Kodi Lichen Simplex Chronicus N'chiyani?

Kukukuta ndi Eczema

Ngati dermatologist yanu ikuuzani kuti muli ndi lichen simplex chronicus (LSC), mwina mukudabwa kuti izi ndiziti. Nchifukwa chiyani izi zimachitika kwa anthu ena omwe ali ndi chikanga ndi zina za khungu ndipo angachiritsidwe bwanji?

Mwachidule

Lichen simplex chronicus, kapena "neurodermatitis," kwenikweni ndi chizindikiro choposa matenda enaake. Kuphulika kwa khungu kumapangidwa ndifupipafupi (kawirikawiri) kukumba malo ena a khungu kwa nthawi yaitali.

Kukuta uku kumachititsa kusintha kumakhala kosavuta, monga kuphulika ndi khungu la khungu, ndi kuimitsa khungu lachikopa. Kusintha kwa khungu kumatchulidwa kuti "lichenification" momwe maonekedwe angawoneke ngati katsamba kamene kamakula pamitengo ndi miyala m'nkhalango.

LSC imawoneka kwambiri mwa anthu omwe ali ndi chilengedwe. Ngakhale chilengedwe chingakhudze thupi lonse, komabe kuphulika kwa LSC nthawi zambiri kumapezeka kudera limodzi. Zotsatira za mitsempha m'derali zimakhumudwitsa ndipo zimayambitsa kayendedwe kake. Pamene mphukirayo ikuwombedwa kapena kudulidwa, ikamangowonjezereka, imayendetsa.

Zochitika zomwe zingayambitse zojambula zosavuta zowonongeka zimaphatikizapo vuto lililonse lomwe lingayambitse ngati:

• Chikanga cham'mimba kapena atopic dermatitis (mazira okhudzana ndi chifuwa)
• Lankhulani ndi eczema kapena kulankhulana ndi dermatitis (zokhudzana ndi kukhumudwa ndi zinthu zomwe zimakhudzana ndi khungu)
• Psoriasis

• Matenda a fungal a khungu
• Kulira kwa tizilombo
• Pambuyo pa ming'oma (herpes zoster)

Zizindikiro ndi Zizindikiro

Kwa iwo omwe amadziwa ndi bulu pamabwinja, chronicus chronicus chronicus ali ndi mawonekedwe ambiri omwewo, koma khungu. Kawirikawiri amawonekera ngati chokha kapena chokhachokha chozungulira kapena chozungulira.

Nthaka kawirikawiri imawoneka youma ndi yobaya komanso khungu lozungulira likhoza kumva lolemera ndi lachikopa.

Kuthamanga kawirikawiri kumakhala kofiira, ndipo kumatuluka nthawi zambiri ndipo nthawi zambiri imakhala yosasintha. Pakhoza kukhala zizindikiro zosakanikirana pafupi ndi kuphulika.

Malo Omwe Amakhudzidwa Kwambiri

Malo omwe ambiri amawakhudza ndi lichen simplex chronicus amalembedwa mwa dongosolo lafupipafupi:

• Pansi pansi pamtunda
• Zipatso ndi makhonda
• Kumbuyo ndi kumbali ya khosi (lichen simplex nuchae)
• Sungani mbali ya chigoba
• Malo otchedwa scrotum, vulva, anal, ndi pubis
• Maso ozama kwambiri
• Kutsegula khutu
• Pindani kumbuyo kwa khutu

Rick Factors

Lichen simplex chronicus ndi yofala kwambiri kwa akuluakulu ndipo si zachilendo kwa ana. Amapezeka kawirikawiri mwa amayi kuposa amuna ndipo nthawi zambiri amawoneka pakati pa zaka 30 ndi 50.

Nthaŵi zina chiwombankhanga chimagwirizanitsidwa ndi matenda ovutika, monga matenda osokoneza bongo, ndi kupsinjika maganizo. Zingathenso kugwirizanitsidwa ndi chikhalidwe chomwe chimayambitsa matenda a ubongo , monga matenda a mphutsi mumsana.

Kudziwa

Zomwe zimawoneka kuti ndi zowonongeka zowonongeka kaŵirikaŵiri zimapangidwa ndi kuphatikiza zofufuza, monga mbiri ya eczema ndi telltale scratch marks. Kuwombera khungu kungafunikire kuchitidwa kuti uwononge zinthu monga matenda a fung (KOH test) kapena mphere.

Nthawi zina khungu la khungu limatsimikiziridwa kuti limatsimikiziranso kuti matendawa ndi omwe amachititsa.

Pali zikhalidwe zambiri zomwe zingawoneke zofanana kwambiri ndi chithunzithunzi chosavuta, kuphatikizapo:

• Plaque psoriasis
• Acanthosis nigricans
• Lichen planus
• Mphungu
• Acne keloidalis nuchae
• Matenda osakanikirana otchedwa ermtitides
• Prurigo nodularis
• Pityriasis rubra pilaris
• Psoriaform yachiwiri syphillis
• Matenda a Reiter
• Mycosis fungoides (tizilombo toyambitsa matenda T)
• Amyloidosis
• Dermatitis herpetiformis ("kuthamanga kwa gluten")

M'kupita kwanthaŵi, matenda oopsa a lichen angayambitse mavuto. Zowonjezereka zimakhala zofiira ndipo zimasintha mtundu wa nkhumba m'madera okhudzidwa.

Palinso chiopsezo cha matenda opatsirana kachilombo , makamaka kwa omwe adachepetsa mphamvu yoteteza mthupi.

Matenda apachilombo kawirikawiri amatenga antibiotic, ndipo nthawi zambiri amatha kudwala matenda oopsa (sepsis).

Komanso chochititsa chidwi, LSC sikuti imakhudza anthu mwathupi, koma ingakhale ndi zotsatira zokhudzana ndi maganizo komanso za anthu. Izi zikutsindika kufunikira kochizira.

Chithandizo

Mankhwalawa amatha kupangidwa ndi mankhwala ophatikizidwa pofuna kuthetsa vutoli komanso kuthana ndi vutoli. Njira zothandizira ndizo:

• Lekani kukwatulidwa - Gawo lofunika kwambiri la chithandizo ndikumvetsetsa kuti kuyabwa, kupukuta, komanso ngakhale kukhuthala kuyenera kuima. Popeza anthu ambiri akugona pa tulo tawo, dera lanu liyenera kuphimbidwa. Njira ina kwa anthu ena akuvala magolovesi a thonje usiku ndi kuonetsetsa kuti misomali imatumizidwa kuti ichepetse kuwonongeka pamene kusamba kukuchitika. Pakakhala koopsa, munthu angafunike mankhwala kuti athandizidwe ndi kanthawi kochepa pamene akuwongolera.
• Chitani monga eczema -Kodi chosavuta chonyezimira chikuwoneka ngati chisangalalo chachikulu mwa kuchepetsa madzi ndi kukhudzana ndi sopo ndikugwiritsa ntchito mankhwala.
• Gwiritsani ntchito mankhwala otchedwa topical steroid - Matenda a steroid nthawi zambiri amafunika kuti athetse zizindikiro. Popeza mphamvu ya steroids imafuna ndi yokongola kwambiri, wothandizira zaumoyo amafunika kuwapatsa malangizo ndi kuwunika. Chotupitsa cha hydrocortisone chomwe chinagulidwa pazomwe zingagwiritsidwe ntchito mpaka msonkhano wapangidwa. Ngakhale pogwiritsira ntchito timadzi timeneti (ndi zowononga zitsulo, mavitamini, kutentha, ndi mavitamini), komabe kuyesa kumafunika kulamulidwa. Nthawi zina, jekeseni wa steroid mwachindunji ungagwiritsidwe ntchito. Kugwiritsiridwa ntchito kwa nthawi yaitali, makamaka kwa mankhwala amphamvu a steroid kukonzekera, kungachititse kupatulira kwa khungu komwe kungayambitse mavuto ena.
• Gwiritsani ntchito phula la malasha - Zamagetsi a malasha akhala akukhala pafupi zaka zana koma angaperekebe chithandizo pa chithandizo cha LSC.
• Sankhani zovala mwanzeru -Kukhalitsa kuyabwa kungakhale kosavuta ndi zovala zina za ena. Kwa vulvar lichen simplex chronicus, pali umboni wina woti kuvala silika pansi pano kungathandize.

_Zotsatira:

_{Corazza, M., Borghi, A., MInghetti, S., Toni, G., ndi A. Virgili. Kugwira Ntchito kwa Silk Chovala M'magetsi ngati Chida Chokulitsa Adjuvant mu Kulamulira kwa Vulvar Lichen Simplex Chronicus: Zotsatira za Zachiwiri Zowonongeka Zowonongeka. Kusamba kwa nthawi . 2015. 22 (8): 850-6.}

_{Kouris, A., Christodoulou C., Efstathiou, V. et al. Phunziro Lofananirana la Makhalidwe Abwino ndi Zizolowezi Zozizwitsa Pakati pa Odwala Amene Ali ndi Matenda Omwe Amasamalidwa ndi Matenda Osavuta ndi Osavuta. Dermatitis . 2016. 27 (3): 127-30.}

_{Wick, M. Psoriasiform Dermatitides: Ndemanga Yachidule. Seminars mu matenda ozindikira . 2016 Dec 14.}