Ua kuhikuhi ʻia ʻoe e kāu kauka i ka Methoxsalen no kahi maʻi ʻili, malia paha he vitiligo a psoriasis koʻikoʻi paha? Inā pēlā, ua manaʻo ʻia kēia ʻatikala e kūkākūkā pōkole i kekahi o nā mea e pono ai ʻoe e ʻike e pili ana i ka hoʻohana ʻana i kēia lāʻau lapaʻau. He lāʻau lapaʻau kūikawā kēia, no laila he mea nui iā ʻoe ke hoʻomaopopo pono iā ia.
He aha ka Methoxsalen?
I ka ʻōlelo maʻalahi, ʻo Methoxsalen kahi lāʻau lapaʻau e hoʻonui ai i kou ʻili i ka mālamalama, ʻoi aku hoʻi i ka mālamalama UV. ʻAʻole ia he lāʻau kū hoʻokahi. ʻO ka maʻamau, ma hope o ka hāʻawi ʻia ʻana o kēia lāʻau, e hāʻawi ʻia ʻoe i kahi lāʻau lapaʻau ultraviolet kūikawā i kekahi mau hola ma hope. Ua ʻike ʻia kēia lāʻau lapaʻau ʻo PUVA (Psoralen + UVA) .
Hoʻohana nui ʻia kēia ʻano lapaʻau no:
- Psoriasis koʻikoʻi .
- ʻO Vitiligo (kōkua i ka hoʻihoʻi ʻana i ka pigment ʻili i nalowale).
- I kekahi mau hihia, hoʻohana ʻia nō hoʻi ia e kāohi i nā hōʻailona ʻili o ka lymphoma T-cell cutaneous , kahi ʻano maʻi kanesa e kū mai ana i ka ʻili.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
ʻAʻole like kēia lāʻau lapaʻau no kēlā me kēia kanaka. No laila, he mea nui e kūkākūkā i kēia mau mea me kāu kauka. He mea nui kēia ʻike no kāu kauka e hoʻoholo ai inā kūpono kēia lāʻau lapaʻau iā ʻoe.
- Inā he mau pilikia maka kou, no ka laʻana, inā he cataracts kou a inā paha ua wehe ʻia kāu lens.
- Inā he maʻi puʻuwai a maʻi akepaʻa paha kou.
- Inā he mau maʻi kūikawā kou e like me Lupus , Porphyria , a i ʻole Xeroderma Pigmentosum .
- Inā ua loaʻa iā ʻoe ka maʻi ʻili ma mua a i ʻole i kēia manawa.
- Inā loaʻa iā ʻoe nā hopena ʻili ʻē aʻe i ka wā e hōʻike ʻia ai i ka lā (photosensitivity).
- Inā ua loaʻa iā ʻoe ka lāʻau arsenic a i ʻole ka lāʻau X-ray ma mua.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka Methoxsalen a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
He mea nui loa ia no kou palekana e haʻi i ke kauka i kēia ʻike me ka hūnā ʻole.
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He mea nui ka hahai pono ʻana i nā ʻōlelo kuhikuhi no ka hoʻohana ʻana i kēia lāʻau lapaʻau no ka holomua o ka lāʻau.
- Pono e lawe waha ʻia kēia mau capsules.
- I ka wā e lawe ai i ka lāʻau lapaʻau , e lawe pū me ka ʻai haʻahaʻa momona a i ʻole ke aniani waiū . ʻO ka hana ʻana pēlā e hōʻemi ai i ka pilikia o ka ʻōpū ma mua o ka lawe ʻana ma ka ʻōpū ʻole.
- Inā ʻoluʻolu ʻole ʻoe ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e nīnau i kāu kauka inā hiki iā ʻoe ke hoʻokaʻawale i ka nui i kuhikuhi ʻia e kāu kauka i ʻelua ʻāpana, e lawe ana iā lākou i 30 mau minuke ke kaʻawale .
- Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia e kāu kauka, a mai hoʻohana pinepine iā ia ma mua o ka mea i kauoha ʻia.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
ʻOiai ʻo ka lā a me ka manawa o ka lawe ʻana i kēia lāʻau lapaʻau e pili ana i ka lāʻau UV, he mea nui loa ia ʻaʻole e poina i ka lāʻau lapaʻau. Inā ʻaʻole hiki iā ʻoe ke lawe i ka lāʻau lapaʻau i ka lā i hoʻonohonoho ʻia a i ʻole hiki ʻole ke hele i ka lāʻau lapaʻau, e kāhea koke i kāu kauka a e hoʻomaopopo iā ia.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He lāʻau lapaʻau ʻo Methoxsalen e hiki ke launa pū me nā lāʻau lapaʻau a me nā mea ʻē aʻe, no laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
| ʻAno lāʻau/mea | Nā Laʻana |
|---|---|
| Kekahi mau lāʻau antibiotic | ʻO Ciprofloxacin, Tetracycline, Sulfamethoxazole |
| Nā mea hoʻonani ʻili a me nā lāʻau lapaʻau ʻē aʻe | ʻAnthralin, kēpau lanahu, Retinoids (tretinoin) |
| Nā lāʻau antifungal | ʻO Griseofulvin |
| Nā lāʻau lapaʻau | ʻO Hydrochlorothiazide |
| Nā waihoʻoluʻu lapaʻau | Methylene uliuli, Rose bengal |
| Nā lāʻau lapaʻau no kekahi mau maʻi noʻonoʻo | Nā Phenothiazines (Chlorpromazine, Thioridazine) |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā huahana lāʻau. Eia kekahi, e haʻi iā lākou inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
ʻO kēia ka ʻāpana koʻikoʻi loa. E hahai pono i kēia mau kuhikuhi.
Ka Pale ʻana o ka Lā
He mea pono kēia! Ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e lilo kou ʻili i mea ʻeha loa i ka lā.
- Pono ʻoe e pale iā ʻoe iho mai ka lā i ka hiki. E noho i loko o ka hale i nā manawa āpau e hiki ai. Inā pono ʻoe e hele i waho, e ʻaʻahu i nā lole lima lōʻihi, nā lole lōʻihi, a me ka pāpale e uhi ana i kou kino holoʻokoʻa.
- E hoʻohana i kahi sunscreen maikaʻi.
- E hoʻōki loa i ka hoʻohana ʻana i nā kukui lā a i ʻole nā moena tanning/keʻena .
- E hoʻomanaʻo i ka manawa: E pale i ka lā no 24 mau hola ma mua o kāu mālama ʻana iā UV a no ka liʻiliʻi he 8 mau hola ma hope o ka lawe ʻana i ka lāʻau.
- Nā aniani maka: He mea nui loa kēia. No nā hola 24 mua ma hope o ka lawe ʻana i ka lāʻau lapaʻau , i kēlā me kēia manawa e hōʻike ʻia ʻoe i kahi lā liʻiliʻi (ʻoiai inā e puka mai ana mai ka puka makani ma ka home), pono ʻoe e ʻaʻahu i nā aniani maka e pale ana i ka UV e uhi piha i kou mau maka a pale i ka 100% o nā kukuna UV. Hiki i kēia ke kōkua i ka pale ʻana i ka hōʻino ʻia ʻana o kou mau maka.
Nā mea nui ʻē aʻe
- Nā hoʻokolohua lapaʻau: E hele i nā keʻena lapaʻau me kāu kauka i nā lā i hoʻonohonoho ʻia e nānā i ka holomua o kāu lāʻau lapaʻau. Hiki ke lōʻihi ka manawa e loaʻa ai nā hopena.
- Nā hoʻokolohua maka: ʻOiai hiki i kēia lāʻau lapaʻau ke kumu i nā kūlana e like me ke cataracts, e nānā ʻia kou mau maka e kahi ophthalmologist i nā manawa maʻamau i ka wā o ka mālama ʻana. E haʻi koke i kāu kauka inā ʻike ʻoe i kekahi mau loli i kou ʻike.
- Ka pilikia o ke kanesa:ʻO ka hoʻohana lōʻihi ʻana i kēia lāʻau lapaʻau e hoʻonui paha i kou pilikia o kekahi mau ʻano maʻi kanesa, e like me ke kanesa ʻili. E kamaʻilio me kāu kauka e pili ana i kēia pilikia.
- Mai hoʻololi i nā ʻano capsule: Hiki ke loaʻa kēia lāʻau lapaʻau i nā ʻano like ʻole (e.g. hard-gelatin, soft-gelatin) capsules. E hoʻohana wale i ke ʻano a kāu kauka i kuhikuhi ai. Mai hoʻololi. Hiki paha i kēia ke hoʻololi i ka manawa o kāu mālama UV.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau a pau, hiki i ka methoxsalen ke hana i nā hopena ʻaoʻao.
| Nā hopena ʻaoʻao |
|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka |
| • Nā hopena maʻi ʻaleka e like me ka ʻulaʻula o ka ʻili, ka maneʻo, ka pehu ʻana o ka maka, nā lehelehe, a me ke alelo. |
| • Nā loli i ka ʻike. |
| • Kaumaha. |
| • Ka pehu ʻana o nā lima a i ʻole nā wāwae. |
| • Luhi a luhi paha i ka manawa maʻamau. |
| Nā mea e haʻi aku ai i kāu kauka inā hoʻomau a hoʻopilikia paha lākou |
| • Pōʻino, ʻeha poʻo. |
| • Ka luaʻi (manaʻo ʻino i kou ʻōpū). |
| • Ka hiamoe ʻole, ka hoʻomaha ʻole. |
| • ʻIli ʻānai a maloʻo. |
| • ʻEhaʻeha wāwae. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Methoxsalen i hoʻohana ʻia me kahi lāʻau UV kūikawā, ma ke ʻōlelo aʻo a ke kauka wale nō.
- ʻO ka pale ʻana i ka lā ka mea mua i ka wā e lawe ana i kēia lāʻau lapaʻau. E hōʻoia e komo i nā lole, nā pale lā, a me nā aniani maka e ālai ana i nā kukuna UV (no 24 mau hola).
- E hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau kuʻuna).
- Mai hōʻole i nā hoʻokolohua lapaʻau i hoʻonohonoho ʻia, ʻoiai hoʻi nā hoʻokolohua maka.
- Inā loaʻa kekahi mau hopena ʻaoʻao koʻikoʻi (nā maʻi ʻaleka, nā loli i ka ʻike), e ʻimi koke i ke kōkua lapaʻau.
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