Isilonda esibuhlungu esizumayo endaweni yesitho sangasese sowesifazane? Kungaba yi-Lipschütz Ulcer! Ake sixoxe.

Ingabe uke waba nesilonda esibuhlungu esithweni sakho sangasese ngokuzumayo, okungukuthi, 'isitho sakho sangasese'? Ungase uzizwe ukhathele futhi ukhathele, kanye nomkhuhlane. Ngisho noma uzazi ukuthi lokhu akusikho ucansi, usazizwa wesaba kakhulu futhi unamahloni. Ungase wesabe ukutshela umama wakho, ungase wesabe ukutshela umngane, futhi ungase ungakwazi ukucabanga ukuthi kwenzekeni. Esimweni esinjalo, lesi kungaba yisimo esingavamile kodwa esingesabekayo kakhulu esibizwa ngokuthi 'i-Lipschütz Ulcer'. Ake sixoxe ngalokhu ngokuningiliziwe namuhla, ngendlela ekhululekile.

Kuyini i-Lipschütz Ulcer? Kalula nje...

Izilonda zezindebe ziyisimo esingavamile kodwa esibuhlungu kakhulu esingase senzeke esithweni sangasese sowesifazane. Into ebaluleke kakhulu ukuthi azidluliselwa ngocansi. Okusho ukuthi, azisisifo esidluliselwa ngocansi. Ungase ukhululeke kancane ukuzwa lokhu, akunjalo?

Esinye noma ngaphezulu salezi zilonda sivame ukutholakala embotsheni yakho yokuzala, ikakhulukazi i-inner labia minora. Kodwa ngezinye izikhathi zingavela nangaphandle kwe-labia majora, umgodi wesitho sangasese sowesifazane, noma i-urethra. Lezi zilonda zingahambisana nezimpawu ezifana nomkhuhlane nokukhathala.

Kubizwa nangokuthi 'izilonda zobulili ezingatholakali ngocansi' kanye 'ne-ulcus vulvae acutum'. Leli gama linikezwe lesi silonda ngemuva kukadokotela uBenjamin Lipschütz, owasichaza okokuqala.

Ingxenye engcono kakhulu ukuthi lezi zilonda zivame ukuphola zodwa , ngokuvamile zingakapheli amasonto amabili kuya kwayisithupha. Kodwa-ke, ngenxa yokuthi ubuhlungu nokungakhululeki kungaba nzima ukukuthwala, odokotela bangakusiza ukuthi uphathe lezo zimpawu.

I-Lipschütz Ulcer ingavamile kangakanani? Ubani onamathuba amaningi okuyithola?

Kunzima kubacwaningi ukusho ukuthi lokhu kuvame kangakanani, kodwa kwaziwa ukuthi akuvamile . Lokho kusho ukuthi akuyona into ovame ukuyibona. Kodwa ikakhulukazi ithinta amantombazane, ikakhulukazi:

• Kulabo abangaphansi kweminyaka engama-20. Ucwaningo olulodwa luthole ukuthi isilinganiso seminyaka yokuqala singu-15. Lokho kusho ukuthi uma ungumuntu osemusha, kuhle ukuqaphela lokhu.
• Kulabo abangazibandakanyi ocansini. Okusho ukuthi, labo abangazange benze ucansi ngomlomo, ngendunu noma ngesitho sangasese sowesifazane izinyanga ezintathu noma ngaphezulu.

Zimbalwa kakhulu izimo ezibikiwe zezilonda ze-Lipschitz kwabesilisa. Uma zenzeka, isilonda sivela esikhumbeni.

Ngakho-ke uma usemncane futhi ungazibandakanyi kakhulu ocansini, kubalulekile ukungesabi ngokungadingekile uma uthola isilonda esinjengalesi, ngoba asibangelwa yisifo esithathelwana ngocansi.

Ziyini izimpawu ze-Lipschütz Ulcer?

Uphawu oluyinhloko isilonda esikhulu, esibuhlungu, esijulile ebusweni be-labia (noma ngezinye izikhathi noma kuphi e-vulva). Isilonda sivame ukuvela ngokushesha okukhulu, cishe ngokuzumayo . Kungase kube ngcono namuhla bese kuba nesilonda ngosuku olulandelayo.

Ungase uzizwe ungaphilile, njengoba nje ubungazizwa unegciwane elibizwa ngokuthi i-mononucleosis (mono), noma njengoba ubungazizwa une-flu evamile. Kungase kube nezimpawu ezifana nalezi:

• Umkhuhlane (mhlawumbe umzimba uzizwa ubomvu)
• Ubuhlungu bomzimba kanye nobuhlungu bamalunga (kuzwakala sengathi kuyisigaxa enyameni)
• Ukukhathala (umuzwa wokungakwazi ukwenza lutho)
• Ama-lymph node avuvukele entanyeni nasemakhwapheni (njengezigaxa ezincane ezingazwakala esandleni)
• Umphimbo obuhlungu noma amathonsi avuvukile
• Ukukhwehlela noma ukuqina kwesifuba
• Ubuhlungu lapho uchama (i-dysuria) (njengokutheleleka komgudu womchamo)

Uma unalezi zimpawu, kubalulekile ukubona udokotela ukuze uthole ukuxilongwa okufanele, njengoba lezi zimpawu zingafana nezinye izifo.

Ibukeka kanjani i-Lipschütz Ulcer?

Manje ake sibheke ukuthi lesi silonda sibukeka kanjani. Ngokuvamile, isilonda se-Lipschitz sinalezi zimpawu:

• Isimo siyindilinga, singaphansi kwe-1 cm ububanzi. (Lokho kucishe kube usayizi wemali encane)
• Kuvame ukubonakala embotsheni yowesifazane, ikakhulukazi engxenyeni engaphakathi ye-labia minora.
• Kukhona indawo ecacile phakathi kwenxeba. Lokhu kungase kube nezicubu ezifile noma ezonakele (i-necrosis). Lokhu kubangela ukuthi isikhungo senxeba sibonakale simpunga noma simnyama, njengokusha okuncane. Ngezinye izikhathi, uma lesi sikhungo sakha uqweqwe, singabonakala simpunga noma simnyama.
• Unqenqema lwenxeba luvame ukuba bomvu-bubende futhi ngezinye izikhathi lungase lubonakale luvuvukele.
• Kukhona ukuhlukana okucacile phakathi kwesikhungo kanye nomphetho wenxeba.

Ngokuvamile, izilonda ezimbili ezinjalo zingabonakala, zibhekene, futhi zilingana kahle. Njengezilonda 'zokuqabulana'. Okusho ukuthi, izilonda zakheka kokubili emabeleni kwesokudla nakwesobunxele, lapho zihlangana khona.

Kungani kwenzeka isilonda se-Lipschütz? Iyini imbangela?

Odokotela abakakwazi ukusho ukuthi yini ngempela ebangela izilonda ze-Lipschitz.Kodwa bacabanga ukuthi kuhlobene nezifo ezifana negciwane le-Epstein-Barr (EBV), noma ezinye izifo ezibangelwa amagciwane noma amagciwane. Cabanga ngakho, mhlawumbe amasosha omzimba wakho asabela ngokweqile ekuthelelekeni noma egciwaneni, bese lokhu kulimala kwakheka ngenxa yalokho. Kufana "nempi" encane eqhubekayo emzimbeni wakho.

Amanye amagciwane noma amabhaktheriya atholakale ebangela izilonda zeLipshitz yile:

• I-Cytomegalovirus (CMV)
• Umkhuhlane A kanye nomkhuhlane B - amagciwane abangela umkhuhlane ovamile
• Ama-mumps
• I-Salmonella - Leli yigciwane elibangela ukucasuka kwesisu.
• I-Mycoplasma
• I-Streptococcus yeqembu A - igciwane elibangela izifo zomphimbo
• I-Covid-19 (i-COVID-19)

Kodwa ezimweni eziningi, akukho mlando ocacile wegciwane noma ukutheleleka kwamuva, ngakho-ke lokhu kuyimfihlakalo kancane.

Ingabe i-Lipschütz Ulcer iyathelelana?

Lena inkinga abantu abaningi abanayo. Cha. Izilonda ze-lipschitz azisabalali ngokuxhumana ngokomzimba noma ngoketshezi lomzimba. Ngakho-ke asikho isidingo sokukhathazeka ngokuthelela omunye umuntu ngoba nje unazo. Awukwazi ukuzisabalalisa ngokuthinta umuntu onazo noma ngokusebenzisa ithawula alisebenzisile.

Ingabe zikhona izici ezikhethekile eziyingozi kulokhu?

Noma ubani one-vagina angaba nesilonda se-Lipschitz. Kodwa-ke, ukuba ngaphansi kweminyaka engama-20 ubudala nokuba nokutheleleka kwegciwane noma kwebhaktheriya muva nje (phakathi kwamasonto ambalwa) kungandisa ingozi yakho. Lokhu kusho ukuthi kungavela ngokushesha nje lapho usinda emkhuhlaneni noma emkhuhlaneni.

Yiziphi izinkinga ezingaba khona ngenxa ye-Lipschütz Ulcer?

Izilonda ze-lipschitz azivamile ukubangela izinkinga zempilo zesikhathi eside. Zivame ukuphola zodwa. Kodwa-ke, ngezinye izikhathi okulandelayo kungenzeka:

• Izibazi: Uma inxeba likhulu noma lijulile, kungase kube nokushintsha kombala wesikhumba kuleyo ndawo ngemva kokuba selipholile, kushiye isibazi esincane. Kodwa-ke, lokhu akubonakali kakhulu.
• Ukucindezeleka ngokomzwelo: Inxeba lingaba buhlungu futhi lingaphazamisa imisebenzi yansuku zonke, isikole, kanye nokudlala. Ngenxa yokuthi kuyisimo esingavamile, ngezinye izikhathi lingaphambaniswa negciwane elidluliselwa ngocansi (STI). Lokhu kungabangela ukukhathazeka okukhulu, amahloni, kanye nokuzethemba okuphansi. Ungase uzizwe wesaba, "O, ingabe nginokuthile okungathi sína?"
• Ukungakwazi ukuchama (Ukugcinwa komchamo):Lokhu akuvamile kakhulu, kodwa kuye ngokuthi ukulimala kwenzeke kuphi, kungenza kube nzima ukuchama futhi kubangele ukugcinwa komchamo. Uma lokhu kwenzeka, kungadingeka ukuthi kufakwe i-catheter (ithubhu elisetshenziselwa ukukhipha umchamo) ukuze kukhishwe isinye.

Kodwa khumbula, lezi zinkinga azivamile. Iningi labantu liyalulama ngaphandle kwezinkinga.

Udokotela uyixilonga kanjani i-Lipschütz Ulcer?

Udokotela uzoqala alalele izimpawu zakho bese ehlola indawo yakho yesitho sangasese sowesifazane. Uzobuza nangomlando wakho wezempilo wakamuva, okuhlanganisa noma yiziphi izifo zamuva ezibangelwa amagciwane noma amagciwane (njengomkhuhlane, umkhuhlane, umphimbo obuhlungu).

Ngokuvamile, bazoqala ngokukhipha izimbangela ezivame kakhulu zezilonda zesitho sangasese sowesifazane. Isibonelo, bazoqala ngokukhipha ezinye izimo ezifana nezifo ezithathelwana ngocansi (ama-STI) (njenge-herpes yesitho sangasese sowesifazane, i-HIV, kanye ne-syphilis) noma izimo ezifana nesifo sikaBehçet. Bangase futhi ba-ode ukuhlolwa kwalezi zimo. Kuphela ngemva kokuba lezi zisusiwe lapho bezocabangela khona isilonda se-Lipschitz.

Yiziphi ezinye izimo ezinezimpawu ezifanayo?

Uma udokotela ethola isifo, uzocabangela nezinye izimo ezingase zibe nezimpawu ezifanayo nezakho. Lokhu kubizwa ngokuthi 'ukuxilongwa okuhlukile'. Ezinye izimo ezingabangela izilonda zesitho sangasese futhi zibe nezimpawu ezifanayo nezilonda zeLipschitz zifaka:

• I-herpes yesitho sangasese
• Ukutheleleka nge-HIV
• I-Syphilis
• Isifo sikaSjögren
• Isifo sikaBehçet

Yingakho kubalulekile ukubona udokotela ukuze uthole ukuxilongwa okunembile. Kunzima ukunquma ukuthi yini wena wedwa.

Ingabe i-Lipschütz Ulcer iyisifo sokuzivikela komzimba?

Odokotela abakuhlanganisi lokhu njengesimo sokuzivikela komzimba. Kodwa-ke, kunobufakazi bokuthi kungase kuhlobane kakhulu nezinye izifo zokuzivikela komzimba, futhi kungase kube yimbangela yesifo sokuzivikela komzimba. Lokhu kusacwaningwa kabanzi.

Ilashwa kanjani i-Lipschütz Ulcer?

Izindaba ezinhle ukuthi isilonda se-Lipschitz asidingi ukwelashwa okukhulu ngaso sonke isikhathi. Udokotela wakho uzokhuluma nawe ngezindlela zokuphatha ubuhlungu nokungakhululeki okubangelwa isilonda. Umgomo oyinhloko ukukunikeza impumuzo.

Lezi ezinye zezindlela zokwelapha ezingenziwa:

• Ukugeza nge-Sitz: Lokhu kuhilela ukuhlala ebhavini (noma esitsheni esikhulu) esigcwele amanzi afudumele cishe imizuzu eyi-10-15. Ungakwenza lokhu kabili noma kathathu ngosuku. Amanzi afudumele azothobisa indawo, anciphise ubuhlungu, futhi ayihlanze.
• Gwema ukugqoka izingubo eziqinile noma izingubo zangaphansi noma nini lapho kungenzeka. Gqoka izingubo ezikhululekile neziphefumulayo ezenziwe ngezinto zemvelo ezifana nekotini.
• Ukusebenzisa imithi yobuhlungu ethengiswa ngaphandle kwemithi kadokotela (i-OTC), njenge-acetaminophen noma i-ibuprofen, kufanele kuthathwe njengoba kuqondiswe udokotela wakho.
• Faka umuthi wokubulala izinzwa ongaphandle ukuze uqede indawo. Isibonelo, ukhilimu oqukethe i-lidocaine (otholakala ngaphandle kwemithi noma ngomuthi kadokotela). Lokhu kuzoqeda indawo okwesikhashana.

Kwezinye izimo ezinzima, uma ubuhlungu bukhulu noma inxeba likhulu, umuthi we-corticosteroid unganikezwa ngomlomo noma ngokufakwa esikhumbeni ukuze kusizwe inxeba liphole ngokushesha. Uma kutholakala ukutheleleka ngamagciwane (uma inxeba libonakala sengathi liyaphuma), udokotela uzokunikeza imithi yokulwa namagciwane.

Amanxeba amancane asabela kahle kulezi zindlela zokwelapha zasekhaya, kodwa amanxeba amakhulu angadinga imithi kadokotela ukuze alawule ubuhlungu.

Ingabe i-Lipschütz Ulcer iyaphola?

Yebo, impela! Njengoba kushiwo ngaphambili, la manxeba avame ukuphola ngokuphelele phakathi kwamasonto amabili kuya kwayisithupha. Isihluthulelo ukuba nesineke.

Yini okufanele ngiyilindele uma nginesifo se-Lipschütz Ulcer?

Izilonda eziningi zomlomo ziyaphola zodwa phakathi kwamasonto amabili kuya kwayisithupha. Izibazi nezinye izinkinga azivamile. Futhi, lezi zilonda azivamile ukuphinda zivele. Ngakho ungakhathazeki ngokuthi ziphinde zenzeke ngoba nje zenzeke kanye.

Uma uzizwa ubuhlungu bukhulu kakhulu ukuba ungabuthwala futhi buthinta impilo yakho yansuku zonke, khuluma nodokotela wakho ngezindlela zokunciphisa ubuhlungu. Akudingeki ubekezelele ubuhlungu.

Ingabe i-Lipschütz Ulcer ingavinjelwa?

Kunzima ukusho ngokuqinisekile ukuthi yini ebangela lokhu, ngakho-ke kunzima ukusho ngokuqinisekile ukuthi ungakuvimbela kanjani. Kodwa-ke, njengoba kungase kuhlobane nesimiso somzimba sokuzivikela, kungaba usizo ukugwema amagciwane kanye nokutheleleka nokugcina impilo enhle iyonke.

Nazi ezinye izeluleko ezingakusiza:

• Yidla ukudla okunomsoco (njengemifino, izithelo, inyama engenamafutha amaningi). Gwema ukudla okucutshungulwe, ukudla okunoshukela, kanye nokudla okunamafutha amaningi ngangokunokwenzeka.
• Yenza ucansi oluphephile, njengokusebenzisa ikhondomu. Nakuba izilonda ze-Lipschitz zingadluliselwa ngocansi, izifo ezidluliselwa ngocansi zingathinta amasosha omzimba wakho kanye nempilo yakho yonke.
• Lala kahle (okungenani amahora angu-7-8 ngosuku) futhi ulawule ukucindezeleka. Izinto ezifana ne-yoga nokuzindla zingasiza.
• Gcina indawo yakho yangasese ihlanzekile ngokusebenzisa insipho namanzi athambile nsuku zonke. Gwema ukusebenzisa insipho enamakha noma i-douching, ngoba lokhu kungaphazamisa ibhalansi yemvelo yesitho sangasese sowesifazane. Futhi, geza izingubo zakho njalo futhi uzigcine zihlanzekile. Lokhu kunganciphisa ingozi yokutheleleka ngamagciwane.

Kufanele ngimbone nini udokotela?

Uma unezimpawu zesilonda se-Lipschitz, bona udokotela ngokushesha. Ungalibali. Lezi zimpawu zifaka:

• Isilonda esibuhlungu nesijulile sangasese, ikakhulukazi elabini.
• Izimpawu zesifo esifana nomkhuhlane njengomkhuhlane, ukukhathala, kanye nobuhlungu bomzimba.
• Isifo samuva nje esibangelwa yigciwane noma amagciwane.

Nakuba kungekho ukwelashwa okukodwa kwesilonda se-Lipschitz, udokotela angenza ukuxilongwa okunembile futhi akusize ulawule ubuhlungu bakho nokungakhululeki. Bangaqinisekisa nokuthi akuyona inkinga ebucayi kakhulu.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Lipschütz Ulcer yisimo esingavamile esingadluliselwa ngocansi. Odokotela basafunda kabanzi ngaso ukuze bathole ukuthi yini ngempela esibangela sona. Uma unalezi zimpawu, ungesabi noma ube namahloni, kodwa bona udokotela ukuze akunike iseluleko. Akudingeki ubekezelele ubuhlungu nokungakhululeki. Ungathola usizo lokuphila impilo evamile kuze kube yilapho isilonda siphola.

Kalula nje:

• Lesi akusona isifo esithathelwana ngocansi. Lesi yinto ebaluleke kakhulu.
• Kwenzeka kakhulu emantombazaneni amancane, angazibandakanyi ocansini.
• Ngokuvamile iyaziphilisa yodwa.
• Kodwa-ke, kubalulekile ukubona udokotela ngenxa yobuhlungu nokuqinisekisa ukuthi kukhona yini esinye isimo esibi.
• Ngokuphathwa kahle kobuhlungu nokunakekelwa, lesi sikhathi singachithwa ngaphandle kobunzima.

Awuwedwa, bakhona nabanye abantu ababhekene nezinkinga ezifanayo. Ngakho-ke ungesabi ukucela usizo.

Isilonda se - Lipschütz, Isilonda Sesitho Sangasese, Isilonda Sesitho Sangasese, Isilonda Esibuhlungu, Isifo Sesitho Sangasese, Isifo Sabesifazane, Izifo Zamantombazane Amancane