Isilonda esibuhlungu ngequbuliso kwindawo yesini? Isenokuba yiLipschütz Ulcer! Masithethe.

Ngaba ngequbuliso ukhe wanesilonda esibuhlungu kwisini sakho, oko kukuthi, 'inxalenye yakho yabucala'? Usenokuziva udiniwe kwaye udiniwe, kunye nomkhuhlane. Nangona uzazi ukuba oku akusiso isondo, usaziva usoyika kwaye uneentloni. Usenokoyika ukuxelela umama wakho, usenokoyika ukuxelela umhlobo, kwaye usenokungakwazi ukucinga ukuba kwenzeke ntoni. Kwimeko enjalo, esi sisifo esingaqhelekanga kodwa esoyikisayo esibizwa ngokuba yi-'Lipschütz Ulcer'. Makhe sithethe ngale nto ngokweenkcukacha namhlanje, ngendlela ekhululekileyo.

Yintoni iLipschütz Ulcer? Ngamafutshane...

Izilonda zeLipschitz zizinto ezingaqhelekanga kodwa ezibuhlungu kakhulu ezinokuvela kwilungu lobufazi. Eyona nto ibalulekileyo kukuba azidluliselwa ngesondo. Oko kukuthi, azisisifo esidluliselwa ngesondo. Usenokukhululeka kancinci xa usiva oku, akunjalo?

Izilonda esinye okanye ezingaphezulu kwezi zifumaneka kakhulu kwi-vulva yakho, ingakumbi i-inner labia minora. Kodwa ngamanye amaxesha zinokuvela nakwi-outer labia majora, kumngxuma we-vaginal, okanye kwi-urethra. Ezi zilonda zinokuhamba neempawu ezifana nomkhuhlane kunye nokudinwa.

Ikwabizwa ngokuba 'zizilonda zesini ezingafumaneki ngokwesondo' kunye 'ne-ulcus vulvae acutum'. Eli gama linikwe esi silonda emva kogqirha uBenjamin Lipschütz, owasichaza okokuqala.

Eyona nto ilungileyo kukuba ezi zilonda zihlala ziphola zodwa , zihlala ziphakathi kweeveki ezimbini ukuya kwezintandathu. Nangona kunjalo, ngenxa yokuba iintlungu nokungonwabi akunakunyamezeleka, oogqirha banokukunceda ulawule ezo mpawu.

Inqabile kangakanani iLipschütz Ulcer? Ngubani onokuba nayo ngakumbi?

Kunzima kubaphandi ukutsho ukuba oku kuqheleke kangakanani na, kodwa kuyaziwa ukuba kunqabile kakhulu . Oko kuthetha ukuba asinto uyibona rhoqo. Kodwa ikakhulu ichaphazela amantombazana, ingakumbi:

• Kwabo bangaphantsi kweminyaka engama-20 ubudala. Olunye uphando lufumanise ukuba ubudala obuqhelekileyo bokuqalisa bumalunga ne-15 leminyaka. Oko kuthetha ukuba ukuba ungumntu oselula, kulungile ukukwazi oku.
• Kwabo bangazibandakanyiyo ngokwesondo. Oko kukuthi, abo bangazange benze isondo ngomlomo, ngasemva okanye kwisini kangangeenyanga ezintathu nangaphezulu.

Zimbalwa kakhulu iimeko ezixeliweyo zezilonda zeLipschitz kumadoda. Xa zisenzeka, isilonda sivela kwi-scrotum.

Ngoko ke ukuba usemncinci kwaye awudlali kakhulu ngesondo, kubalulekile ukuba ungoyiki ngokungeyomfuneko xa ufumana isilonda esinje, kuba asibangelwa sisifo esidluliselwa ngesondo.

Zithini iimpawu zeLipschütz Ulcer?

Uphawu oluphambili sisilonda esikhulu, esibuhlungu, esinzulu phezu kwelabia (okanye ngamanye amaxesha naphi na kwi-vulva). Isilonda sidla ngokubonakala ngokukhawuleza, phantse ngequbuliso . Sisenokuba silungile namhlanje size sibe nesilonda ngosuku olulandelayo.

Usenokuziva ungaphilanga kakuhle, njengokuba ubuya kuziva xa unentsholongwane ebizwa ngokuba yi-mononucleosis (mono), okanye njengokuba ubuya kuziva xa une-flu eqhelekileyo. Isenokuza neempawu ezifana nezi:

• Umkhuhlane (mhlawumbi umzimba uziva ngathi umanzi)
• Iintlungu zomzimba kunye nentlungu yamalungu (ivakala ngathi yiqhuma enyameni)
• Ukudinwa (ukuziva ungakwazi ukwenza nantoni na)
• Ii-lymph nodes ezidumbileyo entanyeni nasemakhwapheni (njengeziqwenga ezincinci ezinokuvakala esandleni)
• Umphimbo obuhlungu okanye iitoni ezivuvukileyo
• Ukukhwehlela okanye ukuqina kwesifuba
• Intlungu xa uchama (i-dysuria) (njengosulelo lomchamo)

Ukuba unale mpawu, kubalulekile ukubona ugqirha ukuze ufumane ukuxilongwa ngokufanelekileyo, njengoko ezi mpawu zinokufana nezinye izifo.

Injani iLipschütz Ulcer?

Ngoku makhe sijonge ukuba esi silonda sibonakala njani. Ngokwesiqhelo, isilonda seLipschitz sinezi mpawu zilandelayo:

• Ubume bungqukuva, bungaphantsi kwe-1 cm ububanzi. (Oko kufana nobukhulu bengqekembe encinci)
• Ibonakala kakhulu kwi-vulva, ingakumbi inxalenye engaphakathi ye-labia minora.
• Kukho indawo ecacileyo embindini wenxeba. Oku kusenokuba nezicwili ezifileyo okanye ezonakeleyo (necrosis). Oku kubangela ukuba umbindi wenxeba ubonakale ungwevu okanye umnyama, njengokutsha okuncinci. Ngamanye amaxesha, ukuba lo mbindi wenza uqweqwe, ungabonakala ungwevu okanye umnyama.
• Umphetho wenxeba udla ngokuba bomvu-mfusa kwaye ngamanye amaxesha unokubonakala uvuvukile.
• Kukho ukwahlukana okucacileyo phakathi kombindi nomphetho wenxeba.

Amaxesha amaninzi, izilonda ezimbini ezinjalo zinokubonakala, zijongene, kwaye zilingana macala omabini. Njenge 'izilonda zokuqabulana'. Oko kukuthi, izilonda zenzeka kwi-labia yasekunene neyasekhohlo, apho zidibana khona.

Kutheni iLipschütz Ulcer isenzeka? Yintoni unobangela?

Oogqirha abakakwazi ukuxela ngqo ukuba yintoni ebangela izilonda zeLipschitz.Kodwa bacinga ukuba inxulumene nosulelo olufana ne-Epstein-Barr virus (EBV), okanye olunye usulelo olubangelwa yintsholongwane okanye yibhaktiriya. Cinga ngayo, mhlawumbi inkqubo yakho yomzimba isabela kakhulu kusulelo okanye intsholongwane, kwaye esi silonda senzeka ngenxa yoko. Kufana "nemfazwe" encinci eqhubekayo emzimbeni wakho.

Ezinye zeentsholongwane okanye iibhaktheriya ezichongiweyo njengezona zibangela izilonda zeLipshitz zezi:

• I-Cytomegalovirus (CMV)
• Umkhuhlane A kunye nomkhuhlane B - iintsholongwane ezibangela umkhuhlane oqhelekileyo
• Iingqukuva
• I-Salmonella - Le yintsholongwane ebangela ukudumba kwesisu.
• I-Mycoplasma
• Iqela A iStreptococcus - intsholongwane ebangela usulelo lomphimbo
• I-Covid-19 (i-COVID-19)

Kodwa kwiimeko ezininzi, akukho mbali icacileyo yentsholongwane okanye usulelo lwakutshanje, ngoko ke oku kuyimfihlakalo.

Ingaba iLipschütz Ulcer iyosulela?

Le yingxaki abantu abaninzi abanayo. Hayi. Izilonda zeLipschitz azisasazeki ngokudibana komzimba okanye ngolwelo lomzimba. Ngoko ke akukho mfuneko yokukhathazeka ngokusulela omnye umntu ngenxa yokuba unazo. Awunakuzisasaza ngokuchukumisa umntu onazo okanye ngokusebenzisa itawuli ayisebenzisileyo.

Ngaba kukho naziphi na izinto ezikhethekileyo ezinokubangela oku?

Nabani na onesitho sangasese sowesifazane unokuba nesilonda seLipschitz. Nangona kunjalo, ukuba ngaphantsi kweminyaka engama-20 ubudala kwaye ube nosulelo lwentsholongwane okanye iintsholongwane kutshanje (kwiiveki ezimbalwa) kunokunyusa umngcipheko wakho. Oku kuthetha ukuba lunokuvela ngokukhawuleza nje ukuba uphulukane nomkhuhlane okanye umkhuhlane.

Zeziphi iingxaki ezinokubakho ngenxa yeLipschütz Ulcer?

Izilonda ze-Lipschitz azisoloko zibangela iingxaki zempilo ezihlala ixesha elide. Zihlala ziphola zodwa. Nangona kunjalo, ngamanye amaxesha oku kulandelayo kunokwenzeka:

• Amanxeba: Ukuba inxeba likhulu okanye linzulu, kunokubakho utshintsho kumbala wesikhumba kuloo ndawo emva kokuba lipholile, nto leyo eshiya isilonda esincinci. Nangona kunjalo, oku akubonakali kangako.
• Uxinzelelo lweemvakalelo: Inxeba linokuba buhlungu kwaye linokuphazamisana nemisebenzi yemihla ngemihla, isikolo, kunye nokudlala. Ngenxa yokuba yimeko engaqhelekanga, ngamanye amaxesha inokubhidaniswa nesifo esidluliselwa ngesondo (STI). Oku kunokubangela ixhala elikhulu, iintloni, kunye nokungazithembi. Usenokuziva usoyika, "Owu, ngaba ndinento enzulu?"
• Ukungakwazi ukuchama (Ukugcinwa komchamo):Oku kunqabile kakhulu, kodwa kuxhomekeke kwindawo yokwenzakala, kunokwenza kube nzima ukuchama kwaye kubangele ukugcinwa komchamo. Ukuba oku kuyenzeka, kusenokufuneka kufakwe i-catheter (ityhubhu esetyenziselwa ukukhupha umchamo) ukuze kukhutshwe isinyi.

Kodwa khumbula, ezi ngxaki azixhaphakanga. Uninzi lwabantu luyaphila ngaphandle kweengxaki.

Ugqirha uyixilonga njani iLipschütz Ulcer?

Ugqirha uza kuqala akuphulaphule iimpawu zakho aze akuhlole ngamehlo indawo yakho yangasese. Baza kukubuza nangembali yakho yakutshanje yempilo, kuquka naziphi na izifo zamva nje zentsholongwane okanye iintsholongwane (ezifana nomkhuhlane, umkhuhlane, umphimbo obuhlungu).

Amaxesha amaninzi, baya kuqala basuse ezona zinto zixhaphakileyo zezilonda zesini. Umzekelo, baya kuqala basuse ezinye izifo ezifana nezifo ezidluliselwa ngesondo (ii-STI) (ezifana ne-herpes yesini, i-HIV, kunye ne-syphilis) okanye iimeko ezifana nesifo sikaBehçet. Basenokuyalela uvavanyo lwezi meko. Kuphela emva kokuba ezi zinto zisusiwe apho baya kuqwalasela isilonda seLipschitz.

Ziziphi ezinye iimeko ezineempawu ezifanayo?

Xa ugqirha efumanisa isifo, baya kuqwalasela nezinye iimeko ezinokuba neempawu ezifanayo nezakho. Oku kubizwa ngokuba yi-'differential diagnosis'. Ezinye iimeko ezinokubangela izilonda zesini kwaye zibe neempawu ezifanayo nezezilonda zeLipschitz ziquka:

• I-herpes yesini
• Usulelo lwe-HIV
• I-Syphilis
• Isifo sikaSjögren
• Isifo sikaBehçet

Yiyo loo nto kubalulekile ukubona ugqirha ukuze ufumane ukuxilongwa ngokuchanekileyo. Kunzima ukuzikhethela ngokwakho ukuba yintoni na.

Ngaba iLipschütz Ulcer sisifo sokuzikhusela komzimba?

Oogqirha abalubeki olu hlobo njengemeko yokuzikhusela komzimba. Nangona kunjalo, kukho ubungqina bokuba lunokunxulumana kakhulu nezinye izifo zokuzikhusela komzimba, kwaye lusenokuba sisiseko sesifo sokuzimela komzimba. Oku kuphandwa ngakumbi.

Inyangwa njani iLipschütz Ulcer?

Iindaba ezimnandi zezokuba isilonda seLipschitz asisoloko sifuna unyango olukhulu. Ugqirha wakho uza kuthetha nawe ngeendlela zokulawula iintlungu kunye nokungonwabi okubangelwa sisilonda. Injongo ephambili kukukunika isiqabu.

Nazi ezinye zeendlela zonyango ezinokwenziwa:

• Ukuhlamba nge-Sitz: Oku kuquka ukuhlala ebhafini (okanye esityeni esikhulu) egcwele amanzi afudumeleyo malunga nemizuzu eli-10-15. Ungakwenza oku kabini okanye kathathu ngemini. Amanzi afudumeleyo aya kuyithomalalisa loo ndawo, anciphise iintlungu, aze ayicoce.
• Kuphephe ukunxiba impahla eqinileyo okanye impahla yangaphantsi nanini na xa kunokwenzeka. Nxiba impahla ekhululekileyo nephefumlayo eyenziwe ngezinto zendalo ezifana nekotoni.
• Ukusebenzisa amayeza entlungu athengiswa ngaphandle kwekhawuntara (i-OTC), anjenge-acetaminophen okanye i-ibuprofen, kufuneka kuthathwe njengoko ugqirha wakho ekuyalele.
• Faka i-anesthetic engaphandle ukuze uvale indawo. Umzekelo, ikhrimu equlethe i-lidocaine (ifumaneka kwikhawuntara okanye ngomyalelo kagqirha). Oku kuya kuyivala indawo okwethutyana.

Kwezinye iimeko ezinzima, ukuba iintlungu zinzima okanye inxeba likhulu, amayeza e-corticosteroid anokunikwa ngomlomo okanye ngelaphu ukunceda inxeba liphole ngokukhawuleza. Ukuba kufunyenwe usulelo lweentsholongwane (ukuba inxeba libonakala ngathi liyaphuma), ugqirha uya kunika amayeza okubulala iintsholongwane.

Amanxeba amancinci asabela kakuhle kula mayeza asekhaya, kodwa amanxeba amakhulu anokufuna amayeza kagqirha ukulawula iintlungu.

Ngaba iLipschütz Ulcer iyaphilisa?

Ewe, ngokuqinisekileyo! Njengoko bekutshiwo ngaphambili, la manxeba ahlala ephola ngokupheleleyo kwiiveki ezimbini ukuya kwezintandathu. Eyona nto ibalulekileyo kukuba nomonde.

Yintoni endimele ndiyilindele ukuba ndineLipschütz Ulcer?

Uninzi lwezilonda zomlomo ziyaphola ngokwazo kwiiveki ezimbini ukuya kwezintandathu. Amanxeba nezinye iingxaki azixhaphakanga. Kwakhona, ezi zilonda azifane ziphinde zenzeke. Ngoko ungakhathazeki ngokuba ziphinde zenzeke kuba nje zenzeke kanye.

Ukuba uvakalelwa kukuba intlungu inzima kakhulu ukuba ungayithwala kwaye ichaphazela ubomi bakho bemihla ngemihla, thetha nogqirha wakho malunga neendlela zokunciphisa intlungu. Akunyanzelekanga ukuba uyinyamezele loo ntlungu.

Ngaba iLipschütz Ulcer ingathintelwa?

Kunzima ukutsho ngokuqinisekileyo ukuba yintoni ebangela oku, ngoko ke kunzima ukutsho ngokuqinisekileyo ukuba ungakuthintela njani. Nangona kunjalo, ekubeni kusenokunxulunyaniswa nenkqubo yomzimba yokuzikhusela, kunokuba luncedo ekuphepheni iintsholongwane kunye nosulelo kunye nokugcina impilo entle iyonke.

Nazi ezinye iingcebiso ezinokukunceda:

• Yitya ukutya okunesondlo (njengemifuno, iziqhamo, inyama engenamafutha). Musa ukutya ukutya okucutshungulweyo, ukutya okuneswekile, kunye nokutya okunamafutha amaninzi kangangoko unako.
• Ziqhelise ngesondo elikhuselekileyo, njengokusebenzisa ikhondom. Nangona izilonda zeLipschitz zingadluliselwa ngesondo, izifo ezidluliselwa ngesondo zinokuchaphazela amasosha omzimba wakho kunye nempilo iyonke.
• Lala kakuhle (ubuncinane iiyure ezisi-7-8 ngosuku) kwaye ulawule uxinzelelo. Izinto ezifana neyoga kunye nokucamngca zinokunceda.
• Gcina indawo yakho yangasese icocekile ngokusebenzisa isepha ethambileyo namanzi yonke imihla. Kuphephe ukusebenzisa isepha ezinevumba elimnandi okanye i-douching, kuba ezi zinto zinokuphazamisa ulungelelwaniso lwendalo lwelungu lobufazi. Kwakhona, hlamba iimpahla zakho rhoqo kwaye uzigcine zicocekile. Oku kunokunciphisa umngcipheko wosulelo lweentsholongwane.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu zesilonda seLipschitz, bona ugqirha ngokukhawuleza. Musa ukulibazisa. Ezi mpawu ziquka:

• Inxeba elibuhlungu nelinzulu lesini, ingakumbi kwi-labia.
• Iimpawu zesifo esifana nomkhuhlane ezifana nomkhuhlane, ukudinwa, kunye neentlungu zomzimba.
• Isifo samva nje esibangelwa yintsholongwane okanye yibhaktheriya.

Nangona kungekho nyango lunye lwesilonda seLipschitz, ugqirha angenza uxilongo oluchanekileyo aze akuncede ulawule iintlungu zakho kunye nokungonwabi kwakho. Banokuqinisekisa nokuba asiyongxaki imbi ngakumbi.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Lipschütz Ulcer sisifo esingaqhelekanga esingadluliselwa ngesondo. Oogqirha basafunda okungakumbi ngaso ukuze bafumane ukuba yintoni kanye kanye esibangela sona. Ukuba unezi mpawu, ungoyiki okanye ube neentloni, kodwa bona ugqirha ukuze akunike icebiso. Akunyanzelekanga ukuba unyamezele iintlungu kunye nokungonwabi. Ungafumana uncedo lokuphila ubomi obuqhelekileyo de isilonda siphole.

Kalula nje:

• Esi asisosifo esidluliselwa ngesondo. Le yeyona nto ibalulekileyo.
• Ixhaphake kakhulu kumantombazana aselula, angazibandakanyiyo ngokwesondo.
• Ihlala iphilisa yodwa.
• Nangona kunjalo, kubalulekile ukubona ugqirha ngenxa yentlungu nokuqinisekisa ukuba kukho enye imeko enzulu na.
• Ngokulawulwa kakuhle kwentlungu nokunyamekela, eli xesha lingachithwa ngaphandle kobunzima.

Awuwedwa, kukho nabanye abantu abajongene neengxaki ezifanayo. Ngoko ke ungoyiki ukucela uncedo.

Isilonda seLipschütz , Isilonda sangasese, Isilonda sangasese, Isilonda esibuhlungu, Isifo sangasese, Isifo sabasetyhini, Izifo zamantombazana amancinci