Chithandizo chamankhwala cha lichen planus

Chithandizo chamankhwala cha lichen planus

1 / Lathyathyathya khungu ndere

Cholinga cha chithandizo cha mawonekedwe a cutaneous ndi kuchepetsa nthawi yochiritsa ndikuchepetsa kuyabwa.

Chithandizo choyamba choperekedwa ndi dokotala nthawi zambiri chimaphatikiza mankhwala am'deralo a corticosteroid (amphamvu kapena amphamvu kwambiri kalasi corticosteroids) kuchiza ndi moisturizer, ngakhale antihistamines ngati kuyabwa mwamphamvu.

Ngati palibe kusintha, dokotala angakupatseni mankhwala a mankhwala oral corticosteroid, kapena ngakhale acitretin (Soriatane®), yomwe imachokera ku vitamini A

La phototherapy (UVB kapena PUVAtherapy, yoperekedwa mu kanyumba ka ofesi ya dokotala) ingakhalenso chithandizo choperekedwa pakukhudzidwa kwa khungu.

2 / Kukhudzidwa kwa mucosal

2.A/ Lichen dongosolo buccal

2.Aa / Reticulated buccal lichen planus

Zilonda zophatikizika zimakhala za asymptomatic ndipo sizikhala zovuta kwa wodwalayo, chifukwa chake sizimathandizidwa.

2.Ab / Erosive and atrophic oral lichen planus

Nthawi zambiri akulimbikitsidwapewani chilichonse chokhumudwitsa mkamwa (fodya, mowa, etc.)

Dokotala nthawi zambiri amalangiza corticosteroids wamba (Buccobet®) kapena ngakhale a mafuta a tretinoin (Ketrel®, Locacid®, Effederm®…).

Popanda kusintha kapena mumitundu yoopsa kuyambira pachiyambi, dokotala angapereke oral corticosteroids.

2.B / Genital lichen planus

Dokotala nthawi zambiri amagwiritsa ntchito amphamvu kwambiri kalasi corticosteroids zomwe nthawi zambiri zimapereka zotsatira zabwino.

3. Kuchita nawo phanereal (tsitsi, misomali, tsitsi)

3.A / Tsitsi lichen planus: follicular lichen planus

Dokotala amagwiritsa ntchito amphamvu kalasi topical corticosteroids.

3.B / Lichen planus ya tsitsi: lichen planus pilaris

Dokotala amagwiritsa ntchito amphamvu kalasi corticosteroids yekha kapena osakaniza corticosteroid jakisoni mu scalp. Pakakhala kukana chithandizo, ndiye amapita oral corticosteroids, kapena ngakhale acitretin (Soriatane®), yomwe imachokera ku vitamini A

3.C / Lichen planus ya misomali: msomali lichen planus

Popeza misomali ikhoza kutha pansi pa zotsatira za lichen planus, dokotala nthawi zambiri amalangiza oral corticosteroids, nthawi zina kuphatikiza jekeseni corticosteroid m'matrix a msomali (pansi pa msomali).

Siyani Mumakonda