Ukukhipha Nge-Eczema
Uma i-dermatologist yakho ikutshele ukuthi une-lichen simplex chronicus (LSC), ungase uzibuze ukuthi yikuphi lokhu. Kungani lokhu kwenzeka kwabanye abantu abane-eczema nezinye izimo zesikhumba futhi bangaphathwa kanjani?
Sibutsetelo
I-simplehenx chronicus i-Lichen, noma i- "neurodermatitis," empeleni ingaphezu kwesifo kunesifo esithile ngokwayo. Ukukhuphuka kwesikhumba kudalwa ngokujwayelekile (ukujwayele) ukukhahla indawo ethile yesikhumba esikhathini eside.
Lokhu kukhangela kubangelwa ukuguquka kwezici, ezifana nokuqina nokunyamala kwesikhumba, nokugxila komzila wesikhumba evamile. Lezi zinguquko zesikhumba zibizwa ngokuthi "lichenification" njengoba ukubukeka kungabonakala kufana ne-lichen ekhula emithini nasemadwaleni ehlathini.
I-LSC ibonakala kakhulu kubantu abane-eczema. Nakuba i-eczema ingathinta umzimba wonke, noma kunjalo, ukuqhuma kwe-LSC kuvame ukutholakala endaweni eyodwa. Ukuphela kwezidakamizwa kule ndawo kuyamcasula futhi kubangele umjikelezo we-itch-scratch-itch. Uma ukuqhuma kukhishwa noma kuhlikizwa, kuyashesha kakhulu, ukuqhubela umjikelezo.
Izimo ezingase ziholele ku-lichen simplex chronicus zihlanganisa kakhulu kunoma yisiphi isimo esingabangela ukuthakazelisa njengo:
- I-eczema noma i-atopic dermatitis (i-eczema ehlobene nemithi)
- Xhumana ne-eczema noma xhumana no-dermatitis (i-eczema ehlobene nokucasuka kusuka ezintweni ezihlangana nesikhumba)
- I-Psoriasis
- Izifo zesikhumba zesikhumba
- Ukulunywa kwezinambuzane
- Ukulandela amasondo (herpes zoster)
Izimpawu Nezibonakaliso
Kulabo abajwayelene nama-lichen emadwaleni, i-lichen simplex chronicus inezinto eziningi ezibonakalayo, kodwa esikhumbeni. Ngokuvamile kubonakala njengesikhumba esisodwa noma i-plaque enephethini eliyindilinga noma eliyindilinga.
Ubuso ngokuvamile bubonakala bumile futhi isikhumba nesigungu esizungezile singase sibe nomuzwa obukhulu nesikhumba.
Ukuvuthwa kuvame ukubomvu, nge-discoloration okuvame ukungajwayelekile futhi ihlotshiswe. Kungase kube khona amamaki okuqala ahlobene eduze nokushona.
Izindawo ezivame ukuthinteka
Izindawo ezivame ukuthinteka yi-lichen simplex chronicus zihlelwe ngokulandelana kwemvamisa:
- Ingxenye engezansi engaphandle yomlenze ophansi
- Amapulangwe namazinyo
- Emuva nangemuva kwentamo (lichen simplex nuchae)
- Hlanganisa ingxenye yesigqoko
- I-Scrotum, i-vulva, indawo yangaphambili, ne-pubis
- Amajwabu aphezulu
- Ukuvula indlebe
- Fold ngemuva kwendlebe
Ama-Rick Factors
I-simplehenx chronicus i-Lichen ivame kakhulu kubantu abadala futhi ayinqabile ezinganeni. Kwenzeka kaningi kulabo besifazane kunamadoda futhi ngokuvamile kubonakala phakathi kweminyaka engama-30 no-50.
Ngezinye izikhathi ukuhlaselwa kuhlotshaniswa nezinkinga zokukhathazeka, njengokukhathazeka okucindezelayo-nokucindezeleka. Kungase futhi kuhlotshaniswe nesimo esiholela ekuhlinzekeni kwe- neuropathy , njenge-disc izifo emgodleni.
Ukuxilongwa
Ukuxilongwa kwe-lichen simplex chronicus ngokuvamile kuvame ukuhlanganiswa kokuthola izinto, njengomlando we-eczema kanye namanothi e-telltale. Ukukhwa kwesikhumba kungahle kudingeke kwenziwe ukuze kukhishwe izimo ezifana nokutheleleka kwe-fungal (ukuhlolwa kwe-KOH) noma ama-scabi.
Ngezinye izikhathi i-biopsy yesikhumba iyenziwa ukuqinisekisa ukuxilongwa nokulawula ezinye izimbangela.
Kunezimo eziningana ezingabonakala zifana kakhulu ne-lichen simplex chronicus, kuhlanganise:
- I-plaque psoriasis
- Acanthosis nigricans
- I-planhen ye-Lichen
- Amakhanda
- I-acne keloidalis nuchae
- Izimpendulo ze-spermotio ezingapheliyo
- Prurigo nodularis
- I-Pityriasis rubra pilaris
- I-Psoriaform yesibili syphillis
- I-Reiter syndrome
- I-Mycosis fungoides (i-T cell i-lymphoma ene-cutaneous)
- Ama-Amyloidosis
- I-Dermatitis herpetiformis ("i-gluten rash")
Ngokuhamba kwesikhathi, i-lichen simplex chronicus ingabangela izinkinga. Okuvame kakhulu kunzima futhi kuguqulwe ukuguqulwa kwesibhakabhaka ezindaweni ezithintekayo.
Kukhona futhi ingozi yokutheleleka kwebhaktheriya yesibili , ikakhulukazi kulabo abaye banciphisa amandla omzimba.
Ukutheleleka kwesibili kaningi kudinga ama-antibiotiki, futhi kungenzeka, ezimweni ezingavamile, kuholela ezifweni ezinzima zesimiso (sepsis).
Okunye okuphawulekayo, i-LSC ayithinti nje kuphela ngokomzimba, kodwa ingaba nomthelela omkhulu ngokwengqondo nasemphakathini. Lokhu kugcizelela ukubaluleka kokuphatha ukuqhuma.
Ukwelapha
Ukwelashwa kwe-lichen simplex chronicus kufezekiswe kakhulu ngokuhlanganiswa kwezokwelapha ezenzelwe ukuphulukisa ukushona nokuphatha isimo esibucayi. Izindlela zokwelapha zifaka:
- Yeka ukukhipha -Ingxenye ebaluleke kunazo zonke yokwelapha ukuqonda ukuthi konke ukuchoboza, ukuhlikihla, ngisho nokuthinta ukuqhuma kumele kumise. Njengoba abantu abaningi beqala ukulala, indawo ingase ifakwe. Enye indlela kwabanye abantu abagqoke amagilavu ekotini ebusuku futhi baqinisekise ukuthi izipikili zifakwa phansi ukuze kuncishiswe umonakalo uma kukhishwa. Uma kunzima, umuntu angadinga imithi ukusiza nge-itch okwesikhashana ngenkathi ithola ngaphansi kokulawula.
- Phatha njenge-eczema -Lichen simplex chronicus iphathwe njenge-eczema engapheli ngokunciphisa amanzi kanye nokuxhumana kosipho futhi usebenzise ama-emollients.
- Faka ama-steroid ama-topical e-topical - I-steroid ye-Topical isadingeka njalo edingekayo ukulawula izimpawu. Njengoba amandla ama-steroid adingekayo angamahle kakhulu, umhlinzeki wezempilo kufanele adlulisele futhi aqaphe ukusetshenziswa kwawo. Ikhekhe le-hydrocortisone elitholiwe ngaphezu kwe-counter lingasetshenziswa kuze kube yilapho kuqashwe ukuqokwa. Ngisho nokusetshenziswa kwalezi zinhlayiya (kanye nama-creams anti-itch, lotions, ukupholisa, nama-crehylated creams), noma kunjalo, ukuklada kudinga ukulawulwa. Kwezinye izimo, umjovo we-steroid ngokuqondile emgqonyeni ungasetshenziswa. Ukusetshenziswa kwesikhathi eside, ikakhulukazi amalungiselelo okugaya amagciwane e-steroid, angabangela ukunciphisa isikhumba okungaholela kwezinye izinkinga.
- Sebenzisa i-tar yamakhadi - imikhiqizo yamalahle yamakha yamalahle asekude iminyaka engamakhulu kodwa ingase inikeze usizo ekwelapheni kwe-LSC.
- Khetha izingubo ngokuhlakanipha -Ukucubungula kungenziwa kube lula ngezinhlobo ezithile zokugqoka kwabanye. Ukuze i-vulvar lichen simplex chronicus, kunobunye ubufakazi bokugqoka izingubo zangaphansi zangasese kungasiza.
Imithombo:
Corazza, M., Borghi, A., MInghetti, S., Toni, G., no A. Virgili. Ukusebenza kwe-Silk Fabric Ngaphansi kwezingubo njengeThuluzi le-Adjuvant ku-Management of Vulvar Lichen Simplex Chronicus: Imiphumela ye-Trial Double Blind Trial. Ukunqamuka kwesikhathi . 2015. 22 (8): 850-6.
Kouris, A., Christodoulou C., Efstathiou, V. et al. Ucwaningo Lokuqhathanisa Nekhwalithi Yokuphila Nezindlela Zokuqaphelisisa-Ukucindezela Kwamalungu Eziguli ezine-Eczema yesandla esingapheli ne-Lichen Simplex Chronicus. Dermatitis . 2016. 27 (3): 127-30.
Wick, M. Psoriasiform Dermatitides: Ukubukeza Okufushane. Ama-Seminar ku-Disagnostic Pathology . 2016 Dec 14.