Ua ʻike anei ʻoe ua ʻulaʻula koke kou kino, puka mai nā puʻupuʻu liʻiliʻi e like me ka pehu, a i kekahi manawa he maneʻo ia me ka hiki ʻole ke hoʻomanawanui? Ua like ia me ke nahu ʻia e kahi makika, akā hiki ke nui aʻe a pālahalaha. He nui ka poʻe e kapa nei i kēia he 'worm candy'. Ua kapa pū kekahi iā ia he 'hives'. Ma ke ʻano lapaʻau, kapa mākou i kēia (Urticaria) a i ʻole (Hives). No laila i kēia lā, e kamaʻilio hou kākou e pili ana i kēia me nā kikoʻī hou aku? He mea kēia e hana maoli nei i nā poʻe he nui, a he mea hoʻonāukiuki iki ia.
No laila he aha kēia hives a i ʻole urticaria?
I ka ʻōlelo maʻalahi, ʻo kēia mau welt he ʻano ʻulaʻula a ʻōniʻoniʻo ma ko mākou ʻili. Ua like lākou me nā puʻupuʻu liʻiliʻi. He hopena maoli kēia e kū mai ana i loko o ko mākou ʻili. ʻO ka hapa nui o ka manawa, he hopena ia i kahi mea maʻi ʻaleka (allergen).
E noʻonoʻo wale, hiki i kēia mau kīnā ke ʻike ʻia ma nā wahi āpau o ke kino. I kekahi manawa hiki iā lākou ke ʻike ʻia he mau kiko liʻiliʻi, i kekahi manawa he mau kiko nui, a i ʻole he puʻu o nā kīnā nui e hui pū ana.
Hiki i kēia mau hives ke mau mai kekahi mau hola a i hoʻokahi pule (a ʻoi aku paha). Hiki ke ʻike ʻia nā hives hou i ka mae ʻana o nā mea kahiko. ʻO nā hives e mau ana ma lalo o 6 mau pule ua kapa ʻia he hives acute. Akā inā mau lākou ma mua o 6 mau pule, ua kapa ʻia lākou he hives chronic.
No ke aha mākou e loaʻa ai i nā hives? He aha nā kumu?
ʻO ke kumu nui o kēia mau hives ka hoʻokuʻu ʻia ʻana o kahi kemika i kapa ʻia ʻo histamine mai kahi ʻano cell i kapa ʻia ʻo Mast Cells i loko o ko kākou kino. ʻO kēia histamine ke kumu o ka wai e kahe mai nā kīʻaha koko liʻiliʻi ma lalo o ka ʻili. Hōʻiliʻili kēlā wai i loko o ka ʻili a ʻike ʻia e like me kēia mau hives. Nui nā kumu no kēia. Akā i kekahi manawa aia nā manawa i hiki ʻole ke loaʻa kahi kumu kikoʻī.
ʻO ka hapa pinepine, hoʻokumu ʻia nā hives e kahi hopena allergies. Inā hana ʻia kēia, hiki ke ʻike ʻia ka ʻulaʻula i loko o nā minuke. ʻO nā allergens maʻamau :
- Nā Meaʻai: ʻOi aku ka meaʻai kai (e like me nā pāpaʻi, ʻōpae), nā nati e like me ka pīnati, nā cashew, ka waiū, a me kekahi mau hua.
- Nā lāʻau lapaʻau: Kekahi mau lāʻau lapaʻau, e like me nā antibiotics, a me nā pana allergy.
- Nā holoholona: Nā holoholona hānai, ka huluhulu o nā holoholona ʻē aʻe, ka lawai, a pēlā aku.
- Pollen: Nā mea e like me ka pollen i loko o nā pua.
- Nā nahu pepeke: Ke nahu ʻia e nā holoholona e like me nā makika a me nā ʻanuʻu.
Akā, ʻaʻole i hoʻokumu mau ʻia nā ilo e nā maʻi allergies. Aia kekahi mau kumu ʻē aʻe:
- Nā maʻi: Kekahi mau maʻi viral (e like me ka maʻi palū, ke anu).
- Hoʻoikaika kino.
- Kaumaha a hopohopo paha: He mea kēia e hoʻopilikia ai i nā poʻe he nui.
- Ka ʻike ʻia ʻana i ka lā.
- Ka ʻike ʻia ʻana i ke anu: Nā mea e like me ka wai anuanu, ka hau.
- Ka pili ʻana o ka ʻili me kekahi mau kemika.
- Ka ʻōʻō ʻana i ka ʻili: Loaʻa i kekahi poʻe nā ʻōpala ʻoiai ke ʻōʻō wale lākou i ko lākou ʻili. Ua kapa ʻia kēia ʻo Dermatographia.
- Paʻa ka ʻili: Hiki ke hana kēia i ka wā e noho ana ma kahi hoʻokahi no ka manawa lōʻihi, e like me ke hāpai ʻana i kahi ʻeke kaumaha.
Kāhea mākou i kēia mau hives i kū mai ma muli o nā kumu kino e like me ke kaomi, ke anu, a me ka lā (Physical Hives).
Hiki ke paʻakikī ke ʻike i nā hives mau loa. I kekahi manawa hiki ke pili iā lākou me nā maʻi ʻōnaehana pale e like me ka lupus. I kekahi manawa, hiki ke hana ʻia e nā lāʻau lapaʻau, nā meaʻai, nā pepeke, a i ʻole nā maʻi. Akā i nā manawa he nui, ʻaʻole hiki i nā kauka ke loaʻa ke kumu pololei o kēia mau hives mau loa.
He aha nā hōʻailona o ka hives? Pehea mākou e ʻike ai iā lākou?
ʻO ke ʻano nui o ka lole ilo, ʻo ia ka hua ʻulaʻula, ʻano oval, e like me kaʻu i ʻōlelo ai ma mua. Aia kekahi mau ʻano ʻē aʻe o kēia mau hua:
- He keʻokeʻo iki paha ko lākou waena.
- Hiki iā lākou ke ʻike ʻia ma nā wahi like ʻole ma nā ʻano puʻupuʻu like ʻole.
- Hiki iā ia ke hoʻololi i ke ʻano a me ka wahi i loko o kekahi mau hola.
- Hiki iā ia ke ʻano mai kahi kiko liʻiliʻi a i ka nui e like me kahi pā nui.
- Hiki ke manaʻo ʻia e like me ka maneʻo nui, malia paha he mea wela a ʻā paha.
Hiki i kekahi poʻe ke loaʻa i kahi maʻi i kapa ʻia ʻo Angioedema me kēia ʻono ilo. Hiki i kēia ke hoʻoulu i ka pehu a puni nā maka, nā lehelehe, nā lima, nā wāwae, nā ʻōpū, a i ʻole ka ʻāʻī. Hiki i kēia pehu ke ʻike ʻia i kekahi manawa me he mau kiko ʻulaʻula. ʻAʻole wale ia, ʻo nā hōʻailona e like me ka nausea, ka luaʻi ʻana, a me ka ʻeha o ka ʻōpū e hele pū me kēia maʻi (Angioedema).
I ka liʻiliʻi loa, hiki i kēia mau mea ʻono ilo a me ka angioedema ke hoʻoulu i kahi hopena maʻi ʻino loa i kapa ʻia ʻo ka anaphylactic shock. He kūlana hoʻoweliweli ola kēia e pono ai ka mālama lapaʻau ulia pōpilikia.
ʻO nā hōʻailona o ka anaphylactic shock:
- Paʻakikī ka hanu ʻana
- Ka hāʻule koke ʻana o ke koko
- Pōʻino
- Ka nalowale o ka ʻike (nāwaliwali)
Inā loaʻa iā ʻoe kēia mau hōʻailona, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
Pehea e ʻike ai nā kauka i nā hives?
I ka manawa pinepine, hiki i ke kauka ke ʻike inā he ringworm kou ma ka nānā wale ʻana i kou ʻili. No ka ʻike ʻana i ke kumu, e nīnau kāu kauka iā ʻoe i kekahi mau nīnau. Eia kekahi laʻana:
- Aia kekahi o kou ʻohana i loaʻa i nā maʻi allergies e like me kēia?
- Ua ʻai anei ʻoe i kahi meaʻai hou i hala koke aku nei? Ua lawe anei ʻoe i kahi lāʻau lapaʻau hou?
- Ua maʻi anei ʻoe i kēia mau lā iho nei?
- Loaʻa iā ʻoe ke kaumaha i kou ola o kēlā me kēia lā?
- Ua pili paha ʻoe i kahi mea e hiki ai ke hoʻoulu i nā maʻi allergies?
Inā loaʻa iā ʻoe nā hives mau loa, e haʻi aku kāu kauka iā ʻoe e mālama i kahi puke moʻolelo o kāu mau hana o kēlā me kēia lā, me nā mea āu e ʻai ai a inu ai, a me kahi e ʻike ʻia ai nā hives. Ua kapa ʻia kēia he mālama puke moʻolelo.
Eia kekahi, hiki ke hana ʻia kekahi mau hoʻokolohua e ʻike ai i ke kumu kūpono:
- Nā hoʻāʻo koko
- Nā Hoʻāʻo Allergy
- Hana ʻia nā hoʻokolohua kūikawā e ʻike ai inā ua hoʻokumu ʻia kēia mau hōʻailona e nā maʻi ʻē aʻe e like me ka maʻi thyroid a i ʻole ka maʻi hepatitis.
No ka nānā ʻana i nā hives kino, hiki i ke kauka ke kau i kahi ʻeke hau ma kou ʻili e ʻike ai inā ʻoe e pane i ke anu. A i ʻole e kau paha lākou i kahi mea kaumaha, e like me ka ʻeke one, ma kou ʻūhā e ʻike ai inā ʻeha ke kīkē.
He aha nā lāʻau lapaʻau no ka hives?
I ka hapanui o nā hihia, ʻaʻole pono nā hihia liʻiliʻi o ka ringworm i kekahi lāʻau kūikawā. Hoʻopau pinepine lākou iā lākou iho i loko o kekahi mau lā. Inā hiki iā ʻoe ke loaʻa ke kumu, ʻoi aku ka maikaʻi o ka pale ʻana. No ka laʻana, inā ʻike ʻoe he meaʻai kekahi e hoʻoulu ai i ka pilikia, he mea nui e pale i kēlā meaʻai.
Inā koʻikoʻi ka maneʻo, hiki i ke kauka ke kuhikuhi i kahi antihistamine, kahi e ālai ai i ka hana ʻana o ka histamine. E hōʻemi kēia i ke ʻano o nā hives a me ka maneʻo. Hoʻohiamoe kekahi o kēia mau lāʻau lapaʻau iā ʻoe, aʻo kekahi ʻaʻole.
No nā hives mau loa, hiki i ke kauka ke kuhikuhi i kahi antihistamine i kēlā me kēia lā ʻaʻole e hiamoe. Hiki ke kūʻai ʻia kēia mau mea ma ke kūʻai aku ma ke kauka a i ʻole ma ke kauoha.
E hoʻomanaʻo, ʻaʻole pono nā antihistamines āpau no nā kānaka a pau. No laila he mea nui e kamaʻilio me kāu kauka e ʻike i ka lāʻau kūpono nou a e hahai i kā lākou ʻōlelo aʻo.
Inā ʻaʻole hiki i ka antihistamine ke kāohi i ka hiamoe, hiki i kāu kauka ke kuhikuhi i kahi antihistamine ikaika aʻe, kahi ʻano lāʻau like ʻole, a i ʻole ka hui pū ʻana o nā lāʻau lapaʻau.
He mea kākaʻikahi loa, hiki i ke kauka ke kuhikuhi i nā pila steroid a i ʻole nā wai no kahi manawa pōkole (ʻo ka maʻamau he 5 mau lā a 2 mau pule). Hiki i kēia mau steroid ke loaʻa nā hopena ʻaoʻao, no laila ʻaʻole lākou e hoʻohana ʻia no ka wā lōʻihi.
He aha ka mea e hana ai i ka wā pilikia?
E like me kaʻu i ʻōlelo ai ma mua, he mea kākaʻikahi loa nā hihia o ka anaphylactic shock a me nā hives koʻikoʻi a i ʻole angioedema. Akā inā loaʻa lākou, he pilikia olakino ia. ʻO ia hoʻi , pono ʻoe e hele koke i ka haukapila.
No nā poʻe me nā maʻi ʻaleka koʻikoʻi, ʻōlelo pinepine nā kauka e lawe ʻoe i kahi ʻano injectable o ka epinephrine (kahi auto-injector). Inā pilikia ʻoe i ka loaʻa ʻana o kahi maʻi ʻaleka koʻikoʻi, e aʻo aku kāu kauka iā ʻoe a me kou ʻohana pehea e hāʻawi ai iā ʻoe iho i ka injection.
Eia kekahi o nā mea nui a mākou e makemake ai e lawe i ka home mai kēia moʻolelo!
ʻAe, ua kamaʻilio nui mākou e pili ana i kēia mau mea ʻono ilo. ʻO ka mea hope loa, eia nā mea nui e hoʻomanaʻo:
- He maʻi ʻili maʻamau ka Urticaria/Hives.
- Nui nā kumu no kēia - nā maʻi allergies, nā maʻi, nā pilikia olakino, kekahi mau lāʻau lapaʻau, a me nā mea ʻē aʻe.
- ʻO ka hapa nui o ka manawa, ʻaʻole koʻikoʻi kēia mau mea, akā hiki iā lākou ke hoʻonāukiuki loa no ka mea he maneʻo lākou.
- Inā koʻikoʻi loa ka ʻāʻī, ua lōʻihi ka manawa i loaʻa ai, a i ʻole he mau hōʻailona weliweli e like me ka paʻakikī o ka hanu ʻana a i ʻole ka pehu ʻana o ka puʻu, e ʻike pono i ke kauka.
- He mea nui loa e ʻike i ke kumu o nā ilo inā hiki. A laila hiki iā ʻoe ke pale aku iā lākou.
- Aia nā lāʻau lapaʻau e like me nā antihistamines ma ke ʻano he lāʻau lapaʻau. E hoʻohana iā lākou e like me ke kuhikuhi a ke kauka.
No laila, inā ʻoe e ʻike nei i kēia ʻano pōʻino, mai hopohopo. Akā, mai hoʻowahāwahā pū kekahi. ʻO ka mea naʻauao loa e hana ai, ʻo ia ke kamaʻilio me ke kauka a loaʻa ka lāʻau lapaʻau e pono ai.
ʻŌpū ʻōpū, Eczema, Urticaria, Hives, Allergies, Nā maʻi ʻili, ʻIli maneʻo
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