Ua noʻonoʻo paha ʻoe i ke ʻano kupaianaha o ka hana ʻana o kou ʻili? ʻAʻole wale ko kākou ʻili he uhi no ko kākou kino. He ʻano paʻakikī a koʻikoʻi hoʻi ia. Hana ʻia ko kākou ʻili i ʻekolu papa nui. I kēia lā e kamaʻilio kākou e pili ana i ka mea nui loa o kēia mau papa, ʻo ia ka papa waena. Kāhea mākou iā ia ʻo ka dermis . I kekahi manawa ua kapa ʻia ʻo ia ʻo corium , he huaʻōlelo Latina ia e manaʻo ana he "ʻili."
He aha ka dermis? I ka pōkole...
I ka ʻōlelo maʻalahi, ʻo ka papa waena o kou ʻili ka dermis. ʻO ka papa luna i kapa ʻia ʻo epidermis, a ʻo ka papa lalo i kapa ʻia ʻo hypodermis. No laila, aia ka dermis ma waena o ka papa luna a me ka papa lalo.
E noʻonoʻo e like me kahi sanwika. ʻO ka ʻāpana berena luna ka epidermis, ʻo ka ʻāpana lalo ka hypodermis. ʻO ka hoʻopiha ʻono ma waena ka dermis. I loko o kēia dermis, aia ʻelua mau papa ʻē aʻe o kā lākou iho. E nānā pū kākou i kēlā.
He aha nā papa ʻelua o ka dermis?
ʻAe, ʻaʻole kēia dermis he papa hoʻokahi. Aia ʻelua mau ʻāpana ʻē aʻe i loko. ʻO lākou kēia:
1. Dermis Reticular - ka papa lalo
ʻO kēia ka ʻāpana mānoanoa loa o ka dermis, ma lalo pono. Ua like ia me ke kahua o kahi hale. Aia i loko o kēia kahi i loaʻa ai nā mea he nui i ko mākou ʻili.
- Nā kīʻaha koko: ʻO kēia nā mea e lawe mai i ka meaʻai e pono ai i ka ʻili.
- Nā ʻōpū: Nā mea e like me nā ʻōpū hou, nā ʻōpū sebaceous (nāna e hana i ka ʻaila).
- Nā follicle lauoho: ʻO kēia kahi e ulu ai ka lauoho o ko mākou kino.
- Lymphatics: Pili i ka ʻōnaehana pale.
- Nā aʻalolo: Hāʻawi kēia i ka manaʻo.
- Nā hunaola momona.
Ua puni ʻia kēia dermis reticular e kahi pūnaewele o nā olonā elastin a me ke collagen. E noʻonoʻo i kēia ʻano: ua like ka elastin me ke kaula laholio, a ua like ka collagen me ke kaula ikaika. Hāʻawi kēia mau mea ʻelua i ko mākou ʻili i kona ikaika a me ka maʻalahi. ʻAe kēia mau mea ʻelua iā mākou e hohola a hohola i ko mākou ʻili.
2. Papillary Dermis - Papa luna
ʻO kēia ka papa lahilahi iki ma luna o ka dermis. ʻOi aku kona mānoanoa ma mua o ka reticular dermis. He nui kāna mau hana koʻikoʻi:
- Nā olonā kolakena.
- Nā pūnaewele Fibroblast: ʻO kēia nā pūnaewele e kōkua i ka hana ʻana i nā mea e like me ke collagen.
- Nā hunaola momona.
- Nā puka capillary: Kōkua i ka hānai ʻana i ka epidermis.
- Nā olonā aʻalolo.
- Nā mea hoʻopā (e like me Meissner corpuscles): kōkua iā mākou e ʻike i ka hoʻopā.
- Nā pūnaewele e hakakā ana i nā bacteria (phagocytes): E like me nā kiaʻi ma ko mākou ʻili.
Hoʻolōʻihi kēia papillary dermis i ka papa lalo o ka epidermis. Hoʻopili ʻia kēia mau papa ʻelua kekahi i kekahi e like me nā manamana lima o ko mākou mau lima i hoʻopaʻa ʻia . ʻO ia ke kumu he pilina ikaika ma waena o ka papa o luna a me ka papa waena.
No laila he aha ka ʻokoʻa ma waena o ka dermis a me ka epidermis?
I kēia manawa ua loaʻa iā ʻoe kahi manaʻo iki e pili ana i kēia mau papa ʻelua, e wehewehe hou aku kākou.
- ʻEpidermis: ʻO kēia ka papa waho loa a lahilahi loa o ko kākou ʻili. Ua like ia me ko kākou lole. Mālama ia i ko kākou kino i ka wai, hana i nā hunaola ʻili hou, a pale iā kākou mai nā pōʻino o waho (e like me nā ʻoki, nā ʻōpala, a me nā germs). ʻO ia hoʻi kahi e hana ʻia ai ka melanin e hāʻawi ana i ko kākou ʻili i kona kala.
- ʻO Dermis: ʻO kēia ka papa waena a mānoanoa loa o ka ʻili . ʻOi aku kona mānoanoa ma mua o ka epidermis. Loaʻa iā ia ka collagen a me ka elastin, nā mea e hāʻawi i ka ʻili i kona ikaika, mānoanoa, a me ke ʻano kākoʻo.
E noʻonoʻo, inā ua like ka epidermis me ka hale o ka hale, ʻo ka dermis nā paia a me nā pou e hoʻopaʻa pū ana i kēlā hale.
Aia nā ʻiʻo hoʻohui, nā hopena aʻalolo, nā kelepa hou, nā kelepa ʻaila, a me nā follicle lauoho i loko o ko kākou ʻili i loko o ka dermis. ʻO ke ʻano kēia, aia ka hapa nui o nā "mea hana" o ka ʻili ma ʻaneʻi.
He aha nā lawelawe a ka dermis e hāʻawi ai i ko mākou kino?
Hana pū nā papa āpau o ko kākou ʻili e pale i ko kākou kino. Ma waena o lākou, he nui nā hana kūikawā o ka dermis. E nānā:
- Kākoʻo i ka Epidermis: Hāʻawi ka dermis i ke kākoʻo maikaʻi i ka papa luna ma muli o kona ʻano ikaika a me ka elasticity. Eia kekahi, lawe nā kīʻaha koko i loko o ka dermis i nā meaʻai e pono ai i ka epidermis.
- Hāʻawi ia iā mākou e ʻike i nā ʻano manaʻo like ʻole: ʻO nā hopena aʻalolo i loko o ka dermis ka mea e ʻae ai iā mākou e ʻike i nā mea e like me ke kaomi, ka ʻeha, ka wela, ke anu, a me ka maneʻo . E noʻonoʻo e pili ana i ia mea, ʻeha kahi nahu namu, anuanu kahi pahu hau - hele mai kēia mau hōʻailona a pau mai ka dermis.
- Hoʻopuka ʻia ka hou: Ke hou nei ʻoe i ka wā e wela ai ʻoe a i ʻole ke kaumaha? Hoʻopuka ʻia kēlā hou e nā ʻōpū hou i loko o ka dermis. Ke hou mākou, ʻo kā mākouHoʻokele ʻia ka mahana o ke kino (thermoregulation) .
- Mālama i ka ʻili i ka maʻū: Loaʻa i ka dermis nā kelepa sebaceous . Hoʻokuʻu kēia i kahi mea ʻaila i kapa ʻia ʻo sebum . ʻO kēia sebum ka mea e mālama ai i ko mākou ʻili a me ka lauoho i ka maʻū a me ka ʻālohilohi, me ka ʻole o ka hoʻomaloʻo ʻana iā lākou.
- Hana ʻia ka lauoho: Hana ʻia ka lauoho mai nā follicle lauoho i loko o ka dermis, kokoke i nā wahi āpau o ke kino koe wale nō nā poho lima a me nā kapuwaʻi o ko mākou mau wāwae.
Pehea e kōkua ai ka dermis i nā ʻāpana ʻē aʻe?
Me nā papa ʻē aʻe o ka ʻili, pale ka dermis i ko mākou ʻōnaehana iwi, nā ʻōpū o loko, nā ʻiʻo, a me nā ʻiʻo mai ka pōʻino o waho, e like me ka pūpū pale.
Aia ma hea ka dermis? Pehea kona nui? He aha ka mea i hana ʻia ai?
E like me kā mākou i ʻōlelo ai ma mua, ʻo ka dermis ka papa waena o ka ʻili, aia ma waena o ka epidermis a me ka hypodermis.
ʻOkoʻa ka mānoanoa o kēia mai kēlā wahi a i kēia wahi ma ke kino. No ka laʻana, he lahilahi loa ia ma nā lihilihi maka, ma kahi o 0.6 millimeters . Akā ma ke kua, hiki ke ma kahi o 4 millimeters ka mānoanoa .
Ua hana nui ʻia ka dermis me nā ʻiʻo i loaʻa nā kīʻaha koko he nui. Loaʻa pū kekahi:
- Kolakena
- ʻElastina
- He wai moakaka e like me ka jelly (mea i wili ʻia) e hoʻopiha ana i nā hakahaka ma waena o nā pūnaewele a me nā olonā.
- ʻO nā ʻano kelepa like ʻole e like me nā kelepa hou a me nā kelepa sebaceous.
- Nā ʻōpū lauoho .
Aia kekahi mau maʻi e hoʻopilikia ana i ka dermis?
ʻAe, ʻoiaʻiʻo nō. Nui nā ʻano maʻi like ʻole e hiki ke hoʻopilikia i ka dermis. Eia kekahi mau laʻana:
- ʻO ka maʻi ʻo Ehlers-Danlos: He ʻano genetic kēia e hoʻopilikia ai i ka ʻili, nā hono, a me nā kīʻaha koko.
- Urticaria / Hives: He ʻano e ʻike koke ʻia ai kahi ʻulaʻula, maneʻo, a piʻi aʻe nā puʻupuʻu ma ka ʻili.
- Marfan syndrome: He ʻano genetic kēia e hoʻopilikia ai i ka ʻiʻo pili.
- ʻO ka melanoma dermal mua: He ʻano maʻi ʻili weliweli.
- ʻO ka elastosis o ka lā: Ka hōʻino ʻana i ka ʻili i hana ʻia e ka lōʻihi o ka hoʻomālamalama ʻana i ka lā.
- ʻO ka sclerosis ʻōnaehana (scleroderma): He maʻi kahi e mānoanoa ai a paʻakikī ai ka ʻili.
- Nā puʻupuʻu: Aia nā ʻano puʻupuʻu like ʻole e hiki ke kū ma ka ʻili.
He aha nā ʻano maʻamau o kēia ʻano pilikia dermis?
Eia kekahi mau hōʻailona maʻamau e hiki ke kū mai i nā kūlana e pili ana i ka dermis:
- ʻO ka extravasation ka liki ʻana o ke koko a i ʻole kekahi wai ʻē aʻe mai nā aʻa a i ʻole nā capillaries i loko o nā ʻiʻo .
- Nā loli i loko o nā iwi, nā maka, nā māmā, ka ʻili, ka puʻuwai, a me nā kīʻaha koko .
- Nā ʻāpana ʻeleʻele a ʻānai hoʻi ma ka ʻili.
- ʻO ka maʻamau, he ʻeha maʻalahi .
- Ka hypermobility o nā hono .
- He laumania loa ka ʻili, lahilahi, a ʻoi aku ka palupalu ma mua o ka maʻamau .
- Ka pehu ʻana o nā ʻiʻo .
- Nā wahi e like me ka eczema (Welts) .
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.
He aha nā hoʻokolohua e hana ʻia e nānā i ke olakino o ka dermis?
Hana nā kauka i nā hoʻokolohua like ʻole e hoʻoholo ai inā he pilikia me ka dermis. ʻO kekahi o lākou:
- Ka hoʻāʻo ʻana i ka genetics: Hiki i kēia ke kōkua i ka ʻike ʻana i kekahi mau kūlana (e like me ka Ehlers-Danlos syndrome).
- Biopsy ʻili: Lawe ʻia kahi ʻāpana ʻili liʻiliʻi a nānā ʻia ma lalo o kahi microscope e nānā i ka maʻi, ka maʻi ʻaʻai, a i ʻole ke kanesa.
- ʻO ke kiʻi ʻana o Magnetic Resonance Imaging (MRI): Hiki ke hoʻohana ʻia e nānā i nā ʻōpū kanesa, e like me melanoma, ma ka lolo a i ʻole ke kaula kuamoʻo.
- ʻO ke kiʻi ʻana o ka Positron Emission Tomography (PET): Kōkua kēia i ka ʻike ʻana inā ua pālahalaha ke kanesa i nā lymph nodes a i ʻole nā ʻāpana ʻē aʻe o ke kino mamao loa mai ke kahua mua.
He aha nā lāʻau lapaʻau no nā maʻi o ka dermis?
Eia kekahi mau lāʻau lapaʻau no nā kūlana e hoʻopilikia ana i ka dermis:
- Corticosteroids: He ʻano lāʻau lapaʻau kēia e hōʻemi ana i ka mumū a me ka hōʻino ʻana o nā ʻiʻo. Hiki ke hāʻawi ʻia iā lākou ma ke ʻano he kirīmi a i ʻole nā pila.
- Nā kāpili ʻili: Hoʻohana ʻia kēia kaʻina hana e mālama i ka ʻili i hōʻino ʻia i hiki ʻole ke ho'ōla iā ia iho. Hiki iā ia ke kōkua i ka poʻe me ka hōʻino nui o ka ʻili mai nā mea e like me ke kuni ʻana, nā maʻi ʻino, a me nā ʻōpū.
- Nā pani ʻili: ʻO kēia mau mea e komo pū me nā allografts, xenografts, a i ʻole ka ʻili synthetic i hana ʻia mai nā molekala a me nā polymers ʻaʻole biological. He mea pono kēia no ka poʻe me nā ʻeha ʻili hohonu, nā kuni, a me nā maʻi.
Nā mea maʻalahi hiki iā mākou ke hana e mālama i ke olakino o ka dermis: ʻO ka mea hiki iā mākou ke hana!
I kēia manawa ua ʻike ʻoe i ke koʻikoʻi o ka dermis. No laila, pono mākou e hana ikaika iki e mālama i kona olakino. Eia kekahi mau mea maʻalahi hiki iā ʻoe ke hana:
- E hoʻokumu i nā ʻano mālama ʻili maikaʻi:
- E inu ma ka liʻiliʻi he 8 mau kīʻaha wai i ka lā. He mea nui loa ia e hoʻomaʻū i ke kino mai loko mai.
- E hoʻohana i nā kopa a me nā mea hoʻomaʻemaʻe palupalu ʻaʻole ia e hōʻino i ka ʻili.
- Ma hope o ka ʻauʻau ʻana a i ka wā e pono aiE hoʻopili i kahi moisturizer .
- E hahai i nā ʻōlelo a kāu kauka.
- E mālama pono i nā ʻeha:
- ʻOiai inā he ʻeha liʻiliʻi, e holoi me ka wai maʻemaʻe a me ke kopa e pale aku ai i ka maʻi.
- A laila, e hoʻopili i kahi liʻiliʻi o ka petroleum jelly (Vaseline™) a i ʻole ka ʻaila ʻili (Aquaphor™) i ka ʻeha me kahi pōpō pulupulu a uhi iā ia me kahi kāʻei maʻemaʻe. E kōkua kēia i ka pale ʻana i ka lepo a me ka bacteria mai ke komo ʻana.
- E pale iā ʻoe iho mai ka pōʻino o ka lā:
- ʻO ka lōʻihi o ka hoʻomālamalama ʻana i ka lā e hōʻino i ka ʻili . Hoʻopilikia pū kēia i ka dermis, hoʻolalelale i ka ʻelemakule ʻana o ka ʻili, a hoʻonui i ka pilikia o ka maʻi ʻaʻai ʻili.
- Ke hele ʻoe i waho i ka lā, e hoʻohana i ka sunscreen me ka liʻiliʻi he SPF 30 .
- E ʻaʻahu i nā lole e uhi ana i ka ʻili e like me ka hiki (e like me nā lole lima lōʻihi a me nā pāpale).
E hoʻomanaʻo, ua like kou dermis me ka puʻuwai o kou ʻili. ʻOiai kahi hoʻoikaika liʻiliʻi e mālama i kona olakino hiki ke loaʻa ka hopena nui i kou olakino holoʻokoʻa!
No laila, ʻoiai ʻo ka dermis ka papa waena o ko kākou ʻili, ʻaʻole ia he mea liʻiliʻi ka lawelawe āna e hana ai, ʻeā? Mai ka pale ʻana iā kākou mai ke ao waho, a hiki i ka hāʻawi ʻana iā kākou i nā manaʻo, a hiki i ka hoʻoponopono ʻana i ka mahana o ko kākou kino ma o ka hou ʻana, kōkua kēia dermis iā kākou. No laila, ʻo ko kākou kuleana ke mālama iā ia. Hiki iā kākou ke mālama i ko kākou dermis olakino ma ka hana ʻana i nā mea maʻalahi e like me ka inu ʻana i ka wai he nui, ka mālama pono ʻana i nā ʻeha, a me ka pale ʻana iā kākou iho mai ka lā.
ʻIli , dermis, epidermis, nā papa ʻili, collagen, elastin, olakino ʻili, dermatology











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