Ua ʻike anei ʻoe i kahi ʻano ʻulaʻula, polū-ʻulaʻula, e like me ka ʻupena ma kou ʻili, ʻoi aku hoʻi ma nā wāwae o nā keiki liʻiliʻi, me he mea lā no ke anu? A i ʻole ua ʻike paha ʻoe i kekahi mea e like me kēia ma kou ʻili ponoʻī a ua makaʻu ʻoe. ʻOiai he nui ka poʻe e manaʻo nei he mea maʻamau kēia, i kekahi manawa hiki ke lilo i hōʻailona o kekahi maʻi ʻē aʻe. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia maʻi i kapa ʻia ʻo Mottled Skin, a i ʻole ma ka ʻōlelo lapaʻau, Livedo Reticularis .
He aha ka ʻili mottled?
I ka ʻōlelo maʻalahi, he ʻano kēia e kū mai ana i ka wā e ālai ʻia ai nā kīʻaha koko liʻiliʻi ma lalo o ko kākou ʻili. Ke lilo ke kahe koko i ko kākou mau kīʻaha koko i mea ʻano ʻole, e hōʻiliʻili ana ke koko nele i ka oxygen ma lalo o ka ʻili. ʻO ia ka manawa e ʻike ʻia ai kahi ʻano polū-ʻulaʻula, e like me ka lace ma ka ʻili o ka ʻili. ʻO kēia ka mea a mākou e kapa nei he ʻili Mottled a i ʻole Livedo Reticularis.
He aha nā ʻano nui o kēia?
ʻOiai ke ʻano like o kēia maʻi, hiki ke hoʻokaʻawale ʻia i kekahi mau ʻano nui ma muli o ke ʻano o kona hanana ʻana. He mea nui e hoʻomaopopo i kēia, ʻoiai ʻo nā koho lapaʻau e pili ana i ke ʻano.
| ʻAno | Wehewehena | ʻO wai ka mea e loaʻa pinepine ana? |
|---|---|---|
| Physiologic Livedo Reticularis (Cutis Marmorata) | ʻO kēia ke ʻano maʻamau a ʻino ʻole hoʻi a mākou e ʻike ai. Hana ʻia ia i ka wā e hōʻike ʻia ai mākou i ke anu nui a nalowale ia ma kona iho ke mahana hou ke kino. | Nā pēpē liʻiliʻi, nā keiki, a me nā wahine ʻōpio me ka ʻili keʻokeʻo. |
| ʻO ka Reticularis Livedo mua | He manawa pōkole nō hoʻi kēia. Akā, ʻaʻole ia i hoʻokumu ʻia e ke anu . ʻAʻole ʻike ʻia ke kumu pololei. Hoʻomaopopo ʻia kēia ʻano ma hope o ka hōʻoia ʻana ʻaʻohe maʻi ʻē aʻe. | Hiki ke hiki i kekahi. |
| ʻO ka lua o Livedo Reticularis | ʻO kēia ke ʻano a mākou e hopohopo nui ai . Maanei, ʻike ʻia kēia ʻano ʻili ma ke ʻano he hopena ʻaoʻao o kekahi maʻi ʻē aʻe i loko o ke kino. ʻAʻole ia e nalo a hiki i ka mālama ʻia ʻana o ke maʻi. | ʻO nā kānaka me nā maʻi olakino (e like me nā maʻi autoimmune). |
Aia kekahi mau ʻano ʻē aʻe ma waho aʻe o kēia?
ʻAe, aia kekahi mau ʻano kikoʻī ʻē aʻe.
- ʻAno hānau ʻia (Congenital Livedo Reticularis): Loaʻa i kekahi mau pēpē kēia maʻi i ka wā hānau. ʻIke pinepine ʻia ma ka lima a i ʻole ka wāwae. I kekahi manawa hiki ke pili pū me nā pilikia ʻē aʻe i loko o ka lolo, nā maka, a i ʻole ka puʻuwai.
- ʻErythema ab igne: E noʻonoʻo e hana mau ana ʻoe me kāu kamepiula lawe lima ma kou ʻūhā, a i ʻole ʻoe e paʻa ana i kahi ʻōmole wai wela ma kahi hoʻokahi no ka manawa lōʻihi. Paʻa kekahi poʻe i ka hao lanahu ma waena o ko lākou mau wāwae. Hiki ke loaʻa kēia ʻano ʻulaʻula ʻili ma muli o ka lōʻihi o ka hoʻohana ʻana i ka wela nui.
He aha nā kumu o ka ʻili ʻeleʻele?
Nui nā kumu hiki ke loaʻa i ka Secondary Livedo Reticularis, a mākou i kamaʻilio ai ma mua, ʻo ia ke ʻano i hoʻokumu ʻia e kahi maʻi ʻē aʻe. No laila he mea nui e ʻike koke i ke kauka i kou ʻike ʻana.
ʻO ka mea nui loa, inā ʻike ʻoe i kahi ʻano e like me kēia ma kou ʻili, mai manaʻo wale, "He anu wale nō paha," akā e ʻike pono i ke kauka a loaʻa ka ʻōlelo aʻoaʻo. No ka mea, ʻo ia paha ka hōʻailona mua o kahi maʻi koʻikoʻi.
Aia ma lalo iho kekahi o nā kumu nui.
| Māhele Kumu | Nā laʻana a me ka wehewehe maʻalahi |
|---|---|
| Nā maʻi Autoimmune a me nā maʻi pili | ʻO kēia nā maʻi kahi e hoʻouka ai ka ʻōnaehana pale ponoʻī o ko mākou kino i kā mākou mau cell ponoʻī. Eia kekahi laʻana: Lupus, Rheumatoid Arthritis, Fibromyalgia. |
| Nā maʻi vascular | Nā maʻi i hoʻokumu ʻia e ka paʻa ʻana a i ʻole ka haiki ʻana o nā kīʻaha koko. No ka laʻana: nā ʻōpū koko i nā wāwae (Deep Vein Thrombosis - DVT), Antiphospholipid Syndrome. |
| Nā maʻi | Hiki ke hana ʻia kēia kūlana e kekahi mau maʻi bacteria a me viral, e like me ka Tuberculosis, Hepatitis C, a me ka maʻi Meningococcal. |
| Kekahi mau lāʻau lapaʻau (nā hopena lāʻau lapaʻau) | Hiki ke loaʻa kēia ʻano ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau. He mea nui e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei. |
| Nā Kūlana Neurological | Nā maʻi e hoʻopilikia ai i nā aʻalolo ma waho o ka lolo a me ke kaula kuamoʻo. Eia kekahi laʻana: Multiple Sclerosis (MS), ka maʻi ʻo Parkinson. |
| Ka maʻi ʻaʻai | Hiki i kekahi mau ʻano maʻi kanesa, ʻoiai nā maʻi kanesa e pili ana i ke koko, ke hana i kēia hōʻailona ma ke keakea ʻana i ke kahe o ke koko. |
| Hopena o ke Ola | Ma ka hopena o ke ola o ke kanaka, e emi mālie ana ke kahe koko i loko o ke kino. I kēlā manawa, e ʻike paha ʻoe i kahi ʻano ʻili e like me kēia. Akā i ka manawa like, ʻike ʻia nā hōʻailona ʻē aʻe e like me ka paʻakikī o ka hanu ʻana. |
Pehea e ʻike ai ke kauka a mālama i kēia?
Ke ʻike ʻoe i ke kauka me kēia hōʻailona, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono i kou ʻili. A laila, e nīnau lākou iā ʻoe e pili ana i kou mōʻaukala olakino, ka mōʻaukala olakino ʻohana, a me nā lāʻau lapaʻau āu e lawe nei.
- Nā hoʻokolohua: Inā he kānalua, hiki ke hana ʻia nā hoʻokolohua koko e ʻike ai i ke kumu a i ʻoleHiki ke kauoha ʻia nā hoʻāʻo mimi . He mea kākaʻikahi loa, hiki ke hana ʻia kahi biopsy ʻili.
- Lapaʻau: Pili ka lāʻau lapaʻau i ke ʻano o ka ʻili ʻōniʻoniʻo āu a me kona kumu.
- No ke ʻano e hele mai ana mai ke anu mai: ʻO nā mea maʻalahi wale nō kāu e hana ai. E hoʻomehana i kou kino. ʻO ka ʻauʻau ʻana i ka wai mehana a me ke komo ʻana i nā lole e pale aku iā ʻoe mai ke anu ua lawa ia.
- No ke ʻano i hoʻokumu ʻia e kekahi maʻi ʻē aʻe: ʻO ka mea nui ma ʻaneʻi, ʻo ia ka mālama pono ʻana i ka maʻi kumu . No ka laʻana, inā he pilikia koko, hiki iā ʻoe ke hāʻawi i nā lāʻau hoʻomāmā koko ('Anticoagulants'). Na ke kauka e hoʻoholo i ka lāʻau kūpono.
- No ke ʻano i hoʻokumu ʻia e ka wela: Nalo pinepine kēia ke pau kou hoʻokuʻu ʻia ʻana i ka wela. Inā hoʻomau ia, hiki i ke kauka ke kuhikuhi i kahi kirīmi lāʻau.
Leka Lawe-Home
- ʻO ka ʻIli Mottled kahi ʻano i ʻike ʻia ai kahi ʻano polū-ʻulaʻula, mottled ma ka ʻili o ka ʻili. Hoʻokumu ʻia kēia e ke kahe koko i loko o nā kīʻaha koko ma lalo o ka ʻili.
- I ka manawa pinepine, ʻoi aku hoʻi i nā pēpē, ua hoʻokumu ʻia kēia e ke anu. ʻAʻole ia he mea ʻino a nalo wale nō ke mahana ke kino.
- Eia nō naʻe, inā hana ʻia kēia ʻano ʻoiai ʻaʻole ʻoe i ke anu, hoʻomau, a i ʻole hele pū ʻia me nā hōʻailona ʻē aʻe e like me ke kuni, ka ʻeha o nā hono, a me ka paʻakikī o ka hanu ʻana, he hōʻailona paha ia o kahi maʻi koʻikoʻi.
- No laila, inā ʻike ʻoe i kahi ʻano e like me kēia ma kou ʻili a i ʻole ka ʻili o kāu keiki, mai hoʻowahāwahā iā ia a e ʻike pono i ke kauka e ʻike i ke kumu pololei.
- Mai poina e hiki ke hoʻomalu pono ʻia nā ʻano maʻi he nui me ka ʻike mua ʻana.
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