Keratosis ʻiʻo

ʻO ka keratosis Actinic kahi wahi liʻiliʻi, ākea, hānai ʻia i kou ʻili. Ua hōʻike pinepine ʻia kēia wahi i ka lā ma kahi o nā wā lōʻihi.

Hiki ke hoʻomohala i kekahi keratoses actinic i ʻano ʻano maʻi ʻaʻai ʻili.

Hoʻokumu ʻia ka keratosis Actinic e ka hōʻike ʻana i ka lā.

E hoʻolālā paha ʻoe iā ia inā ʻoe:

• Loaʻa i ka ʻili maikaʻi, uliuli a i ʻole nā ​​maka ʻōmaʻomaʻo, a i lauoho lauoho ʻulaʻula a ʻulaʻula
• Inā loaʻa kahi ʻōpala a i ʻole nā ​​mea hoʻoliʻiliʻi ʻē aʻe
• E lawe i nā lāʻau e kāohi i ka ʻōnaehana pale
• E hoʻolōʻihi i ka manawa i kēlā me kēia lā i ka lā (e laʻa, inā ʻoe e hana ma waho)
• Nui ʻino nā lā i mua i ke ola
• He ʻelemakule

ʻO ka keratosis Actinic ka mea maʻa mau i ka maka, ka poʻo, ka hope o nā lima, ka umauma, a me nā wahi i ʻike pinepine ʻia i ka lā.

• Hoʻomaka ka ʻili e like me nā wahi pālahalaha a me nā scaly. Loaʻa iā lākou i ka unahi keʻokeʻo a melemele crusty paha ma luna.
• ʻO ka ulu ʻana he hina, ʻākala, ʻulaʻula, a i ʻole like ke kala me kou ʻili. Ma hope, lilo lākou i paʻakikī a like me ka wart a i ʻole ʻoluʻolu a ʻākala.
• ʻOi aku ka maʻalahi o ka manaʻo o nā wahi i hoʻopilikia ʻia ma mua o ka ʻike.

E nānā kāu kauka olakino i kou ʻili e hōʻoia i kēia ʻano. Hana ʻia kahi biopsy ʻili e ʻike inā he maʻi ʻaʻai ia.

Ua lilo kekahi keratoses actinic i mau maʻi ʻaʻa ʻili cell squamous. E nānā i kāu mea hāʻawi i nā ulu o ka ʻili ke loaʻa iā lākou. E haʻi aku kāu mea hāʻawi iā ʻoe pehea e mālama ai iā lākou.

Hiki ke wehe ʻia nā ulu e:

• Puhi ʻana (uila cautery)
• ʻO ka ʻānai ʻana i ka liona a me ka hoʻohana ʻana i ka uila e pepehi i nā hunaola i koe (i kapa ʻia ʻo curettage a me electrodesiccation)
• Ke ʻoki ʻana i ka tumo a me ka hoʻohana ʻana i nā humuhumu e hoʻihoʻi i ka ʻili (i kapa ʻia he excision)
• Paʻahau (cryotherapy, ka mea e paʻa a make nā hunaola)

Inā loaʻa iā ʻoe kēia mau ulu o ka ʻili, hiki i kāu kauka ke ʻōlelo:

• ʻO kahi mālama kukui kūikawā i kapa ʻia ʻo photodynamic therapy
• ʻIli kemika
• ʻO nā kalima ʻili, e like me 5-fluorouracil (5-FU) a me ka imiquimod

ʻO kahi helu liʻiliʻi o kēia ulu ʻana o ka ʻili e lilo i carcinoma cell squamous.

Kāhea i kāu mea hāʻawi inā ʻike ʻoe a ʻike paha i kahi ʻino a scaly paha i kou ʻili, a i ʻole inā ʻike ʻoe i nā loli ʻili ʻē aʻe.

ʻO ke ala ʻoi loa e hoʻohaʻahaʻa ai i kou makaʻu no ka keratosis actinic a me ka maʻi ʻaʻai ʻili e aʻo pehea e pale ai i kou ʻili mai ka lā a me nā kukui ultraviolet (UV).

Nā mea hiki iā ʻoe ke hana e hoʻohaʻahaʻa i kou hōʻike ʻana i ka lā ke hoʻopili ʻia:

• E ʻaahu i nā lole e like me nā pāpale, nā pālule lima lōʻihi, nā pālule lōʻihi, a i ʻole ka pālule.
• E hoʻāʻo e hōʻalo i ka lā i ke awakea, ke ikaika nui ke kukui ultraviolet.
• E hoʻohana i nā sunscreens kiʻekiʻe kiʻekiʻe, ʻoi aku ka maikaʻi me kahi helu pale pale lā (SPF) ma kahi o 30. E koho i kahi aniani ākea ākea e ālai i nā kukui UVA a me UVB.
• E noi i ka sunscreen ma mua o ka hele ʻana i waho i ka lā, a noi hou pinepine - ma ka liʻiliʻi i kēlā me kēia 2 mau hola i ka wā o ka lā.
• E hoʻohana i ka pale lā i ka makahiki holoʻokoʻa, me ke kau hoʻoilo.
• Hōʻalo i nā kukui lā, nā moena hoʻomeamea, a me nā hale ʻiliʻili.

Nā mea ʻē aʻe e ʻike e pili ana i ka puka ʻana o ka lā:

• ʻOi aku ka ikaika o ka lā i loko a kokoke paha i nā wahi e hōʻike i ka mālam, e like me ka wai, ke one, ka hau, ka pōkā, a me nā wahi i pena keʻokeʻo ʻia.
• ʻOi aku ka ikaika o ka lā i ka hoʻomaka o ke kauwela.
• ʻOi aku ka wela o ka ʻili ma nā kiʻekiʻe kiʻekiʻe.

Keratosis ka lā; Hoʻololi ka ʻili i hoʻokomo ʻia e ka lā - keratosis; Keratosis - actinic (ka ikehu lā); Liona ʻili - keratosis actinic

• ʻO ka keratosis Actinic ma ka lima
• ʻO keratosis Actinic - kokoke loa
• ʻO keratosis Actinic ma nā forearms
• ʻO ka keratosis Actinic ma ke poʻo
• Keratosis Actinic - pepeiao

ʻAmelika Hui Pū ʻIa o Dermatology Association. Keratosis Actinic: ʻike a me ka lāʻau. www.aad.org/public/diseases/skin-cancer/actinic-keratosis-treatment. Hoʻohou i Pepeluali 12, 2021. Loaʻa iā Pepeluali 22, 2021.

ʻO Dinulos JGH. ʻO nā tumors ʻili nonmelanoma malignant a me nā maʻi ʻino. I: Dinulos JGH, hoʻoponopono. ʻO Dermatology Lapaʻau ʻo Habif. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 21.

ʻO Gawkrodger DJ, ʻo Ardern-Jones MR. Pigmentation. I: Gawkrodger DJ, ʻO Ardern-Jones MR, nā ʻaoʻao. Dermatology: He Huaʻōlelo Kala i kiʻi ʻia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 42.

ʻO Soyer HP, Rigel DS, McMeniman E. Actinic keratosis, carcaloma basal cell, a me ka carcinoma ʻeleʻele squamous. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 108.