Ke loaʻa nei hoʻi iā ʻoe nā pehu liʻiliʻi wai ma kou mau lima a me kou mau wāwae e maneʻo ana? He dyshidrotic eczema paha ia!

He mau pehu liʻiliʻi a wai paha kou ma kou mau lima, ma waena o kou mau manamana wāwae, a i ʻole ma kou mau poho lima e ʻānai nui ana? I kekahi manawa ke maloʻo kēia mau pehu, e māwae ana ka ʻili a lilo i ʻeha, e hoʻonui ana i ka pilikia? A laila loaʻa paha iā ʻoe kahi maʻi ʻili i kapa ʻia ʻo 'Dyshidrotic Eczema'. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī a maʻalahi loa i kēia lā.

He aha ka maʻi ʻeczema dyshidrotic?

I ka ʻōlelo maʻalahi, he maʻi ʻili lōʻihi ia, a i ʻole, he mau loa . Hōʻike ʻia ia e ka ulu ʻana o nā pehu liʻiliʻi i piha i ka wai ma nā manamana lima, nā poho lima, a i kekahi manawa nā kapuwaʻi o nā wāwae. Hiki i ka ʻili ke maloʻo a me ka maneʻo . E noʻonoʻo iā ia e like me nā pehu liʻiliʻi o ka pōhaku kopa.

He nui nā inoa ʻē aʻe o kēia maʻi. Ua kapa pū kekahi poʻe iā ia ʻo Dyshidrosis, Acute Palmoplantar Eczema, Vesiculobullous Dermatitis, a i ʻole Pompholyx. ʻOiai he nui nā inoa, ua like like nā hōʻailona.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

Hiki i kekahi ke loaʻa i ka dyshidrotic eczema. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe. E nānā kākou iā lākou:

• ʻO ka maʻamau no nā kānaka ma waena o 20 a me 40 mau makahiki .
• He mea maʻamau kēia ʻano i nā wahine .
• Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka eczema ma mua.
• No ka poʻe i loaʻa mua i ka dermatitis pili .
• Loaʻa i kekahi poʻe kahi hopena alerika ke hoʻopili ʻia kahi mea ʻē, ʻo ia hoʻi kahi antigen, me ko lākou kino. Hiki ke hana kēia i nā poʻe e like me ia.
• Hiki ke ʻike ʻia kēia ʻano i kekahi manawa i nā poʻe e loaʻa ana i nā inikini antibody, ʻo ia hoʻi, intravenous immunoglobulin (IVIG), i hāʻawi ʻia i nā poʻe me nā ʻōnaehana pale nawaliwali.

Eia kekahi laʻana, ʻaʻahu kekahi mau wahine i nā mea hoʻonani e pā pinepine ana i ko lākou mau lima. Wahi a nā kānaka noiʻi, ʻo nā metala e like me ka nickel a i ʻole cobalt i loko o kēia mau mea hoʻonani kekahi kumu o kēia eczema. ʻO ia paha ke kumu e ʻike pinepine ʻia ai i nā wahine. Ma keʻano holoʻokoʻa, ma kahi o 50% o ka poʻe e loaʻa ana i ka dyshidrotic eczema he maʻi āpau i kekahi antigen.

Pehea ka maʻamau o kēia kūlana?

Ma nā wahi hana a i ʻole ke kauka, ua hōʻike ʻia ma waena o 5% a me 20% o nā hihia dermatitis lima i hoʻokumu ʻia e ka dyshidrotic eczema.

Pehea ka hopena o ka eczema dyshidrotic i ke kino?

Hoʻopilikia nui kēia maʻi i ka ʻili ma kou mau poho lima, nā ʻaoʻao o kou mau manamana lima, a me nā kapuwaʻi o kou mau wāwae .

Nā pehu liʻiliʻi ma kou ʻili e like me nā nati kopaʻO ka maʻamau, he hoʻokahi a ʻelua milimita ka nui o kēia mau pehu. Eia nō naʻe, i kekahi manawa hiki i kēia mau pehu liʻiliʻi ke hui pū e hana i hoʻokahi pehu nui.

Ma hope o ka maloʻo ʻana o kēia mau pehu, hiki i ka ʻili ma ia wahi ke lilo i unahi a māwae . Hiki nō hoʻi ke ʻeha iki.

He aha nā hōʻailona?

Hiki i nā hōʻailona o ka dyshidrotic eczema ke hele koke mai, e emi iho ma hope o kekahi mau lā, a laila hoʻi hou mai. Hiki i kēia mau hōʻailona ke mau no nā pule. E nānā e ʻike inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• ʻIke ʻia nā pehu liʻiliʻi a paʻakikī ma nā poho lima, nā ʻaoʻao o nā manamana lima, a me nā kapuwaʻi o nā wāwae.
• Hiki i kēia mau pehu ke ʻeha i kekahi manawa.
• Ka maneʻo nui a me ka ʻili ʻana o ka ʻili ma luna a puni paha o nā pehu.
• Hoʻonui ʻia ka hou ʻana e pili ana me nā pehu.
• I ka mae ʻana o nā pehu, e maloʻo a māwae ka ʻili ma ia wahi.

Inā ʻoe e ʻānai pinepine i kēia mau wahi, hiki i ka ʻili ke mānoanoa. Hiki i nā pehu nui a i ʻole nā ​​​​wahi me nā pehu he nui ke loaʻa i ka maʻi i kekahi manawa. No laila he mea nui e kāohi i ke ʻānai ʻana i ka hiki.

He aha ke kumu o kēia maʻi? (Nā mea hoʻonāukiuki)

ʻAʻole maopopo i nā kauka a me nā mea noiʻi ke kumu o ka dyshidrosis, akā manaʻoʻiʻo lākou hiki ke hoʻoulu ʻia e ka hui pū ʻana o nā kumu.

• Ka hana pono ʻole o ka ʻōnaehana pale: Inā loaʻa iā ʻoe ka dyshidrotic eczema, hiki i kāu ʻōnaehana pale ke pane nui i nā mea hoʻonāukiuki liʻiliʻi a i ʻole nā ​​​​allergens. ʻO kēia hana nui ke kumu o ka mumū o ka ʻili.
• Nā Allergies: ʻO ka ʻike ʻana i kekahi mau mea e like me ka sima, nickel, cobalt, a me ka chromium hiki ke hoʻonui i kēia eczema. Hiki ke hoʻonui ʻia e nā allergies ʻē aʻe e like me ka hay fever / allergic rhinitis a i ʻole kekahi mau allergies meaʻai.
• Ka makū: Hiki ke hana ʻia ka eczema dyshidrotic e ka hou mau ʻana a me ka pulu ʻana o nā lima a i ʻole nā ​​wāwae. He mea kēia e makaʻala ai me ke aniau ma ko mākou ʻāina.

Ke laha nei kēia? He mea lele anei?

I kekahi mau hihia koʻikoʻi, hiki i kēia mau pehu ke ulu nui a laha i ke kua o nā lima, nā wāwae, a me nā manamana lima, akā ʻaʻole lākou e laha i nā ʻāpana ʻē aʻe o ke kino.

ʻO ka mea nui loa, ʻaʻole laha ka dyshidrotic eczema. ʻAʻole hiki iā ʻoe ke hoʻolaha iā ia i kekahi.

Eia nō naʻe, inā ʻoe e haki i ka ʻili ma ke kahakaha ʻana i nā pehu, hiki iā ia ke alakaʻi i nā maʻi. Inā loaʻa ka maʻi i nā pehu, pono ʻoe e ʻike i ke kauka. A laila hiki iā lākou ke hāʻawi iā ʻoe i nā lāʻau antibiotic e mālama i ka maʻi.

Pehea ʻoe e ʻike ai i kēia?

Ke ʻike ʻoe i ke kauka, e nānā lākou i nā wahi i hoʻopilikia ʻia o kou ʻili. Hiki iā lākou ke nīnau e like me ke kaumaha nui nei ʻoe, inā paha he maʻi kēia i loko o kou ʻohana, inā ua hoʻohana ʻoe i kekahi mau huahana ʻili hou, ua komo i nā mea hoʻonani hou, a ua ʻai paha i nā meaʻai hou.

He aha nā hoʻokolohua diagnostics?

Hiki i kāu kauka ke kauoha i kekahi mau hoʻokolohua e hōʻoia i kāu hōʻailona a i ʻole e kāpae i nā kūlana like ʻē aʻe, e like me ka dermatitis pili, bullous pemphigoid, a me ka maʻi lima, wāwae, a me ka waha. Hiki i kēia mau mea ke komo pū me:

• Nā hoʻāʻo alerē.
• Ke lawe ʻana i kahi ʻāpana ʻili liʻiliʻi no ka hoʻokolokolo ʻana (Biopsy).
• Nā hoʻāʻo koko.

Pehea e hoʻōla ai i ka eczema dyshidrotic?

Hoʻomaka ka nui o ka poʻe ma ka mālama ʻana i kēia kūlana me kahi papa mālama ʻili ma ka home.

He aha nā lāʻau lapaʻau e hiki ke hana ʻia ma ka home?

• E hoʻohana i ka wai mehana ma kahi o ka wai wela i ka holoi ʻana i kou mau lima.
• E hoʻoluʻu i kou mau lima a me kou mau wāwae i ka wai anuanu no kekahi manawa e hōʻemi i nā hōʻailona.
• No ka hōʻemi ʻana i ka maneʻo a me ka mumū , e hoʻopili i nā ʻūlū anuanu me kahi lole maʻemaʻe i hoʻoluʻu ʻia i ka wai anuanu e like me ka mea e pono ai. E waiho no 10-15 mau minuke, e hoʻomaloʻo i ka ea, a laila e hoʻopili i kahi moisturizer maikaʻi. ʻOi aku ka maikaʻi o ka hana ʻana i kēia ʻekolu a ʻehā mau manawa i ka lā.
• I mea e pale ai i ka maloʻo ʻana o ka ʻili, e hoʻopili i kahi moisturizer maikaʻi i nā manawa he nui i ka lā. He mea nui loa kēia.
• E hoʻomaloʻo koke a maikaʻi i kou mau lima a me kou mau wāwae ma hope o ka ʻauʻau ʻana a i ʻole ka ʻauʻau ʻana.
• Inā hiki, e hōʻemi i ka nui o nā socks, stockings, a me nā kāmaʻa āu e ʻaʻahu ai. Inā pono loa ʻoe e ʻaʻahu iā lākou, e ʻaʻahu i nā socks pulupulu a huluhulu paha e omo i ka makū a me nā kāmaʻa e hanu ai a ʻaʻole e hoʻopaʻa i kou mau wāwae.

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ma luna o ke kūʻai aku (OTC), e like me nā kirīmi corticosteroid topical a i ʻole nā ​​​​​​mea ʻaila . Hiki iā lākou ke kuhikuhi i nā antihistamines waha (e like me ka fexofenadine a me cetirizine). Hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka mumū a me ka maneʻo.

He aha nā lāʻau lapaʻau i hāʻawi ʻia ma ke ʻōlelo a ke kauka?

Inā ʻoi aku ka koʻikoʻi o ka dyshidrotic eczema, hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e like me kēia e kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona:

• ʻO nā corticosteroids ʻōnaehana ākea: Inā ʻaʻole hāʻawi nā ʻaila corticosteroid topical i ka hōʻoluʻolu, hiki i kāu kauka ke kuhikuhi i kahi lāʻau corticosteroid waha, e like me ka prednisone.
• Nā lāʻau lapaʻau immunosuppressive nonsteroidal ākea:ʻOiai ʻo ka lawe ʻana i nā steroids waha no ka manawa lōʻihi hiki ke hoʻopilikia i kou olakino, hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e like me nā papa methotrexate, nā papa mycophenolate, a i ʻole nā ​​​​inikini dupilumab.
• Phototherapy: Pili kēia i ka hoʻohana ʻana i nā kukui kūikawā e kuhikuhi i ka mālamalama ultraviolet, ʻo ia hoʻi nā kukuna ultraviolet B (UVB), ma ka ʻili. Hiki i kēia mau kukuna UV ke kōkua i ka mālama ʻana i kekahi mau maʻi ʻili, me ka dyshidrotic eczema. Eia nō naʻe, hiki i nā kukuna UVB ke hana i nā kiko ʻeleʻele mau loa (hyperpigmentation) i ka poʻe me ka ʻili ʻeleʻele, no laila he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i kēia inā he ʻili ʻeleʻele kou.

Aia kekahi ala e hoʻopau koke ai i kēia?

ʻOiaʻiʻo, ʻokoʻa ke kino o kēlā me kēia kanaka. Hiki i kekahi poʻe ke loaʻa ka hōʻoluʻolu me nā lāʻau lapaʻau home a me nā lāʻau lapaʻau kūʻai ʻole. Pono paha kekahi i nā kirīmi corticosteroid ikaika e like me Clobetasol.

Hoʻomaikaʻi pinepine ka dyshidrotic eczema me ka mālama ʻana, akā hiki ke hoʻi hou i ka hala ʻana o ka manawa. No laila, pono paha ʻoe e hahai i kahi papa hana mālama ʻili kikoʻī a hoʻomau paha i ka hoʻohana ʻana i ka lāʻau lapaʻau e mālama i kāu mau hōʻailona.

Hiki ke pale ʻia ka dyshidrotic eczema?

ʻO ka mea pōʻino, ʻaʻole hiki ke pale loa ʻia ka dyshidrotic eczema. He maʻi olakino lōʻihi ia e hiki ke hoʻāla i kēlā me kēia manawa i ke ola . Eia nō naʻe, hiki ke mālama ʻia nā hoʻāla.

He aha kāu e hana ai inā loaʻa iā ʻoe ka dyshidrotic eczema?

Inā loaʻa iā ʻoe ka dyshidrotic eczema, aia nā mea hiki iā ʻoe ke hana e kōkua i ka hōʻemi ʻana i nā flare-up. ʻO ka hahai ʻana i kahi hana mālama ʻili maikaʻi a me ka hoʻohana ʻana i nā lāʻau lapaʻau e like me nā antihistamines hiki ke kōkua i ka kaohi ʻana i nā hōʻailona. Inā pono, aia kekahi mau lāʻau lapaʻau ʻē aʻe, e like me ka phototherapy.

Noho ka nui o ka poʻe me ka dyshidrotic eczema, akā hiki ke paʻakikī i kekahi manawa. Loaʻa paha iā ʻoe ke ʻano i hoʻokahi manawa a ʻaʻole loaʻa hou, a i ʻole e puka hou aʻe a puni kou ola. I kekahi manawa, e nalowale loa paha nā hōʻailona. Ua kapa ʻia kēia mau wā he mau wā hoʻomaha. Hiki i ka mālama ʻili maikaʻi a me ka mālama ʻana ke kōkua i ka pale ʻana i nā lapalapa a hoʻolōʻihi i kēia mau wā o ke kala ʻana.

E hoʻomanaʻo, e pale i nā mea hoʻonāukiuki, e hoʻopili i ka moisturizer i kou ʻili, e lawe i nā lāʻau lapaʻau i kuhikuhi ʻia, a e hahai i nā ʻōlelo a kāu kauka.

Aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka ʻeha i hoʻokumu ʻia e kou mau pehu:

• E holoi i nā wahi i hoʻopilikia ʻia me kahi kopa palupalu .
• E hoʻopili i kahi kirīmi a poni paha antibacterial .
• E uhi i nā wahi i hoʻopilikia ʻia me kahi kāʻei a i ʻole ʻāpana gauze .
• E hoʻololi i ke kāʻei ma ka liʻiliʻi i hoʻokahi manawa i ka lā.

Me he mea lā he manaʻo maikaʻi ka wehe ʻana i ka pehu a hemo. Eia naʻe, ʻaʻole maikaʻi iki ka hana ʻana pēlā. Aia ka ʻili ma luna o ka pehu e pale i nā papa o ka ʻili ma lalo mai ka maʻi.

Āhea ʻoe e ʻike ai i ke kauka?

ʻOi aku ka maikaʻi o ke kipa ʻana i ke kauka i ka wā e ʻike ai ʻoe i nā pehu ma kou mau lima, nā manamana lima, a i ʻole nā ​​wāwae. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka maʻalahi o ka kaohi ʻana i ke kūlana.

He aha nā nīnau āu e nīnau ai i ke kauka?

• Pehea ʻoe e ʻike ai inā loaʻa iaʻu ka dyshidrotic eczema?
• Inā ʻaʻohe oʻu dyshidrotic eczema, he aha nā maʻi ʻili ʻē aʻe e loaʻa iaʻu?
• Aia kekahi kirīmi a ʻaila paha e hiki iā ʻoe ke kuhikuhi?
• He aha nā lāʻau lapaʻau āu e paipai nei?
• He aha nā lāʻau lapaʻau home āu e paipai nei?
• Aia kekahi moisturizer kūikawā āu e paipai nei?
• Pono anei au e ʻike i ke kauka ʻili a i ʻole kekahi loea ʻē aʻe?

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

He maʻi ʻili maʻamau ka dyshidrotic eczema i hiki ke ʻeha a me ka maneʻo. Loaʻa paha iā ʻoe i hoʻokahi manawa i kou ola a ʻaʻole loa e loaʻa hou, a i ʻole e hoʻi hou mai i kēlā me kēia manawa i kou ola. Inā he ʻili ʻeha, pehu, maneʻo kou, e kamaʻilio me ke kauka.

ʻO ka mea nui loa, ʻo ia ke ʻimi i ke kōkua lapaʻau kūpono i ka wā e ʻike ai ʻoe i nā hōʻailona. Mai hana wale i kāu mea e manaʻo ai a hele paha no ka lāʻau lapaʻau ma muli o ka ʻōlelo a haʻi. I kekahi manawa, hiki iā ia ke hoʻonui i ke kūlana.

Hiki ke mālama ʻia nā hihia liʻiliʻi o ka dyshidrotic eczema me nā kirīmi, nā ʻaila, a me nā lāʻau lapaʻau i kūʻai ʻia ma luna o ke kauka. Pono paha nā hihia koʻikoʻi i nā lāʻau lapaʻau i kuhikuhi ʻia a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe. Ma ka hahai ʻana i kahi papa mālama ʻili kūpono, hiki iā ʻoe ke hōʻemi i nā hopena o ka dyshidrotic eczema a noho olakino.

ʻEczema dyshidrotic, nā pehu ma nā lima, nā pehu ma nā wāwae, ʻili ʻānai, pompholyx, dermatology, mālama ʻili