Ingaba ufumana amabala angaqhelekanga kunye namaqhuqhuva arhawuzelelayo eluswini lwakho? Isenokuba yiLichen Planus!

Ngaba ngequbuliso ukhe wanamaqhuqhuva amancinci, arhawuzelelwayo, anombala omdaka eluswini lwakho? Okanye ngaba ukhe wanamaqhuqhuva amhlophe emlonyeni wakho aphazamisayo nokuba utya? Ezi zinokuba ziimpawu zesifo sesikhumba esibizwa ngokuba yiLichen Planus. Abantu abaninzi bayoyika kancinci xa besiva eli gama, kodwa ungakhathazeki, alisuleli okanye aliyingozi. Masithethe ngalo ngokweenkcukacha, ngokulula.

Yintoni iLichen Planus?

Ngamafutshane, iLichen Planus yimeko yolusu. Ingachaphazela indawo enye yolusu, okanye ingachaphazela iindawo ezininzi zomzimba ngaxeshanye. Nantsi apho ixhaphake khona:

• Ulusu: Umhlaza wolusu unokubakho naphi na emzimbeni.
• Ngaphakathi emlonyeni: Siyibiza ngokuba yi-"oral mucosa". Ingabonakala ngaphakathi ezidleleni, elulwimini, nakwiintsini.
• Intloko yentloko: Ingabonakala entlokweni nasezinweleni.
• Iinzipho: Iinzipho zeminwe nezeenyawo zinokuchaphazeleka.
• Iindawo zesini: Zingafumaneka nakwiindawo ezifana nepenis, i-vagina, kunye ne-labia.

Oogqirha bathi esi sisifo esikwiqela leedermatoses ze-lichenoid. Oku kuthetha ukuba eli liqela lezifo ezibonakala ngathi ziiqhuma ezincinci ezinombala onsundu eluswini.

Ngaba le yimeko yokuzikhusela komzimba?

Lo ngumbuzo abantu abaninzi abawubuzayo. I-Lichen Planus ayisiyongxaki yokuzikhusela komzimba, kodwa yindlela efanayo eyenzeka ngayo emzimbeni wethu. Yimeko "engaqhelekanga". Oku kuthetha ukuba unobangela wayo awukafunyanwa.

Ngokwesiqhelo, inkqubo yethu yokuzikhusela komzimba iyasikhusela ngokulwa nabahlaseli bamanye amazwe, njengeebhaktheriya kunye neentsholongwane. Kodwa kubantu abane-lichen planus, ii-T cells zenkqubo yethu yokuzikhusela komzimba zihlasela ngempazamo iproteni efumaneka eluswini nakwi-mucus membranes yethu. Isizathu sokuba ezi T cells zenze oku siseyimfihlakalo.

Yintoni umahluko phakathi kweLichen Planus kunye neLichen Sclerosus?

Amagama ezi zifo zimbini afana kancinci, nto leyo enokubangela ukudideka. NjengeLichen Planus, iLichen Sclerosus yimeko engaqhelekanga echaphazela ulusu. Nangona kunjalo, kwiLichen Sclerosus, ulusu luyancipha kancinci, luqhekeke, kwaye ekugqibeleni lube namaxolo. Nangona inokuvela naphi na emzimbeni, idla ngokuchaphazela amalungu esini kunye nolusu olujikeleze i-anus. Ixhaphake kakhulu kubafazi abaye badlula kwixesha lokuya exesheni.

Umahluko ophambili kukuba iLichen Sclerosus ayifane iyichaphazele imifinya yomlomo, ngelixa iLichen Planus ixhaphake kakhulu emlonyeni.

Yintoni umahluko phakathi kwe-Lichen Planus kunye ne-Psoriasis?

I-Psoriasis sesinye isifo esibangela amabala abomvu, anamaxolo eluswini. Zombini zinokudida kwabanye abantu kuba zibangela amabala anombala omdaka. Nangona kunjalo, i-psoriasis inembonakalo enamaxolo kwaye ayidli ngokuchaphazela ingaphakathi lomlomo. I-Lichen Planus inembonakalo enamaxolo angabonakaliyo.

Ngubani ofumana oku rhoqo? Kuxhaphake kangakanani?

I-Lichen Planus inokuchaphazela nabani na, kodwa uphando lubonisa ukuba ixhaphake kakhulu kubasetyhini abaphakathi kweminyaka engama-30 ukuya kwengama-60. Ezinye izifundo zibonisa ukuba abafazi banamathuba aphindwe kabini okuba nayo kunamadoda. Kuthiwa ixhaphake kakhulu kubafazi abakwiminyaka engama-60 nakumadoda akwiminyaka engama-40.

Ukuba une-lichen planus eluswini lwakho, kukho amathuba angama-50% ukuya kuma-75% okuba uza kuyivelisa emlonyeni wakho.

Ixhaphake kakhulu kangangokuba ichaphazela malunga ne-0.22% ukuya kwi-1% yabantu abadala. I-Oral Lichen Planus ichaphazela phakathi kwe-1% kunye ne-4% yabemi behlabathi.

I-Lichen Planus ichaphazela njani umzimba? Zithini iimpawu?

Iimpawu ze-lichen planus ziyahluka ngokuxhomekeke ekubeni umzimba wakho uchaphazeleke phi.

Iimpawu zolusu

Oku kubonakala rhoqo ezihlahleni zezandla zakho, kwiingqiniba (esizibiza ngokuba ziindawo ezigobileyo), phezulu kweengalo zakho (iindawo ezingaphantsi komqolo), kunye nangaphambili kwemilenze yakho .

• Iqala njengamabala amancinci, aphakanyisiweyo (siwabiza ngokuba yi-"papules"), anobukhulu obufana nentloko yepinki (malunga ne-0.4 yeemilimitha).
• Emva kwexesha elithile, ezi zinokukhula zibe nkulu kancinci zize zibe nkulu njengepensile (malunga ne-1 centimeter).
• Ezi zinokuba nombala omfusa kwaye zibe nomphezulu othe tyaba.
• Inokuba lurhawuzelelo olukhulu. Olu lurhawuzelelo yeyona nto iphambili kubantu abaninzi.
• Ngamanye amaxesha ezi zinokuba zizilonda, ingakumbi ukuba zikrwelwe. Olu hlobo lwamaqhuma okanye izilonda lunokubakho nakwindawo yangasese.

Iimpawu emlonyeni (Oral Lichen Planus)

Malunga nesiqingatha sabantu abane-lichen planus nabo banayo emlonyeni wabo.

• Iqala njengamachaphaza amancinci amhlophe okanye ipateni efana ne-mesh ngaphakathi kwezidlele, elulwimini, kwaye ngamanye amaxesha emilebeni.
• Ngamanye amaxesha ezi zinto ziba bomvu kwaye zibe buhlungu, kwaye xa usitya into ebabayo (njengokutya kwethu okufakwe i-chili pepper), ungaziva uvutha kwaye uneentlungu.
• Oku kungakhululeki kusenokukhula ngokutya iziselo ezishushu, iitumato, kunye neziqhamo ze-citrus (ezifana nee-orenji kunye neelayimu).

Utshintsho kwiinzipho

Nangona kunqabile, oku kunokuchaphazela nezinzipho zabanye abantu.

• Umbala wezikhonkwane uyatshintsha.
• Izikhonkwane zahlukana zaza zahlukana kubini.
• Ukukhula kweenzipho kusenokuyeka, okanye uzipho lusenokuwa.
• Imigca emincinci ingabonakala nakubude besikhonkwane.

I-Lichen Planus ayidli ngokuba buhlungu. Nangona kunjalo, ukuba uyakrwela uze uphule ulusu, iintsholongwane zingangena zibangele usulelo, olunokuba buhlungu.

Ziziphi izizathu zokuvela kwe-lichen Planus?

Ezinye izinto zinokubangela ukuba iLichen Planus ibe mandundu ngequbuliso okanye ivele kwakhona. Oku sikubiza ngokuba zii-flare-ups.

• Intsholongwane yeHepatitis C: Abantu abosulelwe yile ntsholongwane basengozini yokuba ne-lichen planus.
• Ezinye iintlobo zezitofu zokugonya: Umzekelo, ezinye izitofu zokugonya umkhuhlane.
• Amayeza angengowe-steroidal anti-inflammatory (NSAIDs): Amanye amayeza esiwasebenzisa njengeentlungu zokuthomalalisa iintlungu.
• Amanye amayeza: Amanye amayeza e-arthritis, isifo sentliziyo, kunye noxinzelelo lwegazi oluphezulu.
• Iikhemikhali ezithile, iimetali, okanye ii-pigment: Kwabo bane-aleji kwezi zinto. Umzekelo, iimetali ezithile ezisetyenziswa ekuzaliseni amazinyo.

Ngaba iLichen Planus iyasulela?

Hayi, akunjalo konke konke! I-Lichen Planus ayisosifo esosulelayo. Ayisasazeki ngokunxibelelana ngesondo okanye ngokunxibelelana ngolusu nolusu. Ibangelwa kukutshintsha kwenkqubo yakho yomzimba yokuzikhusela. Ngoko ke musa ukuyoyika.

Ungayixilonga njani le nto?

Ugqirha wakho unokuxilonga i-lichen planus ngokujonga iimpawu zakho aze enze uvavanyo lomzimba. Oogqirha bakhangela into ebizwa ngokuba yi-"Six Ps" ("Six Ps)`):

• Ukurhawuzelela: Amabala ayarhawuzelela.
• I-Polygonal: Imilo yamabala inee-engile ezininzi ezibukhali.
• Iplanar: Umphezulu weendawo uthe tyaba.
• Iipapule ezimfusa: Amaqhuma anombala omfusa.
• Iiplaque: Amabala aphakanyisiweyo, anombala otshintshileyo.

Kodwa ngamanye amaxesha, ukuba kukho amathandabuzo okuba oku kunjalo na, ugqirha angenza ezinye iimvavanyo ezimbalwa:

• Uvavanyo lwe-allergy: Jonga ukuba kukho into ekubangela ukuba ungabi na allergy kwaye yiyo loo nto ebangela la mabala.
• I-biopsy yolusu: Oku kuquka ukuthatha iqhekeza elincinci lesikhumba kwindawo apho kukho i-mole lize lithunyelwe kwilebhu. Emva koko lijongwa nge-microscope ukuze kufunyaniswe ukuba yintoni kanye kanye ingxaki. Le yinto encinci, akukho nto ibalulekileyo ekufuneka uyixhalabele.
• Uvavanyo lweHepatitis C:Njengoko bekutshiwo ngaphambili, olu vavanyo lunokwenziwa kuba i-lichen planus inxulunyaniswa nentsholongwane yeHepatitis C.

Ngaba iLichen Planus inganyangeka? Zithini iindlela zonyango?

Inyaniso kukuba, akukho nyango lweLichen Planus okwangoku. Nangona kunjalo, iindaba ezimnandi zezokuba uninzi lweemeko zelichen planus eluswini ziya kuphelela ngokwazo kwiinyanga ezimbalwa ukuya kwiminyaka embalwa, nangona kungekho nyango.

Nangona kunjalo, kukho iindlela zonyango zokunciphisa ukurhawuzelela nokungonwabi:

Unyango lwe-lichen planus yolusu

• Iikhrimu ze-corticosteroid okanye amafutha okugcoba: Ezi zinciphisa ukudumba kunye nokurhawuzelela kolusu. Ezi zinikwa ngugqirha.
• Ii-Antihistamines: La ngamayeza aqhelekileyo anikwa abantu abane-allergies. Anceda ekunciphiseni ukurhawuzelela.
• Unyango ngeFoto: Oku kusebenzisa ukukhanya kwe-ultraviolet, okuqhele ukuba yi-UVB, okuvela kwizibane ezikhethekileyo. Oku kukhanya kwe-ultraviolet, okufumaneka elangeni, kusebenza kakuhle kwezinye iimeko zesikhumba, kuquka ne-lichen planus.
• Izinto zokucinezela amasosha omzimba: Ukuba isifo sibi kakhulu, oogqirha banokunika amayeza athintela inkqubo yomzimba yokuzikhusela, anjenge-corticosteroids yomlomo, i-mycophenolate mofetil, i-azathioprine, okanye i-cyclosporine.
• IiRetinoids (izinto ezivela kwivithamini A): Ezi zifumaneka kwifomu yeepilisi okanye njengekhrimu. Zonyusa ukuveliswa kwe-collagen eluswini, zikhuthaza ukukhula kwemithambo yegazi, kwaye zinceda ukuphilisa amanxeba. Nangona kunjalo, ii-retinoids zinokubangela iziphene zokuzalwa, ngoko qiniseka ukuba uxelele ugqirha wakho ukuba ukhulelwe okanye uceba ukukhulelwa.

Ulawulo lwe-Oral Lichen Planus

I-Lichen Planus emlonyeni idla ngokuba ngcono kwiminyaka emihlanu. Nangona kunjalo, ukuba kukho izilonda okanye izilonda emlonyeni, ungafumana isiqabu ngezi zinto:

• Ukugcina umlomo usempilweni: Kubalulekile ukuxubha amazinyo akho yonke imihla, ukuxubha amazinyo akho nge-floss, nokucocwa kwamazinyo akho ngugqirha wamazinyo ubuncinane kabini ngonyaka.
• Ukunciphisa izilonda emlonyeni: Ukuba unezilonda emlonyeni wakho, zingaba zixhaphake kakhulu kwaye zibe buhlungu ngakumbi. Ngoko ke, licebo elihle ukuhlamba amazinyo akho rhoqo, ufake iwax yamazinyo ejikeleze amazinyo akho ukuba unezixhaso, kwaye ususe nayiphi na imingxunya emlonyeni wakho ukuba unayo.
• Ukutshintshwa kokuzaliswa kwamazinyo:Amaxesha amaninzi, abanye abantu banokuba ne-allergy kwi-amalgams, ezizizaliso zesinyithi ezisetyenziswa ekuzalisweni kwamazinyo. Olu allergy lunokufana ne-lichen planus. Kwimeko ezinjalo, ukutshintsha izizaliso ngezinto ezibangela ukuba amazinyo angavuki kunokunceda.

Zithini iindlela zonyango zasekhaya?

Kukho amayeza onokuwathenga kwikhemesti kunye nezinto onokuzenza ekhaya ukuze uyeke ukukrwela amabala akho.

Nangona ezi zikhuselekile kubantu abaninzi, kungcono ukuthetha nogqirha wakho ngaphambi kokuba uzisebenzise, ​​kuba usenokuba ne-allergy kuzo kwezinye iimeko.

• I-Aloe vera: I-Aloe vera yindlela yendalo enceda ukuphilisa amanxeba kunye nokufumisa ulusu. Ezinye izifundo zibonise ukuba i-aloe vera inokunceda ukunciphisa iimpawu ze-lichen planus emlonyeni okanye kwi-labia.
• Ii-Antihistamines: La mayeza, anokuthengwa kwikhemesti, anciphisa ukurhawuzelelwa.
• Iikhrimu zeHydrocortisone okanye amafutha: Ezi zingathengwa kwikhawuntara kwikhemesti. Ziyi-corticosteroid edityaniswe neyeza lokuthomalalisa iintlungu.
• I-Oatmeal: Eyona ndlela ilungileyo yokusebenzisa i-oatmeal kumabala e-lichen planus kukuyigaya ibe ngumgubo ocolekileyo kwi-blender okanye kwi-food processor (oku kubizwa ngokuba yi-"colloidal oatmeal"). Xuba le oatmeal ecoliweyo namanzi ashushu amancinci ukuze wenze intlama etyebileyo. Yifake kuyo yonke loo mabala. Yishiye ubuncinane imizuzu eli-10 uze uyisule ngelaphu elicocekileyo.

Ngaba iimpawu ziyanda njengoko uxinzelelo lusanda?

Ewe, uxinzelelo lunokwenza imeko yolusu ibe mandundu ngakumbi, kuquka ne-lichen planus. Xa siziva sixinezelekile, aluchaphazeli nje kuphela iingqondo zethu kodwa nemizimba yethu.

Ezinye iimpawu zoxinzelelo (ezinokwenza iimpawu zakho ze-lichen planus zibe mandundu):

• Uxinzelelo.
• Ubunzima bokuphumla.
• Sebenzisa utywala, icuba, okanye iziyobisi ukuze uphumle.
• Ukuba nesimo sengqondo esingalunganga ngawe (ukungazithembi).
• Ndihlala ndiziva ndixhalabile.
• Ukuziva ngathi yonke into igqithisile, ukuziva ngathi awukwazi ukuyilawula.
• Ubunzima bokugxila.
• Ukucaphuka ngokukhawuleza, iimvakalelo zitshintsha rhoqo.

Iimpawu zomzimba zoxinzelelo (ezi zinokwandisa iimpawu ze-lichen planus):

• Isicaphucaphu, isiyezi.
• Ukulahlekelwa ngumnqweno wokwabelana ngesondo.
• Ukulala kakhulu (hypersomnia).
• Ukungalali kakhulu, ukungalali ngokwaneleyo.
• Urhudo.
• Ukuqhinwa.
• Ukuqina kwemisipha, iintlungu.
• Intlungu yomzimba.

Kungoko ke, kubaluleke kakhulu ukucinga ngeendlela zokulawula uxinzelelo.Izinto ezinje ngokucamngca, i-yoga, umthambo wokuphefumla, kunye nokuzibandakanya kwizinto ozithandayo zinokuba luncedo kakhulu.

Zeziphi ukutya neziselo endifanele ndiziphephe ukuba ndine-oral lichen planus?

Ukuba une-oral lichen planus, kungcono ukuba ungatyi ukutya okune-spicy, okune-asidi kunye neziselo, kuba ezi zinto zingenza amabala emlonyeni wakho abe buhlungu kwaye avuvuke ngakumbi.

• Iipepile ezishushu, iipepile ezinetyuwa, ukutya okunencasa yetshili. (Kwilizwe lethu, ezi azinamsebenzi, kodwa kufuneka uzilawule kancinci.)
• Iisosi ezishushu ezifana nesalsa.
• Iziqhamo zeCitrus (iiorenji, iitangerines, iilamuni, iilamuni).
• Isosi yetamatisi kunye netomato.
• Utywala.

Ukongeza ekuyekeni oku kutya neziselo, kubaluleke kakhulu ukuba abo batshayayo bayeke ngokupheleleyo ukutshaya.

Ngaba ikho indlela yokuthintela oku?

Ngelishwa, akukho ndlela ithile yokuthintela uphuhliso lweLichen Planus. Ngenxa yokuba unobangela ochanekileyo awaziwa, kunzima ukutsho ukuba ungakuthintela njani.

Kwenzeka ntoni ukuba une-Lichen Planus? Ungalindela ntoni?

I-Lichen Planus yimeko enokulawulwa ngamanye amaxesha ngaphandle konyango. Kodwa rhoqo, unyango luyafuneka ukunciphisa iimpawu. Ukuba une-lichen planus eluswini lwakho, kungathatha iinyanga okanye iminyaka ukuba iphile. I-Oral lichen planus emlonyeni wakho ingathatha ukuya kwiminyaka emihlanu ukuba iphile. Unyango kunye namayeza asekhaya anokunceda ukunciphisa ukungakhululeki kwakho.

Ukuba une-lichen planus kwindawo yakho yesini, unokufumana ukungakhululeki kunye nentlungu ngexesha lokwabelana ngesondo. Nangona kunjalo, awunakuyidlulisela kwiqabane lakho.

Ufanele uye nini kugqirha?

Kwiimeko ezinjalo, ngokuqinisekileyo kuya kufuneka ubone ugqirha:

• Ukuba ubonakalisa iimpawu ezintsha .
• Ukuba iimpawu aziphucuki nangona unyango lukhona.
• Ukuba amabala akhona ixesha elide kunokuba bekulindelwe .
• Ukuba indawo apho amabala abonakala enesifo (ubomvu, ukudumba, ubomvu obuphumayo).

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Xa undwendwela ugqirha, ungabuza imibuzo efana nale:

• Uyabona njani kanye kanye ukuba ndineLichen Planus?
• Ukuba andinayo iLichen Planus, zeziphi ezinye izifo zesikhumba endinokuba nazo?
• Kuza kuthatha ixesha elingakanani ukuba umzimba wam ululame kule meko?
• Ucebisa ngawaphi amayeza?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga kuloo mayeza?
• Zeziphi iindlela zonyango zasekhaya ozicebisayo?
• Ngaba kukho ikhrimu okanye amafutha akhethekileyo endinokuwanikwa wona?
• Ngaba kufuneka ndidibane nogqirha wesikhumba okanye omnye umntu ochwephesha?

Umyalezo Wokuya Ekhaya

I-Lichen Planus sisifo esiqhelekileyo solusu. Ingachaphazela nomlomo kunye nezinzipho. Inokuba yintloni kwaye irhawuzelele kancinci. Nangona kunjalo, ayisiyongozi okanye isifo esosulelayo, kwaye idla ngokuziphelela.

Eyona nto ibalulekileyo kukunika ingqalelo kulusu lwakho. Ukuba ubona amabala amatsha okanye utshintsho eluswini lwakho, bonana nogqirha ngoko nangoko. Ngale ndlela, ungafumanisa ukuba kwenzeka ntoni kanye kanye uze uqale unyango ukuba kuyimfuneko.

I- Lichen planus, izifo zesikhumba, amabala arhawuzelelayo, amabala omlomo, izifo zesikhumba, inkqubo yomzimba yokuzikhusela, unyango lwesikhumba