Isicwangciso se-Lichen sisifo esichasene nomzimba esiphumelele ekubangelweni kwesikhumba esikhulayo esithile esichaphazela ngaphakathi emlonyeni. Iyakwazi ukuchaphazela ezinye izixhobo zomzimba, kuquka izipikili, i-scalp (lichen planopilaris), izitho zangasese, amehlo, umhombo, kunye nomtya wokutya. Esi sifo asixhatshazwanga. Isoloko isombulula kwaye iphelisa unyaka owodwa kwesikhumba, kodwa ingaba yintsholongwane kwesikhumba nakweminye imimandla.
Ichaphazela i-0.1-4% yabemi; Izigulane zivame ukufumana iminyaka engama-30 ukuya kuma-60 ubudala, kwaye abasetyhini banako ukufumana isifo kunamadoda.
I-Plen Planus ye-Skin
Isicwangciso se-Lichen sichaphazela isikhumba, sichaza njengento yokugqithisa kwendawo epholileyo. Ukukhawuleza kuyahluka ngokubonakalayo ngokweendlela ezilandelayo:
- Isicwangciso esiqingqiweyo sesilumko: Iimigodi eziseduze kunye
- Isicwangciso esilungileyo sonyaka: Amaqela ezilonda eziba ngamacangci
- I-Atrophic lichen planus: Izilonda ezimbalwa ezichazwe kakuhle ngokucoca ulusu. Akuqhelekanga.
- Isicwangciso se-hypertrophic lichen planus: Ukuqhaqhaqhaqhaqhaqha, okuhlala kuphazamiseka, kubumnyama kwesikhumba kwaye kwenzeka kwizitho
- Isicwangciso se-Vesiculobullous lichen: I-blisters egcwele amanzi. Akuqhelekanga.
- Isicwangciso esiqhenqileyo sezilwanyana ezinobomi / isilonda: Izibhanki ezibuhlungu kunye nezilonda ezinyaweni. Akuqhelekanga.
Ukubetha okukhulu kuyinkxalabo enkulu kwizigulane ezinecebo eliqhenqa lesikhumba. Emva kokuphosa ukuphilisa, isikhumba esichaphazelekayo sisoloko sibe mnyama kunokuba siqhele ( ukutshatyalaliswa kwe-post-inflammatory hyperpigmentation ), ngokukodwa kwizigulane ezikhuni.
I-Oral Lichen Planus
Iprogram ye-Lichen iyakwenzeka kwi-inside zesigama, emacaleni kolwimi, kunye neentlobo kwaye kaninzi ivela kunye nezinye iintlobo zesicwangciso seqhinga. Ngokuqhelekileyo ayibuhlungu kodwa ingaba xa kwenzeka ngecebo elilumkileyo / elilondayo.
Izizathu
Isizathu secebo eliqingqiweyo asiqondanga ngokupheleleyo, kodwa kucatshulwa ukuba sisifo esizimeleyo esiquka iiseli zeT.
Zininzi iiseli ze-T zingabonwa ngeenxa zonke kwindawo zesikhumba ezichaphazelekayo. Ezi seli seli-T libhubhisa izicubu ezizungezile, eziphumela kwizilonda esizibonayo kwisicwangciso esilungileyo. Nangona kunjalo, awaziwa yintoni eyenza iiseli ze-T ukuba zifake ezi ziza kwaye zihlasele ezi zicubu. Kukho iingcamango ezinokuthi zenzeke ukuba zenze ukuba umntu abe nepropthi enengqondo.
Izifo eziManyeneyo
Izifo ezininzi zokuzimela ngokuzenzekelayo zidibene necebo eliyingozi, ngokukodwa ezinxulumene nokulahleka kweenwele kunye neengxaki zokugaya i-digestive 3 . Izigulane ezineeplani ezingenangqondo ziphindwe ngokuphindwe ezintlanu ukufumana usulelo lwe-hepatitis C , nangona ubuhlobo phakathi kwezi zifo zibini aluqondwa. Ezinye iindidi zonyango, kunye neenkqubo zezinyo, ezifana nokususwa okanye ukubekwa kwendawo yokuzaliswa, nazo zidibene necebo eliqilileyo.
Unyango
Iprogram ye-Lichen ixhaphake ngokuqhelekileyo ngee- corticosteroids zengqungquthela yokunciphisa impendulo yomzimba. Ukucwangcisa iprotein, i-corticosteroids kunye nezinye iirhente ezivimbela isistim somzimba ukuba sisetyenziselwe ukuthintela iiseli zeT e ukuhlaselwa kwiindawo ezichaphazelekayo kwaye kubangele izilonda.
Olunye unyango oluncinci oluqhelekileyo olusetyenziswe kakhulu ngama-retinoids angama-topical, i-retinoids yomlomo kunye ne- phototherapy .
Iimpawu ze-retinoids zingabangela ukoma, ubomvu, kunye nokuzwela kwelanga kunye nayo yonke i-retinoids inokulimaza kumntwana osetyhini abakhulelweyo. Imiphumo emibi yokusetyenziswa ixesha elide kwe-phototherapy yingozi yokunyuka kwe-hyperpigmentation, ingakumbi kwizigulane ezimnyama, kunye nomhlaza wesikhumba. I-antihistamines yomlomo inganikwa kwakhona ukunciphisa ukutshaya. Isicwangciso semilenze yomlomo esingaqhelekanga ayidingi unyango kuba ayibuhlungu.
Iziphumo
Izifo zesikhumba ziphilisa ngokukhawuleza emva konyaka omnye kwaye ngokukhawuleza zonyango, kodwa indawo echaphazelekayo isoloko imnyama kunokuba iyinto evamile. Ukunyangwa kwesifo somlomo esisisigxina kunye nesilonda kunokunciphisa intlungu kunye nokuphilisa izilonda, kodwa imeko ingaba yintsholongwane kwezinye izigulane.
Ezinye iintlobo zesicwangciso esiqhekezayo singasigxina, ngoko injongo yonyango ukunciphisa intlungu kunye nokukhusela okanye ukunciphisa ukonakala. Unyango lunokuphucula kakhulu isifo se-scalp kunye nezipikili, kodwa ezi ntlobo zesifo zihlala ziphindaphinda. Ukugqiba isisombululo sesifo sesisu akuqhelekanga.
Iingxelo
1. I-Usatine R, iTititigan M. Diagnosis kunye noTyango lwe-Lichen Planus. I-Phys Physician. 2011; 84 (1): 53-60.
2. UZakrzewska JM, uChan ES, uT Thornhill MH. Ukuphononongwa ngokuchanekileyo kwenkqubo yokulawulwa kwendawo yokwelapha eyenziwa nge-placebo yonyango esetyenziswe kwisicwangciso se-lichen yomlomo. 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. I-Shengyuan L, i-Songpo Y, i-Wen W, i-Wenjing T, i-Haitao Z, i-Binyou W. I-virus ye-Hepatitis C kunye ne-lichen planus: iqumrhu elithandanayo elinqunywe ngu-meta-analysis. Arch Dermatol . 2009; 145: 1040-7.