Xanthoma

ʻO Xanthoma kahi ʻano ʻili kahi e kūkulu ai kekahi mau momona i lalo o ka ʻili.

Maʻamau nā Xanthomas, keu hoʻi i waena o nā mākua a me nā poʻe me nā lipid koko kiʻekiʻe (momona). ʻOkoʻa ka Xanthomas i ka nui. Liʻiliʻi loa kekahi. ʻOi aku ka nui o kekahi ma mua o 3 ʻīniha (7.5 kenimika) i ke anawaena. Hōʻike ʻia paha lākou ma nā wahi āpau o ke kino. Akā, ʻike pinepine ʻia lākou ma nā kuʻekuʻe, nā hono, nā kuli, nā kuli, nā lima, nā kapuaʻi, a me nā ʻūhā.

ʻO Xanthomas paha kahi hōʻailona o kahi kūlana olakino e pili ana i ka hoʻonui ʻana o nā lipids koko. ʻO nā ʻano e like me:

• Nā maʻi ʻaʻai ʻē aʻe
• Diabetes
• Nā pae kolesterol kiʻekiʻe
• ʻO nā maʻi metabolic hoʻoilina, e like me ka hypercholesterolemia ʻohana
• ʻO ka scarring o ke akepaʻa ma muli o ke kahe ʻia o nā lāʻau ʻohe (ʻo ka cirrhosis biliary mua)
• Hoʻonā a me ka pehu o ka pancreas (pancreatitis)
• ʻO ka thyroid underactive (hypothyroidism)

ʻO Xanthelasma palpebra kahi ʻano maʻamau o ka xanthoma e hōʻike ʻia ma nā lihilihi maka. Hana ʻia ia me ka ʻole o ke ʻano olakino kumu.

ʻO ka xanthoma e like me ka melemele i ka ʻalani (papule) me nā palena i wehewehe ʻia. Nui a hewahewa paha kekahi mau mea a i ʻole hana lākou i mau pūʻulu.

E nānā kāu kauka olakino i ka ʻili. ʻO ka maʻamau, hiki ke hana i kahi hōʻailona ma ka nānā ʻana i ka xanthoma. Inā pono, e hoʻoneʻe kāu mea hāʻawi i kahi laʻana o ka ulu ʻana no ka hoʻāʻo ʻana (ʻili biopsy).

Loaʻa paha iā ʻoe nā hoʻokolohua koko e nānā i nā pae lipid, ka hana ate, a no ka maʻi kō.

Inā loaʻa ʻoe i kahi maʻi e hoʻonui ai i nā lipids koko, mālama i ke ʻano e kōkua paha e hōʻemi i ka ulu ʻana o xanthomas.

Inā hoʻonāukiuki ka ulu ʻana iā ʻoe, lawe paha kāu mea lawelawe iā ia ma ke ʻoki ʻana a me kahi laser. Eia nō naʻe, hoʻi paha ʻo xanthomas ma hope o ke kaha ʻana.

He noncancerous ka ulu a ʻaʻohe ʻeha, akā he hōʻailona paha ia no kekahi ʻano olakino ʻē aʻe.

Kāhea i kāu mea hāʻawi inā e hoʻomohala xanthomas. Hōʻike paha lākou i kahi maʻi maʻi e pono ai ka lāʻau.

I mea e hōʻemi ai i ka hoʻomohala ʻana o xanthomas, pono ʻoe e kaohi i kāu triglyceride koko a me nā pae kolesterol.

ʻO ka ulu ʻana o ka ʻili - momona; Xanthelasma

• Xanthoma, hāhā - pani-loa
• Xanthoma - pili loa
• Xanthoma - pili loa
• ʻO Xanthoma ma ke kuli

ʻO Habif TP. Nā hōʻike Cutaneile o ka maʻi kūloko. I: Habif TP, hoʻoponopono. ʻO Dermatology Haumana: Kahi Alakaʻi Kānana i ka Diagnosis a me ka Therapy. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 26.

Massengale WT. Xanthomas. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 92.

White LE, Horenstein MG, Shea CR. Xanthomas. I: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Ka mālama ʻana i ka maʻi ʻili: nā ʻōnaehana Therapyutic Comprehensive. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 256.