Izinketho zokwelashwa ze-lichen planus

-Delile

• 1. Amafutha
• 2. Ukusetshenziswa kwemithi
• 3. Ukwelashwa ekhaya
• 4. I-Phototherapy
• Izimpawu zokuthuthuka nokuya ngokuya ziba zimbi

Ukwelashwa kwe-lichen planus kuboniswa ngudokotela wesikhumba futhi kungenziwa ngokusebenzisa amakhambi e-antihistamine, njenge-hydroxyzine noma i-desloratadine, amafutha okugcoba nama-corticosteroids kanye ne-phototherapy. Lezi zinketho zokwelashwa ziyahlukahluka ngokuya ngezifunda ezithintekile futhi zihlose ukunciphisa izilonda zesikhumba nokuqeda ukulunywa.

Ukwelashwa kwe-lichen planus kungahlala kusuka ezinyangeni ezimbalwa kuye eminyakeni eminingana, ngoba umuntu onalesi sifo angabonisa iziqephu eziphindaphindekayo zalesi sifo, kuze kube yilapho umzimba uphendula ekwelashweni okwenziwayo. Kubalulekile ukukhumbula ukuthi lesi sifo asithelelani, noma kunjalo, kwezinye izimo singabangelwa igciwane lesifo sokusha kwesibindi kohlobo C, futhi singabangelwa ukusetshenziswa ngokweqile kwemithi elwa nokuvuvukala, njenge-ibuprofen ngokwesibonelo.

Izinketho zokwelashwa eziyinhloko zeplanethi ye-nail, cutaneous, capillary noma genital lichen planus zifaka:

1. Amafutha

Ukusetshenziswa kwamafutha anama-corticosteroids anamandla aphezulu kuyindlela yokuqala ekhonjiswe odokotela besikhumba ukwelapha i-lichen planus, ikakhulukazi ezimweni lapho izilonda zesikhumba zincane. Lolu hlobo lwamafutha lusiza ukunciphisa ukuvuvukala, ukuvuvukala, ububomvu nokunwaya okubangelwa i-lichen planus, kuthi i-clobetasol, i-betamethasone, i-fluocinolone ne-triamcinolone kube ezinye izindlela ezinconywe kakhulu.

Ezimweni ezinzima kakhulu, ukusetshenziswa kwama-calcineurin, njenge-tacrolimus ne-pimecrolimus, kungakhonjiswa, njengoba kusiza ukunciphisa amaseli abangela ukuvuvukala esikhunjeni. Omunye umuthi okhonjisiwe kwezinye izimo yilowo okhiqizwe ngokususelwa ku-retinoic acid, njengoba uqukethe uvithamini A, onomphumela wokulwa nokuvuvukala ezilondeni zesikhumba ezibangelwa i-lichen planus. Bona okuningi ngokuthi ungayisebenzisa kanjani i-retinoic acid esikhunjeni sakho.

Uma amafutha okusebenza engasebenzi, udokotela angafaka imijovo ye-corticosteroid ezungeze isilonda sesikhumba ukuze imiphumela yomuthi izwakale ngokushesha okukhulu.

2. Ukusetshenziswa kwemithi

Ukusetshenziswa kwemithi yokwelapha i-lichen planus kufanele kunconywe ngudokotela wesikhumba futhi kusetshenziselwe ukwenza ngcono izimpawu zalesi sifo, njengokulunywa okunzima, ukubomvu, ukushiswa nobuhlungu bezilonda zesikhumba. ICorticosteroids yizona khambi ezifanele kakhulu zalezi zimo, ezingaba yi-dexamethasone noma i-prednisone, futhi kufanele zisetshenziswe njengokuyalelwa ngudokotela, ngoba noma ngabe izimpawu ziyanyamalala, kuyadingeka ukuqhubeka nokuphuza amaphilisi.

Ama-antihistamine omlomo nawo angasetshenziselwa ukukhulula isikhumba esilumayo, okuvame kakhulu okuyi-hydroxyzine ne-desloratadine. Lolu hlobo lomuthi lubanga ukulala ngokwanele, ngakho-ke kunconywa ukuthi uphuze amaphilisi ngaphambi kokulala futhi akufanele usebenzise le mithi ngaphambi kokushayela.

Olunye uhlobo lomuthi olungakhonjiswa udokotela yi-acitretin, okuyingxenye yemithi yokwelapha i-retinoid yomlomo, futhi isiza ukunciphisa ukuvuvukala kwesikhumba, ukunciphisa ukulunywa nokubomvu, kepha kufanele isetshenziswe kuphela kubantu abanezimpawu ezinzima kakhulu. uhlelo. Ngaphezu kwalokho, kulezi zifo ezithuthuke kakhulu zesifo, umuntu angakhombisa izimpawu zokucindezeleka futhi udokotela angaluleka ukwelulekwa nodokotela bengqondo nokusetshenziswa kwezidambisi zengqondo. Thola ukuthi yimaphi ama-anti-depressants asetshenziswa kakhulu.

3. Ukwelashwa ekhaya

Ukwelashwa kwasekhaya kwe-lichen planus kusekelwe ezinyathelweni ezisiza ukuqeda izimpawu futhi kufanele kubandakanye ukunakekelwa okufana nokufaka ukucindezela okubandayo ezindaweni ezivuvukile nezilukhuni nokugcina ukudla okunomsoco, ukugwema ukudla okubabayo, okune-asidi nokuqinile, njengesinkwa, uma kwenzeka i-lichen planus isemlonyeni.

Ezimweni ze-genital lichen planus, kubalulekile ukugcina isifunda esithintekile sinamanzi ngaso sonke isikhathi, ugweme ukusebenzisa insipho enamakha nama-lotion, sebenzisa izingubo zangaphansi ezisekelwe kukotini, yenza inhlanzeko yendawo ngamanzi abandayo futhi unciphise ukulunywa. nge-chamomile. Funda ngamanye amakhambi emvelo wokulunywa ezingxenyeni eziyimfihlo.

4. I-Phototherapy

I-Phototherapy ingasetshenziselwa ukwelapha i-lichen planus, inqobo nje uma kwenziwa ngesincomo sedokotela wesikhumba. Lokhu kwelashwa kunemiphumela elwa nokuvuvukala futhi kuvuselela amasosha omzimba ukulwa nalesi sifo ngokusebenzisa imisebe ye-ultraviolet ngqo ezilondeni zesikhumba. Kufanele isetshenziswe izikhathi ezi-2 ukuya kwezi-3 ngesonto, futhi inani lamaseshini lincike ebangeni lesifo nasekubonisweni kwezokwelapha.

Imiphumela emibi ye-phototherapy ingaba ukushisa nokwakhiwa kwama-vesicles esikhunjeni, ngakho-ke kufanele kwenziwe kuphela ngochwepheshe abaqeqeshiwe nasemitholampilo nasezibhedlela ezikhethekile kulolu hlobo lwezokwelapha.

Izimpawu zokuthuthuka nokuya ngokuya ziba zimbi

Izimpawu zokwenziwa ngcono kweplanethi ye-lichen zifaka ukunyamalala kokulunywa, ubuhlungu, ukuvuvukala kwesikhumba nokuncipha kosayizi wezilonda. Kodwa-ke, ngemuva kwezinyanga ezimbalwa zokwelashwa izilonda zingabuye zinyamalale noma ziveze izindawo ezikhanyayo esikhunjeni.

Ngakolunye uhlangothi, uma kukhona ukwanda kwenani nosayizi wezilonda zesikhumba, ngaphezu kokuqina kobuhlungu, ukulunywa, ububomvu nokuvuvukala kwezilonda ezibangelwe yilesi sifo, kuyinkomba yokuthi lesi sifo sesibe sibi kakhulu, futhi kubalulekile ukubuyela kudokotela ukuze kuhlolwe okusha futhi kusungulwe ukwelashwa okusha.

Ngaphezu kwalokho, lapho ukwelashwa kwe-lichen planus kungenziwa kahle noma izimpawu zithatha isikhathi eside ukunyamalala, kungavela izinkinga ezinkulu, kufaka phakathi izilonda zomlomo noma umdlavuza wesikhumba, emlonyeni noma esifundeni esisondelene.

Nazi ezinye izinyathelo okufanele uzithathe ukuze ube nesikhumba esinempilo: