He mau kiko ʻeleʻele kou ma kou maka? E kamaʻilio kākou e pili ana i ka melasma!

Ke nānā ʻoe i kou helehelena i loko o ke aniani, ʻike koke ʻoe i kekahi mau kiko ʻeleʻele i ʻike ʻole ʻia ma mua. ʻIke nui ʻia kēia mau kiko ma kou mau papālina, lae, a me ka lehelehe luna. He mea maʻamau ka manaʻo makaʻu a hopohopo iki ke ʻike ʻoe i kēia mau mea. ʻO ka hapa nui o ka manawa, ʻo kēia ʻano ka mea a mākou e kapa nei ma ke ʻano lapaʻau he "Melasma." ʻAʻole kēia he mea weliweli, akā he mea hoʻonāukiuki iki. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ka melasma me ka maopopo a me ka maʻalahi.

He aha maoli ka Melasma?

I ka ʻōlelo maʻalahi, he maʻi ʻili maʻamau ka melasma. Hoʻoulu ia i nā kiko ʻeleʻele māmā, ʻeleʻele, a i ʻole i kekahi manawa polū-hina a i ʻole nā ​​​​​​pale e ʻike ʻia ma kekahi mau wahi o ko mākou ʻili, ʻoi aku hoʻi ma ka maka. ʻAʻole kēia he mau wahi i piʻi aʻe o ka ʻili, akā he mau loli wale nō i ke kala o ka ʻili.

ʻIke pinepine ʻia kēia mau kiko ma nā papālina, ka lae, ka ihu, ka lehelehe luna, a me ka ʻauwae. Hiki i kekahi poʻe ke loaʻa iā lākou ma nā lima a me ke kua o ka ʻāʻī. He mea maʻamau loa kēia ʻano i ka wā hāpai, no laila kapa ʻia e kekahi poʻe ʻo ia ka "mask of pregnancy." Inā loaʻa iā ʻoe ka melasma, e ʻike ʻoe e lilo kēia mau kiko i ʻeleʻele i ka wā lā a mae iki i ka wā ua.

No ke aha e hana ʻia ai kēia? He aha ka mea e hana ʻia ana i loko o ko kākou ʻili

I mea e hoʻomaopopo ai i kēia, e aʻo iki kākou e pili ana i ko kākou ʻili. ʻEkolu mau papa nui o ko kākou ʻili. ʻO ka papa luna i kapa ʻia ʻo ka epidermis. Aia i loko o ka epidermis kahi e loaʻa ai iā kākou kahi ʻano cell e hāʻawi ana i ko kākou ʻili i kona kala. Kāhea mākou iā lākou he melanocytes .

E noʻonoʻo i kēia mau melanocytes e like me nā hale hana liʻiliʻi e hana ana i ke kala i ko mākou ʻili. ʻO ka pigment a kēia mau hale hana e hana ai ua kapa ʻia ʻo melanin . Ke hele mākou i waho i ka lā, ʻeleʻele ko mākou ʻili no ka mea e hoʻonui ʻia ka hana ʻana o kēia melanin.

ʻO ka mea e hana ʻia i kahi kanaka me ka melasma, ʻo ia ka lilo ʻana o kēia mau pūnaewele i kapa ʻia ʻo melanocytes ma kekahi mau wahi o ka ʻili i ʻoi aku ka hana. Hoʻoulu ʻia kēia mau pūnaewele e nā mea e like me ka lā a me nā loli hormonal, a hana lākou i ka melanin nui loa ma ia mau wahi wale nō. ʻO ia mau wahi kahi i waiho ʻia ai ka melanin keu e ʻike ʻia iā mākou he mau kiko ʻeleʻele.

Aia kekahi mau ʻano melasma?

ʻAe, hiki ke hoʻokaʻawale ʻia ka melasma i ʻekolu ʻano nui ma muli o ka hohonu o ka pigment melanin i waiho ʻia i loko o ka ʻili. Hiki i ke kauka ke ʻike i kēia ʻano me ka hoʻohana ʻana i kahi kukui kūikawā ('kukui o Wood').

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

ʻOiai hiki i kekahi ke loaʻa i ka melasma, ʻoi aku ka nui o ka pilikia o kekahi poʻe.

• Nā wāhine: 90% o ka poʻe i loaʻa i ka melasma he mau wāhine. He mea kākaʻikahi loa ia i nā kāne.
• Nā makuahine hāpai: He kiʻekiʻe loa ka pilikia o ka hoʻomohala ʻana i ka melasma ma muli o nā loli hormonal e kū mai ana i ke kino i ka wā hāpai.
• ʻO ka poʻe me ka ʻili ʻeleʻele: ʻO ka poʻe me ka ʻili ʻeleʻele iki, ʻoi aku ka nui o ka loaʻa ʻana o ka melasma ma mua o ka poʻe me ka ʻili keʻokeʻo.
• Ka poʻe e lawe ana i nā pila hoʻomalu hānau: Hiki i nā hormones i loko o nā pila hoʻomalu hānau ('Oral Contraceptives') ke hoʻoulu a hoʻonui paha i ka melasma.
• Inā loaʻa i kekahi o kou ʻohana: Inā loaʻa i kahi hoahānau pili, e like me kou makuahine a kaikuahine paha, ka melasma, he liʻiliʻi kou manawa e loaʻa ai. ʻO ke ʻano kēia, aia kahi mana hoʻoilina.

He maʻi ʻaʻai paha kēia? He ʻeha anei?

He makaʻu nui kēia a me ke kānalua no nā kānaka he nui. Akā, ua akāka loa ka pane i kēia.

Eia nō naʻe, aia kekahi mea nui e ʻike ai ma ʻaneʻi. I kekahi manawa hiki i nā maʻi ʻili ke like me ka melasma. No laila, inā he wahi hou kou a kānalua ʻoe no ia mea, ʻoi aku ka maikaʻi a me ka palekana e ʻike i ke kauka, ʻoi aku hoʻi i kahi dermatologist, e hōʻoia i ka mea maoli.

He aha nā kumu nui o ka melasma?

ʻAʻohe kumu hoʻokahi no ka melasma. Hiki ke hui pū ʻia o kekahi mau kumu.

• Lā: ʻO kēia ka ʻenemi nui. Hoʻoulu ka radiation ultraviolet (UV) i ka lā i nā cell e hana ana i ka melanin. ʻO ia ke kumu e ʻeleʻele ai nā kiko ke hele kekahi me ka melasma i ka lā.
• Nā loli hormonal: I ka wā hāpai, nā lāʻau hoʻomalu hānau, a me ka lāʻau lapaʻau hormone, loli nā pae o ka estrogen a me ka progesterone i loko o ke kino. Hoʻopilikia pololei kēia mau loli i ka melasma.
• Nā mea hoʻonani ʻino: ʻO kekahi mau kopa ʻala, nā mea hoʻonani, a me nā huahana mālama ʻili i maʻi i ka ʻili hiki ke hoʻonui i ka melasma.
• ʻO kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau no ka maʻi epilepsy a me nā lāʻau lapaʻau e hoʻopilikia ai i ka ʻili i ka lā (nā lāʻau phototoxic) hiki ke hana i ka melasma.
• Ka mālamalama mai nā pale LED: Ua ʻike ʻia i kēia manawa ʻo ka hoʻolōʻihi ʻana i ka mālamalama i hoʻopuka ʻia mai nā kelepona, nā kamepiula lawe lima, nā papa, a me nā pale TV a mākou e hoʻohana nei i ka lā a pau hiki ke loaʻa kekahi hopena i ka melasma.
• Nā pilikia thyroid: ʻO ka poʻe me ka hypothyroidism e pilikia pū ana hoʻi i ka hoʻomohala ʻana i ka melasma.

He aha nā lāʻau lapaʻau no ka melasma?

He maʻi paʻakikī ke mālama ʻia ʻo Melasma a pono ke ahonui. I kekahi manawa, ʻoi aku hoʻi ma hope o ka hāpai ʻana, e nalo wale kēia mau kiko. Akā, ʻaʻole ia e hana i nā kānaka a pau.

I ke kamaʻilio ʻana e pili ana i ka lāʻau lapaʻau, ʻo ka mea mua e pono ai mākou e hana, ʻo ia ke pale ʻana i ka lilo ʻana o ke kūlana i mea ʻino aʻe.

1. Ka pale ʻana i ka lā (ʻo kēia ka mea nui loa!)

ʻOiai ke ʻano o ka lāʻau āu e hana ai, inā ʻaʻole ʻoe e pale iā ʻoe iho mai ka lā, e lilo wale nō ia i mea ʻole.

• E hoʻohana i ka sunscreen i kēlā me kēia lā: Inā he lā, he ao, a i ʻole i loko o ka hale, e hoʻomaʻamaʻa i ka hoʻopili ʻana i ka sunscreen i ke kakahiaka. E koho i hoʻokahi me ka liʻiliʻi o SPF 30-50 .
• E hoʻopili hou i kēlā me kēia ʻelua a ʻekolu hola: Pono ʻoe e hoʻopili hou i ka sunscreen, ʻoiai inā ʻoe e hou ana a hana paha ma waho.
• E hoʻohana i ka pāpale ākea a me ka umbrella:E pale i ka lā pololei ma kou alo i nā manawa āpau e hiki ai.

2. Nā ʻAno Lāʻau Lapaʻau Topical

E loiloi ke kauka i kou kūlana a e kuhikuhi i kahi kirīmi kūpono nāu. Hana kēia mau mea ma ka kaohi ʻana i ka hana ʻana o ka pigment ʻili.

• ʻO Hydroquinone: He lāʻau lapaʻau i hoʻohana pinepine ʻia no ka melasma.
• ʻAkika Azelaic: He lāʻau lapaʻau palekana hiki ke hoʻohana ʻia e nā wahine hāpai.
• Tretinoin: He lāʻau lapaʻau kēia e kōkua ai i ka hoʻohou ʻana i nā hunaola ʻili.
• Nā mea hoʻohui ʻē aʻe: Aia kekahi mau kirīmi i loaʻa nā mea e like me ka huaora C, ka waikawa kojic, a me ka waikawa tranexamic.

3. Nā lāʻau lapaʻau ʻē aʻe

Inā ʻaʻole hāʻawi nā mea hoʻonani wale nō i nā hopena, aia kekahi mau lāʻau ʻē aʻe e hiki i nā dermatologists ke hana.

• ʻIli kemika: He ʻano hana e wehe ai i ka papa luna o ka ʻili me ka hoʻohana ʻana i kahi kemika kūikawā.
• Nā hana laser: He ʻano hana e wehe ai i ka pigment keu mai ka ʻili me ka hoʻohana ʻana i nā kukuna kukui.

Pono e hana ʻia kēia mau lāʻau lapaʻau no ka melasma e kahi loea akamai a mākaukau hoʻi , a i ʻole e ʻoi aʻe ka ʻino o ke kūlana.