Ingabe unamabala amhlophe emlonyeni wakho? Ingabe kuyabuhlungu? Ake sifunde nge-(Oral Lichen Planus)!

Wake wazibuka esibukweni wabona iphethini emhlophe, efana newebhu noma amabala amhlophe emlonyeni wakho, ngaphakathi kwezihlathi zakho, noma olimini lwakho? Ngezinye izikhathi ungase uzwe umuzwa oshisayo noma ubuhlungu lapho udla noma uxubha amazinyo akho. Lezi ezinye zezimpawu zesimo esizokhuluma ngaso namuhla, esibizwa ngokuthi `(Oral Lichen Planus)`. Ungakhathazeki, lesi akusona isifo esiyingozi, futhi asithelelani. Kodwa-ke, kubaluleke kakhulu ukuqaphela lokhu.

Kuyini `(Oral Lichen Planus)`? Ake sikuqonde kalula!

Kalula nje, i-Oral Lichen Planus yisimo lapho isikhumba esibucayi ngaphakathi komlomo wakho, esibizwa ngokuthi i-mucosa, sivuvukala noma sivuvukala. Ngokuvamile, ukuvuvukala kwenzeka noma kuphi emizimbeni yethu ukuze kusisize siphilise. Kodwa ku-Oral Lichen Planus, ngesizathu esingaziwa, amasosha ethu omzimba ahlasela la ma-membrane athambile angaphakathi komlomo wethu. Kufana nebutho lethu elihlasela amasosha ethu.

Lesi akusona isifo esiyingozi . Futhi asidluliselwa kusuka komunye umuntu kuya komunye . Ngakho-ke noma ngabe unalesi simo, ungesabi ukuthi uzothelela umndeni wakho noma abangani bakho. Kodwa-ke, lokhu kungabangela amabala ahlukahlukene, amabala, futhi ngezinye izikhathi ngisho namanxeba emlonyeni. Kungabangela nobuhlungu emlonyeni.

Into ebaluleke kakhulu ukubona udokotela wamazinyo uma unalezi zimpawu. Nakuba kungekho ukwelashwa kwe-Oral Lichen Planus, kunezindlela zokwelapha ezingasiza ekulawuleni izimpawu futhi zinikeze impumuzo.

Kunezinhlobo ezimbili eziyinhloko ze-`(Oral Lichen Planus)`

Ake sibone ukuthi ziyini lezi zinhlobo ezimbili. Izimpawu zalezi ezimbili zihlukile kancane.

1. I-Reticular Oral Lichen Planus

Lolu uhlobo oluvame kakhulu nolungabi kakhulu lwe-Oral Lichen Planus. Luhlanganisa:

• Ngaphakathi komlomo, ikakhulukazi ngaphakathi kwezihlathi kanye nolimi, kungase kube namaphethini amhlophe, afana newebhu noma imigqa efana nentambo .
• Lolu hlobo aluvamile ukuba buhlungu . Ungase ungazi nokuthi unalo, futhi lutholakala kuphela uma udokotela ehlola umlomo wakho.

2. I-Oral Lichen Planus Egugulekayo

Lolu uhlobo olubi kakhulu lwe-`(Oral Lichen Planus)`. Nazi ezinye izinto ezingenzeka:

• Izinsini zibomvu ngokugqamile, zivuvukele, futhi zibukeka zilimele .
• Ungase uzwe ubuhlungu obukhulu lapho udla, uphuza, noma uxubha amazinyo akho .
• Izilonda zingavela endaweni eyodwa noma ngaphezulu emlonyeni. Lezi zilonda yizo ezibangela ubuhlungu obukhulu.

Cabanga nje, uma udla into ebabayo, umlomo wakho uzizwa sengathi uyasha. Lolo hlobo lokusha okukhulu kanye nobuhlungu bungaba khona kulolu hlobo lokuguguleka.

Ziyini izimpawu ze-`(Oral Lichen Planus)`?

Izimpawu ziyahlukahluka kuye ngokuthi hlobo luni lwe-Oral Lichen Planus onalo. Esikhathini esiningi, lezi zimpawu zingase zivele ngokuzumayo futhi ziphele zodwa zingakapheli izinsuku ezimbalwa, noma zingase zibe ngcono ngokwelashwa. Ake sibheke ezinye zezimpawu ezivame kakhulu:

• Amaphethini noma imicu emhlophe efana nolwembu lwesicabucabu ngaphakathi kwezihlathi noma olimini.
• Amabala amhlophe noma amabala olimini noma ezinsinini.
• Izilonda ezinsinini, olimini, noma elwangeni.
• Izinsini ziba bomvu ngokugqamile futhi zivuvuke.
• Ubuhlungu obuncane kuya kobunzima . Lobuhlungu bungakhula, ikakhulukazi uma uxubha amazinyo akho noma uma udla ukudla okubabayo, okumuncu, okunosawoti, noma okuqinile. Isibonelo, ukudla ama-pickle ambalwa noma ukugcoba isosi encane katamatisi emlonyeni wakho kungabangela umuzwa wokushisa.

Abanye abantu bangase babe ne-oral lichen planus, isimo sesikhumba esibangela amabhamuza abomvu nalumayo ezingxenyeni ezithile zomzimba, okuhlanganisa nezitho zangasese kanye nesikhumba sekhanda.

Kungani lokhu `(Oral Lichen Planus)` kwenzeka? Ziyini izimbangela?

Eqinisweni, odokotela abakakatholi ukuthi yini ngempela ebangela i-Oral Lichen Planus. Kodwa into eyodwa icacile: ihlobene nesistimu yakho yomzimba .

Ngokuvamile, amangqamuzana asohlelweni lwethu lokuzivikela komzimba ('amangqamuzana omzimba') alwa nezinto eziyingozi, njengamagciwane, futhi asivikele ezifweni. Kodwa ku-"(Oral Lichen Planus)`, lawa mangqamuzana omzimba ahlasela ngephutha izicubu ezinempilo ezingaphakathi kwemilomo yethu . Kufana nokuzivikela komzimba okucabanga ukuthi kuyizitha bese kuhlasela ezawo.

Lesi simo sitholakale sivame kakhulu kubantu abasebenzisa imithi ethile. Isibonelo:

• Imithi yokulwa nesikhunta
• Ama-antiparasitic
• Imithi yokulwa nokuquleka
• Eminye imithi yokwelapha umfutho wegazi ophakeme, isibonelo `(ama-Beta-blockers)`
• Imithi yokuhlanza
• Iziqeda-zinhlungu kanye nemithi yokulwa nokuvuvukala (imithi yokulwa nokuvuvukala engeyona eye-steroidal - ama-NSAID)

Kungabonakala nakubantu abanezinye izifo ezithile. Izibonelo:

• I-Hepatitis B
• I-Hepatitis C
• I-Human papillomavirus (HPV)
• I-cirrhosis ye-biliary eyinhloko

Kodwa-ke, kudingeka ucwaningo olwengeziwe ukuze kutholakale ubudlelwano phakathi kwale mithi nezifo kanye ne-Oral Lichen Planus. Ngakho-ke, akunakuphethwa ngokuthi uma uthatha le mithi noma unalezi zifo, uzoba ne-Oral Lichen Planus.

Yiziphi izinto ezibangela ukuthi i-`(Oral Lichen Planus)` iqhume?

Abantu abaningi abane-Oral Lichen Planus (OLP) babhekana nokuqhuma kanye nokuqhuma kwezimpawu zabo. Lokhu kubizwa ngokuthi izimbangela. Akuwona wonke umuntu othintwa yizimbangela ezifanayo, futhi zingahluka kumuntu nomuntu. Nazi ezinye zezimbangela ezivamile:

• Ukusabela kokungezwani komzimba: Okunye ukudla (isib. ukudla okubabayo, izithelo ezithile), umuthi wokuxubha amazinyo, i-dental floss, kanye nokugcwalisa amazinyo kungabangela ukungezwani komzimba futhi kube kubi kakhulu.
• Izinkinga zamazinyo: Izinto ezifana namazinyo angalingani kahle, amazinyo abukhali, noma isethi yamazinyo angalingani kahle emlonyeni kungabangela izilonda ezivame ukungena emlonyeni futhi kubangele ukwanda kwe-Oral Lichen Planus.
• Imithi ethile: Njengoba kushiwo ngaphambili, imithi ethile ingenza lesi simo sibe sibi kakhulu.
• Ukulimala komlomo: Izinto ezifana nokuluma isihlathi sakho ngengozi noma ukulimala ngenkathi uxubha amazinyo akho kanzima kakhulu.
• Ukutheleleka komlomo: Ukutheleleka ngamagciwane noma ngesikhunta.
• Ukucindezeleka noma ukukhathazeka: Lesi yimbangela enkulu ethinta abantu abaningi. Abantu abaningi bathi lapho ukucindezeleka kwengqondo kukhuphuka, izimpawu ze-Oral Lichen Planus nazo ziyanda.

Ubani onamathuba amaningi okuthola i-"Oral Lichen Planus"? (Izici Eziyingozi)

• Abesifazane banamathuba amathathu kuya kwamane okuthola lesi simo kunabesilisa.
• Nakuba ingakhula kunoma yimuphi ubudala, ivame ukubonakala kubantu abaneminyaka ephakathi kuka-30 no-70 .

Izinkinga ezingase zivele ngenxa ye-`(Oral Lichen Planus)`

I-Oral Lichen Planus ingabangela ubuhlungu lapho idla, ngakho abanye abantu banciphisa ukudla kwabo noma bangayidli. Lokhu kungaholela ekwehleni kwesisindo . Futhi, ngenxa yokuthi ulwelwesi lwamafinyila ngaphakathi emlonyeni lonakele, kunethuba elikhulu lokutheleleka ngemvubelo kanye namagciwane .

Manje, ngizosho into okufanele ithathwe ngokucophelela. Ucwaningo lukhombisile ukuthi phakathi kuka-1% no-4% wabantu abane-Oral Lichen Planus bangaba nomdlavuza womlomo . Le ngozi iphezulu kakhulu kulabo abanohlobo olubi kakhulu, i-Erosive Oral Lichen Planus, okukhulunywe ngayo ngaphambili.

Kodwa ungakhathazeki! Lokhu akusho ukuthi wonke umuntu one-Oral Lichen Planus uzoba nomdlavuza. Ucwaningo lusaqhubeka ukuze kutholakale ukuthi kungani abanye abantu kuphela abawutholayo. Into ebaluleke kakhulu ukuthi udokotela wakho ahlole umlomo wakho njalo ukuze ahlole izinguquko ezingaphambi komdlavuza. Ngoba umdlavuza womlomo, uma utholakala kusenesikhathi, welapheka ngokuphelele .

Odokotela basithola kanjani lesi sifo?

Udokotela angabheka ngaphakathi emlonyeni wakho abheke izimpawu zakho ukuze abone ukuthi une-Oral Lichen Planus. Ngokuvamile, kuthathwa ingcezu encane yezicubu emlonyeni wakho ukuze ihlolwe ukuqinisekisa ukuxilongwa nokukhipha ezinye izimo (ezifana nokutheleleka kwesikhunta noma ezinye izimo ezibangela amabala amhlophe, njenge-Leukoplakia). Lokhu kubizwa ngokuthi i-biopsy. Lena inqubo encane futhi akuyona into okufanele ukhathazeke ngayo.

Yiziphi izindlela zokwelapha `(Oral Lichen Planus)`?

Umgomo oyinhloko wokwelapha i-Oral Lichen Planus ukunciphisa izimpawu nokuvimbela ukuthi zingabi zimbi kakhulu . Lokhu kusho ukuthi uma ungenazo izimpawu, njengobuhlungu noma ukuvuvukala, ungase ungadingi ukwelashwa.

Ukwelashwa kuvame ukuhilela inhlanganisela yemithi kanye nokushintsha kwendlela yokuphila (ukugwema izinto ezibangela lokhu).

Imithi

Uma unezimpawu, udokotela wakho cishe uzokunikeza imithi. Eminye imithi isebenza ngokuthulisa amasosha omzimba wakho nokunciphisa ukuvuvukala emlonyeni wakho. Eminye ingasiza ekunciphiseni ubuhlungu. Ake sibheke ukuthi iyini le mithi:

• Ama-Corticosteroids: Lawa asetshenziswa kakhulu. Angasetshenziswa njengejeli noma ukhilimu endaweni ethintekile. Uma lokho kungasebenzi, anganikezwa njengomjovo noma njengephilisi ukuze aphuzwe ngomlomo . Lawa anciphisa ngokushesha ukuvuvukala nobuhlungu.
• Ama-Calcineurin inhibitors: Le mithi inganikezwa abantu abangasabeli kahle kuma-corticosteroids. Ivame ukunikezwa njengokhilimu osetshenziswa endaweni ethintekile.
• Imithi yokunciphisa ubuhlungu: Imithi yokunciphisa ubuhlungu efana ne-Paracetamol, evame ukutholakala ekhemisi, ingasiza ekunciphiseni ubuhlungu obubangelwa yi-Oral Lichen Planus. Ngezinye izikhathi, uma ubuhlungu bukhulu, imithi eqeda izinhlungu efana ne-Lidocaine inganikezwa.

Izinguquko zendlela yokuphila

Ukwenza izinguquko ezincane endleleni yakho yansuku zonke kungasiza kakhulu ekuvimbeleni ukuqubuka kwesifo. Akuwona wonke umuntu onezimbangela ezifanayo, kodwa kubantu abaningi, lezi zinto ziyasiza:

• Nciphisa ukudla kwakho okumuncu, okubabayo, okuqhotsile, nokunosawoti ngangokunokwenzeka. Isibonelo, ama-pickle, ukudla okune-lime noma uviniga, ama-chips, kanye nokudla okunopelepele oshisayo.
• Yeka ngokuphelele ukuphuza utshwala nokusebenzisa imikhiqizo kagwayi (njengogwayi kanye nogwayi ohlafunwayo) . Lokhu kungalimaza kakhulu ulwelwesi oluthambile emlonyeni wakho.
• Sebenzisa ibhulashi lamazinyo elithambile . Noma, uma unebhulashi lamazinyo likagesi, lisebenzise ngesivinini esiphansi kakhulu.
• I-toothpaste ethambile, engenaphunga kanye ne-dental flossSebenzisa amazinyo okuxubha aqukethe ukunambitheka okunamandla njenge-mint nesinamoni, kanti amazinyo okuxubha aqukethe i-Sodium Lauryl Sulfate (SLS) angaba yingozi.
• Zijwayeze amasu okulawula ukucindezeleka nsuku zonke. Izinto ezifana nokuzindla, i-yoga, kanye nokuzivocavoca kokuphefumula kungasiza.
• Uma kunemithi ocabanga ukuthi ikhulisa izimpawu zakho, khuluma nodokotela wakho ngayo bese uyishintsha uma kudingeka.

Okubalulekile: Ungayeki nje ukuthatha noma yimuphi umuthi owuthathayo njengamanje. Khuluma nodokotela wakho njalo bese ulandela imiyalelo yakhe ngaphambi kokuyeka.

Kuthatha isikhathi esingakanani ukululama? (Isikhathi sokululama)

Abantu abaningi baqaphela ukwehla okukhulu kwezimpawu zingakapheli inyanga beqale ukusebenzisa ukhilimu we-corticosteroid osetshenziswa endaweni ethintekile. Ngomjovo, kungathatha ukwelashwa okubili kuya kwezintathu ukuze kubonakale intuthuko. Ngamaphilisi, kungathatha amasonto ambalwa.

Kuye ngokuthi umuthi owunikezwe wona ungakanani, udokotela wakho angase anciphise kancane kancane umthamo. Lokhu kwenzelwa ukunciphisa ingozi yemiphumela emibi.

Kufanele ngimbone nini udokotela?

Uma usuthole ukuthi une-Oral Lichen Planus, kubalulekile ukubona udokotela wakho ukuze ahlolwe njalo . Lokhu kubalulekile noma ngabe awunazo izimpawu. Lokhu kuhlolwa kubaluleke kakhulu ukuze kuhlolwe noma yiziphi izimpawu zezinguquko zangaphambi komdlavuza okukhulunywe ngazo ekuqaleni. Ungadinga futhi ukuhlanzwa kwamazinyo njalo ukuze ugcine impilo yomlomo enhle.

Uma uzizwa sengathi izimpawu zakho ziya ziba zimbi ngokuzumayo, noma uqhuma, yazisa udokotela wakho ngokushesha ukuze baqale ukwelashwa okuzokulethela impumuzo.

Yini okufanele ngiyilindele njengomuntu one-`(Oral Lichen Planus)`?

I-Oral Lichen Planus akuyona inkinga engelapheka ngokuphelele . Lokhu kusho ukuthi iyisifo esingamahlalakhona. Kodwa lokho akusho ukuthi kufanele uphile nobuhlungu nokungakhululeki ngaso sonke isikhathi. Abantu abaningi banezikhathi zokuqhuma kwesikhumba kanye nezikhathi zokululama.

Futhi, akubona bonke abantu abafanayo. Abanye abantu bangase babe namabala amancane kuphela angenabuhlungu futhi angadingi ukwelashwa. Abanye kungadingeka basebenzise imithi enzima ukuze bathole impumuzo.

Udokotela wakho uzochaza ngokuningiliziwe ukuthi yini ongayilindela ngokusekelwe ezimpawini zakho.

Yini enye engingayenza ukuze ngizizwe ngingcono?

Uma uphila nesifo esingamahlalakhona esinjengalesi, ukusilawula kungaba yinto ekucindezelayo ngezinye izikhathi. Uma uzizwa ngale ndlela, ukukhuluma nodokotela wezifo zengqondo kungasiza.Kungaba usizo kakhulu. Ukucindezeleka kuyisisusa esikhulu se-Oral Lichen Planus, ngakho-ke kubalulekile ukuhlala uzolile. Ungalokothi unqikaze ukucela usizo oludingayo.

Yiziphi ezinye izimo ezingaphambaniswa ne-"Oral Lichen Planus"?

I-Oral Lichen Planus ngezinye izikhathi ingadidaniswa nokutheleleka kwemvubelo emlonyeni (okubizwa ngokuthi i-thrush) noma ne-Leukoplakia (esinye isimo esibangela amabala amhlophe emlonyeni). Nakuba zonke lezi zimo ezintathu zibangela amabala amhlophe emlonyeni, zinezimbangela ezahlukene kanye nokwelashwa okuhlukile. Yingakho kubalulekile ukuthola ukuhlolwa okufanele kanye nokuxilongwa kudokotela.

Ungase uqale ufunde nge-Oral Lichen Planus ngenxa yendlela engavamile, efana newebhu oyibona emlonyeni wakho uma uzibuka esibukweni. Noma kungase kube ngenxa yomuzwa oshisayo ezinsinini zakho lapho udla. Okuhlangenwe nakho kuhlukile kumuntu ngamunye. Futhi ukwelashwa okungcono kakhulu kuhlukile kumuntu ngamunye.

Kodwa-ke, khumbula ukuthi i-Oral Lichen Planus yisimo esingaphathwa kahle ngosizo lukadokotela wamazinyo. Kungathatha isikhathi ukuthola inhlanganisela efanele yemithi kanye nezinguquko zendlela yokuphila. Kodwa udokotela wamazinyo wakho angakusiza ukuthola uhlelo lokwelashwa olufanele kuwe.

Izinto ezibalulekile okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho ake sikukhumbuze futhi ngezinye zezinto esixoxe ngazo:

• I-Oral Lichen Planus ukuvuvukala okungathelelani, okubangelwa amasosha omzimba okwenzeka ngaphakathi emlonyeni.
• Izimpawu zingase zihlanganise amabala amhlophe, iphethini yenethiwekhi, izinsini ezibomvu, ubuhlungu, kanye nezilonda.
• Nakuba imbangela eqondile ingaziwa , ingabhebhethekiswa yizinto ezifana nokucindezeleka, imithi ethile, kanye nokungezwani komzimba.
• Nakuba kungekho ukwelashwa okuphelele, kunezindlela zokwelapha ezinhle zokulawula izimpawu .
• Kubaluleke kakhulu ukuhlolwa kwamazinyo njalo , ikakhulukazi ukuqaphela ingozi yomdlavuza womlomo.
• Ukushintsha indlela yokuphila elula (ukudla, ukuxubha amazinyo, ukulawula ukucindezeleka) kunganikeza impumuzo enkulu.
• Ungesabi, kodwa qaphela . Ungabhekana nalesi simo kahle nodokotela wakho.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela wakho. Hlala uphilile!

` I-oral lichen planus, izilonda zomlomo, izifo zomlomo, amabala amhlophe, ukuvuvukala, isimiso somzimba sokuzivikela, impilo yamazinyo