Hopohopo e pili ana i nā wahi ʻino ma kou ʻili? E kamaʻilio kākou e pili ana i ka Actinic Keratosis

Ua loaʻa anei iā ʻoe kahi kiko liʻiliʻi, ʻoʻoleʻa, unahi ma kou maka, lima, a ʻāʻī paha? He kiko liʻiliʻi ia e like me ka pepa one, i kekahi manawa he ʻōpala, i kekahi manawa he ʻulaʻula. Manaʻo ka poʻe he nui he ulu wale nō ia, a poina iā ia, me ka manaʻo e ho'ōla ʻia i loko o kekahi mau lā. Akā i kekahi manawa hiki i kēia kiko liʻiliʻi ke lilo i hōʻailona o kahi mea ʻoi aku ka koʻikoʻi ma mua o ko mākou manaʻo. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka actinic keratosis?

ʻO ka Actinic Keratosis kahi maʻi ʻili e kū mai ana ke kau ʻia ko mākou ʻili i ka lā no ka manawa lōʻihi. ʻO kekahi inoa no kēia ʻo Solar Keratosis. ʻO 'Sola' ke ʻano pili i ka lā. No laila, e like me ka inoa e hōʻike nei, he mea pili kēia i ka lā.

ʻO kēia ka manawa e ulu ai ko mākou ʻili, ʻoi aku hoʻi ma nā wahi i hōʻike pinepine ʻia i ka lā, nā ʻāpana ʻāwili, unahi, a i kekahi manawa puʻupuʻu liʻiliʻi. ʻAʻole ulu kēia mau mea a pau i ka manawa hoʻokahi. Ulu lākou i loko o nā makahiki o ka hōʻino mālie ʻana o ka lā.

ʻO ka mea nui loa, manaʻo nā kauka i kēia maʻi he "precancer." ʻO ke ʻano kēia ʻaʻole ia he maʻi kanesa i kēia manawa, akā inā ʻaʻole mālama ʻia, aia kahi manawa kūpono e ulu aʻe kekahi o kēia mau kiko i kahi ʻano maʻi kanesa ʻili, ʻoi aku ka squamous cell carcinoma .

Ma hea e ʻike pinepine ʻia ai kēia mau kiko?

E noʻonoʻo i kahi e loaʻa ai iā ʻoe ka nui o ka lā ke hele ʻoe i waho i ka lā. ʻO ia nā wahi āu e ʻike nui ai i kēia mau wahi.

• Poʻo (o ka poʻe me ka lauoho liʻiliʻi a ʻaʻohe lauoho paha)
• Maka (lae, ihu, papālina, pepeiao)
• Nā lehelehe (ʻoi aku ka lehelehe haʻahaʻa)
• ʻĀʻī
• Nā lima (ʻoi aku ka ʻaoʻao o luna o ka lima)
• Nā lima ma luna o ka lae
• Umauma luna

ʻO ka poʻe e hana ana ma nā mahina ʻai, hana ma ke alanui, a pāʻani haʻuki paha, ua hōʻike pinepine ʻia ko lākou ʻili i ka lā, no laila ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi.

He aha ke ʻano a me nā hōʻailona o kēia mau kiko?

Hiki ke ʻokoʻa iki kēia mau kiko mai kekahi i kekahi. Akā aia kekahi mau ʻano maʻamau āu e ʻike ai. Loaʻa paha iā ʻoe kekahi a ʻoi aku paha o kēia mau ʻano.

I ka wā mua, e like paha me he ʻūpē lā a he ʻeha liʻiliʻi paha e ola ʻole ana. No laila, he mea naʻauao ke hopohopo inā ʻike ʻoe i kēia ʻano loli i kou ʻili.

No ke aha lā i loaʻa ai kēia kūlana iā kākou? He aha ke kumu?

ʻO ke kumu nui a hoʻokahi wale nō no kēia, ʻo ia nā kukuna ultraviolet (UV).Ka nui o ka ʻike ʻia ʻana i nā kukuna UV. Loaʻa iā mākou kēia mau kukuna UV mai ka lā mai, ʻo ia hoʻi, mai ka lā mai. Eia kekahi, ua hoʻopuka ʻia kēia mau kukuna ʻino mai nā mea e like me nā kukui hana (nā moena tanning) i hoʻohana ʻia e hoʻoluʻu i ka ʻili.

I ka ʻōlelo maʻalahi, eia ka mea e hana ʻia:

Ua hana ʻia ko kākou ʻili me nā miliona o nā keena liʻiliʻi. Loaʻa i kēlā me kēia o kēia mau keena kahi kikowaena hoʻomalu i kapa ʻia ʻo DNA. Aia i loko o kēia DNA nā ʻike āpau e pili ana i ke ʻano o ka hana ʻana o ke keena a pehea e māhele ai.

Ke pā mai nā kukuna UV mai ka lā i ko kākou ʻili, hiki iā lākou ke hōʻino i ka DNA i loko o nā pūnaewele e hana ana i ka papa luna o ko kākou ʻili (keratinocytes). Hiki i ko kākou kino ke hoʻoponopono i kēia pōʻino, akā i ka hala ʻana o ka manawa, i nā makahiki he nui o ka lā, ua lilo kēia hiki ke hoʻoponopono i mea ʻino. A laila, hoʻomaka nā pūnaewele me ka DNA i hōʻino ʻia e māhele like ʻole a me ke kāohi ʻole ʻia. ʻO ia ka manawa e hui pū ai ka nui o kēia mau pūnaewele like ʻole a hana i kēlā ʻāpana ʻāʻī a unahi.

ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?

ʻOiai hiki i kekahi ke loaʻa i kēia maʻi, ʻoi aku ka nui o ka pilikia o kekahi poʻe.

• ʻO ka poʻe me nā ʻili māmā: ʻO ka poʻe me nā ʻili māmā, e like me ke keʻokeʻo a me ka ʻeleʻele māmā, ʻoi aku ka liʻiliʻi o ka melanin, ka pigment e pale ai iā lākou mai ka lā. No laila, ʻoi aku ka nui o ka hōʻino ʻana o nā kukuna UV i ko lākou ʻili.
• Nā kānaka ma luna o 40: Piʻi ka pilikia me ka ʻelemakule, ma muli o ka nui o ka lā i ka wā o ke ola.
• Nā Kāne: Hana nui nā kāne i ka lā ma mua o nā wahine, a ʻaʻole paha lākou e hopohopo nui e pili ana i ka pale ʻana i ko lākou ʻili.
• ʻO ka poʻe me ka ʻōnaehana pale kino nāwaliwali: ʻO ka poʻe me nā ʻōnaehana pale kino nāwaliwali ma muli o ka maʻi a i ʻole nā ​​​​lāʻau lapaʻau a lākou e lawe ai (e.g., nā lāʻau lapaʻau i hāʻawi ʻia i ka poʻe i loaʻa nā hoʻoili kino) hiki ke loaʻa maʻalahi i kēia maʻi.
• ʻO ka poʻe me ka mōʻaukala o ka maʻi ʻili: ʻOi aku ke kiʻekiʻe o ka pilikia inā ua loaʻa mua iā ʻoe a i ʻole kekahi o kou ʻohana ka maʻi ʻili.
• ʻO ka poʻe e noho ana ma nā wahi me ka lā ʻino: ʻOiai ʻo nā ʻāina kokoke i ka equator e like me ko mākou ʻāina he lā ʻino ko lākou i ka makahiki āpau, pono mākou a pau e hopohopo no kēia.
• ʻO ka poʻe e hana ana ma waho: ʻO ka poʻe e hana ana i ka mahiʻai, ka lawaiʻa, ke kūkulu alanui, ke kūkulu hale, a me nā haʻuki waho e pilikia nui aʻe ana hoʻi.

ʻO ka makaʻu nui loa... Hiki paha i kēia ke lilo i maʻi ʻaʻai?

ʻO kēia ka nīnau nui loa a nā kānaka a pau. ʻAe, e like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole ʻo Actinic Keratosis he maʻi kanesa, akā he mea ia e hiki mai ai i ka maʻi kanesa.

Inā ʻaʻole mālama ʻia, ma kahi o 10% o kēia mau kiko e hiki ke lilo i ʻano maʻi ʻili i kapa ʻia ʻo squamous cell carcinoma. ʻOiai ʻaʻole paha e like me ka nui, inā he nui kāu o kēia mau kiko, piʻi ka manawa e lilo ai kekahi o lākou i maʻi kanesa.

Pehea e ʻike ai ke kauka i kēia?

Ke ʻike ʻoe i ke kauka, ʻoiai he kauka ʻili, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono i kou ʻili.

• Hoʻokolokolo kino: E nānā pono ke kauka i kahi i loaʻa ai ka mole. I kekahi manawa hoʻohana ʻia kahi mea kūikawā i kapa ʻia he dermatoscope e hoʻonui i ka ʻili. ʻAʻole ʻeha kēia hoʻokolokolo.
• Biopsy ʻIli: I kekahi manawa, inā he kānalua e pili ana i ke ʻano o ka mole, e hoʻokomo ke kauka i kahi lāʻau hoʻomānoino liʻiliʻi i loko o ka wahi a lawe i kahi ʻāpana ʻili liʻiliʻi loa a hoʻouna aku i ka lab. E kōkua kēia i ka hoʻoholo pono ʻana inā he Actinic Keratosis a i ʻole kekahi mea ʻē aʻe, a inā he mau hunaola kanesa.

He aha nā lāʻau lapaʻau no kēia?

Aia kekahi mau lāʻau lapaʻau no kēia ʻano. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa nāu ma muli o ka helu o nā kiko i loaʻa iā ʻoe, ko lākou wahi, a me ko lākou ʻano.

Nā Kaʻina Hana Keʻena

He mau lāʻau lapaʻau liʻiliʻi kēia e hiki ke hana ʻia ma ke keʻena lapaʻau a haukapila paha.

• Cryotherapy: Pili kēia i ka hoʻohana ʻana i kahi wai anuanu loa i kapa ʻia ʻo ka naikokene wai e "hoʻopaʻahau" i ka mole. I ka pololei, ua paʻahau ʻia ka wahi. Ma hope o kekahi mau lā, e hana ʻia kahi pehu liʻiliʻi ma kahi a hemo ka ʻōpala. He ʻano hana kūpono loa kēia inā he hoʻokahi a ʻelua paha mau mole.
• ʻO ka Photodynamic Therapy: Ma kēia, ua hoʻopili ʻia kahi kirīmi kūikawā i nā kiko, a ma hope o kekahi mau hola, ua hoʻomālamalama ʻia kahi kukui kūikawā ma luna o nā kiko. Hoʻolilo ka kirīmi i nā ʻāpana ʻē i mea maʻalahi i ka mālamalama a luku iā lākou. He lāʻau maikaʻi kēia no ka poʻe me nā kiko he nui.
• Lapaʻau Laser: Hoʻohana ʻia nā kukuna Laser e puhi i ka papa luna o ka ʻili i hōʻino ʻia.
• ʻIli Kemika: Hoʻopili ʻia kahi kemika kūikawā i ka ʻili, e wehe ana i ka papa luna o ka ʻili i hōʻino ʻia. Hoʻokumu ʻia ka ʻili hou a olakino i loko o kekahi mau lā.
• Curettage: Hoʻohana ʻia kahi mea liʻiliʻi e kahili i ka ʻili i hōʻino ʻia. I kekahi manawa e puhi ʻia paha ka ʻāpana.
• ʻOki ʻoki kino: Inā nui ka mole a i ʻole he kānalua paha he maʻi ʻaʻai, e hoʻomānoʻo ke kauka i ka ʻāpana, e ʻoki i ka mole me nā ʻiʻo a puni, a humuhumu iā ia.

Nā lāʻau lapaʻau topical

I kekahi manawa, e kuhikuhi paha kāu kauka i nā kirīmi kūikawā a i ʻole nā ​​gels e hoʻohana ma ka home. Pono paha kēia e hoʻohana ʻia no kekahi mau pule a i kekahi mau mahina.

• Kirimina 5-fluorouracil: Hana kēia ma ka hoʻōki ʻana i ka ulu ʻana o nā ʻāpana ʻē aʻe a luku iā lākou.
• Kirimina ʻImiquimod: Hana kēia ma ka hoʻoulu ʻana i ka ʻōnaehana pale ponoʻī o kou kino e kōkua i ka luku ʻana i kēlā mau hunaola maʻamau ʻole.
• ʻO Diclofenac Sodium Gel: ʻOiai he gel hoʻopau ʻeha kēia, hoʻohana ʻia nō hoʻi ia e mālama i kēia kūlana.

He aha ka mea e hana ʻia ma hope o ka mālama ʻana? Hiki iā ia ke ulu hou?

ʻO ka hapa nui o ka manawa, e ho'ōla ʻia kēia mau kiko i loko o kekahi mau pule ma hope o ka mālama ʻana. Eia nō naʻe, hiki iā lākou ke hoʻi hou mai. No ka mea ua hōʻino mua ʻia kou ʻili e ka lā, hiki ke hana ʻia nā kiko hou.

ʻo ia ke kumu,

1. He mea nui e pale i kou ʻili mai ka lā i ka wā a ma hope o ka mālama ʻana.

2. ʻOiai inā e ho'ōla ana nā kiko, he manaʻo maikaʻi nō naʻe e nānā ʻia kou ʻili e ke kauka i hoʻokahi a ʻelua paha i ka makahiki.

3. Inā loaʻa iā ʻoe kahi kiko hou, a ʻike paha i kahi loli ma kahi kiko kahiko (e like me ka nui aʻe a i ʻole ke kahe ʻana o ke koko), e ʻike koke i ke kauka.

Pehea e pale ai iā ʻoe iho mai kēia kūlana? (Ka pale ʻana)

ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana. ʻO ke ala maikaʻi loa e hana ai i kēia, ʻo ia ka pale ʻana i kou ʻili mai ka lā, ʻoi aku hoʻi nā kukuna UV.

• E pale i ka lā ʻino: I nā manawa hiki, e hōʻemi i ka ʻike ʻana i ka lā ʻino ma waena o 10 am a me 4 pm.
• E ʻaʻahu i nā lole pale: I ka wā e hele ai i waho, e ʻaʻahu i nā lole e uhi ana i ke kino, e like me nā pālule lima lōʻihi a me nā pālule lōʻihi.
• E ʻaʻahu i ka pāpale: E ʻaʻahu i ka pāpale ākea e uhi ana i kou poʻo, maka, pepeiao, a me ka ʻāʻī.
• E hoʻohana i ka pale lā: He mea nui loa kēia. E hoʻohana i ka pale lā me ka SPF o 30 a ʻoi aku paha i kēlā me kēia lā. ʻOiai i nā lā ao, loaʻa mau nā kukuna UV i ka lā. No laila, e hoʻopili nui iā ia ma nā wahi āpau i hōʻike ʻia (maka, ʻāʻī, lima) ma kahi o 20 mau minuke ma mua o ka hele ʻana i waho. E hoʻopili hou i kēlā me kēia ʻelua hola inā ʻoe e hou ana a hana paha i loko o ka wai.
• E hōʻalo i nā kukui hana: E hoʻōki loa i ka hoʻohana ʻana i nā moena tanning, kahi i hoʻohana ʻia e hoʻoluʻu i kou ʻili.

Mai hoʻowahāwahā wale i kēlā ʻāpana ʻino ma kou lima a i ʻole kēlā ʻāpana unahi ma kou maka. Hiki paha i kou ʻili ke haʻi aku iā ʻoe, "Ua nui loa koʻu lā, ua hōʻino ʻia au." Ke ʻike ʻoe i ke kauka, hiki iā lākou ke hoʻomaopopo pono i ke ʻano o ia mea a hāʻawi iā ʻoe i ka lāʻau kūpono. E hoʻomanaʻo, ʻo ko kākou ʻili ka ʻōkana waiwai nui loa i loko o ko kākou kino. Inā ʻoe e mālama iā ia i kēia manawa, hiki iā ʻoe ke mālama iā ia i ke olakino no nā makahiki e hiki mai ana.