Lichen sclerosus. Zvinokonzera, zviratidzo, kurapwa

Lichen sclerosus - hazvifadzi chaizvo uye panguva imwe chete vakawanda chirwere ganda, izvo pachisikirwo yavo afanane lichen. Nevamwe unhu - kuvapo mavara batana chena.

Vhuṱanzi

Lichen - ndiro zita kunzwisisa siyana zvirwere ganda, uye zvisinei dzakavapo. Vose vari inozivikanwa chimiro maronda duku. With rechiGiriki rokuti "lichen" rinoshandurwa sezvo zoster kana chirwere. Muzana XIX remakore F. Hebra akajekesa imwe zvikuru kunzwisisa mibvunzo mune dermatology, zvichiita lichen muboka neganda zvirwere.

Pari Kune mhando dzakawanda chirwere ichi: ari kupenya, dzinopisa, spinous, lichen sclerosus uye Linear. All zvirwere izvi vane chinhu chimwe chakafanana - imwe mapundu pamusoro muviri ari muchimiro tubercles chena. Ukuwo, vangava yakasiyana localization, seasonality (achitsva shanduro chirwere anowanzodanwa chirwere muzhizha). Munyaya ino tichakurukura muudzame chii chinoumba sclerosus (chinonzi sclerosing) lichen. zvokurwara ichi kwakazara nevakadzi makore anenge 45-50 makore uye vanhu - makore 40. The kwakanaka pabonde vanotambura nechirwere ichi 10 nguva kakawanda. Chiremba zvokurwara kunokwanisa kuonekwa chaizvo kashoma, kunyanya vasikana gore makore 13.

The kukonzera chirwere

Pari, nyanzvi pasi pose, kusanganisira Institute of Dermatology uye Cosmetology muMoscow, ramba achishingaira kudzidza chirwere ichi uye ayo kukura zvigadziriswe. Masayendisiti vakakwanisa kuziva zvinoverengeka zviri kanoverengeka kuwedzera mikana zvirwere. Izvi zvinosanganisira zvinotevera:

• Enhaka kubatwa.
• Zvirwere autoimmune hunhu (psoriasis, chinonzi systemic lupus erythematosus uye zvakafanana. D.).
• Various zvirwere, zvichiita zvakananga kuti genitourinary hurongwa. Lichen sclerosus zvingamuka pamusoro pakanyorwa pasikarudzi herpes.
• Kuvhiringidza of kwemakemikari anobudiswa ino (chirwere cheshuga).

zvekuchipatara mufananidzo

Chirwere anoratidza chitarisiko mavara uye vanonzi papules. Chimbi zvinhu zvakasiyana chena uye kutaurwa contours. Ivo dziri kunyanya pamutsipa, rokumusoro muchipfuva nharaunda, maoko, sikarudzi. Pakutanga, papule hapana anopfuura 5 mm mu dhayamita. Chimwe munzvimbo dzokuzororera dzaiva mavara pamusoro nguva batanidza kupinda plaques kuti vari zvishoma kumutswa pamusoro ganda. Dzimwe nguva pamusoro pemvura nebheji matema kuoneka. Kana lichen sclerosus iri mupasi mu kuzasi, kuti lesion kunoratidzwa kuoma uye kugara kuvaviwa.

The chirwere anogona kuva pamusoro akawanda. Kwemakomo anenge usarwa, chaizvo kashoma achiperekedzwa kuvaviwa. Ndokusaka varwere vari hapana kukurumidza kutsvaka rubatsiro vakakodzera. Nokuti chirwere siyana chinozunguzirwa zvakadai. Izvi zvinoreva kuti nzvimbo kukuvara kunogona kuwedzera uye kudukupiswa. Pane nyaya papules kushanduka kupinda squamous muchitokisi carcinoma.

Lichen mboro

Zvikasadaro, hosha inonzi kraurosis. Panyaya iyi, muna pathological kwacho kunosanganisira musoro pakati yemukomana. Kazhinji, hosha ikabuda vakuru, asi zviri dererei.

Kana kraurosis nevanhu inobata kwete chete musoro yemukomana, asiwo menzvimbo mashizha chikanda chepamberi. Pakutanga, chirwere pachena pacharo kuchiderera elasticity uye chitarisiko kuoma munharaunda iyi. Muzvinhu sei, pane anonzi overgrowth pamusoro connective tishu. Kuwanda lichen yematambudziko dzinosanganisira:

1. Phimosis (kuderedza chikanda chepamberi, izvo rinobatanidza nekusagona zvakazara kufumura musoro).
2. Kuderedza Huro urethra.
3. Chimiro makatsemuka munharaunda iyi.

kazhinji Lichen sclerosus musoro kunokanganisa diffusely. It anova chena ine rinokwanisa kucheneruka tinge.

Sezvo chirwere mberi pane atrophy ganda nzvimbo pamusoro pechiso zvinoratidzika vanonzi telangiectasia. In zvachose pane muzvikamu zvina chirwere:

• In wokutanga danho iri sei chaizvo chikanda chepamberi.
• Zvadaro pane kuparadzirwa pathological kwacho musoro.
• Chechitatu Danho hunosanganisira kukundwa yose mboro, prepuce, uye chokunze nzvimbo urethra.
• The wokupedzisira pavaipfuura chirwere chiri vaiona precancerous. varwere vose vanofanira kugamuchira wakakwana chirwere kuongororwa kuti asava akaipa chirwere.

vulvar lichen

Vakadzi, hosha kunooneka pacharo ari muchimiro dzamira kuvaviwa uye chitarisiko mavara machena munharaunda yacho vulva, horo. Kazhinji, njodzi nzvimbo anotora chimiro "masere". Ipapo pathological muitiro zvishoma nezvishoma anopararira kusvika kumusuwo, iyo clitoris uye labia.

Vamwe varwere kuonekwa rikukurwe. Nokuda kwavo zvishoma nezvishoma kuporeswa vakachengeta scarring zvinyama overgrowth yacho labia minora. Chirwere uye fungal zvirwere zvinogona kuomesa weboka chirwere.

kuongorora chirwere

Kana kutanga zviratidzo zviri zano kutsvaka rubatsiro kubva pakati Profile (somuenzaniso, Institute of Dermatology uye Cosmetology muMoscow). On the zano nyanzvi anogona kusimbisa chirwere yakavakirwa murwere zvichemo kudzidza zvekuchipatara zvinoratidza chirwere. Mune zvimwe zviitiko, zvingava zvakare kupiwa munhu biopsy ane zvinyama anoteverwa pakuongorora nemaikorosikopu zvinhu.

Chii chinofanira kubatwa?

Zvipatara zvaangatarirwa chete pashure chiremba dzakatsigira zvokuongorora kuti lichen sclerosus. Treatment inofanira nzwisisika. Chinosanganisira zvigadzirwa kuti uvandudze rimwe microcirculation ropa ( "Dipyridamole", "retinol acetate"), kushanda mafuta ( "Solkoseril", "Aktovegin").

varwere All pasina chaakasiya vakagadzwa lymphotropic kurapa pamwe subcutaneous yaitonga munzvimbo rezasi gumbo "ligase" ne "heparin".

Lichen sclerosus of mboro iri kurapwa chete mukutanga nezvishoma. Varwere basa rokudzorera kurapa uye kugamuchira antimalarial zvinodhaka ( "ita Lago", "Rezorhin"). Kana rakadzika kunyatsoshanda kuti kuchinja kurapa kunoratidzwa cutoff. Kana kugovera pathological kwacho urogenital gwara kazhinji zvinoda kuvhiyiwa kuti epurasitiki mboro.

The kwakanaka pauriri excised hosha zvinyama, zvingada kuti imwe epurasitiki vulva uye horo.

Varwere All akataura kuchengetwa chinokosha kudya uye mubhedha zororo. Zviri chinodiwa chokubvisa murwere kwekanguva kubva utano vomumhuri, sezvo etiology chirwere saka kure kare zvishoma kudzidza. matanho akadaro anodiwa kuitira kuti tidzivise chirwere yavose rechitatu. Hazvina varumbidzwa kuedza pachavo kukurira sclerotic lichen - zviri zvakanaka nengozi. Zvokurwara ari kushingaira kushanda, izvo rinobatanidza kukura kuva panzvimbo nemigumisiro, kusanganisira oncological zvisikwa.

Prevention uye fungidziro

Cheganda nyore kudzivirira pane wokuita kurapa pashure. Kudzivirira chirwere mhando ichi pakutanga rinoreva nenguva kurapwa vose autoimmune uye zvirwere zvinotapuriranwa. Pamusoro kuonekwa zviratidzo zvakakosha kutsvaka kurapwa nokukurumidza, regai kuedza kukurira chirwere. Uyezve, kure sezvinobvira inofanira zvichengetwe groin nharaunda kubva zvokuimba zvakakanganisika uye pachake kukuvara, chokupfeka. Kana iwe muchibayiro unofanira kudzivirirwa.

Achatanda pana Lichen kazhinji isingagari. Nekuti mukuru ngozi degeneration zvirwere squamous muchitokisi carcinoma inofanira kugara kuongororwa.

Mukugumisa, inofanira zvakare kuzivikanwa, zvirwere ganda nguva dzose anoda anokwanisa kusvika kuna kurapwa. Chete chiremba anogona yekupinda zvakakodzera kurapa zvokurwara.