I-lichen planus

I-lichen planus yisimo esakha ukuqubuka okunolaka kakhulu esikhunjeni noma emlonyeni.

Imbangela ngqo yeplus lichen ayaziwa. Kungase kuhlobene nokuphendula okweqile noma komzimba.

Izingozi zalesi simo zifaka:

• Ukuvezwa kwemithi ethile, udayi, namanye amakhemikhali (kufaka phakathi igolide, ama-antibiotic, i-arsenic, iodides, i-chloroquine, i-quinacrine, i-quinine, i-phenothiazines, ne-diuretics)
• Izifo ezifana ne-hepatitis C

I-lichen planus ithinta kakhulu abantu abadala abaneminyaka ephakathi. Akuvamile ezinganeni.

Izilonda zomlomo ziyisibonakaliso esisodwa se-lichen planus. Bona:

• Kungaba nethenda noma kube buhlungu (amacala amancane angahle abangele ubuhlungu)
• Zitholakala ezinhlangothini zolimi, ngaphakathi kwesihlathi, noma ezinsinini
• Kubukeka njengamabala amhlophe okwesibhakabhaka noma izinduna
• Yakha imigqa kunethiwekhi ye-lacy
• Khulisa kancane kancane usayizi
• Kwesinye isikhathi kwakha izilonda ezibuhlungu

Izilonda zesikhumba zingesinye isibonakaliso se-lichen planus. Bona:

• Imvamisa kuvela esihlakaleni sangaphakathi, emilenzeni, esifubeni, noma ezithweni zangasese
• Ziyaluma kakhulu
• Iba nezinhlangothi zombili (ezilinganayo) nemingcele ebukhali
• Yenzeka wedwa noma ngamaqoqo, imvamisa endaweni yokulimala kwesikhumba
• Kungambozwa ngemichilo emincane emhlophe noma amamaki okuqala
• Kubukeka kucwebezela noma kunamaxolo
• Unombala omnyama, onsomi
• Kungaba namabhamuza noma izilonda

Ezinye izimpawu ze-lichen planus yilezi:

• Umlomo owomile
• Ukulahleka kwezinwele
• Ukunambitheka kwensimbi emlonyeni
• Amagquma ezinzipho

Umhlinzeki wakho wezokunakekelwa kwempilo angenza ukuxilongwa kususelwe ekubukekeni kwesikhumba sakho noma izilonda zomlomo.

I-lesion biopsy noma i-biopsy yesilonda somlomo ingaqinisekisa ukuxilongwa.

Inhloso yokwelashwa ukunciphisa izimpawu nokuphulukiswa kwejubane. Uma izimpawu zakho zimnene, ungahle ungadingi ukwelashwa.

Ukwelashwa kungafaka:

• Ama-antihistamine
• Imithi ehlisa amasosha omzimba (ezimweni ezinzima)
• Imilomo yeLidocaine igeza ukuze indikize indawo futhi yenze ukudla kube mnandi (ngezilonda zomlomo)
• Ama-topic corticosteroids noma ama-corticosteroids omlomo ukunciphisa ukuvuvukala nokunciphisa izimpendulo zomzimba
• ICorticosteroid idubula ibe yisilonda
• Uvithamini A njengokhilimu noma othathwe ngomlomo
• Eminye imithi efakwa esikhunjeni
• Ukugqoka okubekwe phezu kwesikhumba sakho ngemithi yokukuvikela ekuklwebheni
• Ukwelashwa kokukhanya kwe-Ultraviolet

Iplanethi ye-lichen imvamisa ayinangozi. Imvamisa, kuba ngcono ngokwelashwa. Isimo sivame ukucaca zingakapheli izinyanga eziyi-18, kepha singafika sidlule iminyaka.

Uma i-lichen planus ibangelwa umuthi owuthathayo, ukuqubuka kufanele kuphele uma uyeka umuthi.

Izilonda zomlomo ezikhona isikhathi eside zingakhula zibe ngumdlavuza womlomo.

Shayela umhlinzeki wakho uma:

• Izikhumba zakho zomlomo noma zomlomo ziyashintsha ekubukekeni
• Isimo siyaqhubeka noma siba sibi kakhulu, ngisho nangendlela yokwelashwa
• Udokotela wakho wamazinyo uncoma ukushintsha imithi yakho noma ukwelapha izimo ezibangela lesi sifo

• I-lichen planus - ukusondela
• I-lichen nitidus esiswini
• I-lichen planus engalweni
• Iplanethi ye-lichen ezandleni
• I-lichen planus ku-mucosa yomlomo
• I-lichen striatus - ukusondela
• I-lichen striatus emlenzeni
• I-lichen striatus - ukusondela

UJames WD, u-Elston DM, Phatha i-JR, i-Rosenbach MA, i-IM ye-Neuhaus. Iplis ye-lichen nezimo ezihlobene. Ku: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Izifo zika-Andrews ’Zesikhumba. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: isahluko 12.

IPatterson JW. Indlela yokuchazwa kwama-biopsies esikhumba. Ku: Patterson JW, ed. I-Weedon's Skin Pathology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2021: isahluko 2.