ʻEleʻeleʻeleʻele a lahilahi paha

ʻEleʻeleʻeleʻele a lahilahi paha ʻo ʻili kahi i ʻeleʻele a i ʻole māmā ma mua o ka maʻamau.

Aia nā ʻili maʻamau i nā hunaola i kapa ʻia he melanocytes. Hoʻopuka kēia mau pūnaewele i ka melanin, ka mea e hāʻawi i ka ʻili i kona kala.

Kapa ʻia ka ʻili me ka melanin he nui loa he ʻili hyperpigmented.

ʻO ka ʻili me ka melanin liʻiliʻi i kapa ʻia ʻo hypopigmented. ʻO ka ʻili me ka melanin ʻole e kapa ʻia he depigmented.

ʻO nā wahi o ka ʻili pale ma muli o ka liʻiliʻi o ka melanin a i ʻole nā ​​melanocytes underactive. Kū nā wahi ʻeleʻele o ka ʻili (a i ʻole kahi ʻāpana e maʻalahi ka maʻalahi) ke loaʻa iā ʻoe kahi melanin a i ʻole melanocytes overactive.

Kuhihewa ka kele ʻana o ka ʻili i kahi manawa no kahi suntan. Hoʻolālā mālie kēia discoloration ʻili, e hoʻomaka ana ma nā kuʻekuʻe, nā knuckles, a me nā kuli a hohola mai laila. ʻIke ʻia nō hoʻi ʻo Bronzing ma nā kapuwaʻi o nā wāwae a me nā poho lima. Hiki ke kala keleawe mai ke kukui a i ka pouli (i ka poʻe ʻili ʻili) me ke kēkelē o ka pouli ma muli o ke kumu kumu.

Nā kumu o hyperpigmentation nā:

• ʻO ka mumū o ka ʻili (hyperpigmentation post-inflammatory)
• Hoʻohana o kekahi mau lāʻau (e like me minocycline, kekahi chemotherapies maʻi ʻaʻai a me nā lāʻau kaohi hānau)
• Nā maʻi ʻōnaehana Hormone e like me Addison maʻi
• Hemochromatosis (iron overload)
• Hōʻike lā
• Hāpai keiki (melasma, a i ʻole mask o ka hāpai keiki)
• Nā hōʻailona hānau

Nā kumu o ka hypopigmentation nā:

• Huʻi ʻili
• Kekahi fungal maʻiʻaʻai (e like me tinea versicolor)
• Pityriasis alba
• Vitiligo
• Nā lāʻau lapaʻau kekahi
• Kāhea ʻia ka ʻili i kapa ʻia idiopathic guttate hypomelanosis i ka lā i hōʻike ʻia e like me nā lima
• Nā hōʻailona hānau

Loaʻa nā kalima over-the-counter a me nā kauka no ka hoʻomālamalama ʻana i ka ʻili. Hoʻohui pū ʻia ʻo Hydroquinone me tretinoin. Inā ʻoe e hoʻohana i kēia mau kalima, e hāhai pono i nā ʻōkuhi, a mai hoʻohana i hoʻokahi ma mua o 3 mau pule i ka manawa. Pono ka ʻeleʻele ʻeleʻele e mālama nui aʻe i ka hoʻohana ʻana i kēia mau hoʻomākaukau. Hiki i nā Cosmetics ke kōkua i ka uhi ʻana i kahi discoloration.

Hōʻalo i ka puka ʻana o ka lā. E hoʻohana mau i ka sunscreen me ka SPF o 30 a ʻoi paha.

Hiki ke hoʻomau i ka ʻiliʻeleʻele ma hope o ka mālama ʻana.

Kāhea i kāu kahu mālama ola no kahi manawa inā loaʻa iā ʻoe:

• Ka hoʻoliʻiliʻi o ka ʻili e kumu ai ka hopohopo nui
• Hoʻomau, pouli ʻole i wehewehe ʻia o ka ʻili
• Kekahi ʻili ʻeha a liona paha e hoʻololi i ke ʻano, ka nui, a i ʻole ke kala i hōʻailona o ka maʻi ʻaʻai

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona, ​​e like me:

• I ka manawa hea i ulu ai ka discoloration?
• Ua ulu wale paha?
• Ke hele nei a ʻinoʻino? Pehea ka wikiwiki?
• Ua hoʻolaha ʻia i nā ʻāpana ʻē aʻe o ke kino?
• He aha nā lāʻau e lawe ai?
• Ua loaʻa kekahi ʻē aʻe i kou ʻohana i kahi pilikia like?
• Ehia mau manawa i ka lā? Hoʻohana paha ʻoe i kahi kukui lā a i ʻole e hele i nā salona ʻiliʻili?
• He aha kāu papaʻai?
• He aha nā hōʻailona ʻē aʻe āu? ʻO kahi laʻana, aia kekahi huhū a i ʻole nā ​​ʻili ʻili?

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO ka hoʻāʻo hoʻonāukiuki hōʻano Adrenocorticotrophin
• ʻ biiwi lāʻau
• Nā hana aʻo thyroid
• Hōʻike kukui kukui lāʻau
• Hōʻike KOH

Koi paha kāu mea hāʻawi i nā kalima, nā hamo, ʻoki kino, a i ʻole phototherapy, kaukaʻi ʻia i ke ʻano o ka ʻili i loaʻa iā ʻoe. Hiki i nā kalima Bleaching ke kōkua i ka hoʻomālamalama ʻana i nā wahi pouli o ka ʻili.

Hiki ke hoʻololi i kekahi mau hoʻololi o ka ʻili i ka maʻamau me ka ʻole o ka lāʻau.

Hyperpigmentation; Hypopigmentation; ʻIli - māmā a pouli hoʻi

• Vitiligo - hoʻokomo lāʻau
• ʻO Vitiligo ma ka maka
• ʻO Incontcentia pigmenti ma ka wāwae
• ʻO Incontinentia pigmenti ma ka wāwae
• Hyperpigmentation 2
• ʻO ka hyperpigmentation post-inflammatory - keiki bipi
• Hyperpigmentation w / hōʻino
• Hoʻoponopono hyperpigmentation 2

Chang MW. Nā maʻi o ka hyperpigmentation. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 67.

ʻO Passeron T, ʻo Ortonne JP. Vitiligo a me nā maʻi o ka hypopigmentation. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 66.