He ʻulaʻula a maneʻo paha kou mau lima? He Tinea Manuum paha kēia!

Ke ʻānai nui nei kou mau lima i kekahi manawa? A i ʻole ke ʻano ʻulaʻula a palupalu? No kekahi poʻe, maloʻo loa paha nā poho lima, ʻāwili paha ka ʻili, a ma kekahi mau wahi e māwae paha. Ke loaʻa iā mākou nā hōʻailona e like me kēia, manaʻo mākou he pilikia ʻili liʻiliʻi wale nō ia. Eia naʻe, he maʻi fungal paha kēia. ʻO ia ke ʻano a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo 'Tinea Manuum'. Mai hopohopo, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī.

He aha ka Tinea Manuum? E ʻike pono kākou!

I ka ʻōlelo maʻalahi, he maʻi fungal ʻo Tinea Manuum e hiki ke loaʻa ma kekahi a i ʻole nā ​​​​lima ʻelua. Hoʻopilikia ia i ka papa luna o kou ʻili. Ua kapa pū kekahi poʻe iā ia he "Ringworm". Eia naʻe, ʻoiai ʻo ka inoa "Ringworm" e ʻōlelo nei, ʻaʻohe ona ilo i hoʻopili ʻia iā ia. ʻO ia no ka mea i ka wā e loaʻa ai kēia maʻi, i kekahi manawa ua like ia me ke apo, e like me ke apo. Aia paha kahi wahi liʻiliʻi i hāpai ʻia a puni kēlā apo, e like me ka scab.

ʻO kēia kūlana, i kapa ʻia ʻo Tinea Manuum, hiki ke hoʻopili i nā ʻāpana o kou mau lima:

• Kou lima.
• Ma ke kua o ka lima.
• No nā ʻāpana o ka ʻili ma waena o nā manamana lima.

Hoʻohuihui pinepine ʻia ʻo Tinea Manuum me Tinea Pedis (i ʻike ʻia hoʻi ʻo Athlete's Foot), kahi maʻi fungal o nā wāwae. Eia nō naʻe, hiki nō hoʻi ke loaʻa ma nā lima.

ʻO wai ka mea e loaʻa pinepine ai kēia? Pehea ka maʻamau?

Hiki i ka Tinea manuum ke hoʻopilikia i kekahi o kēlā me kēia makahiki, me ka nānā ʻole i ke kāne. Eia nō naʻe, ʻike pinepine ʻia ia i nā keikikāne ʻōpio a me nā kāne makua.

Ua manaʻo ʻia aia ma kahi o 25% o ka heluna kanaka o ka honua e ʻeha nei i nā maʻi fungal. I waena o lākou, ʻo Tinea Manuum lāua ʻo Tinea Pedis nā maʻi ʻelua i ʻike pinepine ʻia e nā kauka. Ma kekahi mau ʻāina, ʻo Tinea Manuum ka mea e pili ana i 13% o nā maʻi fungal āpau.

Hiki ke loaʻa ka Tinea Manuum ma nā lima ʻelua, akā ʻo ka hapa nui ma ka lima hoʻokahi wale nō. Ua ʻike ʻia hoʻi kēia ʻo "ʻElua wāwae, hoʻokahi lima syndrome" i waena o nā kauka. ʻO ke ʻano kēia, ke loaʻa iā ʻoe ka Tinea Pedis ma nā wāwae ʻelua, loaʻa pū iā ʻoe ka Tinea Manuum ma kekahi lima. Loaʻa kēia ma kahi o 65% o nā hihia. Loaʻa nā maʻi fungal ma nā lima ʻelua a me nā wāwae ma kahi o 20% o nā hihia, ʻo ka Tinea Manuum ma ka lima hoʻokahi wale nō ma kahi o 12% o nā hihia, a ʻo ka Tinea Manuum ma nā lima ʻelua ma kahi o 4%.

He aha nā hōʻailona o ka Tinea Manuum?

ʻO ka hōʻailona nui, he ʻānai, he mau kiko poepoe ma ke kua o ka lima. I kekahi kanaka me ka ʻili māmā, hiki ke ʻike ʻia kēia mau kiko he ʻulaʻula a poni paha. I kekahi kanaka me ka ʻili ʻeleʻele, hiki ke ʻike ʻia he ʻeleʻele a hina paha. I kekahi manawa, hiki ke moakaka kēia mau kiko ma ke kikowaena a hiki ke hana i kekahi mau pōʻai a puni lākou. I kekahi manawa, hiki ke hāpai ʻia nā pōʻai a he ʻano unahi ko lākou.

ʻO ka ʻili ma kou limaHiki iā ia ke mānoanoa. Hiki nō hoʻi ke maloʻo loa. E ʻike paha ʻoe i nā māwae hohonu ma ka pālima. Hiki i nā māwae ke like me ka ʻili keʻokeʻo i loko. Hiki i ka pālima ke maneʻo a ʻaʻole paha. I kekahi manawa aia paha ka ʻeha a me ka pehu .

E ʻike paha ʻoe i nā kiko ʻulaʻula ma ka ʻili a puni kou mau manamana lima, me nā pehu a me nā pimples. I nā manawa he nui, hiki i kēia maʻi ke laha i kou mau kui .

No ke aha e kū mai ai ka tinea manuum? He aha nā kumu?

Hoʻokumu ʻia ʻo Tinea Manuum e kekahi ʻano fungus. Ulu maikaʻi kēia mau fungi i nā wahi mehana a pulu. He mea maʻamau lākou i nā wahi wela e like me ko kākou. Ulu maikaʻi nō hoʻi lākou i nā wahi pulu e like me nā lumi ʻauʻau lehulehu a me nā lumi lole i loko o nā hale hoʻoikaika kino.

He maʻi lele loa ka Tinea Manuum. Hiki iā ʻoe ke loaʻa inā ʻoe e hoʻopā i kahi mea i loaʻa i ka maʻi, kahi holoholona i loaʻa i ka maʻi, a i ʻole ka lepo i loaʻa i ka fungus. Hiki nō hoʻi iā ʻoe ke loaʻa inā ʻoe e hoʻohana i nā mea i loaʻa i ka fungus a i ʻole e hoʻopā i nā wahi i loaʻa i ka fungus. Hiki i ka fungus ke noho ma luna o nā mea a me nā ʻili i loaʻa i ka maʻi no ka manawa lōʻihi.

He nui ka poʻe e loaʻa i ka Tinea Pedis (ka wāwae o ka ʻĀlapa) ma ko lākou mau wāwae ma mua o ko lākou loaʻa ʻana o ka Tinea Manuum. He mea laha loa kēia haʻiki, no laila inā ʻoe e ʻānai i kou mau wāwae, hiki i ka haʻiki ke laha i kou mau lima a hana i ka Tinea Manuum.

ʻO wai ka mea i pilikia nui i ka hoʻomohala ʻana i kēia?

Ua ʻōlelo mua mākou ʻo ka fungus e hoʻoulu ai i ka Tinea Manuum makemake i nā wahi mahana a pulu. No laila, eia kekahi mau mea e hoʻonui ai i kou pilikia o ka loaʻa ʻana o kēia maʻi:

• Ke noho nei i kahi ʻāina wela: E like me ko kākou Sri Lanka.
• Ke hele nei i nā wahi wela a pulu.
• Ke hoʻohana nei i nā lumi ʻauʻau lehulehu, nā lumi lole, nā loko ʻauʻau o loko, a me nā hale hoʻoikaika kino.
• Noho pū ka poʻe he nui ma nā wahi e like me nā hale noho.
• Ke pāʻani nei i nā haʻuki kino e like me ka hakakā a me ka pôpeku.
• Ke kaʻana like ʻana i nā mea e like me nā lole, nā kāwele, nā moe, nā kāhili, a me nā lako haʻuki me nā poʻe ʻē aʻe.

Eia kekahi, ʻoi aku ka nui o ka poʻe e hana me ko lākou mau lima e hoʻomohala iā ia. Eia kekahi laʻana:

• ʻO ka poʻe e launa pū ana me nā poʻe ʻē aʻe, e like me nā mea lomilomi a me nā mea lauoho.
• ʻO ka poʻe e hana pū me nā holoholona, ​​​​e like me nā limahana mahiʻai a me nā kauka holoholona.
• Nā mīkini kaʻa, nā mea hoʻohana mīkini, nā poʻe e hana me nā kemika.

Aia kekahi mau kumu pilikia ʻē aʻe:

• ʻOiai he kāne.
• Ke koko kiʻekiʻe (Hypertension).
• Ka nāwaliwali o ka ʻōnaehana pale (e.g. ma muli o nā maʻi e like me ka HIV/AIDS, ke kanesa, ka maʻi diabetes).
• ʻO ke atherosclerosis.
• Ka momona.
• Ka hou nui ʻana (Hyperhidrosis).

Pehea e hoʻoili ʻia ai kēia?

He maʻi lele loa ʻo Tinea Manuum. Hiki ke laha ma nā ʻano nui ʻekolu.

Mai nā kānaka mai

Hiki nō hoʻi iā ʻoe ke loaʻa inā ʻoe e launa pololei me kekahi 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.

Mai nā holoholona mai

Hiki iā ʻoe ke loaʻa iā ia inā ʻoe e hoʻopā i kahi holoholona i loaʻa i ka maʻi. Hiki ke laha mai nā holoholona e like me nā ʻīlio a me nā pōpoki (ʻoi aku hoʻi nā ʻīlio liʻiliʻi a me nā pōpoki), a mai nā holoholona mahiʻai e like me nā bipi, nā lio, nā puaʻa, a me nā kao.

Mai nā mea ola ʻole (Fomites)

ʻO nā Fomites he mau mea a i ʻole nā ​​​​​​mea e hiki ke lawe i kahi maʻi. Hiki ke hoʻolaha ʻia kēia mau fungi ma ka kaʻana like ʻana i nā mea e like me nā lole, nā kāwele, a me nā moe. Hiki iā lākou ke noho ma nā ʻili paʻakikī i nā wahi pulu (e.g., nā lumi lole, nā lumi ʻauʻau lehulehu).

Hiki iā ia ke laha mai kekahi ʻāpana o kou kino a i kekahi ʻāpana, a mai ka hoʻopā ʻana i ka haʻiki i loko o ka lepo, nā mea i loaʻa i ka maʻi i ke kaiapuni.

Pehea e ʻike ai ke kauka i ka tinea manuum?

Ke hele ʻoe e ʻike i ke kauka, e nīnau lākou iā ʻoe e pili ana i kou mau hōʻailona a nānā iā ʻoe. E nānā lākou i kou mau poho lima, ke kua o kou mau lima, a me kou mau manamana lima. E nānā pinepine lākou i kou mau wāwae, no ka mea, he nui ka poʻe me Tinea Manuum i loaʻa iā Tinea Pedis (kahi maʻi fungal o nā wāwae).

Makemake paha ke kauka e lawe i kahi hāpana liʻiliʻi o ka ʻāpana i loaʻa i ka maʻi a hana i nā hoʻokolohua hou aʻe e hōʻoia i ka Tinea Manuum ia.

He aha nā hoʻokolohua e hana ʻia nei?

No ka ʻike pololei ʻana iā Tinea Manuum, hiki ke hana ʻia nā hoʻokolohua aʻe:

Hoʻāʻo KOH (kala KOH)

Ma kēia, e ʻeli mālie ke kauka i kahi ʻili liʻiliʻi mai ka ʻāpana i loaʻa i ka maʻi o kou lima. Ma ka lab, kau ʻia nā ʻili ʻili ma luna o kahi microscope slide, hoʻohui ʻia kahi kulu o ka potassium hydroxide (KOH) iā ia, a nānā ʻia ka hāpana ma lalo o kahi microscope. Hoʻomaʻalahi ka KOH i ka ʻike inā loaʻa ka fungus. Loaʻa pinepine nā hopena i loko o 24 mau hola.

Ka mahi ʻana i nā fungi (Moʻomeheu)

Inā ʻaʻole maopopo ka hoʻāʻo `KOH`, hiki i kāu kauka ke kauoha i kahi `Culture`. ʻO ka `Culture` kahi mea e hiki ai i nā fungi ke ulu. A laila hiki i ka loea ke hoʻoholo pololei i ke ʻano o ka fungi e hoʻoulu nei i kāu maʻi. ʻOi aku ka pololei o kēia ma mua o ka hoʻāʻo `KOH`, akā hiki ke hala i kekahi mau pule no ka hoʻi ʻana mai o nā hopena.

ʻO ka nānā ʻana o ka ʻili

I kekahi manawa, hoʻohana paha kāu kauka i kahi kaʻina hana i kapa ʻia ʻo dermoscopy e nānā i kahi maʻi fungal ma kou mau lima. Pili kēia i ka hoʻohana ʻana i kahi mea paʻa lima i kapa ʻia ʻo dermoscope. Loaʻa iā ia kahi aniani hoʻonui a me kahi ʻōnaehana kukui. Hiki iā ia ke ʻike i nā kikoʻī i ʻike ʻole ʻia e ka maka ʻōlohelohe. Inā loaʻa iā ʻoe ka tinea manuum, e ʻike pinepine ʻoe i nā ʻāpana keʻokeʻo a unahi i loko o nā māwae ma kou mau lima.

He aha nā lāʻau lapaʻau no ka Tinea Manuum?

E kuhikuhi kāu kauka i ka lāʻau antifungal e mālama ai i ka tinea manuum. I ka hapanui o nā hihia, hiki iā ʻoe ke mālama i ka maʻi ma ka home me kahi kirīmi ma luna o ke kauka. Pono e hoʻopili ʻia kēia kirīmi antifungal i ka wahi i hoʻopilikia ʻia i hoʻokahi a ʻelua paha i ka lā no kahi o ʻeono pule. ʻO nā hiʻohiʻona o kēia mau kirīmi ʻo Miconazole (e.g. Monistat 7®) a me Clotrimazole (e.g. Lotrimin®).

Akā i kekahi mau hihia, hiki i kāu kauka ke kuhikuhi i kahi lāʻau antifungal waha. Inā ua pālahalaha kāu maʻi i kou mau kui a i ʻole i kahi ʻāpana nui o kou kino, pono paha ʻoe i ka lāʻau waha. Pono paha ʻoe i ka lāʻau waha i nā hihia aʻe:

• Inā nāwaliwali kou ʻōnaehana pale maʻi.
• Inā ʻaʻole e holo pono nā lāʻau lapaʻau a pau.
• Inā loaʻa pinepine kēia maʻi iā ʻoe.

ʻO nā laʻana o nā lāʻau lapaʻau waha ʻo `(Terbinafine)` (e.g. `Lamisil®`) a me `(Itraconazole)` (e.g. `ONMEL®`).

Pehea e hiki ai iaʻu ke hōʻemi i ka hanana o kēia? Nā ʻano pale

Nui nā mea hiki iā ʻoe ke hana e pale aku ai i ka Tinea Manuum. Eia kekahi mau mea hiki iā ʻoe ke hana:

• E mālama i ka hoʻomaʻemaʻe maikaʻi: E holoi pinepine i kou mau lima, holoi a hoʻomaloʻo pono iā lākou. E mālama i kou mau kui i pōkole a maʻemaʻe.
• E pale i ke kahakaha ʻana i kou mau wāwae: Inā ʻoe e kahakaha i kou mau wāwae, ʻoi aku ka nui o ka loaʻa ʻana o ka haʻihaʻi ma kou mau lima.
• E mālama koke i ka wāwae o ka mea pāʻani: Inā he wāwae o ka mea pāʻani kou, pono e mālama koke ʻia a piha hoʻi e pale aku ai i ka laha ʻana i nā ʻāpana ʻē aʻe o ke kino, me kou mau lima.
• Mai hoʻohana i nā kirīmi steroid topical: Hiki i nā Corticosteroids ke hōʻoluʻolu i ka ʻeha no kekahi manawa, akā ʻaʻole lākou e ho'ōla i ka maʻi fungal a hiki ke hoʻopaneʻe i ka hōʻailona.
• Mai kaʻana like i nā mea pilikino me nā poʻe ʻē aʻe: Mai kaʻana like i nā mea i loaʻa paha ka haʻihaʻi, e like me nā lole, nā kāwele, a me nā uhi moe.
• E makaʻala i ka wā e pili ana i nā holoholona: E holoi pono i kou mau lima ma hope o ka lawelawe ʻana a i ʻole ka pāʻani ʻana me nā holoholona a i ʻole nā ​​holoholona ʻē aʻe. Inā manaʻo ʻoe he maʻi fungal kāu holoholona, ​​e lawe iā ia i ke kauka holoholona.
• Inā he mea pāʻani ʻoe, e noʻonoʻo i kēia:Inā ʻoe e pāʻani i kahi haʻuki e pili ana i kou kino, e ʻauʻau koke ma hope o ka hoʻomaʻamaʻa ʻana a me ka hoʻokūkū. Mai kaʻana like i nā lako haʻuki me nā poʻe ʻē aʻe, a e mālama i kou ʻaʻahu a me nā lako ʻē aʻe i maʻemaʻe.

He aha ka mea e hana ai inā loaʻa iā ʻoe ka tinea manuum? Pehea ka lōʻihi e ho'ōla ai?

Hiki i ka Tinea Manuum ke hoʻomaloʻo a ʻānai i ka ʻili ma kou mau lima. Hiki iā ʻoe ke mālama iā ia ma ka home me kahi lāʻau antifungal ma luna o ke kauka. Eia nō naʻe, hiki i ka tinea manuum ke paʻakikī ke mālama. E like me ka lawe ʻana i kahi antibiotic, he mea nui e lawe i ka papa holoʻokoʻa o ka lāʻau antifungal. E ʻike paha ʻoe e liʻiliʻi ana nā kiko, akā inā ʻaʻole ʻoe e hoʻopau i ka lāʻau, hiki iā lākou ke hoʻi hou mai.

E hoʻomanaʻo, pono ʻoe e lawe i ka lāʻau lapaʻau no ka manawa holoʻokoʻa i kuhikuhi ʻia e ke kauka. A laila wale nō e ho'ōla loa ʻia ʻoe.

Inā hoʻomau ka maʻi, pono ʻoe e ʻike i ke kauka. Hiki iā ia ke nānā i kou kūlana a ʻōlelo i ka lāʻau lapaʻau maikaʻi loa. Inā ʻaʻole e nalowale ka maʻi, pono paha ʻoe e lawe i kahi lāʻau antifungal i kuhikuhi ʻia e kāu kauka. Hiki ke lōʻihi ka manawa, akā e nalowale ana nā maʻi tinea manuum.

Hiki ke paʻakikī ke mālama i nā maʻi fungal. No laila he mea nui e hoʻohana i kekahi lāʻau antifungal e like me ke kuhikuhi ʻana. ʻOiai inā e like me ka mea e hoʻomaʻemaʻe ana kāu maʻi, hiki ke hoʻi hou mai inā ʻaʻole i mālama piha ʻia. Pono paha ʻoe e hoʻomau i ka hoʻohana ʻana i ka lāʻau antifungal a hiki i ʻeono pule , e like me nā kuhikuhi ma ka pūʻolo lāʻau. Inā ʻaʻole i hoʻomaʻemaʻe kāu maʻi ma hope o ʻeono pule, e ʻike i ke kauka.

ʻO ka mea hope loa, ʻo ka mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui kākou e pili ana iā Tinea Manuum, ʻeā? ʻO ka mea hope loa, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:

• He maʻi fungal ʻo Tinea Manuum, ʻaʻole ia he maʻi ilo.
• Hiki i kēia ke laha, no laila he mea nui loa ka mālama ʻana i ka maʻemaʻe.
• Hiki ke ho'ōla ʻia kēia me ka lāʻau kūpono. Eia nō naʻe, pono e hoʻohana ʻia ka lāʻau lapaʻau no ka manawa holoʻokoʻa i kuhikuhi ʻia e ke kauka.
• Inā ʻaʻole kōkua nā lāʻau lapaʻau ma ka home, e ʻike pono i ke kauka.
• ʻO ka hana ʻana i nā hana pale ke ala maikaʻi loa e hōʻemi ai i ka pilikia o ka loaʻa ʻana o kēia maʻi. ʻOi loa inā he haʻihaʻi kou ma kou mau wāwae, e hōʻoia ʻaʻole ʻoe e hoʻolaha i kou mau lima.

He maʻi ʻeha a ʻoluʻolu ʻole ka Tinea manuum. Eia nō naʻe, hiki iā ʻoe ke mālama iā ia ma ka home me nā lāʻau antifungal. Akā, he manawa iki ia. He mea nui loa ia e hahai i nā kuhikuhi ma ka pūʻolo a hoʻopau i ka lāʻau. Inā pilikia ʻoe i ka mālama ʻana iā ʻoe iho, e ʻimi i ke kōkua mai ke kauka. Aia lākou ma laila e kōkua iā ʻoe. ʻAʻole pono ʻoe e hoʻomanawanui i kēia ʻeha a me ka ʻeha.

`Tinea Manuum, Fungal Infection, Fungus on Lima, Ma'i Ili, Ringworm, Tinea Manuum, Antifungal