He mau kiko ʻinoʻino paha kou ma kou ʻili? He Actinic Keratosis paha ia!

Ua ʻike anei ʻoe i nā kiko liʻiliʻi, ʻoʻoleʻa, unahi ma kou ʻili, ʻoi aku hoʻi ma nā wahi i hōʻike ʻia i ka lā? I kekahi manawa, ʻaʻole paha ʻoe e nānā nui iā lākou. Eia nō naʻe, ʻo kekahi o kēia mau kiko he maʻi i kapa ʻia ʻo Actinic Keratosis . He mea nui e makaʻala i kēia. No laila, e kamaʻilio iki kākou e pili ana i kēia lā, ʻeā?

He aha ka Actinic Keratosis?

I ka ʻōlelo maʻalahi, ʻo ka actinic keratosis , i ʻike ʻia hoʻi ʻo solar keratosis, he ʻano maʻi ʻili ia e hoʻoulu ai i nā ʻāpana ʻinoʻino a unahi ma kou ʻili. ʻO ka maʻamau, hoʻokumu ʻia kēia e nā makahiki o ka lā.

ʻO ka mea nui, ʻo kēia `(Actinic Keratosis)` he precancer . ʻO ke ʻano kēia inā ʻaʻole mālama pono ʻia kēia mau kiko, hiki i kekahi o lākou ke lilo i `(Squamous Cell Carcinoma)`, kahi ʻano maʻi ʻili . Mai hopohopo, ʻaʻole e lilo nā `(Actinic Keratosis)` a pau i maʻi ʻili. Eia nō naʻe, he mea nui e makaʻala iā lākou no ka mea he mea weliweli lākou. ʻO ka ʻoiaʻiʻo, ʻo ia ke ʻano maʻamau o ka ʻili precancerous . He miliona miliona ka poʻe a puni ka honua i loaʻa i kēia ʻano.

ʻO wai ka mea i ʻoi aku ka paʻakikī ke hoʻomohala i kēia?

ʻAʻohe mea makemake e hana me kēia mau mea. Eia nō naʻe, ʻoi aku ka nui o ka poʻe e loaʻa i ka "Actinic Keratosis". E nānā inā hāʻule ʻoe i loko o kēia māhele:

• ʻO ka poʻe i pale ʻole i ko lākou ʻili mai ka lā: ʻO kēia ke kumu nui. ʻO ka poʻe e noho mau ana i ka lā me ka ʻole o nā aniani lā, nā pāpale, a me ka sunscreen, ʻoi aku ka nui o ka pilikia.
• ʻO ka poʻe me ka ʻili keʻokeʻo, ka lauoho ʻeleʻele a ʻulaʻula paha: ʻOi aku ka nui o ka pilikia o ka poʻe me nā maka polū a ʻōmaʻomaʻo paha. ʻO kēia no ka mea, ʻoi aku ka liʻiliʻi o ka melanin o ko lākou ʻili, ka pigment e pale ai iā ia mai ka lā.
• ʻO nā kānaka me ka mōʻaukala o nā ʻā ʻana o ka lā pinepine a koʻikoʻi paha: Inā ua ʻā ʻoe i ka lā mai kou wā kamaliʻi, hiki i kēlā ke lilo i kumu.
• ʻO ka poʻe me ka ʻōnaehana pale i nāwaliwali: ʻOi aku ka maʻalahi o kēia kūlana ke hiki mai ka wā e nāwaliwali ai ka ʻōnaehana pale ma muli o kekahi mau maʻi (e laʻa, HIV ), a i ʻole nā ​​​​lāʻau lapaʻau e like me ka immunotherapy no ka maʻi kanesa, a i ʻole nā ​​​​lāʻau lapaʻau i lawe ʻia ma hope o kahi hoʻoili kino.
• Nā kānaka ma luna o 40: Hiki ke ʻike ʻia kēia mau mea i ko kākou ʻelemakule ʻana ma muli o nā makahiki o ka hōʻiliʻili ʻia ʻana o ka lā. Eia nō naʻe, hiki i ka poʻe ʻōpio ke loaʻa iā lākou, ʻoiai inā lākou e hoʻolilo i ka manawa nui i ka lā.

No ke aha e kū mai ai ke keratosis actinic?

ʻO ke kumu nui o kēia, ʻo ia nā kukuna ultraviolet (UV) i ka lā.ʻAe, ʻo ia ka lā like e hāʻawi mai iā kākou āpau i ka wikamina D, akā ʻo ka nui loa o ia mea hiki ke hoʻopilikia. ʻAʻole wale nā ​​kukuna UV mai ka lā mai, akā, mai nā kukui hana e like me nā moena tanning a kekahi poʻe e hoʻohana ai e hoʻomaikaʻi i ko lākou ʻili.

Hiki i kēia mau kukuna 'UV' ke hōʻino i nā ʻāpana ma ka papa luna o ko kākou ʻili, i kapa ʻia ʻo 'Keratinocytes'. Ke hoʻomau kēia hōʻino i ka hala ʻana o ka manawa, hoʻomaka kēlā mau ʻāpana e ulu ma ke ʻano ʻē. ʻO ia ka manawa e ʻike ʻia ai kēia mau kiko 'Actinic Keratosis'. E like me ka pala ʻana o ka mea kanu ke hoʻoinu nui ʻia, e hōʻino ʻia ko kākou ʻili ke hōʻike nui ʻia i nā kukuna 'UV'.

He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike ai?

ʻO ka pinepine, ʻo ka hōʻailona mua o Actinic Keratosis he puʻupuʻu ʻāʻī a piʻi aʻe paha ma ka ʻili. Hiki ke manaʻo ʻia he ʻāʻī, e like me ka pepa one ke hoʻopā ʻia. Hiki i kēia mau mea ke loaʻa i nā kala like ʻole:

• Kala hina
• Kala ʻākala
• ʻUlaʻula
• ʻO ke kala o ka ʻili like me kou, akā ʻoi aku ka paʻakikī.
• I kekahi manawa aia paha kekahi mea e like me nā unahi melemele a ʻeleʻele paha ma luna o kēia mau wahi.

Hiki i kēia ke ʻokoʻa ka nui mai kekahi mau milimita a i ʻelua kenimika . ʻIke pinepine ʻia lākou ma nā wahi i hōʻike pinepine ʻia i ka lā, e like me ka maka, nā pepeiao, ke poʻo, ka ʻāʻī, ke kua o nā lima, a me ka lae .

Hiki paha ke loaʻa nā hōʻailona ʻē aʻe:

• Ke kahe ʻana o ke koko mai kahi (ʻoi aku hoʻi mai ka vagina)
• Ke kuni, ʻūlū, a i ʻole ka ʻā ʻana ma ka wahi
• Nā lehelehe maloʻo a ʻōpala (i kapa ʻia hoʻi ʻo 'Actinic Cheilitis')
• I kekahi manawa hiki iā ʻoe ke ʻike i kahi ulu ʻili (kahi 'pepeiao ʻili') e puka aʻe ana i luna e like me ka pepeiaohao o ka holoholona .
• ʻOle ke kala o ka lehelehe
• ʻEha a palupalu paha ma ia wahi

Mea nui: Inā ʻike ʻoe i kahi kiko hou, puʻupuʻu, hoʻololi ʻana o ke kala, a i ʻole kekahi loli i kahi kiko e kū nei (e like me ka hoʻonui ʻia, hoʻololi ʻana o ke kala, a i ʻole ke kahe ʻana o ke koko) ma kou ʻili, mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka.

Pehea e ʻike pono ai ke kauka inā loaʻa kēia?

Inā he kānalua kou e pili ana i kahi mole e like me kēia, hiki iā ʻoe ke ʻike i kāu kauka ʻohana a i ʻole he kauka dermatologist .

ʻO ka maʻamau, hana ke kauka:

1. Ka nānā pono ʻana i ka ʻili: E nānā i ka ʻili o kou kino holoʻokoʻa, ʻoiai nā wahi i hōʻike ʻia i ka lā.

2. Ke hoʻohana ʻana i kahi aniani hoʻonui: I kekahi manawa hoʻohana ʻia ke aniani hoʻonui e ʻike maopopo i kahi kiko.

3. Biopsy ʻIli: KaukaInā he kānalua e pili ana i ka mole, a inā he ʻano ʻē paha ia, lawe ʻia kahi ʻāpana ʻili liʻiliʻi a hoʻouna ʻia i kahi keʻena hoʻokolohua e nānā ʻia ma lalo o kahi microscope. He mea maʻalahi loa kēia. Pili ia i kahi ʻano mae iki. ʻO kēia ka mea e hiki ai ke loaʻa kahi hōʻailona pololei .

He aha nā lāʻau lapaʻau no kēia?

ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau no Actinic Keratosis! Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau ma muli o ka helu o nā kiko i loaʻa iā ʻoe, ko lākou helehelena, a me ko lākou wahi.

Aia kekahi mau ʻano lapaʻau nui:

Nā lāʻau lapaʻau i hana ʻia ma ke keʻena o ke kauka:

• ʻO ka ʻili kemika : Ua like kēia me kahi pale maka pae lapaʻau. Hoʻopili kāu kauka i kahi kemika kūikawā i kou kīnā. Hana kēia ma ka luku ʻana i ka papa waho loa o nā ʻili ʻili. Hiki ke ʻulaʻula a ʻeha ka wahi no kekahi mau lā. Akā i ka wā e ho'ōla ai ka ʻili, puka mai ka ʻili hou a olakino.
• Cryotherapy: Hiki ke hoʻohana ʻia kēia ʻano hana inā he hoʻokahi a ʻelua paha mau ʻiole liʻiliʻi kou. Hoʻohana ke kauka i kahi mea anuanu loa, e like me ka naikokene wai, e hoʻopaʻahau i ka ʻiole. I loko o kekahi mau lā, e pehu ka ʻiole, e maloʻo, a e hāʻule.
• ʻOki ʻana: Ma kēia kaʻina hana, hoʻomāʻū mua ke kauka i ka wahi i loaʻa ai ka mole. A laila, e ʻoki ʻia ka mole, a e kau ʻia hoʻokahi a ʻelua paha mau humuhumu ma ia wahi. Hoʻōla ʻia ka ʻeha i loko o ʻelua a ʻekolu pule.
• Lapaʻau Photodynamic (PDT): Inā he nui kou mau kiko, a inā e hoʻi mau mai ana lākou me ka nānā ʻole i ka lāʻau lapaʻau, hiki i kāu kauka ke ʻōlelo aku i kēia lāʻau lapaʻau. Ma kēia lāʻau lapaʻau, ua hoʻopili ʻia kahi kirīmi kūikawā (he "mea hoʻopili photosensitizing") i nā kiko, a ma hope o kekahi mau hola, ua kau ʻia kahi kukui kūikawā ("kukui polū"" a i ʻole "kukui ʻulaʻula") ma luna o lākou. Hoʻopau kēia i nā hunaola pre-cancerous. Pono ʻoe e pale loa i ka lā no kekahi mau lā ma hope o kēia lāʻau lapaʻau.

Ka mālama ʻana ma ka home:

I kekahi manawa, inā he nui kou mau kiko, a inā he liʻiliʻi loa nā kiko a ʻike iki ʻia, hiki i kāu kauka ke kuhikuhi i nā kirīmi a i ʻole nā ​​gels e hoʻohana ma ka home. Pono e hoʻopili ʻia kēia mau mea i kēlā me kēia lā no kekahi mau mahina (a hiki i 4 mau mahina paha).

Eia kekahi mau laʻana:

• ʻO ka `Diclofenac skin gel ( Voltaren ® gel)` – He mea nui: ʻOiai ua loaʻa ka `Voltaren®` gel ma luna o ke kūʻai aku, ʻaʻole pono ʻoe e hoʻohana ia mea ma kāu iho ke ʻole ke ʻōlelo kūikawā ʻia e ke kauka no `(Actinic Keratosis)`.
• ʻO Fluorouracil, a i ʻole ka kirīmi ʻili 5-FU (Fluorac®)
• ʻʻImiquimod ʻili cream (Aldara® a i ʻole Zyclara®)''
• ʻO ka gel topical Ingenol mebutate (Picato®)

Hiki i kekahi poʻe ke ʻike i ka ʻulaʻula, ka wela, a i ʻole ka ʻili ʻana o ka ʻili i ka wā e hoʻopili ai i kēia mau kirīmi. Akā he ʻāpana ia o ka lāʻau lapaʻau. Inā loaʻa iā ʻoe kekahi ʻeha, e haʻi i kāu kauka .

ʻEhia ka lōʻihi e ola ai ma hope o ka lāʻau lapaʻau? Hiki iaʻu ke hoʻi hou mai?

E loli ka manawa ho'ōla ma muli o ka nui o nā kiko Actinic Keratosis i loaʻa iā ʻoe, ko lākou nui, a me ka lāʻau i loaʻa iā ʻoe. ʻO ka maʻamau, e aneane nalowale loa nā kiko ma kahi o 3 mau mahina ma hope o ka lāʻau.

Ma hope o ka nalo ʻana o nā kiko, he mea nui loa ia e ʻike i ke kauka no ka nānā ʻana i hoʻokahi a ʻelua paha i ka makahiki . Inā nāwaliwali kou ʻōnaehana pale maʻi, pono paha ʻoe e ʻike i ke kauka ʻili ʻehā a ʻelima paha manawa i ka makahiki.

ʻAe, hiki i ka Actinic Keratosis ke hoʻi hou mai, ʻoiai inā ʻaʻole ʻoe e hoʻomau i ka pale ʻana i kou ʻili mai ka lā. No laila, he mea nui e pale i kou ʻili mai ka lā i ka wā a ma hope o ka mālama ʻana.

ʻO ka mea nui loa! Pehea e pale aku ai i ka Actinic Keratosis?

ʻO kēia ka ʻāpana maikaʻi loa o kēia moʻolelo. Nui nā mea hiki iā kākou ke hana e pale aku ai i ka ulu ʻana o `(Actinic Keratosis)`. ʻO ka mea nui, ʻo ia ka hōʻemi ʻana i ka ʻike pono ʻole ʻia i nā kukuna `UV`.

Eia nā mea hiki iā ʻoe ke hana me ia:

• E hoʻopili i ka sunscreen i kēlā me kēia lā: Mai hoʻopoina i ka hoʻopili ʻana i ka sunscreen, ʻoiai i nā lā ao a i ʻole i ka hoʻoilo. E koho i kahi sunscreen me ka liʻiliʻi o SPF 30 (Sun Protection Factor) a ʻoi aku paha, a me kahi ākea ākea (ʻo ia hoʻi, kahi e pale ai i nā kukuna UVA a me UVB). E hoʻopili i 15-30 mau minuke ma mua o ka hele ʻana i waho, a e hoʻopili hou i kēlā me kēia ʻelua hola inā ʻoe e hou, ʻauʻau, a ʻauʻau paha.
• E pale i nā kukuna ikaika loa o ka lā: ʻO nā kukuna UV ka ikaika loa ma waena o 10 am a me 2 pm (ma kekahi mau wahi, 4 pm). E hoʻēmi i kou ʻike ʻana i ka lā i loko o ia mau hola e like me ka hiki.
• E pale i ka lā hana: Mai hoʻohana i nā mea e like me `(Tanning salons)`, `(sun lamps)`, `(tanning beds)`. Hoʻopuka pū lākou i nā kukuna `UV` ʻino.
• E ʻaʻahu i nā lole pale lā: E ʻaʻahu i nā lole lima lōʻihi, nā lole lōʻihi, ka pāpale ākea, a me nā aniani maka pale UV i nā manawa a pau e hiki ai.

Pono anei kākou e makaʻu i kēia kūlana?

He kūlana ka Actinic Keratosis e pono e noʻonoʻo ʻia, akā ʻaʻole ia he mea e hopohopo ai . I ka hapanui o nā hihia, hiki ke ho'ōla loa ʻia kēia mau kiko me ka mālama kūpono. Ma kahi o 90% o ka poʻe me Actinic Keratosis ʻaʻole i loaʻa i ka maʻi ʻili.

Akā, e hoʻomanaʻo, hoʻomaka ka hapa nui o nā maʻi ʻili ma ke ʻano he Actinic Keratosis. ʻO ia ke kumu ʻaʻole pono mākou e lawe māmā i kēia maʻi. ʻO ka wikiwiki o ka ʻike ʻia a me ka mālama ʻia ʻana, ʻo ka liʻiliʻi o ka hiki ke lilo i maʻi ʻaʻai.

Āhea ka manawa kūpono e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma kou ʻili, e ʻike pono i ke kauka:

• Inā he kahe koko kahi kiko ma ka ʻili, e pehu ana, e ʻā ana, a e maneʻo ana paha .
• Inā ʻike ʻoe i kahi ulu ma ka ʻili e puka mai ana e like me ka pepeiaohao holoholona .
• Inā ʻike ʻia nā ʻāpana hou, ʻā aʻe, ʻulaʻula, a unahi paha, a inā paha e loli nā mea e kū nei.

I ka ʻōlelo maʻalahi, inā ʻike ʻoe i kahi mea hou, kahi loli, a i ʻole kekahi mea kānalua ma kou ʻili, mai hoʻowahāwahā iā ia.

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Ke ʻike ʻoe i ke kauka, mai poina e nīnau i kēia mau nīnau:

• "E ke kauka, no ke aha i loaʻa ai iaʻu kēia `(Actinic Keratosis)`?"
• "He aha nā koho lapaʻau maikaʻi loa noʻu?"
• "He aha nā pilikia a i ʻole nā ​​hopena ʻaoʻao e hiki ai i kēia mau lāʻau ke hana?"
• "He aha nā pilikia e pono iaʻu e makaʻala ai?"
• "He aha kaʻu e hana ai ma hope o ka lāʻau lapaʻau, a pehea e mālama ai iaʻu iho?"
• "He aha kaʻu e hana ai i mea e pale aku ai i ka hana hou ʻana o kekahi mea e like me kēia?"

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAe, no laila, ʻo `(Actinic Keratosis)` kahi maʻi ʻili e pono ai ka mālama koke a me ka mālama ʻana . I ka hapanui o nā hihia, hiki ke ho'ōla ʻia kēia mau mea me ke ʻoki kino a i ʻole nā ​​mea hoʻonani. ʻO ka mea nui loa, ʻo ia ka pale ʻana i kou ʻili mai ka lā a me nā kukuna `UV` . A laila hiki iā ʻoe ke hōʻemi nui i ka pilikia o kēia maʻi.

Inā manaʻo ʻoe he Actinic Keratosis kou, e ʻoluʻolu e ʻike koke i ke kauka no ka ʻōlelo aʻo . ʻO ka wikiwiki o kou ʻimi ʻana i ka lāʻau lapaʻau, ʻoi aku ka haʻahaʻa o kou pilikia o ka loaʻa ʻana o ka maʻi ʻili. E mālama i kou ʻili, no ka mea, ʻo ia kāu waiwai nui loa!