Hoʻopau xanthomatosis

ʻO ka Eruptive xanthomatosis kahi ʻano ʻili e hana i nā puʻupuʻu melemele-ʻulaʻula i ke kino. Hiki iā ia ke hana i nā poʻe i loaʻa i nā momona momona kiʻekiʻe (lipids). Loaʻa i kēia mau maʻi i ka maʻi diabetes.

ʻO ka eruptive xanthomatosis kahi maʻi ʻili laha ʻole i hoʻokumu ʻia e nā lipid kiʻekiʻe loa i ke koko. Hiki iā ia ke hana i nā poʻe me ka maʻi diabetes ka maikaʻi ʻole ka loaʻa o nā triglycerides kiʻekiʻe loa a me ke kiʻekiʻe o ke kō.

ʻO Cholesterol a me nā triglycerides he mau ʻano momona i kū i loko o kou koko. Hoʻonui ka pae kiʻekiʻe i ka makaʻi no ka maʻi puʻuwai a me nā pilikia olakino ʻē aʻe.

Ke mālama ʻole ʻia ka maʻi diabetes, ʻoi aku ka liʻiliʻi o ka insulin i loko o ke kino. Hoʻoikaika nā pae o ka insulin haʻahaʻa i ka paʻakikī i ka kino e wāwahi i nā momona i loko o ke koko. Hoʻonui kēia i ka pae o nā momona i ke koko. Hiki i ka momona keu ke hōʻiliʻili ma lalo o ka ʻili e hana i nā puʻupuʻu liʻiliʻi (lesions).

Hiki ʻokoʻa ka ʻāpana o ka ʻili i ke kala mai ka melemele, ʻalani-melemele, ʻulaʻula-melemele, i ka ʻulaʻula. Hiki ke hana i kahi halo ʻulaʻula liʻiliʻi a puni ka puʻupuʻu. ʻO nā puʻupuʻu:

• Pea-nui
• Waxy
• Kūpaʻa

ʻOiai maikaʻi ʻole, ʻili a palupalu paha nā puʻupuʻu. Kū lākou i ka:

• ʻŪhā
• Poohiwi
• Nā mea kaua
• Mau ʻūhā
• Nā wāwae

E lawe kāu mea mālama ola i kāu mōʻaukala olakino a nānā i kou ʻili. Loaʻa paha iā ʻoe kēia mau hoʻokolohua koko:

• Hōʻike koko no ka cholesterol a me nā triglycerides
• Hōʻike ke kō kō i ke kō
• Hōʻike hana Pancreatic

Hana ʻia kahi biopsy ʻili e kōkua i ke kuhi ʻana i ke ʻano.

Hoʻomaʻamaʻa no ka xanthomatosis eruptive i ka hoʻohaʻahaʻa ʻana:

• Nā momona momona o ke koko
• Koko kō

E noi ana kāu mea mālama ola iā ʻoe e hoʻololi i kāu nohona a me kāu papaʻai. Hiki i kēia ke kōkua i ka hoʻohaʻahaʻa ʻana i nā momona o ke koko kiʻekiʻe.

Inā loaʻa ʻoe i ka maʻi diabetes, e noi ana kāu mea lawelawe iā ʻoe e hoʻokele i kāu kō kō [[d = 60 & gid = 000086] ma o ka papaʻai, hoʻoikaika kino, a me nā lāʻau.

Inā ʻaʻole holo ka nohona, e noi paha kāu mea lawelawe iā ʻoe e lawe i nā lāʻau e kōkua i ka hoʻohaʻahaʻa ʻana i nā pae momona o ke koko, e like me:

• Statins
• Fibrates
• Nā antioxidants hoʻohaʻahaʻa Lipid-hoʻohaʻahaʻa
• Niacin
• Kuhi nā reside acid

Hele aku nā ʻōpala ʻili iā lākou iho ma hope o kekahi mau pule. Holoi lākou ke mālama ʻia ke kō a me ke kiʻekiʻe o ka momona.

Inā mālama ʻole ʻia, hiki i nā pae triglyceride kiʻekiʻe ke alakaʻi i ka pancreatitis.

Kāhea i kāu kahu mālama ola inā ʻoe:

• Loaʻa maikaʻi ʻole i ka ka maʻi kō
• E nānā i nā puʻupuʻu ʻulaʻula melemele i kou ʻili

Eruptive xanthoma; Eruptive xanthomata; Xanthoma - ʻōhū; Diabetes - xanthoma

• Xanthoma, hāhā - pani-loa

Ahn CS, Yosipovitch G, Huang WW. Diabetes a me ka ʻili. I: Callen JP, Jorizzo JL, Zone JJ, Piette WW, Rosenbach MA, Vleugels RA, eds. Nā Hōʻailona Dermatological o ka maʻi ʻōnaehana. 5th lā. Piladelapia, PA: Elsevier; 2017: chap 24.

ʻO Braunstein I. Nā hōʻike kūlohelohe o nā maʻi lipid. I: Callen JP, Jorizzo JL, Zone JJ, Piette WW, Rosenbach MA, Vleugels RA, eds. Nā Hōʻailona Dermatological o ka maʻi ʻōnaehana. 5th lā. Piladelapia, PA: Elsevier; 2017: chap 26.

Fitzpatrick JE, High WA, Kyle WL. Liona melemele. I: Fitzpatrick JE, High WA, Kyle WL, eds. ʻO Dermatology Care Urgent: Diagnosis. Piladelapia, PA: Elsevier; 2018: chap 33.

Patterson JW. Hoʻokomo ʻia ʻo Cutaneous - nonlymphoid. I: Patterson JW, hoʻoponopono. ʻO Weedon's Skin Pathology. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 40.

White LE, Horenstein MG, Shea CR. Xanthomas. 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 256.