Chilichonse Chimene Muyenera Kudziwa Zokhudza Kuphulika Kwa Mankhwala a Lichenoid

Zamkati

• Zizindikiro zake ndi ziti?
• Zimayambitsa chiyani?
• Ndani ali pachiwopsezo chowonjezeka?
• Kodi dokotala adzaupeza bwanji?
• Amachizidwa bwanji?
• Kodi malingaliro ake ndi otani?

Chidule

Ndere za lichen ndikutuluka khungu komwe kumayambitsidwa ndi chitetezo chamthupi. Zogulitsa zosiyanasiyana ndi othandizira zachilengedwe zimatha kuyambitsa vutoli, koma chifukwa chenicheni sichimadziwika nthawi zonse.

Nthawi zina kuphulika kwa khungu kumachitika chifukwa cha mankhwala. Zikatero, amatchedwa kuphulika kwa mankhwala a lichenoid, kapena mankhwala oyeserera a ndere. Ngati zomwe zimachitika zimapezeka mkamwa mwanu, zimatchedwa kuphulika kwa mankhwala osokoneza bongo a lichenoid.

Ziphuphu zingatenge nthawi kuti zikule. Kuphulika kwa khungu kumatha kukhala kofewa mpaka kovuta ndipo kumatha kuyambitsa komanso kukhumudwitsa.

Pitirizani kuwerenga kuti mudziwe chifukwa chake kuphulika kwa mankhwala a lichenoid kumakhala kovuta kuzindikira, momwe amathandizidwira, komanso ngati pali zovuta zaumoyo zazitali.

Zizindikiro zake ndi ziti?

Kuphulika kwa mankhwala osokoneza bongo kumawoneka kofanana ndi ndere. Zizindikiro zimaphatikizapo:

• mabampu ang'onoang'ono ofiira kapena ofiirira pakhungu lomwe nthawi zambiri limanyezimira
• masikelo oyera kapena matambala
• mizere yoyera ya wavy, yotchedwa Wickham striae
• matuza
• kuyabwa
• misomali yopyapyala, yopindika

Zina mwazizindikiro za kuphulika kwa mankhwala osokoneza bongo a lichenoid ndi monga:

• lacy zigamba zoyera pakamwa, lilime, kapena mkatikati mwa masaya
• kupindika, zilonda, kapena zilonda mkamwa
• kupweteka kapena kutentha, makamaka mukamadya kapena kumwa

Zizindikiro zotsatirazi zikuwonetsa kuti mwina muli ndi kuphulika kwa mankhwala a lichenoid:

• Ziphuphu zimaphimba thunthu lanu ndi ziwalo, koma osati zikhatho za manja anu kapena mapazi anu.
• Ziphuphu zimadziwika kwambiri pakhungu lomwe lakhala padzuwa.
• Khungu lanu limawoneka ngati mamba.
• Palibe mizere yoyera ya wavy yomwe imakonda kupezeka ndere.
• Kuphulika kwa mankhwala pakamwa kwa lichenoid kumatha kukhudza mkati mwa tsaya limodzi lokha.

Kusiyananso kwina ndikuti kuphulika kwa mankhwala a lichenoid ndikothekera kwambiri kuposa ndere yoyera yomwe imasiya khungu lanu likatha.

Kuphulika kwa mankhwala a lichenoid sikumachitika nthawi zonse mukangoyamba kumwa mankhwala atsopano. Nthawi zambiri zimatenga miyezi iwiri kapena itatu. Nthawi zina, zimatha kutenga chaka.

Zimayambitsa chiyani?

Kuphulika kwa mankhwala osokoneza bongo kumachitika chifukwa cha mankhwala. Zina mwa mankhwala omwe angayambitse vutoli ndi awa:

• anticonvulsants, monga carbamazepine (Tegretol) kapena phenytoin (Dilantin, Phenytek)
• antihypertensives, kuphatikiza ACE inhibitors, beta-blockers, methyldopa, ndi nifedipine (Procardia)
• Ma ARV amagwiritsidwa ntchito pochiza HIV
• mankhwala a chemotherapy, monga fluorouracil (Carac, Efudex, Flouroplex, Tolak), hydroxyurea (Droxia, Hydrea), kapena imatinib (Gleevec)
• diuretics, monga furosemide (Lasix, Diuscreen, Specimen Collection Kit), hydrochlorothiazide, ndi spironolactone (Aldactone)
• Mchere wagolide
• HMG-CoA reductase inhibitors
• hydroxychloroquine (Plaquenil)
• imatinib mesylate
• cholumikizira-α
• ketoconazole
• misoprostol (Cytotec)
• anti-in-ammonia mankhwala osagwiritsa ntchito steroid (NSAIDs)
• wothandizila m'kamwa hypoglycemic
• zotumphukira za phenothiazine
• proton pump pump inhibitors
• sildenafil citrate
• mankhwala a sulfa, kuphatikizapo dapsone, mesalazine, sulfasalazine (Azulfidine), ndi sulfonylurea hypoglycemic agents
• kutchfuneralhome
• mankhwala a chifuwa chachikulu
• Otsutsana ndi chotupa cha necrosis: adalimumab (Humira), etanercept (Enbrel), infliximab (INFLECTRA, Remicade)

Kuphulika kwa mankhwala a lichenoid kumatha kuchitika atangoyamba kumene mankhwala. Koma nthawi zambiri zimatenga miyezi ingapo mpaka chaka kapena kupitilira apo. Ngati mwamwa mankhwala opitilira umodzi munthawiyo, zitha kukhala zovuta kudziwa kuti ndi iti yomwe idapangitsa kuti achitepo kanthu.

Mukakhala ndi mtundu uwu wamankhwala, mumakhala pachiwopsezo chambiri chodzakhala ndi ina mtsogolo. Izi ndizotheka ngati mutamwanso mankhwala omwewo kapena mukamamwa mankhwala omwewo.

Nthawi zambiri, mayankho otsatirawa amakula mwachangu.

Ndani ali pachiwopsezo chowonjezeka?

Aliyense amene wamwa mankhwala mchaka chatha kapena atha kuphulika mankhwala osokoneza bongo a lichenoid. Izi ndi zoona ngakhale mutagwiritsa ntchito mankhwala kamodzi kapena simunamwepo miyezi.

Kuphulika kwa mankhwala a lichenoid kuli okalamba.

Palibe zodziwika pangozi zomwe zimakhudzana ndi jenda, mtundu, kapena mtundu.

Kodi dokotala adzaupeza bwanji?

Onani dokotala wanu ngati muli ndi zotupa zosadziwika zomwe sizingathe. Pakhoza kukhala zovuta zina zachipatala zomwe zimafunikira chithandizo.

Onetsetsani kuti mukuwuzani adotolo za mankhwala onse omwe mumalandira chaka chatha.

Chifukwa zimawoneka chimodzimodzi, zimatha kukhala zovuta kudziwa kusiyana pakati pa ndulu zamankhwala am'madzi ndi mbewa zomwe zimaphulika chifukwa cha mawonekedwe ake.

Inu adotolo mwina mungachite khungu kapena pakamwa, koma zomwe zimachitika nthawi zina sizikhala zomveka nthawi zonse.

Mukakhala ndi mankhwala osokoneza bongo a lichenoid, zikuyenera kuchitika mwachangu kwambiri mukamutenganso mankhwalawo. Ichi ndichinthu chomwe chingathandizire kuzindikira.

Ngati dokotala akukayikira mankhwala omwe simutenganso, mutha kumwa kachiwiri kuti muwone ngati pali yankho lina. Ngati mukugwiritsabe ntchito mankhwala omwe mukuwakayikirayo, mutha kuyesa kuyimilira kapena kusintha mankhwala ena. Zotsatira za vuto la mankhwalawa zitha kutsimikizira kuti ali ndi matendawa. Musayambe kapena kusiya kumwa mankhwala musanalankhule ndi dokotala.

Kutengera matenda anu, kuyesa uku kumatha kukhala koopsa ku thanzi lanu chifukwa chake muyenera kuyang'aniridwa ndi dokotala.

Amachizidwa bwanji?

Njira yokhayo yothetsera kuphulika kwa mankhwala a lichenoid ndikusiya kumwa mankhwala omwe akuyambitsa. Ngakhale zili choncho, zimatha kutenga milungu kapena miyezi kuti vutoli lidziwike. Kutengera matenda anu komanso chifukwa chomwera mankhwalawa, izi sizingakhale zabwino.

Mutha kuthana ndi zina ndi:

• topical steroid mafuta ndi mankhwala ena apakhungu
• m'kamwa corticosteroids
• antihistamines kuti athetse kuyabwa

Lankhulani ndi dokotala musanagwiritse ntchito mafuta opaka mankhwala kapena zinthu zina pakaphulika khungu.

Nawa maupangiri ena odzisamalira okha:

• Tengani malo osambira oatmeal kuti muchepetse kuyabwa.
• Yesetsani kukhala aukhondo pakhungu lanu.
• Pewani mankhwala opangidwa ndi khungu okhala ndi zinthu zopweteka monga mowa kapena mafuta onunkhira.
• Yesetsani kuti musang'ambe kapena kupukuta ziphuphu za khungu, chifukwa izi zingayambitse matenda. Onani dokotala wanu ngati mukuganiza kuti muli ndi matenda.

Pakaphulika mankhwala osokoneza bongo a lichenoid, pewani mowa ndi fodya mpaka zitachira. Gwiritsani ntchito ukhondo wabwino pakamwa ndikuwona dokotala wanu wamano pafupipafupi.

Kodi malingaliro ake ndi otani?

Ngakhale zimatha miyezi kapena zaka, kuphulika kwa mankhwala osokoneza bongo kumatha kuwonekera pakapita nthawi. Kupatula pa zotupa pakhungu, nthawi zambiri sizimayambitsa zovuta zina.

Mutha kukhala ndi khungu khungu lanu litatha. Kutuluka kumatha kuzimiririka pakapita nthawi.

Vutoli limatha kubwereranso ngati mutamwa mankhwala omwewo kapena mankhwala omwewo mtsogolo.

Kuphulika kwa mankhwala a lichenoid sikupha, kupatsirana, kapena kuwononga thanzi lanu.