Ke ʻulaʻula a ʻānai paha kou mau umauma i kekahi manawa? Ke puka mai nei lākou e like me nā pehu liʻiliʻi, maloʻo, a me he mea lā e ʻili ana? Hiki ke hoʻonāukiuki loa ia, a hilahila hoʻi i kekahi manawa. Akā, ʻo ka mea nui e pono ai ʻoe e ʻike, ʻaʻole ʻoe hoʻokahi. He mea maʻamau kēia ʻano a hoʻopilikia i nā poʻe he nui. I kēia lā, e kamaʻilio mākou e pili ana i ka eczema umauma.
I ka ʻōlelo maʻalahi, he aha ka eczema o ka umauma?
ʻO ka eczema umauma kahi ʻano o kahi maʻi i ʻike ʻia ma ke ʻano lapaʻau ʻo "Atopic Dermatitis." ʻO kēia ka wā e maloʻo ai kou ʻili, ʻōpala, maneʻo, a i kekahi manawa pehu. Hiki ke loaʻa kēia eczema ma nā wahi āpau ma kou mau umauma.
- ʻO ka ʻāpana ʻeleʻele a puni ka nipple (areola)
- Ma waena o nā umauma ʻelua
- Ma lalo o ka umauma
- Ma nā ʻaoʻao o nā umauma
- Ma nā wahi ʻē aʻe ma ka umauma
I ka ʻōlelo maʻalahi, ke loaʻa iā kākou ka eczema, ua hōʻino ʻia ka hana pale o ko kākou ʻili. E noʻonoʻo i ko kākou ʻili e like me ka paia, me ka mortar e hoʻopaʻa pū ana i nā piliki. Ke loaʻa iā kākou ka eczema, nāwaliwali kēia papa mortar. Lilo ko kākou ʻili i mea ʻoluʻolu loa, maloʻo koke, a ʻoi aku ka maʻalahi i nā maʻi.
ʻO ka nīnau koʻikoʻi loa: He eczema anei kēia? A i ʻole he maʻi ʻaʻai paha?
He mea hopohopo kēia nīnau no nā poʻe he nui. No ka mea, aia kekahi ʻano maʻi ʻaʻai umauma kakaikahi loa nona nā hōʻailona e like loa me ke kanesa umauma. Kapa mākou ia he maʻi Paget o ka umauma . ʻOiai ua like nā hōʻailona o kēia mau maʻi ʻelua, i kekahi manawa hiki ke loaʻa nā kuhihewa.
ʻO nā hōʻailona maʻamau:
- Ka maneʻo, ka mumū, a i ʻole ke ʻano ʻeleʻele o ka nipple a me nā wahi a puni.
- Ka ʻili ʻana, ka ʻōpala ʻana, a i ʻole ka mānoanoa o ka ʻili.
- Ka nipple palahalaha a i ʻole ka nipple i hoʻohuli ʻia.
- Ka kahe melemele a koko paha mai ka nipple.
He mea maopopo ke makaʻu ke ʻike ʻoe i kēia mau hōʻailona. Eia nō naʻe, aia nā ʻokoʻa maopopo ma waena o nā maʻi ʻelua. Inā ʻike ʻoe i kēia mau ʻokoʻa, hiki iā ʻoe ke pale aku i ka makaʻu pono ʻole. E nānā kākou i kēlā mau ʻokoʻa.
| ʻAno / ʻokoʻa | ʻEkika umauma | ʻO ka maʻi o Paget |
|---|---|---|
| Wahi i hoʻopilikia ʻia | ʻAʻole i hoʻopilikia nui ʻia ka nipple. Hoʻopilikia ʻia ka ʻili a puni ka nipple (areola) a me nā ʻāpana ʻē aʻe o ka umauma. | Hoʻomaka pinepine ia ma ka nipple a laha i ka ʻili a puni. ʻIke pinepine ʻia kahi loli ma ka nipple. |
| Hohola | Hiki ke loaʻa pinepine ia i ka manawa like ma nā umauma ʻelua a i ʻole ma nā ʻāpana ʻē aʻe o ka umauma. | ʻIke pinepine ʻia ia ma hoʻokahi umauma wale nō . |
| Pane i ka lāʻau lapaʻau | Hoʻopale maikaʻi ka eczema i nā kirīmi steroid, a ua hoʻemi ʻia nā hōʻailona. | ʻAʻole pane ka eczema i nā kirīmi topical. Noho like nā hōʻailona a i ʻole e ʻoi aʻe ka ʻino. |
ʻO ka mea nui loa, inā loaʻa iā ʻoe kēia mau hōʻailona, mai kuhi wale, akā e ʻike i kāu kauka. Hiki i ke kauka ke nānā iā ʻoe a hoʻoholo pono i kahi o kēia mau kūlana ʻelua āu i loaʻa ai.
ʻO ka maʻamau, inā kānalua ʻia ka maʻi o Paget, hiki i ke kauka ke ʻōlelo i nā hoʻokolohua e like me:
- Hoʻokolokolo umauma
- Hoʻāʻo mammogram
- ʻO ke kiʻi ʻana o ka ultrasound
- ʻIke MRI (Kiʻi Resonance Magnetic)
- Ke lawe ʻana i kahi ʻāpana ʻili liʻiliʻi no ka hoʻokolokolo ʻana (Biopsy)
ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi eczema?
Hiki i kekahi mea me nā umauma ke loaʻa i kēia maʻi, akā aia kekahi poʻe i kahi pilikia kiʻekiʻe iki aʻe.
- Inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka eczema .
- Inā loaʻa iā ʻoe ka hānō .
- Inā he mau maʻi ʻaleka kou i ke kaiapuni i nā mea e like me ka lepo a me ka pollen.
- Inā loaʻa iā ʻoe ka hay fever/allergic rhinitis, ka mea e hoʻoulu ai i ka ihu kahe pinepine a me ke kihe ʻana.
He mea maʻamau loa ka eczema. Ma waena o 2% a me 10% o nā pākeke ma ka honua holoʻokoʻa he eczema. No laila, he mea maʻamau ke ʻike ʻia ma kou mau umauma.
No ke aha mākou e loaʻa ai kēia eczema umauma?
ʻAʻohe kumu hoʻokahi no kēia. He hui pū ʻana ia o kekahi mau kumu.
1. Hana o ka ʻōnaehana pale kino (ʻŌnaehana Pale Kino)
Loaʻa i ke kanaka me ka eczema kahi pane nui loa i nā mea liʻiliʻi loa (e like me ke ʻano kopa a i ʻole kekahi ʻano lole). ʻO kēia pane nui ke kumu o ka mumū a me ka ʻulaʻula o ka ʻili.
2. Nā ʻano hoʻoilina
Inā loaʻa kekahi o kou ʻohana i ka eczema, ka hānō, a i ʻole ka maʻi hay fever, ʻoi aku ka nui o kou loaʻa ʻana iā lākou. Hiki ke hana ʻia ka eczema e nā loli i loko o nā genes e kaohi ana i kahi protein e kōkua ana e mālama i ke olakino o ka ʻili.
3. Nā mana o ke kaiapuni (Kaiapuni)
He nui nā mea i ko kākou wahi e hiki ke hoʻopōʻino i ka ʻili.
- ʻO kekahi mau ʻano kopa ʻino
- Uahi paka, haumia ea
- Nā lole e like me ka hulu hipa
- ʻO kekahi mau ʻano uhi
- Ke aniau maloʻo (hoʻomaloʻo i ka ʻili)
- ʻO ke aniau wela a hou (hiki i ka hou ke hoʻonui i ka maneʻo)
E noʻonoʻo ʻoe ua ʻaʻahu ʻoe i kahi pale umauma hou, a i ʻole ua hoʻohana ʻoe i kahi ʻano kopa hou. Inā loaʻa iā ʻoe kahi ʻulaʻula e like me kēia ma hope o ke kau ʻana, hiki ke lilo i mea maʻi allergy i kēlā mea hou. Kāhea mākou iā ia he "Contact Dermatitis".
4. Ke kaumaha
E kahaha paha ʻoe i ka lohe ʻana i kēia. ʻAe, hiki i kou kaumaha ke hoʻoulu i ka eczema a i ʻole e hoʻonui i ka eczema e kū nei. ʻO nā mea e like me ka hopohopo nui a me ke kaumaha e pili pololei ana i ke olakino o ka ʻili.
5. Nā makuahine hānai
Hiki i nā makuahine hānai waiū ke loaʻa i ka eczema a puni nā nipples. Hiki ke hana ʻia kēia ʻano ma muli o ka makū mau a me ka friction.
ʻO ka mea nui loa, ʻaʻole he maʻi lele ka eczema umauma. ʻAʻole ia e laha mai ke kanaka a i ke kanaka ma o ka hoʻopā ʻana. No laila, mai hopohopo no ia mea.
He aha kā mākou e hana ai e kāohi i kēia?
Inā kumu ʻia ke kūlana e nā kumu hoʻoilina, he mea paʻakikī paha ke ho'ōla loa iā ia. Eia nō naʻe, nui nā mea hiki iā kākou ke hana e hoʻokele i nā hōʻailona a ola i kahi ola maʻamau. ʻO kā mākou pahuhopu ka hōʻemi ʻana i ka maneʻo a me ka ʻoluʻolu ʻole, pale i nā maʻi, a kāohi i ka hoʻi hou ʻana.
Nā lāʻau lapaʻau hiki iā ʻoe ke hana ma ka home
- E mālama i kou ʻili i ka hoʻomaʻū ʻia: E kau i kahi moisturizer maikaʻi i nā manawa he nui i ka lā. ʻOi loa ma hope o ka ʻauʻau ʻana, ʻo ka hamo ʻana ma kou ʻili e kōkua i ka hoʻopaʻa ʻana i ka makū. ʻOi aku ka maikaʻi o ka kirīmi a i ʻole ka ʻaila mānoanoa ma mua o ka lotion wai.
- E makaʻala i ka ʻauʻau ʻana: E ʻauʻau i ka wai mehana, ʻaʻole i ka wai wela. Mai ʻauʻau no nā minuke he 10-15.
- E hoʻohana i nā kopa palupalu: E koho i nā kopa palupalu a i ʻole nā holoi kino i ʻole nā ʻala, nā kala, a i ʻole ka waiʻona. ʻO nā huahana e ʻōlelo ana "ʻaʻohe ʻala," "hypoallergenic," a i ʻole "no ka ʻili koʻikoʻi" he mau koho maikaʻi.
- E mālama i kou mau lole: E ʻaʻahu i nā pale umauma a me nā lole i hana ʻia me nā lole e like me ka pulupulu e omo i ka hou a ʻae i kou ʻili e hanu. Hiki i nā lole e like me ka hulu hipa a me ke silika ke hoʻoulu i nā maʻi allergies i kekahi poʻe. E holoi i nā lole hou ma mua o ke komo ʻana iā lākou.
- Mai ʻānai!: ʻO kēia ka mea paʻakikī loa e hana. Akā, ʻo ka nui o kou ʻānai ʻana, ʻoi aku ka ʻino o ka ʻōhū, a ʻoi aku ka nui o ka haki ʻana o ka ʻili a lilo i maʻi. Inā ʻaʻole hiki iā ʻoe ke hoʻomanawanui i ka maneʻo, e hoʻāʻo e hamo mālie i ka wahi a i ʻole e kau i kahi lole anu a pulu.
- E hōʻemi i ke kaumaha: E hoʻokele i ke kaumaha ma o nā mea e like me ka noʻonoʻo ʻana, yoga, hoʻoikaika kino, a me ke komo ʻana i kahi hana leʻaleʻa punahele.
Lapaʻau lapaʻau
Ke ʻike ʻoe i kāu kauka, e loiloi ʻo ia i kou kūlana a kuhikuhi i ka lāʻau kūpono.
- Kirimina Hydrocortisone: Kōkua i ka hōʻemi ʻana i ka maneʻo a me ka ʻulaʻula. Hiki ke kūʻai ʻia kēia mau mea ma nā hale kūʻai lāʻau lapaʻau, akā ʻoi aku ka palekana o ka hoʻohana ʻana iā lākou ma lalo o ke aʻo ʻana a ke kauka.
- Nā kalima steroid i kuhikuhi ʻia: Inā ʻoi aku ka koʻikoʻi o kāu eczema, hiki i kāu kauka ke kuhikuhi i nā kalima steroid ikaika, nā pila, a i ʻole nā inikini.
- Nā Antihistamine: Inā hoʻāla ka maneʻo iā ʻoe i ka pō, hiki i kēia ʻano pila ke kōkua i ka hōʻemi ʻana i ka maneʻo.
- Nā lāʻau lapaʻau ʻē aʻe: I kekahi manawa, hiki ke ʻōlelo ʻia nā lāʻau lapaʻau hou ʻē aʻe, e like me nā immunomodulators topical (TIMs) a i ʻole ka light therapy (phototherapy).
Ke hoʻopilikia nei anei ka meaʻai a me ka mea inu i kēia?
ʻAʻohe hopena maopopo e pili ana i ka pilina ma waena o ka eczema a me ka meaʻai. Eia nō naʻe, inā he maʻi ʻai kou, hiki ke ʻoi aku ka ʻino o kou eczema ke ʻai ʻoe i kēlā meaʻai. No ka laʻana, he maʻi ʻai kekahi poʻe i nā mea e like me ka pīnati, ka waiū, nā hua manu, ke kō, a me ka waiʻona. E akahele iki i kāu mea e ʻai ai. Inā manaʻo ʻoe e ʻoi aku ka ʻino o kou eczema ma hope o ka ʻai ʻana i kahi meaʻai, he pilikia paha kēlā meaʻai iā ʻoe. E kamaʻilio me kāu kauka e pili ana i ia mea.
Pono anei au e ʻike i ke kauka?
ʻAe. Pono ʻoe e ʻike i ke kauka i nā hihia aʻe.
- Inā ʻo kēia ka manawa mua āu i ʻike ai i kēia mau hōʻailona.
- Inā ma hoʻokahi umauma wale nō ka ʻulaʻula.
- Inā he loli ke ʻano o kou nipple , he lua, a he ʻeha paha.
- Inā he wai melemele, koko, a i ʻole kekahi wai ʻē aʻe e puka mai ana mai ka nipple.
- Inā ma hope o hoʻokahi a ʻelua paha pule o ka mālama ʻana ma ka home, ʻaʻohe hoʻomaikaʻi a i ʻole e ʻoi aʻe ka ʻino o ke kūlana.
- Ua ʻeha ka ʻili,Inā he kahe melemele a ʻeha paha (hiki i kēia ke lilo i mau hōʻailona o kahi maʻi).
He mea nui loa no kou maluhia o ka noʻonoʻo e nānā pono i kēia mau mea a hōʻoia inā he maʻi eczema maʻamau kou a i ʻole kekahi mea ʻē aʻe.
Leka Lawe-Home
- He maʻi maʻamau a hoʻonāukiuki ka eczema o ka umauma, akā, ʻaʻole ia he mea koʻikoʻi.
- ʻAʻole kēia he maʻi lele, no laila mai makaʻu.
- He mea nui loa ia e mālama i ka ʻili i ka hoʻomaʻū ʻia a hoʻohana i nā kopa akahai.
- ʻO ka mea nui loa, ʻo ia ka hoʻokaʻawale ʻana i kēia mai ka maʻi o Paget, kahi ʻano maʻi umauma kakaʻikahi.
- Inā he loli ma kou nipple, inā he ʻulaʻula ma kekahi ʻaoʻao wale nō, a inā he kahe ʻana o ke koko, e ʻike koke aku i ke kauka.
- Me ka mālama pono a me ka lāʻau lapaʻau, hiki iā ʻoe ke kaohi maikaʻi i kēia maʻi a ola i kahi ola maʻamau.
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