Zizindikiro za lichen sclerosus ndi momwe mankhwalawa aliri

Zamkati

• Zizindikiro za sclerosus ya lichen
• Matendawa amapezeka bwanji
• Momwe mankhwalawa amachitikira

Lichen sclerosus, yomwe imadziwikanso kuti lichen sclerosus ndi atrophic, ndi dermatosis yanthawi yayitali yomwe imadziwika ndi kusintha kwa maliseche ndipo imatha kuchitika mwa abambo ndi amai amisinkhu iliyonse, kukhala ochulukirachulukira azimayi a postmenopausal.

Matenda apakhungu awa amadziwika ndi mawonekedwe azilonda zoyera mdera loberekera, kuphatikiza kuthamanga, kukwiya kwanuko ndi kuphulika. Chifukwa cha lichen sclerosus sichinakhazikitsidwe bwino, koma amakhulupirira kuti mawonekedwe ake akukhudzana ndi kusintha kwa majini ndi chitetezo cha mthupi.

Chithandizo cha lichen sclerosus cholinga chake ndi kuthetsa zizolowezi komanso kupewa kusintha kwatsopano, ndipo ndikofunikira kuti chithandizocho chichitike malinga ndi malingaliro a azachipatala kapena dermatologist, momwe kugwiritsa ntchito mafuta ndi corticosteroids, mwachitsanzo, kungakhale anasonyeza.

Zizindikiro za sclerosus ya lichen

Zizindikiro za sclerosus ya lichen nthawi zambiri zimawoneka m'dera loberekera, zazikuluzikulu ndizo:

• Matuza amapezeka pakhungu lozungulira anus ndi kumaliseche kwa amuna kapena akazi;
• Mawonekedwe ofiira ofiira;
• Khungu lachigawo limayamba kuwonda kapena, nthawi zina, kukulira kwa khungu kumatha kuzindikirika;
• Khungu ndi khungu;
• Kuyabwa ndi khungu kukwiya, makamaka usiku;
• Ululu mukakodza, mukachita chimbudzi komanso mukamayanjana;
• Kukhalapo kwa pruritus;
• Kusintha mtundu wa malowo.

Sizikudziwika kuti zomwe zimayambitsa sclerosus ya lichen ndi ziti, koma kafukufuku wina akuwonetsa kuti kuchitika kwake kumatha kukhala kokhudzana ndi matenda a Human Papillomavirus, HPV, kapena kutulutsa kwakukulu kwa p53, komwe ndi protein yomwe imakhudzidwa ndikukhazikitsa kayendedwe ka selo. Kuphatikiza apo, amakhulupirira kuti chitukuko cha ndere chimakhudzana ndi majini ndi chitetezo chamthupi.

Matendawa amapezeka bwanji

Kuzindikira kwa lichen sclerosus kuyenera kupangidwa ndi azachipatala, urologist kapena dermatologist kutengera kuwunika ndikuwunika kwa zomwe munthuyo akuwonetsa. Kuphatikiza apo, a biopsy ayenera kupemphedwa ndi adotolo, ndipo zitsanzo za minofu yovulazidwayo ziyenera kusonkhanitsidwa kuti zikhalidwe za ma cell zitsimikizidwe komanso malingaliro a khansa yapakhungu asayesedwe.

Momwe mankhwalawa amachitikira

Chithandizo cha atrophic lichen sclerosus chiyenera kutsogozedwa ndi dermatologist, a gynecologist, kwa azimayi, kapena urologist, mwa amuna, ndipo nthawi zambiri amachitika pogwiritsa ntchito mafuta a corticoid, monga Clobetasol Propionate, ogwiritsidwa ntchito tsiku lililonse za dera lomwe lakhudzidwa. Komanso, pa nthawi ya chithandizo, ndikofunikira kuti:

• Pewani kukanda malo omwe akhudzidwa;
• Valani zolimba, makamaka zovala za thonje;
• Pewani kuvala zovala zamkati usiku, pomwe lichen sclerosa imawoneka m'chigawo choberekera;
• Sungani ukhondo woyenera wa malowo ndi madzi komanso sopo wofatsa.

Nthawi zina, adokotala amalimbikitsanso kugwiritsa ntchito mankhwala a antihistamine, monga Cetirizine kapena Desloratadine, kuti athetse kuyabwa ndi kutupa kwa khungu.