Yonke into ekufuneka uyazi malunga neLechenoid iziyobisi

Umxholo

• Ziintoni iimpawu?
• Ibangelwa yintoni?
• Ngubani osemngciphekweni owandayo?
• Uza kulufumanisa njani ugqirha?
• Inyangwa njani?
• Yintoni imbono?

Ushwankathelo

Iplani yelichen kukuqhuma kolusu okubangelwa ngamajoni omzimba. Iindidi zeemveliso kunye neearhente zokusingqongileyo zinokubangela le meko, kodwa oyena nobangela ayisoloko isaziwa.

Ngamanye amaxesha olu dubulo lolusu lusabela kunyango. Xa kunjalo, ibizwa ngokuba kukuqhuma kweziyobisi lichenoid, okanye licheno ebangelwa ziziyobisi. Ukuba impendulo iyenzeka ngaphakathi komlomo wakho, ibizwa ngokuba kukugqabhuka kweziyobisi ngomlomo.

Ukukhawuleza kungathatha ixesha ukuphuhlisa. Ukuqhuma kolusu kunokuhluka ukusuka kubumnene ukuya kubunzima kwaye kubangele ukurhawuzelela kunye nokungonwabi.

Qhubeka ufunda ukuze ufunde ukuba kutheni ukuqhambuka kweziyobisi ze-lichenoid kunokuba nzima ukufumanisa, ukuba inyangwa njani, kwaye ukuba ngaba kukho iingxaki zempilo zexesha elide.

Ziintoni iimpawu?

Ukuqhuma kwesiyobisi se-lichenoid kubonakala kufana neplus ye-lichen. Iimpawu zingabandakanya:

• amaqhuma amancinci abomvu okanye mfusa kulusu oluhlala lukhazimla
• izikali ezimhlophe okanye iiflakes
• Imigca emhlophe emhlophe, eyaziwa ngokuba yiWickham striae
• amadyungudyungu
• ukurhawuzelela
• brittle, iinzipho ezinamakhonkco

Ezinye zeempawu zokuqhuma kweziyobisi zomlomo ze-lichenoid zibandakanya:

• lacy amabala amhlophe kwiintsini, ulwimi, okanye ngaphakathi kwizidlele
• uburhabaxa, izilonda, okanye izilonda ngaphakathi emlonyeni
• ukuhlaba okanye ukutshisa, ingakumbi xa usitya okanye usela

Ezi mpawu zilandelayo zibonisa ukuba unokuqhuma kwesiyobisi se-lichenoid:

• Irhashalala igubungela ubuninzi bomthi wakho kunye nemilenze, kodwa hayi iintende zezandla zakho okanye iinyawo zakho.
• Irhashalala ibonakala ngakumbi kulusu oluchanabeke elangeni.
• Ulusu lwakho lubonakala lunamaxolo.
• Akukho migca imhlophe ye-wavy iqhelekileyo kwiplani ye-lichen.
• Ukuqhuma komlomo ngamachiza e-lichenoid kunokwenzeka ukuba kuchaphazele ngaphakathi esidleleni esinye kuphela.

Omnye umahluko kukuba ukuqhambuka kwesiyobisi se-lichenoid kunokwenzeka ngakumbi kuneplani ye-lichen yokushiya uphawu kulusu lwakho emva kokuba icacile.

Ukuqhuma kweziyobisi kwe-Lichenoid akusoloko kusenzeka kanye emva kokuba uqale ukuthatha ichiza elitsha. Ixesha elininzi lithatha iinyanga ezimbini okanye ezintathu. Ngamanye amaxesha, inokuthatha ukuya kunyaka.

Ibangelwa yintoni?

Ukuqhuma kwesiyobisi se-lichenoid kukusabela kunyango. Ezinye zeendidi zamachiza ezinokubangela le meko zibandakanya:

• ii-anticonvulsants, ezinjenge carbamazepine (Tegretol) okanye phenytoin (Dilantin, Phenytek)
• antihypertensives, kubandakanya i-ACE inhibitors, ibeta-blockers, methyldopa, kunye nifedipine (Procardia)
• ii-antiretrovirals ezisetyenziselwa ukunyanga i-HIV
• amayeza e-chemotherapy, afana ne-fluorouracil (Carac, Efudex, Flouroplex, Tolak), hydroxyurea (Droxia, Hydrea), okanye imatinib (Gleevec)
• i-diuretics, njenge-furosemide (iLasix, iDiuscreen, i-Specimen Collection Kit), i-hydrochlorothiazide, kunye ne-spironolactone (Aldactone)
• iityuwa zegolide
• I-HMG-CoA yokunciphisa inhibitors
• ihydroxychloroquine (iPlaquenil)
• imatinib mesylate
• I-interferon-α
• ketoconazole
• Imisoprostol (iCytotec)
• iziyobisi ezichasayo ezingasebenziyo (ii-NSAID)
• iiarhente zomlomo ze-hypoglycemic
• Iziphumo zeephenothiazine
• Iiproton pump inhibitors
• I-sildenafil citrate
• iziyobisi zesulfa, kubandakanya i-dapsone, i-mesalazine, i-sulfasalazine (i-Azulfidine), kunye ne-sulfonylurea ye-hypoglycemic agents
• yitshisa
• iziyobisi zesifo sephepha
• Ithumba necrosis factor antagonists: adalimumab (Humira), etanercept (Enbrel), infliximab (INFLECTRA, Remicade)

Ukuqhuma kwamachiza e-lichenoid kunokwenzeka kwangoko emva kokuqala kwamayeza. Kodwa ihlala ithatha iinyanga ezininzi ukuya kunyaka okanye nangaphezulu. Ukuba uthathe ngaphezulu kwesiyobisi esinye ngelo xesha, kunokuba nzima ukufumanisa ukuba yeyiphi na enokubangela impendulo.

Nje ukuba olu hlobo lokuphendula kunyango, usemngciphekweni wokuba nelinye kwixesha elizayo. Oku kunokwenzeka ngakumbi ukuba uthatha iyeza elifanayo kwakhona okanye ukuba uthatha elinye kwiklasi enye yeziyobisi.

Uninzi lwexesha, iimpendulo ezilandelayo zikhula ngokukhawuleza.

Ngubani osemngciphekweni owandayo?

Nabani na othathe iyeza kunyaka ophelileyo okanye unokufumana ukuqhuma kwesiyobisi se-lichenoid. Oku kuyinyani nokuba usebenzisa ichiza kube kanye okanye awukaluthathi kwiinyanga.

Ukuqhuma kwamachiza e-lichenoid kubantu abadala.

Akukho zinto zaziwayo zomngcipheko ezinxulunyaniswa nesini, ubuhlanga, okanye ubuhlanga.

Uza kulufumanisa njani ugqirha?

Jonga ugqirha wakho ukuba une-rash engachazwanga engazukucaca. Kunokubakho imeko yezonyango engaphantsi efuna unyango.

Qiniseka ukuba ukuxelela ugqirha malunga nawo onke amayeza kunye neyeza ozithathileyo kunyaka ophelileyo.

Ngenxa yokuba zibukeka zifana, kunokuba nzima ukuxelela umahluko phakathi kweplus ye-lichen kunye nokuqhuma kweziyobisi kwe-lichenoid ngokusekwe kwinkangeleko.

Ugqirha uya kuthi mhlawumbi enze ulusu okanye i-biopsy yomlomo, kodwa i-biopsy ayisoloko iqukumbela.

Nje ukuba uphendulwe ngamachiza e-lichenoid, kunokwenzeka ukuba yenzeke ngokukhawuleza okukhulu ukuba uphinde uthathe eli chiza. Le yinto enokunceda ekufumaneni isifo.

Ukuba ugqirha wakho urhanela iyeza ongasalisebenzisiyo, unokuphinda ulithathe ukuze ubone ukuba ngaba kukho enye impendulo. Ukuba usathatha ichiza elikrokrelwayo, unokuzama ukuyeka okanye ukutshintshela kolunye unyango. Iziphumo zolu celomngeni lweziyobisi zinokuqinisekisa ukuxilongwa. Sukuqala okanye uyeke ukuthatha nawaphi na amayeza ngaphandle kokuqala uthethe nogqirha wakho.

Kuxhomekeka kwimeko yonyango lwakho, olu vavanyo lunokuba yingozi kwimpilo yakho ukuze ube phantsi kolawulo lukagqirha.

Inyangwa njani?

Ekuphela kwendlela yokumisa ukuqhuma kweziyobisi lichenoid kukuyeka ukuthatha ichiza elibangelayo. Nangona kunjalo, kunokuthatha iiveki okanye iinyanga ukuba imeko icace. Kuxhomekeka kwimeko yonyango lwakho kunye nesizathu sokuthatha iyeza, oku kunokuba kungabi yinto elungileyo.

Unokwazi ukunciphisa ezinye iimpawu nge:

• Izihloko ze-steroid ze-topical kunye nezinye iindlela zonyango
• ngomlomo corticosteroids
• antihistamines ukunciphisa ukurhawuzelela

Thetha nogqirha wakho ngaphambi kokusebenzisa iikhrimu okanye ezinye iimveliso kuqhushumbo lolusu.

Nazi ezinye iingcebiso zokuzinyamekela:

• Thatha ibhafu yokuthambisa yeoyile ukuthomalalisa ukurhawuzelela.
• Ziqhelanise nococeko lolusu olulungileyo.
• Kulumkele iimveliso zesikhumba ezinezithako ezibi ezifana notywala okanye iziqholo.
• Zama ukungakhuhle okanye ukhuhle ulusu, kuba oku kungakhokelela kusulelo. Yiya kugqirha wakho ukuba ucinga ukuba unentsholongwane.

Ukuqhambuka kweziyobisi ngomlomo, kuthintele utywala kunye neemveliso zecuba kude kuphilise. Ziqhelanise nococeko lomlomo kwaye ubone ugqirha wamazinyo rhoqo.

Yintoni imbono?

Nangona inokuhlala iinyanga okanye iminyaka, ukuqhuma kwesiyobisi se-lichenoid kufuneka kucace ekuhambeni kwexesha. Ngaphandle kwesikhumba esikhawulezayo, akusoloko kubangela ezinye iziphumo ezimbi.

Unokuba nolusu lumbala emva kokuba ulusu lwakho lucocekile. Ukuguqulwa kombala kunokuphela ngokuhamba kwexesha.

Le meko inokuphinda ibuye ukuba uthatha iyeza elifanayo okanye iyeza elifanayo kwixa elizayo.

Ukuqhuma kweziyobisi iLichenoid akubulali, kuyosulela, okanye kuyingozi kwimpilo yakho.