Pompholyx eczema
ʻO Pompholyx eczema kahi ʻano e hoʻomohala ai nā palapū liʻiliʻi ma nā lima a me nā wāwae. Māʻā pinepine nā pālū. Pompholyx mai ka huaʻōlelo Helene no ka huʻa.
ʻO ka Eczema (atopic dermatitis) kahi maʻi maʻi lōʻihi lōʻihi (lōʻihi) e pili ana i nā huehue scaly a me ka ʻeha.
ʻAʻole ʻike ʻia ke kumu. ʻIke ʻia ke ʻano i kekahi mau manawa o ka makahiki.
E hoʻomohala paha ʻoe i ka ecompema pompholyx ke:
- Aia ʻoe ma lalo o ke koʻikoʻi
- Loaʻa iā ʻoe nā maʻi āpau, e like me ka fever fever
- Loaʻa iā ʻoe ka dermatitis ma kahi ʻē
- Aia pinepine kou mau lima i ka wai a pulu
- Hana ʻoe me ka sima a hana i nā hana ʻē aʻe e hōʻike i kou mau lima i ka chromium, cobalt, a i ʻole nickel
ʻOi aku ka maʻalahi o nā wahine i ka hoʻomohala ʻana i ke ʻano ma mua o nā kāne.
ʻIke ʻia nā pākuʻi piha piha i ka wai i kapa ʻia nā vesicle ma nā manamana, nā lima, a me nā wāwae. ʻO ka mea maʻamau ma nā lihi o nā manamana, nā manamana wāwae, nā poho lima, a me nā kapuaʻi. Hiki i kēia mau palapū ke huehue. Hoʻopuka pū lākou i nā ʻili scaly o ka ʻili i pīpī a i ʻole ʻulaʻula, haki, a ʻeha hoʻi.
Hiki i ka Scratching ke hoʻololi i ka ʻili a me ka mānoanoa o ka ʻili. Hiki i nā pā nui ke ʻeha a i ʻole hiki ke maʻi.
Hiki paha i kāu kauka ke hōʻoia i kēia ʻano ma ka nānā ʻana i kou ʻili.
Pono paha kahi biopsy ʻili e kāpae i nā kumu ʻē aʻe, e like me ka maʻi fungal a i ʻole psoriasis.
Inā manaʻo kāu kauka he kumu paha ia no ka hopena o ka maʻi āpau, hiki ke hana ʻia i ka hoʻowalewale maʻi maʻi (patch patch).
Hele paha ʻo Pompholyx iā ia iho. Hoʻomaʻamaʻa ʻia ka mālama ʻana i ka kaohi ʻana i nā ʻōuli, e like me ka ʻume ʻana a me ka pale ʻana i nā palapū. E paipai paha kāu kauka i nā ana ponoʻī.
MALAMA KAI MA KA HALE
E mālama i ka ʻili ma ka lubricating a i ʻole ka hoʻoulu ʻana i ka ʻili. E hoʻohana i nā hamo (e like me ka ʻaila kālika), nā kalima, a i ʻole nā lotion.
Moisturizers:
- ʻAʻohe o ka wai ʻona, nā ʻala, nā kala, nā mea ʻala, a i ʻole nā kemika ʻē aʻe.
- Hana maikaʻi ke hoʻopili ʻia i ka ʻili i pulu a pulu paha. Ma hope o ka holoi ʻana a ʻauʻau ʻana paha, paʻi ka ʻili i ka maloʻo a laila hoʻopili koke i ka mea hoʻoluʻu.
- Hiki ke hoʻohana ʻia i nā manawa like ʻole o ka lā. No ka hapanui, hiki iā ʻoe ke hoʻopili i kēia mau mea i nā manawa āpau e pono ai e mālama i ka palupalu o kou ʻili.
NA LAAU LAPAAU
Hiki ke kūʻai ʻia nā lāʻau e kōkua ai i ka hōʻoluʻolu i ka huehue me ka ʻole o ka lāʻau.
- E lawe i kahi lāʻau anti-itch ma mua o ka hiamoe inā ʻānai ʻoe i kāu hiamoe.
- Hoʻokumu kekahi antihistamines i ka hiamoe iki a ʻaʻohe paha, akā ʻaʻole maikaʻi loa no ka ʻili. ʻO kēia mau mea me fexofenadine (Allegra), loratadine (Claritin, Alavert), cetirizine (Zyrtec).
- Hiki i nā poʻe ʻē aʻe ke hiamoe, e like me diphenhydramine (Benadryl).
Kau kauka paha i kau kauka. ʻO kēia nā hamo a i ʻole nā kalima i hoʻopili ʻia i ka ʻili. Nā ʻano ʻē aʻe:
- Corticosteroids, ka mea e pehu ai ka ʻili i hoʻāhu
- Immunomodulator, hoʻopili ʻia i ka ʻili, kahi e kōkua ai e mālama i ka ʻōnaehana pale pale mai ka hopena ikaika loa
- Nā lāʻau lapaʻau anti-itch i kuhikuhi ʻia
E hāhai i nā ʻōkuhi pehea e hoʻopili ai i kēia mau lāʻau. Mai hoʻopili hou ma mua o ka mea i manaʻo ʻia e hoʻohana.
Inā koʻikoʻi nā hōʻailona, pono paha ʻoe i nā lāʻau ʻē aʻe, e like me:
- Nā lāʻau Corticosteroid
- Nā kī kī Corticosteroid
- Hoʻomākaukau kalo
- Nā immunomodulator ʻōnaehana
- Phototherapy (ultraviolet light therapy)
Hele pinepine ʻo Pompholyx eczema me ka ʻole o nā pilikia, akā hoʻi paha nā ʻōuli. ʻO ka ʻeleu nui ʻana e alakaʻi i ka ʻili mānoanoa, hoʻonāukiuki. Hoʻonui kēia i ka pilikia e mālama.
Kāhea i kāu kahu mālama ola inā loaʻa iā ʻoe:
- Nā hōʻailona o ka maʻi e like me ka palupalu, ʻulaʻula, hoʻomehana, a me ke kuni
- ʻO kahi wīwī e hele ʻole me ka hoʻomaʻamaʻa home maʻalahi
Cheiropompholyx; Pedopompholyx; Dyshidrosis; Eczema Dyshidrotic; Acral vesicular dermatitis; Dermatitis lima mau
- Eczema, atopic - kokoke loa
- Atopic dermatitis
ʻO Camacho ID, Burdick AE. Ka lima a me ka wāwae eczema (endogenous, dyshidrotic eczema, pompholyx). I: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, eds. Ka mālama ʻana i ka maʻi ʻili: nā ʻōnaehana Therapyutic Comprehensive. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 99.
James WD,, Elston DM, mālama iā JR, Rosenbach MA, Neuhaus IM. Eczema, atopic dermatitis, a me noninfectious immunodeficiency maʻi. I: James WD, Elston DM, mālama iā JR, Rosenbach MA, Neuhaus IM, eds. Nā maʻi o ka ʻili ʻo Andrews. 13th ed. Piladelapia, PA: Elsevier; 2020: chap 5.