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).