He mau ʻeha keʻokeʻo e like me ka pūnaewele i loko o ka waha? E aʻo kākou e pili ana i ka Oral Lichen Planus!

Ua nānā anei ʻoe i loko o ke aniani a ʻike i nā ʻeha keʻokeʻo e like me ka pūnaewele nananana i loko o kou waha, ma nā ʻaoʻao o kou mau papālina, a i ʻole ma kou alelo? Malia paha e kahe ke koko a ʻeha kou mau ʻāʻī i ka wā e palaki ai ʻoe i kou mau niho a ʻai paha i ka meaʻai ʻala. He mea maʻamau ka makaʻu iki ke ʻike ʻoe i kahi mea e like me kēia. Akā, mai hopohopo. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kūlana e hoʻoulu ai i kēia, a ʻo ia hoʻi kekahi mea i ʻike ʻole ʻia e ka poʻe he nui, akā he mea nui e ʻike. ʻO ia ka Oral Lichen Planus (OLP).

I ka ʻōlelo maʻalahi, he aha ka Oral Lichen Planus (OLP)?

ʻO ka Oral Lichen Planus (OLP) kahi maʻi mau loa e hoʻoulu ai i ka mumū i loko o kou waha. ʻO ka maʻamau, hana ko mākou kino i ka mumū e pale aku i kahi maʻi a ho'ōla i nā ʻeha. Akā ma OLP, hana ʻia kekahi mea ʻokoʻa iki. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻouka hewa ʻana o ka ʻōnaehana pale o ko mākou kino, ka ʻōnaehana pale, i ka lining palupalu (mucosa) i loko o ko mākou waha ponoʻī. I ka ʻōlelo maʻalahi, ua like ia me kā mākou mau pale ponoʻī e hoʻouka nei i kahi ʻāpana o ko mākou kino ponoʻī.

No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea nui loa ia e ʻike i ke kauka no ka ʻōlelo aʻo. ʻOiai ʻaʻohe lāʻau lapaʻau piha no kēia, aia nā lāʻau lapaʻau maikaʻi loa e hiki ke kāohi i nā hōʻailona a hāʻawi i ka hōʻoluʻolu.

ʻElua ʻano nui o nā OLP.

ʻAʻole like kēia kūlana no kēlā me kēia kanaka. Hiki iā mākou ke ʻike nui i ʻelua ʻano.

Loaʻa iā ʻoe kēia mau hōʻailona?

Hiki ke ʻokoʻa nā hōʻailona ma muli o ke ʻano āu i loaʻa ai. I kekahi manawa hele mai kēia mau hōʻailona a hele aku, ma o lākou iho a i ʻole me ka mālama ʻana, ma hope o kekahi manawa. Hiki nō hoʻi iā lākou ke hoʻi mai ma hope o kekahi manawa.

• Nā ʻeha keʻokeʻo e like me ka ʻupena nananana ma loko o nā papālina a i ʻole ma ke alelo.
• Nā kiko keʻokeʻo ma ke alelo a i ʻole nā ​​ʻāʻī.
• Nā ʻeha ʻeha ma nā ʻāʻī, ke alelo, a i ʻole ka lehelehe.
• ʻUlaʻula ʻōlinolino, ʻāʻī pehu.
• ʻEha iki a ʻeha nui i ka wā e palaki ai i kou mau niho, ʻoiai i ka wā e ʻai ai i nā meaʻai ʻawaʻawa, ʻala, paʻakai, a paʻakikī paha .

Loaʻa paha i kekahi poʻe ka OLP waha a me kahi maʻi ʻili i kapa ʻia ʻo Lichen Planus, ka mea e hoʻoulu ai i nā ʻāpana ʻili ʻānai a unahi paha ma ka ʻili, nā ʻōpū, a i ʻole ke poʻo.

No ke aha e hana ʻia ai kēia? He aha nā kumu?

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo i nā kauka ke kumu o OLP. Akā, ʻike mākou e pili ana ia i ke ʻano o ka hana ʻana o kā mākou ʻōnaehana pale. E like me ka mea i ʻōlelo ʻia ma mua, hoʻouka kā mākou mau hunaola pale i ka uhi o ko mākou waha.

I kekahi mau hihia, hiki ke kū aʻe a ʻoi aku paha ka ʻino o kēia ʻano ma muli o kekahi mau mea.

Nā mea hoʻoulu

• Nā Allergies: Nā allergies i kekahi mau meaʻai, toothpaste, nā mea ʻono i loko o ka toothpaste (e like me ka mint, kinamona), a i ʻole nā ​​​​mea i hoʻohana ʻia i nā mālama niho.
• Nā pilikia waha: Ka hōʻino pinepine ʻana i nā membrane mucous o ka waha ma muli o nā mea e like me nā niho kūpono ʻole a me nā niho ʻoi.
• Kekahi mau lāʻau lapaʻau: Kekahi mau lāʻau lapaʻau e like me nā lāʻau ʻeha (NSAID), kekahi mau lāʻau koko kiʻekiʻe (Beta-blockers), a me kekahi mau antifungals.
• Nā ʻeha waha: Nā mea e like me ke nahu ʻana i kou papālina.
• Ke Kaumaha a me ka Hopohopo: He mea nui loa kēia. Ua ʻike ka poʻe he nui mai ka ʻike ʻana i ka wā e piʻi ai ke kaumaha, e piʻi pū nā hōʻailona OLP.
• Kekahi mau kūlana olakino: Ua ʻike ʻia aia kahi pilina ma waena o ka hanana ʻana o OLP a me nā kūlana e like me ka Hepatitis B a me ka Hepatitis C.

ʻEkolu a ʻehā paha manawa ka nui o ka loaʻa ʻana o kēia maʻi i nā wāhine ma mua o nā kāne. ʻO ka maʻamau, loaʻa pinepine ia i nā poʻe ma waena o 30 a me 70 mau makahiki.

He aha nā pilikia e hiki mai ana o OLP?

ʻAʻole he kūlana weliweli ka OLP, akā aia kekahi mau mea e makaʻala ai.

1. Paʻakikī i ka ʻai ʻana: Inā paʻakikī ka ʻai ʻana i ka ʻeha, hiki ke hōʻemi ke kaumaha a me nā hemahema meaʻai i ka hala ʻana o ka manawa.

2. Nā maʻi: Ke ulu aʻe nā ʻeha waha, piʻi aʻe ka pilikia o nā maʻi bacteria a i ʻole nā ​​maʻi hū (e.g., thrush).

3. Ka pilikia o ka maʻi ʻaʻai waha: ʻO kēia ka mea a ka poʻe he nui e makaʻu nei. Ua hōʻike ʻia e ka noiʻi he hapa liʻiliʻi loa o ka poʻe me OLP, ma waena o 1% a me 4%, he pilikia ko lākou e loaʻa ai ka maʻi ʻaʻai waha. ʻOi aku ka kiʻekiʻe o kēia pilikia i ka poʻe me ka OLP erosive (ke ʻano ʻeha, ulcerating).

Pehea e ʻike ai ke kauka i kēia? A he aha nā lāʻau lapaʻau?

Ke hele ʻoe i ke kauka, e nānā pono ʻo ia i kou waha. ʻO ka hapa nui o ka manawa, hiki iā ʻoe ke ʻike i ka OLP ke ʻike koke ʻoe i nā hōʻailona. Eia nō naʻe, i kekahi manawa, no ka hōʻoia ʻana i ka maʻi a me ka kāpae ʻana i nā kūlana ʻē aʻe (e like me nā maʻi hū a i ʻole leukoplakia), hiki ke lawe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka ʻeha no ka hoʻāʻo ʻana (he biopsy) .

ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka hōʻemi ʻana i nā hōʻailona a hāʻawi iā ʻoe i ka hōʻoluʻolu. Inā ʻaʻole ʻoe e ʻike nei i kekahi ʻeha a ʻoluʻolu ʻole paha, ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau.

Nā lāʻau lapaʻau

• ʻO Corticosteroids: ʻO kēia nā mea i hoʻohana pinepine ʻia. Hiki ke hoʻopili ʻia ma ke ʻano he gel a poni paha i nā ʻeha. Inā ʻaʻole kēia mau mea e kāohi i ke kūlana, hiki ke hāʻawi ʻia iā lākou ma ke ʻano he papa waha a i ʻole nā ​​​​inikini. Hana kēia mau mea ma ka kaohi ʻana i ka hana nui o ka ʻōnaehana pale a me ka hōʻemi ʻana i ka mumū.
• Nā mea hoʻopaʻa Calcineurin: Inā ʻaʻole hana nā corticosteroids, e ʻōlelo ʻia paha kēia ʻano lāʻau lapaʻau (ma ke ʻano o ka kirīmi).
• Nā lāʻau hoʻopau ʻeha: No ka hoʻomalu ʻana i ka ʻeha, hiki iā ʻoe ke hāʻawi i nā lāʻau hoʻopau ʻeha maʻamau a i ʻole nā ​​​​wai hoʻomāʻū e like me Lidocaine.

Nā mea hiki iā mākou ke hana iā mākou iho (Nā hoʻololi ʻana i ke ʻano o ka nohona)

E like me ka lāʻau lapaʻau, hiki i nā loli liʻiliʻi i ko mākou ola o kēlā me kēia lā ke hele lōʻihi i ka kaohi ʻana i kēia mau hōʻailona.

• E hōʻemi i nā mea ʻala, ʻawaʻawa, paʻakai, a me nā mea paʻakikī (e.g., biscuits, chips) i ka hiki.
• E hoʻōki loa i ka puhipaka a me ka inu ʻona. Hoʻonāukiuki hou kēia i nā membrane mucous i loko o kou waha.
• E hoʻohana i kahi pulupulu niho palupalu .
• E hoʻohana i ka toothpaste palupalu me nā ʻono ikaika ʻole (mint, kinamona).
• E hoʻokele i ke kaumaha . Hiki i nā mea e like me ka noʻonoʻo ʻana, ka yoga, a me ke komo ʻana i kahi hana leʻaleʻa āu e koho ai ke kōkua nui.
• Inā kānalua ʻoe he kumu kēia o kekahi lāʻau lapaʻau āu e lawe nei, e kamaʻilio me kāu kauka e pili ana i ia mea. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.