I-planhen ye-Lichen iyisifo esithathelwana ngamagciwane esiholela ekugqibeni kwesikhumba esilulayo ngezinye izikhathi esithinta ngaphakathi komlomo. Kungathinta nezinye izingxenye zomzimba eziningana, kubandakanya izipikili, isikhumba (i-lichen planopilaris), izitho zangasese, amehlo, umphimbo, kanye nomgudu wokugaya. Lesi sifo asithelelanga. Kuvame ukuzixazulula futhi uphulukise unyaka owodwa esikhumbeni, kodwa kungaba okungapheli esikhumbeni nakwezinye izindawo.
Lithinta u-0.1-4% wabantu; iziguli ngokuvamile zineminyaka engu-30-60 ubudala, futhi abesifazane baningi amathuba okuthola lesi sifo kunamadoda.
I-Lichen Planus Yesikhumba
I-planhen ye-Lichen iyathinta isikhumba, iveza njengokuqothulwa kwezindawo ezibomvu ezithintekayo ezibomvu. Lokhu kuqhuma kungahlukahluka ngokubukeka ngokwemaphethini alandelayo:
- Uhlelo lwe-linar lichen: Imigqa esondelene ndawonye
- Uhlelo lwama-liy annular: Amaqembu wezilonda eziba izindandatho
- I-Atrophic lichen planus: Izilonda ezimbalwa ezichazwe kahle ngokucwilisa isikhumba. Akuvamile.
- Uhlelo lwe-liper hypertrophic: Ukuqhaqhaqhaza, okuvame ukungapheli, kukhanyisa isikhumba futhi kwenzeke emlenzeni
- I-vesiculobullous lichen planus: Amabhuleki agcwele amanzi. Akuvamile.
- Uhlelo lwe-lichen eliyingozi / ulcerative: Amabhuleki abuhlungu kanye nezilonda ezinyaweni. Akuvamile.
Ukubamba okunzima kuyisikhalazo esivela ezigulini ezinezinhlanzi zesikhumba. Ngemuva kokuphuza ukuphulukisa, isikhumba esithintekile sivame ukuba mnyama kunejwayelekile ( hyperpigmentation emva kokuvuvukala ), ikakhulukazi ezigulini ezinemibala emnyama.
I-Oral Lichen Planus
I-planhen ye-Lichen ingenzeka ezinhlakeni zesigama, izinhlangothini zolimi, nezinsini futhi ngokuvamile iyenzeka nezinye izinhlobo ze-lichen planus. Ngokuvamile akusizi ubuhlungu kepha kungenzeka uma kwenzeka ngecebo elimangalisa / elilonda isilonda.
Izimbangela
Isimbangela se-lichen planus asiqondwa ngokugcwele, kodwa kucatshangwa ukuthi yisifo esizimele esithinta ama-T.
Amathambo amaningi e-T angabonakala azungeze izindawo zesikhumba ezithintekayo nge-lichen planus. La maseli e-T abhubhisa izicubu ezizungezile, okuphumela ezilwaneni esizibona ku-lichen planus. Kodwa-ke, akukwazi ukuthi yini eyenza amaT cell ukuthi afake la masayithi futhi ahlasele lezi zicubu. Kukhona okucatshangwayo ukuthi kunezici ezithile ezakhiwe ezingenza umuntu abe nomthelela wokuba ne-lichen planus.
Izifo Ezihlangene
Izifo eziningi ezizimele ngokuzenzakalelayo zihlotshaniswa ne-lichen planus, ikakhulukazi ezihlobene nokulahlekelwa izinwele kanye nezinkinga zokugaya ukudla. Iziguli ezine-lichen planus futhi ziphindwe kasikhombisa amathuba okutheleleka kwesifo sofuba , nakuba ubuhlobo obuphakathi kwezi zifo ezimbili akuqondakali. Ezinye izinhlobo zemithi, nezinqubo zamazinyo, njengokususwa noma ukubekwa kokugcwaliswa, nazo zihlobene nokuhlelwa kwe-lichen.
Ukwelapha
I-planhen ye-Lichen ivame ukuphathwa nge- corticosteroids yama-topical ukuze kunciphise impendulo yomzimba. Ukuze i-lichen planus, i-corticosteroids nezinye izinsimbi ezivimbela isimiso somzimba sokuzivikela singasetshenziswa ukuvimbela amaseli T ukuba ahlasele izindawo ezithintekile futhi abange izilonda.
Ezinye izindlela zokwelashwa ezingaphansi kakhulu ezisetshenziswa kakhulu yi-retinoids yama-topical, retinoids ngomlomo, kanye nokuthathwa kwe-phototherapy .
I-retinoids yama-topical ingabangela ukomisa, ubomvu, nokuzwela kwelanga kanye nawo wonke ama-retinoids kungalimaza emntwaneni wesifazane okhulelwe. Imiphumela emibi yokusetshenziswa isikhathi eside kwe-phototherapy yingozi eyengeziwe yokwelashwa ngokwegazi, ikakhulukazi ezigulini ezinomzimba omnyama, nomdlavuza wesikhumba. Ama-antihistamine omlomo angaphinde anikezwe ukunciphisa ukutshaya. Uhlelo lwe-lichen lomsindo olungavamile aludingi ukwelashwa ngoba alubuhlungu.
Imiphumela
Izifo zesikhumba ziphulukisa ngemva kokuphela konyaka futhi ngokushesha ngokuphulukisa, kepha indawo ethintekile ngokuvamile ihlala ingumnyama kunejwayelekile. Ukwelashwa kwesifo somlomo esilula nesilonda kunganciphisa ubuhlungu nokuphulukisa izilonda, kodwa isimo singasiguli kwezinye iziguli.
Ezinye izinhlobo ze-lichen planus zingapheli, ngakho-ke umgomo wokwelapha ukunciphisa ubuhlungu nokuvimbela noma ukunciphisa ukulahlekelwa. Ukwelashwa kungathuthukisa kakhulu izifo ze-scalp nezipikili, kodwa lezi zifo zesifo zivame ukuphindaphinda. Ukuqedela okuphelele kwesifo sofuba akuvamile.
Izinkomba
1. Usatine R, Tinitigan M. Diagnosis kanye nokwelashwa kwe-Lichen Planus. Am Fam Physician. 2011; 84 (1): 53-60.
2. Zakrzewska JM, Chan ES, Thornhill MH. Ukubuyekezwa okuhlelekile kwezilingo zokwelashwa ezilawulwe yi-placebo zemizimba yokwelashwa ezisetshenziselwa uhlelo lwezinyosi zomlomo. Br J Dermatol . 2005; 153 (2): 336-41.
3. Le Cleach L, i-Chosidow O. Lichen Planus. N Engl J Med . 2012; 366 (8): 723-32.
4. I-Shengyuan L, i-Songpo Y, i-Wen W, i-Wenjing T, i-Haitao Z, i-Binyou W. I-virus ye-Hepatitis C kanye ne-lichen planus: inhlangano evumelana nayo enqunywe ukuhlaziywa kwe-meta. I-Arch Dermatol . 2009; 145: 1040-7.