Lichen Planus

ILichen planus (LIE-kun PLAY-nus) iyisimo sesikhumba, izinwele, izipikili, umlomo nezibuko. Ekukhumbeni, i-lichen planus ibonakala njengeziqongo ezipinki, ezikhuba, eziqhelelene ezikhula emasontweni ambalwa. Emilonyeni nasemucosa yezibuko, i-lichen planus yenza amabala amhlophe amahle, ngezinye izikhathi aneziqopho ezibuhlungu.

ILichen planus emaphakathi yesikhumba ingase ingadingi ukwelashwa. Uma isimo sibangela ubuhlungu noma ukukhahlela okukhulu, ungadinga imithi yokubhalwa.

Izimpawu ze-lichen planus ziyahluka kuye ngokuthi iyiphi ingxenye yomzimba ethintekile. Ukugula kwezinzipho kuvame ukubathinta izinzipho eziningi. Izimpawu zihlanganisa: Izicubu ezibomvu, ezicwebezelayo, eziqhelelene, ngokuvamile ezingalweni, ezinzipeni noma ezinqenqemeni. Imigqa yokuqhuma lapho isikhumba siqunywile. Amabala amhlophe amahle eceleni lolimi noma ngaphakathi kwempumulo. Ukukhahlela. Amaqhubu abhlungu emlonyeni noma ezihlotsheni. Ngokungavamile, ukulahleka kwenwele. Ukuphazamiseka noma ukulahleka kwezinzipho. Imigqa emnyama evela eceleni lenzipho kuya ekuqaleni. Bheka umhlinzeki wakho wezempilo uma kukhona izicubu ezincane noma ukuqhuma okuvela esikhumbeni sakho ngaphandle kwesizathu esaziwayo, njengokuxhumana ne-poison ivy. Bheka futhi umhlinzeki wakho wezempilo uma unezimpawu ezithile ezihlobene ne-lichen planus yomlomo, izihlotshi, ikhanda noma izinzipho. Kungcono ukuthola ukuxilongwa okusheshayo nokulungile ngoba izimo eziningi zesikhumba nezinhlangothi ze-mucous zingabangela amaqhubu nobuhlungu.

Bona uhlinzeki wakho wezempilo uma kukhona izicubu ezincane noma isihlungu esikhulu esikhuneni sakho ngaphandle kwesizathu esaziwayo, njengokuxhumana ne-poison ivy. Buka futhi uhlinzeki wakho wezempilo uma unezinkinga ezihlobene ne-lichen planus emlonyeni, ezingutsheni, ezikhumbeni noma ezinhlweni. Kungcono ukuthola ukuxilongwa okusheshayo nokulungile ngoba izimo eziningi zesikhumba nezinhlangothi ze-mucous zingabangela amaqhuzu nobuhlungu.

Imbangela ye-lichen planus cishe ihlobene nesistimu yomzimba ekuhlaseleni amangqamuzana esikhumba noma emathunjini. Akucaci ukuthi kungani le mpendulo engalungile yomzimba iyenzeka. Isimo asiwuhlaseleli.

ILichen planus ingase iqalwe yi:

• Ukutheleleka yiHepatitis C.
• Izinhlungu kanye nezinye izidakamizwa.
• Ukuphikisana okungokwalerji nethusi ezigcwalisweni zamahlombe.

Noma ubani angathola i-lichen planus. Ngokuvamile ithinta abantu abadala abaphakathi. I-lichen planus emlonyeni inamathuba amaningi okuthinta abesifazane kunamadoda.

I-lichen planus ingaba nzima ukuyikwelapha esigabeni sobusika nasemgabeni wesisu. Ingabangela ukwenzakala nokubhlungu okukhulu. Izilonda ezingxenyeni zesini zingenza ubulili bube buhlungu.

Olwazi oluthintekayo nolwezinzipho lungase luhlale lumnyama kancane ngisho nasemuva kokwelapheka.

Izilonda zomlomo zingathinta ikhono lakho lokudla. I-lichen planus yomlomo iyakwandisa ingozi yomdlavuza womlomo. Ngokungavamile, i-lichen planus ithonya umzila wezindlebe. Uma ingalashwa, ingabangela ukulahlekelwa ukuzwa.

Ukuthola imbangela yesifo sakho, umhlinzeki wakho wezempilo cishe uzothintana nawe ngezimpawu zakho kanye nomlando wakho wezokwelapha futhi enze ukuhlolwa komzimba. Ungase futhi udinga ezinye izivivinyo. Lezi zingafaka:

• I-Biopsy. Umhlinzeki wakho wezempilo ususa ingxenye encane yethishu elimazelekile ukuze ihlolwe elabhoratri. Ithishu ihlolwa ukuze kubonwe ukuthi inezindlela zezisele ezivamile ze-lichen planus.
• Izivivinyo zegazi. Ungase uthathe igazi lakho ukuze uhlolwe izinkinga zempilo ezihlobene ne-lichen planus. Ngokwesibonelo, i-hepatitis C.

Uma ungenayo ubuhlungu noma ukungakhululeki, ungase ungadingi ukwelashwa. I-lichen planus olukhona esihlathini sivame ukuqina ngokwalo ezinyangeni kuya eminyakeni. Imithi nezinye izindlela zokwelapha zingasiza ekuqedeni ukukhahlela, ukunciphisa ubuhlungu nokukhulisa ukuphulukisa. Xoxa nodokotela wakho ukuze uqonde izinzuzo nezingozi zezinketho zokwelapha. Ungase udinga indlela engaphezu kwesisodwa yokulawula izimpawu zakho. Uma isifo sithinta imingxuma yakho nezinzipho, siyasinda ukwelashwa. Ngisho noma ukwelashwa kusebenza, izimpawu zingabuya. Cishe uzodinga ukuvakashela udokotela wakho ukuze uthole ukunakekelwa okulandelayo okungenani kanye ngonyaka. I-Corticosteroids Ngokuvamile, ukukhetha kokuqala kokwelapha i-lichen planus yesikhumba yi-corticosteroid cream noma i-ointment. Lokhu kungasiza ekuqedeni ubuhlungu, ukukhula nokutheleleka. Uma i-corticosteroid yendawo ingasizi futhi isimo sakho sibuhlungu noma sisakazekile, udokotela wakho angase aphakamise amaphilisi noma ukugonywa kwe-corticosteroid. Imiphumela emibi iyahlukahluka, kuye ngendlela yokusebenzisa. I-Corticosteroids iphephile uma isebenziswa njengoba kuqondiswe. Imithi yokulwa nokutheleleka emlonyeni Eminye imithi yomlomo esetshenziswa kwi-lichen planus yi-antimalarial hydroxychloroquine (Plaquenil) ne-antibiotic metronidazole (Flagyl, ezinye). Imithi yokuphendula kwe-Immune Ngezimpawu ezinzima kakhulu, ungase udinga imithi yokubhalwa okuthinta impendulo yomzimba wakho. Imithi elandelayo isetshenziswe ngempumelelo ethile kodwa ucwaningo olwengeziwe luyadingeka: i-cyclosporine (Sandimmune). I-Azathioprine (Azasan). i-methotrexate (Trexall). i-mycophenolate (Cellcept). i-sulfasalazine. i-thalidomide (Thalomid). Ama-Antihistamines Imithi ye-antihistamine ethathwe ngomlomo ingasiza ukunciphisa isikhumba esikhahlelayo esibangelwa yi-lichen planus. Ukwelashwa kokukhanya Ukwelashwa kokukhanya kungasiza ekuqedeni i-lichen planus ethinta isikhumba. Le ndlela ibizwa nangokuthi i-phototherapy. Enye indlela ihilela ukufaka isikhumba esithintekile ekukhanyeni kwe-ultraviolet B izikhathi ezi-2 kuya kwezi-3 ngesonto izinsuku eziningi. Omunye umphumela omuhle ongaqedi ukuguquka kombala wesikhumba (i-postinflammatory hyperpigmentation) ngisho noma isikhumba siphulukile. Ama-Retinoids Udokotela wakho angase abhale imithi ye-retinoid ethathwe ngomlomo noma efakwe esihlathini. Isibonelo esisodwa yi-acitretin. Ama-Retinoids angabangela izinkinga zokuzalwa, ngakho-ke lolu hlobo lwemithi alukho kubantu abakhulelwe noma abangase bakhulelwe. Uma ukhulelwe noma uncelisa, udokotela wakho angase aphakamise ukuthi ulibambezele ukwelashwa noma ukhethe ukwelashwa okuhlukile. Ukubhekana nezici Uma udokotela wakho ecabanga ukuthi i-lichen planus yakho ihlobene nokutheleleka, uketshezi, imithi oyithathayo noma enye into ebangela, ungase udinga ukwelashwa okunye noma ukuhlolwa ukuze ukubheke lokho. Isibonelo, ungase udinga ukushintsha imithi noma udokotela wakho angase aphakamise ukuhlolwa okwengeziwe kwe-allergens. Ulwazi Olwengeziwe I-photodynamic therapy Cela i-aphoyintimenti