Lilo ka lauoho

ʻO ka hapa hapa a piha paha o ka lauoho i kapa ʻia ʻo alopecia.

Hoʻonui mālie ka ulu ʻana o ka lauoho. He patchy paha ia a puni paha (diffuse). ʻO ka maʻamau, lilo ʻoe i 100 mau lauoho mai kou poʻo i kēlā me kēia lā. Aia ma kahi o ka poʻo he 100,000 mau lauoho.

HEREDITED

Mālama nā kāne a me nā wahine i ka lilo o ka lauoho lauoho a me ka nui i ko lākou mau makahiki. ʻAʻole hoʻokumu ʻia kēia ʻano ʻōhule e ka maʻi. Pili ia i ka ʻelemakule, hoʻoilina, a me nā loli i ka testosterone testosterone. Hoʻoilina, a ʻōhule paha, pili i nā kāne hou aku ma mua o nā wahine. Hiki ke ʻōhule ke kāne i kēlā me kēia manawa ma hope o ka ʻōpio. Ma kahi o 80% o nā kāne e hōʻike ana i nā hōʻailona o ke ʻōhule o ke kāne e nā makahiki 70.

PILIKI O KE KINO A I ʻole EMOTIONAL

ʻO ke kaumaha o ke kino a me ka naʻau paha ke kumu e hoʻokahe i hoʻokahi hapalua a ʻekolu paha hapahā o ka lauoho poʻo. Kāhea ʻia kēia ʻano lilo o ka lauoho ʻo telogen effluvium. Makemake ka lauoho e puka i loko o nā lima ʻoiai ʻoe e shampoo, kāhili, a i ʻole holo i kou mau lima ma o kou lauoho. ʻAʻole paha ʻoe e ʻike i kēia no nā pule a i mau mahina ma hope o ka hopena o ke koʻikoʻi. Hoʻoemi ka hoʻolei lauoho ma mua o 6 a 8 mau mahina. Telogen effluvium mea maʻa mau. Akā hiki iā ia ke lilo i wā lōʻihi (mau).

ʻO nā kumu o kēia ʻano o ka lilo ʻana o ka lauoho:

• ʻO ke kuni kiʻekiʻe a i ʻole ka maʻi ʻino loa
• Hānau keiki
• Pāpala nui, maʻi nui, nalowale koko koke
• Kaumaha koʻikoʻi koʻikoʻi
• ʻO nā papaʻai Crash, ʻo ka mea hoʻi i lawa ʻole ka protein
• Nā lāʻau, me nā retinoids, nā lāʻau kaohi hānau, beta-blockers, nā blockers calcium, kekahi mau antidepressants, NSAID (me ibuprofen)

Hoʻomaopopo paha kekahi mau wahine 30 a 60 paha mau makahiki i ka lahilahi o ka lauoho e hoʻopili i ka ʻili poʻo. ʻOi aku ke kaumaha o ka nalo ʻana o ka lauoho i ka mua, a laila lohi a kū paha. ʻAʻohe kumu i ʻike ʻia no kēia ʻano telogen effluvium.

NA KUMU EKAHI

Nā kumu ʻē aʻe o ka nalo ʻana o ka lauoho, keu hoʻi inā he ʻano maʻamau ia, e hoʻopili pū me:

• Alopecia areata (ʻōhule ʻōhule ma ka ʻili, ʻumiʻumi, a me nā kuʻemaka paha; hāʻule paha nā maka maka)
• Anemia
• Nā kūlana pilikino e like me ka lupus
• Burns
• ʻO kekahi mau maʻi maʻi e like me syphilis
• ʻO ka shampoo nui loa a me ka hoʻomaloʻo ʻana
• Hoʻololi ka Hormone
• Nā maʻi thyroid
• ʻO nā hana makaʻu e like me ka huki mau ʻana i ka lauoho a i ʻole ka ʻānai ʻana i ke poʻo
• Lapaʻau hoʻomākala
• Tinea capitis (ringworm o ka ʻili)
• Tumor o ka ovary a adrenal glands
• ʻO nā kaila lauoho i hoʻokau i ka pīhoihoi ma nā lauoho lauoho
• ʻO nā maʻi maʻi o ke poʻo

Hele pinepine ka lauoho mai ka menopause a hānau keiki paha ma hope o 6 mau mahina i 2 mau makahiki.

No ka nalo ʻana o ka lauoho ma muli o ka maʻi (e like me ke kuni), radiation therapy, hoʻohana lāʻau, a i ʻole nā ​​kumu ʻē aʻe, ʻaʻole pono ka lapaʻau. Ulu pinepine ka lauoho i ka wā e pau ai ka maʻi a i ʻole pau ka hoʻomaʻamaʻa. Makemake paha ʻoe e komo i kahi wig, pāpale, a i ʻole ka uhi ʻana a hiki i ka ulu ʻana o ka lauoho.

ʻO ka ulana lauoho, ʻāpana lauoho, a i ʻole nā ​​loli o ke kaila lauoho e hoʻopili i ka nalo ʻana o ka lauoho. ʻO kēia ka mea ʻoi loa ka pipiʻi a palekana hoʻi i ka lilo ʻana o ka lauoho. ʻAʻole e suture ʻia nā ʻāpana lauoho (humuhumu) i ka ʻili ma muli o ka makaʻu no nā scars a me ka maʻi.

Kāhea i kāu kahu mālama ola inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻO ka lilo ʻana o ka lauoho i kahi lauana ʻokoʻa
• ʻO ka lilo ʻana o ka lauoho me ka wikiwiki a i ʻole i ka wā ʻōpio (ʻo kahi laʻana, i kāu ʻōpio a i ʻole iwakāluakūmālua)
• ʻEha a ʻeha pū paha me ka nalo ʻana o ka lauoho
• ʻUlaʻula, scaly, a i ʻole ʻano ʻē aʻe ka ʻili o kou ʻili ma lalo o ka mea i pili
• ʻO ka huehue, ka lauoho maka, a i ʻole kahi pōʻai menstrual maʻamau
• He wahine ʻoe a he ʻōhule ʻōmaka kāne
• ʻO nā wahi ʻōhule ma kou ʻumiʻumi a me nā kuʻemaka
• Loaʻa kaupaona a i ʻole nāwaliwali i nā mākala, ke ahonui ʻole i nā mahana anuanu, a i ʻole ka luhi
• Nā wahi o ka maʻi i kou poʻo

ʻO ka mōʻaukala olakino akahele a me ka ninaninau ʻana i ka lauoho a me nā poʻo poʻo e lawa maʻamau e ʻike i ke kumu o kou lilo ʻana o ka lauoho.

E nīnau ana kāu mea hāʻawi i nā nīnau kikoʻī e pili ana i:

• Nā ʻōuli o kou nalo ʻana o ka lauoho. Inā loaʻa kekahi hiʻohiʻona i kou lauoho lauoho a i ʻole e lilo ana ʻoe i ka lauoho mai nā ʻāpana ʻē aʻe o kou kino pū, inā he lauoho lauoho kekahi o nā ʻohana ʻē aʻe.
• Pehea ʻoe e mālama ai i kou lauoho. Ehia mau manawa āu e shampoo ai a puhi ai i ka maloʻo a i ʻole inā ʻoe e hoʻohana i nā huahana lauoho.
• ʻO kou olakino maikaʻi a inā ʻoe ma lalo o ke kaumaha a me ke kaumaha nui
• ʻO kāu papaʻai, inā ua hana ʻoe i nā loli hou
• Nā maʻi hou e like me ke kuni kiʻekiʻe a i ʻole nā ​​ʻoki ʻana

Nā hoʻokolohua e hana ʻia ai (akā ʻaʻole makemake iki ʻia) e hoʻopili pū me:

• Nā hoʻokolohua koko e hōʻoki i ka maʻi
• Ninaninau ʻia ʻo microscopic o kahi lauoho i ʻānai ʻia
• ʻO ka biopsy o ka ʻili

Inā loaʻa iā ʻoe ke apo ma ka poʻo o ka maʻi poʻo, e kuhikuhi ʻia ʻoe i kahi shampoo antifungal a me ka lāʻau waha e lawe ai ʻoe. Ke noi nei i nā kalima a me nā lotions ʻaʻole paha e komo i loko o nā follicle o ka lauoho e pepehi i ka fungus.

E aʻoaʻo paha kāu mea hāʻawi iā ʻoe e hoʻohana i kahi hopena, e like me Minoxidil i noi ʻia i ka ʻili e hoʻoulu ai i ka ulu o ka lauoho. ʻO nā lāʻau ʻē aʻe, e like me nā hormoni, hiki ke kuhikuhi ʻia e hōʻemi i ka nalo ʻana o ka lauoho a hāpai i ka ulu ʻana o ka lauoho. ʻO nā lāʻau e like me finasteride a me dutasteride hiki ke lawe ʻia e nā kāne e hōʻemi i ka nalo ʻana o ka lauoho a ulu i ka lauoho hou.

Inā loaʻa iā ʻoe kahi hemahema o ka wikamina, e paipai paha kāu mea hāʻawi iā ʻoe e lawe i kahi waihona.

Paipai ʻia ka hoʻoliʻiliʻi lauoho.

Lilo ka lauoho; Alopecia; ʻŌhule; Scarring alopecia; Alopecia non-scarring

• Lauoho lauoho
• Ringworm, tinea capitis - kokoke loa
• ʻO Alopecia areata me nā pustules
• Alopecia totalis - nānā hope o ke poʻo
• Alopecia totalis - ʻike mua o ke poʻo
• Alopecia, ma lalo o ka lapaʻau
• Trichotillomania - luna o ke poʻo
• Folliculitis - decalvans ma ka ʻili

ʻO Phillips TG, Slomiany WP, Allison R. Lilo i ka lauoho: nā kumu maʻamau a me ka mālama ʻana. He Kauka Lapaʻau. 2017; 96 (6): 371-378. PMID: 28925637 www.ncbi.nlm.nih.gov/pubmed/28925637.

Sperling LC, Sinclair RD, El Shabrawi-Caelen L. Alopecias. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 69.

Tosti A. Nā maʻi o ka lauoho a me nā kui. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 442.