Ke ʻeha nei ʻoe i kekahi maʻi ʻili, e like me ka psoriasis a i ʻole ka eczema? I kekahi manawa he paʻakikī ke kāohi i kēia mau maʻi ma hope o ka hoʻohana ʻana i nā lāʻau lapaʻau he nui, ʻeā? I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau kūpono loa i hoʻohana ʻia i ia mau hihia. ʻO ia ka light therapy, a i ʻole phototherapy.
I ka ʻōlelo maʻalahi, he aha ka phototherapy?
ʻO ka Phototherapy, a i ʻole ka light therapy, he lāʻau lapaʻau ia e hoʻohana ana i ka mālamalama ultraviolet (UV) i kāohi kūikawā ʻia e kuhikuhi i nā wahi o kou ʻili. I ka pololei, pili ia i ka hōʻike ʻana i kou ʻili i kahi mālamalama i hoʻopuka ʻia e kahi mīkini kūikawā ma lalo o ka nānā ʻana a ke kauka. He lāʻau lapaʻau kūpono loa ia no nā maʻi ʻili he nui, e like me ka psoriasis a me ka eczema.
He aha ka mea e hoʻohana ʻia ai kēia kukui UV?
Ua ʻike anei ʻoe he ʻāpana kūlohelohe o ka lā ka mālamalama UV? Kōkua ka mālamalama UV i ko mākou kino e hana i ka wikamina D a mākou e pono ai. Eia nō naʻe, ʻaʻole maikaʻi ka nui o ka hoʻopili ʻana i ka mālamalama UV no ko mākou ʻili.
Hoʻohana ka Phototherapy i nā kukuna UV like i loaʻa i ka lā. Akā, mai hopohopo, e kāohi pono kāu kauka i ka ikaika o ke kukui a me ka lōʻihi o ka hōʻike ʻia ʻana o kou ʻili iā ia. E pale aku kēia i ka hōʻino ʻia ʻana o kou ʻili.
E nānā kākou i nā ʻano o nā kukuna UV.
| ʻAno o nā kukuna UV | He wehewehe maʻalahi e pili ana i ia mea |
|---|---|
| UVB (Ultraviolet B) | He mau kukuna nalu waena kēia. Hiki wale lākou i ka papa luna o kou ʻili. Ke hōʻike ʻia ʻoe i ka lā, ʻo ia ka wā e loaʻa ai iā ʻoe ka nui o kēia mau kukuna UVB e puhi ʻia ai ʻoe i ka lā. |
| UVA (Ultraviolet A) | He lōʻihi ka nalu o kēia mau mea, no laila hiki iā lākou ke komo a hiki i ʻelua papa o ka ʻili. Hoʻohana ʻia lākou e mālama i nā kūlana i hohonu i loko o ka ʻili. ʻO ka nui o ka ʻike ʻana i nā kukuna UVA hiki ke hoʻoulu i ka ʻili e puhi a me ka ʻāʻī. |
Nā kala like ʻole o ke kukui i hoʻohana ʻia no ka mālama ʻana
Hoʻohana ʻia nā kala like ʻole o ke kukui e mālama ai i nā ʻano maʻi like ʻole.
- Lapaʻau kukui polū: Ua like kēia me ke kukui mai kāu kelepona. Hoʻohana pinepine ʻia kēia kukui polū e mālama i ka jaundice i nā pēpē hānau hou.
- Lapaʻau kukui ʻulaʻula: ʻO ka laser kahi ʻano kukui ʻulaʻula. Hoʻohana ʻia ia e mālama i nā maʻi ʻili e like me nā wrinkles, ka ʻulaʻula, ka ʻākena, a me nā ʻōpala.
ʻO wai ka mea hiki ke loaʻa i kēia lāʻau lapaʻau? Palekana anei ia no nā mea āpau?
Inā ʻōlelo ke kauka i kēia lāʻau no kou kūlana, hiki i kekahi, me nā keiki ʻōpio a me nā pākeke, ke hana i kēia lāʻau.
Eia nō naʻe, ʻoiai he lāʻau palekana ka phototherapy, he kiʻekiʻe iki ka pilikia o nā hopena ʻaoʻao no kekahi poʻe. Na kāu kauka e hoʻoholo inā kūpono kēia lāʻau iā ʻoe. ʻAʻole ʻōlelo ʻia kēia lāʻau inā loaʻa iā ʻoe kēia mau kūlana:
- Inā loaʻa iā ʻoe kahi maʻi ʻaleka i ka lā: ʻAʻole kēia he maʻi ʻaleka maoli. Eia nō naʻe, inā he maʻalahi kou ʻili i ka lā, ʻaʻole kūpono kēia lāʻau lapaʻau.
- Inā he moʻolelo kou no kekahi ʻano maʻi ʻili: ʻaʻole ʻōlelo ʻia ka mālama ʻana i ka UVA.
- Inā hāpai ʻoe a hānai waiū paha.
- Inā he maʻi kou akepaʻa.
- Inā loaʻa iā ʻoe kahi maʻi e like me lupus.
- Inā he maʻi hoʻoilina kou e hoʻopilikia ai i kou ʻili i ka lā (e like me xeroderma pigmentosa).
- Inā ʻoe e hoʻohana ana i kekahi mau lāʻau lapaʻau e hoʻopilikia ai i kou ʻili i ka lā.
He palekana kēia no nā pēpē hānau hou?
ʻAe, ʻoiaʻiʻo nō. He lāʻau palekana loa ka Phototherapy no nā pēpē hānau hou. Loaʻa ka jaundice i nā pēpē hānau hou ke nui loa ka bilirubin i loko o ko lākou kino. ʻO kēia ke kumu e melemele ai ka ʻili a me nā maka o ka pēpē. Kōkua ke kukui UV polū i ka wehe ʻana i kēia bilirubin keu mai ke kino o ka pēpē. Inā ʻaʻole mālama ʻia, hiki i kēia bilirubin keu ke hoʻopilikia i ka pēpē.
I kekahi manawa, ke lawe mai ʻoe i kāu pēpē i ka home mai ka haukapila mai, hiki ke hāʻawi ʻia iā ʻoe kahi kukui kūikawā a i ʻole kahi kapa moe i hoʻomālamalama ʻia e hana i kēia lāʻau lapaʻau ma ka home. Nānā pono ʻia ke pēpē e nā kauka i ka wā o ka lāʻau lapaʻau.
He aha nā kūlana nui i mālama ʻia me ka phototherapy?
- ʻO ka psoriasis
- ʻEkika
- ʻĀnai
- ʻO ka jaundice hānau hou
- ʻO ka ʻili ʻili
- ʻO Mycosis fungoides (kahi ʻano maʻi ʻili)
- ʻO Morphea (kahi ʻano e mānoanoa ai ka ʻili a paʻakikī)
Pehea ka hana o ka lāʻau lapaʻau?
Hiki ke hoʻokaʻawale ʻia kēia kaʻina hana i kekahi mau ʻāpana.
Ma mua o ka mālama ʻana
E hoʻonohonoho kāu kauka i nā lako e pono ai ma ka haukapila a i ʻole ke kikowaena lapaʻau. E hāʻawi ʻia ʻoe i kahi mau maka pale e pale ai i kou mau maka. Ma muli o ka wahi i mālama ʻia ai, pono paha ʻoe i kahi pale maka a i ʻole kahi pākeke e uhi i nā ʻāpana o kou kino i mālama ʻole ʻia. E hāʻawi ʻia ʻoe i ka sunscreen e kau ai i kou ʻili ma mua o ka mālama ʻana. Inā hoʻokahi wale nō ʻāpana o kou kino e mālama ʻia ana, e hāʻawi ʻia ʻoe i nā kuhikuhi no ke ʻano a me kahi e kau ai i ka sunscreen. Ma muli o ka wahi i mālama ʻia ai, pono paha ʻoe e wehe i kekahi a i ʻole kou mau lole āpau.
I ka wā o ka mālama ʻana
Ma mua o ke hoʻā ʻana i ke kukui, e hōʻoia kāu kauka e ʻaʻahu ana ʻoe i nā lako palekana kūpono, e like me nā goggles. ʻOkoʻa ke ʻano o ka pā ʻana o ke kukui i ka ʻili ma muli o ke ʻano o ka lāʻau.
- Kukui UVB: Hoʻokomo ʻia ʻoe i loko o kahi pahu (e like me kahi moena ʻili) kahi e hiki ai iā ʻoe ke kū, a hoʻā ʻia nā kukui i loko. Hāʻawi ʻia ke kukui i kou ʻili i ka manawa i kuhikuhi ʻia e kāu kauka. Inā he wahi liʻiliʻi wale nō o ka ʻili i mālama ʻia, e kau ʻia ʻoe ma luna o kahi papaʻaina a i ʻole e hoʻomoe ʻia, a e kuhikuhi ʻia ke kukui i kēlā wahi me kahi mea liʻiliʻi (wand).
- Kukui UVA: Ua like kēia me ka lāʻau UVB. Eia nō naʻe, i kekahi manawa hoʻohana ʻia nā lāʻau lapaʻau e hoʻomaikaʻi ai i ka lāʻau. He kemika ʻo Psoralen i loaʻa mai nā mea kanu. Hoʻonui kēia i kou ʻili i ka ʻike i ka kukui UVA. Inā ʻoe e mālama ana iā UVA me Psoralen, hiki i kāu kauka ke aʻo iā ʻoe e hoʻomoʻa i loko o kahi ʻōmole wai me Psoralen, lawe i kahi pila, a hoʻopili paha i kahi kirīmi ma mua o ka lāʻau.
- Ke kukui laser Excimer: Hāʻawi kēia i ka mālamalama UV i nā wahi liʻiliʻi o ke kino ma ke ʻano i kuhikuhi ʻia.
ʻEhia ka lōʻihi o ka mālama ʻana?
ʻOkoʻa ka lōʻihi o ka mālama ʻana ma muli o ka nui o ka ʻili e mālama ʻia ana a me ka ikaika o ke kukui UV i hoʻohana ʻia. No nā hopena maikaʻi loa, pono paha ʻoe e loaʻa i kekahi mau mālama ʻana. Hiki i ka mālama mua ke mau i kekahi mau kekona, ʻoiai ʻo ka mālama hope loa e mau i kekahi mau minuke no ka UVB a me hoʻokahi hola no ka UVA. Na kāu kauka e hoʻoholo i ka hoʻolālā mālama kūpono iā ʻoe.
Ma hope o ka mālama ʻana
Na ke kauka e aʻo iā ʻoe pehea e pale ai i kou ʻili ma hope o ka lāʻau lapaʻau.
- E hoʻopili i ka sunscreen a/a i ʻole e uhi i nā wahi i mālama ʻia me nā lole.
- E komo i ka pale maka i ka wā e hele ai i waho.
- E hoʻopili i kahi moisturizer i kēlā me kēia lā e pale ai i ka maloʻo o ka ʻili.
- E pale i ka lā a me nā moena ʻili.
He aha nā pōmaikaʻi o kēia lāʻau lapaʻau?
- Hoʻemi i ka mumū i loko o ka ʻili.
- Pale i ka hoʻi hou ʻana o nā hōʻailona e like me ka eczema.
- Hoʻēmi i ka maneʻo.
Aia kekahi mau hopena ʻaoʻao a i ʻole nā pilikia?
ʻAe, e like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia. E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe ma mua o ka lāʻau lapaʻau.
| Ka hopena ʻaoʻao/pilikia | Nā mea e pono ai ʻoe e ʻike |
|---|---|
| ʻUlaʻula ʻili | Nalo pinepine kēia i loko o 24 mau hola. |
| Nā kuni a i ʻole nā pehu | Hiki ke like me ke kuni ʻana i ka lā. |
| ʻIli maloʻo | Hiki ke hoʻoponopono ʻia ma ka hoʻohana ʻana i ka moisturizer. |
| Ka luaʻi | Hiki wale kēia inā ʻoe e hoʻohana i ka lāʻau lapaʻau Psoralen. |
| ʻO ka ʻelemakule ʻili mua (nā wrinkles) | Hiki wale kēia inā ʻoe e lawe i ka lāʻau lapaʻau no ka manawa lōʻihi. |
| Ka pilikia o ka maʻi ʻili | Aia kahi pilikia liʻiliʻi loa o ka loaʻa ʻana o nā maʻi ʻaʻai ʻili (basal cell carcinoma, squamous cell carcinoma, melanoma) inā loaʻa iā ʻoe ka lāʻau UVA no ka manawa lōʻihi . |
ʻEhia ka lōʻihi e ʻike ai i nā hopena?
Ma hope o ka mālama ʻana, hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau. Eia nō naʻe, no ka ʻike ʻana i nā hopena ma kou ʻili, pono ʻoe e hana i kekahi mau mālama. ʻO ka maʻamau, e ʻike ʻoe i kahi hoʻomaikaʻi koʻikoʻi i kou ʻili ma hope o 6-8 mau mālama. Eia nō naʻe, hiki ke hala he 15-25 mau mālama e ʻike i nā hopena piha. Hiki ke lōʻihi kekahi mau kūlana.
Ma hope o ka mālama ʻana, ʻulaʻula iki paha kou ʻili a ʻeleʻele paha ma mua o ka wā ma mua (hyperpigmentation). E nalo ana kēia ma kahi o 24 mau hola. Eia nō naʻe, inā manaʻo kou ʻili e like me ke kuni ʻana no nā lā ʻelua a ʻoi aku, e kamaʻilio me kāu kauka.
Inā loaʻa kekahi mea e like me kēia, e ʻike koke i ke kauka.
- Inā e like ana kou ʻili me ke kuni ʻana i 24 mau hola ma hope o ka mālama ʻana.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka luaʻi, a me ke anu.
- Inā loaʻa nā pehu ma kou ʻili.
- Inā he mau hōʻailona o ka maʻi (inā pehu ka ʻeha a kahe ka pus).
- Inā loaʻa ka pilikia o ka ʻike ʻaʻole i loaʻa ma mua o ka lāʻau lapaʻau.
Leka Lawe-Home
- He lāʻau lapaʻau kūpono ka Phototherapy no nā maʻi ʻili e hoʻohana ana i kahi kukui UV kūikawā ma lalo o ka mākaʻikaʻi lapaʻau.
- He mea kūpono loa kēia no ka psoriasis, eczema, a me ka jaundice i nā pēpē hānau hou.
- ʻOiai he lāʻau lapaʻau palekana kēia ma ke ʻano laulā, ʻaʻole kūpono ia no nā mea āpau, no laila he mea nui e kūkākūkā i kou mōʻaukala olakino piha me kāu kauka.
- No nā hopena maikaʻi loa, pono nā ʻano lapaʻau he nui. He mea nui hoʻi e pale i kou ʻili mai ka lā ma hope o ka lapaʻau ʻana.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me ka hoʻonāukiuki mau ʻana o ka ʻili a i ʻole ka pehu ʻana, e hoʻomaopopo koke i kāu kauka.
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