Indlela yokuchonga nokunyanga i-lichenoid pityriasis

Umxholo

• Iimpawu eziphambili
• 1. Acute lichenoid kunye varioliform pityriasis
• 2. Isifo esinganyangekiyo se-lichenoid pityriasis
• Unyango lwenziwa njani
• Yintoni ebangela i-lichenoid ptyriasis

I-lichenoid pityriasis sisifo solusu esibangelwa kukudumba kwemithambo yegazi, ekhokelela ekubonakaleni kwamanxeba achaphazela ikakhulu umboko kunye nemilenze, iiveki ezimbalwa, iinyanga okanye iminyaka. Esi sifo sinokuzibonakalisa ngeendlela ezi-2 ezahlukeneyo, ezinokubakho ngendlela ebukhali, ebizwa ngokuba yi-lichenoid kunye ne-acute varioliform pityriasis, okanye isifo esinganyangekiyo, esaziwa njenge-lichenoid ptyriasis engapheliyo okanye i-parapsoriasis enesifo.

Olu hlobo lokudumba lunqabile, luxhaphake ebantwaneni abaphakathi kweminyaka emihlanu ukuya kweli-10, nangona inokwenzeka nakweyiphi na iminyaka. Isizathu sesizathu sayo asikaziwa, kodwa kubonakala ngathi sihambelana notshintsho kumajoni omzimba, ke unyango lwalo lwenziwa ngamachiza anokunceda ukulawula olu tshintsho, njengokusebenzisa ii-corticosteroids, ii-antibiotics kunye nee-immunomodulators, umzekelo. , echazwe ngugqirha wesikhumba.

Iimpawu eziphambili

I-lichenoid pityriasis inokubonisa ngeendlela ezimbini ezahlukeneyo zeklinikhi:

1. Acute lichenoid kunye varioliform pityriasis

Isaziwa ngokuba sisifo sikaMucha-Habermann, sisifo esihlasela kakhulu, apho izilonda ezirhangqiweyo, ezimile okweethontsi, eziphakamileyo kancinci kwaye ezipinki. Ezi zilonda zinokubandezeleka yi-necrosis, apho iiseli zifa khona, emva koko zenze ukhwekhwe oluthi xa lufunyenwe, lushiye amanxeba amancinci oxinzelelo okanye amabala amhlophe.

Ezi zilonda zihlala zihlala malunga neeveki ezi-6 ukuya kwezi-8, kwaye zinokuthatha iinyanga, kwaye nanjengokuba esi sifo sibonakala kuqhambuko, kuyinto eqhelekileyo ukuba izilonda zibekhona ngokwamanqanaba ahlukeneyo ngexesha elinye kulusu. Ukongeza, kuqhelekile ukuba esi sifo sibukhali sihambisane neempawu ezinjengomkhuhlane, ukudinwa, iintlungu zomzimba kunye nokubonakala kwee-lymph node ezandisiweyo.

2. Isifo esinganyangekiyo se-lichenoid pityriasis

Ikwabizwa ngokuba yi-parapsoriasis engapheliyo kumathontsi, kwaye ikwabangela izilonda ezincinci, ezipinki, ezimdaka okanye zibomvu eluswini, nangona kunjalo, azihambeli phambili ekubunjweni kwe-necrosis kunye ne-crust, kodwa zinokucima.

Isilonda ngasinye sale dermatosis sinokusebenza iiveki, sibuyele ekuhambeni kwexesha, kwaye asihlali sishiya iziva. Nangona kunjalo, ukwenzakala okutsha kunokuvela, kwinkqubo enokuhlala iinyanga ezininzi ukuya kwiminyaka.

Unyango lwenziwa njani

I-lichenoid ptyriasis ayinalo unyango, nangona kunjalo, unyango olukhokelwa ngugqirha wesikhumba luyakwazi ukulawula isifo kakuhle, kwaye kubandakanya ukusetyenziswa:

• Amayeza okubulala iintsholongwane, ezinje ngeTetracycline kunye neErythromycin;
• ICorticosteroids, kwioyile okanye kwiipilisi, ezinje ngePrednisone, ukulungiselela ukumelana komzimba nokulawula izilonda;
• Ifotootherapy, Ngokuvezwa kwemitha ye-UV, ngendlela elawulwayo.

Amayeza anamandla ngakumbi, anje ngee-immunomodulators okanye amachiza e-chemotherapeutic, anje ngeMethotrexate, anokusetyenziswa kwezinye iimeko apho kungekho kuphucuka kunyango lokuqala.

Yintoni ebangela i-lichenoid ptyriasis

Oyena nobangela wesi sifo akaziwa, kodwa kuyaziwa ukuba kunxulunyaniswa nokonakala kwenkqubo yomzimba yokuzikhusela, ngoko ke ayosuleli. Le mpendulo yokuvuvukala inokubangelwa emva kolunye uhlobo losulelo, uxinzelelo, okanye ukusetyenziswa kolunye unyango, umzekelo.

I-lichenoid pityriasis ivela ngenxa yenkqubo yokuvuvukala, nangona kunjalo, kwezinye iimeko ezinqabileyo kunokwenzeka ukuba kubekho utshintsho olubi kunye nokwakheka komhlaza, ke ngoko, kubalulekile ukuba ugqirha wesikhumba abeke iliso rhoqo ekuveleni kwezilonda, ngokuqeshwa okwenziwe ngamaxesha athile nguye.