēia pūʻali koa i kapa ʻia ʻo nā cell T.
I loko o ke kanaka olakino, hakakā wale kēia mau pūnaewele T i nā germs e puka mai ana mai waho. Akā i loko o kekahi me ka lichen planus, hele hewa kēia mau pūnaewele T a hoʻomaka e hoʻouka i kahi protein i loko o ko kākou ʻili ponoʻī a me nā membrane mucus, me ka manaʻo he ʻenemi ia.
ʻAʻole maopopo ke kumu kikoʻī o ke ʻano koke o kēia mau cell T i kēia ʻano. ʻO ia ke kumu i kapa ʻia ai he idiopathic, a i ʻole "ʻike ʻole ʻia".
ʻOkoʻa ma waena o Lichen Planus a me Lichen Sclerosus
Ua like iki kēia mau inoa ʻelua, a hiki ke huikau no kekahi poʻe. He mau kūlana ʻelua e hoʻopilikia ai i ka ʻili a ʻaʻole ʻike ʻia ke kumu pololei. Akā, aia kahi ʻokoʻa nui.
- ʻO ka Lichen Sclerosus:He ʻano kēia e lahilahi mālie ai ka ʻili, lilo i maneʻo, hana ʻia nā ʻeha, a ma hope e hana ʻia nā ʻōpala. ʻOiai hiki ke loaʻa ma nā wahi āpau o ke kino, ʻike pinepine ʻia ia a puni nā ʻōpū a me ka anus. He mea maʻamau kēia ʻano i waena o nā wahine i hala i ka menopause. ʻO ka mea nui, ʻaʻole pinepine ka lichen sclerosus i loko o ka waha.
- Lichen Planus: ʻO kēia ke kūlana a mākou e kamaʻilio nei. Hoʻopilikia pinepine kēia i ka ʻili a me loko o ka waha.
ʻO ka ʻokoʻa ma waena o Lichen Planus a me Psoriasis
He maʻi ʻili nō hoʻi ka psoriasis i kamaʻāina i nā poʻe he nui. Hiki ke huikau ʻia kēia mau mea ʻelua no ka mea ke kumu nei lākou i nā ʻāpana ʻili. Akā aia nā ʻokoʻa. I ka psoriasis, loaʻa i nā ʻāpana ma ka ʻili ke ʻano keʻokeʻo a unahi . Eia kekahi, ʻaʻole maʻamau ka psoriasis i loko o ka waha.
ʻO wai ka mea i loaʻa pinepine i kēia maʻi?
Hiki i kekahi ke loaʻa ka lichen planus, akā ʻoi aku ka nui o ka ulu ʻana o kekahi mau hui.
- ʻIke pinepine ʻia kēia i nā kānaka ma waena o 30 a me 60 mau makahiki .
- ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā wāhine ma mua o nā kāne.
- ʻOi aku ka pinepine o kēia maʻi i nā wahine i ko lākou mau makahiki 60 a i nā kāne i ko lākou mau makahiki 40.
ʻO ka mea nui, inā he lichen planus ma kou ʻili, he 50% - 75% ka manawa e loaʻa ai i loko o kou waha (Oral Lichen Planus).
He aha nā hōʻailona o kēia maʻi?
Aia nā hōʻailona ma kahi o kou kino e hoʻopilikia ai ka maʻi lichen planus iā ʻoe. E nānā kākou i nā hōʻailona no kēlā me kēia wahi.
| Wahi i hoʻopilikia ʻia | Nā hōʻailona i ʻike ʻia |
|---|---|
| ʻIli a me nā ʻōpū wahine | Nā puʻupuʻu liʻiliʻi a piʻi aʻe (papules) ma ka ʻili. Hiki i kēia ke hoʻomaka me he poʻo pine lā (0.4 mm) a hiki ke ulu a nui e like me ka laulā o ka penikala (1 cm). He poni ko lākou kala. He pālahalaha a ʻālohilohi ma luna. Hiki iā lākou ke ʻānai loa . I kekahi manawa hiki iā lākou ke lilo i mau ʻeha. |
| I loko o ka waha (waha) | ʻIke ʻia nā kiko keʻokeʻo liʻiliʻi a i ʻole nā laina e like me ka pūnaewele ma loko o nā papālina, ke alelo, a i ʻole nā lehelehe. I kekahi mau hihia koʻikoʻi, hiki i ka ʻili a puni ke lilo i ʻulaʻula, pehu, a ʻeha. Hiki iā ʻoe ke manaʻo i kahi ʻano wela i ka wā e ʻai ai i nā meaʻai ʻala a wela. |
| Nā kui | Hiki ke ʻike ʻia nā mea e like me ke kala ʻana o nā kui, ke kaha ʻana, ka māwae ʻana, ka pau ʻana o ka ulu ʻana o nā kui, a i ʻole ka nalowale ʻana o nā kui. |
| Poʻo poʻo | Hiki iā ia ke hana i ka ʻulaʻula, ka mumū, a i kekahi manawa ka ʻeha o ke poʻo, e alakaʻi ai i ka nalowale mau loa o ka lauoho. |
ʻAʻole ʻeha ka lichen planus. Eia nō naʻe, inā ʻoe e kahakaha i ka ʻili, hiki iā ia ke alakaʻi i nā maʻi a me ka ʻeha. No laila, pono ʻoe e pale i ke kahakaha ʻana i ka hiki.
He aha ke kumu e hoʻāla ai kēia maʻi?
Hiki i kekahi mau mea ke hoʻoulu koke i kēia maʻi, a i ʻole e hoʻāla. ʻO kekahi o lākou:
- Ka maʻi Hepatitis C.
- ʻO kekahi mau lāʻau pale .
- ʻO kekahi mau lāʻau ʻeha ʻeha (NSAIDs) .
- ʻO kekahi mau lāʻau lapaʻau i lawe ʻia no ka maʻi ʻaʻai, ka maʻi puʻuwai, a i ʻole ke koko kiʻekiʻe .
- Nā maʻi ʻaleka i kekahi mau kemika, nā metala (e like me ka mercury i hoʻohana ʻia i nā hoʻopihapiha niho) , a i ʻole nā pigments.
He maʻi lele anei kēia?
ʻAʻole. ʻAʻole kēia he maʻi lele iki. ʻAʻole hiki ke laha kēia maʻi i kekahi kanaka ma o ka pili ʻana o ka ʻili a i ʻole ka moekolohe. No laila, mai makaʻu i kēia.
Pehea e ʻike ai ke kauka i kēia?
Hiki i ke kauka ke ʻike maʻamau inā he lichen planus ia ma ka nānā ʻana i kāu mau hōʻailona a me ka nānā ʻana i nā ʻāpana ma kou ʻili. Ke nānā nei lākou i kekahi mau hōʻailona kikoʻī i kapa ʻia ʻo "Six Ps" e kōkua i ka ʻike ʻana.
- ʻĀʻī (manikini)
- Polygonal (loaʻa ke ʻano he nui ke ʻano)
- P lanar (pālahalaha ma luna)
- Poni
- Nā papule (nā ʻūlū liʻiliʻi)
- Nā pāpaʻi ʻili (nā ʻāpana ʻili)
Eia nō naʻe, i kekahi manawa e hoʻoholo paha ke kauka e hana i kekahi mau hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona.
- Hoʻāʻo alerī: E ʻike inā ua hoʻonui ʻia kēia ʻano e kekahi mau alerī āu.
- ʻO ka biopsy ʻili: Pili kēia i ka lawe ʻana i kahi ʻāpana ʻili liʻiliʻi loa mai kahi i loaʻa ai ka mole a nānā iā ia ma lalo o kahi microscope. Hiki i kēia ke hōʻoia i ka maʻi 100% o ka manawa.
- Hoʻāʻo Hepatitis C: I kekahi manawa pili ka lichen planus me ka maʻi hepatitis C, no laila hiki ke hana ʻia kēia hoʻāʻo.
He aha nā lāʻau lapaʻau no kēia?
ʻAʻohe lāʻau ola mau loa no ka lichen planus. Akā, mai hopohopo. I ka hapanui o nā hihia, e hoʻōla ka lichen planus ma ka ʻili iā ia iho i loko o kekahi mau mahina a i ʻole hoʻokahi a ʻelua paha makahiki me ka ʻole o kekahi lāʻau lapaʻau.
Eia nō naʻe, inā hoʻopilikia nā hōʻailona e like me ka maneʻo a me ke kuni ʻana, e kuhikuhi kāu kauka i ka lāʻau e kāohi iā lākou.
Lapaʻau lapaʻau
- Nā kirīmi/ʻaila corticosteroid: Kōkua kēia i ka hoʻēmi ʻana i ka mumū a me ka maneʻo.
- Nā Antihistamine: He mea pono kēia no ka kaohi ʻana i ka maneʻo.
- Phototherapy: Pili kēia i ke kuhikuhi ʻana i ka mālamalama ultraviolet (UV) i hoʻokuʻu ʻia mai nā kukui kūikawā ma luna o ka ʻili e kāohi i nā hōʻailona.
- Nā lāʻau pale kino: Inā koʻikoʻi ka maʻi, hiki ke hāʻawi ʻia nā pila e hōʻemi i ka hana o ka ʻōnaehana pale (e like me nā corticosteroids waha, azathioprine).
- Retinoids: Loaʻa kēia mau lāʻau lapaʻau, i hana ʻia mai ka wikamina A, ma ke ʻano pila a kirīmi paha. Eia nō naʻe, pono i nā wahine hāpai a i ʻole e hoʻolālā ana e hāpai e kamaʻilio me kā lākou kauka ma mua o ka hoʻohana ʻana iā lākou.
Nā mea hiki iā ʻoe ke hana ma ka home a me nā hoʻololi ola
Ma waho aʻe o ka mālama ʻana i ke olakino, aia kekahi mau mea hiki iā ʻoe ke hana iā ʻoe iho e hōʻemi i ka ʻeha.
- ʻAla ʻai: ʻO ka hoʻopili ʻana i ka gel aloe vera hiki ke wikiwiki i ka ho'ōla ʻana o ka mumū a me nā ʻeha.
- Lapaʻau ʻOatmeal: E kāwili i kekahi oats wili maikaʻi ʻia (colloidal oatmeal) me kahi wai liʻiliʻi e hana i kahi kāpili. E hoʻopili i kēia ma nā wahi maneʻo, e waiho no kahi o 10 mau minuke, a laila holoi.
- E hoʻokele i ke kaumaha: ʻO ke kaumaha kahi mea e hiki ke hoʻonui i kekahi ʻano ʻili. No laila e hoʻāʻo e hoʻomālielie i kou noʻonoʻo ma o nā hoʻomaʻamaʻa hanu, ka noʻonoʻo ʻana, a me ka yoga.
- Inā aia i loko o ka waha (Oral Lichen Planus):
- E mālama i ka maʻemaʻe o ka waha. E palaki pono i kou mau niho.
- E hōʻalo i nā meaʻai a me nā mea inu ʻala, ʻawaʻawa, a wela. Hiki i nā mea e like me nā chili, nā mea ʻono, nā hua citrus e like me nā ʻalani, nā tōmato, a me ka waiʻona ke hoʻonui i ka mumū.
- E pale loa i ka puhipaka.
- Hiki i kekahi poʻe ke maʻi āpau i nā hoʻopihapiha amalgam . Inā kānalua ʻoe i kēia, e kamaʻilio me kāu kauka niho e pili ana i ia mea.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻike pono i ke kauka.
- Inā ʻoe e hoʻomohala i nā hōʻailona hou.
- Inā ʻaʻohe hoʻomaikaʻi ʻana o nā hōʻailona ma hope o ka mālama ʻana.
- Inā ua lōʻihi ka ʻili o nā kīnā ma mua o ka mea i manaʻo ʻia.
- Inā ʻike ʻia ka wahi i loaʻa ai nā kiko he maʻi (e like me ka ʻulaʻula, pehu, a i ʻole ka pus e kahe ana).
Hiki iā ʻoe ke nīnau i kēia mau nīnau ke hele ʻoe e ʻike i ke kauka.
- Hiki iā ʻoe ke haʻi maopopo inā he lichen planus kēia?
- Inā ʻaʻole kēia, he aha nā maʻi ʻili ʻē aʻe paha?
- Pehea ka lōʻihi e ola ai kēia maʻi?
- He aha ke ʻano lāʻau lapaʻau maikaʻi? Loaʻa iā lākou nā hopena ʻaoʻao?
- He aha nā lāʻau lapaʻau e hiki ke hana ʻia ma ka home?
He ʻano hilahila, ʻānai, a hoʻohilahila paha ka Lichen planus, akā e hoʻomanaʻo, ʻaʻole ia he maʻi weliweli a laha paha. Hoʻomaʻemaʻe pinepine ia ma kāna iho. ʻO ka mea nui loa, ʻo ia ka mālama ʻana i kou ʻili a ʻimi i ke kōkua lapaʻau inā pono.
Leka Lawe-Home
- ʻO Lichen Planus kahi maʻi e hoʻoulu ai i nā pehu ʻulaʻula a ʻālohilohi hoʻi ma ka ʻili, ka waha, a me nā kui.
- ʻOiai ʻaʻole i loaʻa ke kumu kikoʻī o kēia, ua manaʻo ʻia ua hana ʻia e kekahi kuhi hewa i loko o ka ʻōnaehana pale.
- ʻAʻole kēia he maʻi lele iki. ʻAʻole hiki ke laha mai kekahi kanaka a i kekahi kanaka.
- I ka hapanui o nā hihia, hoʻoholo kēia ʻano ma kāna iho i loko o kekahi mau mahina a i ʻole hoʻokahi a ʻelua paha makahiki me ka ʻole o ka lāʻau lapaʻau.
- Aia nā lāʻau lapaʻau a me nā lāʻau lapaʻau home e kāohi i nā hōʻailona e like me ka maneʻo a me ka mumū.
- No ka mea hiki i ke kaumaha ke hoʻonui i kēia ʻano, he mea nui loa ia e hoʻomaha i kou noʻonoʻo.
- Inā ʻike ʻoe i kekahi mau loli ʻē i kou ʻili, e ʻike koke i kāu kauka no ka ʻōlelo aʻo.
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