Ua loaʻa koke anei iā ʻoe kahi ʻeha ʻeha i loko o kou ʻōpū, ʻo ia hoʻi, kou 'ʻāpana pilikino'? Manaʻo paha ʻoe i kahi luhi iki a me ka palaualelo, me ke kuni. ʻOiai ua ʻike ʻoe iā ʻoe iho ʻaʻole kēia he moekolohe, manaʻo mau ʻoe i ka makaʻu a me ka hilahila. Makaʻu paha ʻoe e haʻi i kou makuahine, makaʻu paha ʻoe e haʻi i kahi hoaaloha, a ʻaʻole paha ʻoe e noʻonoʻo i ka mea i hana ʻia. I ia hihia, hiki ke lilo i kahi kūlana kakaikahi akā ʻaʻole weliweli loa i kapa ʻia ʻo 'Lipschütz Ulcer'. E kamaʻilio kākou e pili ana i kēia i kēia lā, ma ke ʻano hoʻomaha.
He aha ka Lipschütz Ulcer? I ka ʻōlelo maʻalahi...
He maʻi laha ʻole nā ʻōpū Lipschitz akā ʻeha loa ia e hiki ke loaʻa i loko o ka ʻōpū. ʻO ka mea nui loa, ʻaʻole lākou i laha ma ke ʻano moekolohe. ʻO ia hoʻi, ʻaʻole lākou he maʻi i laha ma ke ʻano moekolohe. E hōʻoluʻolu iki paha ʻoe i ka lohe ʻana i kēia, ʻeā?
Hoʻokahi a ʻoi aku paha o kēia mau ʻeha i loaʻa pinepine ʻia ma kou vulva, ʻoiai ka labia minora o loko. Akā i kekahi manawa hiki iā lākou ke ʻike ʻia ma ka labia majora o waho, ka puka o ka vaginal, a i ʻole ka urethra. Hiki i kēia mau ʻeha ke hele pū me nā hōʻailona e like me ke kuni a me ka luhi.
Ua kapa ʻia hoʻi ʻo ia ʻo 'nā ʻeha genital i loaʻa ʻole i ka moekolohe' a me 'ulcus vulvae acutum'. Ua hāʻawi ʻia kēia inoa i kēia ʻeha ma hope o ke kauka ʻo Benjamin Lipschütz, nāna i wehewehe mua iā ia.
ʻO ka mea maikaʻi loa, ʻo ia ka hoʻōla pinepine ʻana o kēia mau ʻeha iā lākou iho , maʻamau i loko o ʻelua a ʻeono pule. Eia nō naʻe, no ka mea, ʻaʻole hiki ke hoʻomanawanui i ka ʻeha a me ka ʻoluʻolu ʻole, hiki i nā kauka ke kōkua iā ʻoe e hoʻokele i kēlā mau hōʻailona.
Pehea ka laha ʻole o ka Lipschütz Ulcer? ʻO wai ka mea i ʻoi aku ka nui o ka loaʻa ʻana?
He mea paʻakikī i nā kānaka noiʻi ke ʻōlelo pololei i ke ʻano maʻamau o kēia, akā ua ʻike ʻia he mea kakaikahi loa . ʻO ia hoʻi, ʻaʻole ia he mea āu e ʻike pinepine ai. Akā, pili nui ia i nā kaikamahine, ʻoiai hoʻi:
- No ka poʻe ma lalo o 20 makahiki. Ua ʻike ʻia kekahi noiʻi ʻo ka awelika o ka makahiki o ka hoʻomaka ʻana ma kahi o 15. ʻO ia hoʻi, inā he ʻōpio ʻoe, he mea maikaʻi ke ʻike i kēia.
- No ka poʻe ʻaʻole i hana i ka moekolohe. ʻO ia hoʻi, ʻo ka poʻe i hana ʻole i ka moekolohe waha, anal a i ʻole vaginal no ʻekolu mahina a ʻoi aku paha.
He kakaikahi loa nā hihia i hōʻike ʻia o nā ʻeha Lipschitz i nā kāne. Ke kū mai lākou, kū mai ka ʻeha ma ka scrotum.
No laila, inā he ʻōpiopio ʻoe a ʻaʻole i hana nui i ka moekolohe, he mea nui e hopohopo ʻole me ke kumu ʻole ke loaʻa iā ʻoe kahi ʻeha e like me kēia, no ka mea, ʻaʻole ia i hoʻokumu ʻia e kahi maʻi i laha ma ke moekolohe.
He aha nā hōʻailona o ka Lipschütz Ulcer?
ʻO ka hōʻailona nui he ʻeha nui, ʻeha, a hohonu ma ka ʻili o ka labia (a i kekahi manawa ma kahi o ka vulva). ʻIke pinepine ʻia ka ʻeha me ka wikiwiki loa, kokoke koke . Hiki ke maikaʻi i kēia lā a laila loaʻa kahi ʻeha i ka lā aʻe.
Hiki paha iā ʻoe ke maʻi, e like me kāu e loaʻa ai me kahi maʻi viral i kapa ʻia ʻo mononucleosis (mono), a i ʻole e like me kāu e loaʻa ai me ka maʻi flu maʻamau. Hiki ke hele mai me nā hōʻailona e like me:
- Kuni (malia paha e ʻulaʻula ke kino)
- ʻEhaʻeha kino a me nā hono (manaʻo e like me kahi puʻu i loko o ka ʻiʻo)
- Luhi (ka manaʻo o ka hiki ʻole ke hana i kekahi mea)
- Nā ʻōpū lymph pehu i ka ʻāʻī a me nā armpits (e like me nā puʻupuʻu liʻiliʻi e hiki ke hoʻopā ʻia ma ka lima)
- ʻEha ka ʻāʻī a i ʻole nā tonsils pehu
- Kuke a ʻūlū paha i ka umauma
- ʻEha i ka wā e mimi ai (dysuria) (e like me ka maʻi ʻaʻai mimi)
Inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui e ʻike i ke kauka no ka ʻike kūpono, no ka mea, hiki i kēia mau hōʻailona ke like me nā maʻi ʻē aʻe.
He aha ke ʻano o ka Lipschütz Ulcer?
I kēia manawa, e nānā kākou i ke ʻano o kēia ʻōpū. ʻO ka maʻamau, loaʻa i kahi ʻōpū Lipschitz kēia mau ʻano:
- He poepoe ke ʻano, ʻaʻole i emi iho ma mua o 1 kenimika ke anawaena. (ʻO ia ka nui o kahi kālā liʻiliʻi)
- ʻIke pinepine ʻia ia ma ka vulva, ʻoiai hoʻi ka ʻaoʻao o loko o ka labia minora.
- Aia kahi ʻāpana moakāka ma waenakonu o ka ʻeha. Loaʻa paha i kēia nā ʻiʻo make a i ʻole nā ʻiʻo i hōʻino ʻia (necrosis). ʻO kēia ke kumu o ke kikowaena o ka ʻeha e ʻike ʻia he hina a ʻeleʻele paha, e like me kahi kuni liʻiliʻi. I kekahi manawa, inā hana kēia kikowaena i kahi ʻili, hiki ke ʻike ʻia he hina a ʻeleʻele paha.
- ʻO ka lihi o ka ʻeha he ʻulaʻula-poni pinepine a i kekahi manawa e ʻike ʻia he pehu.
- Aia kahi kaʻawale maopopo ma waena o ke kikowaena a me ka lihi o ka ʻeha.
I ka manawa pinepine, hiki ke ʻike ʻia ʻelua mau ʻeha, e kū pono ana kekahi i kekahi, a ʻelua like. E like me nā 'eha honi'. ʻO ia hoʻi, hana ʻia nā ʻeha ma nā labia ʻākau a me hema, kahi e hui ai lāua.
No ke aha e kū mai ai ka Lipschütz Ulcer? He aha ke kumu?
ʻAʻole hiki i nā kauka ke ʻōlelo pololei i ke kumu o nā ʻeha Lipschitz.Akā manaʻo lākou e pili ana ia i nā maʻi e like me ka maʻi Epstein-Barr (EBV), a i ʻole nā maʻi viral a bacteria ʻē aʻe. E noʻonoʻo e pili ana i ia mea, malia paha e pane nui kāu ʻōnaehana pale i kahi maʻi a virus paha, a hana ʻia kēia ʻeha ma muli o ia mea. Ua like ia me kahi "kaua" liʻiliʻi e hana nei i loko o kou kino.
ʻO kekahi o nā virus a bacteria paha i ʻike ʻia he kumu o nā ʻeha Lipshitz:
- ʻO ka maʻi Cytomegalovirus (CMV)
- ʻO ka maʻi palū A a me ka maʻi palū B - ʻo ia nā maʻi e hoʻoulu ai i ke anu maʻamau.
- Nā ʻūpā
- Salmonella - He bacteria kēia e hoʻoulu ai i ka ʻeha o ka ʻōpū.
- ʻO ka Mycoplasma
- ʻO ka Streptococcus Group A - he bacteria e hoʻoulu ai i nā maʻi ʻāʻī
- Covid-19 (COVID-19)
Akā i nā manawa he nui, ʻaʻohe moʻolelo maopopo o kahi maʻi a i ʻole ka maʻi i hala koke aku nei, no laila he mea pohihihi kēia.
He maʻi lele anei ka Lipschütz Ulcer?
He pilikia kēia i loaʻa i nā poʻe he nui. ʻAʻole. ʻAʻole laha nā ʻeha Lipschitz ma o ka hoʻopā kino a i ʻole nā wai kino. No laila, ʻaʻohe pono e hopohopo e pili ana i ka hoʻopili ʻana i kekahi ma muli wale nō o kou loaʻa ʻana iā lākou. ʻAʻole hiki iā ʻoe ke hoʻolaha ma ka hoʻopā ʻana i kahi mea nona lākou a i ʻole ma ka hoʻohana ʻana i kahi kāwele a lākou i hoʻohana ai.
Aia kekahi mau kumu pilikia kūikawā no kēia?
Hiki i kekahi mea me ka vagina ke loaʻa i kahi maʻi ʻōpū Lipschitz. Eia nō naʻe, ʻo ka wā ma lalo o 20 mau makahiki a loaʻa i kahi maʻi viral a bacteria paha (i loko o kekahi mau pule) hiki ke hoʻonui i kou pilikia. ʻO ke ʻano kēia hiki ke hele mai i ka wā e pau ai ʻoe i ke anu a i ʻole ka maʻi flu.
He aha nā pilikia e hiki mai ana ma muli o ka Lipschütz Ulcer?
ʻAʻole pinepine nā ʻeha Lipschitz e hoʻoulu i nā pilikia olakino lōʻihi. Hoʻōla pinepine lākou iā lākou iho. Eia naʻe, i kekahi manawa hiki ke hana ʻia kēia mau mea:
- Kahakaha: Inā nui a hohonu paha ka ʻeha, aia paha he ʻano ʻili ʻole ma ia wahi ma hope o kona ho'ōla ʻana, e waiho ana i kahi kahakaha liʻiliʻi. Eia naʻe, ʻaʻole ʻike nui ʻia kēia.
- ʻO ka pilikia o ka naʻau: Hiki i ka ʻeha ke ʻeha a hiki ke hoʻopilikia i nā hana o kēlā me kēia lā, ke kula, a me ka pāʻani. No ka mea he maʻi kakaikahi ia, hiki ke kuhihewa ʻia i kekahi manawa he maʻi i laha ma ke ʻano moekolohe (STI). Hiki i kēia ke hoʻoulu i ka hopohopo nui, ka hilahila, a me ka haʻahaʻa o ka manaʻo ponoʻī. Hiki iā ʻoe ke makaʻu, "Auē, he mea koʻikoʻi anei kaʻu?"
- ʻAʻole hiki ke holo i ka mimi (paʻa ʻana o ka mimi):He mea kākaʻikahi loa kēia, akā ma muli o ka wahi o ka ʻeha, hiki iā ia ke paʻakikī i ka mimi a hoʻopaʻa i ka mimi. Inā hana ʻia kēia, pono paha e hoʻokomo ʻia kahi catheter (kahi paipu i hoʻohana ʻia e hoʻokahe i ka mimi) e hoʻokahe i ka ʻōpū mimi.
Akā e hoʻomanaʻo, he mea kakaikahi loa kēia mau pilikia. Hoʻōla ka hapa nui o ka poʻe me ka ʻole o nā pilikia.
Pehea e ʻike ai ke kauka i ka Lipschütz Ulcer?
E hoʻolohe mua ke kauka i kāu mau hōʻailona a hana i kahi nānā maka o kou wahi vaginal. E nīnau pū lākou e pili ana i kou mōʻaukala olakino hou, me nā maʻi viral a bacteria paha (e like me ke kuni, ke anu, ka ʻāʻī ʻeha).
I ka manawa pinepine, e kāpae mua lākou i nā kumu maʻamau o nā ʻeha genital. No ka laʻana, e kāpae mua lākou i nā kūlana ʻē aʻe e like me nā maʻi i hoʻoili ʻia ma ke kino (STIs) (e like me ka herpes genital, HIV, a me syphilis) a i ʻole nā kūlana e like me ka maʻi Behçet. Hiki iā lākou ke kauoha i nā hoʻokolohua no kēia mau kūlana. Ma hope wale nō o ka kāpae ʻia ʻana o kēia mau mea e noʻonoʻo ai lākou i kahi ʻeha Lipschitz.
He aha nā kūlana ʻē aʻe i loaʻa nā hōʻailona like?
Ke hana ke kauka i kahi hōʻailona, e noʻonoʻo pū lākou i nā kūlana ʻē aʻe i loaʻa paha nā hōʻailona like me kāu. Ua kapa ʻia kēia he 'diagnosis differential'. ʻO kekahi mau kūlana e hiki ai ke hoʻoulu i nā ʻeha genital a loaʻa nā hōʻailona like me nā ʻeha Lipschitz:
- ʻO ka herpes genital
- ka maʻi HIV
- ʻO ka maʻi syphilis
- ʻO ka maʻi Sjögren
- ʻO ka maʻi o Behçet
ʻO ia ke kumu he mea nui e ʻike i ke kauka no ka ʻike pololei. He mea paʻakikī ke hoʻoholo i ke ʻano o ia mea ma kāu iho.
He maʻi autoimmune anei ka Lipschütz Ulcer?
ʻAʻole hoʻokaʻawale nā kauka i kēia ma ke ʻano he maʻi autoimmune. Eia nō naʻe, aia kekahi mau hōʻike e pili pono ana paha ia i nā maʻi autoimmune ʻē aʻe, a hiki paha ke lilo i mea mua i kahi maʻi autoimmune. Ke noiʻi hou ʻia nei kēia.
Pehea e mālama ai i ka Lipschütz Ulcer?
ʻO ka nūhou maikaʻi, ʻaʻole pono mau ka maʻi ʻeha Lipschitz i ka lāʻau nui. E kamaʻilio kāu kauka iā ʻoe e pili ana i nā ala e hoʻokele ai i ka ʻeha a me ka ʻoluʻolu ʻole i hoʻokumu ʻia e ka maʻi ʻeha. ʻO ka pahuhopu nui ka hāʻawi iā ʻoe i ka hōʻoluʻolu.
Eia kekahi o nā lāʻau lapaʻau e hiki ke hana ʻia:
- ʻAuʻau Sitz: ʻO kēia ka noho ʻana i loko o kahi ʻauʻau (a i ʻole ke kīʻaha nui) i piha i ka wai mehana no kahi o 10-15 mau minuke. Hiki iā ʻoe ke hana i kēia i ʻelua a ʻekolu paha manawa i ka lā. E hōʻoluʻolu ka wai mehana i ka wahi, e hōʻemi i ka ʻeha, a e hoʻomaʻemaʻe iā ia.
- E pale i ke komo ʻana i nā lole paʻa a i ʻole nā lole komo i nā manawa hiki. E ʻaʻahu i nā lole ākea a hanu i hana ʻia mai nā mea kūlohelohe e like me ka pulupulu.
- ʻO ka hoʻohana ʻana i nā lāʻau ʻeha ma luna o ka counter (OTC), e like me ka acetaminophen a i ʻole ibuprofen, pono e lawe ʻia e like me ke kuhikuhi a kāu kauka.
- E hoʻopili i kahi anesthetic topical e hoʻomāno i ka wahi. No ka laʻana, he kirīmi me ka lidocaine (loaʻa ma luna o ke kauka a i ʻole me ke kauka). E hoʻomāno kēia i ka wahi no kekahi manawa.
I kekahi mau hihia koʻikoʻi, inā koʻikoʻi ka ʻeha a nui paha ka ʻeha, hiki ke hāʻawi ʻia kahi lāʻau corticosteroid ma ka waha a i ʻole ma ke ʻano topical e kōkua i ka ho'ōla wikiwiki ʻana o ka ʻeha. Inā loaʻa kahi maʻi bacteria (inā ʻike ʻia ka ʻeha e kahe ana), e kuhikuhi ke kauka i nā antibiotics.
Hoʻopili maikaʻi nā ʻeha liʻiliʻi i kēia mau lāʻau lapaʻau home, akā ʻo nā ʻeha nui aʻe e pono ai ka lāʻau lapaʻau e kāohi i ka ʻeha.
Ke ho'ōla nei anei ka Lipschütz Ulcer?
ʻAe, ʻoiaʻiʻo nō! E like me ka mea i ʻōlelo ʻia ma mua, e ho'ōla loa kēia mau ʻeha i loko o ʻelua a ʻeono pule. ʻO ke kī, ʻo ke ahonui.
He aha kaʻu e manaʻo ai inā loaʻa iaʻu kahi Lipschütz Ulcer?
Hoʻōla ka hapa nui o nā ʻeha lehelehe iā lākou iho i loko o ʻelua a ʻeono pule. He mea kākaʻikahi ka ʻeha a me nā pilikia ʻē aʻe. Eia kekahi, ʻaʻole pinepine kēia mau ʻeha e hoʻi hou mai. No laila, mai hopohopo e pili ana iā lākou e hana hou ana no ka mea ua hana ʻia hoʻokahi manawa.
Inā manaʻo ʻoe ua koʻikoʻi loa ka ʻeha a ke hoʻopilikia nei i kou ola o kēlā me kēia lā, e kamaʻilio me kāu kauka e pili ana i nā koho e hōʻemi ai i ka ʻeha. ʻAʻole pono ʻoe e hoʻomanawanui i ka ʻeha.
Hiki ke pale ʻia ka Lipschütz Ulcer?
He paʻakikī ke ʻōlelo maopopo i ke kumu o ia mea, no laila he paʻakikī ke ʻōlelo maopopo pehea e pale aku ai. Eia nō naʻe, ʻoiai e pili ana paha i ka ʻōnaehana pale, hiki ke kōkua i ka pale ʻana i nā maʻi a me nā maʻi a mālama i ke olakino maikaʻi.
Eia kekahi mau ʻōlelo aʻoaʻo e kōkua ai:
- E ʻai i nā meaʻai momona (e like me nā mea kanu, nā huaʻai, nā ʻiʻo wīwī). E noho mamao mai nā meaʻai i hana ʻia, nā meaʻai kō, a me nā meaʻai kiʻekiʻe i nā momona momona e like me ka hiki.
- E hoʻomaʻamaʻa i ka moekolohe palekana, e like me ka hoʻohana ʻana i ka condom. ʻOiai ʻaʻole i laha nā ʻeha Lipschitz i ka moekolohe, hiki i nā maʻi i laha i ka moekolohe ke hoʻopilikia i kāu ʻōnaehana pale a me ke olakino holoʻokoʻa.
- E hiamoe maikaʻi (ma ka liʻiliʻi he 7-8 mau hola i ka lā) a hoʻokele i ke kaumaha. Hiki i nā hana e like me ka yoga a me ka noʻonoʻo ʻana ke kōkua.
- E mālama i kou wahi genital ma ka hoʻohana ʻana i ke kopa akahai a me ka wai i kēlā me kēia lā. E pale i ka hoʻohana ʻana i nā kopa ʻala a i ʻole ka douching, no ka mea hiki i kēia ke hoʻopilikia i ke kaulike kūlohelohe o ka vagina. Eia kekahi, e holoi pinepine i kou mau lole a mālama iā lākou i ka maʻemaʻe. Hiki i kēia ke hōʻemi i ka pilikia o nā maʻi bacteria.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona o kahi ʻōpū Lipschitz, e ʻike koke i ke kauka. Mai hoʻokaʻulua. ʻO kēia mau hōʻailona:
- He ʻeha hohonu a ʻeha hoʻi ma ka ʻōpū o ka wahine, ʻoi aku hoʻi ma ka labia.
- Nā hōʻailona o ka maʻi e like me ka maʻi palū e like me ke kuni, ka luhi, a me ka ʻehaʻeha o ke kino.
- He maʻi viral a bacteria paha i hala koke aku nei.
ʻOiai ʻaʻohe lāʻau hoʻokahi no ka maʻi ʻeha Lipschitz, hiki i ke kauka ke hana i kahi hōʻailona pololei a kōkua iā ʻoe e hoʻokele i kou ʻeha a me ka ʻoluʻolu ʻole. Hiki iā lākou ke hōʻoia ʻaʻole ia he maʻi ʻoi aku ka koʻikoʻi.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
He maʻi laha ʻole ka Lipschütz Ulcer ʻaʻole i laha ma ke ʻano moekolohe. Ke aʻo hou nei nā kauka e pili ana i ia mea e ʻike pono ai i ke kumu. Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hopohopo a hilahila paha, akā e ʻike i ke kauka no ka ʻōlelo aʻo. ʻAʻole pono ʻoe e hoʻomanawanui i ka ʻeha a me ka ʻoluʻolu ʻole. Hiki iā ʻoe ke loaʻa ke kōkua e ola i kahi ola maʻamau a hiki i ka ho'ōla ʻana o ka maʻi ʻeha.
I ka ʻōlelo maʻalahi:
- ʻAʻole kēia he maʻi i laha ma ke ʻano moekolohe. ʻO kēia ka mea nui loa.
- Loaʻa pinepine ia i nā kaikamahine ʻōpio i hana ʻole i ka moekolohe.
- Hoʻōla pinepine ia iā ia iho.
- Eia nō naʻe, he mea nui e ʻike i ke kauka ma muli o ka ʻeha a e hōʻoia inā he maʻi koʻikoʻi ʻē aʻe.
- Me ka mālama pono ʻana i ka ʻeha a me ka mālama pono ʻana, hiki ke hoʻohana ʻia kēia manawa me ka pilikia ʻole.
ʻAʻole ʻoe hoʻokahi, aia kekahi poʻe ʻē aʻe e kū nei i nā pilikia like. No laila, mai makaʻu e noi i ke kōkua.
ʻUlu Lipschütz, ʻUlu Wahine, ʻUlu Wahine, ʻUlu ʻeha, Maʻi Wahine, Nā Maʻi o nā Kaikamahine ʻŌpio
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