Hū ka uila Polymorphous
ʻO ka hāmole mālamalama Polymorphous (PMLE) kahi hopena o ka ʻili maʻamau i ka poʻe i maʻalahi i ka lā (kukui ultraviolet).
ʻAʻole ʻike ʻia ke kumu kūpono o PMLE. Eia nō naʻe, he kūlohelohe paha ia. Manaʻo nā kauka he ʻano hopena lohi i ka hopena. He mea maʻa mau ia i waena o nā wahine ʻōpio e noho ana i ke aniau.
ʻO ke kumu o Polymorphous ka lawe ʻana i nā ʻano like ʻole, a ʻo ka hū ʻana i ka wikiwiki. E like me ka inoa e hōʻike nei, like ʻole nā ʻōuli o PMLE a like ʻole i nā poʻe like ʻole.
Kū pinepine ka PMLE i ka puna a me ke kauwela kauwela ma nā wahi o ke kino i kū i ka lā.
Hōʻike pinepine ʻia nā ʻōuli ma waena o 1 a 4 mau lā ma hope o ka hōʻike ʻana i ka lā. Hoʻopili lākou i kekahi o kēia mau mea:
- Nā puʻupuʻu liʻiliʻi (papule) a i ʻole nā palapū
- ʻO kaʻulaʻula a pale paha o ka ʻili
- Ka ʻume a ʻā ʻana paha o ka ʻili i hoʻopili ʻia
- Ka pehu ʻana, a i ʻole nā palapū (ʻike pinepine ʻole ʻia)
E nānā ka mea mālama ola i kou ʻili. ʻO ka maʻamau, hiki i ka mea hāʻawi ke ʻike i ka PMLE ma muli o kāu wehewehe ʻana o nā ʻōuli.
ʻO nā hoʻāʻo e hana ʻia ana paha:
- ʻO Phototesting, kahi e hōʻike ai i kou ʻili i kahi kukui ultraviolet kūikawā e nānā ai inā e hoʻomālamalama kou ʻili
- Ke lawe nei i kahi ʻili liʻiliʻi o ka ʻili no ka nānā ʻana i ka biopsy o ka ʻili e kāpae i nā maʻi ʻē aʻe
ʻO nā kalima Steroid a i ʻole nā aila hamo i loko o ka lāʻau D e kuhikuhi ʻia e kāu mea hāʻawi. Hoʻohana ʻia lākou i 2 a i ʻole 3 manawa i ka lā i ka hoʻomaka o ka pele. Hiki ke hoʻohana ʻia ʻo Steroid a i ʻole nā ʻano huaale no nā hihia ʻoi aku ka hewa.
Hoʻopaʻa pū ʻia kahi Phototherapy. He lāʻau lapaʻau ʻo Phototherapy kahi e hōʻike pono ʻia ai kou ʻili i ke kukui ultraviolet. Hiki i kēia ke kōkua i kou ʻili e maʻa i (ka makaʻala i) ka lā.
Nui ka poʻe e lilo i mea maʻalahi ʻole i ka lā i ka manawa.
Kāhea i kahi manawa me kāu mea hāʻawi inā ʻaʻole pane nā ʻōuli o ka PMLE i nā lapaʻau.
Hiki i ka pale ʻana i kou ʻili mai ka lā ke pale aku i nā ʻōuli o PMLE.
- Hōʻalo i ka puka ʻana o ka lā i nā hola o ka piʻi nui o ka lā.
- E hoʻohana i ka pale lā. ʻO ka pale ʻana o ka lā me ka sunblock ākea ākea e hana kūʻē ana i nā kukuna UVA mea nui.
- E noi i ka nui o ka pale o ka lā me kahi mea pale lā (SPF) ma ka liʻiliʻi he 30. E nānā pono i kou helehelena, ihu, pepeiao, a me nā poʻohiwi.
- E noi i ka sunscreen 30 mau minuke ma mua o ka puka ʻana o ka lā i mea e loaʻa ai ka manawa e komo i loko o ka ʻili. Noi hou ma hope o ka ʻauʻau ʻana a i kēlā me kēia 2 hola ʻoiai ʻoe ma waho.
- E pāpale i ka pāpale lā.
- E komo i nā aniani aniani me ka pale UV.
- E hoʻohana i kahi pāpale lehelehe me ka sunscreen.
Hū ka uila Polymorphic; Photodermatosis; PMLE; Hū ke kukui kauwela
- Hū ka uila Polymorphic ma ka lima
Morison WL, Richard EG. Hū ka uila Polymorphic. 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 196.
Patterson JW. Nā hana i nā ʻākena kino. I: Patterson JW, hoʻoponopono. ʻO Weedon's Skin Pathology. ʻEhā ed. Piladelapia, PA: Elsevier Churchill Livingstone; 2016: chap 21.