Kev kho mob rau lichen planus

Kev kho mob rau lichen planus

1 / Tiaj daim tawv nqaij

Lub hom phiaj ntawm kev kho cov tawv nqaij yog ua ua kom lub sijhawm kho kom zoo thiab txo qhov khaus.

Thawj txoj kab kev kho mob tau hais los ntawm kws kho mob feem ntau suav nrog kev kho corticosteroid hauv ib cheeb tsam (muaj zog lossis muaj zog heev hauv chav kawm corticosteroids) rau kev kho mob los ntawm moisturizer, txawm tias antihistamines yog tias khaus khaus.

Yog tias tsis muaj kev txhim kho, tus kws kho mob tuaj yeem sau ntawv rau kho qhov ncauj corticosteroid, lossis txawm tias acitretin (Soriatane®), uas yog cov tshuaj vitamin A

La kho duab (UVB lossis PUVAtherapy, xa hauv lub tsev ntawm tus kws kho mob lub chaw haujlwm) kuj tseem yuav yog kev kho mob rau ntawm daim tawv nqaij koom nrog

2 / Mucosal kev koom tes

2.A/ Lichen txoj kev npaj buccal

2.Aa / Reticulated buccal lichen planus

Cov kab mob sib kis tau ua asymptomatic thiab yog li ntawd tsis muaj teeb meem rau tus neeg mob, yog li ntawd lawv feem ntau tsis kho.

2.Ab / Erosive thiab atrophic qhov ncauj lichen planus

Nws yog feem ntau pom zoo rautsis txhob muaj qhov khaus qhov ncauj (luam yeeb, cawv, thiab lwm yam)

Tus kws kho mob feem ntau sau ntawv corticosteroids hauv zos (Buccobet®) los yog a tretinoin qab zib (Ketrel®, Locacid®, Effederm®…).

Thaum tsis muaj kev txhim kho lossis tsis zoo los ntawm qhov pib, tus kws kho mob tuaj yeem sau ntawv qhia qhov ncauj corticosteroids.

2.B / Qhov chaw mos lichen planus

Tus kws kho mob feem ntau siv muaj zog heev hauv chav kawm corticosteroids uas feem ntau muab cov txiaj ntsig zoo.

3. Kev koom tes nrog Phanereal (plaub hau, ntsia hlau, plaub hau)

3.A / Cov plaub hau lichen planus: follicular lichen planus

Tus kws kho mob siv muaj zog chav kawm tshuaj pleev corticosteroids.

3.B / Lichen planus ntawm cov plaub hau: lichen planus pilaris

Tus kws kho mob siv muaj zog chav kawm corticosteroids ib leeg lossis ua ke nrog kev txhaj tshuaj corticosteroid rau hauv tawv taub hau. Thaum muaj kev tiv thaiv kev kho mob, tom qab ntawd nws rov siv dua corticosteroids qhov ncauj, lossis txawm tias acitretin (Soriatane®), uas yog cov tshuaj vitamin A

3. C / Lichen planus ntawm cov ntsia hlau: ntsia thawv lichen planus

Txij li cov ntsia hlau tuaj yeem ploj mus raws li cov txiaj ntsig ntawm lichen planus, tus kws kho mob feem ntau sau ntawv corticosteroids qhov ncauj, qee zaum ua ke nrog kev txhaj tshuaj corticosteroid nyob rau hauv cov ntsia thawv matrix (lub hauv paus ntawm tus ntsia thawv).

Sau ntawv cia Ncua