Ua lohe paha ʻoe e ʻānai nui ana kekahi poʻe ke pulu lākou? ʻAʻole ia he ʻānai iki wale nō, he ʻānai nui ia e like me ka ʻākoakoa ʻana o nā nalo e kolo ana ma kou kino a puni, i kekahi manawa e wela ana. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano ʻē iki, akā hiki ke hoʻonāukiuki loa i ka poʻe e ʻeha nei i kēia ʻano. Ua kapa ʻia kēia ʻo `(Aquagenic Pruritus)` ma ka ʻepekema lapaʻau.
He aha kēia Aquagenic Pruritus?
I ka ʻōlelo maʻalahi, ʻo ka "Aquagenic Pruritus" he ʻano maneʻo nui e kū mai ana ke pili kou ʻili me ka wai. ʻO ka mea i ʻike nui ʻia, ʻaʻohe hōʻailona waho i ʻike ʻia o ka hōʻino ʻana o ka ʻili, ka ʻulaʻula, a i ʻole ka ʻulaʻula. ʻO ia hoʻi, ʻike maʻamau ka ʻili ma ka ʻili.
E noʻonoʻo, ke ʻauʻau ʻoe, komo i loko o ka ʻauʻau, a lele paha i loko o kahi loko ʻauʻau, hoʻomaka ʻoe e ʻānai nui ma kou kino holoʻokoʻa i loko o kekahi mau minuke. ʻAʻole wale ia he ʻānai, akā no kekahi poʻe, hele pū kēia ʻānai me ka ʻeha wela, ʻūlū, a i ʻole ka ʻeha ʻūlū. Hiki i kēia ʻano hoʻonāukiuki ke mau no hoʻokahi hola a ʻoi aku paha.
ʻO ka mea nui loa, ʻaʻole ia he mea nui ka mahana o ka wai (anu a wela paha). Eia kekahi, ʻaʻole ia he mea nui inā he wai paipa, wai luawai, wai kai, a wai ua paha. Hiki ke loaʻa kēia ʻano me kekahi ʻano wai. ʻO ka hapa nui o ka manawa, ʻike ka poʻe me kēia ʻano i kēia i ka wā e ʻauʻau ana. No laila e noʻonoʻo i ka nui o ke kaumaha e hiki ai ke hana i ka wā e lilo ai ka ʻauʻau ʻana i mea hoʻopilikia nui i kēlā me kēia lā. Hoʻowalewale ʻia kekahi poʻe e hoʻōki i ka ʻauʻau ʻana ma muli o kēia, hiki ke hoʻoulu i nā pilikia hou aʻe.
Pehea lā kēia e hana ai? He aha ke kumu?
ʻO kaʻoiaʻiʻo, ʻaʻole i ʻike pono nā kauka i ke ʻano o kēia kūlana i kapa ʻia ʻo "Aquagenic Pruritus". ʻO ia hoʻi, he mea pohihihi ke kumu. Eia nō naʻe, manaʻoʻiʻo nā kānaka noiʻi he nui nā kumu.
- Malia paha ma muli o kekahi ʻano kūpono ʻole o ka hana ʻana o ko kākou mau hunaola ʻili.
- A i ʻole, aia paha kekahi loli i loko o kā mākou ʻōnaehana nerve a i ʻole ka ʻōnaehana pale maʻi.
ʻOiai ke ʻike ʻia nei kēia ʻano maʻi i kekahi manawa i kekahi poʻe o ka ʻohana hoʻokahi, ʻaʻohe gene kikoʻī i loaʻa e hoʻoholo ai inā ua hoʻoili ʻia mai nā mākua a i nā keiki. No laila, he paʻakikī ke ʻōlelo maopopo inā he hoʻoilina.
Ma hea ma ke kino e hoʻopilikia nui ai kēia?
Hiki ke loaʻa kēia ʻulaʻula ma nā wahi a pau o ke kino, akā ʻike pinepine ʻia ma:
- ʻO nā wāwae ka mea i hoʻopilikia nui ʻia.
- A laila hiki ke laha aku kēia maneʻo i nā lima, ka umauma, a me ke kua.
Eia nō naʻe, ʻaʻole ia e hoʻopilikia pinepine i nā poho lima, nā kapuwaʻi wāwae, a me nā membrane mucous i loko o ko kākou waha, ihu, a me nā pepeiao. He mea hōʻoluʻolu nui kēia, ʻoiai ʻo ia hoʻi, hiki i ka poʻe me kēia maʻi ke inu i ka wai me ka ʻole o ka pilikia.
Pehea ka maʻamau o kēia ʻano?
ʻO ka ʻoiaʻiʻo, ʻaʻohe helu kikoʻī e pili ana i ka laha ʻana o kēia maʻi i loko o ke kaiāulu. No laila, he paʻakikī ke ʻōlelo pololei inā he maʻi kakaikahi kēia a inā paha he mea maʻamau ia ma mua o ko mākou manaʻo.
He aha nā mea ʻē aʻe e hiki ai ke hoʻoulu i kēia?
ʻO kēia kūlana, i kapa ʻia ʻo "Aquagenic Pruritus", hiki ke kū mai me ke kumu ʻole ("Idiopathic"), a i ʻole hiki ke ʻike ʻia he hōʻailona o kekahi maʻi ʻē aʻe.
E noʻonoʻo wale, aia kekahi mau maʻi, ma ke ʻano he hopena ʻaoʻao e hiki ai i kēia wai ke hoʻoulu i ka maneʻo. Eia kekahi laʻana:
- Polycythemia Vera: He kūlana koʻikoʻi kēia. I ka ʻōlelo maʻalahi, hoʻoulu ia i ke kino e hana i nā hunaola koko ʻulaʻula ma mua o ka mea e pono ai . Ua ʻike ʻia he ʻelua hapakolu o ka poʻe me Polycythemia Vera he Aquagenic Pruritus nō hoʻi.
- ʻO Urticaria Mau Loa: He maʻi ʻili mau kēia e hoʻoulu ai i ka hives.
- ʻO ka Hypereosinophilic Syndrome: He kūlana kēia i hoʻoulu ʻia e ka piʻi nui ʻana o kahi ʻano keʻokeʻo koko i kapa ʻia ʻo eosinophils i loko o ke koko.
- ʻO nā Myelodysplastic Syndromes a me nā maʻi koko ʻē aʻe.
Hiki i kekahi mau lāʻau lapaʻau ke hana i kēia?
ʻAe, ʻoiai he mea kakaikahi loa, hiki i kekahi mau lāʻau lapaʻau ke hana i kēia maʻi (Aquagenic Pruritus). ʻO kekahi o kēia mau lāʻau lapaʻau:
- ʻO nā lāʻau lapaʻau e like me 'Bupropion' a me 'Clomipramine', i hoʻohana ʻia no ke kaumaha.
- ʻO nā lāʻau lapaʻau e like me 'Hydroxychloroquine' a me 'Chloroquine', i hoʻohana ʻia e pale a mālama i ka malaria.
Inā ʻoe e lawe ana i kēia ʻano lāʻau lapaʻau a ua hoʻomaka wale ʻoe e loaʻa i kēia ʻano ʻōhū wai, he mea nui loa ia e haʻi aku i kāu kauka e pili ana i ia mea.
He aha nā hōʻailona nui o kēia?
E like me kā mākou i kūkākūkā ai ma mua, ʻo ka hōʻailona nui ka ʻānai nui e kū mai ana ma hope o ka hoʻopili ʻana o ka wai i ka ʻili. ʻAʻole wale kēlā, akā ʻike pū kekahi poʻe i kēia mau mea:
- Manaʻo wela
- Manaʻo ʻūlū
- He manaʻo ʻeha
Ma waho aʻe o kēia mau ʻeha kino, nui ka poʻe e ʻeha nei i ke kaumaha noʻonoʻo koʻikoʻi ('Emotional Stress`) . E noʻonoʻo, makaʻu e ʻauʻau i kēlā me kēia lā, makaʻu e ʻauʻau, makaʻu e pulu i ka ua. Ke hiki ʻole iā ʻoe ke ola maʻamau ma muli o nā mea e like me kēia, he mea maʻamau ke manaʻo nui i ka hopohopo a me ke kaumaha.
Pehea e ʻike ai ke kauka i kēia?
Inā loaʻa iā ʻoe kēia mau hōʻailona, pono ʻoe e ʻike i ke kauka. E nānā ke kauka i kēia maʻi (Aquagenic Pruritus) ma muli o nā hōʻailona āu e wehewehe nei a me ka wā e kū mai ai.
E nīnau ke kauka iā ʻoe i kēia mau nīnau:
- Aia kekahi o kou ʻohana i loaʻa i kēia maʻi ('Mōʻaukala ʻOhana').
- E hāʻawi ʻia ʻoe i kahi hoʻokolokolo kino piha.
I kekahi manawa, hiki ke hana ʻia nā mea e like me nā hoʻāʻo koko e ʻike ai inā he kumu ʻē aʻe no kēia maneʻo.
Aia kekahi lāʻau lapaʻau piha no kēia?
He pilikia kēia i loaʻa i nā poʻe he nui. ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau piha no ka `(Aquagenic Pruritus)` i kēia manawa. Akā, mai hopohopo! Aia nā lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i kēia maʻi.
- Inā ʻoe e ʻike nei i kēia kūlana ma muli o kahi lāʻau lapaʻau, e nalowale paha nā hōʻailona ke hoʻōki ʻoe i ka lawe ʻana i kēlā lāʻau lapaʻau.
- Eia kekahi, inā hiki i kāu hui lapaʻau ke loaʻa kahi maʻi olakino e kumu ai ka ʻūlū, ʻo ka mālama ʻana i kēlā ʻano e kōkua i ka hōʻemi a i ʻole ka hoʻopau loa ʻana i ka ʻūlū.
No laila he aha ka lāʻau lapaʻau no kēia?
Hiki ke paʻakikī iki ka mālama ʻana i kēia. No ka mea, ʻaʻole holo pono ka lāʻau like no nā kānaka a pau. Pono paha ʻoe e hoʻāʻo i nā lāʻau like ʻole a hiki i kou loaʻa ʻana o ka mea kūpono loa iā ʻoe. Hoʻohana nā kauka i nā ʻano lāʻau like ʻole, nā lāʻau lapaʻau, a me nā lāʻau lapaʻau kūlohelohe e hōʻemi i ka maneʻo a me ka ʻeha.
Lapaʻau lapaʻau
- Nā Antihistamine: He mau lāʻau lapaʻau i kuhikuhi pinepine ʻia kēia no nā maʻi allergies. Ua ʻike kekahi poʻe hiki iā lākou ke hōʻemi i ka maneʻo.
- Analgesics: Nā lāʻau lapaʻau i hāʻawi ʻia e hōʻoluʻolu i ka ʻeha.
- Hoʻoulu ʻana i nā aʻalolo uila transcutaneous (TENS): He lāʻau lapaʻau kēia e hoʻohana ana i kahi mea kūikawā e hōʻemi i ka ʻeha.
- Lapaʻau Ultraviolet (Phototherapy): He ʻano lapaʻau kēia e hoʻohana ana i nā kukuna e like me ka lā i kāohi ʻia e kuhikuhi i ka ʻili e mālama i kekahi mau maʻi ʻili.
Ma waho aʻe o kēia, aia kekahi mau ʻano lāʻau lapaʻau ʻē aʻe i lawe mai i ka hōʻoluʻolu i kekahi mau maʻi:
- Nā mea pale Beta: He ʻano lāʻau lapaʻau kēia i hāʻawi ʻia no ke koko kiʻekiʻe.
- Cholestyramine: He lāʻau lapaʻau kēia e pale ai i ke kino mai ka omo ʻana i nā waikawa bile.
- ʻO Naltrexone: He lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana e pili ana i ka waiʻona a me ka hoʻohana ʻana i ka opioid.
- Nā mea pale i ka hoʻihoʻi hou ʻana o ka serotonin koho (SSRIs): He papa kēia o nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ke kaumaha.
Nā lāʻau lapaʻau hiki iā ʻoe ke hana ma ka home
Hiki i kekahi mau lāʻau lapaʻau kūlohelohe ke kōkua i ka kaohi ʻana i kēia mau hōʻailona:
- ʻO ka Soda Baking (`Baking Soda` / `Sodium Bicarbonate`): Wahi a kekahi, inā ʻoe e hoʻohui i kahi soda baking liʻiliʻi i kou wai ʻauʻau a hoʻowali iā ia, e hoʻololi ia i ka pH o ka wai a hoʻēmi i ka maneʻo.
- Nā ʻano kirīmi e loaʻa ana ka capsaicin:ʻO ka hoʻopili ʻana i nā kirīmi i loaʻa ka capsaicin, ka mea nāna e kuleana no ka ʻala o nā pepa chili, hiki ke kōkua i ka hōʻoluʻolu ʻana i ka maneʻo a me ka ʻeha e kū mai ana ma hope o ka hoʻopili ʻana me ka wai. Eia nō naʻe, ʻoi aku ka maikaʻi o ke nīnau ʻana i ke kauka ma mua o ka hoʻohana ʻana i kēia mau mea.
- Nā mea hoʻohui Beta-alanine: ʻOiai ʻaʻole maopopo loa pehea e kōkua ai kēia mau mea hoʻopihapiha meaʻai, ua hōʻike kekahi poʻe i ka loaʻa ʻana o ka hōʻoluʻolu mai ka hoʻohana ʻana iā lākou.
- ʻAila Pēpē: ʻO ka hoʻopili ʻana i kahi ʻaila ʻaila e like me ka ʻaila pēpē i ka ʻili ma mua o ka ʻauʻau ʻana hiki ke hāʻawi i kahi papa pale a kōkua i ka pale ʻana i ka wai mai ka hoʻopā pololei ʻana i ka ʻili i kekahi ʻano.
Mea nui: Ma mua o ka hoʻomaka ʻana i kekahi o kēia mau lāʻau lapaʻau, ʻoiai nā lāʻau lapaʻau a i ʻole ka hoʻāʻo ʻana i nā lāʻau lapaʻau hou, he mea nui e kamaʻilio me kāu kauka a ʻimi i kāna ʻōlelo aʻo. Mai hoʻonui i ka pilikia ma ka hana ʻana i nā mea āu e makemake ʻole ai e hana.
Hiki ke pale ʻia kēia mai ka hana ʻana?
ʻOiai ʻaʻole ʻike nā kauka i ke kumu kikoʻī o kēia ʻano, he paʻakikī ke ʻōlelo inā he ala kikoʻī e pale aku ai i kona hanana ʻana.
No laila pehea ʻoe e noho ai me kēia kūlana? He aha ka manaʻo?
Aia kou wānana i ke ʻano o kāu pane ʻana i ka lāʻau lapaʻau. E kōkua kāu kauka iā ʻoe e ʻike i ka lāʻau lapaʻau kūpono loa nāu.
- Inā loaʻa iā ʻoe ka Aquagenic Pruritus e pili ana i kahi maʻi ʻē aʻe, hiki i kāu nānā ke hilinaʻi pū kekahi i kēlā ʻano ʻē aʻe.
- Inā ʻaʻole mālama ʻia, hiki i kēia maʻi ke hōʻemi i kou ola maikaʻi. Hiki i nā mea e like me ka ʻauʻau ʻana a me ka ʻauʻau ʻana ke lilo i mau ʻike ʻeha.
Hiki ke paʻakikī ka loaʻa ʻana o ka lāʻau lapaʻau. Eia nō naʻe, ke paipai ikaika nei mākou iā ʻoe e hana pū me kāu kauka e hoʻokele pono i kēia mau hōʻailona. A laila hiki iā ʻoe ke ʻauʻau, ʻauʻau, a hana i kāu mau hana o kēlā me kēia lā me ka ʻole o ka pilikia. ʻOiai ma hope o ka hoʻomalu maikaʻi ʻia ʻana o kāu mau hōʻailona, e hoʻomau i ka hahai ʻana i nā ʻōlelo a kāu kauka a hele i nā keʻena lapaʻau i ka manawa kūpono.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
He ʻano hoʻonāukiuki maoli ka Aquagenic Pruritus a he mea hoʻoweliweli hoʻi i ke ola. He mea nui ka wai iā kākou a pau. No laila, he paʻakikī ke wehewehe i ka ʻoluʻolu ʻole ke lilo kēlā wai hoʻokahi i mea hoʻonāukiuki.
Akā, e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Aia kekahi poʻe ʻē aʻe e hele nei i kēia. ʻO ka mea nui, aia nā lāʻau lapaʻau a me nā ala e loaʻa ai ka hōʻoluʻolu.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hilahila a makaʻu paha, e ʻike i ke kauka.
- E kamaʻilio ākea me kāu kauka. E kōkua ʻo ia iā ʻoe e loaʻa i ka lāʻau lapaʻau kūpono loa iā ʻoe.
- E hoʻomanaʻo, hiki ke hoʻokele ʻia kēia. No laila e noho ikaika a e hahai i ka ʻōlelo aʻo a kāu kauka.
Inā he mau nīnau hou aku kāu e pili ana i kēia, e ʻoluʻolu e ʻimi i ke aʻo lapaʻau.
ʻO ka maneʻo wai, ka ʻūlū Aquagenic, ka ʻili maneʻo, ka maʻi ʻaleka wai, nā maʻi ʻili, ka mālama ʻana i ka maneʻo, ka ʻūlū Aquagenic











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