Lichen simplex chronicus

I-lichen simplex chronicus (LSC) yimeko yesikhumba ebangelwa kukurhawuzelela okungapheliyo kunye nokukhuhla.

I-LSC inokwenzeka kubantu abane:

• Ukwalana komzimba
• I-eczema (i-atopic dermatitis)
• Unyango
• Uvalo, unxunguphalo, uxinzelelo kunye nezinye iingxaki zemvakalelo

Ingxaki ixhaphakile kubantu abadala kodwa inokubonakala nakubantwana.

I-LSC ikhokelela ekukrwemeni, nto leyo ke ebangela ukurhawuzelela ngakumbi. Ihlala ilandela le patheni:

• Inokuqala xa kukho into ethambisa, ecaphukisa, okanye ekrwela ulusu, enje ngempahla.
• Umntu uqala ukurabha okanye ukukrwela indawo erhawuzelayo. Ukukhuhla rhoqo (rhoqo xa ulele) kubangela ulusu lutyebe.
• Ulusu oluqinileyo lurhawuzelela, kwaye oku kukhokelela ekukrwebeni ngakumbi. Oku ke kubangela ukuqina ngakumbi kolusu.
• Ulusu lunokuba sisikhumba kwaye lube mdaka kwindawo echaphazelekayo.

Iimpawu zibandakanya:

• Ukurhawuzelelwa kolusu olunokuba lixesha elide (elingapheliyo), elinamandla, kwaye oko kuyanda ngoxinzelelo
• Ubume besikhumba kulusu
• Iindawo eziluhlaza zesikhumba
• Ukunyuka
• Isilonda sesikhumba, isiziba, okanye i-plaque enemida ebukhali kunye nokuthungwa kwesikhumba, ebekwe emaqatheni, esihlahleni, ngasemva kwentamo, kwi-rectum, kwindawo ye-anal, iingalo, amathanga, umlenze ongezantsi, umva wedolo, kunye nengqiniba yangaphakathi

Umboneleli wakho wezempilo uya kujonga ulusu lwakho kwaye abuze ukuba ngaba ubunokukrala okungapheliyo kunye nokukrwela ngaphambili. I-biopsy yesilonda yesikhumba inokwenziwa ukuqinisekisa ukuxilongwa.

Olona nyango luphambili kukunciphisa ukurhawuzelela.

Kuya kufuneka usebenzise la mayeza kulusu lwakho:

• I-Lotion okanye i-steroid cream kwindawo leyo ukuzola ukurhawuzelela kunye nokucaphuka
• Amayeza enkqubo
• Ukuxola ioyile equkethe i-salicylic acid, i-lactic acid, okanye i-urea kwizikhumba ezomeleleyo

Kusenokufuneka usebenzise izinto zokuthambisa ezinyakamisa, ezogquma nezikhusela indawo. Ezi zinokusetyenziswa kunye okanye ngaphandle kweekhrim ezinamayeza. Zishiyeke endaweni yazo kangange veki okanye nangaphezulu ngexesha. Ukunxiba iiglavu zomqhaphu ebusuku kunokuthintela ukonakala kolusu ekukrwemeni.

Ukulawula ukurhawuzelela noxinzelelo unokufuna ukuthatha amayeza ngomlomo, anje ngala:

• AmaNtsholongwane
• Amanye amayeza omlomo alawula ukurhawuzelela okanye iintlungu

Ii-Steroids zinokujojowe ngqo kwizikhumba ukuze kuncitshiswe ukurhawuzelela nokucaphuka.

Kuya kufuneka uthathe i-anti-depressants kunye ne-tranquilizers ukuba unobangela wokurhawuzelela kwakho yimvakalelo. Amanye amanyathelo abandakanya:

• Ukucebisa ukukunceda uqonde ukubaluleka kokungakhuhle
• Ulawulo loxinzelelo
• Ukulungiswa kokuziphatha

Unokulawula i-LSC ngokunciphisa ukurhawuzelela kunye nokulawula ukukrwela. Imeko inokubuyela okanye ihambele kwiindawo ezahlukeneyo kulusu.

Ezi ngxaki ze-LSC zinokwenzeka:

• Usulelo lwegciwane kunye nefungal
• Utshintsho olusisigxina kumbala wolusu
• Isiva esingapheliyo

Fowunela umnikezeli wakho ukuba:

• Iimpawu ziba nzima
• Uba neempawu ezintsha, ngakumbi iimpawu zosulelo lolusu ezinjengentlungu, ukuba bomvu, ukukhupha amanzi kwindawo leyo, okanye umkhuhlane

I-LSC; Isangqa se-Neurodermatitis

• I-lichen simplex chronicus kwiqatha
• Lichen simplex chronicus
• Lichen simplex chronicus ngasemva

IHabif TP. I-eczema kunye nedermatitis yesandla. Ku: Habif TP, ed. I-Clinical Dermatology: Isikhokelo sombala wokufumanisa isifo kunye nonyango. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2016: isahluko 3.

URenzi M, uSommer LL, uBaker DJ. Lichen simplex chronicus. Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, ii-eds. Unyango lwezifo zolusu: Amacandelo oBuchule oNyango. Umhla we-5. IPhiladelphia, PA: Elsevier, 2018: isahluko 137.

Zug KA. Onokhwekhwe. Ku: Habif TP, Dinulos JGH, Chapman MS, Zug KA, ii-eds. Izifo zolusu: Ukuchonga nokunyanga. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 2.