Loaʻa iā ʻoe nā paila ʻeha e ʻike pinepine ʻia ma kou mau armpits a me ka ʻūhā? (Hidradenitis Suppurativa)

I kekahi manawa loaʻa iā mākou nā puʻupuʻu nui a ʻeha ma nā wahi hou e like me ko mākou mau armpits, groin, a ma lalo o ko mākou mau umauma, ʻeā? I ka wā e ho'ōla ai kekahi, puka mai kekahi. I kekahi manawa hoʻopuka kēia mau puʻupuʻu i ka pus a hiki ke honi ʻino. ʻOiai he nui ka poʻe e manaʻo nei he pimple maʻamau a he pehu hou paha, hiki iā lākou ke lilo i ʻano ʻili ʻokoʻa a lōʻihi. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano i kapa ʻia ʻo Hidradenitis Suppurativa (HS) ma nā ʻōlelo lapaʻau. ʻOiai he mea paʻakikī iki ke kani ʻana, e hoʻokaʻawale kākou i nā ʻōlelo maʻalahi.

He aha maoli ka Hidradenitis Suppurativa (HS)?

I ka ʻōlelo maʻalahi, ʻo ka HS kahi maʻi ʻili lōʻihi e hoʻoulu ai i nā puʻupuʻu ʻeha, nā puʻupuʻu, a me nā paila i nā wahi o ko mākou ʻili kahi i nui ai nā kelepa hou. Ua kapa pū kekahi poʻe iā ia ʻo 'acne inversa'.

ʻAʻole kēia e like me ka pimple maʻamau. Hoʻokumu ʻia ka HS e kahi hana hewa i loko o ka ʻōnaehana pale ponoʻī o ko mākou kino. ʻO ka pololei, he maʻi autoinflammatory ia o nā follicle lauoho . ʻO ka mea e hana ʻia, ʻo ka ʻōnaehana pale ponoʻī o ko mākou kino e hoʻouka i ko mākou mau follicle lauoho me ke kumu ʻole. ʻO kēia ke kumu e lilo ai lākou i pehu, ʻulaʻula, a me nā puʻupuʻu ʻeha. I ka hala ʻana o ka manawa, hiki i kēia mau mea ke ulu a lilo i mau abscesses piha i ka pus a me nā ala sinus ma lalo o ka ʻili.

He aha nā ʻano puʻupuʻu ʻili e kū mai ana ma HS?

ʻEkolu mau ʻano nui o nā loli ʻili i ʻike ʻia ma HS. Loaʻa paha iā ʻoe kekahi a ʻoi aku paha o kēia mau mea.

ʻO wai ka mea e loaʻa ai ka HS? He aha nā kumu pilikia?

ʻOiai hiki i kekahi ke loaʻa i kēia maʻi, ʻoi aku ka nui o ka loaʻa ʻana o ia maʻi i kekahi poʻe.

• No nā wāhine: ʻOi aku ka nui o ka loaʻa ʻana o ka HS i nā wāhine ma mua o nā kāne.
• Moʻolelo ʻohana: Inā loaʻa kēia maʻi i kou makuahine, makuakāne, a i ʻole kekahi hoahānau pili, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana.
• Nā loli hormonal: Hiki i nā loli i nā pae hormone (ʻoi aku ka estrogen a me nā androgens ) e kū mai ana ma hope o ka wā ʻōpio a ma kahi o ka menopause ke kōkua i kēia. No kekahi mau wahine, ʻoi aku ka ʻino o nā hōʻailona ma mua o ko lākou wā mahina.
• Ka Puhipaka: ʻOi aku ka nui o ka pilikia o ka poʻe puhipaka i ka hoʻomohala ʻana i ka HS.
• Momona: ʻO ka piʻi ʻana o ke kaumaha kekahi kumu nui e hoʻopilikia nei i kēia.
• Hirsutism: ʻO ka poʻe me nā kūlana e hoʻoulu ai i ka ulu nui o ka lauoho kino e piʻi nui ana hoʻi ka pilikia.

Ma hea kahi e loaʻa pinepine ai nā puʻupuʻu HS?

ʻIke pinepine ʻia kēia mau puʻupuʻu ma nā wahi e hamo ai ka ʻili, hou, a noho mahana a pulu.

• ʻĀʻī
• Wahi ʻūhā
• Ma lalo o ka umauma
• Ma kahi o nā puʻupuʻu a me ka anus
• ʻūhā o loko
• Kua o ka ʻāʻī
• A puni ka pūhaka

He maʻi laha pili i ke moekolohe (STD) anei kēia?

ʻAʻole. ʻAʻole loa. ʻAʻole ʻo HS kahi maʻi i laha ma ke ʻano moekolohe (STI) . ʻAʻole ia he maʻi lele. No laila, mai makaʻu nui ʻoe no ia mea.

Nā pilikia e hiki ke hana inā ʻaʻole mālama pono ʻia ʻo HS

Inā waiho ʻole ʻia ka HS no ka manawa lōʻihi, hiki ke ulu mai kekahi mau pilikia. ʻAʻole hiki kēia i nā kānaka a pau, akā he mea nui e makaʻala.

• Nā ʻōpala: Ma hope o ka ho'ōla ʻana o nā paila, hiki ke hana ʻia nā ʻōpala paʻakikī a hohonu ma kēlā mau wahi.
• Nā maʻi: Hiki i nā bacteria ke komo ma o nā ʻeha hāmama a hoʻoulu i nā maʻi ʻili koʻikoʻi (cellulitis) .
• Ka hōʻino ʻana i ka ʻōnaehana lymphatic: Hiki i ka pehu lōʻihi ke hōʻino i ka ʻōnaehana lymphatic, e hoʻoulu ai i ka pehu ʻana i ka lima a i ʻole ka wāwae.
• Fistula: He mea kākaʻikahi loa, hiki i nā tunnels (nā ala sinus) i hana ʻia ma lalo o ka ʻili ke hoʻopili i nā ʻōpū o loko e like me nā ʻōpū a me ka ʻōpū mimi.
• Anemia: Hiki i ka mumū lōʻihi ke hana i ka anemia.
• Nā hopena noʻonoʻo: ʻO ka ʻeha mau, nā cysts piha i ka pus, a me ka ʻeha ʻana hiki ke hoʻoulu i ke kaumaha noʻonoʻo, ka hopohopo, a i ʻole ke kaumaha .
• Ka maʻi ʻili: He mea kākaʻikahi loa kēia, akā he liʻiliʻi loa ka pilikia o ka hoʻomohala ʻana i kahi ʻano maʻi ʻili mai nā ʻeha lōʻihi, ʻaʻole e ho'ōla.

ʻO wai kaʻu e kūkākūkā ai no ke kūlana HS?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kahi kauka ʻili . I kekahi manawa, hiki i nā kauka lapaʻau ke kuhihewa i kēia no kahi puʻupuʻu maʻamau a i ʻole kahi maʻi. Akā hiki i kahi kauka ʻili ke ʻike pololei i kēia mau hōʻailona a kuhikuhi i ka lāʻau kūpono loa nāu.

E hana ke kauka i ka hōʻailona ma ka hoʻolohe ʻana i kāu mau hōʻailona a me ka nānā ʻana i kou ʻili. ʻAʻole pono kēia i nā hoʻokolohua ʻē aʻe.

He aha nā lāʻau lapaʻau no HS?

ʻAʻohe lāʻau lapaʻau no HS i kēia manawa. Eia nō naʻe, he nui nā lāʻau lapaʻau kūpono e kāohi i nā hōʻailona, ​​​​pale i nā ʻeha hou, a hōʻemi i ka ʻeha. Aia ka lāʻau lapaʻau i ke koʻikoʻi o kou kūlana.

1. Mālama ʻili

• Holoi antiseptic: Paipai ke kauka i nā kopa kūikawā e hoʻomaʻemaʻe i nā wahi me nā paila i kēlā me kēia lā.
• Nā Antiperspirants: Hiki iā ʻoe ke hoʻohana i nā huahana ʻala ʻole i kūpono no ka ʻili koʻikoʻi.
• Retinoids: Loaʻa i kēia mau kirīmi ka huaora A a hōʻemi i ka mumū a paipai i ka hoʻohou ʻana o nā ʻili ʻili.

2. Ka hoʻomalu ʻana i ka ʻeha

• Nā ʻūlū anu a wela paha: ʻO ka hoʻopili ʻana i kahi ʻeke hau a i ʻole ka ʻōmole wai wela e hiki ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha a me ka pehu.
• Nā ʻaila poni e hōʻoluʻolu ai i ka ʻeha: ʻO nā kirīmi e loaʻa ana nā anesthetics kūloko e like me Lidocaine hiki ke hōʻemi i ka ʻeha no kekahi manawa.
• Nā lāʻau hoʻopau ʻeha: Hiki iā ʻoe ke lawe i nā lāʻau hoʻopau ʻeha maʻamau a i ʻole nā ​​​​lāʻau lapaʻau ikaika inā pono, e like me ke kauoha a kāu kauka.

3. Nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka

• Nā lāʻau antibiotic:ʻAʻole hāʻawi ʻia nā antibiotics e mālama i kahi maʻi. Hāʻawi ʻia lākou e kāohi i ka mumū e kū mai ana ma HS. I kekahi manawa, hiki ke kuhikuhi ʻia kahi mahele haʻahaʻa e lawe mau ʻia no kekahi mau mahina.
• Lapaʻau Olaola: ʻO nā lāʻau lapaʻau e like me (Adalimumab) e kāohi i ka hana o ka ʻōnaehana pale a hōʻemi i ka mumū.
• Metformin: Hiki i kēia lāʻau lapaʻau maʻi diabetes ke hāʻawi i kahi hōʻoluʻolu mai HS ma o ka kaohi ʻana i nā pae hormone a me ke kū'ē ʻana o ka insulin.
• Nā lāʻau hoʻomalu hānau: Kōkua kēia i ka kaohi ʻana i nā hemahema hormonal o nā wahine a pale i nā hōʻailona mai ka ʻoi aʻe ma mua o ka menstruation.

4. Ka mālama ʻana a me nā kaʻina hana ke ʻoi aku ka ʻino o ka maʻi

Inā koʻikoʻi nā hōʻailona a ʻaʻole paha e pane i nā lāʻau ʻē aʻe, hiki i kāu kauka ke ʻōlelo i nā mea e like me:

• Nā inikini steroid: Hiki ke hoʻopili pololei ʻia nā steroid i loko o kahi puʻupuʻu ʻeha e hōʻemi koke i ka pehu a me ka ʻeha.
• ʻOki a me ka hoʻokahe wai: Inā he mau abscesses nui, hana ʻia kahi ʻoki liʻiliʻi e hoʻokahe i ka pus a hāʻawi i ka hoʻomaha.
• Nā lāʻau lapaʻau Laser: Hiki ke hoʻohana ʻia nā Lasers e wehe i nā follicle lauoho a i ʻole nā ​​​​​​pūpū.
• ʻOki kino: I kekahi manawa, pono ka wehe ʻana i ke alapine (deroofing a excision paha) o nā ala sinus a me ka ʻili i hōʻino ʻia.
• Nā inikini Botox®: Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau e kāohi i ka hou nui.

Nā mea hiki iā mākou ke hana e pale aku i ka HS mai ka hoʻi hou ʻana

ʻOiai ʻaʻole hiki iā mākou ke kaohi i kekahi mau mea pilikia (e like me ka mōʻaukala ʻohana), aia kekahi mau mea hiki iā mākou ke hana e pale aku i nā hōʻailona mai ka hoʻonui ʻia ʻana a me nā pilikia.

• E pale i ka puhipaka: Inā ʻoe e puhipaka, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke haʻalele. E noi i kāu kauka no ke kōkua me kēia.
• E kāohi i kou kaumaha: ʻO ka lilo ʻana o ke kaumaha e hōʻemi i ka ʻili ʻana a kōkua i ka kaohi ʻana i nā pae hormone, hiki ke loaʻa ka hopena nui i ka hōʻemi ʻana i nā hōʻailona.
• E ʻaʻahu i nā lole paʻa ʻole: E ʻaʻahu i nā lole paʻa ʻole, i hana ʻia me nā mea e like me ka pulupulu e hiki ai i kou ʻili ke hanu.
• E kāohi i ka hou ʻana: E pale i nā wahi wela a pulu i ka hiki. Inā hou ʻoe, e hoʻomaʻemaʻe koke.
• E hōʻalo i nā ʻala: E hōʻalo i nā kopa ʻala, nā deodorants, a me nā kirīmi ʻili. Hiki i kēia ke hoʻolilo i ka ʻili i mea ʻoi aku ka maʻalahi.

Hiki i ka noho ʻana me kēia maʻi ke paʻakikī i kekahi manawa. Mai noʻonoʻo i ka ʻeha, ka ʻoluʻolu ʻole, a me ke ʻano. ʻAʻole ʻoe hoʻokahi. E kamaʻilio e pili ana i kou mau manaʻo me kahi mea āu e hilinaʻi ai a i ʻole kāu kauka. Inā pono, hiki iā ʻoe ke ʻimi i ke kōkua o kahi kākāʻōlelo olakino noʻonoʻo.