Ukuthi yini i-Lichen Planus? Izimpawu, Izimbangela, Nokwelashwa

I-lichen planus iyisimo esibhebhethayo esiqhubekayo esithinta isikhumba sakho, umlomo wakho, futhi ngezinye izikhathi ezinye izingxenye zomzimba wakho. Nakuba kungase kuzwakale kukhathazayo, lesi simo asiyona into ehambayo futhi sivame ukuqeda ngokwalo ngokuhamba kwesikhathi, yize kungathatha izinyanga noma iminyaka ukuze kuhlanzeke ngokuphelele.

Cabanga nge-lichen planus njengesistimu yakho yokuzikhusela ephazamisekile futhi ihlasela izicubu eziphilile ngephutha. Izindaba ezinhle ukuthi ukwelashwa okuphumelelayo kungasiza ekulawuleni izimpawu nokukhuphula ukululama uma kudingeka.

Iyini i-Lichen Planus?

I-lichen planus kwenzeka lapho isistimu yakho yokuzikhusela ihlasela ngephutha amaseli aphilile esikhumbeni sakho nasemahlathini. Lokhu kudala ukukhishwa okuhlukile nezicucu abagqirha abavame ukukwazi ukuzibona kalula.

Lesi simo sithola igama lazo ngendlela izicubu zesikhumba ezingase zibonakale ngayo zifana ne-lichen ekhula emadwaleni noma ezihlazini. Abantu abaningi bayithola phakathi kweminyaka engu-30 no-60, futhi ithonya amadoda nabesifazane ngokulinganayo.

Nakuba i-lichen planus ingase ibe buhlungu futhi ngezinye izikhathi ibe buhlungu, kubalulekile ukwazi ukuthi ayiyona into eyingozi noma ehambayo. Awukwazi ukuyithola komunye umuntu noma uyisakaze kwabanye ngokuthinta.

Ziyini Izimpawu ze-Lichen Planus?

Izimpawu ze-lichen planus zingase zihluke kakhulu kuye ngokuthi ivela kuphi emzimbeni wakho. Ake sihambe ngalokho ongase ukubone ukuze ukwazi ukuqaphela izimpawu.

Esikhumbeni sakho, uzovame ukubona izicubu ezincane, eziqondile ezipinki noma eziphuzi. Lezi zicubu zivame ukuba nobuso obukhanyayo futhi zingase zibe nomkhuhlane kakhulu. Zivame ukuvela ezandleni, ezinyaweni, emuva, nasezingxenyeni zangaphakathi zezandla zakho.

Nawa ama-symptom aphambili ongase uwabhekana nawo:

• Izicubu ezipinki noma eziphuzi eziqondile esikhumbeni
• Ukukhahlela okukhulu okungaphazanyiswa ubuthongo
• Ama-patch amhlophe anemibala emhlophe ngaphakathi komlomo wakho noma olimini lwakho
• Izilonda ezibuhlungu noma ama-ulcers emlonyeni wakho
• Ukushintsha kwezinzipho njenge-ridges, ukwahlukaniswa, noma ukuncipha
• Ukulahlekelwa izinwele uma kuthinta isikhumba sakho
• Ama-spots amnyama ashiywe ngemuva kokululama kwezicubu

Ukukhahlela kungase kube omunye wemikhakha enzima kakhulu ye-lichen planus. Abanye abantu bayichaza njengokungathi akunakuphikiswa, ikakhulukazi ebusuku. Izimpawu zomlomo zingenza ukudla noma ukuphuza kube buhlungu, ikakhulukazi ngokudla okunoshukela noma okunomsoco.

Ziyini Izinhlobo ze-Lichen Planus?

I-lichen planus ingabonakala ngezindlela eziningana ezahlukene, ngayinye inezingqikithi zayo. Ukuqonda uhlobo olukhona kusiza udokotela wakho ukukhetha indlela yokwelapha engcono kakhulu.

I-cutaneous lichen planus uhlobo oluvamile kakhulu, oluthinta isikhumba sakho ngalezo zicubu ezipinki ezibonakalayo. Lolu hlobo luvamise ukuvela ezandleni, ezinyaweni, nasemuva, futhi ukukhahlela okukhulu kuvame ukuba yisikhathi esinzima kakhulu.

I-oral lichen planus ithonya ingaphakathi lomlomo wakho, idala izakhiwo ezimhlophe ezimhlophe emathangeni akho, olimini, noma emagxeni. Ngezinye izikhathi ingabangela izilonda ezibuhlungu ezenza ukudla kube nzima. Lolu hlobo luvamise ukuqhubeka isikhathi eside kunesi khumba se-lichen planus.

Ezinye izinhlobo ezingavamile zifaka:

• I-nail lichen planus, engabangela ukukhahlela, ukuncipha, noma ukulahlekelwa ngokuphelele kwezinzipho
• I-scalp lichen planus, eholela ekunciphekeni kwezinwele nasema-scarring
• I-genital lichen planus, ebangela izilonda ezibuhlungu ezindaweni ezizimele
• I-lichen planopilaris, ehlose ngokukhethekile ama-hair follicles

Ulu hlobo ngalunye lungase ludinge izindlela zokwelapha ezahlukene, ngakho kubalulekile ukuba uhlobo lwakho oluthile lubonwe kahle yisisebenzi sezokunakekelwa kwezempilo.

Ziyini Izimbangela ze-Lichen Planus?

Imbangela eqondile ye-lichen planus ayiqondakali ngokuphelele, kodwa siyazi ukuthi iyisimo sokuzimela komzimba. Lokhu kusho ukuthi isistimu yakho yokuzikhusela ihlasela ngephutha izicubu zakho eziphilile esikhundleni sokuvikela ekuhlaselweni okubi.

Izici eziningana zingase zibangele lokhu kuphazamiseka kwesistimu yokuzikhusela. Imithi ethile, ikakhulukazi eyasetshenziswa ezimweni zenhliziyo, ukucindezeleka kwegazi, noma isifo samathambo, ngezinye izikhathi ingase iqalise i-lichen planus kubantu abathintekayo.

Nawa ama-trigger aphambili nezici ezinikezayo:

• Imithi ethile efana ne-ACE inhibitors noma imithi yokulwa ne-malaria
• Ukutheleleka kwe-Hepatitis C
• Ukucindezeleka noma ubuhlungu obungokomzwelo
• Ukuvezwa ezimweni ezithile zekhemikhali noma ama-metals
• Umsebenzi wezinyo noma ukulimala emlonyeni
• Ukukhetha ngokuzalwa
• Ezinye izimo zokuzimela komzimba

Ngezinye izikhathi i-lichen planus ivela ngaphandle kwanoma yimuphi umphumela ocacile, okungase kube yinto ecasulayo kodwa kuyinto evamile ngokuphelele. Udokotela wakho uzohlangana nawe ukuze ubone noma yiziphi izimbangela ezingase zibe khona esimweni sakho esithile.

Nini Okufanele Ubone Udokotela Nge-Lichen Planus?

Kufanele ubheke udokotela uma ubona izicubu ezingavamile, ukukhishwa, noma izilonda zomlomo ezingapheli phakathi nezinsuku ezimbalwa. Ukuxilongwa kwasekuqaleni kungakusiza uthole ukwelashwa okufanele futhi ugweme ukuphazamiseka.

Ungalindi ukufuna ukunakekelwa kwezokwelapha uma ubhekene nokukhahlela okukhulu okuthinta impilo yakho yansuku zonke noma ubuthongo. Isisebenzi sezokunakekelwa kwezempilo singancoma ukwelashwa ukuze kusize uzizwe ukhululekile ngesikhathi isimo siqhubeka.

Funani ukunakekelwa kwezokwelapha ngokushesha uma una:

• Izilonda zomlomo ezibuhlungu ezenza ukudla kube nzima
• Ukukhahlela okukhulu okungaphenduli ekwelapheni okungekho ngaphansi kokulawulwa
• Izimpawu zokutheleleka njenge-pus, ukukhuluphala kobuso, noma ukushisa
• Ukulahlekelwa izinwele ngokushesha noma ukushintsha kwezinzipho
• Izilonda ezindaweni zangasese
• Noma yiziphi izimpawu ezikukhathazayo noma ezithinta ikhwalithi yempilo yakho

Khumbula, nakuba i-lichen planus ivame ukuqeda ngokwayo, ukuba nokuxilongwa okufanele kukunika ukuthula kwengqondo nokufinyelela ekwelapheni okungakwenza uzizwe ukhululekile kakhulu ngesikhathi senqubo yokululama.

Ziyini Izici Zengozi ze-Lichen Planus?

Izici ezithile zingase zikhulise amathuba akho okukhula kwe-lichen planus. Ukuqonda lezi zici zengozi kungakusiza wena nodokotela wakho ukuqonda ukuthi kungani ungase ube nale simo.

Iminyaka idlala indima ebalulekile, ngamacala amaningi eyenzeka kubantu abadala abaneminyaka engu-30 kuya ku-60. Noma kunjalo, i-lichen planus ingase ikhule kunoma iyiphi iminyaka, kufaka phakathi kubantwana, yize lokhu kungavamile.

Ubungozi bakho bungase bube phezulu uma una:

• Ukutheleleka kwe-Hepatitis C
• Umbukiso womndeni wezimo zokuzimela komzimba
• Amazinga aphezulu okucindezeleka noma ubuhlungu obungokomzwelo obukhulu
• Ukuvezwa emsebenzini ezimweni zekhemikhali
• Ezinye izifo zokuzimela komzimba
• Umsebenzi wezinyo wakamuva noma ukulimala komlomo
• Ukuthatha imithi ethile isikhathi eside

Ukuba nezici zengozi akusho ukuthi uzokhula ngokuqinisekile i-lichen planus. Abantu abaningi abanazo izici zengozi abazitholi lesi simo, kanti abanye abangenazo izici zengozi ebonakalayo bayithola.

Ziyini Iziphazamiseko Ezingase Zikhona ze-Lichen Planus?

Nakuba i-lichen planus ngokuvamile ayiyona into eyingozi, ngezinye izikhathi ingabangela ukuphazamiseka okudinga ukunakekelwa. Ukuba uqaphele lezi zinto ezingase zenzeke kukusiza ukwazi ukuthi yini okufanele uyibheke.

Ukuphazamiseka okuvamile kakhulu ukukhuluphala kwe-post-inflammatory hyperpigmentation, okusho ukuthi ama-spots amnyama ashiywe ngemuva kokululama kwezicubu. Lezi zikhala zivame ukuba zesikhashana kodwa zingase zithathe izinyanga noma iminyaka ukuze ziphele.

Ukuphazamiseka okukhulu kungafaka:

• Ama-scarring aphakade, ikakhulukazi esikhumbeni
• Ukulahlekelwa izinwele ngokuphelele ezindaweni ezithintekayo
• Ukonakala kwezinzipho noma ukulahleka
• Ama-ulcers emlonyeni ebuhlungu ahlupha ukudla
• Ukutheleleka kwe-bacterial okubangelwa ukukhahlela
• Usizi obungokomzwelo oluvela ekushintsheni kokubonakala

Ezimeni ezingavamile, i-oral lichen planus ingase ikhulise kancane ubungozi bomdlavuza womlomo, yize lokhu kungavamile. Udokotela wakho uzolandelela noma yiziphi izilonda zomlomo eziqhubekayo ukuqinisekisa ukuthi zihlala zilungile futhi ubone noma yikuphi ukushintsha kwasekuqaleni.

Ukuphazamiseka okuningi kungavinjelwa noma kuncishiswe ngokwelashwa okufanele nokunakekelwa. Unganqikazi ukuxoxa nganoma yikuphi ukukhathazeka kwakho nomhlinzeki wakho wezokunakekelwa kwezempilo.

I-Lichen Planus Ixilongwa Kanjani?

Ukuxilongwa kwe-lichen planus ngokuvamile kuqala ngokuhlolwa kwamehlo udokotela wakho noma i-dermatologist. Ukubonakala okuhlukile kwezicubu kanye nezindawo zazo ezivamile ngokuvamile kwenza ukuxilongwa kube lula.

Udokotela wakho uzohlola isikhumba sakho ngokucophelela, efuna izicubu eziqondile, ezipinki. Bazohlola futhi ngaphakathi komlomo wakho, bahlole izinzipho zakho, futhi babuze ngezimpawu zakho nembali yakho yezokwelapha.

Inqubo yokuxilongwa ingafaka:

• Ukuhlolwa komzimba kwezindawo ezithintekayo
• Ukubuyekezwa kwembali yezokwelapha
• I-skin biopsy uma ukuxilongwa kungaqiniseki
• Izivivinyo zegazi ukuhlola i-hepatitis C
• Ukuhlolwa kokuthinta uma kukhona ukuphazamiseka kokuthinta okucatshangelwayo
• Ukubuyekezwa kwemithi ukuthola izimbangela ezingase zibe khona zemithi

I-skin biopsy ihilela ukuthatha isampula encane yesicubu esithintekayo ukuze ihlolwe ngaphansi komkhiqizo. Lokhu kungaqukatha ukuxilongwa lapho ukubonakala kungavamile noma lapho ezinye izimo kudingeka zisuke.

Izindaba ezinhle ukuthi amacala amaningi e-lichen planus angaxilongwa ngokususelwa ekubonakaleni kuphela, ngaphandle kokudinga izivivinyo ezicasulayo.

Iyini Ukwelashwa kwe-Lichen Planus?

Ukwelashwa kwe-lichen planus kugxile ekulawuleni izimpawu nokukhuphula ukululama. Njengoba isimo sivame ukuqeda ngokwalo, umgomo ukukugcina ukhululekile ngesikhathi umzimba wakho ululama.

I-topical corticosteroids ngokuvamile iyindlela yokuqala yokwelapha i-skin lichen planus. Lezi kremu noma ama-ointments alwa nokuvuvukala anganciphisa kakhulu ukukhahlela futhi asize izicubu zilulame ngokushesha.

Uhlelo lwakho lokwelashwa lungafaka:

• I-topical corticosteroid creams noma ama-ointments
• I-oral antihistamines ukuze kuphephe ukukhahlela
• I-topical numbing agents ukuze kuphephe ubuhlungu bomlomo
• I-oral corticosteroids ezimeni ezinkulu
• Ukwelashwa kokukhanya ngokuthinta okubanzi kwesikhumba
• Imithi yokucindezela isistimu yokuzikhusela ezimeni ezinzima
• I-Retinoids ngezinhlobo ezithile

Nge-oral lichen planus, udokotela wakho angancoma ukugcoba okukhethekile komlomo noma ama-gels aqukethe i-corticosteroids. Lokhu kungasiza ekuthambiseni ukuvuvukala nobuhlungu emlonyeni wakho.

Impumelelo yokwelashwa ihlukahluka kumuntu ngamunye. Abanye abantu babona ukuthuthuka phakathi nezinsuku ezimbalwa, kanti abanye bangase badinge ukwelashwa izinyanga. Udokotela wakho uzohlangana nawe ukuze uthole indlela ephumelelayo kakhulu yesimo sakho esithile.

Indlela Yokwelapha Ekhaya Ngesikhathi se-Lichen Planus?

Ukulawula i-lichen planus ekhaya kuhilela ukunakekelwa okuthambile nokuqeda izinto ezingase zenza izimpawu zibe zimbi. Izinyathelo ezilula zingenza umehluko omkhulu ezingeni lakho lokuphumula.

Gcina isikhumba sakho sinomswakama ngama-lotions noma ama-creams angenamphunga. Lokhu kusiza ukuvimbela ukuvuvukala okwengeziwe futhi kunganciphisa ukukhahlela. Faka i-moisturizer ngesikhathi isikhumba sakho sisaluma emanzini ukuze uvale umswakama.

Nawa amasu wokunakekelwa ekhaya awusizo:

• Thatha imithi ebandayo nge-oatmeal noma i-baking soda
• Sebenzisa amasoseji abuthambile, angenamphunga nama-detergents
• Gqoka izingubo ezikhululekile, ezithambile ukuze ugweme ukuvuvukala
• Gcina izinzipho zakho zifushane ukuze uvikele ukulimala kokukhahlela
• Gwema ukudla okunoshukela, okunomsoco, noma okukhulu uma umlomo uthintekile
• Sebenzisa izibulali zama-toothbrushes ezithambile
• Yenza amasu okulawula ukucindezeleka
• Faka ama-compresses abandayo ezindaweni ezikhahlelayo

Ngezimpawu zomlomo, ukugcoba ngamanzi olunosawoti noma ukusebenzisa ama-mouthwashes angenayo i-alcohol kungase kunikeze usizo oluthile. Gwema utsha, utshwala, nokudla okushisayo kakhulu, njengoba lokhu kungase kube kubi kakhulu ukucasula umlomo.

Khumbula ukuthi ukukhahlela kungase kube nezicubu eziningi kakhulu nokwenzeka kwama-scarring, ngakho-ke ukuthola izindlela zokulawula ukukhahlela kubalulekile ekululameni.

Kufanele Uzilungiselele Kanjani Ukuya Kulodokotela?

Ukulungiselela i-appointment yakho kusiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeni kwakho. Ukuba nolwazi oluhleliwe kulungile kuvumela udokotela wakho ukwenza ukuxilongwa okuchane kanye nokwenza uhlelo lokwelapha oluphumelelayo.

Yenza uhlu lwazo zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini ezenza zibe ngcono noma zimbi. Thatha izithombe zezindawo ezithintekayo uma kungenzeka, njengoba izimpawu zingase zishintshe phakathi kwama-appointments.

Letha ulwazi olulandelayo e-appointment yakho:

• Uhlu oluphelele lwemithi yamanje kanye nezinye izinto
• Umbali wezokwelapha kufaka phakathi izifo zakamuva noma izinqubo
• Umbukiso womndeni wezimo zokuzimela komzimba
• Imicimbi yokucindezeleka yakamuva noma ukushintsha kwesitayela sempilo
• Izithombe zezindawo ezithintekayo
• Uhlu lwemibuzo ofuna ukuyibuza
• Noma yikuphi ukwelashwa okwengaphambili okuye wazzama

Ungagqoki ubukeka noma i-nail polish e-appointment, njengoba lokhu kungase fihle imininingwane ebalulekile udokotela wakho adinga ukuyibona. Uma unamazinga omzimba, gwema ukudla noma ukuphuza noma yini engase ihlanganise ukubonakala kwesikhashana.

Thola ulungile ngemibuzo mayelana nezindlela zokwelapha, isikhathi esilindelekile sokuthuthuka, nanoma yikuphi ukushintsha kwesitayela sempilo okungasiza.

Iyini into ebalulekile mayelana ne-Lichen Planus?

I-lichen planus iyisimo esilawuleka esingase sibe buhlungu, kodwa asiyona into eyingozi noma ehambayo. Abantu abaningi babona ukuthuthuka okukhulu ngokwelashwa okufanele, futhi amacala amaningi aqeda ngokuphelele ngokuhamba kwesikhathi.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi awuwedwa ekubhekaneni nale simo. Ukwelashwa okuphumelelayo kukhona ukuze kusize ekulawuleni izimpawu nokukhuphula ukululama, ngisho noma isimo singase sidinge isikhathi ukuze siqede ngokuphelele.

Sebenzani eduze nomhlinzeki wakho wezokunakekelwa kwezempilo ukuze uthole indlela yokwelapha ephumelela kakhulu kuwe. Ngokubekezela nokunakekelwa okufanele, ungaphatha ngempumelelo i-lichen planus futhi ugcine ikhwalithi yempilo yakho ngesikhathi umzimba wakho ululama.

Imibuzo Evamile Mayelana ne-Lichen Planus

Ingabe i-lichen planus ihambayo?

Cha, i-lichen planus ayiyona into ehambayo nhlobo. Awukwazi ukuyithola komunye umuntu noma uyisakaze kwabanye ngokuthinta, ukwabelana ngezinto, noma ukuba eduze. Iyisimo sokuzimela komzimba esikhula lapho isistimu yakho yokuzikhusela ihlasela ngephutha izicubu eziphilile.

I-lichen planus ihlala isikhathi esingakanani?

I-lichen planus ngokuvamile ihlala kusuka ezinyangeni ezimbalwa kuya eminyakeni emibili, yize lokhu kuhlukahluka kakhulu phakathi kwabantu. I-skin lichen planus ivame ukuhlanzeka ngokushesha kunesi-oral lichen planus, engase iqhubeke isikhathi eside. Abanye abantu babona ukululama okuphelele phakathi nezinyanga eziyisithupha, kanti abanye bangase babe nezimpawu iminyaka eminingi.

Ingabe i-lichen planus ingase ibe umdlavuza?

I-skin lichen planus ayitholi umdlavuza. Noma kunjalo, i-oral lichen planus ingase ikhulise kancane ubungozi bomdlavuza womlomo, yize lokhu kungavamile. Udokotela wakho uzolandelela izilonda zomlomo eziqhubekayo ngokuhlola okuvamile ukuqinisekisa ukuthi zihlala zilungile futhi ubone noma yikuphi ukushintsha kwasekuqaleni.

Yikuphi ukudla engingakufanele ngikugweme nge-oral lichen planus?

Uma una-oral lichen planus, kungcono ukugwema ukudla okunoshukela, izithelo ze-citrus, amatamatisi, nezinye izinto ezinomsoco ezingase zicasule umlomo wakho. Gwema futhi ukudla okukhulu noma okunqamile njenge-chips noma i-toast crusts, ukudla okushisayo kakhulu neziphuzo, kanye notsha noma imikhiqizo yetshwala, engase ibe kubi kakhulu ukuvuvukala.

Ama-spots amnyama ashiywe yi-lichen planus azophela?

Yebo, ama-spots amnyama (i-post-inflammatory hyperpigmentation) ashiywe yi-lichen planus avame ukuwohloka ngokuhamba kwesikhathi, yize kungase kuthathe izinyanga noma iminyaka. Ukusebenzisa i-sunscreen ezindaweni ezithintekayo kungasiza ukuvimbela ama-spots ukuba angabi mnyama. Ezimweni ezithile, ukwelashwa kwe-topical kungasiza ekusheshiseni inqubo yokuphela.