Ingabe uthola amabala angajwayelekile kanye nama-blister alumayo esikhumbeni sakho? Kungaba yi-Lichen Planus!

Ingabe uke waba namaqhubu amancane, alumayo, anombala ohlukile esikhumbeni sakho? Noma ingabe uke waba namaqhubu amhlophe emlonyeni wakho aphazamisayo ngisho nalapho udla? Lokhu kungaba izimpawu zesifo sesikhumba esibizwa ngokuthi i-Lichen Planus. Abantu abaningi bayesaba kancane lapho bezwa leli gama, kodwa ungakhathazeki, alithelelani noma aliyingozi. Ake sixoxe ngalo ngokuningiliziwe, kalula nje.

Iyini i-Lichen Planus?

Kalula nje, i-Lichen Planus yisifo sesikhumba. Ingathinta indawo eyodwa yesikhumba, noma ingathinta izindawo eziningi zomzimba ngesikhathi esisodwa. Nakhu lapho ivame khona:

• Isikhumba: Umdlavuza wesikhumba ungavela noma kuphi emzimbeni.
• Ngaphakathi komlomo: Siyibiza ngokuthi "i-oral mucosa". Ingavela ngaphakathi kwezihlathi, ulimi, kanye nezinsini.
• Isikhumba sekhanda: Singavela ekhanda nasezinweleni.
• Izinzipho: Izinzipho zeminwe nezezinzwane zingathinteka.
• Izindawo zangasese: Zingavela nasezindaweni ezifana nepenis, isitho sangasese sowesifazane, kanye ne-labia.

Odokotela bakubiza lokhu ngokuthi yisifo esiseqenjini lama-dermatoses e-lichenoid. Lokhu kusho ukuthi leli yiqembu lezifo ezibonakala njengezimbotshana ezincane ezinombala ophuzi esikhumbeni.

Ingabe lesi yisimo sokuzivikela komzimba?

Lona umbuzo abantu abaningi abawubuzayo. I-Lichen Planus akuyona ngempela inkinga yokuzivikela komzimba, kodwa ukusabela okufanayo okwenzeka emizimbeni yethu. Kuyisimo "esingajwayelekile". Lokhu kusho ukuthi imbangela yangempela yaso ayikatholakali.

Ngokuvamile, amasosha omzimba wethu asivikela ngokulwa nabahlaseli bakwamanye amazwe, njengamabhaktheriya namagciwane. Kodwa kubantu abane-lichen planus, amangqamuzana e-T esistimu yethu yokuzivikela ahlasela ngephutha iphrotheni etholakala esikhumbeni sethu kanye nasemikhunjini ye-mucus. Ukuthi kungani lawa maseli e-T enza lokhu kuseyimfihlakalo.

Uyini umehluko phakathi kwe-Lichen Planus ne-Lichen Sclerosus?

Amagama alezi zifo ezimbili afana kancane, okungaholela ekudidekeni. NjengeLichen Planus, iLichen Sclerosus yisimo esingavamile esithinta isikhumba. Kodwa-ke, kuLichen Sclerosus, isikhumba siyancipha kancane kancane, siqhekeke, futhi ekugcineni sibe nezikhwehlela. Nakuba singavela noma kuphi emzimbeni, sivame ukuthinta izitho zangasese kanye nesikhumba esizungeze indunu. Kuvame kakhulu kwabesifazane abaye badlula esikhathini sokunqamuka kokuya esikhathini.

Umehluko omkhulu ukuthi i-Lichen Sclerosus ayivami ukuthinta ulwelwesi lwamafinyila emlonyeni, kanti i-Lichen Planus ivame kakhulu emlonyeni.

Uyini umehluko phakathi kwe-Lichen Planus ne-Psoriasis?

I-Psoriasis ingenye isifo esibangela amabala abomvu, anamabala esikhumbeni. Zombili zingabadida abanye abantu ngoba zibangela amabala ashintsha umbala. Kodwa-ke, i-psoriasis inokubukeka okunamabala futhi ayivamisile ukuthinta ingaphakathi lomlomo. I-Lichen Planus inokubukeka okunamabala okuncane.

Ubani othola lokhu kaningi? Kuvamile kangakanani?

I-Lichen Planus ingathinta noma ubani, kodwa ucwaningo lubonisa ukuthi ivame kakhulu kwabesifazane abaneminyaka ephakathi kuka-30 no-60. Ezinye izifundo zisikisela ukuthi abesifazane banamathuba aphindwe kabili okuba nayo kunabesilisa. Kuthiwa ivame kakhulu kwabesifazane abaseminyakeni yabo-60 kanye nakwabesilisa abaseminyakeni yabo-40.

Uma une-lichen planus esikhumbeni sakho, kunethuba elingu-50% kuya ku-75% lokuthi uzoyiveza emlonyeni wakho.

Kuvamile kangangokuthi kuthinta cishe u-0.22% kuya ku-1% wabantu abadala. I-Oral Lichen Planus ithinta phakathi kuka-1% no-4% wabantu emhlabeni.

I-Lichen Planus ithinta kanjani umzimba? Ziyini izimpawu?

Izimpawu ze-lichen planus ziyahlukahluka kuye ngokuthi ithinteke kuphi emzimbeni wakho.

Izimpawu zesikhumba

Lokhu kuvame ukubonakala ezihlakaleni zezandla zakho, ezindololwaneni (sikubiza ngokuthi lezi zindawo ezigoqekayo), phezulu kwezingalo zakho (izindawo ezingemuva), kanye nangaphambili kwemilenze yakho .

• Iqala njengamabala amancane, aphakanyisiwe (siwabiza ngokuthi "ama-papules"), cishe ngobukhulu bekhanda lephini (cishe amamilimitha angu-0.4).
• Ngemva kwesikhashana, lezi zingakhula zibe zinkulu kancane futhi zibe zinkulu njengepensela (cishe isentimitha elilodwa).
• Lezi zingaba nsomi ngombala futhi zibe nobuso obuyisicaba.
• Kungaba futhi ukulunywa kakhulu. Lokhu kulunywa kuyimbangela enkulu yokungakhululeki kubantu abaningi.
• Ngezinye izikhathi lokhu kungaphenduka izilonda, ikakhulukazi uma ziklwebhekile. Lezi zinhlobo zamaqhubu noma izilonda zingavela nasezindaweni zobulili.

Izimpawu emlonyeni (i-Oral Lichen Planus)

Cishe ingxenye yabantu abane-lichen planus nabo banayo emlonyeni wabo.

• Iqala njengamachashazi amancane amhlophe noma iphethini efana ne-mesh ngaphakathi kwezihlathi, olimini, futhi ngezinye izikhathi ezindebeni.
• Ngezinye izikhathi lokhu kuba bomvu futhi kube buhlungu, futhi uma udla okuthile okubabayo (njengokudla kwethu okufakwe upelepele), ungase uzwe ukusha nobuhlungu.
• Lokhu kungakhululeka kungandiswa nangokudla iziphuzo ezishisayo, utamatisi, nezithelo ze-citrus (ezifana namawolintshi nama-lime).

Izinguquko ezinzipikili

Nakuba kungavamile, lokhu kungathinta nezinzipho zabanye abantu.

• Umbala wezinzipho uyashintsha.
• Izipikili zahlukana kabili.
• Ukukhula kwezinzipho kungase kume, noma uzipho lungase luwe.
• Imigqa emincane ingase ivele kanye nobude besipikili.

I-Lichen Planus ngokuvamile ayibuhlungu. Kodwa-ke, uma uklwebha futhi uphula isikhumba, amagciwane angangena futhi abangele ukutheleleka, okungaba buhlungu.

Yiziphi izimbangela zokuqubuka kwe-Lichen Planus?

Ezinye izinto zingabangela ukuthi i-Lichen Planus ibe yimbi ngokuzumayo noma ivele futhi. Lokhu sikubiza ngokuthi ukuqubuka.

• Igciwane le-Hepatitis C: Abantu abangenwe yileli gciwane basengozini yokuthola i-lichen planus.
• Ezinye izinhlobo zemithi yokugoma: Isibonelo, eminye imithi yokugoma yomkhuhlane.
• Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID): Eminye yemithi esiyisebenzisayo njengemithi yokudambisa ubuhlungu.
• Eminye imithi: Eminye imithi yokwelapha isifo samathambo, isifo senhliziyo, kanye nomfutho wegazi ophakeme.
• Amakhemikhali athile, izinsimbi, noma imibala: Kulabo abane-allergy kulezi zinto. Isibonelo, izinsimbi ezithile ezisetshenziswa ekugcwaliseni amazinyo.

Ingabe i-Lichen Planus iyathelelana?

Cha, akunjalo nhlobo! I-Lichen Planus ayisona isifo esithelelanayo. Ayisabalali ngokuxhumana ngokocansi noma ngokuxhumana kwesikhumba nesikhumba. Ibangelwa ushintsho ohlelweni lwakho lokuzivikela komzimba. Ngakho-ke ungesabi.

Ungakuxilonga kanjani lokhu?

Udokotela wakho angakwazi ukuxilonga i-lichen planus ngokubheka izimpawu zakho nokwenza ukuhlolwa ngokomzimba. Odokotela bafuna okuthile okubizwa ngokuthi "Six Ps" (`(Six Ps)`):

• Ukuqaqamba: Amabala ayaluma.
• I-Polygonal: Isimo samachashaza sinombono obukhali ohlukahlukene.
• I-Planar: Ingxenye ephezulu yamabala iyisicaba.
• Ama-Purple Papules: Amaqhubu anombala onsomi.
• Ama-Plaque: Amabala aphakanyisiwe, anombala oshintshile.

Kodwa ngezinye izikhathi, uma kukhona ukungabaza ngokuthi lokhu kunjalo yini, udokotela angenza ezinye izivivinyo ezimbalwa:

• Ukuhlolwa kokungezwani komzimba: Hlola ukuthi unayo yini i-allergy kokuthile nokuthi ngabe yimbangela yalezi zindawo.
• Ukuhlolwa kwesikhumba: Lokhu kuhilela ukuthatha ingxenye encane yesikhumba endaweni lapho kukhona khona i-mole bese uyithumela elebhu. Bese ibhekwa nge-microscope ukuthola ukuthi yini ngempela engalungile. Lokhu kuyinto encane, akukho okufanele ukhathazeke ngayo.
• Ukuhlolwa kwe-Hepatitis C:Njengoba kushiwo ngaphambili, lokhu kuhlolwa kungenziwa futhi ngoba i-lichen planus ihlotshaniswa negciwane le-Hepatitis C.

Ingabe i-Lichen Planus ingelapheka? Yiziphi izindlela zokwelapha?

Uma ngikhuluma iqiniso, alikho ikhambi le-Lichen Planus okwamanje. Kodwa-ke, izindaba ezinhle ukuthi amacala amaningi e-lichen planus esikhumbeni azophela ngokwawo phakathi kwezinyanga ezimbalwa kuya eminyakeni embalwa, ngisho nangaphandle kokwelashwa.

Kodwa-ke, kunezindlela zokwelapha ukunciphisa ukulunywa nokungakhululeki:

Ukwelashwa kwe-lichen planus yesikhumba

• Ama-corticosteroid creams noma amafutha: Lawa anciphisa ukuvuvukala nokulunywa kwesikhumba. Lawa anqunywa udokotela.
• Ama-Antihistamine: Lawa imithi evame ukunqunywa yokwelapha ukungezwani komzimba. Asiza ekunciphiseni ukulunywa.
• Ukwelashwa nge-Phototherapy: Lokhu kusebenzisa ukukhanya kwe-ultraviolet, ngokuvamile i-UVB, okuvela ezibanini ezikhethekile. Lokhu kukhanya kwe-ultraviolet, okutholakala ekukhanyeni kwelanga, kusebenza kahle kwezinye izimo zesikhumba, okuhlanganisa ne-lichen planus.
• Ama-immunosuppressants: Uma lesi sifo sibi kakhulu, odokotela bangase banikeze imithi ecindezela amasosha omzimba, njenge-corticosteroids yomlomo, i-mycophenolate mofetil, i-azathioprine, noma i-cyclosporine.
• Ama-Retinoids (ama-derivatives e-vitamin A): Lawa atholakala ngesimo samaphilisi noma njengokhilimu. Asebenza ngokwandisa ukukhiqizwa kwe-collagen esikhumbeni, ukwandisa imithambo yegazi, nokusiza ukuphola kwezibazi. Kodwa-ke, ama-retinoids angabangela ukukhubazeka kokuzalwa, ngakho qiniseka ukuthi utshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa.

Ukuphathwa kwe-Oral Lichen Planus

I-Lichen Planus emlonyeni ivame ukuba ngcono eminyakeni emihlanu. Kodwa-ke, uma kukhona izilonda noma izilonda emlonyeni, ungathola impumuzo ngalezi zinto:

• Ukugcina impilo yomlomo enhle: Kubalulekile ukuxubha amazinyo akho nsuku zonke, ukuxubha amazinyo akho nge-floss, bese uhlanza amazinyo akho ngudokotela wamazinyo okungenani kabili ngonyaka.
• Ukunciphisa izilonda emlonyeni: Uma unezilonda emlonyeni wakho, zingaba zivamile futhi zibe buhlungu kakhulu. Ngakho-ke, kuwumqondo omuhle ukuxubha amazinyo akho njalo, ufake i-wax yamazinyo ezungeze amazinyo akho uma unezinsimbi zokubopha, bese ususa noma yikuphi ukubhoboza emlonyeni wakho uma unazo.
• Ukufakwa esikhundleni kokugcwalisa amazinyo:Akuvamile ukuthi abanye abantu babe nomzimba ongezwani nama-amalgam, okuyizinto zokugcwalisa insimbi ezisetshenziswa ekugcwaliseni amazinyo. Lokhu kungezwani kungabonakala njenge-lichen planus. Ezimweni ezinjalo, ukufaka esikhundleni salokho okugcwalisiwe ngezinto ezibangela ukungezwani nomzimba kunganikeza impumuzo.

Yiziphi izindlela zokwelapha ekhaya?

Kunemithi ongayithenga ekhemisi nezinto ongazenza ekhaya ukuze uyeke ukuklwebha amabala akho.

Nakuba lezi ziphephile kubantu abaningi, kuwumqondo omuhle ukukhuluma nodokotela wakho ngaphambi kokuzisebenzisa, njengoba ungase ube nomzimba ongezwani nazo kwezinye izimo.

• I-Aloe vera: I-Aloe vera iyikhambi lemvelo elisiza ekwelapheni amanxeba futhi lifumise isikhumba. Ezinye izifundo zikhombisile ukuthi i-aloe vera ingasiza ekunciphiseni izimpawu ze-lichen planus emlonyeni noma emaqakaleni.
• Ama-Antihistamine: Le mithi, engathengwa ekhemisi, inciphisa ukulunywa.
• Okhilimu noma amafutha e-hydrocortisone: Lawa angathengwa ekhemisi. Angumuthi we-corticosteroid ohlanganiswe nomuthi wokuqeda izinhlungu.
• I-oatmeal: Indlela engcono kakhulu yokusebenzisa i-oatmeal kumabala e-lichen planus ukuyigaya ibe yimpuphu ecolekile ku-blender noma ku-food processor (lokhu kubizwa ngokuthi "i-oatmeal ye-colloidal"). Hlanganisa le-oatmeal empuphu namanzi ashisayo amancane ukuze wenze unamathisele ojiyile. Faka lokhu kuwo wonke amabala. Yishiye okungenani imizuzu eyi-10 bese uyisula ngendwangu ehlanzekile.

Ingabe izimpawu ziyanda njengoba ukucindezeleka kuyanda?

Yebo, ukucindezeleka kungabhebhethekisa noma yisiphi isimo sesikhumba, okuhlanganisa ne-lichen planus. Uma sizizwa sicindezelekile, akugcini nje ngokuthinta izingqondo zethu kodwa nemizimba yethu.

Ezinye izimpawu zokucindezeleka (ezingase zibe zimbi kakhulu izimpawu zakho ze-lichen planus):

• Ukucindezeleka.
• Ubunzima bokuphumula.
• Sebenzisa utshwala, ugwayi, noma izidakamizwa ukuze uphumule.
• Ukuba nesimo sengqondo esingesihle ngawe (ukuzethemba okuphansi).
• Ukuzizwa ukhathazekile njalo.
• Ukuzizwa sengathi konke kukhulu kakhulu, uzizwa sengathi awukwazi ukukulawula.
• Ubunzima bokugxilisa ingqondo.
• Ukuthukuthela ngokushesha, imizwa ishintshashintsha njalo.

Izimpawu zomzimba zokucindezeleka (lezi zingandisa nezimpawu ze-lichen planus):

• Isicanucanu, isiyezi.
• Ukulahlekelwa isifiso sokuya ocansini.
• Ukulala kakhulu (hypersomnia).
• Ukulala kancane, ukuqwasha.
• Uhudo.
• Ukuqunjelwa.
• Ukuqina kwemisipha, ubuhlungu.
• Ubuhlungu bomzimba.

Ngakho-ke, kubaluleke kakhulu ukucabanga ngamasu okulawula ukucindezeleka.Izinto ezifana nokuzindla, i-yoga, ukuvivinya umzimba ngokuphefumula, kanye nokuzibandakanya nomsebenzi wokuzilibazisa owuthandayo kungaba usizo olukhulu.

Yikuphi ukudla neziphuzo okufanele ngizigweme uma ngine-oral lichen planus?

Uma une-oral lichen planus, kungcono ukugwema ukudla okubabayo neziphuzo ezine-asidi, njengoba lokhu kungenza amabala emlonyeni wakho abe buhlungu futhi avuvuke kakhulu.

• Upelepele oshisayo, upelepele osawoti, ukudla okunongwe nge-chili. (Ezweni lakithi, lokhu kubalulekile, kodwa kufanele ukulawule kancane.)
• Amasosi ashisayo njenge-salsa.
• Izithelo ze-citrus (amawolintshi, ama-tangerine, ulamula, ama-lime).
• Utamatisi kanye nesoso likatamatisi.
• Utshwala.

Ngaphezu kokuyeka lokhu kudla neziphuzo, kubaluleke kakhulu kulabo ababhemayo ukuba bayeke ukubhema ngokuphelele.

Ingabe ikhona indlela yokuvimbela lokhu?

Ngeshwa, ayikho indlela eqondile yokuvimbela ukuthuthukiswa kwe-Lichen Planus. Ngenxa yokuthi imbangela eqondile ayaziwa, kunzima ukusho ukuthi ingavinjelwa kanjani.

Kwenzekani uma une-Lichen Planus? Yini ongayilindela?

I-Lichen Planus yisimo esingaphathwa ngezinye izikhathi ngaphandle kokwelashwa. Kodwa ngokuvamile, ukwelashwa kuyadingeka ukunciphisa izimpawu. Uma une-lichen planus esikhumbeni sakho, kungathatha izinyanga noma iminyaka ukuba ngcono. I-Oral lichen planus emlonyeni wakho ingathatha iminyaka emihlanu ukuba ngcono. Ukwelashwa kanye nemithi yasekhaya kungasiza ekunciphiseni ukungakhululeki kwakho.

Uma une-lichen planus endaweni yakho yokuzala, ungase uzwe ukungakhululeki nobuhlungu ngesikhathi socansi. Kodwa-ke, awukwazi ukubudlulisela kumlingani wakho.

Kufanele ubonane nini nodokotela?

Ezimweni ezinjalo, kufanele nakanjani ubone udokotela:

• Uma uthola izimpawu ezintsha .
• Uma izimpawu zingathuthuki naphezu kokwelashwa.
• Uma izindawo zikhona isikhathi eside kunokulindelekile .
• Uma indawo lapho amabala ebonakala ethelelekile (ibomvu, ivuvukile, ikhipha ubomvu).

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Uma uvakashela udokotela, ungabuza imibuzo efana nale:

• Ubona kanjani ngempela ukuthi ngine-Lichen Planus?
• Uma ngingenayo i-Lichen Planus, yisiphi esinye isifo sesikhumba esingaba yiso?
• Kuzothatha isikhathi esingakanani ukuthi umzimba wami ululame kulesi simo?
• Yimuphi umuthi owuncomayo?
• Ingabe ikhona imiphumela emibi kuleyo mithi?
• Yikuphi ukwelashwa kwasekhaya okuncomayo?
• Ingabe kukhona ukhilimu noma amafutha akhethekile engingawanikezwa?
• Ingabe kufanele ngibone udokotela wesikhumba noma omunye uchwepheshe?

Umlayezo Wokuya Nawe Ekhaya

I-Lichen Planus yisifo sesikhumba esivamile. Singathinta nomlomo nezinzipho. Kungaba namahloni futhi kuyaluma kancane. Kodwa-ke, akusona isifo esiyingozi noma esithathelwanayo, futhi ngokuvamile siyaphela sodwa.

Into ebaluleke kakhulu ukunaka isikhumba sakho. Uma ubona noma yimaphi amabala noma izinguquko ezintsha esikhumbeni sakho, bona udokotela ngokushesha. Ngaleyo ndlela, ungathola ukuthi kwenzekani kahle bese uqala ukwelashwa uma kudingeka.

I- Lichen planus, izifo zesikhumba, izindawo ezilumayo, izindawo zomlomo, izifo zesikhumba, isimiso somzimba sokuzivikela, ukwelashwa kwesikhumba