Ngaba unamabala amhlophe kunye nokurhawuzelelwa ngolu hlobo eluswini lwakho? Masithethe ngeLichen Sclerosus!

Ngaba wakha waba namabala amhlophe okanye ukurhawuzelelwa okunganyamezelekiyo kwiindawo zakho zangasese, oko kukuthi, ezijikeleze isini sakho okanye i-anus? Mhlawumbi ulusu luncinci kwaye luxobuka njengeqhekeza. Musa ukuzithatha nje ezi njengengxaki yolusu. Isenokuba luphawu lwesifo esibizwa ngokuba yiLichen Sclerosus. Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha.

Yintoni iLichen Sclerosus?

Ngamafutshane, iLichen Sclerosus yimeko yesikhumba enokubangela iingxaki ezahlukeneyo eluswini lwakho. Le meko idla ngokuchaphazela:

• Kwindawo engaphandle kwelungu lobufazi ( i-vulva )
• Kwipenis
• Ijwabu
• Ukuya kwi- urethra
• Ukuya kwimpundu

Le meko ngamanye amaxesha ibonakala njengebala elinombala omdaka, elirhawuzelelwayo, elirhawuzelelwayo, okanye elirhawuzelelwayo . Abanye abantu banokuba namadyungudyungu kunye nezilonda (ngokufuthi ngenxa yokukrwela rhoqo) ezijikeleze amalungu esini. Nangona kunjalo, ezi mpawu azibonakali nakwezinye iindawo emzimbeni.

I-lichen sclerosus sisifo esihlala ixesha elide nesingapheliyo esinokuhlala ubomi bonke. Ukuba asinyangwa, sinokubangela amanxeba, ubunzima bokwabelana ngesondo (i-dyspareunia), ukuchama , okanye ukuba nesisu (intshukumo yamathumbu), kwaneentlungu . I-lichen sclerosus enganyangwanga inokunyusa umngcipheko wokufumana iintlobo ezithile zomhlaza wesikhumba (umhlaza wepenile kunye ne-vulvar squamous cell carcinoma) . Akukho nyango lwale meko, kodwa unyango lunokunceda ukulawula iimpawu.

Amanye amagama ale nto yi-`Balanitis Xerotica Obliterans (BXO)`` kunye ne-`white spot disease``.

Ibonakala njani le nto?

Xa i-lichen sclerosus iqala, ibonakala njengamabala amancinci, amhlophe, akhazimlayo, aphakanyisiwe kancinci kwizitho zakho zangasese okanye ezijikeleze i-anus yakho. Ekuhambeni kwexesha, amabala amaninzi angase avele, kwaye anokudibana enze ibala elimhlophe elifana nephepha lesikhumba okanye izicubu ezishwabeneyo .

Ixhaphake kangakanani le meko?

I-lichen sclerosus ayisiyonto ixhaphakileyo. Umzekelo, ichaphazela abantu abamalunga nama-200,000 eMelika. Nokuba unezinto ezininzi ezinobungozi , kunqabile ukuba ube nayo.

Ziziphi iimpawu ze-Lichen Sclerosus?

Iimpawu eziphambili zimhlophe, amabala aphakamileyo kwi-vulva yakho, i-anus, i-foreskin, okanye i-glans. Ezi zinokubangela ukurhawuzelela , iintlungu, ukungakhululeki, okanye ukudumba . Ezinye iimpawu zingabandakanya:

• Izilonda kunye nezilonda
• Ukudumba ( oko kukuthi, ukudumba, ukuba bomvu)
• Amanxeba
• Ukuqhekeka kolusu
• Intlungu xa uchama (i-dysuria)
• Intlungu ngexesha lokwabelana ngesondo
• Ukwehla kwezinga lokuchama . Ngamanye amaxesha umchamo usenokungaphumi rhoqo kwaye usenokuvuza.
• Ukuqina kwejwabu lakho.
• Ukungakwazi ukurhoxa ijwabu (i-phimosis).
• Ukukhupha ipenisi .

Kunqabile kakhulu ukuba i-lichen sclerosus ichaphazele ulusu kwezinye iindawo zomzimba. Umzekelo:

• Intamo
• Isifuba
• Isihlunu
• Ngaphandle
• Isandla
• Ngaphakathi emlonyeni

Ngubani onokuba nethuba elikhulu lokuphuhlisa oku? (Izinto ezibangela umngcipheko)

Nabani na angayihlakulela le ngxaki, kodwa ixhaphake kakhulu kubafazi abasele beyekile ukuya exesheni abaphakathi kweminyaka engama-40 nama-60 ubudala. Amantombazana angekafiki kwiminyaka yokufikisa nawo asengozini enkulu.

Amadoda anesikhumba sangaphambili awanawo amathuba amaninzi okufumana isifo se-lichen sclerosus. Umngcipheko wakho unokuba phezulu kancinci ukuba unesifo sokuzikhusela komzimba okanye i-allergies .

Isifo seswekile kunye ne-body mass index (BMI) engaphezulu kwama-30 (oko kukuthi, ukutyeba/ukutyeba kakhulu) nako kunokunyusa umngcipheko wokuba ne-lichen sclerosus.

Zithini izizathu zeLichen Sclerosus?

Oogqirha kunye nabaphandi bezonyango abakayazi kakuhle into ebangela i-lichen sclerosus. Nangona kunjalo, bakholelwa ukuba sisifo esibangelwa kukuzikhusela komzimba.Isenokuba inxulumene nokuba. Ukuba unesifo sokuzikhusela komzimba, inkqubo yakho yokuzikhusela yomzimba ihlasela iiseli ezisempilweni endaweni yokukhusela umzimba wakho kwiintsholongwane.

I-genetics kunye notshintsho lweehomoni lunokuchaphazela ukuba ngubani ofumana esi sifo. Ngamanye amaxesha, i-lichen sclerosus ikhula emva kokuba umntu efumene ukwenzakala (njengokwenzakala okanye ukuxhatshazwa ngokwesondo). Kunqabile kakhulu, inokudluliselwa ukusuka kubazali ukuya ebantwaneni ngee-genes.

Oogqirha nabaphandi basaphanda nge-lichen sclerosus ukuze bafumane ezona zinto zibangela oku.

Okubaluleke kakhulu: I-lichen sclerosus ayosuleli. Awunakuyisasaza komnye umntu.

Oogqirha bayibona njani le nto? (Ukuxilongwa)

I-lichen sclerosus ixilongwa ngugqirha. Uza kukubuza imibuzo malunga neempawu zakho aze emva koko enze uvavanyo lomzimba , oluya kuquka ukuhlola iindawo ezichaphazelekayo.

Luhlobo luni lovavanyo oluqhutywayo?

Ukuqinisekisa ukuba uxilongiwe, ugqirha wakho unokwenza i-biopsy , equka ukuthatha iqhekeza elincinci lolusu oluchaphazelekayo aze alihlole phantsi kwe-microscope.

Ngaba oku kunganyangwa ngaphandle kokwaluka?

Ewe, oogqirha banokuyinyanga i-lichen sclerosus ngaphandle kokwaluka . Nangona i-lichen sclerosus ngamanye amaxesha inokunyangeka ngokwaluka, kukho ezinye iindlela zonyango.

Zithini iindlela zonyango zoku?

Ugqirha wakho angacebisa olu hlobo lonyango lwe-lichen sclerosus:

• Iikhrimu ze-corticosteroid ezisetyenziswa kwiindawo ezichaphazelekayo: La ngamayeza asetyenziswa ngqo kwindawo echaphazelekayo. Amaxesha amaninzi, amayeza anjenge-"clobetasol" ayanikwa.
• I-Phototherapy: I-Phototherapy isebenzisa ukukhanya kwe-ultraviolet (ngesiqhelo i-ultraviolet B - `UVB`) evela kwizibane ezikhethekileyo. Oku kunokunciphisa ukudumba nokunciphisa ukurhawuzelela.
• Amayeza okunciphisa umzimba: La mayeza anceda ekuthinteleni amasosha omzimba wakho ekuhlaseleni iiseli eziphilileyo. Adla ngokunikwa amayeza abizwa ngokuba yi-tacrolimus.
• Utyando: Ngokuxhomekeke kwinxalenye yomzimba echaphazelekileyo yi-lichen sclerosus, ugqirha unokucebisa utyando. Umzekelo, ukwaluka ukuba ijwabu lichaphazelekile, okanye i-urethroplasty ukuba kukho imiqobo ye-urethra.

Eyona nto ibalulekileyo kukujonga ugqirha rhoqo ngexesha lonyango lwe-lichen sclerosus.Ukuya esibhedlele. Emva koko banokujonga iimpawu zomhlaza wolusu, baze bancede ekuthinteleni amanxeba ajikeleze amalungu esini.

Kuthatha ixesha elingakanani ukuchacha emva konyango?

Ukuba ululama ngokukhawuleza kangakanani kuxhomekeke kuhlobo lonyango olufumanayo.

• Kungathatha iiveki ezininzi ukubona inkqubela xa usebenzisa ii-corticosteroids ezisetyenziswa kwiindawo ezingaphandle komzimba kunye namayeza okunciphisa umzimba .
• Unyango lwe-Phototherapy lunokuthatha unyango oluninzi ukuphucula iindawo ezichaphazelekileyo, kwaye kungathatha ukuya kwiinyanga ezimbini ukuqala ukuphucula.
• Kungathatha malunga neveki enesiqingatha ukuphola emva kokwaluka . Emva kokwaluka, abantwana kufuneka baphephe ukulala ngesisu sabo nokukhwela amathoyizi ajikajikayo ukusuka kwelinye icala ukuya kwelinye (umz., ukugigitheka kwamahashe, iisaw, iiswings, iibhayisekile). Abantu abadala kufuneka bayeke ukwabelana ngesondo okanye ukuphulula amalungu esini de ugqirha wabo abanike imvume.
• Ukuba une -urethroplasty , kuya kufuneka ugcine i-catheter ( ityhubhu) kwi-urethra yakho kangangeeveki ezintathu ukuya kwezine.

Yintoni enokwenziwa ukuthintela oku nokunciphisa iimpawu?

Nangona kungenakwenzeka ukuthintela ngokupheleleyo uphuhliso lwe-lichen sclerosus, ungazinciphisa iimpawu ngokwenza utshintsho kwindlela ophila ngayo .

Ukuze unciphise ukungqubana nokucaphuka, yenza oku kulandelayo:

• Ziqhelise ukukhathalela ulusu lwakho. Oku kuthetha ukuhlamba ulusu lwakho rhoqo ngesepha namanzi acocekileyo, uthambise i-moisturizer, kwaye ulandele imiyalelo kagqirha wakho ukuze ulusu lwakho luhlale lusempilweni.
• Nxiba impahla yangaphantsi ekhululekileyo kunye neempahla .
• Kuphephe ukunxiba impahla ecaphukisa ulusu (umz. uboya, isilika).
• Xa uhlamba okanye uhlamba, sebenzisa isepha ethambileyo . Xa usula ulusu, lubambe ngolomileyo ngaphandle kokuluhlikihla. Faka ikrimu yokufumisa emva nje kokusula. Oku kuya kunceda umswakama oseleyo ungene eluswini.
• Sebenzisa amanzi afudumeleyo endaweni yamanzi ashushu xa uhlamba okanye uhlamba.
• Ziphephe iibhafu ezinamaqamza ( iibhafu ngamanzi anesepha). Isiphumo sokudambisa igwebu singenza ukurhawuzelela kube kubi ngakumbi.
• Sebenzisa isepha yokuhlamba impahla engenavumba .
• Kuphephe ukukhwela ibhayisekile umgama omde, ukukhwela isithuthuthu, kunye nokukhwela ihashe.
• Tshintsha iimpahla zokudada ezimanzi ngokukhawuleza ngaphandle kokuzishiya zinxibile.

Ukwaluka kwangethuba ebuntwaneni kunokunciphisa umngcipheko wokuba ne-lichen sclerosus.

Yintoni omele uyilindele xa uphila nale meko?

I-sclerosus ye-lichen ayihlali ixesha elide.Imeko. Uninzi lwabantu lusabela kakuhle kunyango, kodwa iimpawu zinokubuya kamva. Usenokuba namanxeba , nto leyo enokwenza kube nzima okanye kungakhululeki ukuya kwindlu yangasese uye kwenza isondo. Ukuba kukho i-lichen sclerosus ejikeleze ukuvulwa kwe-urethra (i-meatus) kumadoda, unyango lwangoko lunokunceda ukuthintela ukwakheka kwamanxeba kwezinye iindawo ze-urethra.

Ukwanomngcipheko ophezulu wokufumana izinto ezifana ne -squamous cell carcinoma kunye nomhlaza wepenis . Ngoko ke bonana nogqirha rhoqo ukuze ahlolwe ukuze bakwazi ukujonga iimpawu zomhlaza.

Injani imbono?

Ukuba ugqirha unokuxilonga aze anyange i-lichen sclerosus kwangethuba, imeko intle kakhulu. Nangona kunjalo, nangona kuxilongwe kwangethuba kwaye kunyangwa, iimpawu zinokuphinda zibuye ebomini bonke.

Ngaba kufuneka ulumke ngokutya nokusela?

Akukho ndlela ithile yokutya ecetyiswayo kwi-lichen sclerosus. Ezinye izifundo zibonise ukuba ukwenza utshintsho kwindlela otya ngayo kunokunciphisa umngcipheko wakho kwaye kuphucule iimpawu. Thetha nogqirha wakho malunga nokutya omele ukuphephe kunye nendlela yokwenza ukhetho lokutya okunempilo.

Ndifanele ndimbone nini ugqirha?

Ngenxa yokuba i-lichen sclerosus ineempawu ezahlukeneyo, inokulinganisa ezo zezinye iimeko. Ngoko ke, kubalulekile ukubona ugqirha ngokukhawuleza ukuba ubona naluphi na utshintsho kwizitho zakho zangasese okanye kwiindawo ezikufutshane.

Ukuba une-lichen sclerosus, bonana nogqirha ukuba iimpawu zakho ziyabuya emva konyango. Kwakhona, yenza idinga rhoqo kunye naye ukuze ujonge iimpawu zomhlaza.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba awukwazi ukuchama ngenxa ye-lichen sclerosus, yiya kwigumbi likaxakeka ngokukhawuleza.

Yeyiphi imibuzo omele uyibuze ugqirha?

Ungabuza ugqirha wakho imibuzo efana nale:

• Ungazibona njani ukuba ndine-lichen sclerosus?
• Ukuba andinayo i-lichen sclerosus, sesiphi esinye isifo endinokuba naso?
• Loluphi unyango olucebisayo?
• Zithini iziphumo ebezingalindelekanga zonyango olucebisayo?
• Ingaba kukhuselekile ukuba ndilale okanye ndiphulule amalungu esini?
• Ngaba kufuneka ndidibane nogqirha wesikhumba okanye omnye umntu ochwephesha?

Ingaba ngumhlaza lo? Ngaba sisifo esidluliselwa ngesondo? Masifunde okungakumbi ngale nto!

Ngaba i-lichen sclerosus ngumhlaza?

I-lichen sclerosus ayilomhlaza. Ukuba une-lichen sclerosus akuthethi ukuba ngokuqinisekileyo uza kuba nomhlaza. Nangona kunjalo, i-lichen sclerosus inxulunyaniswa nomhlaza wepenis kunye ne -vulvar squamous cell carcinoma.Kusenokubakho unxibelelwano. Ukuba une-lichen sclerosus, kubaluleke kakhulu ukubona ugqirha rhoqo ukuze ahlolwe ukuze akwazi ukujonga iimpawu zomhlaza. Ukuba ubona naluphi na utshintsho kwinkangeleko yolusu lwakho, yazisa ugqirha.

Ngaba i-lichen sclerosus sisifo esidluliselwa ngesondo (STI)?

Hayi, i-lichen sclerosus ayisosifo esidluliselwa ngesondo (STI) , kwaye ayisuleli. Nangona kunjalo, i-lichen sclerosus inokufana ne-STI. Kungcono ukuphepha ukulala nomntu ude ugqirha akufumanise ukuba une-lichen sclerosus.

Ndingalala nomntu xa ndine-lichen sclerosus?

Ewe, ungenza isondo okanye uphulule amalungu esini ukuba une-lichen sclerosus. Nangona kunjalo, isondo sinokubangela ukuba ndindisholo ngakumbi. Nokuba ulala okanye uphulula amalungu esini, ukusebenzisa ikhondom okanye ikhondom yangaphakathi kunokunceda ukukhusela ulusu lwakho nokunciphisa ukungonwabi.

Nangona i-lichen sclerosus ingeyo-STI, kwaye iqabane lakho lingenakuyifumana kuwe i-lichen sclerosus, licebo elihle ukuba uthethe naye ngokunyaniseka ngemeko yakho. Bakhuthaze ukuba bathethe nogqirha ukuba baneenkxalabo.

Ngaba i-lichen sclerosus sisifo sokuzikhusela komzimba?

Akukho datha yaneleyo okwangoku yokwahlula i-lichen sclerosus njengesifo sokuzikhusela komzimba. Nangona kunjalo, abantu abane-lichen sclerosus badla ngokuba nezifo zokuzikhusela komzimba. Umzekelo:

• Ukulahleka kweenwele eziqhekekileyo (i-Alopecia areata )
• I-Vitiligo ( amabala amhlophe eluswini)
• I-anemia eyingozi ( i-anemia ebangelwa kukunqongophala kwe-vitamin B12)
• Uhlobo loku-1 lweswekile
• Ezinye izifo ze-thyroid

Unxibelelwano olusondeleyo phakathi kwezi zifo kunye ne-lichen sclerosus lubonisa ukuba le meko isenokubangelwa yimpendulo yomzimba wakho yokuzikhusela komzimba.

Yintoni umahluko phakathi kwe-Balanitis kunye ne-Lichen Sclerosus?

I-Balanitis yimeko echaphazela incam yepenis yakho (glans), edla ngokubangelwa lusulelo lwe-yeast. Ihlala isenzeka kumadoda ane-foreskin, kuba indawo efudumeleyo nefumileyo phakathi kwencam yepenis kunye ne-foreskin yindawo elungileyo yokukhula kwe-yeast kunye nezinye iibhaktheriya. I-Balanitis inokunyangwa ngeekhrimu zokubola, ii-antibiotics, ukoluka, kunye nokugcina i-foreskin, i-glans, kunye nendawo engaphantsi kwe-foreskin icocekile kwaye yomile.

I-sclerosus ye-lichenIngachaphazela amalungu akho esini, i-anus, kunye ne-urethra. Oogqirha abazi ukuba yintoni ebangela oku, kodwa bacinga ukuba kunxulumene nenkqubo yakho yomzimba yokuzikhusela. Unyango luquka iikhrimu ze-corticosteroid ezifakwa emzimbeni, unyango olukhanyayo (phototherapy), amayeza okunciphisa umzimba, kunye notyando.

Yintoni umahluko phakathi kwe-BXO kunye ne-lichen sclerosus?

I-Balanitis Xerotica Obliterans (BXO) kunye ne-lichen sclerosus ziyafana. I-Lichen sclerosus ligama oogqirha abakhetha ukulisebenzisa ngoku.

Umyalezo Wokugqibela Wokuya Ekhaya

I-Lichen Sclerosus ayisiyonto ixhaphakileyo, kwaye ayisosifo esidluliselwa ngesondo. Nangona kunjalo, nayiphi na imeko echaphazela amalungu akho esini okanye i-anus inokuba yintloni kwaye ihlazise. Ke ngoko, ukuba ubona naluphi na utshintsho okanye ukungakhululeki kwizini zakho zesini, bona ugqirha ngokukhawuleza . Nangona esi sisifo esingapheliyo esinokuhlala ubomi bonke, kwaye iimpawu zinokuvela ngamanye amaxesha, unyango lwasekuqaleni lunokukhokelela kwiziphumo ezingcono kakhulu . Awuwedwa, kwaye ungoyiki ukucela uncedo.

I- Lichen Sclerosus, Izifo Zesikhumba, Ukurhawuzelelwa, Amabala Amhlophe, Impilo Yesondo, I-BXO, Umhlaza Wesikhumba, Impilo Yabasetyhini, Impilo Yamadoda