ʻO Lichen Sclerosus: He aha kāu e ʻike ai

Anter

• Nā kiʻi o lichen sclerosus
• He aha nā hōʻailona o ka lichen sclerosus?
• He aha ke kumu o ka lichen sclerosus?
• Pehea e ʻike ʻia ai ka lichen sclerosus?
• Hiki i ka lichen sclerosus ke hana i nā pilikia?
• Pehea e mālama ʻia ai ka lichen sclerosus?
• He aha ke kuanaʻike no ka lichen sclerosus?

He aha ka lichen sclerosus?

ʻO Lichen sclerosus kahi ʻano ʻili. Hoʻokumu ia i nā pā o ka ʻili keʻokeʻo ʻōlinolino ʻoi aku ka lahilahi ma mua o ka maʻamau. Hiki i ke ʻano ke hoʻopili i kekahi ʻāpana o kou kino, akā pili pinepine ia i ka ʻili i nā genital a me nā anal area. ʻO ka laikini sclerosus ka mea maʻamau ma ka vulvas o nā wahine.

Nā kiʻi o lichen sclerosus

He aha nā hōʻailona o ka lichen sclerosus?

ʻO nā hihia akahai o ka lichen sclerosus i kekahi manawa e nānā ʻole ʻia no ka mea ʻaʻole lākou e hana i kekahi ʻōuli ma kahi o ka ʻike ʻia, nā ʻōuli kino o ke keʻokeʻo, ʻili ʻōlinilino. Hoʻokiʻi iki ʻia nā wahi o ka ʻili.

Ma muli o ka pili pinepine ʻana o nā wahi i hoʻopilikia ʻia i ka pūpū a me ka genital, ʻaʻole paha lākou e ʻike ʻia ke ʻole e kū nā hōʻailona ʻē aʻe.

Inā ʻike ʻoe i nā ʻōuli mai ka lichen sclerosus, ʻike paha ʻoe:

• ka ʻili, kahi e laulaha ai mai ke akahai a i ʻole koʻikoʻi
• hoʻoluhi
• ʻeha
• nā kiko keʻokeʻo keʻokeʻo
• moe kolohe ʻeha

Ma muli o ka ʻili e hoʻopili ʻia e ka lichen sclerosus ʻoi aku ka lahilahi ma mua o ka maʻamau, hiki iā ia ke palu a i ʻole ka blister maʻalahi. I nā hihia koʻikoʻi, hiki ke hopena i nā lehelehe ulcerated, a i ʻole nā ​​ʻeha hāmama.

He aha ke kumu o ka lichen sclerosus?

ʻAʻole maopopo i nā ʻepekema ke kumu o ka lichen sclerosus. Ua hoʻoholo lākou ʻaʻole ia he maʻi lele, a ʻaʻole hiki ke pālahalaha ʻia ma o ka launa pū ʻana, me ka moe kolohe pū kekahi.

Eia nō naʻe, nui nā manaʻo e pili ana i ka mea e hāʻawi ai i kāna ulu. Pākuʻi ʻia kēia mau mea:

• nā poino ma mua o kēlā ʻāpana o kou ʻili
• ke kaulike ʻole o nā hormoni
• kahi maʻi maʻi autoimmune

ʻOi aku ka nui o ka makaʻu o kekahi poʻe no ka hoʻomohala ʻana i ka lichen sclerosus, me:

• nā wahine postmenopausal
• kāne ʻoki poepoe ʻole ʻia, e like me ke ʻano e pili pinepine ana i ka ʻōmaka
• nā keiki i hele ʻole i ka wā ʻōpio

Pehea e ʻike ʻia ai ka lichen sclerosus?

Inā manaʻo ʻoe he lichen sclerosus kāu, hiki i kāu kauka ke hōʻoia iā ia nāu. Hiki iā ʻoe ke hoʻokohu me kāu kauka mālama mua. Hana ka manawa i nā wahine he nui me kā lākou gynecologists.

E nīnau kāu kauka e pili ana i kāu mōʻaukala kino. E hana lākou i kahi hoʻokolohua kino a nānā i nā wahi i hoʻopilikia ʻia. I nā manawa he nui, hiki iā lākou ke kuhikuhi i ka lichen sclerosus i ka helehelena wale nō, ʻoiai lākou e lawe i kahi biopsy o ka ʻili no kahi kuhi paʻa.

Inā alakaʻi lākou i kahi biopsy o ka ʻili, e hoʻopau lākou i ka wahi i hoʻopilikia ʻia me kahi anesthetic kūloko ma mua o ka hoʻohana ʻana i kahi scalpel e kahi i kahi ʻāpana ʻili o ka ʻili. E hoʻouna ʻia kēia ʻāpana o ka ʻili i kahi lab no ka hoʻāʻo ʻana.

Hiki i ka lichen sclerosus ke hana i nā pilikia?

Hiki i ka lichen sclerosus ke alakaʻi i nā palapū, nā palapū, a me nā lehelehe ulcerated, kahi ʻeha hāmama. Inā mālama ʻole ʻia kēia mau ʻeha, hiki iā lākou ke maʻi. No ka mea pinepine lākou i ka genital a me nā ʻāpana anal, hiki i ka paʻakikī ke pale aku i nā maʻi.

Aia kekahi manawa liʻiliʻi e hiki ai i ka lichen sclerosus ke ulu a lilo i ʻano ʻano maʻi ʻaʻai i kapa ʻia ʻo squamous cell carcinoma. Inā lilo kāu lichen sclerosus i mau carcinomas squamous cell, like paha lākou i nā puʻupuʻu ʻulaʻula, ulcer, a i ʻole nā ​​wahi i pā ʻia.

Pehea e mālama ʻia ai ka lichen sclerosus?

Koe i nā hihia e pili ana i nā keiki, i kekahi manawa hoʻonā iā lākou iho, ʻaʻole hiki ke hoʻōla ʻia ka lichen sclerosus. Eia nō naʻe, hiki ke mālama ʻia.

Nā koho lapaʻau e:

• corticosteroids kumuhana, i noi pinepine ʻia i kēlā me kēia lā
• ka hemo ʻana o ka ʻōmaka i nā hihia koʻikoʻi e pili ana i nā kāne
• ʻO ka hoʻomaʻamaʻa kukui ultraviolet no nā huehue e pili ʻole ma nā genital
• nā lāʻau lapaʻau pale pale e like me pimecrolimus (Elidel)

No nā wahine e ʻike nei i ka moekolohe ʻeha ma muli o ka hoʻopaʻa ʻana i ka ʻōpū, hiki i kāu kauka ke kuhikuhi i nā dilatine, kahi mea hoʻoliʻiliʻi e pili ana i ka wai, a i ʻole inā he pono, he kalima numbing e like me ka hamo o ka lidocaine.

He aha ke kuanaʻike no ka lichen sclerosus?

I nā hihia o ka lichen sclerosus kamaliʻi, nalowale ke ʻano ke hele ke keiki i ka wā ʻōpio.

ʻAʻole hiki ke hoʻōla ʻia a mālama ʻia hoʻi i ka lichen sclerosus makua, akā aia kekahi mau koho e kōkua ai e hōʻemi i nā hōʻailona. Hiki i nā hana mālama pilikino ke pale i nā pilikia o ka wā e hiki mai ana. Pākuʻi ʻia kēia mau mea:

• hoʻomaʻemaʻe pono a hoʻomaloʻo i ka wahi ma hope o ka mimi
• e hōʻalo nei i nā kopa kolohe a ʻino paha ma nā wahi i hoʻopilikia ʻia
• ke nānā nei i nā wahi i hoʻopili ʻia no nā hōʻailona o ka maʻi ʻaʻai ʻili