ʻEha nā waha
Aia nā ʻano ʻehaʻeha o ka waha. Hiki iā lākou ke hana ma nā wahi āpau i ka waha me ka lalo o ka waha, nā papalina o loko, nā gum, nā lehelehe, a me nā alelo.
Hoʻokumu ʻia paha ka ʻeha o ka waha e ka huhū mai:
- ʻO kahi niho ʻoi a haki paha a i ʻole nā niho ʻimi maikaʻi ʻole
- Ke nahu nei i kou papalina, elelo, a lehelehe paha
- Ke puhi nei i kou waha mai ka meaʻai wela a i ʻole nā mea inu
- Kukui
- ʻOha i ka paka
Hoʻokumu ʻia nā maʻi anu e ka maʻi herpes simplex. He maʻi lele loa lākou. I ka manawa pinepine, e loaʻa iā ʻoe ka palupalu, ke kani ʻana, a i ʻole ke kuni ʻana ma mua o ka puka ʻana o ka ʻeha maoli. Hoʻomaka pinepine ka maʻi anuanu ma ke ʻano he palalā a laila holoi ʻia. Hiki i ka maʻi herpes ke noho i kou kino no nā makahiki. ʻIke wale ʻia e like me ka ʻeha o ka waha ke hoʻonāukiuki kekahi mea iā ia, e like me:
- ʻO kekahi maʻi, ʻoi loa inā he kuni
- Hoʻololi nā Hormone (e like me ka menstruation)
- Kaumaha
- Hōʻike lā
ʻAʻole lele ka maʻi ʻo Canker. ʻIke paha lākou i kahi ulcer pale a melemele paha me ke apo ʻulaʻula i waho. Loaʻa iā ʻoe hoʻokahi, a i kahi hui o lākou. ʻOi aku ka nui o nā wahine ma mua o nā kāne. ʻAʻole maopopo ke kumu o nā maʻi ʻeha. Pili paha ia i:
- ʻO kahi nāwaliwali i kāu ʻōnaehana pale (e laʻa me ke anuanu a me ka maʻi palū)
- Hoʻololi ka Hormone
- Kaumaha
- Ka nele o kekahi mau wikamina a me nā minelala i ka papaʻai, e like me ka wikamina B12 a i ʻole folate
ʻO ka liʻiliʻi, hiki i nā ʻeha waha ke hōʻailona o kahi maʻi, tumo, a i ʻole hopena i kahi lāʻau. Hiki i kēia ke komo pū:
- Nā maʻi Autoimmune (me systemic lupus erythematosus)
- Nā maʻi hōʻeha
- Kanesa o ka waha
- Nā maʻi e like me ka maʻi lima-wāwae-waha
- Hoʻonawaliwali ʻia ka pale pale - no ka laʻana, inā loaʻa iā ʻoe ka maʻi AIDS a ke lawe nei ʻoe i ka lāʻau ma hope o kahi transplant
ʻO nā lāʻau e hiki ai ke hōʻeha i ka waha me aspirin, beta-blockers, chemotherapy lāʻau, penicillamine, sulfa lāʻau, a me phenytoin.
Hele pinepine ka ʻōpū o ka waha i 10 a 14 mau lā, ʻoiai inā ʻaʻole ʻoe e hana i kekahi mea. Kūleʻa lākou i kekahi manawa i 6 mau pule. Hiki i nā hana i lalo ke hōʻoluʻolu iā ʻoe:
- Hōʻalo i nā mea inu wela a me nā meaʻai, nā mea ʻono a me nā mea paʻakai, a me nā citrus.
- Kāhi me ka wai paʻakai a i ʻole ka wai anuanu.
- ʻAi i nā pākani hau ʻono. Kōkua kēia inā he waha kou.
- Lawe i nā mea hōʻoluʻolu ʻeha e like me ka acetaminophen.
No nā maʻi ʻino:
- E noi i kahi paʻi lahilahi o ka paʻakai a me ka wai i ka ʻeha.
- Hoʻohui 1 ʻāpana hydrogen peroxide me 1 hapa wai a hoʻopili i kēia hui i nā ʻeha me ka hoʻohana ʻana i ka pulupulu.
- No nā hihia ʻoi aku ka hewa, ʻo nā lāʻau lapaʻau me ka gel fluocinonide (Lidex), anti-inflammatory amlexanox paste (Aphthasol), a i ʻole ka chlorhexidine gluconate (Peridex) waha holoi.
Hiki i nā lāʻau laulā ke kūʻai aku, e like me Orabase, hiki ke pale i ka ʻeha ma loko o ka lehelehe a ma nā gums. Hāʻawi paha ʻo Blistex a i ʻole Campho-Phenique i kekahi mau hōʻoluʻolu o ka maʻi ʻeha a me nā palapū fiva, keu hoʻi ke noi ʻia i ka wā e puka mua ai ka ʻeha.
Hiki ke hoʻohana ʻia ʻo Acyclovir cream 5% e kōkua ai i ka hōʻemi ʻana i ka lōʻihi o ka ʻeha anu.
I mea e kōkua ai i nā ʻeha anu a i ʻole nā palapū kuni, hiki iā ʻoe ke hoʻopili i ka hau i ka ʻeha.
Hiki iā ʻoe ke hōʻemi i kou manawa e loaʻa ai nā ʻeha waha maʻamau e:
- Hōʻalo i nā meaʻai wela a i ʻole nā mea inu
- Ke hōʻemi nei i ke koʻikoʻi a me ka hoʻomaʻamaʻa ʻana i nā hana hoʻomaha e like me yoga a noʻonoʻo paha
- Mālie mālie
- Ke hoʻohana nei i kahi palu niho palu
- Ke kipa koke aku nei i kāu kauka niho inā loaʻa iā ʻoe kahi niho ʻoi a haʻi paha a i ʻole nā niho ʻino maikaʻi ʻole
Inā ʻoe e loaʻa pinepine i nā maʻi ʻeha, e kamaʻilio me kāu mea hoʻolako e pili ana i ka lawe ʻana i ka folate a me ka huaora B12 e pale ai i ka maʻi ahulau.
E pale aku i ka maʻi ʻaʻai o ka waha:
- Mai puhi a hoʻohana paka paha.
- E hōʻemi i ka waiʻona i 2 mau inu i kēlā me kēia lā.
E komo i ka pāpale ākea ākea e hoʻomalu i kou mau lehelehe. E komo i ka lepe me ka SPF 15 i nā manawa āpau.
Kāhea i kāu kahu mālama ola inā:
- Hoʻomaka koke ka ʻeha ma hope o kou hoʻomaka ʻana i kahi lāʻau hou.
- He mau kī keʻokeʻo nui kāu ma luna o kou waha a i ʻole kou alelo (he thrush paha kēia a i ʻole kekahi ʻano maʻi).
- ʻOi aku ka ʻeha o kou waha ma mua o 2 mau pule.
- Loaʻa iā ʻoe kahi ʻōnaehana pale nāwaliwali (e laʻa me, mai HIV a i ʻole maʻi ʻaʻai.
- Loaʻa iā ʻoe nā ʻōuli ʻē aʻe e like me ke kuni, ka ʻeha o ka ʻili, ka mimiki ʻana, a i ʻole ka paʻakikī e ale.
E nānā ka mea hāʻawi iā ʻoe, a nānā pono i kou waha a me kou alelo.E nīnau ʻia ʻoe i nā nīnau e pili ana i kāu mōʻaukala olakino a me nā ʻōuli.
Hiki ke hoʻopili ʻia i ka mālama ʻana:
- ʻO kahi lāʻau e numbs i ka wahi e like me ka lidocaine e hoʻomāmā ai i ka ʻeha. (Mai hoʻohana i nā keiki.)
- ʻO kahi lāʻau antiviral e mālama i nā maʻi herpes. (Eia nō naʻe, ʻaʻole manaʻo kekahi poʻe loea i ka lāʻau e hele koke ai ka ʻeha.)
- ʻO ke gel steroid āu i kau ai i ka ʻeha.
- Pākuʻi e hoʻēmi ai i ka pehu a i ʻole ka pehu (e like me Aphthasol).
- ʻO kahi ʻano ʻūlū waha e like me ka chlorhexidine gluconate (e like me Peridex).
Aphthous stomatitis; Herpes simplex; Nā maʻi anu
- Maʻi wawae-lima
- ʻEha nā waha
- Pāhū wela
ʻO Daniels TE, ʻo Jordan RC. Nā maʻi o ka waha a me nā aʻa liʻiliʻi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 397.
Hupp WS. Nā maʻi o ka waha. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2020. Piladelapia, PA: Elsevier 2020: 1000-1005.
ʻO Sciubba JJ. Liona mucosal ʻoki. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 89.