Loaʻa iā ʻoe kēia mau laina liʻiliʻi ma kou mau kui? E kamaʻilio kākou e pili ana i ka Splinter Hemorrhage!

Ua ʻike anei ʻoe i kahi laina liʻiliʻi, ʻulaʻula a ʻeleʻele paha ma lalo o kou kui lima a i ʻole kou manamana wāwae? Me he mea lā ua komo kahi ʻāpana lāʻau i loko o ke kui. ʻAʻole paha ʻoe i ʻike. Akā i kēia lā e kamaʻilio mākou e pili ana i kahi mea e like me ia. I ka lāʻau lapaʻau, kapa mākou ia (Splinter Hemorrhage) . ʻOiai he mea ʻē iki ka inoa, i kekahi manawa he mea maʻamau kēia, akā i kekahi manawa hiki ke lilo i hōʻailona o kahi maʻi ʻē aʻe i loko o ko mākou kino. No laila, mai hopohopo, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī.

He aha kēia (Splinter Hemorrhage)? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo kēia (Splinter Hemorrhage) ka wā e pohā ai kahi kīʻaha koko liʻiliʻi (kapa mākou iā ia (Capillaries) ) ma lalo o kou kui a kahe iki ke koko. ʻO ka pololei, aia kēia mau kīʻaha koko i loko o ka ʻili ma lalo o ke kui (kapa mākou iā ia (Nail bed) ). He palupalu loa lākou. No laila, ke hōʻino kekahi mea i kēia mau mea, ʻo ia hoʻi, i ka wā e loaʻa ai kahi ʻeha liʻiliʻi, puka mai kahi koko liʻiliʻi. Akā, ʻaʻole puka mai kēlā koko akā paʻa ma waena o ke kui a me ka ʻili. ʻO ia ka mea a mākou e ʻike ai ma ke ʻano he laina ke nānā mākou i ka piko o ke kui.

ʻUlaʻula a ʻeleʻele ʻulaʻula paha ke kala o kēia mau kaha. Ua kapa ʻia lākou he splinter hemorrhages no ka mea ua like lākou me kahi ʻāpana lāʻau ma lalo o ke kui. Aia mau kēia mau kaha ma ke kuhikuhi o ka ulu ʻana o ke kui, ʻo ia hoʻi, ma ka lōʻihi.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka Splinter Hemorrhage?

Hiki iā ia ke hana maoli i kekahi. Eia nō naʻe, ua hōʻike kekahi mau noiʻi he ʻoi aku ka nui o ka loaʻa ʻana o ke ʻano o nā kāne ma mua o nā wahine. Eia kekahi, ʻoi aku ka pinepine o ka ʻike ʻana o ka poʻe me nā ʻili ʻeleʻele i kēia mau laina ma mua o ka poʻe me nā ʻili māmā.

He aha ke ʻano o ke kahe koko ʻana o ka Splinter?

E like me kā mākou i ʻōlelo ai ma mua, ua like kēia me kahi ʻāpana lāʻau ma lalo o kahi kui.

• Ua like kēia me nā laina lahilahi i ʻike ʻia ma lalo o ke kui.
• Aia kēia mau laina ma ke kuhikuhi e ulu ai ke kui.
• ʻO ka maʻamau, ma kahi o 1 a 3 millimeters ka lōʻihi. ʻO ia hoʻi, he mau laina liʻiliʻi loa lākou.
• ʻIke pinepine ʻia kēia ma ka ʻaoʻao o luna o ke kui, akā hiki ke loaʻa ma nā wahi a pau ma ke kui.
• ʻUlaʻula a poni paha kēia laina ke hana mua ʻia. Ma hope o kekahi mau lā, lilo ia i ʻeleʻele a ʻeleʻele paha .
• I ka ulu ʻana o ke kui, me he mea lā e neʻe ana i luna me ka lā.

ʻOi aku ka maʻamau o ke kahe koko ʻana o ka ʻāpana liʻiliʻi ma nā kui lima ma mua o nā kui wāwae. I ke kanaka olakino, ʻike pinepine ʻia kēia ma hoʻokahi kui wale nō. Eia nō naʻe, inā he nui aku ma mua o hoʻokahi kui i loaʻa kēia mau laina, he hōʻailona paha ia o kekahi maʻi ʻē aʻe. He mea ia e hopohopo ai kākou.

No ke aha e hana ai kēia (Splinter Hemorrhage)? He aha nā kumu?

E noʻonoʻo, hiki mai kēia (splinter hemorrhage) i ka wā e hōʻino ʻia ai nā kīʻaha koko liʻiliʻi ma lalo o kou kui ma kekahi ʻano.

1. Ka ʻeha i ke kui

ʻO kēia ke kumu maʻamau . ʻOiai inā ʻaʻole ʻoe e hoʻomanaʻo, ua paʻi paha kou kui i kahi mea a ua lilo i palapū.

• E noʻonoʻo ua paʻa kou manamana lima i loko o ka puka.
• A i ʻole ua kuʻi paha ʻoe i kou manamana wāwae e like me ka wāwae o ka papaʻaina.
• I kekahi manawa hiki ke hana ʻia kēia ke hana ʻoe i nā hana o ka hale, hāpai i kahi mea kaumaha, a hopu paha i kahi mea paʻakikī a hana i kahi puʻupuʻu iki ma ke kui.
• I kēia mau lā, hoʻohana kekahi mau kaikamahine a me nā wahine i nā mea e like me nā kui acrylic e hoʻonani ai i ko lākou mau kui. I kekahi manawa, ʻoiai ke hana nei i kahi mea e like me ia, hiki ke hōʻino iki ʻia ke kui a hiki ke hana ʻia kēia (splinter hemorrhage).

No laila, i ka hapa nui o ka manawa, ʻaʻohe mea e hopohopo ai e pili ana i ke kahe koko ʻana o ka ʻāpana i hoʻokumu ʻia e kahi ʻeha e like me kēia. E nalo wale nō ia i ka wā e ulu hou ai ke kui.

2. Nā kūlana olakino ma lalo

Eia nō naʻe, i kekahi manawa hiki i kēia (Splinter Hemorrhage) ke hana me ka ʻole o ka ʻeha. I kēlā hihia, hiki ke lilo i hōʻailona o kahi maʻi ʻē aʻe i loko o ko mākou kino. No ka mea, hiki i kekahi mau maʻi ke hōʻino i ko mākou mau kīʻaha koko.

Nā Kūlana ʻIli

• ʻO ka Psoriasis kui: He ʻāpana kēia o ka maʻi ʻili i kapa ʻia ʻo Psoriasis. He maʻi autoimmune ia, ʻo ia hoʻi, hoʻouka ka ʻōnaehana pale o ko mākou kino i ko mākou mau hunaola ʻili. Hoʻoulu kēia i nā loli like ʻole i nā kui, me ka Splinter Hemorrhage.
• Lichen Planus: He ʻano mumū nō hoʻi kēia e hiki ai ke hoʻoulu i ka ʻili ʻāʻī a piʻi aʻe. Ua ʻōlelo ʻia ma kahi o 35% o ka poʻe me Lichen Planus e ʻike i ke kahe koko ʻana o ka splinter.

ʻO Vasculitis a me nā maʻi ʻōnaehana

• Hiki ke hana ʻia ke kahe koko ʻana ma muli o ka mumū ʻana o nā kīʻaha koko, kahi ʻano i kapa ʻia ʻo vasculitis .
• Hiki ke hana ʻia ka vasculitis e kekahi mau maʻi, e like me (Antiphospholipid syndrome) a me (Lupus) . He mau maʻi kēia e hoʻopilikia i nā ʻōnaehana like ʻole i loko o ko mākou kino.

Nā maʻi lele

• Hiki ke ʻike ʻia nā hemorrhages splinter i kekahi mau maʻi bacteria, ʻoi aku ka endocarditis, kahi maʻi o nā valves puʻuwai. Ua hōʻike ʻia nā noiʻi ma waena o 15% a me 33% o ka poʻe me ka endocarditis he mau kaha kui kēia. Hiki i kēia ke lilo i hōʻailona koʻikoʻi loa.
• Hiki ke ʻike ʻia kēia mau mea i nā poʻe me ka maʻi puʻupaʻa mau loa. Malia paha no ka mea ke hana nei lākou i nā lāʻau hoʻomaʻemaʻe koko ( Hemodialysis ), hiki ke ʻike ʻia lākou i nā poʻe i loaʻa nā hoʻoili puʻupaʻa.

Ma ke ʻano he pane i kekahi mau lāʻau lapaʻau (Nā Hana Lāʻau)

• Aia kekahi mau ʻano lāʻau anti-cancer ( nā mea hoʻopaʻa Kinase)Eia kekahi laʻana, (sunitinib) , (sorafenib ). Ua hōʻike ʻia ma waena o 60% a me 70% o ka poʻe e lawe ana i kēia mau lāʻau lapaʻau e ulu aʻe (splinter hemorrhage).
• Eia kekahi, ʻo ka poʻe e hoʻohana ana i nā lāʻau hoʻokahe koko (e like me, Aspirin, Warfarin, Apixaban, Rivaroxaban) e pale aku i ke kāpili ʻana o ke koko, ʻoi aku ka nui o ka loaʻa ʻana o kēia mau kūlana.

Nā Kumu ʻē aʻe

• ʻAʻole pinepine loa, hiki ke hana ʻia e kahi puʻupuʻu ʻaʻole kanesa (benign) e hana ana ma ke kui ( Onychomatricoma) .
• He mea kēia e makaʻala ai: I kekahi manawa hiki i kahi hemorrhage splinter ke like me ka subungual melanoma , kahi ʻano maʻi ʻili e hana ʻia ma lalo o ke kui. ʻO ia ke kumu a mākou e ʻōlelo nei he manaʻo maikaʻi e ʻimi i ke aʻo lapaʻau inā loaʻa pinepine kēia mau laina iā ʻoe me ke kumu ʻole.

Pehea e ʻike ai ke kauka i kahi hemorrhage splinter?

Ke hele ʻoe e ʻike i ke kauka me kekahi mea e like me kēia, e nānā pono mua ʻo ia i kou mau kui. A laila e nīnau ʻo ia iā ʻoe i kekahi mau nīnau:

• I ka manawa hea ʻoe i ʻike mua ai i kēia lā?
• Ua loaʻa anei iā ʻoe kekahi mau ʻeha i kou mau kui i kēia manawa? (Nā kui acrylic, no ka laʻana)?
• Aia ma mua o hoʻokahi kui me kēia mau kaha?
• Loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe ma hope o ka puka ʻana o kēia ʻulaʻula? (e.g. kuni, ʻeha hui, luhi)
• Loaʻa iā ʻoe kekahi mau maʻi olakino ʻē aʻe (e like me ka maʻi diabetes, ka maʻi puʻuwai)?
• Ke lawe nei ʻoe i kekahi mau lāʻau lapaʻau (i kauoha ʻia e ke kauka a i kūʻai ʻia mai kahi hale kūʻai lāʻau lapaʻau)?

Ua nīnau ʻia kēia mau nīnau e kōkua i ka hoʻoholo ʻana i ke kumu o kou hemorrhage splinter.

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

I ka hapa nui o ka manawa, hiki i ke kauka ke ʻike koke i kahi hemorrhage splinter. Eia nō naʻe, i kekahi manawa, ʻoiai inā ʻaʻole maopopo ke kumu, hiki iā ia ke hana i kahi hoʻāʻo i kapa ʻia ʻo dermoscopy . Pili kēia i ka hoʻohana ʻana i kahi mea hana kūikawā i kapa ʻia ʻo dermoscope e hoʻonui i ka laina ma lalo o ke kui a nānā pono iā ia. Hiki i kēia i ke kauka ke aʻo i ke ʻano, ke kala, a me ke ʻano o ka laina a hoʻoholo inā he hemorrhage splinter a i ʻole kekahi mea ʻē aʻe.

Pehea e mālama ʻia ai ke kahe koko ʻana o ka Splinter?

ʻAʻole pono ka hapa nui o nā kahe koko ʻana o ka ʻāpana ʻili i kekahi lāʻau lapaʻau . ʻOiai inā ua hana ʻia e kahi ʻeha liʻiliʻi i ke kui, e ulu mālie lākou mai ka ʻāpana ʻili a nalo wale i loko o kekahi mau mahina.

E hoʻomanaʻo, inā he koko ʻōpala ia i hana ʻia e kahi ʻeha, mai hopohopo no ia mea. E ho'ōla pono'ī ia.

Eia nō naʻe, inā ʻaʻole ʻoe e hoʻomanaʻo i kahi ʻeha i kou kui, a inā ʻike ʻoe i kēia mau laina ma nā kui he nui, a laila pono ʻoe e ʻike i ke kauka. E kōkua kēia i ka ʻike ʻana i ke kumu a me ka mālama ʻana i ke kūlana kumu.Eia kekahi laʻana, inā he ʻano ia e like me ka Nail Psoriasis, e kuhikuhi ke kauka i kahi ʻaila kūpono a i ʻole ka lāʻau lapaʻau waha. Inā he maʻi ia e like me ka Endocarditis, pono paha ʻoe e hāʻawi iā ia i nā antibiotics.

Pehea e hiki ai iā ʻoe ke hōʻemi i ka pilikia o ka Splinter Hemorrhage?

I mea e hōʻemi ai i ka pilikia o ke kahe koko ʻana o nā ʻāpana i hana ʻia e nā ʻeha, pono ʻoe e hoʻāʻo e mālama i kou mau kui i ikaika .

• E ʻai i ka meaʻai momona . ʻO nā meaʻai waiwai i ka wikamina B a me ka zinc, ʻoi aku hoʻi, kōkua i ka ulu ʻana o nā kui. E hoʻokomo i nā mea kanu, nā nati, a me nā huahana waiū i kāu papaʻai.
• E inu i ka wai he nui . He mea maikaʻi nō hoʻi ka noho hydrated no ke olakino o kou mau kui.
• I ke ʻoki ʻana i kou mau kui, e makaʻala loa i ʻole e hōʻino i ka ʻili a puni nā kui.
• E hoʻohana i nā mea palekana e like me nā mīkina lima a me nā kāmaʻa i ka wā e hana ai i kahi hana e hiki ai ke hōʻeha i kou mau lima a me kou mau wāwae (e like me ka māla ʻana, ka hāpai ʻana i nā mea kaumaha).

Inā hana ʻia nā kahe koko splinter e kekahi mau lāʻau lapaʻau, hiki ke pale ʻia ma ka hoʻōki ʻana i ka lāʻau lapaʻau a i ʻole ka hoʻēmi ʻana i ka nui. Eia nō naʻe, mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke kūkākūkā ʻana me kāu kauka. Hiki i kēia ke lilo i mea weliweli.

ʻAʻole hiki ke pale ʻia nā kumu ʻē aʻe, e like me nā mea i hoʻokumu ʻia e nā kūlana olakino (splinter hemorrhages), no ka mea he hōʻailona lākou o ka maʻi ponoʻī.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi Splinter Hemorrhage?

Inā loaʻa kahi kahe koko mai ka ʻāpana ʻili ma muli o kahi ʻeha a i ʻole kahi ulia liʻiliʻi ʻē aʻe, ʻaʻole ia he mea ʻino iki . ʻOiai he mea maikaʻi ʻole paha ke nānā aku, e nalo wale nō ia i loko o kekahi mau lā a i ʻole ke ulu hou ke kui.

Eia nō naʻe, inā ʻike ʻoe i kēia mau laina me ka ʻole o ka ʻeha, he hōʻailona paha ia o kahi maʻi koʻikoʻi . No laila, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka e ʻike pono i ke kumu o lākou. E hilinaʻi kāu wānana i ke kumu kumu a me ka lāʻau āu e loaʻa ai.

Āhea wau e ʻike ai i ke kauka?

ʻO ka hapa nui o nā kahe koko ʻāpana i hana ʻia e nā ʻeha a e ho'ōla ponoʻī ʻia. Eia nō naʻe, pono ʻoe e ʻike i ke kauka i kēia mau hihia:

• Inā ʻaʻole ʻoe e hoʻomanaʻo i kekahi ʻeha i ke kui .
• ʻO ke kahe koko ʻana o ka ʻāpana liʻiliʻi: Inā ʻaʻole ia e nalowale i loko o kekahi mau lā a i ʻole ma hope o ka ulu ʻana o ke kui.
• Inā loaʻa pinepine iā ʻoe nā hemorrhages splinter e like me kēia.
• Inā ʻike ʻia kēia mau kaha ma nā kui he nui .
• Inā hele pū kēia mau kaha me nā hōʻailona ʻē aʻe e like me ke kuni, ka ʻeha kino, a me ka paʻakikī o ka hanu ʻana.

ʻO ka mea hope loa, leka lawe i ka home

Hiki i ke kahe koko splinter ke lilo i maʻi maʻamau i ʻike ʻia ma nā kui, a i ʻole he hōʻailona ia o kahi maʻi ʻē aʻe.

• ʻO ke kumu maʻamau ka ʻeha liʻiliʻi i ke kui.ʻAʻohe mea e hopohopo ai, e ho'ōla ʻia lākou e lākou iho.
• Eia nō naʻe, inā ʻike pinepine ʻia kēia mau kaha ma kekahi mau kui me ke kumu ʻole, he hōʻailona paha ia o kahi maʻi koʻikoʻi (e.g. maʻi puʻuwai, maʻi puʻupaʻa, maʻi ʻili, kekahi mau maʻi).
• No laila, inā he kānalua kou e pili ana i kēia, e ʻoluʻolu e nīnau i ke kauka. E hiki iā ia ke hoʻoholo i ke kumu a hāʻawi i ka lāʻau lapaʻau inā pono.
• E mālama pū i ke olakino o kou mau kui. He mea nui ka meaʻai maikaʻi a me ka hoʻomaʻemaʻe maikaʻi no nā kui olakino.

No laila, ke lana nei koʻu manaʻo ua ʻoi aku kou ʻike i ke kahe koko ʻana o ka splinter i kēia manawa. E makaʻala mau i kou kino. ʻOiai inā he mea liʻiliʻi ia, he mea naʻauao ke pale ʻole iā ia a ʻimi i ke kōkua lapaʻau inā pono.

ʻO ke kahe koko ʻana o ka ʻāpana ʻāpana, nā kaha kui, ke kahe koko ʻana o ke kui, nā maʻi kui, nā maʻi ʻili, nā hōʻailona o ka maʻi puʻuwai, ke olakino kui