Ingabe unesikhumba esishintshayo endaweni yakho yangasese, into efana namabala amhlophe, noma ukulunywa okuqhubekayo? Ngezinye izikhathi kunzima kancane ukukhuluma nothile ngezinto ezinjengalezi, akunjalo? Kodwa lesi yisimo abantu abaningi ababhekana naso buthule, kodwa uma selashwa kahle, singalawulwa kahle kakhulu. Namuhla sikhuluma ngalesi sifo sesikhumba esibizwa ngokuthi `( Lichen Sclerosus )`, abantu abaningi abangakaze bezwe ngaso, kodwa kubaluleke kakhulu ukusazi.
Kalula nje, iyini i-Lichen Sclerosus?
I-Lichen Sclerosus yisifo sesikhumba esingapheli esithinta isikhumba sethu, ikakhulukazi izitho zangasese kanye nesikhumba esizungeze i-anus. Lokhu kubangela ukuthi isikhumba kulezo zindawo sibe sincane, sibe mhlophe, silume, futhi sibe buhlungu.
Lesi simo singathinta indawo engaphandle kwesitho sangasese sowesifazane (i-vulva) kwabesifazane, ipipi kanye nejwabu laso (ijwabu langaphambili) kwabesilisa, kanye nendawo ezungeze indunu kubo bobabili ubulili. Akuvamile kakhulu, singavela nakwezinye izingxenye zomzimba, njengentamo, isifuba kanye nomhlane.
Into ebalulekile ukuthi lesi yisimo esihlala isikhathi eside. Lokho kusho ukuthi asinakwelapheka ngokuphelele. Kodwa ungakhathazeki, ngokwelashwa okufanele, ungalawula izimpawu futhi uphile impilo ejwayelekile. Uma ingelashwa, ingabangela izibazi zesikhumba , ubuhlungu bokuhlangana ngokocansi (i-dyspareunia), ubunzima bokuchama , futhi, ngokungavamile, ingozi eyengeziwe yomdlavuza wesikhumba (i-squamous cell carcinoma).
Sibukeka kanjani lesi sifo uma siqala? Ziyini izimpawu?
Lesi sifo siqala njengeziqeshana ezincane, ezimhlophe, ezicwebezelayo, eziphakanyisiwe kancane esikhumbeni sakho noma eduze kwaso. Ngokuhamba kwesikhathi, lezi ziqeshana ziyahlangana bese zakha isiqeshana esimhlophe esishwabene esibukeka njengephepha lesikhumba.
Izimpawu eziyinhloko kanye nezinye izinkinga zibhalwe ngokucacile kuthebula elingezansi.
| Uhlobo lwesibonakaliso | Incazelo |
|---|---|
| Izinguquko zesikhumba | Amabala noma amabala amhlophe, acwebezelayo. Ukuncipha, ukushwabana, kanye nokuqhekeka kalula kwesikhumba. |
| Ukuzizwa ungakhululekile | Ukulunywa okukhulu (ikakhulukazi ebusuku), ubuhlungu, ukuvuvukala, kanye nokungakhululeki. |
| Ukulimala kwesikhumba | Ukulunywa njalo kungaholela ezilondeni zesikhumba, izilonda, kanye nama-blister. Ngezinye izikhathi, kungase kuphume igazi. |
| Ezinye izinkinga | Ubuhlungu ngesikhathi socansi, ubuhlungu ngesikhathi sokuchama (i-Dysuria), umchamo obuthakathaka noma ohlakazekile. |
| Izici ezithile eziqondene namadoda | Ukuqina kwejwabu kanye nokungakwazi ukulibuyisela emuva (i-Phimosis). Ukuphuma okungavamile koketshezi oluphuma epenis. |
Khumbula, lezi zimpawu azibonakali ngendlela efanayo kuwo wonke umuntu. Abanye abantu bangase babe nalesi simo ngaphandle kwezimpawu.
Ubani osengozini enkulu yokuthola lesi sifo?
Lesi simo singakhula kunoma ubani, kunoma yimuphi ubudala, kodwa abanye abantu basengozini enkulu.
- Abesifazane asebedlulile esikhathini sokuya esikhathini: Lesi sifo sivame kakhulu kwabesifazane abaneminyaka ephakathi kuka-40 no-60.
- Amantombazane angaphambi kokuthomba: Lesi simo singase senzeke nakumantombazane amancane.
- Amadoda angakasusi ijwabu lawo: Phakathi kwamadoda, labo abanejwabu banamathuba amaningi okuba nalokhu.
- Abantu abanezinye izifo: Uma unezifo ezizimele , isifo sikashukela , ukungezwani komzimba, noma i-body mass index (BMI) engaphezu kuka-30 ( ukukhuluphala ), ingozi yakho ingase ikhuphuke kancane.
Kungani lesi sifo sivela? Ingabe siyathelelana?
Eqinisweni, odokotela abakayitholi imbangela eqondile ye-Lichen Sclerosus. Kodwa-ke, kunezici eziningana okucatshangwa ukuthi ziyimbangela yalokhu.
- Inkinga yesimiso somzimba sokuzivikela: Kukholelwa ukuthi lesi simo singase sibangelwe uhlelo lokuzivikela lomzimba, oluyisimiso sokuzivikela somzimba wethu, oluhlasela ngephutha amangqamuzana alo esikhumba anempilo.
- Ithonya lezakhi zofuzo : Uma othile emndenini enalesi sifo, abanye banethuba elincane lokusithola.
- Izinguquko zama-hormone: Izinguquko emazingeni ama-hormone emzimbeni zingathinta lokhu.
- Ukulimala kwesikhumba: Uma kube nokulimala kwesikhumba ngaphambilini kuleyo ndawo, njengengozi, ukulimala, noma ukuxhashazwa ngokocansi, lesi sifo singavela kulezo zindawo.
Okubaluleke kakhulu, i-Lichen Sclerosus ayisona isifo esithelelanayo. Lokhu kusho ukuthi ayinakusabalala isuka komunye umuntu iye komunye ngokuthintana, ucansi, noma ukwabelana ngezinto ezifana nezingubo noma amathawula. Akusona futhi isifo esithathelwana ngocansi (STI).
Udokotela usithola futhi asiphathe kanjani lesi sifo?
Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubonana nodokotela. Uzokubuza ngezimpawu zakho bese ehlola indawo ethintekile.
Esikhathini esiningi, lesi sifo singatholakala ngokusibheka. Kodwa-ke, ngezinye izikhathi, ukuqinisekisa ukuxilongwa, kuthathwa isikhumba esincane kakhulu bese sithunyelwa elabhorethri ukuze sihlolwe. Lokhu kubizwa ngokuthi ukuhlolwa kwe-"Biopsy".
Uma ukuxilongwa sekuqinisekisiwe, udokotela wakho uzonquma ukwelashwa okufanele kakhulu kuwe.
| Indlela yokwelapha | Kwenzekani kuyo? |
|---|---|
| Ama-Corticosteroids Angaphandle | Lena yindlela yokwelapha eyinhloko nesetshenziswa kakhulu. Ukhilimu we-steroid onamandla njenge- Clobetasol kufanele usetshenziswe endaweni ethintekile isikhathi esithile, njengoba kunqunywe udokotela wakho. Lokhu kuzolawula ukulunywa, ukuvuvukala, kanye noshintsho lwesikhumba. |
| Izithiyo zokucindezela amasosha omzimba | Kwezinye izimo, kusetshenziswa imithi yokwelapha efana ne -Tacrolimus . Le mithi isebenza ngokulawula ukusebenza kwesimiso somzimba sokuzivikela kanye nokunciphisa umonakalo esikhumbeni. |
| Ukwelashwa okulula (i-Phototherapy) | Ukwelashwa okusebenzisa imisebe ye-ultraviolet (UVB) evela ezibanini ezikhethekile ukuze kuqondiswe esikhumbeni, kuncishiswe ukulunywa nokuvuvukala. Kodwa-ke, lokhu akufanele wonke umuntu. |
| Ukuhlinzwa | Uma indoda inejwabu eliqinile (i-Phimosis), ingenza inqubo yokuhlinzwa ebizwa ngokuthi i-Circumcision. Uma i-urethra inciphile, kungase kudingeke ukuthi yenze inqubo yokuhlinzwa ebizwa ngokuthi i-Urethroplasty. Lokhu kwenziwa uma ezinye izindlela zokwelapha zehlulekile. |
Kubalulekile ukubona udokotela wakho njalo ukuze ahlolwe, kokubili ngesikhathi sokwelashwa nangemva kokuba izimpawu seziphelile, ukuze kutholakale noma yiziphi izinguquko zesikhumba, njengoshintsho lomdlavuza, kusenesikhathi.
Yini esingayenza thina ngokwethu ukulawula izimpawu?
Kanye nokwelashwa okunikezwa udokotela wakho, izinguquko ezincane endleleni yakho yokuphila zingasiza kakhulu ekulawuleni lezi zimpawu.
- Gqoka izingubo ezikhululekile: Esikhundleni sezingubo zangaphansi eziqinile namabhulukwe, gqoka izingubo ezikhululekile, ezinganciphisi ezenziwe ngezinto ezifana nokotini.
- Sebenzisa insipho engenaphunga: Gwema imikhiqizo efana nensipho, ama-shower gels, kanye nama-bubble bath aqukethe amakha namakhemikhali. Sebenzisa insipho elula, engenaphunga.
- Gcina isikhumba sakho somile: Esikhundleni sokuhlikihla isikhumba sakho ngamandla ngethawula ngemva kokugeza, hlikihla isikhumba sakho somile.
- Sebenzisa i-moisturizer: Cela iseluleko kudokotela wakho bese ufaka i-moisturizer elula, engenaphunga, futhi engenambala izikhathi eziningana ngosuku.
- Gwema ukuklwebha: Uma kuvela ukulunywa, gwema ukuklwebha ngangokunokwenzeka. Lokhu kuzolimaza isikhumba kakhulu.
- Nciphisa imisebenzi ebeka ingcindezi esikhumbeni: Imisebenzi efana nokugibela ibhayisikili noma ukugibela ihhashi isikhathi eside ingabangela isikhumba ukuba sicindezeleke futhi sibe nezimpawu ezimbi kakhulu.
Kufanele ngimbone nini udokotela? Kuyini isimo esiphuthumayo?
Uma ubona noma yiziphi izinguquko, ukulunywa, noma ubuhlungu endaweni yakho yangasese noma eduze kwendunu yakho, ungakushayi indiva bese ubona udokotela ngokushesha. Uma lesi sifo sitholakala ngokushesha, kuba lula ukwelapha nokulawula.
Futhi, uma izimpawu ziphinde zibuya ngemva kokuqala ukwelashwa, noma uma uthola isilonda sesikhumba esisha noma isimila, qiniseka ukuthi wazisa udokotela wakho.
Isimo Esiphuthumayo: Uma ungakwazi nhlobo ukuchama , njengokuthi uma isinyi sakho sivaliwe, kuyisimo esiphuthumayo. Uma lokhu kwenzeka, kufanele uye ekamelweni lezimo eziphuthumayo (ETU) esibhedlela ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Lichen Sclerosus yisifo sesikhathi eside esithinta isikhumba sendawo yokuzala.
- Lesi akusona isifo esithelelanayo noma isifo esidluliselwa ngocansi.
- Izimpawu eziyinhloko amabala amhlophe, ukulunywa okukhulu, kanye nobuhlungu.
- Nakuba lesi sifo singelapheki ngokuphelele, singalawulwa kangcono ngokwelashwa okufana nokugcoba ngama-steroid.
- Uma unezimpawu, ungabi namahloni noma wesabe ukubona udokotela. Kubaluleke kakhulu ukuqala ukwelashwa kusenesikhathi.
- Ngesikhathi sokwelashwa nangemva kwalokho, kubalulekile ukuhlolwa njalo njengoba udokotela emyalile.
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