Konke Okufanele Ukwazi Ngokuqhamuka Kwezidakamizwa Ze-Lichenoid

-Delile

• Ziyini izimpawu?
• Kubangelwa yini?
• Ubani osengozini eyengeziwe?
• Udokotela uzoyihlonza kanjani?
• Ilashwa kanjani?
• Uyini umbono?

Ukubuka konke

I-lichen planus ukuqubuka kwesikhumba okubangelwa amasosha omzimba. Imikhiqizo ehlukahlukene kanye nama-ejenti ezemvelo angadala lesi simo, kepha imbangela ngqo ayaziwa ngaso sonke isikhathi.

Kwesinye isikhathi lokhu kuqhuma kwesikhumba kusabela emithini. Uma kunjalo, ibizwa ngokuthi ukuqhuma kwezidakamizwa i-lichenoid, noma i-lichen planus eyenziwe yizidakamizwa. Uma ukusabela kwenzeka ngaphakathi komlomo wakho, kubizwa ngokuthi ukuqhuma kwezidakamizwa zomlomo we-lichenoid.

Ukuqhuma kungathatha isikhathi ukukhula. Ukuqhuma kwesikhumba kungahle kusuka kokuncane kuya kokubi futhi kubangele ukulunywa nokungahambi kahle.

Qhubeka ufunde ukuze ufunde ukuthi kungani ukuqhuma kwezidakamizwa ze-lichenoid kungaba nzima ukukukhomba, ukuthi kulashwa kanjani, nokuthi uma kukhona ukukhathazeka kwezempilo okuhlala isikhathi eside.

Ziyini izimpawu?

Ukuqhuma kwezidakamizwa i-lichenoid kubukeka kufana ne-lichen planus. Izimpawu zingafaka:

• amaqhubu amancane abomvu noma ansomi esikhunjeni avame ukucwebezela
• izikali ezimhlophe noma ama-flakes
• imigqa emhlophe ye-wavy, eyaziwa njengeWickham striae
• amabhamuza
• ukulunywa
• izinzipho eziqhekekile, ezijiyile

Ezinye zezimpawu zokuqhuma kwezidakamizwa zomlomo we-lichenoid zifaka:

• ama-lacy amabala amhlophe ezinsinini, olimini, noma ngaphakathi ezihlathini
• ubukhali, izilonda, noma izilonda ngaphakathi emlonyeni
• ukuluma noma ukuvutha komuzwa, ikakhulukazi lapho udla noma uphuza

Lezi zimpawu ezilandelayo zibonisa ukuthi ungahle ube nokuqhuma kwezidakamizwa i-lichenoid:

• Ukuqubuka kumboza okuningi kwesiqu sakho nezitho zomzimba, kepha hhayi izintende zezandla zakho noma amathe ezinyawo zakho.
• Ukuqubuka kugqame kakhulu esikhunjeni okuvezwe yilanga.
• Isikhumba sakho sibonakala sinesikhumba.
• Ayikho imigqa emhlophe ye-wavy ejwayelekile ku-lichen planus.
• Ukuqhuma kwezidakamizwa zomlomo we-lichenoid kungenzeka kuthinte ingaphakathi lesihlathi esisodwa kuphela.

Omunye umehluko ukuthi ukuqhuma kwezidakamizwa ze-lichenoid kunamathuba amaningi kune-lichen planus ukushiya umaki esikhunjeni sakho ngemuva kokucaca.

Ukuqhuma kwezidakamizwa i-lichenoid akwenzeki ngaso sonke isikhathi ngemuva nje kokuba uqale ukuthatha umuthi omusha. Isikhathi esiningi kuthatha izinyanga ezimbili noma ezintathu. Kwezinye izimo, kungathatha unyaka.

Kubangelwa yini?

Ukuqhuma kwezidakamizwa i-lichenoid kuyindlela yokusabela emithini. Ezinye zezinhlobo zemithi ezingadala lesi simo zifaka:

• ama-anticonvulsants, afana ne-carbamazepine (Tegretol) noma i-phenytoin (iDilantin, Phenytek)
• ama-antihypertensives, kufaka phakathi i-ACE inhibitors, i-beta-blockers, i-methyldopa, ne-nifedipine (iProcardia)
• izidambisigciwane ezisetshenziselwa ukwelapha i-HIV
• izidakamizwa ze-chemotherapy, njenge-fluorouracil (Carac, Efudex, Flouroplex, Tolak), i-hydroxyurea (iDroxia, i-Hydrea), noma i-imatinib (i-Gleevec)
• i-diuretics, njenge-furosemide (i-Lasix, i-Diuscreen, i-Specimen Collection Kit), i-hydrochlorothiazide, ne-spironolactone (i-Aldactone)
• usawoti wegolide
• I-HMG-CoA reductase inhibitors
• i-hydroxychloroquine (i-Plaquenil)
• imatinib mesylate
• i-interferon-α
• ketoconazole
• i-misoprostol (Cytotec)
• izidakamizwa ezingekho emthethweni zokulwa namaphilisi (ama-NSAID)
• abenzeli bomlomo be-hypoglycemic
• Izakhi ze-phenothiazine
• iproton pump inhibitors
• i-sildenafil citrate
• izidakamizwa ze-sulfa, kufaka phakathi i-dapsone, i-mesalazine, i-sulfasalazine (i-Azulfidine), ne-sulfonylurea ejenti ye-hypoglycemic
• umabhebhana
• imishanguzo yesifo sofuba
• Abaphikisi be-tumor necrosis factor: adalimumab (Humira), etanercept (Enbrel), infliximab (INFLECTRA, Remicade)

Ukuqhuma kwezidakamizwa ze-lichenoid kungenzeka ngokushesha ngemuva kokuqala umuthi. Kepha ngokuvamile kuthatha izinyanga ezimbalwa ukuya onyakeni noma ngaphezulu. Uma uthathe umuthi ongaphezu kowodwa ngaleso sikhathi, kungaba nzima ukuthola ukuthi yimuphi okungenzeka ukuthi ubangele ukusabela.

Uma usunalo lolu hlobo lokuphendula kumuthi, usengozini enkulu yokuba nomunye esikhathini esizayo. Lokhu kungenzeka kakhulu uma uphuza umuthi ofanayo futhi noma uwuphuza ekilasini elifanayo lomuthi.

Isikhathi esiningi, ukusabela okulandelayo kuthuthuka ngokushesha okukhulu.

Ubani osengozini eyengeziwe?

Noma ngubani othathe umuthi onyakeni owedlule noma onjalo angahlangabezana nokuqhuma kwezidakamizwa i-lichenoid. Lokhu kuyiqiniso noma ngabe usebenzise umuthi kanye kuphela noma ungawuphuzanga ezinyangeni.

Ukuqhuma kwezidakamizwa i-Lichenoid kungabantu abadala asebekhulile.

Azikho izinto eziyingozi ezaziwayo ezihambisana nobulili, ubuhlanga, noma ubuzwe.

Udokotela uzoyihlonza kanjani?

Bona udokotela wakho uma unesifo esingaqondakali esingazukucaca. Kungase kube khona isimo sezokwelapha esiyisisekelo esidinga ukwelashwa.

Qiniseka ukuthi ukutshela udokotela ngayo yonke imishanguzo ongayisebenzisa ekhawunteni nemithi kadokotela oyithathile ngonyaka odlule.

Ngoba zibukeka zifana, kungaba nzima ukutshela umehluko phakathi kwe-lichen planus kanye nokuqhuma kwesidakamizwa se-lichenoid ngokususelwa ekubukekeni.

Wena dokotela mhlawumbe uzokwenza isikhumba noma i-biopsy yomlomo, kepha i-biopsy ayihlali njalo.

Lapho usuphenduke umuthi we-lichenoid drug reaction, kungenzeka kwenzeke ngokushesha okukhulu uma uphinde uthatha lowo muthi. Lokhu kuyinto engasiza ekuxilongweni.

Uma udokotela wakho esola umuthi ongasayiphuzi, ungawuthatha futhi ukuze ubone ukuthi ngabe kukhona yini okunye ukusabela. Uma usathatha umuthi osolwayo, ungazama ukumisa noma ukushintshela kolunye ukwelashwa. Imiphumela yale nselele yezidakamizwa ingaqinisekisa ukuxilongwa. Ungaqali noma uyeke ukuthatha noma yimiphi imithi ngaphandle kokukhuluma nodokotela wakho kuqala.

Ngokuya ngesimo sakho sempilo, lokhu kuhlolwa kungaba yingozi empilweni yakho ngakho-ke kufanele ube ngaphansi kweso lodokotela.

Ilashwa kanjani?

Ukuphela kwendlela yokumisa ukuqhuma kwezidakamizwa i-lichenoid ukuyeka ukuthatha umuthi okuwudalayo. Noma kunjalo, kungathatha amasonto noma izinyanga ukuthi isimo sicace. Ngokuya ngesimo sakho sezokwelapha kanye nesizathu sokuthatha lo muthi, lokhu kungenzeka kungabi inketho enhle.

Ungase ukwazi ukunciphisa ezinye izimpawu nge:

• okhilimu be-topical steroid nezinye izindlela zokwelapha
• i-corticosteroids yomlomo
• Ama-antihistamine wokuqeda ukulunywa

Khuluma nodokotela wakho ngaphambi kokusebenzisa okhilimu abanemithi noma eminye imikhiqizo ekuqhumeni kwesikhumba.

Nawa amanye amathiphu wokuzinakekela:

• Thatha okugeza okuthoba i-oatmeal ukukhulula ukulunywa.
• Zijwayeze ukuhlanzeka kahle kwesikhumba.
• Gwema imikhiqizo yesikhumba equkethe izithako ezinzima ezifana notshwala noma amakha.
• Zama ukungakliki noma ukhuhle ukuqhuma kwesikhumba, ngoba lokhu kungaholela ekutheleleni. Bheka udokotela wakho uma ucabanga ukuthi unesifo.

Ngokuqhuma kwezidakamizwa zomlomo we-lichenoid, gwema utshwala nemikhiqizo kagwayi ize ilulame. Zijwayeze ukuhlanzeka ngomlomo futhi ubone udokotela wamazinyo wakho njalo.

Uyini umbono?

Yize kungadlula izinyanga noma ngisho neminyaka, ukuqhuma kwezidakamizwa ze-lichenoid kufanele kucace ngokuhamba kwesikhathi. Ngaphandle kokuqubuka kwesikhumba, akuvamisile ukudala eminye imiphumela emibi.

Ungase ube nombala othile wesikhumba ngemuva kokuba isikhumba sakho sesikhuphukile. Ukuqedwa kombala kungaphela ngokuhamba kwesikhathi.

Lesi simo singaphindeka uma uphuza umuthi ofanayo noma umuthi ofanayo ngokuzayo.

Ukuqhuma kwezidakamizwa i-Lichenoid akubulali, kuyathathelana, noma ngokuvamile kuyingozi empilweni yakho.