Nā koho lapaʻau no Hidradenitis Suppurativa

Anter

• Nā mālama kumuhana
• Nā hopena ʻaoʻao
• Nā Antibiotics
• Nā lāʻau antibiotic kumuhana
• Nā hopena ʻaoʻao
• Nā lāʻau antibiotic waha
• Nā hopena ʻaoʻao
• Nā lāʻau ʻeha
• Nā hopena ʻaoʻao
• Corticosteroids
• Nā hopena ʻaoʻao
• Hoʻoikaika Hormone
• Nā hopena ʻaoʻao
• Retinoid
• Nā hopena ʻaoʻao
• ʻO Biologics
• Nā hopena ʻaoʻao
• ʻO nā kukui, nā kukuna, a me nā kumu ikehu ʻē aʻe
• Nā hopena ʻaoʻao
• Nā hana ʻoki kino
• Nā hopena ʻaoʻao
• Mālama ʻeha
• Nā kūlohelohe
• ʻO ka lawe lawe ʻana

ʻO Hidradenitis suppurativa (HS) kahi maʻi ʻili kūpilikiʻi mau e pili ana i nā ʻAmelika. ʻIke ka poʻe me HS i nā haʻihaʻi o nā pimple - a i ʻole nā ​​paila e like me nā wahi o ko lākou kino kahi e pili ai ka ʻili i ka ʻili.

Pākuʻi ʻia nā wahi i hoʻopili ʻia:

• ʻāpana lima
• kīʻaha
• umauma
• ʻūhā
• ʻūhā luna

Hoʻopiha pū ʻia paha nā ʻeha ʻeha o HS me kahi wai hoʻowahāwahā ʻole e hiki ke kulu me ka ʻole o ka ʻōlelo aʻoaʻo.

ʻAʻohe mea ola i kēia manawa no HS. Eia nō naʻe, he nui nā ʻano lapaʻau a me nā ʻoki ʻoki e kōkua iā ʻoe e hoʻokele i kāu mau ʻōuli, e like me nā kulekele olakino hou loa mai ʻAmelika Hui Pū ʻIa a me nā Kanada Hidradenitis Suppurativa Foundation.

Inā ʻoe e noho ana me HS, he mea kōkua ke makaʻala i nā koho lapaʻau a pau i loaʻa i hiki iā ʻoe ke loaʻa ka mea ʻoi loa nou.

E heluhelu e ʻike e pili ana i nā ʻano like ʻole o ka mālama ʻana iā HS a pehea e hana ai.

Nā mālama kumuhana

ʻO kahi mālama kumuhana kahi mea āu e hoʻohana pololei ai i kou ʻili. Hiki i nā mālama kumuhana ke hele mai i nā ʻano like ʻole, e like me nā lotion, nā hamo, a me nā kalima.

Kaukaʻi ʻia i ka huahana, hiki i nā mālama kumuhana ke hoʻomaʻemaʻe i ka wahi i hoʻopilikia ʻia, hoʻomāmā i ka huhū, a i ʻole kōkua i ka hoʻōla leona. ʻO nā mālama kumuhana no HS he huahana maʻamau e like me nā agena antiseptic a i ʻole nā ​​mālama huehue. ʻO kekahi mau laʻana:

• mālamalama
• kiniki pyrithione
• kalima resorcinol, 15%

Hiki ke hoʻohana ʻia nā kuʻina kumuhana i luna no HS a akahai. ʻOiai ʻaʻole lākou e mālama pono i ke kumu o ke ʻano, hiki iā lākou ke kōkua e hōʻoluʻolu i kekahi o kāna mau ʻōuli.

Hiki ke hoʻohana ʻia nā lāʻau lapaʻau antibiotics no ka mālama ʻana iā HS. ʻO ka clindamycin kumuhana (Cleocin T, Clinda-Derm) i manaʻo ʻia ʻo ia ka.

Nā hopena ʻaoʻao

Hiki i nā mālama kumuhana ke hoʻonāukiuki i ka ʻili. Hiki i kēia ke hoʻopili i nā ʻōuli e like me ka ʻulaʻula, ka makaʻu, a i ʻole ka ʻā ʻana o ke ahi.

Nā Antibiotics

Hiki ke hoʻohana ʻia nā antibiotic kumuhana a me nā waha e mālama iā HS.

Nā lāʻau antibiotic kumuhana

ʻO nā antibiotics kumuhana, e like me clindamycin (Cleocin T, Clinda-Derm), kuhikuhi pinepine ʻia no HS liʻiliʻi. Hiki iā lākou ke mālama i nā maʻi, hōʻemi i ka mumū, a pale i nā liona hou mai ka hana ʻana.

Hiki iā lākou ke hōʻemi i nā pilau i hiki i kekahi manawa ke hele pū me ka maʻi.

ʻO kahi papa maʻamau o ka mālama ʻana me nā antibiotic kumuhana e pili ana i ka hoʻopili ʻana i ka wai lotion i kāu liona HS ʻelua mau manawa i ka lā. Hoʻololi ka lōʻihi o kēlā ʻano hana i kēlā me kēia kanaka.

Nā hopena ʻaoʻao

Hiki i nā ʻaoʻao ʻē aʻe o nā antibiotic kumuhana ke komo i kahi ʻā ʻana i ke ahi a me ka hopena o ke kūpaʻa antibiotic.

Nā lāʻau antibiotic waha

Hiki ke kuhikuhi ʻia nā antibiotic oral no ka maʻi liʻiliʻi. Eia nō naʻe, hoʻohana mau ʻia lākou i nā hihia HS kaulike a koʻikoʻi a i ʻole ke maikaʻi ʻole o ka mālama kumuhana.

E like me nā lāʻau antibiotic kumuhana, kōkua kēia mau lāʻau i ka mālama ʻana i ka maʻi a mālama i ka mumū.

Hoʻohana ʻia nā lāʻau antibiotic oral e mālama i nā maʻi i hoʻokumu ʻia e HS.

• antibiotic tetracycline
• clindamycin
• metronidazole (Flagyl)
• moxifloxacin (Avelox)
• rifampin (Rimactane)
• dapsone

Lawe pinepine ʻia lākou e ka waha no 7 a 10 mau lā. Pono paha kekahi mau hihia i nā manawa lōʻihi o ka mālama ʻana. Kaukaʻi ʻia i ka paʻakikī o kou ʻano, loaʻa iā ʻoe i hoʻokahi antibiotic a i ʻole he mau antibiotic.

Nā hopena ʻaoʻao

Hiki i nā hopena ʻaoʻao o nā lāʻau antibiotika waha ke hoʻopili i ka maʻi diarrhea, Difficile Clostridium maʻi koʻohune, a me ka popo-melemele i brown discoloration o ka mimi.

Nā lāʻau ʻeha

Hiki ke hele mai ka ʻeha pili HS mai nā ʻano kumuwaiwai like ʻole, me nā liona, nā abscesses, a me ka scarring. Hana kēia i ka mālama ʻeha i mea nui o ka lapaʻau HS.

ʻO ka ʻeha e pili pū ana me HS hiki ke ʻano like ʻole. ʻO kahi laʻana, hiki ke hōʻeha a hoʻomau paha e like me ka hoʻonāukiuki a noninflam inflammatory paha.

ʻO nā lāʻau ʻeha e hoʻohana ʻia ai paha:

• lidocaine (Ztlido)
• nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)
• acetaminophen (Tylenol)
• opioids
• anticonvulsants

Hoʻohana ʻia kekahi mau lāʻau ʻeha e like me ka lidocaine i kekahi manawa e mālama ai i ka ʻeha HS koʻikoʻi. Hiki ke hoʻopili pololei ʻia kēia mau mea i ka wahi i hoʻopilikia ʻia.

ʻOi aku ka makemake o nā lāʻau ʻeha o ka waha no ka mālama ʻana i ka ʻeha e pili pū ana me HS. ʻO nā lālani ʻeha o ka lālani ʻekahi e komo pū me ka acetaminophen a me NSAIDs, e like me ibuprofen (Advil, Aleve) a me naproxen (Naprosyn).

Inā maikaʻi ʻole nā ​​lāʻau ʻeha o ka lālani mua, kuhikuhi ʻia kahi papa manawa pōkole o nā opioids. Hiki ke hoʻohana ʻia ka opioid tramadol (ConZip, Ultram) ma ke ʻano he koho no nā opioid kuʻuna e like me codeine a me morphine.

Hoʻohui ʻia, kekahi mau anticonvulsants, e like me gabapentin (Neurontin) a me pregabalin (Lyrica), he mana paha e hoʻomaha ai i ka ʻeha neuropathic.

Nā hopena ʻaoʻao

Hoʻohui ʻia nā ʻano ʻaoʻao āpau me nā lāʻau ʻeha. Hiki i nā laʻana ke komo i ka huhū o ka ʻōpū, kahe a me ka luaʻi, a me ka constipation. Lawe pū ka hoʻohana ʻana i nā opioids i ka makaʻu o ka hoʻōla.

Corticosteroids

Hiki nō ke hoʻohana i nā Corticosteroids e hōʻemi i ka pehu ʻana, hoʻemi i ka mumū, a mālama i ka ʻeha. Hiki iā lākou ke lawelawe ʻia ma o ka injection a me ka waha paha.

Hiki i nā Corticosteroids i hoʻopili ʻia, i kapa ʻia hoʻi ʻo nā corticosteroids intralesional, hiki ke hoʻohana ʻia i nā hihia māmā. Hana pololei ʻia ka ʻekekika i ka wahi i hoʻopilikia ʻia a hiki ke kōkua i ka hōʻoluʻolu i ka ʻeha a me ka pehu.

Hoʻohana ʻia nā corticosteroids oral no nā mea kūpono hou aku i nā hihia koʻikoʻi. Ke lawe waha ʻia, hiki i nā corticosteroids ke hoʻopili i ke kino holoʻokoʻa. Hiki i kēia ke kōkua i ka hoʻomaʻemaʻe i nā leona HS e kū nei a pale i nā mea hou mai ka hana ʻana.

Hiki ke hoʻohana ʻia kahi papa manawa pōkole o ka oral corticosteroids e mālama i ka lapalapa ʻana o nā ʻōuli.

Hiki ke hoʻohana pū ʻia nā corticosteroids wā lōʻihi ma nā hihia HS koʻikoʻi e pane ʻole ana i nā maʻamau maʻamau. Eia nō naʻe, i kēia mau hihia, pono e kuhikuhi ʻia ka mahele lāʻau haahaa loa.

Nā hopena ʻaoʻao

Hiki i nā corticosteroids i hōʻeha ʻia ke alakaʻi i ka ʻeha ma kahi kokoke i ka pūnaewele injection, ka helehelena a me ka hiamoe ʻole.

ʻO kekahi mau hopena ʻē aʻe o ka corticosteroids waha he kiʻekiʻe ke koko, loaʻa ke kaumaha, a me nā loli ʻano. ʻO ka hoʻohana wā lōʻihi ke alakaʻi i ka ʻili lahilahi, ke kō kiʻekiʻe o ke kō, a me ka osteoporosis.

Hoʻoikaika Hormone

Manaʻo ʻia ʻo HS e hoʻohuli ʻia e nā homone i kapa ʻia androgens. Hiki ke hoʻololi i nā hōʻailona HS e like me ka wā o ka menstrual cycle a me ka hāpai ʻana.

Ma muli o ka hopena o nā hormoni ma HS, hiki i kāu kauka ke koi aku i ka hoʻōla hormonone ma ke ʻano he koho lapaʻau kūpono. Hiki ke kōkua i ka Hormone therapy e hōʻemi i ka ʻeha a hoʻemi i ka nui o ka kahe o ka wai mai nā liona HS i ka wā o kahi uila.

Hiki i ka hoʻolauna Hormone no HS ke lawe i nā ʻano lāʻau aʻe:

• ʻōpū waha me ka estrogen
• spironolactone (Aldactone)
• finasteride (Propecia, Proscar)
• metformin (Glumetza)

Hiki ke hāpai waha ʻia ka hoʻomaʻamaʻa hormonone no HS. Hoʻohana ʻia ia ma ke ʻano he therapy (monotherapy) wale nō no HS liʻiliʻi. I nā hihia koʻikoʻi, hiki ke hoʻohana ʻia me ka hui pū ʻana me nā lāʻau ʻē aʻe.

Hōʻalo ʻia ka hoʻohana ʻana i nā ʻōpala waha i loaʻa wale ka progestin. ʻO kēia no ka mea aia kekahi mau hōʻike anecdotal e ʻoi aku paha ka maikaʻi ʻole o HS ke hoʻohana nei i kēia ʻano lāʻau.

Nā hopena ʻaoʻao

Hiki i nā hopena ʻē aʻe o ka hormone therapy i nā wahine ke hoʻopili i nā kīʻaha koko inā lawe ʻia i ka wā hāpai. Hiki paha i nā kāne ke hoʻoliʻiliʻi i ka libido a me nā pilikia ejaculate.

I nā hihia kakaikahi, hiki i nā kāne a me nā wahine ke hoʻomohala i nā tumors umauma ma ke ʻano he ʻaoʻao.

Retinoid

ʻO Retinoids nā lāʻau i loaʻa mai i ka huaora A. Hana lākou ma ka hoʻolōʻihi ʻana i ka ulu ʻana o nā ʻili o ka ʻili a hiki ke hōʻemi i ka mumū. Hiki i nā Retinoids ke hoʻohana i ka mālama ʻana i nā ʻano ʻili hōʻiliʻili, e like me ka huehue a me ka psoriasis.

Kōkua paha nā retinoids waha no kekahi poʻe me HS. Inā kuhikuhi ʻia ʻoe i retinoid waha no kāu HS, ʻo ia paha kekahi o kēia:

• isotretinoin (Amnesteem, Claravis)
• acitretin (Soriatane)

Hoʻomaopopo wale ʻia nā retinoid oral ma ke ʻano he lapaʻau lua a ʻekolu paha no HS. Hoʻopaʻa ʻia paha lākou inā pili ka huehue nui me nā liona HS.

Nā hopena ʻaoʻao

ʻAʻole pono e lawe i nā retinoids waha i ka wā hāpai, no ka mea e alakaʻi lākou i nā kīnā hānau koʻikoʻi. ʻO nā hopena ʻē aʻe me ka ʻili maloʻo, nā lehelehe naha, a me ka nalo ʻana o ka lauoho.

ʻO Biologics

No nā hihia ʻoi aku ka nui o ka HS i pane ʻole i nā lāʻau ʻalopika a i ʻole ka hoʻomaʻamaʻa hormone, he koho paha nā lāʻau biologic. Kōkua nā meaolaola i kou kino e hakakā me HS ma ke kālele ʻana i nā ʻāpana o kāu ʻōnaehana paleʻaleʻa e hoʻoulu ai i ka mumū.

Lawe ʻia nā biologics ma o ka hoʻopili ʻana a i ʻole kahi infravenous (IV) infusion. Lawe pinepine ʻia lākou i kēlā me kēia pule a hiki ke lawelawe ʻia ma ka home a i ʻole kahi haukapila a i ʻole kahi keʻena maʻi e ka mea lapaʻau.

ʻO ka lapaʻau HS wale nō i ʻae ʻia e ka Food and Drug Administration (FDA), a ʻo ka mea me nā hōʻike ʻoi loa o ka hoʻohana, ʻo adalimumab (Humira). Ua ʻae ʻia kēia meaolaola e mālama i ka HS maʻamau.

ʻO nā biologics ʻē aʻe, e like me infliximab (Remicade) a me anakinra (Kineret), he mea maikaʻi paha i ka mālama ʻana iā HS.

Nā hopena ʻaoʻao

Hiki i nā hopena ʻaoʻao ke hoʻopili i:

• ʻeha ma kahi o ka pūnaewele injection
• fiva
• paʻakikī i ka hanu ʻana
• haʻahaʻa haʻahaʻa haʻahaʻa
• hoʻonui i ka makaʻu o nā maʻi

Inā ʻike ʻoe i nā maʻi, e hoʻopau paha kāu kauka i ka hoʻohana ʻana i nā biologics a e ʻimi i nā koho lapaʻau ʻē aʻe.

Hiki i nā hopena ākea akā koʻikoʻi ke hoʻopili i nā ʻōuli autoimmune nerve a me ka holo pono ʻole o ka puʻuwai. Hiki i nā biologics ke hoʻonui i ka hopena o ka lymphoma. E kamaʻilio me kāu kauka e pili ana i nā pono a me nā pilikia o kēia lapaʻau.

ʻO nā kukui, nā kukuna, a me nā kumu ikehu ʻē aʻe

E noʻonoʻo ʻia paha kekahi mau kumu ikehu e kōkua i ka mālama ʻana iā HS. Hoʻohana pinepine ʻia kēia mau mea no ka HS lōpū a paʻakikī akā hiki ke hoʻohana ʻia no nā hihia akahai.

ʻO kekahi o kēia mau ʻenehana e pili ana i ka hoʻohana ʻana i ka laser e mālama ai i nā leona hana. Hiki i ka ikehu mai ka laser ke hoʻopau i nā follicle o ka lauoho, e kōkua ana e hoʻomaʻemaʻe i nā leona HS. Pili paha kēia ʻano lāʻau i ka ʻekolu a ʻehā mau kau laser.

Hoʻohana ka lāʻau Photodynamic therapy i nā lāʻau i kapa ʻia photosensitizers a me kahi mālamalama e hoʻomake i nā hunaola kūpono ʻole. Hoʻohana ʻia nā lāʻau Photosensitizing ma luna a i ʻole injected i nā leona. Hoʻokomo nā hunaola HS i kēia lāʻau. Ke hoʻohuli ʻia ke kumu kukui, hana ka lāʻau i nā hunaola a make iā lākou.

Ua hoʻohana ʻia kekahi lāʻau hoʻomalu no ka mālama ʻana iā HS a hiki i ke alakaʻi ʻana i ka hoʻomaikaʻi ʻana i kekahi mau kānaka. Eia nō naʻe, no ka mea e pili ana i ka hōʻike ʻana i kou kino i ka radiation, e paipai paha kāu kauka i nā ʻano lāʻau ʻē aʻe ma mua.

Nā hopena ʻaoʻao

He mea hiki paha iā ʻoe ke ʻike i kekahi mau hōʻoluʻolu ʻole i kēia mau kaʻina hana. ʻO nā hopena ʻē aʻe i loaʻa iā ʻoe ma hope e hiki ke hoʻopili i ka hōʻoluʻolu manawa ʻole, ʻulaʻula, a i ʻole ka pehu ʻana i ka wahi i mālama ʻia.

Nā hana ʻoki kino

Loaʻa nā ʻano ʻoki ʻoki ʻokoʻa no ka mālama ʻana iā HS, mai nā ʻoki liʻiliʻi a hiki i ka hemo loa ʻana o ka ʻili i hoʻopili ʻia e nā leona.

Inā kūpono ʻoe no ke kaha ʻana HS e pili ana i ka paʻakikī o kāu HS a me ke ʻano o kāu pane ʻana i nā ʻano hana like ʻole.

ʻO ka poʻe i loaʻa HS koʻikoʻi i pane ʻole i nā ʻano lapaʻau ʻē aʻe, he moho maikaʻi lākou no ke ʻoki kino. Hiki i nā ʻōuli o HS koʻikoʻi ke hoʻopili pū:

• nā liona ākea a i ʻole nā ​​abscesses
• scarring
• he nui nā tunnels hoʻohui ma lalo o ka ʻili

ʻO kekahi o nā ʻenehana ʻoki lāʻau i hiki ke hoʻohana ʻia me:

• Deroofing: Lawe ke kauka lāʻau i ke kino ma luna o nā tunnels a i ʻole nā ​​abscesses, e ʻae ana i ka wahi i hōʻike ʻia e hoʻōla. Hoʻohana pinepine ʻia kēia ala no nā liona hou a i ʻole nā ​​tunnels.
• Excision: Hōʻalo ke kaukoki i ka leona a me kekahi o nā ʻili maikaʻi e pili ana. Hiki ke hoʻokō ʻia i kēia me kahi scalpel, laser, a i ʻole mea hana electrosurgical. Hoʻohana ʻia ia no nā liona nui a mau.
• Excision a me ke kahawai Hoʻokahe ka mea lapaʻau i hoʻokahi a ʻelua mau leona a laila lawe aku iā lākou. Paipai wale ʻia kēia e hāʻawi i ka manawa pōkole no nā lehelehe abscessed.

Inā manaʻo ʻoe he moho maikaʻi ʻoe no ke ʻoki kino, e kamaʻilio me kāu kauka e pili ana i kahi koho e kūpono iā ʻoe.

Nā hopena ʻaoʻao

ʻO kekahi o nā hopena ʻē aʻe o ka ʻoki ʻana no HS me ka scarring a i ʻole ka maʻi maʻi ma ka ʻoki lāʻau. Hoʻohui ʻia, mālama wale ke kaha ʻana i kahi wahi kikoʻī, no laila e ʻike ʻia nā leona ma nā wahi hou.

Mālama ʻeha

He mea nui ka mālama ʻana ma hope o ke kaha ʻana no HS. E koho kāu kauka i kahi lole kūpono kūpono e pili ana i ka wahi a me ka nui o ke ʻoki. Paipai paha lākou i ka holoi antiseptic i ka wā e hoʻōla ai.

Ke mālama nei i kahi ʻeha ma hope o ke kaha ʻana no HS, he mea nui e ukali i nā hana ʻoi loa no ka mālama ʻana i ka ʻeha, e like me:

• holoi mau i kou mau lima ma mua o ka hoʻopā ʻana i ka wahi
• pale ʻana i nā lole e ʻānai paha i ka ʻeha
• ka hāhai ʻana i nā ʻōlelo aʻoaʻo a kāu kauka e pili ana i ka manawa a me ka manawa hea e hoʻomaʻemaʻe ai i kou ʻeha a i ʻole hoʻololi i kona kapa
• ke nānā pono nei i nā hōʻailona o ka maʻi hiki ke loaʻa

Nā kūlohelohe

Aia kekahi mau mālama kūlohelohe a me nā loli nohona e kōkua paha i kāu HS.

ʻO ka uahi paka ʻana a ʻoi aku ma luna o ka awelika ke kaumaha i ka holomua o ka maʻi HS. ʻO ka hoʻomaʻamaʻa ʻana i nā ʻano nohona e like me ka haʻalele ʻana i ka puhipaka a me ka mālama ʻana i ka paona kaulike e kōkua i ka hoʻokele maikaʻi ʻana i kāu mau ʻōuli.

Hoʻohui ʻia, aia kekahi mau hana e hoʻonāukiuki hou paha i kou ʻili. ʻIke paha ʻoe he mea kōkua e hōʻalo i ka hana ʻana i nā mea aʻe ma a ma kahi o ka wahi i hoʻopilikia ʻia.

• ʻaʻahu ʻana i nā kapa paʻa a paʻa paha
• ka hoʻomaʻemaʻe me nā mea hana ʻoʻoleʻa, e like me ka brushes a i ʻole nā ​​kapa holoi
• me ka hoʻohana ʻana i nā kāʻei lina
• Ke hoʻohana nei i nā huahana i loaʻa i nā mea hoʻonāukiuki, e like me nā mea holoi a mea ʻala paha
• ka ʻumiʻumi ʻana

Aia kekahi hōʻailona e pili ana i ka hoʻopili papaʻai, ʻo ia hoʻi me ka zinc, hiki ke kōkua i ka poʻe me HS a akahai. Ma muli o kēia, hiki i kāu kauka ke koi aku i nā mea hoʻopiha zinc waha. Mai hoʻonui nui, akā - hiki i ka nui o ka zinc ke kumu i ka ʻōpū huhū.

ʻO ke pale ʻana i nā meaʻai i loaʻa ka hū a me ka mea hū a ka mea hana paha e kōkua paha i kekahi poʻe me HS. Eia nō naʻe, pono hou ʻia kahi noiʻi e kākoʻo i kēia.

ʻO ka lawe lawe ʻana

Nui a hewahewa nā kūlana kūpono no HS, kēlā me kēia me kāna pono ponoʻī a me nā hopena ʻē aʻe hiki. ʻO ka lāʻau heahea (a i ʻole nā ​​mālama ʻana) e koi ʻia iā ʻoe e hilinaʻi ia i ka paʻakikī o kou ʻano.

He mea nui e kūkā kūkā pono i kāu mau koho lapaʻau me kāu kauka a dermatologist paha. E hoʻomaopopo pono iā lākou inā ʻoe e ʻike i nā hopena ʻē aʻe i ka wā o ka mālama ʻana a inā hoʻi hāmama ʻoe i ka hoʻāʻo ʻana i nā lāʻau hou. Hiki i ka hana pū ʻana ke kōkua iā ʻoe e hoʻokele i kāu HS.