Ua ʻike anei ʻoe i kekahi manawa e loaʻa koke iā ʻoe nā ʻulaʻula, nā ʻūlū iki ma kou kino? I kekahi manawa he ʻūlū nui lākou, i kekahi manawa he ʻeha iki. I kekahi manawa e nalowale ana i hoʻokahi a ʻelua paha lā, akā no kekahi poʻe, hiki i kēia mau ʻūlū ke mau no nā pule a i ʻole nā mahina. ʻO ia ke ʻano o ke kūlana a mākou e kamaʻilio ai i kēia lā.
No laila he aha kēia mau hives hiki ʻole ke ho'ōla ʻia a i ʻole nā hives mau loa?
I ka ʻōlelo maʻalahi, ʻo nā hives mau loa he ʻulaʻula, ʻālohilohi, piʻi aʻe nā puʻupuʻu a i ʻole nā welts ma kou ʻili e ʻike ʻia ma ka liʻiliʻi ʻelua i ka pule. ʻO kēia mau welts, i kapa ʻia ʻo 'wheals', ua manaʻo ʻia he 'mau' a i ʻole 'mau' ke mau lākou no ʻeono pule .
Ua lohe paha ʻoe i kēia maʻi i kapa ʻia ʻo `Chronic Idiopathic Urticaria.` E hoʻomaopopo iki kākou i kēlā, ʻeā?
- Mau Loa: He hōʻailona a kūlana paha e hoʻomau nei me ka mālama ʻia. ʻO ia hoʻi, kahi mea i hoʻomaikaʻi ʻole ʻia ma hope o kekahi manawa.
- Idiopathic: He hōʻailona a kūlana paha e kū koke mai ana, me ke kumu ʻole. He paʻakikī ke loaʻa ke kumu pololei.
- Urticaria: ʻO kēia ka inoa lapaʻau no nā hives. Ua puana ʻia e like me 'er-ti-care-ree-ya'.
He aha ka Urticaria a me ka Angioedema? He aha ka pilina ma waena o nā mea ʻelua?
Hiki ke hui pū ʻia nā hives, i ʻike ʻia hoʻi he urticaria, a me ka angioedema. ʻO nā hives he mau puʻupuʻu ʻulaʻula a i ʻole nā kiko e kū mai ana ma kou ʻili. Hiki i ka angioedema ke kū mai i kekahi manawa ma nā papa hohonu o kou ʻili. Hiki i kēia pehu ke hoʻopilikia i kou maka, lehelehe, ʻāʻī, lima, wāwae, a me nā ʻōpū. No ka laʻana, i kekahi manawa hiki ke hele pū ʻia nā hives me nā lehelehe pehu. Inā pehu kou ʻāʻī, hiki iā ia ke paʻakikī i ka hanu ʻana, no laila he mea nui e ʻimi koke i ke aʻo lapaʻau.
He aha ka ʻokoʻa ma waena o nā hives maʻamau a me nā hives mau loa?
He ʻokoʻa nā hives mau loa mai nā "hives ʻoi" maʻamau.
- Nā Hives ʻOʻoleʻa: Hoʻomaka kēia mau mea e nalo i loko o 24 mau hola (akā hiki ke ʻike ʻia nā mea hou). Eia naʻe, nalo loa lākou i loko o ʻeono pule. Hoʻokumu pinepine ʻia kēia e kahi mea e like me kahi maʻi viral hou a i ʻole kahi maʻi allergy meaʻai.
- Nā Hives Mau Loa: ʻO kēia nā hives e kū mai ana no nā pule ʻeono a ʻoi aku, ma ka liʻiliʻi ʻelua i ka pule. Hiki i kekahi mau hives mau loa ke mau no nā mahina a i ʻole nā makahiki. ʻO ka mea kaumaha, ʻo ka hapa nui o ka manawa, ʻaʻohe kumu i ʻike ʻia. ʻO ia hoʻi, ʻaʻole no ka mea ua ʻai hewa ʻoe i kahi mea.
Pehea ka maʻamau o kēia ʻano i kapa ʻia ʻo Chronic Hives?
Ma kahi o 5% o ka heluna kanaka o ka honua e hiki ke loaʻa i nā hives mau loa. ʻO ia hoʻi, he nui ka ʻelima pakeneka, ʻeā? Hiki ke ulu kēia ʻano maʻi i kekahi o kēlā me kēia makahiki, me ka nānā ʻole i ke kāne. Eia nō naʻe , ʻoi aku ka maʻamau o ia i nā wahine ma waena o 30 a me 50 mau makahiki. ʻAʻole maopopo ke kumu pololei, akā pili paha ia i nā mea e like me nā loli hormonal.
He aha nā kumu o nā hives mau loa?
ʻO kaʻoiaʻiʻo, he nui ka poʻe me nā hives mau loa ʻaʻohe kumu maopopo. ʻO ia ka mea a mākou i kapa ai he 'idiopathic'. Kākaʻikahi, hoʻokumu ʻia lākou e nā maʻi allergies i kekahi mau lāʻau lapaʻau a meaʻai paha. Inā pēlā, ʻo ka hapa nui o lākou i hoʻokumu ʻia e kahi mea āu e ʻai ai a inu paha i nā manawa a pau. No ka laʻana, hiki i kekahi poʻe ke maʻi allergies i nā mea mālama a i ʻole nā kala artificial.
ʻAʻole wale ia, hiki i kekahi poʻe ke loaʻa i ka hives ke loli koke ka mahana o ko lākou kino, e like me ka wā wela loa, ke anu loa, a i ʻole ke hoʻoikaika kino. I kekahi manawa, hiki ke hana ʻia kēia ʻano ma muli o ke kaomi ʻana ma ka ʻili i hana ʻia e ke komo ʻana i nā lole paʻa. No ka laʻana, loaʻa i kekahi poʻe ka hives ke lawe lākou i kahi ʻauʻau anu (`cold urticaria`), aʻo kekahi poʻe e loaʻa i ka hives ke hou lākou a wela (`cholinergic urticaria`). Hiki i kekahi poʻe ke loaʻa i ka hives ke hele lākou i waho i ka lā (`solar urticaria`).
Ke hoʻoulu nei nā maʻi autoimmune i nā hives mau loa?
ʻAe, hiki nō ia. Ma kahi o hoʻokahi o kēlā me kēia ʻelima poʻe me nā hives mau loa, a i ʻole ma kahi o 20%, ua ʻike ʻia he 'maʻi autoimmune' ʻē aʻe. ʻO ia hoʻi, he maʻi kahi e hoʻouka ai ka ʻōnaehana pale i nā hunaola ponoʻī o ke kino. I kēlā mau hihia, hiki i ke kino ke hana i nā 'antibodies' e kūʻē i kona mau hunaola ʻili ponoʻī, e hana ana i kēia mau ʻeha.
E hāʻawi i kekahi mau laʻana:
- ʻO ka maʻi Celiac (kahi maʻi allergy i ka gluten protein)
- ʻO Dermatomyositis (kahi maʻi e hoʻopilikia ana i ka ʻili a me nā ʻiʻo)
- ʻO ka maʻi diabetes (ʻoi aku ka maʻi diabetes type 1)
- ʻO ka Lupus
- ʻO Polymyositis (kahi maʻi e hoʻopilikia ai i nā ʻiʻo)
- ʻO ka Rheumatoid arthritis (ʻo ia hoʻi ka ʻeha hui)
- ʻO ka maʻi thyroid (ʻoi aku ka thyroiditis o Hashimoto)
- Vitiligo (nā ʻāpana keʻokeʻo ma ka ʻili)
He aha nā maʻi ʻē aʻe e hiki ai ke hoʻoulu i nā hives mau loa?
Hiki ke hana ʻia nā hives mau e nā maʻi olakino ʻē aʻe. ʻOiai ʻaʻole maʻamau kēia mau mea, e noʻonoʻo pū kekahi ke kauka i kēia mau mea.
- ʻO ka hānō
- ʻO nā maʻi, no ka laʻana, nā maʻi bacteria e like me H. pylori (hiki ke hana i nā ʻōpū ʻōpū) a me nā maʻi maʻi mau e like me sinusitis.
- ʻO ka maʻi akepaʻa
- ʻO nā ʻano maʻi kanesa i kapa ʻia ʻo 'Lymphomas', ʻo ia hoʻi ʻo 'Hodgkin lymphoma' a me 'non-Hodgkin's lymphoma'
- ʻO ka Vasculitis (ka mumū o nā kīʻaha koko)
He aha nā hōʻailona o ka hives mau loa?
Hiki ke ʻike ʻia kēia mau ʻeha ma nā wahi a pau o ke kino, a ʻokoʻa ke ʻano o ko lākou ʻano mai kēlā kanaka a kēia kanaka. Hiki i kēia mau ʻeha ke loaʻa i nā ʻano like ʻole a me nā nui. Hiki i kekahi ke liʻiliʻi e like me ke poʻo pine, aʻo kekahi e like me ka nui o ka pōpō palupalu!
ʻO nā hōʻailona nui o ka hives mau loa:
- ʻUlaʻula, piʻi aʻe, a he ʻeha a pehu paha nā ʻeha a i ʻole nā puʻupuʻu ma kou ʻili.
- Keʻokeʻo: ʻO ke ʻano kēia, e lilo ke kikowaena o ka pehu i keʻokeʻo ke kaomi ʻia. Hiki ke hoʻohana ʻia kēia e hoʻokaʻawale iā ia mai kahi nahu makika maʻamau.
- ʻO ke kahakaha nui ʻana o ka ʻili (i kapa ʻia hoʻi ʻo 'pruritus'). ʻO kēia maneʻo ke kumu e paʻakikī ai i nā poʻe he nui ke ʻae, ʻoiai i ka pō.
- ʻO ka pehu ʻana, ʻo ia ka mea a mākou i kamaʻilio ai ma mua, i kapa ʻia ʻo 'angioedema.' Hiki ke hana kēia a puni nā maka, nā lehelehe, a me nā lālā.
He aha ke ʻano kauka e pono ai iaʻu e ʻike no nā hives mau loa?
Aia kekahi mau kauka e hiki ke hoʻomaopopo a mālama i kēia maʻi hives mau loa:
- Nā Allergists: No ka mea i kekahi manawa hiki ke pili kēia i kahi maʻi allergy.
- Kauka ʻili: No ka mea, he ʻike kūikawā ko lākou e pili ana i nā maʻi ʻili.
- ʻO kāu kauka ʻohana (nā kauka mālama mua): Hiki iā ia ke hana i kahi hoʻokolokolo maʻamau a kuhikuhi iā ʻoe i kahi loea inā pono.
Pehea e ʻike ʻia ai kēia maʻi o ka Urticaria Mau?
Hiki i kāu kauka ke ʻike i kēia kūlana ma ka nānā ʻana i kou ʻili a nīnau e pili ana i kāu mau hōʻailona, inā paha he like nā kūlana o kekahi o kou ʻohana, nā lāʻau lapaʻau āu e lawe ai, a me kāu mau ʻano ʻai.
I mea e ʻike pono ai i ke kumu o kou hives mau loa (a i ʻole e kāpae i kekahi mau kumu), pono paha ʻoe e hana i kekahi mau hoʻokolohua. Pono paha ʻoe e hana i hoʻokahi a ʻoi aku paha o kēia mau mea:
- Hoʻāʻo alerē: No ka ʻike ʻana inā loaʻa iā ʻoe kahi hopena i kahi 'allergen', ʻo ia hoʻi, kahi mea e hoʻoulu ai i ka alerē. He 'hoʻāʻo ʻili prick' paha kēia a i ʻole he hoʻāʻo koko.
- Nā hoʻāʻo koko: E nānā i nā pae antibody o ke kino (ʻoi aku hoʻi nā pae IgE), nā māka o ka mumū, nā pae hormone thyroid, a me nā antibodies e pili ana i nā maʻi autoimmune.
- Hoʻāʻo mimi: E nānā no nā maʻi bacteria.
- ʻO ka biopsy ʻili:Lawe ʻia kahi biopsy ʻili e hōʻoia i ka hōʻailona a e kāpae i nā kumu kakaikahi ʻē aʻe, e like me ka vasculitis. Hana pinepine ʻia kēia inā he nui loa nā ʻeha a i ʻole ʻaʻole pane i ka lāʻau.
He aha nā lāʻau lapaʻau no nā hives mau loa?
ʻO ka mea pōmaikaʻi, aia nā lāʻau lapaʻau no kēia mau hives mau loa. ʻO ka pahuhopu ka kaohi ʻana i nā hōʻailona a ʻae iā ʻoe e ola i kahi ola maʻamau.
- Nā lāʻau lapaʻau allergies: ʻO nā lāʻau lapaʻau e like me nā antihistamines, hiki ke lawe ʻia i kēlā me kēia lā, ma luna o ke kūʻai aku (OTC) a i ʻole i kuhikuhi ʻia e ke kauka, hiki ke kōkua i ka hōʻemi ʻana i ka maneʻo a hōʻemi a pale paha i nā hopena allergies. I kekahi manawa, hiki i kāu kauka ke kuhikuhi i kahi mahele kiʻekiʻe ma mua o ka maʻamau.
- Nā pana no ka maʻi ʻaleka: ʻO Omalizumab (Xolair®) kahi inikini mahina e ālai ana i ka hana ʻana o ke kino i kahi protein i kapa ʻia ʻo Immunoglobulin E (IgE). Hiki i ka poʻe me nā maʻi ʻaleka koʻikoʻi ke hana i ka nui o kēia IgE, hiki ke alakaʻi i nā pilikia e like me ka hives mau a me ka hānō. ʻOiai he lāʻau lapaʻau pipiʻi kēia, he mea kūpono loa ia no ka poʻe i pane ʻole i nā lāʻau lapaʻau ʻē aʻe.
- Nā Steroid: Hiki i nā Corticosteroids, e like me Prednisone (Deltasone®, Rayos®), ke kāohi koke i nā hōʻailona i pane ʻole i nā lāʻau lapaʻau ʻē aʻe, ʻoiai nā ʻōhū koʻikoʻi. Eia naʻe, ʻaʻole pono e hoʻohana mau ʻia kēia mau mea a pono e hoʻohana wale ʻia no kahi manawa pōkole, e like me ke kauoha a ke kauka. Hiki i ka hoʻohana lōʻihi ke hana i nā hopena ʻaoʻao.
- ʻO Hydroxychloroquine: Ua ʻike ʻia kekahi noiʻi he ʻewalu o ka ʻumi o ka poʻe me nā hives mau loa i hoʻokumu ʻia e kahi maʻi autoimmune i loaʻa ka emi ʻana o nā hōʻailona ma hope o ka lawe ʻana i ka lāʻau malaria hydroxychloroquine (Plaquenil®) no ʻekolu mahina a ʻoi aku paha.
- Cyclosporine: He immunosuppressant kēia. He mea maikaʻi loa ia i ka mālama ʻana i nā hives mau loa. Eia nō naʻe, hiki iā ia ke hana i nā hopena ʻaoʻao koʻikoʻi ke lawe ʻia no ka manawa lōʻihi, no laila pono e hoʻohana ʻia ma lalo o ka nānā pono ʻana o ke kauka.
ʻO ka mea nui loa, ʻo ia ke kamaʻilio me ke kauka e pili ana i ke kūpono o kēia lāʻau lapaʻau iā ʻoe a me ka lōʻihi o kou lawe ʻana. Mai lawe wale i ka lāʻau lapaʻau ma kāu iho.
He aha kāu e hana ai ma ka home e hōʻoluʻolu ai i kēia mau hōʻailona?
ʻAe, hiki iā ʻoe ke hoʻāʻo i kēia mau mea ma ka home e hōʻemi i ka maneʻo a me ka mumū:
- E hoʻopili i kahi kirīmi anti-itch OTC mai ka hale kūʻai lāʻau lapaʻau. Hiki iā ʻoe ke hoʻohana i nā mea e like me ka lotion calamine.
- E kau i nā ʻūmiʻi anuanu i hoʻomoʻa ʻia i ka wai anuanu ma luna o ka ʻōpala i nā manawa he nui i ka lā (akā e hoʻomanaʻo, mai hana i kēia inā e ʻoi aku ka ʻino o ka ʻōpala ma muli o ke anu - ʻo ia hoʻi, inā he 'urticaria anu' kou).
- E ʻauʻau anuanu a ʻauʻau paha. Hiki i ka ʻauʻau wela ke hoʻonui i ka maneʻo.
- E hoʻomaʻū i ka ʻili maloʻo me nā lotion a me nā kirīmi hypoallergenic. E koho i kahi moisturizer maʻalahi a ʻala ʻole.
- E ʻaʻahu i nā lole palupalu i hana ʻia me ka pulupulu palupalu ʻaʻole e hoʻonāukiuki i kou ʻili. ʻO ke komo ʻana i nā lole paʻa e hiki ke hoʻonui i ke kūlana. E pale i ke komo ʻana i nā lole i hana ʻia me nā lole ʻino e like me ka hulu hipa.
- E pale i ke kahakaha ʻana i ka nui o ka hiki. ʻOiai hiki i ke kahakaha ʻana ke hāʻawi i ka hōʻoluʻolu no ka manawa pōkole, hiki iā ia ke hōʻino i ka ʻili a hoʻonui i ka hōʻino.
Hiki i kēia mau ʻūhini mau ke mau no nā makahiki he nui?
Ma kahi o ka hapalua, a i ʻole 50%, o ka poʻe me nā hives mau loa e nalowale ana ko lākou hives i loko o hoʻokahi makahiki (pinepine me ka ʻole o ka lāʻau lapaʻau). ʻO kekahi 20% e nalowale ana ko lākou hives i loko o ʻelima mau makahiki. Akā no kekahi poʻe, hiki ke lōʻihi aʻe. Hiki i ka mālama ʻana no nā hives lōʻihi ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona. No laila , mai hopohopo, aia nā lāʻau lapaʻau.
Āhea wau e ʻike pono ai i ke kauka?
Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻike pono i ke kauka:
- Inā ʻoi aku ka lōʻihi o ka palapū a i ʻole ka pehu ʻana ma mua o hoʻokahi pule.
- Inā ʻike ʻia ka ʻeha ua maʻi (e laʻa me ka ʻulaʻula, ka pehu, ka piha i ka pea, a i ʻole ke kuni).
- Inā hoʻi hou ka ʻeha i kēlā me kēia mau mahina.
- Inā ʻeha nui kou ʻili, hiki iā ia ke hoʻopilikia i kou hiamoe a me kāu mau hana o kēlā me kēia lā.
- Inā pilikia ʻoe i ka hanu ʻana, manaʻo ʻoe ua ʻūmiʻi kou puʻu, a i ʻole ua poniuniu, he pilikia ia. E hele koke i ka haukapila.
He aha kaʻu e nīnau aku ai i ke kauka?
He manaʻo maikaʻi e nīnau i kēia mau nīnau ke ʻike ʻoe i kāu kauka:
- He aha ke kumu o kēia mau hives mau loa? A i ʻole, he aha kou manaʻo e hiki ke kumu o lākou?
- Āhea e hoʻōla ai kēia mau ʻūhini mau loa?
- Pono anei au e hana i kahi hoʻāʻo allergy?
- He aha ka lāʻau lapaʻau maikaʻi loa noʻu no kēia mau hives mau loa?
- He aha ka lāʻau lapaʻau maikaʻi loa e hōʻemi ai i ka maneʻo?
- Aia kekahi mau hopena ʻaoʻao i kēia lāʻau lapaʻau?
- He aha nā pilikia e pono iaʻu e hopohopo?
- Pono anei iaʻu e hoʻololi i kaʻu meaʻai a me ke ʻano o ka nohona?
Hiki ke hana ʻia nā hives mau loa e ke kaumaha a me ka hopohopo paha?
ʻO kaʻoiaʻiʻo, hiki i ke kaumaha a me ka hopohopo ke hoʻonui i nā kūlana ʻili. ʻO ia hoʻi, hiki i ke kaumaha ke hoʻonui i ka ʻili a me ka ʻāʻī. No laila, i kekahi manawa hiki i nā lāʻau lapaʻau anti-anxiety ke kōkua. Hiki iā ʻoe ke pōmaikaʻi mai nā mea e like me ka noʻonoʻo ʻana, ka noʻonoʻo pono, ka yoga, a me ka hiamoe lawa e hōʻoluʻolu i kou manaʻo. E hoʻomanaʻo, he mea nui loa ka noʻonoʻo hauʻoli no ke kino olakino.
No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia mau mea a pau? (Leka Lawe-Home)
Hiki i nā hives mau loa (Chronic Urticaria) ke ʻeha a ʻoluʻolu ʻole. I kekahi manawa hiki iā ʻoe ke huhū e pili ana i kou helehelena. ʻOiai ʻaʻole hiki i nā kauka ke kuhikuhi pinepine i ke kumu pololei o nā hives mau loa, hiki i nā lāʻau lapaʻau e like me nā antihistamines, steroids, a i kekahi manawa hiki i nā immunosuppressants ke kōkua. Aia kekahi mau mea hiki iā ʻoe ke hana ma ka home e kōkua i ka hōʻemi ʻana i ka ʻeha a me ka pehu.
ʻO ka mea nui, no nā kānaka he nui, e nalowale nā hives mau loa iā lākou iho i ka hala ʻana o ka manawa (malia paha ma hope o hoʻokahi makahiki a ʻoi aku paha). No laila e noho ikaika a e hahai i ka ʻōlelo aʻo a kāu kauka. ʻAʻole ʻoe hoʻokahi, a aia nā kauka e hiki ke kōkua iā ʻoe e lanakila ma luna o kēia maʻi. Aia nā lāʻau lapaʻau e hiki ke hoʻomaikaʻi i kou ʻano ola.
ʻŌhūhū , hives mau loa, urticaria, maʻi ʻili, maneʻo, allergies, angioedema
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