Izindlela zokwelashwa ze-lichen planus

Izindlela zokwelashwa ze-lichen planus

1 / Uhlelo lwe-lichen cut

Inhloso yokwelashwa kwamafomu asikiwe uku nciphisa isikhathi sokuphulukisa futhi wehlise ukulunywa.

Ukwelashwa kolayini wokuqala okunqunywe udokotela kaningi kuhlanganisa ukwelashwa kwe-corticosteroid yendawo (i-corticosteroids enamandla noma enamandla kakhulu) ekwelashweni ngo amafutha okuthambisa, ngisho nama-antihistamine uma kukhona ukulunywa okunamandla.

Uma kungekho ukuthuthuka, udokotela anganquma i- ukwelashwa ngomlomo kwe-corticosteroid, noma i-acitretin (Soriatane®), etholakala ku-vitamin A

La Phototherapy (I-UVB noma i-PUVAtherapy, ethunyelwa egumbini elisehhovisi likadokotela) futhi ingaba ukwelashwa okunikezwa ekubandakanyeni isikhumba

Ukubandakanyeka kwe-2 / Mucosal

Uhlelo lwe-2.A / Lichen buccal

I-2.Aa / i-buccal lichen planus eyenziwe kabusha

Izilonda ezinqamulelayo azinazimpawu futhi ngenxa yalokho azihluphi kakhulu esigulini, ngakho-ke ngokuvamile azelashwa.

I-plan ye-lichen yomlomo ye-Ab / Erosive and atrophic

Ngokuvamile kunconywagwema noma yikuphi ukucasula ngomlomo (ugwayi, utshwala, njll.)

Udokotela uvame ukuyala i-corticosteroids yendawo (i-Buccobet®) noma a ukhilimu we-tretinoin (I-Ketrel®, i-Locacid®, i-Effederm®…).

Ekungabikho kokuthuthuka noma ngezindlela ezinzima kusukela ekuqaleni, udokotela angahle akunikeze i-corticosteroids yomlomo.

Iplani ye-2.B / genital lichen

Udokotela uvame ukusebenzisa kakhulu i-corticosteroids enamandla kakhulu okuvame ukunikeza imiphumela emihle.

3. Ukubandakanyeka kwe-Phanereal (izinwele, izipikili, izinwele)

I-3.A / i-hair lichen planus: i-follicular lichen planus

Udokotela usebenzisa i-corticosteroids yama-classical eqinile.

I-3.B / lichen planus yezinwele: lichen planus pilaris

Udokotela usebenzisa i-classic corticosteroids enamandla yodwa noma ihlanganiswe nemijovo ye-corticosteroid ekhanda. Uma kwenzeka ukumelana nokwelashwa, ube esephendukela ku i-corticosteroids yomlomo, noma i-acitretin (Soriatane®), etholakala ku-vitamin A

I-3.C / i-lichen planus yezipikili: i-nail lichen planus

Njengoba izipikili zinganyamalala ngaphansi komphumela we-lichen planus, udokotela uvame ukukubeka i-corticosteroids yomlomo, kwesinye isikhathi ihlanganiswe nemijovo ye-corticosteroid ku-matrix yezipikili (isisekelo sepikili).

shiya impendulo