Kodi muli ndi matuza ofiirira komanso oyabwa pathupi lanu? Izi zitha kukhala Lichen Planus!

Kodi mwadzidzidzi mwayamba kuyabwa pang'ono, kosalala, kofiirira, komanso kowala pathupi lanu, makamaka m'manja mwanu, m'zigongono, ndi m'miyendo? Kapena pali mizere yoyera, yonga maukonde mkati mwa pakamwa panu ndi m'mbali mwa masaya anu? Mwina mwaona kusintha kwa misomali yanu? Ndizachibadwa kumva mantha pang'ono komanso nkhawa mukaona zinthuzi. Koma musadandaule. Lero, tikambirana za vuto la khungu lomwe limakhudza anthu ambiri, koma si loopsa kwambiri, lotchedwa lichen planus.

Mwachidule, kodi Lichen Planus ndi chiyani?

Lichen planus ndi vuto la pakhungu lomwe limayambitsa ziphuphu zazing'ono, zokwezeka (mapepala) kuonekera pakhungu, pakamwa, m'misomali, pakhungu la mutu, ndipo nthawi zina ziwalo zoberekera. Izi zitha kuwoneka pamalo amodzi okha, kapena zitha kuwoneka m'malo angapo a thupi nthawi imodzi.

Madera akuluakulu omwe matendawa angakhudze ndi awa:

• Khungu: Makamaka m'manja, m'zigongono, ndi m'miyendo pansi pa mawondo.
• Mkati mwa pakamwa (Oral Mucosa): Mkati mwa masaya, lilime, milomo.
• Khungu la m'mutu: Khungu lomwe lili ndi tsitsi.
• Misomali: Pamanja ndi pamapazi.
• Ziwalo zoberekera: Malo oberekera amuna ndi akazi.

Izi kwenikweni ndi vuto lomwe limayamba chifukwa cha kusamvetsetsa pang'ono za chitetezo chathu chamthupi. Tiyeni tiwone mwatsatanetsatane.

Kodi ichi ndi vuto la autoimmune? Nchifukwa chiyani izi zimachitika?

Ngakhale kuti lichen planus si matenda enieni a autoimmune, imakhudza njira yofanana. Taganizirani izi motere: chitetezo chathu cha mthupi chili ngati gulu lathu lankhondo. Ntchito yawo ndikutiteteza ku ziwanda zakunja (monga mavairasi ndi mabakiteriya). Gawo lapadera la gululi limatchedwa maselo a T.

Mwa munthu wathanzi, maselo a T awa amalimbana ndi majeremusi ochokera kunja kokha. Koma mwa munthu amene ali ndi lichen planus, maselo a T awa amasokonekera ndipo amayamba kuukira puloteni yomwe ili pakhungu lathu ndi mucous membranes, poganiza kuti ndi mdani.

Chifukwa chenicheni chomwe maselo a T amenewa amachitira zinthu mwadzidzidzi sichikudziwikabe. Ndicho chifukwa chake amatchedwa vuto la idiopathic, kapena "losadziwika".

Kusiyana pakati pa Lichen Planus ndi Lichen Sclerosus

Mayina awiriwa ndi ofanana pang'ono, zomwe zingasokoneze anthu ena. Onsewa ndi matenda omwe amakhudza khungu ndipo chifukwa chenicheni sichidziwika. Koma pali kusiyana kwakukulu.

• Lichen Sclerosus: Matenda a chifuwaImeneyi ndi vuto limene khungu limachepa pang'onopang'ono, limayamba kuyabwa, zilonda zimapangika, ndipo pamapeto pake zipsera zimapangika. Ngakhale kuti zimatha kuchitika kulikonse m'thupi, nthawi zambiri zimawoneka mozungulira ziwalo zoberekera ndi maliseche. Vutoli ndi lofala pakati pa akazi omwe adasiya kusamba. Chofunika kwambiri, lichen sclerosus siimapezeka kawirikawiri mkamwa.
• Lichen Planus: Uwu ndi vuto lomwe tikukamba. Izi nthawi zambiri zimakhudza khungu komanso mkati mwa pakamwa.

Kusiyana Pakati pa Lichen Planus ndi Psoriasis

Psoriasis ndi matenda a pakhungu omwe anthu ambiri amawadziwa bwino. Zonsezi zimatha kusokonezeka chifukwa zimayambitsa ziphuphu pakhungu. Koma pali kusiyana. Mu psoriasis, ziphuphu pakhungu zimawoneka zoyera komanso zotupa . Komanso, psoriasis nthawi zambiri siimapezeka mkamwa.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Aliyense akhoza kudwala lichen planus, koma magulu ena ali ndi mwayi waukulu woti adwale lichen planus.

• Izi nthawi zambiri zimachitika mwa anthu azaka zapakati pa 30 ndi 60 .
• Azimayi ali ndi mwayi wochuluka wopeza matendawa kuposa amuna.
• Vutoli limapezeka kwambiri mwa akazi azaka za m'ma 60 ndi amuna azaka za m'ma 40.

Kodi zizindikiro za matendawa ndi ziti?

Zizindikiro zimadalira komwe matenda a lichen planus amakukhudzirani. Tiyeni tiwone zizindikiro zake pa gawo lililonse la thupi lanu.

Lichen planus nthawi zambiri siipweteka. Komabe, ngati mukanda khungu, lingayambitse matenda ndi ululu. Chifukwa chake, muyenera kupewa kukanda kwambiri momwe mungathere.

Kodi n’chiyani chimayambitsa vutoli?

Zinthu zina zingayambitse matendawa kukulirakulira mwadzidzidzi, kapena kufalikira. Zina mwa izo ndi izi:

• Matenda a Hepatitis C.
• Katemera wina.
• Mankhwala ena ochepetsa ululu (NSAIDs) .
• Mankhwala ena omwe amatengedwa pa matenda a nyamakazi, matenda a mtima, kapena kuthamanga kwa magazi .
• Matenda a ziwengo ku mankhwala enaake, zitsulo (monga mercury yomwe imagwiritsidwa ntchito podzaza mano) , kapena utoto.

Kodi dokotalayo amazindikira bwanji izi?

Dokotala nthawi zambiri amatha kudziwa ngati ndi lichen planus pofufuza zizindikiro zanu ndikuwona mabala pakhungu lanu. Amafufuza zizindikiro zingapo zotchedwa "Six Ps" kuti ziwathandize kuzindikira.

• Kutupa (kuyabwa)
• Polygonal (ili ndi mawonekedwe ooneka ngati ambiri)
• P lanar (yathyathyathya pamwamba)
• Pepo
• Matuza ang'onoang'ono (matuza ang'onoang'ono)
• Mapepala (mabala a pakhungu)

Komabe, nthawi zina dokotala angasankhe kuchita mayeso ena angapo kuti atsimikizire matendawa.

• Kuyezetsa ziwengo: Onani ngati vutoli lakula chifukwa cha ziwengo zilizonse zomwe muli nazo.
• Kuyeza khungu: Izi zimaphatikizapo kutenga kachidutswa kakang'ono kwambiri ka khungu kuchokera pamalo pomwe pali mollus ndikukayang'ana pogwiritsa ntchito maikulosikopu. Izi zitha kutsimikizira matendawa 100%.
• Kuyezetsa kwa Hepatitis C: Nthawi zina lichen planus imagwirizanitsidwa ndi kachilombo ka hepatitis C, kotero mayesowa angachitikenso.

Kodi mankhwala ochizira izi ndi otani?

Palibe mankhwala ochiritsira lichen planus. Koma musadandaule. Nthawi zambiri, lichen planus pakhungu imadzichiritsa yokha mkati mwa miyezi ingapo kapena chaka chimodzi kapena ziwiri popanda chithandizo chilichonse.

Komabe, ngati zizindikiro monga kuyabwa ndi kutentha zikuvutitsa, dokotala wanu adzakupatsani chithandizo chowongolera.

Chithandizo chamankhwala

• Mafuta odzola a Corticosteroid: Izi zimathandiza kuchepetsa kutupa ndi kuyabwa.
• Mankhwala oletsa kuyabwa: Awa ndi othandiza poletsa kuyabwa.
• Kuchiza ndi kuwala kwa dzuwa (Phototherapy): Izi zimaphatikizapo kutsogoza kuwala kwa ultraviolet (UV) komwe kumachokera ku nyali zapadera kupita pakhungu kuti kuthetse zizindikiro.
• Mankhwala Oletsa Kutupa kwa Thupi: Ngati matendawa ndi oopsa, mapiritsi omwe amachepetsa mphamvu ya chitetezo cha mthupi (monga mankhwala oletsa kutupa m'kamwa, azathioprine) angaperekedwe.
• Ma Retinoids: Mankhwalawa, opangidwa kuchokera ku vitamini A, amapezeka m'mapiritsi kapena mu mawonekedwe a kirimu. Komabe, amayi omwe ali ndi pakati kapena akukonzekera kutenga pakati ayenera kulankhula ndi dokotala wawo asanawagwiritse ntchito.

Zinthu zomwe mungachite kunyumba ndi kusintha moyo wanu

Kuwonjezera pa chithandizo chamankhwala, palinso zinthu zina zomwe mungachite nokha kuti muchepetse kusasangalala.

• Aloe vera: Kupaka jeli ya aloe vera kungathandize kuti kutupa ndi mabala zichiritsidwe mwachangu.
• Chithandizo cha oatmeal: Sakanizani oatmeal wophwanyidwa bwino (colloidal oatmeal) ndi madzi pang'ono kuti mupange phala. Pakani izi pamalo omwe akuyabwa, musiye kwa mphindi 10, kenako muzimutsuka.
• Kuchepetsa kupsinjika maganizo: Kupsinjika maganizo ndi chinthu chomwe chingakulitse vuto lililonse la khungu. Choncho yesetsani kukhala chete mumtima mwanu pochita masewera olimbitsa thupi popuma, kusinkhasinkha, ndi yoga.
• Ngati ili mkamwa (Oral Lichen Planus):
• Sungani bwino pakamwa. Sambitsani mano anu bwino.
• Pewani zakudya ndi zakumwa zokometsera, zowawasa, komanso zotentha. Zinthu monga tsabola, sosi, zipatso za citrus monga malalanje, tomato, ndi mowa zimatha kuwonjezera kutupa.
• Pewani kusuta fodya kotheratu.
• Anthu ena akhoza kukhala ndi vuto la kukhuta ndi zodzaza za amalgam . Ngati mukukayikira izi, lankhulani ndi dokotala wa mano za izi.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi chimodzi mwa zotsatirazi, pitani kwa dokotala.

• Ngati muyamba zizindikiro zatsopano.
• Ngati palibe kusintha kwa zizindikiro pambuyo pa chithandizo.
• Ngati ziphuphu za pakhungu zakhalapo kwa nthawi yayitali kuposa momwe zimayembekezeredwa.
• Ngati malo omwe mawangawo ali ndi kachilombo (monga kufiira, kutupa, kapena kutuluka mafinya).

Mungathe kufunsa mafunso awa mukapita kukaonana ndi dokotala.

• Kodi mungadziwe ngati iyi ndi lichen planus?
• Ngati sichoncho, kodi ndi matenda ena ati a pakhungu omwe angakhalepo?
• Kodi zitenga nthawi yayitali bwanji kuti vutoli lichiritsidwe?
• Kodi ndi mankhwala ati abwino? Kodi ali ndi zotsatirapo zake?
• Ndi mankhwala otani omwe angachitike kunyumba?

Lichen planus ndi matenda omwe amatha kukhala ochititsa manyazi, kuyabwa, komanso manyazi, koma kumbukirani kuti si matenda oopsa kapena opatsirana. Nthawi zambiri amatha okha. Chofunika kwambiri ndikusamalira khungu lanu ndikupita kuchipatala ngati pakufunika kutero.