Ke ʻeha nei ʻoe a i ʻole kāu keiki i ka eczema? I kekahi manawa e kuhikuhi paha kāu kauka i kahi kirīmi kūikawā e kōkua i ka kaohi ʻana i kēia maʻi. ʻO Tacrolimus kekahi o ia ʻano kirīmi. Ua ʻike ka poʻe he nui iā ia ma ka inoa inoa ʻo 'Protopic'. No laila i kēia lā, e kamaʻilio pōkole kākou e pili ana i ka kirīmi Tacrolimus, pehea e hoʻohana ai, a me nā hana palekana āu e lawe ai.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, he mea nui loa ia e hāʻawi iā ia i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi iā ia e pili ana i kekahi o nā kūlana i helu ʻia ma lalo nei.
| Kou kūlana | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Ka maʻi ʻili (e.g., cutaneous T-cell lymphoma) | ʻAʻole kūpono kēia lāʻau lapaʻau no kekahi mau maʻi ʻaʻai ʻili. |
| Nā nāwaliwali a i ʻole nā pilikia o ka ʻōnaehana pale | No ka mea hiki i kēia lāʻau lapaʻau ke hoʻololi hou aku i ka hana o ka ʻōnaehana pale. |
| Nā maʻi viral e like me ka chickenpox a me ka herpes | ʻO ka hoʻopili ʻana i kēia lāʻau lapaʻau i kahi i loaʻa ai kahi maʻi e hiki ke hoʻonui i ka hopena. |
| Loaʻa kahi ʻili nui i puhi ʻia a hōʻino ʻia paha | Aia kahi pilikia o ke komo ʻana o nā lāʻau lapaʻau hou aʻe i loko o ke kino ma o ka ʻili i hōʻino ʻia. |
| Nā maʻi ʻili genetic e like me ka Netherton's syndrome | Pono e noʻonoʻo pono ʻia ka hoʻohana ʻana i kēia lāʻau lapaʻau ma ia mau kūlana. |
| Ua hala koke nei a i ʻole ke komo ʻana i ka radiation therapy | Aia paha he mau pilina ma waena o kēia lāʻau lapaʻau a me ka radiation therapy. |
| Nā maʻi ʻaleka i ka tacrolimus a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama | He mea nui kēia no ka pale ʻana i ka hopena allergies. |
| Ke hāpai nei, ke ho'āʻo nei e hāpai, a i ʻole ka hānai waiū | I kēia mau hihia, pono ʻoe e kamaʻilio me kāu kauka e pili ana i nā hopena hiki ke loaʻa i ke keiki. |
Pehea maoli ʻoe e hoʻohana ai i kēia aila poni?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, he mea nui loa ia e hoʻohana pono.
No ka hoʻohana waho wale nō kēia lāʻau lapaʻau. Mai lawe ma ka waha no kekahi kumu.
- E holoi i kou mau lima: E holoi pono i kou mau lima ma mua a ma hope o ke kau ʻana i ka lāʻau. Eia nō naʻe, inā ʻoe e kau ana i ka lāʻau ma nā lima ʻelua, e holoi wale i kou mau lima ma mua o ke kau ʻana.
- Mai hoʻokuʻu i ia mea i loko o kou mau maka: Inā komo hewa ʻoe i loko o kou mau maka, e holoi pono i kou mau maka me ka wai maʻemaʻe.
- E kau i kahi papa lahilahi: E like me ke kuhikuhi a kāu kauka, e kau i ka lāʻau lapaʻau ma kahi papa lahilahi wale nō i nā wahi i hoʻopilikia ʻia. Inā he makū ma nā wahi i hoʻopilikia ʻia ma mua o ke kau ʻana i ka lāʻau lapaʻau, e holoi iā lākou me kahi lole maʻemaʻe a e hoʻomaloʻo iā lākou.
- E lawe i kāu lāʻau lapaʻau i ka manawa kūpono: E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, e like me ke kuhikuhi a kāu kauka. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
- Mai kāʻei: Mai uhi i ka wahi i kau ʻia ai ka lāʻau lapaʻau me kahi ʻāpana/bandage. Eia nō naʻe, ʻaʻohe pilikia i ke komo ʻana i nā lole maʻamau.
- Mai ʻauʻau ma hope o ke kau ʻana: Mai ʻauʻau, ʻauʻau, a ʻauʻau koke ma hope o ke kau ʻana i ka lāʻau. ʻO ka hana ʻana pēlā e holoi paha i ka lāʻau.
- Mai ho'ōki: ʻOiai inā e hoʻomaikaʻi kou ʻili, mai hoʻōki i ka hoʻohana ʻana i ka lāʻau lapaʻau a hiki i ka wā e haʻi aku ai kāu kauka iā ʻoe.
Inā hoʻohana ʻia no nā keiki ...
I kekahi manawa, kuhikuhi nā kauka i kēia lāʻau lapaʻau i nā keiki ma luna o 2 mau makahiki. Akā, pono e loaʻa nā kumu kūikawā no ia mea. Inā ʻoe e hoʻohana ana i kēia no kahi keiki, he mea nui e hahai pono i nā kuhikuhi a ke kauka.He mea nui loa.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, a inā ua lawe kekahi iā ia, e hele koke i ka Halemai Pilikia (ETU) kokoke loa . A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
E hoʻomanaʻo, nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like i kāu lāʻau lapaʻau me nā poʻe ʻē aʻe.
He aha inā poina iaʻu e lawe i kaʻu lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kāu lāʻau lapaʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Akā inā kokoke ka manawa no kāu mahele lāʻau aʻe, e kāpae i ka mahele lāʻau i hala a lawe i ka mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka mahele lāʻau.
He aha nā pilina kūpono me kēia lāʻau lapaʻau?
Ke hoʻohana ʻoe i kēia ʻaila poni, hiki ke loli kona hopena me nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, a me kekahi mau mea inu. No laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e hoʻohana ai.
| He aha nā pilina e hiki ke hana ʻia? | Nā mea e noʻonoʻo ai |
|---|---|
| Nā mea inu ʻona | Hiki i ka inu ʻana i ka waiʻona ke hana i ka ʻulaʻula a me ka pehu o ka maka a i ʻole ka ʻili. |
| ʻO kekahi mau lāʻau lapaʻau koko kiʻekiʻe (e like me Diltiazem, Nifedipine) | Hiki i kēia mau lāʻau lapaʻau ke hoʻololi i ke ala e komo ai ʻo Tacrolimus i ke kino. |
| Nā lāʻau lapaʻau antifungal (e.g. Itraconazole, Ketoconazole) | Hiki i kēia ke hoʻololi i nā hopena o Tacrolimus. |
| Nā lāʻau lapaʻau e like me Cimetidine, Erythromycin | Hiki i kēia mau mea ke hana i nā pilina, no laila e hoʻomaopopo i kāu kauka. |
| Nā lāʻau pale | Ma mua o ka loaʻa ʻana o kekahi lāʻau pale, e haʻi i kāu kauka e hoʻohana ana ʻoe iā Tacrolimus. |
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā lāʻau lapaʻau).
Nā mea ʻē aʻe e hoʻomanaʻo i ka wā e hoʻohana ai
- E makaʻala i ka lā: Hiki i kou ʻili ke ʻano iki i ka lā i ka wā e hoʻohana ai i kēia lāʻau lapaʻau. ʻO ke ʻano kēia e hiki ke ʻulaʻula a puhi maʻalahi. No laila e noho mamao loa mai ka lā i ka hiki. Inā ʻoe e hele i waho, e ʻaʻahu i nā lole pale a hoʻohana i ka sunscreen maikaʻi. E pale i ka hoʻohana ʻana i nā kukui lā a i ʻole nā moena tanning.
- Hoʻomaikaʻi ʻili: E ʻike paha ʻoe i ka hoʻomaikaʻi ʻana o kou ʻili i loko o kekahi mau pule o ka hoʻohana ʻana i ka lāʻau lapaʻau. Eia nō naʻe, e hoʻomau i ka hoʻohana ʻana no ka lōʻihi o ka manawa a kāu kauka e ʻōlelo ai. Inā ʻaʻohe hoʻomaikaʻi ma hope o kekahi mau pule, a inā e ʻoi aku ka ʻino o kou ʻano, e haʻi pono i kāu kauka .
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe, akā ʻaʻole i loaʻa i nā mea āpau.
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā maʻi ʻōpū moa a i ʻole herpes (nā ʻeha anu, nā shingles) | Hiki paha i kēia ke hoʻopilikia i ka palekana, no laila e hoʻomaopopo koke. |
| Nā ʻōpū pehu | He hōʻailona paha kēia o kahi maʻi a i ʻole kekahi maʻi koʻikoʻi ʻē aʻe. |
| Ke kahe ʻana o ke koko mai ka ʻili, nā loli i ke ʻano o ka ʻili (loli i ke kala o kahi kiko, mole, a i ʻole ka ulu hou ʻana) | Pono e hōʻike koke ʻia nā loli o ka ʻili i ke kauka. |
| Nā maʻi ʻili a i ʻole nā maʻi follicle lauoho (Ka maʻi o nā follicle lauoho) | Inā ʻike ʻoe i kekahi mau hōʻailona e like me ka ʻulaʻula a i ʻole ka pus, e haʻi i kāu kauka . |
| Manaʻo luhi loa | He hōʻailona paha kēia no ke ʻano o ka hopena o ka lāʻau i ke kino. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻAla, maneʻo, ʻeha, a mae paha kahi i hoʻopili ʻia ai ka lāʻau lapaʻau | Hiki i kēia ke lilo i mea maʻamau i nā lā mua a nalowale pinepine i loko o kekahi mau lā. |
| ʻEha poʻo, ʻeha ʻiʻo, nausea | Inā hoʻomau kēia mau mea a hoʻopilikia paha iā ʻoe, e haʻi i kāu kauka. |
| ʻOi aku ka maʻalahi o ka ʻili i ka wela a i ʻole ke anu ma mua o ka maʻamau | He hopena ʻaoʻao maʻamau kēia. |
Pehea e mālama ai i kēia lāʻau lapaʻau?
- E mālama iā ia mai ka hiki ʻana aku o nā keiki. ʻO kēia ka mea nui loa.
- E mālama ma ka mahana o ka lumi (ma waena o 15-30 kekelē Celsius).
- E hoʻolei aku i nā lāʻau lapaʻau i koe ma hope o ka lā pau.
Leka Lawe-Home
- He kirīmi ʻili ʻo Tacrolimus i hoʻohana ʻia no ka mālama ʻana i nā maʻi ʻili e like me ka eczema. Pono e hoʻohana ʻia ma lalo o ke aʻo a ke kauka.
- Ma mua o ka lawe ʻana i ka lāʻau lapaʻau, e hōʻoia e haʻi i kāu kauka e pili ana i kou mau maʻi ʻē aʻe, nā lāʻau lapaʻau āu e lawe nei, a me nā maʻi allergies.
- I ke kau ʻana i ka lāʻau lapaʻau, e kau ma kahi papa lahilahi a e hoʻomanaʻo e pale iā ia mai ka lā.
- Inā loaʻa iā ʻoe kekahi pehu, nā loli ʻili hou, a i ʻole nā maʻi e like me ka moa, e ʻike koke i kāu kauka.
- Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e kamaʻilio me kāu kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 ʻEhia ke kumukūʻai o ka ʻaila/kirimi Tacrolimus (Tacrolimus / Protopic)?
ʻAʻole kēia he kirīmi steroid maʻamau! He ʻano lāʻau ikaika loa kēia (Topical Calcineurin Inhibitor) i kuhikuhi ʻia e kahi haukapila no ka poʻe me ka 'Severe Eczema / Atopic Dermatitis', i ka wā ʻaʻohe lāʻau ʻē aʻe (ʻoiai nā steroids) e hōʻemi i ka ʻeha o ka ʻili! ʻAʻole kēia e hoʻomāmā i ka ʻili e like me nā kirīmi steroid, ʻo ia ka pōmaikaʻi nui ma ʻaneʻi.
💬 Pehea e hiki ai iā ʻoe ke ho'ōla i ka eczema me kēia (Tacrolimus) wale nō ke hāʻule nā kirimi ʻē aʻe?
Hoʻokumu ʻia ka eczema e nā 'T-cell' o kā mākou ʻōnaehana pale ponoʻī e hele pupule ana a hoʻoulu i ka mumū/ka mumū o ka ʻili! ʻOiai ke alualu nei nā kirīmi ʻē aʻe iā ia, hele pololei kēia poni i ka puʻuwai o kēlā mau 'T-cell' pupule a ālai/paʻa i ka enzyme (Calcineurin) e pono ai ke hana i kēlā manawa. No ka mea, ʻaʻohe ala e hiki ai i ka leka ke hele, nalowale koke ka ʻulaʻula a me ka maneʻo o ka ʻili.
💬 He aha ka pilikia make loa (Black Box Warning) o kēia kirīmi?
ʻO ia ka makaʻu nui loa o ka hoʻohana ʻana i kēia kirīmi! Ua hōʻike ʻia kekahi poʻe e hoʻohana ana i kēia lāʻau lapaʻau no ka manawa lōʻihi ua loaʻa iā lākou ka 'maʻi ʻili a me ke kanesa lymph node (Lymphoma / Skin Cancer)'! No laila, ua pāpā ʻia ke kau ʻana i nā keiki ma lalo o 2 makahiki. Eia kekahi, mai hele i waho i ka 'lā/lā (UV Light)' i ka wā e kau ana i kēia, hiki ke wela koke ka ʻili a i ʻole e piʻi aʻe ka pilikia o ka maʻi ʻaʻai!
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