Ua loaʻa koke anei iā ʻoe kahi puʻupuʻu liʻiliʻi ma kou kino i ʻulaʻula, pehu, a ʻeha ke pā? Hiki paha ke manaʻo he mehana iki. Hoʻowahāwahā ka poʻe he nui i kēia mau mea, akā he mea nui e ʻike i ke ʻano maoli o lākou, no ke aha lākou e hana ai, a i ka wā e hopohopo ai mākou no lākou. I kēia lā, e kamaʻilio mākou e pili ana i kēia mau puʻupuʻu piha i ka pus, a i ʻole e like me kā mākou e kapa nei iā lākou ma ke ʻano lapaʻau, 'abscesses.'
He aha maoli ka abscess?
I ka ʻōlelo maʻalahi, ʻo ka paila he puʻupuʻu e hana ʻia ma lalo o ko kākou ʻili i hana ʻia me ka pus, bacteria, a me nā ʻeleʻele make. Hiki ke ʻokoʻa ke kala mai ka poni a i ka ʻulaʻula ʻeleʻele. He palupalu a ʻeha hoʻi ke pā.
Hiki i kēia ke hana ma nā wahi āpau o ke kino. Akā, ʻike pinepine ʻia lākou a puni nā armpits, anus, a me ka vagina (no ka laʻana, kahi abscess o ke kelepaʻo Bartholin), ke kua haʻahaʻa (pilonidal abscess), ke aʻa o ka niho (dental abscess), a me ka ʻāpana groin. I kekahi manawa, ua ālai ʻia kahi follicle lauoho a ua maʻi ʻia, a ua kapa ʻia kēia mau paila he paila/furuncles.
ʻO ka mea nui, ʻaʻole e like me nā maʻi ʻē aʻe, ʻaʻole e hoʻōla pinepine kēia mau abscess me nā antibiotics wale nō. I mea e ho'ōla ai ka abscess, pono e wehe ʻia a pono e hoʻokahe ʻia ka pus i loko.
No ke aha e loaʻa ai iā kākou nā paila e like me kēia ma ko kākou kino?
E noʻonoʻo i ko kākou ʻili he pale pale no ko kākou kino. Ke haki kēia pale e kahi ʻoki liʻiliʻi, ʻeha, a ʻūlū paha, e maʻalahi ka bacteria mai ke kaiapuni e komo i loko o ke kino.
Hele mai nā hunaola pale o ko mākou kino (nā hunaola koko keʻokeʻo) i laila e hakakā i nā bacteria e komo mai ana. ʻO nā bacteria e make ana i kēia hakakā, nā hunaola o ke kino, a me nā hunaola koko keʻokeʻo e hui pū e hana i ka "pus." Hōʻiliʻili mālie kēia pus a hana i ke kaomi ma lalo o ka ʻili. Ma muli o kēia kaomi a me ka maʻi e ʻike ai mākou i ka ʻeha, ka ʻulaʻula, a me ka pehu.
I kekahi manawa hiki ke hana ʻia kēia ʻano e kahi poloka i loko o kahi ʻōpū hou, ka ʻōpū aila (sebaceous gland), a i ʻole ka follicle lauoho.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā paila?
ʻOiai hiki ke hana ʻia i kekahi kanaka, ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe. Hiki ke ʻoi aku ka koʻikoʻi o nā puʻupuʻu e ulu ana, ʻoiai hoʻi i ka poʻe me nā ʻōnaehana pale nāwaliwali. Pono ka poʻe me nā kūlana ma lalo nei e makaʻala loa i kēia.
| Kumu Hoʻopilikia | Wehewehena |
|---|---|
| Nā maʻi e hōʻemi ana i ka palekana | Nā kūlana e like me ka maʻi diabetes, ke kanesa, ka maʻi AIDS, a me ka maʻi sickle cell. |
| Lapaʻau i loaʻa | Ka hoʻohana lōʻihi ʻana i nā steroids a me ka chemotherapy no ka maʻi kanesa. |
| Nā pilikia olakino ʻē aʻe | ʻO ka maʻi o Crohn, ka colitis ulcerative, nā maʻi vascular peripheral. |
| Ka nohona a me ke kaiapuni | ʻO ka hoʻomaʻemaʻe pilikino maikaʻi ʻole, ka noho ʻana i kahi ʻāina lepo, nā lāʻau lapaʻau inikini, ka momona. |
Nā mea hiki ke hana ma ka home a me nā mea e pono ai ke mālama ʻia
Inā ʻoi aku ka liʻiliʻi o ka puʻupuʻu ma mua o 1 kenimika (ʻoi aku ka liʻiliʻi ma mua o ka hapalua ʻīniha), hiki iā ʻoe ke hoʻāʻo i kahi liʻiliʻi ma ka home.
- ʻŌmole wela: E hoʻomohu i kahi lole maʻemaʻe i loko o ka wai wela a kau i luna o ka paila no 20-30 mau minuke, ma kahi o 4 mau manawa i ka lā. Hiki i kēia wela ke hoʻonui i ke kahe koko, kōkua i ka paila e pohā koke a hoʻokuʻu i ka pehu.
Akā, mai hana ʻoe i kēia mau mea!
Mai ʻomi a ʻomi paha i ka paila. ʻO ka hana ʻana pēlā e hiki ai ke hoʻolaha hou aku i ka maʻi a hoʻonui i ke kūlana. Eia kekahi, mai hou i ka paila me nā mea ʻoi e like me nā nila a i ʻole nā pine. ʻO ka hana ʻana pēlā e hōʻino ai i kahi kīʻaha koko ma lalo a hoʻolaha paha i ka maʻi.
Āhea ʻoe e ʻike ai i ke kauka?
ʻAʻole holo pono nā lāʻau lapaʻau home i nā manawa a pau. I nā hihia aʻe, pono ʻoe e ʻike i kāu kauka. I kekahi mau hihia, pono paha ʻoe e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
| Hōʻailona a kūlana paha | He aha e hana ai |
|---|---|
| E ʻike i kāu kauka... | |
| Inā ʻoi aku ka nui o ka puʻupuʻu ma mua o 1 cm. | E ʻimi koke i ke kōkua lapaʻau. |
| Inā hoʻomau ka ulu ʻana o ka puʻupuʻu a i ʻole e hoʻonui ʻia ka ʻeha. | |
| Inā aia ka puʻupuʻu kokoke i ka anus, groin, a i ʻole ka ʻāpana genital. | |
| Inā he kuni kou. | |
| Inā ʻike ʻia ka paila e pālahalaha ana e like me nā kaha ʻulaʻula (he hōʻailona o ka laha ʻana o ka maʻi). | |
| E hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila... | |
| Inā loaʻa iā ʻoe ke kuni ma luna o 102°F (38.9°C) (ʻoi aku hoʻi inā loaʻa iā ʻoe kekahi maʻi mau a i ʻole ke lawe nei ʻoe i nā lāʻau steroids/anticancer). | He pilikia kēia a pono e hoʻokipa koke ʻia i ka haukapila. |
| Inā he laina ʻulaʻula e holo ana mai ka puʻu a i ka umauma a i ʻole inā he mau puʻu pehu (nodules) ma ka ʻāʻī/ʻāʻī. | |
| Inā he puʻupuʻu kou ma kou alo i ʻoi aku ka nui ma mua o 1 kenimika. | |
He aha ka lāʻau lapaʻau a ke kauka e hāʻawi ai?
Ke hele ʻoe i ke kauka, e nānā ʻo ia i ka abscess a, inā pono, e hoʻoholo e wehe i ka pus ma o kahi ʻoki liʻiliʻi. Ua kapa ʻia kēia ʻo `(Incision and Drainage - I&D)`. ʻAʻohe mea e hopohopo ai.
- ʻO ka mea mua, ua hoʻokomo ʻia kahi lāʻau hoʻomānoino a puni ka puʻupuʻu.
- A laila e hoʻomaʻemaʻe pono ʻia ka wahi me kahi hopena disinfectant.
- Ua hana ke kauka i kahi ʻoki liʻiliʻi a wehe i ka ʻaoʻao o lokoHoʻopau loa ʻia ka pus a me nā mea ʻē aʻe.
- Ma hope o ka wehe ʻana i ka pus, hiki iā ʻoe ke kau i kahi kāʻei liʻiliʻi (packing) i loko o ka ʻeha. Inā he pus i koe, e kōkua ia i ka hana ʻana i ala no ia e puka mai ai i waho.
- ʻO ka hope loa, ua uhi ʻia ka ʻeha me kahi kāʻei maʻemaʻe.
Ma hope o kēia lāʻau lapaʻau, nui ka poʻe e ʻike koke i ka hōʻoluʻolu mai ko lākou ʻeha. E hāʻawi paha ke kauka iā ʻoe i nā lāʻau antibiotic a me nā lāʻau hōʻeha ʻeha e lawe no kekahi mau lā.
He aha kāu e hana ai ma hope o ka mālama ʻana?
He mea nui loa ka hahai pono ʻana i nā kuhikuhi a kāu kauka. E haʻi aku ʻo ia iā ʻoe pehea e mālama ai i ka maʻemaʻe o ka ʻeha a pehea e hoʻololi ai i nā kāʻei. Mai poina e hahai i kāu kauka i nā manawa i hoʻonohonoho ʻia. Inā loaʻa iā ʻoe ke kuni, ka ʻeha nui, ka pehu ʻana, a i ʻole ka ʻulaʻula i ka ʻeha ma hope o ka mālama ʻana, e haʻi koke i kāu kauka.
ʻO ka maʻamau, me ka mālama kūpono, e ho'ōla loa ka ʻeha i loko o 10-14 mau lā.
Leka Lawe-Home
- He maʻi bacteria ka abscess, no laila he mea nui ka maʻemaʻe.
- Mai ʻomi i ka cyst a i ʻole e hou iā ia me kahi mea ʻoi. ʻO ka hana ʻana pēlā e hiki ai ke hoʻolaha i ka maʻi.
- Inā liʻiliʻi loa ka puʻupuʻu, hiki ke kōkua ka hoʻomoʻa ʻana i loko o ka wai mehana.
- Inā nui ka puʻupuʻu, ʻeha, loaʻa ke kuni, a aia paha ma kahi ʻāpana koʻikoʻi (maka, ʻūhā, anus) , e ʻike koke i ke kauka.
- ʻO ka lāʻau lapaʻau maikaʻi loa no ka hapa nui o nā paila, ʻo ia ke ʻoki iā lākou a wehe i ka pus (Incision and Drainage). ʻAʻohe pono e makaʻu i kēia.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo