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Lichen Planus Waha

Nānaina

ʻO kēia ʻāpana keʻokeʻo, e like me ka lei, ma ka ʻili o loko o ka papalina, he mea maʻamau ia no ka lichen planus waha.

ʻO ka lichen planus waha (LIE-kun PLAY-nus) kahi kūlana mumū mau e pili ana i nā membrane mucous i loko o ka waha. Aia kekahi mau ʻano like ʻole o ka lichen planus e pili ana i ka waha, akā ʻo nā ʻano nui ʻelua:

  • Reticular. Hōʻike kēia ʻano ma ke ʻano he mau ʻāpana keʻokeʻo i loko o ka waha a hiki ke nānā aku i ka lei. ʻO ia ka ʻano maʻamau loa o ka lichen planus waha. ʻAʻole ia he mau hōʻailona pili. A ʻaʻole pono ia i ka lāʻau lapaʻau a alakaʻi paha i nā pilikia nui.
  • Erosive. Hōʻike kēia ʻano ma ke ʻano he mau pūnaewele ʻulaʻula, pehu a i ʻole nā ​​ʻeha hāmama. Hiki iā ia ke hana i kahi manaʻo puhi a i ʻole ka ʻeha. Pono kahi loea mālama ola e nānā mau i ka lichen planus waha erosive no ka mea hiki iā ia ke alakaʻi i ka maʻi kanesa waha.

ʻAʻole hiki ke hoʻoili ʻia ka lichen planus waha mai ke kanaka i ke kanaka. E kū ana ke kūlana i ka wā e hoʻouka ai ka ʻōnaehana pale i nā sela o nā membrane mucous waha no nā kumu i ʻike ʻole ʻia.

Hiki ke hoʻokele ʻia nā hōʻailona maʻamau. Akā pono nā poʻe i ka lichen planus waha i nā nānā maʻamau. ʻO ia no ka mea, ʻo ka lichen planus waha - ʻoi aku ka ʻano erosive - hiki ke hoʻonui i ka pilikia o ka loaʻa ʻana o ka maʻi kanesa waha i nā wahi i pilikia.

Nā hōʻailona

Hōʻike nā hōʻailona o ka lichen planus waha i nā membrane mucous o ka waha.

He ʻokoʻa nā hōʻailona ma muli o ke ʻano o ka lichen planus waha. Eia kekahi laʻana:

  • Reticular. Hōʻike kēia ʻano ma ke ʻano he mau ʻāpana keʻokeʻo a hiki ke nānā aku i ka lacy.
  • Erosive. Hōʻike kēia ʻano ma ke ʻano he mau ʻiʻo ʻulaʻula, pehu a i ʻole nā ​​ʻeha ākea.

Hiki ke ʻike ʻia nā hōʻailona o ke kūlana ma:

  • I loko o nā papalina, kahi maʻamau loa.
  • Nā gums.
  • Alelo.
  • Nā ʻiʻo o loko o nā lehelehe.
  • Palate.

ʻAʻole paha e hōʻeha, ʻeha a i ʻole nā ​​ʻeha ʻē aʻe nā ʻāpana keʻokeʻo, lacy o ka lichen planus waha reticular ke hōʻike ʻia lākou ma nā ʻaoʻao o loko o nā papalina. Akā, ʻo nā hōʻailona o ka lichen planus waha erosive e hiki ke loaʻa pū me nā ʻāpana ʻulaʻula, pehu a i ʻole nā ​​ʻeha ākea e komo pū ana:

  • Ka manaʻo kuni a i ʻole ka ʻeha.
  • Ka maʻalahi i nā meaʻai wela, waikawa a ʻawaʻawa paha.
  • Ke kahe koko a me ka huhū me ka palaki niho.
  • Ka mumū o nā gums, i ʻike ʻia hoʻi ʻo gingivitis.
  • Nā ʻāpana ʻeha, mānoanoa ma ka alelo.
  • ʻEha ke kamaʻilio, ʻai a i ʻole ka ʻai.

Inā loaʻa iā ʻoe ka lichen planus waha, hiki i ka lichen planus ke hoʻopili i nā ʻāpana ʻē aʻe o kou kino, e komo pū ana:

  • ʻIli. Ma muli o ke kala o ka ʻili, hōʻike pinepine ʻia ka lichen planus ma ke ʻano he mau puʻupuʻu ʻulaʻula a violet paha, pālahalaha i luna, pinepine ka ʻiliʻili.
  • Genitals. Hoʻokumu pinepine ka lichen planus ma nā genitalia wahine i ka ʻeha a i ʻole ka kuni a me ka ʻoluʻolu ʻole i ka moe kolohe. ʻO nā wahi maʻamau he ʻulaʻula a me ka ʻeha. Ma muli o ke kala o ka ʻili, i kekahi manawa e like lākou me nā wahi keʻokeʻo. Hiki nō hoʻi ke loaʻa ka lichen planus ma nā genitalia kāne.
  • Nā pepeiao. Hiki i ka lichen planus o nā pepeiao ke alakaʻi i ka nalowale o ka lohe.
  • Ihu. Hiki ke loaʻa nā kahe ihu pinepine a me ka congestion lōʻihi.
  • Poʻo. Ke hōʻike ʻia ka lichen planus ma ke poʻo, hiki iā ia ke hoʻokumu i ka nalowale o ka lauoho pōkole a lōʻihi paha. Hiki ke mau loa kēia nalowale o ka lauoho inā ʻaʻole i mālama ʻia.
  • Nā kui. ʻOiai he mea maʻamau ʻole, hiki i ka lichen planus o nā kui wāwae a i ʻole nā ​​kui lima ke hopena i nā ʻāpana ma nā kui, ka lahilahi a i ʻole ka māhele ʻana o nā kui, a me ka nalowale o ka kui pōkole a lōʻihi paha.
  • Nā maka. I nā manawa kakaikahi, hiki i ka lichen planus ke komo i nā ʻili mucous membrane o nā maka, hiki ke hoʻokumu i ka scarring a me ka makapō.
  • Esophagus. He mea maʻamau ʻole ka lichen planus o ka esophagus. Akā ke loaʻa, hiki iā ia ke hoʻonui i ka esophagus a i ʻole ke hana i nā kāʻei paʻa, like me ke apo i ka esophagus e hiki ai ke hana i ka ʻai paʻakikī.
ʻO ka manawa hea e ʻike ai i ke kauka

E ʻike i kāu kauka a i ʻole kekahi limahana mālama ola inā loaʻa iā ʻoe kekahi o nā hōʻailona i helu ʻia ma luna.

Nā kumu

ʻAʻole maopopo ka mea e hoʻoulu ai i ka lichen planus waha. Akā, ua ʻike ʻia nā lymphocytes T—nā keʻokeʻo koko e komo ana i ka mumū—ua hoʻoikaika ʻia i ka lichen planus waha. Hiki paha kēia ke ʻōlelo he kūlana pale ʻāina ia a hiki ke komo pū nā kumu kūmole. Pono ka noiʻi hou aku e ʻike i ke kumu pololei.

Ma kekahi poʻe, hiki i kekahi mau lāʻau lapaʻau, ka hōʻeha ʻana o ka waha, ka maʻi, a i ʻole nā mea hoʻoulu aleriki e like me nā mea hana niho ke hoʻoulu i ka lichen planus waha. Hiki i ke kaumaha ke hoʻoikaika i nā hōʻailona e ʻoi aku ka nui a i ʻole e hoʻi mai mai ka manawa i ka manawa. Akā, ʻaʻole i hōʻoia ʻia kēia mau kumu.

Nā mea pilikia

Hiki i kekahi ke loaʻa i ka lichen planus waha, akā ʻoi aku ka nui o ka poʻe makua ma waena o ka makahiki, ʻoi aku hoʻi nā wāhine ma luna o 50 mau makahiki. Hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka loaʻa ʻana o ka lichen planus waha, e like me ka loaʻa ʻana o kahi kūlana e hoʻoemi ai i kou pale ʻana a i ʻole ka lawe ʻana i kekahi mau lāʻau lapaʻau. Akā, pono hou ka noiʻi.

Nā pilikia

Hiki i nā hihia koʻikoʻi o ka lichen planus waha ke hoʻonui i ka pilikia o:

  • Ka ʻeha nui.
  • Ka emi ʻana o ke kaupaona a i ʻole ka nele o ka meaʻai kūpono.
  • Ke kaumaha a i ʻole ka hopohopo.
  • Ka hōʻino ʻana mai nā ʻeha erosive a i ʻole nā wahi ʻē aʻe i pilikia.
  • Nā maʻi yeast a fungal lua ma ka waha.
  • Ka maʻi kanesa waha.
ʻImi ʻike

Hiki i kāu kauka ola ke hōʻoia i ka maʻi lichen planus waha ma muli o:

  • Ke kamaʻilio pū ʻana me ʻoe e pili ana i kāu mōʻaukala lapaʻau a me ka niho a me nā lāʻau lapaʻau āu e lawe nei.
  • Ke nānā aku nei i nā hōʻailona e kū nei i loko o kou waha a me nā wahi ʻē aʻe ma kou kino.
  • Ke nānā aku nei i kou waha a me nā wahi ʻē aʻe e like me ka pono.

Hiki nō hoʻi i kāu kauka ola ke noi i nā ho'okolohua lapaʻau, e like me:

  • Kahi biopsy. I kēia ho'okolohua, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai hoʻokahi a ʻoi aku paha mau wahi i loko o kou waha. Nānā ʻia kēia ʻāpana ma lalo o ka microscope e ʻike inā aia ka lichen planus waha. Hiki paha ke pono nā ho'okolohua microscope ʻoi aku ka kūikawā e ʻike i nā protein o ka ʻōnaehana pale kino e pili pinepine ana i ka lichen planus waha.
  • Nā moʻomeheu. Lawe ʻia kahi ʻāpana o nā cell mai kou waha me kahi swab pulupulu. Nānā ʻia ka ʻāpana ma lalo o ka microscope e ʻimi i kahi maʻi fungal, bacterial a i ʻole viral lua.
  • Nā ho'okolohua koko. Hiki ke hana ʻia kēia mau ho'okolohua e ʻike i nā kūlana e like me ka hepatitis C, kahi mea hiki ke pili iki i ka lichen planus waha, a me ka lupus, kahi mea hiki ke like me ka lichen planus waha.
Ka mālama ʻana

ʻO ka maʻi ʻili waha lichen planus he maʻi mau loa ia. Hiki i nā ʻano māmā ke pau iho ma o lākou iho, akā e ʻā hou ma hope. ʻAʻohe lāʻau lapaʻau, no laila, ke nānā nei ka mālama ʻana i ka ho'ōla a me ka hōʻoluʻolu ʻana i ka ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe e hoʻopilikia ana iā ʻoe. Ke nānā nei kāu limahana mālama ola i kou kūlana e ʻimi i ka mālama maikaʻi loa a i ʻole e hoʻōki i ka mālama ʻana e like me ka pono.

Inā ʻaʻohe ou ʻeha a i ʻole nā ​​ʻoluʻolu ʻē aʻe, a he mau hōʻailona keʻokeʻo wale nō, lacy o ka maʻi ʻili waha lichen planus i loko o kou waha, ʻaʻole paha ʻoe e pono i ka mālama. No nā hōʻailona ʻoi aku ka nui, pono paha ʻoe i hoʻokahi a ʻoi aku paha o nā koho ma lalo nei.

Hiki i nā lāʻau lapaʻau e like me nā mea hoʻoemi ʻeha i hoʻopili ʻia i ka ʻili ke hāʻawi i ka hōʻoluʻolu no ka manawa pōkole i nā wahi e ʻeha nui ana.

Hiki i nā lāʻau lapaʻau i kapa ʻia ʻo corticosteroids ke ho'ēmi i ka mumū e pili ana i ka maʻi ʻili waha lichen planus. Hiki i kāu limahana mālama ola ke kuhikuhi i kekahi o kēia mau ʻano:

  • Lāʻau lapaʻau i waiho ʻia ma ka ʻili. Hoʻopili ʻoe i ka wai holoi waha, ka ʻaila a i ʻole ka gel pololei i ka membrane mucous - ke ala maikaʻi loa.
  • Lāʻau lapaʻau i lawe ʻia ma ka waha. Lawe ʻoe i nā corticosteroids i loko o ka pīni no ka manawa palena.
  • Lāʻau lapaʻau i lawe ʻia ma ke ʻano he pana. Hoʻokomo pololei ʻia kēia lāʻau lapaʻau i ka wahi i hoʻopilikia ʻia.

He ʻokoʻa nā hopena ʻaoʻao ma muli o ke ala āu e hoʻohana ai. E kamaʻilio me kāu limahana mālama ola e kaupaona i nā pōmaikaʻi a me nā hopena ʻaoʻao.

  • Nā ʻaila a i ʻole nā ​​gel i hoʻopili ʻia i ka ʻili. I loko o ka ʻano ʻaila a i ʻole gel, hiki i kēia mau lāʻau lapaʻau pane pale ke mālama pono i ka maʻi ʻili waha lichen planus. ʻO nā laʻana, ʻo ia hoʻi ʻo tacrolimus (Protopic) a me pimecrolimus (Elidel). ʻOiai he ʻōlelo aʻo mai ka U.S. Food and Drug Administration kēia mau lāʻau lapaʻau ma muli o ka pilina maopopo ʻole me ka maʻi kanesa, hoʻohana pinepine ʻia lākou no ka maʻi ʻili waha lichen planus. E kamaʻilio me kāu limahana mālama ola e pili ana i kekahi pilikia.
  • Lāʻau lapaʻau systemic. No ka maʻi ʻili waha lichen planus koʻikoʻi e pili pū ana i nā wahi ʻē aʻe, e like me ke poʻo, nā genitalia a i ʻole ka esophagus, hiki ke manaʻo ʻia nā lāʻau lapaʻau systemic e hoʻonāwaliwali i ka ʻōnaehana pale, e kaupaona ana i nā pōmaikaʻi a me nā pilikia.

Hiki i ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau, e like me nā steroids i waiho ʻia ma ka ʻili, ke alakaʻi i ka ulu nui ʻana o ka hū. ʻIke ʻia kēia he maʻi lua. I ka wā o ka mālama ʻana, e hoʻonohonoho i nā kipa hahai maʻamau me kāu limahana mālama ola nui e nānā i nā maʻi lua a loaʻa ka mālama. ʻAʻole mālama ʻana i nā maʻi lua e hoʻopilikia paha i ka maʻi ʻili waha lichen planus.

E nīnau i kāu kauka a i ʻole kekahi limahana mālama ola e pili ana i nā pōmaikaʻi a me nā pilikia o ka hoʻohana ʻana i nā lāʻau lapaʻau i kekahi ʻano.

Inā pili kou maʻi ʻili waha lichen planus i kahi mea hoʻonāukiuki, e like me ka lāʻau lapaʻau, ka mea hoʻonāukiuki a i ʻole ka pilikia, hiki i kāu limahana mālama ola ke kuhikuhi i ka hana ʻana me ka mea hoʻonāukiuki. No ka laʻana, hiki i nā manaʻo ke komo pū me ka ho'āʻo ʻana i kahi lāʻau lapaʻau ʻē aʻe, ke ʻike ʻana i kahi allergist a i ʻole dermatologist no ka hoʻokolohua hou aku, a i ʻole ke aʻo ʻana i nā ʻenehana hoʻokele pilikia.

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