Loaʻa i kāu keiki liʻiliʻi kēia mau kiko ma kona poʻo a ke hāʻule nei ka lauoho? ʻO ia anei ka ringworm (Tinea Capitis)?

Ke ʻānai mau nei ke poʻo o kāu keiki liʻiliʻi? A i ʻole e ʻulaʻula, unahi, a me he mea lā e hāʻule ana ka lauoho? I kekahi manawa, loaʻa iā ia ke kuni iki a loaʻa nā ʻuku a puni kona ʻāʻī? Inā pēlā, ʻo ia ka mea a mākou e kamaʻilio ai. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia maʻi ʻo Tinea Capitis . Kapa pū kekahi poʻe iā ia he "ringworm of the head." I ka ʻōlelo maʻalahi, he maʻi fungal ia. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku, no ka mea, he mea nui loa ka ʻike a me ka mālama pono ʻana.

He aha ka Tinea Capitis?

I ka ʻōlelo maʻalahi, he maʻi fungal ka tinea capitis e hoʻopilikia i ka ʻili a me ka lauoho ma ke poʻo o kāu keiki. Ua kapa pū kekahi poʻe iā ia ʻo "Scalp Ringworm," akā ʻaʻohe ona pili me nā ilo. Hana ʻia ia ke komo kahi ʻano fungus i loko o nā follicle lauoho o kāu keiki. I kekahi manawa, hiki i ka fungus ke komo i loko o ke kumu lauoho. ʻAʻole wale ia, akā hiki nō hoʻi ke hoʻopilikia i nā maka maka a me nā kuʻemaka o kekahi mau keiki.

ʻElua ʻano nui o ka tinea capitis. ʻO kekahi ke ʻano mumū . I kekahi manawa hiki i kēia ke alakaʻi i kahi kūlana i kapa ʻia he kerion . He ʻeha ʻeha ka kerion, piha i ka pus, i kekahi manawa he wai. Hoʻokumu ʻia kēia e ka ʻōnaehana pale o ke keiki e pane ana i ka fungus. Hiki i kēia ke kumu i ka ʻeha a me ka nalowale o ka lauoho mau loa.

ʻO kekahi ʻano ʻē aʻe ke ʻano ʻaʻole mumū . ʻAʻole kēia e hoʻoulu i ka nalowale mau o ka lauoho. Eia nō naʻe, hiki iā ia ke hana i kahi mea i kapa ʻia ʻo "black dot tinea capitis." ʻO ke ʻano kēia, ua haki nā follicle lauoho o kāu keiki ma ka pae ʻili o ke poʻo. Ua like kēia me kahi kiko ʻeleʻele. ʻO "Gray patch tinea capitis" he ʻano ʻaʻole mumū nō hoʻi. ʻO kēia kahi e haki ai nā follicle lauoho ma luna pono o ka ʻili, e waiho ana i nā ʻāpana pōkole a unahi.

ʻO wai ka mea kūpono loa e loaʻa i kēia?

ʻO ka Tinea Capitis ka mea maʻamau i nā keiki ma waena o 3 a me 14 mau makahiki. Eia nō naʻe, hiki iā ia ke hoʻopilikia i nā pākeke. ʻOi aku ka pilikia o ka poʻe me nā ʻōnaehana pale nāwaliwali (e like me ka poʻe me kekahi mau maʻi a i ʻole ka poʻe e lawe ana i kekahi mau lāʻau lapaʻau).

Pehea ka maʻamau o kēia ʻano?

ʻO kaʻoiaʻiʻo, he maʻi maʻamau ka Tinea Capitis i ʻike ʻia e nā kauka pediatric a me nā kauka ʻili. Hiki ke ʻike ʻia kēia maʻi ma kekahi ʻāina o ka honua. Eia nō naʻe, ʻike pinepine ʻia ia ma nā wahi me nā aniau wela a pulu (e like me Sri Lanka!) . He mea maʻamau loa ia ma nā ʻāina e like me ʻAmelika Waena, ʻAsia Hikina Hema, a me ʻApelika.

He aha nā hōʻailona o kēia?

Hiki i ka Tinea Capitis ke hoʻopilikia i ke poʻo o kāu keiki a pau a i ʻole kekahi hapa. Hiki i nā hōʻailona ke komo pū me:

• Nā kiko a i ʻole nā ​​​​​​kikokiko pehu, ʻulaʻula.
• ʻŌhū maloʻo a unahi.
• Maikaʻi loaʻĀnai .
• Ka hāʻule ʻana o ka lauoho ma nā wahi (alopecia) .
• Ke ʻili nei ka ʻili e like me ka ʻaeto ʻōhule.
• Wela kino, kuni iki.
• Nā ʻōpuʻu lymph pehu a puni ka ʻāʻī.

I kēia manawa, i ke kūlana mumū o Tinea Capitis, hiki ke ʻike ʻia nā ʻāpana ʻeha a pehu ma ke poʻo. Ua kapa ʻia kēia he Kerion . I kekahi manawa, hiki i kēia mau Kerions ke ʻili a hoʻokahe i kahi wai e like me ka pus. Hiki i nā hihia koʻikoʻi o Tinea Capitis ke hana i ka ʻeha a me ka hāʻule ʻana o ka lauoho ma ia mau wahi. No laila, he mea nui e ʻike koke i ke kauka inā ʻike ʻoe i kēia mau hōʻailona.

I loko o ka "black dot tinea capitis", haki ke kumu lauoho ma ka pae ʻili, e hāʻawi ana i ke ʻano o nā kiko ʻeleʻele. I loko o ka "gray patch tinea capitis", waiho ʻia nā ʻāpana lauoho pōkole a haki.

He aha ke kumu o kēia?

Hoʻokumu ʻia ʻo Tinea Capitis e kahi ʻano fungus i kapa ʻia ʻo Dermatophytes . Ma nā ʻāina e like me ʻAmelika, ʻo nā kumu nui nā dermatophytes `(Microsporum)` a me `(Trichophyton)`. Ulu maikaʻi kēia mau fungi i nā wahi mahana a pulu . ʻO ia ke kumu he mea maʻamau ia ma nā ʻāina e like me ko kākou, kahi i wela iki ai ke aniau a hou.

Eia kekahi, he maʻi lele loa ʻo Tinea Capitis. Hiki i kāu keiki ke loaʻa mai kahi kanaka i loaʻa i ka maʻi, kahi holoholona, ​​a i ʻole mai ka lepo. Hiki nō hoʻi ke laha ma ka hoʻopā ʻana i nā mea a me nā ʻili i haumia ʻia me ka fungus (e like me nā kāwele, nā kuʻekuʻe wāwae, nā uhi uluna). Hiki i ka Tinea Capitis ke ola ma luna o nā mea i loaʻa i ka maʻi no ka manawa lōʻihi.

He aha nā kumu pilikia e kōkua ai i kēia hoʻomohala ʻana?

He haʻiki ka Tinea Capitis e ulu maikaʻi ana i nā wahi pulu a mehana. No laila, ʻo nā kumu pilikia nui no ia:

• Ke noho nei ma kahi ʻano wela (e like me Sri Lanka).
• Ke huakaʻi nei i nā wahi me ke aniau wela a pulu.
• Nā wahi e noho kokoke ana nā kānaka he nui (e.g. nā lumi moe kula, nā kula kamaliʻi).
• Ke pāʻani nei i nā haʻuki pili e pili ana i ka hoʻopā ʻana i nā poʻe ʻē aʻe.
• Aia nā ʻeha liʻiliʻi ma ka ʻili o ke poʻo.
• ʻAʻole e ʻauʻau pinepine i ke keiki, ʻaʻole e holoi i kona lauoho .
• Ka hou nui ʻana (hyperhidrosis) .
• Ke hoʻololi nei i nā mea e like me nā pāpale, nā kāhili lauoho, nā pine lauoho, a me nā lako haʻuki (mahiole) kekahi me kekahi .
• Ka nāwaliwali o ka ʻōnaehana pale. Hiki ke hana ʻia kēia e nā maʻi e like me ka HIV/AIDS, ke kanesa, a i ʻole ka maʻi diabetes.

Pehea e hoʻoili ʻia ai kēia?

He maʻi lele loa ka Tinea Capitis.Hiki iā ia ke laha koke loa, ʻoi aku hoʻi i waena o nā keiki. Hiki ke laha ma nā ʻano nui ʻekolu.

1. Kanaka i kānaka

Hiki i kāu keiki ke loaʻa inā pili pono lākou me kahi mea i loaʻa i ka maʻi. Loaʻa paha i kēlā kanaka nā hōʻailona a ʻaʻole paha. Akā inā he mea lawe lākou, hiki iā lākou ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe.

2. Mai nā holoholona mai

Hiki i kāu keiki ke loaʻa iā ia inā hoʻopā lākou i kahi holoholona i loaʻa i ka maʻi. Hiki ke laha mai nā holoholona like ʻole, me nā holoholona e like me nā ʻīlio a me nā pōpoki. No laila he mea nui e holoi pono i kou mau lima ma hope o ka pāʻani ʻana me nā holoholona.

3. Fomites - Nā mea i hoʻopilikia ʻia

ʻO nā fomites he mau mea a mea paha e hiki ke lawe i kahi maʻi. ʻO ka kaʻana like ʻana i nā mea e like me ke kapa, nā pāpale, nā kāhili, nā palaki lauoho, a me nā mahiole hiki ke hoʻolaha i ka tinea capitis i kāu keiki.

Pehea e ʻike ai ke kauka i kēia?

E nīnau ke kauka o kāu keiki iā ʻoe e pili ana i kāna mau hōʻailona. A laila e nānā ʻo ia i kāu keiki. E nānā pono ʻo ia i ka lauoho a me ke poʻo o kāu keiki. I kekahi manawa hiki iā ʻoe ke ʻike koke he ringworm ia.

Eia nō naʻe, i mea e maopopo ai, pono ke kauka e lawe i kahi hāpana liʻiliʻi mai ka wahi i loaʻa i ka maʻi. Hiki iā ia ke wehe i kekahi mau lauoho a i ʻole e ʻeli i kahi ʻili liʻiliʻi o ke poʻo. Hiki i ke kauka ke hoʻoholo e hana i kekahi mau hoʻokolohua hou aʻe e ʻike ai inā he tinea capitis.

He aha nā hoʻokolohua e hana ʻia nei e hōʻoia i kēia?

No ka hoʻoholo inā he tinea capitis kou, hiki i kāu kauka ke hana i nā hoʻokolohua penei:

1. Hoʻāʻo ʻili KOH

Ma kēia, e ʻeli mālie ke kauka i kahi ʻili liʻiliʻi mai ka ʻāpana i loaʻa i ka maʻi o ke poʻo o kāu keiki. Hiki iā ia ke wehe i kekahi mau lauoho. Ma ka lab, e kau kekahi loea i ka hāpana ma luna o kahi microscope slide. E loaʻa i ka slide kahi kulu o ka potassium hydroxide (KOH). Ke nānā ʻia ma lalo o ka microscope, e hōʻike ka hopena KOH inā he fungus. Loaʻa pinepine nā hopena i loko o 24 mau hola.

2. Hoʻāʻo moʻomeheu

Inā ʻaʻole hāʻawi ka hoʻāʻo ʻana i ka KOH stain i kahi hopena maopopo, hiki i kāu kauka ke kauoha i kahi hoʻāʻo moʻomeheu. ʻO ka moʻomeheu kahi mea e hiki ai i nā fungi ke ulu. E kōkua kēia i ka loea e ʻike pono i ka fungi e hoʻoulu nei i ka maʻi o kāu keiki. ʻOi aku ka pololei o ka hoʻāʻo moʻomeheu ma mua o ka KOH stain, akā hiki ke hala i kekahi mau pule no ka hoʻi ʻana mai o nā hopena.

3. Hoʻāʻo kukui lāʻau

He ʻano kūikawā o ke kukui ultraviolet (UV) ke kukui o Wood. E hoʻopaʻa ke kauka i kēia kukui i ke poʻo o kāu keiki. Hiki paha i kēia ke kōkua i ka ʻike ʻana i ke ʻano o ka fungus e hoʻoulu ai i ka ringworm. ʻĀlohilohi kekahi ʻano fungi ma lalo o kēia kukui UV, aʻo kekahi ʻaʻole. Ma muli o ke ʻano o ka dermatophyte ma ke poʻo, hiki i ka wahi ke ʻālohilohi i ka melemele, ʻōmaʻomaʻo, a i ʻole ka uliuli.

Pehea e mālama ʻia ai?

E kuhikuhi ke kauka o kāu keiki i kahi lāʻau antifungal e mālama ai i ka tinea capitis. ʻO ka maʻamau, ʻaʻole hana nā lāʻau lapaʻau topical wale nō, no laila ua kuhikuhi ʻia kahi lāʻau lapaʻau waha. Pono kāu keiki e lawe i kēia lāʻau no ka liʻiliʻi o ʻeono pule . ʻO nā lāʻau antifungal waha maʻamau no nā keiki ʻo Griseofulvin lāua ʻo Terbinafine.

Eia nō naʻe, hiki i ke kauka ke kuhikuhi i kahi shampoo selenium sulfide . Pono ʻoe e holoi i ke poʻo o kāu keiki me kēia shampoo ma ka liʻiliʻi he ʻelua i ka pule. Hiki i kēia shampoo ke kōkua i ka hoʻōki ʻana i ka laha ʻana o ka tinea capitis, akā ʻaʻole ia e ho'ōla loa.

Hiki paha i ke kauka ke ʻōlelo aku i kahi kirīmi antifungal. Pono e hoʻopili pololei ʻia kēia kirīmi i nā wahi i loaʻa i ka maʻi o ke poʻo o ke keiki. Hiki i kēia kirīmi ke kōkua i ka pale ʻana i ka laha ʻana o ka maʻi. Eia naʻe, ʻaʻole hiki i kēia wale nō ke ho'ōla loa i ka tinea capitis.

E hoʻomanaʻo, ʻo kēia mau shampoos a me nā kirīmi e kōkua wale i ka hōʻemi ʻana i ka laha ʻana o ka maʻi. No ka ho'ōla piha ʻana i ka maʻi, pono ʻoe e hoʻohana i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka no ka manawa i kuhikuhi ʻia.

Inā loaʻa i kāu keiki ka kerion i ʻōlelo ʻia ma luna ( ʻeha piha i ka pus), hiki i ke kauka ke kuhikuhi i kahi corticosteroid, e like me Prednisone. Hiki i nā steroids ke kōkua i ka hōʻemi ʻana i ka mumū a me ka hoʻemi ʻana i ka pilikia o ka ʻeha a me ka nalowale mau o ka lauoho.

Hoʻōla ʻia ʻo Tinea Capitis i nā pākeke ma ke ʻano like. Pono e lawe ʻia kahi lāʻau antifungal waha no ka liʻiliʻi o ʻeono pule e hōʻoia i ka nalowale loa o ka maʻi. ʻO nā lāʻau lapaʻau no nā pākeke e komo pū me ka terbinafine a me ka itraconazole. Hiki i kāu kauka ke ʻōlelo aku i ka shampoo selenium sulfide, nā kirīmi antifungal, a me nā steroid.

Pehea e hiki ai iā ʻoe a me kou ʻohana ke mālama iā ʻoe iho ma ka home?

Inā loaʻa iā ʻoe a i ʻole kāu keiki ka tinea capitis, pono ʻoe e nānā e ʻike inā loaʻa i nā mea āpau o kou hale ka maʻi . I kekahi manawa, ʻoiai inā ʻaʻohe o lākou mau hōʻailona, ​​​​he manaʻo maikaʻi ke mālama pū iā lākou. A i ʻole, hiki ke hoʻoili ʻia ka maʻi i waena o nā mea āpau. Hiki i nā keiki ke hoʻohana i kahi kirīmi antifungal a i ʻole shampoo ʻelua i ka pule no ka liʻiliʻi o ʻeono pule.

Eia kekahi, pono e holoi ʻia a hoʻomaloʻo pono ʻia nā mea e like me nā uluna, nā pepa moe, a me nā kāwele . Pono e hoʻomaʻemaʻe pono ʻia a hoʻomaʻemaʻe ʻia nā mea e like me nā kāhili, nā pulumu, a me nā pine lauoho i hoʻohana ʻia. He mea maikaʻi paha ke kūʻai ʻana i nā mea hou.

Pehea e hiki ai iaʻu ke pale aku i kēia mai ka hana hou ʻana?

Aia kekahi mau mea hiki iā ʻoe ke hana e pale aku i ka tinea capitis:

• Mai kaʻana like i nā mea āu e hoʻohana ai (e like me nā pāpale, nā kāhili, nā uluna, nā mahiole) me nā poʻe ʻē aʻe.
• E mālama i ke poʻo o ke pēpē i maʻemaʻe a maloʻo.
• E mālama i nā keiki me ka tinea capitis mai nā keiki olakino (a hiki i ka pau ʻana o ka maʻi).
• E pale i nā wahi i hiki ai i ke keiki ke pili i ka maʻi (e like me nā loko ʻauʻau lehulehu).
• E holoi pinepine i nā uhi uluna a me nā pepa moe.
• E holoi pono i kou mau lima ma hope o ka hoʻopā ʻana a pāʻani ʻana paha me nā holoholona.

He aha kā mākou e manaʻo ai i ka wā e hiki mai ana?

Hiki ke mālama koke ʻia a mau ʻia ka tinea capitis non-inflammatory, a hiki ke alakaʻi i kahi hoʻōla maikaʻi . Eia nō naʻe, hiki i kekahi manawa ke paʻakikī ke mālama i ka tinea capitis. No laila he mea nui e hoʻopau i ka papa holoʻokoʻa o ka lāʻau antifungal i hāʻawi ʻia i kāu keiki. Hiki i ka tinea capitis mumū koʻikoʻi ke hana i ka ʻeha a me ka nalowale o ka lauoho mau loa. ʻO ia ke kumu e paipai nei mākou e ʻike i ke kauka i ka wā hikiwawe loa.

Pehea ka lōʻihi o kēia?

Hiki ke paʻakikī ke mālama ʻia nā maʻi fungal. ʻO ia ke kumu he mea nui e hoʻohana i ka lāʻau antifungal a kāu keiki e like me ke kauoha. Pono paha ʻoe e lawe i ka lāʻau no ka liʻiliʻi o ʻeono pule . ʻOiai inā e emi ana ka maʻi o kāu keiki a nalowale loa paha, hiki ke hoʻi hou mai inā ʻaʻole i mālama pono ʻia. I ka hapanui o nā hihia, e nalo wale ka tinea capitis i ka wā e hiki ai kāu keiki i ka wā makua.

He aha ka ʻokoʻa ma waena o ka Tinea Capitis a me ka Seborrheic Dermatitis?

He maʻi ʻili maʻamau nō hoʻi ka seborrheic dermatitis . ʻOi aku ka maʻamau i nā keiki makua. ʻAʻole like me ka tinea capitis, ʻaʻole ia e hoʻoulu i ka nalowale o ka lauoho. I kekahi mau hihia o ka tinea capitis, hiki i nā ʻeha ke like me nā mea o ka seborrheic dermatitis. Eia nō naʻe, ʻaʻole ka seborrheic dermatitis ke kumu o ka nalowale o ka lauoho. Hiki ke mālama ʻia ka seborrheic dermatitis me nā lāʻau lapaʻau ma luna o ke kauka. ʻO ka maʻamau, pono ʻo Tinea capitis i kahi kauoha mai ke kauka.

He aha ka ʻokoʻa ma waena o ka Tinea Capitis a me ka Tinea Barbae?

He maʻi fungal like ʻo Tinea Barbae me Tinea Capitis. Eia nō naʻe, hoʻopilikia ia i ka lauoho maka a me ka ʻumiʻumi. ʻAʻole ia he mea maʻamau e like me Tinea Capitis a hoʻopilikia pinepine i nā kāne ʻelemakule. ʻO ka Tinea Barbae ka mea maʻamau i waena o nā mahiʻai. Hoʻolaha ʻia ia ma ka pili pololei ʻana me kahi holoholona i loaʻa i ka maʻi. He mea kākaʻikahi ka laha ʻana mai ke kanaka a i ke kanaka.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Hiki i ka maʻi Tinea Capitis ke ʻānai a ʻoluʻolu ʻole no kāu keiki. Eia nō naʻe, inā mālama koke ʻia a mau ʻia,, hiki iā ʻoe ke kōkua i ka maʻi o kāu keiki e hoʻomaʻemaʻe. Eia nō naʻe, hiki i kēia ke lōʻihi. He mea nui loa e hahai pololei i nā ʻōlelo a ke kauka o kāu keiki. Pono kāu keiki e hoʻopau i ka papa hana piha o ka lāʻau lapaʻau. Hiki ke hala ma ka liʻiliʻi he ʻeono pule no ka hoʻomaʻemaʻe ʻana o kahi maʻi fungal. Inā ʻaʻole e hoʻomaʻemaʻe ka maʻi, e ʻike hou i kāu kauka. Aia lākou ma laila e kōkua iā ʻoe a me kāu keiki.

ʻO ka Ringworm, Tinea Capitis, ka Fungus Poʻo, nā maʻi ʻili i nā keiki, ka nalowale o ka lauoho, nā maʻi fungal, nā maʻi ʻili