He ʻāina ko kākou ʻāina me ka nele ʻole o ka lā. Eia nō naʻe, i kekahi manawa hiki i kēia lā ke hoʻoulu i nā pilikia liʻiliʻi no ko kākou ʻili. Ua ʻike anei ʻoe i ka ʻulaʻula, ka maneʻo, a i ʻole nā pehu liʻiliʻi ma kou ʻili ma hope o ka hele ʻana i waho i ka lā? No kekahi poʻe, hiki ke koʻikoʻi iki kēia. I kēia lā e kamaʻilio mākou e pili ana i ka maʻi allergy i hoʻokumu ʻia e kēia lā, ʻo ia hoʻi , Sun Allergy .
He aha kēia maʻi ʻaleka lā? (Aleʻaleʻa Lā)
I ka ʻōlelo maʻalahi, ʻo ka maʻi ʻaleka lā ka wā e pane ai kou ʻili i ka lā ma o ka hoʻomohala ʻana i kahi ʻulaʻula . I kekahi manawa hiki ke hele pū ʻia kēia ʻulaʻula me nā hōʻailona ʻē aʻe. No kekahi poʻe, hiki ke akahai loa, akā no kekahi poʻe, hiki ke koʻikoʻi a hoʻopilikia i kou hiki ke hana maʻamau. I ka pololei, hiki mai kēia kūlana ke lilo ko mākou mau ʻili i mea maʻalahi i kekahi mau mea i ka lā (ʻoi aku hoʻi nā kukuna ultraviolet).
He aha nā ʻano nui o ka maʻi allergy i ka lā?
I kēia manawa, ʻaʻohe ala hoʻokahi e maʻi ai i ka lā. Nui nā ʻano, ma muli o ke ʻano o ka ʻulaʻula, ke kumu, a me ka poʻe i hoʻopilikia pinepine ʻia. E nānā kākou i ke ʻano o lākou.
ʻO ka Prurigo Actinic
He ʻano kēia e hoʻoulu ai i nā puʻupuʻu i hāpai ʻia (papules) a i ʻole nā nodules liʻiliʻi (nodules) ma ka ʻili. I kekahi manawa, hiki i ka ʻulaʻula ke pālahalaha i nā wahi i hōʻike ʻole ʻia i ka lā. He mea maʻamau ia i nā poʻe o Latin America a me American Indian, nona nā ʻili ʻeleʻele. Aia kekahi loulou genetic i kēia ʻano, i kapa ʻia ʻo "Actinic Prurigo". Ua kapa ʻia hoʻi ʻo "Hydroa Aestivale" a me "Hutchinson's Summer Prurigo".
Ka hopena photoallergic
He ʻano ʻokoʻa iki kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka pane ʻana o kekahi kemika ma kou ʻili me ka lā. E noʻonoʻo e pili ana i ia mea, hiki i kekahi mau lāʻau lapaʻau āu e hoʻohana ai, ka sunscreen, ka mea hoʻonani, nā mea ʻala, a me nā mea ʻē aʻe ke hana i kēia. Hiki ke hala i kekahi mau hola a i ʻole kekahi mau lā no ka ʻike ʻia ʻana o nā hōʻailona.
Eia kekahi laʻana, e noʻonoʻo iā Nimali Akka i hele i ke kahakai i kekahi lā ma hope o ke kau ʻana i kāna pale lā hou. I kekahi mau hola ma hope mai, ua ʻulaʻula kona ʻāʻī a me kona mau lima, a ua ʻike ʻia nā pehu liʻiliʻi, ka mea i hoʻomaka e maneʻo nui. I kona hōʻike ʻana iā lākou i ke kauka, ua ʻike ʻo ia ua hana kekahi mea i loko o ka pale lā me ka lā a ua hoʻoulu i kahi hopena photoallergic.
Ka Pahū ʻana o ka Mālamalama Polymorphous (PMLE)
ʻOi aku ka maʻamau o kēia ʻano PMLE i nā wahine, nā poʻe me ka ʻili keʻokeʻo, a me nā poʻe ʻōpio (ʻoi aku hoʻi ma waena o 15 a me 30 mau makahiki). ʻIke ʻia ia he mau kiko liʻiliʻi, unahi a i ʻole nā pehu ma ka ʻili i kekahi mau hola ma hope o ka lā. ʻO kēia ke ʻano maʻamau o ka maʻi ʻaleka lā.
ʻUrticaria o ka Lā
Hana ʻia kēia i loko o kekahi mau minuke ma hope o ka hoʻopili ʻana i ka lā.ʻŪhū. E like me kā mākou e ʻike nei, ʻūhū. Hiki i nā hōʻailona ke ʻano mai ka ʻoluʻolu a i ka ʻino. I kekahi manawa, hiki i kēia ke lilo i hopena maʻi ʻino i kapa ʻia ʻo anaphylaxis, hiki ke hoʻoweliweli i ke ola.
ʻO wai ka mea i ʻoi aku ka nui o ka loaʻa ʻana o nā maʻi allergies i kēia lā?
ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kahi maʻi ʻaleka lā. Akā ua kamaʻilio mua mākou e pili ana i ke ʻano o kekahi mau ʻano maʻi ʻaleka e hoʻopilikia nui i ka poʻe me nā ʻili māmā a ʻeleʻele paha. Eia kekahi, inā loaʻa i kekahi o kou ʻohana kēia maʻi, ʻoi aku ka nui o kou loaʻa ʻana iā ia. ʻO ia hoʻi, aia paha he kumu hoʻoilina.
Eia kekahi, hiki i kekahi mau lāʻau lapaʻau āu e lawe ai ke hana i kahi "Photoallergic Reaction", ʻo ia hoʻi ka ʻike i ka lā. E nānā e ʻike inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau:
- Nā lāʻau lapaʻau
- Nā lāʻau antifungal
- Nā antihistamines (kekahi mau ʻano)
- Nā lāʻau hoʻohaʻahaʻa kolesterol
- Diuretics (nā lāʻau lapaʻau e kōkua i ka wehe ʻana i ka wai mai ke kino)
- Nā ʻano hormones (e laʻa me nā pila hoʻomalu hānau)
- Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) (nā lāʻau hoʻopau ʻeha)
- ʻO Retinoids (nā lāʻau lapaʻau i hoʻohana ʻia e kāohi i ka ʻeha a me ka ʻelemakule ʻili)
ʻIke pinepine ʻia kēia maʻi ʻaleka i ka pūnāwai (a i ʻole ke kauwela mua ma ko mākou ʻāina) a me ke kauwela mua, i ka wā e hoʻomaka ai ka poʻe e ʻike nui ʻia i ka lā. Eia nō naʻe, me ka hoʻomau ʻana o ka lā, i kekahi manawa e maʻa iki ka ʻili iā ia a hiki ke emi kēia hopena.
No ke aha e loaʻa ai i nā kānaka ka maʻi ʻaleka i ka lā? He aha ke kumu?
ʻO kaʻoiaʻiʻo, ʻaʻole maopopo i nā kānaka ʻepekema ke kumu o nā maʻi ʻaleka i ka lā. Manaʻo kekahi mau noiʻi he hoʻoilina paha ia. Wahi a kekahi, ua hoʻokumu ʻia e nā kemika i kapa ʻia ʻo histamines i hoʻokuʻu ʻia e ko mākou kino ke hōʻike ʻia i ka lā a i ʻole e nā loli i loko o kā mākou ʻōnaehana pale . Aia paha kekahi mau kumu e kōkua ai i ke ʻano o ka hopena ʻili e hana ʻia. No laila he mea paʻakikī iki.
He aha nā hōʻailona o ka maʻi allergy i ka lā?
Hiki ke ʻike ʻia nā hōʻailona o ka maʻi ʻaleka i ka lā i loko o nā minuke, nā hola, a i ʻole nā lā ma hope o ka hōʻike ʻana i ka lā. Hiki i kēia mau hōʻailona ke ʻano mai ka ʻoluʻolu a i ka ʻino. Aia ia i nā kumu e like me:
- Ka nui o ka ʻili i hōʻike ʻia i ka lā
- Ka manawa i ka lā
- Ka ikaika o ka lā (nā kukuna)
- ʻO ke ʻano o ka maʻi allergy lā āu e loaʻa ai
ʻIke pinepine ʻia ka ʻulaʻula ma nā wahi i hōʻike ʻia e ka lā, akā i kekahi manawa hiki ke ʻike ʻia ma nā wahi ʻē aʻe o ka ʻili.
ʻO nā hōʻailona o kahi ʻulaʻula i hoʻokumu ʻia e ka maʻi allergy lā e hiki ke komo pū me:
- Nā papules, nodules, blisters, a i ʻole nā hives ma ka ʻili
- ʻĀnai
- Malia paha e kahe ana ka wai mai ka ʻeha
- ʻUlaʻula ʻili
- ʻIli ʻili a ʻili paha
- Manaʻo wela a ʻā paha
- Pehu ʻana
ʻAʻole pinepine loa, hiki i kahi maʻi ʻaleka lā ke hana i nā hōʻailona ʻōnaehana e hoʻopilikia i ke kino holoʻokoʻa. ʻO kēia mau mea:
- ʻEha poʻo
- Māmā ke poʻo a i ʻole ka nawaliwali
- Ka luaʻi a me ka luaʻi
- ʻŌhūhū a pōkole paha o ka hanu
- Hiki ke hana ʻia ka anaphylaxis, kahi maʻi weliweli e ola ai, i ke ʻano o ka solar urticaria.
He maʻi laha anei kēia maʻi ʻaleka i ka lā?
ʻAʻole, ʻaʻole loa. ʻAʻole laha ka ʻulaʻula i hoʻokumu ʻia e ka maʻi ʻaleka lā. ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke hoʻolaha iā ia i kekahi.
Pehea ʻoe e ʻike ai inā he maʻi allergy kou i ka lā?
Inā kānalua ʻoe e loaʻa ana kēia ʻano pilikia iā ʻoe ke hele ʻoe i waho i ka lā, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka ʻohana. A i ʻole, ʻoi aku ka maikaʻi, e ʻike i kahi kauka ʻili .
Hoʻoholo ke kauka i kēia maʻi ma muli o nā mea e like me:
- E kamaʻilio me ʻoe e pili ana i kāu mau hōʻailona (pehea ka lōʻihi o ko lākou ʻike ʻana, ka manawa hea e hiki mai ai, pehea ka lōʻihi o ko lākou ʻike ʻana, a pēlā aku).
- E noiʻi i nā lāʻau lapaʻau a me nā huahana mālama ʻili āu e hoʻohana nei.
- Hana ʻia ka hoʻāʻo ʻana i ke kukui. Pili kēia i ka hoʻomālamalama ʻana i ke kukui ma luna o kou ʻili mai kekahi mau kenimika ka mamao me ka hoʻohana ʻana i nā kumu kukui like ʻole (hana ʻia a kūlohelohe), me nā nalu a me nā ikaika like ʻole. Hiki i kēia ke kōkua i ka hoʻoholo pono ʻana i ke ʻano o ke kukui a kou ʻili e pane ai. I kekahi manawa, hana pū ʻia ka hoʻāʻo ʻāpana me ka hoʻāʻo ʻana i ke kukui . Pili kēia i ke kau ʻana i kahi ʻāpana liʻiliʻi o ka kemika i manaʻo ʻia ma kou ʻili.
- I kekahi manawa pinepine ʻole, hiki i ke kauka ke lawe i kahi ʻāpana liʻiliʻi o ka ʻili a hana i kahi biopsy ʻili , e pili ana i ka nānā ʻana i nā ʻāpana ʻili ma lalo o kahi microscope.
He aha nā lāʻau lapaʻau no ka maʻi allergy i ka lā?
ʻO ka lāʻau lapaʻau maikaʻi loa a kūpono hoʻi no ka maʻi ʻaleka i ka lā, ʻo ia ka pale ʻana i ka lā . ʻO ia ka mea nui.
Eia nō naʻe, no ka poʻe i hiki ʻole ke pale mau i ka lā, a i ʻole no ka poʻe i loaʻa i nā hopena koʻikoʻi, hiki i kēia mau lāʻau lapaʻau ke hāʻawi i ka hōʻoluʻolu:
- Nā Antihistamine: ʻO nā laʻana e like me Loratadine, Fexofenadine, a me Cetirizine. Hoʻomalu kēia i nā hōʻailona e like me ka maneʻo a me ka hives.
- ʻO nā Corticosteroids: No ka laʻana, nā lāʻau lapaʻau e like me ka prednisone. Hāʻawi pinepine ʻia kēia mau mea no kahi manawa pōkole, i nā hihia koʻikoʻi.
- Nā kirīmi e hōʻemi i ka maneʻo: Hiki iā ʻoe ke hoʻohana i nā mea e like me ka lotion calamine e hoʻomaʻū i ka ʻili a hōʻemi i ka maneʻo.
- Lāʻau pale ʻOmalizumab: Hoʻohana ʻia kēia lāʻau pale i kekahi mau hihia koʻikoʻi.
- Phototherapy: He lāʻau lapaʻau lōʻihi kēia. Pili ia i ka hōʻike mālie ʻana i ka ʻili i ka lā (a i ʻole ke kukui UV hana) ma lalo o nā kūlana i kāohi ʻia e hoʻāʻo e hōʻemi i ka ʻike o ka ʻili. Ua like ia me ke 'ʻohi ʻana i ke kākalaioa i kahi i nahu ʻia ai'.
Pehea e hiki ai iā ʻoe ke hōʻemi i ka pilikia o kahi hopena allergies i ka lā?
E like me kā mākou i kūkākūkā ai ma mua, ʻaʻole maopopo loa i nā kānaka ʻepekema ke kumu o kēia maʻi ʻaleka i ka lā, no laila he paʻakikī ke ʻōlelo pololei pehea e pale aku ai iā ia. ʻO ia hoʻi, ʻaʻole hiki iā mākou ke hōʻoia inā hana mākou i kēia, ʻaʻole ia e hana hou ʻia .
Eia nō naʻe, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka hiki ke hana ʻia kēia a e hōʻemi i kona hopena inā hana ia. ʻO kēia nā mea a mākou e kamaʻilio ai ma hope.
He aha ke ʻano o ka wā e hiki mai ana e hiki i kahi mea me ka maʻi ʻaleka lā ke manaʻo?
ʻOkoʻa pinepine ke kūlana o ka poʻe me nā maʻi ʻaleka lā mai kēlā kanaka a kēia kanaka. No kekahi poʻe, e ulu aʻe ke kūlana i ka hala ʻana o ka manawa. ʻO ia hoʻi, i ko lākou ʻelemakule ʻana, a i ʻole ma hope o kekahi mau makahiki, e nalo aku kēia mau pilikia.
Akā, pono ka nui o ka poʻe e noho me kēia mau hōʻailona no 10 a 15 mau makahiki, a ʻoi aku paha. Hiki ke lilo i mea hoʻonāukiuki iki.
ʻO ka maʻamau, e nalowale ana kahi ʻōhū i hoʻokumu ʻia e ka maʻi ʻaleka lā i loko o kekahi mau hola a i ʻole mau lā ma hope o kou haʻalele ʻana i ka lā. Eia nō naʻe, i kekahi manawa hiki i ka ʻōhū ke mau a hiki i ʻelua pule. ʻO ka mea maikaʻi loa, ʻaʻole ʻoe e ʻōʻō a hōʻeha iā ʻoe iho, ʻaʻole kēia ʻōhū e hoʻoulu i ka ʻōpala .
Inā he maʻi ʻaleka koʻu i ka lā, pehea e hiki ai iaʻu ke mālama iaʻu iho?
Inā loaʻa iā ʻoe kahi maʻi allergy i ka lā, hiki iā ʻoe ke pale a hōʻemi paha i ka hanana ʻana o kēia mau kūlana hoʻonāukiuki ma o ka hahai ʻana i kēia mau ʻōlelo aʻoaʻo:
- I ka hoʻomaka ʻana o ka pūnāwai a me ke kauwela (ma ko mākou ʻāina, me ke aniau maloʻo e hiki mai ana), e hoʻonui mālie i kou manawa i ka lā. Mai noho i ka lā no ka manawa lōʻihi loa i ka manawa hoʻokahi. E hāʻawi kēia i kou ʻili i kahi manawa e hoʻomaʻamaʻa mālie ai i ka lā.
- E pale i ka hiki ʻana i ka lā i nā hola kiʻekiʻe, ma waena o 10 a.m. a me 4 p.m. E noho i loko o ka hale a i ʻole ma kahi malu.
- Inā ʻoe e lawe ana i kekahi lāʻau lapaʻau a i ʻole nā huahana ʻili i ʻike ʻia e hoʻoulu ai i ka photosensitivity, e hoʻōki a hoʻololi paha i kā lākou hoʻohana e like me ke kuhikuhi a kāu kauka.
- E hoʻohana i ka pale lā. Hiki i nā pāpale ākea, nā lole lima lōʻihi, nā lole komo, a me nā ʻili makani ke kōkua.
- E hoʻohana i kahi pale lā me ka liʻiliʻi o SPF 30. E hoʻopili hou i kēlā me kēia ʻelua hola, a ʻoi aku ka nui inā ʻoe e hou ana a ʻauʻau paha.
E hoʻomanaʻo, ʻaʻole hāʻawi ka sunscreen i ka palekana 100%. No laila, pono e hoʻohana pū ʻia ka sunscreen me nā hana palekana ʻē aʻe.
Pehea e hōʻoluʻolu ai i kahi maʻi allergy lā?
Inā ʻike koke ʻoe i nā hōʻailona o kahi maʻi allergy ma hope o ka puka ʻana i waho i ka lā, mai hopohopo a hana i kēia mau mea:
- E puka i waho o ka lā i ka hikiwawe loa. E hoʻi mai i ka home, a i ʻole e hele i kahi me ka malu maikaʻi.
- E kau i kahi lole anu a pulu i ka wahi i hoʻopilikia ʻia. E hōʻemi iki kēia i ka mumū a me ka maneʻo.
- E inu i ka wai he nui. He mea nui e mālama i nā pae wai maikaʻi i loko o ke kino.
- E lawe i kahi lāʻau antihistamine i kūʻai ʻia ma ke kūʻai aku. E kōkua kēia i ka hoʻomalu koke ʻana i ka maneʻo a me ka ʻulaʻula.
Āhea wau e ʻike ai i ke kauka i ka wā hikiwawe loa?
Inā loaʻa iā ʻoe kahi maʻi ʻaleka i ka lā a ʻike ʻoe i kekahi o kēia mau hōʻailona koʻikoʻi o ke kino , he mea nui e ʻimi koke i ke kōkua lapaʻau :
- ʻEha umauma
- Ka mae ʻana
- ʻEhaʻeha o nā ʻiʻo
- ʻEha poʻo nui
- ʻEha ʻōpū
- Ka nāwaliwali koke a koʻikoʻi
- Ka pilikia o ka hanu ʻana a i ʻole ka moni ʻana
- Ka luaʻi ʻana
ʻO nā hōʻailona e like me kēia e hōʻike ana he ʻoi aku ka koʻikoʻi o ke kūlana. No laila, e ʻike koke i ke kauka.
Leka Hoʻihoʻi Hope Loa
No laila, he ʻano hoʻonāukiuki ka maʻi ʻaleka i ka lā no kekahi poʻe. Akā inā loaʻa iā ʻoe ka ʻike kūpono no ia mea, e lawe i nā hana palekana e pono ai, a hana koke inā ʻike ʻia nā hōʻailona, hiki iā ʻoe ke hōʻemi nui i kona hopena.
ʻO ka mea nui loa, ʻo ia ka pale ʻana iā ʻoe iho mai ka lā.Eia kekahi, inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike pono i ke kauka no ka ʻōlelo aʻo. No ka mea, hiki i ke kauka ke haʻi pololei iā ʻoe i ke ʻano o ka maʻi allergy āu e loaʻa ai a me ke ʻano o ka lāʻau kūpono loa.
No laila, hiki iā kākou a pau ke noho olakino, me ka makaʻu ʻole i ka lā, akā ma ka makaʻala i ka lā!
ʻAleka lā , ʻaleleka lā, maʻi ʻili, ʻūlū, wela o ka lā, hōʻino ʻili, lāʻau lapaʻau
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