Ua ʻike anei ʻoe ua ulu koke kou ʻili i kahi ʻulaʻula poni, unahi, a piʻi iki aʻe? I kekahi manawa hiki iā ʻoe ke kahakaha i kēia mau kiko. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā , ʻo Pityriasis Rosea . He mea koʻikoʻi paha ke ʻano o ka inoa, akā e kamaʻilio maʻalahi kākou e pili ana, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka Pityriasis Rosea? I ka pōkole...
I ka ʻōlelo maʻalahi, ʻo ka pityriasis rosea kahi maʻi ʻili i maʻamau ʻaʻole koʻikoʻi , akā hiki ke hoʻonāukiuki iki. Hoʻoulu ia i nā ʻāpana ʻili unahi, piʻi aʻe (rashes) ma kou ʻili. ʻO ke ʻano o ka huaʻōlelo "pityriasis" ʻo "scaly." ʻO "Rosa" ʻo "pink." Eia naʻe, ʻaʻole i loaʻa i nā kānaka a pau kēia mau ʻāpana poni. Ma muli o ko lākou kala ʻili, hiki iā lākou ke ʻike ʻia he ʻulaʻula, hina, ʻeleʻele, a poni paha .
ʻIke pinepine ʻia kēia ma kou kino, nā lima, a me nā wāwae . Ua kapa pū kekahi poʻe iā ia he "Christmas tree rash." E kamaʻilio mākou e pili ana i ke kumu o kēlā ma hope.
ʻO wai ka mea i ʻoi aku ka paʻakikī ke hoʻomohala i kēia?
Hiki i kekahi ke loaʻa i ka pityriasis rosea. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe. E ʻike kākou ʻo wai lākou.
- No nā poʻe ʻōpio ma waena o 10 a me 35 mau makahiki .
- Ua ʻōlelo ʻia he 50% ka nui o ka loaʻa ʻana o kēia ʻano i nā wahine ma mua o nā kāne.
Wahi a kekahi poʻe ua kaumaha nui lākou ma mua o ka loaʻa ʻana o kēia mau kiko. Eia naʻe, ʻaʻole lawa ka noiʻi e hōʻoia ai ʻo ke kaumaha ke kumu o kēia mau kiko.
ʻAʻole pinepine ia i nā poʻe ma luna o 60 mau makahiki. Eia nō naʻe, inā loaʻa, hiki i nā hōʻailona ke mau iki aʻe.
Pehea ka hopena o ka pityriasis rosea i ke kino?
E like me ka mea i ʻōlelo ʻia ma mua, ʻo ka hapa nui o ia mea e hoʻopilikia i ka ʻili ma kou kino, nā lima, a me nā wāwae. Eia nō naʻe, aia kekahi ʻano kakaikahi i kapa ʻia ʻo "inverse pityriasis rosea," hiki ke hoʻopilikia i ka ʻili ma kou ʻāʻī, maka, nā ʻūpā lima, a me ka ʻūhā.
Hiki paha iā ʻoe ke loaʻa nā ʻeha ma kou ʻili i hoʻololi ʻia ke kala, e like me ke korala, a i ʻole e like me ka pepa maloʻo a ʻāwili . Hiki i kēia mau kiko ke maneʻo.
He aha nā hōʻailona? Pehea ʻoe e ʻike ai i kēia?
ʻIke pinepine ʻia nā hōʻailona o ka pityriasis rosea i kekahi mau pae. E nānā kākou pehea e hana ai kēlā.
- Hiki i kekahi poʻe ke ʻike mua i nā hōʻailona e like me ke kuni, ka ʻeha poʻo, a i ʻole ka ʻeha ʻāʻī, e like me ke anu.
ʻO ka "Herald Patch" a i ʻole "Mother Patch"
- A laila, koke koke, e ulu ana kahi ʻāpana nui iki, hāpai ʻia, ʻano ʻole ke kala, poepoe a ʻōvalo paha ma kekahi wahi o kou kino. Hiki i kēia ke anawaena mai 1 a 6 kenimika. Ua kapa ʻia kēlā ʻāpana ʻo "herald patch" a i ʻole "mother patch." ʻO kēia ka hōʻailona mua a nui loa o kēia maʻi. E noʻonoʻo, aia kekahi kaikamahine ʻōpio i kapa ʻia ʻo Niluka. I ka manawa koke, ua ʻike ʻia kahi ʻāpana poni, unahi i ʻoi aku ka nui ma mua o ke kālā ʻelima rupee ma kona ʻōpū. I ka wā mua, ua manaʻo ʻo ia he mea ʻē aʻe.
A laila hele mai ʻo "Daughter Patches"
- Ma kahi o hoʻokahi a ʻelua paha pule ma hope o ka ʻike ʻia ʻana o ka "herald patch", hoʻomaka ka nui o nā ʻāpana liʻiliʻi, ʻeleʻele, poepoe a oval paha e ʻike ʻia a puni ka ʻāpana nui mua. ʻOi aku ka liʻiliʻi o kēia mau mea ma mua o ka ʻāpana mua - ma kahi o 1 a 2 kenimika ka nui. Ua kapa ʻia kēia mau mea he "kaikamahine patches." Hiki i ke ʻano o kēia mau ʻāpana ma ke kino ke like me nā lālā o kahi lāʻau Kalikimaka e kūlou ana i lalo . ʻIke nui ʻia kēia ʻano ma ke kua.
- Ma kahi o 50% o ka poʻe me ka pityriasis rosea e ʻānai i kēia mau wahi . ʻO ia hoʻi ka hapalua o lākou.
- I ka poʻe me nā ʻili ʻeleʻele, e like me ka poʻe me ka ʻili ʻeleʻele a ʻeleʻele paha , hiki ke piʻi aʻe kēia mau kiko (papular). Hiki ke nānā aku ke kikowaena o nā kiko me he ʻiʻo necrotic lā.
ʻO ka mea nui, ʻaʻole ʻeha ka pityriasis rosea. Eia nō naʻe, inā ʻoe e kahakaha i nā kiko, hiki ke hōʻino ʻia ka ʻili, e hoʻoulu ai i ka maʻi a me ka ʻeha. No laila, he mea nui e kāohi i ke kahakaha ʻana i ka hiki .
He aha ke kumu o ka pityriasis rosea?
ʻAʻole maopopo loa i nā kauka ke kumu o ia mea. Eia nō naʻe, manaʻo ka poʻe he nui he nui nā ʻano herpesviruses , ʻo ia hoʻi ʻo herpesvirus 6 (HHV-6), herpesvirus 7 (HHV-7) a/a i ʻole herpesvirus 8 (HHV-8), ke kumu. Eia naʻe, ʻaʻole i hōʻoia ʻia kēia.
Mea nui: ʻAʻole pili kēia ʻano maʻi herpes i ka herpes e hoʻoulu ai i nā ʻeha anu a i ʻole nā maʻi e hoʻoulu ai i ka herpes genital, no laila mai hopohopo no ia mea.
Ua hoʻokumu ʻia anei kēia e COVID-19?
Ua hōʻike kekahi mau noiʻi e pili ana paha kekahi mau maʻi ʻili, me ka pityriasis rosea, me ka maʻi COVID-19 . Eia nō naʻe, ʻaʻohe hōʻike lawa e hōʻoia pono ai ua hoʻokumu ʻia ka pityriasis rosea e COVID-19.
He aha ka ʻokoʻa ma waena o ka pityriasis rosea a me ka ringworm?
He nui ka poʻe e huikau nei i nā mea ʻelua no ka mea ua like iki ko lāua ʻano. ʻO ka pityriasis rosea a me ka ringworm he mau maʻi ʻili ia no ka hui papulosquamous . ʻO ia hoʻi, he mau maʻi ia e hoʻoulu ai i nā ʻāpana ʻili i piʻi aʻe, ʻeleʻele, a ʻili ʻole ma ka ʻili.
Eia nō naʻe, ʻo ka eczema ka mea i hoʻokumu ʻia e kahi maʻi fungal.ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī o ka pityriasis rosea, manaʻoʻiʻo nā kauka ua hoʻokumu ʻia e kahi maʻi. No laila, ʻokoʻa loa nā kumu a me nā lāʻau lapaʻau no nā mea ʻelua.
He maʻi laha kēia ma ke ʻano moekolohe (STD/STI)?
ʻAʻole. ʻAʻole loa. ʻAʻole ʻo Pityriasis rosea he maʻi i laha ma ke ʻano moekolohe (STD) a i ʻole ka maʻi (STI). ʻAʻole ia e laha mai kekahi kanaka a i kekahi ma o ka moekolohe pale ʻole a i ʻole ka pili ʻana o ka ʻili i ka ʻili. No laila, mai hopohopo.
He aha inā kū mai ka pityriasis rosea i ka wā hāpai?
He mea kēia e makaʻala ai. Inā loaʻa iā ʻoe nā hōʻailona o ka pityriasis rosea i kou wā hāpai, e ʻike koke i kāu kauka . Ua hōʻike kekahi mau noiʻi inā ulu kēia maʻi i ka wā hāpai, hiki iā ia ke alakaʻi i nā pilikia e like me ka hāʻule ʻana o ka hāpai keiki a i ʻole ka hypotonia neonatal . No laila, he mea nui loa ia e ʻimi i ke aʻo lapaʻau i ka hikiwawe loa.
Pehea e ʻike pono ai nā kauka i kēia?
Hiki i ke kauka ke hoʻomaopopo i ka pityriasis rosea ma ka hana ʻana i kahi hoʻokolokolo kino, no ka mea, ʻo ka "herald patch," nā kiko liʻiliʻi e hahai ana, a me ke ʻano o kēlā mau kiko ma ke kino he ʻano ia o kēia maʻi.
Eia nō naʻe, hiki i ka pityriasis rosea ke like me nā maʻi ʻili ʻē aʻe. Eia kekahi laʻana:
- ʻEkima (Ekima / atopic dermatitis)
- ʻO ka psoriasis , ʻoi aku ka psoriasis guttate
- ʻIlo ʻāʻī
- ʻO ka ilo ʻāʻī (Tinea versicolor)
No laila, inā kānalua ke kauka, hiki iā ia ke hana i nā hoʻokolohua e like me:
- Hoʻāʻo aleri
- Ke lawe ʻana i kahi ʻāpana ʻili liʻiliʻi no ka hoʻokolokolo ʻana (Biopsy)
- Nā hoʻāʻo koko e nānā i nā kumu ʻē aʻe i pili ʻole i ka pityriasis rosea akā ke kumu nei i kēia mau kiko.
Pehea e mālama ʻia ai?
ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, ʻaʻole pono ka pityriasis rosea i kekahi lāʻau kūikawā . Hoʻomaikaʻi pinepine ia iā ia iho i loko o 6 a 8 mau pule . E noʻonoʻo wale, ua haʻi aku ke kauka iā Niluka, i ʻōlelo ʻia ma mua, ʻaʻohe mea e hopohopo ai, e hoʻomaikaʻi ia iā ia iho i loko o kekahi mau lā.
Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha nui, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia e hōʻemi ai i ka ʻeha ʻoluʻolu ʻole:
Nā lāʻau lapaʻau e hiki i ke kauka ke hāʻawi
- Nā lāʻau antiviral: Kōkua kēia mau lāʻau i ka hakakā ʻana i nā maʻi ʻino i loko o ke kino.
- Phototherapy: Pili kēia i ka hōʻike ʻana i ka ʻili i ka mālamalama ultraviolet, ʻoi aku hoʻi nā kukuna ultraviolet B (UVB), me ka hoʻohana ʻana i nā kukui kūikawā. Hiki i nā kukuna UV i loaʻa i ka lā ke kōkua i ka mālama ʻana i kekahi mau maʻi ʻili, e like me ka pityriasis rosea. Eia nō naʻe, i ka poʻe me nā ʻili ʻeleʻele, hiki ke ulu aʻe nā kiko ʻeleʻele mau loa (hyperpigmentation) ma hope o ka ho'ōla ʻana o nā kiko ma muli o ka UVB.Hiki ke hana. No laila, inā he ʻili ʻeleʻele kou, he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i kēia lāʻau lapaʻau.
- Nā papa Prednisone: He ʻano corticosteroid ʻo Prednisone. He lāʻau lapaʻau ia e lawe ʻia ma ka waha me ke aniani wai. Hoʻēmi ia i ka mumū o ka ʻili a me nā kūlana mumū ʻē aʻe i loko o ke kino.
He aha nā lāʻau lapaʻau e hiki ke hana ʻia ma ka home?
Aia kekahi mau huahana ma luna o ke kūʻai aku hiki iā ʻoe ke kūʻai ma kahi hale kūʻai lāʻau lapaʻau a me kekahi mau lāʻau maʻalahi hiki iā ʻoe ke hana ma ka home e hōʻemi i kēia maneʻo.
ʻOiai he palekana kēia mau lāʻau lapaʻau home no ka hapa nui o ka poʻe, he mea naʻauao ke kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana iā lākou, no ka mea, i kekahi mau hihia, loaʻa paha iā ʻoe kahi maʻi allergies.
- Nā Antihistamines: He papa kēia o nā lāʻau lapaʻau i hāʻawi pinepine ʻia e mālama i nā hōʻailona allergy, ʻoi aku ka ʻili ʻeha.
- ʻO ka lotion Calamine: Hiki i ka lotion Calamine ke kōkua i ka hōʻemi ʻana i ka maneʻo a me ka ʻoluʻolu ʻole, a me ka hoʻomaʻū ʻana i ka ʻili maloʻo a ʻōpala.
- Nā kirimina a i ʻole nā poni Hydrocortisone: He corticosteroid ka Hydrocortisone i hui pū ʻia me kahi mea hoʻopau ʻeha. Hiki ke hoʻopili ʻia kēia i nā wahi maneʻo.
- ʻOatmeal: He lāʻau lapaʻau kūlohelohe maikaʻi loa ka ʻOatmeal no ka ʻānai ʻana. ʻO ke ala maikaʻi loa e hoʻohana ai i ka oatmeal no nā kiko pityriasis rosea, ʻo ia ke wili iā ia i pauka maikaʻi (colloidal oatmeal) i loko o kahi mea hoʻohuihui a mea hana meaʻai paha. A laila, e kāwili i ka pauka oatmeal me kahi wai wela e hana i kahi paʻi mānoanoa a pipili. E hoʻopili i kēia paʻi a uhi piha ʻia kou mau kiko. E waiho no 10 mau minuke ma ka liʻiliʻi, a laila holoi me kahi kāwele maʻemaʻe. Hiki iā ʻoe ke ʻauʻau me ka oatmeal.
Ke hoʻopilikia nei anei ka meaʻai a me ka mea inu i kēia?
ʻAʻohe meaʻai kikoʻī āu e pale aku ai inā loaʻa iā ʻoe ka pityriasis rosea. Eia nō naʻe, manaʻoʻiʻo kekahi poʻe e hiki i ka hahai ʻana i kahi papaʻai anti-inflammatory ke kōkua i ka hōʻemi ʻana i ka maneʻo. Ua hōʻike kekahi mau noiʻi he haʻahaʻa nā pae o ka mumū i loko o ke kino o ka poʻe e hahai ana i ka papaʻai Mediterranean.
ʻO kekahi mau meaʻai me nā waiwai anti-inflammatory:
- ʻO ka iʻa ʻaila, e like me ka samona, ka sardines, a me ka mackerel.
- Nā ʻōmaʻomaʻo, e like me ka spinach a me ka kale.
- ʻAila ʻoliva.
- Nā tōmato.
Nā meaʻai e hiki ai ke hoʻonui i ka mumū:
- Nā meaʻai palai, nā ʻano meaʻai wikiwiki he nui.
- Nā ʻiʻo i hoʻōla ʻia me nā nitrates, e like me nā ʻīlio wela.
- Nā aila i hoʻomaʻemaʻe maikaʻi ʻia a me nā momona trans.
- ʻO nā kalapona i hoʻoheheʻe ʻia, e like me ke kō, nā mea ʻono, a me ka berena keʻokeʻo.
He mau manaʻo wale nō kēia, hiki iā ʻoe ke hoʻāʻo inā makemake ʻoe.
Hiki ke pale ʻia ka pityriasis rosea?
ʻO ka mea pōʻino, ʻaʻohe ala e pale aku ai i ka pityriasis rosea mai ka ulu ʻana.Ma muli o ka ʻike ʻole ʻia o ke kumu maoli o kēia, he paʻakikī ke ʻōlelo pehea e pale aku ai.
He aha ka mea e hana ai inā loaʻa iā ʻoe ka pityriasis rosea? He mea anei ia e hopohopo ai?
Inā loaʻa iā ʻoe ka pityriasis rosea, e like me ka mea i ʻōlelo ʻia ma mua, hiki ke mālama maikaʻi ʻia me ka ʻole o kekahi lāʻau lapaʻau kūikawā . E nalo loa ia i loko o 6 a 8 mau pule. Eia nō naʻe, inā koʻikoʻi kāu mau hōʻailona, hiki paha iā ʻoe ke loaʻa ka hōʻoluʻolu me ka lāʻau lapaʻau.
ʻO ka mea maikaʻi loa, ke loaʻa iā ʻoe ka pityriasis rosea, haʻahaʻa loa ka manawa e hana hou ai . Eia kekahi, ʻaʻole ia e hoʻoulu i ka ʻeha mau loa a i ʻole nā hōʻino ʻē aʻe i kou ʻili. No laila, ʻaʻohe mea e hopohopo ai.
I ka manawa hea e pono ai ke ʻimi i ke aʻo lapaʻau?
ʻOiai e hoʻomaikaʻi pinepine ia iā ia iho, pono ʻoe e ʻike i ke kauka i nā hihia e like me kēia:
- Inā ʻoe e hoʻomohala i nā hōʻailona hou .
- Inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona me ka nānā ʻole i ka lāʻau lapaʻau.
- Inā ʻoi aku ka lōʻihi o kou mau kiko ma mua o 10 mau pule .
- Inā ʻike ʻia kou mau kiko he maʻi (e like me ka ʻulaʻula, poni, hina a keʻokeʻo paha; pehu nui, ʻeha, pehu).
- Inā loaʻa iā ʻoe nā kiko e like me kēia i kou wā hāpai (he mea nui loa kēia!).
Nā nīnau koʻikoʻi e nīnau aku i ke kauka
Ke hele ʻoe e ʻike i ke kauka, he mea kōkua paha ka nīnau ʻana i kēia mau nīnau:
- Pehea lā e ʻike ai inā he pityriasis rosea koʻu?
- Inā ʻaʻohe oʻu pityriasis rosea, he aha nā maʻi ʻili ʻē aʻe?
- Pehea ka lōʻihi e nalo loa ai kēia mau kiko mai ke kino aku?
- He aha nā lāʻau lapaʻau āu e paipai nei?
- Aia kekahi hopena ʻaoʻao i kēlā mau lāʻau lapaʻau?
- He aha nā lāʻau lapaʻau home āu e paipai nei?
- Aia kekahi kirīmi a ʻaila poni kūikawā paha e hiki ke kuhikuhi ʻia iaʻu?
- Pono anei au e ʻike i ke kauka ʻili a i ʻole kekahi loea ʻē aʻe?
ʻO ka mea hope loa, pono ʻoe e ʻōlelo ...
ʻOiai he maʻi ʻili maʻamau ka pityriasis rosea, hiki ke hilahila a hoʻohilahila ʻia, ʻoiai ke kahakaha ʻoe iā ia. ʻAʻohe lāʻau lapaʻau no ia mea, akā ʻaʻole ia he mea laha . Ke pau ka maʻemaʻe ʻana, ʻaʻole paha e hoʻi hou mai.
ʻO ka mea nui loa, ʻo ia ka makaʻala i kou ʻili. Inā ʻike ʻoe i kahi kiko e like me kēia, e ʻike koke i ke kauka a loaʻa ka ʻōlelo aʻoaʻo. A laila, ʻaʻole pono ʻoe e hopohopo a makaʻu pono ʻole paha.
ʻO Pityriasis rosea, maʻi ʻili, nā kiko ʻili, herald patch, ʻulaʻula lāʻau Kalikimaka, ʻulaʻula ʻili, dermatology











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