Ua ʻike paha ʻoe i ka wā e noho ai kekahi poʻe i ka lā no kekahi manawa, ʻike ʻia nā kiko ʻeleʻele liʻiliʻi ma ko lākou mau maka a me nā lima. ʻŌlelo kekahi poʻe, "Auē, he nani loa kēia." Akā no kekahi poʻe, he mea hoʻonāukiuki iki kēia. Kāhea mākou i kēia mau 'freckles.' No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia mau freckles , no ke aha lākou e hana ai, he mea weliweli anei lākou, hiki ke wehe ʻia, a me nā mea e hana ai e pale aku ai iā lākou.
He aha maoli nā freckles?
I ka ʻōlelo maʻalahi, he mau kiko liʻiliʻi a pālahalaha nā freckles e kū mai ana ma kou ʻili, ʻoiai ma nā wahi i hōʻike ʻia i ka lā (e noʻonoʻo i ka maka, ka ʻāʻī, nā lima, ka umauma o luna). Hiki iā lākou ke ʻeleʻele māmā, ʻeleʻele ʻeleʻele, a ʻulaʻula paha ke kala.
He mea maʻamau loa kēia mau kiko, a ʻaʻole lākou e hoʻoweliweli i kou olakino . ʻIke pinepine ʻia lākou i ke kauwela, ʻo ia hoʻi i nā mahina kau wela.
ʻO ka maʻamau, ʻoi aku ka nui o ka loaʻa ʻana o nā freckles i ka poʻe me ka ʻili keʻokeʻo a me ka lauoho māmā (blonde a ʻulaʻula paha) . Eia naʻe, ʻaʻole ia he manaʻo ʻaʻole loaʻa i ka poʻe me ka ʻili ʻeleʻele. Hiki iā lākou ke loaʻa nā freckles, akā ʻike pinepine ʻia lākou he ʻeleʻele ʻeleʻele.
ʻAe, e nānā kākou pehea i hana ʻia ai kēia mau kiko?
Hoʻokumu ʻia nā freckles e ka hana nui ʻana o kahi pigment i kapa ʻia ʻo melanin i loko o ko mākou ʻili. ʻO Melanin kahi pigment kūlohelohe e hāʻawi i ke kala i ko mākou ʻili, lauoho, a me nā maka. Hoʻopuka ʻia kēia melanin e kahi ʻano cell kūikawā i loko o ko mākou ʻili i kapa ʻia ʻo melanocytes .
E noʻonoʻo e like me ka melanin, kahi pale kūlohelohe no ko mākou ʻili. ʻO kekahi o nā hana nui o ka melanin, ʻo ia ka pale ʻana i ko mākou ʻili ma ka omo ʻana a me ka hoʻomālamalama ʻana i ka mālamalama ultraviolet ʻino (nā kukuna UV) mai ka lā. Inā he ʻili keʻokeʻo kou, ke hōʻike ʻia kou ʻili i ka lā, hoʻomaka kēia mau pūnaewele melanocyte e hana i ka melanin hou aʻe. Akā, ma kahi o ka ʻili e lilo i ʻeleʻele like (tanned), ma kekahi mau wahi e hōʻiliʻili ai ka melanin a ʻike ʻia he mau kiko liʻiliʻi. ʻO ia ka mea a mākou e kapa nei he freckles.
Aia kekahi mau ʻano freckles like ʻole?
ʻAe, ʻelua ʻano nui o nā freckles.
1. ʻEfelida
2. Nā Lentigine Lā
I kēia manawa, e kamaʻilio kākou e pili ana i kēia mau ʻano ʻelua.
He aha nā ʻEphelides?
ʻO kēia ke ʻano a mākou e noʻonoʻo pinepine ai i ka wā e noʻonoʻo ai mākou i nā "sunspots." He mau kiko pālahalaha, ʻulaʻula a ʻeleʻele paha kēia. ʻO ke kumu nui o kēia mau mea ʻo ka ʻike ʻana i ka lā a me nā ʻā ʻana o ka lā .
- Ma hea ʻoe e ʻike ai?: Nā wahi i hōʻike ʻia e ka lā e like me ka maka, nā lima, ka umauma o luna, ka ʻāʻī, a me ke kua.
- ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana?: ʻOi aku ka maʻamau i ka poʻe me ka lauoho māmā a me ka ʻili, a me ka poʻe keʻokeʻo a me ka poʻe ʻĀkia.
- Ka wā e hoʻomaka ai: No nā keiki liʻiliʻi i hōʻike ʻia i ka lāHiki i kēia mau mea ke hoʻomaka e ʻike mua ʻia. Eia kekahi laʻana, i ka wā ma mua, i ko mākou wā kamaliʻi, e wela mākou i ka lā a loaʻa nā wahi e like me kēia i ka wā e pāʻani ai mākou i ka cricket i ka lā a pau a i ʻole ke komo ʻana i nā hanana haʻuki kula. Hiki i kēia mau mea ke hoʻomau i ka ʻike ʻia a hiki i ko mākou wā ʻōpiopio.
- He aha ka mea e hana ʻia i ko kākou ʻelemakule ʻana?: ʻO ka pinepine, ʻo kēia mau ʻano kiko i kapa ʻia ʻo ephelids e emi mālie ana i ko kākou ʻelemakule ʻana .
He aha nā Lentigines Solar?
He mau kiko kēia ma ka ʻili e ʻokoʻa ke kala mai ka melemele, ʻulaʻula, ʻeleʻele a i ka ʻeleʻele ʻeleʻele. Ua kapa ʻia hoʻi lākou he "mau kiko makahiki" a i ʻole "mau kiko akepaʻa."
- ʻO wai ka mea e loaʻa pinepine ai iā lākou?: ʻIke pinepine ʻia kēia mau mea i nā pākeke ma luna o 40 mau makahiki .
- No ke aha i hana ʻia ai?: ʻO ke kumu nui, ʻo ia ka hoʻopili pinepine ʻia ʻana i ka lā no kahi manawa lōʻihi.
- Ma hea lākou e ʻike ʻia ai?: ʻIke ʻia kēia mau mea ma nā wahi i hōʻike ʻia e ka lā. Hiki ke ʻike ʻia ma ka maka, nā lima o luna, ke kua o nā lima, ka umauma, ke kua, nā poʻohiwi, a me nā wāwae o lalo.
ʻO ka ʻokoʻa nui ma waena o kēia mau ʻano ʻelua, ʻo Ephelides nā kiko ʻeleʻele māmā e hiki ke ʻike ʻia mai ka wā kamaliʻi a hoʻonui ʻia me ka lā, a i kekahi manawa e emi ana me ka makahiki. He ʻeleʻele iki nā Solar Lentigines , i kekahi manawa he nui aʻe nā kiko e ʻike ʻia ma hope o 40 mau makahiki, ma muli o ka lōʻihi o ka lā.
Aia kekahi mau kumu ʻē aʻe o nā freckles?
ʻOiai ke kumu nui o ka hōʻike ʻana i nā kukuna UV mai ka lā, aia kekahi mau kumu ʻē aʻe:
- ʻIke Hoʻoilina: ʻAe, he kuleana ko kekahi mau ʻano i ka ulu ʻana o nā freckles. I kekahi mau ʻohana, he hoʻoilina kēia.
- ʻO Xeroderma Pigmentosum: He maʻi laha ʻole kēia. Loaʻa i ka poʻe me kēia maʻi ka ʻike nui i nā kukuna ultraviolet, ʻo ia hoʻi, ka lā.
Pono anei iaʻu e mālama i nā freckles?
ʻO kaʻoiaʻiʻo, ʻaʻohe mea ʻino o nā freckles, no laila ʻaʻohe pono e mālama iā lākou. Eia nō naʻe, e like me nā kīnā ʻili ʻē aʻe, ʻoi aku ka maikaʻi o ka pale ʻana i ka lā i ka hiki a hoʻohana i ka sunscreen i kēlā me kēia lā. He mea nui loa kēia inā he maʻalahi ʻoe i nā freckles a ʻaʻole makemake ʻoe e loaʻa hou aku.
Aia kekahi ala e wehe ai i koʻu mau freckles?
He mea paʻakikī ke wehe loa i nā freckles, akā aia nā lāʻau lapaʻau e hiki ke hōʻemi i ko lākou kala a mae iki. ʻO lākou kēia:
- ʻIli waikawa a me nā kemika: Hoʻohana kēia ʻano hana i ka alpha hydroxy acid , trichloroacetic acid , glycolic acid , a i ʻole phenol.Hoʻohana ʻia nā huahana kemika e wehe i ka papa luna o nā ʻili make, e kōkua ana i ka hōʻike ʻana i ka ʻili hou a olakino.
- Nā Retinoids, retinols: Hoʻolalelale pū kēia mau kemika i ke kaʻina hana o ka hoʻololi ʻana o nā ʻili a me ka hana ʻana o nā ʻili hou. Hoʻoulu pū lākou i ka hana ʻana o ka collagen i loko o ka ʻili.
- Lapaʻau Laser: He ʻano hana kēia e hoʻohana ana i nā kukuna laser e wehe i ka papa luna o ka ʻili.
- Cryotherapy: Hoʻohana kēia i kahi mea anu loa i kapa ʻia ʻo ka naikokene wai e wehe i nā kiko ʻelemakule ʻaʻole maʻi kanesa a me keratosis actinic . ʻEleʻele ka wahi i mālama ʻia ma hope o kekahi mau lā, a ʻili ka papa luna o ka ʻili.
Eia nō naʻe, ma mua o ka hana ʻana i kekahi o kēia mau lāʻau lapaʻau, he mea nui e kūkākūkā me ke kauka dermatologist e ʻike ai i ka lāʻau lapaʻau kūpono no kou ʻano ʻili.
Hiki iā ʻoe ke pale i ke kūkulu ʻia ʻana o nā freckles?
ʻAe, hiki iā ʻoe! ʻOiai ʻo ka lā ke kumu nui o nā freckles, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ka pale ʻana i ko mākou ʻili mai ka lā . Hiki iā ʻoe ke hana i kēia mau mea:
- Ma mua o ka hele ʻana i waho, e hoʻopili mau i kahi sunscreen ākea (UVA a me UVB) me ka SPF (Sun Protection Factor) o 30 a ʻoi aku paha , a me kahi sunscreen pale wai . E hoʻomanaʻo e hoʻopili i ka sunscreen i kēlā me kēia lā , ʻoiai i nā lā ao a me ka hoʻoilo. E hoʻopili hou i kēlā me kēia ʻelua hola inā ʻoe e hou a ʻauʻau paha.
- I ke hele ʻana i waho, e ʻaʻahu i ka pāpale ākea , nā aniani lā me ka pale UV , a me nā lole māmā me nā lima lōʻihi a me nā lole lōʻihi. Inā hiki, koho i nā lole me ka lepili UPF (Ultraviolet Protection Factor) , kahi e hāʻawi ai i ka palekana hou aku.
- ʻO ka maʻamau, ʻoi aku ka ikaika o nā kukuna UV ma waena o 10 am a me 4 pm . E hoʻēmi i ka lā i loko o ia mau hola e like me ka hiki.
- E pale i ka ʻili ʻili ʻili (tanning), ʻo ia hoʻi, ka ʻili ʻili ʻili ʻili ʻia. Inā makemake ʻoe i kahi ʻano ʻili ...
No laila he aha nā ʻōuli? He ʻokoʻa lākou mai nā freckles?
ʻAe, he ʻano ʻē aʻe nā ʻōuli e like me nā freckles. Hiki iā lākou ke ʻike ʻia ma nā wahi āpau o ke kino.
- Hiki i nā māka hānau ke loaʻa i nā ʻano a me nā nui like ʻole. ʻOi aku ka nui o lākou ma mua o nā freckles.
- Hiki i ke kala ke ʻano o nā aka like ʻole e like me ka poni, ka ʻeleʻele māmā, ka ʻeleʻele ʻeleʻele, ka uliuli, ka ʻeleʻele, a pēlā aku. I kekahi manawa hiki ke like ke kala me ka ʻili a ʻaʻohe kala iki.
- Hiki i nā māka hānau ke pālahalaha a hoʻokiʻekiʻe iki ʻia paha ma luna o ka ʻili.
- ʻAʻole ka hapa nui o nā māka hānau he maʻi kanesa (benign) . Eia nō naʻe, hiki i kekahi ke ulu nui, hoʻololi i ke kala, a hoʻololi paha i ke ʻano i ka hala ʻana o ka manawa. Hiki i kekahi ke lilo i maʻi kanesa.
- ʻIke pinepine ʻia nā māka hānau ma waena o nā makahiki kamaliʻi a me kahi o 20. Hiki ke ʻike ʻia kekahi ma hope o ke ola. Loaʻa i ka hapa nui o ka poʻe kekahi mau māka hānau.
ʻO nā ʻiole e makaʻala ai, ʻo ia nā mea i ʻokoʻa ke ʻano mai nā ʻiole ʻē aʻe, a i ʻole nā mea i ʻike ʻia he hou ma hope o 20 mau makahiki. ʻAʻole pono ka hapa nui o nā ʻiole i ka mālama ʻia. Akā inā ʻike ʻoe i kahi loli i ke kala, ke kiʻekiʻe, ka nui, a i ʻole ke ʻano o kekahi o kāu mau ʻiole, e ʻike pono i kahi kauka ʻili.
He aha ka Melanoma?
ʻO ka melanoma ke ʻano maʻi ʻili weliweli loa . Hiki iā ia ke ulu koke a laha i kekahi ʻōkana o ke kino.
ʻEleʻele a ʻeleʻele paha ka hapa nui o nā melanoma. Akā hiki i kekahi ke poni, ʻulaʻula, poni, a i ʻole ke kala ʻili. Ma kahi o 30% o nā melanoma e hoʻomaka i loko o kahi mole e kū nei. Akā ulu ke koena ma ka ʻili maʻamau. No laila he mea nui e makaʻala i nā loli i kou ʻili.
Pehea e nānā ai iā ʻoe iho no nā ʻiole ma kou ʻili? - ka lula ABCDE
Wahi a ka American Cancer Society a me ka American Academy of Dermatology, he mea pono loa kēia lula ABCDE no ka loiloi ʻana i nā kiko ma kou ʻili.
- A - Asymmetry: ʻO ke ʻano kēia inā e kahakiʻi ʻoe i kahi laina ma waena o ke kiko, ʻaʻole like nā ʻaoʻao ʻelua.
- B - Palena: ʻAʻole maopopo ka lihi o ka mole, he pohihihi, he ʻokiʻoki, a he ʻano ʻē paha.
- C - Waihoʻoluʻu: ʻAʻole like ke kala o ka mole ma loko. Aia paha he hui ʻana o nā kala e like me ka ʻeleʻele, ka ʻeleʻele, a me ka ʻeleʻele māmā, a aia paha he mau ʻāpana ʻulaʻula, keʻokeʻo, uliuli, a poni paha.
- D - Anawaena: ʻO ke anawaena o ka kiko he hapaha o ka ʻīniha (1/4 ʻīniha) a ʻoi aku paha (e like me ka nui o kahi mea holoi penikala maʻamau).
- E - Evolution: Ua loli ka nui, ke ʻano, a i ʻole ke kala o ka mole i ka hala ʻana o ka manawa.
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka a i ʻole ke kauka ʻili. A e hoʻomanaʻo, ʻaʻole paha e hahai kekahi mau wahi weliweli i kēia lula.
Nā kumu pilikia ʻē aʻe:
- Nā loli i kahi wahi hou, a i ʻole nā wahi e ʻokoʻa ke ʻano mai nā wahi ʻē aʻe.
- He ʻeha e ho'ōla ʻole ana.
- ʻUlaʻula a pehu paha ma ʻō aku o ka lihi o kahi kiko.
- Ua pālahalaha ke kala o ka mole ma ʻō aku o ka lihi o ka mole a hiki i ka ʻili a puni.
- I kēia manawa, ua maneʻo, ʻeha, a ʻeha paha ke kiko ke kaomi ʻia.
- Ua loli ka ʻili o ka wahi - ke kahe nei ka pus, ke kahe nei ke koko, lilo i ʻōpala, a i ʻole ua ʻike ʻia kahi puʻupuʻu.
He aha inā loaʻa iaʻu kahi kiko ma koʻu lehelehe? He mea weliweli anei ia?
Hiki ke ʻike ʻia nā freckles ma nā wahi āpau o ke kino, ʻoiai ma nā lehelehe . ʻO ko mākou mau lehelehe he ʻāpana o ka epidermis, ka papa luna o ko mākou ʻili. I ka hapa nui o ka manawa, ʻaʻole ia he mea ʻino ka loaʻa ʻana o nā freckles ma nā lehelehe. Akā, pono ʻoe e makaʻala mau i kou mau freckles, a inā ʻike ʻoe i kekahi mau loli, e ʻike i kahi dermatologist.
I kekahi manawa, hiki i nā kiko ma nā lehelehe ke like me nā māka hānau a i ʻole nā kiko e pili ana i kahi maʻi i kapa ʻia ʻo Peutz-Jeghers syndrome . He maʻi genetic kēia, ʻo kekahi o nā hōʻailona o ia mea ʻo ke ʻano o nā kiko ʻeleʻele ma nā ʻāpana like ʻole o ke kino, me nā lehelehe.
He mau kiko keʻokeʻo koʻu ma koʻu ʻili. He aha lākou?
I kekahi manawa e ʻike paha ʻoe i nā kiko keʻokeʻo liʻiliʻi ma kou ʻili. Ua kapa ʻia kēia he idiopathic guttate hypomelanosis . ʻAʻole anei he inoa lōʻihi kēlā? Ua manaʻo ʻia ua hana ʻia e ka lōʻihi o ka hoʻomālamalama ʻana i ka lā.
E like me nā ʻano freckles ʻē aʻe, ʻoi aku ka maʻamau o kēia i nā poʻe me ka ʻili keʻokeʻo. Eia nō naʻe, hiki iā lākou ke loaʻa i nā poʻe ʻelemakule a ʻeleʻele hoʻi. Loaʻa pinepine lākou ma nā wāwae, nā lima, ke kua o luna, a me ka maka.
Hoʻokumu ʻia kēia mau kiko keʻokeʻo e ka emi ʻana o ka pigment melanin i loko o kou ʻili. ʻAʻole he maʻi ʻino ka idiopathic guttate hypomelanosis. Inā makemake ʻoe i ka lāʻau lapaʻau, aia nā lāʻau lapaʻau e like me nā steroids topical , tretinoin , pimecrolimus, a me ka dermabrasion .
I ka manawa hea e ʻike ai ʻoe i ke kauka dermatologist?
Inā ʻike ʻoe i kekahi o kēia mau loli i kou mau freckles a i ʻole nā kiko ʻili ʻē aʻe, e ʻike koke i ke kauka a dermatologist paha:
- Inā loli ka nui, ke ʻano a i ʻole ke kala.
- Inā ʻaʻole maopopo ka lihi, inā me he mea lā ua ʻoki ʻia.
- Inā ʻaʻole like ke ʻano (inā māhele ʻia i ʻelua, ʻaʻole like nā ʻaoʻao ʻelua).
- Inā ʻeha, maneʻo, a kahe paha ke koko.
- Inā puka mai ia mai loko mai o ka ʻili.
- Inā he mau kiko ʻeleʻele a inā he nui nā kala ma kahi hoʻokahi.
He ʻano ʻili maʻamau nā ʻōuli. ʻAʻole lākou e pōʻino . Eia naʻe, e like me nā kiko ʻili ʻē aʻe a i ʻole ka ʻili ʻē aʻe, e makaʻala i kēlā me kēia kiko ma kou ʻili. Inā hiki, e kiʻi i nā kiʻi o kou ʻili a pau ma ka liʻiliʻi hoʻokahi manawa i ka makahiki. E maʻalahi kēia e ʻike i nā loli i ka hala ʻana o ka manawa. Inā ʻike ʻoe i kekahi mau loli i kahi hōʻailona hānau, freckle, a i ʻole kahi ʻē aʻe, e ʻike koke i ke kauka a i ʻole dermatologist no ka nānā ʻana. ʻOiai inā ʻaʻole ʻoe e ʻike i kekahi mau loli, he manaʻo maikaʻi e nānā mau i kou ʻili e ke kauka.
ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai
ʻAe, ua kamaʻilio nui kākou e pili ana i nā freckles, ʻeā? ʻO ka mea hope loa, eia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo:
- ʻAʻole koʻikoʻi loa nā freckles.ʻAʻohe mea ʻino a ʻaʻole lākou e hoʻopilikia i ke olakino . Inā ʻaʻole lākou e hoʻopilikia iā ʻoe, ʻaʻohe pono o kahi lāʻau kūikawā.
- ʻO ka pale ʻana i ka lā ke ala maikaʻi loa e pale aku ai i nā freckles. E hoʻomaʻamaʻa i ka hoʻohana ʻana i ka sunscreen i kēlā me kēia lā, e ʻaʻahu i ka pāpale, a e ʻaʻahu i nā aniani maka.
- Inā ʻike ʻoe i kahi loli i kekahi wahi a i ʻole kahi hōʻailona hānau ma kou ʻili (e like me ka nui, ke ʻano, ke kala, ka maneʻo, a i ʻole ka ʻeha), mai hoʻowahāwahā iā ia.
- I kēlā me kēia manawa āu e kānalua ai, ʻo ka ʻimi ʻana i kahi kauka dermatologist no ka ʻōlelo aʻo ka mea maikaʻi loa hiki iā ʻoe ke hana.
No laila, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe nā pane i kāu mau nīnau e pili ana i nā freckles. I loaʻa iā ʻoe ka ʻili olakino a nani hoʻi!
Nā kiko ʻili, nā kiko ʻili, ka lā wela, ka melanin, nā maʻi ʻili, ka maʻi ʻili, ka pale lā











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