Ngaba unesigulo esitshintshayo kwindawo yakho yangasese, into efana namabala amhlophe, okanye ukurhawuzelelwa rhoqo? Ngamanye amaxesha kunzima ukuthetha nomntu ngezinto ezinje, akunjalo? Kodwa le yimeko abantu abaninzi abahlupheka kuyo buthule, kodwa ukuba inyangwa ngokufanelekileyo, ingalawulwa kakuhle. Namhlanje sithetha ngesi sifo solusu esibizwa ngokuba yi-`( Lichen Sclerosus )`, abantu abaninzi abangazange beve ngaso, kodwa kubaluleke kakhulu ukusazi.
Ngamafutshane, yintoni iLichen Sclerosus?
I-Lichen Sclerosus sisifo solusu esingapheliyo esichaphazela ulusu lwethu, ingakumbi amalungu esini kunye nolusu olujikeleze i-anus. Oku kubangela ukuba ulusu olukwezo ndawo lube luncinci, lube mhlophe, lurhawuzelele, kwaye lube buhlungu.
Le meko inokuchaphazela indawo engaphandle kwelungu lobufazi (i-vulva) kubasetyhini, ipenis kunye nejwabu layo (ijwabu) kumadoda, kunye nendawo ejikeleze i-anus kuzo zombini izini. Kunqabile kakhulu, inokwenzeka nakwezinye iindawo zomzimba, njengentamo, isifuba, nomqolo.
Into ebalulekileyo kukuba le yimeko yobomi bonke. Oko kuthetha ukuba ayinakunyangwa ngokupheleleyo. Kodwa ungakhathazeki, ngonyango olufanelekileyo, ungazilawula iimpawu kwaye uphile ubomi obuqhelekileyo. Ukuba ayinyangwa, inokubangela amanxeba esikhumba , intlungu yokwabelana ngesondo (dyspareunia), ubunzima bokuchama , kwaye, ngokungaqhelekanga, umngcipheko ophezulu womhlaza wesikhumba (squamous cell carcinoma).
Sibonakala njani esi sifo xa siqala? Zithini iimpawu?
Esi sifo siqala njengeendawo ezincinci, ezimhlophe, ezikhazimlayo, neziphakanyisiweyo kancinci zesikhumba sakho kwizitho zangasese okanye kwi-anus. Ekuhambeni kwexesha, ezi ndawo ziyahlangana kwaye zenze indawo emhlophe eshwabeneyo efana nephepha lesikhumba.
Iimpawu eziphambili kunye nezinye iingxaki zidweliswe ngokucacileyo kwitheyibhile engasezantsi.
| Uhlobo lwempawu | Inkcazo |
|---|---|
| Utshintsho lolusu | Amabala amhlophe, acwebezelayo okanye amabala. Ukubhitya, ukushwabana, kunye nokuqhekeka lula kwesikhumba. |
| Iimvakalelo zokungonwabi | Ukurhawuzelela okuqatha (ingakumbi ebusuku), iintlungu, ukudumba, kunye nokungonwabi. |
| Ukulimala kwesikhumba | Ukurhawuzelela rhoqo kunokukhokelela kwizilonda zesikhumba, izilonda, kunye namadyungudyungu. Ngamanye amaxesha, kunokubakho ukopha. |
| Ezinye iingxaki | Intlungu ngexesha lokwabelana ngesondo, intlungu ngexesha lokuchama (iDysuria), umchamo obuthathaka okanye osasazekileyo. |
| Iimpawu ezithile kumadoda | Ukuqina kwejwabu kunye nokungakwazi ukulitsala (i-Phimosis). Ukuphuma okungaqhelekanga kwilungu lobudoda. |
Khumbula, ezi mpawu azibonakali ngendlela efanayo kuye wonke umntu. Abanye abantu banokuba nale meko ngaphandle kweempawu kwaphela.
Ngubani osengozini enkulu yokuhlaselwa sesi sifo?
Le meko inokukhula nakubani na, nangaliphi na ixesha, kodwa abanye abantu basengozini enkulu.
- Abafazi abasele beyekile ukuya exesheni: Esi sifo sixhaphake kakhulu kubafazi abaphakathi kweminyaka engama-40 ukuya kwengama-60 ubudala.
- Amantombazana angaphambi kokukhulelwa: Le meko inokwenzeka nakumantombazana amancinci.
- Amadoda angakhange ayisuse ijwabu lawo: Phakathi kwamadoda, abo banejwabu banamathuba amaninzi okuba nale ngxaki.
- Abantu abanezinye izifo: Ukuba unesifo sokuzikhusela komzimba , isifo seswekile , i-allergies, okanye i-body mass index (BMI) engaphezulu kwama-30 ( ukutyeba kakhulu ), umngcipheko wakho unokunyuka kancinci.
Kutheni esi sifo sisenzeka? Ingaba siyasulela?
Enyanisweni, oogqirha abakafumani sizathu siqinisekileyo sokuba yiLichen Sclerosus. Nangona kunjalo, kukho izinto ezininzi ezicingelwa ukuba zibangela oku.
- Ingxaki yenkqubo yomzimba yokuzikhusela: Kukholelwa ukuba le meko isenokuba ibangelwa yinkqubo yomzimba yokuzikhusela, eyinkqubo yokuzikhusela yomzimba wethu, ehlasela ngempazamo iiseli zayo zolusu ezisempilweni.
- Impembelelo yemfuza : Ukuba kukho umntu kusapho onale sifo, nabanye banethuba elincinci lokuba nayo ifumaneke.
- Utshintsho kwihomoni: Utshintsho kumanqanaba ehomoni emzimbeni lunokuchaphazela oku.
- Ukonakala kwesikhumba: Ukuba kukho ingozi eyenzekileyo ngaphambili kwesikhumba kuloo ndawo, njengengozi, ukwenzakala, okanye ukuxhatshazwa ngokwesondo, esi sifo sinokubonakala kwezo ndawo.
Okubaluleke kakhulu, iLichen Sclerosus ayisosifo esosulelayo. Oku kuthetha ukuba ayinakusasazeka ukusuka komnye umntu ukuya komnye ngokuchukumisa, ngesondo, okanye ukwabelana ngezinto ezifana neempahla okanye iitawuli. Ayisosifo esidluliselwa ngesondo (STI).
Ugqirha uxilonga aze anyange njani esi sifo?
Ukuba unale mpawu, eyona nto ingcono kukubona ugqirha. Uza kukubuza ngeempawu zakho aze ahlole indawo echaphazelekileyo.
Uninzi lwexesha, esi sifo sinokufunyaniswa ngokusijonga. Nangona kunjalo, ngamanye amaxesha, ukuqinisekisa ukuxilongwa, iqhekeza elincinci kakhulu lesikhumba liyathathwa lize lithunyelwe kwilebhu ukuze livavanywe. Oku kubizwa ngokuba luvavanyo lwe-"Biopsy".
Xa uxilongo luqinisekisiwe, ugqirha wakho uya kumisela unyango olufanelekileyo kuwe.
| Indlela yonyango | Kwenzeka ntoni kuyo? |
|---|---|
| IiCorticosteroids zeTopical | Olu lolona nyango luphambili nolusetyenziswa kakhulu. I-cream enamandla ye-steroid efana neClobetasol kufuneka isetyenziswe kwindawo echaphazelekayo kangangexesha elithile, njengoko ugqirha wakho emisele. Oku kuya kulawula ukurhawuzelela, ukudumba, kunye notshintsho lolusu. |
| Izinto ezithintela amasosha omzimba | Kwezinye iimeko, kusetyenziswa amayeza asetyenziswa ngaphandle kwesikhumba afana neTacrolimus . La mayeza asebenza ngokulawula ukusebenza kwenkqubo yomzimba yokuzikhusela nokunciphisa umonakalo eluswini. |
| Unyango olukhanyayo (iPhototherapy) | Unyango olusebenzisa imisebe ye-ultraviolet (UVB) evela kwizibane ezikhethekileyo ukujolisa ulusu, ukunciphisa ukurhawuzelela nokudumba. Nangona kunjalo, oku akufanelekanga kuwo wonke umntu. |
| Utyando | Ukuba indoda inejwabu eliqinileyo (iPhimosis), ingatyandwa ngendlela ebizwa ngokuba yiCircumcision. Ukuba i-urethra inciphile, kusenokufuneka ityandwe ngendlela ebizwa ngokuba yi-Urethroplasty. Oku kwenziwa xa ezinye iindlela zonyango zingaphumelelanga. |
Kubalulekile ukubona ugqirha wakho rhoqo ukuze ahlolwe, ngexesha lonyango nasemva kokuba iimpawu ziphelile, ukuze kubonwe naluphi na utshintsho lolusu, olufana notshintsho lomhlaza, kwangethuba.
Yintoni esinokuyenza thina ukulawula iimpawu?
Kunye nonyango olunikezelwa ngugqirha wakho, utshintsho oluncinci kwindlela ophila ngayo lunokunceda kakhulu ekulawuleni ezi mpawu.
- Nxiba impahla ekhululekileyo: Endaweni yempahla yangaphantsi eqinileyo kunye neebhulukhwe, nxiba impahla ekhululekileyo eyenziwe ngezinto ezifana nomqhaphu ezingaxinenanga emzimbeni.
- Sebenzisa isepha engenavumba: Ziphephe iimveliso ezifana neesepha, iijeli zokuhlamba, kunye neebhafu zamaqamza ezinevumba elimnandi kunye neekhemikhali. Sebenzisa isepha elula, engenavumba.
- Gcina ulusu lwakho lomile: Endaweni yokuhlikihla ulusu lwakho ngetawuli emva kokuhlamba, hlikihla ulusu lwakho lome.
- Sebenzisa i-moisturizer: Cela icebiso kugqirha wakho uze ufake i-moisturizer elula, engenavumba, kwaye engenambala izihlandlo ezininzi ngemini.
- Kuphephe ukukrwela: Xa kuvela ukurhawuzelela, kuphephe ukukrwela kangangoko kunokwenzeka. Oku kuya konakalisa ulusu ngakumbi.
- Nciphisa imisebenzi ebeka uxinzelelo eluswini: Imisebenzi efana nokukhwela ibhayisekile okanye ukukhwela ihashe ixesha elide inokubangela ukuba ulusu lube noxinzelelo kwaye iimpawu zibe mandundu.
Ndifanele ndimbone nini ugqirha? Yintoni imeko engxamisekileyo?
Ukuba ubona naluphi na utshintsho, ukurhawuzelelwa, okanye iintlungu kwindawo yakho yesini okanye ejikeleze i-anus yakho, musa ukuyityeshela loo nto kwaye ubone ugqirha ngoko nangoko. Okukhona isifo sifunyanwa kwangethuba, kokukhona kulula ukunyanga nokusilawula.
Kwakhona, ukuba iimpawu ziphinda zibuye emva kokuqala unyango, okanye ukuba unesilonda esitsha eluswini okanye ithumba, qiniseka ukuba wazise ugqirha wakho.
Ingxamiseko: Ukuba awukwazi ukuchama konke konke, njengokuba isinyi sakho sivaliwe, yingxamiseko. Ukuba oku kuyenzeka, kufuneka uye kwigumbi likaxakeka (ETU) lesibhedlele ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Lichen Sclerosus yimeko ehlala ixesha elide echaphazela ulusu lwendawo yesini.
- Esi asisosifo esosulelayo okanye isifo esidluliselwa ngesondo.
- Iimpawu eziphambili ziziziba ezimhlophe, ukurhawuzelela okukhulu, kunye nentlungu.
- Nangona esi sifo singenakunyangwa ngokupheleleyo, singalawulwa ngcono ngonyango olufana ne-steroid ointments.
- Ukuba uneempawu, ungabi nantloni okanye ungoyiki ukubona ugqirha. Kubaluleke kakhulu ukuqala unyango kwangethuba.
- Ngexesha nasemva konyango, kubalulekile ukuba uhlolwe rhoqo njengoko ugqirha emyalele.
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