Perioral dermatitis

ʻO Perioral dermatitis kahi maʻi ʻili e like me ka huehue a rosacea paha. I ka hapanui o nā hihia, pili ia i nā pauma ʻulaʻula liʻiliʻi e kū ana ma ka hapalua o ka maka o ka ihu a me ka waha.

ʻAʻole ʻike ʻia ke kumu kūpono o ka dermatitis perioral. Hiki paha ia ma hope o ka hoʻohana ʻana i nā kalima maka i loaʻa i nā steroid no kekahi kūlana ʻē aʻe.

Loaʻa paha i nā wahine ʻōpio kēia ʻano. ʻO kēia ʻano maʻamau nō hoʻi i nā keiki.

Hiki ke lawe ʻia mai ka periorhetic dermatitis e:

• ʻO nā steroid ʻo Topical, i ka wā e hoʻopili ʻia ai i ka maka ma ke kumu a i ʻole ka ulia
• Nā steroid Nasal, steroid inhalers, a me oral steroid
• ʻO nā kalima hoʻohanohano, nā make-up a me nā sunscreens
• Pōpō niho niho
• Ke holoi ʻole nei i ka maka
• Hoʻololi Hormonal a i ʻole nā ​​mea pale oral

Pākuʻi ʻia paha nā ʻōuli:

• Hoʻonā ahi e puni ana ka waha. Hoʻopili nui ʻia nā lipolo ma waena o ka ihu a me ka waha.
• Nā puʻupuʻu a puni ka waha e piha paha i ka wai a i ʻole ka pā.
• Hiki ke ʻike ʻia kahi mānoanoa e pili ana i nā maka, ihu, a i ʻole ka lae.

Kuhi hewa paha ka ʻehu no ka huehue.

E nānā kāu mea olakino i kou ʻili e hōʻoia i ke ʻano. Pono paha ʻoe e loaʻa i nā hoʻokolohua ʻē aʻe inā ʻike ʻia ma muli o kahi maʻi bacteria.

Mālama pono iā ʻoe iho e hoʻāʻo pū:

• E hōʻoki i ka hoʻohana ʻana i nā kalima helehelena āpau, nā mea hoʻonaninani, a me ka sunscreen
• E holoi i kou helehelena me ka wai mehana wale nō.
• Ma hope o ka holoi ʻana o ka hū, e noi i kāu mea hāʻawi e paipai i kahi pā kopa ʻole a i ʻole ka hoʻomaʻemaʻe wai.

Mai hoʻohana i nā kalima steroid ʻoi loa e mālama i kēia ʻano. Inā ʻoe e lawe nei i nā kalima steroid, haʻi paha kāu mea hāʻawi iā ʻoe e kāohi i ka kirimalu. Kau kauka paha lākou i ka mea kaha steroid ʻoi aku ka liʻiliʻi a laila huki mālie iā ia.

Hiki i ka mālama ʻana ke hoʻopili i nā lāʻau i kau ʻia ma ka ʻili e like me:

• Metronidazole
• ʻErythromycin
• Benzoyl peroxide
• ʻO Tacrolimus
• ʻO Clindamycin
• Pimecrolimus
• ʻO Sodium sulfacetamide me ka luaipele

Pono paha ʻoe e inu i nā lāʻau antibiotic inā koʻikoʻi ke ʻano. ʻO nā lāʻau lapaʻau i hoʻohana ʻia e mālama i kēia ʻano me ke tetracycline, doxycycline, minocycline, a i ʻole erythromycin.

I kekahi manawa, pono paha ka lāʻau no 6 a 12 mau pule.

Perioral dermatitis pono he mau mahina o ka lapaʻau.

E hoʻi paha nā ʻōpuʻu. Eia naʻe, ʻaʻole hoʻi ke ʻano ma hope o ka mālama ʻana i ka hapanui o nā hihia. E hoʻi paha ka hū inā hoʻopili ʻoe i nā kalima ʻili i piha i nā steroid.

Kāhea i kāu mea hāʻawi inā ʻike ʻoe i nā puʻupuʻu ʻulaʻula a puni kou waha i hele ʻole aku.

Hōʻalo i ka hoʻohana ʻana i nā kalima ʻili i loaʻa i nā steroid i kou alo, ke ʻole ke kuhikuhi ʻia e kāu mea hāʻawi.

Dermatitis periorhetic

• Perioral dermatitis

ʻO Habif TP. Huehue, rosacea, a me nā maʻi e pili pū ana. I: Habif TP, hoʻoponopono. Dermatology Lapaʻau. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 7.

James WD, Elston DM, Hana iā JR, Rosenbach MA, Neuhaus IM. Huehue. I: James WD, Elston DM, mālama iā JR, Rosenbach MA, Neuhaus IM, eds. Nā maʻi o Andrews 'o ka ʻili: Dermatology Haumāna. 13th ed. Piladelapia, PA: Elsevier; 2020: chap 13.