Ua ʻā ʻia kou mau lehelehe e ka lā a ua ʻeleʻele ke kala? ʻO Actinic Cheilitis anei kēlā?

Ke maloʻo pinepine nei kou mau lehelehe, māwae, a i kekahi manawa e ʻili ana? Manaʻo paha ʻoe i kekahi manawa e ʻoi aku ka ʻino o kēia ʻano ke hele ʻoe i waho i ka lā? A laila he mea nui paha kēia iā ʻoe. I kēia lā, e kamaʻilio mākou e pili ana i ka 'Actinic Cheilitis', kahi ʻano e kū nei a puni nā lehelehe a pono e nānā iki ʻia.

I ka ʻōlelo maʻalahi, he aha ka actinic cheilitis?

He maʻi precancerous ka Actinic Cheilitis. ʻO ia hoʻi, inā ʻaʻole mālama pono ʻia, hiki iā ia ke lilo i maʻi ʻili i ka wā e hiki mai ana. ʻO ke kumu nui o kēia maʻi ʻo ka lōʻihi o ka hoʻolaha ʻana o nā lehelehe i ka lā, ʻoiai hoʻi nā kukuna ultraviolet ʻino o ka lā. ʻIke pinepine ʻia ma ka lehelehe lalo. Ua ʻike paha ʻoe i kekahi poʻe nona nā lehelehe i ʻoʻoleʻa, ʻili, a hoʻololi i ke kala. ʻO ia nā hōʻailona like i ʻike ʻia ma kēia hihia.

Ua kapa ʻia kēia ma nā inoa ʻē aʻe, e like me:

• ʻO ke Cheilosis Actinic
• Lehelehe o ka Mahiʻai
• Lehelehe o ka Luina
• ʻO ka Cheilitis o ka Lā

ʻO "Cheilitis" ke ʻano o "ka mumū o nā lehelehe." ʻO ka actinic cheilitis kahi ʻano o kahi maʻi i kapa ʻia ʻo actinic keratosis. ʻO ka actinic keratosis kahi maʻi precancerous e hiki ke ulu ma nā wahi āpau o ka ʻili. I ka hala ʻana o ka manawa, hiki i kēia mau mea ke ulu i loko o kahi ʻano maʻi ʻili i kapa ʻia ʻo squamous cell carcinoma (SCC) . ʻO ia ke kumu he mea nui e makaʻala i kēia.

ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?

I kēia manawa, e nānā kākou i ka mea i ʻoi aku ka paʻakikī ke loaʻa i kēia maʻi i kapa ʻia ʻo Actinic Cheilitis. ʻOiaʻiʻo, hiki i kekahi ke loaʻa iā ia. Eia nō naʻe, aia kekahi poʻe i kahi pilikia kiʻekiʻe iki.

• No ka poʻe me ka ʻili keʻokeʻo: Inā keʻokeʻo loa kou kala ʻili, ʻo ia hoʻi, ʻoi aku ka liʻiliʻi o ka melanin, ka pigment e hāʻawi ai i kou ʻili i kona kala, ʻoi aku ka maʻalahi o kou mau lehelehe i ka lā.
• No nā kāne: ʻOiai ʻo ka hana pinepine ʻana o nā kāne ma waho (e noʻonoʻo i kahi mahiʻai, kahi limahana awa, kahi limahana kūkulu hale), ua ʻike nui ʻia lākou i ka lā. ʻAʻole hoʻi lākou e hoʻohana i ka lip balm me ka sunscreen e pale i ko lākou mau lehelehe mai nā kukuna o ka lā.
• Nā kānaka ma luna o 65: ʻOi aku ka nui o ka pilikia o ka poʻe o kēia makahiki ma muli o ka ʻike ʻana i ka lā i ko lākou ola holoʻokoʻa.
• No ka poʻe e hana ana ma waho: E like me ka mea i ʻōlelo ʻia ma mua, ʻo ka poʻe e like me nā luina, nā mahiʻai, nā kiaʻi ola, a me ka poʻe e hana ana ma ke kahua kūkulu hale e hōʻike mau ʻia ana i ka lā.
• No ka poʻe e noho kokoke ana i ka equator a i ʻole ma nā wahi mauna kiʻekiʻe: ʻOi aku ka ikaika o nā kukuna o ka lā ma kēia mau wahi.
• ʻO ka poʻe me nā ʻano ʻokoʻa o ka pigmentation ʻili: No ka laʻana, ʻo ka poʻe me kahi kūlana hānau e hoʻoulu ai i ka pigmentation ʻili liʻiliʻi loa, e like me ka albinism, ua pilikia pū kekahi.

No ke aha lā kēia e hana nei? He aha ke kumu?

ʻAe, i kēia manawa e nānā kākou i ke kumu o kēia actinic cheilitis. ʻO ke kumu nui a hoʻokahi wale nō no kēia, ʻo ia nā kukuna ultraviolet ʻino mai ka lā, ʻo ia hoʻi, `(nā kukuna UV)`. Ma muli o kēia mau kukuna, ua `(hōʻino ʻia nā ʻili o ko kākou mau lehelehe)` genetically.

Ua ʻike anei ʻoe he lahilahi loa ka ʻili ma nā lehelehe ma mua o ka ʻili ma ke koena o ko kākou kino? Eia kekahi, ʻoi aku ka liʻiliʻi o ka melanin i loko o ka ʻili ma nā lehelehe. Mālama kēia pigment i nā cell mai ka lā. No laila, no kēia mau kumu , lilo nā lehelehe i mea maʻalahi loa i ka lā. ʻO ka hoʻomau ʻana o ka lā i ka lā no ka manawa lōʻihi ke kumu nui o kēia ʻano. E like me ka hāʻule ʻana o kahi kulu wai ma kahi hoʻokahi e hoʻopau pinepine ana i kahi pōhaku. No laila, inā ʻoe e hana ana i ka lā a i ʻole he kanaka pinepine i ka lā, pono ʻoe e noʻonoʻo e pili ana i kou mau lehelehe.

He aha nā hōʻailona o kēia? Pehea kou manaʻo?

I kēia manawa, e nānā kākou i nā hōʻailona āu e ʻike ai a hoʻomaopopo ai ma kou mau lehelehe me kēia maʻi i kapa ʻia ʻo Actinic Cheilitis. Hiki ke ʻike ʻia kēia mau hōʻailona ma kekahi lehelehe a i ʻole ma nā lehelehe ʻelua.

• Nā lehelehe e māwae mau ana: ʻAʻole pili i ka nui o kāu inu ʻana a ʻai ʻana paha, e māwae a maloʻo kou mau lehelehe.
• Māwae: Hiki ke ʻike ʻia nā māwae liʻiliʻi ma nā lehelehe.
• ʻOpaʻa: Hiki ke ʻili e like me ka ʻili maloʻo, a i kekahi manawa hiki ke hana i kahi ʻōpala.
• ʻOle ke kala: Hiki i nā lehelehe ke loaʻa nā ʻāpana keʻokeʻo a melemele paha. A i ʻole e ʻulaʻula paha nā lehelehe ma mua o ka maʻamau.
• Maloʻo: Manaʻo e maloʻo kou mau lehelehe me ka nānā ʻole i ka nui o ka wai āu e inu ai.
• Pelu ʻia i nā wahi: Hiki ke ʻike ʻia kekahi mau wahi o nā lehelehe ua pelu ʻia.
• ʻOʻoleʻa e like me ka pepa one: Ke hoʻopā ʻoe i kou mau lehelehe, manaʻo paha lākou he ʻoʻoleʻa e like me ka pepa one.
• Unahi: Hiki ke nānā aku a me ka manaʻo e like me he mau unahi liʻiliʻi kona, e like me nā unahi o ka iʻa.
• Pehu: Hiki ke ʻike ʻia nā lehelehe he pehu iki.
• Lahilahi a palupalu paha: He lahilahi loa nā lehelehe a manaʻo ʻia e hiki ke hōʻeha ʻia e ka pā iki loa.

Eia kekahi, hiki ke palalulu ka palena ʻulaʻula, ka palena ma waena o ka ʻulaʻula o nā lehelehe a me ke koena o ka ʻili. Wahi a kekahi mau wahine ʻaʻole maopopo kēia palena i ka wā e kau ai i ka lipstick, e paʻakikī ai ke kau pono ʻana.

I ka hapa nui o ka manawa, ʻaʻohe ʻeha o ka actinic cheilitis. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa i kēia mau mea:

• Ke kuni nei
• Māʻule
• ʻEha
• ʻEha i ka pā ʻana i nā lehelehe, ʻeha i ke kaomi ʻia
• Ka palupalu

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​mai hoʻokuʻu iā ia me he mea maʻalahi lā.

Pehea e ʻike pololei ai ke kauka i kēia?

ʻAe, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻike i ke kauka. ʻOi aku ka maikaʻi o kahi kauka ʻili. E nānā ke kauka iā ʻoe a ʻike inā loaʻa iā ʻoe:

• He lehelehe māwae wale nō paha, a he mumū maʻamau paha ia o nā lehelehe (Cheilitis) ʻaʻole ia he pilikia o ka maʻi kanesa?
• He aha ka Actinic Cheilitis?
• He ʻano maʻi ʻili anei ia i kapa ʻia ʻo squamous cell carcinoma (SCC)?
• A i ʻole he maʻi ʻē aʻe paha?

E ʻike pono.

Hoʻoponopono ke kauka i ke kūlana ʻo Actinic Cheilitis ma muli o kēia mau mea:

• Hoʻokolokolo kino o kou mau lehelehe: E nānā pono ke kauka i kou mau lehelehe, e hoʻopā iā lākou, a nānā i nā loli a me ka mamao o ko lākou pālahalaha ʻana.
• Ma ka nīnau ʻana i nā nīnau e pili ana i kou nohona: No ka laʻana, pehea ka nui o ka manawa āu e hoʻolilo ai i waho, ke hoʻohana nei ʻoe i kekahi mea e pale aku iā ʻoe iho mai ka lā, ua loaʻa anei i kekahi o kou ʻohana ka maʻi kanesa, a ke puhipaka nei ʻoe?
• Biopsy ʻIli: I kekahi manawa, inā kānalua ke kauka, e lawe lākou i kahi ʻāpana ʻili liʻiliʻi loa mai ka lehelehe a hoʻouna aku i kahi keʻena hoʻokolohua e nānā ʻia ma ke ʻano microscopic. Hiki i kēia ke ʻike i nā loli ma ka pae cellular. A laila hiki ke hoʻohana ʻia kēia e hoʻoholo ai inā he maʻi kanesa a precancerous paha ke ʻano.

He aha nā lāʻau lapaʻau no kēia?

No ka mea, he ʻano maʻi kanesa ka actinic cheilitis, pono ʻoe e kamaʻilio me ke kauka e pili ana i kāu mau koho lapaʻau. E ʻōlelo aku kāu kauka i ka lāʻau kūpono nou. E hilinaʻi ia i ke koʻikoʻi o kou ʻano, pehea kona laha ʻana, a me kou olakino holoʻokoʻa.

ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka hōʻemi ʻana i ka pilikia o ke ʻano e ulu ana i ka squamous cell carcinoma (SCC). Hiki i nā koho lapaʻau ke komo pū me:

• Nā ʻAno Kirima: Aia nā ʻano kirima kūikawā i kuhikuhi ʻia e nā kauka. Eia kekahi laʻana:
• Nā kirīmi i loaʻa nā retinoids.
• He kirīmi i loaʻa kahi lāʻau i kapa ʻia ʻo 5- Fluorouracil . Hoʻomalu kēia i ka ulu ʻana o nā hunaola kanesa.
• Kirimina ʻImiquimod. Hoʻoulu kēia i ka ʻōnaehana pale o ke kino e kōkua i ka luku ʻana i nā hunaola ʻē.
• Cryotherapy: Pili kēia i ka hoʻohana ʻana i kahi mea anu loa, e like me ka naikokene wai, e hoʻopau a luku i nā ʻāpana ʻē. Ua like ia me ke kuʻi ʻia ʻana me ka hau.
• Electrocautery: Hoʻohana kēia i ka wela mai ke au uila e luku ai i nā ʻiʻo maʻamau.
• ʻO ka hoʻopau ʻana o ka laser:Hoʻohana kēia i nā kukuna laser e wehe koho i nā pūnaewele ʻano ʻē.
• ʻO ka Photodynamic Therapy (PDT): He ʻano lapaʻau kūikawā kēia. Maanei, ua hoʻopili ʻia a hoʻokomo ʻia paha kahi lāʻau lapaʻau kūikawā i loko o ke kino, a laila ua kuhikuhi ʻia kahi kukui kūikawā i kēlā mau wahi e luku i nā hunaola ʻino.
• Vermilionectomy: He hana ʻoki kino kēia. Inā koʻikoʻi ke kūlana, pili ia i ka wehe ʻana i kahi ʻāpana a i ʻole ka palena vermilion i hōʻino ʻia.

Na kāu kauka e hoʻoholo i kahi o kēia mau lāʻau lapaʻau e kūpono loa iā ʻoe.

Pehea lā e ola ai kākou i kēia?

No laila, he aha kā mākou e hana ai e pale aku iā mākou iho mai ka solar cheilitis (inoa ʻē aʻe no ka actinic cheilitis) a me ka squamous cell carcinoma (SCC)? ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke pale i kou mau lehelehe mai nā kukuna ʻino o ka lā i ka makahiki holoʻokoʻa.

• E hoʻopili mau i kahi lip balm me ka sunscreen. ʻOi aku ka maikaʻi o ka hoʻohana ʻana i hoʻokahi me ka liʻiliʻi o SPF 30 (Sun Protection Factor 30) . E hoʻomanaʻo e hoʻopili hou i ke ao holoʻokoʻa, ʻaʻole wale i ka wā e lā ai ʻoe, akā ma hope o ka ʻai ʻana a i ʻole ka inu ʻana.
• E kaupalena i kou manawa i ka lā. ʻOi loa aku i nā hola kiʻekiʻe, ʻo ia hoʻi mai ka hola 10 a.m. a i ka hola 4 p.m., i ka wā e ikaika loa ai ka lā. E hoʻēmi i kou manawa ma waho i kēlā mau hola. E noho ma ka malu ma lalo o kahi lāʻau, a i ʻole e hoʻohana i kahi umbrella.
• E ʻaʻahu i kahi pāpale ākea e uhi ana i kou mau lehelehe. E hāʻawi kēia i ka malu no kou helehelena a me kou mau lehelehe.

He mea nui i ka poʻe me ka actinic cheilitis e hana i nā hoʻokolohua lapaʻau maʻamau e nānā i nā loli i hiki ke lilo i mau hōʻailona mua o ka maʻi kanesa. Paipai pinepine nā kauka ʻili i ka nānā ʻana i ka ʻili ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki.

"ʻEkahi mea hou aʻe, inā he mea puhi paka ʻoe, pono ʻoe e haʻalele i ka puhi paka. Hiki i ka puhi paka ke hoʻonui i kēia maʻi a hoʻonui i ka pilikia o ka maʻi kanesa. Inā makemake ʻoe i ke kōkua no ka haʻalele ʻana i ka puhi paka, e nīnau i kāu kauka. Nui nā ala e hana ai i kēlā i kēia manawa."

Pehea lā e holomua ai nā mea me kēia kūlana?

I kēia manawa, e nānā kākou i ka nānā ʻana no kekahi me ka actinic cheilitis. Inā hoʻomau ʻoe e pale i kou mau lehelehe mai ka lā a hahai i nā ʻōlelo a kāu kauka, hiki iā ʻoe ke kāohi i kēia kūlana.

Eia nō naʻe, inā hoʻomau ʻoe i ka hoʻopili ʻia i ka lā a ʻaʻole ʻoe e mālama iā ia, aia ʻoe i kahi pilikia nui o ka loaʻa ʻana o ka squamous cell carcinoma (SCC). Hiki i kēia ke hoʻoweliweli i ke ola. Ma ke ʻano helu, ma waena o 6% a me 10% o ka poʻe me ka actinic cheilitis e loaʻa iā SCC. Eia kekahi, ʻoi aku ka nui o ka laha ʻana o ka SCC e hoʻomaka ana ma nā lehelehe (metastasize) i nā ʻāpana ʻē aʻe o ke kino ma mua o ka SCC e hoʻomaka ana ma kahi ʻē aʻe ma ka ʻili. No laila, ʻaʻole ia he mea e lawe māmā ʻia.

Pono anei au e ʻike hou i ke kauka ma hope o ka lāʻau lapaʻau?

ʻAe, ʻoiaʻiʻo nō. Inā ua ʻike ʻia ʻoe me ka Actinic Cheilitis a ke loaʻa nei iā ʻoe ka lāʻau lapaʻau no ia mea, pono ʻoe e hoʻomau i nā nānā maʻamau. He mea nui ka ʻike ʻana i ke kauka i kēlā me kēia ʻeono mahina a i ʻole ma ka liʻiliʻi hoʻokahi manawa i ka makahiki, e like me ka ʻōlelo a kāu kauka. A laila, inā he loli, inā hoʻi hou ke ʻano, a inā he mau hōʻailona o ka maʻi ʻaʻai, hiki iā ʻoe ke ʻike koke a hoʻomaka i ka lāʻau lapaʻau.

He aha nā mea nui a kākou e lawe ai mai kēia moʻolelo mai?

I ka ʻōlelo maʻalahi, ʻo ka actinic cheilitis kahi maʻi precancerous o nā lehelehe i hoʻokumu ʻia e ka lā lōʻihi. ʻIke pinepine ʻia kēia mau ʻāpana ʻinoʻino a unahi ma ka lehelehe lalo. Inā ʻike ʻoe i kekahi mau loli hou i kou ʻili a i ʻole nā ​​lehelehe, e like me kahi kiko, kahi ʻeha e ho'ōla ʻole ai, maloʻo mau, a i ʻole ka nahā, mai hoʻowahāwahā iā ia a e ʻike i ke kauka.

He mea nui loa ka loaʻa ʻana o kahi hōʻailona pololei a me ka hana ʻana i nā hana e pono ai e pale aku i kēia maʻi mai ka ulu ʻana i ka maʻi ʻili. E hoʻomanaʻo, ʻo ke ala maikaʻi loa e pale aku ai i kēia, ʻo ia ka pale ʻana iā ʻoe iho mai ka lā. ʻO ia hoʻi ka hoʻohana ʻana i ka lip balm me ka SPF, ke komo ʻana i nā pāpale, a me ka noho ʻana ma waho o ka lā. E mālama pū i kou mau lehelehe. He mea nui loa ia no kou olakino.

ʻO Actinic Cheilitis, Ka maʻi lehelehe, Māwae lehelehe, Lā, Ka maʻi ʻili, SCC, Squamous Cell Carcinoma, kukuna UV, Dermatology, ka maʻi lehelehe, hōʻike ʻana i ka lā, ka maʻi ʻili, mālama lehelehe, Lehelehe mahiʻai, Lehelehe luina