Wake wazibuka esibukweni wabona izilonda ezimhlophe, ezifana ne-spider web emlonyeni wakho, ezinhlangothini zezihlathi zakho, noma olimini lwakho? Mhlawumbe izinsini zakho ziphuma igazi futhi zibuhlungu uma uxubha amazinyo akho noma udla ukudla okubabayo. Kuvamile ukuzizwa wesaba kancane uma ubona into efana nale. Kodwa ungesabi. Namuhla sikhuluma ngesimo esingase sibangele lokhu, futhi esingaziwa kahle kubantu abaningi, kodwa kubalulekile ukwazi ngaso. Leso yi-Oral Lichen Planus (OLP).
Kalula nje, iyini i-Oral Lichen Planus (OLP)?
I-Oral Lichen Planus (OLP) yisimo esingamahlalakhona esibangela ukuvuvukala emlonyeni wakho. Ngokuvamile, imizimba yethu ikhiqiza ukuvuvukala ukuze ilwe nokutheleleka futhi ipholise amanxeba. Kodwa ku-OLP, kwenzeka okuhlukile kancane. Okwenzekayo lapha ukuthi uhlelo lokuzivikela lomzimba wethu, uhlelo lokuzivikela, luhlasela ngephutha ulwelwesi oluthambile (mucosa) emlonyeni wethu. Kalula nje, kufana nokuthi ukuzivikela kwethu kuhlasela ingxenye yomzimba wethu.
Into ebaluleke kakhulu ukuthi i-Oral Lichen Planus ayithelelani. Lokhu kusho ukuthi awukwazi ukuyidlulisela komunye umuntu. Akuyona ingozi, kodwa ingabangela ubuhlungu nokungakhululeki emlonyeni.
Ngakho-ke, uma unalezi zimpawu, kubaluleke kakhulu ukubona udokotela ukuze akunike iseluleko. Nakuba kungekho ukwelashwa okuphelele kwalokhu, kunezindlela zokwelapha ezinhle kakhulu ezingalawula izimpawu futhi zinikeze impumuzo.
Kunezinhlobo ezimbili eziyinhloko zama-OLP.
Lesi simo asifani kuwo wonke umuntu. Singakwazi ukuhlonza izinhlobo ezimbili ikakhulukazi.
| Uhlobo lwe-OLP | Incazelo kanye nezici |
|---|---|
| I-Reticular Oral Lichen Planus | Lolu uhlobo oluvame kakhulu noluthambile. Lubangela imigqa emhlophe efana newebhu noma amabala emlonyeni, ikakhulukazi ezihlathini. Ngokuvamile alubuhlungu. Luvame ukutholakala uma uya kudokotela ukuze uthole okunye. |
| I-Oral Lichen Planus Egugulekayo | Lolu uhlobo olubuhlungu kakhulu nolunzima. Ulwelwesi lomlomo luyawohloka, lwakhe izilonda ezibomvu ngokugqamile. Izinsini zingase zibe bomvu futhi zivuvuke. Kungaba buhlungu kakhulu ukudla, ukuphuza, noma ngisho nokuxubha amazinyo akho. Ngezinye izikhathi, la mabala abomvu angakhula abe izilonda. |
Ingabe nawe unalezi zimpawu?
Izimpawu zingahluka kuye ngokuthi unaluphi uhlobo. Ngezinye izikhathi lezi zimpawu ziyafika futhi ziphele, kungaba ngokwazo noma ngokwelashwa, ngemva kwesikhathi esithile. Zingabuya futhi ngemva kwesikhathi esithile.
- Izilonda ezimhlophe, ezifana nolwembu lwesicabucabu ngaphakathi kwezihlathi noma olimini.
- Amabala amhlophe olimini noma ezinsinini.
- Izilonda ezibuhlungu ezinsinini, olimini, noma elwangeni.
- Izinsini ezibomvu ngokugqamile, ezivuvukele.
- Ubuhlungu obuncane kuya kobukhulu lapho uxubha amazinyo akho, ikakhulukazi uma udla ukudla okumuncu, okubabayo, okunosawoti, noma okuqinile .
Abanye abantu bangase babe ne-OLP yomlomo kanye nesifo sesikhumba esibizwa ngokuthi i-Lichen Planus, esibangela ukulunywa, amabala anamabala esikhumbeni, ezithweni zangasese, noma esikhumbeni.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Eqinisweni, odokotela abakazi kahle ukuthi yini ebangela i-OLP. Kodwa siyazi ukuthi ihlobene nendlela amasosha ethu omzimba asebenza ngayo. Njengoba kushiwo ngaphambili, amangqamuzana ethu omzimba ahlasela ulwelwesi lwemilomo yethu.
Kwezinye izimo, lesi simo singavela noma sibe sibi kakhulu ngenxa yezinto ezithile.
Izibangeli
- Ukungezwani komzimba: Ukungezwani komzimba nokudla okuthile, amazinyo okuxubha, ukunambitheka okusezintini zamazinyo (isb. iminti, isinamoni), noma izinto ezisetshenziswa ekwelapheni amazinyo.
- Izinkinga zomlomo: Ukulimala okuvamile kolwelwesi lwamafinyila lomlomo ngenxa yezinto ezinjengamazinyo angaqondile kahle namazinyo abukhali.
- Eminye imithi: Eminye imithi efana nemithi yokunciphisa ubuhlungu (ama-NSAID), eminye imithi yomfutho wegazi ophakeme (ama-Beta-blockers), kanye neminye imithi yokubulala amagciwane.
- Ukulimala komlomo: Izinto ezifana nokuluma isihlathi sakho ngengozi.
- Ukucindezeleka Nokukhathazeka: Lesi yisici esibaluleke kakhulu. Abantu abaningi bazi ngokuhlangenwe nakho kwabo ukuthi lapho ukucindezeleka kukhuphuka, izimpawu ze-OLP nazo ziyanda.
- Izimo ezithile zezokwelapha: Kutholakale ukuthi kukhona ukuxhumana phakathi kokuvela kwe-OLP kanye nezimo ezifana ne-Hepatitis B kanye ne-Hepatitis C.
Abesifazane banamathuba amathathu kuya kwamane okuthola lesi simo kunabesilisa. Ngokuvamile sivame ukwenzeka kubantu abaneminyaka ephakathi kuka-30 no-70.
Yiziphi izinkinga ezingaba khona ze-OLP?
I-OLP ngokuvamile ayiyona ingozi, kodwa kunezinto ezimbalwa okufanele uziqaphele.
1. Ubunzima bokudla: Uma ubuhlungu bukwenza kube nzima ukudla, ngokuhamba kwesikhathi, ukwehla kwesisindo kanye nokuntuleka kokudla okunempilo kungase kwenzeke.
2. Ukutheleleka: Lapho kuvela izilonda emlonyeni, ingozi yokutheleleka ngamagciwane noma ngemvubelo (isb., i-thrush) iyanda.
3. Ingozi yomdlavuza womlomo: Lena yileyo abantu abaningi abayesabayo. Ucwaningo lukhombisile ukuthi iphesenti elincane kakhulu labantu abane-OLP, phakathi kuka-1% no-4%, basengozini yokuthola umdlavuza womlomo. Le ngozi iphakeme kancane kubantu abane-OLP egugulekayo (uhlobo olubuhlungu nolubangela izilonda).
Kodwa ungakhathazeki. Lokhu akusho ukuthi wonke umuntu one-OLP uzoba nomdlavuza. Kodwa-ke, kungenxa yale ngozi encane kakhulu ukuthi udokotela wakho uzokucela ukuthi uze uzohlolwa njalo . Phakathi nalokhu kuvakasha, uzohlola noma yiziphi izinguquko ezingaphambi komdlavuza emlonyeni wakho. Uma zitholakala kusenesikhathi, zingalapheka ngokuphelele.
Udokotela ukubona kanjani lokhu? Futhi yiziphi izindlela zokwelapha?
Uma uya kudokotela, uzohlola umlomo wakho ngokucophelela. Esikhathini esiningi, ungayibona i-OLP ngokushesha nje lapho ubona izimpawu. Kodwa-ke, ngezinye izikhathi, ukuqinisekisa ukuxilongwa nokususa ezinye izimo (njengokutheleleka kwemvubelo noma i-leukoplakia), ingcezu encane kakhulu yezicubu ezivela esilondeni ingathathwa ukuze ihlolwe (i-biopsy) .
Umgomo oyinhloko wokwelashwa ukunciphisa izimpawu nokukunikeza impumuzo. Uma ungenabo ubuhlungu noma ukungakhululeki, ungase ungadingi ukwelashwa.
Imithi
- Ama-Corticosteroids: Lawa asetshenziswa kakhulu. Angasetshenziswa njengejeli noma amafutha ezilonda. Uma lawa engalawuli isimo, anganikezwa futhi njengamaphilisi noma imijovo yomlomo. Lawa asebenza ngokulawula ukusebenza ngokweqile kwesimiso somzimba sokuzivikela kanye nokunciphisa ukuvuvukala.
- Ama-Calcineurin inhibitors: Uma ama-corticosteroids ehluleka ukusebenza, lolu hlobo lomuthi (olufana nokhilimu) lunganconywa.
- Ama-Painkiller: Ukuze ulawule ubuhlungu, unganikeza ama-painkiller ajwayelekile noma uketshezi oluqeda izinhlungu njenge-Lidocaine.
Izinto esingazenza ngokwethu (Izinguquko zendlela yokuphila)
Njengemithi, izinguquko ezincane ekuphileni kwethu kwansuku zonke zingasiza kakhulu ekulawuleni lezi zimpawu.
- Nciphisa ukudla okubabayo, okumuncu, okunosawoti, kanye nokudla okuqinile (isib. amabhisikidi, ama-chips) ngangokunokwenzeka.
- Yeka ukubhema nokuphuza utshwala ngokuphelele. Lokhu kucasula kakhulu ulwelwesi lwamafinyila emlonyeni wakho.
- Sebenzisa ibhulashi lamazinyo elithambile .
- Sebenzisa umuthi wokuxubha othambile ongenazo izinongo eziqinile (i-mint, isinamoni).
- Lawula ukucindezeleka . Izinto ezifana nokuzindla, i-yoga, kanye nokuzibandakanya nomsebenzi wokuzilibazisa owuthandayo kungaba usizo kakhulu.
- Uma usola ukuthi noma yimiphi imithi oyiphuzayo ibangela lesi simo, khuluma nodokotela wakho ngaso. Ungalokothi uyeke ukuthatha imithi ngaphandle kweseluleko sikadokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Oral Lichen Planus (OLP) yisimo esibangelwa inkinga ngesimiso somzimba sokuzivikela, hhayi isifo esithathelwanayo.
- Kunezinhlobo ezimbili eziyinhloko zalokhu: okungenabuhlungu (okuyi-Reticular) kanye nobuhlungu (okuguguleka).
- Nakuba kungelapheki ngokuphelele, izimpawu zingalawulwa kahle ngemithi kanye nokushintsha indlela yokuphila.
- Njengoba kunobungozi obuncane kakhulu bokuthola umdlavuza womlomo, kubalulekile ukuya kohlolwa njalo ngezikhathi ezithile, noma ngabe azikho izimpawu.
- Ukucindezeleka kuyisici esiyinhloko esenza lesi simo sibe sibi kakhulu. Ngakho-ke, kubaluleke kakhulu ukuzama ukugcina ingqondo yakho ikhululekile.
- Uma ubona noma yini engavamile emlonyeni wakho, ungesabi bese ubona udokotela ukuze akunike iseluleko.
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