I kekahi manawa ua ʻike paha ʻoe i kahi keiki liʻiliʻi, a i ʻole kāu keiki ponoʻī paha, i loaʻa koke kahi ʻulaʻula a me ka ʻāʻī ma ko lākou ʻili. He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i kēia hanana i manaʻo ʻole ʻia. Akā, mai hopohopo, ʻo kēia ka mea a mākou e kapa nei ʻo 'Urticaria' a i ʻole ʻoi aku ka maʻamau ʻo 'Hives'. E aʻo iki kākou e pili ana i kēia lā.
Ua ʻike anei ʻoe i ke ʻano o kēia mau ʻūhini?
I ka ʻōlelo maʻalahi, he ʻulaʻula nā hives, he mau puʻupuʻu i hoʻokiʻekiʻe ʻia ma ka ʻili. I kekahi manawa ua like lākou me nā kiko liʻiliʻi, i kekahi manawa ua like lākou me nā kiko nui, a i kekahi manawa hiki iā lākou ke hui pū i hoʻokahi ʻāpana nui. ʻO ka mea kupaianaha, hiki i kēia mau puʻupuʻu ke ʻike ʻia ma nā wahi āpau o ke kino.
Hiki i kēia mau hives ke mau no kekahi mau hola a i kekahi mau lā, i kekahi manawa he pule paha. I ka mae ʻana o nā hives kahiko, hiki ke ʻike ʻia nā hives hou . Inā emi kēia mau hives ma mua o 6 mau pule, kapa mākou iā lākou he 'Acute Hives'. ʻO ia hoʻi, ke ʻano e hoʻomaikaʻi ma hope o kekahi manawa. Akā no kekahi poʻe, hiki i kēia mau hives ke hoʻomau no nā pule he 6 a ʻoi. ʻO ia ka mea i kapa ʻia ʻo 'Chronic Hives'. ʻO ia hoʻi, he ʻano lōʻihi a hoʻopilikia.
No ke aha e hana ai kēia? He aha nā kumu o ka hives (Urticaria)?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'No ke aha lā e ʻike koke ʻia ai kēia mau ʻōhūhū?' ʻO ka mea maoli e hana nei, ʻo ia kēia. Aia nā ʻāpana kūikawā i loko o ko kākou koko i kapa ʻia ʻo 'Mast Cells'. Hoʻokuʻu kēia mau ʻāpana i kahi kemika i kapa ʻia ʻo 'Histamine'. Ma muli o kēlā histamine e kahe ai ke wai mai nā kīʻaha koko liʻiliʻi ma lalo o ka ʻili, e hōʻiliʻili ma ka ʻili, a hana i kēlā mau ʻōhūhū a me nā kiko nui a mākou i ʻōlelo ai.
Hiki ke loaʻa nā kumu like ʻole no ka hoʻokuʻu ʻia ʻana o ka histamine ma kēia ʻano. Eia nō naʻe, i kekahi manawa ʻaʻole hiki ke loaʻa ke kumu pololei, a pono hoʻi e hoʻomanaʻo ʻia kēlā.
Ka pōʻino i hoʻokumu ʻia e nā allergies
ʻO ka hapa nui o ka manawa, hoʻokumu ʻia nā hives e kahi allergy. ʻO ke ʻano kēia e hiki ke ʻike ʻia kēia mau ʻōhū i loko o nā minuke o ka hoʻopili ʻana me kahi mea maikaʻi ʻole no ke kino. Eia kekahi mau mea e hiki ai ke hoʻoulu i nā allergies a me nā ʻōhū:
- ʻAi a me ka mea inu: ʻOi loa nā meaʻai kai (e like me ka ʻōpae, pāpaʻi, heʻe), nā pīnati a me nā nati lāʻau ʻē aʻe, ka waiū, kekahi mau hua. E noʻonoʻo i ka ʻai ʻana o ke keiki a kāu hoaaloha i kekahi mau pīnati ma kahi pāʻina a ma hope koke iho ua puka mai nā ʻulaʻula ma kona kino holoʻokoʻa. ʻO ia wale nō.
- Nā lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau, e like me nā antibiotics, a me kekahi mau pana allergy hiki ke hana iā ia.
- Nā holoholona: Mai nā holoholona e like me nā pōpoki a me nā ʻīlio, a i ʻole mai nā holoholona ʻē aʻe.
- Pollen mai nā pua: I ka wā pua, hiki i kēia mau mea ke lana i ka makani a hoʻoulu i nā maʻi allergies.
- Nā nahu pepeke: Nā pepeke e like me nā makika, nā nalo, a me nā nalo ʻūlū.
Nā kumu ʻē aʻe e hiki ke hana i ka pōʻino me ka ʻole o nā maʻi allergies
ʻAʻole i loaʻa mau kēia mau ʻōhū i nā maʻi allergies. Aia kekahi mau kumu ʻē aʻe:
- Nā maʻi: Ma muli o nā maʻi ʻē aʻe, me kekahi mau maʻi viral.
- Hoʻoikaika Kino: Loaʻa i kekahi poʻe ma hope o ka hou nui ʻana a me ka hoʻoikaika kino ʻana.
- Ke Kaumaha a me ka Hopohopo: Hiki ke hana ʻia kēia mau mea i ka wā e hoʻokokoke mai ana kahi hoʻokolohua a i ʻole i ka wā e manaʻo nui ana ʻoe i ke kaomi.
- Ka Lā: ʻOiai ka lā ikaika loa hiki ke hoʻopilikia i kekahi poʻe.
- Ke anu ʻana: Ke hoʻopā ʻana i nā mea anuanu e like me ka wai hau a i ʻole ka hau, a i ʻole ke noho ʻana i kahi anu.
- Hoʻopili me nā kemika.
- Ka ʻōʻō ʻana: Hoʻomohala kekahi poʻe i nā ʻeha ma ke ala o ke ʻōʻō ʻana i ko lākou ʻili. Ua kapa ʻia kēia he dermatographia.
- Ke kau nei i ke kaomi ma luna o ka ʻili: E like me ka noho ʻana ma ke kūlana hoʻokahi no ka manawa lōʻihi, a i ʻole ke hāpai ʻana i kahi ʻeke kaumaha ma luna o kou mau poʻohiwi.
Kāhea pū mākou i nā hives i hoʻokumu ʻia e nā kumu kino (e like me ke anu, ka lā, a me ke kaomi) he 'nā hives kino'.
I kekahi manawa he mea paʻakikī loa ka loaʻa ʻana o ke kumu o ka 'urticaria mau' a i ʻole nā hives mau loa a mākou i ʻōlelo ai ma mua. Akā i kekahi manawa hiki ke pili i kekahi nāwaliwali o ka ʻōnaehana pale, no ka laʻana, me kahi maʻi e like me 'Lupus'. Eia kekahi, hiki i kēia mau hives lōʻihi ke hele mai mai kekahi mau lāʻau lapaʻau, nā meaʻai, nā pepeke, nā maʻi, a me nā mea ʻē aʻe. Akā i ka hapa nui o ka manawa, ʻaʻole hiki i nā kauka ke loaʻa ke kumu pololei o kēia mau hives mau loa.
He aha nā hōʻailona āu e ʻike ai ke loaʻa kēia maʻi ma kou kino?
ʻO ke ʻano nui o nā hives ka ʻike ʻia ʻana o nā ʻulaʻula a me nā ʻūlū. Hiki i kēia mau ʻūlū ke nānā aku penei:
- He keʻokeʻo paha ka ʻāpana waena.
- Hiki iā lākou ke hele mai i nā hui ma kahi hoʻokahi.
- Hiki ke loli ke ʻano a me kona wahi i loko o kekahi mau hola. ʻO ia hoʻi, ʻaʻole ia ma kona wahi i ke kakahiaka akā ma kona wahi i ke ahiahi.
- Hiki ke liʻiliʻi e like me kahi kiko liʻiliʻi, a i ʻole ka nui e like me kahi pā nui.
- He nui ka maneʻo, a i kekahi manawa hiki ke loaʻa ka ʻeha wela a me ke kuni.
Hiki i kekahi poʻe ke loaʻa i kahi maʻi i kapa ʻia ʻo 'angioedema' me kēia mau hōʻailona. Hiki i kēia ke hoʻoulu i ka pehu a puni nā maka, nā lehelehe, nā lima, nā wāwae, nā ʻōpū, a i ʻole ka puʻu. I kekahi manawa e lilo ke kino holoʻokoʻa i ʻulaʻula a like me ka pehu. ʻAʻole wale ia, akā hiki i nā hōʻailona e like me ka nausea, ka luaʻi ʻana, a me nā ʻōpū ʻeha ke hele pū me kēia.
ʻO ka mea nui loa, ʻoiai he mea kakaikahi loa, hiki i ka hives a me ka angioedema ke hele pū me kahi hopena aleri koʻikoʻi i kapa ʻia ʻo 'anaphylactic shock'. He mea weliweli loa kēia. Hiki iā ia ke hana i nā pilikia hanu, ka hāʻule koke ʻana o ke koko, ka poniuniu, a me ka nalowale o ka ʻike.Inā ʻike ʻoe i kēia mau hōʻailona, pono ʻoe e lawe koke ʻia i ka haukapila.
Pehea e ʻike ai ke kauka i kēia? (Diagnosis)
I ka hapa nui o ka manawa, hiki i ke kauka ke ʻike i nā hives ma ka nānā wale ʻana i ka ʻili o kāu keiki. Akā no ka ʻike ʻana i ke kumu, e nīnau ke kauka iā ʻoe e pili ana i ka mōʻaukala olakino o kāu keiki, nā maʻi i hala koke aku nei, nā lāʻau lapaʻau, ka ʻike ʻana i nā allergens, a me ke kaumaha o kēlā me kēia lā .
Inā loaʻa i kāu keiki nā hives mau loa, e haʻi aku ke kauka iā ʻoe e mālama i kahi puke moʻolelo o kēlā me kēia lā no nā mea a kāu keiki e hana ai, nā mea a lākou e ʻai ai, a me kahi e loaʻa pinepine ai iā lākou nā hives. Ua kapa ʻia kēia he moʻolelo i kēlā me kēia lā. Hiki i kēia ke kōkua iā ʻoe e ʻike i ke kumu.
Eia kekahi, hiki ke hana ʻia kekahi mau hoʻokolohua e ʻike ai i ke kumu pololei o nā hives. No ka laʻana , nā hoʻokolohua koko, nā hoʻokolohua allergy, a me nā hoʻokolohua e nānā i nā kūlana olakino ʻē aʻe e hiki ai ke hoʻoulu i nā hives (e.g., maʻi thyroid, hepatitis) .
Hana pū nā kauka i nā hoʻokolohua kūikawā e nānā i nā 'hives kino' a mākou i kamaʻilio ai ma mua. No ka laʻana, kau lākou i kahi pahu hau ma ka ʻili o ke keiki e ʻike inā pane lākou i ke anu. A i ʻole kau lākou i kahi mea kaumaha, e like me ka ʻeke one, ma ko lākou mau wāwae e ʻike inā ke kumu o ke kaomi i kekahi ʻeha.
He aha ka mea hiki ke hana ʻia e mālama ai i kēia maʻi? (Lāʻau lapaʻau)
ʻO ka hapa nui o ka manawa, ʻo nā hives i ʻole koʻikoʻi a puka koke mai, ʻaʻole pono lākou i kekahi lāʻau kūikawā a e hoʻōla wale nō ia. Eia nō naʻe, inā loaʻa ke kumu pololei, ʻo ka pale ʻana iā ia ka ʻāpana nui o ka lāʻau. E noʻonoʻo e like me ka mea inā e maʻi ʻoe ma hope o ka ʻai ʻana i nā pīni, e pale aku ʻoe i ka ʻai hou ʻana i nā pīni.
Inā ʻoe e maneʻo nui ana ma muli o nā hives, hiki i kāu kauka ke kuhikuhi i kahi antihistamine. Hana kēia mau lāʻau lapaʻau ma ka hoʻōki ʻana i ka hoʻokuʻu ʻia ʻana o ka histamine i loko o ke koko, a mākou i ʻōlelo ai ma mua, a me ke kāohi ʻana i ka maneʻo.
No nā hives mau loa, hiki i kāu kauka ke kuhikuhi i kahi antihistamine ʻaʻole e hoʻomaha, kūʻai ʻia ma luna o ke kauka, a i ʻole ke kauka e lawe i kēlā me kēia lā. Eia naʻe, ʻaʻole pono nā lāʻau āpau no nā kānaka a pau. No laila he mea nui e kamaʻilio me kāu kauka e ʻike i ka lāʻau kūpono no kāu keiki.
Inā ʻaʻole kōkua kahi antihistamine ʻaʻole e hiamoe, hiki i kāu kauka ke kuhikuhi i kahi antihistamine ikaika aʻe, kahi lāʻau lapaʻau ʻē aʻe, a i ʻole ka hui pū ʻana o nā lāʻau lapaʻau. He mea kākaʻikahi loa, hiki i ke kauka ke kuhikuhi i kahi pila steroid a wai paha e mālama i nā hives mau loa. Akā ʻo kēia maʻamau no kahi manawa pōkole loa (ma kahi o 5 mau lā a 2 mau pule).ʻO ke kumu o kēia, ʻo ia ke pale ʻana i nā hopena ʻaoʻao hiki ke loaʻa mai nā steroids.
He aha e hana ai i ka wā pilikia? (In Case of Emergency)
ʻO ka haʻalulu anaphylactic, kahi hopena maʻi koʻikoʻi e hoʻoulu ai i ka hives a i ʻole angioedema, he mea kākaʻikahi. Eia nō naʻe, inā loaʻa, he mea nui ka nānā koke ʻana i ke kauka.
Ke aʻo aku nei nā kauka i nā keiki me nā maʻi ʻaleka koʻikoʻi e lawe mau i kahi lāʻau injectable i kapa ʻia ʻo epinephrine. Inā pilikia kāu keiki i kahi hopena maʻi ʻaleka koʻikoʻi, e aʻo aku kāu kauka iā ʻoe a me kāu keiki pehea e hāʻawi palekana ai i ka lāʻau i kahi pilikia.
No laila, e hoʻomanaʻo kākou i kā kākou i kamaʻilio ai? (Leka Lawe-Home)
ʻAe, e nānā hou kākou i nā ʻoiaʻiʻo koʻikoʻi e pili ana i ka 'Urticaria' a i ʻole nā hives a mākou i kamaʻilio ai i kēia lā, ʻeā?
- ʻUlaʻula nā hives, maneʻo, a piʻi aʻe nā puʻupuʻu ma ka ʻili. He mea maʻamau loa ia.
- ʻO ka hapa nui, loaʻa kēia mau kumu i nā maʻi allergy, akā hiki ke loaʻa nā kumu ʻē aʻe.
- Inā hiki, ʻoi aku ka maikaʻi o ka ʻike a pale ʻana i nā mea hoʻoulu no kēia mau hōʻailona.
- Aia nā lāʻau antihistamine e hōʻemi i ka maneʻo.
- E nalo aku ana kekahi mau hives iā lākou iho, akā inā hoʻomau lākou (hives mau loa), pono ʻoe e ʻike i ke kauka a loaʻa ka lāʻau kūpono.
- > Inā ʻike ʻoe i nā hōʻailona koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ka puʻu, a i ʻole ka poniuniu, he pilikia ia. E hele koke i ka haukapila.
- Mai hopohopo, aia nā lāʻau lapaʻau maikaʻi no kēia maʻi. ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka a loaʻa ka ʻōlelo aʻoaʻo kūpono.
ʻUlu , Urticaria, Nā maʻi ʻili, Nā maʻi ʻaleʻale, Nā maʻi o nā keiki, Histamine











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