Ua loaʻa koke anei iā ʻoe kahi ʻulaʻula poni, ʻano unahi iki ma kou kino, ʻoi aku hoʻi ma kou umauma, ʻōpū, a i ʻole ke kua? Ua ʻike ʻia i loko o hoʻokahi a ʻelua paha pule a laila laha i nā wahi liʻiliʻi he nui? A laila loaʻa paha iā ʻoe kahi maʻi ʻili i kapa ʻia ʻo Pityriasis Rosea. Mai makaʻu i kou lohe ʻana i kēia inoa. He maʻi maʻamau loa kēia, a ʻaʻole ia he mea weliweli. E kamaʻilio maʻalahi kākou e pili ana iā ia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka Pityriasis Rosea?
I ka ʻōlelo maʻalahi, ʻo Pityriasis Rosea kahi maʻi ʻili e hōʻike ai i nā ʻāpana poni, piʻi, a unahi ma kou ʻili. ʻIke pinepine ʻia kēia mau mea ma kou kino (umauma, ʻōpū, kua), nā lima, a me nā wāwae. ʻOiai ka inoa ʻo "Rosea," ʻaʻole like kēia mau ʻāpana me ka poni. Hiki iā lākou ke ʻike ʻia he ʻulaʻula, hina, ʻeleʻele, a poni paha, ma muli o kou ʻili.
He inoa ʻakaʻaka ko kēia maʻi - "ka ʻulaʻula o ka lāʻau Kalikimaka." ʻO kēia no ka mea ke pālahalaha kēia mau wahi liʻiliʻi ma ke kino, ua like lākou me nā lālā o kahi lāʻau Kalikimaka e kūlou ana i lalo.
ʻO wai ka mea kūpono loa e loaʻa i kēia?
Hiki i ka Pityriasis Rosea ke hoʻopilikia i kekahi, akā ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe.
- No ka poʻe ma waena o 10 a me 35 mau makahiki .
- ʻOi aku ka nui o nā wahine i ka loaʻa ʻana o kēia maʻi ma mua o nā kāne ma kahi o 50%.
Wahi a kekahi poʻe ua kaumaha nui lākou ma mua o ka loaʻa ʻana o kēia mau kiko. Eia naʻe, ʻaʻole i hōʻoia ʻia e ka ʻepekema ʻo ke kaumaha ke kumu o ia mau kiko. ʻAʻole pinepine ia i ka poʻe ma luna o 60 mau makahiki. Eia naʻe, inā loaʻa, hiki i nā hōʻailona ke lōʻihi iki.
He aha nā hōʻailona? E aʻo kākou e pili ana iā lākou i kēlā me kēia ʻanuʻu...
ʻAʻole ʻike pinepine ʻia nā hōʻailona o kēia maʻi i ka manawa hoʻokahi. ʻIke ʻia lākou ma nā pae he nui.
| Kahua | He aha ka mea e hana ʻia |
|---|---|
| Kahua mua (nā hōʻailona mua) | Hiki i kekahi poʻe ke loaʻa i kahi maʻi ʻoluʻolu e like me ke kuni, ka ʻeha poʻo, a me ka ʻeha ʻāʻī no kekahi mau lā ma mua o ka ʻike ʻia ʻana o kēia mau kiko. ʻAʻole kēia e hana i nā kānaka a pau. |
| Ka hōʻea ʻana mai o ka 'Herald Patch' | ʻO ka mea mua, ʻike ʻia kahi kiko poepoe a ʻano oval paha, ma kahi o 1-6 kenimika ka nui, ma kahi hoʻokahi o ke kino. ʻO kēia ka hōʻailona mua o ka maʻi. Kāhea pū mākou i kēia ʻo 'Herald Patch' a i ʻole 'mother patch'. |
| Ka laha ʻana o 'Daughter Patches' | ʻIke ʻia ke kiko nui ma kahi o hoʻokahi a ʻelua paha pule, a hoʻomaka nā kiko liʻiliʻi he nui (ma kahi o 1-2 cm) e pālahalaha, ʻoi aku hoʻi ma ke kumu. Ua kapa ʻia kēia mau mea ʻo 'nā ʻāpana kaikamahine'. |
| ʻĀnai | Ma kahi o 50% o ka poʻe me kēia maʻi, a i ʻole hoʻokahi i loko o ʻelua, e ʻānai i kēia mau kiko. Hiki i ka maneʻo ke ikaika loa no kekahi poʻe. |
| ʻIke ʻili ʻeleʻele | I ka poʻe me ka ʻili ʻeleʻele, ʻike ʻia kēia mau kiko i luna aʻe (papular) ma mua o ka maʻamau. |
ʻAʻole kēia mau kiko e hōʻeha. Eia nō naʻe, inā ʻoe e kahakaha nui iā lākou, hiki iā lākou ke hōʻino i ka ʻili a hoʻoulu i ka maʻi , kahi e hiki ai ke hōʻeha.
No ke aha e hana ʻia ai kēia? He laha anei ia mai ke kanaka a i ke kanaka?
ʻAʻole i loaʻa ke kumu kikoʻī o kēia maʻi, akā manaʻo nā kauka he kumu paha ia e kekahi mau ʻano maʻi herpes (`(HHV-6)`, `(HHV-7)`, `(HHV-8)`).
ʻO ka mea nui loa, ʻaʻohe pili o kēia maʻi herpes me ka herpes genital a i ʻole ka maʻi herpes e hoʻoulu ai i nā ʻeha anu. No laila, ʻaʻole ia he maʻi i laha ma ke ʻano moekolohe (STD). A ʻaʻole ia e laha mai ke kanaka a i ke kanaka ma o ka pili ʻana o ka ʻili a i ka ʻili. No laila, mai makaʻu nui i kēia.
ʻO Pityriasis Rosea a i ʻole Ringworm?
Hoʻohuihui kekahi poʻe i kēia mau kūlana ʻelua me ka ringworm no ka mea ua like loa lāua. He mau ʻāpana unahi a piʻi aʻe nā mea ʻelua ma ka ʻili. He maʻi fungal ka ringworm . ʻO Pityriasis Rosea kahi kūlana i manaʻo ʻia ua hoʻokumu ʻia e kahi maʻi. Hiki i kāu kauka ke haʻi i ka ʻokoʻa ma waena o nā mea ʻelua.
He mea weliweli anei inā hana ia i ka wā hāpai?
He mea nui loa kēia. Inā hāpai ʻoe a loaʻa iā ʻoe nā kiko e like me kēia,Mai hoʻokaʻulua a e hoʻomaopopo koke i kāu kauka.
Ua hōʻike kekahi mau noiʻi e hiki i ka Pityriasis Rosea i ka wā hāpai mua ke hoʻonui i ka pilikia o ka hāʻule ʻana a me ka hypotonia neonatal. No laila, he mea nui e ʻimi i ke kōkua lapaʻau.
Pehea e ʻike ai ke kauka i kēia?
Hiki i ke kauka ke ʻike i ka Pityriasis Rosea ma ka nānā ʻana i kou ʻili, ʻoiai ma ka ʻike ʻana i ka 'Herald Patch' mua.
Akā i kekahi manawa hiki ke huikau ʻia me nā maʻi ʻili ʻē aʻe. Eia kekahi laʻana:
- ʻEkika
- ʻO ka psoriasis
- ʻIlo ʻāʻī
- ʻO ka ilo ʻāʻī (Tinea versicolor)
No laila, inā he kānalua ko ke kauka, hiki iā ia ke kuhikuhi iā ʻoe no kahi biopsy, ʻo ia hoʻi ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻili a nānā iā ia, a i ʻole kahi hoʻāʻo koko, e hōʻoia i ʻaʻohe mau maʻi ʻē aʻe.
He aha nā lāʻau lapaʻau? Aia kekahi mau mea hiki iaʻu ke hana ma ka home?
ʻO ka nūhou maikaʻi, no ka hapa nui o nā kānaka, e nalowale loa kēia mau kiko i loko o 6-8 mau pule me ka ʻole o kekahi lāʻau lapaʻau.
Eia nō naʻe, inā koʻikoʻi loa ka maneʻo, hiki i kāu kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau e hōʻemi i ka ʻoluʻolu ʻole.
- Nā lāʻau antiviral: Nā lāʻau lapaʻau e kōkua ai i ke kaua ʻana i nā maʻi viral.
- Phototherapy: He lāʻau lapaʻau e hoʻohana ana i ke kukui ultraviolet (UVB) kikoʻī. Eia nō naʻe, hiki i ka poʻe me nā ʻili ʻeleʻele ke loaʻa ka hyperpigmentation mau loa ma hope o kēia, no laila he mea nui e kūkākūkā i kēia me kāu kauka.
- Nā papa Prednisone: He mau papa corticosteroid kēia. Hoʻēmi lākou i ka mumū a me ka maneʻo o ka ʻili.
Nā mea hiki iā ʻoe ke hana ma ka home e hōʻoluʻolu i ka ʻeha
He mea nui e kamaʻilio me kāu kauka ma mua o ka hoʻāʻo ʻana i kēia mau lāʻau lapaʻau home. Hiki paha iā ʻoe ke maʻi āpau i kekahi o nā mea hoʻohui.
- Nā Antihistamine: Kōkua nā pila allergy i ka hoʻēmi ʻana i ka maneʻo.
- Lotion Calamine: Hoʻēmi i ka maneʻo a me ka ʻoluʻolu ʻole, a hōʻoluʻolu i ka maloʻo o ka ʻili.
- Nā kirimina Hydrocortisone: Nā kirimina e hōʻemi ai i ka maneo a me ka mumū.
- ʻOatmeal: He lāʻau lapaʻau kūlohelohe maikaʻi loa ka ʻOatmeal no ka maneʻo. E wili i kekahi mau ʻoat i loko o ka mīkini wili a palupalu. A laila e kāwili me kahi wai liʻiliʻi e hana i kahi kāpili a hoʻopili i nā wahi i hoʻopilikia ʻia. E waiho no kahi o 10 mau minuke a laila holoi me kahi lole maʻemaʻe.
He aha nā manawa kūpono loa e ʻike ai i ke kauka?
ʻOiai ʻaʻole kēia he mea weliweli maʻamau, pono ʻoe e ʻike i ke kauka i nā hihia aʻe:
- Inā ʻoe e hoʻomohala i nā hōʻailona hou.
- Inā ʻaʻole hoʻomaikaʻi nā hōʻailona me ka mālama ʻole ʻia.
- Inā ʻoi aku ka lōʻihi o nā kiko ma mua o 10 mau pule.
- Inā ʻike ʻia nā kiko he maʻi (e like me ka ʻulaʻula, ka pehu, ka pus e kahe ana).
- Inā hāpai ʻoe a ʻike ʻia nā kiko e like me kēia (he mea nui loa kēia).
Leka Lawe-Home
- He maʻi ʻili maʻamau ka Pityriasis Rosea, ʻaʻole ia he mea weliweli.
- ʻAʻole kēia e laha mai ke kanaka a i ke kanaka a ʻaʻole hoʻi he maʻi i laha ma ke ʻano moekolohe.
- Hoʻōla loa ia i loko o 6-8 mau pule me ka ʻole o kekahi lāʻau lapaʻau.
- Inā koʻikoʻi ka maneʻo, hiki iā ʻoe ke loaʻa ka lāʻau no ia.
- ʻO ka mea nui loa, inā he mau kiko kou e like me kēia, e ʻike i ke kauka e hōʻoia he Pityriasis Rosea wale nō ia.
- Inā hāpai ʻoe, e hoʻomaopopo koke i ke kauka inā loaʻa iā ʻoe kekahi ʻōhū e like me kēia.
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