He aha te Lichen Sclerosus? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te lichen sclerosus tētahi āhuatanga kiri roa e puta ai ngā wāhi ma, kōpū o te kiri angiangi, te nuinga i ngā wāhi ira tangata me ngā wāhi tūturu. Ahakoa ka pā ki te tangata katoa, ka tupu ake i ngā wāhine i muri i te menopause, ā, i etahi wā i ngā tamariki.

Kāo te āhuatanga nei he mea pāhoko, kāore hoki e taea e koe te hopu i tetahi atu. Whakaarohia ko tō pūnaha mate pūkohu e whakaeke ana i ngā pūtau kiri hauora, ā, ka puta mai te mumura me ngā huringa i te ahua me te āhua o te kiri i te wā.

He aha ngā tohu o te lichen sclerosus?

Ko te tohu tino kitea ko ngā wāhi ma, kanapa o te kiri e āhua kōkī ana, ā, āhua rite ki te pepa pepa. Ko ēnei wāhi ka rerekē te ahua mai i tō kiri noa, ā, ka tino ngawari te pa atu.

Ka kite pea koe i ētahi tohu e rereke ana te nui mai i te ngawari ki te nui ake te raruraru:

• Ngā wāhi ma, kanapa o te kiri e āhua kōkī ana, rānei mā.
• Te ngau e kaha ana, ina koa i te pō.
• Te mamae, te kore ngāwari rānei i te wā e mimi ana, e haere ana rānei ki te wharepaku.
• Te moe wahine mamae.
• Te toto, te motu rānei o te kiri, ahakoa he ngawari te pa atu.
• Te kiri e mōrearea ana ngā wāhi e pā ana.
• Te toka e taea te huri i te āhua o te wāhi ira tangata i te wā.

I etahi wā, ka kite pea koe i ngā tohu kaore i te tino kitea, pēnei i ngā pūkohu iti, ngā pupuhi rānei i runga i te kiri e pā ana. Ka haere mai, ka haere atu ngā tohu, ā, ka kite etahi i ngā wā e piki ake ai ngā tohu, ka whai muri mai i ngā wā e pai ake ai ngā tohu.

He aha ngā momo lichen sclerosus?

Ko te lichen sclerosus te nuinga ka whakarōpūhia e te wāhi e puta mai ana i runga i tō tinana. Ko te momo ira tangata e pā ana ki te vulva i ngā wāhine, ki te titi rānei i ngā tāne, ā, ko te momo extragenital ka puta i ngā wāhi kē atu i runga i tō tinana.

Ko te lichen sclerosus ira tangata te momo tino noa. I ngā wāhine, ka pā te nuinga ki te vulva, tae atu ki te wāhi i te taha o te waha o te tara, ā, i etahi wā ka horapa ki te wāhi tūturu. I ngā tāne, ka pā te nuinga ki te pito o te titi me te kiri.

Ka puta te lichen sclerosus extragenital i ō pakihiwi, uma, ringa, ngā wāhi kē atu rānei o tō tinana. Ko tēnei momo kāore i te tino noa, ā, ka iti ake ngā tohu i te momo ira tangata.

He aha ngā take o te lichen sclerosus?

Kāore i tino mōhiotia te take tika, engari e whakapono ana ngā kairangahau kei roto i tō pūnaha mate pūkohu te whakaeke he i ngā pūtau kiri hauora. Ko tēnei whakautu mate pūkohu e hanga ana i te mumura e ārai ana ki ngā huringa kiri e kitea ana e koe.

He maha ngā take e āhei ana te whakauru ki te whanaketanga o tēnei āhuatanga:

• Ngā mate pūkohu pēnei i te mate thyroid, te mate huka rānei.
• Ngā take ira, i te mea ka puta i roto i ngā whānau.
• Ngā huringa homoni, ina koa ngā taumata estrogen iti i muri i te menopause.
• Te whara o mua o te kiri, te pakaru rānei ki te wāhi e pā ana.
• Ētahi mate, ahakoa kāore i tino whakamāramahia tēnei hononga.

I ngā keehi onge, ka whanake etahi i te lichen sclerosus i muri i te whara tinana ki te kiri, pēnei i te kakahu pīpī rānei, ngā whara rānei. Heoi, ko te nuinga o te hunga he āhuatanga tēnei kāore he take mārama e taea te kite e ngā tākuta.

Nōhea te haere ki te tākuta mō te lichen sclerosus?

Me haere koe ki te kaiwhakarato hauora mēnā ka kite koe i ngā wāhi ma o te kiri, ina koa i tō wāhi ira tangata, mēnā rānei kei te mamae tonu koe, kei te mamae rānei. Ka taea e te whakamātautau me te maimoatanga wawe te āwhina i te aukati i ngā raruraru me te whakapai ake i tō mārohirohi.

Kaua e tatari ki te rapu awhina hauora mēnā ka mamae koe, ka mamae rawa rānei, ka uaua rānei ki te mimi, ki te haere rānei ki te wharepaku. Ka taea e ēnei tohu te whakaatu kei te piki haere te āhuatanga, kei te puta rānei ngā raruraru e hiahia ana ki te maimoatanga tere.

Mēnā kei te mamae koe i te moe wahine, kei te kite rānei koe i ngā huringa i te āhua, te ahua rānei o tō wāhi ira tangata, he mea nui kia kōrero koe ki tō tākuta mō ēnei āwangawanga. Ka taea e rātou te āwhina ki te whakatau mēnā ko te lichen sclerosus te take, ā, ka tūtohu i ngā whiringa maimoatanga e tika ana.

He aha ngā take morearea mō te lichen sclerosus?

He maha ngā take e taea te whakapiki ake i tō tūponotanga ki te whanaketanga o tēnei āhuatanga. Ko te wāhine i muri i te menopause te take morearea tino nui, i te mea ka taea e ngā huringa homoni i tēnei wā te whakaoho i te āhuatanga.

Ko ētahi atu take e taea te whakapiki ake i tō morearea ko:

• Te whai i ētahi atu āhuatanga mate pūkohu pēnei i te vitiligo, te alopecia areata rānei.
• Te hītori whānau o te lichen sclerosus, ngā mate pūkohu kē atu rānei.
• Te kore i tapahia (mō ngā tāne), i te mea ka pā te āhuatanga ki te kiri.
• Ngā mate ira, ngā whara rānei o mua.
• Ētahi take ira e tūpono tonu ana ngā kairangahau.

Ka taea hoki e ngā tamariki te whanaketanga o te lichen sclerosus, ahakoa kāore i te tino noa. I ngā keehi onge, ka pai ake pea te āhuatanga i te wā e tīmatatia ana e ngā tamariki te pakeke, engari ehara tēnei i te mea me whakawhirinaki koe ki te kore he tiaki hauora tika.

He aha ngā raruraru pea o te lichen sclerosus?

Mēnā kāore he maimoatanga tika, ka taea e te lichen sclerosus te ārai ki te toka e taea te hanga i ngā raruraru mahi. Ka taea e te toka te whakaiti i te waha o te tara i ngā wāhine, te whakaiti rānei i te kiri i ngā tāne, ka meinga ngā mahi o ia rā kia kore e ngāwari.

Ko ngā raruraru pea me mōhio koe ko:

• Te toka e huri ana i te āhua o ngā hanganga ira tangata.
• Te whakaiti i te waha o te tara, te urethra rānei.
• Te moe wahine mamae e pā ana ki ngā whanaungatanga me te kounga o te ora.
• Te uaua ki te mimi, ki te haere rānei ki te wharepaku.
• Te piki ake o te morearea o ngā mate kiri nā te ngau.
• Te pouri ngākau nā te mamae me ngā huringa ahua.

I ngā keehi onge rawa, ka taea e te lichen sclerosus roa te whakapiki ake i te morearea o te whanaketanga o te mate pūngāwerewere kiri i te wāhi e pā ana. Koinei te take he mea nui te tirotiro tonu e tō kaiwhakarato hauora, ina koa mēnā kua roa koe e whai ana i te āhuatanga.

Me pēhea te aukati i te lichen sclerosus?

Aroha mai, kāore he huarahi e mohiotia ana ki te aukati i te lichen sclerosus, i te mea kāore i tino mōhiotia tōna take tika. Heoi, ka taea e koe te tango i ngā mahi hei karo i ngā take e āhei ana te whakaoho i ngā wā e piki ake ai ngā tohu, te whakaiti rānei i ngā tohu o nāianei.

Ka taea e te tiaki kiri ngawari te āwhina i te whakaiti i te mamae. Whakamahia ngā haukū ngawari, kāore he kakara, ā, karohia ngā matū kaha, ngā hua kakara rānei i te wāhi ira tangata. Ka taea e te kakahu raro o te kātene me ngā kakahu kore pīpī te whakaiti i te riri me te mamae.

Mēnā he mate pūkohu kē atu tōu, ko te mahi tahi me tō kaiwhakarato hauora hei whakahaere pai i a rātou ka āhei pea te whakaiti i tō morearea whānui. Ka taea hoki e ngā tirotiro auau te āwhina i te hopu i ngā huringa wawe mēnā ka whanake koe i te āhuatanga.

Me pēhea te whakamātautau i te lichen sclerosus?

Ka taea e tō tākuta te whakamātautau i te lichen sclerosus mā te tirotiro i te kiri e pā ana, mā te uiui hoki mō ō tohu. Ko te ahua ma, kanapa o ngā wāhi he mea tino kitea, ā, ka āwhina i ngā kaiwhakarato hauora ki te tautuhi i te āhuatanga.

I etahi wā, ka tūtohu pea tō tākuta i te biopsy kiri hei whakau i te whakamātautau. Kei roto i tēnei te tango i te tauira iti o te kiri e pā ana hei tirotiro i raro i te microscope, e taea ai te whakakore i ētahi atu āhuatanga e āhua rite ana.

Ka ui atu hoki tō kaiwhakarato hauora mō ētahi atu tohu kei te pā atu koe, ā, ka tirotiro pea mō ētahi atu āhuatanga mate pūkohu. Kāore i te tino hiahiatia ngā whakamātautau toto hei whakamātautau i te lichen sclerosus, engari ka āhei pea te āwhina mēnā kei te whakaaro tō tākuta mō ētahi atu āhuatanga e hono ana.

He aha te maimoatanga mō te lichen sclerosus?

Ko te maimoatanga matua ko ngā kirikiri corticosteroid topical rānei, ngā hinu rānei, e āwhina ana ki te whakaiti i te mumura, ā, ka taea te whakapai ake i ngā tohu. Ka tūtohu pea tō tākuta i te kiri kiri steroid kaha e tonohia ana e koe ki ngā wāhi e pā ana i ia rā.

Ko te maimoatanga te nuinga ka whakauru ki te whakamahi i te rongoā i ia rā mō ngā wiki maha, katahi ka whakaiti ki te mahinga tiaki. Ka kite te nuinga o te hunga i te whakapainga i te ngau me te mamae i roto i ngā wiki torutoru, ahakoa ka roa pea te huringa o te ahua o te kiri.

Ko ētahi atu whiringa maimoatanga ka whakaaro pea tō tākuta ko:

• Ngā kaiwhakaiti calcineurin topical pēnei i te tacrolimus, te pimecrolimus rānei.
• Te rongoā whakakapi homoni mō ngā wāhine i muri i te menopause.
• Te phototherapy (maimoatanga mārama) i etahi wā.
• Te pokanga mō te toka nui, ngā raruraru rānei.
• Ngā maimoatanga hou pēnei i te maimoatanga platelet-rich plasma.

I ngā keehi onge kaore ngā maimoatanga māori e mahi, ka tūtohu pea tō tākuta i ngā whiringa pokanga. Ka taea e ēnei te whakauru i ngā tukanga hei tango i te kiri toka, hei hanga hou rānei i ngā wāhi e pā ana, ahakoa ko te pokanga te nuinga ka waiho mō ngā keehi nui.

Me pēhea te whakahaere i te lichen sclerosus i te kāinga?

Ka taea e te tiaki kiri pai te whakahaere i ō tohu me te aukati i ngā wā e piki ake ai ngā tohu. Kia ma, kia maroke ngā wāhi e pā ana, ā, karohia te whakamahi i ngā haukū kaha, ngā hua kakara rānei e āhei ana te riri i tō kiri.

Ko te tiaki o ia rā ngawari kei roto te horoi ki te wai noa, te haukū ngawari, kāore he kakara, te patu maroke rānei i te wāhi, kaua e wiri. Ka taea e te tono i te kaiwhakauru ngawari, kāore he kakara te pupuri i te kiri ngawari me te whakaiti i te mamae.

Ko te kakahu i ngā kakahu raro o te kātene, te karo rānei i ngā kakahu pīpī ka taea te whakaiti i te riri me te mamae. Mēnā kei te ngau koe i te pō, ko te pupuri i ō maihao poto, te kakahu rānei i ngā karapu kātene ki te moenga ka taea te aukati i te pakaru nā te ngau.

Ka āhei pea ngā tikanga whakahaere ahotea pēnei i te whakaaroaro, te whakakori ngawari rānei te āwhina, i te mea ka taea e te ahotea te whakaiti i ngā āhuatanga mate pūkohu. Ka kite etahi i te karo i ētahi kai, mahi rānei e āhua ana te whakaoho i ngā wā e piki ake ai ngā tohu he mea whai hua.

Me pēhea te whakarite mō tō hui tākuta?

I mua i tō hui, tuhia katoa ō tohu me te wā i tīmata ai rātou. Whakauruhia ngā kōrero mō te mea e pai ake ai, te kino ake rānei, me ētahi atu maimoatanga kua whakamātautauhia e koe.

Kawe mai he rārangi o ngā rongoā katoa kei te tango koe, tae atu ki ngā hua, ngā taapiri rānei. Tēnā hoki, tuhia ētahi atu āhuatanga hauora kei a koe, ina koa ngā mate pūkohu, ngā āhuatanga kiri rānei.

Whakaritea ngā pātai e hiahia ana koe ki te ui ki tō tākuta. Ka hiahia pea koe ki te mōhio mō ngā whiringa maimoatanga, te roa o te maimoatanga hei mahi, te mea rānei e tatari ana koe i te wā roa. Kaua e whakaroa ki te ui mō tetahi mea e awangawanga ana koe.

Mēnā kei te manukanuka koe mō te whakamātautau, mahara ko ngā kaiwhakarato hauora he wheako ki ēnei āhuatanga, ā, e hiahia ana ki te āwhina i a koe kia mārohirohi. Ka taea e koe te tono i te kaiwhakarato o te ira kotahi mēnā ka mārohirohi ake koe.

He aha te mea nui mō te lichen sclerosus?

Ko te lichen sclerosus he āhuatanga e taea te whakahaere, e whakautu pai ana ki te maimoatanga i te wā e hopukina wawe ana. Ahakoa ka taea e ia te hanga i ngā tohu kore ngāwari, ka taea e te tiaki hauora tika te whakapai ake i tō kounga o te ora me te aukati i ngā raruraru.

Ko te mea nui rawa atu hei mahara ko tēnei āhuatanga e hiahia ana ki te whakahaere tonu, kaua ki te rongoa kotahi. Mā te maimoatanga tonu me te tiaki kiri pai, ka taea e te nuinga o te hunga te whakahaere i ō rātou tohu me te pupuri i ngā mahi noa.

Kaua e tuku i te whakama ki te aukati i a koe ki te rapu awhina. Kei te mohio ngā kaiwhakarato hauora ki tēnei āhuatanga, ā, he maimoatanga whai hua kei a rātou. Ko te tere o tō tīmatanga i te maimoatanga, ko te pai ake o ō hua roa.

Ngā pātai e ui pinepinetia ana mō te lichen sclerosus

He mea pāhoko te lichen sclerosus?

Kāo, kāore te lichen sclerosus he mea pāhoko. Kāore e taea e koe te hopu i tetahi atu, te tuku rānei ki ētahi atu mā te hononga, tae atu ki te hononga ira tangata. He āhuatanga mate pūkohu tēnei e whanake ana nā tō whakautu pūnaha mate pūkohu ake.

Ka ngaro noa atu te lichen sclerosus?

Kāore te lichen sclerosus e ngaro rawa atu i te kore maimoatanga, ina koa i ngā pakeke. Ahakoa ka pai ake pea ngā tohu i etahi wā, ka hiahia tonu te āhuatanga ki te whakahaere hauora tonu hei aukati i te piki haere me ngā raruraru. I etahi tamariki, ka pai ake pea i muri i te pakeke, engari kāore i te whakamana.

Ka taea tonu e au te moe ira tangata me te lichen sclerosus?

Ka taea e te nuinga o te hunga he lichen sclerosus te haere tonu ki te moe ira tangata, ina koa mā te maimoatanga tika. Ka taea e tō tākuta te tūtohu i ngā huarahi hei whakapai ake i te ngāwari o te moe ira tangata, pēnei i te whakamahi i ngā hinu, te whakarite rānei i te wā maimoatanga. He mea nui te kōrero tika ki tō hoa me tō kaiwhakarato hauora.

Kei te whakapiki ake te lichen sclerosus i tō morearea o te mate pūngāwerewere?

He iti te piki ake o te morearea o te mate pūngāwerewere kiri i ngā wāhi e pā ana ki te lichen sclerosus roa, kāore i te maimoatia. Heoi, he iti rawa tēnei morearea, ā, ka taea te whakaiti mā te maimoatanga tika me te tirotiro tonu e tō kaiwhakarato hauora. Ko te nuinga o te hunga he lichen sclerosus kāore e whanake i te mate pūngāwerewere.

E hia te roa o te maimoatanga hei mahi?

Ka kite te nuinga o te hunga i te whakapainga i ngā tohu pēnei i te ngau me te mamae i roto i ngā wiki 2-4 o te tīmatanga o te maimoatanga. Heoi, ka roa pea ngā marama kia kitea ngā huringa i te ahua o te kiri. Ko te whakamahinga tonu o ngā rongoā i tūtohutia he mea nui ki te whiwhi i ngā hua pai rawa atu.