Kei te puta mai ngā ira mā i runga i tō kiri (Vitiligo)? Me kōrero tātou mō tēnei!

Kua kite koe i ētahi tāngata he ira mā kei ō rātou kiri? Tērā pea kua pāngia koe e te taua mea anō. Koinei te mea e kīia ana e mātou he ira mā, he ira mā, e kīia ana rānei e ngā tākuta he `(Vitiligo)`. Ahakoa he āhua whakamataku tēnei ki te kite, ehara i te mea he mate kino. Heoi, he mea tino nui kia mōhio ki tēnei. I tēnei rā, me kōrero tātou mō `(Vitiligo)` me te taipitopito me te tino māmā, me pēhea?

He aha te Vitiligo?

He māmā noa iho, ko te vitiligo he āhuatanga e ngaro ai te tae o tō kiri. Nā tēnei ka māmā ake tō kiri i te mea noa, i ētahi wā ka mā katoa. Ko ēnei wāhi kiri he iti iho i te henimita te rahi ka kiia he macules, ā, ko ngā wāhi nui ake ka kiia he patches. Heoi, e kiia ana e mātou he ira mā. Mena he vitiligo tōu kei reira he makawe, ka taea e aua makawe te huri hei mā, hei hiriwa rānei. Ko tēnei āhuatanga nā te pūnaha ārai mate o tō tinana e whakangaro ana i tētahi momo pūtau tae kiri e kiia nei ko ngā melanocytes. Ka whakaputahia e ēnei melanocytes he matū e kiia nei ko te melanin. Ko tēnei melanin te mea e homai ana i te tae ki tō tātou kiri, makawe, me ngā kanohi. Nō reira, ina ngaro ēnei pūtau, ka mutu te hanga melanin, ā, ka ngaro te tae o te kiri.

Ko wai te mea tino pāngia e tēnei āhuatanga?

Ka pāngia te tangata o ngā iwi katoa me ngā ira tangata katoa e te vitiligo. Heoi, he nui ake te kitea i roto i te hunga he kiri mangu ake. Ka pāngia te vitiligo i ngā tau katoa, engari ka puta tuatahi i mua i te 30 tau. Mena he mate pūnaha ārai mate tōu, tera pea he nui ake te tūponotanga ki te pāngia e te vitiligo. Hei tauira:

• Te mate a Addison
• Anemia
• Mate huka (Momo 1 )
• Te mate Lupus
• Psoriasis
• Te mate rumatiki `( Te mate rumatiki)`
• Mate tairoi

He pēhea te noa o te vitiligo?

Neke atu i te 1% o te taupori puta noa i te ao e kīia ana he mate kiri mā tēnei, arā, ko te Vitiligo. Ko te tikanga, ehara i te mea onge.

Me pēhea te tīmatanga me te horapa o te vitiligo?

Ko te Vitiligo ka tīmata i ētahi ira iti mā . Ka horapa haere ēnei puta noa i tō tinana. I te nuinga o te wā, ka kitea tuatahitia ēnei ira ki ō ringaringa, rae, kēkē, waewae, me te mata. Heoi, ka puta pea tēnei āhuatanga ki ngā wāhi katoa o tō tinana, tae atu ki ngā kiriuhi mucous e karapoti ana i tō waha, ihu, ira tāne, me te nono, tae atu ki roto i ō kanohi me ō taringa. I ētahi wā, ka horapa tonu ngā ira nui, ka nui haere, engari i ētahi wā ka noho tonu ki te wāhi kotahi mō ngā tau. Ka rerekē pea ngā wāhi kei reira ngā ira iti i roto i te wā, ā, ka ngaro pea te tae o ētahi wāhi ka tupu anō. Ehara i te mea he rite te nui o te kiri o te katoa e pāngia ana e te vitiligo. He torutoru noa iho ngā ira iti o ētahi tāngata, ko ētahi ia he nui te ngaronga o te tae puta noa i ō rātou kiri.

He aha ngā momo matua o te vitiligo?

He maha ngā momo matua o te `(Vitiligo)`. Kia tirohia tātou he aha ēnei:

• Whānui: Koinei te momo tino kitea . I roto i tēnei momo, ka puta ngā ira ki ngā wāhanga rerekē o te tinana.
• Momo wāhanga: I tēnei momo, ka puta ngā ira ki te taha kotahi o te tinana, ki te wāhi kotahi rānei, pērā i ngā ringaringa, i te mata rānei.
• Momo kiriuhi: Ka pā tēnei ki ngā kiriuhi o te waha me/ranei ngā ira tangata.
• Arotahi: He momo onge ake tēnei. I tēnei momo, ka puta ngā ira i tētahi wāhi iti, ā, kāore e horapa i roto i tētahi tauira motuhake mō te tau, e rua rānei.
• Momo Trichrome: I tēnei momo, ka kitea he wāhanga mā, he wāhanga kore tae rānei i waenganui, pērā i te ūnga, me te wāhanga mārama te tae huri noa, kātahi ka kitea he wāhanga he rite ki te tae kiri noa o tō kiri.
• Momo whānui: He momo tino onge hoki tēnei. I roto i tēnei , neke atu i te 80% o tō kiri ka ngaro tōna tae.

He aha ngā tohu o te Vitiligo?

Ko ngā tohu matua o te `(Vitiligo)` ko:

• He wāhi kua rerekē te tae o te kiri, o ngā kiriuhi mucous rānei. Tērā pea ka mā, ka mārama ake rānei i tō tae kiri noa.
• He hiriwa, he hina, he mā rānei te tae o te huruhuru o tō tinana .

He tino ngawari ngā tohu, arā, he iti noa te wāhi e kitea ai, he kino rānei, ka pā ki te wāhi nui o te kiri. Tērā pea ka mākūkū ētahi tāngata i te wāhi i mua i te tīmatanga o te ngaro o te tae o te kiri.

Kei hea o te tinana ka puta ai ngā tohu o te vitiligo?

Ka puta pea ngā tohu o te vitiligo i te kiri i ngā wāhi katoa o te tinana, engari ko te nuinga ka kitea i ngā wāhi e whai ake nei:

• Ringaringa
• Waewae
• Ringa (ringa)
• Kanohi
• Ngā kiriuhi mucous (i roto i te mangai, ngutu, i roto i te ihu)
• Ngā ira tangata (hei tauira, te ure)

He aha ngā take o te vitiligo?

Ko te mate Vitiligo te take matua o te ngaronga o te melanin, te tae o te kiri. Engari kāore anō kia tino mōhiotia he aha tēnei e tupu ai . Kua kitea e ngā rangahau ko ēnei āhuatanga ka whai wāhi ki te whanaketanga o te mate Vitiligo:

• He mate pūnaha ārai mate : E whakaaro hē ana tō pūnaha ārai mate he whakaeke ngā pūtau hauora (i tēnei wā, ko ngā melanocytes), pērā i ngā huakita kino. Ka nui rawa te kaha o te pūnaha ārai mate, ka whakaputa paturopi hei whakangaro i ō melanocytes.
• Ngā huringa ira: Ka pāngia te mahi a ngā melanocytes e te whakarerekētanga ira, te panoni rānei i te DNA o tō tinana. Neke atu i te 30 ngā ira e whakanui ana i te mōrearea o te whakawhanake i te vitiligo.
• Taumahatanga: Mena kei raro tonu koe i te ahotea, i te ahotea tinana rānei i muri i te whara, ka rerekē pea te nui o te tae e hangaia ana e ngā melanocytes.
• Ngā mea e whakaoho ana i te taiao: Ka pā pea ngā āhuatanga taiao pēnei i te pānga ki te hihi ultraviolet me ngā matū paitini ki te mahi a ngā melanocytes.

He pānga ira tēnei?

Kei te rangahauhia tonutia ngā pūtake o te vitiligo. Heoi, e whakaatu ana ngā rangahau e tata ana ki te 30% o te hunga whai vitiligo he mate ira kei a rātou. Ko te tikanga ka taea te tuku iho i tēnei mate mai i tētahi whakatipuranga ki tētahi whakatipuranga, ā, ki te pāngia tētahi o tō whānau e tēnei mate, ka nui ake te tūponotanga ka pāngia koe e tēnei mate. He maha ngā whakarerekētanga ira e pā ana ki te mahi a ngā melanocytes. Ki te aro tēnei whakarerekētanga ki ngā pūtau e hoatu ana i te tae ki tō kiri, ka pāngia pea koe e te vitiligo.

He mamae te Vitiligo?

Kāo, ehara te `(Vitiligo)` i te mate mamae. Heoi, ka taea e te `(Vitiligo)` te whakaputa i ngā kiri mā, ka mamae pea, ka mamae hoki ki te wera o te rā. Nō reira, he mea tino nui kia tiakina koe i te rā . Me mahi koe i ngā mea pēnei i te whakamahi i te pare-kiri, te karo i te haere ki waho i te rā i te wā e kaha ana te rā, me te mau i ngā kākahu tiaki.

Ka taea e te vitiligo te whakaputa i ētahi atu raruraru?

Ahakoa he mate te vitiligo e pā nui ana ki te āhua o te kiri, ka puta pea ētahi raruraru:

• Kiri tairongo: Nā te mea kāore he melanocytes i roto i ngā ira kua kore te tae, tera pea ka tairongo ake aua wāhi o te kiri ki te rā i ērā atu wāhanga o te kiri. Ka tere ake pea te wera i te kiri i te kiri parauri.
• Ngā āhuatanga rerekē o te kanohi:Tērā pea he rerekētanga kei roto i te retina o ētahi tāngata whai vitiligo (te paparanga o roto o te kanohi kei roto ngā pūtau e aro ana ki te mārama) me ngā panonitanga o te tae o ō rātou āripi (te wāhanga e homai ana te tae ki te kanohi). I ētahi wā, ka mumura pea te retina, te āripi rānei, engari kāore te tirohanga e pāngia.
• Te tūponotanga ki ētahi atu mate pūnaha ārai mate: Ko te hunga whai vitiligo he nui ake te tūponotanga ka pāngia e ētahi atu mate pūnaha ārai mate e pā ana ki te mahi a te pūnaha ārai mate o te tinana. Ko ngā mate pūnaha ārai mate noa ko te hypothyroidism, te mate huka, me te anemia.
• Ngā wero hinengaro: Tērā pea ka whakama ētahi tāngata whai vitiligo mō te āhua o ō rātou kiri. Tērā pea ka iti te whakaaro o ētahi ki a rātou anō. Ka arahi pea tēnei ki ngā kare ā-roto o te manukanuka, o te pouri rānei, ā, ka ngana pea rātou ki te noho motuhake me te noho motuhake. Ki te pēnei ō whakaaro, he mea nui kia kōrero koe ki tō tākuta, ki tētahi kaitohutohu hauora hinengaro , ki tō whānau me ō hoa rānei.

Me pēhea te mohio ki te vitiligo?

Ko te tikanga, ka taea e te tākuta te tātaritanga i te vitiligo mā te tirotiro noa i tō kiri. I ētahi wā, ka whakamahia pea e te tākuta he taputapu e kiia nei ko te rama a Wood hei tirotiro i tō kiri. Ka whiti te rama nei i te hihi ultraviolet (UV) ki tō kiri. Mā tēnei ka āwhina i te tākuta ki te wehewehe i te vitiligo mai i ētahi atu mate kiri. Hei tāpiri, ka pātai pea rātou mō tō hītori hauora me tō hītori hauora whānau.

He aha atu ngā āhuatanga e rite ana ki te vitiligo?

He maha atu anō ngā āhuatanga ka taea te whakarerekē i te tae o tō kiri, te ngaro rānei o te tae. Hei tauira:

• Matū leukoderma: Ka taea e te pānga o ngā matū e whakamahia ana i roto i ētahi wheketere te kino i ngā pūtau kiri, ka puta he wāhi mā, he rārangi, he wāhi papaki rānei i runga i te kiri.
• Tinea versicolor (pūngāwerewere): He mate rewena tēnei. Ka puta he ira pango i runga i te kiri mārama, me ngā ira mārama i runga i te kiri pouri.
• Te mate pāwera: He āhuatanga ira tēnei e iti ai te nui o te melanin i roto i tō kiri, makawe, me/ranei ō kanohi.
• Pityriasis alba: Ka tīmata tēnei mate me ngā wāhi whero, unahi i runga i te kiri. Kātahi ka memeha, ka waiho ko ngā wāhi unahi mārama.

Me pēhea te rongoā mō te Vitiligo?

I te mea kāore te mate e kiia nei ko te "Vitiligo" e kino ki tō tinana, ā, ko tō āhua te nuinga o te pānga, kāore e hiahiatia he maimoatanga.. Engari ki te mea he whānui tō vitiligo, ki te mea rānei kei te pāngia tō hauora hinengaro e ēnei tohu tinana, ka taea e tō tākuta te āwhina i a koe ki te kimi i tētahi maimoatanga e pai ana mōu. Mā ēnei maimoatanga ka whakahokia mai te tae ngaro (repigmentation) ka tangohia rānei te tae e toe ana ka whakahokia te tae o te kiri katoa ki te tae ōrite (depigmentation). Ko ngā maimoatanga tino noa mō te vitiligo ko:

• Ngā momo rongoā
• Te rongoā mārama
• Te rongoā mō te tango i te tae
• Pokanga
• Te Whakatakotoranga

Kia kōrerohia whānuitia atu ēnei e tātou.

Ngā momo rongoā

Ahakoa kāore he rongoā motuhake hei aukati i te pānga o te mate ki te kiri, kei reira ētahi rongoā hei whakaroa i te tere o te ngaronga o te tae, hei āwhina i te tipu anō o ngā melanocytes, hei āwhina rānei ki te whakahoki mai i te tae ki te kiri. Ko ētahi o ngā rongoā mō te vitiligo ko:

• Ngā corticosteroids (hinu kakara, papa rānei)
• Ngā aukati Janus kinase ā-waha (hei tauira, te hinu ruxolitinib)
• Ngā aukati Calcineurin (hinu kakara)

Te rongoā mārama

Ko te whakaora mārama, ko te "whakaora-ata" rānei, he maimoatanga e āwhina ana ki te whakahoki mai i te tae ki tō kiri. I roto i tēnei, ka whiti tō tākuta i tētahi pouaka mārama, i tētahi rama ultraviolet B "UVB", i tētahi reera hauora rānei ki tō kiri mō tētahi wā poto. Tērā pea ka roa ētahi wā o te whakaora mārama kia kitea ai ngā hua i runga i tō kiri. Ko tēnei maimoatanga, e whakakotahi ana i tētahi rongoā e kiia nei ko te "psoralen" e tangohia ana mā te waha me te rama ultraviolet A "PUVA", e whakamahia ana mō te hunga he nui ngā wāhi o te "Vitiligo." He whai hua tēnei maimoatanga mō te hunga he "Vitiligo" kei te mahunga, te kaki, te tinana, ngā ringa o runga, me ngā waewae.

Te rongoā mō te tango i te tae

Ko tēnei maimoatanga he tango i te tae o tō kiri noa kia ōrite ki ngā wāhi e pangia ana e te vitiligo. Ka whakamahia he rongoā e kiia nei ko te "monobenzone." Ina pania tēnei kirīmi ki tō kiri tae, ka huri hei mā, ka rite te tae ki ngā wāhi e pangia ana e te vitiligo.

Pokanga

Ko te pokanga tētahi o ngā huarahi maimoatanga mō te hunga whai vitiligo. Tērā pea ko ngā maimoatanga pokanga:

• Ngā whakapiri kiri: Ka tangohia te kiri mai i tētahi atu wāhanga o tō tinana ka whakatōkia ki te wāhi e pāngia ana e te vitiligo. Heoi, ka puta he kiri mārō, he mate, he ngaro rānei te tae o tēnei. Ka kiia hoki tēnei ko te "mini grafting".
• Te tāpiri mimi: I tēnei mahi, ka hangaia he mimi mai i tō kiri mā te whakamahi i te tikanga momi, kātahi ka tangohia te wāhanga o runga o te mimi ka whakapirihia ki te wāhi e pangia ana e te vitiligo.

Heoi, kāore pea tō tākuta e taunaki i te pokanga mēnā kei a koe tētahi o ēnei āhuatanga e whai ake nei:

• Mena ka tere te horapa o te `(Vitiligo)`.
• Mena ka ngawari te puta o ngā koha.
• Mena ka puta he keloids i a koe, ka nui ake i te patunga.

Te Whakatakotoranga

Tērā pea ka kitea e ētahi tāngata he pai te rapu tohutohu , he kaiwhakatakoto whakaaro hauora hinengaro rānei hei āwhina i a rātou ki te whakatau i te iti o te whakaaro ki a rātou anō, te manukanuka, te pouri rānei e puta mai ana i ngā huringa o ō rātou kiri. Ka taea e te Vitiligo te whakararuraru, ka pā ki tō tirohanga ki te ao me ō whanaungatanga pāpori. Ki te tupu tēnei, ka tūtohu pea tō tākuta kia kite koe i tētahi kaiwhakatakoto whakaaro, kia uru atu rānei ki tētahi rōpū tautoko.

Ka taea te ārai i te vitiligo?

Kāore anō kia mōhiotia he huarahi hei ārai i te vitiligo nā te mea he maha ngā take pea. Heoi, ka taea e koe te mahi i ēnei e whai ake nei hei whakaiti i tō tupono ki te pāngia e te vitiligo:

• Te whai i ngā tikanga haumaru ina pāngia e te rā (hei tauira, te paninga ārai rā, ngā pōtae).
• Tiakina tō kiri mā te whakamahi i tētahi hinu whakamākū i ia rā.
• Te karo i te ahotea hinengaro me ngā whara tinana.
• Mena he mate pūnaha ārai mate kei roto i te tinana, me whakahaere pai.

He aha te mea ka tupu mēnā he vitiligo tōu?

Ka pā te vitiligo ki tō āhua, ā, ka pā anō hoki ki ō whakaaro mō tō kiri i roto i ngā huihuinga pāpori. He maha ngā tāngata e kōrero ana ki tētahi kaitohutohu hauora hinengaro hei āwhina i a rātou kia nui ake te māia me te hanga whakaaro nui ki a rātou anō.

Kia maumahara, kāore he rongoā mō te vitiligo. Engari ki te hiahia koe ki te rapu maimoatanga, ka taea e tō tākuta te āwhina i a koe ki te whiriwhiri i te maimoatanga e pai ana mōu me tō kiri.

Ka hoki mai anō te tae tūturu o te kiri me te vitiligo?

Tata ki te 10% ki te 20% o te hunga whai vitiligo ka hoki anō ki te tae o ō rātou kiri. He mea tino kitea tēnei i roto i te hunga:

• Ko te hunga i kitea kua pāngia rātou e te mate i mua i te 20 tau te pakeke, arā, i te wā taitamariki .
• Ko te hunga i tae ki te tihi o te pakarutanga o te mate i roto i ngā marama e ono, iti iho rānei.
• Ngā tāngata he nui ngā tohu o te kanohi .

I ēnei āhuatanga, kāore pea e hoki mai tō tae:

• Mena ka puta ngā tohu o te "Vitiligo" i muri i te 20 tau te pakeke.
• Mena he tohu kei ngā ngutu, ngā peka me ngā waewae (ina koa ko ngā matimati).

Me pēhea te huna i ngā tohu vitiligo?

Mena kāore koe i te pai ki te āhua o tō kiri (Vitiligo), ka taea e koe te whakamātau i ēnei mahi ki te kāinga hei huna i ēnei ira:

• Whakamahia he pare rā me te SPF o te 30, neke atu rānei . Mā te whakamahi i te pare rā ka taea te whakaiti i te kiri parauri, ā, ka whakaitihia hoki te rerekētanga o te tae i waenga i te kiri e pangia ana e te vitiligo me te kiri noa.
• Whakamahia he mea hanga kanohi hei hipoki i ngā wāhi kua ngaro te tae. He hua hanga kanohi hauora motuhake anō hoki mō tēnei.
• Mena kua memeha te tae o tō makawe, whakamahia he tae makawe hei taurite ki te toenga o ō makawe.
• Me mahi te micropigmentation . Ko te tā moko i ō ira vitiligo. He rite te mahi ki te meikitanga tuturu, ā, ka āwhina ki te huna i ngā tohu.

He mate hopuhopu te Vitiligo?

Kāo. Ehara te Vitiligo i te mate hopuhopu. Kāore e horapa mai i te tangata ki te tangata mā te pā atu ki te tinana. Nō reira, kaua e wehi ki te noho tahi me te tangata he Vitiligo tōna.

Āhea koe me toro atu ki te tākuta?

Tirohia tō tākuta i roto i ēnei take e whai ake nei:

• Mena kei te tere te memeha o te tae, o te tae rānei o tō kiri.
• Mena ka horapa te ngaronga o te tae ki tētahi wāhanga nui o te tinana.
• Mena kei te pāngia tō hauora hinengaro me tō oranga tinana e ngā panoni kiri.

He aha ngā pātai me pātai atu e au ki te tākuta?

He mea pai kia pātaihia ēnei pātai ina kite koe i tētahi tākuta:

• He aha te momo Vitiligo kei a au?
• Ka hoki anō te tae o tōku kiri?
• Me pēhea taku tiaki i ahau i te rā?
• He aha ngā kōwhiringa maimoatanga pai rawa atu mō tōku kiri?
• Ka taea e aku tamariki ā muri ake nei te tuku iho i tēnei mate mā roto i ngā ira?

He aha te rerekētanga i waenga i te Tinea versicolor (ringworm) me te Vitiligo?

Ko te Tinea versicolor (e mōhiotia whānuitia ana ko te ringworm) me te vitiligo he mate rerekē e rua e pā ana ki te tae o tō kiri. Ko te Tinea versicolor he mate harore e puta ai he mā, he kōwhai, he whero, he māwhero, he parauri rānei i runga i tō kiri. Ko te Vitiligo he mate pūnaha ārai mate e ngaro ai te tae o tō kiri, ka mārama ake, ka mā ake rānei i tō tae kiri noa.

He rite te Piebaldism ki te Vitiligo?

Kāo. Ka puta he mā, he mārama rānei ngā wāhi i runga i te kiri, i te makawe rānei i ēnei āhuatanga e rua, engari he rerekē. Ko te piebaldism te take o te korenga o ngā melanocytes (ngā pūtau e whakaputa ana i te tae melanin) i roto i tētahi wāhanga o tō kiri. I whānau mai koe me te piebaldism. Ko te vitiligo te take o te whakangaromanga o ngā melanocytes i roto i tō tinana. Ka whanake te vitiligo i roto i te wā.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mate te Vitiligo e pā ana ki te āhua o tō kiri anake. Kāore i te mōrearea, ā, kāore e hiahiatia he maimoatanga . Heoi, he pono ka pāngia te whakaaro nui ki a koe anō e ngā panoni kiri i puta mai i te vitiligo, ka puta he kare ā-roto o te māharahara, ka puta rānei he mamae.

Kaua e mangere ki te kōrero ki tō tākuta mō te pānga o tō āhua tinana ki tō hauora hinengaro. Ahakoa kāore he rongoā mō te vitiligo, kei reira ngā maimoatanga hei āwhina i a koe kia pai ake te noho.Kāore koe i te mokemoke, he tokomaha te hunga e noho ana me tēnei mate, ā, e whakahaere angitu ana i tēnei mate. Nō reira, ko te mea nui ko te noho kaha!