Loaʻa iā ʻoe kahi loli o ka ʻili ma kou wahi pilikino, kahi mea e like me nā kiko keʻokeʻo, a i ʻole ka maneʻo mau? I kekahi manawa he mea paʻakikī iki ke kamaʻilio me kekahi e pili ana i nā mea e like me kēia, ʻeā? Akā, he ʻano kēia e ʻeha ai ka poʻe he nui me ka leo ʻole, akā inā mālama pono ʻia, hiki ke hoʻomalu maikaʻi ʻia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia maʻi ʻili i kapa ʻia ʻo `( Lichen Sclerosus )`, kahi mea i lohe ʻole ʻia e ka poʻe he nui, akā he mea nui loa ia e ʻike.
I ka ʻōlelo maʻalahi, he aha ka Lichen Sclerosus?
He maʻi ʻili mau ka Lichen Sclerosus e hoʻopilikia ana i ko mākou ʻili, ʻoiai hoʻi nā ʻāpana wahine a me ka ʻili a puni ka anus. ʻO kēia ke kumu o ka lahilahi o ka ʻili ma ia mau wahi, keʻokeʻo, maneʻo, a ʻeha.
Hiki i kēia kūlana ke hoʻopilikia i ka ʻāpana ma waho o ka vagina (vulva) i nā wahine, ka penis a me kona ʻili mua (foreskin) i nā kāne, a me ka ʻāpana a puni ka anus i nā kāne ʻelua. He mea kākaʻikahi loa, hiki ke loaʻa pū kekahi ma nā ʻāpana ʻē aʻe o ke kino, e like me ka ʻāʻī, ka umauma, a me ke kua.
ʻO ka mea nui, he maʻi kēia no ke ola holoʻokoʻa. ʻO ia hoʻi, ʻaʻole hiki ke ho'ōla piha ʻia. Akā, mai hopohopo, me ka mālama pono ʻana, hiki iā ʻoe ke kāohi i nā hōʻailona a ola i ke ola maʻamau. Inā ʻaʻole mālama ʻia, hiki iā ia ke hana i nā ʻeha ʻili , ka moekolohe ʻeha (dyspareunia), ka paʻakikī o ka mimi ʻana , a, he mea kākaʻikahi loa, ka piʻi ʻana o ka maʻi ʻili (squamous cell carcinoma).
Pehea ke ʻano o kēia maʻi i ka wā e ulu ai? He aha nā hōʻailona?
Hoʻomaka ka maʻi me he mau ʻāpana ʻili liʻiliʻi, keʻokeʻo, ʻālohilohi, a piʻi iki aʻe ma luna a puni kou mau ʻōpū a i ʻole ka anus. I ka hala ʻana o ka manawa, hui pū kēia mau ʻāpana a hana i kahi ʻāpana keʻokeʻo ʻāwili e like me ka pepa pepa.
Ua helu maopopo ʻia nā hōʻailona nui a me nā pilikia ʻē aʻe ma ka papa ma lalo nei.
| ʻAno o ka hōʻailona | Wehewehena |
|---|---|
| Nā loli ʻili | Nā kiko a i ʻole nā ʻāpana keʻokeʻo a ʻālohilohi. Ka lahilahi, ka ʻūmiʻi, a me ka māwae maʻalahi o ka ʻili. |
| Nā manaʻo o ka ʻoluʻolu ʻole | ʻO ka maneʻo nui (ʻoi aku hoʻi i ka pō), ka ʻeha, ka mumū, a me ka ʻoluʻolu ʻole. |
| ʻEha ʻili | Hiki i ka maneʻo pinepine ke alakaʻi i nā ʻeha ʻili, nā ʻōpū, a me nā pehu. I kekahi manawa, hiki ke kahe ke koko. |
| Nā pilikia ʻē aʻe | ʻEha i ka wā o ka moekolohe, ʻeha i ka wā e mimi ai (Dysuria), kahe mimi nāwaliwali a puehu paha. |
| Nā ʻano kikoʻī i nā kāne | Paʻa o ka ʻili maka a me ka hiki ʻole ke huki i hope (Phimosis). He kahe ʻano ʻē mai ka penis. |
E hoʻomanaʻo, ʻaʻole like kēia mau hōʻailona no nā kānaka a pau. Loaʻa paha i kekahi poʻe kēia maʻi me ka ʻole o nā hōʻailona.
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?
Hiki ke ulu kēia maʻi i kekahi, i kēlā me kēia makahiki, akā ʻoi aku ka nui o ka pilikia o kekahi poʻe.
- Nā wahine postmenopausal: ʻO kēia maʻi ka mea maʻamau i nā wahine ma waena o 40 a me 60 mau makahiki.
- Nā kaikamahine prepubescent: Hiki ke loaʻa kēia ʻano i nā kaikamahine ʻōpio.
- ʻO nā kāne i wehe ʻole i ko lākou ʻōmaka: I waena o nā kāne, ʻoi aku ka nui o ka poʻe i loaʻa ka ʻōmaka e loaʻa i kēia.
- Nā kānaka me nā maʻi ʻē aʻe: Inā loaʻa iā ʻoe nā maʻi autoimmune , ka maʻi diabetes , nā allergies, a i ʻole kahi helu nui o ke kino (BMI) ʻoi aku ma mua o 30 ( momona ), hiki ke hoʻonui iki ʻia kou pilikia.
No ke aha i loaʻa ai kēia maʻi? He maʻi lele anei?
ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa i nā kauka ke kumu pololei o Lichen Sclerosus. Akā aia kekahi mau mea i manaʻo ʻia ʻo ia ke kumu.
- Pilikia o ka ʻōnaehana pale: Ua manaʻoʻiʻo ʻia ua hiki ke kumu ʻia kēia maʻi e ka ʻōnaehana pale, ʻo ia hoʻi ka ʻōnaehana pale o ko mākou kino, e hoʻouka hewa ana i kona mau hunaola ʻili ponoʻī.
- Ka mana hoʻoilina : Inā loaʻa kēia maʻi i kekahi o ka ʻohana, loaʻa i kekahi poʻe ʻē aʻe kahi manawa liʻiliʻi e loaʻa pū kekahi.
- Nā loli hormonal: Hiki i nā loli i nā pae hormone o ke kino ke hoʻopilikia i kēia.
- Ka hōʻino ʻana i ka ʻili: Inā ua loaʻa kahi ʻeha ma mua i ka ʻili ma ia wahi, e like me kahi ulia, ʻeha, a i ʻole ka hana hoʻomāinoino moekolohe, hiki ke ʻike ʻia kēia maʻi ma ia mau wahi.
ʻO ka mea nui loa, ʻaʻole he maʻi lele ʻo Lichen Sclerosus. ʻO ia hoʻi, ʻaʻole hiki ke laha mai kekahi kanaka a i kekahi kanaka ma o ka hoʻopā ʻana, ka moekolohe, a i ʻole ka kaʻana like ʻana i nā mea e like me ke kapa a i ʻole nā kāwele. ʻAʻole hoʻi ia he maʻi i laha ma ke moekolohe (STI).
Pehea e ʻike ai ke kauka a mālama i kēia maʻi?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka. E nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a nānā i ka ʻāpana i hoʻopilikia ʻia.
I ka hapa nui o ka manawa, hiki ke ʻike ʻia ka maʻi ma ka nānā ʻana iā ia. Eia nō naʻe, i kekahi manawa, no ka hōʻoia ʻana i ka hōʻailona, lawe ʻia kahi ʻāpana ʻili liʻiliʻi loa a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Ua kapa ʻia kēia he hoʻāʻo "Biopsy".
Ke hōʻoia ʻia ka hōʻailona, e hoʻoholo kāu kauka i ka lāʻau lapaʻau kūpono loa nāu.
| ʻAno lapaʻau | He aha ka mea e hana ʻia ai? |
|---|---|
| Nā Corticosteroids Topical | ʻO kēia ka lāʻau lapaʻau nui a hoʻohana pinepine ʻia. Pono e hoʻopili ʻia kahi kirīmi steroid ikaika e like me Clobetasol ma ka ʻāpana i hoʻopilikia ʻia no kahi manawa i kuhikuhi ʻia, e like me ke kauoha a kāu kauka. E kāohi kēia i ka maneʻo, ka mumū, a me nā loli o ka ʻili. |
| Nā lāʻau pale kino | I kekahi mau hihia, hoʻohana ʻia nā lāʻau lapaʻau topical e like me Tacrolimus . Hana kēia mau mea ma ka kaohi ʻana i ka hana o ka ʻōnaehana pale a me ka hōʻemi ʻana i ka hōʻino ʻana i ka ʻili. |
| Hoʻōla kukui (Phototherapy) | He lāʻau lapaʻau e hoʻohana ana i nā kukuna ultraviolet (UVB) mai nā kukui kūikawā e kuhikuhi i ka ʻili, e hōʻemi ana i ka maneʻo a me ka mumū. Eia naʻe, ʻaʻole kūpono kēia no nā mea āpau. |
| ʻoki kino | Inā he ʻili ʻōmaka paʻa (Phimosis) ko ke kāne, hiki iā ia ke hana i kahi hana ʻoki kino i kapa ʻia ʻo ke ʻoki poepoe. Inā ua haiki ka urethra, pono paha iā ia ke hana i kahi hana ʻoki kino i kapa ʻia ʻo Urethroplasty. Hana ʻia kēia ke hāʻule nā lāʻau ʻē aʻe. |
He mea nui e ʻike pinepine i kāu kauka no nā nānā kino, i ka wā o ka mālama ʻana a ma hope o ka emi ʻana o nā hōʻailona, e ʻike mua i nā loli ʻili, e like me nā loli kanesa.
He aha kā mākou e hana ai no mākou iho e kāohi ai i nā hōʻailona?
Me ka lāʻau lapaʻau i hāʻawi ʻia e kāu kauka, hiki i nā hoʻololi liʻiliʻi i kou nohona ke hele lōʻihi i ka kaohi ʻana i kēia mau hōʻailona.
- E ʻaʻahu i nā lole palupalu: Ma kahi o nā lole komo a me nā pālule paʻa, e ʻaʻahu i nā lole palupalu i hana ʻia me nā mea e like me ka pulupulu ʻaʻole paʻa i ke kino.
- E hoʻohana i ke kopa ʻala ʻole: E pale i nā huahana e like me nā kopa, nā gels ʻauʻau, a me nā ʻauʻau pehu i loaʻa nā ʻala a me nā kemika. E hoʻohana i kahi kopa maʻalahi, ʻala ʻole.
- E hoʻomaloʻo i kou ʻili: Ma kahi o ka hamo ikaika ʻana i kou ʻili me ke kāwele ma hope o ka ʻauʻau ʻana, e pā maloʻo i kou ʻili.
- E hoʻohana i kahi moisturizer: E noi i kāu kauka no ka ʻōlelo aʻo a hoʻopili i kahi moisturizer maʻalahi, ʻaʻohe ʻala, a me ke kala ʻole i nā manawa he nui i ka lā.
- Mai ʻōʻō: Ke ʻōʻō mai, e pale i ke ʻōʻō ʻana i ka hiki. E hōʻino hou aku kēia i ka ʻili.
- E hōʻemi i nā hana e kau ai i ke kaomi ma ka ʻili: ʻO nā hana e like me ke kaʻa paikikala a i ʻole ka holo lio no ka manawa lōʻihi e hiki ke hoʻoulu i ka ʻili i ke kaumaha a hoʻonui i nā hōʻailona.
Āhea wau e ʻike ai i ke kauka? He aha ka pilikia?
Inā ʻike ʻoe i kekahi mau loli, ka maneʻo, a i ʻole ka ʻeha ma kou wahi genital a puni kou anus paha, mai hoʻowahāwahā iā ia a e ʻike koke i ke kauka. ʻO ka mua o ka ʻike ʻia ʻana o ka maʻi, ʻo ka maʻalahi ka mālama ʻana a me ka kaohi ʻana.
Eia kekahi, inā hoʻi hou nā hōʻailona ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau, a inā loaʻa iā ʻoe kahi ʻeha ʻili hou a i ʻole ka puʻupuʻu, e hoʻomaopopo pono i kāu kauka.
Pilikia: Inā ʻaʻole hiki iā ʻoe ke mimi iki, e like me ka paʻa ʻana o kou ʻōpū mimi, he pilikia ia. Inā hana ʻia kēia, pono ʻoe e hele koke i ka lumi pilikia (ETU) o kahi haukapila.
Leka Lawe-Home
- He maʻi lōʻihi ka Lichen Sclerosus e hoʻopilikia ana i ka ʻili o ka ʻāpana genital.
- ʻAʻole kēia he maʻi lele a i ʻole he maʻi i laha ma ke ʻano moekolohe.
- ʻO nā hōʻailona nui he mau ʻāpana keʻokeʻo, ka maneʻo nui, a me ka ʻeha.
- ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia kēia maʻi, hiki ke hoʻomalu maikaʻi ʻia me nā lāʻau lapaʻau e like me nā poni steroid.
- Inā loaʻa iā ʻoe nā hōʻailona, mai hilahila a makaʻu paha e ʻike i ke kauka. He mea nui loa ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā mua.
- I ka wā a ma hope o ka lāʻau lapaʻau, he mea nui e hoʻomau i ka nānā ʻana e like me ke kauoha a ke kauka.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo