ʻO nā mea āpau āu e ʻike ai e pili ana i ka holo ʻana o ka Laau Laikini Lichenoid
Anter
- He aha nā hōʻailona?
- He aha ke kumu?
- ʻO wai ka mea i hoʻonui i ka makaʻu?
- Pehea e kuhikuhi ai ke kauka?
- Pehea e mālama ʻia ai?
- He aha ka kuanaʻike?
Hōʻike Overview
ʻO Lichen planus kahi wīwī o ka ʻili i hoʻomaka ʻia e ka ʻōnaehana pale. Hiki i nā ʻano huahana a me nā ʻenekope āpau ke hoʻoulu i kēia ʻano, akā ʻaʻole ʻike mau ʻia ke kumu kikoʻī.
I kekahi manawa pili kēia hū o ka ʻili i kahi lāʻau. Ke ʻano ʻo ia ka hihia, kapa ʻia ia he pele pele laulima, a i ʻole he lāʻau lichen planus i hoʻokomo ʻia e ka lāʻau. Inā kū ka hopena i loko o kou waha, ua kapa ʻia ka hū ʻana o ka lāʻau lichenoid oral.
Hiki i ka ʻehu ke hoʻolōʻihi i kahi manawa e hoʻomohala. Hiki i nā ʻālohilohi ʻili ke ʻano mai ke akahai a i ʻole koʻikoʻi a hoʻonāukiuki i ka makaʻu a me ka hōʻoluʻolu ʻole.
E hoʻomau i ka heluhelu ʻana e aʻo ai i ke kumu o ka paakiki ʻana o ka laikini lishenoid hiki ke paʻakikī ke ʻike, pehea ka mālama ʻana, a inā aia kekahi hopohopo olakino lōʻihi.
He aha nā hōʻailona?
ʻO ka hū ʻana o ka lāʻau laikini e like me ka lichen planus. Pākuʻi ʻia paha nā ʻōuli:
- ʻulaʻula ʻulaʻula a poni paha i ka ʻili i ʻōlinolino pinepine
- unahi keʻokeʻo a i ʻole nā flakes
- nā laina keʻokeʻo wavy, i ʻike ʻia ʻo Wickham striae
- ʻōhū
- ʻūlili
- mānoanoa, kui kui
ʻO kekahi o nā ʻōuli o ka hāpau lāʻau laulau oral i komo i loko:
- līlia keʻokeʻo ma nā gums, alelo, a i loko o nā papalina
- ʻākala, ʻeha, a puʻupuʻu paha i loko o ka waha
- ʻeha a puhi paha i ka naʻau, ke ʻai a inu paha
Hōʻike nā ʻōuli aʻe e loaʻa paha iā ʻoe kahi pele pele laikini:
- Uhi ka lapalaha i ka nui o kāu pahu a me nā lālā, ʻaʻole naʻe nā poho o kou mau lima a me nā kapuwaʻi o kou mau wāwae.
- ʻOi aku ka nui o ka ʻehu ma ka ʻili i hōʻike ʻia i ka lā.
- Pālehu kou ʻili.
- ʻAʻohe o nā laina keʻokeʻo wavy i maʻa mau i ka lichen planus.
- ʻOi aku ka hopena o ka hū ʻana o ka lāʻau lichenoid oral i loko o hoʻokahi pāpālina wale nō.
ʻO kekahi ʻokoʻa ka hū ʻana o ka lāʻau lichenoid ma mua o ka lichen planus e waiho i kahi māka ma kou ʻili ma hope o kona maʻemaʻe.
ʻAʻole hiki ke hū ka lāʻau lichenoid ma hope pono o kou hoʻomaka ʻana i ka lāʻau hou. ʻO ka hapa nui o ka manawa he ʻelua a ʻekolu paha mahina. I kekahi mau hihia, hiki i kahi makahiki.
He aha ke kumu?
ʻO ka hū ʻana o ka lāʻau lichenoid kahi hopena i kahi lāʻau. ʻO kekahi o nā ʻano lāʻau e hoʻōla i kēia ʻano me:
- anticonvulsants, e like me carbamazepine (Tegretol) a i ʻole phenytoin (Dilantin, Phenytek)
- antihypertensives, me nā mea hoʻopuka ACE, beta-blockers, methyldopa, a me nifedipine (Procardia)
- hoʻohana ʻia nā antiretrovirals e mālama iā HIV
- nā lāʻau chemotherapy, e like me fluorouracil (Carac, Efudex, Flouroplex, Tolak), hydroxyurea (Droxia, Hydrea), a i ʻole imatinib (Gleevec)
- diuretics, e like me furosemide (Lasix, Diuscreen, Specimen Collection Kit), hydrochlorothiazide, a me spironolactone (Aldactone)
- nā paʻakai gula
- Nā mea hoʻopukapuka HMG-CoA reductase
- hydroxychloroquine (Plaquenil)
- imatinib mesylate
- interferon-α
- ketoconazole
- misoprostol (Cytotec)
- nonsteroidal anti-in fl lāʻau hoʻomohala (NSAIDs)
- nā ʻākena hypoglycemic waha
- nā kūpuna phenothiazine
- mea pale lāʻau proton
- sildenafil citrate
- nā lāʻau sulfa, e like me dapsone, mesalazine, sulfasalazine (Azulfidine), a me sulfonylurea hypoglycemic agents
- tetracycline
- lāʻau lapaʻau tuberculosis
- tumrosis factor antagonists: adalimumab (Humira), etanercept (Enbrel), infliximab (INFLECTRA, Remicade)
Hiki ke hū ka lāʻau lichenoid ma hope koke o ka hoʻomaka ʻana i kahi lāʻau. Akā he mau mau mahina i ka makahiki a ʻoi paha. Inā ua lawe ʻoe i hoʻokahi a ʻoi aku ka lāʻau i kēlā manawa, hiki i ka paʻakikī ke hoʻoholo i ka mea i hoʻokumu i ka hopena.
Ke loaʻa iā ʻoe kēia ʻano hopena i kahi lāʻau, ua nui aʻe ʻoe i ka loaʻa ʻana o kahi mea ʻē aʻe i ka wā e hiki mai ana. ʻOi aku paha kēia inā lawe hou ʻoe i ka lāʻau like a i ʻole lawe ʻoe i hoʻokahi i ka papa like o ka lāʻau.
ʻO ka hapa nui o ka manawa, hoʻomohala koke nā hopena aʻe.
ʻO wai ka mea i hoʻonui i ka makaʻu?
ʻO kēlā me kēia mea i hoʻohana i ka lāʻau i loko o ka makahiki i hala a i ʻole hiki ke ʻike i ka hū ʻana o ka lāʻau lichenoid. He ʻoiaʻiʻo kēia inā hoʻohana wale ʻoe i ka lāʻau i hoʻokahi manawa a ʻaʻole ʻoe i lawe i nā mahina.
ʻO ka hū lāʻau laikini laikini i nā mākua makua.
ʻAʻohe mea i ʻike ʻia e pili ana i ka wahine, ka lāhui, a me ka lāhui.
Pehea e kuhikuhi ai ke kauka?
E ʻike i kāu kauka inā loaʻa iā ʻoe kahi mālamalama i hōʻike ʻole ʻia e hoʻomaʻemaʻe ʻole. Aia paha he kumu olakino kumu e koi ai i ka lāʻau.
E pono e haʻi iā ʻoe i ke kauka e pili ana i nā lāʻau lapaʻau a pau a me nā lāʻau lapaʻau i lawe ʻia i loko o ka makahiki i hala.
Ma muli o ko lākou ʻano like, hiki i ka paʻakikī ke haʻi aku i ka ʻokoʻa ma waena o ka lichen planus a me ka pele lāʻau lichenoid ma muli o ka helehelena.
E hana paha kāu kauka i kahi ʻili a i ʻole biopsy waha, akā ʻaʻole paʻa mau ka biopsy.
I ka manawa i loaʻa iā ʻoe kahi hopena lāʻau lapaʻau lichenoid, e wikiwiki paha ia inā ʻoe e lawe hou i kēlā lāʻau. ʻO kēia kahi mea hiki ke kōkua maoli me ka hōʻailona.
Inā kānalua kāu kauka i kahi lāʻau āu e lawe ʻole ai, hiki iā ʻoe ke lawe hou e ʻike inā aia kekahi hopena. Inā ʻoe e lawe nei i ka lāʻau i manaʻo ʻia, hiki iā ʻoe ke hoʻāʻo e kū a i ʻole ka hoʻololi ʻana i kahi lāʻau ʻē aʻe. Hiki i nā hopena o kēia hōʻaiho lāʻau ke hōʻoia i ka hōʻailona. Mai hoʻomaka a oki paha i ka lawe ʻana i nā lāʻau me ka ʻole e kamaʻilio mua me kāu kauka.
Kaukaʻi ʻia i kāu kūlana olakino, hiki i kēia hoʻokolohua ke weliweli i kou olakino no laila pono ʻoe e mālama i lalo o kahi kauka.
Pehea e mālama ʻia ai?
ʻO ke ala wale nō e hōʻoki ai i ka hū ʻana o ka lāʻau lichenoid ka hoʻopau ʻana i ka lawe ʻana i ka lāʻau. ʻOiai ʻo ia, hiki ke hala i mau pule a i ʻole mau mahina e hoʻomaʻemaʻe ke ʻano. Aia i kāu kūlana olakino a me ke kumu o ka lawe ʻana i ka lāʻau, ʻaʻole paha kēia he koho maikaʻi.
Hiki paha iā ʻoe ke hoʻomāmā i kekahi mau hōʻailona me:
- nā lāʻau steroid steroid topical a me nā lāʻau lapaʻau kumuhana ʻē aʻe
- corticosteroids waha
- antihistamines e hoʻopakele i ka aniani
E kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana i nā kalima lāʻau a i ʻole nā huahana ʻē aʻe i ka pele o ka ʻili.
Eia kekahi mau ʻōlelo aʻoaʻo ʻē aʻe:
- Lawe i nā ʻauʻau oatmeal hōʻoluʻolu e hōʻoluʻolu i ka ʻili.
- Hoʻomaʻamaʻa i ka hoʻomaʻemaʻe o ka ʻili maikaʻi.
- Hōʻalo i nā huahana ʻili i loaʻa nā mea hōʻiliʻili e like me ka waiʻona a me nā mea ʻala.
- E hoʻāʻo ʻaʻole e wili a hamo paha i nā pele o ka ʻili, no ka mea he hopena kēia i ka maʻi. E ʻike i kāu kauka inā manaʻo ʻoe he maʻi kāu.
No ka hū ʻana o ka lāʻau lichenoid oral, pale i ka waiʻona a me nā huahana paka a hiki i kona wā e hoʻōla ai. Hoʻomaʻamaʻa i ka hoʻomaʻemaʻe waha maikaʻi a ʻike pinepine i kāu kauka niho.
He aha ka kuanaʻike?
ʻOiai hiki ke hala i mau mahina a i ʻole mau makahiki, pono e hoʻomaʻemaʻe ka hū ʻana o ka lāʻau lichenoid i ka hala ʻana o ka manawa. Ma waho o ka ʻili o ka ʻili, ʻaʻole ia ka mea maʻamau i nā hopena maʻi ʻē aʻe.
Hiki paha iā ʻoe ke hoʻololi i ka ʻili ma hope o ka hoʻomaʻemaʻe o kou ʻili. E mae paha ka loli i ka manawa.
Hiki ke hana hou i kēia ʻano inā lawe ʻoe i ka lāʻau like a i ʻole ka lāʻau like i ka wā e hiki mai ana.
ʻAʻole make, laha, a hoʻopōʻino paha ka hū ʻana o ka laikini lichenoid i kou olakino.