Pehea e ʻike ai a mālama ai i kahi Rash Lapaʻau

Anter

• He aha ka hua o ka lāʻau?
• Pehea ke ʻano o nā rashes lāʻau?
• Nā huhū nui
• Nā huhū urticarial
• Nā hopena photosensitivity
• ʻErythroderma
• ʻO Stevens-Johnson Syndrome (SJS) a me ka necrolysis epidermal ʻino (TEN)
• ʻO ka necrosis ʻili i hoʻopili ʻia e Anticoagulant
• Ka hopena lāʻau me ka eosinophilia a me nā ʻōnaehana ʻōnaehana (DRESS)
• No ke aha e hana ai i nā huehue lāʻau?
• Pehea e mālama ʻia ai nā huehue lāʻau?
• He aha ke kuanaʻike?

He aha ka hua o ka lāʻau?

ʻO kahi lāʻau ʻino, i kapa ʻia i kekahi manawa he pele lāʻau, kahi hopena i hiki i kou ʻili i kekahi mau lāʻau.

ʻAneʻane hiki i kekahi lāʻau lāʻau ke kumu i ka hū. Akā ʻo nā lāʻau antibiotic (ʻo ka penicillins a me nā lāʻau sulfa), nā NSAID, a me nā lāʻau anti-seizure ka lāʻau lapaʻau maʻamau e hoʻoulu i ka ʻūlū.

E heluhelu e aʻo hou aʻe e pili ana i nā ʻano lāʻau like ʻole o ka lāʻau lapaʻau a pehea e mālama ai iā lākou.

Pehea ke ʻano o nā rashes lāʻau?

ʻO ka hapa nui o nā rashes lāʻau symmetric. ʻO kēia ke ʻano like o lākou ma nā ʻaoʻao ʻelua o kou kino.

ʻAʻole mālama pū nā lāʻau lapaʻau i kekahi o nā ʻōuli ʻē aʻe ma mua o ko lākou helehelena, ʻoiai pū kekahi me ka makaʻu a palupalu paha.

Hiki iā ʻoe ke hoʻokaʻawale i kahi lāʻau wikiwiki mai nā huhū ʻē aʻe no ka mea pili lākou me ka hoʻomaka ʻana i kahi lāʻau hou. Akā i kekahi mau hihia, hiki ke lawe i kahi lāʻau a i ʻelua mau pule e hana ai i kahi ʻōpala.

Nalo pinepine ke kūpale ke pau kou lawe ʻana i ka lāʻau.

Eia kahi nānā i kekahi o nā laulā lāʻau maʻamau.

Nā huhū nui

ʻO kēia ka ʻano maʻamau o ka ʻino kūpikipiki, e hana ana ma kahi o 90 pākēneka o nā hihia. Kaha ʻia e nā leona liʻiliʻi ma ka ʻulaʻula. Hiki ke hāpai a pālahalaha paha kēia mau ʻino. I kekahi manawa, ʻike paha ʻoe i nā palapū a me nā leona piha i ka pus.

ʻO nā kumu maʻamau o nā rashes lāʻau exanthematous pū kekahi:

• penikila
• lāʻau lāʻau sulfa
• kekona
• lāʻau hoʻomake kūʻē
• allopurinol

Nā huhū urticarial

ʻO Urticaria kekahi huaʻōlelo no ka hives. ʻO ka hives ka lua o ka ʻano maʻamau o ka lāʻau lapaʻau ʻino. Heʻuʻuku lākou, a he ʻulaʻula keʻokeʻo i hiki ke hana i nā pā nui aʻe. ʻĀwī pū kekahi nā Hives.

ʻO nā kumu maʻamau o nā huehue lāʻau urticarial e komo pū me:

• nā lāʻau anti-inflammatory non-steroidal (NSAIDs)
• Nā mea kāohi ACE
• antibiotics, ʻo ka penicillin hoʻi
• anesthetics laulā

Nā hopena photosensitivity

Hiki i kekahi mau lāʻau ke hana i kou ʻili keu i ke kukui ultraviolet. Hiki i kēia ke hopena i ka lā wela o ka lā inā ʻoe e hele i waho me ka pale ʻole.

Nā lāʻau lapaʻau e mālama i ka photosensitivity:

• kekahi mau antibiotic, me tetracycline
• lāʻau lāʻau sulfa
• antifungals
• antihistamines
• retinoids, e like me isotretinoin
• statins
• diuretics
• kekahi NSAIDs

ʻErythroderma

ʻO kēia ʻano ke kumu o ka ʻili ʻana o ka ʻili i ka ʻili a me ka ʻulaʻula. Hele a wī paha ka ʻili a wela i ka pā. Hiki paha i ka fiva.

Hiki i nā lāʻau he nui ke kumu i ka erythroderma, me:

• lāʻau lāʻau sulfa
• penikila
• lāʻau hoʻomake kūʻē
• chloroquine
• allopurinol
• isoniazid

Hiki i kahi kūlana olakino ke kumu o ka erythroderma.

Hiki i ka Erythroderma ke lilo i koʻikoʻi a hoʻoweliweli i ke ola. E ʻimi koke i ka lāʻau lapaʻau inā manaʻo ʻoe ʻo kēia ke ʻano o ka pehu i loaʻa iā ʻoe.

ʻO Stevens-Johnson Syndrome (SJS) a me ka necrolysis epidermal ʻino (TEN)

Manaʻo ʻia ʻo SJS a me TEN ka ʻano like, akā aia kekahi ʻokoʻa iki ma waena o nā mea ʻelua:

• Pili ka SJS ma lalo o 10 pākēneka o ke kino.
• ʻOi aku ka ʻumi ma kahi o 30 pākēneka o ke kino.

Kaha ʻia ʻo SJS a me UM ʻumi e nā palapū nui ʻeha. Hiki iā lākou ke hoʻokuʻu i nā wahi nui o ka papa luna o kou ʻili, e waiho ana i nā ʻeha maka, hāmama hoʻi.

ʻO nā kumu pili i ka lāʻau e pili pū ana:

• lāʻau lāʻau sulfa
• lāʻau hoʻomake kūʻē
• kekahi NSAIDs
• allopurinol
• nevirapine

ʻO SJS a me TEN he mau hopena koʻikoʻi hiki ke hoʻoweliweli i ke ola. Pono lāua ʻelua i ka lāʻau lapaʻau koke.

ʻO ka necrosis ʻili i hoʻopili ʻia e Anticoagulant

Kekahi lahilahi koko, e like me warfarin, hiki ke hana i ka anticoagulant-i hoʻokomo ʻia i ka ʻili nekrosis. ʻO kēia ka mea e ʻulaʻula a ʻeha hoʻi ka ʻili.

ʻO ka hope, make nā mākala ma lalo o ka ʻili. Hana wale ia i ka hoʻomaka o ka lawe ʻana i kahi lāʻau kiʻekiʻe loa o ka mea lahilahi o ke koko.

ʻO ka necrosis ʻili i hoʻopili ʻia e Anticoagulant he hopena koʻikoʻi ia e pono ai i ka lāʻau lapaʻau koke.

Ka hopena lāʻau me ka eosinophilia a me nā ʻōnaehana ʻōnaehana (DRESS)

ʻO DRESS kahi ʻano laha ʻole o ka ʻino hiki ʻole ke hoʻoweliweli i ke ola. Hiki iā ia ke lilo i ʻelua a ʻeono pule paha e ʻike ʻia ai nā ʻōuli ma hope o ka hoʻomaka ʻana o kahi lāʻau hou.

ʻUlaʻula ke nānā ʻana i ka ʻehu a hoʻomaka pinepine i ka maka a me ke kino o luna. He koʻikoʻi nā hōʻailona e hele nei a hiki ke hoʻopili i nā ʻōpū o loko. Pākuʻi ʻia lākou:

• fiva
• pehu lymph node
• pehu helehelena
• ʻeha ʻaʻā a ʻili ʻili
• nā ʻōuli like flu
• pōʻino o ke kino

Nā lāʻau i hiki ke hana i ka DRESS i:

• anticonvulsants
• allopurinol
• abacavir
• minocycline
• sulfasalazine
• mea pale lāʻau proton

ʻO DRESS kahi hopena koʻikoʻi e koi koke ʻia i ka lāʻau lapaʻau.

No ke aha e hana ai i nā huehue lāʻau?

Hana ʻia nā huehue lāʻau a me nā hopena no kekahi mau kumu, e like me:

• kahi hopena maʻi ʻaʻano
• kahi kūkulu o ka lāʻau e hiki ai ke hōʻino i ka ʻili
• hana ka lāʻau i ka ʻili e maʻalahi i ka lā
• ka launa pū ʻana o ʻelua a ʻoi paha lāʻau

I kekahi manawa hiki i nā huehue lāʻau ke lilo i ulu wale a hoʻomohala me ke kumu ʻole.

Hiki i kekahi mau mea ke hoʻonui i kou makaʻu no ka hoʻomohala ʻana i kahi lāʻau ʻino, e like me ka ʻelemakule a me ka wahine.

ʻO nā kumu pilikia ʻē aʻe e pili pū me ka:

• kahi maʻi viral a me ka lawe ʻana i kahi antibiotic
• kahi ʻōnaehana pale nāwaliwali ma muli o ke kumu paʻa a i ʻole nā ​​lāʻau ʻē aʻe
• maʻi ʻaʻai

Pehea e mālama ʻia ai nā huehue lāʻau?

I nā manawa he nui, hele aku nā huehue lāʻau lapaʻau iā lākou iho ke haʻalele ʻoe i ka lawe ʻana i ka lāʻau i kumu i kou ʻōpala.

Inā ʻāwī nui ka ʻōpala, hiki i kahi antihistamine a i ʻole steroid steroid ke kōkua i ka mālama ʻana i ka ʻū a hiki i ka maʻaleʻale o ka hū.

E kamaʻilio mau i kāu kauka ma mua o ka haʻalele ʻana i kahi lāʻau. He mea nui kēia e lawe ʻoe i nā lāʻau he nui. I kēia hihia, e hāʻawi kāu kauka iā ʻoe e hāhai i kahi hoʻolālā kikoʻī o ka hoʻopau ʻana i kēlā me kēia lāʻau a hiki i kou ʻike ʻana i ke kumu o ka hopena.

Inā loaʻa iā ʻoe ka urticaria koʻikoʻi, erythroderma, SJS / TEN, anticoagulant-i hoʻokomo ʻia i ka ʻili nekrosis, a i ʻole DRESS, e pono ʻoe i ka mālama nui ʻana. Hoʻopili paha kēia i nā steroid intravenous a me ka hydration.

He aha ke kuanaʻike?

I nā manawa he nui, ʻaʻole kahi hopohopo lāʻau e hopohopo ai. Hoʻomaʻemaʻe pinepine lākou ke pau kāu lawe ʻana i ka lāʻau. E hōʻoia wale nō e kamaʻilio me kāu kauka ma mua o ka hoʻopau ʻana i kahi lāʻau i kuhikuhi ʻia.

No nā ʻōuli o ka hū o ka lāʻau ʻoi aku ka nui, ke poʻo i ka mālama koʻikoʻi a i ʻole kahi haukapila i ka wā hiki ke pale i nā pilikia.