Ese ni iki Lichen Planus yo mu kanwa? Ibimenyetso, Impamvu, n’Ubuvuzi

Lichen planus yo mu kanwa ni indwara y’uburwayi bw’ubuhumekero buhoraho itera ibice byera, bisa n’umushumi cyangwa ibisebe bibabaza mu kanwa. Ni uko ubudahangarwa bwawe bwibeshya bugatwika uturemangingo two mu ruhu rw’imbere mu kanwa, kimwe n’uko indwara ziterwa n’ubudahangarwa bw’umubiri zikora.

Iyi ndwara igaragara ku bantu bagera kuri 1-2% ku isi kandi ikunda kugaragara ku bantu bakuze bageze hagati, cyane cyane abagore. Nubwo bishobora gutera impungenge iyo ubimenye bwa mbere, lichen planus yo mu kanwa irasohoka neza ukoresheje ubuvuzi bukwiye.

Ni ibihe bimenyetso bya lichen planus yo mu kanwa?

Ibimenyetso bishobora gutandukana cyane ukurikije umuntu, kuva ku duce duto tw’umweru kugeza ku bibabaza cyane. Ushobora kugira ibimenyetso bitandukanye mu bihe bitandukanye, kuko iyi ndwara ishobora kuba ikomeye cyangwa igatinda.

Dore ibimenyetso bikunze kugaragara ushobora kubona:

• Ibice byera, bisa n’umushumi ku matama, ku masogwe, cyangwa ku rurimi bitakurwaho
• Uruhu rw’amasogwe rutukura, rwibyimba, cyangwa rubabaza
• Ibisebe bibabaza cyangwa imiborogo mu kanwa
• Kumva ubushyuhe cyangwa ububabare, cyane cyane iyo urya ibiryo birimo ibinyomoro cyangwa aside
• Kumva ubushyuhe cyangwa ubukonje bw’ibiryo n’ibinyobwa
• Kumva impumuro y’ibyuma mu kanwa
• Kumva kanwa kabyimbye

Bamwe mu bantu bagira ibice byera bitabaza kandi ntibumva ububabare, abandi bumva ububabare bukabije butera imbogamizi mu kurya no kuvuga. Ibimenyetso bikunda kuza no kugenda mu buryo buhoraho, bigenda bikomeye hanyuma bigatinda.

Ni izihe mpande za lichen planus yo mu kanwa?

Abaganga bakunze kugaragaza ubwoko butandukanye bwa lichen planus yo mu kanwa bushingiye ku buryo isa n’uko yumvikana mu kanwa. Gusobanukirwa ubwoko bwawe bw’umwihariko bifasha mu gutanga ubuvuzi bukwiye.

Ubwoko bwa reticular ni bwo bukunda kugaragara kandi busanzwe budatabaza. Bugaragara nk’imirongo cyangwa ibice byera, bisa n’umushumi, akenshi mu ruhu rw’imbere rw’amatama. Abantu benshi bafite ubu bwoko ntibabimenya kugeza igihe umuganga w’amenyo abibabonye mu isuzuma rya buri munsi.

Ubwoko bw’erosive ni bwo butera ububabare cyane. Biterwa n’ibice bitukura bibabaza n’ibisebe bishobora gutera imbogamizi mu kurya, kunywa, ndetse no kuvuga. Ubu bwoko bukunze kugira ingaruka ku masogwe kandi bushobora gutuma atandukana n’amenyo.

Ubwoko bwa papular bugaragara nk’uduce duto tw’umweru, mu gihe ubwoko bwa plaque bugaragara nk’ibice binini by’umweru bishobora kumera nk’umutwe. Ubwoko bw’atrophic butera ibice bitukura, byoroshye, kandi ubwoko bwa bullous bugira imiborogo yuzuye amazi, nubwo ubu bwoko bwa nyuma ari bwo buke cyane.

Ese ni iki giterwa na lichen planus yo mu kanwa?

Impamvu nyamukuru ntiyumvikana neza, ariko abashakashatsi bemeza ko ari indwara y’ubudahangarwa bw’umubiri aho ubudahangarwa bw’umubiri bugaba igitero ku mubiri muzima wo mu kanwa. Tekereza ko ari nk’ubudahangarwa bw’umubiri bwiyibagije icyo gikwiye n’icyo kidakwiye.

Ibintu byinshi bishobora gutera cyangwa kongera lichen planus yo mu kanwa:

• Imiti imwe, cyane cyane iyo kuvura umuvuduko ukabije w’amaraso, uburwayi bw’amagufwa, cyangwa uburwayi bw’umutima
• Ibikoresho by’amenyo nka fillings, korone, cyangwa dentures
• Indwara zandura, harimo virusi ya hepatitis C
• Umuvuduko n’ihungabana
• Guherwa mu muryango
• Ihinduka ry’imisemburo, cyane cyane ku bagore
• Indwara ziterwa n’ubudahangarwa bw’umubiri nka lupus cyangwa diabete

Mu bihe bimwe, icyo kigaragara nk’iya lichen planus yo mu kanwa gishobora kuba isubiramo ry’imiti cyangwa ibikoresho by’amenyo. Ibi bita lichenoid reaction, kandi bikunda kumera neza iyo icyateye ikibazo gikuyemo.

Gake cyane, indwara zidakira cyangwa kwibasirwa na chimique zimwe na zimwe bishobora gutera ibimenyetso bisa. Muganga wawe ashobora kugufasha kumenya niba ufite lichen planus yo mu kanwa cyangwa lichenoid reaction binyuze mu isuzuma ry’imbitse ndetse rimwe na rimwe no gupima.

Ni ryari ukwiye kujya kwa muganga kubera lichen planus yo mu kanwa?

Ukwiye kujya kwa muganga cyangwa kwa muganga w’amenyo niba ubona ibice byera, ibisebe, cyangwa ububabare mu kanwa bikomeza ibyumweru birenga bibiri. Isuzuma rya vuba rifasha mu kwirinda izindi ndwara kandi rigutera imbaraga mu kuvurwa.

Shaka ubuvuzi vuba niba ufite ububabare bukabije butera imbogamizi mu kurya cyangwa kunywa, amaraso ava mu bibabaza mu kanwa, cyangwa niba ibice bihinduye isura cyane. Ibi bishobora kugaragaza ko ikibazo cyakomeye gikenewe kuvurwa vuba.

Nabyo ni ingenzi kujya kwa muganga niba ugira imbogamizi mu gutema, ubona ibintu byibyimba mu kanwa, cyangwa niba iyi ndwara igira ingaruka ku bushobozi bwawe bwo kurya neza. Gukurikirana buri gihe ni ingenzi kuko lichen planus yo mu kanwa isaba gukurikiranwa buri gihe.

Ni ibihe bintu byongera ibyago bya lichen planus yo mu kanwa?

Ibintu byinshi bishobora kongera amahirwe yawe yo kurwara lichen planus yo mu kanwa, nubwo ufite ibyo bintu bitakwizeza ko uzayirwara. Kubyumva bishobora kugufasha kuba maso ku bimenyetso.

Imyaka n’igitsina bigira uruhare runini, iyi ndwara ikunda kugaragara ku bantu bari hagati y’imyaka 30 na 70. Abagore bafite amahirwe abiri yo kurwara lichen planus yo mu kanwa kurusha abagabo, cyane cyane mu gihe cya menopause no nyuma ya yo.

Amateka y’umuryango wawe na yo ni ingenzi. Niba abavandimwe ba hafi bafite indwara ziterwa n’ubudahangarwa bw’umubiri cyangwa lichen planus yo mu kanwa, ushobora kugira ibyago byinshi. Abantu bafite izindi ndwara ziterwa n’ubudahangarwa bw’umubiri nka rheumatoid arthritis, lupus, cyangwa uburwayi bwa thyroid na bo bafite ibyago byinshi.

Ubuzima n’ibidukikije birimo umuvuduko uhoraho, ushobora gutera ubudahangarwa bw’umubiri, no kwibasirwa na chimique zimwe na zimwe. Kugira indwara ya hepatitis C byongera cyane ibyago, kimwe no gufata imiti imwe igihe kirekire.

Ibintu by’amenyo nko kudakora isuku y’amenyo neza, ibikoresho by’amenyo bidafite ubunini bukwiye, cyangwa isubiramo ry’ibikoresho by’amenyo na byo bishobora kugira uruhare mu byago. Gake cyane, impinduka z’imiterere y’umubiri zifite ingaruka ku budahangarwa bw’umubiri zishobora gutera bamwe mu bantu iyi ndwara.

Ni izihe ngaruka zishoboka za lichen planus yo mu kanwa?

Nubwo abantu benshi bafite lichen planus yo mu kanwa bayisohoka neza binyuze mu buvuzi, ni ingenzi gusobanukirwa ingaruka zishoboka kugira ngo ubashe kwitondera ibimenyetso by’uburwayi kandi ushake ubuvuzi bukwiye igihe bikenewe.

Ingaruka zikunze kugaragara harimo ububabare buhoraho bugira ingaruka ku mibereho yawe, bigatuma bigorana kurya, kuvuga, cyangwa gusinzira neza. Ibibazo bikomeye bishobora gutera ibibazo byo kudaheranwa neza niba ububabare bugutera imbogamizi mu kurya indyo yuzuye.

Indwara zandura zishobora kuba mu bibabaza, cyane cyane indwara ziterwa n’ibinyampeke nka thrush. Ubusanzwe ubusugire bw’ibinyampeke mu kanwa bushobora guhungabana, bigatera kwangirika kw’amenyo cyangwa indwara y’amasogwe niba isuku y’amenyo igorana kubera ububabare.

Ingaruka zikomeye ariko nke cyane harimo inkovu ikomeye ishobora kugira ingaruka ku mikorere y’akanwa, kandi mu kigero gito cy’abantu, ubwoko bw’erosive bushobora kongera ibyago bya kanseri y’akanwa imyaka myinshi. Niyo mpamvu gukurikirana buri gihe na muganga wawe ari ingenzi cyane.

Gake cyane, iyi ndwara ishobora gutera impinduka zihoraho mu miterere y’akanwa, nko kugorana kugira ururimi cyangwa kugorana gufungura akanwa neza. Bamwe mu bantu bagira ingaruka zo mu mutwe kubera ububabare buhoraho n’impinduka z’isura.

Ese lichen planus yo mu kanwa imenyekanwa gute?

Kumenya lichen planus yo mu kanwa bisanzwe bitangira harebwe neza mu kanwa n’ibiganiro birambuye ku bimenyetso byawe n’amateka yawe y’ubuzima. Muganga wawe cyangwa muganga w’amenyo azareba imiterere yayo kandi azakubaza igihe ibimenyetso byatangiye.

Biopsy ikunda kuba ngombwa kugira ngo yemeze uburwayi kandi kwirinde izindi ndwara nka kanseri y’akanwa. Muri ubu buryo bworoshye, igice gito cy’umubiri gifatwa mu gice cyarwaye kikarebwa muri microscope. Umubiri ugaragaza imiterere yihariye ifasha gutandukanya lichen planus yo mu kanwa n’izindi ndwara.

Muganga wawe ashobora kandi gutegeka ibizamini by’amaraso kugira ngo arebe niba hari izindi ndwara nka hepatitis C cyangwa indwara ziterwa n’ubudahangarwa bw’umubiri. Azareba imiti ufata kandi azakubaza ibyakozwe mu menyo vuba kugira ngo amenye icyateye ikibazo.

Rimwe na rimwe, gupima ibice bikorwa kugira ngo hamenyekane niba uri allergique ku bikoresho by’amenyo. Amafoto ashobora gukoreshwa kugira ngo hagaragare isura y’ikibazo no gukurikirana impinduka mu gihe.

Ese ni iki kivura lichen planus yo mu kanwa?

Ubuvuzi bushingiye ku gukemura ibimenyetso no kwirinda ko bikomeza kuko nta muti ukira lichen planus yo mu kanwa. Inkuru nziza ni uko abantu benshi babona ubuvuzi bukomeye binyuze mu buvuzi bukwiye no guhindura imibereho.

Corticosteroids zo hanze ni zo zikunze gukoreshwa mbere. Izi gel, amavuta, cyangwa amazi yo mu kanwa afasha kugabanya ububabare n’ububabare. Muganga wawe ashobora kwandika imiti ikomeye mu gihe cy’ibibazo bikomeye cyangwa niba imiti yo hanze idahagije.

Kubibazo bikomeye, ubuvuzi burimo:

• Imiti igabanya ubudahangarwa bw’umubiri nka tacrolimus cyangwa cyclosporine
• Corticosteroids yo kunywa mu gihe gito mu gihe cy’ibibazo bikomeye
• Retinoids gufasha kugenzura ukura kw’uturemangingo
• Imiti irwanya indwara ziterwa n’ibinyampeke niba hari izindi ndwara zandura
• Imiti igabanya ububabare kubera ububabare bukabije

Gake cyane, photodynamic therapy cyangwa laser treatment bishobora kugenzurwa kubibazo bidakira. Bamwe mu bantu bagira akamaro mu gukuraho icyateye ikibazo nka bimwe mu bikoresho by’amenyo cyangwa imiti, nubwo ibi bigomba gukorwa buri gihe munsi y’ubuvuzi.

Uburyo bwawe bw’ubuvuzi buzakenera guhinduka uko igihe gihita kuko uburwayi bwawe buhinduka. Gukurikirana buri gihe bifasha guhamya ko ubuvuzi bwawe bukomeza kugira akamaro kandi butekanye.

Uko wakwitwara murugo ufite lichen planus yo mu kanwa

Kwita ku buzima bw’amenyo murugo bigira uruhare runini mu gukemura ibimenyetso bya lichen planus yo mu kanwa no kwirinda ko bikomeza. Imigenzo yoroshye ya buri munsi ishobora kugira uruhare runini mu mibereho yawe n’ubuzima bw’amenyo muri rusange.

Isuku y’amenyo yoroshye ni ingenzi. Koresha ijisho ryoroshye rya buri munsi n’amavuta y’amenyo adafite SLS kugira ngo wirinde gukomeretsa uruhu rw’amenyo. Koga mumazi ashyushye y’umunyu inshuro nyinshi kumunsi kugira ngo ugire ubuzima bwiza kandi ugabanye udukoko.

Guhindura indyo bishobora kugabanya ububabare:

• Irinde ibiryo birimo ibinyomoro, aside, cyangwa ibintu bikomeye mu gihe cy’ibibazo bikomeye
• Hitamo ibiryo byoroshye, bikonje nka yogourt, smoothies, n’imboga zitetse
• Niba ukeneye amazi menshi
• Gabanya inzoga n’itabi, bishobora kongera ibimenyetso
• Tegereza gufata vitamine B12 na zinc niba ubuze

Uburyo bwo guhangana n’umuvuduko nko gutekereza, imyitozo yoroshye, cyangwa inama zishobora kugabanya ibibazo bikomeye kuko umuvuduko ukunda gutera ibimenyetso. Kuryama bihagije no kugira ubuzima bwiza na byo bishyigikira ubudahangarwa bwawe.

Komeza kanwa kawe kabyimbye ukoresheje ikawa idafite isukari cyangwa amazi yo mu kanwa niba ufite kanwa kabyimbye. Bamwe mu bantu babona ubuvuzi binyuze mu miti y’ibimera nka aloe vera gel, nubwo ukwiye kubiganiraho na muganga wawe mbere.

Uko wakwitegura kujya kwa muganga

Kwita neza ku gikorwa cyawe cya muganga bifasha guhamya ko ubona isuzuma ryiza kandi uburyo bwiza bwo kuvurwa. Gufata umwanya mbere yo gutegura ibitekerezo byawe n’amakuru bishobora gutuma uruzinduko rwawe rugira akamaro.

Andika ibimenyetso byawe byose, harimo igihe byatangiye, icyabikiza cyangwa kibikomeza, n’uko bigira ingaruka ku buzima bwawe bwa buri munsi. Fata amafoto y’ibice byarwaye niba bishoboka, kuko ibimenyetso bishobora guhinduka hagati y’ibikorwa.

Zana urutonde rwuzuye rw’imiti ufata, harimo imiti yo hanze n’ibindi. Tegura amakuru yerekeye ibyakozwe mu menyo vuba, impinduka mu buzima bwawe, n’amateka y’umuryango wawe y’indwara ziterwa n’ubudahangarwa bw’umubiri.

Tegura ibibazo uzabaza muganga wawe, nko kumenya ubwoko bwa lichen planus yo mu kanwa ufite, uburyo bwo kuvurwa buhari, n’uko wakwitwara murugo. Ntugatinye kubabaza ibyerekeye ibyifuzo by’igihe kirekire n’igihe ukwiye gushaka ubuvuzi bwihuse.

Icyo ukwiye kumenya cyane kuri lichen planus yo mu kanwa

Lichen planus yo mu kanwa ni indwara idakira ihoraho igira ingaruka ku ruhu rw’imbere rw’akanwa binyuze mu buryo bw’ubudahangarwa bw’umubiri. Nubwo nta muti ukiriho, abantu benshi babona ubuvuzi bukomeye binyuze mu buvuzi bukwiye no guhindura imibereho.

Ingingo y’ubuvuzi bwiza ni ugukorana na muganga wawe kugira ngo utegure uburyo bw’ubuvuzi buhuye n’ibyo ukeneye. Gukurikirana buri gihe bifasha kumenya impinduka hakiri kare kandi bihamya ko ubuvuzi bwawe bukomeza kugira akamaro igihe kirekire.

Wibuke ko ibimenyetso bikunda kuza no kugenda mu buryo buhoraho, ntucike intege niba ugira ibibazo bikomeye. Ufite kwihangana no kwita buri gihe, abantu benshi bafite lichen planus yo mu kanwa bagira ubuzima bwiza, busanzwe mu gihe bayigenzura neza.

Ibibazo bikunze kubaho kuri lichen planus yo mu kanwa

Q1: Ese lichen planus yo mu kanwa yandura?

Oya, lichen planus yo mu kanwa ntiyandura. Ni indwara y’ubudahangarwa bw’umubiri, bisobanura ko ubudahangarwa bwawe bw’umubiri ari bwo butera ibimenyetso. Ntushobora kuyanduza undi muntu cyangwa kuyikwirakwiza ku bandi binyuze mu gusomana, gusangira ibikoresho, cyangwa uburyo ubwo aribwo bwose.

Q2: Ese lichen planus yo mu kanwa izakira yonyine?

Lichen planus yo mu kanwa ni indwara ihoraho isanzwe idakira yonyine. Ariko, ibimenyetso bikunda kuza no kugenda mu buryo buhoraho, bigenda bikomeye hanyuma bigatinda. Bamwe mu bantu bagira igihe kirekire bafite ibimenyetso bike, abandi bakenera kuvurwa buri gihe kugira ngo bumve neza.

Q3: Ese lichen planus yo mu kanwa ishobora guhinduka kanseri?

Ibyago ni bike cyane, ariko ubwoko bw’erosive bwa lichen planus yo mu kanwa bushobora kongera gato ibyago byo kurwara kanseri y’akanwa imyaka myinshi. Niyo mpamvu gukurikirana buri gihe na muganga wawe ari ingenzi cyane. Bashobora gukurikirana impinduka zose kandi bagafata ibibazo hakiri kare igihe bishobora kuvurwa.

Q4: Ni ibihe biryo nakwirinda mfite lichen planus yo mu kanwa?

Mu gihe cy’ibibazo bikomeye, ni byiza kwirinda ibiryo birimo ibinyomoro, imbuto za citrus, inyanya, shokola, n’ibiryo bikomeye cyangwa birimo ibintu bikomeye bishobora gukomeretsa akanwa. Inzoga n’ibiryo bishyushye cyane bishobora kongera ibimenyetso. Fata ibiryo byoroshye, bidafite ibinyomoro nka yogourt, ibirayi byatetse, na smoothies kugeza igihe ibimenyetso bikize.

Q5: Ni igihe kingana iki ubuvuzi bukamara kugira akamaro?

Abantu benshi babona impinduka mu byumweru 2-4 nyuma yo gutangira ubuvuzi, nubwo bishobora gutwara igihe kirekire kugira ngo babone inyungu zuzuye. Imiti yo hanze ikunda gutanga ubuvuzi mu minsi mike kububabare, mu gihe bishobora gutwara ibyumweru byinshi kugira ngo hagaragare kugabanuka kw’ibice byera cyangwa ibisebe. Muganga wawe azahindura uburyo bwawe bw’ubuvuzi ukurikije uko ubisubiza.