Ua loaʻa koke anei iā ʻoe nā ʻulaʻula a me nā ʻūlū ma kou kino e pono ai ʻoe e ʻānai pinepine? Ma hope o kekahi manawa, nalowale lākou ma kekahi wahi a ʻike hou ʻia ma kahi ʻē aʻe. ʻOiai he mea maʻamau kēia no ka hapa nui o ka poʻe, i kekahi manawa hiki ke lilo i mea koʻikoʻi iki. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia ʻūlū , a i ʻole e like me ka kapa ʻana o nā kauka, ʻo Urticaria.
He aha ka Urticaria a me ka Angioedema?
I ka ʻōlelo maʻalahi, ʻo Urticaria kahi ʻano o nā ʻūlū ʻulaʻula (i kekahi manawa he ʻili) a i ʻole nā kiko e ʻike koke ʻia ma luna o ka ʻili. Kāhea pinepine mākou i kēia mau "hives." He ʻūlū loa kēia mau ʻūlū, a i kekahi manawa hiki iā lākou ke manaʻo e like me ka ʻeha wela a ʻā paha.
E noʻonoʻo wale, hiki i kēia mau kiko ke ʻike ʻia ma nā wahi āpau o ke kino. Hiki iā lākou ke ʻike ʻia ma ka maka, nā lehelehe, ke alelo, ka ʻāʻī, a me nā pepeiao. ʻO ka mea kūikawā e pili ana i kēia, ʻaʻole i waiho mau ʻia kēia mau kiko ma kahi hoʻokahi. Hiki iā lākou ke nalo loa mai kekahi wahi i loko o kekahi mau hola a ʻike hou ʻia ma kahi ʻē aʻe o ke kino. No kekahi poʻe, hoʻokahi wale nō lākou e ʻike ʻia ai i ko lākou ola a ʻaʻole hoʻi e hoʻi hou mai. Akā no kekahi poʻe, hana pinepine ʻia lākou.
Hiki i kēia mau ʻeha ke ʻokoʻa ka nui mai ka nui o ka mea holoi penikala a i ka nui o ka pā ʻaina, a hiki ke hui pū e hana i nā palaki nui.
I kēia manawa, e nānā kākou i ke ʻano o ka Angioedema . He ʻokoʻa iki kēia mai nā hives. Maanei, ʻaʻole e kū mai ka pehu ma ka ʻili o ka ʻili, akā ma lalo o ka ʻili . ʻIke pinepine ʻia a puni nā maka a me nā lehelehe . I kekahi manawa hiki ke kū mai kēia pehu hohonu ma nā lima, nā wāwae, a me nā ʻōpū. ʻO ka maʻamau, e emi iho kēia pehu i loko o 24 mau hola, akā i kekahi manawa hiki ke lōʻihi.
ʻOiai he mea kakaikahi loa, hiki i ka angioedema o ka puʻu, ke alelo, a i ʻole nā māmā ke hoʻopilikia i ke alaloa a me ka paʻakikī o ka hanu ʻana. He kūlana koʻikoʻi loa kēia a wikiwiki hoʻi.
No ke aha lā kēia e hana nei iā kākou? He aha nā kumu?
ʻO nā maʻi ʻaleka , nā kemika i loko o kekahi mau meaʻai, nā nahu pepeke, ka lā, a me kekahi mau lāʻau lapaʻau ke kumu o ko mākou mau hunaola kino e hoʻokuʻu i kahi kemika i kapa ʻia ʻo histamine . ʻO kēia histamine ke kumu o ka kahe ʻana o ka plasma koko mai loko mai o nā kīʻaha koko liʻiliʻi i loko o ka ʻili. ʻO ia ka mea a mākou e ʻike ai he Urticaria (hives) a i ʻole Angioedema (pehu).
Akā i ka ʻoiaʻiʻo, i nā manawa he nui, ʻaʻole hiki i nā kauka ke loaʻa kahi kumu kūpono no kēia.Kāhea mākou iā ia ʻo Idiopathic Urticaria.
| ʻAno nui | Ka wehewehe a me nā kumu nui |
|---|---|
| ʻO ka Urticaria ʻoi (hoʻomaka koke) | ʻAʻole i ʻoi aku ma mua o 6 mau pule kēia. ʻO nā kumu maʻamau ka meaʻai (cashews, peanuts, iʻa, tōmato, hua manu, waiū), nā lāʻau lapaʻau (NSAIDs e like me ka aspirin, ibuprofen), nā maʻi latex, a me nā maʻi like ʻole. |
| ʻO ka Urticaria Mau (kahi kūlana e mau ana no ka manawa lōʻihi) | ʻOi aku ka paʻakikī o kēia ma mua o 6 mau pule. ʻOi aku ka paʻakikī o ka loaʻa ʻana o ke kumu ma mua o ka Acute Urticaria. I kekahi manawa hiki ke hana ʻia e kahi pilikia me ka ʻōnaehana pale o ke kino, kahi maʻi lōʻihi, a i ʻole nā pilikia hormonal. |
| ʻO ka Urticaria Kino (ma muli o nā hoʻonāukiuki kino) | Hoʻokumu ʻia ia e ka hoʻoulu kino pololei ʻana i ka ʻili. Nā laʻana: ke anu nui, ka wela, ka lā, ka haʻalulu, ke kaomi (e like me ke kāʻei paʻa), ka hou ʻana, a me ka hoʻoikaika kino. |
| Dermatographism (kaha kiʻi ma ka ʻili) | He ʻano ʻē loa kēia. Ke kahakaha ʻia ka ʻili me ka ikaika, me he mea lā me ka manamana lima, hana ia i kahi ʻeha ma ka ʻāpana i kahakaha ʻia. ʻO ke ʻano o kēia inoa, ʻo ia ke "kākau ʻana ma luna o ka ʻili." |
| ʻO ka Angioedema hoʻoilina | He pehu ʻeha kēia ma lalo o ka ʻili o ke kino. He ʻano laha ʻole kēia e hiki ke hoʻoili ʻia ma o nā ʻohana mai kēlā hanauna a i kēia hanauna. |
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, e nīnau nui ʻo ia iā ʻoe. E hoʻāʻo ʻo ia e loaʻa kahi manaʻo o ke kumu ma ka nīnau ʻana iā ʻoe i nā kikoʻī he nui, e like me ka ʻai ʻana i kahi mea ʻē ma mua o ka puka ʻana o nā hōʻailona, inā ua lawe ʻoe i kekahi lāʻau lapaʻau, pehea ka lōʻihi o kou loaʻa ʻana iā lākou, a i ka manawa hea o ka lā i ʻoi aku ka ʻino.
Eia kekahi, e hana ʻia kahi hoʻokolokolo kino. Hiki ke hana ʻia nā hoʻāʻo ʻili a i ʻole nā hoʻāʻo koko e ʻike ai inā he mau maʻi allergies kou.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka hana mua a maikaʻi loa, ʻo ia ka ʻimi ʻana i ke kumu a pale aku iā ia . Eia kekahi laʻana, inā maopopo iā ʻoe he meaʻai kekahi e hoʻoulu ai i kāu mau hōʻailona, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ka pale ʻana i kēlā meaʻai. Akā e like me kā mākou i ʻōlelo ai ma mua, ʻaʻole maʻalahi ka loaʻa ʻana o ke kumu.
ʻO ka maʻamau, e hāʻawi kāu kauka iā ʻoe i kahi pila i kapa ʻia he antihistamine . Hana kēia ma ke kāohi ʻana i ka hana o ka histamine a me ka hōʻemi ʻana i ka maneʻo a me ka pehu.
No kahi maʻi maʻi mau loa, hiki i kāu kauka ke kuhikuhi i ka hui pū ʻana o nā antihistamines a i ʻole nā lāʻau lapaʻau ʻē aʻe, e like me nā steroids, i kēlā me kēia lā.
I loko o kahi pilikia a koʻikoʻi hoʻi, e like me ka angioedema me ka paʻakikī o ka hanu ʻana, pono paha e hāʻawi ʻia kahi inikini o ka epinephrine (adrenaline) a i ʻole kahi inikini steroid i loko o ka haukapila.
7 mau mea maʻalahi hiki iā ʻoe ke hana ma ka home e hōʻoluʻolu i ka ʻeha
Hiki iā ʻoe ke hoʻāʻo i kēia mau mea a hiki i ka emi ʻana o ka ʻeha a me ka pehu:
- Mai ʻauʻau i ka wai wela. E hoʻohana i ka wai mehana. Hiki i ka wai wela ke hoʻonui i ka maneʻo .
- E hoʻohana i kahi kopa palupalu ʻaʻole ona ʻala ikaika.
- E kau i kahi lole i pulu i ka wai anuanu a i ʻole kahi ʻeke hau (i wahī ʻia i ka lole) ma kahi i hoʻopilikia ʻia.
- E ho'āʻo e hiamoe i loko o kahi lumi anuanu e like me ka hiki.
- E ʻaʻahu i nā lole pulupulu palupalu a māmā hoʻi, ʻaʻole paʻa.
- E hoʻopili i kahi ʻaila poni i ʻōlelo ʻia e kāu kauka a i ʻole kekahi mea e like me ka "Calamine lotion" e kāohi i ka maneʻo.
- E hoʻopili i kahi moisturizer ʻala ʻole i nā manawa he nui i ka lā e pale ai i ka maloʻo o ka ʻili.
Āhea wau e ʻike koke ai i ke kauka?
ʻO kēia ka ʻāpana koʻikoʻi loa o kēia ʻatikala. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma waho aʻe o ka palapū a i ʻole ka pehu ʻana, he pilikia ia . E hele koke i ka haukapila kokoke loa.E hele i ka ʻĀpana Lapaʻau Pōpilikia (ETU).
- Inā manaʻo ʻoe ua poniuniu
- Inā ʻoe e hana i kahi leo hū i ka wā e hanu ana (Wheezing)
- Inā pilikia ʻoe i ka hanu ʻana
- Inā ʻoe e manaʻo nei i ka paʻa o ka umauma
- Inā pehu koke kou alelo, lehelehe, a i ʻole kou maka
Hōʻike kēia mau hōʻailona i ka pilikia o ke ālai ʻia ʻana o ke alaea. No laila, mai noho ma ka home i ka manawa e like me kēia, e hele koke i ka haukapila.
Leka Lawe-Home
- He mea maʻamau ka Urticaria (hives), akā i kekahi manawa hiki ke lilo i mea koʻikoʻi.
- He pehu hohonu ka angioedema e kū mai ana ma lalo o ka ʻili. E makaʻala loa i kēia pehu e kū mai ana a puni nā lehelehe a me nā maka.
- Inā hiki iā ʻoe ke loaʻa ke kumu, e pale aku. Mai hopohopo inā ʻaʻole hiki iā ʻoe ke loaʻa, ʻo ia ka hihia pinepine.
- E hoʻohana i nā antihistamines i kuhikuhi ʻia e kāu kauka e hōʻoluʻolu i ka maneʻo a me ka pehu.
- ʻO ka mea nui loa: Inā loaʻa iā ʻoe nā hōʻailona e like me ka paʻakikī o ka hanu ʻana, ka ʻū ʻana o ka umauma, ka pehu ʻana o ke alelo a i ʻole ka maka, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
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