Kei te pā mai ngā ira rerekē me ngā pupuhi mākūkū ki tō kiri? Tērā pea he Lichen Planus!

Kua puta whakarere mai he puku iti, he mākūkū, he kōwhai rānei i tō kiri? Kua puta mai rānei he mā i roto i tō waha, he mea whakarihariha ahakoa kei te kai koe? He tohu pea ēnei o tētahi mate kiri e kiia nei ko te Lichen Planus. He maha ngā tāngata e mataku ana ina rongo i tēnei ingoa, engari kaua e manukanuka, ehara i te mea hopuhopu, ehara hoki i te mea morearea. Me kōrero taipitopito tātou mō tēnei mea, he tino māmā noa iho.

He aha te Lichen Planus?

He māmā noa iho, he mate kiri te Lichen Planus. Ka pā ki tētahi wāhi kiri anake, ka pā rānei ki ngā wāhi maha o te tinana i te wā kotahi. Anei te wāhi e tino kitea ana:

• Kiri: Ka puta te mate pukupuku kiri i ngā wāhi katoa o te tinana.
• I roto i te waha: Ka kiia e mātou ko te "waha kiriuhi". Ka puta pea i te taha o roto o ngā paparinga, o te arero, me ngā kapia.
• Kiripapa: Ka puta pea i te kiripapa me te makawe.
• Whao: Ka pāngia pea ngā whao ringa me ngā waewae.
• Ngā wāhi ira tangata: Ka puta hoki ki ngā wāhi pēnei i te ure, te tara, me te labia.

E kīia ana tēnei e ngā tākuta he mate nō te rōpū mate kiri lichenoid. Ko te tikanga he rōpū mate tēnei e puta mai ana he pupu iti, he kopikopiko te tae i runga i te kiri.

He mate pūnaha ārai mate tēnei?

He pātai tēnei e pātaihia ana e te tini tāngata. Ehara a Lichen Planus i te mate pūnaha ārai mate, engari he tauhohenga rite tonu e puta ana i roto i tō tātou tinana. He mate "idiopathic". Ko te tikanga kāore anō kia kitea te tino pūtake o tēnei.

I te nuinga o te wā, ka tiakina tātou e tō tātou pūnaha ārai mate mā te whawhai ki ngā whakaekenga ke, pērā i te huakita me te huaketo. Engari i roto i te hunga whai lichen planus, ka whakaekea e ngā pūtau-T o tō tātou ake pūnaha ārai mate tētahi pūmua kei roto i ō tātou ake kiri me ngā kiriuhi hūpē. He mea ngaro tonu te take e pēnei ai ēnei pūtau-T.

He aha te rerekētanga i waenga i te Lichen Planus me te Lichen Sclerosus?

He āhua ōrite ngā ingoa o ēnei mate e rua, ā, ka pōhēhē pea. Pērā i te Lichen Planus, he mate kore-māori te Lichen Sclerosus e pā ana ki te kiri. Heoi, i roto i te Lichen Sclerosus, ka angiangi haere te kiri, ka tihore, ā, ka mutu ka pirau. Ahakoa ka pā ki ngā wāhi katoa o te tinana, ko te nuinga o te wā ka pā ki ngā ira tangata me te kiri huri noa i te nono. He nui ake te kitea i roto i ngā wāhine kua pāngia e te menopause.

Ko te rerekētanga matua, kāore te Lichen Sclerosus e pā ki ngā kiriuhi mucous o te waha, engari ko te Lichen Planus he mea noa ake i roto i te mangai.

He aha te rerekētanga i waenga i te Lichen Planus me te Psoriasis?

Ko te psoriasis tētahi atu mate e puta ai ngā ira whero, unahi i runga i te kiri. Ka pōhēhē pea ēnei e rua mō ētahi tāngata nā te mea ka puta he ira kua memeha te tae. Heoi, he āhua unahi te psoriasis, ā, kāore e pā ki te taha o roto o te waha. Kāore i te tino kitea te āhua unahi o te Lichen Planus.

Ko wai te hunga e tino pāngia ana e tēnei? He pēhea te auau o tēnei?

Ka pāngia te tangata katoa e te Lichen Planus, engari e whakaatu ana ngā rangahau he nui ake te pānga ki ngā wāhine i waenga i te 30 me te 60 tau te pakeke. E kī ana ētahi rangahau he rua te tūponotanga ka pāngia ngā wāhine e tēnei mate i ngā tāne. E kiia ana he nui ake te pānga ki ngā wāhine i roto i ō rātou tau 60, me ngā tāne i roto i ō rātou tau 40.

Mena he lichen planus tō kiri, e 50% ki te 75% te tūponotanga ka pāngia anō hoki koe e taua lichen planus i roto i tō waha.

He tino noa tēnei mate, ā , tata ki te 0.22% ki te 1% o te taupori pakeke e pāngia ana. E pāngia ana hoki te 1% ki te 4% o te taupori o te ao e te Oral Lichen Planus.

He aha ngā pānga o te Lichen Planus ki te tinana? He aha ngā tohu?

He rerekē ngā tohu o te lichen planus i runga i te wāhi o tō tinana e pāngia ana.

Ngā tohu kiri

Ka kitea pinepine tēnei i ngā ringaringa o ō ringaringa, i ngā tuke (e kiia ana ēnei he mata piko), i te tihi o ō ringaringa (ngā mata tuara), me te taha mua o ō waewae .

• Ka tīmata hei ira iti, ara ake (e kiia ana e mātou he "papules"), he rite te rahi ki te pane o te pine (tata ki te 0.4 mirimita).
• Ā muri i tētahi wā, ka taea e ēnei te tipu nui ake, ka rite te matotoru ki te pene (tata ki te 1 henimita).
• Ka taea e ēnei te papura te tae , ā, he papatahi te mata.
• Ka tino mākūkū hoki. Ko tēnei mākūkū te tino mamae mō te tini o te tangata.
• I ētahi wā ka huri ēnei hei mate pāwera, inā koa mēnā he rakuraku. Ka puta anō hoki ēnei momo puku, mate pāwera rānei i te wāhi taihemahema.

Ngā tohu i roto i te mangai (Oral Lichen Planus)

Tata ki te haurua o te hunga whai lichen planus kei roto i ō rātou waha.

• Ka tīmata hei ira mā iti, hei tauira matawhatu rānei kei roto i ngā paparinga, kei te arero, ā, i ētahi wā kei ngā ngutu.
• I ētahi wā ka whero, ka mamae hoki ēnei, ā, ina kai koe i tētahi mea raukikī (pēnei i ā mātou kai kua whakakiia ki te pepa tiri), ka rongo koe i te wera me te mamae.
• Tērā pea ka nui ake tēnei mamae mā te kai i ngā inu wera, i ngā tōmato, me ngā hua citrus (pērā i te karaka me te raima).

Ngā huringa o ngā whao

Ahakoa he onge, ka pā pea tēnei ki ngā maikuku o ētahi tāngata.

• Ka rerekē te tae o ngā whao.
• I pakaru ngā whao, ā, i rua ngā wāhanga.
• Tērā pea ka mutu te tupu o te whao, ka taka rānei te whao.
• Tērā pea ka puta ake ngā rārangi angiangi i te roanga o te whao.

Kāore te Lichen Planus e mamae i te nuinga o te wā. Heoi, ki te waruhia, ki te pakaru hoki te kiri, ka uru mai ngā iroriki ka pangia, ka mamae ai.

He aha ngā take o te putanga mai o te Lichen Planus?

Ka taea e ētahi mea te whakararuraru ohorere i te Lichen Planus, te puta anō rānei. Ka kiia ēnei he pupuhitanga.

• Huaketo Hepatitis C: Ko te hunga kua pangia e tēnei huaketo ka tūpono ki te whakawhanake i te lichen planus.
• Ētahi momo kano ārai mate: Hei tauira, ētahi kano ārai mate rewharewha.
• Ngā rongoā anti-inflammatory kore-steroidal (NSAID): Ko ētahi o ngā rongoā e whakamahia ana e mātou hei rongoā mamae.
• Ētahi atu rongoā: Ētahi rongoā mō te mate rumatiki, te mate ngakau, me te toto toto tiketike.
• Ētahi matū, konganuku, tae rānei: Mō te hunga e mate pāwera ana ki ēnei. Hei tauira, ētahi konganuku e whakamahia ana i roto i ngā whakakī niho.

He mate hopuhopu te Lichen Planus?

Kāo, kāore rawa! Ehara te Lichen Planus i te mate hopuhopu. Kāore e horapa mā te moepuku, mā te kiri rānei. Nā te huringa o tō ake pūnaha ārai mate te take. Nō reira kaua e wehi.

Me pēhea te tautuhi i tēnei?

Ka taea e tō tākuta te tautuhi i te lichen planus mā te tirotiro i ō tohu me te tirotiro tinana. Ka rapua e ngā tākuta tētahi mea e kiia nei ko te "Ono P" (`(Ono P)`):

• Mākūkū: Ka mākūkū ngā ira.
• Tapatoru: He rite te āhua o ngā ira me ngā koki koi maha.
• Papatahi: He papatahi te tihi o ngā ira.
• Ngā Papule Papura: He papura te tae o ngā puku.
• Ngā papa: Ngā ira kua ara ake, kua memeha te tae.

Engari i ētahi wā, ki te mea he ruarua kei te pērā tonu, ka whakahaerehia pea e te tākuta ētahi atu whakamātautau:

• Whakamātautau mate pāwera: Tirohia mēnā he mate pāwera koe ki tētahi mea, ā, mēnā koinei te pūtake o ēnei ira.
• Ko te tirotiro kiri: Ko te tango i tētahi wahi kiri iti mai i te wāhi kei reira te kiore ka tukuna ki tētahi taiwhanga. Kātahi ka tirohia i raro i te karuārai hei kimi i te āhua o te he. He mea iti noa iho tēnei, kāore he mea hei manukanuka.
• Whakamātautau mō te Hepatitis C:E ai ki te kōrero i mua ake nei, ka taea hoki tēnei whakamātautau nā te mea e hono ana te lichen planus ki te huaketo Hepatitis C.

Ka taea te whakaora i te Lichen Planus? He aha ngā maimoatanga?

Ki te pono, kāore anō kia kitea he rongoā mō te Lichen Planus. Heoi, ko te rongo pai ko te nuinga o ngā mate lichen planus i runga i te kiri ka memeha haere i roto i ētahi marama ki ētahi tau, ahakoa kāore he maimoatanga.

Heoi anō, kei reira ngā maimoatanga hei whakaiti i te mākūkū me te mamae:

Te maimoatanga o te lichen planus o te kiri

• Ngā kirimi, ngā hinu rānei mō te corticosteroid: Ka whakaitihia e ēnei te mumura me te mākūkū o te kiri. Ka tohua ēnei e te tākuta.
• Ngā rongoā ārai mate pāwera: He rongoā ēnei e tohua ana mō ngā mate pāwera. Ka āwhina i te whakaiti i te mākūkū.
• Whakaahua-whakaora: Ka whakamahia te hihi ultraviolet, ko te tikanga ko te UVB, mai i ngā rama motuhake. He whai hua tēnei hihi ultraviolet, e kitea ana i te rā, mō ētahi mate kiri, tae atu ki te lichen planus.
• Ngā rongoā ārai mate: Mena he kino rawa atu te mate, ka tohua pea e ngā tākuta ngā rongoā hei pehi i te pūnaha ārai mate, pērā i te corticosteroids ā-waha, te mycophenolate mofetil, te azathioprine, te cyclosporine rānei.
• Ngā Retinoid (ngā mea i ahu mai i te huaora A): Kei te wātea ēnei i roto i te ahua pire, i te ahua kirīmi rānei. Ka whakanui ake i te hanga collagen i roto i te kiri, ka whakatairanga i te tipu o ngā uaua toto, ā, ka āwhina ki te whakaora i ngā koha. Heoi, ka taea e ngā retinoid te whakaputa i ngā hapa whānau, nō reira me kōrero ki tō tākuta mēnā kei te hapu koe, kei te whakaaro rānei koe ki te hapu.

Te Whakahaere mō te Oral Lichen Planus

Ka pai ake te Lichen Planus i roto i te waha i muri i te rima tau. Heoi, ki te mea he mate puku, he mate pāwera rānei kei roto i te waha, ka kitea pea he whakamarie mā ēnei mea:

• Te pupuri i te hauora o te waha: He mea nui kia paraihia ō niho i ia rā, kia mirohia ō niho i waenga i ō niho, ā, kia horoia ō niho e te tākuta niho i te iti rawa i te rua i te tau.
• Te whakaiti i ngā mate waha: Ki te mea he mate kei roto i tō waha, ka nui haere te auau me te mamae. Nō reira, he mea pai kia paraihia ō niho i ia wā, kia pania te ware niho ki te taha o ō niho mēnā he taura niho ōu, ā, tangohia ngā weronga kei roto i tō waha mēnā he mea kei a koe.
• Te whakakapinga o te whakakī niho:He onge te wā ka pāngia ētahi tāngata e te mate pāwera ki ngā amalgams, arā, he whakakī konganuku e whakamahia ana hei whakakī niho. Ka rite te āhua o tēnei mate pāwera ki te lichen planus. Mēnā he pēnei, mā te whakakapi i ngā whakakī ki tētahi rauemi hypoallergenic ka taea te whakaora.

He aha ngā rongoā kāinga?

He rongoā kei reira ka taea e koe te hoko mai i te whare rongoā me ngā mea ka taea e koe te mahi ki te kāinga hei aukati i te rakuraku i ō ira.

Ahakoa he haumaru ēnei mō te nuinga o te tangata, he mea pai kia kōrero koe ki tō tākuta i mua i te whakamahinga, nā te mea ka pāngia pea koe e te mate pāwera ki ēnei i ētahi wā.

• Aloe vera: He rongoā taiao te aloe vera e āwhina ana ki te whakaora i ngā patunga me te whakamakuku i te kiri. Kua whakaatuhia e ētahi rangahau ka taea e te aloe vera te āwhina ki te whakaiti i ngā tohu o te lichen planus i roto i te waha, i runga rānei i te labia.
• Ngā rongoā ārai mate pāwera: Ka taea te hoko mai i te whare rongoā i ēnei rongoā hei whakaiti i te mākūkū.
• Kirimi, hinu rānei mō te hydrocortisone: Ka taea te hoko mai i ēnei mā te kore utu i te whare rongoā. He corticosteroid ēnei kua honoa ki te rongoā mamae.
• Ōti: Ko te huarahi pai ki te whakamahi i te ōti mō ngā ira lichen planus ko te huri kia paura rawa i roto i te mīhini whakaranu, i te mīhini tukatuka kai rānei (e kiia ana tēnei ko te "ōti colloidal"). Whakaranua tēnei paura ōti ki te wai wera hei hanga i te whakapiri matotoru. Pania tēnei ki ngā ira katoa. Waiho kia noho mō te 10 meneti pea, kātahi ka murua ki te kakahu ma.

Ka piki ake ngā tohu i te pikinga o te ahotea?

Ae, ka taea e te ahotea te whakararuraru i tetahi mate kiri, tae atu ki te lichen planus. Ina pāngia tātou e te ahotea, ehara i te mea ko ō tātou hinengaro anake engari ko ō tātou tinana anō hoki.

Ko ētahi tohu o te ahotea (ka kino ake pea ō tohu lichen planus):

• Te pouri.
• Te uaua ki te whakangā.
• Whakamahia te waipiro, te tupeka, ngā raau taero rānei hei whakangā.
• Te whai whakaaro kino ki a ia anō (te iti o te whakaaro ki a ia anō).
• Te manukanuka tonu.
• Te whakaaro he nui rawa ngā mea katoa, te whakaaro kāore e taea te whakahaere.
• Te uaua ki te arotahi.
• Ka hohoro te riri, ka maha ngā huringa o te wairua.

Ngā tohu ā-tinana o te ahotea (ka taea hoki e ēnei te whakanui ake i ngā tohu o te lichen planus):

• Whakapairuaki, whanoke.
• Te ngaro o te hiahia ki te moe tāne.
• Te moe nui rawa (hypersomnia).
• Te iti o te moe, te kore moe.
• Te korere.
• Te mate kōroke.
• Te pakari o ngā uaua, te mamae.
• Mamae tinana.

Nō reira, he mea tino nui kia whakaarohia ngā tikanga whakahaere ahotea.He tino āwhina ngā mahi pēnei i te whakaaroaro, te yoga, ngā mahi manawa, me te whai wāhi ki tētahi mahi whakangahau tino pai.

He aha ngā kai me ngā inu me karo e au mēnā he lichen planus ā-waha tōku?

Mena he waha lichen planus tōu, he mea pai kia karo i ngā kai me ngā inu raukikī, waikawa hoki, nā te mea ka nui ake te mamae me te mumura o ngā ira i roto i tō waha.

• Ngā pepa wera, ngā pepa tote, ngā kai reka tiri. (I tō tātou whenua, he mea nui ēnei, engari me whakahaere paku.)
• Ngā ranu wera pērā i te salsa.
• Ngā hua citrus (karaka, tangerines, rēmana, raima).
• Tōmato me te ranu tōmato.
• Waipiro.

Haunga te whakakore i ēnei kai me ēnei inu, he mea tino nui kia mutu rawa te kai paipa a te hunga kaipaipa.

He ara hei ārai i tēnei?

Engari, kāore he huarahi motuhake hei ārai i te whanaketanga o te Lichen Planus. Nā te mea kāore i te mōhiotia te tino take, he uaua ki te kī me pēhea te ārai.

He aha ngā mea ka puta mēnā kei a koe te Lichen Planus? He aha ngā mea ka taea e koe te tumanako?

He mate te Lichen Planus ka taea te whakahaere i ētahi wā me te kore maimoatanga. Engari he maha ngā wā, me rongoā hei whakaiti i ngā tohu. Mena he lichen planus kei tō kiri, ka roa pea ngā marama, ngā tau rānei kia pai ake. Ka roa pea te lichen planus ā-waha i roto i tō waha kia rima tau kia pai ake. Ka taea e te maimoatanga me ngā rongoā kāinga te āwhina i te whakaiti i tō mamae.

Mena he lichen planus kei roto i tō ira tangata, tera pea ka pāngia koe e te mamae me te kore whakamarie i te wā e moe ai. Heoi, kāore e taea e koe te tuku atu ki tō hoa.

Āhea koe me toro atu ki te tākuta?

I roto i ēnei āhuatanga, me toro atu koe ki te tākuta:

• Mena ka puta he tohu hou ki a koe.
• Mena kāore ngā tohu e pai ake ahakoa te maimoatanga.
• Mena kei reira ngā ira mō te wā roa atu i te wā i whakaarohia .
• Mena te āhua kua pangia te wāhi kei reira ngā ira (whero, pupuhi, pupuhi e turuturu ana).

He aha ngā pātai me pātai atu koe ki tō tākuta?

Ina toro atu koe ki te tākuta, ka taea e koe te pātai i ēnei pātai:

• Me pēhea te mōhio mēnā kei a au te Lichen Planus?
• Mena kāore he Lichen Planus i ahau, he aha atu anō ngā mate kiri?
• Kia pēhea te roa ka ora ake ai tōku tinana i tēnei mate?
• He aha te rongoā e taunaki ana koe?
• He pānga taha kei aua rongoā?
• He aha ngā maimoatanga kāinga e taunaki ana koe?
• He kirīmi, he hinu rānei motuhake ka taea te tuku tohu mai ki ahau?
• Me toro atu ahau ki tētahi tākuta kiri, ki tētahi atu tohunga rānei?

Karere Tangohia ki te Kāinga

He mate kiri noa te Lichen Planus. Ka pāngia hoki te waha me ngā maikuku. He whakama, he mākūkū hoki. Heoi, ehara i te mate kino, i te mate hopuhopu rānei, ā, ka memeha haere noa iho.

Ko te mea nui ko te aro ki tō kiri. Mēnā ka kite koe i ētahi ira hou, i ētahi panoni rānei i tō kiri, me toro atu ki te tākuta tonu. Pērā ai, ka taea e koe te mōhio ki te āhua o te kiri, ā, ka tīmata te maimoatanga mēnā e tika ana.

` Lichen planus, ngā mate kiri, ngā ira mākūkū, ngā ira waha, ngā mate kiri, te pūnaha ārai mate, te maimoatanga kiri