Sclerosus Lichen. Izimbangela, izimpawu, ukwelashwa

Lichen sclerosus - kubuhlungu kakhulu futhi ngesikhathi esifanayo isifo ovamile kwesikhumba, ngemvelo yabo ungathi ulele. Le nkinga ehlukile - khona izindawo obukhulu ezimhlophe.

ulwazi olujwayelekile

Lichen - lena igama ezihlukahlukene eyinkimbinkimbi izifo zesikhumba, futhi kungakhathaliseki imvelaphi yabo. Bonke 'zinezikhathi ukubukeka izilonda ezincane. Nge lesiGreki elithi "ulele" lihunyushwa ngokuthi zoster noma izifo ezithile. Ekhulwini XIX F. Hebra acaciswa omunye wemibuzo odidayo kakhulu emkhakheni nezesikhumba, okwenza ulele esigabeni izifo zesikhumba.

Okwamanje Kunezinhlobo eziningana yalesi sifo: the brilliant, ashisayo, spinous, ulele sclerosus futhi komugqa. Zonke lezi zifo kufanele ngento eyodwa - ukuqubuka emzimbeni ngesimo tubercles ezimhlophe. Ngakolunye uhlangothi, kungenzeka ube kwasendaweni ezahlukene, seasonality (inguqulo ezishisayo isifo ngokuvamile kutholakala ehlobo). Kulesi sihloko sizoxoxa kabanzi mayelana nokuthi yini a sclerosus (sclerosing) ulele. Lokhu zokugula Ivame kakhulu kwabesifazane e engu-eminyakeni engaba ngu-45-50, futhi amadoda - iminyaka engu-40. I ubulili fair yilesi sifo izikhathi 10 kaningi. zokugula Pediatric sitholakale kakhulu kuyaqabukela, ikakhulukazi amantombazane kusukela ngonyaka iminyaka engu-13.

Ziyini izimbangela eziyinhloko zalokhu lesi sifo

Okwamanje, izazi ezivela emhlabeni wonke, kuhlanganise i-Institute of Awezesikhumba futhi Cosmetology e Moscow, siqhubeke ngenkuthalo ukutadisha lesi sifo futhi izindlela zayo ukuthuthukiswa. Ososayensi bakwazi ukukhomba izici eziningana ukuthi izikhathi eziningana sandise amathuba isifo. Lezi zihlanganisa lokhu okulandelayo:

• nezici ezithile Ukubambezeleka.
• Izifo sokuhlasela kwamasosha omzimba uhlobo (psoriasis, omzimba izicubu erythematosus nokunye okunjalo. D.).
• izifo eziningi, ethinta ngokuqondile ohlelweni genitourinary. Lichen sclerosus angagcina ku isizinda samabhamuza ezithweni zangasese.
• Ukuphazamiseka kohlelo endocrine (isifo sikashukela).

emitholampilo isithombe

Izifo ububonisa ukubukeka izindawo kanye okuthiwa papules. izakhi ukuqubuka ezahlukene ezimhlophe wabuka futhi libizwa. Basuke etholakala ikakhulukazi entanyeni, engenhla esifubeni ndawo, izingalo, umthondo. Ekuqaleni, papule hhayi ningi than 5 mm ububanzi. izindawo eduze zishiyane ngokuhamba kwesikhathi ihlangana zibe zingcwecwe ukuthi iphakame kancane ngaphezu isikhumba. Ngezinye izikhathi phezu uqwembe avele Bubbles. Uma ulele sclerosus itholakala endaweni zangasese, le lesion libhekene ukoma futhi ukulunywa njalo.

Lesi sifo ingaqala phezu kweminyaka eminingana. Izintaba-mlilo ziqhume cishe ungakhathazeki, kakhulu kuyaqabukela ephelezelwa ukulunywa. Yingakho iziguli ekujaheni ukufuna usizo kumuntu ofanelekayo. Ukuze ezahlukene ukugula wave-like. Lokhu kusho ukuthi indawo umonakalo kungandisa bese wehlise. Kukhona amacala papules ukuguqulwa ku-squamous cell carcinoma.

umthondo Lichen

Kungenjalo, sifo kuthiwa kraurosis. Kulokhu, enqubeni sokugembula kuhilela ikhanda wenduku. Ngokuvamile, isifo yenzeka abadala, kodwa abavamile.

Lapho kraurosis ezingabantu asithinti nje kuphela enhlokweni yemphambili, kodwa futhi ingxenye engaphakathi iqabunga lalowo ijwabu. Ekuqaleni, lesi sifo kubonakala wehlise kuyaqina nokubukeka ukoma kule ndawo. Abaningi babephephile ezindaweni ezithintekile, kukhona overgrowth okuthiwa zezicubu zezinzwa. Isibalo yezinkinga ulele zihlanganisa:

1. Phimosis (omncane ijwabu, okuyinto luhambisana nomthwalo ukungakwazi ngokugcwele adalule ikhanda).
2. Ukunciphisa kuvulwa urethra.
3. Ukubukeka imifantu kule ndawo.

ikhanda Lichen sclerosus ngokuvamile kuthinta diffusely. Kuba ezimhlophe ephethe tinge bluish.

Njengoba isifo siqhubeka kukhona yoma yezindawo isikhumba phezu kubonakala le telangiectasia okuthiwa. Sekukonke kunezigaba ezine lesi sifo:

• Esigabeni sokuqala kuthintwa ijwabu ithatha.
• Khona-ke kukhona ukusabalala inqubo sokugembula ekhanda.
• Isigaba sesithathu esibandakanya kokunqotshwa lonke umthondo, prepuce, futhi endaweni elingaphandle urethra.
• Isigaba lokugcina isifo Uphinde abhekwe precancerous. Zonke iziguli kufanele zithole ephelele luhlolo semhlahlo ngakususi esibulalayo.

ulele vulvar

Ngo abesifazane, lesi sifo kubonakala ngesimo ukungaphatheki kahle ukulunywa futhi ukubukeka namabala amhlophe endaweni ye ngemomozi, ingquza. Njengomthetho, endaweni ethintekile uthatha uhlobo "eziyisishiyagalombili". Khona-ke inqubo sokugembula kancane kancane usabalala egumeni, le clitoris futhi labia.

Ezinye iziguli kubonakale ukuguguleka kwenhlabathi. Ngenxa ukuphulukisa yabo okuqhubekayo waphawula izibazi izicubu overgrowth we minora labia. izifo ezithathelwanayo ezibangelwa amagciwane kanye fungal ingase ibangele izinkinga inkambo sifo.

uphethwe

Lapho izimpawu zokuqala belulekwa ukuba bafune usizo maphakathi iphrofayli (isibonelo, i-Institute of Awezesikhumba futhi Cosmetology eMoscow). On the Uchwepheshe izeluleko ingaqinisekisa uphethwe esekelwe izikhalazo lesiguli kanye ukufunda ukubonakaliswa emitholampilo ye isifo. Kwezinye izimo, kungase okwengeziwe kungenziwa inikezwa biopsy kwezicubu ethintekile kulandele luhlolo ngaphansi impahla ngesibonakhulu.

Yini okufanele baphathwe?

Ukwelashwa nalokuvalelwa kuphela ngemva udokotela uqinisekisile sitholakele ulele sclerosus. Ukwelashwa kufanele kube olunzulu. Kubandakanya imikhiqizo lokwenza ngcono igazi microcirculation ( "Dipyridamole", "retinol acetate"), isicelo wamafutha ( "Solkoseril", "Aktovegin").

Zonke iziguli ngaphandle kokukhetha esimisiwe yokwelapha lymphotropic nokuphathwa ongama endaweni ephansi umlenze "ligase" nge "heparin".

Lichen sclerosus wenduku iphathwa ngemithi kuphela kusaqalwa. Iziguli babelwe yokwelapha okubuyisela nokwamukela izidakamizwa olwa nomalaleveva ( "ukwenza Lago", "Rezorhin"). Endabeni nekusebenta ongaphakeme yokwelapha olandelanayo kuboniswa cutoff. Lapho usabalalisa inqubo sokugembula esiteshini urogenital ngokuvamile kudinga ukuhlinzwa ukuze umthondo plastic.

Phansi fair excised izicubu onesifo kungase okwengeziwe zidinga ngemomozi plastic kanye ingquza.

Zonke iziguli ezine-Kunconywa ukugcinwa Ukudla akhethekile embhedeni ukuphumula. Kuyinto efiselekayo ukuhlukanisa isiguli isikhashana kusuka amalungu omphakathi anempilo omkhaya, njengoba etiology lesi sifo kuye kancane esezihloliwe kuze kube manje. Izinyathelo ezinjalo zibalulekile ukuze agweme amagciwane okungenzeka besithathu. It is hhayi Kunconywa ukuba uzame bebodwa izithathe ukuze ixazulule leyo ulele sclerotic - kungcono pretty yingozi. Pathology ngenkuthalo ethuthuka, okuyinto kubandakanya ukuthuthukiswa a imiphumela kunalokho ezingemnandi, kuhlanganise nohlobo oncological.

Izinhlelo ezivimbayo futhi Izibikezelo

Isifo sesikhumba kulula ukuvimbela kuka ukubandakanya therapy kwalokho. Ukuvimbela isifo yalolu hlobo kwasekuqaleni lisikisela ukwelashwa esifike ngesikhathi kuzo zonke izifo sokuhlasela kwamasosha omzimba futhi ezithathelwanayo. Phezu ukuthola we izimpawu kubalulekile ukuba afune usizo lwezokwelapha ngokushesha, ungazami ukuba akwazi ukunqoba izingqinamba isifo. Ngaphezu kwalokho, ngangokunokwenzeka kufanele walondoloza imbilapho endaweni ekulimaleni mechanical ukulimala siqu, ukuchayeka. Lapho usebenzisa wena kudingeka uvikelwe.

Isibikezelo at Lichen ngokuvamile lingaqinisekile. Ngenxa ingozi yezifo ukonakala e -squamous cell carcinoma kufanele njalo ukugadwa.

Ekuphetheni, kufanele futhi kuqashelwe, izifo zesikhumba njalo adinga indlela afanelekayo ukuba welashwe ngokuhlinzwa. udokotela kuphela batusa ezifanele therapy egunjini lokuhlolwa kwezifo.