Lichen Sclerosus
Uhlolojikelele
ILichen sclerosus (LIE-kun skluh-ROW-sus) iyisimo esibangela ukuba isikhumba sibe namabala, singabonakali kahle, futhi sinqunu. Ngokuvamile sithinta izindawo zocansi nezesisu. Noma ubani angathola i-lichen sclerosus kodwa abesifazane abesebekugcineni kwesikhathi sabo sokuya esikhathini baphezu kokungozini. Akukhuthazeki futhi akukwazi ukudluliselwa ngokuthintana kocansi. Ukwelashwa ngokuvamile kuyisipontshi esinezidakamizwa. Lolu lwelo lwela ukubuyisela isikhumba kumbala waso ovamile futhi kunciphisa ingozi yokuba nemibala. Ngisho noma izimpawu zakho zicaca, zivame ukubuyela. Ngakho-ke cishe uzodinga ukunakekelwa okuqhubekayo isikhathi eside.
Izimpawu
Kungenzeka ukuba ne-lichen sclerosus emaphakathi ngaphandle kwemizimba. Uma izimpawu zivele, ngokuvamile zithinta isikhumba sezitho ezesini nezesisu. Umhlane, amahlombe, izingalo eziphezulu kanye nebele nazo zingathinteka. Izimpawu zingafaka: Izicucu zesikhumba esiqinile nesiguqukile Izicucu zesikhumba ezinebala, ezinyenyekile Ukukhahlela Ubuhlungu noma ukuzwakala okushisa Ukukhuluphala okulula Isikhumba esibuthakathaka Ukushintsha kwephutha lokukhishwa kwemchamo (urethra) Ukopha, ukwakha amabhabha noma izilonda ezingavaliwe Ukuxhamazela Ubone umhlinzeki wakho wezempilo uma unezimpawu ze-lichen sclerosus. Uma usuvele utholakala une-lichen sclerosus, bona umhlinzeki wakho wezempilo njalo ngenyanga ezi-6 kuya kwezi-12. Lezi zivivinyo kubalulekile ukuhlola noma yikuphi ukushintsha kwesikhumba noma imiphumela emibi yekwelapha.
Isikhathi sokubona udokotela
Bona uhlinzeki wakho wezempilo uma unezimpawu ze-lichen sclerosus. Uma usuvele uthola ukuxilongwa kwe-lichen sclerosus, bona uhlinzeki wakho wezempilo njalo ngenyanga ezingu-6 kuya kweziyi-12. Lezi zivivinyo zibalulekile ukuhlola noma yikuphi ukuguquka kwesikhumba noma imiphumela emibi yonyango.
Izimbangela
Imbangela eqondile ye-lichen sclerosus ayaziwa. Kungenzeka ukuthi kuyindlelahluko yezinto, okuhlanganisa isimiso somzimba esisebenza kakhulu, ukwakheka kwakho lwe-genetic, nokulimala kwesikhumba okwangaphambili noma ukuvuvukala.
ILichen sclerosus aliwumkhuhlane futhi aliwudluliseki ngokuxhumana kobulili.
Izici eziyingozi
Noma yini ingenza i-lichen sclerosus, kodwa ingozi iphakama kakhulu kulaba bantu:
- Abafazi abesebekugcina ukuya esikhathini
- Abantwana abaneminyaka engaphansi kwengu-10
- Abafazi abanezinye izifo zokuziphatha komzimba, njengezinhlobo zokusebenza okungaphansi kwe-thyroid (hypothyroidism)
- Amadoda ane-incontinence yomchamo noma i-penis engasokoliwe
- Abantu abanesizukulwane somlando wesifo
Izingqinamba
Izinkinga ze-lichen sclerosus zihlanganisa ubuhlungu ebuhleni nasemafinyeni, kuhlanganise nokuvalwa kwe-clitoris. Ukufinyelela kwepenisi kungabangela ukumisa okuhlungu, ukugeleza okubi komchamo nokungakwazi ukuhoxa i-foreskin.
Abantu abane-lichen sclerosus ye-vulvar banesikhathi esiningi sokuthola i-squamous cell carcinoma.
Ezinganeni, ukuvimbela yinkinga evamile.
Ukuxilongwa
Uncedo lwakho lwezokunakekelwa kwezempilo lungase luqaphele i-lichen sclerosus ngokubuka isikhumba esithintekile. Ungase udinga i-biopsy ukuze ukhanyise umdlavuza. Ungase udinga i-biopsy uma isikhumba sakho singaphenduli e-steroid creams. I-biopsy ihilela ukususa ingxenye encane yethishu ethintekile ukuze ihlolwe ngaphansi komkhiqizo. Ungase uqondiswe kubachwepheshe bezimo zesikhumba (i-dermatologist), uhlelo lokukhiqiza lwabesifazane (i-gynecologist), i-urology kanye ne-pain medicine.
Ukwelashwa
Ngokusetshenziswa kokwelashwa, izimpawu zivame ukuthuthuka noma ziyamila. Ukwelashwa kwe-lichen sclerosus kuncike ekuthini ukukhulu kangakanani izimpawu zakho nokuthi kusekuphi emzimbeni wakho. Ukwelashwa kungasiza ekuqedeni ukukhahlela, ukuthuthukisa indlela okubukeka ngayo isikhumba sakho nokunciphisa ingozi yokwenzakala. Ngisho noma unempumelelo yokwelashwa, izimpawu zivame ukubuyela.
I-ointment ye-steroid i-clobetasol ivame ukuqokiselwa i-lichen sclerosus. Ekuqaleni uzodinga ukufaka i-ointment esikhumbeni esithintekile kabili ngosuku. Ngemuva kwamasonto ambalwa, umhlinzeki wakho wezempilo cishe uzokuncoma ukuthi uyisebenzise kabili kuphela ngesonto ukuvimbela izimpawu ekuphendukeni.
Umhlinzeki wakho wezempilo uzokulandela ukuze ubone imiphumela emibi ehlotshaniswa nokusetshenziswa isikhathi eside kwe-corticosteroids yendawo, njengokuncipha okwengeziwe kwesikhumba.
Ngaphezu kwalokho, umhlinzeki wakho wezempilo angakuncoma i-calcineurin inhibitor, njenge-tacrolimus ointment (Protopic).
Buza umhlinzeki wakho wezempilo ukuthi uzodinga ukubuyela kaningi kangakanani ekuhlolweni okulandelayo - cishe kanye noma kabili ngonyaka. Ukwelashwa isikhathi eside kuyadingeka ukulawula ukukhahlela nokuvuvukala nokuvimbela izinkinga ezingathi sína.
Umhlinzeki wakho wezempilo angakuncoma ukususa isikhumba se-penis (ukusika) uma ukuvula kokujika komchamo kuqiniswe yi-lichen sclerosus.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.