Ingabe nawe unamabala anempandla kanye nokulahlekelwa izinwele? Ake sifunde ngale Lichen Planopilaris?

Ingabe nawe ubhekene nokulahlekelwa izinwele kwezinye izindawo zekhanda lakho, futhi ngezinye izikhathi isikhumba sakho sekhanda sizizwa sibomvu, siluma, noma sivuvukele? Mhlawumbe nawe ungathanda ukwazi ngalesi simo esibizwa ngokuthi i-Lichen Planopilaris (LPP). Ungakhathazeki, sizoxoxa ngakho kalula, ngendlela ongayiqonda. Njengokukhuluma nomngane.

Ngakho-ke, iyini i-lichen planopilaris (LPP)?

Kalula nje, i-lichen planopilaris (LPP) yisimo sokuvuvukala esenzeka ezimbotsheni zezinwele (imigodi emincane lapho izinwele ziphuma khona ekhanda lakho) ekhanda lakho. Cabanga ngale ndlela: izimbobo ezincane lapho izinwele ziphuma khona (izimbotshana zezinwele) ziba "zithukuthele", zibomvu, futhi zivuvuke kancane. Yilokhu esikubiza ngokuthi 'ukuvuvukala' kwezokwelapha. Ngokuhamba kwesikhathi, lokhu kuvuvukala kungaholela ekuqhekekeni lapho izimbotshana zezinwele zazikhona, futhi izinwele zingalahleka unomphela, zingaphinde zikhule. Lokhu kuvame ukubonakala ekhanda.

Ubani onamathuba amaningi okuthuthukisa le LPP?

Lesi simo esibizwa ngokuthi i-LPP sivame ukuhlasela abesifazane abaneminyaka ephakathi kuka-40 no-60. Kodwa-ke, lokho akusho ukuthi amadoda awakwazi ukusithola. Singakhula kumadoda nakubantu abadala banoma yimuphi ubudala. Ngakho-ke, kunzima ukucabanga ukuthi ngeke kwenzeke ngokusekelwe eminyakeni yobudala nobulili .

Ivame kangakanani i-LPP?

Phakathi kwe-alopecia enesibazi, i-LPP ibhekwa njengembangela eyinhloko. Kodwa-ke, uma sicabangela zonke izimbangela zokulahlekelwa izinwele (isib. izinguquko zamahomoni, ukuntuleka kokudla okunempilo, impandla ezuzwe njengefa) ndawonye, ​​i-LPP ibalwa ngamaphesenti amancane kuphela abantu, cishe u-1%, wabo bonke abantu abalahlekelwa izinwele . Ngakho-ke, ungacabangi ukuthi wonke umuntu olahlekelwa izinwele une-LPP.

Yiziphi izinhlobo eziyinhloko ze-LPP?

Odokotela bathole izinhlobo ezintathu eziyinhloko ze-lichen planopilaris. Lezi zihlukile kancane komunye nomunye: 1. I-classic lichen planopilaris: Lolu uhlobo oluvame kakhulu. Lubangela amabala empandla ekhanda, kanye nendawo ebonakala kahle. 2. I-frontal fibrosing alopecia: Lokhu kubangela amabala nebala, ikakhulukazi ebunzini, eduze komugqa wezinwele . Kubonakala sengathi umugqa wezinwele uyaphela. Ngezinye izikhathi , izinkophe namashiya nakho kungawa kulolu hlobo. 3. I-Lassueur-Graham-Little-Piccardi syndrome: Nakuba igama lingase lizwakale lide, lolu olunye uhlobo lwe-LPP. Luyinkimbinkimbi kakhulu. Lubangela amabala empandla ekhanda kanye nokulahlekelwa izinwele ezindaweni ezifana namakhwapha kanye nezinsini.Kungenzeka. Akukhona lokho kuphela, ungase ubone namaqhubu amancane azungeze izinwele. Kungakhathaliseki ukuthi hlobo luni, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha nje lapho kuvela izimpawu.

Ziyini izimpawu ze-LPP? Uzibona kanjani?

Izimpawu ze-lichen planopilaris zingase zivele ngokuzumayo kwabanye abantu, kanti kwabanye zikhula kancane kancane. Uma une-LPP, ungase uqaphele izinto ezifana nalezi:

• Isikhumba sekhanda singase sibonakale njengeziqephu zokulahlekelwa izinwele, sifana neziqephu ezinempandla. Kungase kube nesinye noma ngaphezulu salezi.
• Isikhumba esisekhanda singase sibe bomvu, mhlawumbe sibe sikhulu kancane, noma singase sibukeke sengathi siyaxebuka . Sifana nendawo enempandla, kodwa sihlukile kancane.
• Ungase uzizwe njalo uzwa ubuhlungu, ukulunywa, noma ukushisa ekhanda lakho . Lokhu kungaba yinto ekhathazayo kwabanye abantu.

Cabanga nje, uma ukhama izinwele zakho ekuseni, uqaphela ukuthi kunezinwele eziningi eziphumayo kunokujwayelekile, noma uma uthinta ezinye izingxenye zekhanda lakho, isikhumba sizwakala siqinile futhi sizwakala sengathi sinamaqhubu amancane ... Mhlawumbe akusikho nje ukulunywa, kodwa futhi kungasha. Uma unalezi zinto, udinga ukuqaphela ngakho.

Okubalulekile, i-LPP empeleni uhlobo lwesinye isimo sesikhumba esibizwa ngokuthi i-Lichen Planus . Yisimo esibangela ukulunywa, amabala amhlophe ezandleni, ezinyaweni, nangaphakathi komlomo. Ngezinye izikhathi, kungaba nezinguquko ezinziphoni (isb., izinzipho ezimahhadlahhadla, eziqhekekile, noma ezinemigqa). Cishe ingxenye yabantu abane-LPP nabo banezimpawu ze-lichen planus.

Kungani le LPP yenzeka? Iyini imbangela?

Lona umbuzo abantu abaningi abawubuzayo. "Kungani lokhu kwenzeke kimi?" Kungokwemvelo ukuzibuza. Uma sikhuluma iqiniso, ochwepheshe bezokwelapha abakatholi imbangela eyodwa eqinisekile. Kodwa, ngokokuqonda kwamanje, uhlobo lweseli olubizwa ngokuthi ama-T-cell, ayingxenye yesimiso somzimba wethu sokuzivikela , luhlasela izimpande zezinwele zethu. Kalula nje, uhlelo lokuzivikela lomzimba wethu luqala ngephutha ukubhubhisa izinwele zalo ezinempilo. Ngale ndlela, izifo lapho isimiso somzimba sokuzivikela sihlasela khona amangqamuzana aso zibizwa ngokuthi izifo ezizimele . Lokhu akulona iphutha lanoma ubani, kungukushintsha nje indlela umzimba osebenza ngayo.

Ingabe i-LPP iyisifo esithathelwanayo?

Cha, cha! Lokhu kuyinto okufanele uyikhumbule. I-Lichen planus ayisona isifo esithathelwanayo. Awukwazi ukuyidlulisela komunye umuntu ngokuthinta, ukuphefumula, noma ukwabelana ngezinto. Ngakho ungakhathazeki ngakho.

Udokotela uyixilonga kanjani i-LPP ngokunembile?

Uma ucabanga ukuthi unezimpawu ze-LPP, isinyathelo sakho sokuqala kufanele kube ukubona udokotela wesikhumba. Angasithola lesi simo ngezindlela ezilandelayo: 1. Ukuhlolwa ngokomzimba: Okokuqala, udokotela uzohlola ngokucophelela isikhumba sakho sekhanda nesikhumba. Bazobheka ukulahleka kwezinwele zakho, izinguquko zesikhumba, nanoma yiziphi izibazi. Bazobuza nangomlando wakho wezempilo ophelele kanye nanoma yimiphi eminye imithi oyithathayo. 2. I-Dermoscopy: Kulokhu, udokotela usebenzisa idivayisi ekhethekile yokukhanya nokukhulisa ukuze abheke eduze ukulahleka kwezinwele, isimo esizungeze izibazi zezinwele, nanoma yiziphi izibazi. Lokhu kunganikeza ulwazi oluningi ngalesi simo. 3. I-biopsy yesikhumba: Njengoba i-LPP ngezinye izikhathi ingabukeka njengezinye izimo zesikhumba, lokhu kuhlolwa kubaluleke kakhulu ukuqinisekisa ukuxilongwa. Lokhu kuhilela ukuthatha ingxenye encane kakhulu yesikhumba (ngokuvamile amamilimitha ambalwa) kusuka ekhanda lekhanda ngaphansi kwe-anesthesia, ukuyithumela elabhorethri bese uyihlola ngaphansi kwe-microscope. Lokhu kuvumela udokotela ukuthi abone ukuthi yimuphi umonakalo owenziwe ezibazi zezinwele nokuthi ngabe kukhona yini amangqamuzana okuvuvukala. Kuphela ngemva kwalezi zivivinyo lapho udokotela angasho khona ngokuqinisekile ukuthi une-LPP noma esinye isimo.

Yiziphi izindlela zokwelapha i-LPP?

Izindaba ezinhle ukuthi kunemithi eminingana kanye nokwelashwa okungasiza ukulawula izimpawu ze-LPP futhi kunciphise ukuqhubeka kwesifo. Ngenxa yokuthi kuyisifo sokuvuvukala, ukwelashwa okuningi kuhlose ukunciphisa ukuvuvukala nokulawula umsebenzi wesimiso somzimba sokuzivikela . Uhlelo lwakho lokwelashwa lungafaka okukodwa noma ngaphezulu kwalokhu okulandelayo:

• Ama-Corticosteroids: Lawa ngokuvamile ayindlela yokuqala yokwelapha yokulawula ukuvuvukala . Anganikezwa njengokhilimu, ama-lotion, amaphilisi, noma ngisho nemijovo ngqo ezindaweni ezithintekile zesikhumba sekhanda (imijovo ye-intralesional steroid).
• I-Hydroxychloroquine: Lokhu kusiza ukunciphisa ukuvuvukala ezifweni ezizimele njenge-LPP.
• I-Doxycycline ( i-Doxycycline ) noma amanye ama-antibiotic : Lawa ngezinye izikhathi asetshenziswa ngenxa yezakhiwo zawo zokulwa nokuvuvukala.
• Ama-retinoids: Le mithi, eyenziwe nge -vitamin A, isiza ukulawula ukukhula kwamaseli esikhumba . Inganikezwa njengamaphilisi noma njengokhilimu.
• Amanye ama -immunosuppressants :Ezimweni lapho ukwelashwa okungenhla kunzima ukukulawula, imithi enamandla njenge- methotrexate ne -cyclosporine ingasetshenziswa. Udokotela wakho uzokuqapha njalo lapho ekunikeza lokhu.
• Ukwelashwa nge-laser okuphansi (LLLT): Ezinye izifundo zikhombisile ukuthi ukusebenzisa la magagasi okukhanya akhethekile kungasiza ekuvuvukeni kwesikhumba nasekukhuleni kwezinwele ngezinga elithile.

Udokotela wakho angakunika eyodwa noma ngaphezulu yale mithi ndawonye. Ngezinye izikhathi umuthi wokuqala owunikezwayo ungase ungasebenzi kahle. Uma lokho kwenzeka, ungakhathazeki. Ungakhuluma nodokotela wakho bese uzama enye indlela. Into ebaluleke kakhulu ukuqhubeka uzama uze uthole ukwelashwa okusebenzela kahle kakhulu futhi uthathe ukwelashwa njengoba nje udokotela wakho ekutshelile.

Yini okufanele uyiqaphele uma uphila nezimpawu ze-LPP?

Ukuphila ne-LPP kungaba yinselele ngezinye izikhathi, kodwa ngokuphathwa kahle , ungaphila kahle nalesi simo.

• Phuza imithi yakho njengoba nje uyalelwe: Phuza imithi njengoba uyalelwe udokotela wakho, ngesilinganiso esifanele, ngesikhathi esifanele, nangesikhathi esibekiwe. Ungayeki, ungandisi, noma unciphise imithi yakho ngaphandle kweseluleko sikadokotela wakho.
• Bona udokotela wakho njalo: Bona udokotela wakho wesikhumba ngezikhathi ezithile ukuze ubone ukuthi ukwelashwa kusebenza kanjani, ukuze uhlole noma yimiphi imiphumela emibi, futhi ubone ukuthi kukhona yini izinkinga.
• Cabanga ngempilo yakho yengqondo: Ukulahlekelwa izinwele kanye nokungakhululeki ekhanda ngezinye izikhathi kungaholela ekuzethembeni okuphansi, ukucindezeleka, noma ukukhathazeka. Lokhu kuvamile. Uma uzizwa ngale ndlela, khuluma nomndeni wakho, abangani, noma udokotela ngakho. Ungafuna nokwelulekwa uma kudingeka.

Ingabe ikhona indlela yokuvimbela ukwakheka kwe-LPP?

Ayikho indlela eyaziwayo yokuvimbela i-LPP, njengoba imbangela eqondile ingakaziwa. Kodwa-ke, uma ubona noma yiziphi izinguquko esikhumbeni sakho, njengokulahlekelwa izinwele, ukulunywa, noma ukuvuvukala ekhanda lakho, ungakushayi indiva. Ukwelapha i-LPP kusenesikhathi kungasiza ekuvimbeleni izibazi zesikhathi esizayo kanye nokulahlekelwa izinwele okuqhubekayo.

Ingabe i-LPP ingelapheka ngokuphelele?

Lokhu futhi kuyinkinga abantu abaningi abanayo. Akukho ukwelashwa okwaziwayo kwe-LPP. Okusho ukuthi, akuyona "ikhambi futhi kufanele liqedwe." Kodwa ungakhathazeki! Ukwelashwa kungakuvimbela ukuthi kube kubi kakhulu futhi kusakazeke kakhulu.Ungakwazi ukulawula izimpawu zakho, unciphise izibazi, futhi uphile impilo evamile. Kungase kudingeke uzame izindlela zokwelapha eziningana ukuze uthole okusebenzela kahle kakhulu. Udokotela wakho wesikhumba angakusiza kulolu hambo futhi akusize uthole izixazululo zezinselele zakho zomzimba nezemizwa.

Kufanele nginakekele kanjani isikhumba sami sekhanda uma ngine-LPP?

Isikhumba sakho sekhanda singaba bucayi kakhulu uma une-LPP. Ngakho-ke ukuze ugweme ukucasuka kwesikhumba sekhanda, ukulunywa, noma ukusabela kokungezwani komzimba, cabanga ngalezi zinto:

• Sebenzisa ama-shampoo nama-conditioner athambile: Udokotela wakho angase ancome ama-shampoo akhethekile nemikhiqizo yezinwele. Ngokuvamile, kungcono ukusebenzisa imikhiqizo engabi na-allergies futhi ethambile .
• Gwema imikhiqizo equkethe lezi zithako: Kungcono ukugwema ukusebenzisa ama-shampoo nemikhiqizo yezinwele equkethe lezi zithako, ngoba zingenza isikhumba sakho sekhanda some, silume, futhi sibe bomvu kakhulu:
• Utshwala: Ilebula lingase lithi `(alcohol denatured)` noma `(isopropyl alcohol)`.
• Iphunga noma amakha.
• Ama-Sulfate: (isib. i-Sodium Lauryl Sulfate - SLS)
• Izithako zokuvikela ezifana ne-`(parabens)` kanye ne-`(methylisothiazolinone)`.
• Gwema ukuklwebha isikhumba sakho sekhanda: Kungakhathaliseki ukuthi siluma kangakanani, ungasiklwebhisi ngamandla ngezinzipho zakho. Lokhu kungabangela ukulimala, ukutheleleka, futhi kwenze isimo sibe sibi kakhulu.
• Ukumboza ikhanda: Abanye abantu basebenzisa ukumboza ikhanda ukuze bamboze ukulahleka kwezinwele zabo. Ukumboza ikhanda labo kusiza nasekuvikeleni isikhumba sabo sekhanda esibucayi emimoyeni ebandayo naselangeni elinamandla. Ungasebenzisa futhi izikhafu, izigqoko, noma ngisho namawigi, kuye ngokuthi ukhetha ini.
• Uma ucabanga nge-wig, buza udokotela wakho ngezindawo ezenza ama-wig kubantu abanezizathu zezokwelapha. Funda futhi ukuthi ungayinakekela kanjani kahle i-wig yakho. Ungavumeli i-wig yakho iqine kakhulu, futhi kungumqondo omuhle ukusebenzisa isivalo se-wig ukuze uvikele isikhumba sakho sekhanda futhi kube lula ukusigqoka.

Kufanele ngiphinde ngimbone nini udokotela?

Ngisho nangemva kokuqala ukwelashwa, kufanele ubonane nodokotela uma:

• Uma umuthi noma ukwelashwa okunikeziwe kubonakala kungasebenzi , okungukuthi, uma izimpawu zakho zingabi ngcono.
• Uma umuthi ubanga imiphumela emibi engafuneki .
• Uma izimpawu zakho zamanje ziba zimbi kakhulu.
• Uma kuvela izimpawu ezintsha (isib. ukulahleka kwezinwele ezindaweni ezintsha, ubuhlungu obandayo).

Lesi simo, esibizwa ngokuthi i-LPP, asivamile ukubangela izinkinga zempilo ezinkulu nezisongela impilo. Abantu abaningi abanalesi simo baphila impilo evamile nesebenzayo. Kodwa-ke, ukubhekana nezimpawu ezifana nokulahlekelwa izinwele, ubuhlungu, nokulunywa kungaba nzima ngokomzwelo.Ukwelashwa kungasiza ngalokhu. Ngakho-ke ungalilahli ithemba. Sebenzisana nodokotela wakho ukuthola ukwelashwa okukusebenzelayo, futhi ukhulume ngokukhululekile ngezinselele zomzimba nezengqondo obhekene nazo. Indwangu yekhanda, iwigi, noma isigqoko kungasiza ukuzethemba kwakho. Kodwa lesi yisinqumo somuntu siqu. Uma ucabanga ngokumboza ikhanda, yenza lokho okuzwakala kukuhle futhi kukhululekile kuwe.

Okokugcina, izinto okufanele uzikhumbule

• I-Lichen planuspilaris (LPP) yisimo sokuvuvukala esithinta ama-follicle ezinwele ekhanda. Singabangela izibazi kanye nokulahlekelwa izinwele unomphela.
• Nakuba imbangela eqondile yalokhu ingaziwa, kukholakala ukuthi kuyisenzo sokuzivikela komzimba . Lesi akusona isifo esithathelwanayo.
• Izimpawu zingase zihlanganise ukuqothuka kwezinwele okunamabala, ukubomvu, ukuxebuka, ukulunywa, kanye nokuvuvukala esikhumbeni sekhanda.
• Ukutholwa kusenesikhathi kanye nokwelashwa kungasiza ekuvimbeleni isimo ukuthi singabi sibi kakhulu futhi siqhubeke nokulahlekelwa izinwele. Nakuba kungekho ikhambi, kunezindlela zokwelapha ezisebenzayo zokulawula izimpawu.
• Nakekela isikhumba sakho sekhanda bese usebenzisa ama-shampoo athambile .
• Uma ukulahleka kwezinwele kuthinta impilo yakho yengqondo, kubalulekile ukufuna iseluleko sezokwelapha ngalokho . Awuwedwa.
• Ukugqoka isikhafu (isikhafu, iwigi, isigqoko) kuyisinqumo somuntu siqu. Yenza lokho okuzwakala kulungile kuwe.

Ngithemba ukuthi lolu lwazi luzokusiza. Uma uneminye imibuzo, qiniseka ukuthi ukhuluma nodokotela wakho.

---

I- Lichen Planopilaris, i-LPP, ukulahleka kwezinwele, izifo zesikhumba, izibazi zesikhumba, ukulahleka kwezinwele okuhlala njalo, izifo zesikhumba, isifo sokuzivikela komzimba, ukulahleka kwezinwele