Kei te pāngia hoki tō kiri e ngā ira porowhita? Me kōrero tātou mō tēnei (Granuloma Annulare)!

Kua kite koe i ētahi wā he porowhita, he māwhero, he paku piki ake ngā ira i roto i tō kiri? He rite rānei ki ngā puku iti i raro i te kiri? Tērā pea he mate kiri e kiia nei ko `(Granuloma Annulare)` . Kāore he mea hei manukanuka, ehara i te mea tino morearea. Me kōrero taipitopito atu tātou mō tēnei?

He aha tēnei `(Granuloma Annulare)`?

He whakarāpopototanga noa iho, he mate kiri pai te Granuloma Annulare, ehara i te mate pukupuku, engari he mate mau tonu i ētahi wā. Nā te mumura o tō tātou kiri i puta ai. Ka puta mai i tēnei mumura ngā ira, ngā puku rānei i raro i te kiri, kua piki ake, kua memeha te tae. Ko te nuinga o te wā ka kitea ēnei ira i ō ringaringa, i ō waewae, i ō ringaringa, i ō tuke.

He momo Granuloma Annulare anō kei reira?

Ae, e rima ngā momo matua o tēnei. I ētahi wā ka taea e te tangata kotahi te whakawhanake i ngā momo neke atu i te kotahi. Kia kite tātou he aha ēnei?

• He whēwhe porowhita ā-rohe: Koinei te momo tino noa. He whara porowhita tēnei e puta ana i te kotahi noa te wāhi o te kiri. Whakaarohia he ira porowhita kei tō ringaringa.
• 'Te granuloma annulare whānui (horapa)' (momo horapa): Koinei te wā e horapa ai ngā puku ki tētahi wāhanga nui o te kiri, pērā i te ringaringa katoa.
• He kiriuhi kikorangi o raro i te kiri: Ka puta tēnei momo kiriuhi i raro i te kiri. I ētahi wā, ka taea te pā ki ngā ringaringa.
• Te granuloma annulare e pokaia ana (momo mamae): Ka puta he puku mamae i roto i ngā ringaringa me ngā maihao i tēnei momo.
• Te papaki granuloma annulare (te momo e puta mai ana he papaki): I konei, ka puta ngā whara he wāhi papatahi, he rite ki te papaki i runga i te kiri.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e te Granuloma Annulare?

Ahakoa ka taea te whakawhanake i ngā tau katoa, he nui ake te kitea i roto i ngā tamariki me ngā taiohi . E rua ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate i ngā tāne.

Ko tētahi atu mea, ki te mea he mate huka tōu, inā koa ko te momo 1, te momo mate huka e whakawhirinaki ana ki te insulin , ka nui ake te tūponotanga ka pāngia koe e te granuloma annulare.

Ehara i te mea koinā anake, ki te mea he mate tairoiti tōu , pērā i te tairoiti (mumura o te repe tairoiti), te hypothyroidism (iti te taumata o ngā homoni tairoiti), te thyroid adenoma rānei (he pukupuku pai e puta ana i roto i te tairoiti), ka tūpono anō hoki koe ki te whakawhanake i tēnei mate.

Ko te mea nui, ki te kī atu te tākuta kei a koe te Granuloma Annulare, inā koa he momo whānui (Generalized Granuloma Annulare), pātai atu ki tō tākuta mēnā he mea pai kia whakamātauria koe mō ētahi atu āhuatanga ka kitea i ētahi wā me tēnei āhuatanga.

E kīia ana hoki ko te iwi o Hawai'i ka pāngia e te momo mamae, e kiia nei ko te "Perforating granuloma annulare", he maha ake ngā wā.

He aha te pānga o tēnei ki tōku tinana?

I runga i te tae o tō kiri, i muri i te memeha o tēnei mumura, ka pōuri haere te kiri i aua wāhi (hyperpigmentation) . Ko te tikanga o tēnei, ka toe tonu pea ngā ira pōuri.

Ka pāngia hoki tō hauora hinengaro e te Granuloma Annulare mō te wā roa. Ka pāngia hoki tō hauora hinengaro e te awe o te hapori me ngā rōpū pāpori. Ka pāngia hoki ō whakaaro me ō kare ā-roto (hinengaro-pāpori) me tō whakaaro mōu ake me ō whanonga (hinengaro-ā-hinengaro). Ka taea e tēnei te arahi ki ngā āhuatanga pēnei i te ahotea , te manukanuka, me te pouri .

He aha ngā tohu o te Granuloma Annulare?

Ka rerekē ngā tohu i runga i te momo Granuloma Annulare kei a koe. Me titiro tātou ki ngā tohu e pā ana ki ia momo.

He granuloma annulare ā-rohe (momo e herea ana ki te rohe kotahi)

Ko ngā āhuatanga e kitea ana i tēnei momo ko:

• Ka puta ake ngā puku iti ki te kiri i mua i te putanga mai o te ponana.
• Ka puta ngā puku porowhita ki te kiri. Tērā pea ka tīmata ēnei hei porowhita iti, kātahi ka hanumi, ka nui haere.
• Tērā pea he whero, he māwhero, he papura, he rite rānei te tae o ēnei ira ki tō kiri noa.

'He granuloma whānui kua horapa' (momo horapa)

Ko ngā tohu o tēnei momo ko:

• Ka puta ngā puku i runga i tētahi wāhi nui o te kiri.
• Ka honoa ēnei puku hei hanga i ngā wāhi nunui, kua memeha te tae.

`Te granuloma annulare i raro i te kiri` (te momo e puta ana i raro i te kiri)

Ko ngā āhuatanga e kitea ana i roto i tēnei ko:

• Ka puta mai ngā pupuhi iti i raro i te kiri.
• Ka tere te tipu o ēnei puku.
• He puku mārō, porowhita, kāore he mamae ēnei i te nuinga o te wā.
• Ki te kore e mōhiotia te tae whero, māwhero rānei, he puku kua rerekē te tae pea.

`Punamu porotaka annulare` (momo mamae)

Ngā āhuatanga o tēnei momo:

• Ka puta ngā puku iti, mamae, unahi hoki i ngā ringaringa, i ngā maihao rānei.
• Tērā pea ka mākūkū, ka mamae rānei ēnei puku.
• I ētahi wā ka puta he wai i roto i ēnei puku.
• I ētahi wā ka horapa ēnei puku ka hono tahi hei hanga whara nui.

He papaki granuloma annulare (te momo e puta mai ana hei papaki)

Ko ngā āhuatanga e kitea ana i roto i tēnei ko:

• Ka puta mai ngā ira papatahi whero, parauri-whero, papura rānei.
• Ka puta pea ēnei whara i te kotahi, i ētahi wāhi rānei o te kiri.

He aha i puta ai tēnei `(Granuloma Annulare)`? He aha ngā take?

Ina hoki, kāore anō kia kitea e ngā tākuta me ngā kairangahau te tino take o te Granuloma Annulare. E kī ana ētahi rangahau, tera pea nā te korenga o te pūnaha ārai mate e aro tika ki te whara o te kiri.

E whakaaro ana hoki ngā tākuta ka taea e ēnei mea te whakararuraru i te Granuloma Annulare:

• Ngau pepeke.
• Ko ētahi rongoā, hei tauira ko te `allopurinol` (Aloprim®, Zyloprim®) .
• Ko ētahi mate hauora, hei tauira ko te 'HIV (Huaketo Ārai Mate Tangata)' me te 'Hepatitis C' .

Ka pāngia pea ētahi tāngata e te Granuloma Annulare i muri i te pānga ki ētahi āhuatanga taiao, pērā i te pānga roa ki te rā.

Ka pāngia anō hoki te whanaketanga o te `(Granuloma Annulare)` e te `Aroā`?

E ai ki ētahi rangahau, ka taea e te ahotea mau tonu te whakaputa i te Granuloma Annulare. Nō reira, mā te whakaiti i ō taumata ahotea ka āwhina pea ki te ārai i tēnei mate. Whakamātauria ēnei mea hei whakaiti i ō taumata ahotea:

• Mānu hōhonu, ka tatau ki te 10.
• Whakakorikori tinana i ia rā, i ia rā.
• Whakawhāitihia te whakamahinga o te kawheine me te waipiro.
• Moe mō te iti rawa i te 8 hāora i te pō.
• Kai i ngā kai pai me ngā matūkai.
• Ngāna kia whakaaro pai ki ngā mea katoa.
• Tuhia he rātaka i ia rā.
• Kōrerohia ngā āhuatanga o tō ao ki ō hoa, ki te whānau, ki te kaiwhakaora hinengaro rānei.

He mate hopuhopu tēnei?

Kāo, ehara te `(Granuloma Annulare)` i te mate hopuhopu. Kāore e taea te horapa ki tētahi atu tangata mā te pa o te kiri ki te kiri. Nō reira, kāore he mea hei manukanuka.

Me pēhea te mōhio o te tākuta ki tēnei?

Ka tirohia tō kiri e te tākuta i te tuatahi.

Kātahi, hei whakaū i te mate, me whai pea koe i tētahi koiora kiri . Ko te tikanga tēnei ko te tango i tētahi tauira iti o tō kiri ka tukuna ki tētahi taiwhanga. Ka tirohia e ngā tākuta i raro i tētahi karuārai hei āwhina i te whakatau he aha te take o ō whara kiri.

Me pēhea te rongoā mō te Granuloma Annulare?

Mō te nuinga o te tangata, ka memeha noa iho te Granuloma Annulare, kāore he maimoatanga . I te nuinga o te wā ka ngaro katoa i roto i ngā tau e rua. Heoi, mō ētahi tāngata, ka hoki mai anō pea ngā whara i muri mai.

Heoi, ki te pāngia ngā wāhi nui o tō kiri e te granuloma annulare, ki te mea rānei he puku nui, hōhonu kei raro i tō kiri, ka tūtohu pea tō tākuta i tētahi maimoatanga.

Ko te whāinga matua o te maimoatanga he whakahaere i te mākūkū, i te mamae rānei . Ka taea hoki e te maimoatanga te whakapoto i te wā e ora ai ō whara.

He maha ngā kōwhiringa maimoatanga:

• Ngā Rongoā: Ka āwhina ētahi rongoā ki te whakaiti i te mumura me te whakamama i te kiri. Ka tohua pea e tō tākuta he rongoā pēnei i te corticosteroids (ka taea te pani hei kirīmi, te hoatu rānei hei werohanga), isotretinoin (Absorica®, Zenatane®) , tacrolimus (Protopic®) rānei. Tērā pea ka āwhina ngā rongoā e whakamahia ana hei rongoā i te malaria, pēnei i te hydroxychloroquine , ki te whakaiti i ngā whara kiri.
• Whakaora PUVA: He momo whakaora mārama tēnei. Ka whakamahia e tō tākuta he rongoā e kiia nei ko te psoralen me te mārama ultraviolet A (UVA) . Ka meinga tō kiri e te Psoralen kia aro ki te mārama. Ka aukatihia e tēnei mārama UV te tipu o ngā pūtau kiri, ā, ka āwhina i te aukati i te horapa o te granuloma annulare. Ka kiia hoki te whakaora PUVA ko te photochemotherapy .
• Whakaora-kanohi: I konei, ka whakamahia e te tākuta tētahi taputapu motuhake hei whakatio i ngā wāhi kiri e pāngia ana. Mā tēnei ka ārai i te horapa o ngā whara.
• Whakaora taiaho: Ka whakamahia e te tākuta he hihi taiaho motuhake hei rongoā i te kiri e pāngia ana. Ka whakamahana te taiaho i te kiri, ka whakaiti i te mumura, ā, ka āwhina ki te ārai i te horapa o te whara.
• Papa huaora E: Mena kāore ētahi atu maimoatanga e whai hua, ka tūtohu pea tō tākuta i ngā papa huaora E.

Ki ētahi tāngata, he uaua te rongoā i te Granuloma Annulare. Me whakamātau pea koe i ētahi momo rongoā kia kitea rā anō te mea e pai ana mōu.

Ka taea e te kai me te inu te whakarerekē i te `(Granuloma Annulare)`?

Mā te whakarerekē i tō kai ka āwhina i te whakapai ake i tō āhua Granuloma Annulare. E kī ana ētahi rangahau mā te whakawhāiti i te nui o ngā ngako (lipids) i roto i tō kai (pērā i te cholesterol me te triglycerides) ka āwhina i te tere o te ngaro atu o tō Granuloma Annulare. Tērā pea he pono tēnei mēnā he mate huka tōu, he nui te ngako i roto i te toto, he mate rānei e kitea ana i roto i te hunga whai Granuloma Annulare.

He aha ngā mea ka taea e koe te mahi i te kāinga mō te Granuloma Annulare?

Kāore i te nui ngā rangahau mō te whai huatanga o ngā rongoā kāinga mō te Granuloma Annulare. Heoi, mā ngā tikanga tiaki kiri tika ka pai ake te hauora whānui o tō kiri.

Mā ēnei mea ka āwhina i a koe ki te pupuri i te hauora o te kiri:

• Whakamahia he mea whakamakuku hei pupuri i te makuku i roto i te rūma.
• Whakamahia he hopi ngawari i te wā e kaukau ana, e horoi ana rānei i tō tinana.
• Kaukau, horoi rānei i tō tinana ki te wai māhana, kaua ki te wai wera.
• Pania he kirīmi whakamakuku, he hinu rānei hei pupuri i te makuku i te oho ake.
• Kaua e mau i ngā kākahu mākūkū, pērā i te huruhuru hipi.

He ara hei ārai i tēnei?

Kāore he huarahi motuhake hei ārai i te Granuloma Annulare.

He aha tā tātou e tumanako ai mēnā ka tupu tēnei?

Mō te nuinga o te iwi, ka ora noa te Granuloma Annulare me te kore he maimoatanga , ā, kāore he koha, he tohu rānei e waiho ana.

Heoi, he mate mau tonu te Granuloma Annulare. Ko te tikanga ka hoki mai anō ngā ira , i te nuinga o te wā i te wāhi i puta tuatahi mai ai. Engari ki te hoki mai anō, ka tere ake te memeha atu i tō te wā tuatahi.

He aha ngā pātai me pātai atu koe ki te tākuta?

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

• Me pēhea te mōhio mēnā kei a au te `(Granuloma Annulare)`?
• Mena kāore he Granuloma Annulare i ahau, he aha atu ngā mate kiri ka pā mai ki ahau?
• He aha ngā kōwhiringa maimoatanga e taunaki ana koe?
• He aha ngā pānga taha o aua kōwhiringa maimoatanga?
• Me toro atu ahau ki tētahi tākuta kiri, ki tētahi atu tohunga rānei?

He aha te rerekētanga i waenga i te `(Granuloma Annulare)` me te `(Mingworm)`?

He mate kiri te Granuloma annulare e puta ai ngā puku, ngā puku rānei e ara ake ana, e kore e rite te tae ki te kiri. Kāore ngā tākuta e mōhio ana ki te tino take. Tērā pea kei roto i tō pūnaha ārai mate. Kāore e horapa mai i te tangata ki te tangata mā te pa o te kiri ki te kiri.

He mate te kūkū kiri e puta ai ngā whara porotaka, mākūkū, me te kōwhai o te kiri. Nā te harore te kūkū kiri – ehara i te kūkū. He tino hopuhopu . Ka taea te horapa mā te whakapā atu ki te tangata, ki te kararehe rānei kua pangia, mā te pā atu rānei ki tētahi mata kua poke, pērā i te papa o te rūma kakahu o te whare takaro, i ngā kākahu werawera rānei. He nui ake te unahi o te kūkū kiri i te Granuloma Annulare.

Hei whakamutunga, kia mahara ki tēnei.

He mate kiri te Granuloma Annulare, he mea whakama, he mea kore whakamarie hoki i ētahi wā. Heoi, he mate noa iho tēnei , ā, ka memeha haere i roto i ngā tau e rua. Ko te mea nui ko te tiaki i tō kiri. Mena he āwangawanga āu, kei reira tō tākuta hei āwhina i a koe. Nō reira kaua e wehi ki te pātai atu ki tō tākuta.

` Granuloma Annulare, ngā mate kiri, te rongoā kiri, te mākūkū, ngā ira kiri, te ahotea, te maimoatanga