Ua ʻike anei ʻoe he ʻeleʻele loa ka ʻili o kekahi poʻe ma ke kua o ko lākou ʻāʻī, nā ʻauwae, a me ka ʻūhā ma mua o nā wahi ʻē aʻe, me he mea lā ua uhi ʻia i ka lepo? Ua ʻike paha ʻoe i kēia iho. ʻAʻohe mea nui ka nui o ke kopa āu e hoʻohana ai a pehea kou holoi ʻana, ʻaʻole e nalowale kēia kala ʻeleʻele. ʻAʻole ia he lepo maoli. He maʻi ʻili i ʻike ʻia e ke kauka. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā.
He aha ka Acanthosis Nigricans?
I ka ʻōlelo maʻalahi, ʻo ka Acanthosis Nigricans kahi e lilo ai kekahi mau wahi o ko mākou ʻili, ʻoiai nā pelu o ka ʻili, i ʻeleʻele a ʻeleʻele paha. Lilo ka ʻili ma kēia mau wahi i mānoanoa iki a hiki ke ʻoluʻolu a palupalu ke pā. Kāhea pū mākou i kēia he ``(AN)`` no ka pōkole.
I ka ʻike pinepine ʻana i kēia mau kiko, manaʻo mākou, "Auē, ua lepo kēia, e holoi wale." Akā, ʻaʻole kēia he papa lepo. He loli kēia o ke kala o ka ʻili. No laila, ʻaʻole hiki ke wehe ʻia ma ka hamo ʻana me ke kopa.
Ma hea e ʻike pinepine ʻia ai kēia mau wahi?
ʻOiai hiki ke ʻike ʻia kēia mau kiko `(AN)` ma nā wahi āpau o ke kino, ʻike pinepine ʻia lākou ma kahi e pelu ai ka ʻili a i ʻole e hui pū ai. Eia kekahi laʻana:
- A puni ka ʻāʻī a me ke kua o ka ʻāʻī (ʻo ka mea maʻamau)
- Ma lalo o ka ʻāʻī
- I loko o ka ʻūhā
- I nā wahine, ma lalo o ka umauma
- I kekahi manawa hiki ke ʻike ʻia ma nā wahi e like me nā kuʻekuʻe lima a me nā kuli.
He maʻi lele anei kēia? He maʻi weliweli anei ia?
ʻO ka mea mua, ʻaʻole kēia maʻi e laha. ʻO ia hoʻi, ʻaʻole ia e laha mai kekahi kanaka a i kekahi kanaka, ma o ka hoʻopā ʻana a i ʻole kekahi ʻano ʻē aʻe. No laila, mai makaʻu i kēia.
ʻO ka lua o ka manaʻo, inā he mea weliweli kēia mau kiko ʻili. ʻOiaʻiʻo, ʻaʻole weliweli ke ʻano ʻili `(AN)`. ʻO ia hoʻi, ʻaʻole e hōʻeha nui kēia mau kiko iā ʻoe. Akā, ʻo ka mea nui loa, hiki i kēia mau kiko ke lilo i hōʻailona e hōʻike mai ana iā mākou e pili ana i kekahi pilikia olakino ʻē aʻe i loko o ko mākou kino. No laila, inā ʻike ʻoe i kahi kiko e like me kēia, ʻaʻole maikaʻi ke hoʻowahāwahā iā ia. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka a kamaʻilio e pili ana i kēia.
ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi? Aia kekahi pilina me ka maʻi diabetes?
Hiki i kekahi ke loaʻa i ka 'Acanthosis Nigricans (AN),' akā aia kekahi poʻe i kahi pilikia kiʻekiʻe.
- Momona: ʻO kēia ke kumu nui o ka pilikia. Ke piʻi ke kaumaha o ke kino , piʻi pū ka nui o ka insulin i loko o ke kino. ʻO kēia pae insulin kiʻekiʻe ke kumu nui e ulu koke ai nā hunaola ʻili a ʻeleʻele ka ʻili.
- Inā loaʻa i kekahi o ka ʻohana kēia ʻano: Hiki ke hana ʻia kēia ʻano e nā mana hoʻoilina.
- No ka poʻe me ka ʻili ʻeleʻele: Hiki ke ʻike maopopo ʻia kēia mau kiko i ka poʻe me ka ʻili ʻeleʻele.
ʻO ka pilina ma waena o ka maʻi diabetes a me AN
ʻO kēia ka nīnau nui loa a ka poʻe he nui. "ʻO ka ʻeleʻele o ka puʻu ke ʻano o ke kō?" Nīnau ka poʻe he nui.
ʻAe, aia kahi pilina ikaika ma waena o ka `(AN)` a me ka maʻi diabetes. Akā, ʻaʻole ia manaʻo he maʻi diabetes nā kānaka ʻeleʻele a pau.
E noʻonoʻo i kēia ʻano. Kōkua ka hormone insulin i nā ʻāpana o ke kino e omo i ke kō (glucose) mai ka meaʻai a mākou e ʻai ai. Ke piʻi ko mākou kaumaha, i kekahi manawa ʻaʻole pane pono kā mākou mau ʻāpana i kēia insulin. Kāhea mākou i kēia he kūʻē ʻana i ka insulin . A laila, no ka mea ʻaʻole hiki i ke kō ke komo i loko o nā ʻāpana, hana ko mākou kino i ka insulin hou aʻe. ʻO kēia pae insulin i hoʻonui ʻia i loko o ke koko ka mea e hoʻoulu ai i nā ʻāpana ʻili e māhele koke, e hoʻomānoanoa ai i ka ʻili a lilo i ʻeleʻele.
ʻO ke kū'ē ʻana o ka insulin kahi hiʻohiʻona koʻikoʻi o ka prediabetes a me ka maʻi diabetes mellitus type 2. No laila, hiki i ka `(AN)` ke lilo i hōʻailona mua koʻikoʻi e hōʻike ana i kou kino i ka pilikia o ka loaʻa ʻana o ka maʻi diabetes.
No ke aha e ʻike ʻia ai kēia mau kiko ʻili? He aha nā kumu?
Ma waho aʻe o ke kū'ē ʻana o ka insulin a mākou i kūkākūkā ai ma mua, hiki i kekahi mau kumu ʻē aʻe ke kōkua i ka ulu ʻana o `(AN)`. E nānā kākou i kēia papa o nā kumu.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Nā pae insulin kiʻekiʻe | Hiki ke hana ʻia ka momona e ka prediabetes a i ʻole ka maʻi diabetes. ʻO kēia ke kumu maʻamau. |
| Nā ʻano hoʻoilina | Inā loaʻa kēia maʻi i kou ʻohana, aia nō hoʻi ʻoe i ka pilikia o ka loaʻa ʻana. |
| Kekahi mau lāʻau lapaʻau | Hiki ke hana ʻia e kekahi mau lāʻau lapaʻau, e like me nā pila hoʻomalu hānau, nā steroids, a me ka hormone ulu. |
| Nā maʻi e pili ana i ka hormone | Hiki ke hana ʻia e nā hemahema hormonal e like me ka maʻi thyroid a me ka maʻi ʻo Addison. |
| Ka maʻi ʻaʻai (kākaʻikahi loa) | He mea kākaʻikahi loa, ʻoiai inā ʻike koke ʻia kēia mau kiko, hiki ke lilo i hōʻailona o ka maʻi kanesa i loko o ke kino. No laila e makaʻala i nā loli koke. |
He aha nā hōʻailona o kēia maʻi?
ʻO ka hōʻailona nui ka loli o ke kala o ka ʻili, akā aia kekahi mau mea ʻē aʻe hiki iā ʻoe ke ʻike pū me ia.
| Hōʻailona | Pehea kona manaʻo/ke nānā aku? |
|---|---|
| Nā wahi ʻeleʻele | Hiki ke ʻokoʻa ka ʻili mai ka ʻeleʻele māmā a i ka ʻeleʻele ʻeleʻele. |
| ʻIli velvet | Ke hoʻopā ʻoe i ka wahi i loaʻa ai kēia mau kiko, ʻoi aku ka mānoanoa, ka palupalu, a me ka laumania ma mua o ka ʻili maʻamau. |
| Nā lepili ʻili | Hiki ke ʻike ʻia nā ʻili liʻiliʻi ma kēia mau wahi ʻeleʻele. |
| ʻĀnai | Hiki i kekahi poʻe ke ʻike i ka maneʻo iki ma kēia mau wahi. |
| He ʻala ʻino | Hiki i ka hou ke hōʻiliʻili i kekahi manawa ma nā wahi i pelu ai ka ʻili, e hana ana i kahi ʻala ʻoluʻolu ʻole. |
He mea nui: Hoʻomaka mālie kēia mau kiko, i nā mahina, i kekahi manawa he mau makahiki. Akā inā ʻike koke ʻia kēia mau kiko ma kou ʻili, mai hoʻowahāwahā iā lākou. E ʻike koke i ke kauka.
E ke kauka, pehea ʻoe e ʻike ai i kēia? He aha ka lāʻau lapaʻau?
Ke hele ʻoe e ʻike i ke kauka e pili ana i kēia, e hana ʻo ia i kekahi mau hana e ʻike pono ai i ke ʻano o ia mea.
Pehea e hiki ai i ke kauka ke hōʻoia i kēia?
1. Hoʻokolokolo: ʻO ka mea mua, e nānā pono ke kauka i nā wahi ma kou ʻili kahi i loaʻa ai kēia mau kiko. ʻO ka maʻamau, hiki ke ʻike ʻia ka `(AN)` ma ke ʻano.
2. Ke nīnau nei iā ʻoe no nā kikoʻī: Ke nīnau nei iā ʻoe i nā mea e like me inā he maʻi kēia i loaʻa i kekahi o kou ʻohana, nā lāʻau lapaʻau āu e lawe ai, a inā ua loli kou kaumaha.
3. Nā hoʻāʻo koko: Inā manaʻo ʻoe ʻo ka maʻi diabetes ke kumu, e noi ʻia ʻoe e hana i kahi hoʻāʻo koko e nānā i kou kō koko a me nā pae insulin.
4. Biopsy ʻIli: He mea kākaʻikahi loa, inā ʻaʻole maopopo ka hōʻailona, hiki ke lawe ʻia kahi ʻāpana ʻili liʻiliʻi loa a hoʻouna ʻia no ka hoʻokolokolo ʻana ma lalo o kahi microscope.
He aha nā lāʻau lapaʻau?
ʻO ka mea nui a kākou e pono ai e hoʻomaopopo ma ʻaneʻi, ʻo ka mālama ʻana i ka `(AN)` ʻaʻole ia he manaʻo e mālama wale i nā kiko ʻili, akā, ʻo ka mālama ʻana i ke kūlana olakino i hoʻokumu ai iā lākou.
- Pohō kaumaha: ʻO kēia ka lāʻau lapaʻau maikaʻi loa a maikaʻi loa no kēia. Inā loaʻa iā ʻoe ka AN ma muli o ke kaumaha nui, ʻo ka pohō kaumaha ma o ka ʻai kūpono a me ka hoʻoikaika kino e kōkua i ka hoʻomalu ʻana i kāu mau pae insulin a hoʻēmi mālie i nā kiko ʻeleʻele ma kou ʻili. Hiki paha ke nalo loa aku.
- Ke mālama ʻana i ke kūlana kumu: Inā hana ʻia ʻo AN e kahi kūlana e like me ka maʻi diabetes a i ʻole nā pilikia thyroid, ʻo ka mālama pono ʻana i kēlā kūlana e hoʻomaikaʻi pū i ke kūlana ʻili.
- Ke hoʻōki ʻana a i ʻole ka hoʻololi ʻana i nā lāʻau lapaʻau: Inā hana ʻia kēia ʻano e kekahi lāʻau lapaʻau, hiki iā ʻoe ke kamaʻilio me kāu kauka a ʻike inā hiki ke hoʻololi ʻia ka lāʻau lapaʻau.
Ma waho aʻe o kēia mau lāʻau lapaʻau maʻamau, hiki i kāu kauka ke ʻōlelo i kēia mau mea e hoʻomaikaʻi ai i ke ʻano o kou ʻili:
- Nā kirimina hoʻomālamalama ʻili (Nā kirimina i kauoha ʻia)
- ʻO ka lāʻau lapaʻau laser a i ʻole dermabrasion e hōʻemi i ka mānoanoa o ka ʻili
- ʻO nā kirīmi a i ʻole nā pila e loaʻa ana nā retinoids, e kōkua i ka hoʻomālamalama ʻana i ka ʻili
ʻŌlelo Aʻo: Mai hele i ka hale kūʻai lāʻau lapaʻau a i ʻole ka hale kūʻai a hoʻopili i kekahi kirīmi āu e makemake ai me ka ʻole o ka nīnau mua ʻana i ke kauka. Hiki i kekahi mau kirīmi ke hoʻonāukiuki i kou ʻili a hoʻonui i ke kūlana.
Hiki ke pale ʻia kēia kūlana?
ʻAe, hiki loa ia. ʻOiai ʻo nā kumu nui o (AN) he momona a me ke kū'ē ʻana o ka insulin, ʻo ke ala maikaʻi loa e pale aku ai, ʻo ia ke kāohi ʻana i kēlā mau kūlana.
- E mālama i ke kaumaha olakino.
- E kāohi i nā meaʻai kiʻekiʻe i ke kō a me nā kalapona (palaoa, laiki, mea inu ʻono).
- E hoʻoikaika kino i kēlā me kēia lā.
- Inā loaʻa iā ʻoe kahi maʻi e like me ka maʻi diabetes, e kaohi pono iā ia.
ʻOiai ʻaʻole kēia kūlana he mea weliweli, he leka koʻikoʻi ia a ko mākou kino e hāʻawi mai nei iā mākou. Ma ka hoʻomaopopo ʻana i kēlā leka a me ka hoʻololi ʻana i ko mākou nohona, hiki iā mākou ke pale iā mākou iho mai ka `(AN)` wale nō, akā, mai nā maʻi koʻikoʻi like ʻole e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me nā maʻi puʻuwai. No laila, inā ʻike ʻoe i kēlā ʻano loli i kou ʻili, mai kānalua e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- ʻAʻole lepo nā ʻāpana ʻeleʻele a palupalu e kū mai ana ma ka ʻāʻī a me nā ʻāʻī. He maʻi ʻili lākou i kapa ʻia ʻo Acanthosis Nigricans (AN) .
- ʻAʻole kēia he mea laha. Eia nō naʻe, hiki ke lilo i hōʻailona o kahi pilikia olakino ma lalo, e like me ka prediabetes a i ʻole ka maʻi diabetes.
- ʻO ka lāʻau lapaʻau maikaʻi loa no kēia, ʻo ia ka mālama ʻana i ke kumu kumu. Inā momona loa ʻoe, he mea nui loa ka hoʻēmi ʻana i ke kaumaha.
- Mai hoʻopili i kekahi kirīmi āu e makemake ai ma kēia mau wahi me ka ʻole o ke aʻo ʻana a ke kauka. Hiki iā ia ke hōʻino i ka ʻili.
- Inā ʻike koke ʻia kēia mau kiko me ka wikiwiki , e ʻike koke aku i ke kauka me ka hoʻokaʻulua ʻole.
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