Loaʻa iā ʻoe nā wahi ʻōhule a me ka hāʻule lauoho? E aʻo kākou e pili ana i kēia Lichen Planopilaris?

Ke ʻike nei hoʻi ʻoe i ka nalowale o ka lauoho ma kekahi mau wahi o kou poʻo, a i kekahi manawa ua ʻulaʻula kou poʻo, ʻā, a pehu paha? Malia paha makemake ʻoe e ʻike e pili ana i kēia maʻi i kapa ʻia ʻo Lichen Planopilaris (LPP). Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana iā ia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo. E like me ke kamaʻilio ʻana me kahi hoaaloha.

No laila, he aha ka lichen planopilaris (LPP)?

I ka ʻōlelo maʻalahi, ʻo ka lichen planopilaris (LPP) kahi maʻi mumū e kū mai ana i loko o nā follicle lauoho (nā lua liʻiliʻi kahi e puka mai ai ka lauoho mai kou poʻo) ma kou poʻo. E noʻonoʻo i kēia ʻano: ʻo nā lua liʻiliʻi kahi e puka mai ai ka lauoho (nā follicle lauoho) e lilo i "huhū" iki, ʻulaʻula, a pehu. ʻO kēia ka mea a mākou e kapa nei he 'inflammatory' i ka lāʻau lapaʻau. I ka hala ʻana o ka manawa, hiki i kēia mumū ke alakaʻi i ka ʻeha ma kahi o nā follicle lauoho ma mua, a hiki ke nalowale mau loa ka lauoho, ʻaʻole e ulu hou. ʻIke pinepine ʻia kēia ma ke poʻo.

ʻO wai ka mea i ʻoi aku ka paʻakikī e hoʻomohala i kēia LPP?

ʻO kēia kūlana i kapa ʻia ʻo LPP ka mea pinepine e pili ana i nā wahine ma waena o 40 a me 60 mau makahiki. Eia naʻe, ʻaʻole ia manaʻo ʻaʻole hiki i nā kāne ke loaʻa. Hiki iā ia ke ulu i loko o nā kāne a me nā pākeke o kēlā me kēia makahiki. No laila, he paʻakikī ke manaʻo ʻaʻole ia e hana wale ma muli o ka makahiki a me ke kāne .

Pehea ka maʻamau o ka LPP?

Ma waena o ka alopecia ʻili, ua manaʻo ʻia ʻo LPP ke kumu nui. Eia nō naʻe, inā mākou e noʻonoʻo i nā kumu āpau o ka nalowale o ka lauoho (e like me nā loli hormonal, nā hemahema meaʻai, ka ʻōhule hoʻoilina), ʻo LPP wale nō ka hapa liʻiliʻi o ka poʻe, ma kahi o 1%, o nā hihia nalowale lauoho āpau . No laila, mai manaʻo he LPP ka poʻe āpau i nalowale ka lauoho.

He aha nā ʻano nui o nā LPP?

Ua ʻike nā kauka i ʻekolu ʻano nui o ka lichen planopilaris. He ʻokoʻa iki kēia mau mea kekahi i kekahi: 1. Lichen planopilaris maʻamau: ʻO kēia ke ʻano maʻamau. Hoʻoulu ia i nā ʻāpana o ka ʻōhule ma ke poʻo, me kahi kiko ʻōhule i ʻike ʻia. 2. Frontal fibrosing alopecia: Hoʻoulu kēia i nā kiko ʻōhule a me nā ʻāpana, ʻoi aku hoʻi ma ka lae, kokoke i ka laina lauoho . Me he mea lā e emi ana ka laina lauoho. I kekahi manawa , hiki i nā maka maka a me nā kuʻemaka ke hāʻule i waho i kēia ʻano. 3. Lassueur-Graham-Little-Piccardi syndrome: ʻOiai ke kani lōʻihi iki ka inoa, he ʻano ʻē aʻe kēia o LPP. He ʻoi aku ka paʻakikī. Hoʻoulu ia i nā ʻāpana ʻōhule ma ke poʻo a me ka nalowale o ka lauoho ma nā wahi e like me nā armpits a me ka groin.Hiki nō. ʻAʻole wale ia, hiki paha iā ʻoe ke ʻike i nā puʻupuʻu liʻiliʻi a puni nā follicle lauoho. ʻOiai ke ʻano, he mea nui e ʻimi i ke kōkua lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona.

He aha nā hōʻailona o ka LPP? Pehea ʻoe e ʻike ai?

Hiki ke ʻike koke ʻia nā hōʻailona Lichen planopilaris i kekahi poʻe, aʻo kekahi poʻe e ulu mālie ana. Inā loaʻa iā ʻoe ka LPP, e ʻike paha ʻoe i nā mea e like me:

• Hiki ke ʻike ʻia ke poʻo e like me nā ʻāpana o ka hāʻule lauoho, e like me nā ʻāpana ʻōhule. Aia paha kekahi a ʻoi aku paha o kēia mau mea.
• ʻUlaʻula paha ka ʻili ma ke poʻo, mānoanoa iki paha, a i ʻole e like me ka ʻili ʻana . Ua like ia me kahi ʻōhule , akā ʻokoʻa iki.
• Hiki paha iā ʻoe ke manaʻo i ka ʻeha mau, ka maneʻo, a i ʻole ke kuni ʻana i kou poʻo . Hiki i kēia ke lilo i mea hoʻopilikia loa i kekahi poʻe.

E noʻonoʻo, ke kāhili ʻoe i kou lauoho i ke kakahiaka, ʻike ʻoe he nui aku ka lauoho e hāʻule ana ma mua o ka maʻamau, a i ʻole ke hoʻopā ʻoe i kekahi mau ʻāpana o kou poʻo, manaʻo ʻino ka ʻili a manaʻo ʻia e like me nā puʻupuʻu liʻiliʻi ... Malia paha ʻaʻole ia he maneʻo wale nō, akā hiki ke kuni pū kekahi. Inā loaʻa iā ʻoe kēia mau mea, pono ʻoe e makaʻala e pili ana iā ia.

ʻO ka mea nui, ʻo LPP kekahi ʻano o kahi maʻi ʻili ʻē aʻe i kapa ʻia ʻo Lichen Planus . He ʻano ia e hoʻoulu ai i nā ʻāpana ʻili ʻānai a keʻokeʻo ma nā lima, nā wāwae, a ma loko o ka waha. I kekahi manawa, aia paha nā loli i nā kui (e.g., nā kui ʻāʻī, māwae, a kaha paha). Ma kahi o ka hapalua o ka poʻe me LPP he mau hōʻailona lichen planus nō hoʻi.

No ke aha i hana ʻia ai kēia LPP? He aha ke kumu?

He nīnau kēia a ka poʻe he nui e nīnau ai. "No ke aha i hiki mai ai kēia iaʻu?" He mea maʻamau ke noʻonoʻo. ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa i nā loea lapaʻau kahi kumu hoʻokahi a paʻa. Akā, e like me ka ʻike o kēia manawa, ʻo kahi ʻano cell i kapa ʻia ʻo T-cells, ʻo ia hoʻi kekahi hapa o ka ʻōnaehana pale o ko mākou kino , e hoʻouka i nā aʻa o ko mākou mau follicle lauoho ponoʻī. I ka ʻōlelo maʻalahi, hoʻomaka hewa ka ʻōnaehana pale o ko mākou kino e luku i kona mau follicle lauoho olakino ponoʻī. Ma kēia ʻano, ʻo nā maʻi e hoʻouka ai ka ʻōnaehana pale o ke kino i kāna mau cell ponoʻī ua kapa ʻia he mau maʻi autoimmune . ʻAʻole kēia he hewa o kekahi, he hoʻololi wale nō ia i ke ʻano o ka hana a ke kino.

He maʻi lele anei ka LPP?

ʻAʻole, ʻaʻole loa! He mea kēia e hoʻomanaʻo ai. ʻAʻole he maʻi lele ka Lichen planus. ʻAʻole hiki iā ʻoe ke hoʻolaha iā ia i kekahi ma o ka hoʻopā ʻana, ka hanu ʻana, a i ʻole ka kaʻana like ʻana i nā mea. No laila, mai hopohopo no ia mea.

Pehea e hoʻoholo ai ke kauka he LPP kēia?

Inā manaʻo ʻoe he mau hōʻailona LPP kou, ʻo kāu hana mua e ʻike i kahi dermatologist. Hiki iā ia ke ʻike i ke kūlana ma nā ʻano penei: 1. Hoʻokolokolo kino: ʻO ka mea mua, e nānā pono ke kauka i kou poʻo a me kou ʻili. E nānā lākou i kou nalowale lauoho, nā loli ʻili, a me nā ʻōpala. E nīnau pū lākou e pili ana i kāu mōʻaukala olakino piha a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. 2. Dermoscopy: Ma kēia, hoʻohana ke kauka i kahi kukui kūikawā a me kahi mea hoʻonui e nānā pono i ka nalowale o ka lauoho, ke kūlana a puni nā follicle lauoho, a me nā ʻōpala. Hiki i kēia ke hāʻawi i ka ʻike he nui e pili ana i ke kūlana. 3. Biopsy ʻili: ʻOiai hiki i ka LPP ke like me nā kūlana ʻili ʻē aʻe, he mea nui loa kēia hoʻāʻo e hōʻoia i ka hōʻailona. Pili kēia i ka lawe ʻana i kahi ʻāpana ʻili liʻiliʻi loa (ʻo ka maʻamau he mau milimita) mai ke poʻo ma lalo o ka anesthesia, e hoʻouna iā ia i kahi keʻena hoʻokolohua a nānā iā ia ma lalo o kahi microscope. Hiki i kēia i ke kauka ke ʻike pololei i ka pōʻino i hana ʻia i nā follicle lauoho a inā he mau cell mumū. Ma hope o kēia mau hoʻokolohua hiki i ke kauka ke ʻōlelo maopopo inā he LPP kou a i ʻole kekahi kūlana ʻē aʻe.

He aha nā lāʻau lapaʻau no ka LPP?

ʻO ka nūhou maikaʻi, aia kekahi mau lāʻau lapaʻau a me nā lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i nā hōʻailona o LPP a hoʻolohi i ka holomua o ka maʻi. No ka mea he maʻi mumū ia, ʻo ka hapa nui o nā lāʻau lapaʻau e manaʻo e hōʻemi i ka mumū a kaohi i ka hana o ka ʻōnaehana pale . Hiki i kāu hoʻolālā lapaʻau ke komo pū me hoʻokahi a ʻoi aku paha o kēia mau mea:

• ʻO Corticosteroids: ʻO kēia pinepine ka laina mua o ka lāʻau lapaʻau no ka kaohi ʻana i ka mumū . Hiki ke hāʻawi ʻia iā lākou ma ke ʻano he kirīmi, lotions, pila, a i ʻole nā ​​​​inikini pololei i loko o nā wahi i hoʻopilikia ʻia o ke poʻo (intralesional steroid injections).
• Hydroxychloroquine: Kōkua kēia i ka hōʻemi ʻana i ka mumū i nā maʻi autoimmune e like me LPP.
• ʻO Doxycycline ( Doxycycline ) a i ʻole nā ​​​​​​lāʻau antibiotic ʻē aʻe: Hoʻohana ʻia kēia mau mea i kekahi manawa no ko lākou mau waiwai anti-inflammatory.
• Nā Retinoids: Kōkua kēia mau lāʻau lapaʻau, i hana ʻia mai ka huaora A, i ka kaohi ʻana i ka ulu ʻana o nā ʻili . Hiki ke hāʻawi ʻia iā lākou ma ke ʻano he pila a i ʻole he kirīmi.
• Nā immunosuppressants ʻē aʻe:I nā hihia kahi i paʻakikī ai ke kāohi i nā lāʻau lapaʻau i luna, hiki ke hoʻohana ʻia nā lāʻau lapaʻau ikaika e like me methotrexate a me cyclosporine . E nānā mau kāu kauka iā ʻoe i ka wā e hāʻawi ai i kēia mau mea.
• Lapaʻau laser haʻahaʻa (LLLT): Ua hōʻike kekahi mau noiʻi e hiki i ka hoʻohana ʻana i kēia mau nalu māmā kūikawā ke kōkua i ka mumū o ka ʻili a me ka ulu ʻana o ka lauoho i kekahi ʻano.

Hiki i kāu kauka ke hāʻawi iā ʻoe i hoʻokahi a ʻoi aku paha o kēia mau lāʻau lapaʻau. I kekahi manawa, ʻaʻole paha e holo pono ka lāʻau lapaʻau mua i hāʻawi ʻia iā ʻoe. Inā hana ia, mai hopohopo. Hiki iā ʻoe ke kamaʻilio me kāu kauka a hoʻāʻo i kahi koho ʻē aʻe. ʻO ka mea nui loa, ʻo ia ka hoʻomau ʻana i ka hoʻāʻo a hiki i kou loaʻa ʻana o ka lāʻau lapaʻau e kūpono loa iā ʻoe a e lawe i ka lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe.

He aha kāu e makaʻala ai i ka wā e noho ana me nā hōʻailona LPP?

Hiki i ka noho ʻana me LPP ke paʻakikī i kekahi manawa, akā me ka mālama pono ʻana, hiki iā ʻoe ke ola maikaʻi me ke kūlana.

• E lawe i kāu lāʻau lapaʻau e like me ke kauoha: E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, ma ke ʻano kūpono, i ka manawa kūpono, a no ka lōʻihi i kauoha ʻia. Mai hoʻōki, hoʻonui, a hoʻēmi paha i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
• E ʻike pinepine i kāu kauka: E ʻike i kāu kauka ʻili i nā manawa maʻamau e ʻike i ke ʻano o ka hana ʻana o ka lāʻau lapaʻau, e nānā i nā hopena ʻaoʻao, a e ʻike inā he mau pilikia.
• E noʻonoʻo i kou olakino noʻonoʻo: ʻO ka hāʻule ʻana o ka lauoho a me ka ʻeha o ke poʻo ke kumu i kekahi manawa e alakaʻi ai i ka haʻahaʻa o ka manaʻo ponoʻī, ke kaumaha, a i ʻole ka hopohopo. He mea maʻamau kēia. Inā ʻoe e manaʻo nei i kēia ʻano, e kamaʻilio me kou ʻohana, nā hoaaloha, a i ʻole ke kauka e pili ana i ia mea. Hiki iā ʻoe ke ʻimi i ke aʻo ʻana inā pono.

Aia kekahi ala e pale aku ai i ka hoʻokumu ʻana o LPP?

ʻAʻohe ala i ʻike ʻia e pale aku ai i ka LPP, ʻoiai ʻaʻole i ʻike ʻia ke kumu pololei. Eia nō naʻe, inā ʻike ʻoe i kekahi mau loli i kou ʻili, e like me ka hāʻule ʻana o ka lauoho, ka maneʻo, a i ʻole ka mumū ma kou poʻo, mai hoʻowahāwahā iā ia. ʻO ka mālama ʻana i ka LPP i ka wā mua e hiki ke kōkua i ka pale ʻana i ka ʻeha i ka wā e hiki mai ana a me ka hāʻule hou ʻana o ka lauoho.

Hiki ke ho'ōla loa ʻia ka LPP?

He pilikia nō hoʻi kēia i loaʻa i nā poʻe he nui. ʻAʻohe lāʻau lapaʻau i ʻike ʻia no LPP. ʻO ia hoʻi, ʻaʻole ia he "lāʻau a pau." Akā, mai hopohopo! Hiki i ka lāʻau lapaʻau ke pale aku i kona ʻino a me ka laha hou aku.Hiki iā ʻoe ke kāohi i kāu mau hōʻailona, ​​​​hoʻēmi i ka ʻeha, a ola i kahi ola maʻamau. Pono paha ʻoe e hoʻāʻo i kekahi mau lāʻau lapaʻau e ʻike i ka mea kūpono loa iā ʻoe. Hiki i kāu dermatologist ke kōkua iā ʻoe ma kēia huakaʻi a kōkua iā ʻoe e ʻimi i nā hopena i kāu mau pilikia kino a me ka naʻau.

Pehea e mālama ai i koʻu poʻo ke loaʻa iaʻu ka LPP?

Hiki i kou poʻo ke lilo i mea ʻeha loa ke loaʻa iā ʻoe ka LPP. No laila, i mea e pale aku ai i ka huhū o ke poʻo, ka maneʻo, a i ʻole nā ​​hopena alerika, e noʻonoʻo i kēia mau mea:

• E hoʻohana i nā shampoos a me nā conditioners palupalu: Hiki i kāu kauka ke ʻōlelo aku i nā shampoos kūikawā a me nā huahana lauoho. Ma keʻano laulā, ʻoi aku ka maikaʻi o ka hoʻohana ʻana i nā huahana hypoallergenic a palupalu .
• E pale i nā huahana i loaʻa kēia mau mea hoʻohui: ʻOi aku ka maikaʻi o ka pale ʻana i ka hoʻohana ʻana i nā shampoos a me nā huahana lauoho i loaʻa kēia mau mea hoʻohui, no ka mea hiki iā lākou ke hoʻomaloʻo i kou poʻo, ʻānai, a ʻulaʻula hoʻi:
• ʻAila: Hiki i ka lepili ke ʻōlelo `(alcohol denatured)` a i ʻole `(isopropyl alcohol)`.
• ʻAla a mea ʻala paha.
• Nā Sulfates: (e.g. Sodium Lauryl Sulfate - SLS)
• Nā mea mālama e like me `(parabens)` a me `(methylisothiazolinone)`.
• Mai ʻānai i kou poʻo: ʻOiai ka nui o kona maneʻo, mai ʻānai ikaika me kou mau kui. Hiki i kēia ke hōʻeha, ka maʻi, a hoʻonui i ke kūlana.
• Uhi poʻo: Hoʻohana kekahi poʻe i nā uhi poʻo e uhi i ko lākou lauoho hāʻule. ʻO ka uhi ʻana i ko lākou poʻo e kōkua pū i ka pale ʻana i ko lākou poʻo poʻo mai nā makani anu a me ka lā ʻino. Hiki iā ʻoe ke hoʻohana i nā scarf, nā pāpale, a i ʻole nā ​​wigs, ma muli o kou makemake.
• Inā ʻoe e noʻonoʻo ana i kahi wig, e nīnau i kāu kauka e pili ana i nā wahi e hana ai i nā wig no ka poʻe me nā kumu olakino. E aʻo pū pehea e mālama pono ai i kāu wig. Mai hoʻokuʻu i kāu wig e paʻa loa, a he manaʻo maikaʻi e hoʻohana i kahi pāpale wig e pale i kou poʻo a e maʻalahi ke kau ʻana.

Āhea wau e ʻike hou ai i ke kauka?

ʻOiai ma hope o kou hoʻomaka ʻana i ka lāʻau lapaʻau, pono ʻoe e ʻike i ke kauka inā:

• Inā ʻaʻole like ka lāʻau lapaʻau a i ʻole ka lāʻau i hāʻawi ʻia iā ʻoe e hana nei , ʻo ia hoʻi, inā ʻaʻole e hoʻomaikaʻi ana kāu mau hōʻailona.
• Inā hoʻoulu ka lāʻau lapaʻau i nā hopena ʻaoʻao i makemake ʻole ʻia .
• Inā ʻoi aku ka ʻino o kāu mau hōʻailona i kēia manawa.
• Inā ʻike ʻia nā hōʻailona hou (e like me ka hāʻule ʻana o ka lauoho ma nā wahi hou, ka nui o ka ʻeha).

ʻO kēia kūlana, i kapa ʻia ʻo LPP, ʻaʻole ia e hoʻoulu pinepine i nā pilikia olakino koʻikoʻi a hoʻoweliweli i ke ola. He nui ka poʻe me ke kūlana e ola maʻamau a hana. Eia nō naʻe, ʻo ka hoʻoponopono ʻana i nā hōʻailona e like me ka hāʻule ʻana o ka lauoho, ka ʻeha, a me ka maneʻo hiki ke paʻakikī i ka naʻau.Hiki i ka lāʻau lapaʻau ke kōkua i kēia. No laila, mai hoʻokuʻu i ka manaʻolana. E hana pū me kāu kauka e ʻimi i kahi lāʻau lapaʻau e kūpono iā ʻoe, a e kamaʻilio ākea e pili ana i nā pilikia kino a me ka noʻonoʻo āu e kū nei. Hiki i kahi ʻahuʻula poʻo, wig, a pāpale paha ke kōkua i kou hilinaʻi iā ʻoe iho. Akā he hoʻoholo pilikino loa kēia. I ka noʻonoʻo ʻana i ka uhi poʻo, e hana i ka mea e manaʻo maikaʻi a ʻoluʻolu hoʻi iā ʻoe.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

• He maʻi mumū ka Lichen planuspilaris (LPP) e hoʻopilikia ai i nā follicle lauoho ma ke poʻo. Hiki iā ia ke hana i ka ʻeha a me ka nalowale mau o ka lauoho.
• ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī o kēia, ua manaʻo ʻia he hopena autoimmune ia. ʻAʻole kēia he maʻi lele.
• Hiki i nā hōʻailona ke komo pū me ka hāʻule ʻana o ka lauoho ʻāpana ʻole, ka ʻulaʻula, ka ʻili ʻana, ka maneʻo, a me ka mumū ma ke poʻo.
• Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke kōkua i ka pale ʻana i ke kūlana mai ka ʻino ʻana a me ka hāʻule hou ʻana o ka lauoho. ʻOiai ʻaʻohe lāʻau lapaʻau, aia nā lāʻau lapaʻau kūpono e kāohi ai i nā hōʻailona.
• E mālama i kou poʻo a hoʻohana i nā shampoos mālie .
• Inā hoʻopilikia ka hāʻule ʻana o ka lauoho i kou olakino noʻonoʻo, he mea nui e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau e pili ana i kēlā . ʻAʻole ʻoe hoʻokahi.
• He hoʻoholo pilikino ka ʻaʻahu ʻana i ka uhi poʻo (scarf, wig, pāpale). E hana i ka mea kūpono iā ʻoe.

Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou aku kāu, e kamaʻilio me kāu kauka.

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ʻO Lichen Planopilaris, LPP, nalowale o ka lauoho, nā maʻi poʻo, nā ʻōpala poʻo, nalowale o ka lauoho mau loa, nā maʻi ʻili, nā maʻi autoimmune, nalowale o ka lauoho