Ua ʻike paha ʻoe i nā puʻupuʻu liʻiliʻi a i ʻole nā pehu ma kou ʻili i kēlā me kēia manawa, ʻeā? Nalo wale kekahi o lākou, akā mau kekahi no kekahi manawa, i kekahi manawa me ka maneʻo. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi ʻili i ʻike ʻole ʻia, akā he mea kūpono ke ʻike. Ua kapa ʻia kēia ʻo Lichen Nitidus. ʻOiai he mea ʻē iki ka inoa, ʻaʻohe mea e makaʻu ai. E kamaʻilio kākou e pili ana i ia mea me nā kikoʻī .
He aha ka Lichen Nitidus?
I ka ʻōlelo maʻalahi, ʻo Lichen Nitidus kahi maʻi ʻili laha ʻole e hoʻoulu ai i nā puʻupuʻu liʻiliʻi a ʻālohilohi (papules) e ʻike ʻia ma ka ʻili. ʻO ke kala like kēia mau puʻupuʻu me kou ʻili, a i ʻole hiki ke keʻokeʻo i kekahi manawa. E noʻonoʻo iā lākou he mau momi liʻiliʻi e ʻālohilohi e like me nā momi.
Hiki ke ʻike ʻia kēia mau puʻupuʻu ma nā wahi a pau o ke kino. I kekahi manawa hiki ke hōʻuluʻulu ʻia lākou ma kahi hoʻokahi, a i ʻole hiki ke hoʻopuehu ʻia ma ke kino holoʻokoʻa.
ʻO ka mea nui loa, ʻaʻole kēia he maʻi lele. ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke hoʻoili iā ia i kekahi. No laila, mai hopohopo no ia mea.
ʻIke pinepine ʻia kēia maʻi i nā keiki a me nā ʻōpio. Eia nō naʻe, hiki ke loaʻa i kekahi manawa i nā pākeke. I ka hapanui o nā hihia, ʻaʻole pono ia i kekahi lāʻau kūikawā a e hoʻomaikaʻi ia ma kāna iho i ka hala ʻana o ka manawa.
He kūlana maʻamau anei kēia?
He maʻi ʻili laha ʻole ʻo Lichen Nitidus. ʻO ia hoʻi, ʻaʻole ia he mea a nā kauka e ʻike pinepine ai. Aia nā manaʻo like ʻole e pili ana i kona laha ʻole.
Ua hōʻike kekahi mau hōʻike lapaʻau e pili iki ana kēia maʻi i nā keikikāne a me nā kāne ma mua o nā kaikamahine a me nā wahine . Ua loaʻa pū kekahi mau noiʻi inā he pilina me ke kala ʻili. Ua hōʻike kekahi mau noiʻi e ʻoi aku ka nui o ka poʻe o ka hanauna ʻApelika ʻAmelika e loaʻa i kēia maʻi ma mua o ka poʻe keʻokeʻo.
Eia nō naʻe, e like me kekahi mau manaʻo lapaʻau, ua ʻōlelo ʻia ʻaʻole pili nui ka lāhui, ke kāne, a me ka makahiki i kēia. No laila, me he mea lā ʻaʻohe manaʻo like ma kēia mau mea. No laila, inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi mea e like me kēia, mai noʻonoʻo, "ʻAuē, ʻo wau wale nō?" Hiki ke hana i kekahi, akā he mea kakaikahi loa ia.
He aha nā kumu pilikia no kēia?
I ka wā e pili ana i ka mea i pilikia nui i ka hoʻomohala ʻana i ka lichen nitidus, aia nā keiki a me nā ʻōpio ma ke poʻo. ʻO ke ʻano kēia, ʻo nā keiki kula a i ʻole nā ʻōpio i ko lākou mau makahiki 20 ka mea i ʻike nui ʻia i kēia maʻi.
Eia naʻe, ʻaʻole ia manaʻo ʻaʻole loaʻa i ka poʻe ʻelemakule. ʻOiai hiki i ka poʻe waena a ʻelemakule paha ke loaʻa i kēia mau puʻupuʻu. Eia naʻe, i ka hoʻohālikelike ʻana, ʻoi aku ka maʻalahi o ka poʻe ʻōpio i ia mea.
He aha ke kumu o ka Lichen Nitidus?
Eia kekahi mea e noʻonoʻo ai. ʻO ka ʻoiaʻiʻo, ʻaʻole maopopo i nā kauka ke kumu o ka lichen nitidus. He mea pohihihi iki ia.
I ka wā ma mua, ua manaʻo nā kauka he ʻano maʻi ʻili ʻē aʻe kēia i kapa ʻia ʻo "lichen planus." ʻO Lichen planus kekahi ʻano e hoʻoulu ai i nā loli like i ka ʻili, nā kui, a me loko o ka waha. Eia nō naʻe, ua hōʻike ʻia e nā noiʻi ma hope mai ʻaʻole like kēia mau mea ʻelua, akā ʻelua mau ʻano like ʻole.
No laila, e like me ka ʻike o kēia manawa, ʻaʻole i loaʻa ke kumu pololei o kēia. Aia kekahi noiʻi e ʻike ai inā paha ma muli o ka mana genetic a i ʻole kahi loli i ka hana o ka ʻōnaehana pale. Eia naʻe, ʻaʻohe hopena paʻa i hiki mai.
He aha nā hōʻailona o kēia?
ʻO ka hōʻailona nui o ka lichen nitidus ʻo ia kēlā mau puʻupuʻu liʻiliʻi a ʻālohilohi (papules) a mākou i kamaʻilio ai ma mua. E kamaʻilio kākou e pili ana i kēia mau mea me nā kikoʻī hou aku.
- ʻAno o nā puʻupuʻu: He liʻiliʻi kēia mau mea maʻamau, ma kahi o 1-2 milimita. He ʻili ko lākou kala a keʻokeʻo iki paha. He ʻālohilohi ka ʻili.
- Nā Wahi: Hiki ke ʻike ʻia kēia mau puʻupuʻu ma nā wahi āpau o ke kino. Eia nō naʻe, aia kekahi mau wahi i ʻike pinepine ʻia ai lākou:
- I loko o ka ʻōpū (ʻōpū)
- Ma ke kua o nā lima (ʻoi aku hoʻi ma nā poho lima)
- Ma ka ʻāpana o ka puʻupuʻu
- I loko o ka umauma
- ʻO ka ʻaoʻao lalo o nā lima (forearms)
- I loko o ka penis o nā kāne
- Pehea e laha ai nā puʻupuʻu: I kekahi manawa hiki ke hui pū ʻia kēia mau puʻupuʻu. I kekahi manawa hiki ke hoʻokaʻawale ʻia me ka manaʻo ʻole. ʻO ka mea kūikawā, i kekahi poʻe, kahi i haki ai ka ʻili, hiki ke ʻike ʻia kēia mau puʻupuʻu ma kahi lālani ma kēlā haki. Ua kapa ʻia kēia ʻo ka "ʻano Koebner".
ʻO ka mea maikaʻi loa, ʻo ka hapa nui o ka poʻe me ka lichen nitidus ʻaʻole lākou e hōʻike i kekahi mau hōʻailona. ʻO ia hoʻi, ʻaʻole lākou e manaʻo i kekahi ʻeha ʻē aʻe ma mua o kēlā mau puʻupuʻu.
Eia nō naʻe, hiki i kekahi poʻe ke ʻike i kekahi mau hōʻailona. ʻO kēia mau mea:
- ʻO ka maneʻo nui: I kekahi manawa hiki i kēia mau puʻupuʻu ke maneʻo loa. ʻO kēia ka mea ʻoluʻolu ʻole nui no nā poʻe he nui.
- Nā loli kui: I kekahi manawa, ʻike pinepine ʻia nā loli i nā kui. Hiki ke ʻike ʻia nā kui ma ke ʻano he mau lua liʻiliʻi a i ʻole nā kualono ma ka lōʻihi o ke kui.
- Nā puʻupuʻu i loko o ka waha: He mea kākaʻikahi loa, hiki ke ulu aʻe nā puʻupuʻu liʻiliʻi, hina a keʻokeʻo paha (papules) i loko o ka waha, ma loko o nā papālina. ʻAʻole ʻeha kēia mau mea.
No laila, inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau hōʻailona, ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka.
Pehea e ʻike ai nā kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono i nā puʻupuʻu ma kou ʻili.ʻO ke ʻano o nā puʻupuʻu, ko lākou wahi, a pehea lākou i pālahalaha ai e kōkua i ke kauka e loaʻa kahi manaʻo inā he lichen nitidus kēia.
I ka hapa nui o ka manawa, hiki i kēia hoʻāʻo ke ʻike i ke kūlana. Eia nō naʻe, i kekahi manawa, no ka hōʻoia ʻana i ka hōʻailona a me ka kāpae ʻana i nā kūlana ʻili ʻē aʻe, hiki i ke kauka ke hoʻoholo e lawe i kahi ʻāpana liʻiliʻi o ka ʻili (biopsy) e hoʻāʻo ai.
He aha ka biopsy?
ʻO ka mea e hana ʻia ma kēia, ʻo ia ke lawe ʻana o ke kauka i kahi ʻāpana ʻili liʻiliʻi loa mai kahi i loaʻa ai ka puʻupuʻu ma kou ʻili (ma lalo o ka anesthesia kūloko, ʻo ia hoʻi, ʻo ia wale nō kahi i mae wale) a nānā iā ia ma lalo o kahi microscope. A laila hiki iā mākou ke hōʻoia pololei i ke ʻano o ka maʻi. ʻAʻole kēia he mea nui, he hoʻāʻo liʻiliʻi wale nō.
No laila, penei ke ʻano o ka ʻike ʻana o nā kauka i kahi maʻi i kapa ʻia ʻo Lichen Nitidus.
He aha nā lāʻau lapaʻau no kēia?
Eia ka mea nui loa e pono ai i nā poʻe he nui ke ʻike. I ka hapa nui o nā hihia o Lichen Nitidus, ʻaʻohe pono o kahi lāʻau kūikawā. He nūhou hōʻoluʻolu loa kēia, ʻeā?
E hoʻomanaʻo, e mau ana kēia mau puʻupuʻu no kekahi manawa, malia paha he mau mahina a i ʻole hoʻokahi makahiki. Ma hope o kēlā , e nalo wale lākou. ʻO ia hoʻi, ʻaʻole pono ʻoe e lawe i kekahi lāʻau lapaʻau kūikawā a hana paha i kekahi mea ʻē aʻe.
Eia nō naʻe, i kekahi manawa, inā koʻikoʻi iki nā hōʻailona a mākou i kamaʻilio ai ma mua (e like me ka maneʻo), hiki i ke kauka ke kuhikuhi i kekahi lāʻau lapaʻau e kaohi i kēlā mau hōʻailona.
- ʻO Corticosteroids: ʻO kēia nā lāʻau lapaʻau i hoʻohana pinepine ʻia. Hiki ke hāʻawi ʻia iā lākou ma ke ʻano he kirīmi a i kekahi manawa he mau pila. Hana kēia mau lāʻau lapaʻau ma ka hōʻemi ʻana i ka pehu a me ka maneʻo i ka ʻili. Eia nō naʻe, pono e hoʻohana ʻia no kahi manawa palena wale nō, e like me ke kuhikuhi a ke kauka.
- Phototherapy: He lāʻau lapaʻau ʻē aʻe kēia. I ka ʻōlelo maʻalahi, pili ia i ka hoʻomālamalama ʻana o kahi ʻano kukui ultraviolet kūikawā i ka ʻili. Hana pinepine ʻia kēia ma kahi haukapila a i ʻole kahi keʻena lapaʻau kūikawā. ʻAʻole pono kēia lāʻau lapaʻau no nā mea āpau, a paipai wale nā kauka iā ia i nā hihia koʻikoʻi.
- Nā lāʻau lapaʻau ʻē aʻe: I kekahi manawa, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me nā antihistamines e kāohi i ka maneʻo.
ʻO ka mea nui loa , ʻaʻole ʻoe e mālama ponoʻī. Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau puʻupuʻu, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a hahai i kā lākou mau kuhikuhi.
He aha nā pilikia e hiki ai i kēia ke hana?
ʻAʻole hoʻoulu ʻo Lichen Nitidus i kekahi mau pilikia olakino nui. ʻO ia hoʻi, ʻaʻole ia e hōʻino i kou mau kino kūloko a i ʻole e hoʻoulu i nā maʻi koʻikoʻi ʻē aʻe. He mea hōʻoluʻolu nō hoʻi kēlā, ʻeā?
Akā, no kekahi poʻe, ʻo kēia mau puʻupuʻuHiki paha iā ʻoe ke hopohopo iki e pili ana i kou helehelena. ʻOi loa aku inā he mau puʻupuʻu kēia ma kou helehelena a i ʻole ma nā wahi i ʻike ʻia e like me kou mau lima, hiki iā ia ke loaʻa ka hopena noʻonoʻo. ʻO nā nīnau e like me "He aha ka manaʻo o nā poʻe ʻē aʻe?" "Āhea e hoʻomaikaʻi ai kēia mau mea?" e hiki mai paha i ka noʻonoʻo. He mea maʻamau kēlā.
Akā, e hoʻomanaʻo, ʻaʻole kēia he mea weliweli i ke olakino.
Hiki ke pale ʻia ʻo Lichen Nitidus?
ʻO ka mea pōʻino, ʻaʻohe ala e pale aku ai iā Lichen Nitidus. No ka mea, e like me kā mākou i kūkākūkā ai ma mua, ʻaʻole i ʻike ʻia ke kumu kikoʻī o kēia ʻano, he paʻakikī ke ʻōlelo pehea e pale aku ai.
No laila, inā hana ʻia kēia i kekahi, ʻaʻole ia ko lākou hewa. He kūlana wale nō ia e hana ʻia.
Pehea ka lōʻihi o kēia kūlana? E hoʻomaikaʻi anei? (Wānana)
ʻO kahi nīnau a ka poʻe he nui pehea ka lōʻihi o kēia mau puʻupuʻu a me ka wā e hoʻomaikaʻi ai lākou. I ka hapa nui o nā hihia o ka lichen nitidus, hiki i kēia mau puʻupuʻu ke mau mai kekahi mau mahina a i hoʻokahi makahiki . Loaʻa paha i kekahi poʻe no kekahi manawa lōʻihi, akā he mea kakaikahi loa ia.
ʻO ka nūhou maikaʻi, ʻo ia ka hoʻopau pinepine ʻana o kēia maʻi me ka waiho ʻole ʻana i kekahi ʻeha lōʻihi a i ʻole ka hoʻololi ʻana o ka ʻili. ʻO ia hoʻi, ke pau nā puʻupuʻu, e hoʻi kou ʻili i kona kūlana maʻamau.
I ka manawa hea ʻoe e ʻike ai i ke kauka inā he mau pehu kou ʻili?
Inā loaʻa koke iā ʻoe a i ʻole kāu keiki kahi ʻulaʻula, pehu, a i ʻole kekahi ʻulaʻula ʻē aʻe me ke kumu ʻole, he manaʻo maikaʻi e ʻike i ke kauka. He mea nui loa ia e ʻike i ke kauka inā maopopo iā ʻoe ʻaʻole ia he maʻi allergy a i ʻole kekahi mea ʻē aʻe, e like me ka mole.
No ka mea, i kekahi manawa he mea ia e like me ka lichen nitidus. Akā, i kekahi manawa he maʻi ʻili ʻē aʻe paha e pono ai ka nānā hou aku. No laila, he mea nui loa ka loaʻa ʻana o kahi hōʻailona pololei.
He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?
Inā haʻi aku kāu kauka iā ʻoe a i ʻole kāu keiki he lichen nitidus kou, aia kekahi mau nīnau hiki iā ʻoe ke nīnau iā lākou. Hiki i ka nīnau ʻana i kēia mau nīnau ke kōkua iā ʻoe e hoʻomaopopo maikaʻi i ke kūlana.
- "Pehea ke koʻikoʻi o kēia kūlana, e Kauka?"
- "He aha ke ʻano o ka lāʻau lapaʻau no kēia? Pono anei au/kaʻu keiki i ka lāʻau lapaʻau?"
- "Pehea ka lōʻihi o kēia mau puʻupuʻu?"
- "E waiho anei kēia i nā ʻeha a i ʻole ke ʻano o ka ʻili?"
- "He laha anei kēia?" (Ua ʻike mākou i kēia manawa ʻaʻole kēia he laha, akā ʻoi aku ka maikaʻi o ke noi ʻana i ke kauka e hōʻoia)
- "Inā he mau hōʻailona e like me ka maneʻo, aia kekahi mea hiki iaʻu ke hana ma ka home no ia mea?"
- "Hiki anei ke hana hou ʻia kēia?"
Mai makaʻu e nīnau i nā nīnau e like me kēia. E hoʻopau i kou mau kānalua a pau.
Ke hoʻopilikia nei paha ia i nā hana o kēlā me kēia lā?
ʻAʻole pono ka hapa nui o ka poʻe me ka lichen nitidus e hana i kekahi hoʻololi i kā lākou hana maʻamau. ʻO kēia no ka mea, e like me kā mākou i kūkākūkā ai ma mua, ʻaʻole pinepine kēia ʻano i nā hōʻailona (e like me ka maneʻo). ʻAʻole hoʻi ia he mea laha.
No laila, ʻaʻohe pilikia i ka hele ʻana i ke kula, ka pāʻani ʻana, ka hele ʻana i kāu hana, ka hana ʻana i kāu mau hana o kēlā me kēia lā. ʻAʻohe pilikia i ka launa pū ʻana me nā poʻe ʻē aʻe.
E hoʻomanaʻo kākou i nā mea a kākou i kamaʻilio pū ai? (Leka Lawe-Home)
ʻAe, e nānā hou kākou i nā mea nui a mākou i kamaʻilio ai e pili ana iā Lichen Nitidus.
- He maʻi ʻili ʻino ʻole ʻo Lichen Nitidus e hoʻoulu ai i nā puʻupuʻu liʻiliʻi a ʻālohilohi ma ka ʻili.
- ʻAʻole kēia he mea laha.
- Loaʻa pinepine ia i nā keiki a me nā ʻōpio.
- ʻAʻole maopopo iaʻu ke kumu pololei.
- ʻAʻohe hōʻailona o ka hapa nui o ka poʻe. Hiki i kekahi ke ʻike i ka maneʻo, nā loli o nā kui, a i ʻole nā ʻeha waha.
- I ka manawa pinepine, ʻaʻohe pono o ka lāʻau lapaʻau a hoʻomaikaʻi ia iā ia iho . Hiki i nā kauka ke kuhikuhi i nā lāʻau lapaʻau e like me nā corticosteroids no nā mea e like me ka maneʻo.
- ʻAʻole kēia e hoʻoulu i nā pilikia olakino nui.
- ʻAʻohe ala e pale aku ai.
- Hoʻōla pinepine ia i loko o kekahi mau mahina a i hoʻokahi makahiki a ʻaʻole e waiho i nā ʻeha.
- Inā ʻike ʻoe i nā ʻōhū ʻili hou, e ʻike i ke kauka no ka hōʻoia kūpono.
E hoʻomanaʻo, inā ʻike ʻoe i kekahi mea ʻē ma kou ʻili, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo me ka hopohopo ʻole. ʻO lākou ka poʻe hiki ke kōkua maikaʻi loa iā ʻoe.
No laila, ke lana nei koʻu manaʻo ua ʻoi aku kou maopopo i ka Lichen Nitidus. ʻAʻohe mea e makaʻu ai, akā he mea pono ke ʻike.
ʻO Lichen Nitidus, Nā Maʻi ʻIli, Nā ʻŌhū ʻIli, Nā Maʻi ʻIli i nā Keiki, Nā Maʻi ʻIli, Lichen Nitidus, Nā Puʻupuʻu ʻIli











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