Kodi khungu lanu lasintha m'malo anu obisika, ngati madontho oyera, kapena kuyabwa kosalekeza? Nthawi zina zimakhala zovuta kulankhula ndi wina za zinthu ngati izi, sichoncho? Koma iyi ndi vuto lomwe anthu ambiri amakumana nalo mwakachetechete, koma ngati litachiritsidwa bwino, lingathe kuthetsedwa bwino. Lero tikulankhula za matenda a pakhungu otchedwa `( Lichen Sclerosus )`, omwe anthu ambiri sanamvepo, koma ndi ofunika kwambiri kudziwa.
Mwachidule, kodi Lichen Sclerosus ndi chiyani?
Lichen Sclerosus ndi matenda a pakhungu osatha omwe amakhudza khungu lathu, makamaka ziwalo zoberekera ndi khungu lozungulira thako. Izi zimapangitsa kuti khungu m'malo amenewo likhale lopyapyala, loyera, loyabwa, komanso lopweteka.
Matendawa amatha kukhudza malo omwe ali kunja kwa nyini (vulva) mwa akazi, mbolo ndi khungu lake (khungu lakunja) mwa amuna, komanso malo ozungulira mphuno mwa amuna ndi akazi. Nthawi zambiri, amathanso kuchitika m'malo ena a thupi, monga khosi, chifuwa, ndi msana.
Chofunika kwambiri ndichakuti vutoli ndi la moyo wonse. Izi zikutanthauza kuti silingathe kuchiritsidwa kwathunthu. Koma musadandaule, ndi chithandizo choyenera, mutha kuwongolera zizindikirozo ndikukhala moyo wabwinobwino. Ngati simulandira chithandizo, zingayambitse zipsera pakhungu , kupweteka kugonana (dyspareunia), kuvutika kukodza , ndipo, kawirikawiri, chiopsezo chowonjezeka cha khansa ya pakhungu (squamous cell carcinoma).
Kodi matendawa amaoneka bwanji akayamba? Kodi zizindikiro zake ndi ziti?
Matendawa amayamba ngati tinthu tating'onoting'ono, toyera, tonyezimira, tokwezeka pang'ono pakhungu lanu kapena mozungulira maliseche anu kapena ku matako. Pakapita nthawi, tinthuti timaphatikizana ndikupanga tinthu tating'onoting'ono toyera tomwe timaoneka ngati pepala lopaka.
Zizindikiro zazikulu ndi zovuta zina zalembedwa bwino mu tebulo ili m'munsimu.
| Mtundu wa chizindikiro | Kufotokozera |
|---|---|
| Kusintha kwa khungu | Madontho oyera, owala kapena mawanga. Kuchepa thupi, makwinya, komanso kusweka mosavuta kwa khungu. |
| Kumva kusasangalala | Kuyabwa kwambiri (makamaka usiku), kupweteka, kutupa, komanso kusasangalala. |
| Kuvulala pakhungu | Kuyabwa pafupipafupi kungayambitse zilonda pakhungu, zilonda, ndi matuza. Nthawi zina, kutuluka magazi kungachitike. |
| Mavuto ena | Ululu panthawi yogonana, ululu panthawi yokodza (Dysuria), mkodzo wofooka kapena wobalalika. |
| Makhalidwe enieni kwa amuna | Kulimba kwa khungu la mbolo ndi kulephera kulikoka mmbuyo (Phimosis). Kutuluka madzi osayenera kuchokera ku mbolo. |
Kumbukirani kuti zizindikirozi sizimachitika mofanana kwa aliyense. Anthu ena akhoza kukhala ndi vutoli popanda zizindikiro zilizonse.
Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?
Matendawa amatha kufalikira mwa aliyense, pa msinkhu uliwonse, koma anthu ena ali pachiwopsezo chachikulu.
- Azimayi omwe afika nthawi yosiya kusamba: Matendawa amapezeka kwambiri mwa akazi azaka zapakati pa 40 ndi 60.
- Atsikana asanabadwe: Vutoli likhozanso kuchitika mwa atsikana aang'ono.
- Amuna omwe sanachotse khungu lawo la m'mimba: Pakati pa amuna, omwe ali ndi khungu la m'mimba amakhala ndi vutoli.
- Anthu omwe ali ndi matenda ena: Ngati muli ndi matenda odziteteza ku matenda a shuga, matenda a shuga , ziwengo, kapena chiwerengero cha thupi (BMI) choposa 30 ( kunenepa kwambiri ), chiopsezo chanu chikhoza kuwonjezeka pang'ono.
N’chifukwa chiyani matendawa amapezeka? Kodi ndi opatsirana?
Kunena zoona, madokotala sanapezebe chomwe chimayambitsa matenda a Lichen Sclerosus. Koma pali zinthu zingapo zomwe zikuganiziridwa kuti ndi zomwe zimayambitsa.
- Vuto la chitetezo chamthupi: Amakhulupirira kuti vutoli likhoza kuchitika chifukwa cha chitetezo chamthupi, chomwe ndi chitetezo chamthupi lathu, chomwe chimawononga maselo ake akhungu omwe ali ndi thanzi labwino.
- Mphamvu ya majini : Ngati wina m'banjamo ali ndi matendawa, ena ali ndi mwayi wochepa woti nawonso adwale matendawa.
- Kusintha kwa mahomoni: Kusintha kwa kuchuluka kwa mahomoni m'thupi kungakhudze izi.
- Kuwonongeka kwa khungu: Ngati pakhala ngozi pakhungu m'dera limenelo, monga ngozi, kuvulala, kapena nkhanza zogonana, matendawa amatha kuonekera m'madera amenewo.
Chofunika kwambiri, matenda a Lichen Sclerosus si matenda opatsirana. Izi zikutanthauza kuti sangafalitsidwe kuchokera kwa munthu wina kupita kwa wina kudzera mu kukhudzana, kugonana, kapena kugawana zinthu monga zovala kapena matawulo. Komanso si matenda opatsirana pogonana (STI).
Kodi dokotala amazindikira bwanji matendawa ndikuchiza bwanji?
Ngati muli ndi zizindikiro izi, chinthu chabwino kuchita ndikuonana ndi dokotala. Iye adzakufunsani za zizindikiro zanu ndikuyang'ana malo omwe akhudzidwa.
Nthawi zambiri, matendawa amatha kupezeka powayang'ana. Komabe, nthawi zina, kuti atsimikizire matendawa, khungu laling'ono kwambiri limatengedwa ndikutumizidwa ku labotale kuti akayesedwe. Izi zimatchedwa mayeso a ``Biopsy```.
Dokotala wanu akatsimikizira kuti matendawa ndi otani, adzasankha chithandizo choyenera kwambiri kwa inu.
| Njira yochizira | Kodi chimachitika ndi chiyani? |
|---|---|
| Mankhwala a Corticosteroids a m'derali | Uwu ndiye mankhwala akuluakulu komanso omwe amagwiritsidwa ntchito kwambiri. Kirimu wamphamvu wa steroid monga Clobetasol ayenera kupakidwa pamalo okhudzidwawo kwa nthawi inayake, monga momwe dokotala wanu wanenera. Izi zithandiza kuchepetsa kuyabwa, kutupa, ndi kusintha kwa khungu. |
| Mankhwala oletsa chitetezo chamthupi | Nthawi zina, mankhwala opangidwa ndi pamwamba monga Tacrolimus amagwiritsidwa ntchito. Mankhwalawa amagwira ntchito polamulira momwe chitetezo cha mthupi chimagwirira ntchito komanso kuchepetsa kuwonongeka kwa khungu. |
| Chithandizo cha kuwala (Phototherapy) | Chithandizo chomwe chimagwiritsa ntchito kuwala kwa ultraviolet (UVB) kuchokera ku nyali zapadera kuti chilowe pakhungu, kuchepetsa kuyabwa ndi kutupa. Komabe, izi sizoyenera aliyense. |
| Opaleshoni | Ngati mwamuna ali ndi khungu lolimba (Phimosis), akhoza kuchitidwa opaleshoni yotchedwa Circumcision. Ngati mkodzo wachepa, angafunike kuchitidwa opaleshoni yotchedwa Urethroplasty. Izi zimachitika pamene mankhwala ena alephera. |
Ndikofunikira kuonana ndi dokotala nthawi zonse kuti akakuwoneni, panthawi ya chithandizo komanso zizindikiro zitatha, kuti mudziwe kusintha kulikonse pakhungu, monga kusintha kwa khansa, msanga.
Kodi tingatani tokha kuti tithetse zizindikiro?
Pamodzi ndi chithandizo chomwe dokotala wanu wakupatsani, kusintha pang'ono kwa moyo wanu kungathandize kwambiri kuthetsa zizindikirozi.
- Valani zovala zotayirira: M'malo movala zovala zamkati zothina komanso mathalauza, valani zovala zotayirira zopangidwa ndi zinthu monga thonje zomwe sizikuthina thupi.
- Gwiritsani ntchito sopo wosanunkhira: Pewani zinthu monga sopo, ma shawa gels, ndi mabafa okhala ndi fungo lonunkhira komanso mankhwala. Gwiritsani ntchito sopo wosavuta komanso wosanunkhira.
- Sungani khungu lanu louma: M'malo mopaka khungu lanu mwamphamvu ndi thaulo mukatha kusamba, liumeni bwino.
- Gwiritsani ntchito mafuta odzola: Funsani dokotala wanu kuti akupatseni upangiri ndipo pakani mafuta odzola osavuta, opanda fungo, komanso opanda utoto kangapo patsiku.
- Pewani kukanda: Mukayamba kuyabwa, pewani kukanda kwambiri momwe mungathere. Izi zimangowononga khungu kwambiri.
- Chepetsani zochita zomwe zimaika mphamvu pakhungu: Zochita monga kukwera njinga kapena kukwera pahatchi kwa nthawi yayitali zingayambitse kupsinjika kwa khungu ndikuwonjezera zizindikiro.
Kodi ndiyenera kupita kwa dokotala liti? Kodi vuto ladzidzidzi n'chiyani?
Ngati muwona kusintha kulikonse, kuyabwa, kapena kupweteka m'malo anu oberekera kapena mozungulira mphuno yanu, musanyalanyaze ndipo pitani kwa dokotala nthawi yomweyo. Matendawa akapezeka msanga, zimakhala zosavuta kuchiza ndi kuwongolera.
Komanso, ngati zizindikiro zikubwereranso mutayamba kulandira chithandizo, kapena ngati mwayamba kudwala matenda enaake pakhungu kapena chotupa, onetsetsani kuti mwadziwitsa dokotala wanu.
Zadzidzidzi: Ngati simungathe kukodza konse, monga ngati chikhodzodzo chanu chatsekedwa, ndi zadzidzidzi. Ngati izi zitachitika, muyenera kupita ku chipinda chadzidzidzi (ETU) cha chipatala nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Lichen Sclerosus ndi matenda omwe amakhudza khungu la malo oberekera kwa nthawi yayitali.
- Iyi si matenda opatsirana kapena matenda opatsirana pogonana.
- Zizindikiro zazikulu ndi mawanga oyera, kuyabwa kwambiri, ndi ululu.
- Ngakhale kuti matendawa sangachiritsidwe kwathunthu, amatha kuthetsedwa bwino ndi mankhwala monga mafuta odzola a steroid.
- Ngati muli ndi zizindikiro, musachite manyazi kapena kuopa kupita kwa dokotala. Ndikofunikira kwambiri kuyamba kulandira chithandizo msanga.
- Pa nthawi ya chithandizo ndi pambuyo pake, ndikofunikira kuti mupite kukayezetsa nthawi zonse monga momwe dokotala wanenera.
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