He aha ke kumu o ka mū ʻana i ka maʻi akepaa a pehea e mālama ai iā ia

Anter

• Kumu o ka makaʻu i ka maʻi ate
• Pehea e mālama ai i ka aniani e pili ana i nā maʻi o ke ake
• Pale ʻalalā
• Pili i nā kumuhana anti-itch
• Lawe i nā lāʻau lapaʻau i kuhikuhi ʻia
• E hoʻāʻo i nā antihistamines (no ka hiamoe)
• E noʻonoʻo i ka light therapy
• Kūkākūkā i kahi hoʻoliʻiliʻi ate me kāu kauka
• Hōʻike ka ʻili i kekahi mea e pili ana i ka holomua o ka maʻi ate a prognosis paha?
• Nā ʻōuli o ka makaʻu me nā maʻi o ke ake
• He aha nā mea ʻē aʻe e hoʻonā i ka ʻili ʻili?
• Ka wā e ʻike ai i ke kauka
• ʻO ka lawe lawe ʻana

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

ʻO ka makaʻu (pruritus) kekahi hōʻailona o ka maʻi akepaʻa o ka ake, ʻoiai ʻaʻole nā ​​kānaka āpau me nā maʻi ate e hoʻomohala iā ia.

Loaʻa paha iā ʻoe kahi ʻūlū kūloko, e like me kou lima lalo, a i ʻole he ʻūnohi āpau. Ma kēlā a me kēia ala, hiki iā ia ke alakaʻi i kahi mea hoʻonāukiuki, pinepine pinepine, makemake i ka wili.

Mākaʻu iki i kēia manawa a laila ʻaʻohe kumu o ka hopohopo. Akā hiki i ka nalu mau ke hoʻopilikia i ka hiamoe a alakaʻi i kahi lehulehu o nā pilikia ʻē aʻe. Ke kū kēlā, lilo ia i mea hopohopo olakino olakino.

I kēia ʻatikala, e ʻimi mākou i nā kumu o ka ʻili ʻana i ka maʻi ate, no ke aha ʻoe e ʻike ai i kāu kauka, a pehea e loaʻa ai ka hoʻomaha.

Kumu o ka makaʻu i ka maʻi ate

ʻAʻole loaʻa ʻo Pruritus i nā maʻi akepaʻa e pili ana i ka waiʻona a me nā maʻi akepaʻa momona ʻole. Pili pinepine ʻia me:

• ʻO ka cirrhosis biliary mua (PBC)
• cholangitis sclerosing mua (PSC)
• intrahepatic cholestasis o ka hāpai keiki

Ua hana ʻia kekahi mau hoʻokolohua hoʻokolohua a hoʻokolohua, akā ʻaʻole ʻike nā ʻepekema i hoʻokahi mea kuleana no ka ʻili ʻana i ka maʻi ate. ʻO ia paha ka mea i hoʻokumu ʻia e kahi hui o nā kumu.

Eia kekahi o nā mea hiki ke nānā nei nā mea noiʻi:

• ʻO nā paʻakai bile. Inā loaʻa ʻoe i ka maʻi akepaʻa, loaʻa paha iā ʻoe nā pae ʻoi loa o ka paʻakai bile e hōʻiliʻili ʻia ana ma lalo o ka ʻili, i kumu e ʻeha ai. ʻAʻole makaʻu ka poʻe āpau me nā pae kiʻekiʻe o nā paʻakai bile i ka wili, a ʻike kekahi poʻe i ka makaʻu ʻoiai ʻo ka pae paʻakai bile maʻamau.
• Histamine. Ua hoʻonui aʻe kekahi mau kānaka me ka pruritus i nā pae histamine. ʻAʻole maikaʻi ka Antihistamines i ka mālama ʻana iā ia.
• Serotonin. Hiki paha i Serotonin ke hoʻololi i ka ʻike itch. ʻO ia ke kumu e hiki ai i nā serotonin reuptake inhibitors (SSRIs) ke kōkua i ka mālama ʻana i ka pruritus i kekahi poʻe.
• Nā homone wahine wahine. ʻOi aku ka ʻino o ka makaʻu i kekahi manawa i ka wā hāpai a i ʻole inā e hele ana ʻoe i kahi hormone replacement therapy.
• Serum alkaline phosphatase (ALP). ʻO nā kānaka me ka ʻume e pili ana i ka maʻi akepau e hoʻokiʻekiʻe paha iā ALP.
• Lysophosphatidic acid (LPA) a me autotaxin (kahi enzyme e hana ana iā LPA). Hoʻopili ka LPA i nā hana pūnaewele he nui. ʻO nā kānaka me ka ʻili a me nā maʻi ate e loaʻa i nā kiʻekiʻe kiʻekiʻe o ka LPA.

Pehea e mālama ai i ka aniani e pili ana i nā maʻi o ke ake

ʻAʻole maikaʻi ka hoʻomaʻemaʻe ma muli o ka maʻi hake e hoʻomaikaʻi iā ia iho, akā hiki ke mālama ʻia.

Ma muli o ka maopopo ʻole o nā kumu, paʻakikī e ʻōlelo i ka lāʻau e pono ai iā ʻoe. Hiki iā ia ke hui pū me nā therapies me kahi nui o ka hoʻāʻo a me ka hemahema.

Pale ʻalalā

He mea nui ka hōʻalo ʻana i ka makaʻu no ka mea hiki ke hoʻonui i ka hihia. E hoʻopaʻa pōkole i kou mau manamana lima inā ʻoe e ʻōpala, ʻaʻole ʻoe e uhaʻi i ka ʻili a wehe i ka puka i ka maʻi.

Inā ʻoe e ʻowī nui loa, e hoʻāʻo e pale i ka hoʻowalewale me ka uhi ʻana i kou ʻili. Inā makemake ʻoe e ʻōlapa i nā mea he nui i ka pō, komo i nā mīkina lima i kahi moe.

Eia kekahi mau mea ʻē aʻe hiki iā ʻoe ke hana e pale ai i ka huhū o ka ʻili a maʻalahi hoʻi i ka ʻili.

• E hoʻohana i ka wai mehana a anuanu paha ma mua o ka wai wela no ka ua a me nā ʻauʻau.
• E hoʻāʻo ʻaʻole e hoʻolōʻihi i ka manawa ma nā wahi wela a i ka lā.
• Koho i nā kopa māmā i loaʻa ʻole nā ​​mea ʻala i hoʻohui ʻia.
• E hoʻohana i nā moisturizers ʻoluʻolu, ʻaʻala ʻole e hakakā i ka maloʻo.
• E noi i kahi lole anuanu a pulu hoʻi i ka ʻāʻī a hiki i ka nalo ʻana o ka ʻiʻini e wili.
• Hōʻalo i nā mea a i ʻole nā ​​mea e hoʻonāukiuki i kou ʻili.
• E komo i nā mikina lima ke hoʻohana i nā huahana ʻoʻoleʻa.
• E ʻaʻahu i nā kapa komo humuhumu ʻole.
• E hoʻohana i kahi humidifier i nā mahina hoʻoilo maloʻo.

Kūʻai no kahi mea hoʻoweliweli ma ka pūnaewele.

Pili i nā kumuhana anti-itch

Inā loaʻa iā ʻoe kahi aniani ʻoluʻolu, localized, hiki iā ʻoe ke hoʻāʻo i ka wai wai wai me ka 1 pakeneka menthol. ʻO nā kumuhana ʻē aʻe i ka counter (OTC), e like me nā corticosteroids a me nā mea hoʻopale helu helu helu helu helu, e hoʻomaikaʻi pū paha i ka ʻili.

E hāhai i nā kuhikuhi a lepili e haʻi pono i kāu kauka ke hoʻohana nei ʻoe iā lākou.

E ʻike i nā kalima corticosteroid ma ka pūnaewele.

Lawe i nā lāʻau lapaʻau i kuhikuhi ʻia

Hiki i kāu kauka ke koi aku i nā mālama waha, e like me:

• ʻO Cholestyramine (Prevalite). Kōkua kēia lāʻau oral i ka hoʻoneʻe ʻana i nā paʻakai bile mai ka holo ʻana.
• ʻO Rifampicin (Rifadin). Hoʻopili kēia lāʻau i nā acid bile. Lawe ʻia i kēlā me kēia lā, koi ia i ka nānā pinepine ʻana ma muli o ka hiki no nā hopena ʻino e like me ka hepatitis a me ka hōʻino ʻana o ka puʻuwai.
• Naltrexone (Vivitrol). Lawe ʻia i kēlā me kēia lā, ālai kēia lāʻau i nā hopena o nā opioids. Pono ia i ka nānā mau ʻana.
• Sertraline (Zoloft). Lawe pū ʻia kēia SSRI i kēlā me kēia lā. Hoʻonohonoho pinepine ʻia ma ke ʻano he antidepressant. ʻO nā antidepressants ʻē aʻe, e like me fluoxetine (Prozac), hiki ke hoʻohana ʻia no ka mālama ʻana i ka anch mau.

E hoʻāʻo i nā antihistamines (no ka hiamoe)

ʻAʻole maikaʻi nā Antihistamines i ka mālama ʻana i ka makaʻu e ka maʻi ate, ʻoiai hiki iā lākou ke kōkua iā ʻoe e hiamoe me ka ʻeha.

E noʻonoʻo i ka light therapy

ʻO kahi koho ʻē aʻe ka light therapy, i ʻike ʻia ʻo phototherapy. Hōʻike kēia hana i ka ʻili i kekahi ʻano o ka mālamalama e hāpai i ka hoʻōla. Hiki iā ia ke hana i nā kau he nui e hoʻomaka i ka hana.

Kūkākūkā i kahi hoʻoliʻiliʻi ate me kāu kauka

Ke holo ʻole ka lapaʻau a koʻikoʻi loa ka maikaʻi o ke ola, makemake paha kāu kauka e kūkākūkā i ka hiki ke hoʻololi i ke ake. He koho paha kēia inā ke holo mau nei kou ake.

Hōʻike ka ʻili i kekahi mea e pili ana i ka holomua o ka maʻi ate a prognosis paha?

Hele pū ke kīleʻa hānai i kekahi manawa me ka makaʻu. Akā hiki iā ʻoe ke hoʻomohala i ka huehue pilikia ma mua, ma mua o kou ʻike he maʻi ate kou.

I ka ʻoiaʻiʻo, hiki i ka pruritis ke hoʻomohala i kēlā me kēia manawa i ka maʻi ate. ʻAʻole ʻōlelo kēia ʻōuli wale nō e pili ana i ke koʻikoʻi o ka maʻi ate, ka holomua a i ʻole ka wānana.

ʻAʻole ia he manaʻo ʻaʻole ia he pilikia koʻikoʻi. Ke hoʻomau nei ka makaʻu, hiki iā ia ke hāʻawi i:

• ʻōlohelohe
• luhi
• hopohopo
• kaumaha
• maikaʻi maikaʻi ʻole o ke ola

Nā ʻōuli o ka makaʻu me nā maʻi o ke ake

ʻOi aku ka maikaʻi o ka ʻili e pili ana i nā maʻi o ke ake i ke ahiahi a i ka pō. Hiki i kekahi poʻe ke ʻalalā i kahi o ka wahi, e like me ka lālā, nā wāwae o ko lākou mau wāwae, a i ʻole nā ​​poho o ko lākou mau lima, ʻoiai ʻike kekahi i ka nalu āpau.

ʻAʻole pili ka ʻili i ka maʻi ate i ka ʻeha a me nā ʻili ʻili. Eia nō naʻe, hiki iā ʻoe ke hoʻomāhuahua i ka huhū ʻike ʻia, ʻulaʻula, a me ka maʻi ma muli o ka nui o ka ʻili ʻana.

Hiki ke hoʻonui ʻia ka pilikia e:

• pili i ka wela
• hoʻoluhi
• menstruation
• hāpai keiki
• hōʻano hou hormonone

He aha nā mea ʻē aʻe e hoʻonā i ka ʻili ʻili?

Ma muli o ka nui o nā mea e hoʻonāukiuki i ka ʻili, he pili paha ka pili ʻole i ka maʻi ate.

ʻO kahi hihia koʻikoʻi o ka ʻili maloʻo (xerosis cutis) hiki ke alakaʻi i ka makaʻu makaʻu. ʻO ka makaʻu ʻole me ka wīwī kekahi hopena o kekahi mau lāʻau, e like me nā opioid, statins, a me nā lāʻau kahe koko.

ʻO nā ʻano ʻili e like me ka eczema a me ka psoriasis ke kumu o ka ʻume ʻana e hele pū me ka ʻili i ʻā ʻia, ʻulaʻula, a ʻili paha.

Hiki ke pili ka ʻili i ka hopena o ka maʻi i kekahi mea e like me:

• ʻalalā ʻawa
• nā mea hoʻonani hoʻonani
• kopa
• huahana hoʻomaʻemaʻe hale
• kemika
• nā lole e like me ka hulu hipa a mohair paha

Ma waho aʻe o ka makaʻu, hiki i kahi hopena maʻi e hoʻopili i ka ʻulaʻula o ka ʻili, ʻāwīwī, a i ʻole nā ​​hives.

Nā maʻi a me nā maʻi ʻē aʻe i hiki ke alakaʻi i ka ʻili ʻili me:

• hopohopo
• kaumaha
• diabetes
• anemia hemahema hao
• hakuʻala ʻole
• maʻi leukemia
• lymphoma
• myeloma maha
• mau sclerosis (MS)
• maʻi hōʻino obsessive-compulsive (OCD)
• ʻalalā pinched
• shingles (herpes zoster)
• pilikia thyroid

Pili pū ka ʻili me:

• maʻi koʻohune, viral, fungal, a i ʻole ka maʻi ʻili parasite
• nahu nā ʻelala a i ʻole nā ​​ʻūlū
• hāpai keiki

ʻAʻole hiki ke hoʻoholo mau i ke kumu o ka ʻili.

Ka wā e ʻike ai i ke kauka

Inā loaʻa ʻoe i ka maʻi akepaʻa, e ʻike i kāu kauka i kēlā me kēia manawa ke loaʻa iā ʻoe nā hōʻailona hou a i ʻole worsening paha. Hoʻopili pū kēlā me ka makaʻu.

ʻOiai ʻaʻole ia he manaʻo e pili ana i ka holomua o ka maʻi a i ʻole ka wānana ʻana, ʻaʻole ʻoe e ʻike i kēlā no kekahi me ka ʻole o ka hoʻokolokolo pono.

He mea nui ia e haʻi aku i kāu kauka inā pilikia ʻoe i ka hiamoe a inā pili ka ʻili i kou ʻano o ke ola.

ʻO ka lawe lawe ʻana

Pili ka pili i ka maʻi akepaʻa ma muli o nā ʻano like ʻole. Hiki i ke aniani koʻikoʻi ke alakaʻi i nā pilikia ʻē aʻe, no laila he mea nui e ʻike i kāu kauka no ka hōʻoia a me ka lāʻau.