He whara mā, he rite ki te tukutuku i roto i te waha? Me ako tātou mō te Oral Lichen Planus!

Kua titiro koe ki te whakaata, ā, kua kite koe i ngā mate ma, he rite ki te tukutuku pungawerewere i roto i tō waha, i ngā taha o ō paparinga, i tō arero rānei? Tērā pea ka toto ō kapia, ka mamae hoki ina parai koe i ō niho, ina kai rānei i ngā kai raukikī. He mea noa te mataku ina kite koe i tētahi mea pēnei. Kaua e mataku. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga e puta ai tēnei mate, ā, kāore i te tino mōhiotia e te tini o te tangata, engari he mea nui kia mōhiotia. Koia te Oral Lichen Planus (OLP).

He aha te Oral Lichen Planus (OLP)?

Ko te Oral Lichen Planus (OLP) he mate mau tonu e puta ai te mumura i roto i tō waha. I te nuinga o te wā, ka puta te mumura i roto i ō tātou tinana hei whawhai i te mate me te whakaora i ngā patunga. Engari i roto i te OLP, he rerekē te āhua. Ko te mea e tupu ana i konei ko te pūnaha parepare o tō tātou tinana, te pūnaha ārai mate, ka whakaeke hē i te arai ngawari (mucosa) i roto i tō tātou ake waha. Ki te kī ngāwari, he rite ki te whakaeke a ō tātou ake parepare i tētahi wāhanga o tō tātou ake tinana.

Nō reira, ki te pāngia koe e ēnei tohu, he mea tino nui kia toro atu koe ki te tākuta mō ētahi tohutohu. Ahakoa kāore he rongoā katoa mō tēnei, he tino pai ngā maimoatanga hei whakahaere i ngā tohu me te whakaora.

E rua ngā momo matua o ngā OLP.

Kāore tēnei āhuatanga e rite mō te katoa. E rua ngā momo matua e taea te tautuhi.

Kei a koe anō ēnei tohu?

Ka rerekē pea ngā tohu i runga i te momo e pāngia ana koe. I ētahi wā ka puta mai, ka ngaro atu ēnei tohu, i a rātou anō, i muri rānei i te maimoatanga, i muri i tētahi wā. Ka hoki mai anō pea i muri i tētahi wā.

• He whara mā, he rite ki te tukutuku pungawerewere i te taha o roto o ngā paparinga, i te arero rānei.
• Ngā ira mā i runga i te arero, i ngā kapia rānei.
• Ngā mate puku mamae i runga i ngā kapia, i te arero, i te waha rānei.
• He whero kanapa, he pupuhi ngā kapia.
• He mamae ngawari ki te mamae nui i te parai i ō niho, ina koa i te kai i ngā kai kawa, raukikī, tote, mārō rānei .

Tērā pea ka pāngia ētahi tāngata e te mate pāwera waha, me te mate kiri e kiia nei ko te Lichen Planus, e puta ai te mākūkū, te unahi i ngā wāhi kiri, i ngā ira tangata, i te tumuaki rānei.

He aha tēnei e tupu ai? He aha ngā take?

Ina hoki, kāore anō kia tino mōhiotia e ngā tākuta te take o te OLP. Engari e mōhio ana tātou he hononga tēnei ki te mahi a tō tātou pūnaha ārai mate. E ai ki te kōrero i mua ake nei, ka whakaekea e ō tātou ake pūtau ārai mate te arai o ō tātou waha.

I ētahi wā, ka puta ake tēnei āhuatanga, ka kino rānei nā ētahi āhuatanga.

Ngā Whakaoho

• Mate pāwera: He mate pāwera ki ētahi kai, ki te paraihe niho, ki ngā mea kakara i roto i te paraihe niho (hei tauira, te miniti, te hinamona), ki ngā rauemi rānei e whakamahia ana mō ngā maimoatanga niho.
• Ngā raruraru ā-waha: He maha ngā pakaru o ngā kiriuhi mucous o te waha nā ngā mea pēnei i te kore o te tūnga o ngā niho me ngā niho koi.
• Ētahi rongoā: Ētahi rongoā pēnei i ngā rongoā whakamamae mamae (NSAID), ētahi rongoā toto toto tiketike (Beta-blockers), me ētahi rongoā harore.
• Ngā whara o te waha: Ngā mea pēnei i te ngau pōrearea i tō paparinga.
• Te ahotea me te manukanuka: He mea tino nui tēnei. He tokomaha te hunga e mōhio ana mai i ā rātou wheako, ina piki ake te ahotea, ka piki ake hoki ngā tohumate OLP.
• Ētahi āhuatanga hauora: Kua kitea he hononga i waenga i te putanga mai o te OLP me ngā āhuatanga pēnei i te Hepatitis B me te Hepatitis C.

E toru ki te whā ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate i ngā tāne. Ko te nuinga o te wā ka pāngia te hunga i waenga i te 30 me te 70 tau te pakeke.

He aha ngā raruraru ka pā mai i te OLP?

Ehara te OLP i te mate morearea i te nuinga o te wā, engari he iti noa ngā mea hei tūpato māu.

1. Te uaua ki te kai: Mena ka uaua te kai i te mamae, ka puta pea te hekenga taumaha me te korenga o ngā kai i roto i te wā.

2. Ngā mate urutā: Ina puta he mate waha, ka piki ake te mōrearea o ngā mate kitakita, mate rewena rānei (hei tauira, te whewhe).

3. Te mōrearea o te mate pukupuku waha: Koinei te mea e wehingia ana e te tini tāngata. Kua whakaatuhia e ngā rangahau he iti noa te ōrau o te hunga whai OLP, i waenga i te 1% me te 4%, he mōrearea ki te whakawhanake i te mate pukupuku waha. He paku teitei ake tēnei mōrearea i roto i te hunga whai OLP erosive (te momo mamae, te momo pupuhi).

Me pēhea te mōhio o te tākuta ki tēnei? Ā, he aha ngā maimoatanga?

Ina haere koe ki te tākuta, ka tirotirohia tō waha e ia. I te nuinga o te wā, ka taea e koe te kite i te OLP i te kitenga tonu i ngā tohu. Heoi, i ētahi wā, hei whakaū i te mate me te whakakore i ētahi atu mate (pēnei i te mate rewena, i te leukoplakia rānei), ka tangohia pea he wahi iti rawa o te kiko mai i te mate pāwera hei whakamātautau (he koiora) .

Ko te whāinga matua o te maimoatanga he whakaiti i ngā tohu me te whakarato i te whakamarie ki a koe. Ki te kore koe e pāngia e te mamae, e te kore whakamarie rānei, kāore pea koe e hiahia ki tētahi maimoatanga.

Ngā rongoā

• Corticosteroids: Koinei ngā mea e whakamahia whānuitia ana. Ka taea te whakamahi hei hinu, hei hinu rānei ki ngā whara. Mena kāore ēnei e whakahaere i te āhua, ka taea hoki te hoatu hei papa waha, hei werohanga rānei. Ka mahi ēnei mā te whakahaere i te kaha rawa o te pūnaha ārai mate me te whakaiti i te mumura.
• Ngā aukati calcineurin: Ki te kore e mahi ngā corticosteroids, ka tūtohutia pea tēnei momo rongoā (hei kirīmi).
• Ngā rongoā whakamamae mamae: Hei whakahaere i te mamae, ka taea e koe te hoatu i ngā rongoā whakamamae mamae whānui, i ngā wai whakangote rānei pērā i te Lidocaine.

Ngā mea ka taea e tātou te mahi (Ngā huringa āhua noho)

Pērā i te rongoā, ka taea e ngā panonitanga iti o te oranga o ia rā te āwhina nui ki te whakahaere i ēnei tohumate.

• Whakaitihia ngā kai raukikī, kawa, tote, me ngā kai mārō (hei tauira, pihikete, parai paraoa) ki ngā mea katoa e taea ana.
• Kati rawa te momi hikareti me te inu waipiro. Ka whakapataritari ake ēnei i ngā kiriuhi mucous o tō waha.
• Whakamahia he paraihe niho he ngohengohe te huruhuru .
• Whakamahia he paraihe niho ngawari , kāore he kakara kaha (mint, hinamona).
• Whakahaerehia te ahotea . He tino āwhina ngā mahi pēnei i te whakaaroaro, te yoga, me te whai wāhi atu ki tētahi mahi whakangahau e pai ana ki a koe.
• Ki te whakapae koe kei te puta tēnei mate i tētahi rongoā e tangohia ana e koe, kōrero ki tō tākuta. Kaua rawa e mutu te tango rongoā me te kore he tohutohu a tō tākuta.