He pakira hoki ō makawe i ētahi wāhi, he rite ki ngā kōpura? Kia ako tātou mō te Scarring Alopecia i roto i tētahi huarahi māmā!

Kua kite koe kua hē te huruhuru o tō makawe, o tō tetahi rānei e mōhio ana koe, ā, kua maeneene, kua kanapa te kiri o aua wāhi? I ētahi wā ka whero, ka pakarukaru. He tino pouri, he whakarihariha hoki tēnei, kāore? I tēnei rā ka kōrero tātou mō tētahi momo ngaronga makawe. Ka karangatia tēnei e ngā tākuta ko te '(Scarring Alopecia)', ko te '( cicatricial alopecia )' rānei. He māmā noa iho, ko te mea ka tupu i roto i tēnei ko te whakangaromanga o ngā follicle iti e tupu ai ō tātou makawe, e kiia nei ko '(Hair Follicles)'. Kātahi ka ngaro te huruhuru, ā, kāore e tupu anō.

He aha te Alopecia Pakaru?

Ki te kī ngāwari, ko te tikanga o te `(Scarring Alopecia)` he kōhao iti kei te mata o tō tātou kiri e puta mai ai ngā pūtake makawe, ā, ka pakaru aua `(Hair Follicles)`, ka ngaro rawa, ka ngaro te makawe. Whakaarohia, pērā i te whakatō purapura hei whakatō tipu, he mea nui tēnei `(Hair Follicle)` mō te tipu o te pūtake makawe. Nō reira, ina ngaro tēnei, kāore he ara e tupu anō ai te pūtake makawe.

Tērā pea nā te mea nui tēnei:

• Ngā mate urutā: Ka pā mai pea tēnei i ētahi mate kitakita , mate harore rānei.
• Matū : Ka taea e ētahi matū kaha te whakararuraru i te kiri, i ngā hua kaha rānei e whakamahia ana ki te makawe.
• Ngā wera: Ka taea e ngā wera ki te kiri te whakangaro i ngā pūtake makawe.
• Ngā Mate Pūnaha Ārai Mate : Koinei te wā e whakaeke ai te pūnaha ārai mate o tō tātou tinana i ō tātou ake pūtake makawe.

Ko te mea nui ko te ngaronga o te makawe nā te `(Scarring Alopecia)` ka taea te ngaro tonu. Arā, ki te kore he `(Hair Follicles)` hauora, e kore te makawe e tupu anō. Koia te mea nui kia mōhio wawe ki tēnei āhuatanga, ā, me rapu maimoatanga mēnā e tika ana.

He aha ngā pānga o te `(Scarring Alopecia)`?

Ahakoa ka pā tēnei mate ki tētahi wāhanga o te tinana he huruhuru, ko te nuinga o te wā ka kitea i te tumuaki. Ka ngaro te huruhuru i ētahi wāhi, ka waiho he wāhi takoto kau. Nā te mea he mea e kitea ana tēnei, ka pā pea ki te hinengaro o ētahi tāngata. Tērā pea ētahi wā ka manukanuka rātou mō ō rātou āhua, ā, ka uaua ki te tū atu ki te hapori. Nō reira, ehara tēnei i te raruraru tinana anake.

He aha te āhua o te `(Scarring Alopecia)`?

Ko te kiri pakira e pā ana ki te huruhuru ka puta mai i te nuinga o te wā he wāhi pakira. Tērā pea kei te kotahi te wāhi, kei ētahi atu wāhi rānei. Tērā pea he maeneene, he kanapa te kiri i mua i te huruhuru. Heoi, kāore tēnei e rite mō te katoa. Kei ētahi tāngata ēnei:

• He tae whero
• He mate kiri
• Tērā pea he mea pēnei i ngā mirumiru kī tonu i te wai

…ka kitea e koe. Nō reira, ki te kite koe i tētahi tohu pēnei, kaua e warewaretia.

He aha te rerekētanga i waenga i te Scarring Alopecia me te Nonscarring Alopecia?

He pātai anō tēnei e pātaihia ana e te tini.

• (Te Mahunga Huruhuru): I roto i tēnei, ka whakangaromia tūturutia te pūtake makawe, ka ngaro te makawe . Nō reira, he tino iti te tūponotanga o te tupu anō o te makawe, ka ngaro katoa rānei.
• (Kore-iraira-Mate): I tēnei āhuatanga, ka taka pea te makawe, ka angiangi pea te makawe, engari kāore te `(Hair Follicle)` e whakangaromia. Nō reira, he wā poto pea tēnei āhuatanga, ā, i ētahi wā ka tupu anō te makawe. Hei tauira, ko te tauira pakira e mōhiotia ana e te tini o te tangata ko te `(Androgenetic Alopecia)`, e pā ana ki ngā tāne me ngā wāhine, he momo `(Kore-iraira-Mate)`.

He rerekē ngā momo `(Scarring Alopecia)`?

Ae, e rua ngā momo matua o te `(Cicatricial Alopecia)`:

1. Te Alopecia Matū Tuatahi:Ko te mea ka tupu i tēnei kēhi, ka whakaekea tika mai ngā pūtake makawe e tētahi mate mumura, e tētahi mate pūnaha ārai mate rānei, ā, ka whakangaromia.

2. Te Alopecia Tuarua o te Matā: Ka puta tēnei hei pānga taha o tētahi atu whara, whara rānei ki tō tātou kiri. Hei tauira, ko ngā weranga, ko ngā mate kino, ko te rongoā irahiko , ko ngā pukupuku rānei i runga i te kiri ka taea te whakangaro i ngā pūtake makawe, ka waiho he matā ki te makawe.

He maha ngā momo o te Alopecia Kiri Tuatahi:

He maha atu anō ngā momo kei raro i tēnei. Me titiro tātou ki ētahi o ngā mea matua:

• Ko te Mahunga Pokapū Pokapū (CCCA): He momo ngaronga makawe tēnei e tino kitea ana i roto i ngā wāhine, inā koa ko te hunga nō Āwherika. Ka tīmata i te nuinga o te wā i te 30 tau te pakeke. Ka tīmata ngā wāhi pakira i te tihi o te mahunga, ka horapa ki waho. Ka hono pea ki ngā matū kaha e whakamahia ana ki te makawe (hei tauira, ngā mea whakangāwari) me te wera nui e whakamahia ana ki te makawe (hei tauira, ngā heru wera). Ko te kukume nui i ngā pūtake makawe mai i ngā mea pēnei i te whiri, te whatu, te toronga rānei, ka waiho hei take. Heoi, e kī ana ētahi rangahau he mea tuku iho pea.

• Te Lupus Erythematosus Kiri Mau Tonu (CCLE): He āhuatanga tēnei e whakaahua ana i ngā raruraru kiri i puta mai i te mate pūnaha ārai mate e kiia nei ko te lupus erythematosus. Haunga te ngaronga o te makawe, ka pāngia pea ētahi tāngata whai CCLE e ngā whara kiri, ngā huringa o te tae kiri, me te aro ki te rā. He nui ake te kitea o tēnei i roto i ngā wāhine.

• Folliculitis Decalvans: Tērā pea he hua tēnei o te mate kitakita. Ko ētahi tāngata kua pangia e te mate Staphylococcus Aureus (Staph A) ka pāngia e te mumura pumau ka pā ki ō rātou pūtake makawe.

• Te Lichen Planopilaris: Koinei te momo mate kiri tuatahi e tino kitea ana, inā koa i roto i ngā wāhine neke atu i te 50 tau te pakeke. He momo mate e kiia nei ko te lichen planus. Ka taea e ia te kiri maroke, te mumura, te mākūkū , te whara , te rerekētanga o te tae o te kiri, me ngā pupuhi iti e kiia nei ko ngā papules.

He mate hopuhopu te `(Scarring Alopecia)`?

Kāore,Ehara te `(Scarring Alopecia)` i te mate hopuhopu. Arā, kāore e horapa mai i te tangata ki te tangata mā te whakapā atu. Nō reira, kāore he mea hei manukanuka.

Ko wai ka pāngia e te `(Scarring Alopecia)`?

Ka pāngia te tangata katoa e tēnei mate, engari he nui ake te kitea i roto i ngā pakeke i ngā tamariki. Ko ētahi momo `(Scarring Alopecia)` ka pā pea ki tētahi ira tangata, ki tētahi iwi rānei, nui atu i ētahi atu. Hei tauira, ko te mate `(CCCA)` i kōrerotia i mua ake nei he nui ake te kitea i roto i ngā wāhine nō te uri Āwherika.

He pēhea te noa o te `(Scarring Alopecia)`?

E 7% noa iho o te hunga e kite ana i te tākuta mō te ngaronga o te makawe ka pāngia e te mate makawe kiri kua pāngia e te scarring alopecia. He iti noa iho tēnei tau ki te whakataurite ki te mate makawe kiri kāore he scarring alopecia, e pāngia ana i waenga i te 50% me te 75% o ngā pakeke neke atu i te 50 tau te pakeke.

He aha te take o te `(Scarring Alopecia)`?

I roto i ngā momo maha o te `(Scarring Alopecia)`, ka puta te mumura i waenganui o tō tātou `(Hair Follicle)`, arā, i te wāhi e kiia nei ko te `(puku).` Ko tēnei wāhi `(puku)` te wāhi kei reira ngā pūtau take me ngā repe hinu e hiahiatia ana hei whakatipu i ngā makawe hou. Nā tēnei mumura, ka whakangaromia tēnei wāhanga o te `(Hair Follicle)`, ā, ka puta he kiko puku `(Fibrosis)` ki reira. Kātahi ka kore ngā makawe e tupu anō.

Mō te hunga e pāngia ana e te "Scarring Alopecia", ka kati ngā pūwero e puta mai ai ngā pūtake makawe (Follicular Ostia).

Engari i roto i te `(Nonscarring Alopecia)`, ko te nuinga o te wā ka pā te kino ki te wāhanga o raro o te `(Hair Follicle)`, arā, te `(bulb)`. Kāore i te tino pā te kino ki te `(Bulge)`. Koia te take he nui ake te tūponotanga ka tupu anō te makawe i roto i te `(Nonscarring Alopecia)`. E mārama ana koe ki tēnei rerekētanga?

Ka taea e te maimoatanga matepukupuku te whakaputa i te `(Scarring Alopecia)`?

E mōhio ana pea koe ka ngaro te makawe i te maimoatanga `(Chemotherapy)` (Chemotherapy). Engari kāore te `(Chemotherapy)` e hua ai te `(Scarring Alopecia)`. Ka taea e ngā rongoā `(Chemotherapy)` te patu i ngā pūtau i roto i te `(Hair Follicle)`, e mate ai te makawe. Engari kāore te `(Hair Follicle)` i tino whakangaromia. Nō reira, ka taea e te makawe te tupu anō i muri i te `(Chemotherapy)`.

Heoi, ka taea e te rongoā irahiko te whakaputa i te kiri kiri kua pakaru , ā, ka taea e ēnei te whakangaro tuturu i ngā pūtake makawe.

He aha ngā tohu o te `(Scarring Alopecia)`?

Ko te tohu matua ko te ngaro o te makawe. I te nuinga o te wā ka puta i ngā wāhi iti, i ngā wāhi iti rānei. Ka taea e tēnei te tupu āta haere, i roto i ngā tau. Ka taea rānei te tīmata ohorere, ka horapa tere.

Ahakoa te nuinga o te wā ka pā ki te tumuaki, ka taea e ia te puta ki ngā wāhi katoa o te makawe.

Haunga te ngaro o te makawe, ka pāngia pea ētahi tāngata e ngā raruraru kiri pēnei i:

• Te toto
• Te pupuhi
• mumura
• Te hanganga, te kiriuhi rānei, he rite ki te kirinuku
• Te mākūkū, te ngau, te mamae rānei ina pā ki te rohe
• Ngā pupuhi iti kī tonu i te pūhā (Pustules)
• Te whero, ētahi atu huringa tae rānei

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he pai ake te rapu tohutohu hauora.

Me pēhea te mōhio ki te `(Scarring Alopecia)`?

He maha ngā tikanga e whakamahia ana e tō tākuta hei tātaritanga i tēnei mate:

1. Whakamātautau Tinana: Ka tirohia e te tākuta te wāhi i riro ai ō makawe me te horapa o te makawe. Ka tirohia hoki e ia te kiri i riro ai ngā makawe, kia kitea ai mēnā kei reira tonu ngā pūtake makawe, me te mea he tohu mumura. Me kōrero anō hoki koe ki tō tākuta mō te wā i tīmata ai te ngaro o ō makawe, mēnā he tohu kē atu āu, pērā i te mākūkū, te wera rānei.

2. Hītori Hauora: Ka pātai te tākuta mō tō tau, tō ira tangata, ō tikanga tiaki makawe, me tō hauora whānui. Kōrerotia atu mēnā he mate hauora anō tōu, pērā i te lupus, te anemia, te mate tairoi rānei. Tērā pea ka tonoa e rātou he whakamātautau toto hei tirotiro i ētahi atu mate e raru ai te ngaro o ō makawe.

3. Kohikohi Kiri: Koinei anake te huarahi hei whakaū tuturu mēnā he Scarring Alopecia tōu.Ka tangohia e te tākuta tētahi wahi kiri iti mai i tō tumuaki, i tētahi atu wāhi rānei o ō makawe, ka tukuna ki tētahi taiwhanga. I reira, ka tirohia e te tohunga mate (he tākuta e tohunga ana ki ngā tauira kiri) i raro i te karu hiko. Kātahi ka rapu te tākuta i ngā pūtau ārai mate mumura, ā, ka whakatauhia te momo Cicatricial Alopecia kei a koe.

He rerekē ngā wāhanga o te `(Scarring Alopecia)`?

I ētahi wā, ka kitea pea i roto i te koiora kiri te kiko mākū engari kāore e kitea ngā pūtau mumura. Ka kiia tēnei e ngā tākuta he alopecia mākū mutunga-wāhanga (ESSA) . Ko te tikanga o te ESSA kua hipa te āhua i te wāhanga mumura kaha. Ka taea e tēnei te whakaiti i te whai huatanga o te maimoatanga.

He aha te momo tākuta ka taea te tātaritanga i te `(Scarring Alopecia)`?

Ka taea e te tākuta kiri te tātaritanga i te Scarring Alopecia. Heoi, he uaua pea te tātaritanga, nō reira he mea nui kia toro atu ki te tākuta kiri he mātau ki te ngaro o te makawe.

He rongoā kei te wātea mō te `(Scarring Alopecia)`?

Engari, kāore he rongoā mō te `(Scarring Alopecia)`. Ko te kaupapa matua o te maimoatanga he whakahaere i ngā tohu me te whakaiti, te whakamutu rānei i te ngaronga o te makawe. Tērā ētahi maimoatanga whakapaipai ka taea te whakapai ake i te āhua o ngā wāhi pakira ki tētahi taumata.

Me pēhea te rongoā i te `(Scarring Alopecia)`?

Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki te momo `(Cicatricial Alopecia)` kei a koe. Ko ngā momo `(Scarring Alopecia)` e tino kitea ana ko:Ko ngā rongoā ārai-mumura he rongoā hei whakaiti i te mumura. Ka mahi ēnei rongoā mā te whawhai ki ngā pūtau mumura e whakangaro ana i ngā pūtake makawe. Ka taea te hoatu i ēnei rongoā hei pire (pēnei i te Hydroxychloroquine) hei werohanga corticosteroids rānei (pēnei i te Triamcinolone Acetonide). Ka puta mai hoki ētahi rongoā ārai-mumura i te ahua o ngā kirīmi, hinu rānei ka pania ki te kiri.

Ko te mate kiri kua kotingotingo i puta mai i ngā mate kitakita, me rongoā pea ki ngā paturopi (hei tauira, Doxycycline , Minocycline rānei).

Whakaarohia, ko te nuinga o te tangata ka tango i tēnei rongoā mō te 6 ki te 12 marama pea, kia memeha haere rā anō ō rātou tohumate, kia pōturi, kia mutu rānei te ngaronga o ō rātou makawe. Engari ki te tīmata anō te marere o ō rātou makawe, me tīmata anō pea rātou i te rongoā.

Ka taea e te tangata he "Scarring Alopecia" te mahi "Hir Transplant"?

Ko te `(Whakatō Makawe)` he tikanga pokanga e tangohia ai te makawe mai i tētahi wāhanga o tō tumuaki ka whakatōkia ki tētahi atu wāhanga o tō tumuaki, he iti noa iho, he kore rānei he makawe. Heoi , ehara tēnei i te maimoatanga pai mō te hunga e pāngia ana e te `(Scarring Alopecia)`. Nā te mea ka taea e te kiko ira i raro i te kiri te aukati i te tipu o ngā makawe hou. Heoi, ki te mea kāore anō kia ngaro ō makawe hou mō ngā tau maha, tera pea ka taea e koe te mahi i tēnei. He pai ake te pātai atu ki tō tākuta mō tēnei.

Ka taea te whakamahi i te rongoā Platelet-Rich Plasma (PRP) mō te `(Scarring Alopecia)`?

Ko te rongoā PRP he maimoatanga e whakamahi ana i ngā pereti toto i tangohia mai i ō ake toto hei whakaiti i te mumura me te āwhina i te whakaora i te kiko. Ka taea e tēnei te āwhina i te whakatipu anō i te makawe kua ngaro nā te alopecia kore-mōka, me te rongoā i te ngaronga o te makawe. Kāore i te tino whakamahia te rongoā PRP mō te alopecia mokomoko, engari kua whakaatuhia e ētahi rangahau he hua pai mō ētahi momo ngaronga makawe, pērā i te lichen planopilaris. He mea nui anō hoki kia rapu tohutohu hauora mō tēnei.

Ka tupu anō ōku makawe mēnā he `(Scarring Alopecia)` tōku?

Nā te mea ka taea e te alopecia kiri te whakararu i te makawe tuturu, he tino uaua ki te tupu anō i te makawe ina pakaru te pūtake makawe. Heoi, ki te kite wawe koe i te mate, tera pea ka taea e te rongoā te whakamutu i te mumura i mua i te pakaru katoa o te pūtake makawe. Koia te mea nui kia kite wawe koe i te tākuta.

Ka taea te ārai i te `(Scarring Alopecia)`?

He tino wero te ārai i tēnei. Mā te tīmatanga wawe o te maimoatanga ka āwhina i te aukati i te ngaronga o te makawe. Haunga tēnā, he uaua ki te kī pono, "Anei ngā mahi hei aukati i tēnei."

He aha te tirohanga mō te tangata e pāngia ana e te `(Scarring Alopecia)`?

Ka rerekē pea te āhua o tēnei mate i runga i te tere o tō rapu maimoatanga. Tērā pea ka ngaro noa iho ngā makawe o ētahi tāngata i ētahi wāhi iti noa iho. Tērā pea ka ngaro te makawe o ētahi atu i tētahi wāhi nui, pērā i te upoko katoa. Nā te mea ka hoki anō te ngaronga o te makawe ahakoa kua oti te maimoatanga, me tango pea ētahi tāngata i te rongoā mō te wā roa.

He aha ngā pātai me pātai atu ki taku tākuta mō te `(Scarring Alopecia)`?

Mena kei a koe te `(Scarring Alopecia)`, ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:

• He rongoā ā-taiao, ā-kāinga rānei hei āwhina i te `(Scarring Alopecia)`?
• He pānga taha anō kei te tangohia te rongoā mō te wā roa?
• Ka āwhina rānei ngā panonitanga ki taku kai, ki taku momo noho rānei, ki te ārai i te ngaronga o te makawe?
• Ka taea e au te pakira rawa?

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

He tino uaua te whakahaere i te ngaronga o te makawe nā te `(Scarring Alopecia)`, `(Cicatricial Alopecia)` rānei. Haunga ngā tohu ā-tinana pēnei i ngā raruraru kiri, me aro atu pea koe ki ngā wero kare ā-roto me ngā wero hinengaro. Ahakoa kāore tēnei āhuatanga e puta ai he raruraru hauora nui, ka taea e ia te whakamā me te whakama i a koe. Nō reira, kōrero ki tō tākuta mō ngā āhuatanga rerekē o tō oranga e pāngia ana e te `(Scarring Alopecia)`. Ka taea e rātou te tuku i a koe ki te maimoatanga me ngā ratonga tautoko e hiahiatia ana e koe. Ka taea e te kitenga wawe me te maimoatanga tika te āwhina nui ki te whakahaere i tēnei āhuatanga. Nō reira kaua e mataku, engari he mea nui kia mōhio koe ki tēnei.