Ke hoʻi mai nei kahi maʻi kahiko mai kahi ʻeha ma kou ʻili? E kamaʻilio kākou e pili ana i ka hanana Koebner

Loaʻa paha iā ʻoe kahi maʻi ʻili, e like me ka psoriasis. Ua ʻike anei ʻoe ua ʻike koke ʻia ke ʻano kahiko like mai kahi ʻeha liʻiliʻi a i ʻole kahi ʻoki ma kou ʻili? Me he mea lā e hoʻomaka ana ka maʻi mai kahi wahi hou. ʻO kēia ka mea a mākou e kapa nei ʻo Koebner Phenomenon i ka lāʻau lapaʻau. He mea hou paha kēia i kekahi poʻe, no laila i kēia lā e kamaʻilio mākou e pili ana i ia mea me ka kikoʻī iki, akā maʻalahi.

He aha ka hanana Koebner?

I ka ʻōlelo maʻalahi, ʻo ka Koebner Phenomenon ka wā e kū hou mai ai kahi maʻi ʻili āu i loaʻa mua ai, e like me ka psoriasis a i ʻole vitiligo, ma kahi ʻāpana hou o kou ʻili, e like me ka ʻeha, ka ʻoki, ke kuni, a i ʻole ke ʻoki kino. I ka pololei, ʻike ʻia kahi kope o ke ʻano kahiko like ma kahi ʻāpana hou. E noʻonoʻo, he ʻōpala liʻiliʻi kou ma kou lima, loaʻa iā ʻoe kahi ʻōpala ma kahi o kou wāwae, a ma hope o kekahi mau lā, ʻike ʻia ka ʻōpala ma ia wahi like. ʻO ia wale nō.

Ua ʻike mua ʻia a wehewehe ʻia kēia i ka makahiki 1876 e kekahi kauka Kelemania i kapa ʻia ʻo Heinrich Koebner. ʻO ia ke kumu i kapa ʻia ai kēia hanana ma hope ona. Ua kapa pū ʻo ia iā ia ʻo ka 'isomorphic response'. ʻO ke ʻano o ka huaʻōlelo Helene 'isomorphic' ʻo ia hoʻi 'ʻano like'. ʻO ke ʻano kēia, ua like nā kiko hou i hana ʻia me ka ʻeha mua.

Pehea ka maʻamau o kēia?

ʻO kēia kūlana, i kapa ʻia ʻo Koebner Phenomenon, ʻike pinepine ʻia i nā poʻe me ka psoriasis. Manaʻo kekahi mau noiʻi a hiki i ka 25% o ka poʻe me ka psoriasis e ʻike paha iā ia. Eia naʻe, ʻaʻole ia i kaupalena ʻia i ka psoriasis.

Hiki ke loaʻa kēia ʻano i nā poʻe me nā warts, vitiligo, a i ʻole kahi maʻi ʻili i kapa ʻia ʻo lichen planus. Eia naʻe, ʻaʻole ia he mea maʻamau e like me ka lichen planus. Eia kekahi, ua hōʻike ʻia ka hanana ʻo Koebner e hoʻopilikia i nā poʻe me kekahi mau maʻi ʻili kakaikahi ʻē aʻe.

He aha ke kumu o ka hanana Koebner?

ʻO ke kumu kikoʻī o kēia mea, ʻaʻole i loaʻa i nā kauka he 100 pakeneka, ʻike ʻoe? Aia nō ia i ke kahua noiʻi. Eia nō naʻe, manaʻo pinepine nā loea ua hana ʻia ia e kekahi ʻano hana, malia paha he hana nui loa, o kā mākou ʻōnaehana pale ponoʻī. ʻO ia hoʻi, ke manaʻo nei lākou he pili paha ia i nā maʻi autoimmune.

Eia kekahi laʻana, ʻo ka psoriasis, ka mea a kākou e ʻike nei, he maʻi ia e pili ana i ka autoimmune. No laila, ʻoi aku ka nui o ka poʻe me ia mau maʻi e ʻike i kēia hanana Koebner. Ke loaʻa kahi ʻeha ma ka ʻili, hoʻāla ʻia kekahi mau molekala hōʻailona a me nā cell i ka wā o ke kaʻina hana ho'ōla. Ma muli o kekahi mau mea ʻē aʻe i kēia kaʻina hana, hiki ke ʻike ʻia ka maʻi ʻili mua ma kahi hou.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ka poʻe me ka psoriasis ka mea nui loa i ka pilikia. Eia kekahi, aia kekahi mau maʻi ʻili ʻē aʻe e hiki ke hoʻonui i ka pilikia o ka hanana ʻo Koebner:

• Nā ʻūlū - Hoʻokumu ʻia kēia e kahi maʻi viral.
• ʻO Vitiligo - He maʻi i hoʻokumu ʻia e ka luku ʻia ʻana o nā pūnaewele e hāʻawi ana i kona pigment i ka ʻili.
• Lichen planus - He ʻano kēia e hiki ai ke hoʻoulu i ka mumū o ka ʻili, ka waha, a me nā kui.

ʻAʻole nā ​​​​kānaka a pau me kēia mau maʻi e loaʻa i ka hanana Koebner, akā aia kahi pilikia.

He aha ke ʻano o nā ʻeha ʻili e hoʻokumu ai i kēia?

ʻO ka mea nui ma ʻaneʻi, hiki ke hoʻāla ʻia ka hanana Koebner e kekahi ʻeha e hoʻopilikia a hōʻino paha i ka papa luna o ka ʻili, ka ʻili a mākou e ʻike ai (ka epidermis) , a me ka papa hohonu iki ma lalo (ka dermis) . E noʻonoʻo i nā mea e like me kēia:

• Nā ʻō ʻili e like me nā wahi inikini, nā ʻō pepeiao, a me nā ʻō ihu.
• Ke nahu ʻia e nā pepeke a i ʻole nā ​​holoholona ʻē aʻe, no ka laʻana, nā holoholona e like me nā makika a me nā ʻanuʻu.
• Ke huhū ka ʻili. E noʻonoʻo kākou ua huhū ʻoe i kahi lāʻau i ka wā e hana ana ma ka pā hale, ua huhū kahi pōpoki, a i ʻole ua nahu kahi makika iā ʻoe a nahu nui iā ʻoe.
• Kekahi poʻe e haki me ka manaʻo i ko lākou ʻili (ʻohi ʻili), nā mea like me ia.
• Nā ʻeha ʻoki, nā ʻeha ʻē aʻe, nā ʻeha mai ka hāʻule ʻana a i ʻole nā ​​ʻoki ʻana.
• I ka wā e kiʻi ai i kahi peʻa, no ka mea, pili ia i ka hou ʻana i ka ʻili me kahi nila a me ka hoʻokomo ʻana i ka ʻīnika. Hiki nō hoʻi kēia ke hana i ka wā o nā kaʻina hana wehe peʻa .
• Nā kuni. Hiki ke hana ʻia e ke ahi, hiki ke hana ʻia e ka wai wela. Hiki ke loaʻa nā kuni lā i kekahi manawa, akā ʻaʻole lākou e hana pinepine i ka hanana Koebner e like me nā ʻeha ʻē aʻe.
• Hiki i ka lāʻau lapaʻau radiation no nā maʻi e like me ke kanesa ke hōʻino i ka ʻili, no laila hiki ke hana ʻia kēia ʻano mai kēlā wahi (he mea kākaʻikahi kēia).

I ka ʻōlelo maʻalahi, hiki ke hoʻomaka me kekahi trauma i kou ʻili.

He aha nā hōʻailona o ka hanana Koebner?

ʻOkoʻa nā hōʻailona o ka hanana Koebner ma muli o ke ʻano o ka ʻili āu e loaʻa ai, a me ke koʻikoʻi (flare-up) o ia ʻano i ka manawa. Hoʻomaka pinepine nā kiko hou a i ʻole nā ​​​​loli ʻili e ʻike ʻia i loko o 10 a 20 mau lā o ka ʻeha . Eia nō naʻe, i kekahi manawa hiki ke hala i nā pule a i ʻole, kakaikahi, mau mahina no kēia e hana ʻia.

ʻO nā hiʻohiʻona nui e ʻike ʻia:

• Hoʻokumu ʻia kēia mau ʻeha hou ma ka ʻili olakino ma mua, ʻaʻohe maʻi, ma kahi like me kahi i loaʻa ai ka ʻeha.
• Ua like loa lākou me kou maʻi ʻili mua.Eia kekahi laʻana, inā loaʻa iā ʻoe ka psoriasis, e ʻulaʻula nā ʻāpana hou e like me ka psoriasis a e ʻili ʻia e like me ka psoriasis. Inā loaʻa iā ʻoe ka vitiligo, e lilo nā ʻāpana hou i keʻokeʻo.
• ʻO ka hapa nui o ka manawa, he linear kēia, me he mea lā ua laha ka maʻi ma ka ʻeha. Akā, ʻaʻole kēia ka hihia mau, a hiki ke ʻokoʻa ma muli o ke ʻano o ka ʻeha.

I kekahi manawa, ʻike ʻia kēia mau kiko me he mea lā ua kaha kekahi i kahi laina me ka lula. He hiʻohiʻona kūikawā nō hoʻi ia o kēia.

Hiki i kēia ke hoʻoulu i nā pilikia?

He mea hopohopo iki paha kēia iā ʻoe. Akā, ʻo ka ʻoiaʻiʻo, ʻaʻole pinepine ka Koebner Phenomenon i kekahi mau pilikia nui. He ʻano hoʻomaka wale nō ia o kou maʻi kahiko. ʻO ia hoʻi, ʻaʻole hoʻoweliweli nā kiko hou i ke ola. Eia nō naʻe, i kekahi manawa hiki i nā kiko hou ke ʻeha a ʻeha e like me nā kiko mua. Eia kekahi, i kekahi mau kūlana, e like me ka psoriasis, hiki i ka laha ʻana o ke kūlana ke lilo i mea hopohopo iki.

Pehea e ʻike ai i ka hanana Koebner?

ʻAʻohe hoʻāʻo koko kikoʻī a i ʻole kekahi hoʻāʻo ʻē aʻe e ʻike ai i kēia. Ke ʻike ʻoe i kahi kauka ʻili, e nānā pono ʻo ia i kou ʻili. A laila, e nīnau lākou e pili ana i kou mau maʻi ʻili i hala, inā paha he mau maʻi like kekahi o kou ʻohana, a inā paha ua loaʻa iā ʻoe kekahi mau ʻeha i kou ʻili i kēia manawa. ʻO kēia mau ʻike a pau, me ke ʻano o nā kiko ma kou ʻili, e kōkua i ke kauka e hoʻoholo inā he hanana Koebner kēia. No laila , he mea nui loa ia e haʻi aku i ke kauka i ka ʻoiaʻiʻo a ʻaʻole e hūnā i kekahi mea.

Pehea e mālama ʻia ai kēia?

Eia hou, e kahaha paha ʻoe i ka ʻike ʻana ʻaʻohe lāʻau lapaʻau kūikawā no ka Koebner Phenomenon. ʻO ke kumu, ʻaʻole ia he maʻi hou, akā he hōʻike wale nō ia o kou ʻano ʻili mua. No laila, ua mālama ʻia e like me ke ʻano mua.

Eia kekahi laʻana, inā ma muli o ka psoriasis, e hoʻohana ʻia nā lāʻau lapaʻau like no ka psoriasis, e like me nā kirīmi, nā ʻaila poni, nā pila, a i kekahi manawa phototherapy, no kēia mau wahi hou. Pēlā nō, inā ma muli o ka vitiligo, e hoʻohana ʻia nā lāʻau lapaʻau like no ia mea.

ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo a kāu kauka ʻili.

Hiki ke pale ʻia ka hanana Koebner?

Hiki ke paʻakikī ke pale loa i kēia, ʻoiai inā he maʻi ʻili kou. Eia nō naʻe, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia.

ʻO ke ala maikaʻi loa, ʻo ia ke kaohi pono i kāu maʻi ʻili mua.ʻO ia hoʻi, inā loaʻa iā ʻoe ka psoriasis, pono ʻoe e hahai i nā ʻōlelo a kāu kauka e mālama i kāu mau hōʻailona i ka haʻahaʻa e like me ka hiki. ʻOi aku ka nui o ka hanana Koebner e kū mai i ka wā hana o ka maʻi.

Eia kekahi, pono ʻoe e hōʻemi i ka ʻeha a me ka hōʻino ʻana o ka ʻili i ka hiki.

E kōkua nō hoʻi kēia mau mea ʻē aʻe:

• E hōʻemi a hoʻōki paha i ke kohi ʻana i kou ʻili, ke kohi ʻana i kou cuticles, a me ke kohi ʻana i kou mau kui . He mea maikaʻi ke kahakaha ʻana, mai kahakaha a hiki i ka ʻeha.
• E pale i kou ʻili mai ka lā. I ka wā e hele ai i waho i ke ao, ʻoiai ma waena o 10 am a me 4 pm, e ʻaʻahu i nā lole lima lōʻihi inā hiki, i ka pāpale, a e hoʻohana pono i kahi pale lā me ka SPF maikaʻi.
• E noʻonoʻo pono i ke kiʻi ʻana i nā peʻa a me kekahi mau piercings. Inā loaʻa iā ʻoe kēia mau maʻi ʻili, hiki i kēia ke hoʻoulu i ka hanana Koebner.
• E hoʻohana i nā mīkina lima i ka wā e hana ai me nā mea ʻoi a i ʻole e hana ana i nā mea e like me ka māla ʻana.

He aha ke kūlana olakino o kekahi me ka hanana Koebner?

ʻO ke olakino o kekahi me ka Koebner Phenomenon ma ke ʻano laulā he maikaʻi loa ia. E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole ia e hoʻoulu i nā pilikia nui. ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke mālama i nā kiko hou e like me kāu e mālama ai i kou ʻano ʻili mua.

He mea nui loa hoʻi e hahai pono i nā ʻōlelo a kāu kauka a e makaʻala ʻaʻole e hōʻeha i kou ʻili. Inā ʻoe e mālama pono i kou ʻano ʻili ma kēia ʻano, ʻaʻole e loaʻa ka hopena nui o ka hanana Koebner i kou ola.

Āhea wau e ʻike ai i ke kauka?

Inā he maʻi ʻili kou e pili ana i ka hanana Koebner, a ʻike ʻoe i kekahi o kēia mau mea, e ʻike koke i kāu dermatologist a kauka ʻohana paha:

• Inā ʻā koke kou maʻi ʻili, ʻo ia hoʻi ke piʻi aʻe nei nā kiko a me ka ʻulaʻula.
• ʻAʻohe pilikia inā ʻeha loa ka ʻili a i ʻole ke ʻeha nei.
• Inā he wai e like me ka pus e kahe ana mai ka ʻeha, ʻulaʻula a me ka pehu a puni ka ʻeha, a i ʻole he mau hōʻailona o ka maʻi e like me ke kuni , he mea nui e ʻimi koke i ka lāʻau lapaʻau.
• Inā ʻike ʻia nā kīnā ʻili hou, he mea maikaʻi ke hoʻomaopopo i kāu kauka e pili ana i ia mea.

He aha kaʻu e nīnau aku ai i ke kauka?

Ke hele ʻoe e ʻike i kāu kauka, he mea nui e nīnau i nā nīnau e pili ana i kou manaʻo. E kōkua kēia iā ʻoe e hoʻomaopopo maikaʻi i kou kūlana. Eia kekahi laʻana, hiki iā ʻoe ke nīnau i nā nīnau e like me:

• "E ke kauka, he aha ka mea e hoʻoulu ai i kēia hanana Koebner i loko oʻu?"
• "Pehea e pili ai kēia i koʻu ʻili i kēia manawa?"
• "He aha ke ʻano lapaʻau kūpono loa noʻu?"
• "Pehea ka lōʻihi o ka nalo ʻana o kēia mau wahi hou?"
• "He aha hou aʻe kaʻu e hana ai e pale aku i nā ʻeha ʻili a me kēia hanana Koebner?"
• "He aha nā pilikia e pono iaʻu e hopohopo?"
• "Pehea ka lōʻihi a hiki i koʻu ʻike hou ʻana i ke kauka?"

I ka hōʻuluʻulu manaʻo, nā mea e pono ai mākou e hoʻomanaʻo

ʻAe, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai. Inā he maʻi ʻili kou e like me ka psoriasis, vitiligo, a i ʻole lichen planus, a ʻike ʻoe i nā wahi hou e like me nā ʻeha kahiko like e kū mai ana ma kahi i loaʻa ai iā ʻoe kahi ʻoki, kahi ʻōpala, a i ʻole ke kuni ma kou ʻili, ʻo ia paha ka Koebner Phenomenon.

Hiki ke ʻike ʻia kēia mau kiko hou i kekahi mau lā a i ʻole he mau pule ma hope o ka ʻeha. No ka ʻike pono ʻana i kēia, pono ʻoe e ʻike i kahi kauka ʻili. Na ia e kuhikuhi i ka lāʻau lapaʻau e pono ai nāu.

ʻO ka mālama ʻana i kou ʻano ʻili ma lalo, e like me ka psoriasis, ma lalo o ka kaohi maikaʻi hiki ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i ka hanana Koebner. Eia nō naʻe, i kekahi manawa hiki ke ulu kēia mau ʻeha ʻoiai ʻaʻohe hōʻailona. No laila he mea nui e pale i kou ʻili mai nā ʻoki, nā kuni, a me nā pōʻino ʻē aʻe e like me ka hiki. E mālama i kou ʻili. Ma hope o nā mea a pau, ʻo ka ʻili olakino ke kumu no ke ola olakino.

ʻO ka hanana Koebner, nā maʻi ʻili, Psoriasis, nā ʻeha ʻili, nā maʻi ʻili, nā kiko ʻili, Vitiligo, Lichen Planus