Kodi mukuyamba kuoneka mawanga achilendo ndi matuza oyabwa pakhungu lanu? Zingakhale Lichen Planus!

Kodi mwadzidzidzi mwayamba kuyabwa pakhungu lanu? Kapena mwayamba kukhala ndi mabala oyera mkamwa mwanu omwe amakuvutitsani ngakhale mukudya? Izi zitha kukhala zizindikiro za matenda a pakhungu otchedwa Lichen Planus. Anthu ambiri amachita mantha pang'ono akamva dzinali, koma musadandaule, silopatsirana kapena loopsa. Tiyeni tikambirane mwatsatanetsatane, mwachidule.

Kodi Lichen Planus ndi chiyani?

Mwachidule, Lichen Planus ndi matenda a pakhungu. Amatha kukhudza dera limodzi lokha la khungu, kapena amatha kukhudza madera angapo a thupi nthawi imodzi. Apa ndi pomwe amapezeka kwambiri:

• Khungu: Khansa ya pakhungu ikhoza kuchitika kulikonse m'thupi.
• Mkati mwa pakamwa: Timachitcha kuti "m'kamwa mucosa". Chimawoneka mkati mwa masaya, lilime, ndi m'kamwa.
• Khungu la m'mutu: Lingawonekere pakhungu la m'mutu ndi m'tsitsi.
• Misomali: Misomali ya zala ndi zala za mapazi ingakhudzidwe.
• Malo oberekera: Angachitikenso m'malo monga mbolo, nyini, ndi labia.

Madokotala amati matenda amenewa ndi a m'gulu la matenda a lichenoid dermatoses. Izi zikutanthauza kuti ndi gulu la matenda omwe amawoneka ngati matuza ang'onoang'ono, osintha mtundu pakhungu.

Kodi ichi ndi vuto la autoimmune?

Funso limene anthu ambiri amafunsa ndi ili. Lichen Planus si vuto lenileni la autoimmune, koma ndi vuto lofanana ndi limene limachitika m'thupi lathu. Ndi vuto la "idiopathic". Izi zikutanthauza kuti chomwe chimayambitsa vutoli sichinapezekebe.

Kawirikawiri, chitetezo chathu chamthupi chimatiteteza polimbana ndi adani ochokera kunja, monga mabakiteriya ndi mavairasi. Koma mwa anthu omwe ali ndi lichen planus, maselo a T a chitetezo chathu chamthupi amaukira molakwika mapuloteni omwe amapezeka pakhungu lathu ndi mucous membranes. Chifukwa chake maselo a T amenewa amachita izi sichidziwikabe.

Kodi pali kusiyana kotani pakati pa Lichen Planus ndi Lichen Sclerosus?

Mayina a matenda awiriwa ndi ofanana pang'ono, zomwe zingayambitse chisokonezo. Monga Lichen Planus, Lichen Sclerosus ndi vuto losazolowereka lomwe limakhudza khungu. Komabe, mu Lichen Sclerosus, khungu limachepa pang'onopang'ono, limatuluka, ndipo pamapeto pake limakhala ndi ziphuphu. Ngakhale kuti limatha kuchitika kulikonse m'thupi, nthawi zambiri limakhudza ziwalo zoberekera ndi khungu lozungulira anus. Ndi lofala kwambiri mwa akazi omwe adapita kusamba.

Kusiyana kwakukulu ndi kwakuti Lichen Sclerosus nthawi zambiri imakhudza nembanemba ya mkamwa, pomwe Lichen Planus imapezeka kwambiri mkamwa.

Kodi pali kusiyana kotani pakati pa lichen planus ndi psoriasis?

Psoriasis ndi matenda ena omwe amayambitsa mawanga ofiira pakhungu. Zonsezi zimatha kusokoneza anthu ena chifukwa zimayambitsa mawanga osintha mtundu. Komabe, psoriasis imakhala ndi mawanga ndipo nthawi zambiri siikhudza mkati mwa pakamwa. Lichen Planus imakhala ndi mawanga ocheperako.

Ndani amadwala matendawa nthawi zambiri? Kodi ndi ofala bwanji?

Lichen Planus imatha kukhudza aliyense, koma kafukufuku akusonyeza kuti imapezeka kwambiri mwa akazi azaka zapakati pa 30 ndi 60. Kafukufuku wina akusonyeza kuti akazi ali ndi mwayi wowirikiza kawiri matendaŵa kuposa amuna. Akuti imapezeka kwambiri mwa akazi azaka zapakati pa 60 ndi amuna azaka zapakati pa 40.

Ngati muli ndi lichen planus pakhungu lanu, pali mwayi wa 50% mpaka 75% kuti mudzadwalanso mkamwa mwanu.

Ndi yofala kwambiri moti imakhudza pafupifupi 0.22% mpaka 1% ya anthu akuluakulu. Oral Lichen Planus imakhudza pakati pa 1% ndi 4% ya anthu padziko lonse lapansi.

Kodi Lichen Planus imakhudza bwanji thupi? Kodi zizindikiro zake ndi ziti?

Zizindikiro za lichen planus zimasiyana malinga ndi komwe zakhudzidwa ndi thupi lanu.

Zizindikiro za khungu

Izi nthawi zambiri zimawoneka m'manja mwanu, zigongono (zomwe timazitcha kuti malo opindika), pamwamba pa manja anu (malo opindika), ndi kutsogolo kwa miyendo yanu .

• Zimayamba ngati madontho ang'onoang'ono, okwera (timawatcha kuti ``papules''), ofanana ndi mutu wa pinhead (pafupifupi mamilimita 0.4).
• Patapita kanthawi, izi zimatha kukula pang'ono ndikukhala zokhuthala ngati pensulo (pafupifupi sentimita imodzi).
• Izi zitha kukhala zofiirira komanso zokhala ndi malo osalala.
• Kungakhalenso kuyabwa kwambiri. Kuyabwa kumeneku ndiye vuto lalikulu kwa anthu ambiri.
• Nthawi zina izi zimatha kukhala zilonda, makamaka ngati zakanda. Mitundu iyi ya ziphuphu kapena zilonda zimathanso kuchitika m'malo oberekera.

Zizindikiro za mkamwa (Oral Lichen Planus)

Pafupifupi theka la anthu omwe ali ndi lichen planus nawonso ali nayo mkamwa mwawo.

• Zimayamba ngati madontho ang'onoang'ono oyera kapena mawonekedwe ofanana ndi maukonde mkati mwa masaya, pa lilime, ndipo nthawi zina pamilomo.
• Nthawi zina izi zimakhala zofiira komanso zopweteka, ndipo mukadya chakudya chokometsera (monga chakudya chathu chodzazidwa ndi tsabola), mumatha kumva kutentha ndi kupweteka.
• Kusasangalala kumeneku kungawonjezeredwenso ndi kudya zakumwa zotentha, tomato, ndi zipatso za citrus (monga malalanje ndi mandimu).

Kusintha kwa misomali

Ngakhale kuti sizichitika kawirikawiri, izi zingakhudzenso misomali ya anthu ena.

• Mtundu wa misomali umasintha.
• Misomali inagawanika ndi kugawanika pakati.
• Kukula kwa misomali kungasiye, kapena misomali ingagwe.
• Mizere yopyapyala ingawonekerenso m'litali mwa msomali.

Lichen Planus nthawi zambiri siipweteka. Komabe, ngati mukanda ndi kuswa khungu, majeremusi amatha kulowa ndikuyambitsa matenda, omwe amatha kupweteka.

Kodi ndi chifukwa chiyani matenda a Lichen Planus amakula?

Zinthu zina zingayambitse kuti Lichen Planus iipireipire mwadzidzidzi kapena kuonekeranso. Izi timazitcha kuti kuphulika kwa matenda.

• Kachilombo ka Hepatitis C: Anthu omwe ali ndi kachilomboka ali pachiwopsezo chotenga lichen planus.
• Mitundu ina ya katemera: Mwachitsanzo, katemera wina wa chimfine.
• Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs): Ena mwa mankhwala omwe timagwiritsa ntchito ngati mankhwala ochepetsa ululu.
• Mankhwala ena: Mankhwala ena a nyamakazi, matenda a mtima, ndi kuthamanga kwa magazi.
• Mankhwala ena, zitsulo, kapena utoto: Kwa iwo omwe ali ndi vuto la ziwengo ndi izi. Mwachitsanzo, zitsulo zina zomwe zimagwiritsidwa ntchito podzaza mano.

Kodi lichen Planus imafalikira?

Ayi, ayi konse! Lichen Planus si matenda opatsirana. Simafalikira kudzera mu kugonana kapena kukhudzana ndi khungu ndi khungu. Amayamba chifukwa cha kusintha kwa chitetezo cha mthupi lanu. Choncho musachite mantha.

Kodi mungazindikire bwanji izi?

Dokotala wanu nthawi zambiri amatha kuzindikira matenda a lichen planus poyang'ana zizindikiro zanu ndikuyesa thupi. Madokotala amafufuza chinthu chotchedwa "Six Ps" (`(Six Ps)`):

• Kutupa: Madontho amayabwa.
• Madontho amitundu yosiyanasiyana: Mawonekedwe a madonthowa ndi okhala ndi ngodya zambiri zakuthwa.
• Pulani: Pamwamba pa malowo ndi pathyathyathya.
• Mapepala Ofiirira: Matumbowa ndi ofiirira.
• Mapepala olembedwa: Madontho okwezeka, osinthika mtundu.

Koma nthawi zina, ngati pali kukayikira kulikonse ngati izi zili choncho, dokotala angachite mayeso ena angapo:

• Kuyesa kwa ziwengo: Yang'anani ngati muli ndi ziwengo ndi china chake ndipo ngati ndicho chomwe chimayambitsa mawanga awa.
• Kufufuza khungu: Izi zimaphatikizapo kutenga kachidutswa kakang'ono ka khungu kuchokera pamalo pomwe pali mol ndikukatumiza ku labu. Kenako kamayang'aniridwa ndi maikulosikopu kuti mudziwe chomwe chavuta. Ichi ndi chinthu chaching'ono, palibe chodetsa nkhawa nacho.
• Kuyezetsa kwa Hepatitis C:Monga tanenera kale, mayesowa angachitikenso chifukwa lichen planus imagwirizana ndi kachilombo ka Hepatitis C.

Kodi lichen Planus ingachiritsidwe? Kodi mankhwala ake ndi otani?

Kunena zoona, palibe mankhwala a Lichen Planus pakadali pano. Komabe, nkhani yabwino ndi yakuti milandu yambiri ya lichen planus pakhungu imatha yokha mkati mwa miyezi ingapo mpaka zaka zingapo, ngakhale popanda chithandizo.

Komabe, pali njira zochepetsera kuyabwa ndi kusasangalala:

Chithandizo cha lichen planus ya khungu

• Mafuta odzola a Corticosteroid kapena mafuta odzola: Amachepetsa kutupa ndi kuyabwa pakhungu. Mankhwalawa amaperekedwa ndi dokotala.
• Mankhwala oletsa kuyabwa: Awa ndi mankhwala omwe nthawi zambiri amaperekedwa kwa odwala omwe ali ndi ziwengo. Amathandiza kuchepetsa kuyabwa.
• Kuchiza ndi kuwala kwa dzuwa: Izi zimagwiritsa ntchito kuwala kwa ultraviolet, nthawi zambiri UVB, kuchokera ku nyali zapadera. Kuwala kwa ultraviolet kumeneku, komwe kumapezeka padzuwa, kumagwira ntchito bwino pa matenda ena a pakhungu, kuphatikizapo lichen planus.
• Mankhwala Oletsa Kutupa kwa Thupi: Ngati matendawa ndi oopsa kwambiri, madokotala angapereke mankhwala oletsa chitetezo cha mthupi, monga mankhwala oletsa kutupa m'kamwa, mycophenolate mofetil, azathioprine, kapena cyclosporine.
• Ma retinoids (ochokera ku vitamini A): Awa amapezeka m'mapiritsi kapena ngati kirimu. Amawonjezera kupanga kwa collagen pakhungu, amalimbikitsa kukula kwa mitsempha yamagazi, komanso amathandiza kuchiritsa zipsera. Komabe, ma retinoids angayambitse zilema zobadwa nazo, choncho onetsetsani kuti mwauza dokotala wanu ngati muli ndi pakati kapena mukukonzekera kutenga pakati.

Kasamalidwe ka Oral Lichen Planus

Lichen Planus mkamwa nthawi zambiri imachira patatha zaka pafupifupi zisanu. Komabe, ngati pali zilonda kapena zilonda mkamwa, mutha kupeza mpumulo ndi zinthu izi:

• Kusunga thanzi la mkamwa: Ndikofunikira kutsuka mano anu tsiku lililonse, kutsuka mano pakati pa mano anu, komanso kutsuka mano anu ndi dokotala wa mano osachepera kawiri pachaka.
• Kuchepetsa zilonda mkamwa: Ngati muli ndi zilonda mkamwa mwanu, zimatha kufalikira komanso kupweteka kwambiri. Chifukwa chake, ndi bwino kutsuka mano anu nthawi zonse, kuyika sera ya mano mozungulira mano anu ngati muli ndi zitsulo zomangira mano, ndikuchotsa zoboola zilizonse mkamwa mwanu ngati muli nazo.
• Kubwezeretsa mano odzaza:Kawirikawiri, anthu ena amakhala ndi vuto la amalgams, omwe ndi zitsulo zomwe zimagwiritsidwa ntchito podzaza mano. Vutoli limatha kuwoneka ngati lichen planus. Pazochitika zotere, kusintha zodzazazo ndi zinthu zomwe sizimayambitsa ziwengo kungathandize.

Kodi mankhwala ochiritsira kunyumba ndi ati?

Pali mankhwala omwe mungagule ku pharmacy ndi zinthu zomwe mungachite kunyumba kuti musamakanda mabala anu.

Ngakhale kuti izi ndi zotetezeka kwa anthu ambiri, ndi bwino kulankhula ndi dokotala musanazigwiritse ntchito, chifukwa nthawi zina mungakhale ndi vuto la ziwengo.

• Aloe vera: Aloe vera ndi mankhwala achilengedwe omwe amathandiza kuchiritsa mabala ndikunyowetsa khungu. Kafukufuku wina wasonyeza kuti aloe vera ingathandize kuchepetsa zizindikiro za lichen planus mkamwa kapena pa milomo.
• Mankhwala oletsa kuyabwa: Mankhwalawa, omwe angagulidwe ku pharmacy, amachepetsa kuyabwa.
• Mafuta odzola a Hydrocortisone kapena mafuta odzola: Awa angagulidwe pa kauntala ku pharmacy. Ndi corticosteroid yophatikizidwa ndi mankhwala ochepetsa ululu.
• Ufa wa oatmeal: Njira yabwino yogwiritsira ntchito oatmeal pochiza mabala a lichen planus ndikuupera kukhala ufa wabwino mu blender kapena food processor (izi zimatchedwa ``colloidal oatmeal''). Sakanizani ufa wa oatmeal uwu ndi madzi otentha pang'ono kuti mupange phala lokhuthala. Pakani izi pa mabala onse. Siyani kwa mphindi zosachepera 10 kenako pukutani ndi nsalu yoyera.

Kodi zizindikiro zimawonjezeka pamene kupsinjika maganizo kukuwonjezeka?

Inde, kupsinjika maganizo kumatha kuipitsa vuto lililonse la khungu, kuphatikizapo lichen planus. Tikavutika maganizo, sikuti zimakhudza maganizo athu okha komanso matupi athu.

Zizindikiro zina za kupsinjika maganizo (zomwe zingawonjezere zizindikiro za lichen planus):

• Kuvutika maganizo.
• Kuvuta kupumula.
• Gwiritsani ntchito mowa, fodya, kapena mankhwala osokoneza bongo kuti mupumule.
• Kukhala ndi maganizo oipa pa iwe mwini (kudziona kuti ndi wosafunika).
• Kumva nkhawa nthawi zonse.
• Kumva ngati chilichonse chapitirira muyeso, kumva ngati simungathe kuchilamulira.
• Kuvuta kuyika maganizo pa chinthu.
• Kukwiya msanga, kusinthasintha maganizo pafupipafupi.

Zizindikiro zakuthupi za kupsinjika maganizo (izi zingawonjezerenso zizindikiro za lichen planus):

• Kusanza, chizungulire.
• Kutaya chilakolako chogonana.
• Kugona mopitirira muyeso (hypersomnia).
• Kugona pang'ono, kusowa tulo.
• Kutsegula m'mimba.
• Kudzimbidwa.
• Kuuma kwa minofu, kupweteka.
• Kupweteka kwa thupi.

Choncho, ndikofunikira kwambiri kuganizira njira zothanirana ndi kupsinjika maganizo.Zinthu monga kusinkhasinkha, yoga, kuchita masewera olimbitsa thupi opumira, ndi kuchita zinthu zomwe mumakonda zingathandize kwambiri.

Ndi zakudya ndi zakumwa ziti zomwe ndiyenera kupewa ngati ndili ndi lichen planus?

Ngati muli ndi lichen planus ya mkamwa, ndi bwino kupewa zakudya ndi zakumwa zokometsera, zokhala ndi asidi, chifukwa izi zingapangitse kuti madontho mkamwa mwanu azipweteka komanso kutupa kwambiri.

• Tsabola wotentha, tsabola wamchere, zakudya zokhala ndi zokometsera tsabola. (M'dziko lathu, izi ndizofunikira kwambiri, koma muyenera kuziletsa pang'ono.)
• Ma sosi otentha ngati salsa.
• Zipatso za citrus (malalanje, ma tangerines, mandimu, mandimu).
• Tomato ndi msuzi wa phwetekere.
• Mowa.

Kuwonjezera pa kusiya zakudya ndi zakumwa zimenezi, ndikofunikira kwambiri kuti anthu osuta asiye kusuta konse.

Kodi pali njira yopewera izi?

Mwatsoka, palibe njira yeniyeni yopewera kukula kwa Lichen Planus. Popeza chifukwa chenicheni sichikudziwika, n'zovuta kunena momwe tingapewere.

Kodi chimachitika ndi chiyani ngati muli ndi Lichen Planus? Kodi mungayembekezere chiyani?

Lichen Planus ndi matenda omwe nthawi zina amatha kuchiritsidwa popanda chithandizo. Koma nthawi zambiri, chithandizo chimafunika kuti muchepetse zizindikiro. Ngati muli ndi lichen planus pakhungu lanu, zingatenge miyezi kapena zaka kuti muchiritse. Lichen planus mkamwa mwanu ingatenge zaka zisanu kuti ichire. Chithandizo ndi mankhwala apakhomo zingathandize kuchepetsa kusasangalala kwanu.

Ngati muli ndi lichen planus m'dera lanu loberekera, mutha kumva kupweteka komanso kusasangalala panthawi yogonana. Komabe, simungathe kupatsira mnzanuyo.

Kodi muyenera kupita kwa dokotala liti?

Pazochitika zotere, muyenera kuwona dokotala:

• Ngati muyamba zizindikiro zatsopano .
• Ngati zizindikiro sizikuchepa ngakhale mutalandira chithandizo.
• Ngati mawangawo alipo nthawi yayitali kuposa momwe amayembekezeredwa .
• Ngati malo omwe mawangawo ali ndi kachilombo (kofiira, kutupa, mafinya otuluka).

Ndi mafunso ati omwe muyenera kufunsa dokotala wanu?

Mukapita kwa dokotala, mukhoza kufunsa mafunso monga awa:

• Kodi mungadziwe bwanji ngati ndili ndi Lichen Planus?
• Ngati ndilibe Lichen Planus, ndi matenda ena ati a pakhungu omwe ndingakhale nawo?
• Kodi zitenga nthawi yayitali bwanji kuti thupi langa lichiritse vutoli?
• Kodi mumalimbikitsa mankhwala otani?
• Kodi pali zotsatirapo zilizonse pa mankhwala amenewo?
• Kodi ndi mankhwala ati a kunyumba omwe mumalimbikitsa?
• Kodi pali kirimu kapena mafuta apadera omwe ndingapatsidwe?
• Kodi ndiyenera kupita kwa dokotala wa khungu kapena katswiri wina?

Uthenga Wopita Nawo Kunyumba

Lichen Planus ndi matenda ofala pakhungu. Amathanso kukhudza pakamwa ndi msomali. Amatha kukhala ochititsa manyazi komanso oyabwa pang'ono. Komabe, si matenda oopsa kapena opatsirana, ndipo nthawi zambiri amatha okha.

Chofunika kwambiri ndikuyang'anira khungu lanu. Ngati muwona mawanga atsopano kapena kusintha pakhungu lanu, pitani kwa dokotala nthawi yomweyo. Mwanjira imeneyi, mutha kudziwa zomwe zikuchitika ndikuyamba chithandizo ngati pakufunika kutero.

` Lichen planus, matenda a pakhungu, mawanga oyabwa, mawanga pakamwa, matenda a pakhungu, chitetezo chamthupi, chithandizo cha pakhungu