Lichen Sclerosus

ʻO ka maʻi lichen sclerosus (LIE-kun skluh-ROW-sus) kahi kūlana e hoʻopilikia ai i ka ʻili palahalaha, ʻālohilohi ʻole, a lahilahi hoʻi. Hoʻopili pinepine ʻia ia i nā wahi genital a me nā anal.

Hiki i kekahi ke loaʻa i ka maʻi lichen sclerosus, akā ʻoi aku ka nui o ka pilikia o nā wāhine ma hope o ka menopause. ʻAʻole ia he mea hoʻopili a ʻaʻole hiki ke pālahalaha ma o ka pilina moekolohe.

ʻO ka lapaʻau maʻamau kahi poni lāʻau lapaʻau. Kūleʻa kēia lapaʻau i ka hoʻi ʻana o ka ʻili i kona kala maʻamau a hoʻemi i ka pilikia o ka ʻeha. ʻOiai inā māʻemaʻe kou mau hōʻailona, ​​e hoʻi hou mai lākou. No laila, pono paha ʻoe i ka mālama mālama lōʻihi.

Hiki ke loaʻa ka maʻi lichen sclerosus māmā me ka ʻole o nā hōʻailona. I ka wā e loaʻa ai nā hōʻailona, maʻamau lākou e pili ana i ka ʻili o nā wahi genital a me ka anal. Hiki nō hoʻi ke pilikia ke kua, nā poʻohiwi, nā lima luna a me nā umauma. ʻO nā hōʻailona paha: Nā ʻāpana ʻili palupalu i loli ke kala Nā ʻāpana ʻili palupalu, ʻōwili Ka ʻiliʻili Ka ʻeha a i ʻole ka manaʻo puhi Ka maʻalahi o ka ʻūhū Ka ʻili nāwaliwali Loli i loko o ka paipa no ke kahe o ka mimi (urethra) Ke kahe koko, nā ʻōpala a i ʻole nā ʻōpala wehe Ka moekolohe ʻeha E ʻike i kāu mea lawelawe ola inā loaʻa iā ʻoe nā hōʻailona o ka lichen sclerosus. Inā ua ʻike mua ʻia ʻoe me ka lichen sclerosus, e ʻike i kāu mea lawelawe ola i kēlā me kēia mahina 6 a 12 paha. He mea nui kēia mau kipa e nānā i nā loli o ka ʻili a i ʻole nā hopena o ka lāʻau.

E ʻike i kāu mea mālama ola inā loaʻa iā ʻoe nā hōʻailona o ka lichen sclerosus. Inā ua ʻike mua ʻia ʻoe me ka lichen sclerosus, e ʻike i kāu mea mālama ola i kēlā me kēia mahina 6 a 12 paha. He mea nui kēia mau kipa e nānā i kekahi mau loli o ka ʻili a i ʻole nā hopena o ka lāʻau.

ʻAʻole maopopo ka kumu kikoʻī o ka maʻi lichen sclerosus. He mea paha ia i hui pū ʻia me nā mea ʻē aʻe, e like me ka hoʻoikaika nui ʻana o ke ʻōnaehana pale kino, kou ʻano genetic, a me ka hōʻino ʻana a i ʻole ka huhū ʻana o ka ʻili ma mua.

ʻAʻole pilikia ka maʻi lichen sclerosus a ʻaʻole hiki ke pālahalaha ma o ka pilina moekolohe.

Hiki i kekahi ke loaʻa i ka lichen sclerosus, akā, ʻoi aku ka nui o ka pilikia no:

• Nā wāhine ma hope o ka menopause
• Nā keiki ma lalo o 10 mau makahiki
• Nā wāhine i loaʻa kekahi maʻi autoimmune ʻē aʻe, e like me ke ʻano o ka hana haʻahaʻa o ka thyroid (hypothyroidism)
• Nā kāne me ka incontinence urinary a i ʻole ka penis i ʻoki ʻole ʻia
• Nā kānaka me ka mōʻaukala ʻohana o ka maʻi

ʻO nā pilikia o ka maʻi lichen sclerosus ka moekolohe ʻeha a me ka ʻili ʻino, me ka uhi ʻana o ka clitoris. Hiki i ka ʻili ʻino o ka penis ke hoʻokumu i ka erection ʻeha, ka kahe maikaʻi ʻole o ka mimi a me ka hiki ʻole ke huki i ka foreskin.

Loaʻa i nā kānaka me ka maʻi lichen sclerosus vulvar kahi pilikia nui o ka maʻi squamous cell carcinoma.

I nā keiki, he pilikia maʻamau ka constipation.

Hiki i kāu mea lawelawe ola ke ʻike i ka maʻi lichen sclerosus ma ke nānā ʻana i ka ʻili i pilikia. Pono paha ʻoe i ka biopsy e kāpae i ka maʻi kanesa. Pono paha ʻoe i ka biopsy inā ʻaʻole pane kou ʻili i nā ʻaila steroid. Hoʻopili ka biopsy i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo i pilikia no ka nānā ʻana ma lalo o ka microscope.

Hiki paha ke kuhikuhi ʻia ʻoe i nā poʻe loea i nā kūlana ʻili (dermatologist), ka ʻōnaehana hoʻohua wahine (gynecologist), urology a me ka lāʻau lapaʻau ʻeha.