Vitiligo

ʻO Vitiligo kahi ʻano ʻili kahi e nalowale ana ke kala (pigment) mai nā wahi o ka ʻili. ʻO kēia ka hopena i nā pākuʻi keʻokeʻo kaulike ʻole o nā pigment, akā like ka ʻili me he maʻamau.

Hana ʻia ʻo Vitiligo ke luku nā hunaola i nā hunaola e hana i ka pigment brown (melanocytes). Manaʻo ʻia kēia luku ma muli o kahi pilikia autoimmune. Hana ʻia kahi maʻi autoimmune ke pale ʻia ke kino o ke kino, ka mea e pale ai i ke kino mai ka maʻi, hoʻouka a luku hoʻi i nā kino o ke kino. ʻAʻole ʻike ʻia ke kumu kūpono o vitiligo.

Hiki ke hōʻike ʻia ʻo Vitiligo i kēlā me kēia makahiki. Hoʻonui ʻia ka helu o ke ʻano i kekahi mau ʻohana.

Pili ʻo Vitiligo me nā maʻi autoimmune ʻē aʻe:

• Addison maʻi (kāna hana ia l whenl when ka wā o ka adrenal glands e ole paka lawa hormones)
• Maʻi thyroid
• Pernicious anemia (hoʻemi i nā ʻulaʻula o ke koko e kū ʻia ke hiki ʻole i nā ʻōpū ke omo pono i ka wikamina B12)
• Diabetes

ʻO nā wahi pālahalaha o ka ʻili manaʻo maʻamau me ka ʻole o nā pigment e hōʻike koke a lohi paha. Loaʻa ka palena ʻeleʻele o kēia mau wahi. Hoʻomaopopo maikaʻi ʻia nā kihi, akā kūlike ʻole.

Hoʻopili pinepine ʻo Vitiligo i ka maka, kuʻekuʻe a me nā kuli, hoʻi o nā lima a me nā wāwae, a me nā genital. Hoʻopili like ia i nā ʻaoʻao ʻelua o ke kino.

ʻIke ʻia ʻo Vitiligo i ka poʻe ʻili ʻeleʻele no ka ʻokoʻa o nā pale keʻokeʻo i ka ʻili ʻeleʻele.

ʻAʻohe loli ʻili ʻē aʻe.

Hiki i kāu mea mālama ola ke nānā i kou ʻili e hōʻoia i ka ʻike.

I kekahi manawa, hoʻohana ka mea hāʻawi i kahi kukui Kī. ʻO kēia kahi kukui ultraviolet e paʻa i nā wahi o ka ʻili me ka liʻiliʻi o ka pigment e ʻālohilohi keʻokeʻo.

I kekahi mau hihia, pono paha kahi biopsy ʻili e kāpae i nā kumu ʻē aʻe o ka nalo ʻana o nā pigment. Hana paha kāu mea hāʻawi i nā hoʻokolohua koko e nānā i nā pae o ka thyroid a i ʻole nā ​​hormones ʻē aʻe, pae glucose a me ka wikamina B12 e kāpae i nā maʻi e pili pū ana.

He paʻakikī ke mālama iā Vitiligo. ʻO nā koho lapaʻau mua e pili ana i kēia:

• Phototherapy, kahi hana olakino kahi e hōʻike pono ai i kou ʻili i ka nui o nā kukui ultraviolet. Hāʻawi ʻia wale ʻia ka Phototherapy, a ma hope paha o kou lawe ʻana i ka lāʻau e hoʻomaʻamaʻa i kou ʻili i ka mālam. Hana kahi dermatologist i kēia lapaʻau.
• Hiki i kekahi mau kukuna ke kōkua i ka hoʻoponopono ʻana o ka ʻili.
• Hoʻopili ʻia nā lāʻau i ka ʻili, e like me nā kalima korticosteroid a i ʻole nā ​​mea hamo, nā kalima pale pale a i ʻole nā ​​mea hamo e like me pimecrolimus (Elidel) a me tacrolimus (Protopic), a i ʻole nā ​​lāʻau kumuhana e like me methoxsalen (Oxsoralen) i kōkua pū kekahi.

Hiki ke hoʻoneʻe ʻia ka ʻili (hoʻopili ʻia) mai nā wahi pigmented maʻamau a kau ʻia ma nā wahi kahi e nalo ai ka pigment.

Hiki i kekahi mau mea hoʻonaninani uhi a i ʻole nā ​​ʻili i uhi i ka vitiligo. E noi i kāu mea hāʻawi no nā inoa o kēia huahana.

I nā hihia koʻikoʻi ke hoʻopili ʻia ka hapa nui o ke kino, ʻo ke koena o ka ʻili i koe ka pigment e depigment ʻia, a i ʻole hoʻōla ʻia. ʻO kēia kahi hoʻololi mau i hoʻohana ʻia ma ke ʻano he koho hope loa.

He mea nui e hoʻomanaʻo i ka ʻili me ka ʻole o ka pigment iʻoi aku ka nui o ka makaʻu no ka pōʻino o ka lā. E hoʻopili pono i kahi ākea ākea (UVA a me UVB), sunscreen kiʻekiʻe-SPF a i ʻole sunblock. Hiki ke kōkua i ka pale ʻana o ka lā no ka ʻike ʻana i ke ʻano, no ka mea ʻaʻole e pouli ka ʻili i hoʻopili ʻia i ka lā. E hoʻohana i nā pale ʻē aʻe e kūʻē i ka lā, e like me ke kau ʻana i ka pāpale me ka pelu ākea a me ka pālule lima lōʻihi a me ka lole wāwae.

Hiki ke ʻike hou aku i ka ʻike a me ke kākoʻo no ka poʻe me ke ʻano vitiligo a me ko lākou mau ʻohana ma:

• Kākoʻo Vitiligo International - vitiligosupport.org

ʻOkoʻa ka papa o ka vitiligo a ʻike ʻole ʻole ʻia. Hiki i kekahi mau wahi ke loaʻa hou i ka pigment maʻamau (kala), akā ʻike ʻia nā wahi hou o ka nalo ʻana o nā pigment. ʻOi aku ka māmā o ka ʻili i repigmented a ʻeleʻele paha ma mua o ka ʻili a puni. Eʻoi aku ana ka maikaʻi o ka nalo ʻana o ka pig ma ka manawa.

Kāhea i kahi hālāwai me kāu mea hāʻawi inā lilo nā wahi o kou ʻili i kā lākou kala ʻana me ke kumu ʻole (no ka laʻana, ʻaʻohe mea ʻeha i ka ʻili).

Hoʻopilikia Autoimmune - vitiligo

• Vitiligo
• Vitiligo - hoʻokomo lāʻau
• ʻO Vitiligo ma ka maka
• Vitiligo ma ke kua a me ka lima

ʻO Dinulos JGH. Nā maʻi e pili ana i ka mālamalama a me nā maʻi o ka pigmentation. I: Dinulos JGH, hoʻoponopono. ʻO Dermatology Lapaʻau ʻo Habif. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 19.

Passeron T, Ortonne J-P. Vitiligo a me nā maʻi o ka hypopigmentation. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 66.

Patterson JW. Nā maʻi o ka pigmentation. I: Patterson JW, hoʻoponopono. ʻO Weedon's Skin Pathology. 5th lā. Piladelapia, PA: Elsevier; 2021: chap 11.