Izimpawu ze-lichen sclerosus nokuthi ilashwa kanjani

-Delile

• Izimpawu ze-lichen sclerosus
• Kunjani ukuxilongwa
• Yelashwa kanjani

I-lichen sclerosus, eyaziwa nangokuthi i-lichen sclerosus ne-atrophic, iyi-dermatosis engalapheki ebonakala ngezinguquko esifundeni sangasese futhi engenzeka emadodeni nakwabesifazane banoma yimuphi unyaka, okuvame kakhulu kwabesifazane be-postmenopausal.

Lesi sifo sesikhumba sibonakala ngokubonakala kwezilonda ezimhlophe esifundeni sangasese, ngaphezu kokugijima, ukucasuka kwendawo nokuqhuma. Isizathu se-lichen sclerosus asikakasungulwa kahle, kodwa kunenkolelo yokuthi ukubukeka kwaso kuhlobene nezinguquko zofuzo nezokuzivikela komzimba.

Ukwelashwa kwe-lichen sclerosus kuhlose ukuqeda izimpawu nokuvimbela ukuvela kwezinguquko ezintsha, futhi kubalulekile ukuthi ukwelashwa kwenziwe ngokuya ngesincomo se-gynecologist noma i-dermatologist, lapho ukusetshenziswa kwamafutha ne-corticosteroids, ngokwesibonelo, kukhonjisiwe.

Izimpawu ze-lichen sclerosus

Izimpawu ze-lichen sclerosus zivame ukuvela esifundeni sangasese, okuyinhloko:

• Amabhamuza avela esikhunjeni esizungeze ingquza nasesithweni sangasese sowesilisa noma owesifazane;
• Ukubukeka kwamabala amhlophe ngokubomvu;
• Isikhumba sesifunda siba mncane noma, kwezinye izimo, ukuqina kwesikhumba kungaqashelwa;
• Ukuxebuka nokuqhekeka kwesikhumba;
• Ukulunywa nokucasuka kwesikhumba, ikakhulukazi ebusuku;
• Ubuhlungu lapho uchama, uzikhulula futhi ngesikhathi sokuxhumana okusondelene;
• Ubukhona be-pruritus;
• Ukushintsha umbala wendawo.

Akukaziwa okwamanje ukuthi yiziphi izimbangela zangempela ezihambisana ne-lichen sclerosus, kepha ezinye izifundo ziveza ukuthi ukwenzeka kwaso kungahle kuhlobene nokutheleleka ngeHuman Papillomavirus, i-HPV, noma nge-overexpression ye-p53, okuyi-protein ethintekayo ekulawulweni umjikelezo weseli. Ngaphezu kwalokho, kukholelwa ukuthi ukuthuthukiswa kwe-lichen planus kuhlobene nezici zofuzo nezokuzivikela komzimba.

Kunjani ukuxilongwa

Ukuxilongwa kwe-lichen sclerosus kufanele kwenziwe ngudokotela wezifo zabesifazane, udokotela wezifo zomzimba noma owesikhumba ngokuya ngokubheka kanye nokuhlolwa kwezimpawu ezivezwa ngumuntu. Ngaphezu kwalokho, kufanele kucelwe i-biopsy ngudokotela, futhi kufanele kuqoqwe isampula lezicubu ezilimele ukuze kuqinisekiswe izici zamaseli futhi nomqondo wesifo somdlavuza wesikhumba ungakhishwa.

Yelashwa kanjani

Ukwelashwa kwe-atrophic lichen sclerosus kufanele kuqondiswe ngudokotela wesikhumba, udokotela wezifo zabesifazane, esimweni sabesifazane, noma i-urologist, endabeni yamadoda, futhi kuvame ukwenziwa ngokusetshenziswa kwamafutha e-corticoid, njengeClobetasol Propionate, asetshenziswa nsuku zonke mayelana nesifunda esithintekile. Ngaphezu kwalokho, ngesikhathi sokwelashwa kubalulekile:

• Gwema ukunwaya izindawo ezithintekile;
• Gqoka izingubo eziqinile, mhlawumbe ukotini;
• Gwema ukugqoka izingubo zangaphansi ebusuku, lapho i-lichen sclerosa ivela esifundeni sangasese;
• Gcina inhlanzeko efanele yendawo ngamanzi nensipho emnene.

Kwezinye izimo, udokotela futhi angancoma ukusetshenziswa kwamakhambi e-antihistamine, njengeCetirizine noma i-Desloratadine, ukuqeda ukulunywa nokuvuvukala kwezindawo zesikhumba.