Lichen planus ndi matenda otetezedwa ndi chitetezo cha thupi omwe amachititsa kuphulika khungu komwe nthawi zina kumakhudza mkati mwa pakamwa. Zitha kuwonanso ziwalo zina zambiri za thupi, kuphatikizapo misomali, scalp (lichen planopilaris), ziwalo zamkati, maso, khosi, ndi kapangidwe ka zakudya. Matendawa sagwiritsidwa ntchito. Nthawi zambiri amadzipangitsa kuti adzichiritse pakhungu limodzi pakhungu, koma amatha kuchira pakhungu komanso m'madera ena.
Zimakhudza 0.1-4% mwa anthu; odwala kawirikawiri amakhala ndi zaka 30-60, ndipo amayi amatha kupeza matendawa kuposa amuna.
Lichen Planus ya Khungu
Lichen planus amawakhudza khungu, akuwonetsa ngati kuphulika kwa malo okongola omwe amaoneka ngati ofiirira. Kuphulika uku kungakhalenso kuoneka mosiyana malinga ndi zotsatirazi:
- Linear lichen planus: Mitsinje yomwe ili pafupi palimodzi
- Chilendo chachisawawa: Magulu a zilonda zomwe zimakhala mphete
- Atrophic lichen planus: Zilonda zochepa zomwe zimatulutsa khungu. Osati wamba.
- Hypertrophic lichen planus: Kuwombera, kawirikawiri, kumadetsa khungu ndipo kumachitika pamapazi
- Vesiculobullous lichen planus: Mitsempha yodzaza madzi. Osati wamba.
- Mphuno yotentha / zilonda zam'mimba: Zilonda zopweteka komanso zilonda pamapazi. Osati wamba.
Kuwopsya kwakukulu ndi kudandaula kwakukulu kwa odwala omwe ali ndi khungu la khungu la khungu. Pambuyo pa kupweteka kwa khungu, khungu lomwe limakhudzidwa nthawi zambiri limakhala lakuda kuposa lachilendo (makamaka kutentha thupi ).
Mwamwayi Lichen Planus
Mapulogalamu amtunduwu amatha kupezeka m'matumbo, pambali pa lilime, ndi m'mimba ndipo nthawi zambiri amapezeka ndi mitundu ina ya lichen planus. Kaŵirikaŵiri si zopweteka koma zimakhalapo pamene zimachitika ndi mapulaneti ochenjeza odwala / zilonda.
Zimayambitsa
Cholinga cha lichen planus sichimvetsetsedwa bwino, koma chimaganiziridwa kukhala matenda omwe amachititsa kuti maselo a T akhazikike.
Maselo ambiri a T amatha kuwonekera kuzungulira khungu lomwe limakhudzidwa ndi lichen planus. Maselo a T amenewa amawononga minofu yowzungulira, zomwe zimabweretsa zilonda zomwe timaziwona mu lichen planus. Komabe, sizikudziwika chomwe chimayambitsa maselo a T kuti alowe m'malowa ndikutsutsa izi. Pali malingaliro akuti ali ndi zifukwa zina zomwe zimapangitsa munthu kukhala ndi lichen planus.
Matenda Ogwirizana
Matenda ambiri omwe amadzimadzimadzimadziwa amagwirizana ndi lichen planus, makamaka yokhudzana ndi tsitsi lopweteka ndi matenda osokoneza bongo 3 . Odwala omwe ali ndi lichen planus amakhalanso ndi kachilombo koyambitsa matenda a chiwindi (C) , ngakhale kuti pali kusiyana pakati pa matenda awiriwa. Mitundu ina ya mankhwala, ndi njira zamano, monga kuchotsedwa kapena kusungidwa kwa kudzazidwa, zimagwiritsidwanso ntchito ndi lichen planus.
Chithandizo
Lichen planus kawirikawiri amachiritsidwa ndi mapuloteni a corticosteroids pofuna kuchepetsa mphamvu ya chitetezo cha mthupi. Kwa lichen planus, corticosteroids ndi ena othandizira omwe amachititsa kuti chitetezo cha mthupi chisagwiritsidwe ntchito pofuna kuteteza maselo a T kuti asawononge malo okhudzidwa ndi kuchititsa zilonda.
Mankhwala ena omwe sagwiritsidwa ntchito nthawi zambiri ndi amtundu wa retinoids, mankhwala a retinoids, komanso phototherapy .
Matenda a m'magazi amatha kuyanika, kufiira, ndi kutentha kwa dzuwa komanso zonse zomwe zimayambitsa matendawa zimakhala zovulaza kwa mwana wosabadwa. Zotsatira za kugwiritsidwa ntchito kwa nthawi yaitali ndi chiopsezo chowonjezereka cha hyperpigmentation, makamaka odwala amdima, ndi khansa ya khungu. Mankhwala a antihistamines angaperekedwe kuti achepetse kuyabwa. Lipoti la lichen planus lachilendo kawirikawiri silikusowa chithandizo chifukwa ndi lopweteka.
Zotsatira
Matenda a khungu amachiza patapita chaka chimodzi komanso mofulumira ndi mankhwala, koma malo okhudzidwawo amakhalabe a mdima kuposa momwe amachitira. Chithandizo cha matenda opatsirana odwala ndi zilonda zam'thupi chingachepetse ululu ndi kuchiza zilonda, koma matendawa amatha kukhala odwala ambiri.
Mitundu ina ya lichen planus ndi yachilendo, choncho cholinga cha chithandizo ndi kuchepetsa kupweteka komanso kupewa kapena kuchepetsa kuperewera. Chithandizo chingasinthe kwambiri matenda a scalp ndi misomali, koma mitundu imeneyi ya matenda imabwereranso. Kuthetsa kwathunthu kwa matenda opatsirana pogonana siwodziwika.
Zolemba
1. Usatine R, Tinitigan M. Diagnosis ndi Chithandizo cha Lichen Planus. Am Phys Physician. 2011; 84 (1): 53-60.
2. Zakrzewska JM, Chan ES, Thornhill MH. Kuwongolera mwatsatanetsatane ka mayendedwe a chipatala omwe akulamuliridwa ndi placebo ochiritsira omwe amagwiritsidwa ntchito pakamwa lichen planus. Br J Dermatol . 2005; 153 (2): 336-41.
3. Le Cleach L, Chosidow O. Lichen Planus. N Engl J Med . 2012; 366 (8): 723-32.
4. Shengyuan L, Songpo Y, Wen W, Wenjing T, Haitao Z, kachilombo ka Binyou W. Hepatitis C ndi lichen planus: mgwirizanowu wotsatiridwa ndi meta-analysis. Arch Dermatol . 2009; 145: 1040-7.