Ngaba ngequbuliso ukhe wanamadyungudyungu amancinci, arhawuzelelayo, asicaba, anombala omfusa, akhanyayo emzimbeni wakho, ingakumbi ezihlahleni zakho, ezingqinibeni, nasemilenzeni? Okanye ngaba kukho imigca emhlophe efana ne-mesh ngaphakathi emlonyeni wakho nasemacaleni ezidlele zakho? Mhlawumbi uqaphele utshintsho kwizinzipho zakho? Kuqhelekile ukuba uzive usoyika kwaye ukhathazekile xa ubona ezi zinto. Kodwa ungakhathazeki. Namhlanje, siza kuthetha ngemeko yesikhumba echaphazela abantu abaninzi, kodwa engeyongozi kangako, ebizwa ngokuba yi-lichen planus.
Ngamafutshane, yintoni iLichen Planus?
I-Lichen planus yimeko yesikhumba ebangela ukuba kuvele amaqhuma amancinci, aphakanyisiweyo (ii-papules) eluswini, emlonyeni, ezinzipho, entlokweni, kwaye ngamanye amaxesha nakwizitho zangasese. Ezi zinokuvela kwindawo enye kuphela, okanye zinokuvela kwiindawo ezininzi zomzimba ngaxeshanye.
Iindawo eziphambili ezinokuchaphazeleka sesi sifo zezi:
- Ulusu: Ingakumbi ezihlahleni, ezingqinibeni, nasemilenzeni engaphantsi kwamadolo.
- Ngaphakathi emlonyeni (Oral Mucosa): Ngaphakathi ezidleleni, ulwimi, imilebe.
- Intloko yentloko: Ulusu apho kukho khona iinwele.
- Iinzipho: Ezandleni nasezinyaweni.
- Izitho zangasese: Iindawo zangasese zamadoda nabafazi.
Le yimeko ebangelwa kukungaqondi kakuhle inkqubo yethu yomzimba yokuzikhusela. Masiyijonge ngokweenkcukacha ezithe vetshe.
Ingaba le yimeko yokuzikhusela komzimba? Kutheni oku kusenzeka?
Nangona i-lichen planus ingachazwanga ngqo njengesifo sokuzikhusela komzimba, ibandakanya inkqubo efanayo. Cinga ngale ndlela: inkqubo yethu yokuzikhusela yomzimba ifana nomkhosi wethu. Umsebenzi wabo kukusikhusela kubahlaseli bamanye amazwe (njengeentsholongwane kunye neebhaktheriya). Inxalenye ekhethekileyo yalo mkhosi ibizwa ngokuba zii-T cells.
Kumntu ophilileyo, ezi T cells zilwa neentsholongwane ezivela ngaphandle kuphela. Kodwa kumntu one lichen planus, ezi T cells ziyaphazama zize ziqale ukuhlasela iproteni eluswini lwethu nakwimifinya ye mucus, sicinga ukuba lutshaba.
Isizathu esichanekileyo sokuba ezi T cells ziziphatha ngolu hlobo ngequbuliso asikaziwa. Yiyo loo nto ibizwa ngokuba yi-idiopathic, okanye imeko "engaziwayo".
Umahluko phakathi kweLichen Planus kunye neLichen Sclerosus
La magama mabini afana kancinci, nto leyo enokubangela ukudideka kwabanye abantu. Zombini ziimeko ezichaphazela ulusu kwaye unobangela ochanekileyo awaziwa. Kodwa kukho umahluko ophambili.
- I-Lichen Sclerosus:Le yimeko apho ulusu luncipha kancinci kancinci, lurhawuzelelwe, kuvele izilonda, kwaye ekugqibeleni kuvele amanxeba. Nangona inokuvela naphi na emzimbeni, idla ngokubonakala kufutshane namalungu esini nakwi-anus. Le meko ixhaphakile kubafazi abaye badlula kwixesha lokuya exesheni. Okubalulekileyo kukuba, i-lichen sclerosus ayifumaneki emlonyeni.
- I-Lichen Planus: Le yimeko esithetha ngayo. Oku kudla ngokuchaphazela ulusu kunye nangaphakathi komlomo.
Umahluko phakathi kweLichen Planus kunye nePsoriasis
I-Psoriasis ikwasisifo solusu abantu abaninzi abasaziyo. Zombini ezi zinto zinokubhideka kuba zibangela amabala elusu. Kodwa kukho umahluko. Kwi-psoriasis, amabala elusu abonakala emhlophe, enamabala . Kwakhona, i-psoriasis ayihlali isenzeka emlonyeni.
Ngubani onokuthi abe nale meko?
Nabani na angakwazi ukuba ne-lichen planus, kodwa amaqela athile anokuba nayo.
- Oku kwenzeka rhoqo kubantu abaphakathi kweminyaka engama-30 ukuya kwengama-60 ubudala .
- Abafazi banamathuba aphindwe kabini okufumana esi sifo kunamadoda.
- Le meko inokwenzeka kakhulu kubafazi abakwiminyaka yabo engama-60 nakumadoda akwiminyaka yabo engama-40.
Okubalulekileyo kukuba, ukuba une-lichen planus eluswini lwakho, unethuba eliyi-50% ukuya kwi-75% lokuba ikhule emlonyeni wakho (Oral Lichen Planus).
Zithini iimpawu zesi sifo?
Iimpawu zixhomekeke ekubeni imeko ye-lichen planus ikuchaphazela phi emzimbeni wakho. Makhe sijonge ukuba zeziphi iimpawu kwindawo nganye.
| Indawo echaphazelekayo | Iimpawu ezibonakalayo |
|---|---|
| Ulusu kunye namalungu esini | Amaqhuqhuva amancinci aphakanyisiweyo (iipapule) eluswini. La maqhuqhuva anokuqala amancinci njengentloko yepinki (0.4 mm) kwaye anokukhula abe makhulu njengobubanzi bepensile (1 cm). Anombala omfusa . Athe tyaba kwaye ayakhazimla ngaphezulu. Anokuba lurhawuzelelo kakhulu . Ngamanye amaxesha anokuba zizilonda. |
| Ngaphakathi emlonyeni (umlomo) | Amachaphaza amancinci amhlophe okanye imigca efana newebhu ibonakala ngaphakathi kwezidlele, ulwimi, okanye imilebe. Kwezinye iimeko ezinzima, ulusu olujikelezileyo lunokuba bomvu, luvuvuke, kwaye lube buhlungu. Usenokuziva uvutha xa usitya ukutya okuneziqholo nokushushu. |
| Izikhonkwane | Izinto ezinje ngokutshintsha kombala wezipikili, ukuqhekeka, ukuqhekeka, ukuyeka ukukhula kwezipikili, okanye ukulahleka kwezipikili kunokwenzeka. |
| Intloko yentloko | Ingabangela ukubomvu, ukudumba, kwaye ngamanye amaxesha izibazi zentloko, nto leyo ekhokelela ekulahlekelweni buboya obungapheliyo. |
I-Lichen planus ayidli ngokuba buhlungu. Nangona kunjalo, ukuba ukrwela ulusu, kunokukhokelela kwiintsholongwane kunye nentlungu. Ngoko ke, kufuneka uphephe ukukrwela kangangoko unako.
Yintoni ebangela ukuba le meko ivele ngokukhawuleza?
Ezinye izinto zinokubangela ukuba esi sifo siqhubeke ngamandla ngequbuliso, okanye siqhambuke. Ezinye zazo zezi:
- Usulelo lweHepatitis C.
- Ezinye izitofu zokugonya .
- Ezinye iintlungu (ii-NSAIDs) .
- Amanye amayeza asetyenziswa kwi-arthritis, isifo sentliziyo, okanye uxinzelelo lwegazi oluphezulu .
- Ukunganyamezelani neekhemikhali ezithile, iimetali (umz. i-mercury esetyenziswa ekuzaliseni amazinyo) , okanye ii-pigment.
Ingaba esi sisifo esosulelayo?
Hayi. Esi asisosifo sisulelayo konke konke. Esi sifo asinakudluliselwa komnye umntu ngokudibana kwesikhumba okanye ngesondo. Ngoko ke musa ukoyika oku.
Ugqirha uyibona njani le nto?
Ugqirha udla ngokubona ukuba yi-lichen planus ngokuhlola iimpawu zakho aze ajonge amabala eluswini lwakho. Bakhangela iimpawu ezimbalwa ezibizwa ngokuba yi-"Six Ps" ukunceda ekuyichongeni.
- I-Pruritic (iyarhawuzelela)
- I-Polygonal (inemilo emininzi)
- I-P lanar (isicaba phezulu)
- Mfusa
- Iipapules (amadyungudyungu amancinci)
- Iiplaque (iziqwenga zesikhumba)
Nangona kunjalo, ngamanye amaxesha ugqirha unokugqiba ekubeni enze ezinye iimvavanyo ezininzi ukuqinisekisa ukuxilongwa.
- Uvavanyo lwe-allergy: Jonga ukuba le meko imbi na ngenxa ye-allergies onayo.
- Uvavanyo lwesikhumba: Oku kuquka ukuthatha iqhekeza elincinci kakhulu lesikhumba kwindawo apho kukho i-mole kwaye ulihlolisise nge-microscope. Oku kunokuqinisekisa isifo i-100% yexesha.
- Uvavanyo lweHepatitis C: Ngamanye amaxesha i-lichen planus inxulunyaniswa nentsholongwane ye-hepatitis C, ngoko ke olu vavanyo lunokwenziwa.
Zithini iindlela zonyango zoku?
Akukho nyango luhlala luhleli lwe-lichen planus. Kodwa ungakhathazeki. Kwiimeko ezininzi, i-lichen planus eluswini iya kuba ngcono ngokwayo kwiinyanga ezimbalwa okanye unyaka okanye emibini ngaphandle konyango.
Nangona kunjalo, ukuba iimpawu ezifana nokurhawuzelelwa nokutsha ziyakhathaza, ugqirha wakho uya kukunika unyango lokuzilawula.
Unyango lwezonyango
- Iikhrimu/izithambiso ze-corticosteroid: Ezi zinceda ekunciphiseni ukudumba kunye nokurhawuzelela.
- Ii-Antihistamines: Ezi ziluncedo ekulawuleni ukurhawuzelelwa.
- Unyango ngeFoto: Oku kuquka ukukhokela ukukhanya kwe-ultraviolet (UV) ekhutshwa zizibane ezikhethekileyo eluswini ukulawula iimpawu.
- Izinto zokucinezela amasosha omzimba: Ukuba isifo sibi kakhulu, iipilisi ezinciphisa ukusebenza kwenkqubo yomzimba yokuzikhusela (ezifana ne-corticosteroids yomlomo, i-azathioprine) zinokunikwa.
- IiRetinoids: La mayeza, enziwe ngevithamini A, ayafumaneka kwifomu yeepilisi okanye ikhrimu. Nangona kunjalo, abafazi abakhulelweyo okanye abaceba ukukhulelwa ngokuqinisekileyo kufuneka bathethe nogqirha wabo ngaphambi kokuba bawasebenzise.
Izinto onokuzenza ekhaya kunye notshintsho kwindlela ophila ngayo
Ukongeza kunyango lwezonyango, kukho izinto onokuzenza ngokwakho ukunciphisa ukungonwabi.
- I-Aloe vera: Ukusebenzisa ijeli ye-aloe vera kunokukhawulezisa ukuphiliswa kokuvuvukala kunye namanxeba.
- Unyango lwe-oatmeal: Xuba i-oatmeal ecoliweyo (i-oatmeal ye-colloidal) namanzi amancinci ukuze wenze intlama. Yifake kwiindawo ezirhawuzelelayo, uyishiye malunga nemizuzu eli-10, uze uyihlambe.
- Lawula uxinzelelo: Uxinzelelo yinto enokwenza imeko yolusu ibe mandundu. Ngoko zama ukugcina ingqondo yakho izolile ngokuzilolonga ngokuphefumla, ukucamngca, kunye neyoga.
- Ukuba ingaphakathi emlonyeni (Oral Lichen Planus):
- Gcina umlomo wakho ucocekile. Hlamba amazinyo akho kakuhle.
- Ziphephe ukutya neziselo ezibukhali, ezimuncu, nezishushu. Izinto ezifana neetshili, iisosi, iziqhamo zecitrus ezifana neeorenji, iitumato, kunye notywala zinokunyusa ukudumba.
- Kuphephe ukutshaya ngokupheleleyo.
- Abanye abantu banokuba ne-allergy kwi- amalgam fillings . Ukuba ukrokrela oku, thetha nogqirha wamazinyo ngako.
Ndifanele ndimbone nini ugqirha?
Ukuba unayo nayiphi na kwezi zilandelayo, qiniseka ukuba ubonana nogqirha.
- Ukuba ubonakalisa iimpawu ezintsha.
- Ukuba akukho phuculo kwiimpawu emva konyango.
- Ukuba kukho iziphene zesikhumba ixesha elide kunokuba bekulindelwe.
- Ukuba indawo apho amabala abonakala enesifo (umz. obomvu, odumbileyo, okanye okhupha ubomvu).
Ungazibuza le mibuzo xa usiya kugqirha.
- Ngaba ungaqiniseka ukuba le yi-lichen planus?
- Ukuba akunjalo, zeziphi ezinye izifo zolusu?
- Kuza kuthatha ixesha elingakanani ukuba le meko iphile?
- Loluphi uhlobo lonyango olulungileyo? Ngaba luneziphumo ebezingalindelekanga?
- Loluphi unyango olunokwenziwa ekhaya?
I-Lichen planus yimeko enokuba yintloni, irhawuzelele, kwaye ihlazise, kodwa khumbula, ayisiyongozi okanye isifo esosulelayo. Ihlala iphela yodwa. Eyona nto ibalulekileyo kukunyamekela ulusu lwakho kwaye ufumane unyango ukuba kuyimfuneko.
Umyalezo Wokuya Ekhaya
- I-Lichen Planus yimeko ebangela amadyungudyungu arhawuzelelayo, amfusa eluswini, emlonyeni, nasezinzipho.
- Nangona unobangela ochanekileyo woku ungekafunyanwa, kukholelwa ukuba ubangelwa kukungaqondani okuthile kwinkqubo yomzimba yokuzikhusela.
- Esi asisosifo sisulelayo konke konke. Asinakudluliselwa komnye umntu siye komnye.
- Kwiimeko ezininzi, le meko iyaziphelela kwisithuba seenyanga ezimbalwa okanye unyaka okanye emibini ngaphandle konyango.
- Kukho unyango lwezonyango kunye namayeza asekhaya okulawula iimpawu ezinje ngokurhawuzelelwa nokudumba.
- Kubaluleke kakhulu ukugcina ingqondo yakho ikhululekile, kuba uxinzelelo lunokuyenza mandundu le meko.
- Ukuba ubona naluphi na utshintsho olungaqhelekanga eluswini lwakho, bonana nogqirha wakho ngoko nangoko ukuze akunike icebiso.
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