Ua ala aʻe ʻoe i ke kakahiaka a ʻike i nā ʻāpana lauoho ma kou uluna a i ʻole i loko o kou kāhili ma hope o ka ʻauʻau ʻana? Ua noʻonoʻo paha ʻoe, "Auē, e nalowale anei koʻu lauoho a pau?"? He pilikia maoli kēia i loaʻa i nā poʻe he nui. No kekahi poʻe, ʻaʻole ia he mea nui ka nalowale ʻana o kekahi mau ʻāpana lauoho. Akā no kekahi poʻe, ʻo ka lahilahi iki o ka lauoho he mea nui ia. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ka nalowale o ka lauoho, a i ʻole ka nalowale o ka lauoho ma ke ʻano laulā.
E nānā mua kākou, he aha kēia lauoho?
I ka ʻōlelo maʻalahi, he lauoho ko mākou ma nā wahi āpau o ko mākou kino, koe wale nō nā wahi e like me ko mākou mau poho lima, nā kapuwaʻi o ko mākou mau wāwae, nā maka maka, a me nā piko. Akā, lahilahi loa kekahi mau lauoho i hiki ʻole iā mākou ke ʻike iā lākou.
Hana ʻia kēia mau lauoho i kahi protein i kapa ʻia ʻo 'Keratin' . Hana ʻia lākou i loko o nā follicles liʻiliʻi i loko o ko mākou ʻili. Ua like lākou me nā hale hana liʻiliʻi. I ka hana ʻana o kēia mau follicles i nā hunaola lauoho hou, ua hoʻokuke ʻia nā hunaola kahiko i waho o ka ʻili. ʻO ke kumu lauoho āu e ʻike ai he kaulahao ia o nā hunaola keratin make i hoʻopili ʻia.
He ma waena o 100,000 a me 150,000 lauoho ma ke poʻo o ke kanaka makua maʻamau. He mea maʻamau ka nalowale ʻana o 100 lauoho i ka lā. No laila, ʻaʻohe pono e hopohopo e pili ana i kekahi mau lauoho ma kāu kāhili.
I kēlā me kēia manawa, e ulu ana he 90% o ka lauoho ma kou poʻo. Loaʻa i kēlā me kēia lauoho kona pōʻaiapuni ola ponoʻī. Ua māhele ʻia kēia pōʻaiapuni i ʻekolu mau pae nui.
- Anagen Phase: ʻO kēia ka wā e ulu ikaika ai ke kumu lauoho. Hiki i kēia wā ke mau mai ʻelua a ʻewalu mau makahiki.
- Pae Catagen: ʻO kēia ke kahua e pau ai ka ulu ʻana o ka lauoho a komo i kahi pae hoʻololi. He ʻelua a ʻekolu pule ka lōʻihi.
- Ka pae Telogen: ʻO kēia ka pae hoʻomaha. He ʻelua a ʻekolu mahina paha ka lōʻihi. I ka hopena o kēia pae, hāʻule ka lauoho, a hoʻomaka ka ulu ʻana o ka lauoho hou mai ka follicle like. A no laila hoʻomaka hou ke kaʻina hana.
I ko kākou ʻelemakule ʻana, lohi mālie ka wikiwiki o ka ulu ʻana o ko kākou lauoho. He mea kūlohelohe loa ia.
He aha nā ʻano nui o ka nalowale o ka lauoho?
Aia nā ʻano like ʻole o ka hāʻule lauoho, a i ʻike ʻia ma ke ʻano lapaʻau he alopecia . E nānā kākou i kekahi o nā ʻano nui.
| ʻAno lauoho | I ka ʻōlelo maʻalahi, ʻo kēia ka mea e hana ʻia. |
|---|---|
| Ma muli o ka ʻelemakule (Involutional Alopecia) | Hoʻomānoanoa maoli ka lauoho i ko kākou ʻelemakule ʻana. Hele ka nui o nā follicle lauoho i ka wā hoʻomaha. |
| ʻO ka Alopecia Androgenic | He maʻi hoʻoilina kēia e hoʻopilikia ai i nā kāne a me nā wahine. Loaʻa i nā kāne ka ʻōhule ma nā ʻaoʻao o ko lākou lae a me ka piko o ko lākou mau poʻo. Loaʻa i nā wahine ka lauoho lahilahi loa ma ka piko o ko lākou mau poʻo. |
| ʻAlopecia Areata | Hoʻomaka koke ia. Hoʻouka hewa ka ʻōnaehana pale o ke kino i nā follicle lauoho, e hāʻule ai ka lauoho i loko o nā pōʻai ma nā wahi like ʻole. Hiki nō hoʻi ke hana ma ka ʻumiʻumi a me nā kuʻemaka. |
| Ma muli o ke kaumaha kino a noʻonoʻo paha (Telogen Effluvium) | ʻO ka nalowale koke o ka lauoho, e like me kahi maʻi nui, ka hānau keiki ʻana, ke ʻoki kino, a i ʻole ke kaumaha nui, hiki mai i kekahi mau mahina ma hope o ke kaʻina hana. He manawa pōkole kēia. |
| Ma muli o ka huki paʻa ʻana i ka lauoho (Traction Alopecia) | ʻO nā mea e like me ke ulana ʻana i kou lauoho me ka paʻa loa, ke kau ʻana i loko o kahi huelo lio, a me ka hoʻohana ʻana i nā wili lauoho hiki ke hōʻino i nā follicle lauoho a hoʻoulu i ka nalowale lauoho mau loa. |
| ʻO ka Alopecia ʻeha | Hiki i nā maʻi ʻili (e like me ka folliculitis) a i ʻole nā maʻi ʻē aʻe (e like me ka lupus) ke hana i nā ʻeha o ka ʻili, e luku mau ana i nā follicle lauoho ma kēlā mau wahi. |
He aha nā kumu o ka nalowale o ka lauoho?
ʻAʻole hiki i nā kauka ke ʻōlelo maopopo i ke kumu e ulu wikiwiki ai ka lauoho o kekahi poʻe a ʻo kekahi e pōkole. Akā ua ʻike lākou i kekahi mau kumu nui no kēia.
- Nā Hormones: ʻO ke kaulike ʻole o nā hormones, e like me nā hormones kāne (androgens), hiki ke kumu i ka nalowale o ka lauoho. ʻO nā pilikia thyroid kekahi kumu nui.
- Nā Genes:Hoʻoholo ʻia ka pilikia o ka ʻōhule hoʻoilina e nā genes āu e hoʻoilina ai mai kou makuahine a me kou makuakāne.
- Ke kaumaha, ka maʻi, a me ka hānau keiki ʻana: ʻO kēia nā manawa e ʻike ai ke kino i nā loli nui a hiki ke nalowale ka lauoho no kekahi manawa.
- ʻO kekahi mau lāʻau lapaʻau: ʻO ka chemotherapy maʻi kanesa, nā lāʻau hoʻokahe koko, a me kekahi mau lāʻau koko kiʻekiʻe hiki ke hoʻoulu i ka nalowale o ka lauoho no ka manawa pōkole. Mai ho'ōki i ka lawe ʻana i kāu mau lāʻau lapaʻau me ka ʻole o ke aʻo a kāu kauka.
- Nā hemahema o ka meaʻai: Hoʻonui ka pohō o ka lauoho ke nele ke kino i nā meaʻai, ʻoiai ka hao, ka zinc, ka biotin, a me ka protein .
- Mālama lauoho: ʻO ka hoʻokeʻokeʻo pinepine ʻana i ka lauoho, ka hoʻoluʻu ʻana, a me ka perming hiki ke hoʻonāwaliwali i ka lauoho a hiki ke haki. ʻAʻole maikaʻi hoʻi ke nakinaki paʻa i kou lauoho.
Pehea e ʻike pololei ai i ka nalowale o ka lauoho? (Diagnosis)
ʻO ka mea maikaʻi loa e hana ai inā manaʻo ʻoe e nalowale ana kou lauoho, ʻo ia ke ʻike ʻana i ke kauka . He mea maikaʻi loa ke kauka ʻili. Hiki iā ia ke kōkua iā ʻoe e ʻike i ke kumu pololei o ka pilikia.
Hiki i ke kauka ke hana i kēia mau mea:
- E nīnau ʻia kāu mōʻaukala lapaʻau a me nā ʻikepili ʻohana: Aia kekahi o kou ʻohana i loaʻa ka ʻōhule, he aha nā lāʻau lapaʻau āu e lawe nei, a inā paha ua loaʻa iā ʻoe kekahi mau maʻi nui i hala koke aku nei?
- Ka nānā ʻana i ke poʻo: Nānā ʻia ke poʻo no ka ʻulaʻula, nā hōʻailona o ka maʻi, a me ka ʻeha.
- Nā hoʻāʻo koko: Hiki ke hāʻawi ʻia iā ʻoe kahi hoʻāʻo koko e nānā i nā mea e like me kou pae hao, nā pae hormone thyroid, a me ka huaora D.
- Trichoscopy: He hoʻāʻo kēia e hoʻohana ana i kahi hāmeʻa like me ke kāmela e hoʻonui ai i ke poʻo a me nā follicle lauoho.
- ʻO ka biopsy ʻili: Inā pono wale nō, e lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻili mai ke poʻo a nānā ʻia ma lalo o kahi microscope.
He aha nā lāʻau lapaʻau no kēia?
Aia ka lāʻau lapaʻau i ke kumu o kou nalowale lauoho. Ke mālama ʻia ke kumu, hoʻōki pinepine ka nalowale o ka lauoho a hoʻomaka e ulu hou.
Nā lāʻau lapaʻau
- Minoxidil: He wai a huʻa paha i hoʻopili pololei ʻia i ke poʻo. Hiki ke hoʻohana ʻia e nā kāne a me nā wahine.
- Finasteride: He pila kēia i hāʻawi ʻia i nā kāne. He mea kūpono loa ia i ka hoʻohuli ʻana i ka ʻōhule hoʻoilina.
- Corticosteroids: He ʻano lāʻau lapaʻau i hāʻawi ʻia no nā kūlana pili i ka ʻōnaehana pale e like me ka alopecia areata.
- Nā huaora a me nā mea hoʻopihapiha meaʻai: Inā he mau hemahema e like me ka hao a me ka biotin, e hāʻawi ke kauka i nā mea hoʻopihapiha kūpono no lākou.
Nā Kaʻina Hana Lapaʻau
- Lapaʻau PRP (Platelet-Rich Plasma): Ma kēia, ua unuhi ʻia ka plasma mai kou koko ponoʻī a ua hoʻokomo ʻia nā mea ulu i loko o ia mea i loko o ke poʻo. Hoʻoulu kēia i nā follicle lauoho a hoʻoulu i ka ulu ʻana o ka lauoho hou.
- Lapaʻau Kukui: Hoʻoulu ʻia o nā follicle lauoho me ka hoʻohana ʻana i ka lāʻau laser haʻahaʻa.
- Hoʻopili/Hoʻoili lauoho: Lawe ʻana i nā follicle lauoho mai kekahi ʻāpana o ke kino (pinepine ke kua o ka ʻāʻī) a kanu hou iā lākou ma nā wahi ʻōhule.
"Nui nā huahana mana ma ka mākeke e koi ana e ulu ka lauoho, akā he nui o lākou i nele i nā hōʻike ʻepekema. No laila, he mea nui loa ka loaʻa ʻana o kahi dermatologist kūpono e hiki ke alakaʻi iā ʻoe ma kēia huakaʻi."
He aha kā mākou e hana ai e pale aku i ka nalowale o ka lauoho?
ʻAʻole hiki ke pale ʻia nā ʻano pohō lauoho āpau. Eia kekahi laʻana, ʻaʻole hiki ke hoʻōki ʻia nā kumu genetic. Eia nō naʻe, aia kekahi mau mea hiki iā mākou ke hana e pale i ko mākou lauoho.
- E ʻai i ka meaʻai kaulike: E hoʻokomo i ka nui o ka protein, ka hao, ka zinc, a me nā huaora i kāu meaʻai.
- E akahai me kou lauoho: Mai huki ikaika i ka wā e kahili ai a holoi paha i kou lauoho. E pale i ka kahili ʻana i ka lauoho pulu.
- Mai nakinaki paʻa i kou lauoho: E pale i nā kaila lauoho e huki paʻa i kou lauoho.
- E hōʻalo i ka wela nui: E hōʻemi i ka hoʻohana pinepine ʻana i nā mīkini e like me nā mea hoʻomaloʻo lauoho a me nā hao wili lauoho.
- E hoʻokele i ke kaumaha: E hoʻomālielie i kou manaʻo me nā hana e like me ka yoga a me ka noʻonoʻo ʻana.
Inā hoʻopilikia ka nalowale o ka lauoho iā ʻoe ma ke ʻano naʻau, mai hilahila iā ia. E kamaʻilio me kāu kauka e pili ana i ia mea. I kekahi manawa hiki i ke aʻo ʻana ke kōkua nui.
Leka Lawe-Home
- He mea maʻamau ka nalowale ʻana o kahi lauoho 50-100 i ka lā. Mai hopohopo nui no ia mea.
- Inā ʻike ʻoe i ka piʻi ʻana o ka pohō lauoho, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka.
- Nui nā kumu no ka nalowale o ka lauoho. Inā loaʻa iā ʻoe ke kumu kūpono, hiki iā ʻoe ke hoʻohana i nā lāʻau lapaʻau kūpono.
- Mai hilinaʻi i nā huahana āpau ma ka mākeke. E hoʻomaka wale i ka lāʻau lapaʻau ma ke aʻo ʻana a ke kauka.
- Aia nā lāʻau lapaʻau no kēia, no laila mai hoʻopau i ka manaʻolana. Me ke alakaʻi kūpono, hiki iā ʻoe ke kāohi i kēia maʻi.
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