Waihona ʻili paʻalulu

ʻO ka ʻili o ka ʻili pīpī kahi mau e kūlike ʻole ka ʻili o ka ʻili me nā wahi māmā a ʻeleʻele hoʻi. ʻO ka ʻili Mottling a i ʻole ka ʻili mottled e pili ana i nā loli o ke kīʻaha koko i ka ʻili i kumu i kahi hiʻohiʻona patchy.

Hiki ke hoʻoulu ʻia ka ʻula a i ʻole patchy o ka ʻili e:

• Hoʻololi i ka melanin, kahi mea i hana ʻia i loko o nā huna o ka ʻili e hāʻawi i ka ʻili i kona kala
• Ka ulu ʻana o ka bacteria a i ʻole nā ​​meaola ʻē aʻe i ka ʻili
• Hoʻololi ke kīʻaha koko (vascular)
• ʻO ka hoʻohaʻahaʻa ma muli o kekahi huhū

Hiki i ka mea aʻe ke hoʻonui a hōʻemi paha i ka hana melanin:

• Kou genes
• Wela
• ʻEhaʻeha
• Hōʻike i ka radiation (e like me mai ka lā)
• Hōʻike i nā metala kaumaha
• Nā loli i nā pae hormonone
• Nā kūlana e like me vitiligo
• ʻO kekahi maʻi maʻi fungus
• Kekahi mau huhū

ʻO ka hōʻike ʻana i ka lā a i ʻole ultraviolet (UV) kukui, keu hoʻi ma hope o ka lawe ʻana i kahi lāʻau i kapa ʻia psoralens, hiki ke hoʻonui i ka ʻili o ka ʻili (pigmentation). ʻO ka hoʻonui ʻia ʻana o nā pigment i kapa ʻia he hyperpigmentation, a hiki ke hopena ʻia mai kekahi mau huehue a me ka puka ʻana o ka lā.

Kapa ʻia ka hana hoʻoliʻiliʻi pigment ʻo hypopigmentation.

Hiki ke hoʻololi i ka waihoʻoluʻu o ka ʻili i kā lākou kūlana ponoʻī, a i ʻole nā ​​kumu lāʻau a i ʻole nā ​​maʻi.

Ehia mau pigmentation o kou ʻili i hiki ke kōkua i ka hoʻoholo ʻana i nā maʻi o ka ʻili āu e ulu ai. ʻO kahi laʻana, ʻoi aku ka maʻalahi o ka poʻe ʻili ʻili i ka pale ʻana o ka lā a me nā hōʻino. Hāpai kēia i ka makaʻu o nā maʻi ʻaʻai ʻili. Akā i loko o ka poʻe ʻili ʻeleʻele, ʻo ka nui o ka lā ke hiki i nā maʻi ʻili ʻili.

ʻO nā laʻana o nā maʻi ʻili maʻamau o ka maʻi ʻaʻa basal, ka carcinoma squamous cell, a me ka melanoma.

ʻO ka maʻamau, ʻo ka loli ʻana i ka ʻili o ka ʻili he mea hoʻonani a ʻaʻole pili i ke olakino kino. Akā, hiki ke pilikia i ka noʻonoʻo no ka loli ʻana o ka pigment. ʻO kekahi mau hoʻololi pigment kahi hōʻailona e makaʻu ʻoe no nā pilikia olakino ʻē aʻe.

ʻO nā kumu o ka hoʻololi ʻana i nā pigment i loko o kēia mau mea:

• Huehue
• Nā wahi cafe-au-lait
• ʻO ka ʻokiʻoki, nā ʻōpala, nā ʻeha, nā nahu ʻelima a me nā maʻi liʻiliʻi o ka ʻili
• Erythrasma
• Melasma (chloasma)
• Melanoma
• Mole (nevi), ʻauʻau ʻauʻau nevi, a nunui nevi paha
• Dermal melanositosis
• Pityriasis alba
• Lapaʻau hoʻomākala
• ʻO Rashes
• ʻIke i ka lā ma muli o nā hopena o ka lāʻau a i ʻole kekahi mau lāʻau
• Sunburn a suntan paha
• ʻO Tinea versicolor
• Ke noi pono ʻole ʻana i ka sunscreen, e alakaʻi ana i nā wahi o ka puhi ahi, ʻeleʻele, a ʻaʻohe ʻili
• Vitiligo
• ʻO nā nigricans Acanthosis

I kekahi mau hihia, hoʻi ke kala o ka ʻili maʻamau iā ia iho.

Hiki iā ʻoe ke hoʻohana i nā kalima lapaʻau e hoʻōla a hoʻomālamalama i ka ʻili e hoʻoliʻiliʻi i ka discoloration a i ʻole ka leo o ka ʻili kahi nui a ʻike ʻia paha nā wahi hyperpigmented. E hōʻoia me kāu dermatologist e pili ana i ka hoʻohana ʻana i ia huahana. E hāhai i nā ʻōkuhi ma ka pūʻolo e pili ana i ka hoʻohana ʻana i ia huahana.

Selenium sulfide (Selsun Blue), ketoconazole, a i ʻole tolnaftate (Tinactin) hiki i ka wai ʻona ke kōkua i ka mālama ʻana i ka tinea versicolor, kahi maʻi fungal i hiki ke hōʻike ʻia e like me nā pā hypopigmented. E noi e like me ke kuhikuhi i kahi i hoʻopili ʻia i kēlā me kēia lā a hiki i ka nalo ʻana o nā patch discolored. Hoʻi pinepine ʻo Tinea versicolor, ʻoiai me ka lāʻau.

Hiki iā ʻoe ke hoʻohana i nā mea hoʻonaninani a me nā ʻili ʻili e hūnā i nā loli o ka ʻili. Hiki pū ke pale aku i ka hūnā e hūnā i ka ʻili mottled, akā ʻaʻole ia e hoʻōla i ka pilikia.

Hōʻalo i ka pā nui ʻana o ka lā a hoʻohana i ka sunblock me kahi SPF ma ka liʻiliʻi he 30. I ka poʻe ʻili ʻeleʻele, hiki i ka hōʻino o ka ʻili ke hana i ka hyperpigmentation mau.

Kāhea i kāu kauka inā:

• Loaʻa iā ʻoe nā loli ʻili mau o ka ʻili i loaʻa ʻole kahi kumu i ʻike ʻia
• Hoʻomaopopo ʻoe i kahi mole hou a i ʻole ulu ʻē aʻe
• Ua loli kahi ulu e kū nei i ke kala, ka nui, a i ʻole ka helehelena

E nānā pono ke kauka i kou ʻili a nīnau e pili ana i kāu mōʻaukala. E nīnau ʻia ʻoe e pili ana i nā ʻōuli o kou ʻili, e like me ka manawa āu i ʻike ai i ka loli ʻana o kou ʻili, inā hoʻomaka koke ia, a inā he ʻeha kou ʻili.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO nā ʻoki ʻana o nā ʻili lesia
• ʻ biiwi lāʻau
• Kukui lāʻau (kukui ultraviolet) ninaninau ʻia o ka ʻili
• Nā hoʻāʻo koko

E pili ka mālama ʻana i ke kuhi o kou pilikia o kou ʻili.

Dyschromia; ʻO Mottling

• Nā Acigosis nigricans - kokoke loa
• ʻO Acanthosis nigricans ma ka lima
• Neurofibromatosis - kahi cafe nui-a-lait launa
• Vitiligo - hoʻokomo lāʻau
• ʻO Vitiligo ma ka maka
• Halo nevus

ʻO Calonje E, Brenn T, Lazar AJ, Billings SD. Nā maʻi o ka pigmentation. I: Calonje E, Brenn T, Lazar AJ, Billings SD, eds. ʻO McKee's Pathology o kaʻili. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 20.

Patterson JW. Nā maʻi o ka pigmentation. I: Patterson JW, hoʻoponopono. ʻO Weedon's Skin Pathology. 5th lā. Piladelapia, PA: Elsevier; 2021: chap 11.

Ubriani RR, Clarke LE, Ming ME. Nā maʻi neoplastic ʻole o ka pigmentation. I: Busam KJ, ed. Dermatopathology. ʻElua ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 7.