Ua ʻike anei ʻoe ua ulu koke nā kiko ʻulaʻula i kou ʻili, i kekahi manawa he mau pehu i piha i ka wai? I kekahi manawa ʻike ʻia kēia mau mea, nalowale ma hope o kekahi mau lā, a laila hoʻi hou mai. He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i kahi mea e like me kēia. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e hōʻike ana i kēia mau hōʻailona, ʻaʻole maʻamau loa akā he mea nui e ʻike. ʻO ia ka erythema multiforme.
He aha ka Erythema Multiforme? E hoʻomaopopo maʻalahi kākou!
I ka ʻōlelo maʻalahi, ʻo ka Erythema Multiforme kahi hopena e kū mai ana i loko o ko kākou ʻili. Ua like ia me ko kākou kino e "pane" ana i kekahi mea. ʻO ke kumu nui o kēia ma muli o kahi maʻi a i ʻole kahi lāʻau lapaʻau a kākou e lawe ai. ʻO ke ʻano o ka huaʻōlelo "multiforme" ʻo ia hoʻi "o nā ʻano like ʻole." ʻO ke ʻano kēia, hiki i kēia mau kiko a me nā pehu ke ʻike ʻia ma ka ʻili ma nā ʻano a me nā ʻano like ʻole. ʻO kekahi o lākou e like me nā kiko ʻulaʻula wale nō, ʻo kekahi e like me nā puʻupuʻu i hāpai ʻia, a ʻo kekahi e like me nā pehu i piha i ka wai. Hiki iā lākou ke hele koke mai a hele aku. Hiki iā lākou ke ʻike ʻia ma nā wahi like ʻole o ke kino, i kekahi manawa ma nā wahi e like me nā maka, ka waha, a me nā ʻōpū.
ʻElua ʻano nui o kēia, ʻeā?
ʻAe, ua lohe pololei ʻoe i kēlā. Hoʻomaopopo nā kauka i ʻelua ʻano nui o ka Erythema Multiforme:
1. ʻErythema Multiforme Minor:
ʻO kēia ke ʻano ʻoi aku ka liʻiliʻi o ke koʻikoʻi . Hoʻopilikia nui ia i kou ʻili. ʻO ia hoʻi ka ʻulaʻula a me nā kiko. Eia nō naʻe, ʻaʻole nui ka hopena o nā membrane mucous, e like me ka waha, nā maka, a me nā ʻōpū. ʻAʻole ʻike pinepine ʻia nā hōʻailona ʻōnaehana, e like me ke kuni a me ke anu.
2. ʻErythema Multiforme Nui:
ʻO kēia ke ʻano koʻikoʻi loa . I kekahi mau hihia, hiki ke hoʻoweliweli i ke ola . ʻO kēia no ka mea e hoʻoulu ai i nā ʻāpana ʻili nui e pehu a hemo. Hoʻopilikia pinepine kēia ʻano i nā membrane mucous o ka waha, nā maka, a me nā ʻāpana wahine. He mea maʻamau nō hoʻi ka loaʻa ʻana o nā hōʻailona e hoʻopilikia i ke kino holoʻokoʻa, e like me ke kuni a me ka ʻeha o nā hono.
ʻO wai ka mea e ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka Erythema Multiforme?
He maʻi laha ʻole ka Erythema Multiforme. ʻAʻole ia e loaʻa i nā kānaka a pau. Akā hiki i kekahi ke loaʻa. Eia nō naʻe, ʻoi aku ka maʻamau i nā keiki, nā ʻōpio, a me nā poʻe ma lalo o 40 makahiki .
Pehea kēia e pili ai i ke kino? He aha nā ʻehaʻeha āu e manaʻo nei?
ʻO ka maʻamau, hoʻoulu ka Erythema Multiforme i kahi ʻulaʻula ʻeha a ʻoluʻolu ʻole paha ma ka ʻili. Hiki i kēia ʻulaʻula ke hoʻomaka liʻiliʻi a lilo mālie i mea nui i ka hala ʻana o ka manawa. I kekahi manawa he nui ka maneʻo , a i kekahi manawa hiki ke piʻi a puʻupuʻu.
I nā hihia koʻikoʻi (ʻo ia hoʻi, Nui), inā pilikia ka waha a me nā maka, hiki iā ʻoe ke paʻakikī i ka ʻai ʻana, ka inu ʻana, a i ʻole ka ʻike pono ʻana. Ma muli o ke koʻikoʻi o ke kūlana, pono paha ʻoe e lawe ʻia i ka haukapila no ka mālama ʻana . Akā, mai hopohopo, me ka mālama kūpono, hiki ke kāohi ʻia kēia mau hōʻailona a hiki iā ʻoe ke hoʻōla.
He aha nā hōʻailona o ka Erythema Multiforme?
E nānā kākou i nā hōʻailona maʻamau o kēia maʻi.
Nā hōʻailona e pili ana i ka ʻili:
- Ua ulu aʻe kahi ʻulaʻula a poni paha , ua pehu ka ʻili ma ia wahi, a ua ʻeha ke hoʻopā ʻia.
- ʻIke ʻia nā pehu ma ka ʻili a i loko paha o ka waha.
- ʻIke ʻia nā kiko poepoe ma ka ʻili. Ua like kēia me ka maka bipi ke pana ʻoe i kahi pahuhopu. ʻO ia hoʻi, ua ʻeleʻele ke kikowaena, a aia kekahi apo mālamalama a puni. He hiʻohiʻona kūikawā kēia o kēia maʻi.
- ʻŌhūhū .
ʻO ka nūhou maikaʻi, ʻo ka emi ʻana o kēia mau hōʻailona ʻili i loko o ʻelua a ʻehā pule.
Nā hōʻailona maʻamau ʻē aʻe:
Ma waho aʻe o nā hōʻailona ʻili, hiki ke loaʻa kēia mau mea:
- ʻEha poʻo
- Manaʻo luhi a pau loa (fatigue)
- kuni
- ʻEha a me ka ʻeha o nā hono
- Hoʻonui ʻia ka ʻike maka, ka ʻike maka pohihihi, ka ʻeha maka, a me ka ʻulaʻula o ka maka.
Ma muli o kahi i loaʻa ai ka ʻulaʻula, hiki iā ʻoe ke ʻike i nā hōʻailona hou aʻe. Eia kekahi laʻana, hiki iā ʻoe ke ʻeha i ka wā e mimi ai, a i ʻole hiki iā ʻoe ke ʻeha i ka wā e ʻai ai a inu paha.
Ma hea ma ke kino e ʻike pinepine ʻia ai kēia mau hōʻailona?
ʻO nā wahi maʻamau kahi e ʻike ʻia ai nā hōʻailona o ka erythema multiforme:
- Ma kou ʻili (ʻoi aku hoʻi nā lima, nā wāwae, ka maka)
- I loko o ka waha
- No a i ʻole e pili ana i nā ʻōpū
- I loko a puni nā maka
He aha nā kumu o ka Erythema Multiforme?
ʻAʻole ʻike ʻia ke kumu kikoʻī o kēia ʻano , akā ua hōʻike ʻia e ka noiʻi lapaʻau ʻelua mau kumu nui e kōkua i ke ʻano:
1. He maʻi:
- ʻOi aku ka maʻi bacteria Mycoplasma pneumoniae (ka mea e hoʻoulu ai i nā maʻi hanu e like me ka pneumonia).
- ʻO ka maʻi Herpes simplex (ʻo ia ke kumu o nā ʻeha anu a me nā herpes genital). I ka manawa pinepine, hiki ke ʻike ʻia nā hōʻailona o ka erythema multiforme i kekahi mau lā ma hope o ka maʻi herpes.
2. He lāʻau lapaʻau:
Hiki nō hoʻi kēia ke hana ma ke ʻano he hopena i kekahi mau lāʻau lapaʻau. Eia nō naʻe, ʻaʻole maʻamau kēia ma mua o kahi maʻi. Hiki ke ʻokoʻa nā lāʻau lapaʻau e hoʻoulu ai i kēia mai kēlā kanaka a i kēia kanaka. ʻO nā lāʻau lapaʻau maʻamau e hoʻoulu ai i kēia:
- Nā lāʻau lapaʻau antiseizure
- Nā lāʻau lapaʻau
- Nā lāʻau anti-inflammatory non-steroidal (NSAIDs) (e.g. nā lāʻau hoʻomaha ʻeha e like me ibuprofen, diclofenac)
E noʻonoʻo, he anu kou a hāʻawi ke kauka iā ʻoe i nā lāʻau antibiotic. Inā hoʻomaka ʻoe e loaʻa nā kiko ʻulaʻula ma kou ʻili i kekahi mau lā ma hope o ka lawe ʻana iā lākou, he hopena paha ia i ka lāʻau lapaʻau.
He maʻi lele anei ka Erythema Multiforme?
ʻAʻole, ʻaʻole laha ka Erythema Multiforme. ʻO kāu mau hōʻailona, ʻoiai nā kiko, nā pehu, a me ka ʻulaʻula ma kou ʻili, ʻaʻole laha ke hoʻopā ʻoe a i ʻole e launa pū me kekahi kanaka ʻē aʻe. Eia nō naʻe, inā loaʻa iā ʻoe kēia maʻi ma muli o kahi maʻi a bacteria paha, hiki ke laha kēlā maʻi a bacteria paha i kekahi kanaka ʻē aʻe. Eia nō naʻe, ʻaʻole maopopo e loaʻa pū ana i kēlā kanaka ka Erythema Multiforme.
Pehea e ʻike ʻia ai kēia?
No ka hoʻoholo ʻana inā he erythema multiforme kēia, e nīnau kāu kauka e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino (e like me nā maʻi ma mua a me nā lāʻau lapaʻau āu e lawe ai). A laila, e hana lākou i kahi hoʻokolokolo kino. E nānā lākou i kēia mau mea e pili ana i kou ʻili:
- Nui `(Nui)`
- ʻAno ( e like me kēlā hōʻailona maka bipi)
- Waihoʻoluʻu
- ʻO ke ʻano o kona hoʻolaha ʻia ʻana, e like me ka mamao mai kekahi wahi a i kekahi `(hoʻolaha)`
- Inā paha e pili ana kou mau maka, waha, a i ʻole nā mea hānau
I kekahi manawa, i mea e maopopo ai, pono paha i kāu kauka ke lawe i kahi ʻāpana liʻiliʻi o ka ʻili (he biopsy ʻili) e nānā iā ia ma lalo o kahi microscope. Hiki i kēia ke hōʻoia i ke kūlana.
He aha ka lāʻau lapaʻau no kēia?
ʻAʻole pono mau ka lāʻau lapaʻau i ka Erythema Multiforme. I nā hihia palupalu, hiki i nā hōʻailona ke hoʻopau iā lākou iho . Eia nō naʻe, inā pono ʻoe i ka lāʻau lapaʻau, hiki iā ʻoe ke hana i kēia mau mea:
- No ka maneʻo: Hiki iā ʻoe ke hoʻopili i nā corticosteroids topical (nā kirīmi i loaʻa nā steroids) a lawe paha i nā antihistamines waha (nā lāʻau lapaʻau i hāʻawi ʻia no nā maʻi allergies).
- Inā pilikia nā maka: Hiki ke hāʻawi ʻia nā kulu maka.
- No ka ʻeha: Hiki ke hāʻawi ʻia aku nā lāʻau anesthetics topical a i ʻole nā lāʻau hoʻomānoino waha.
- Inā pilikia ʻoe i ka ʻai ʻana ma muli o nā ʻeha waha: Hiki ke ʻōlelo ʻia iā ʻoe e hoʻololi i kahi meaʻai wai a palupalu paha.
- No ka holoi ʻana i kou waha: Hiki iā ʻoe ke ʻōlelo e holoi i kou waha me ka wai paʻakai mehana.
- Inā ma muli o kahi maʻi: Hiki ke hāʻawi ʻia nā lāʻau antibiotics kūpono a i ʻole nā lāʻau antiviral.
- Inā no ka lāʻau lapaʻau: E haʻi lākou iā ʻoe e hoʻōki i ka lawe ʻana i kēlā lāʻau lapaʻau.
Aia kekahi mau lāʻau lapaʻau kūikawā no ka Erythema Multiforme?
ʻAe, ʻoiai inā loaʻa pinepine kēia ʻano ma muli o ka herpes flare, hiki ke hāʻawi ʻia nā lāʻau antiviral e like me kēia e kāohi iā ia:
- ʻAcyclovir
- ʻO Valacyclovir
- ʻO Famciclovir `(Famciclovir)`
He mau lāʻau lapaʻau kēia e pono e lawe ʻia e like me ke kuhikuhi a ke kauka.
Pehea wau e mālama ai iaʻu iho/hoʻokele i nā hōʻailona?
ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i ka hoʻolālā lapaʻau a kāu kauka e hāʻawi ai iā ʻoe i hiki ai iā ʻoe ke hōʻemi i kāu mau hōʻailona.
- Mai ʻānai i kou ʻili. Hiki i nā kui ke hana i nā ʻeha o ka ʻili, hiki ke māwae a alakaʻi i ka maʻi. E hoʻohana i kahi kirīmi a poni paha i ʻōlelo ʻia e kāu kauka e hōʻemi i ke ʻānai ʻana.
- ʻOiai inā paʻakikī ke ʻai a inu paha, e ʻai pono i nā meaʻai momona a me nā wai. A i ʻole, hiki ke loaʻa ka nele i ka ʻai a i ʻole ka make wai. E ʻai i nā meaʻai wai a palupalu (e laʻa me ka sopa, ka porridge, ka yogurt, nā hua i kuʻi ʻia). E pale i nā meaʻai wela, ʻakika, a me nā mea ʻala. Hiki iā lākou ke hoʻonui i ka ʻeha o ka waha. E haʻi i kāu kauka inā pilikia ʻoe i ka ʻai ʻana a i ʻole ka inu ʻana.
Pehea e pale ai i ka ulu ʻana o ka erythema multiforme?
ʻAʻole hiki ke pale aku i nā hihia āpau o Erythema Multiforme, ʻoiai ʻaʻole ʻike ʻia ke kumu pololei. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o kēia maʻi:
- E hōʻalo i nā lāʻau lapaʻau i ʻike ʻia he mea ʻino iā ʻoe (e laʻa, kekahi mau NSAID a i ʻole antibiotics).
- E holoi pinepine i kou mau lima me ke kopa e pale aku iā ʻoe iho mai nā fungi a i ʻole nā bacteria a me nā virus.
- Inā loaʻa iā ʻoe nā ʻeha, e hoʻomaʻemaʻe pono iā lākou a pale i ka maʻi.
- E hoʻomaʻamaʻa i ka moekolohe palekana e pale iā ʻoe iho a me nā poʻe ʻē aʻe mai ka maʻi herpes simplex.
Inā loaʻa pinepine iā ʻoe kēia ʻano maʻi, e kamaʻilio me kāu kauka e pili ana i nā ala e hōʻemi ai.
He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka Erythema Multiforme?
Hiki ke ʻoluʻolu ʻole ka Erythema multiforme, ʻoiai ke ʻānai ka ʻili. E paipai kāu kauka i nā lāʻau lapaʻau e hōʻemi i kāu mau hōʻailona, a pono e hoʻomaikaʻi i loko o kekahi mau pule.
ʻO ka mea nui loa, ʻo ia ke hana pū me kāu kauka e hoʻomaopopo i ke kumu o kou kūlana. E ʻoiaʻiʻo me kāu kauka e pili ana i kou mōʻaukala olakino i kāu mau hoʻokolohua. E kōkua kēia iā lākou e kōkua iā ʻoe.
Pehea ka lōʻihi o ka erythema multiforme?
ʻO ka maʻamau, e pau ka Erythema multiforme i loko o ʻelua a ʻehā pule. No kekahi poʻe, hiki i ke kūlana ke "hoʻi hou." ʻO ia hoʻi, e hele mai ia, e hoʻomaikaʻi no kekahi manawa, a laila hoʻi hou mai. Inā loaʻa pinepine iā ʻoe nā ʻōhūhū, e kamaʻilio me kāu kauka e pili ana i nā ala e hōʻemi ai iā lākou.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona o ka Erythema Multiforme a ʻaʻole lākou e hoʻomaikaʻi ma hope o ʻehā pule o ka mālama ʻana, a inā paha e kū pinepine ke ʻano a ke hoʻopilikia nei i kou ola o kēlā me kēia lā , pono ʻoe e ʻike i ke kauka.
Pōpilikia!
Inā pili nā hōʻailona i kahi ʻāpana nui o kou ʻili, maka, waha, a i ʻole nā wahi hānau, a inā he mau hōʻailona ʻōnaehana e like me ke kuni, ka nausea, a me ka ʻeha hui, e hele koke i ka lumi pilikia o ka haukapila.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
Ke ʻike ʻoe i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:
- He aha paha ke kumu o koʻu maʻi Erythema Multiforme?
- He palekana anei iaʻu ke lawe i nā lāʻau lapaʻau e like me "NSAIDs"?
- He aha ke ʻano o nā kirīmi a i ʻole nā mea poni e pono iaʻu e hoʻohana ai e hoʻōki i ka maneʻo?
Hiki iā COVID-19 ke kumu o ka Erythema Multiforme?
He maʻi laha ʻole ka Erythema Multiforme i hoʻokumu ʻia e COVID-19. I kekahi poʻe i loaʻa iā COVID-19 a me Erythema Multiforme, ʻoi aku ka nui o kēia hopena ʻili i ka lāʻau lapaʻau no COVID-19 ma mua o ka maʻi ponoʻī.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻO ka maʻamau, he ʻoluʻolu nā hōʻailona o ka Erythema Multiforme, akā hiki ke ʻokoʻa ke koʻikoʻi mai kēlā kanaka a kēia kanaka. Mai hopohopo. E hana pū kāu kauka me ʻoe e ʻike i ke kumu o kou kūlana a e mālama i kou ʻili ke ʻike ʻia nā hōʻailona. I nā hihia koʻikoʻi, pono paha ʻoe e lawe ʻia i ka haukapila. E hōʻoia e haʻi i kāu kauka e pili ana i kāu mau hōʻailona, ʻoiai inā pinepine lākou a hoʻopilikia i kāu mau hana o kēlā me kēia lā. A laila hiki iā lākou ke kōkua maikaʻi loa iā ʻoe.
ʻErythema Multiforme, nā maʻi ʻili, dermatology, nā kiko ʻili, nā pehu, herpes, nā maʻi ʻili
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