Ke uē mau nei kāu keiki liʻiliʻi? ʻAʻole anei ʻo ia e pau i ka uē ʻana ke hānai ʻoe iā ia a hoʻoluliluli paha iā ia? I kekahi manawa, ʻo ke kumu he mea liʻiliʻi paha, kahi mea a mākou i noʻonoʻo ʻole ai a ʻike ʻole paha me ko mākou mau maka. I kēia lā, e kamaʻilio mākou e pili ana i kahi kūlana hiki ke koʻikoʻi.
He aha kēia 'Hair Tourniquet Syndrome'?
I ka ʻōlelo maʻalahi, ʻo ka Hair Tourniquet Syndrome ka wā e ʻōwili paʻa ʻia ai kahi lauoho a i ʻole kahi ʻāpana lole a puni kahi ʻāpana liʻiliʻi o ke kino o kāu pēpē, e like me ka manamana lima, ka manamana wāwae, a i ʻole, i ke ʻano o ke keikikāne, kona mau ʻāpana kino. I kekahi manawa, hiki ke hana ʻia kēia a puni nā ʻāpana kino o ka pēpē, nā nipples, nā pepeiao, ke alelo, a i ʻole ka piko.
E noʻonoʻo, i ka wā e paʻa ai ka lauoho a i ʻole ke kaula e like me kēia, hana ia e like me ke kāʻei a puni kahi ʻeha. A laila ʻeha nui ka pēpē, a pehu ka ʻāpana. ʻO ka mea weliweli loa, inā paʻa loa ia a pau ke kahe ʻana o ke koko, ʻaʻole hiki ke koko i kēlā ʻāpana me ke kūpono. Inā hana ʻia kēlā, hiki i ka ʻiʻo ke hoʻomaka e make (`(necrosis)`) , hiki i ka iwi ke heheʻe , a i ka hopena e pono paha e ʻoki ʻia ka lālā (`(amputation)`) . No laila, he mea kēia e pono e lawe koʻikoʻi ʻia.
ʻO wai ka mea e loaʻa nui ana i kēia?
ʻIke pinepine ʻia kēia maʻi (Hair Tourniquet Syndrome) i nā pēpē a me nā kamaliʻi ʻōpio. Hoʻomaopopo pinepine ʻia ia i nā pēpē ma kahi o ʻelima mahina.
- Inā hana kēia ma nā manamana lima, ʻo ka maʻamau ia i nā pēpē ma kahi o ʻekolu pule.
- Inā ma nā manamana wāwae, ua aneane ʻehā mahina ka pēpē.
- Inā hana kēia i nā ʻōpū o ke kino, hana pinepine ia i nā keiki a puni ʻelua makahiki.
He mea kākaʻikahi loa kēia ʻano maʻi i nā mākua, ʻo ia hoʻi nā mākua.
He aha nā hōʻailona? Pehea ʻoe e ʻike ai?
Inā loaʻa i kāu pēpē ka Hair Tourniquet Syndrome, ʻo nā hōʻailona mua āu e ʻike ai, ʻo ia ka uē nui ʻana o kāu pēpē a me ka hana hoʻomaha ʻole. Loaʻa paha iā ʻoe ka pilikia e hoʻomaopopo i nā mea no ka mea ʻaʻole ʻōlelo kāu pēpē.
Hiki nō hoʻi iā ʻoe ke ʻike i kēia mau mea:
- E ʻike paha ʻoe i ka ʻulaʻula a me ka pehu ʻana ma kekahi o nā manamana lima, nā manamana wāwae, a i ʻole nā ʻāpana kino ʻē aʻe o kāu pēpē.
- ʻOiai inā ʻoe e hoʻopā i kēlā ʻāpana, e ʻeha ana ke pēpē, a ʻoluʻolu ʻole loa ʻo ia.
- Inā ʻoe e nānā pono aku, e like paha ka wahi i huikau me kahi ʻauwai liʻiliʻi, a i ʻole ke alanui i ʻeli ʻia. I kekahi manawa manaʻo paha ʻoe he ʻale maʻamau wale nō ia ma ka ʻili o kahi pēpē.
- Inā ʻoi aku ka koʻikoʻi o ke kūlana, ua piha paha ka ʻauwai me kahi mea e like me ka wai, a malia paha e hoʻopuka mai i kahi ʻala ʻino .
Inā hoʻomaka koke kāu pēpē e uē me ke kumu ʻole, e nānā pono i kona kino e ʻike inā ʻo ia ke kumu.
No ke aha lā kēia e hana nei? He aha nā kumu?
Aia kekahi mau kumu nui e loaʻa ai i kahi pēpē liʻiliʻi kēia (Hair Tourniquet Syndrome).
1.ʻO ka Telogen effluvium: E like me kou ʻike, ke lilo ʻoe i makuahine, ʻoiai ma hope o ka loaʻa ʻana o kahi pēpē, nui kou lauoho e nalowale ana ma muli o nā loli hormonal. Ua hōʻike ʻia nā noiʻi he 90% o nā makuahine e ʻike nei i kēia ʻano. Ua kapa ʻia kēia ma ke ʻano lapaʻau he telogen effluvium. Hiki i kēia nalowale lauoho ke mau mai ʻelua a ʻeono mahina ma hope o ka hānau ʻana. No laila, hiki i ka lauoho e hāʻule ana ma kēia ʻano ke maʻalahi ke hihia i loko o ke kino o ka pēpē.
2. Lilo ka lauoho pulu i mea paʻakikī ke maloʻo: Ke ʻauʻau mākou, ʻō aku ko mākou mau lauoho. Ke maloʻo, hoʻi hou ia i kona nui maʻamau. No laila e noʻonoʻo, inā e hihia kahi lauoho pulu o ka makuahine a puni ka manamana lima o ka pēpē, e lilo ia i mea paʻakikī ke maloʻo.
3. Ka lahilahi o ka lauoho: He mea lahilahi loa ka lauoho. No laila, ʻaʻole paha e ʻike ʻia ua hihia ia ma ke kino o ke pēpē.
4. Nā lole pēpē: ʻO kekahi mau lole e ʻaʻahu ʻia e nā pēpē ʻōpio, ʻoiai nā socks, nā mea hoʻomehana wāwae, a me nā lole moe, hiki ke hana i ka Hair Tourniquet Syndrome. Ke hoʻoneʻe ka pēpē i kona mau lālā i loko o kēlā mau lole, ʻoi aku ka maʻalahi o ka hihia ʻana o kēia mau kaula.
Pehea e ʻike ai ke kauka i kēia? (Diagnosis)
E ʻike pono ke kauka o kāu pēpē i kēia maʻi ma hope o ka nānā pono ʻana i kāu pēpē.
- ʻO ka mea mua, e nīnau ke kauka iā ʻoe e pili ana i nā pilikia a kāu pēpē e loaʻa nei a me ka lōʻihi o ko lākou loaʻa ʻana.
- A laila, nānā pono ʻia nā manamana lima, nā manamana wāwae, nā ʻōpū, a me nā wahi kānalua ʻē aʻe o ka pēpē e ʻike ai inā he lauoho hiʻohiʻona a i ʻole nā loulou e like me kēia.
Pehea ʻoe e hoʻōla ai i kēia? (Lapaʻau)
ʻO ke ʻano o ka mālama ʻana no ka Hair Tourniquet Syndrome ma muli o ke koʻikoʻi o ke kūlana o ka pēpē. Hiki i ke kauka ke wehe i ka lauoho a i ʻole ke kaula i hiolo ʻia ma ka hoʻoheheʻe ʻana, wehe ʻana, a ʻoki ʻana paha.
- I nā hihia ʻoi aku ka ʻino: Inā ʻike maopopo ʻia ka lauoho, hiki i ke kauka ke ʻōlelo aku e hoʻopili i kahi kirīmi kūikawā ("(depilatory agent)`). E hoʻoheheʻe kēia i ka lauoho. ʻO kēia ka mea liʻiliʻi loa i ka invasive, ʻo ia hoʻi, ʻaʻole ia e hōʻeha i ke kino, a ʻo ia ke ʻano hana kūpono loa. Eia naʻe, hana wale kēia ma ka lauoho, ʻaʻole ia e hana ma ke kaula o kahi lole. Ma hope o kahi 10 mau minuke o ka hoʻopili ʻana i ka kirīmi, e haki ka lauoho a e nalowale ke ʻano paʻa. Akā e hoʻomanaʻo, ʻaʻole maikaʻi kēia ʻano hana e hoʻohana inā ua ʻeha ka ʻili o ka pēpē, a inā he maʻi āpau ka pēpē i kekahi mea i loko o ka kirīmi.
- Inā ʻaʻole loaʻa ka kirīmi: E hoʻāʻo ke kauka e wehe mālie i ka lauoho i hiʻipiʻi ʻia a i ʻole ke kaula a wehe iā ia.
- ʻOki a me ka wehe ʻana: Inā ʻaʻole hiki ke wehe, pono e ʻoki a wehe ʻia. No ka hana ʻana i kēia, hoʻokomo mua ʻia kahi ʻōkuʻi ʻoi ma waena o ke kaula a me ka ʻili e pale i ka ʻili i ʻole e hōʻino i ka ʻili o ka pēpē. A laila wale nō e ʻoki ʻia me ka ʻokiʻoki a i ʻole ka pahi ʻoi.
- I nā hihia koʻikoʻi: Inā ua komo hohonu ka lauoho a i ʻole ke kaula i loko o ka ʻili, a inā paha e like me ia ua komo i loko o ka ʻili, pono paha kahi ʻoki liʻiliʻi (`(ʻokiʻoki)`). A laila e hoʻomaʻamaʻa ke kauka ʻoki keiki i ka pēpē (ʻo ia hoʻi, ʻaʻole ʻike ka pēpē) a hana mālie i kahi ʻoki (`(okiʻoki)`) a hiki i ka wā e wehe loa ʻia ai ka lauoho a i ʻole ke kaula.
Pehea e hiki ai ke pale ʻia kēia? (Kāohi ʻana)
Aia kekahi mau mea hiki iā ʻoe ke hana e pale i kāu pēpē mai kēia maʻi (Hair Tourniquet Syndrome). ʻO ka mea nui loa, ʻo ia ka ʻike ʻana aia kēia maʻi.
- Inā he makuahine ʻoe no kahi keiki hānau hou, e ʻike paha ʻoe e hāʻule nui ana kou lauoho ma mua o ka maʻamau. No laila , eia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka nui o ka lauoho palahalaha e keʻakeʻa nei i kāu pēpē:
- E kāhili maikaʻi i kou lauoho i nā manawa a pau. E hōʻemi nui kēia i ka manawa kūpono o ka hāʻule ʻana o ka lauoho palahalaha ma luna o kāu pēpē.
- I ka mālama ʻana a i ʻole ka paʻa ʻana i kāu pēpē, e nakinaki pono i kou lauoho me kahi kaula laholio a i ʻole kahi ʻūmiʻi.
- E nānā mau i nā manamana lima, nā manamana wāwae, nā ʻāpana kino, a me ka ʻāʻī o kāu pēpē no ka lauoho hiʻohiʻona a me nā kaula, ʻoiai hoʻi i ka wā e ʻauʻau ai a hoʻololi paha i nā lole.
- Eia kekahi, e hoʻāʻo e kaupalena i ka nui o nā manawa e komo ai kāu pēpē i nā socks a me nā stockings. E akahele loa i ke komo ʻana i nā lole kahiko, no ka mea, hiki ke wehe ʻia nā kaula.
- Inā e pāʻani ana kāu pēpē me kou lauoho, e hoʻohuli i kona manaʻo i kahi mea pāʻani ʻē aʻe a i ʻole kekahi mea ʻē aʻe.
ʻEhia ka lōʻihi e hoʻōla ai?
ʻO ka manawa e hoʻōla ai mai kēia ma muli o ke koʻikoʻi o ke kūlana a me ka wikiwiki o ka loaʻa ʻana o ka lāʻau lapaʻau.
Ma hope o ka wehe ʻana i ka lauoho a i ʻole ke kaula, e nānā hou ke kauka i ka wahi. I ka manawa pinepine, i loko o kahi manawa pōkole, e like me 10 mau minuke, e ʻike ʻoe ua emi nui ka pehu a me ka ʻeha .
Inā mālama koke ʻia, e hoʻi koke ke ʻano o ka manamana lima o ka pēpē a i ʻole kahi ʻē aʻe i ka maʻamau. Hiki iā ʻoe ke manaʻo i ka hoʻōla piha ʻana i loko o hoʻokahi mahina o ka mālama ʻana .
He aha ka mea e hana ai inā ʻaʻole holo pono kēia? (Nā pilikia)
Inā ʻike ʻia a mālama ʻia i ka wā mua, maikaʻi loa ka hopena o ka Hair Tourniquet Syndrome. Hoʻōla koke ka ʻeha o ka pēpē, a ʻaʻole pono ka lāʻau hou.
Eia nō naʻe, inā ʻaʻole ʻike ʻia a mālama ʻia kēia ʻano, hiki iā ia ke alakaʻi i nā pilikia weliweli loa. ʻO kēia mau mea:
- Ka pehu nui.
- Ka pōʻino o ke aʻalolo.
- Ka ʻoki piha ʻana o ke kahe o ke koko i kēlā ʻāpana o ke kino.
- Make ʻana o nā ʻiʻo (necrosis).
- Ka ʻino ʻana o ka iwi.
Inā lilo ia i mea koʻikoʻi loa, e like me ka mea i ʻōlelo ʻia ma mua, pono paha e wehe ʻia kēlā ʻāpana kino ma ke ʻoki kino (`(amputation)`). No laila hiki iā ʻoe ke ʻike i ke koʻikoʻi o ka pono e lawe ʻia i kēia, ʻeā?
Pehea e mālama ai i ke keiki ma hope o ka lāʻau lapaʻau?
Ma hope o ka wehe ʻana i ka lauoho a i ʻole ke kaula, e hāʻawi ke kauka iā ʻoe i kekahi mau ʻōlelo kikoʻī no ka mālama ʻana i kāu pēpē ma ka home.
- Hiki ke ʻōlelo ʻia iā ʻoe e kau i kahi poni antibiotic i ka ʻeha e kōkua i ka ho'ōla wikiwiki ʻana a pale i ka maʻi.
- Ua ʻōlelo ʻia e uhi i ka ʻeha me kahi pāpale a hoʻololi iā ia i ka manawa kūpono.
- He mea nui loa ka mālama ʻana i ka ʻeha maʻemaʻe a maloʻo no nā lā mua ma hope o ka mālama ʻana. Mai ʻauʻau i ka pēpē a lawe paha iā ia i nā wahi e like me nā loko ʻauʻau i kēlā mau lā.
- Hiki iā ʻoe ke hoʻopili i ka petroleum jelly a i ʻole ka lotion pēpē e like me ke kuhikuhi a kāu kauka.
- Inā ʻike ʻia kāu pēpē e ʻeha mau ana, e nīnau i kāu kauka e pili ana i kahi lāʻau hoʻomaha ʻeha iki hiki iā ʻoe ke hāʻawi i kāu pēpē.
Āhea wau e pono ai e ʻike hou i ke kauka?
Ma hope o ka wehe ʻana i ka lauoho, pono e hoʻomaka koke ka ʻeha e ho'ōla. Eia nō naʻe, inā ʻike ʻoe e hōʻike ana kāu pēpē i nā hōʻailona o kahi maʻi , pono ʻoe e kāhea koke i kāu kauka. ʻO kēia mau hōʻailona:
- Inā he kuni kou.
- Inā pehu nā lymph nodes (no ka laʻana, ma nā armpits a i ʻole ka groin).
- Inā e puka mai ana ka pehu mai kahi i hihia ai ka lauoho.
Inā ʻike ʻoe i kekahi mea e like me kēia, mai hoʻokaʻulua.
I ka hōʻuluʻulu manaʻo, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
No laila, inā e uē mau ana kāu pēpē me ke kumu ʻole, a ʻaʻole hiki iā ʻoe ke ʻike i ke kumu, e kānalua paha he Hair Tourniquet Syndrome ia .
He ʻeha loa kēia maʻi no ka pēpē. ʻO ka mea pōmaikaʻi, hiki ke mālama maʻalahi ʻia, akā he mea nui loa ka ʻike mua ʻana a me ka mālama koke ʻana. ʻO ka hoʻopaneʻe ʻana i ka mālama ʻana hiki ke hoʻonui i ke ʻano a alakaʻi i nā pilikia koʻikoʻi.
No laila, inā kānalua ʻoe ua loaʻa i kāu pēpē kekahi o kēia mau hōʻailona, e nīnau koke aku i kahi kauka keiki no ka ʻōlelo aʻo a me ka mālama ʻana. ʻO kou ʻike a me ka hana wikiwiki ke ala maikaʻi loa e hoʻopakele ai i kāu pēpē mai ia ʻano pōʻino.
ʻO ka hiʻohiʻona lauoho, ka uē ʻana o ka pēpē, ke olakino o ka pēpē, ka Hair Tourniquet Syndrome, ka hāʻule ʻana o ka lauoho o ka makuahine, nā lole pēpē, nā manamana lima pehu











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