Kodi mulinso ndi mabala a dazi ndi tsitsi lotayika? Tiyeni tiphunzire za Lichen Planopilaris iyi?

Kodi mukuvutikanso ndi tsitsi m'madera ena a mutu wanu, ndipo nthawi zina khungu lanu limamva lofiira, kuyabwa, kapena kutupa? Mwina inunso mungafune kudziwa za vutoli lotchedwa Lichen Planopilaris (LPP). Musadandaule, tidzakambirana za vutoli mosavuta, m'njira yomwe mungamvetse. Monga kulankhula ndi mnzanu.

Ndiye, kodi lichen planopilaris (LPP) ndi chiyani?

Mwachidule, lichen planopilaris (LPP) ndi matenda otupa omwe amapezeka m'mabowo a tsitsi (mabowo ang'onoang'ono omwe tsitsi limatuluka m'mutu mwanu) pamutu mwanu. Taganizirani izi motere: mabowo ang'onoang'ono omwe tsitsi limatuluka (mabowo a tsitsi) amakhala "okwiya pang'ono", ofiira, komanso otupa. Izi ndi zomwe timatcha 'kutupa' mu zamankhwala. Pakapita nthawi, kutupa kumeneku kungayambitse zipsera komwe mabowo a tsitsi anali, ndipo tsitsi limatha kutayika kwamuyaya, osameranso. Izi nthawi zambiri zimawoneka pamutu.

Ndani ali ndi mwayi waukulu wopanga LPP iyi?

Matendawa otchedwa LPP nthawi zambiri amakhudza akazi azaka zapakati pa 40 ndi 60. Komabe, sizikutanthauza kuti amuna sangathe kuwatenga. Amatha kufalikira mwa amuna ndi akuluakulu azaka zilizonse. Chifukwa chake, zimakhala zovuta kuganiza kuti sizingachitike kutengera zaka ndi jenda .

Kodi LPP ndi yofala bwanji?

Pakati pa zipsera za alopecia, LPP imaonedwa kuti ndiyo chifukwa chachikulu. Komabe, ngati tiganizira zonse zomwe zimayambitsa kutayika kwa tsitsi (monga kusintha kwa mahomoni, kusowa zakudya, dazi lobadwa nalo) pamodzi, LPP imangokhala gawo laling'ono chabe la anthu, pafupifupi 1%, ya milandu yonse yotayika kwa tsitsi . Chifukwa chake, musaganize kuti aliyense amene atayika tsitsi ali ndi LPP.

Kodi mitundu ikuluikulu ya LPPs ndi iti?

Madokotala apeza mitundu itatu ikuluikulu ya lichen planopilaris. Izi ndi zosiyana pang'ono: 1. Classic lichen planopilaris: Iyi ndi mtundu wofala kwambiri. Imayambitsa mabala a tsitsi pamutu, ndi malo owoneka bwino a tsitsi. 2. Frontal fibrosing alopecia: Izi zimayambitsa mabala a tsitsi, makamaka pamphumi, pafupi ndi mzere wa tsitsi . Zikuoneka ngati mzere wa tsitsi ukubwerera m'mbuyo. Nthawi zina , nsidze ndi nsidze zimathanso kugwa mumtundu uwu. 3. Lassueur-Graham-Little-Piccardi syndrome: Ngakhale dzinalo lingamveke lalitali pang'ono, uwu ndi mtundu wina wa LPP. Ndi wovuta kwambiri. Imayambitsa mabala a tsitsi pamutu ndi kutayika kwa tsitsi m'malo monga m'khwapa ndi m'mimba.N'zotheka. Sikuti zokhazo, mungaonenso tinthu ting'onoting'ono tozungulira tsitsi. Kaya ndi mtundu wanji, ndikofunikira kufunafuna upangiri wa dokotala zizindikiro zikayamba kuwonekera.

Kodi zizindikiro za LPP ndi ziti? Kodi mumazindikira bwanji?

Zizindikiro za lichen planopilaris zingawonekere mwadzidzidzi mwa anthu ena, pomwe ena zimakula pang'onopang'ono. Ngati muli ndi LPP, mungazindikire zinthu monga:

• Khungu la mutu lingawoneke ngati mabala a tsitsi lotayika, ofanana ndi mabala a dazi. Pakhoza kukhala chimodzi kapena zingapo mwa izi.
• Khungu la pamutu likhoza kukhala lofiira, mwina lokhuthala pang'ono, kapena lingawoneke ngati likutuluka . Lili ngati dazi , koma losiyana pang'ono.
• Mungamve kupweteka, kuyabwa, kapena kutentha nthawi zonse pakhungu lanu . Izi zingakhale zovutitsa kwambiri kwa anthu ena.

Tangoganizirani, mukamapesa tsitsi lanu m'mawa, muwona kuti tsitsi lanu likutuluka kwambiri kuposa masiku onse, kapena mukakhudza mbali zina za mutu wanu, khungu limakhala louma ndipo limakhala ngati mabala ang'onoang'ono ... Mwina sikuti ndi kuyabwa kokha, komanso kumatha kutentha. Ngati muli ndi zinthu izi, muyenera kusamala nazo.

Chofunika kwambiri, LPP kwenikweni ndi mtundu wina wa vuto lina la pakhungu lotchedwa Lichen Planus . Ndi vuto lomwe limayambitsa kuyabwa, mawanga oyera m'manja, mapazi, ndi mkamwa. Nthawi zina, pakhoza kukhala kusintha kwa misomali (monga misomali yolimba, yosweka, kapena yokhala ndi mizere). Pafupifupi theka la anthu omwe ali ndi LPP alinso ndi zizindikiro za lichen planus.

Nchifukwa chiyani LPP iyi imachitika? Chifukwa chake ndi chiyani?

Funso limene anthu ambiri amafunsa ndi ili. "N’chifukwa chiyani izi zinandichitikira ine?" N’zachibadwa kudzifunsa. Kunena zoona, akatswiri azachipatala sanapeze chifukwa chimodzi chomveka bwino. Koma, malinga ndi kumvetsetsa kwamakono, mtundu wa selo wotchedwa T-cells, womwe ndi gawo la chitetezo cha mthupi lathu , umaukira mizu ya tsitsi lathu. Mwachidule, chitetezo cha thupi lathu molakwika chimayamba kuwononga tsitsi lake labwino. Mwanjira imeneyi, matenda omwe chitetezo cha thupi chimaukira maselo ake amatchedwa matenda a autoimmune . Izi si vuto la aliyense, ndi kusintha kwa momwe thupi limagwirira ntchito.

Kodi LPP ndi matenda opatsirana?

Ayi, ayi ndithu! Ichi ndi chinthu choyenera kukumbukira. Lichen planus si matenda opatsirana. Simungathe kuwafalitsa kwa wina kudzera mu kukhudza, kupuma, kapena kugawana zinthu. Choncho musadandaule nazo.

Kodi dokotala amatsimikiza bwanji kuti iyi ndi LPP?

Ngati mukuganiza kuti muli ndi zizindikiro za LPP, choyamba muyenera kupita kwa dokotala wa khungu. Angathe kuzindikira vutoli m'njira izi: 1. Kuwunika thupi: Choyamba, dokotala adzafufuza mosamala khungu lanu ndi khungu lanu. Adzayang'ana kutayika kwa tsitsi lanu, kusintha kwa khungu, ndi zipsera zilizonse. Adzafunsanso za mbiri yanu yonse yachipatala komanso mankhwala ena aliwonse omwe mukumwa. 2. Dermoscopy: Pankhaniyi, dokotala amagwiritsa ntchito chipangizo chapadera chowunikira ndi chokulitsa kuti ayang'ane bwino kutayika kwa tsitsi, vuto lozungulira ma follicle a tsitsi, ndi zipsera zilizonse. Izi zingapereke zambiri zokhudza vutoli. 3. Kufufuza khungu: Popeza LPP nthawi zina imatha kuoneka ngati matenda ena a khungu, mayesowa ndi ofunikira kwambiri kuti atsimikizire matendawa. Izi zimaphatikizapo kutenga chidutswa chaching'ono kwambiri cha khungu (nthawi zambiri mamilimita angapo) kuchokera ku khungu pansi pa anesthesia, kutumiza ku labotale ndikuchiyang'ana pansi pa maikulosikopu. Izi zimathandiza dokotala kuwona kuwonongeka komwe kwachitika pa ma follicle a tsitsi komanso ngati pali maselo otupa. Pambuyo pa mayeso awa dokotala anganene motsimikiza ngati muli ndi LPP kapena vuto lina.

Kodi mankhwala a LPP ndi ati?

Nkhani yabwino ndi yakuti pali mankhwala ndi njira zingapo zomwe zingathandize kuwongolera zizindikiro za LPP ndikuchepetsa kupitirira kwa matendawa. Popeza ndi matenda otupa, njira zambiri zochiritsira cholinga chake ndi kuchepetsa kutupa ndikuwongolera momwe chitetezo cha mthupi chimagwirira ntchito . Ndondomeko yanu yochiritsira ikhoza kukhala ndi chimodzi kapena zingapo mwa izi:

• Mankhwala a Corticosteroids: Awa nthawi zambiri ndi njira yoyamba yothandizira kuchepetsa kutupa . Angaperekedwe ngati mafuta, mafuta odzola, mapiritsi, kapena jakisoni mwachindunji m'malo okhudzidwa a khungu (jakisoni wa intralesional steroid).
• Hydroxychloroquine: Izi zimathandiza kuchepetsa kutupa m'matenda odziteteza okha monga LPP.
• Doxycycline ( Doxycycline ) kapena maantibayotiki ena: Nthawi zina amagwiritsidwa ntchito chifukwa cha mphamvu zawo zoletsa kutupa.
• Ma retinoids: Mankhwalawa, opangidwa kuchokera ku vitamini A, amathandiza kulamulira kukula kwa maselo a khungu . Angaperekedwe ngati mapiritsi kapena ngati kirimu.
• Mankhwala ena oletsa chitetezo chamthupi :Ngati mankhwala omwe ali pamwambawa ndi ovuta kuwaletsa, mankhwala amphamvu monga methotrexate ndi cyclosporine angagwiritsidwe ntchito. Dokotala wanu adzakuyang'anirani nthawi zonse akamapereka mankhwalawa.
• Chithandizo cha laser chapamwamba (LLLT): Kafukufuku wina wasonyeza kuti kugwiritsa ntchito mafunde apadera a kuwala kungathandize kutupa kwa khungu ndi kukula kwa tsitsi pang'ono.

Dokotala wanu angakupatseni mankhwala amodzi kapena angapo pamodzi. Nthawi zina mankhwala oyamba omwe mwapatsidwa sangagwire ntchito bwino. Ngati zimenezo zitachitika, musadandaule. Mutha kulankhula ndi dokotala wanu ndikuyesera njira ina. Chofunika kwambiri ndikupitiriza kuyesa mpaka mutapeza chithandizo chomwe chikukugwirani bwino ndikumwa mankhwalawo monga momwe dokotala wanu wanenera.

Kodi muyenera kusamala ndi chiyani mukakhala ndi zizindikiro za LPP?

Kukhala ndi LPP nthawi zina kungakhale kovuta, koma ndi chisamaliro choyenera , mutha kukhala bwino ndi vutoli.

• Imwani mankhwala anu monga momwe mwalangizidwira: Imwani mankhwala monga mwalangizidwira ndi dokotala wanu, mu mlingo woyenera, panthawi yoyenera, komanso nthawi yomwe mwalangizidwa. Musasiye, kuwonjezera, kapena kuchepetsa mankhwala anu popanda upangiri wa dokotala wanu.
• Pitani kwa dokotala wanu nthawi zonse: Pitani kwa dokotala wanu wa khungu nthawi ndi nthawi kuti muwone momwe chithandizocho chikugwirira ntchito, kuti muwone ngati pali zotsatirapo zilizonse zoyipa, komanso ngati pali zovuta zilizonse.
• Ganizirani za thanzi lanu la maganizo: Kutaya tsitsi ndi kusasangalala ndi mutu nthawi zina kungayambitse kudziona ngati wopanda pake, kuvutika maganizo, kapena nkhawa. Izi ndi zachilendo. Ngati mukumva choncho, lankhulani ndi banja lanu, anzanu, kapena dokotala za izi. Muthanso kupempha uphungu ngati pakufunika kutero.

Kodi pali njira yopewera kupanga LPP?

Palibe njira yodziwika yopewera LPP, chifukwa chomwe chimayambitsa matendawa sichikudziwikabe. Komabe, ngati muwona kusintha kulikonse pakhungu lanu, monga kutayika kwa tsitsi, kuyabwa, kapena kutupa pakhungu lanu, musanyalanyaze. Kuchiza LPP msanga kungathandize kupewa zipsera ndi kutayika kwa tsitsi mtsogolo.

Kodi LPP ingachiritsidwe kwathunthu?

Ili ndi vuto lomwe anthu ambiri ali nalo. Palibe mankhwala odziwika a LPP. Izi zikutanthauza kuti, si "mankhwala ndipo mutha." Koma musadandaule! Chithandizo chingalepheretse kuti chisakule kwambiri ndikufalikira kwambiri.Mukhoza kuwongolera zizindikiro zanu, kuchepetsa zipsera, ndikukhala moyo wabwinobwino. Mungafunike kuyesa njira zingapo zothandizira kuti mupeze yomwe ingakuthandizeni. Dokotala wanu wa khungu angakuthandizeni paulendowu ndikukuthandizani kupeza mayankho a mavuto anu akuthupi komanso amalingaliro.

Kodi ndiyenera kusamalira bwanji khungu langa la mutu ndikakhala ndi LPP?

Khungu lanu la mutu likhoza kukhala lofewa kwambiri mukakhala ndi LPP. Choncho kuti mupewe kuyabwa, kuyabwa, kapena ziwengo, ganizirani izi:

• Gwiritsani ntchito ma shampu ndi ma conditioner ofewa: Dokotala wanu angakulangizeni ma shampu apadera ndi zinthu za tsitsi. Kawirikawiri, ndi bwino kugwiritsa ntchito zinthu zomwe sizimayambitsa ziwengo komanso zofewa .
• Pewani mankhwala okhala ndi zosakaniza izi: Ndi bwino kupewa kugwiritsa ntchito shampu ndi mankhwala a tsitsi okhala ndi zosakaniza izi, chifukwa angapangitse khungu lanu kukhala louma, kuyabwa, komanso lofiira kwambiri:
• Mowa: Chizindikirocho chinganene kuti `(alcohol denatured)` kapena `(isopropyl alcohol)`.
• Fungo kapena zonunkhira.
• Ma Sulfate: (monga Sodium Lauryl Sulfate - SLS)
• Zosungira monga `(parabens)` ndi `(methylisothiazolinone)`.
• Pewani kukanda mutu wanu: Kaya kuyabwa kwambiri bwanji, musamakanda mwamphamvu ndi misomali yanu. Izi zingayambitse kuvulala, matenda, komanso kukulitsa vutoli.
• Kuphimba mutu: Anthu ena amagwiritsa ntchito zophimba mutu kuti aphimbe tsitsi lawo. Kuphimba mutu wawo kumathandizanso kuteteza khungu lawo ku mphepo yozizira komanso dzuwa loopsa. Muthanso kugwiritsa ntchito masiketi, zipewa, kapena mawigi, kutengera zomwe mumakonda.
• Ngati mukuganiza zovala wigi, funsani dokotala wanu za malo omwe amapanga ma wigi kwa anthu omwe ali ndi zifukwa zachipatala. Komanso phunzirani momwe mungasamalire bwino wigi yanu. Musalole wigi yanu kukhala yolimba kwambiri, ndipo ndi bwino kugwiritsa ntchito chipewa cha wigi kuti muteteze khungu lanu ndikupangitsa kuti likhale losavuta kuvala.

Ndiyenera kukaonananso ndi dokotala liti?

Ngakhale mutayamba kulandira chithandizo, muyenera kuonana ndi dokotala ngati:

• Ngati mankhwala kapena chithandizo chomwe mwapatsidwa sichikugwira ntchito , kutanthauza kuti, ngati zizindikiro zanu sizikuchepa.
• Ngati mankhwalawo ayambitsa zotsatirapo zosafunikira .
• Ngati zizindikiro zanu zikuipiraipira panopa.
• Ngati zizindikiro zatsopano (monga kutayika kwa tsitsi m'malo atsopano, kupweteka kowonjezereka) zikuwonekera.

Matendawa, otchedwa LPP, nthawi zambiri samayambitsa mavuto aakulu azaumoyo omwe angawopseze moyo. Anthu ambiri omwe ali ndi vutoli amakhala ndi moyo wabwinobwino komanso wotanganidwa. Komabe, kuthana ndi zizindikiro monga kutayika kwa tsitsi, kupweteka, ndi kuyabwa kungakhale kovuta m'maganizo.Chithandizo chingathandize pa izi. Choncho musataye mtima. Gwirani ntchito ndi dokotala wanu kuti mupeze chithandizo chomwe chingakuthandizeni, ndipo kambiranani momasuka za mavuto akuthupi ndi amisala omwe mukukumana nawo. Kuvala mpango wa kumutu, wigi, kapena chipewa kungakuthandizeni kudzidalira. Koma ichi ndi chisankho chaumwini. Mukamaganizira zophimba mutu, chitani zomwe zikukukomerani komanso zomwe zikukusangalatsani.

Pomaliza, zinthu zoti muzikumbukira

• Lichen planuspilaris (LPP) ndi matenda otupa omwe amakhudza ma follicle a tsitsi pamutu. Angayambitse zipsera ndi kutayika kwa tsitsi kosatha.
• Ngakhale kuti chifukwa chenicheni cha izi sichikudziwika, akukhulupiriridwa kuti ndi njira yodziyimira payokha . Iyi si matenda opatsirana.
• Zizindikiro zake zingakhale monga kutayika kwa tsitsi, kufiira, kutsekeka, kuyabwa, ndi kutupa pakhungu la mutu.
• Kuzindikira msanga ndi kulandira chithandizo kungathandize kupewa vutoli kuti lisakule kwambiri komanso kuti tsitsi lisatayike. Ngakhale kuti palibe mankhwala, pali mankhwala othandiza oletsa zizindikiro.
• Samalirani khungu lanu ndipo gwiritsani ntchito shampu zofewa .
• Ngati kutayika kwa tsitsi kukukhudza thanzi lanu la maganizo, ndikofunika kufunafuna upangiri wa dokotala pankhaniyi . Simuli nokha.
• Kuvala chophimba kumutu (siketi, wigi, chipewa) ndi chisankho chaumwini. Chitani zomwe mukuona kuti n'zoyenera.

Ndikukhulupirira kuti izi zikuthandizani. Ngati muli ndi mafunso ena, onetsetsani kuti mwalankhula ndi dokotala wanu.

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Lichen Planopilaris, LPP, kutayika kwa tsitsi, matenda a khungu, zipsera za khungu, kutayika kwa tsitsi kosatha, matenda a khungu, matenda odziteteza ku matenda a autoimmune, kutayika kwa tsitsi