Loaʻa iā ʻoe kekahi mau kiko poepoe ma kou ʻili? E kamaʻilio kākou e pili ana i kēia (Granuloma Annulare)!

Ua ʻike anei ʻoe he poepoe kou ʻili i kekahi manawa, he poni i kekahi manawa, he mau kiko i hāpai iki ʻia? A i ʻole e like me nā puʻupuʻu liʻiliʻi ma lalo o ka ʻili? He maʻi ʻili paha ia i kapa ʻia ʻo `(Granuloma Annulare)` . ʻAʻohe mea e hopohopo ai, ʻaʻole ia he mea weliweli loa. E kamaʻilio hou aku kākou e pili ana i kēia?

He aha kēia `(Granuloma Annulare)`?

I ka ʻōlelo maʻalahi, he maʻi ʻili maikaʻi ʻole ka Granuloma Annulare, ʻaʻole ia he maʻi kanesa, akā i kekahi manawa he maʻi mau loa . Hoʻokumu ʻia ia e ka mumū i loko o ko mākou ʻili. Hoʻokumu kēia mumū i nā kiko i hāpai ʻia, ʻeleʻele a i ʻole nā ​​puʻupuʻu ma lalo o ka ʻili. ʻIke pinepine ʻia kēia mau kiko ma kou mau lima, nā wāwae, nā lima poʻohiwi, a me nā kuʻekuʻe lima.

Aia kekahi mau ʻano o ka Granuloma Annulare?

ʻAe, aia ma kahi o ʻelima mau ʻano nui o kēia. I kekahi manawa hiki i ke kanaka hoʻokahi ke hoʻomohala i nā ʻano he nui ma mua o hoʻokahi. E nānā kākou he aha lākou?

• ʻO ka granuloma annulare kūloko: ʻO kēia ke ʻano maʻamau. He ʻeha poepoe ia e kū mai ana ma kahi hoʻokahi wale nō o ka ʻili. E noʻonoʻo he wahi poepoe kou ma kou lima.
• ʻO ka `Granuloma annulare laulā (hoʻolaha ʻia)` (ʻano hoʻolaha ʻia): ʻO kēia ka wā e pālahalaha ai nā puʻupuʻu ma luna o kahi ʻāpana nui o ka ʻili, e like me ka lima holoʻokoʻa.
• ʻO ka granuloma annulare subcutaneous: Hoʻomohala ʻia kēia ʻano granuloma ma lalo o ka ʻili. I kekahi manawa, hiki ke ʻike ʻia ma nā lima.
• ʻO ka granuloma annulare perforating (ʻano ʻeha): ʻO kēia ʻano ke kumu o nā puʻupuʻu ʻeha ma nā lima a me nā manamana lima.
• ʻO ka Patch granuloma annulare (ke ʻano e kū mai ana he patch): Maanei, ʻike ʻia nā lesions e like me nā ʻāpana pālahalaha ma ka ʻili.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o Granuloma Annulare?

ʻOiai hiki ke ulu maoli i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā keiki a me nā ʻōpio . ʻOi aku ka pālua o ka loaʻa ʻana o ke kūlana i nā wahine ma mua o nā kāne.

ʻO kekahi mea, inā loaʻa iā ʻoe ka maʻi diabetes , ʻoiai ke ʻano 1, ke ʻano maʻi diabetes e hilinaʻi ana i ka insulin , ʻoi aku ka nui o ka loaʻa ʻana o ka granuloma annulare.

ʻAʻole wale ia, inā loaʻa iā ʻoe ka maʻi thyroid , e like me ka thyroiditis (ka mumū o ke kelepa thyroid), hypothyroidism (haʻahaʻa ka nui o ka hormone thyroid), a i ʻole ka thyroid adenoma (kahi ʻōpū benign e ulu ana i loko o ke kelepa thyroid), a laila aia nō hoʻi ʻoe i ka pilikia o ka loaʻa ʻana o kēia maʻi.

ʻO ka mea nui loa, inā haʻi aku ke kauka iā ʻoe he Granuloma Annulare kou, ʻoiai inā ʻo ia ke ʻano laha ākea (Generalized Granuloma Annulare), e nīnau i kāu kauka inā he manaʻo maikaʻi ke hoʻāʻo ʻia no nā kūlana ʻē aʻe i ʻike ʻia me kēia ʻano.

Ua ʻōlelo ʻia hoʻi ua loaʻa i ka poʻe ma Hawaiʻi ke ʻano ʻeha, i kapa ʻia ʻo "Perforating granuloma annulare", i kahi manawa pinepine iki.

He aha ka hopena o kēia i koʻu kino?

Ma muli o ke kala o kou ʻili, ma hope o ka pau ʻana o kēia mumū, hiki i ka ʻili ma ia mau wahi ke lilo i ʻeleʻele i kekahi manawa (hyperpigmentation) . ʻO ia hoʻi, e mau ana paha nā kiko ʻeleʻele.

Hiki i ka Granuloma Annulare lōʻihi ke hoʻopilikia i kou olakino noʻonoʻo . Hiki iā ia ke hoʻopilikia i ke ʻano o ka hoʻohuli ʻana o ke kaiāulu a me nā hui kaiaulu i kou mau manaʻo a me kou mau manaʻo (psychosocially) a pehea ʻoe e noʻonoʻo ai iā ʻoe iho a me kāu ʻano (psychologically). Hiki i kēia ke alakaʻi i nā kūlana e like me ke kaumaha , ka hopohopo, a me ke kaumaha .

He aha nā hōʻailona o ka Granuloma Annulare?

ʻOkoʻa nā hōʻailona ma muli o ke ʻano o Granuloma Annulare āu. E nānā kākou i nā hōʻailona e pili ana i kēlā me kēia ʻano.

ʻO ka granuloma annulare kūloko (ʻano i kaupalena ʻia i hoʻokahi wahi)

ʻO nā hiʻohiʻona i ʻike ʻia ma kēia ʻano:

• ʻIke ʻia nā puʻupuʻu liʻiliʻi ma ka ʻili ma mua o ka puka ʻana o ka ʻōhū.
• ʻIke ʻia nā puʻupuʻu poepoe ma ka ʻili. Hoʻomaka paha kēia mau mea me he mau pōʻai liʻiliʻi a laila hui pū a lilo i mea nui aʻe.
• ʻUlaʻula paha kēia mau kiko, ʻulaʻula, poni, a i ʻole ke kala like me kou ʻili maʻamau.

ʻO ka granuloma annulare laulā (ʻano hoʻolaha)

ʻO nā hōʻailona o kēia ʻano:

• ʻIke ʻia nā puʻupuʻu ma luna o kahi ʻāpana nui o ka ʻili.
• Ua hui pū kēia mau puʻupuʻu e hana i nā wahi nui a ʻeleʻele.

ʻO ka ʻano granuloma annulare subcutaneous (ke ʻano e hana ʻia ma lalo o ka ʻili)

ʻO nā hiʻohiʻona i ʻike ʻia ma kēia:

• ʻIke ʻia nā puʻupuʻu liʻiliʻi ma lalo o ka ʻili.
• Hiki i kēia mau puʻupuʻu ke ulu koke.
• He mau puʻupuʻu paʻakikī kēia, poepoe, ʻaʻohe ʻeha.
• Inā ʻaʻole kamaʻāina ke kala ʻulaʻula a poni paha, he puʻu paha ia i kala ʻole.

ʻO ka granuloma annulare perforating (ʻano ʻeha)

Nā ʻano o kēia ʻano:

• ʻIke ʻia nā puʻupuʻu liʻiliʻi, ʻeha, a unahi ma nā lima a i ʻole nā ​​​​manamana lima.
• Hiki i kēia mau puʻupuʻu ke ʻānai a ʻeha paha.
• I kekahi manawa, hiki i kēia mau puʻupuʻu ke hoʻokahe i ka wai.
• I kekahi manawa hiki i kēia mau puʻupuʻu ke pālahalaha a hui pū e hana i nā ʻeha nui.

Patch granuloma annulare (ke ʻano e ʻike ʻia he mau ʻāpana)

ʻO nā hiʻohiʻona i ʻike ʻia ma kēia:

• ʻIke ʻia nā kiko pālahalaha ʻulaʻula, ʻulaʻula-ʻeleʻele, a poni paha.
• Hiki ke ʻike ʻia kēia mau ʻeha ma kekahi a i ʻole kekahi mau wahi ma ka ʻili.

No ke aha e ulu ai kēia `(Granuloma Annulare)`? Aia kekahi mau kumu?

ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa i nā kauka a me nā mea noiʻi ke kumu pololei o Granuloma Annulare. Hōʻike kekahi mau noiʻi he kumu paha ia no ka pane pono ʻole ʻana o kā mākou ʻōnaehana pale i kahi hōʻeha i ka ʻili.

Eia kekahi, manaʻo nā kauka e hiki i kēia mau mea ke hoʻonui i ka Granuloma Annulare:

• Nā nahu pepeke.
• ʻO kekahi mau lāʻau lapaʻau, no ka laʻana ʻo 'allopurinol' (Aloprim®, Zyloprim®) .
• ʻO kekahi mau kūlana olakino, no ka laʻana ʻo 'HIV (Human Immunodeficiency Virus)' a me 'Hepatitis C' .

Hiki i kekahi poʻe ke loaʻa i ka Granuloma Annulare ma hope o ka hoʻopili ʻia ʻana i kekahi mau mea pili i ke kaiapuni, e like me ka hoʻopili lōʻihi ʻana i ka lā.

Ke hoʻopilikia nei anei ke kaumaha i ka ulu ʻana o ka (Granuloma Annulare)?

Manaʻo kekahi mau noiʻi e hiki i ke kaumaha mau ke kumu o Granuloma Annulare. No laila, ʻo ka hōʻemi ʻana i kou pae kaumaha e kōkua paha i ka pale ʻana i kēia maʻi. E hoʻāʻo i kēia mau mea e hōʻemi i kou pae kaumaha:

• E hanu hohonu a helu a hiki i ka 10.
• E hoʻoikaika kino i kēlā me kēia lā.
• E hoʻēmi i ka hoʻohana ʻana i ka caffeine a me ka waiʻona.
• E hiamoe ma ka liʻiliʻi he 8 mau hola i ka pō.
• E ʻai i ka meaʻai momona a maikaʻi.
• E ho'āʻo e noʻonoʻo pono i nā mea āpau.
• E kākau i kahi puke moʻolelo i kēlā me kēia lā.
• E kamaʻilio e pili ana i nā mea o kou ola me nā hoaaloha, ʻohana, a i ʻole ke kauka lapaʻau.

He mea laha anei kēia?

ʻAʻole, ʻaʻole he maʻi lele ka `(Granuloma Annulare)`. ʻAʻole hiki ke laha i kekahi kanaka ma o ka pili ʻana o ka ʻili i ka ʻili. No laila, ʻaʻohe mea e hopohopo ai.

Pehea e ʻike ai ke kauka i kēia?

E hana mua ke kauka i kahi hoʻokolokolo kino piha o kou ʻili.

A laila, no ka hōʻoia ʻana i ka maʻi, pono paha ʻoe e hana i kahi biopsy ʻili . Pili kēia i ka lawe ʻana i kahi hāpana liʻiliʻi o kou ʻili a hoʻouna aku i kahi lab. E nānā nā kauka ma laila ma lalo o kahi microscope e kōkua i ka hoʻoholo pono ʻana i ke kumu o kou mau ʻeha ʻili.

Pehea e mālama ʻia ai ka Granuloma Annulare?

No ka hapa nui o nā kānaka, e nalowale wale ʻo Granuloma Annulare me ka ʻole o ka lāʻau lapaʻau . Nalowale loa ia i loko o ʻelua makahiki. Eia nō naʻe, no kekahi poʻe, hiki i nā ʻeha ke hoʻi hou mai ma hope.

Eia nō naʻe, inā hoʻopilikia ka granuloma annulare i nā wahi nui o kou ʻili, a inā he mau puʻupuʻu nui a hohonu kou ma lalo o kou ʻili, hiki i kāu kauka ke ʻōlelo i ka mālama ʻana.

ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ke kāohi i ka maneʻo a i ʻole ka ʻeha . Hiki i ka mālama ʻana ke hoʻopōkole i ka manawa e ho'ōla ai kou mau ʻeha.

Aia kekahi mau koho lapaʻau:

• Nā lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i ka mumū a hoʻomaʻemaʻe i ka ʻili. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me corticosteroids (hiki ke hoʻopili ʻia ma ke ʻano he kirīmi a hāʻawi ʻia paha ma ke ʻano he inikini), isotretinoin (Absorica®, Zenatane®) , a i ʻole tacrolimus (Protopic®) . Hiki i nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ka malaria, e like me ka hydroxychloroquine , ke kōkua pū i ka hōʻemi ʻana i nā ʻeha ʻili.
• Lapaʻau PUVA: He ʻano lāʻau lapaʻau kukui kēia. Hoʻohana kāu kauka i kahi lāʻau i kapa ʻia ʻo psoralen a me ke kukui ultraviolet A (UVA) . Hoʻolilo ʻo Psoralen i kou ʻili i mea maʻalahi i ka mālamalama. Hoʻōki kēia kukui UV i ka ulu ʻana o nā ʻili ʻili a kōkua i ka hoʻōki ʻana i ka laha ʻana o ka granuloma annulare. Ua kapa ʻia hoʻi ka lāʻau lapaʻau PUVA he photochemotherapy .
• Cryotherapy: Maanei, hoʻohana ke kauka i kahi mea hana kūikawā e hoʻopaʻa i nā wahi i hoʻopilikia ʻia o kou ʻili. Hoʻōki kēia i ka laha ʻana o nā ʻeha.
• Lapaʻau Laser: Hoʻohana ke kauka i kahi kukuna laser kūikawā e mālama i ka ʻili i hoʻopilikia ʻia. Hoʻomehana ka laser i ka ʻili, e hōʻemi ana i ka mumū a kōkua i ka pale ʻana i ka laha ʻana o ka ʻeha.
• Nā papa Vitamin E: Inā ʻaʻole holomua nā lāʻau ʻē aʻe, hiki i kāu kauka ke ʻōlelo pū i nā papa vitamin E.

No kekahi poʻe, hiki ke paʻakikī iki ka mālama ʻana iā Granuloma Annulare. Pono paha ʻoe e hoʻāʻo i kekahi mau lāʻau lapaʻau like ʻole a hiki i kou loaʻa ʻana o ka mea e kūpono iā ʻoe.

Hiki i ka meaʻai a me ka mea inu ke hoʻololi i ka `(Granuloma Annulare)`?

ʻO ka hoʻololi ʻana i kāu meaʻai e hiki ke kōkua i ka hoʻomaikaʻi ʻana i kou kūlana Granuloma Annulare. Manaʻo kekahi mau noiʻi e hiki i ka palena ʻana i ka nui o nā momona (lipids) i kāu meaʻai (e like me ka cholesterol a me nā triglycerides) ke kōkua i kou Granuloma Annulare e hele wikiwiki. He ʻoiaʻiʻo paha kēia inā he maʻi diabetes kou, kiʻekiʻe ka nui o ka momona koko, a i ʻole nā ​​​​​​kūlana ʻē aʻe i maʻamau i nā poʻe me Granuloma Annulare.

Aia kekahi mau mea hiki iā ʻoe ke hana ma ka home no Granuloma Annulare?

ʻAʻole nui ka noiʻi e pili ana i ka maikaʻi o nā lāʻau lapaʻau home no Granuloma Annulare. Eia nō naʻe, hiki i nā hana mālama ʻili kūpono ke hoʻomaikaʻi i ke olakino holoʻokoʻa o kou ʻili.

E kōkua kēia mau mea iā ʻoe e mālama i ke olakino maikaʻi o ka ʻili:

• E hoʻohana i kahi humidifier e mālama i ka makū i loko o ka lumi.
• E hoʻohana i ke kopa palupalu i ka ʻauʻau ʻana a i ʻole ka holoi ʻana i kou kino.
• E ʻauʻau a holoi paha i kou kino me ka wai mehana, ʻaʻole me ka wai wela.
• E hoʻopili i kahi kirīmi hoʻomaʻū a mea ʻaila paha e mālama i ka wai i kou ala ʻana.
• E pale i ke komo ʻana i nā lole ʻānai, e like me ka hulu hipa.

Aia kekahi ala e pale aku ai i kēia?

ʻAʻohe ala kikoʻī e pale aku ai iā Granuloma Annulare.

He aha kā mākou e manaʻo ai inā hana ʻia kēia?

No ka hapa nui o nā kānaka, ho'ōla wale ʻo Granuloma Annulare me ka ʻole o kekahi lāʻau lapaʻau , a ʻaʻole waiho i nā ʻeha a i ʻole nā ​​māka.

Eia nō naʻe, he maʻi mau ka Granuloma Annulare. ʻO ke ʻano kēia, hiki i nā kiko ke hoʻi hou mai , pinepine ma kahi like i ʻike mua ʻia ai lākou. Akā inā hoʻi hou mai lākou, nalo koke lākou ma mua o ka manawa mua.

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

He manaʻo maikaʻi e nīnau i kēia mau nīnau ke ʻike ʻoe i ke kauka:

• Pehea ʻoe e ʻike ai inā loaʻa iaʻu ka `(Granuloma Annulare)`?
• Inā ʻaʻohe oʻu Granuloma Annulare, he aha nā maʻi ʻili ʻē aʻe e loaʻa iaʻu?
• He aha nā koho lapaʻau āu e paipai nei?
• He aha nā hopena ʻaoʻao o kēlā mau koho lapaʻau?
• E ʻike anei au i ke kauka ʻili a i ʻole kekahi loea ʻē aʻe?

He aha ka ʻokoʻa ma waena o `(Granuloma Annulare)` a me `(Ringworm)`?

ʻO ka Granuloma annulare kahi maʻi ʻili e hoʻoulu ai i nā puʻupuʻu a i ʻole nā ​​​​puʻupuʻu i hāpai ʻia a ʻano ʻē paha ma ka ʻili. ʻAʻole ʻike nā kauka i ke kumu pololei. Pili paha kāu ʻōnaehana pale. ʻAʻole ia e laha mai ke kanaka a i ke kanaka ma o ka pili ʻana o ka ʻili a i ka ʻili.

ʻO ka Ringworm kahi maʻi e hoʻoulu ai i nā ʻeha ʻili, ʻano ʻole, a poepoe. Hoʻokumu ʻia ka Ringworm e kahi fungus - ʻaʻole ia he ilo maoli. He mea laha loa ia . Hiki ke laha ma ka pili pololei ʻana me kahi kanaka a holoholona paha i loaʻa i ka maʻi, a i ʻole ma ka hoʻopā ʻana i kahi ʻili haumia, e like me ka papahele o ka lumi lole hale hoʻoikaika kino a i ʻole nā ​​​​lole hou. ʻOi aku ka unahi o ka Ringworm ma mua o Granuloma Annulare.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia.

He maʻi ʻili ka Granuloma Annulare hiki ke hilahila a ʻoluʻolu ʻole i kekahi manawa. Eia nō naʻe, he maʻi maʻamau ia , a nalo wale ia i loko o kekahi mau makahiki. ʻO ka mea nui ka mālama ʻana i kou ʻili. Inā he mau hopohopo kāu, aia kāu kauka ma laila e kōkua iā ʻoe. No laila, mai makaʻu e nīnau i kāu kauka.

ʻO Granuloma Annulare, nā maʻi ʻili, dermatology, maneʻo, nā kiko ʻili, ke kaumaha, ka lāʻau lapaʻau