Aia ʻoe i nā mahina hope loa o kou hāpai ʻana? Ua maikaʻi nā mea a pau, akā ua hoʻomaka koke kou ʻōpū e maneʻo nui? Ke ʻike nei ʻoe i nā puʻupuʻu ʻulaʻula liʻiliʻi e pālahalaha ana ma kou kino a pau? Ke hana ʻia kēlā, he mea maʻamau ke makaʻu, me ka noʻonoʻo ʻana, "He aha kēia? E hana ʻia paha kekahi mea i ka pēpē?" Akā, mai hopohopo. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia maʻi ʻili i ʻike ʻia e nā wahine hāpai he nui, akā ʻaʻole ia he mea weliweli.
He aha maoli ka PUPPP Rash?
ʻO PUPPP kahi pōkole no `(Pruritic Urticarial Papules and Plaques of Pregnancy)`. I kekahi manawa ua kapa ʻia ʻo `(Polymorphic Eruption of Pregnancy - PEP)`. Pili nā inoa ʻelua i ka mea like.
I ka ʻōlelo maʻalahi, ʻo kēia ke ʻano maʻamau o ka ʻili e hiki ke loaʻa i ka wā hāpai. ʻAʻole ia he mea weliweli a ʻaʻole ia e hōʻeha iā ʻoe a i kāu pēpē paha. Eia nō naʻe, hiki ke ʻeha loa.
Hoʻomaka pinepine kēia i ke kolu o ka trimester o ka hāpai ʻana, ʻo ia hoʻi, i nā mahina ʻekolu i hala. Hoʻomaka mua ia ma nā wahi e ʻō aku ai ka ʻili ('stretch marks') ma ka ʻōpū. A laila, hiki ke pālahalaha mālie i nā wahi e like me nā lima, nā wāwae, nā umauma, a me nā puʻupuʻu. ʻO ka mea maikaʻi loa, ma hope o ka hānau ʻana o ke pēpē, nalowale loa kēia ʻulaʻula me ka ʻole o nā ʻeha a i ʻole nā loli i ke kala o ka ʻili.
He aha ke kumu kikoʻī no kēia?
ʻAʻole i loaʻa i nā kauka kahi kumu hoʻokahi no kēia, akā aia kekahi mau kumu i manaʻo ʻia e kōkua i ia.
ʻO ke kumumanaʻo nui, ke kīkoʻo wikiwiki nei ka ʻili . E noʻonoʻo e pili ana i ia mea, i ka wā e ulu wikiwiki ana ka pēpē i loko o ka ʻōpū, ke kīkoʻo wikiwiki nei kou ʻōpū i ka manawa like. I kekahi manawa, ʻaʻole hiki i nā ʻili ke hoʻololi i kēia wikiwiki. A laila, ua hōʻino iki ʻia nā ʻiʻo ma lalo o ka ʻili, a pane ko mākou kino e like me ka maʻi allergy i kekahi o nā protein i hoʻokuʻu ʻia mai ia mea. ʻO ia ka mea i manaʻo ʻia ʻo ia ka hopena o kēia eczema.
Eia kekahi kiko maopopo ʻē aʻe:
- ʻOi aku ka nui o ka pilikia o nā makuahine hāpai me nā māhoe a i ʻole nā māhoe ʻekolu i kēia no ka mea i ka ulu ʻana o nā pēpē, piʻi wikiwiki ko lākou kaumaha a piʻi nui ka nui o ka ʻōloi ʻana o ka ʻili.
- He mea maʻamau kēia no nā makuahine hānau mua no ka mea, ʻaʻole i ʻō aku ko lākou ʻili e like me kēia ma mua.
Ua hōʻike mai kekahi mau noiʻi ʻē aʻe ua hana ʻia kēia hopena e nā ʻāpana DNA o ke pēpē e komo ana i ka ʻili o ka makuahine i ka wā hāpai hope. Eia naʻe, ʻaʻole i hōʻoia ʻia kēia.
ʻO ka nūhou maikaʻi, ma hope o ka hānau mua ʻana, he mea kākaʻikahi loa kēia e hana hou i nā hāpai ʻana ma hope. ʻO ke ʻano kēia, hiki i ko mākou kino ke hoʻomohala i kahi palekana iā ia.
He aha nā hōʻailona maoli o kēia?
Hiki i nā hōʻailona o kēia ʻōhū ke like me nā hives. ʻO ka mua, hoʻomaka ka ʻili e maneʻo nui, ʻoiai ma nā wahi i hohola ʻia ai ka ʻili (nā māka hohola). A laila ʻike ʻia nā pehu liʻiliʻi, e hui pū ana a pālahalaha e like me ka ʻōhū nui.
E makaʻala i nā hōʻailona ma lalo nei.
| Hōʻailona | Wehewehena |
|---|---|
| ʻO ka maneʻo nui | Hiki ke koʻikoʻi ka maneʻo a hiki ʻole ke hana i nā hana o kēlā me kēia lā, ʻoiai i ka pō. |
| ʻO ke ʻano o ka eczema | Hiki ke nānā aku e like me ka hui ʻana o nā puʻupuʻu, nā puʻupuʻu i hāpai ʻia, nā pehu wai liʻiliʻi, a me nā kiko ʻulaʻula nui a pehu. |
| Hohola | Hoʻomaka ia ma ka ʻōpū a hiki ke laha i nā umauma, nā lima, nā ʻūhā, a me nā puʻupuʻu. Eia nō naʻe, ʻaʻole pinepine ia e pili i ka maka, nā poho lima, a me nā kapuwaʻi o nā wāwae. |
| I ka wā e ʻoki ai | Ke haki nā pehu, e puka mai paha kahi wai melemele. Ma hope mai, e hana ʻia paha kahi ʻili ma luna. |
Pehea e ʻike ai ke kauka i kēia?
ʻAʻohe hoʻāʻo kikoʻī no ka ʻulaʻula PUPPP. Hiki i kāu kauka ke ʻike maʻamau iā ia ma ka nānā ʻana i kou ʻili a me ke kamaʻilio ʻana e pili ana i kāu mau hōʻailona .
Eia nō naʻe, i kekahi manawa inā he ʻano ʻē iki ke ʻano o ka ʻulaʻula, hiki ke hana ʻia kekahi mau hoʻokolohua e hōʻoia ʻaʻohe mau kūlana olakino ʻē aʻe. Eia kekahi laʻana:
- Nā ʻōpala ʻili
- He hoʻāʻo koko `( Helu Koko Piha )`
- Nā hoʻāʻo hana ate
I kekahi manawa aia kekahi maʻi ʻili ʻē aʻe e like loa me ka PUPPP Rash, akā ʻoi aku ka koʻikoʻi, i kapa ʻia ʻo "pemphigoid gestationis (PG)". He mea kākaʻikahi loa ia. Akā no ka mea hiki ke hoʻopilikia i ka pēpē, inā kānalua ke kauka, hiki iā ia ke lawe i kahi ʻāpana ʻili liʻiliʻi a hana i kahi hoʻāʻo kūikawā i kapa ʻia ʻo "immunofluorescence" e kāpae iā ia.
Akā e hoʻomanaʻo, i ka hapa nui o ka manawa, ʻaʻole pono ia mau hoʻokolohua . Hiki i ke kauka ke haʻi koke he ʻulaʻula PUPPP ia.
He aha ka mea hiki ke hana ʻia e pili ana i kēia ʻeha nui?
Hoʻopau pinepine kēia ʻulaʻula iā ia iho i loko o 3-4 mau pule ma hope o ka hānau ʻana o ke pēpē. No laila, ʻaʻole pono ka lāʻau lapaʻau. Eia nō naʻe, no ka mea he paʻakikī ke ola me kēia ʻāʻī nui, aia nā ala e kāohi ai.
Nā lāʻau lapaʻau hiki iā ʻoe ke hana ma ka home
- ʻAuʻau i ka wai anuanu: He mea maikaʻi loa ka ʻauʻau ʻana i ka wai anuanu no ka hōʻemi ʻana i ka mumū a me ka maneʻo. E hoʻohana i kahi holoi kino ʻala ʻole. E hoʻohui i ka oatmeal colloidal, hiki iā ʻoe ke kūʻai ma nā hale kūʻai lāʻau lapaʻau, i ka ʻauʻau a hoʻomoʻa no 10-15 mau minuke e hōʻemi i ka maneʻo.
- E hoʻopili i kahi moisturizer: Ma hope o ka ʻauʻau ʻana, e hoʻopili i kahi moisturizer ʻala ʻole, anti-itch (`fragrance-free lotion`) a i ʻole ka poni (`ointment`). I kekahi manawa kōkua ka petroleum jelly (i ʻike ʻia ʻo Vaseline) i ka kaohi ʻana i ka maneʻo ma mua o ka kirīmi maʻamau.
- E ʻaʻahu i nā lole palupalu: E ʻaʻahu i nā lole palupalu i hana ʻia me ka pulupulu ʻaʻole paʻa ma ke kino.
- E kau i kahi lole anu a pulu: E hoʻomohu i kahi lole maʻemaʻe i loko o ka wai anuanu, e ʻūmi maikaʻi, a e kau ma nā wahi maneʻo. E hāʻawi kēia i ka hōʻoluʻolu nui.
Nā lāʻau lapaʻau i loaʻa ma ka hale kūʻai lāʻau lapaʻau
Inā ʻaʻole hiki i nā lāʻau lapaʻau home ke hōʻoluʻolu i ka maneʻo, aia nā lāʻau lapaʻau hiki iā ʻoe ke kūʻai ma ka hale kūʻai lāʻau.
Akā e hoʻomanaʻo, ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau i ka wā hāpai, pono ʻoe e nīnau i kāu kauka a loaʻa kāna ʻae. ʻAʻole kūpono kekahi mau lāʻau lapaʻau no ka hāpai ʻana.
Hiki i kāu kauka ke ʻōlelo aku i ka hoʻohana ʻana i kahi kirīmi anti-itch, e like me ka hydrocortisone, inā he wahi liʻiliʻi wale nō ka ʻulaʻula. Hiki i kāu kauka ke ʻōlelo aku i nā lāʻau lapaʻau allergy hou, e like me ka cetirizine.
Lapaʻau i kuhikuhi ʻia e ke kauka
Inā ʻaʻole hiki ke hoʻomanawanui i ka maneʻo, inā e luhi ana ʻoe a kaumaha paha, e haʻi i kāu kauka . Hiki iā ia ke kuhikuhi i nā lāʻau lapaʻau ikaika aʻe. Hiki i kēia mau mea ke komo pū me:
- ʻO nā kalima steroid ikaika ('nā kalima steroid i kauoha ʻia') e hōʻemi ana i ka mumū a me ka maneʻo.
- Inā ua pālahalaha ka ʻulaʻula i loko o ke kino, e hāʻawi ʻia paha ʻoe i nā lāʻau steroid no kekahi mau lā.
Ke hoʻonui nei kēia me ka ʻai a me ka mea inu?
ʻAʻole. ʻAʻohe pilina i ʻike ʻia ma waena o nā meaʻai āu e ʻai ai a me kēia ʻano eczema. No laila, ʻaʻohe meaʻai kikoʻī āu e pale aku ai inā loaʻa iā ʻoe kēia ʻano eczema.
Leka Lawe-Home
- He ʻano maneʻo loa ka ʻili ʻili (PUPPP), akā he maʻamau ka ʻili eczema e kū mai ana i ka wā hāpai hope.
- ʻAʻole kēia he mea weliweli iā ʻoe a i ʻole kāu pēpē i loko o ka ʻōpū . No laila, mai makaʻu.
- Hoʻokumu pinepine ʻia kēia e ka ʻili wikiwiki.
- Hiki i nā lāʻau lapaʻau home e like me ka ʻauʻau anu ʻana, ka hoʻopili ʻana i ka moisturizer, a me ka hoʻopili ʻana i kahi ʻūlū anu ke hāʻawi i ka hōʻoluʻolu nui.
- E kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau, ʻoiai inā i kūʻai ʻia mai kahi hale kūʻai lāʻau lapaʻau.
- E ho'ōla loa kēia ʻulaʻula iā ia iho i loko o kekahi mau lā a i ʻole mau pule ma hope o ka hānau ʻana.
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