Ke kaumaha nei ʻoe no nā ʻāpana keʻokeʻo ma kou ʻili, kahi maʻi i kapa ʻia ʻo 'Vitiligo'? He pilikia maoli kēia i loaʻa i ka poʻe he nui. ʻOiai ʻaʻole kēia e hoʻoulu i kahi maʻi koʻikoʻi, he mea maʻamau ka manaʻo ʻoluʻolu ʻole i ka wā e kū ai i ke kaiāulu. Akā aia ka nūhou maikaʻi. I kēia manawa aia kahi lāʻau lapaʻau maikaʻi no kēia. I kēia lā e kamaʻilio mākou e pili ana i kahi kirīmi i hoʻohana ʻia i loko o ia ʻano lapaʻau kūikawā.
He aha ka Methoxsalen?
I ka ʻōlelo maʻalahi, ʻo Methoxsalen kahi lāʻau lapaʻau e kōkua ai i ka hoʻihoʻi ʻana i ka pigment nalowale i loko o ka ʻili a hoʻolilo iā ia i mea ʻoi aku ka maʻalahi i ka mālamalama. Hoʻohana ʻia ia e mālama i ke ʻano vitiligo.
Akā, ʻaʻole kēia he kirīmi wale nō āu e kau ai i kou ʻili. Hana pū ia me kahi lāʻau lapaʻau kūikawā. Kāhea mākou iā ia he lāʻau lapaʻau PUVA . ʻO ia hoʻi, he lāʻau lapaʻau e hoʻohui pū ana i kahi lāʻau i kapa ʻia ʻo Psoralen (kahi papa o nā lāʻau lapaʻau e pili ana iā Methoxsalen) me ke kukui UVA (ultraviolet A).
E noʻonoʻo i kēia ʻano. E hoʻopili kāu kauka i kēia kirīmi Methoxsalen i nā wahi i loaʻa iā ʻoe nā poʻo keʻokeʻo. A laila, ma hope o kekahi manawa, e hoʻohana kahi mīkini kūikawā i ka mālamalama ultraviolet A (UVA) e kuhikuhi i kēlā mau wahi. No ka mea ua hoʻolilo ka lāʻau lapaʻau i kou ʻili i mea maʻalahi i ka mālamalama, ke pā kēia mālamalama iā ia, hoʻoulu ʻia nā pūnaewele hana pigment o ka ʻili (melanocytes), a e hoʻomaka mālie nā poʻo keʻokeʻo e hoʻi i ke kala.
ʻO ka mea nui, ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home a hoʻohana. He lāʻau lapaʻau kēia e pono e hana ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau ma lalo o ka nānā ʻana a ke kauka a i ʻole ka loea lapaʻau i aʻo ʻia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. No laila, i ke kamaʻilio ʻana me kāu kauka, he mea nui e haʻi aku inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei. He mea nui loa ia no kou palekana.
| Kou kūlana a pilikia paha | No ke aha he mea nui kēlā? |
|---|---|
| Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. | Hiki i kēia lāʻau lapaʻau a me ka lāʻau hoʻōla kukui ke hoʻopilikia i ka pēpē i loko o ka ʻōpū. |
| ʻO kēlā me kēia maʻi maka (e like me ke cataracts , inā ua wehe ʻia ka lens o ka maka). | Hiki i ka mālama ʻana o PUVA ke hoʻopilikia i nā maka, no laila pono ka palekana kūikawā. |
| Inā ua loaʻa iā ʻoe a i ʻole i kēia manawa he maʻi ʻili. | Hiki paha i kēia lāʻau ke hoʻonui iki i ka pilikia o ka maʻi ʻaʻai ʻili, no laila ʻaʻole kūpono paha inā loaʻa iā ʻoe kēlā moʻolelo. |
| Nā kūlana olakino kūikawā e like me ka maʻi puʻuwai, (Porphyria) a i ʻole (Xeroderma pigmentosum) . | I ke alo o ia mau kūlana, hiki i ka mālama ʻana o PUVA ke hana i nā pilikia. |
| Inā he photosensitivity kou o ka ʻili i ka mālamalama. | Hoʻopilikia kēia lāʻau lapaʻau i ka ʻili i ka mālamalama, no laila inā loaʻa iā ʻoe kēlā ʻano maʻi, hiki ke lilo i mea koʻikoʻi loa. |
| Inā ua loaʻa iā ʻoe ka radiation therapy i hala koke nei. | ʻO ka hui pū ʻana o ka radiation therapy a me ka PUVA e hoʻonui paha i nā hopena maikaʻi ʻole ma ka ʻili. |
| Inā he maʻi ʻoe i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama. | Hiki i ke kauka ke ʻike mua e pili ana i ka hiki ke loaʻa kahi hopena alerika i ka lāʻau lapaʻau. |
He aha inā lawe nui wau i kēia lāʻau lapaʻau?
He haʻahaʻa loa ka manawa kūpono o kēia. No ka mea, ʻaʻole ʻoe e ʻae ʻia e lawe i kēia i ka home. Na ke kauka e hāʻawi iā ia. Akā inā manaʻo ʻoe ua hana ʻia kekahi mea e like me kēia, e kelepona koke i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā mea e makaʻala nui ai i ka wā o ka mālama ʻana
Pono ʻoe i ke kākoʻo nui mai kou ʻaoʻao i ka wā e hana ʻia ai kēia lāʻau lapaʻau. E makaʻala loa i kēia mau mea.
E hoʻolilo i ka pale lā i mea helu ʻekahi!
ʻO kēia ka mea nui loa. Ma hope o ke kau ʻana i kēia lāʻau lapaʻau, lilo kou ʻili i mea maʻalahi loa i ka lā. No laila, ʻoiai he manawa pōkole i ka lā hiki ke hana i nā kuni, nā pehu, a me nā ʻeha koʻikoʻi.
- E pale loa i ka lā no 24 mau hola ma mua a me 48 mau hola ma hope o ka mālama ʻana me PUVA.
- Inā ʻoe e hoʻopili wale i ka ʻaila poni, e noho ma waho o ka lā no 12 a 48 mau hola ma hope.
- Inā pono ʻoe e hele i waho, e ʻaʻahu i nā lole e uhi pono ana i kou ʻili . E ʻaʻahu i nā pālule lima lōʻihi, nā lole komo, a me ka pāpale.
- E hoʻopili i ka sunscreen me ka liʻiliʻi o SPF 15 a ʻoi aku paha ma nā wahi a pau i hōʻike ʻia i ka lā. Eia nō naʻe, pono ʻoe e nīnau i kāu kauka ma mua o ka hoʻopili ʻana i ka sunscreen i nā wahi e mālama ʻia ana.
- E pale loa i nā kumu kukui hana e like me nā kukui lā a me nā moena ʻili lā.
E nānā i kāu mea e ʻai ai a e inu ai.
Hiki i kekahi mau meaʻai ke hoʻonui i ka ʻike o kou ʻili i ka mālamalama. No ka laʻana, ka lemona, nā fiku, ka pāhiri, nā parsnips, ka sinapi, nā kāloti, a me ke kele. He mea naʻauao ke kūkākūkā i kēia mau meaʻai me kāu kauka i ka wā e lawe ana i kēia lāʻau lapaʻau.
E makaʻala i nā loli o ka ʻili.
Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i ka pilikia o ka maʻi ʻaʻai ʻili ke hoʻohana ʻia no ka manawa lōʻihi. Eia kekahi, e like me ka ʻauʻau lā, hiki i ka ʻili ke ʻelemakule mua. No laila, e makaʻala mau i kou ʻili.
Inā ʻike ʻoe i kekahi mea hou, ʻano ʻē, e like me nā kiko, nā ʻeha, nā ʻeha e ho'ōla ʻole ʻia, a i ʻole ke kala ʻana o ka ʻili, ʻaʻohe mea liʻiliʻi, e hōʻike koke i kāu kauka.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| E hoʻomaopopo koke i kāu kauka! | |
|---|---|
| Nā hōʻailona alerika | ʻŌhūhū ʻili, maneʻo nui, pehu ʻana o ka maka, nā lehelehe a i ʻole ke alelo. |
| Nā hopena ʻili koʻikoʻi | ʻO ke kuni ʻana, ka pehu ʻana, ka ʻulaʻula nui a i ʻole ka pehu ʻana o ka ʻili. |
| Inā hoʻomau, e hoʻomaopopo i ke kauka. | |
| Nā pilikia ʻili maʻamau | Ka maneʻo iki, ka ʻili maloʻo. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- ʻAʻole wale ʻo Methoxsalen he kirīmi topical. He ʻāpana ia o kahi lāʻau PUVA i hana ʻia ma lalo o ka nānā ʻana a ke kauka.
- He mea nui loa ia e pale iā ʻoe iho mai ka lā ma mua a ma hope o ka mālama ʻana, a i ʻole e loaʻa paha iā ʻoe ka pōʻino nui o ka ʻili.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā kūlana olakino āu e lawe nei ma mua o ka mālama ʻana.
- E hōʻike koke i nā loli ʻē i kou ʻili (nā kiko, nā ʻeha, ka ʻulaʻula nui) i kāu kauka.
- ʻAʻole kēia he lāʻau lapaʻau e hāʻawi koke i nā hopena. Hiki ke hala he 6-9 mau mahina a ʻoi aku paha e ʻike i nā hopena piha. No laila e hoʻomanawanui a e hahai i nā ʻōlelo a kāu kauka .
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