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

I-Lichen sclerosus iyisimo esingapheli sesikhumba esibangela izindawo ezimhlophe, eziqhelelene zesikhumba esincinyane, ikakhulukazi ezindaweni zangasese nezesisu. Nakuba ingathinta noma ubani, kwenzeka kakhulu kubantu besifazane ngemva kokuphela kwesikhathi sabo sokubeletha futhi ngezinye izikhathi kubantwana.

Lesi simo asithwali futhi awukwazi ukusibamba komunye umuntu. Cabanga ngakho njengesimiso sakho sokuvikela umzimba esiphonsa ngephutha amaseli esikhumba asempilweni, okubangela ukuvuvukala nokushintsha kwendlela esikhumba sibonakala ngayo nokuzwakala kwalo ngokuhamba kwesikhathi.

Zithini izimpawu ze-lichen sclerosus?

Isici esibonakala kakhulu ngokuvamile yizindawo ezimhlophe, ezicwebezelayo zesikhumba ezingase zibonakale ziqhelelene noma ziqine njengephepha lesithombe. Lezi zindawo ngokuvamile zihluke esikhumbeni sakho esivamile futhi zingaba buhlungu kakhulu uma zithintwa.

Ungase uqaphele izimpawu eziningi ezingase zibe zibumnene kuya ezinkulu kakhulu:

• Izindawo ezimhlophe, ezicwebezelayo zesikhumba ezingase zibonakale ziqhelelene noma zibude
• Ukukhahlela okungase kube nzima, ikakhulukazi ebusuku
• Ubuhlungu noma ukungakhululeki ngesikhathi sokusula noma ukuya esitulini
• Ubuhlungu besondo kwabesifazane
• Ukuphuza noma ukuqhekeka kwesikhumba, ngisho noma kuthintwe kancane
• Isikumba esiqhekeka kalula ezindaweni ezikhuthazwe
• Amabala angashintsha ukuma kwendaweni yasesondo ngokuhamba kwesikhathi

Kwezinye izimo, ungase uhlangabezane nezimpawu ezingavamile njengezicucu ezincane noma amabhabha esikhumbeni esithintekile. Izimpawu zingase ziye ziye, abanye abantu behlangabezana nokuqhuma okulandelelwa yizikhathi lapho izimpawu ziphucuka.

Ziyini izinhlobo ze-lichen sclerosus?

I-Lichen sclerosus ngokuvamile ihlukaniswa ngokuthi ivela kuphi emzimbeni wakho. Uhlobo lwasesondo luthinta i-vulva kwabesifazane ne-penis kumadoda, kuyilapho uhlobo olungaphandle kwesondo lungase lube kuphi kwenye indawo emzimbeni wakho.

I-Lichen sclerosus yesondo yiyona evamile. Kwabesifazane, ngokuvamile ithonya i-vulva, kufaka phakathi indawo eseduze nokukhipha kwesondo futhi ngezinye izikhathi isondela endaweni yesisu. Kumadoda, ngokuvamile ithonya ikhanda le-penis ne-foreskin.

I-Lichen sclerosus engaphandle kwesondo ingase ibonakale emagxalabeni akho, esifubeni, ezandleni, noma kwezinye izindawo zomzimba wakho. Lolu hlobo aluvamile futhi ngokuvamile lubangela izimpawu ezincane kunohlobo lwasesondo.

Yini ebangela i-lichen sclerosus?

Imbangela eqondile ayiqondakali ngokugcwele, kodwa abacwaningi bakholelwa ukuthi ihilela isimiso sakho sokuvikela umzimba esiphonsa ngephutha amaseli esikhumba asempilweni. Lokhu kuphendula okuzenzakalelayo kokuvuvukala kubangela ukushintsha kwesikhumba okubonakalayo okubona.

Izici eziningi zingase zinikeze ukukhula kwalesi simo:

• Izifo zokuvuvukala okuzenzakalelayo njengesi-thyroid noma isifo sikashukela
• Izici ze-genetic, njengoba ngezinye izikhathi zidlula emindenini
• Ukushintsha kwe-hormonal, ikakhulukazi amazinga aphansi e-estrogen ngemva kokuphela kwesikhathi sokubeletha
• Ukulimala kwesikhumba ngaphambili noma ukulimala kwendawo ethintekile
• Ukutheleleka okuthile, nakuba lobu buhlobo abubonakali ngokugcwele

Kwezinye izimo ezingavamile, abanye abantu bathuthukisa i-lichen sclerosus ngemva kokubhekana nokulimala komzimba esikhumbeni, njengokugqoka izingubo ezinamathelayo noma ukulimala. Noma kunjalo, abantu abaningi abanesimo abanawo umkhuhlane ocacile abagcini ukumisela.

Nini kufanele ubone udokotela nge-lichen sclerosus?

Kufanele ubheke umhlinzeki wezempilo uma uqaphela izindawo ezimhlophe zesikhumba, ikakhulukazi endaweni yakho yasesondo, noma uma uhlangabezana nokukhahlela noma ubuhlungu obuqhubekayo. Ukuxilongwa kwasekuqaleni nokwelashwa kungasiza ukuvimbela izinkinga nokwenza ukhululeke.

Ungalindi ukufuna ukunakekelwa kwezokwelapha uma uhlangabezana nokuphuza, ubuhlungu obukhulu, noma ubunzima bokuthula noma ukuya esitulini. Lezi zimpawu zingase zibonise ukuthi isimo siqhubeka noma sibangela izinkinga ezidinga ukwelashwa ngokushesha.

Uma uhlangabezana nobuhlungu besondo noma uqaphela ukushintsha kwendlela noma ukubonakala kwendaweni yakho yasesondo, kubalulekile ukuxoxa ngalezi zinkathazo nodokotela wakho. Bangasiza ekuqondeni ukuthi i-lichen sclerosus iyimbangela futhi bancoma izinketho zokwelashwa ezifanele.

Ziyini izici ezingase zikhulise ingozi ye-lichen sclerosus?

Izici ezithile zingase zikhulise amathuba akho okukhula kwalesi simo. Ukuba ngowesifazane osekhule ngemva kokuphela kwesikhathi sokubeletha yiyona ingozi enkulu, njengoba ukushintsha kwe-hormonal ngalesi sikhathi kungase kuqalise isimo.

Ezinye izici ezingase zikhulise ingozi yakho zihlanganisa:

• Ukuba nezinye izimo zokuvuvukala okuzenzakalelayo njenge-vitiligo noma i-alopecia areata
• Umlando womndeni we-lichen sclerosus noma ezinye izifo zokuvuvukala okuzenzakalelayo
• Ukuba ungagqokile (kuma-doda), njengoba isimo ngokuvamile lithonya i-foreskin
• Ukutheleleka kwasesondo ngaphambili noma ukulimala
• Izici ezithile ze-genetic abacwaningi abazifunda

Abantwana bangase futhi bathuthukise i-lichen sclerosus, nakuba kungavamile. Kwezinye izimo ezingavamile, isimo singase siphucuke ngokwalo njengoba abantwana befika ebuntwaneni, kodwa lokhu akuyona into okufanele uyithembele ngaphandle kokunakekelwa kwezokwelapha okufanele.

Ziyini izinkinga ezingase zenzeke nge-lichen sclerosus?

Ngaphandle kokwelashwa okufanele, i-lichen sclerosus ingase iholele ekubaleni okungase kubangele izinkinga zokusebenza. Ukubala kungase kuqine ukukhipha kwesondo kwabesifazane noma kubangele i-foreskin ukuba iqinise kumadoda, okwenza imisebenzi yansuku zonke ingakhululeki.

Izinkinga ezingase zenzeke okufanele uzazi zihlanganisa:

• Ukubala okushintsha ukuma kwemizimba yasesondo
• Ukuqina kokukhipha kwesondo noma i-urethral
• Ubuhlungu besondo obuthonya ubuhlobo kanye nokuhlala kahle kwempilo
• Ubunzima bokuthula noma ukuya esitulini
• Ukungena engcupheni yokutheleleka kwesikhumba ngenxa yokukhahlela
• Usizi lwengqondo oluvela ebuhlungwini nasekushintsheni kokubonakala

Kwezinye izimo ezingavamile, i-lichen sclerosus esikhathini eside ingase ikhulise kancane ingozi yokukhula komdlavuza wesikhumba endaweni ethintekile. Yingakho ukulandelela njalo ngumhlinzeki wakho wezempilo kubalulekile, ikakhulukazi uma unesimo iminyaka eminingi.

I-lichen sclerosus ingavikeleka kanjani?

Ngeshwa, ayikho indlela eyaziwayo yokuvimbela i-lichen sclerosus njengoba imbangela yayo eqondile ayiqondakali ngokugcwele. Noma kunjalo, ungathatha izinyathelo zokugwema izici ezingase ziqalise ukuqhuma noma zenzima izimpawu ezikhona.

Ukukhathalela isikhumba esimnene kungasiza ukunciphisa ukuvuvukala. Sebenzisa izifebe ezimnene, ezingenayo i-fragrance futhi ugweme amakhemikhali amakhulu noma imikhiqizo enencasa endaweni yasesondo. Izingubo zangaphansi zekhotini nezingubo ezingagqokile zinganciphisa ukusabela nokukhahlela.

Uma unezinye izimo zokuvuvukala okuzenzakalelayo, ukusebenza nodokotela wakho ukuze ulawule kahle kungasiza ukunciphisa ingozi yakho yonke. Ukubheka njalo kungasiza futhi ukubamba noma yikuphi ukushintsha kwasekuqaleni uma uthuthukisa isimo.

I-lichen sclerosus ixilongwa kanjani?

Udokotela wakho ngokuvamile angaxilonga i-lichen sclerosus ngokuhlola isikhumba esithintekile nokubuza ngezimpawu zakho. Ukubonakala okumhlophe, okucwebezelayo kwezindawo kuhlukile kakhulu futhi kusiza ochwepheshe bezempilo ukwazi isimo.

Ngezinye izikhathi udokotela wakho angase ancome i-biopsy yesikhumba ukuze aqinisekise ukuxilongwa. Lokhu kuhilela ukuthatha isampula encane yesikhumba esithintekile ukuze uhlole ngaphansi komkhiqizo, okungase kukhiphe ezinye izimo ezingase zibonakale zifana.

Umhlinzeki wakho wezempilo uzobuza futhi ngezinye izimpawu ozibhekana nazo futhi angase ahlole ezinye izimo zokuvuvukala okuzenzakalelayo. Izivivinyo zegazi ngokuvamile azidingeki ukuxilonga i-lichen sclerosus, kodwa zingase zibe usizo uma udokotela wakho enesizathu sokuthi unezinye izimo ezihlobene.

Ukuphathwa kwe-lichen sclerosus kuyini?

Ukuphathwa okuyinhloko yizikhumba ze-corticosteroid ezipreskripthwe noma ama-ointments, aziqeda ukuvuvukala futhi zingathuthukisa kakhulu izimpawu. Udokotela wakho cishe uzokuncoma ikhilimu ye-steroid enamandla oyisebenzisa ezindaweni ezithintekile njalo.

Ukuphathwa ngokuvamile kuhilela ukusebenzisa imithi epreskripthwe nsuku zonke amasonto ambalwa, bese kunciphisa kuya esimweni sokugcina. Abantu abaningi babona ukuthuthuka ekukhahleleni nasebuhlungwini phakathi kwamasonto ambalwa, nakuba kungase kudingeke isikhathi eside ukuze ukubonakala kwesikhumba kuguquke.

Ezinye izinketho zokwelashwa udokotela wakho angase azicabangele zihlanganisa:

• Abaphathi be-calcineurin abasebenza ngaphandle njenge-tacrolimus noma i-pimecrolimus
• Ukuphathwa kwe-hormone replacement kwabesifazane abasekhule ngemva kokuphela kwesikhathi sokubeletha
• I-phototherapy (ukwelashwa ngokukhanya) kwezinye izimo
• Ukuhlinzwa ngenxa yokubala okukhulu noma izinkinga
• Ukuphathwa okusha njenge-platelet-rich plasma therapy

Kwezinye izimo ezingavamile lapho ukwelashwa okuqondile kungasebenzi, udokotela wakho angase ancome izinketho zokuhlola. Lokhu kungase kuhlanganise izinqubo zokususa amabala noma ukwakha kabusha izindawo ezithintekile, nakuba ukuhlinzwa ngokuvamile kugcinelwe izimo ezinzima.

Indlela yokuphatha i-lichen sclerosus ekhaya?

Ukukhathalela isikhumba okuhle kungasiza ekulawuleni izimpawu zakho nokugwema ukuqhuma. Gcina izindawo ezithintekile zicocekile futhi zomile, futhi ugweme ukusebenzisa izifebe ezinzima noma imikhiqizo enencasa engase ikhahlele isikhumba sakho.

Ukukhathalela kwansuku zonke okuthambile kuhlanganisa ukugeza ngamanzi nje noma isifebe esimnene, esingenayo i-fragrance nokuqeda indawo yomile kunokuyisula. Ukusebenzisa i-moisturizer ethambile, engenayo i-fragrance kungasiza ekuqinisiseni isikhumba nokunciphisa ukuvuvukala.

Ukugqoka izingubo zangaphansi zekhotini nezingubo ezingagqokile kunganciphisa ukusabela nokukhahlela. Uma uhlangabezana nokukhahlela ebusuku, ukugcina iinzipho zakho zifushane nokugqoka iiglavu zekhotini ebusuku kungavimbela ukulimala kokukhahlela.

Amathuluzi okulawula ukucindezeleka njengokucamngca noma ukuzivocavoca okuthambile kungasiza, njengoba ukucindezeleka ngezinye izikhathi kungase kwenze izimo zokuvuvukala okuzenzakalelayo zibe zimbi. Abanye abantu bathola ukuthi ukugwema ukudla okuthile noma imisebenzi ebonakala iqhuba ukuqhuma kungasiza.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ngaphambi kwe-aphoyintimenti yakho, bhala zonke izimpawu zakho nokuthi zaqala nini. Faka imininingwane mayelana nalokho okwenza zibe ngcono noma zimbi, nanoma yikuphi ukwelashwa osuvele uzama.

Letha uhlu lwawo wonke amaphilisi owathatha, kufaka phakathi imikhiqizo yokuthengisa ngaphandle kwesikripthi kanye nezinye izinto. Futhi, qaphela noma yiziphi ezinye izimo zezempilo onazo, ikakhulukazi izifo zokuvuvukala okuzenzakalelayo noma izimo zesikhumba.

Lungisa imibuzo ofuna ukuyibuza udokotela wakho. Ungase ufune ukwazi ngezinketho zokwelashwa, ukuthi ukwelashwa kuthatha isikhathi esingakanani ukusebenza, noma lokho okufanele ukulindele isikhathi eside. Unganqikazi ukubuza nganoma yini ekukhathazayo.

Uma uzizwa ukhona ngokuhlolwa, khumbula ukuthi ochwepheshe bezempilo banolwazi ngalezi zimo futhi bafuna ukukusiza uzizwe ukhululekile. Ungacela umhlinzeki wesondo elifanayo uma lokho kukwenza uzizwe ukhululekile.

Iyini into ebalulekile mayelana ne-lichen sclerosus?

I-Lichen sclerosus iyisimo esilawuleka esiphendula kahle ekwelapheni uma sibanjwe kwasekuqaleni. Nakuba ingase ibe nezimpawu ezingakhululeki, ukunakekelwa kwezokwelapha okufanele kungathuthukisa kakhulu ikhwalithi yempilo yakho nokugwema izinkinga.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi lesi simo sidinga ukuphathwa okuqhubekayo kunokwelashwa okukodwa. Ngokwelashwa okuqhubekayo nokukhathalela isikhumba okuhle, abantu abaningi bangalawula izimpawu zabo futhi bagcine imisebenzi evamile.

Ungavumeli ihlazo likuvimbele ekufuneni usizo. Ochwepheshe bezempilo bajwayelene nalesi simo futhi banokwelashwa okuphumelelayo okukhona. Uma uqala ukwelashwa ngokushesha, imiphumela yakho yesikhathi eside cishe iyoba ngcono.

Imibuzo evamile ebuzwa mayelana ne-lichen sclerosus

Ingabe i-lichen sclerosus ithwali?

Cha, i-lichen sclerosus ayithwali. Awukwazi ukuyithola komunye umuntu noma uyidlulisele kwabanye ngokuthintana, kufaka phakathi ukuxhumana ngokobulili. Iyisimo sokuvuvukala okuzenzakalelayo esikhula ngenxa yokuphendula kwesistimu yakho yokuvikela umzimba.

Ingabe i-lichen sclerosus iyaphela yodwa?

I-Lichen sclerosus ayipheli ngokuphelele ngaphandle kokwelashwa, ikakhulukazi kubantu abadala. Nakuba izimpawu ngezinye izikhathi zingase ziphucuke okwesikhashana, isimo ngokuvamile sidinga ukuphathwa okuqhubekayo kwezokwelapha ukuvimbela ukuqhubeka nokwenzeka kwezinkinga. Kwezinye izingane, kungase kuphucuke ngemva kobunye, kodwa lokhu akuqinisekisiwe.

Ngingase ngibe nobuhlobo besondo nge-lichen sclerosus?

Abantu abaningi abane-lichen sclerosus bangase baqhubeke beba nobuhlobo besondo, ikakhulukazi ngokwelashwa okufanele. Udokotela wakho angase ancome izindlela zokwenza ubuhlobo besondo bube bukhululeke, njengokusebenzisa ama-lubricants noma ukulungisa isikhathi sokwelashwa. Ukuxhumana okuvulekile nomlingani wakho nomhlinzeki wezempilo kubalulekile.

Ingabe i-lichen sclerosus ikhulise ingozi yomdlavuza?

Kukhona ingozi encane yokwanda komdlavuza wesikhumba ezindaweni ezithintekile yi-lichen sclerosus esikhathini eside, engaphathwe. Noma kunjalo, le ngozi iphansi kakhulu futhi inganciphisa ngokwelashwa okufanele nokulandelela njalo ngumhlinzeki wakho wezempilo. Abantu abaningi abane-lichen sclerosus abakhe bathuthukise umdlavuza.

Ukuphathwa kuthatha isikhathi esingakanani ukusebenza?

Abantu abaningi baqaphela ukuthuthuka ezimpawini ezifana nokukhahlela nasebuhlungwini phakathi kwamasonto angu-2-4 ngokuqala ukwelashwa. Noma kunjalo, ukushintsha kokubonakala kwesikhumba kungase kudingeke izinyanga eziningi ukuze kubonakale. Ukusetshenziswa okuqhubekayo kwamaphilisi apreskripthwe kubalulekile ekutholeni imiphumela engcono kakhulu.