Ua ʻike anei ʻoe ua lilo kou manamana wāwae, a i ʻole ko kekahi āu i ʻike ai, i ke kala ʻole, mānoanoa, a haki paha? ʻO ka hapa nui, ʻo kēia ma muli o kahi maʻi fungal o ka manamana wāwae. Kāhea mākou i kēia he "Fungus Manamana Wāwae". He mea maʻamau ia, akā inā ua hoʻomaopopo pono ʻia mākou, ʻoi aku ka maʻalahi iā mākou ke makaʻala iā ia a loaʻa ka lāʻau lapaʻau inā loaʻa. No laila, e kamaʻilio hou aku kākou e pili ana i kēia i kēia lā?
He aha ka Fungus Toenail?
I ka ʻōlelo maʻalahi, ʻo `(Toenail Fungus)` kahi maʻi fungal e ulu ana ma kou mau manamana wāwae. I kekahi manawa, kākaʻikahi, hiki i kēia maʻi fungal ke ulu pū ma kou mau manamana lima. ʻIke anei ʻoe pehea e hana ai kēia? Hana ʻia kēia kūlana ke komo nā microorganism i kapa ʻia he fungi ma waena o kou kui a me ka ʻili ma lalo o ke kui (i kapa ʻia hoʻi ʻo ka moena kui). ʻO ka hapa nui o ka manawa, hana ʻia kēia ma o kahi māwae liʻiliʻi a ʻoki paha ma kahi manamana wāwae.
Ua like anei kēia me ka `(Tinea Unguium)`?
ʻAe, ua lohe paha ʻoe i ka huaʻōlelo `(Tinea Unguium)`. ʻO ia ke ʻano o kēia maʻi fungus kui. ʻOi loa aku i ka wā e hoʻokumu ʻia ai kēia maʻi e kahi ʻano fungus i kapa ʻia ʻo `(Dermatophyte)`, kapa mākou iā ia ʻo `(Tinea Unguium)`. ʻO `(Dermatophyte)` kahi ʻano mold. He mea nui ka protein i kapa ʻia ʻo `(Keratin)` no ka ulu ʻana o kēia ʻano mold. ʻO `(Keratin)` ka mea nui e kōkua ai i ko mākou mau kui e noho ikaika. 90% o nā maʻi fungus toenail i hoʻokumu ʻia e kēia fungus `(Dermatophyte)`. Ua kapa ʻia hoʻi ʻo `(Tinea Unguium)` ʻo `(Onychomycosis)`. ʻOiai he nui nā inoa, ua like ke ʻano.
ʻO wai ka mea e loaʻa pinepine ai kēia maʻi fungus kui?
ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kēia maʻi, akā ʻoi aku ka maʻamau o ka poʻe ʻelemakule, ʻoi aku hoʻi ka poʻe ma luna o 60 .
Inā loaʻa iā ʻoe nā kūlana ma lalo nei, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o kahi maʻi fungal kui:
- ʻO ka wāwae o ka mea pāʻani (i ʻike ʻia hoʻi ʻo Tinea Pedis).
- `(Maʻi diabetes)` (Maʻi diabetes).
- Hyperhidrosis (ka hou nui ʻana).
- He ʻeha kui.
- Ka emi ʻana o ke kahe koko ma muli o kahi maʻi e like me `(Peripheral Vascular Disease)`.
- Psoriasis (kahi maʻi ʻili e like me ka scabies).
- Ka nāwaliwali o ka ʻōnaehana pale (no ka laʻana, ma muli o kahi maʻi autoimmune a i ʻole ka maʻi HIV).
Pehea ka maʻamau o kēia ʻano?
He mea maʻamau loa ka maʻi ʻōniʻoniʻo, ʻoiai hoʻi i ko kākou ʻelemakule ʻana. Wahi a nā loea lapaʻau, ma ka awelika, hoʻokahi i loko o 10 mau kānaka i loaʻa i ka "Onychomycosis". Eia nō naʻe, i waena o ka poʻe ma luna o 70 mau makahiki, piʻi kēia helu i hoʻokahi i loko o ʻelua (ʻo ia hoʻi he 50%). No laila, inā loaʻa iā ʻoe, e ʻike ʻaʻole ʻoe hoʻokahi.
Pehea ke ʻano o ke kui ke loaʻa iā ia ka Tinea Unguium?
Ke loaʻa iā ʻoe ka Tinea Unguium, hiki ke loli ke ʻano o kou mau manamana wāwae ma nā ʻano he nui. Kou kui:
- Hiki ke ʻokoʻa ke kala.He keʻokeʻo paha, he melemele a he ʻeleʻele paha.
- Ma kekahi mau wahi, like paha ia me ka pauka pōhaku a i ʻole nā ao .
- Hiki ke ʻike ʻia he mānoanoa a ua loli paha kona ʻano .
- Hiki ke kaʻawale ke kui mai ka moena kui (ʻo ia hoʻi, aia paha kahi hakahaka ma waena o ke kui a me ka ʻili ma lalo).
- Hiki ke kahakaha ʻia a haki paha ma kekahi a ʻoi aku paha mau wahi.
He mea ʻeha kēia?
ʻAʻole maʻamau. ʻOiai he mea ʻino ke nānā aku i ka haʻalulu o nā kui wāwae, ʻaʻole ia he mea ʻeha. Eia nō naʻe, inā mānoanoa loa ke kui a loli paha ke ʻano, hiki iā ia ke hoʻoulu i ka ʻoluʻolu ʻole a me ka manaʻo o ke kaomi i ke komo ʻana i nā kāmaʻa.
He aha ke kumu o ka Tinea Unguium?
E like me kā mākou i kūkākūkā mua ai, ʻo ke kumu nui o Tinea Unguium he ʻano fungus i kapa ʻia ʻo `(Dermatophyte)`. ʻO `(Dermatophyte)` he meaola fungal microscopic (liʻiliʻi loa ia e ʻike ʻia e ko mākou mau maka). Noho kēia mau mea ma luna o kahi protein i kapa ʻia ʻo `(Keratin)` i loaʻa i loko o ko mākou mau kui lima a me nā wāwae wāwae. ʻO `(Keratin)` ka mea e hoʻoikaika ai i ko mākou mau kui.
ʻOiai ʻo 90% o nā maʻi fungal toenail i hana ʻia e nā dermatophytes, hiki i nā ʻano fungi ʻē aʻe ke hoʻopilikia i kou mau kui.
He maʻi lele anei ka Tinea Unguium?
ʻAe, he nui nā ʻano haʻihaʻi kui, me Tinea Unguium, he mea laha loa ia. Hiki iā ʻoe ke loaʻa i ka haʻihaʻi mai kekahi mea ʻē aʻe ma ka hoʻopā pololei ʻana iā lākou. A i ʻole, hiki iā ʻoe ke loaʻa mai ka hoʻopā ʻana i kahi ʻili i loaʻa ka haʻihaʻi, e like me ka papahele a i ʻole ke kāwele.
Pehea e laha pinepine ai ka haʻi kui?
Makemake ka haʻihaʻi kui i nā wahi mahana, pulu, a pouli. Hiki iā ʻoe ke loaʻa ka haʻihaʻi kui mai nā mea e like me:
- Ke hele wāwae ʻole nei a puni nā loko ʻauʻau.
- Ke hoʻohana nei i nā lumi lole lehulehu a i ʻole nā lumi ʻauʻau.
- E hele wāwae ʻole ana ma nā wahi lehulehu.
E noʻonoʻo, ma hope o kahi hoʻoikaika kino ma ka hale hoʻoikaika kino, hoʻi mai ʻoe i ka home me kou mau kāmaʻa e pulu mau ana. ʻO ia nā manawa e ulu ai nā fungi.
Hiki i ka haʻi kui ke laha i nā ʻāpana ʻē aʻe o ke kino?
ʻAe, hiki. Akā i ka hapa nui o ka manawa, ʻaʻole pālahalaha ka haʻihaʻi manamana wāwae ma waho o ka manamana wāwae.
Hiki i kekahi ʻano fungi `(Dermatophyte)` ke laha maʻalahi i kou ʻili. (No ka mea, aia pū kekahi `(Keratin)` i loko o kou ʻili a me ke poʻo. Ke hoʻopilikia nā fungi `(Dermatophyte)` i ka ʻili, kapa mākou i ke ʻano `(Ringworm)`.
Hiki i ka fungus kui ke pālahalaha i kēia mau wahi:
- I nā kui o nā wāwae ʻē aʻe.
- ʻO ka ʻili ma waena o nā manamana wāwae (ua kapa ʻia kēia ʻo `(ka wāwae o ka mea pāʻani)`).
- I ka ʻāpana ʻūhā (ua kapa ʻia kēia ʻo `(Jock itch)`).
- I ke poʻo (ka ʻili ma luna o ke poʻo).
No laila, ke kau ʻoe i nā kāmaʻa wāwae, pono ʻoe e kau mua iā lākou a laila e kau i nā lole ʻē aʻe. Ma kēlā ala, hiki iā ʻoe ke hōʻemi i ka manawa kūpono o ka laha ʻana o ka haʻalulu i nā wahi ʻē aʻe ma kou mau lole.
Pehea ʻoe e ʻike pono ai inā he fungus kui kou? (Diagnosis)
E loiloi mua kāu kauka i kāu mau hōʻailona a nānā pono i ke kui i hoʻopilikia ʻia. Hiki paha iā ia ke ʻike inā he fungus kui kou ma ka nānā wale ʻana i kou manamana lima. Eia nō naʻe, hiki iā lākou ke hana i kekahi mau hoʻokolohua e hōʻoia i loaʻa iā ʻoe kahi maʻi fungal.
He aha nā hoʻokolohua e hana ʻia nei no kēia?
ʻO ka mea paha, e lawe kāu kauka i kahi hāpana liʻiliʻi mai lalo o kou kui a kālailai hou aku. Hiki ke nānā ʻia nā ʻāpana ma lalo o kahi microscope e hōʻoia inā he fungus kui kou. Inā ʻaʻole maopopo ka hoʻāʻo mua, hiki ke hoʻouna ʻia kahi ʻoki liʻiliʻi o ke kui i kahi keʻena hoʻokolohua e ʻike ai inā ulu ka fungus (culture). E kōkua kēia i ke kauka e hoʻoholo pono i ke ʻano o ka fungus.
Pehea ʻoe e mālama ai i ka fungus kui?
ʻO kaʻoiaʻiʻo, he mea paʻakikī iki ka mālama ʻana i ka haʻihaʻi kui wāwae, a he manawa ka lōʻihi. Pono paha ʻoe e lawe i ka lāʻau lapaʻau no kekahi mau mahina (a ʻoi aku paha) e hoʻopau i ka haʻihaʻi. ʻOiai i kēlā manawa, ʻoi aku ka nui o ka hiki ke hoʻi mai ka haʻihaʻi kui.
Hiki i ke kauka ʻili a i ʻole ke kauka wāwae ke wehewehe i kāu mau koho lapaʻau iā ʻoe. Inā loaʻa iā ʻoe kahi maʻi liʻiliʻi a ʻaʻole ia e hoʻopilikia nui iā ʻoe, ʻaʻole paha e ʻōlelo aku kāu kauka i kekahi lāʻau lapaʻau.
Eia nā koho lapaʻau no ka `(Tinea Unguium)`:
Lāʻau lapaʻau antifungal waha
No ka mālama ʻana i ka fungus, hiki iā ʻoe ke hoʻohana i nā lāʻau antifungal waha i kuhikuhi ʻia e ke kauka. No ka laʻana, aia nā lāʻau lapaʻau e like me `(Terbinafine / Lamisil®)`, `(Itraconazole / Sporanox®)` a i ʻole `(Fluconazole / Diflucan®)`. Pono ʻoe e lawe i kēia mau lāʻau lapaʻau i kēlā me kēia lā no kekahi mau mahina (a ʻoi aku paha). Hiki i kāu kauka ke hana i nā hoʻokolohua koko e nānā i nā hopena ʻaoʻao o kēia mau lāʻau lapaʻau. Hiki i kēia mau lāʻau lapaʻau ke hoʻopilikia i kou akepaʻa, a hiki iā lākou ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. No laila, ʻaʻole kūpono nā lāʻau antifungal waha no nā mea āpau.
Lāʻau lapaʻau kūloko
Hiki iā ʻoe ke hoʻopili pololei i kahi lāʻau lapaʻau topical i ke kui i kēlā me kēia lā. E mālama kēia lāʻau i ka fungus i ka hala ʻana o ka manawa. Eia nō naʻe, ʻoi aku ka maikaʻi o kēia mau lāʻau lapaʻau topical ke hoʻohana ʻia me nā lāʻau lapaʻau waha.
Nā Lapaʻau Laser
Hiki i kāu kauka ke mālama i ka haʻiki ma ke kuhikuhi ʻana i nā kukuna `(Laser)` ʻenehana kiʻekiʻe a me nā kukuna kukui kūikawā ma ke kui. Ua ʻae ʻia nā lāʻau `(Laser)` e ka `(FDA - US Food and Drug Administration)` ma ʻAmelika Hui Pū ʻIa e "hoʻomaʻemaʻe manawa" i ka haʻiki kui . Eia naʻe, ʻaʻole ia he lāʻau lapaʻau. He haʻahaʻa ka nui o ka lāʻau lapaʻau `(Laser)` i hoʻohālikelike ʻia me nā lāʻau lapaʻau waha a me nā lāʻau lapaʻau topical. No laila, ʻaʻole hoʻohana pinepine nā kauka i ka `(Laser)` ma ke ʻano he lāʻau lapaʻau laina mua no ka haʻiki kui.
He aha ka lāʻau lapaʻau kūpono loa no ka fungus kui?
ʻO ka lāʻau lapaʻau haʻiki kui kūpono loa nou e hilinaʻi nui ʻia i kāu mau hōʻailona a me ke kūlana. E noʻonoʻo kāu kauka i kekahi mau mea ma mua o ka ʻōlelo ʻana i kahi hoʻolālā lapaʻau. E hoʻoponopono ʻo ia i kahi hoʻolālā lapaʻau kūpono iā ʻoe.
Ma ke ʻano laulā, ʻo nā lāʻau antifungal waha ka mea maikaʻi loa. Hiki ke ʻoi aku ka holomua o ka lāʻau lapaʻau ke hui pū ʻia me nā lāʻau antifungal topical.
Pehea e hiki ai iā ʻoe ke pale aku i ka fungus kui?
ʻAʻohe ala e maopopo ai ʻaʻole ʻoe e loaʻa i ka haʻihaʻi kui. Eia nō naʻe, aia kekahi mau hana hiki iā ʻoe ke hana e kōkua i ka pale ʻana:
- Mai hele wāwae ʻole ma nā wahi lehulehu e like me nā lumi ʻauʻau lehulehu, nā lumi lole, a me nā loko ʻauʻau. ʻO kēia kahi e loaʻa ai i nā poʻe he nui nā maʻi fungal. ʻO ke komo ʻana i nā kāmaʻa paʻa ma nā wahi lehulehu e like me kēia hiki ke kōkua nui.
- Inā loaʻa i kekahi o kou ʻohana ka maʻi ʻāʻī a i ʻole ka maʻi kui, e hoʻāʻo e hoʻohana i kahi lumi ʻauʻau kaʻawale a i ʻole e ʻaʻahu i nā kāmaʻa paʻa i loko o ka lumi ʻauʻau. Hiki i kēia ke kōkua i ka pale ʻana iā ʻoe mai ka laha ʻana iā ʻoe iho.
- ʻO nā ʻoki i hana ʻia ma ke kuhihewa a i ʻole ma ka ʻoki wikiwiki ʻana i ka wā e ʻoki ana i kou mau kui hiki ke lilo i mau wahi komo no nā haʻi. No laila, e hoʻomaʻemaʻe pono i kāu mau mea ʻoki kui ma mua o ka hoʻohana ʻana iā lākou.
- Mai haehae a uhaʻi paha i kou mau kui i ka makemake.
- Inā loaʻa iā ʻoe ka maʻi diabetes, e hahai i nā ʻōlelo aʻoaʻo mālama wāwae a pau i hāʻawi ʻia e kāu kauka.
- E hoʻomaloʻo i kou mau wāwae. Ma hope o ka ʻauʻau ʻana, e pāpaʻi maloʻo i kou mau wāwae.
- E hoʻomohu i kou mau kui i loko o ka wai mehana no kekahi manawa ma mua o ka ʻoki ʻana iā lākou. A i ʻole, e ʻoki i kou mau kui ma hope o kou pau ʻana i ka ʻauʻau ʻana.
- E ʻoki pololei i kou mau kui (mai hoʻopuni i nā kihi).
- E ʻaʻahu i nā kāmaʻa kūpono. ʻAʻole pono e paʻa a puni kou mau manamana wāwae a ʻaʻole hoʻi e palupalu loa.
He aha kāu e manaʻo ai inā he fungus kui kou?
ʻOiai he mea maʻamau ka haʻihaʻi wāwae, ʻaʻohe mea ʻino ia. Hoʻopilikia nui nā hōʻailona i ke ʻano o kou mau kui.
Hiki i ka haʻihaʻi kui ke laha i ka ʻili ma waena o kou mau manamana wāwae a i ʻole i nā ʻāpana ʻē aʻe o kou kino. I ke komo ʻana i ke kapa, e kau mua i nā kāmaʻa wāwae e hōʻemi i ka manawa e laha ai ka maʻi.
ʻO ka mālama ʻana i ka haʻalulu kui he manawa ia a ʻaʻole ia e holomua mau. ʻOiai inā e holomua ana, hiki i ka haʻalulu kui ke hoʻi hou mai. No laila, e kamaʻilio me kāu kauka e pili ana i nā pono a me nā pōʻino o ka mālama ʻana i ka haʻalulu kui a hoʻoholo i ka mea maikaʻi loa iā ʻoe.
ʻO ka hoʻomaʻemaʻe maikaʻi a me ka mālama wāwae e hiki ke kōkua i ka hōʻemi ʻana i ka manawa e hoʻi hou mai ai ka haʻalulu kui. Inā loaʻa iā ʻoe ka maʻi diabetes, ʻo ka nānā pinepine ʻana i kou mau wāwae e hiki ke kōkua iā ʻoe e hopu i nā pilikia wāwae ma mua o ko lākou lilo ʻana i mea koʻikoʻi.
He mea maikaʻi anei ke kau ʻana i ka pena kui ke loaʻa iā ʻoe ka maʻi kui?
E hoʻowalewale ʻia paha ʻoe e uhi i kahi kui i kala ʻole me ka pena kui. Eia nō naʻe, inā ʻoe e hoʻohana ana i kahi lāʻau antifungal, ʻaʻole pono ʻoe e hoʻopili i ka pena kui. Hiki i kāu kauka ke haʻi aku iā ʻoe ʻaʻole e hoʻopili iki i ka pena kui.
Hoʻopaʻa ka pena kui i ka makū mai kou moena kui (ka ʻili ma lalo o kou kui). Ulu maikaʻi ka fungus i nā wahi pulu, no laila hiki i ka hoʻopili ʻana i ka pena kui ke hoʻonui i ka maʻi fungal. Eia nō naʻe, e hoʻomau ka ulu ʻana o kou kui inā ʻoe e hoʻopili i ka pena kui a i ʻole.
Āhea wau e ʻike ai i ke kauka?
I kekahi manawa, hiki i ka haʻihaʻi kui ke hana i kahi maʻi ʻili i kapa ʻia ʻo "Cellulitis." Inā ʻaʻole mālama koke ʻia, hiki i ka "Cellulitis" ke lilo i mea hoʻoweliweli nui i kou olakino.
Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau mai ke kauka hilinaʻi:
- Nā pilikia o ke kahe koko.
- `(Maʻi diabetes)` (Maʻi diabetes).
- ʻUlaʻula, ʻeha, a i ʻole ka pus kokoke i ke kui.
- He ʻōnaehana pale maʻi nāwaliwali.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
Inā he haʻalulu kui kou, he mea kōkua paha ke nīnau i kāu kauka i kēia mau nīnau:
- He aha ke ʻano o ka maʻi i loaʻa iaʻu?
- Manaʻo paha ʻoe e mālama ʻia kēia? No ke aha/no ke aha ʻaʻole?
- ʻEhia ka lōʻihi e loaʻa ai iaʻu ka lāʻau lapaʻau?
- He aha kaʻu e hana ai e pale aku i kēia mai ka hana hou ʻana?
- Aia kekahi mau pilikia koʻikoʻi a i ʻole nā hopena ʻaoʻao o ka lāʻau lapaʻau e pono iaʻu e makaʻala?
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
No laila, i ka hopena, ʻo ka maʻi fungal o nā kui wāwae (Tinea Unguium) kahi mea e loaʻa ai i nā poʻe he nui, akā ʻaʻole ia he mea ʻino loa. Eia nō naʻe, hiki ke lilo i mea maikaʻi ʻole ke nānā aku a hiki ke lilo i kumu hopohopo. Inā he mau nīnau kāu e pili ana i kēia, mai kānalua e kamaʻilio me ke kauka. ʻOi loa aku inā ʻike ʻoe i kahi dermatologist a i ʻole podiatrist, e kōkua lākou iā ʻoe e koho i ka lāʻau kūpono nou. E hoʻomanaʻo, ʻo ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau, ʻoi aku ka maikaʻi o nā hopena. Eia kekahi, ʻo ka mālama ʻana i kou mau wāwae i ka maʻemaʻe a me ka maloʻo ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai kēia.
ʻO ka fungus kui, ka fungus wāwae, ka tinea anguimus, ka onychomycosis, nā maʻi fungal, ke olakino kui, ka mālama wāwae











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