He iti ngā ira parauri kei tō tinana, kei tō kaki, kei tō tuara, kei tō mata rānei? He paku piki ake, he āhua ware pi, ā, he rite ki tētahi mea e piri ana ki te kiri... He tokomaha te hunga e mataku ana ina kite i ēnei, e whakaaro ana mēnā he mate pukupuku kiri. Engari kaua e manukanuka, he tino noa ēnei mate, ā, kāore he kino. I tēnei rā kei te kōrero tātou mō tēnei 'Seborrheic Keratosis' e pāngia ana e te tini o te tangata.
He aha te Seborrheic Keratosis?
He kupu ngāwari noa iho, he tipu kino tēnei i runga i te kiri, he rite ki te tohu whānau. He maha ngā tāngata ka pāngia e tēnei i tētahi wā o ō rātou oranga. He mea noa iho i te hunga pakeke. Ka piki haere te maha i a koe e pakeke haere ana. Kāore he kino, ā, kāore e hiahiatia he maimoatanga. Heoi, ki te mea ka whakararuraru i a koe, ka kore rānei koe e ātaahua, ka taea te tango atu.
I ētahi wā ka karangatia ēnei e ngā tākuta he 'pūpū kiri'. Kaua e mataku ki taua ingoa. Ehara i te mea he mate pukupuku. Ko ngā mea pēnei i ngā mole me ngā warts e mōhiotia ana e tātou nō roto hoki i tēnei kāwai. Ko tōna tikanga kua huihui ētahi pūtau i te paparanga o runga o tō tātou kiri (epidermis) ā, kua hanga he tipu iti. Kāore tēnei e kiia he take mōrearea mō te mate pukupuku kiri.
He aha te āhua o ēnei ira?
He porowhita, he porowhita rānei te āhua o ēnei, ā, he āhua piri ki te kiri. E kīia ana e ētahi he ware pi, he rite rānei ki te korara. Kua ara ake i runga ake i te kiri. I ētahi wā he papatahi, engari ka taea e koe te rongo i te rerekētanga mēnā ka pā atu koe ki tō maihao.
He parauri te tae o ēnei i te nuinga o te wā. Engari i ētahi wā he pango, he parauri mārama, he māwhero, he kōwhai, he mā rānei. He maha ngā wā ka kitea neke atu i te kotahi i te wā kotahi.
He pūmua e kiia nei ko te keratin te mea hanga o te mata o ēnei ira. Koinei tonu te rauemi e hanga ana i ō tātou maikuku me ngā haona kararehe. Koia te take he tino taratara te kakano. Ko ētahi ira he rite ki ngā mirumiru iti, ki ngā whēkau rānei i roto. Ko ētahi he rite ki te kirinuku, ki te pūwero rānei. Ko ētahi he rite ki ngā kita i runga i te roro.
| Āhuatanga | Whakaahuatanga |
|---|---|
| Āhua | Porowhita, porowhita rānei |
| Āhua | Āhua piri, he ware pi, he unahi |
| Tae | He parauri te nuinga, engari ka taea te pango, te parauri mārama, te kōwhai, te māwhero, te mā rānei |
| Taiao | Kei te pū mai i te kiri, ka taea e koe te pā atu ki tō matihao. |
Nā wai ēnei e hanga?
Ka pā pea ēnei ki te tangata katoa, engari he tino noa iho i roto i ēnei tāngata e whai ake nei:
- Ngā tāngata neke atu i te 50 tau te pakeke: Ka tīmata ēnei te puta i te hunga pakeke waenga. He iti ake te tūponotanga ka pāngia te hunga rangatahi. Tata ki te 30% o te hunga ka pāngia i te 40 tau te pakeke, ā, tata ki te 75% i te 70 tau te pakeke.
- Ngā tāngata whai hītori whānau: Mena kei tō whaea, tō pāpā, ō tuākana/teina rānei ēnei āhuatanga, ka nui ake te tūponotanga ka pāngia koe e ēnei āhuatanga. Ko te tikanga tēnei he pānga ira kei roto.
- Ngā tāngata he kiri mā: He nui ake te kitea o ēnei mate i roto i ngā tāngata he kiri mā. Heoi, he rite tonu te āhua o te mate kiri engari he rerekē te āhua, arā, ko te "Dermatosis Papulosa Nigra" he nui ake te kitea i roto i ngā tāngata he kiri mangu, pērā i te hunga nō Āwherika, nō Āhia rānei.
He aha te take e puta ai ēnei?
Kāore i te mōhiotia te tino take o ēnei. Engari e mōhio ana tātou he hononga ēnei ki te koroheketanga. E kī ana ētahi rangahau he take anō pea te pānga o te rā ki tō rātou whanaketanga. He āhuatanga ira anō hoki, nā te mea he whānau whānau rātou.
Ko te mea nui, ehara ēnei i te mea nā te huaketo, nā te huakita rānei i puta. Nō reira, kāore e horapa , ā, kāore hoki e horapa mai i te tangata ki te tangata.
He puhoi rawa te tipu o ēnei ira. Engari, ki te kite ohorere koe i te nuinga o ēnei ira puta noa i tō tinana i roto i te wā poto, he mea hei āwangawanga māu. He onge noa iho, he tohu pea tēnei o te mate pukupuku i roto i te tinana. Ka kiia tēnei e ngā tākuta ko te 'Tohu o Leser-Trélat'. Engari kāore anō kia whakamātauhia tēnei hononga. Engari, ki te kite koe i tētahi mea pēnei, ka tūtohu tō tākuta i ētahi atu whakamātautau.
He tohu anō kei roto i ēnei ira?
I te nuinga o te wā, kāore he tohu, engari ko ētahi tāngata e kī ana i ēnei mea:
- Te mākūkū
- Te whero me te riri o te kiri i puta mai i ngā kākahu
- I ētahi wā ka puta te toto i te whara iti.
Mena ka pāngia koe e ēnei tohu, ka pai pea koe ki te tango i tēnei wāhi.
Me pēhea te wehewehe i ēnei mai i ngā āhuatanga matepukupuku?
Koinei te wāhanga tino nui. Nā te mea he rite te āhua o ētahi momo mate pukupuku kiri ki te 'Seborrheic Keratosis'. Nō reira, he mea tino nui kia mōhio tika ki te rerekētanga.
Te Rerekētanga i waenga i te Seborrheic Keratosis me te Actinic Keratosis
Ko te 'Actinic Keratosis' he momo mate pukupuku kiri e puta mai ana i te pakeketanga, ā, he rite te āhua ki te korara. Heoi, kāore i te kino pērā i te 'Seborrheic Keratosis'. Ko te 'Actinic Keratosis' ka puta mai i te kiri e whiti ana ki te rā. He iti anō hoki te mōrearea (5%-10%) ki te whanake hei mate pukupuku kiri. Nō reira, he mea nui kia mōhio ki te rerekētanga i waenganui i ngā mea e rua. Ko te 'Actinic Keratosis' he papatahi, he taratara, ā, he maha tonu te puta ki ngā wāhi e whiti ana te rā.
Te rerekētanga i waenga i te Seborrheic Keratosis me te Melanoma (matepukupuku kiri)
E kore rawa te Seborrheic Keratosis e whanake hei mate pukupuku kiri kino e kiia nei ko te Melanoma. Heoi, ko ētahi mate pukupuku Melanoma ka rite ki te Seborrheic Keratosis. Nō reira kia tūpato ki ēnei huringa.
| Āhuatanga | Seborrheic Keratosis (kore kino) | Melanoma (matepukupuku) |
|---|---|---|
| Tau | He maha ngā wā ka puta ake he nui atu i te kotahi. | He maha ngā wā ka whanake takitahi te tangata. |
| Kakano o te mata | He ware pi, he unahi, he taratara | He maeneene te nuinga |
| Tapa | He taha mārama, he taha kua tautuhia pai | Tērā pea he taha pōuriuri, he tapa kōpiko, he taha koretake |
| Tae me te āhua | He rite tonu te āhua, he rite tonu te tae. | He āhua koretake te āhua, tera pea he maha ngā tae. |
| Te tipu | He nui ngā panonitanga. | Ka tere te tipu, ka rerekē te āhua/te tae |
Ki te mea he ruarua āu mō tētahi mole i tō tinana, tena koa whakaaturia tonutia ki te tākuta, ina koa ki te tākuta kiri. Kaua e tātaritanga i a koe anō.
Me pēhea te tātaritanga a te tākuta i tēnei?
- Whakamātautau kanohi: Ka taea e te tākuta kiri te whakatau mēnā he Seborrheic Keratosis tēnei mā te titiro noa iho.
- Dermoscopy: Mēnā he ruarua, ka whakamahia e te tākuta tētahi taputapu motuhake (he `dermascope`) he rite ki te karāhe iti o te ringaringa hei whakanui ake i te ira.
- Kohikohi: Mena kei te whakapaetia he mate pukupuku, ka tangohia e te tākuta tētahi wāhanga iti o te whara (ka tangohia katoatia rānei) ka tukuna ki te taiwhanga hei whakamātautau. Ka kiia tēnei he kohikohi.
Ngā tikanga maimoatanga me te tango
Tuatahi, kia maumahara kāore tēnei e kino, ā, kāore e hiahiatia he maimoatanga. Heoi, ki te mea kei te mākūkū koe, kei te mirimiri rānei ki ngā kākahu, kei te kore rānei koe e pai ki tōna āhua, ka taea e koe te tango. He iti noa ngā tikanga māmā ka taea te mahi i te tari o tō tākuta.
- Whakaora-mate kiri: Ka whakamahia he matū tino makariri e kīia ana ko te hauota wai hei whakatio i te ira. Ka taka noa iho i roto i ētahi wiki.
- Te Whakaiti Hiko/Te Whakamaroke: Ka tahuna te ira mā te whakamahi i te iahiko hiko, kātahi ka waruhia ki tētahi taputapu motuhake.
- Tangohanga Heu: Ka whakamahia tēnei tikanga mēnā kei te hiahia koe ki te tuku i tētahi koiora. Ka werohia he rongoā whakangoikore, ā, ka waruhia marietia te ira.
- Te Whakaora Taiaho:Ka tahuna e te hihi laser, ka tangohia te ira.
- Te rongoā hauwai peroxide: He maimoatanga hou tēnei. Ka pania e te tākuta he wairewa hauwai peroxide tino kukū ki te wāhi i pangia.
He mea nui: Kaua rawa e ngana ki te tapahi, ki te waru, ki te tango rānei i ēnei i a koe anō i te kāinga. Ka arahi pea tēnei ki te mate me te whara.
Karere Tangohia ki te Kāinga
- Ko te Seborrheic Keratosis he tupu kiri kore kino e puta pinepine ana i a tātou e pakeke haere ana.
- Ehara ēnei i te matepukupuku, ā, e kore e huri hei matepukupuku.
- Ka rite pea te āhua o ētahi momo mate pukupuku kiri kino ki ēnei, nō reira, ki te mea kei te whakapae koe i tētahi ira hou, i tētahi ira rerekē rānei i runga i tō kiri, me toro atu ki te tākuta.
- Kāore ēnei e hiahiatia kia rongoatia. Ki te tangohia, he mea whakapaipai noa iho, he mea rānei nā te mea he raruraru pēnei i te mākūkū.
- Kaua e ngana ki te rongoā, ki te tango rānei i ēnei i a koe anō me te kore e kōrero ki te tākuta.
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