Ingabe unamabala amhlophe nokulunywa okunje esikhumbeni sakho? Ake sixoxe nge-Lichen Sclerosus!

Wake waba namabala amhlophe noma ukulunywa okungabekezeleleki ezithweni zakho zangasese, okungukuthi, ezizungeze izitho zakho zangasese noma i-anus? Mhlawumbe isikhumba sincane futhi siqhekeka njengoqweqwe. Ungamane nje ulahle lokhu njengenkinga yesikhumba nje. Kungaba uphawu lwesifo esibizwa ngokuthi i-Lichen Sclerosus. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe.

Kuyini i-Lichen Sclerosus?

Kalula nje, i-Lichen Sclerosus yisifo sesikhumba esingabangela izinkinga eziningi esikhumbeni sakho. Lesi simo sivame ukuthinta:

• Endaweni engaphandle kwesitho sangasese sowesifazane ( isitho sangasese sowesifazane )
• Kuye endukwini
• Ijwabu
• Ku- urethra
• Ku-anus

Lesi simo ngezinye izikhathi sibonakala njengesiqephu esinombala oshintshile, esinamaqhubu, esilumayo, noma esinamaqhubu . Abanye abantu bangase babe namaqhubu nezilonda (ngokuvamile ngenxa yokuklwebheka njalo) ezizungeze izitho zangasese. Kodwa-ke, lezi zimpawu azivamile ukubonakala kwenye indawo emzimbeni.

I-lichen sclerosus yisifo esihlala isikhathi eside, esingamahlalakhona esingahlala impilo yonke. Uma singalashwa, singadala izibazi, ubunzima bokuya ocansini (i-dyspareunia), ukuchama , noma ukunyakaza kwamathumbu (ukunyakaza kwamathumbu), ngisho nobuhlungu . I-lichen sclerosus engelashwanga ingandisa ingozi yokuthola izinhlobo ezithile zomdlavuza wesikhumba (umdlavuza wepenile kanye ne-vulvar squamous cell carcinoma) . Ayikho ikhambi lalesi simo, kodwa ukwelashwa kungasiza ukulawula izimpawu.

Amanye amagama alokhu yi-`Balanitis Xerotica Obliterans (BXO)`` kanye ne-`white spot disease``.

Lokhu kubonakala kanjani?

Uma i-lichen sclerosus iqala, ibonakala njengamabala amancane, amhlophe, acwebezelayo, aphakanyisiwe kancane ezithweni zakho zobulili noma eduze kwe-anus yakho. Ngokuhamba kwesikhathi, kungase kwakheke amabala amaningi, futhi angase ahlangane ndawonye ukuze akhe ibala elimhlophe elibukeka njengephepha lesikhumba noma izicubu ezishwabene .

Sivame kangakanani lesi simo?

I-lichen sclerosus empeleni ayiyona inkinga evamile. Isibonelo, ithinta abantu ababalelwa ku-200,000 e-United States. Ngisho noma unezici eziningana eziyingozi , akuvamile ukuba nayo.

Ziyini izimpawu ze-Lichen Sclerosus?

Izimpawu eziyinhloko amabala amhlophe, aphakanyisiwe ku-vulva yakho, i-anus, ijwabu, noma i-glans. Lokhu kungabangela ukulunywa , ubuhlungu, ukungakhululeki, noma ukuvuvukala . Ezinye izimpawu zingafaka:

• Izilonda nezilonda
• Ukuvuvukala ( okungukuthi ukuvuvukala, ukubomvu)
• Izibazi
• Ukuqhekeka kwesikhumba
• Ubuhlungu lapho uchama (i-dysuria)
• Ubuhlungu ngesikhathi socansi
• Ukwehla kwezinga lokuchama . Ngezinye izikhathi umchamo ungase ungagelezi njalo futhi ungase uvuze ngisho nokuvuza.
• Ukuqina kwejwabu lakho.
• Ukungakwazi ukuhoxisa ijwabu (i-phimosis).
• Ukuphuma kwepenisi .

Akuvamile kakhulu, i-lichen sclerosus ingathinta nesikhumba kwezinye izingxenye zomzimba. Isibonelo:

• Intamo
• Isifuba
• Isitho somzimba
• Ngaphandle
• Ingalo
• Ngaphakathi komlomo

Ubani onamathuba amaningi okuthuthukisa lokhu? (Izici eziyingozi)

Noma ubani angaba nayo, kodwa ivame kakhulu kwabesifazane asebekhulile abaneminyaka ephakathi kuka-40 no-60. Amantombazane angakafiki eminyakeni yokuthomba nawo asengozini enkulu.

Amadoda anesikhumba sangaphambili awanamathuba amaningi okuthola i-lichen sclerosus. Ingozi yakho ingaba phezulu kancane uma unesifo sokuzivikela komzimba noma ukungezwani komzimba .

Isifo sikashukela kanye ne-body mass index (BMI) engaphezu kuka-30 (okungukuthi, ukukhuluphala ngokweqile/ukukhuluphala ngokweqile) nakho kungandisa ingozi yokuthola i-lichen sclerosus.

Yiziphi izimbangela ze-Lichen Sclerosus?

Odokotela nabacwaningi bezokwelapha abakakazi kahle ukuthi yini ebangela i-lichen sclerosus. Kodwa-ke, bakholelwa ukuthi yisifo esibangelwa ukuzivikela komzimba.Kungase kuhlobane nokuthi. Uma unesifo sokuzivikela komzimba, amasosha omzimba wakho ahlasela amangqamuzana anempilo esikhundleni sokuvikela umzimba wakho emagciwaneni.

Izakhi zofuzo kanye nezinguquko zamahomoni nazo zingathinta ukuthi ubani othola lesi sifo. Ngezinye izikhathi, i-lichen sclerosus ikhula ngemva kokuba umuntu ebhekene nokulimala (njengokulimala noma ukuxhashazwa ngokocansi). Akuvamile kakhulu, ingadluliselwa kusuka kubazali iye ezinganeni ngokusebenzisa izakhi zofuzo.

Odokotela nabacwaningi basacwaninga nge-lichen sclerosus ukuze bathole izimbangela eziqondile.

Okubaluleke kakhulu: I-lichen sclerosus ayithelelani. Awukwazi ukuyidlulisela komunye umuntu.

Odokotela bakubona kanjani lokhu? (Ukuxilongwa)

Udokotela uhlola i-lichen sclerosus. Uzokubuza imibuzo mayelana nezimpawu zakho bese enza ukuhlolwa ngokomzimba , okuzohlanganisa nokuhlola izindawo ezithintekile.

Hlobo luni lokuhlolwa okwenziwayo?

Ukuze aqinisekise ukuxilongwa, udokotela wakho angenza i-biopsy , ehilela ukuthatha ingxenye encane yesikhumba esithintekile bese eyihlola ngaphansi kwe-microscope.

Ingabe lokhu kungelapheka ngaphandle kokusoka?

Yebo, odokotela bangayilapha i-lichen sclerosus ngaphandle kokusoka . Nakuba i-lichen sclerosus ngezinye izikhathi ingelashwa ngokusoka, kunezinye izindlela zokwelapha ezihlukile.

Yiziphi izindlela zokwelapha lokhu?

Udokotela wakho angase asikisele lezi zinhlobo zokwelapha i-lichen sclerosus:

• Ama-corticosteroid asetshenziswa endaweni ethintekile: Lena imithi esetshenziswa ngqo endaweni ethintekile. Ngokuvamile, imithi efana ne-"clobetasol" iyanikezwa.
• Ukwelashwa nge-Phototherapy: Ukwelashwa nge-Phototherapy kusebenzisa ukukhanya kwe-ultraviolet (ngokuvamile i-ultraviolet B - `UVB`) okuvela ezibanini ezikhethekile. Lokhu kunganciphisa ukuvuvukala futhi kunciphise ukulunywa.
• Ama-immunosuppressants: Le mithi isiza ukuvimba amasosha omzimba wakho ekuhlaseleni amangqamuzana anempilo. Ivame ukunikezwa njengomuthi ophathwayo obizwa ngokuthi i-tacrolimus.
• Ukuhlinzwa: Kuye ngengxenye yomzimba ethintekile yi-lichen sclerosus, udokotela angase ancome ukuhlinzwa. Isibonelo, ukusoka uma ijwabu lithintekile, noma i-urethroplasty uma kunezicucu zomchamo.

Into ebaluleke kakhulu ukuhlolwa njalo nodokotela ngesikhathi sokwelashwa nge-lichen sclerosus.Ukuya. Ngemuva kwalokho bangahlola izimpawu zomdlavuza wesikhumba, futhi basize ekuvimbeleni izibazi ezizungeze izitho zangasese.

Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?

Ukuthi ululama ngokushesha kangakanani kuncike ohlotsheni lokwelashwa olutholayo.

• Kungathatha amasonto ambalwa ukubona intuthuko nge -corticosteroids yasendaweni kanye nemithi yokucindezela amasosha omzimba .
• Ukwelashwa nge-Phototherapy kungathatha izindlela eziningana zokwelapha ukuze kuthuthukiswe izindawo ezithintekile, futhi kungathatha izinyanga ezimbili ukuqala ukuthuthuka.
• Kungathatha cishe isonto nesigamu ukuphulukiswa ngemva kokusoka . Ngemva kokusoka, izingane kufanele zigweme ukulala ngezisu zazo nokugibela amathoyizi agxumagxuma esuka kolunye uhlangothi aye kolunye (isib. ukugwedla amahhashi, ukushaya indlwabu, ukujikijela, amabhayisikili). Abantu abadala kufanele bagweme ukuya ocansini noma ukushaya indlwabu kuze kube yilapho udokotela wabo ebavumela.
• Uma une -urethroplasty , kuzodingeka ugcine i-catheter ( ipayipi) e-urethra yakho amasonto amathathu kuya kwamane.

Yini engenziwa ukuvimbela lokhu nokunciphisa izimpawu?

Nakuba kungenakwenzeka ukuvimbela ngokuphelele ukukhula kwe-lichen sclerosus, ungazinciphisa izimpawu ngokwenza izinguquko ezithile endleleni yokuphila .

Ukuze unciphise ukungqubuzana nokucasuka, yenza okulandelayo:

• Zijwayeze imikhuba emihle yokunakekela isikhumba . Lokhu kusho ukugeza isikhumba sakho njalo ngensipho namanzi ahlanzekile, ukusebenzisa umuthi wokuthambisa isikhumba, nokulandela imiyalelo kadokotela wakho ukuze ugcine isikhumba sakho siphilile.
• Gqoka izingubo zangaphansi ezikhululekile nezingubo .
• Gwema ukugqoka izingubo ezicasula isikhumba (isib. uboya, isilika).
• Uma ugeza noma ugeza, sebenzisa insipho ethambile . Uma usula isikhumba, sibambe ngomshini wokomisa ngaphandle kokusihlikihla. Faka ukhilimu othambisa ngokushesha ngemva kokusula. Lokhu kuzosiza umswakama osele ukuthi ungene esikhumbeni.
• Sebenzisa amanzi afudumele esikhundleni samanzi ashisayo lapho ugeza noma ugeza.
• Gwema ukugeza ngamabhamuza ( ukugeza ngamanzi anensipho). Umphumela wokwenza igwebu lingabi namandla ungenza ukulunywa kube kubi nakakhulu.
• Sebenzisa insipho yokuwasha izingubo engenaphunga .
• Gwema ukugibela ibhayisikili ibanga elide, ukugibela isithuthuthu, kanye nokugibela amahhashi.
• Shintsha izingubo zokubhukuda ezimanzi ngokushesha ngaphandle kokuzishiya zigqokile.

Ukusoka kusenesikhathi usemncane kunganciphisa nengozi yokuthola i-lichen sclerosus.

Yini okufanele uyilindele uma uphila nalesi simo?

I-lichen sclerosus ayihlali isikhathi eside.Isimo. Iningi labantu lisabela kahle ekwelashweni, kodwa izimpawu zingase zibuye kamuva. Ungase ube nezibazi , okungenza kube nzima noma kungakhululeki ukuya endlini yangasese uye ocansini. Uma kukhona i-lichen sclerosus eduze komgodi we-urethra (i-meatus) kwabesilisa, ukwelashwa kusenesikhathi kungasiza ekuvimbeleni ukwakheka kwezicubu zezibazi kwezinye izingxenye ze-urethra.

Futhi unengozi enkulu yokuthola izinto ezifana ne -squamous cell carcinoma kanye nomdlavuza wepenis . Ngakho-ke bonana nodokotela njalo ukuze ahlole izimpawu zomdlavuza.

Unjani umbono?

Uma udokotela engakwazi ukuxilonga nokwelapha i-lichen sclerosus ngokushesha ngangokunokwenzeka, isimo siba sihle kakhulu. Kodwa-ke, ngisho noma kutholakala futhi kwelashwa kusenesikhathi, izimpawu zingaphinde zivele kukho konke ukuphila.

Ingabe udinga ukuqaphela ngokudla nokuphuza?

Akukho ukudla okuqondile okunconywayo nge-lichen sclerosus. Ezinye izifundo zibonise ukuthi ukwenza izinguquko ekudleni kwakho kunganciphisa ingozi yakho futhi kuthuthukise izimpawu. Khuluma nodokotela wakho mayelana nokudla okufanele ukugweme nokuthi ungakhetha kanjani ukudla okunempilo.

Kufanele ngimbone nini udokotela?

Ngenxa yokuthi i-lichen sclerosus inezimpawu ezahlukahlukene, ingalingisa ezezinye izimo. Ngakho-ke, kubalulekile ukubona udokotela ngokushesha okukhulu uma ubona noma yiziphi izinguquko ezithweni zakho zobulili noma ezindaweni ezizungezile.

Uma une-lichen sclerosus, bona udokotela uma izimpawu zakho zibuya ngemva kokwelashwa. Futhi, yenza ama-aphoyintimenti njalo nabo ukuze uhlole izimpawu zomdlavuza.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma ungakwazi ukuchama ngenxa ye-lichen sclerosus, iya ekamelweni eliphuthumayo ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Ungabuza udokotela wakho imibuzo efana nale:

• Ungabona kanjani ukuthi ngine-lichen sclerosus?
• Uma ngingenayo i-lichen sclerosus, yisiphi esinye isifo engingaba naso?
• Yiluphi uhlobo lokwelashwa oluncomayo?
• Yimiphi imiphumela emibi yokwelashwa okuncomayo?
• Ingabe kuphephile kimi ukuya ocansini noma ukushaya indlwabu?
• Ingabe kufanele ngibone udokotela wesikhumba noma omunye uchwepheshe?

Ingabe lo mdlavuza? Ingabe yisifo esithathelwana ngocansi? Ake sifunde okwengeziwe ngalokhu!

Ingabe i-lichen sclerosus ingumdlavuza?

I-lichen sclerosus ayiyona umdlavuza. Ukuthi nje une-lichen sclerosus akusho ukuthi uzoba nomdlavuza nakanjani. Kodwa-ke, i-lichen sclerosus ihlotshaniswa nomdlavuza we-penis kanye ne-vulvar squamous cell carcinoma.Kungase kube nokuxhumana. Uma une-lichen sclerosus, kubaluleke kakhulu ukubona udokotela njalo ukuze ahlolwe ukuze ahlole izimpawu zomdlavuza. Uma ubona noma yiziphi izinguquko ekubukekeni kwesikhumba sakho, yazisa udokotela.

Ingabe i-lichen sclerosus iyisifo esithathelwana ngocansi (STI)?

Cha, i-lichen sclerosus ayisona isifo esithathelwana ngocansi (STI) , futhi ayithelelani. Kodwa-ke, i-lichen sclerosus ingabukeka njenge-STI. Kungcono ukugwema ukuya ocansini uze utholakale une-lichen sclerosus ngudokotela.

Ngingaya ocansini uma ngine-lichen sclerosus?

Yebo, ungenza ucansi noma ushaye indlwabu uma une-lichen sclerosus. Kodwa-ke, ucansi lungabangela ukuba ndikindiki okukhulu. Kungakhathaliseki ukuthi uya ocansini noma uyashaya indlwabu, ukusebenzisa ikhondomu noma ikhondomu yangaphakathi kungasiza ekuvikeleni isikhumba sakho futhi kunciphise ukungakhululeki.

Ngisho noma i-lichen sclerosus ingeyona i-STI, futhi umlingani wakho engenakuyithola kuwe i-lichen sclerosus, kuwumqondo omuhle ukuba uthembeke kuye ngesimo sakho. Mkhuthaze ukuthi akhulume nodokotela uma enenkinga.

Ingabe i-lichen sclerosus iyisifo sokuzivikela komzimba?

Akukho datha eyanele okwamanje yokuhlukanisa i-lichen sclerosus njengesifo sokuzivikela komzimba. Kodwa-ke, abantu abane-lichen sclerosus bavame ukuba nezifo zokuzivikela komzimba. Isibonelo:

• Ukulahlekelwa izinwele okunamachashazi (i-alopecia areata )
• I-Vitiligo ( amabala amhlophe esikhumbeni)
• I-anemia eyingozi ( i-anemia ebangelwa ukuntuleka kwe-vitamin B12)
• Isifo sikashukela sohlobo 1
• Ezinye izifo ze-thyroid

Ukuxhumana okuseduze phakathi kwalezi zifo kanye ne-lichen sclerosus kusikisela ukuthi lesi simo singase sibangelwe ukusabela komzimba wakho kwe-autoimmune.

Uyini umehluko phakathi kwe-balanitis ne-lichen sclerosus?

I-Balanitis yisimo esithinta ingxenye engezansi yepenis yakho (glans), evame ukubangelwa ukutheleleka kwemvubelo. Ivame ukwenzeka emadodeni anesikhumba sangaphambili, ngoba indawo efudumele, emanzi phakathi kwengxenye engezansi yepenis nesikhumba sangaphambili iyindawo enhle yokukhula kwemvubelo namanye amagciwane. I-Balanitis ingelashwa ngokhilimu we-antifungal, ama-antibiotic, ukusoka, kanye nokugcina ijwabu, i-glans, kanye nendawo engaphansi kwesikhumba sangaphambili ihlanzekile futhi yomile.

I-sclerosus ye-lichenKungathinta izitho zakho zangasese, i-anus, kanye ne-urethra. Odokotela abazi kahle ukuthi yini ebangela lokhu, kodwa bacabanga ukuthi kuhlobene nesimiso sakho somzimba sokuzivikela. Ukwelashwa kufaka phakathi ama-corticosteroid creams angaphandle, ukwelashwa okulula (i-phototherapy), imithi yokucindezela amasosha omzimba, kanye nokuhlinzwa.

Uyini umehluko phakathi kwe-BXO ne-lichen sclerosus?

I-Balanitis Xerotica Obliterans (BXO) kanye ne-lichen sclerosus ziyisimo esifanayo. I-lichen sclerosus yigama odokotela abakhetha ukulisebenzisa manje.

Umyalezo Wokugcina Wokuya Nasekhaya

I-Lichen Sclerosus akuyona into evamile, futhi akuyona isifo esithathelwana ngocansi. Kodwa-ke, noma yisiphi isimo esithinta izitho zakho zobulili noma i-anus singaba namahloni futhi sibe namahloni. Ngakho-ke, uma ubona noma yiziphi izinguquko noma ukungakhululeki ezithweni zakho zobulili, bona udokotela ngokushesha okukhulu . Nakuba lesi kuyisimo esingamahlalakhona esingahlala impilo yonke, futhi izimpawu zingase zivele ngezikhathi ezithile, ukwelashwa kusenesikhathi kungaholela emiphumeleni engcono kakhulu . Awuwedwa, futhi ungesabi ukucela usizo.

I- Lichen Sclerosus, Izifo Zesikhumba, Ukuluma, Amabala Amhlophe, Impilo Yocansi, I-BXO, Umdlavuza Wesikhumba, Impilo Yabesifazane, Impilo Yabesilisa