Ke kahili ʻoe i kou lauoho i ke kakahiaka, ʻike anei ʻoe i ka nui o ka lauoho ma kāu kahili? Ke pau ʻoe i ka ʻauʻau ʻana, ʻike anei ʻoe i ka lauoho ma ka papahele o ka lumi ʻauʻau? He mea maʻamau ka manaʻo iki i ka makaʻu a me ka hopohopo ke ʻike ʻoe i kahi mea e like me kēia. ʻO kaʻoiaʻiʻo, no kekahi poʻe, ʻo ka nalowale iki o ka lauoho he mea kaumaha nui ia. No kekahi poʻe, ʻoiai inā e hāʻule ko lākou lauoho a hiki i ka ʻōhule, ʻaʻole nui ia. No laila i kēia lā, e kamaʻilio kākou e pili ana i ka nalowale o ka lauoho, he mea nui ia i nā mea a pau, ma ke ʻano maʻalahi.
ʻO ka mea mua, e nānā kākou, he aha kēia lāʻau lauoho?
I ka ʻōlelo maʻalahi, ʻaʻole wale ka lauoho ka lauoho ma ko mākou ʻili. Loaʻa iā mākou ka lauoho ma nā wahi āpau o ko mākou kino, koe wale nō nā wahi e like me ko mākou mau poho lima, nā kapuwaʻi o ko mākou mau wāwae, a me nā lihilihi. Akā, ua lahilahi loa kekahi o ia mea ʻaʻole hiki iā mākou ke ʻike.
Hana ʻia kahi ʻau lauoho i kahi protein i kapa ʻia ʻo keratin . Hana ʻia kēia mau mea i loko o nā follicles liʻiliʻi i loko o ka ʻili. I ka wā e hana ʻia ai nā hunaola lauoho hou i loko o kēia mau follicles, ua hoʻokuke ʻia nā hunaola kahiko i waho i ka ʻili o ka ʻili. ʻO ke ʻau lauoho āu e ʻike ai he hōʻiliʻili maoli ia o nā hunaola keratin make. Ma ka awelika, he 100,000 a me 150,000 lauoho ma ke poʻo o kahi pākeke. He mea maʻamau ka nalowale ʻana ma kahi o 50 a 100 lauoho i ka lā. No laila, inā he mau lauoho kou ma kāu kāhili, mai hopohopo.
I kēlā me kēia manawa, ma kahi o 90% o ka lauoho ma kou poʻo e ulu ana. Akā, he pōʻaiapuni ola kūikawā ko kēlā me kēia lauoho.
ʻO ke ola o ka follicle lauoho
Ua māhele ʻia kēia pōʻaiapuni i ʻekolu mau pae nui.
- Ka Pae Anagen: ʻO kēia ka wā e ulu ikaika ai ke kumu lauoho. ʻO ka maʻamau, he 2 a 8 mau makahiki ka lōʻihi o kēia pae.
- Ka Pae Catagen: He pae hoʻololi kēia. He 2 a 3 mau pule ka lōʻihi.
- Ka pae Telogen: ʻO kēia ka pae hoʻomaha o ke kumu lauoho. He 2 a 3 mahina paha ka lōʻihi o kēia pae. I ka hopena o kēia wā, hāʻule ke kumu lauoho a hoʻomaka kahi kumu lauoho hou e ulu ma kona wahi. Penei e hoʻomaka hou ai ke kaʻina hana.
I kou wā ʻelemakule, lohi mālie ka ulu ʻana o kēia lauoho.
Nā ʻano o ka nalowale o ka lauoho
Ua kapa ʻia ka nalowale o ka lauoho ʻo Alopecia i ka lāʻau lapaʻau. Aia kekahi mau ʻano like ʻole o kēia. E nānā kākou i nā ʻano nui.
| ʻAno lauoho | He wehewehe maʻalahi |
|---|---|
| ʻO ka Alopecia Involutional | He mea kēia e hana kūlohelohe ʻia i ko kākou ʻelemakule ʻana. Hele pinepine nā follicle lauoho i ka wā hoʻomaha, a lilo ka lauoho i pōkole a lahilahi. |
| ʻO ka Alopecia Androgenic | He maʻi hoʻoilina kēia i hoʻoili ʻia mai nā hanauna. Ke pili ia i nā kāne, kapa ʻia ʻo 'male pattern baldness'. Hoʻomaka ka lauoho e hāʻule mai nā ʻaoʻao o ka lae a me ka piko o ke poʻo. Ke pili ia i nā wahine, kapa ʻia ʻo 'female pattern baldness', kahi e lahilahi ai ka lauoho ma ka piko o ke poʻo. |
| ʻAlopecia Areata | Hiki ke hoʻomaka koke kēia. Hāʻule ka lauoho ma nā ʻāpana e like me ka 'scallop'. Hoʻopilikia pinepine ia i nā keiki a me nā ʻōpio. Akā i ka 90% o nā hihia, ulu hou ka lauoho i loko o kekahi mau makahiki. |
| ʻO ka Telogen Effluvium | Ke kaumaha nui ke kino a i ʻole ka noʻonoʻo (e.g., kahi maʻi nui, hānau keiki, nā hoʻokolohua), hele koke nā follicle lauoho he nui i kahi wā hoʻomaha. ʻO kēia ke kumu o ka hāʻule ʻana o ka lauoho he nui no kekahi manawa. |
| ʻO ke alopecia traction | ʻO nā kaila lauoho e huki ai i ka lauoho paʻa (e.g., nā ulana paʻa, nā huelo lio paʻa) hiki ke hōʻino i nā follicle lauoho a hoʻoulu i ka nalowale lauoho mau loa. |
| ʻO ka Alopecia ʻeha | Hiki i kekahi mau maʻi ʻili a me nā kūlana (e like me Folliculitis, Lupus) ke hoʻopau mau i nā follicle lauoho, e waiho ana i kahi ʻeha. ʻAʻole e ulu hou ka lauoho ma kēia mau wahi. |
No ke aha e hāʻule ai kēia lauoho? He aha nā kumu?
ʻAʻole maopopo i nā kauka ke kumu o ka pōkole o ka ulu ʻana o kekahi mau follicle lauoho ma mua o nā mea ʻē aʻe, akā aia kekahi mau kumu nui e kōkua ai i ka nalowale o ka lauoho.
- Nā Hormone:ʻO nā hemahema hormonal, e like me nā hormones kāne (androgens), hiki ke hana i ka nalowale o ka lauoho.
- Nā Genes: Hiki ke hoʻoholo ʻia ke ʻano o ka ʻōhule e nā genes i hoʻoilina mai ka makuahine a me ka makuakāne.
- Ke kaumaha noʻonoʻo a me ke kino: Hiki ke hāʻule ka lauoho i kekahi mau mahina ma hope o kahi maʻi nui, hānau keiki, ʻoki kino, a i ʻole ke kaumaha noʻonoʻo.
- ʻO kekahi mau lāʻau lapaʻau: ʻO ka chemotherapy, nā lāʻau hoʻokahe koko, a me kekahi mau lāʻau koko kiʻekiʻe hiki ke hoʻoulu i ka nalowale o ka lauoho no ka manawa pōkole.
- Nā kūlana olakino ʻē aʻe: ʻO nā kūlana e like me ka maʻi thyroid, ka maʻi diabetes mellitus, lupus, ka hemahema hao, a me ka anemia hiki ke kumu i ka nalowale o ka lauoho.
- Nā hemahema meaʻai: ʻO ka ʻai haʻahaʻa i ka protein, nā huaora A, B, C, D, E, a me nā hemahema i nā meaʻai e like me ka zinc a me ka hao kekahi kumu.
- Nā mea ʻino e hana ai i kou lauoho: ʻO ka holoi pinepine ʻana i ka shampoo, ka hoʻokeʻokeʻo ʻana, ka hoʻoluʻu ʻana, a me ka perming hiki ke hoʻonāwaliwali i kou lauoho a hiki ke haki. Eia naʻe, ʻaʻole kēia mau mea ke kumu o ka ʻōhule.
Pehea e ʻike ai i ka nalowale o ka lauoho? (Nā hōʻailona)
Hiki i ka hāʻule lauoho ke lohi i kekahi manawa, i kekahi manawa hiki ke koke. ʻOkoʻa nā hōʻailona ma muli o ke kumu.
- Ka lahilahi mālie ʻana ma ka lei aliʻi: ʻO kēia ke ʻano nui o ka ʻōhule hoʻoilina.
- Ka hāʻule koke ʻana o ka lauoho: Hiki ke hana ʻia kēia ma hope o ke kaumaha a i ʻole ka maʻi. E ʻike paha ʻoe i ka nui o ka lauoho ma kāu kāhili, uluna, a i ʻole i loko o ka lumi ʻauʻau.
- Nā ʻāpana poepoe a ʻāpana liʻiliʻi: He hōʻailona kēia o ka 'Alopecia Areata'. Hiki nō hoʻi ke loaʻa ma nā wahi e like me ka ʻumiʻumi a me nā kuʻemaka.
- Malia paha me nā hiʻohiʻona ʻē aʻe:
- ʻO ka mumū o ke poʻo, ka maneʻo, a me ka ʻeha (he hōʻailona paha ia o ka maʻi).
- Nā ʻeha unahi, e like me ka pehu (he hōʻailona paha ia o kahi maʻi fungal).
Pehea e ʻike ai ke kauka i kēia? (Diagnosis)
Inā manaʻo ʻoe e nalowale nui ana kou lauoho, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka . ʻO ka wikiwiki o ka ʻike ʻia ʻana o ke kumu, ʻo ka wikiwiki hoʻi ka hoʻomaka ʻana o ka lāʻau.
Hiki i ke kauka ke hana i kēia mau mea:
- E nīnau ʻia ʻoe e pili ana i kou mōʻaukala olakino a me nā ʻikepili ʻohana.
- E nānā pono ʻia kou poʻo.
- Ua kauoha ʻia nā hoʻāʻo koko (e like me nā pae hao, ka wikamina D, nā hormones thyroid).
- I kekahi manawa ua nānā ʻia ke poʻo me kahi kāmela kūikawā (trichoscopy) e hoʻonui ai iā ia.
- Inā pono, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻili mai ke poʻo no ka hoʻokolokolo ʻana (biopsy).
He aha nā lāʻau lapaʻau no kēia?
Aia ka lāʻau lapaʻau i ke kumu o ka nalowale o ka lauoho. I ka hapanui o nā hihia, e pau ka nalowale o ka lauoho a laila e hoʻomaka e ulu hou ke mālama ʻia ke kūlana kumu. Eia nō naʻe, he mau loa kekahi mau ʻano (e like me ka alopecia areata). ʻOiai hiki i ka lāʻau lapaʻau ke hoʻōki i ka nalowale hou ʻana o ka lauoho, he paʻakikī ke ulu hou i ka lauoho i nalowale mua.
Aia kekahi mau ʻano lapaʻau nui:
- Nā lāʻau lapaʻau:
- Nā lāʻau lapaʻau e like me Minoxidil (Rogaine) no ka dandruff poʻo.
- Nā lāʻau lapaʻau e like me 'Finasteride (Propecia)' no nā kāne (pono e lawe ʻia kēia mau mea ma ke ʻōlelo aʻo a ke kauka).
- Nā lāʻau lapaʻau e loaʻa ana nā steroids (Corticosteroids) no nā maʻi e like me 'Alopecia Areata'.
- Nā Hana Lapaʻau Kūikawā (Nā Kaʻina Hana):
- Ka Hoʻopili ʻana i ka Lauoho: Ka lawe ʻana i ka lauoho mai kahi ʻāpana ʻē aʻe o ke kino a hoʻoili iā ia i nā wahi hakahaka.
- Hoʻōla kukui: Hoʻoulu ʻia o nā follicle lauoho me ka hoʻohana ʻana i ke kukui laser haʻahaʻa.
- ʻO ka lāʻau lapaʻau plasma waiwai platelet (PRP): Ke hoʻokomo ʻana i ka plasma i unuhi ʻia mai kou koko ponoʻī i loko o ke poʻo e hoʻoulu i ka ulu ʻana o ka lauoho.
- ʻO ka micropigmentation poʻo: Ke hoʻohana ʻana i kahi peʻa mau loa ma nā wahi ʻōhule e hāʻawi i ke ʻano o ka lauoho.
ʻO ka mea nui loa, ʻo ia ka lōʻihi o ka manawa e pono ai kēia mau lāʻau lapaʻau. Hiki ke hala i 3-6 mau mahina e ʻike ai i nā hopena. Eia kekahi, mai hahai i nā mea āpau i kūʻai ʻia aku ma ke ʻano he "lāʻau hoʻoulu lauoho nui." E ʻimi mau i ka ʻōlelo aʻo a ke kauka kūpono.
Leka Lawe-Home
- He mea maʻamau ka nalowale ʻana o 50-100 lauoho i ka lā. Inā ʻoi aku kou nalowale ʻana ma mua o kēlā, ke hāʻule nei nā ʻāpana, a i ʻole he mau hōʻailona ʻē aʻe, e ʻike i ke kauka.
- Nui nā kumu no ka nalowale o ka lauoho. Hiki ke lilo i ka hoʻoilina, nā hormones, ke kaumaha, nā hemahema meaʻai, a i ʻole nā maʻi ʻē aʻe.
- ʻO ka wikiwiki o ka ʻike ʻia ʻana o ke kumu, ʻo ka ʻoi aku ka holomua o ka lāʻau lapaʻau. No laila, e ʻimi i ke kōkua lapaʻau i ka wā e ʻike ai ʻoe i kahi pilikia.
- He mea nui loa ka ʻai ʻana i ka meaʻai kaulike, ka pale ʻana i nā kaila lauoho ʻino, a me ka mālama ʻana i ke kaumaha no ke olakino o ka lauoho.
- Inā he mea kaumaha nui ka nalowale o ka lauoho ma kou noʻonoʻo, e kamaʻilio pū me kāu kauka e pili ana i ia mea. ʻO ka hōʻoluʻolu noʻonoʻo kekahi ʻāpana o ka lāʻau lapaʻau. Mai hoʻokuʻu i ka manaʻolana!
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