Ndere Ya Ndulu

Zamkati

• Zithunzi za ndere
• Zizindikiro za ndere
• Kodi zimayambitsa ndi zoopsa ziti?
• Kuzindikira kwa ndulu
• Kuchiza ndandanda ya lichen
• Mankhwala apanyumba
• Kodi zovuta za ndere ndi ziti?
• Maganizo ake ndi otani?

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi lichen planus ndi chiyani?

Ndere za lichen ndikutuluka khungu komwe kumayambitsidwa ndi chitetezo chamthupi. Sizikudziwika chifukwa chake kuyankha mthupi kumachitika. Pakhoza kukhala zifukwa zingapo, ndipo vuto lililonse ndi losiyana. Zomwe zingayambitse zikuphatikizapo:

• matenda opatsirana
• zovuta
• nkhawa
• chibadwa

Nthawi zina ndere ya ndere imapezeka ndimatenda amthupi. Ngakhale zitha kukhala zosasangalatsa, nthawi zambiri ma lichen planus siovuta kwenikweni. Komanso sizopatsirana.

Komabe, pali kusiyanasiyana kosavuta kwamikhalidwe yomwe ingakhale yayikulu komanso yopweteka. Izi zitha kuthandizidwa ndimankhwala apakumwa ndi pakamwa kuti muchepetse zizindikilo, kapena kugwiritsa ntchito mankhwala omwe amaletsa chitetezo chamthupi.

Zithunzi za ndere

Zizindikiro za ndere

Zina mwazizindikiro zofala kwambiri za ndere ndi izi:

• zotupa zokongola kapena zotupa zokhala ndi nsonga zakuthwa pakhungu lanu kapena kumaliseche
• zotupa zomwe zimakula ndikufalikira thupi patadutsa milungu ingapo kapena miyezi ingapo
• kuyabwa pamalo otupa
• zotupa zoyera mkamwa, zomwe zimatha kupweteka kapena kuyambitsa moto
• matuza, omwe amatuluka ndikukhala nkhanambo
• mizere yoyera yoyera pamutu

Mtundu wofala kwambiri wa ndere umakhudza khungu. Pakadutsa milungu ingapo, zotupa zimawonekera ndikufalikira. Matendawa amatha mkati mwa miyezi 6 mpaka 16.

Nthawi zambiri, zotupazi zimatha kupezeka m'malo kupatula khungu kapena maliseche. Izi zingaphatikizepo:

• ntchofu
• misomali
• khungu

Palinso zosiyana za chikhalidwe chofala ku Middle East, Asia, Africa, ndi Latin America.

Kodi zimayambitsa ndi zoopsa ziti?

Ndere zamtundu zimayamba thupi lanu likaukira khungu lanu kapena maselo am'mimbamo mwangozi. Madokotala sakudziwa chifukwa chake izi zimachitika.

Ndondomeko ya lichen imatha kuchitika mwa aliyense m'badwo uliwonse, koma pali zinthu zina zomwe zimapangitsa anthu ena kukhala ndi vutoli. Maonekedwe akhungu a ndere amapezeka mwa amuna ndi akazi mofananamo, koma azimayi ali ndi mwayi wowirikiza kawiri. Ndizochepa kwambiri mwa ana komanso achikulire. Ndizofala kwambiri pakati pa anthu azaka zapakati.

Zina mwaziwopsezo zimaphatikizira kukhala ndi abale omwe adakhalapo ndi ndere, kukhala ndi matenda amtundu ngati hepatitis C, kapena kupezeka ndi mankhwala ena omwe amakhala ngati ma allergen. Zowonjezera izi zingaphatikizepo:

• maantibayotiki
• arsenic
• golide
• mankhwala a ayodini
• okodzetsa
• mitundu ina ya utoto
• Mankhwala ena

Kuzindikira kwa ndulu

Nthawi iliyonse mukawona kapena kumva zotupa pakhungu kapena zotupa mkamwa kapena kumaliseche, muyenera kuwona dokotala mwachangu. Dokotala wanu wamkulu angakutumizireni kwa dermatologist ngati matenda a ndere sakudziwika, kapena ngati zizindikilo zanu zikukusowetsani mtendere.

Dokotala wanu woyang'anira chisamaliro chachikulu kapena dermatologist atha kukuwuzani kuti muli ndi ndere pongoyang'ana kuthamanga kwanu. Kuti mutsimikizire matendawa, mungafunikire kuyesedwa kwina.

Kuyesera kungaphatikizepo biopsy, zomwe zikutanthauza kutenga pang'ono khungu lanu kuti muwone pansi pa microscope, kapena kuyesa ziwengo kuti mudziwe ngati mukugwidwa ndi vuto linalake. Ngati dokotala akukayikira chomwe chimayambitsa matendawa, mungafunike kukayezetsa matenda a chiwindi a C.

Kuchiza ndandanda ya lichen

Pazovuta zochepa za ndere, zomwe nthawi zambiri zimawoneka patatha milungu kapena miyezi, simusowa chithandizo chilichonse. Ngati zizindikirozo sizili bwino kapena zovuta, dokotala akhoza kukupatsani mankhwala.

Palibe mankhwala amtundu wa ndere, koma mankhwala omwe amathandizira zizindikilozi ndi othandiza ndipo ena amatha kuwongolera chomwe chikuyambitsa. Mankhwala omwe amalembedwa nthawi zambiri ndi awa:

• retinoids, omwe amakhudzana ndi vitamini A ndipo amatengedwa pamutu kapena pakamwa
• corticosteroids imachepetsa kutupa ndipo imatha kukhala yapakhungu, yamlomo, kapena yoperekedwa ngati jakisoni
• antihistamines amachepetsa kutupa ndipo atha kukhala othandiza makamaka ngati zotupa zanu zimayambitsidwa ndi vuto linalake
• Mafuta osagwira ntchito amagwiritsidwa ntchito pamutu ndipo amatha kupondereza chitetezo cha mthupi mwanu ndikuthandizira kuthetsa zotupa
• Chithandizo chochepa chimagwira ndege za ndere ndi kuwala kwa ultraviolet

Mankhwala apanyumba

Palinso zinthu zina zomwe mungayese kunyumba kuti muthandizire mankhwala omwe mumalandira. Izi zikuphatikiza:

• ndikulowa m'malo osambira oatmeal
• kupewa kukanda
• kugwiritsa ntchito ma compress ozizira paziphuphu
• kugwiritsa ntchito OTC anti-itch creams

Lankhulani ndi dokotala musanawonjezere mankhwala a OTC pa mapulani anu. Mwanjira imeneyi mudzakhala otsimikiza kuti palibe chomwe mungatenge chomwe chingagwirizane ndi mankhwala omwe mukumwa.

Kodi zovuta za ndere ndi ziti?

Ndondomeko ya lichen ikhoza kukhala yovuta kuchiza ngati ikukula kumaliseche kapena kumaliseche kwanu. Izi zitha kubweretsa zowawa, zotupa, komanso zovuta panthawi yogonana.

Kupanga mapulani a lichen amathanso kukulitsa chiopsezo cha squamous cell carcinoma. Kuwonjezeka kwa chiopsezo ndikochepa, koma muyenera kuwona dokotala wanu kukayezetsa khansa yapakhungu pafupipafupi.

Maganizo ake ndi otani?

Ndondomeko ya lichen ikhoza kukhala yosasangalatsa, koma siyowopsa. Pakapita nthawi, komanso kuphatikiza mankhwala akunyumba ndi mankhwala, kuthamanga kwanu kumatha.