Hiki i kekahi mau maʻi ʻili ke maʻalahi e like me ka pimple liʻiliʻi, aʻo kekahi hiki ke ʻoi aku ka koʻikoʻi. I kekahi manawa hiki i kēia mau mea ke lilo i ka maʻi ʻili. Eia nō naʻe, ua holomua loa ka ʻepekema lapaʻau o kēia wā a aia nā lāʻau lapaʻau kūpono no kēia mau maʻi. I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau ʻokoʻa iki no kahi maʻi ʻili kikoʻī. ʻO Methoxsalen ka inoa o kēia lāʻau.
I ka ʻōlelo maʻalahi, he aha ʻo Methoxsalen?
ʻAʻole like ʻo Methoxsalen me ka pila maʻamau a i ʻole ka pana. He lāʻau ia e hoʻomālamalama ana i ka mālamalama. ʻO ke kikoʻī, hoʻohana ʻia ia e kāohi i nā hōʻailona o kahi ʻano maʻi kanesa e hoʻopilikia ana i ka ʻili i kapa ʻia ʻo cutaneous T-cell lymphoma (CTCL) .
ʻAʻole hāʻawi wale ʻia kēia lāʻau lapaʻau. Hāʻawi pū ʻia me ka radiation ultraviolet. ʻO ka inoa no kēia kaʻina hana lapaʻau holoʻokoʻa ʻo Extracorporeal Photopheresis (ECP). ʻOiai paha e like me kahi huaʻōlelo paʻakikī kēia, he maʻalahi loa ke kaʻina hana ke maopopo iā ʻoe.
No laila pehea e hana ʻia ai kēia lāʻau ECP?
E noʻonoʻo, ʻaʻole kēia e like me ka hāʻawi ʻana i ka lāʻau lapaʻau i kahi kanaka maʻi. He hana kūikawā kēia i hana ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau e nā limahana lapaʻau i aʻo ʻia.
1. Ka hōʻiliʻili ʻana i ke koko: ʻO ka mea mua, lawe ʻia kekahi koko mai kou kino a hoʻouna ʻia ma o kahi mīkini kūikawā.
2. Hoʻokaʻawale ʻana i nā pūnaewele: Hoʻokaʻawale kēia mīkini i nā hunaola koko keʻokeʻo wale nō mai kou koko. A laila hoʻihoʻi ʻia nā ʻāpana i koe o ke koko (e like me nā hunaola koko ʻulaʻula a me ka plasma) i loko o kou kino.
3. Ke hoʻohui nei i ka lāʻau lapaʻau: I kēia manawa, ua hoʻohui ʻia kahi lāʻau lapaʻau i kapa ʻia ʻo Methoxsalen i nā keʻokeʻo koko i hoʻokaʻawale ʻia.
4. Hoʻōla kukui: ʻO ka mea aʻe, ua hoʻopili ʻia nā hunaola koko keʻokeʻo i hui pū ʻia me kēia lāʻau i kahi ʻano kukui ultraviolet A (UVA) kūikawā i loko o ka mīkini. Ma muli o ka lāʻau lapaʻau ʻo Methoxsalen, lilo nā hunaola kanesa i mea maʻalahi loa i kēia kukui a hoʻomaka e make.
5. Hoʻokomo hou ʻia nā pūnaewele: ʻO ka mea hope loa, ua hoʻokomo hou ʻia nā hunaola koko keʻokeʻo i mālama ʻia ma kēia ʻano i loko o kou kino, e like me ka saline.
Hiki i kēia kaʻina holoʻokoʻa ke hala i kekahi mau hola, akā hiki iā ʻoe ke noho ma kahi noho a heluhelu i kahi puke a hoʻolohe paha i kahi mele i kēia manawa.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka mālama ʻana
Ma mua o ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe, pono kāu kauka e ʻike i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā lākou e pili ana i kekahi o kēia mau kūlana, ʻoi aku hoʻi:
| Kou kūlana olakino | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Nā pilikia maka (e like me ka cataracts, aphakia inā ua wehe ʻia ka lens) | Ma muli o ka hoʻomaʻamaʻa ʻana o kēia lāʻau i nā maka i ka mālamalama, hiki ke hoʻonui ʻia nā kūlana maka mua. |
| Maʻi puʻuwai, maʻi akepaʻa | Ma muli o ke kaʻina hana e hiki ke kau i kekahi kaumaha ma ke kino, pono e mālama pono i ka hana ʻana o kēia mau ʻōkana. |
| Nā maʻi ʻili e like me lupus, porphyria, a me xeroderma | Hiki i kēia mau kūlana ke hoʻolilo i ka ʻili i hypersensitive i ka mālamalama, a hiki iā Methoxsalen ke hoʻonui i ia mea. |
| Loaʻa ka moʻolelo o ka maʻi ʻili a i ʻole ua loaʻa ka lāʻau X-ray / arsenic | He mea nui kēia ʻike e loiloi i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai ʻili i ka wā e hiki mai ana. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | ʻAʻole ʻōlelo ʻia kēia lāʻau lapaʻau i kēia mau hihia, no ka mea hiki ke hoʻopilikia i ka pēpē i hānau ʻole ʻia. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau, nā meaʻai, a i ʻole nā mea ʻē aʻe | E makaʻala i ka hiki ke loaʻa kahi maʻi allergy i ka Methoxsalen a i ʻole kekahi o kāna mau mea hoʻohui. |
He mea nui e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau ma luna o ke kauka, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui meaʻai). Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Methoxsalen.
Nā mea āu e pono ai e makaʻala nui i ka wā o ka mālama ʻana
Aia kekahi mau mea e pono ai ʻoe e hahai no kou palekana i ka wā e hana ʻia ai kēia lāʻau lapaʻau.
Ka palekana o ka lā - ʻo kēia ka mea nui loa!
ʻAʻole wale ka Methoxsalen e hoʻolilo i kou ʻili a me kou mau maka i mea maʻalahi loa i ka mālamalama. No laila, pono ʻoe e pale i ka lā i ka hiki no 24 mau hola ma hope o ka loaʻa ʻana o ka lāʻau .
- Mai haʻalele i ka hale: e noho i loko o ka hale i ka hiki.
- Inā ʻoe e hele i waho: E ʻaʻahu i nā lole lima lōʻihi, nā lole lōʻihi, ka pāpale, a uhi pono i kou kino.
- He mea pono ka pale lā: E kau i kahi pale lā maikaʻi ma nā wahi a pau o ka ʻili i hōʻike ʻia i ka lā.
- Nā aniani maka: He mea pono kēia! E komo i nā aniani maka pale UV 100%, e uhi ana a puni i nā manawa a pau e hōʻike ʻia ai ʻoe i kahi kukui liʻiliʻi (ʻoiai i loko o ka hale, inā e puka mai ana ke kukui ma ka puka makani) no nā hola 24 mua ma hope o ka mālama ʻana . He mea nui loa kēia e pale aku ai i ka hōʻino ʻana o ka maka.
- E hōʻalo i ke kukui hana: Mai hoʻohana i nā mea e like me nā kukui lā a me nā moena tanning.
Nā mea ʻē aʻe e noʻonoʻo ai
- Nā Hoʻokolohua Lapaʻau: E hele i nā hoʻokolohua maʻamau e like me ke kauoha a kāu kauka.
- Nā hoʻokolohua maka: Inā ʻike ʻoe i kekahi mau loli i kou ʻike, e haʻi koke aku i kāu kauka. E ʻike i kahi kauka maka i nā manawa maʻamau e nānā i kou mau maka.
- Ka pilikia o ke kanesa: Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i kou pilikia o ka loaʻa ʻana o nā ʻano maʻi ʻili ʻē aʻe i ka wā e hiki mai ana. Mai hopohopo e pili ana i kēia. E kamaʻilio kāu kauka me ʻoe e pili ana i kēia pilikia a aʻo aku iā ʻoe e nānā mau i ka ʻili.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau a pau, hiki ke loaʻa nā hopena ʻaoʻao. Pono e hōʻike koke ʻia kekahi, aʻo kekahi ʻaʻole ia he mea koʻikoʻi.
| E hoʻomaopopo koke i kāu kauka a i ʻole ka haukapila e mālama nei. | |
|---|---|
| Nā hōʻailona alerika | ʻŌhūhū ʻili, maneʻo, pehu o nā lehelehe, ke alelo a i ʻole ka maka. |
| Nā loli i ka ʻike maka | ʻIke pōwehiwehi, ʻike ʻokoʻa ma mua o ka maʻamau. |
| Nā hōʻailona o ka maʻi | Kuni, anu, ʻeha ka puʻu. |
| Ke koko haʻahaʻa | Pōniuniu , mau maka polū i ke ala ʻana. |
| ʻAʻole maʻamau ka maʻi koʻikoʻi, akā e hoʻomaopopo i kāu kauka inā hoʻomau. | |
| Pōʻino , ʻeha poʻo | Hiki ke hana i kekahi manawa ma hope o ka mālama ʻana. |
| ʻIli maloʻo, maneʻo | Hiki ke hana ʻia e ka ʻike o ka ʻili i ka mālamalama. |
| Ka lahilahi o ka ʻili, nā wrinkles | Hiki ke ʻike ʻia i nā lāʻau lapaʻau lōʻihi. |
He aha ka mea e hana ai inā ʻoe e lawe i ka overdose?
Ma muli o ka lawelawe ʻia ʻana o kēia e nā loea lapaʻau ma kahi haukapila, ʻaʻohe manawa kūpono o ka overdose. Eia nō naʻe, inā kānalua ʻoe i kekahi mea e like me kēia, e hoʻomaopopo koke i ka Emergency Treatment Unit (ETU) o ka haukapila. Inā pono, hiki iā ʻoe ke ʻimi i ka ʻōlelo aʻoaʻo mai ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo .
Leka Lawe-Home
- ʻAʻole ʻo Methoxsalen kahi inikini maʻamau, he lāʻau lapaʻau kūikawā ia i hāʻawi ʻia me ka mālamalama ultraviolet.
- E haʻi piha i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā kūlana olakino āpau āu.
- He mea nui loa ia e pale iā ʻoe iho mai ka lā no 24 mau hola ma hope o ka mālama ʻana. He mea nui loa ia e ʻaʻahu i nā aniani maka e pale ana i nā kukuna UV.
- E hahai i nā ʻōlelo aʻo a pau a ke kauka a e hōʻoia e hele i nā hoʻokolohua i hoʻonohonoho ʻia a me nā keʻena lapaʻau.
- Inā ʻoe e hopohopo nei e pili ana i kahi pilikia a i ʻole ka hopena ʻaoʻao, mai makaʻu e kamaʻilio ākea me kāu kauka e pili ana i ia mea.
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