Lichen Planus

ʻO ka maʻi ʻili lichen planus (LIE-kun PLAY-nus) kahi maʻi e pili ana i ka ʻili, ka lauoho, nā kui, ka waha a me nā ʻano kino. Ma ka ʻili, pinepine ka lichen planus e like me nā ʻōpuʻu ʻulaʻula, wiliwili, pālahalaha e ulu ana i loko o kekahi mau pule. I loko o ka waha a me ka mucosa genital, hana ka lichen planus i nā ʻāpana keʻokeʻo lace, i kekahi manawa me nā ʻeha ʻeha.

ʻAʻole pono paha ka mālama ʻana i ka lichen planus māmā o ka ʻili. Inā hoʻoulu ka maʻi i ka ʻeha a i ʻole ka wiliwili nui, pono paha ʻoe i ka lāʻau lapaʻau.

Hōʻike nā hōʻailona o ka maʻi lichen planus e like me kahi o ke kino i pilikia. Hoʻopili pinepine ka maʻi kui i nā kui he nui. ʻO nā hōʻailona e komo pū ana: Nā ʻōpuʻu poni, ʻālohilohi, pālahalaha, pinepine ma nā lima mua, nā pulso a i ʻole nā ​​kuʻekuʻe wāwae. Nā laina o ka ʻili ma kahi i kāwili ʻia ai ka ʻili. Nā ʻāpana keʻokeʻo lace ma ka alelo a i ʻole loko o nā papalina. Ke kuni. Nā ʻeha ʻeha ma ka waha a i ʻole nā ​​ʻano genital. I nā manawa kūikawā, ka nalowale o ka lauoho. Ka hōʻino ʻana a i ʻole ka nalowale ʻana o ka kui. Nā laina ʻeleʻele mai ka piko o ka kui a i ke kumu. E ʻike i kāu mea lawelawe ola inā ʻike ʻia nā ʻōpuʻu liʻiliʻi a i ʻole ka ʻili ma kou ʻili no ke kumu ʻike ʻole ʻia, e like me ka hoʻopili ʻana me ka poison ivy. E ʻike pū i kāu mea lawelawe ola inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana i ka lichen planus o ka waha, nā ʻano genital, ke poʻo a i ʻole nā ​​kui. ʻOi aku ka maikaʻi ke kiʻi i kahi ʻike pololei a pololei no ka mea he nui nā kūlana o ka ʻili a me nā membrane mucous e hiki ke hoʻokumu i nā ʻeha a me ka ʻeha.

E ʻike i kāu mea lawelawe ola kino inā ʻike ʻia nā ʻōpuʻu liʻiliʻi a i ʻole ka ʻili ma kou ʻili me ke kumu ʻike ʻole ʻia, e like me ka hoʻopā ʻana i ka poison ivy. E ʻike pū i kāu mea lawelawe ola kino inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana i ka lichen planus o ka waha, nā ʻano kino, ke poʻo a i ʻole nā ​​kui. ʻOi aku ka maikaʻi ke kiʻi i kahi ʻike pololei a pololei no ka mea he nui nā ʻano o ka ʻili a me nā membrane mucous e hiki ke hoʻokumu i nā ʻeha a me ka ʻeha.

ʻO ke kumu o ka maʻi lichen planus paha e pili ana i ka hoʻouka ʻana o ka ʻōnaehana pale kino i nā sela o ka ʻili a i ʻole nā ​​membrane mucous. ʻAʻole maopopo ke kumu o kēia pane pale kino kūpono ʻole. ʻAʻole hoʻomaʻi kēia maʻi.

Hiki ke hoʻoulu ʻia ka lichen planus e:

• Ka maʻi Hepatitis C.
• Nā lāʻau ʻeha a me nā lāʻau lapaʻau ʻē aʻe.
• Kahi pane ʻala i ka metala i loko o nā hoʻopiha niho.

Hiki i kekahi ke loaʻa i ka maʻi lichen planus. ʻOi aku ka pinepine o kona hopena i nā mākua o ka makahiki waena. ʻOi aku ka nui o ka maʻi lichen planus i loko o ka waha i nā wāhine ma mua o nā kāne.

Hiki ke paʻakikī ka mālama ʻana i ka lichen planus ma ka vulva a me loko o ka vagina. Hiki iā ia ke hana i ka ʻili ʻeha a me ka ʻeha nui. Hiki i nā ʻeha ma nā ʻano wahine ke hana i ka moekolohe ʻeha.

Hiki paha i ka ʻili a me nā kui i pilikia ke noho ʻeleʻele iki ʻoiai ma hope o ka ho'ōla.

Hiki i nā ʻeha waha ke hoʻopilikia i kou hiki ke ʻai. Hoʻonui ka lichen planus waha i ka pilikia o ka maʻi kanesa waha. ʻAʻole pinepine, pilikia ka lichen planus i ka ʻauwaʻa pepeiao. Inā waiho ʻole ʻia, hiki iā ia ke alakaʻi i ka nalowale o ka lohe.

No ka loaʻa ʻana o ke kumu o kou maʻi, e kamaʻilio paha kāu mea lawelawe ola kino me ʻoe e pili ana i kou mau hōʻailona a me ka mōʻaukala lapaʻau a hana i kahi hoʻokolokolo kino. Pono paha ʻoe i kekahi mau hoʻokolohua. Loaʻa paha kēia mau mea:

• Biopsy. E wehe kāu mea lawelawe ola kino i kahi ʻāpana liʻiliʻi o ka ʻiʻo i hoʻopilikia ʻia no ka nānā ʻana ma kahi hale hana. E nānā ʻia ka ʻiʻo e ʻike inā loaʻa iā ia nā ʻano kelepona maʻamau o ka lichen planus.
• Nā hoʻokolohua koko. Loaʻa paha iā ʻoe kāu koko i huki ʻia e hoʻokolohua no nā pilikia olakino e pili ana i ka lichen planus. No ka laʻana, ka hepatitis C.

Inā ʻaʻohe ou ʻeha a i ʻole ka ʻoluʻolu ʻole, ʻaʻole paha ʻoe e pono i kahi lāʻau lapaʻau. Hoʻomaʻemaʻe pinepine ka lichen planus ma ka ʻili iā ia iho i loko o nā mahina a i nā makahiki. Hiki i nā lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe ke kōkua i ka hoʻomaha ʻana i ka ʻiliʻili, ka hoʻomaha ʻana i ka ʻeha a me ka wikiwiki ʻana i ka ho'ōla. E kamaʻilio me kāu mea lawelawe ola e kaupaona i nā pono a me nā hemahema o nā koho lapaʻau. Pono paha ʻoe i kahi ala ʻoi aku ma mua o hoʻokahi e kaohi i kou mau hōʻailona. Inā pili ka maʻi i kou mau membrane mucous a me nā kui, ʻoi aku ka paʻakikī o ka mālama ʻana. ʻOiai inā hana ka lāʻau lapaʻau, hiki ke hoʻi hou nā hōʻailona. E pono paha ʻoe e kipa aku i kāu mea lawelawe ola no ka mālama hoʻomau ma ka liʻiliʻi hoʻokahi manawa i ka makahiki. Corticosteroids Pinepine, ʻo ka koho mua no ka mālama ʻana i ka lichen planus o ka ʻili kahi ʻano corticosteroid cream a i ʻole ka poni. Hiki i kēia ke kōkua i ka hoʻomaha ʻana i ka ʻeha, ka pehu a me ka mumū. Inā ʻaʻole kōkua kahi corticosteroid topical a nui a laha paha kou kūlana, hiki i kāu mea lawelawe ola ke manaʻo i nā pīlali corticosteroid a i ʻole nā ​​injections. Hoʻololi nā hopena ʻaoʻao, ma muli o ke ʻano o ka hoʻohana ʻana. Mālama nā Corticosteroids i ka wā e hoʻohana ʻia e like me ke kuhikuhi ʻia. Nā lāʻau lapaʻau anti-infection Oral ʻO nā lāʻau lapaʻau waha ʻē aʻe i hoʻohana ʻia no ka lichen planus ʻo ia ka antimalarial hydroxychloroquine (Plaquenil) a me ka antibiotic metronidazole (Flagyl, nā mea ʻē aʻe). Nā lāʻau lapaʻau pane ʻōnaehana No nā hōʻailona ʻoi aku ka nui, pono paha ʻoe i ka lāʻau lapaʻau i kauoha ʻia e hoʻololi i ka pane o kou kino. Ua hoʻohana ʻia nā lāʻau lapaʻau aʻe me kekahi holomua akā pono ke aʻo hou aku: cyclosporine (Sandimmune). Azathioprine (Azasan). methotrexate (Trexall). mycophenolate (Cellcept). sulfasalazine. thalidomide (Thalomid). Antihistamines Hiki i kahi lāʻau lapaʻau antihistamine i lawe ʻia ma ka waha ke hoʻomaha i ka ʻili ʻili i hana ʻia e ka lichen planus. Mālama māmā Hiki i ka mālama māmā ke kōkua i ka hoʻomaʻemaʻe ʻana i ka lichen planus e pili ana i ka ʻili. Ke kapa ʻia nei kēia ala he phototherapy. Hoʻokahi ʻano e pili ana i ka hōʻike ʻana i ka ʻili i hoʻopilikia ʻia i ka ultraviolet B māmā 2 a 3 mau manawa i ka hebedoma no kekahi mau hebedoma. ʻO kahi hopena ʻaoʻao hiki ke loli mau i ka kala o ka ʻili (postinflammatory hyperpigmentation) ʻoiai ma hope o ka hoʻōla ʻana o ka ʻili. Retinoids Hiki i kāu mea lawelawe ola ke kauoha i kahi lāʻau lapaʻau retinoid i lawe ʻia ma ka waha a i ʻole i hoʻopili ʻia i ka ʻili. Hoʻokahi laʻana ʻo acitretin. Hiki i nā Retinoids ke hana i nā hemahema hānau, no laila ʻaʻole kēia ʻano lāʻau lapaʻau no nā poʻe hāpai a i ʻole e hāpai paha. Inā hāpai ʻoe a hānai paha, hiki i kāu mea lawelawe ola ke manaʻo e hoʻokaʻulua ʻoe i ka mālama ʻana a i ʻole ke koho i kahi mālama ʻē aʻe. Ke hana nei me nā mea hoʻonāukiuki Inā manaʻo kāu mea lawelawe ola ua pili kāu lichen planus i kahi maʻi, nā allergies, kahi lāʻau lapaʻau āu e lawe ai a i ʻole kekahi mea hoʻonāukiuki ʻē aʻe, pono paha ʻoe i kahi mālama ʻē aʻe a i ʻole nā ​​hoʻokolohua e hoʻoponopono i kēlā. No ka laʻana, pono paha ʻoe e hoʻololi i ka lāʻau lapaʻau a i ʻole hiki i kāu mea lawelawe ola ke manaʻo i nā hoʻokolohua hou aku no nā mea hoʻonāukiuki. ʻIke hou aku Photodynamic therapy Noi i kahi kūkā