Palapala lichen

ʻO Lichen planus kahi ʻano e hana i kahi wīwī wīwī loa ma ka ʻili a i ʻole ma ka waha.

ʻAʻole ʻike ʻia ke kumu kūpono o ka lichen planus. Pili paha ia i ka hopena ʻino a pale paha.

ʻO nā pōʻino no kēia ʻano:

• Hōʻike i kekahi mau lāʻau, kala, a me nā kemika ʻē aʻe (e like me ke gula, antibiotic, arsenic, iodides, chloroquine, quinacrine, quinine, phenothiazines, a me diuretics)
• Nā maʻi e like me ka hepatitis C

Hoʻopili ka laikini planus i ka poʻe mākua waena. ʻOi aku ka liʻiliʻi o nā keiki.

ʻO nā ʻeha waha kekahi hōʻailona o ka lichen planus. ʻO lākou:

• Maliʻa a ʻeha paha (ʻoluʻolu ʻole nā ​​hihia ʻeha)
• Aia ma nā ʻaoʻao o ke alelo, i loko o ka pāpālina, a i ʻole i nā gums
• E nānā e like me nā kiko keʻokeʻo a me pimples
• Nā laina laina i kahi pūnaewele lacy
• E hoʻonui iki i ka nui
• I kekahi manawa hana ʻeha ulcer

ʻO nā ʻeha ʻili kekahi hōʻailona o ka lichen planus. ʻO lākou:

• ʻIke ʻia ma ka pulima o loko, nā wāwae, ke kino, a me nā genital
• Māliʻu loa
• Loaʻa nā ʻaoʻao (symmetrical) a me nā palena ʻoi
• Kū hoʻokahi a i ʻole i nā huhui, pinepine i ka pūnaewele o kahi ʻeha o ka ʻili
• E uhi ʻia paha me nā kaha keʻokeʻo lahilahi a i ʻole nā ​​kaha wili
• ʻĀlohilohi a wīwī paha ke nānā aku
• Loaʻa i kahi kala ʻeleʻele, ʻeleʻele
• Hiki ke hoʻomohala i nā palapū a i ʻole nā ​​ulcer

ʻO nā ʻōuli ʻē aʻe o ka lichen planus:

• Waha maloo
• Lilo ka lauoho
• ʻIno metallic i ka waha
• Nā kualono i nā kui

Hiki i kāu mea mālama olakino ke hana i ka hōʻailona ma muli o ke ʻano o kou ʻili a i ʻole nā ​​lehelehe waha.

Hiki i kahi biopsy lesion ʻili a i ʻole biopsy o kahi lehelehe waha ke hōʻoia i ka ʻike.

ʻO ka pahuhopu o ka mālama ʻana e hōʻemi i nā ʻōuli a me ka hoʻōla wikiwiki. Inā akahai kou mau ʻōuli, ʻaʻole pono ʻoe i ka lāʻau.

Hiki i nā mālama ke hoʻopili:

• Nā Antihistamines
• Nā lāʻau e hōʻoluʻolu i ka ʻōnaehana pale (i nā hihia koʻikoʻi)
• Holoi ka waha ʻo Lidocaine e hoʻopōpō i ka wahi a hoʻonui i ka ʻai ʻana (no ka ʻeha o ka waha)
• ʻO nā corticosteroids kumuhana a i ʻole nā ​​corticosteroids waha e hōʻemi ai i ka pehu ʻana a hoʻohaʻahaʻa i nā pane ʻōnaehana
• Pana ʻo Corticosteroid i kahi ʻeha
• ʻO ka wikamina A ma ke ʻano he kalima a i lawe ʻia e ka waha
• Nā lāʻau ʻē aʻe i hoʻopili ʻia i ka ʻili
• Kau ʻia nā lole ma luna o kou ʻili me nā lāʻau e mālama ai iā ʻoe i ka ʻili
• ʻO ke kukui uila ultraviolet

ʻAʻole pilikia ka lichen planus. ʻO ka pinepine, ʻoi aku ka maikaʻi me ka lāʻau. Hoʻomaʻemaʻe pinepine ke ʻano i loko o 18 mau mahina, akā hiki mai a hele paha i mau makahiki.

Inā kumu ʻia ka lichen planus e kahi lāʻau āu e lawe nei, pono e hele i ka ʻōiwi ke kū koke ʻoe i ka lāʻau.

ʻO nā puʻupuʻu waha e noho nei no ka manawa lōʻihi e ulu a lilo i maʻi ʻaʻai waha.

Kāhea i kāu mea hāʻawi inā:

• Loli kou ʻili a waha paha i nā helehelena
• Ke hoʻomau nei ke ʻano a ʻoi aku paha ka maikaʻi ʻole, ʻoiai me ka lāʻau
• Paipai kāu kauka niho i ka hoʻololi ʻana i kāu mau lāʻau a i ʻole ke mālama ʻana i nā kūlana e hoʻomaka ai ka maʻi

• ʻO Lichen planus - kokoke loa
• ʻO Lichen nitidus ma ka ʻōpū
• ʻO Lichen planus ma ka lima
• ʻO Lichen planus ma nā lima
• ʻO ka lichen planus ma ka mucosa waha
• ʻO Lichen striatus - kokoke loa
• ʻO Lichen striatus ma ka wāwae
• ʻO Lichen striatus - kokoke loa

James WD, Elston DM, Hana iā JR, Rosenbach MA, Neuhaus IM. ʻO Lichen planus a me nā kūlana e pili ana. I: James WD, Elston DM, mālama iā JR, Rosenbach MA, Neuhaus IM, eds. Nā maʻi o ka ʻili ʻo Andrews. 13th ed. Piladelapia, PA: Elsevier; 2020: chap 12.

Patterson JW. ʻO kahi kokoke i ka wehewehe ʻana i nā biopsies o ka ʻili. I: Patterson JW, hoʻoponopono. ʻO Weedon's Skin Pathology. 5th lā. Piladelapia, PA: Elsevier; 2021: chap 2.