Kodi muli ndi mawanga oyera ndi kuyabwa kotere pakhungu lanu? Tiyeni tikambirane za Lichen Sclerosus!

Kodi munayamba mwakhalapo ndi mawanga oyera kapena kuyabwa kosapiririka m'ziŵalo zanu zachinsinsi, kutanthauza, kuzungulira ziwalo zanu zoberekera kapena kumaliseche? Mwina khungu ndi lopyapyala komanso losaoneka bwino. Musangonyalanyaza izi ngati vuto la khungu lokha. Ikhoza kukhala chizindikiro cha matenda otchedwa Lichen Sclerosus. Musadandaule, tidzakambirana izi mwatsatanetsatane.

Kodi Lichen Sclerosus ndi chiyani?

Mwachidule, Lichen Sclerosus ndi matenda a pakhungu omwe angayambitse mavuto osiyanasiyana pakhungu lanu. Matendawa nthawi zambiri amakhudza:

• Kumalo omwe ali kunja kwa nyini ( vulva )
• Ku mbolo
• Khungu la Pakhosi
• Kupita ku urethra
• Ku anus

Matendawa nthawi zina amawoneka ngati chigamba chosintha mtundu, chotupa, choyabwa, kapena chotupa . Anthu ena amathanso kukhala ndi matuza ndi zilonda (nthawi zambiri chifukwa chokanda nthawi zonse) kuzungulira ziwalo zoberekera. Komabe, zizindikirozi sizimapezeka kawirikawiri kwina kulikonse m'thupi.

Matenda a lichen sclerosus ndi matenda a nthawi yayitali komanso osatha omwe amatha kukhala moyo wonse. Ngati sachiritsidwa, angayambitse zipsera, kuvutika kugonana (dyspareunia), kukodza , kapena matumbo (kuyenda m'mimba), komanso kupweteka . Matenda a lichen sclerosus osachiritsidwa amathanso kuwonjezera chiopsezo cha mitundu ina ya khansa ya pakhungu (khansa ya mbolo ndi vulvar squamous cell carcinoma) . Palibe mankhwala a matendawa, koma chithandizo chingathandize kuchepetsa zizindikiro.

Mayina ena a izi ndi ``Balanitis Xerotica Obliterans (BXO)`` ndi ``white spot disease``.

Kodi izi zikuwoneka bwanji?

Pamene lichen sclerosus imayamba, imawoneka ngati madontho ang'onoang'ono, oyera, owala, okwera pang'ono pa ziwalo zanu zoberekera kapena kuzungulira anus yanu. Pakapita nthawi, madontho ambiri amatha kupangika, ndipo amatha kuphatikizana kupanga chigamba choyera chomwe chimawoneka ngati pepala lopindika la chikopa kapena minofu .

Kodi vutoli ndi lofala bwanji?

Matenda a lichen sclerosus si matenda ofala kwambiri. Mwachitsanzo, amakhudza anthu pafupifupi 200,000 ku United States. Ngakhale mutakhala ndi zinthu zingapo zomwe zingakuike pachiwopsezo , nthawi zambiri matendawa amakula.

Kodi zizindikiro za lichen sclerosis ndi ziti?

Zizindikiro zazikulu ndi mawanga oyera, okwera pa maliseche anu, m'makowa, m'khungu, kapena m'magalasi. Izi zingayambitse kuyabwa , kupweteka, kusasangalala, kapena kutupa . Zizindikiro zina zingaphatikizepo:

• Zilonda ndi zilonda
• Kutupa ( monga kutupa, kufiira)
• Zilonda
• Kusweka kwa khungu
• Ululu pokodza (dysuria)
• Ululu panthawi yogonana
• Kuchepa kwa kukodza . Nthawi zina mkodzo sungayende mosalekeza ndipo ukhoza kutuluka madzi.
• Kulimbitsa khungu lanu lakunja.
• Kulephera kubweza khungu lakunja (phimosis).
• Kutuluka kwa mbolo .

Kawirikawiri, lichen sclerosus imathanso kukhudza khungu m'mbali zina za thupi. Mwachitsanzo:

• Khosi
• Chifuwa
• Chigoba
• Kunja
• Dzanja
• Mkati mwa pakamwa

Ndani amene ali ndi mwayi waukulu wopeza izi? (Zinthu zomwe zingakubweretsereni chiopsezo)

Aliyense akhoza kudwala matendawa, koma amapezeka kwambiri kwa amayi omwe apitirira zaka 40 mpaka 60. Atsikana omwe sanakwanitse msinkhu nawonso ali pachiwopsezo chachikulu.

Amuna omwe ali ndi khungu lakunja sangakhale ndi vuto la lichen sclerosus. Chiwopsezo chanu chingakhale chachikulu pang'ono ngati muli ndi matenda odziteteza okha kapena ziwengo .

Matenda a shuga ndi BMI yoposa zaka 30 (monga kunenepa kwambiri/kunenepa kwambiri) zingawonjezere chiopsezo chotenga matenda a lichen sclerosus.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a Lichen sclerosis?

Madokotala ndi ofufuza zachipatala sakudziwabe chomwe chimayambitsa lichen sclerosus. Komabe, amakhulupirira kuti ndi matenda omwe amayambitsa chitetezo chamthupi.Zingakhale zokhudzana ndi. Ngati muli ndi matenda odziteteza ku matenda enaake, chitetezo chanu cha mthupi chimaukira maselo athanzi m'malo moteteza thupi lanu ku majeremusi.

Majini ndi kusintha kwa mahomoni kungakhudzenso amene amatenga matendawa. Nthawi zina, lichen sclerosus imayamba munthu akakumana ndi zoopsa (monga kuvulala kapena kugwiriridwa). Nthawi zambiri, imatha kufalikira kuchokera kwa makolo kupita kwa ana kudzera m'majini.

Madokotala ndi ofufuza akufufuzabe za matenda a lichen sclerosus kuti apeze zomwe zimayambitsa matendawa.

Chofunika kwambiri: Matenda a lichen sclerosus si opatsirana. Simungathe kuwafalitsa kwa wina.

Kodi madokotala amazindikira bwanji izi? (Kuzindikira)

Dokotala amazindikira matenda a lichen sclerosus. Iye adzakufunsani mafunso okhudza zizindikiro zanu kenako adzakuyesani thupi , zomwe zikuphatikizapo kufufuza madera omwe akhudzidwa.

Ndi mayeso amtundu wanji omwe amachitidwa?

Kuti atsimikizire matendawa, dokotala wanu angachite biopsy , yomwe imaphatikizapo kutenga chidutswa chaching'ono cha khungu lomwe lakhudzidwa ndikuyang'ana pansi pa maikulosikopu.

Kodi izi zingatheke popanda mdulidwe?

Inde, madokotala amatha kuchiza matenda a lichen sclerosus popanda mdulidwe . Ngakhale kuti matenda a lichen sclerosus nthawi zina amatha kuchiritsidwa ndi mdulidwe, palinso njira zina zochiritsira.

Kodi mankhwala ochizira izi ndi otani?

Dokotala wanu angakulangizeni mitundu iyi ya chithandizo cha lichen sclerosus:

• Mafuta odzola a corticosteroid: Awa ndi mankhwala omwe amapakidwa mwachindunji pamalo okhudzidwa. Nthawi zambiri, mankhwala monga ``clobetasol`` amaperekedwa.
• Kuchiritsa ndi Phototherapy: Kuchiritsa ndi Phototherapy kumagwiritsa ntchito kuwala kwa ultraviolet (nthawi zambiri ultraviolet B - `UVB`) kuchokera ku nyali zapadera. Izi zitha kuchepetsa kutupa ndikuchepetsa kuyabwa.
• Mankhwala Oletsa Kutupa kwa Mthupi: Mankhwalawa amathandiza kuti chitetezo chamthupi chanu chisawononge maselo athanzi. Nthawi zambiri amalembedwa ngati mankhwala opangidwa ndi thupi otchedwa tacrolimus.
• Opaleshoni: Kutengera ndi gawo la thupi lomwe lakhudzidwa ndi lichen sclerosus, dokotala angakulangizeni opaleshoni. Mwachitsanzo, kudula ngati khungu lakunja lakhudzidwa, kapena urethroplasty ngati pali strictures ya urethra.

Chofunika kwambiri ndikupita kukawonana ndi dokotala nthawi zonse mukalandira chithandizo cha lichen sclerosus.Kupita ku. Kenako amatha kuwona zizindikiro za khansa ya pakhungu, ndikuthandizira kupewa zipsera kuzungulira ziwalo zoberekera.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa chithandizo?

Kuchira msanga kumadalira mtundu wa chithandizo chomwe mumalandira.

• Zingatenge milungu ingapo kuti zinthu zisinthe ndi mankhwala oletsa kutupa otchedwa corticosteroids ndi mankhwala oletsa chitetezo chamthupi .
• Kuchiza ndi phototherapy kungatenge njira zingapo kuti akonze madera okhudzidwawo, ndipo zingatenge miyezi iwiri kuti ayambe kuchira.
• Zingatenge pafupifupi sabata imodzi ndi theka kuti achire atadulidwa . Atadulidwa, ana ayenera kupewa kugona ndi mimba zawo ndi kukwera zoseweretsa zomwe zimadumphadumpha kuchokera mbali imodzi kupita mbali ina (monga kugwedeza mahatchi, kusoka, kugwedezeka, njinga). Akuluakulu ayenera kupewa kugonana kapena kudziseweretsa maliseche mpaka dokotala atawalola.
• Ngati muli ndi urethroplasty , muyenera kusunga catheter ( chubu) mu mkodzo wanu kwa milungu itatu kapena inayi.

Kodi chingachitike n’chiyani kuti tipewe izi ndikuchepetsa zizindikiro zake?

Ngakhale kuti sizingatheke kuletsa kwathunthu kukula kwa lichen sclerosus, mutha kuchepetsa zizindikirozo mwa kusintha moyo wanu .

Kuti muchepetse kukangana ndi kukwiya, chitani izi:

• Chitani zinthu zosamalira khungu lanu bwino. Izi zikutanthauza kusamba khungu lanu nthawi zonse ndi sopo ndi madzi oyera, kugwiritsa ntchito mafuta odzola, ndikutsatira malangizo a dokotala wanu kuti khungu lanu likhale lathanzi.
• Valani zovala zamkati zomasuka komanso zomasuka .
• Pewani kuvala zovala zomwe zimakwiyitsa khungu (monga ubweya, silika).
• Mukasamba kapena kutsuka, gwiritsani ntchito sopo wofewa . Mukapukuta khungu, liume bwino popanda kupukuta. Pakani mafuta odzola nthawi yomweyo mukapukuta. Izi zithandiza kuti chinyezi chotsalacho chilowe m'khungu.
• Gwiritsani ntchito madzi ofunda m'malo mwa madzi otentha mukamasamba kapena kusamba.
• Pewani kusamba ndi thovu ( kusamba ndi madzi a sopo). Kusanza kwa thovu kungapangitse kuyabwa kwambiri.
• Gwiritsani ntchito sopo wochapira zovala wopanda fungo .
• Pewani kukwera njinga mtunda wautali, kukwera njinga yamoto, komanso kukwera mahatchi.
• Chotsani zovala zosambira zonyowa ndi zovala mwachangu osasiya zovalazo.

Kudulira msanga ali mwana kungachepetsenso chiopsezo cha matenda a lichen sclerosus.

Kodi muyenera kuyembekezera chiyani mukakhala ndi vutoli?

Matenda a sclerosus a lichen ndi osatha.Matendawa. Anthu ambiri amalandira bwino chithandizo, koma zizindikiro zimatha kubwereranso pambuyo pake. Mutha kukhala ndi zipsera , zomwe zingapangitse kuti zikhale zovuta kapena zosasangalatsa kupita kuchimbudzi ndikugonana. Ngati pali lichen sclerosus pafupi ndi khomo la urethra (meatus) mwa amuna, chithandizo choyambirira chingathandize kupewa kuti zipsera zisapangidwe m'malo ena a urethra.

Mulinso ndi chiopsezo chachikulu chotenga zinthu monga squamous cell carcinoma ndi khansa ya mbolo . Choncho pitani kwa dokotala nthawi zonse kuti akakuwoneni ngati muli ndi zizindikiro za khansa.

Kodi chiyembekezo chili bwanji?

Ngati dokotala atha kuzindikira ndi kuchiza matenda a lichen sclerosis mwamsanga, chiyembekezo chimakhala chabwino kwambiri. Komabe, ngakhale atapezeka ndi kulandira chithandizo msanga, zizindikiro zimatha kubwereranso kwa moyo wonse.

Kodi muyenera kusamala ndi chakudya ndi zakumwa?

Palibe zakudya zenizeni zomwe zimalimbikitsidwa pa matenda a lichen sclerosus. Kafukufuku wina wasonyeza kuti kusintha zakudya zanu kungachepetse chiopsezo chanu ndikuwonjezera zizindikiro. Lankhulani ndi dokotala wanu za zakudya zomwe muyenera kupewa komanso momwe mungasankhire zakudya zabwino.

Kodi ndiyenera kupita kwa dokotala liti?

Popeza kuti lichen sclerosus ili ndi zizindikiro zosiyanasiyana, imatha kufanana ndi matenda ena. Chifukwa chake, ndikofunikira kupita kwa dokotala mwachangu ngati muwona kusintha kulikonse m'magawo anu oberekera kapena m'malo ozungulira.

Ngati muli ndi lichen sclerosus, pitani kwa dokotala ngati zizindikiro zanu zabwereranso mutalandira chithandizo. Komanso, pangani nthawi yokumana nawo kuti muwone ngati muli ndi zizindikiro za khansa.

Kodi muyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati simungathe kukodza chifukwa cha lichen sclerosus, pitani kuchipatala mwamsanga.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mungathe kufunsa dokotala wanu mafunso monga awa:

• Kodi mungadziwe bwanji ngati ndili ndi lichen sclerosus?
• Ngati ndilibe lichen sclerosus, ndi matenda ena ati omwe ndingakhale nawo?
• Kodi ndi njira iti yothandizira yomwe mukupangira?
• Kodi zotsatirapo zake za chithandizo chomwe mukulangiza ndi ziti?
• Kodi ndikotetezeka kugonana kapena kudziseweretsa maliseche?
• Kodi ndiyenera kupita kwa dokotala wa khungu kapena katswiri wina?

Kodi iyi ndi khansa? Kodi ndi matenda opatsirana pogonana? Tiyeni tiphunzire zambiri za izi!

Kodi sclerosus ya lichen ndi khansa?

Matenda a lichen sclerosus si khansa. Kungoti muli ndi matenda a lichen sclerosus sizikutanthauza kuti mudzakhala ndi khansa. Komabe, matenda a lichen sclerosus amagwirizanitsidwa ndi khansa ya mbolo ndi khansa ya vulvar squamous cell carcinoma.Pakhoza kukhala kulumikizana. Ngati muli ndi lichen sclerosus, ndikofunikira kwambiri kupita kwa dokotala nthawi zonse kuti akaone ngati ali ndi zizindikiro za khansa. Ngati muwona kusintha kulikonse pakhungu lanu, dziwitsani dokotala.

Kodi matenda opatsirana pogonana (STI) ndi matenda opatsirana pogonana?

Ayi, lichen sclerosus si matenda opatsirana pogonana (STI) , ndipo si opatsirana. Komabe, lichen sclerosus imatha kuoneka ngati matenda opatsirana pogonana. Ndi bwino kupewa kugonana mpaka dokotala atakudziwitsani kuti muli ndi lichen sclerosus.

Kodi ndingathe kugonana ngati ndili ndi lichen sclerosus?

Inde, mutha kugonana kapena kudziseweretsa maliseche ngati muli ndi lichen sclerosus. Komabe, kugonana kungayambitse dzanzi kwambiri. Kaya mukugonana kapena kudziseweretsa maliseche, kugwiritsa ntchito kondomu kapena kondomu yamkati kungathandize kuteteza khungu lanu ndikuchepetsa kusasangalala.

Ngakhale kuti lichen sclerosus si matenda opatsirana pogonana, ndipo mnzanu sangatenge lichen sclerosus kuchokera kwa inu, ndi bwino kukhala woona mtima kwa iye za vuto lanu. Mulimbikitseni kuti akalankhule ndi dokotala ngati ali ndi nkhawa iliyonse.

Kodi lichen sclerosus ndi matenda odziyimira pawokha?

Palibe deta yokwanira yoti ipereke kugawidwa kwa lichen sclerosus ngati matenda odziyimira pawokha. Komabe, anthu omwe ali ndi lichen sclerosus nthawi zambiri amakhala ndi matenda odziyimira pawokha. Mwachitsanzo:

• Kutaya tsitsi losaoneka bwino (alopecia areata )
• Vitiligo ( mabala oyera pakhungu)
• Kuchepa kwa magazi m'thupi ( kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa vitamini B12)
• Matenda a shuga amtundu woyamba
• Matenda ena a chithokomiro

Kugwirizana kwapafupi pakati pa matendawa ndi lichen sclerosus kukusonyeza kuti vutoli likhoza kuchitika chifukwa cha momwe thupi lanu limayankhira pa chitetezo chamthupi.

Kodi pali kusiyana kotani pakati pa balanitis ndi lichen sclerosis?

Balanitis ndi matenda omwe amakhudza nsonga ya mbolo yanu (glans), yomwe nthawi zambiri imayamba chifukwa cha matenda a yisiti. Nthawi zambiri amapezeka mwa amuna omwe ali ndi khungu lakunja, chifukwa malo ofunda komanso onyowa pakati pa nsonga ya mbolo ndi khungu lakunja ndi malo abwino oti yisiti ndi mabakiteriya ena azikulira. Balanitis imatha kuchiritsidwa ndi mafuta ophera bowa, maantibayotiki, kudula, komanso kusunga khungu lakunja, khungu lakunja, ndi malo omwe ali pansi pa khungu lakunja kukhala oyera komanso ouma.

Matenda a sclerosus a lichenZingakhudze ziwalo zanu zoberekera, maliseche, ndi mkodzo. Madokotala sakudziwa chomwe chimayambitsa izi, koma amaganiza kuti zikugwirizana ndi chitetezo chanu cha mthupi. Mankhwalawa akuphatikizapo mafuta odzola a corticosteroid, kuwala (phototherapy), mankhwala oletsa chitetezo chamthupi, ndi opaleshoni.

Kodi kusiyana pakati pa BXO ndi lichen sclerosus ndi kotani?

Balanitis Xerotica Obliterans (BXO) ndi lichen sclerosus ndi matenda omwewo. Lichen sclerosus ndi dzina lomwe madokotala amakonda kugwiritsa ntchito masiku ano.

Uthenga Womaliza Wopita Nawo Kunyumba

Matenda a Lichen Sclerosus si matenda ofala, ndipo si matenda opatsirana pogonana. Komabe, vuto lililonse lomwe limakhudza ziwalo zanu zoberekera kapena maliseche lingakhale lochititsa manyazi komanso lochititsa manyazi. Chifukwa chake, ngati muwona kusintha kulikonse kapena kusasangalala m'ziwalo zanu zoberekera, pitani kwa dokotala mwachangu momwe mungathere . Ngakhale kuti iyi ndi matenda osatha omwe angatenge moyo wonse, ndipo zizindikiro zimatha kuwoneka nthawi ndi nthawi, chithandizo choyambirira chingapangitse zotsatira zabwino kwambiri . Simuli nokha, ndipo musaope kupempha thandizo.

` Lichen Sclerosus, Matenda a Khungu, Kuyabwa, Madontho Oyera, Thanzi Logonana, BXO, Khansa ya Khungu, Thanzi la Akazi, Thanzi la Amuna