Ke ʻā nei hoʻi ʻoe i ka lā? E kamaʻilio kākou e pili ana i ka Polymorphous Light Eruption (PMLE)!

Ke ʻike nei ʻoe i kekahi manawa i ka huhū o ka ʻili, ka ʻulaʻula, a me nā pehu liʻiliʻi ma hope o kahi manawa pōkole i ka lā? A i ʻole ke manaʻo nei ʻoe he "allergic i ka lā" ʻoe e like me ka ʻōlelo a kekahi poʻe? He pilikia maoli kēia i loaʻa i nā poʻe he nui. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana i hoʻokumu ʻia e kēia ʻano ʻili i ka lā, i kapa ʻia ʻo polymorphous light eruption, a i ʻole PMLE.

He aha ka Polymorphous Light Eruption (PMLE)?

I ka ʻōlelo maʻalahi, ʻo PMLE kahi ʻōhū maʻamau e kū mai ana ma ka ʻili ma hope o ka hoʻopili ʻana i ka lā, ʻo ia hoʻi, ke kukui ultraviolet (kukui UV). ʻO ke ʻano o ka huaʻōlelo 'polymorphous' ʻo ia hoʻi 'like ʻole'. ʻO ke ʻano o kēia ʻōhū hiki ke ʻokoʻa ke ʻano no kēlā me kēia kanaka. No kekahi, hiki ke like me nā pehu ʻulaʻula liʻiliʻi, no kekahi e like paha me nā kiko ʻulaʻula nui, a i kekahi manawa e like paha me ka pehu. ʻO ke ʻano o 'Eruption' ʻo ia hoʻi ka ʻike koke ʻia ʻana o kēia ʻōhū. Hiki ke hoʻomaka pinepine i loko o 30 mau minuke o ka hoʻopili ʻana i ke kukui UV. Kapa pū kekahi poʻe iā ia he 'sun allergy' a i ʻole 'sun poisoning', akā ʻaʻole ia he huaʻōlelo lapaʻau.

Pehea ka maʻamau o kēia kūlana i kapa ʻia ʻo PMLE?

ʻO kēia kūlana, i kapa ʻia ʻo PMLE, ʻoi aku ka maʻamau ma mua o kou manaʻo. ʻO ia ke kūlana ʻili maʻamau i hoʻokumu ʻia e nā kukuna UV. Ma ka honua holoʻokoʻa, ua manaʻo ʻia he 15 o kēlā me kēia 100 poʻe i hoʻopilikia ʻia e kēia kūlana. No laila, inā loaʻa iā ʻoe kekahi mea e like me kēia, e ʻike ʻaʻole ʻoe hoʻokahi.

No ke aha e kū mai ai ka PMLE? He aha ke kumu?

ʻAʻole maopopo loa i nā loea ke kumu o kēia. Akā manaʻo lākou he mea like ia: Ke hōʻike ʻia mākou i ka lā, hoʻololi nā kukuna UV i kekahi o nā hui i loko o ko mākou ʻili. A laila, pane kā mākou ʻōnaehana pale i kēia mau hui hou i hoʻololi ʻia, me he mea lā he ʻenemi lākou. ʻO ke kumumanaʻo o kēia manawa, ua hana ʻia kēia ʻulaʻula e kēlā hopena.

He aha ke ʻano o ka mālamalama e hiki ai ke hana i ka PMLE?

ʻO ke kumu nui o ka PMLE ʻo ke kukui ultraviolet, a i ʻole nā ​​kukuna UV. I kekahi manawa, hiki i ka mālamalama ʻike ʻia ke hana i kēia ʻano, akā ʻaʻole ia he mea maʻamau.

I kēia manawa, ʻelua mau ʻano o nā kukuna UV:

• Nā kukuna UVA: ʻO kēia ke ʻano o nā kukuna e hiki ke komo i loko o nā papa hohonu loa o ka ʻili. ʻO lākou ke kuleana no kahi o 9 o 10 mau hihia o PMLE.
• Nā kukuna UVB: Hiki i kēia ke hōʻino i ka ʻili, a ʻo ka lā wela kekahi o nā kumu o kēia.

No laila, hiki ke hana ʻia kēia ʻulaʻula ma muli o ka ʻike wale ʻana i ka lā, a me nā kumu hana o nā kukuna UV. Eia kekahi laʻana, hiki ke hana ʻia e nā moena tanning, kahi a kekahi poʻe e hoʻohana ai e loaʻa ai kahi ʻili ʻoi aku ka maikaʻi.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka PMLE?

ʻO kēia kūlana i kapa ʻia ʻo PMLE e hoʻomaka pinepine i ka pūnāwai.ʻO ia hoʻi, ʻike pinepine ʻia kēia i ka wā i maloʻo ai ke aniau no kekahi manawa a laila hoʻomaka hou ka lā e ʻālohilohi. E noʻonoʻo wale, ʻoiai ma ko mākou ʻāina, i nā manawa e ʻālohilohi ana ka lā, hiki iā ʻoe ke ʻike hou aku i kēia ʻano mea.

Hiki iā ia ke ulu i loko o kekahi o kēlā me kēia makahiki, kāne, lāhui, a i ʻole ka lāhui. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe:

• No nā wāhine: ʻOi aku ka maʻamau o kēia ʻano i nā wāhine ma mua o nā kāne.
• No nā kānaka ma waena o 20 a me 40 mau makahiki: He mea maʻamau ia i waena o ka poʻe o kēia hui makahiki.
• Inā loaʻa i kekahi o kou ʻohana ka PMLE: Inā loaʻa i kekahi o kou ʻohana kēia ʻano maʻi ʻaleka i ka lā, ʻoi aku ka nui o kou loaʻa ʻana iā ia. ʻO ke ʻano kēia he moʻolelo ʻohana paha.
• No ka poʻe e noho ana ma nā wahi me ka ʻike ʻole ʻia o ka lā: Hiki ke hana kēia ke ʻike ʻole ʻia ʻoe i ka lā i nā manawa a pau, no ka laʻana, ke hele koke mai ʻoe i ka wā hoʻomaha mai kahi ʻāina anu a i kahi ʻāina lā e like me kā mākou.

Pehea ke ʻano o ka PMLE i ka wā e ulu ai? He aha nā hōʻailona?

ʻO ka hōʻailona nui o PMLE he ʻulaʻula ʻānai e kū mai ana ma nā wahi o ke kino i hōʻike ʻia e ka lā. Hiki i kēia ʻulaʻula ke hele mai i nā ʻano like ʻole. ʻO ia ke kumu i kapa ʻia ai ʻo 'polymorphic'.

• Hiki ke ʻike ʻia nā puʻupuʻu ʻulaʻula liʻiliʻi i loko o nā puʻupuʻu.
• Hiki ke ʻike ʻia he mau ʻāpana ʻulaʻula nui aʻe.
• I kekahi manawa hiki ke nānā aku e like me nā pehu.

ʻIke pinepine ʻia kēia mau kiko ʻili i loko o kekahi mau hola o ka lā. Akā i kekahi manawa hiki iā lākou ke ʻike ʻia ma hope o kekahi mau lā. E noʻonoʻo, inā ʻoe i hele i waho i ka lā i kēia kakahiaka, e ʻike paha ʻoe i kēia ʻulaʻula i ke ahiahi a i ke kakahiaka aʻe.

I nā hihia kakaikahi, hiki i ka PMLE ke hana i nā hōʻailona e like me:

• kuni
• ʻEha poʻo
• Ka luaʻi a me ka luaʻi

ʻO ka maʻamau, ʻelua a ʻekolu mau lā ka lōʻihi o nā hōʻailona PMLE. Eia nō naʻe, inā hoʻomau ʻoe i ka ʻike ʻia ʻana i nā kukuna UV i ka wā e loaʻa ai ka ʻōhū, hiki ke lōʻihi. No laila, he mea nui loa ia e makaʻala i ka lā i ka wā e loaʻa ai ka ʻōhū.

He aha nā ʻāpana o ke kino i hoʻopilikia nui ʻia e PMLE?

Hiki ke ʻike ʻia kēia ʻōhūhū, i kapa ʻia ʻo PMLE, ma kekahi ʻāpana o ke kino i hōʻike ʻia i ka lā . Akā, he mea kupanaha, ʻaʻole pinepine ia e ʻike ʻia ma ka maka. Malia paha no ka mea ua maʻa iki ka maka i ka hōʻike mau ʻana i ka lā.

ʻIke pinepine ʻia kēia ʻōpala:

• ʻO ka ʻaoʻao o luna o ka umauma - ʻoiai inā ʻoe e ʻaʻahu i kahi lole me ka ʻāʻī V-ʻano, ma aneʻi e hōʻike ʻia ai.
• ʻĀʻī
• Nā lima - ʻoiai ke kua o nā lima.
• Nā wāwae

Aia kekahi ʻano PMLE i kapa ʻia ʻo 'juvenile spring eruption'. Loaʻa kēia i nā keiki, ʻo ka hapa nui he mau keikikāne, ma nā pepeiao.ʻIke pinepine ʻia kēia i ka pūnāwai.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka PMLE?

ʻO ke ala nui e ʻike ai i ka PMLE, ʻo ia ke lawe i kahi mōʻaukala olakino piha a hana i kahi hoʻokolokolo ʻili. E nīnau kāu kauka iā ʻoe i nā nīnau e like me, "Pehea ka lōʻihi o kēia ʻulaʻula?", "Ke hele mai nei anei ia ke kau ʻoe i ka lā?", a "Aia kekahi o kou ʻohana i loaʻa iā ia?"

I kekahi manawa, hana ʻia kahi biopsy ʻili e hōʻoia i ka hōʻailona. ʻO ke ʻano kēia, lawe ʻia kahi hāpana liʻiliʻi o ka ʻiʻo mai ka ʻili a nānā ʻia ma lalo o kahi microscope. Hiki i kēia ke kōkua i ka kāpae ʻana i nā maʻi ʻili ʻē aʻe.

Hiki paha i kāu kauka ke kauoha i kahi hoʻāʻo koko e hōʻoia ʻaʻohe ou ʻano ʻē aʻe e hoʻoulu ai i ka ʻōpala ke hele ʻoe i waho i ka lā, e like me ka maʻi autoimmune e like me lupus erythematosus.

He aha nā lāʻau lapaʻau no PMLE?

ʻO ka nūhou maikaʻi, ʻo kēia kūlana i kapa ʻia ʻo PMLE e hoʻoholo pinepine ia ma kāna iho me ka ʻole o ka lāʻau lapaʻau.

Eia nō naʻe, pono i ka poʻe me PMLE ke pale i ka hōʻike ʻana i ka lā i ka hiki. He mea nui loa ia e hōʻemi i ka hōʻike ʻana i ka lā i nā hola mai ka hola 11 a.m. a i ka hola 3 p.m., i ka wā e ikaika loa ai nā kukuna UV.

Eia kekahi:

• E hoʻohana i kahi pale lā ākea me ka SPF kiʻekiʻe (ma ka liʻiliʻi he SPF 30). ʻO ke ʻano o ka laulā ākea e pale ai i nā kukuna UVA a me UVB.
• Ke komo ʻana i nā lole pale lā (e like me nā lole lima lōʻihi, nā pāpale ākea, a me nā aniani maka).

Hiki i kēia mau mea ke hoʻemi i ka ʻike ʻana i nā kukuna UV.

Loaʻa i kekahi poʻe ka pōmaikaʻi mai kahi lāʻau i kapa ʻia ʻo phototherapy. Pili kēia i ka hōʻike mālie ʻana i ka ʻili i nā kukuna UV artificial ma lalo o ka nānā ʻana a ke kauka ma ke ʻano i kāohi ʻia, kahi e hōʻemi ai i ka ʻike o ka ʻili. Hiki i kēia ke kōkua i ka pale ʻana i nā ʻulaʻula i ka wā e hiki mai ana. Ua like ia me ka hoʻomaʻamaʻa mālie ʻana i ka lā.

Hoʻomaka ka mae ʻana o ka ʻili PMLE i loko o kekahi mau lā a nalowale me ka ʻole o ka mālama ʻia ʻana i loko o kekahi mau pule. ʻAʻole hana ka ʻili i nā ʻōpala. Eia nō naʻe, hiki i ka ʻili ke ʻoi aku ka ʻino me ka hoʻomau ʻana i ka lā a i ʻole nā ​​kukuna UV.

E noʻonoʻo ʻoe e hoʻolālā ana i kahi hoʻomaha i kahi wahi lā, e like me ke kahakai. Hiki i kāu kauka ke kuhikuhi i kahi corticosteroid waha, e like me ka prednisone, no kekahi mau lā e hōʻemi i ka manawa kūpono o ka ʻulaʻula.

Hoʻonui mālie kekahi poʻe i ka hoʻomanawanui i nā kukuna UV ma ka hoʻolilo ʻana i ka manawa ma waho a i ʻole ke hana ʻana i ka phototherapy. Kāhea nā kauka i kēia ʻo 'ka hoʻopaʻakikī ʻana i ka ʻili' . Akā pono ʻoe e hana i kekahi mea penei:Ma lalo wale nō o ka nānā ʻana a ke kauka. Mai hoʻāʻo iā ʻoe iho a hōʻino i kou ʻili.

Inā koʻikoʻi ka ʻōhū, ʻo ia hoʻi, ʻaʻole hiki ke hoʻomanawanui i ka ʻeha, a inā ua pālahalaha ka ʻōhū, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:

• Nā Antihistamine: Kōkua kēia i ka hōʻemi ʻana i ka maneʻo.
• ʻO Hydroxychloroquine: ʻOiai he lāʻau ia i hoʻohana ʻia no ka malaria, hoʻohana ʻia nō hoʻi ia no ka PMLE, ʻoiai i nā hihia koʻikoʻi.
• Nā Immunosuppressants: Hāʻawi ʻia kēia mau mea i nā hihia koʻikoʻi loa i pane ʻole i nā lāʻau ʻē aʻe.
• ʻO nā corticosteroids topical a i ʻole ka poni tacrolimus: Hoʻopili ʻia kēia mau mea i ka ʻili poni. Hoʻēmi lākou i ka mumū a me ka maneʻo.

He aha ka manaʻolana no kekahi me PMLE?

He maʻi pinepine kēia. Hiki ke mau no nā makahiki. Hiki ke hoʻāla i kēlā me kēia pūnāwai. Akā ʻo ka nūhou maikaʻi , ʻo ka emi pinepine ʻana o ke koʻikoʻi o ke ʻano i ka hala ʻana o ka manawa. I kekahi poʻe, hiki ke nalo loa ia i ko lākou ʻelemakule ʻana.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kahi ʻulaʻula ʻili ʻaʻole hiki iā ʻoe ke loaʻa ke kumu, a inā ʻike ʻoe i nā loli i kou ʻili , e ʻike pono i ke kauka no ka ʻōlelo aʻo. ʻOi loa aku inā hana kēia ma hope o ka hele ʻana i waho i ka lā, e kamaʻilio e pili ana.

He aha kaʻu e nīnau aku ai i kaʻu kauka?

Inā loaʻa iā ʻoe kahi ʻulaʻula ma hope koke iho o ka ʻike ʻia ʻana i ka lā a i ʻole nā ​​kukuna UV artificial, e nīnau i kāu kauka, "Hiki iaʻu ke loaʻa kēia ʻano i kapa ʻia ʻo polymorphous light eruption (PMLE)?" Eia kekahi, e nīnau, "He aha kaʻu e hana ai e pili ana i kēia?" a "He aha nā ala maikaʻi loa e pale ai iaʻu iho mai ka lā?"

Hiki i ka PMLE ke hoʻoulu i ka maʻi ʻili?

ʻAʻole. He kūlana maikaʻi/ʻaʻole kanesa ka PMLE. ʻAʻole hoʻonui kēia ʻulaʻula i kou pilikia o ka loaʻa ʻana o ka maʻi ʻili.

Eia nō naʻe, ʻo ka mea nui e hoʻomanaʻo ai, ʻo ka hoʻopili pinepine ʻana i nā kukuna UV e hoʻonui i ka pilikia o ka maʻi ʻili.

No laila, ʻo nā hana pale lā āu e hana ai e pale aku i ka PMLE (e laʻa, ke kau ʻana i ka sunscreen, ka uhi ʻana me nā lole, a me ka noho ʻana ma waho o ka lā i ka wā o ka lā ikaika) e hōʻemi ana i kou pilikia o ka maʻi ʻaʻai ʻili. Ua like ia me ka pepehi ʻana i ʻelua manu me hoʻokahi pōhaku!

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia mau mea a pau? (Leka Lawe-Home)

ʻAe, ua kamaʻilio mākou e pili ana i nā mea he nui e pili ana i kēia PMLE. I ka pōkole:

• He ʻulaʻula ʻāʻī ka PMLE i loaʻa i nā poʻe i maʻalahi i ka lā, ʻoiai nā kukuna UV.
• Hiki i kēia ke hele mai i nā ʻano like ʻole no kēlā me kēia kanaka (nā pehu liʻiliʻi, nā kiko nui).
• Hoʻomaka pinepine ia i ka pūnāwai , a laila emi mālie ke hoʻomaʻamaʻa ka ʻili.
• ʻOiai ʻaʻole wau i ʻike i ke kumu kūponoUa manaʻo ʻia he hoʻololi nā kukuna UV i ka ʻili a pane mai ka ʻōnaehana pale.
• Hoʻōla pinepine ʻia me ka ʻole o ka lāʻau lapaʻau, akā he mea nui loa ia e pale iā ʻoe iho mai ka lā a e kau i ka sunscreen.
• Inā koʻikoʻi, hiki iā ʻoe ke ʻimi i ka lāʻau lapaʻau . Hiki iā ʻoe ke hoʻoikaika i kou ʻili me nā mea e like me ka phototherapy.
• ʻAʻole kēia he maʻi ʻaʻai, akā ʻo ka pale ʻana iā ʻoe iho mai ka lā hiki ke kōkua i ka pale ʻana i ka maʻi ʻaʻai ʻili.
• Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​mai hilahila a makaʻu paha e ʻike i ke kauka . E kōkua lākou iā ʻoe.

No laila, hāʻawi mai ka lā iā mākou i nā mea maikaʻi e like me ka wikamina D, akā i kekahi manawa hiki ke ʻino iki i ko mākou ʻili. ʻO ka mea nui loa, ʻo ia ka makaʻala i kou ʻili a lawe i nā hana palekana e pono ai. Inā he mau nīnau hou kāu e pili ana i kēia, mai poina e kamaʻilio me ke kauka.

ʻO ka pahū ʻana o ka mālamalama polymorphous, PMLE, ka maʻi ʻaleka lā, ka ʻulaʻula ʻili, nā kukuna UV, ka pale lā, nā maʻi ʻili