Lichen Sclerosus ni iki? Ibimenyetso, Impamvu, n'Ubuvuzi

Lichen sclerosus ni uburwayi bw'uruhu budakira, butera ibice by'uruhu byera, bimeze nk'ibice by'uruhu rwagabanutse, cyane cyane mu gice cy'ibitsina n'inyuma. Nubwo bishobora kwibasira umuntu uwo ari we wese, bibaho cyane mu bagore bamaze kubyara, rimwe na rimwe no mu bana.

Ubu burwayi ntibwanduza, kandi ntushobora kubwandura ku wundi muntu. Tekereza ko ubwirinzi bwawe bwibasiye utunyangingo tw'uruhu tukize, ibyo bigatuma haboneka umuriro mu ruhu, ndetse n'impinduka mu buryo uruhu rugaragara n'imiterere yaruha mu gihe.

Ibimenyetso bya lichen sclerosus ni ibihe?

Ikimenyetso cyiboneka cyane ni ibice by'uruhu byera, byagira umucyo, bishobora kugaragara nk'ibyasinze cyangwa nk'ipapira ryasinze. Aya mabara akenshi aba atandukanye n'uruhu rwawe rusanzwe, kandi ashobora kubabaza cyane iyo uyakoraho.

Ushobora kubona ibimenyetso byinshi bishobora kuva ku bito kugeza ku bibi:

• Ibice by'uruhu byera, byagira umucyo, bishobora kugaragara nk'ibyasinze cyangwa byoroshye
• Gukorora bishobora kuba bikomeye, cyane cyane nijoro
• Kubabara cyangwa kutumva neza mu gihe umuntu ashaka kwinnya cyangwa kujya mu bwiherero
• Kubabara mu gihe cy'imibonano mpuzabitsina mu bagore
• Kuva amaraso cyangwa gucika kw'uruhu, nubwo wakoraho gake
• Uruhu rworoshye gukomeretsa mu duce twibasiwe
• Ibibyimba bishobora guhindura isura y'igice cy'ibitsina mu gihe

Mu bimwe mu bihe, ushobora kugira ibimenyetso bito nk'uduheri duto cyangwa ibikomere ku ruhu rwibasiwe. Ibimenyetso bishobora kuza no kugenda, bamwe bagira ibibazo bikomeye, hanyuma bagakira.

Ubwoko bwa lichen sclerosus ni ubuhe?

Lichen sclerosus isanzwe igabanywamo ibice bitewe n'aho iboneka ku mubiri wawe. Ubwoko bwibasira igitsina bugira ingaruka ku gitsina cy'umugore no ku gitsina cy'umugabo, mu gihe ubwoko budakora ku gitsina bushobora kugaragara ahandi hose ku mubiri wawe.

Lichen sclerosus ibasiye igitsina ni bwo bwoko busanzwe. Mu bagore, isanzwe ibasiye igitsina cy'umugore, harimo n'aho igitsina cyinjira, rimwe na rimwe ikagera no ku gice cy'inyuma. Mu bagabo, isanzwe ibasiye umutwe w'igitsina n'uruhu rwo hanze.

Lichen sclerosus idakora ku gitsina ishobora kugaragara ku bitugu, ku gatuza, ku maboko, cyangwa ahandi hose ku mubiri wawe. Ubwo bwoko si bwo busanzwe, kandi akenshi butera ibimenyetso bike ugereranyije n'ubwoko bwibasira igitsina.

Impamvu za lichen sclerosus ni izihe?

Impamvu nyamukuru ntirazwi neza, ariko abashakashatsi bemeza ko birimo ubwirinzi bw'umubiri bwibasiye utunyangingo tw'uruhu tukize. Ubu buryo bw'ubwirinzi butera umuriro mu ruhu, bigatuma haba impinduka mu ruhu.

Ibintu byinshi bishobora gutera ubu burwayi:

• Uburwayi bw'ubwirinzi bw'umubiri nk'uburwayi bwa thyroid cyangwa diyabete
• Ibintu by'umurage, kuko rimwe na rimwe bibaho mu muryango umwe
• Impinduka z'imisemburo, cyane cyane kugabanuka kw'imisemburo ya estrogen nyuma yo kubyara
• Udukoko twangiza uruhu cyangwa ibikomere mu gice kibasiwe
• Indwara zimwe na zimwe, nubwo iyi mibanire itaramenyekana neza

Mu bihe bitoroshye, bamwe barwara lichen sclerosus nyuma yo gukomereka ku ruhu, nko kwambara imyenda y'umubiri cyangwa ibikomere. Ariko, abantu benshi bafite ubu burwayi nta kintu cyabateye abaganga bashobora kumenya.

Ni ryari ukwiye kujya kwa muganga kubera lichen sclerosus?

Ukwiye kujya kwa muganga niba ubona ibice by'uruhu byera, cyane cyane mu gice cy'ibitsina, cyangwa niba ufite gukorora cyangwa kubabara bikomeye. Kumenya hakiri kare no kuvura bishobora gufasha kwirinda ingaruka mbi no kunoza ubuzima bwawe.

Ntugategereze gushaka ubufasha bw'abaganga niba ufite kuva amaraso, kubabara cyane, cyangwa kugira ikibazo cyo kwinnya cyangwa kujya mu bwiherero. Aya bimenyetso bishobora kugaragaza ko uburwayi buri gukura cyangwa bugatera ingaruka mbi zisaba kuvurwa vuba.

Niba ufite imibonano mpuzabitsina ibabaza cyangwa ukabona impinduka mu isura y'igitsina cyawe, ni ingenzi kuvugana n'umuganga wawe. Bashobora kugufasha kumenya niba lichen sclerosus ari yo mpamvu, bakagutegurira uburyo bwo kuvurwa.

Ibyago byo kurwara lichen sclerosus ni ibihe?

Ibintu bimwe na bimwe bishobora kongera ibyago byo kurwara ubu burwayi. Kuba umugore umaze kubyara ni cyo kintu gikomeye cyane cyongera ibyago, kuko impinduka z'imisemburo muri icyo gihe zishobora gutera ubu burwayi.

Ibindi bintu bishobora kongera ibyago byawe birimo:

• Kugira ubundi burwayi bw'ubwirinzi bw'umubiri nk'uburwayi bwa vitiligo cyangwa alopecia areata
• Amateka y'umuryango wa lichen sclerosus cyangwa ubundi burwayi bw'ubwirinzi bw'umubiri
• Kuba utaracunguwe (ku bagabo), kuko ubu burwayi busanzwe bugira ingaruka ku ruhu rwo hanze rw'igitsina
• Indwara zibasira igitsina cyangwa ibikomere byabayeho mbere
• Ibintu bimwe na bimwe by'umurage abashakashatsi bakigoranyeho

Abana nabo bashobora kurwara lichen sclerosus, nubwo atari bwo busanzwe. Mu bihe bitoroshye, ubu burwayi bushobora gukira ubwabwo igihe abana bageze mu gihe cy'ubugimbi, ariko ibi ntabwo ari byo ukwiye kwiringira udafite ubufasha bw'abaganga.

Ingaruka zishoboka za lichen sclerosus ni izihe?

Udahawe ubuvuzi bukwiye, lichen sclerosus ishobora gutera ibikomere bishobora gutera ibibazo byo gukora. Ibibyimba bishobora kugabanya umwanya w'igitsina cy'umugore cyangwa gutera uruhu rwo hanze rw'igitsina cy'umugabo gukomera, bigatuma ibikorwa bya buri munsi bibabaza.

Ingaruka zishoboka ukwiye kumenya harimo:

• Ibibyimba bihindura isura y'igitsina
• Kugabanyuka kw'umwanya w'igitsina cyangwa aho umunyu winjira
• Imibonano mpuzabitsina ibabaza igira ingaruka ku mibanire n'ubuzima
• Ikibazo cyo kwinnya cyangwa kujya mu bwiherero
• Ibyago byo kwandura uruhu kubera gukorora
• Kubabara mu mutwe kubera kubabara no guhindura isura

Mu bihe bitoroshye cyane, lichen sclerosus imaze igihe kinini ishobora kongera gato ibyago byo kurwara kanseri y'uruhu mu gice kibasiwe. Niyo mpamvu ari ingenzi gukurikiranwa n'abaganga, cyane cyane niba umaze igihe kinini ufite ubu burwayi.

Uburyo bwo kwirinda lichen sclerosus ni ubuhe?

Ikibabaje ni uko nta buryo bwo kwirinda lichen sclerosus buzwi, kuko impamvu nyamukuru itaramenyekana neza. Ariko, ushobora gufata ingamba zo kwirinda ibintu bishobora gutera ibibazo cyangwa kongera ibibazo biriho.

Kwita ku ruhu neza bishobora gufasha kugabanya uburibwe. Koresha amasabune adafite impumuro nziza kandi wirinde ibintu bikomeye cyangwa ibintu bifite impumuro nziza mu gice cy'ibitsina. Imyenda y'imbere y'ipamba n'imyenda idakomeye bishobora kugabanya ubushyuhe n'uburibwe.

Niba ufite ubundi burwayi bw'ubwirinzi bw'umubiri, gukorana n'abaganga bawe kugira ngo ubu burwayi buvurwe bishobora kugabanya ibyago byawe muri rusange. Gusuzuma buri gihe bishobora kandi gufasha kumenya impinduka hakiri kare niba ubonye ubu burwayi.

Uburyo bwo kuvura lichen sclerosus ni ubuhe?

Ubuvuzi nyamukuru ni amavuta yo kwisiga cyangwa amavuta yo kwisiga afite imiti ya corticosteroid, afasha kugabanya umuriro mu ruhu kandi ashobora kunoza cyane ibimenyetso. Umuganga wawe ashobora kugutegurira amavuta akomeye yo kwisiga uzajya wisiga buri gihe mu duce twibasiwe.

Ubuvuzi busanzwe burimo gukoresha imiti yategetswe buri munsi ibyumweru byinshi, hanyuma ukagabanya kugira ngo ubuvuzi bukomeze. Abantu benshi babona ko gukorora no kubabara bigabanuka mu byumweru bike, nubwo bishobora gutinda kugira ngo isura y'uruhu ihinduke.

Ubundi buryo bwo kuvura umuganga wawe ashobora gutekereza harimo:

• Imiti yo kwisiga ya calcineurin inhibitors nka tacrolimus cyangwa pimecrolimus
• Ubuvuzi bw'imisemburo ku bagore bamaze kubyara
• Phototherapy (ubuvuzi bw'umucyo) mu bimwe mu bihe
• Kubaga kubera ibikomere bikomeye cyangwa ingaruka mbi
• Ubuvuzi bushya nka platelet-rich plasma therapy

Mu bihe bitoroshye aho ubuvuzi busanzwe budakora, umuganga wawe ashobora kugutegurira kubaga. Ibyo bishobora kuba harimo ibikorwa byo gukuraho ibikomere cyangwa gusana ibice byangiritse, nubwo kubaga bisanzwe bikorerwa mu bihe bikomeye.

Uburyo bwo kuvura lichen sclerosus murugo ni ubuhe?

Kwita ku ruhu neza bishobora gufasha kuvura ibimenyetso byawe no kwirinda ibibazo. Komereza utwenge twibasiwe ukoresheje amazi meza cyangwa isabune idafite impumuro nziza, kandi wirinde gukoresha amasabune akomeye cyangwa ibintu bifite impumuro nziza bishobora kubabaza uruhu rwawe.

Kwita ku ruhu buri munsi harimo gukaraba amazi meza cyangwa isabune idafite impumuro nziza, hanyuma ukumisha ahantu hatwenge aho gukoresha igitambaro. Gusiga amavuta meza adafite impumuro nziza bishobora gufasha kugumisha uruhu rukomeye no kugabanya uburibwe.

Kwambara imyenda y'imbere y'ipamba idakomeye bishobora kugabanya ubushyuhe n'uburibwe. Niba ufite gukorora nijoro, kugira imisumari migufi no kwambara utuganza tw'ipamba mu buriri bishobora kwirinda gukomeretsa uruhu.

Uburyo bwo guhangana n'umunaniro nk'imyitozo ngororamubiri cyangwa imyitozo ngororamubiri ishobora gufasha, kuko umunaniro rimwe na rimwe ushobora kongera uburwayi bw'ubwirinzi bw'umubiri. Bamwe basanga kwirinda ibiryo bimwe na bimwe cyangwa ibikorwa bigaragara ko biterwa n'ibibazo bishobora gufasha.

Uburyo bwo kwitegura kujya kwa muganga ni ubuhe?

Mbere yo kujya kwa muganga, andika ibimenyetso byawe byose n'igihe byatangiye. Garagaza ibintu bibikiza cyangwa bibyongerera, ndetse n'ubuvuzi umaze kugerageza.

Zana urutonde rw'imiti yose ufata, harimo imiti yo kwisiga n'ibindi. Nanone, andika ubundi burwayi ufite, cyane cyane uburwayi bw'ubwirinzi bw'umubiri cyangwa uburwayi bw'uruhu.

Tegura ibibazo ushaka kubabaza umuganga wawe. Ushobora kwifuza kumenya ibijyanye n'uburyo bwo kuvura, igihe ubuvuzi buzamara kugira ngo bugire akamaro, cyangwa icyo witeze mu gihe kirekire. Ntukabe ikibazo cyo kubabaza icyo ari cyo cyose gikubangamiye.

Niba utinya isuzuma, ibuka ko abaganga bamenyereye ubu burwayi kandi bashaka kugufasha kumva utekanye. Ushobora gusaba umuganga wo mu gitsina kimwe n'icyawe niba ibyo bigushimisha.

Icyo ukwiye kumenya cyane kuri lichen sclerosus ni iki?

Lichen sclerosus ni uburwayi bushobora kuvurwa kandi bugira icyo bufasha iyo bimenyekanye hakiri kare. Nubwo bishobora gutera ibimenyetso bibi, ubuvuzi bukwiye bushobora kunoza cyane ubuzima bwawe no kwirinda ingaruka mbi.

Ikintu cy'ingenzi cyo kwibuka ni uko ubu burwayi busaba kuvurwa buri gihe aho kuba kuvurwa rimwe gusa. Hamwe no kuvurwa buri gihe no kwita ku ruhu neza, abantu benshi bashobora kugenzura ibimenyetso byabo no gukomeza ibikorwa byabo bisanzwe.

Nturetse isoni zigutera gushaka ubufasha. Abaganga bamenyereye ubu burwayi kandi bafite uburyo bwiza bwo kuvura. Uko utangiye kuvurwa hakiri kare, ni ko bizakugirira akamaro mu gihe kirekire.

Ibibazo byakunda kubazwa kuri lichen sclerosus

Lichen sclerosus yanduza?

Oya, lichen sclerosus ntiyanduza. Ntushobora kuyibona ku wundi muntu cyangwa kuyitwara ku bandi binyuze mu mubano, harimo n'imibonano mpuzabitsina. Ni uburwayi bw'ubwirinzi bw'umubiri buterwa n'ubwirinzi bwawe bwite.

Lichen sclerosus izakira yonyine?

Lichen sclerosus ntigikira burundu idafashijwe, cyane cyane mu bakuru. Nubwo ibimenyetso bishobora rimwe na rimwe kugabanuka by'igihe gito, ubu burwayi busaba kuvurwa buri gihe kugira ngo hirindwe ingaruka mbi. Mu bana bamwe, ishobora gukira nyuma y'ubugimbi, ariko ibi ntibyizewe.

Nshobora gukora imibonano mpuzabitsina mfite lichen sclerosus?

Abantu benshi bafite lichen sclerosus bashobora gukomeza gukora imibonano mpuzabitsina, cyane cyane bafite ubuvuzi bukwiye. Umuganga wawe ashobora kugutegurira uburyo bwo koroshya imibonano mpuzabitsina, nko gukoresha amavuta cyangwa guhindura igihe cyo kuvurwa. Kuvugana neza n'uwo mubana n'umuganga wawe ni ingenzi.

Lichen sclerosus yongera ibyago byo kurwara kanseri?

Hariho ibyago bike byo kurwara kanseri y'uruhu mu duce twibasiwe na lichen sclerosus imaze igihe kinini idavuwe. Ariko, ibyo byago ni bike cyane kandi bishobora kugabanuka hamwe no kuvurwa neza no gukurikiranwa n'abaganga. Abantu benshi bafite lichen sclerosus ntibarwara kanseri.

Ubuvuzi bumamaramo igihe kingana iki?

Abantu benshi babona ko ibimenyetso nk'gukorora no kubabara bigabanuka mu byumweru 2-4 batangiye kuvurwa. Ariko, impinduka mu isura y'uruhu zishobora gutinda amezi menshi kugira ngo zigaragara. Gukoresha imiti yategetswe buri gihe ni ingenzi kugira ngo ubone umusaruro mwiza.