Lichen Sclerosus
Pfupiso
Lichen sclerosus (LIE-kun skluh-ROW-sus) chirwere chinoita kuti ganda rive nemakwati, risina ruvara, uye rakapfava. Kazhinji rinoonekwa munzvimbo dzepabonde nepakati pemakumbo. Munhu wese anogona kuwana lichen sclerosus asi vakadzi vakapfuura menopause vari panjodzi yakakura. Haisi chirwere chinopfuudzwa uye hachifambiswi nepabonde. Kurapwa kazhinji kunosanganisira mafuta ane mishonga. Kurapwa uku kunobatsira kudzorera ganda kune ruvara rwarwo uye kuderedza njodzi yekukuvadzwa. Kunyangwe zviratidzo zvako zvikapera, zvinowanzo dzoka. Saka iwe uchazoda kutarisirwa kwenguva refu.
Zviratidzo
Zvinobvira kuva nelichen sclerosus isina zviratidzo. Kana zviratidzo zvikaitika, kazhinji dzinokanganisa ganda renharaunda dzepabonde nepakati. Musana, mapendekete, maoko epamusoro nemazamu zvinogona kukanganiswawo. Zviratidzo zvinogona kusanganisira: Zvidimbu zve ganda rakapfava risina ruvara Zvidimbu zve ganda rakapfava, rakamonyana Kutsamwa Kurwadziwa kana kunzwa kwekupisa Kuropwa nyore Ganda rakapfava Kuchinja mubhuru rekuyerera kwemukaka (urethra) Kubuda ropa, kuumbwa kwemabvuvhu kana maronda akavhurika Bonde rinorwadza Ona chiremba wako kana uine zviratidzo zve lichen sclerosus. Kana watoongororwa kuva nelichen sclerosus, ona chiremba wako mwedzi mitanhatu kusvika ku12. Kushanya uku kunokosha kuongorora chero kuchinja kwe ganda kana migumisiro yekurapa.
Nguva yekunoona chiremba
Ona chiremba wako kana uine zviratidzo zvelichen sclerosus. Kana watoongororwa kuti une lichen sclerosus, ona chiremba wako mwedzi mitanhatu kusvika ku12. Kushanya uku kunokosha kuongorora chero shanduko yeganda kana zvinokonzerwa nekurapwa.
Zvinokonzera
Chikonzero chaicho chelichen sclerosus hachizivikanwi. Zvinogona kunge kuri musanganiswa wezvinhu zvakawanda, kusanganisira immune system inoshanda zvakanyanya, majeni ako, uye kukuvara kweganda kare kana kutsamwa.
Lichen sclerosus haisi chirwere chinopfuudzwa uye haigone kupfuudzwa kuburikidza nepabonde.
Zvinhu zvinokonzera njodzi
Munhu wese anogona kuwana lichen sclerosus, asi njodzi yakakwira kune:
- Vakadzi vakapfuura menopause
- Vana vane makore asingasviki gumi
- Vakadzi vane chirwere chimwe chete che autoimmune, senge marudzi ekushomeka kwe thyroid (hypothyroidism)
- Varume vane urinary incontinence kana penis isina kuchekerwa
- Vanhu vane nhoroondo yemhuri yechirwere ichi
Matambudziko
Zvinetso zvelichen sclerosus zvinosanganisira bonde rinorwadza nemavanga, kusanganisira kuvhara kwe clitoris. Kuita mavara peganda repenis kunogona kukonzera kurwadziwa pakusimudza, kuyerera kwemukaka kusina kunaka uye kusakwanisa kudzosera foreskin.
Vanhu vane vulvar lichen sclerosus vakawedzerawo njodzi yekenza ye squamous cell carcinoma.
Muvana, kuvimbiswa ndicho chirwere chinowanzoitika.
Kuongorora
Chiremba wenyu angawana chirwere chelichen sclerosus nokuongorora ganda rakarwara. Mungada biopsy kuti murase kenza. Mungada biopsy kana ganda renyu risina kubatsirwa nekikimu dze steroid. Biopsy inosanganisira kubvisa chidimbu chidiki che tishu yakakuvara kuti iongororwe pasi pe microscope.
Mungatumirwa kune vanachiremba vane hunyanzvi mumamiriro eganda (dermatologist), sisitimu yekuberekesa yevakadzi (gynecologist), urology uye mushonga weruvira.
Kurapa
Kana kurapwa kuchikwanisika, zviratidzo kazhinji zvinowedzera kana kupera. Kurapwa kwelichen sclerosus kunoenderana nekuti zviratidzo zvako zvakakomba sei uye kuri kupi pamuviri wako. Kurapwa kunogona kubatsira kudzikamisa kukwenya, kuvandudza chitarisiko che ganda rako uye kuderedza njodzi yekukuvadzwa. Kunyangwe kurapwa kuchikunda, zviratidzo kazhinji zvinodzoka.
Mafuta e steroid clobetasol anoshandiswa kazhinji ekurapa lichen sclerosus. Pakutanga uchafanirwa kuisa mafuta paganda rakabatwa kaviri pazuva. Mushure memavhiki mashoma, mushandi wako wehutano achakurudzira kuti uashandise kaviri chete pasvondo kuti udzivise zviratidzo kudzoka.
Mushandi wako wehutano achaongorora kuti une zvinokonzerwa nekushandisa kwenguva refu kwe corticosteroids, senge kuonda kwakanyanya kwe ganda.
Uyezve, mushandi wako wehutano anogona kukurudzira calcineurin inhibitor, senge tacrolimus ointment (Protopic).
Bvunza mushandi wako wehutano kuti kazhinji unofanira kudzoka kuongororwa - zvichida kamwe kana kaviri pagore. Kurapwa kwenguva refu kunodiwa kudzora kukwenya nekutsamwa uye kudzivirira matambudziko akakomba.
Mushandi wako wehutano anogona kukurudzira kubvisa ganda repenis (kucheka) kana kuvhura kwekuyerera kwemukaka kwakamanikidzwa nelichen sclerosus.
Chiziviso: August ipuratifomu yemashoko ehutano uye mhinduro dzayo haisi zano rekurapa. Gara uchibvunza nyanzvi yezvekurapa ine rezinesi pedyo newe usati waita chero shanduko.
Yakagadzirwa muIndia, kune nyika