Iimpawu ze-lichen sclerosus kwaye lunjani unyango

Umxholo

• Iimpawu ze-lichen sclerosus
• Njani na isifo
• Unyango lwenziwa njani

I-lichen sclerosus, ekwabizwa ngokuba yi-lichen sclerosus kunye ne-atrophic, sisifo esinganyangekiyo esikwi dermatosis esibonakala ngotshintsho kumalungu esini kwaye sinokwenzeka kumadoda nakwabafazi bayo nayiphi na iminyaka, siba rhoqo rhoqo kubantu basetyhini abasemva kwemini.

Esi sifo solusu sibonakala ngokubonakala kwezilonda ezimhlophe kummandla wesini, ngaphezu kokusebenza, ukucaphukisa kwendawo kunye nokuphazamiseka. Unobangela we-lichen sclerosus awukasekwa kakuhle, kodwa kukholelwa ukuba ukubonakala kwawo kuhambelana notshintsho lwemfuzo kunye ne-immune.

Unyango lwe-lichen sclerosus lujolise ekunciphiseni iimpawu kunye nokuthintela ukuvela kweenguqulelo ezintsha, kwaye kubalulekile ukuba unyango lwenziwe ngokutsho kwengcebiso kagqirha okanye ugqirha wesikhumba, apho ukusetyenziswa kweoyile ne-corticosteroids, umzekelo, kunokuba kubonisiwe.

Iimpawu ze-lichen sclerosus

Iimpawu ze-lichen sclerosus zihlala zibonakala kwingingqi yesini, eyona iphambili yile:

• Amadyungudyungu avela kulusu olujikeleze i-anus nakwilungu lesini lendoda okanye labasetyhini;
• Inkangeleko yamabala abomvu-mhlophe;
• Ulusu lommandla luyacutheka okanye, kwezinye iimeko, ukuqina kwesikhumba kunokuqatshelwa;
• Ukuxobuka kunye nokuqhekeka kolusu;
• Ukurhawuzelela nokucaphuka kolusu, ngakumbi ebusuku;
• Iintlungu xa uchama, ukuzithuma kunye nangexesha lokudibana;
• Ubukho bepruritus;
• Ukutshintsha umbala wendawo.

Akukaziwa okwangoku ukuba zeziphi ezona zinto zidibene ne-lichen sclerosus, kodwa ezinye izifundo zibonisa ukuba ukwenzeka kwayo kunganxulunyaniswa nosulelo lwe-Human Papillomavirus, i-HPV, okanye ugqithiso lwe-p53, eyiprotein ebandakanyekayo kummiselo umjikelo weseli. Ukongeza, kukholelwa ukuba ukukhula kweplus ye-lichen inxulumene nemeko yemfuza kunye ne-immune.

Njani na isifo

Ukuxilongwa kwe-schenosus ye-lichen kufuneka kwenziwe ngu-gynecologist, urologist okanye i-dermatologist ngokusekelwe ekuqwalaselweni nasekuvavanyeni kweempawu ezibonakaliswe ngumntu. Ukongeza, kufuneka kucelwe i-biopsy ngugqirha, kwaye kufuneka kuqokelelwe isampulu yethishu eyenzakeleyo ukuze kuqinisekiswe iimpawu zeeseli kwaye kungabikho mvo wokucinga ngomhlaza wolusu.

Unyango lwenziwa njani

Unyango lwe-atrophic lichen sclerosus kufuneka lukhokelwe ngugqirha wesikhumba, ugqirha wezifo zabasetyhini, kwimeko yabasetyhini, okanye ugqirha womchamo, kwimeko yamadoda, kwaye ihlala isenziwa kusetyenziswa ioyile yecorticoid, efana neClobetasol Propionate, esetyenziswa yonke imihla malunga nommandla ochaphazelekayo. Ukongeza, ngexesha lonyango kubalulekile:

• Kuphephe ukukrwela iindawo ezichaphazelekayo;
• Nxiba ngokuqinileyo, ngakumbi iimpahla zomqhaphu;
• Gwema ukugqoka iimpahla zangaphantsi ebusuku, xa i-lichen sclerosa ibonakala kwindawo yesini;
• Gcina ucoceko olululo lwendawo ngamanzi kunye nesepha ethambileyo.

Ngamanye amaxesha, ugqirha unokucebisa ukuba kusetyenziswe amayeza e-antihistamine, afana neCetirizine okanye i-Desloratadine, ukunciphisa ukurhawuzelela nokudumba kweendawo zolusu.