ʻO Prurigo Nodularis a me kou ʻili

Anter

• Nā ʻōuli
• Nā kiʻi
• Lapaʻau
• Nā lāʻau lapaʻau kumuhana
• Nā Inikuaʻi
• Nā lāʻau ʻōnaehana
• Nā hoʻoponopono ʻē aʻe
• Nā hoʻoponopono hou
• Nā manaʻo hou aku no ka mālama ʻana i kāu PN
• Kākoʻo
• Nā Kumu
• Nā ʻoiaʻiʻo wikiwiki
• Kāohi
• ʻO ka lawe lawe ʻana

ʻO Prurigo nodularis (PN) kahi ʻili ʻili ʻili ʻino. Hiki i nā puʻupuʻu PN ma ka ʻili ke kau i ka nui mai kahi liʻiliʻi a hiki i kahi hapalua iniha ke anawaena. Hiki ke hoʻololi i ka helu o nā nodule mai 2 a 200.

ʻO ka manaʻo maʻamau ka hopena ma ke ʻano o ka ʻili ʻana i ka ʻili. Hiki i ka ʻili makaʻu ma muli o nā kumu he nui, e like me:

• ʻili maloʻo
• ka hana thyroid
• maʻi maʻi maʻi paʻa

Hiki ke hoʻonāwaliwali i ka makaʻu o PN i kona koʻikoʻi. Manaʻo ʻia he ʻoi loa ka ʻume mākeke o kekahi ʻano ʻili ʻili.

Hoʻonui ka ʻili i ka ʻili a hiki ke hana i nā puʻupuʻu hou aʻe a hoʻonui i nā puʻupuʻu e kū nei.

Ke ʻaʻa nei ʻo PN e mālama. E nānā mākou i nā ʻōuli a me nā ala e hoʻokele ai iā PN.

Nā ʻōuli

Hiki iā PN ke hoʻomaka ma ke ʻano he puʻupuʻu ʻulala ʻulaʻula. Loaʻa ia ma muli o ka ʻili ʻana o ka ʻili. Hoʻomaka mau nā puʻupuʻu ma kou mau lima a me kou mau wāwae akā hiki ke hōʻike ʻia ma ke koena o kou kino, ma nā wahi āpau āu e wili ai.

Hiki i nā nodule ke ʻāwī nui. ʻO nā puʻupuʻu paha:

• paʻakikī
• crusty a scaly
• laulā i ke kala mai nā kani o ke ʻiʻo a i ka poni, brown, a i ʻole ʻeleʻele
• scabby
• nana pono ole

Hiki ke maloʻo kaʻili ma waena o nā puʻupuʻu. ʻIke pū kekahi poʻe me PN i ke ahi, ʻōkuhi, a me nā ʻano like ʻole o ka mahana i nā puʻupuʻu, e like me ka loiloi 2019.

Hiki i nā puʻupuʻu ke hoʻomohala i nā maʻi ʻelua mai ka ʻānai pinepine ʻana.

Hiki ke hoʻonāwaliwali i ka ʻūlū ikaika, pale i ka hiamoe maha a hoʻohaunaele i kāu hana o kēlā me kēia lā. Hiki i kēia ke hoʻololi i ka poʻe me PN ke kaumaha a kaumaha.

E hoʻonā paha i nā puʻupuʻu inā kū ke kanaka i ka ʻili ʻana iā lākou. Hiki iā lākou ke waiho i nā scars i kekahi mau hanana.

Nā kiʻi

Lapaʻau

ʻO ka pahuhopu o ka mālama ʻana iā PN e haki i ka pōʻai itch-scratch ma o ka hoʻoluʻu ʻana i ka ʻili.

Pono kāu mea olakino e mālama i kēlā me kēia ʻano kumu e hoʻopiʻi nei i kāu ʻili a ʻeleu.

ʻO ka hana maʻamau PN e pili ana i nā kalima topical a me nā lāʻau ʻōnaehana no ka hōʻoluʻolu o ka itch.

Ma muli o ka ʻeha o ka ʻili a ʻokoʻa kēlā me kēia hihia, pono paha ʻoe e hoʻāʻo i kahi moʻo o nā ʻano lāʻau ʻokoʻa e ʻike i nā mea e pono ai nāu.

He maʻi ʻoi loa ʻo PN.

I kekahi mau kānaka, ʻaʻohe kumu e hōʻike ʻia no ka ʻili. No kēia poʻe, ʻaʻohe mālama kūpono hoʻokahi.

I kēia manawa, ʻaʻole ʻae ka US Food and Drug Administration (FDA) i nā ʻano lāʻau e mālama iā PN. Eia nō naʻe, nui nā lāʻau e nānā ʻia ana i hiki ke hoʻohana ʻia i ka lepili lepa e mālama ai i kēia ʻano.

E kūkā pono e kūkākūkā i nā hopena ʻē aʻe o nā lāʻau a me ka hoʻohana ʻana i nā lāʻau i waho-lepili me kāu kauka.

Nā lāʻau lapaʻau kumuhana

E ʻōlelo paha kāu kauka olakino i kahi lāʻau lapaʻau ʻoi loa (OTC) a i ʻole nā ​​lāʻau lapaʻau kumuhana e kuhikuhi ai i ka ʻili a hoʻoluʻolu i kou ʻili.

Hiki i nā laʻana ke hoʻopili:

• nā kalima steroid topical e like me clobetasol a i ʻole nā ​​mea hoʻopale helu helu helu helu helu e like me pimecrolimus. (E uhi ʻia paha kēia mau mea e kōkua iā lākou e hana me ka maikaʻi.)
• kākahu koina kumuhana
• topical wikamina D-3 mea poni (calculipotriol)
• kalima capsaicin
• menthol

Nā Inikuaʻi

Hiki paha i kāu kauka olakino ke ʻōlelo i nā injectic corticosteroid (Kenalog) no kekahi nodule.

Nā lāʻau ʻōnaehana

Hiki i kāu kauka olakino ke kuhikuhi a ʻōlelo paha i nā antihistamines OTC e kōkua iā ʻoe e hiamoe i ka pō.

Kau inoa paha lākou i nā lāʻau i hoʻohana maʻamau ʻia e like me nā antidepressants e kōkua iā ʻoe e ho'ōki i ka ʻili. Ua kūleʻa ʻo Paroxetine a me amitriptyline i ke kōkua ʻana iā PN nodule e hoʻomaikaʻi.

Nā hoʻoponopono ʻē aʻe

ʻO nā mea lapaʻau e kōkua paha i ka hoʻoliʻiliʻi o nā nodule a me ka hōʻoluʻolu i ka wili me:

• ʻO Cryotherapy. ʻO ka Cryotherapy ka hoʻohana ʻana o nā anuanu anuanu-anu ma ka leona
• Phototherapy. Hoʻohana ka Phototherapy i nā kukui ultraviolet (UV).
• Hoʻohana ʻia ʻo Psoralen me ka hui pū me UV. ʻO Psoralen a me UVA i hoʻohana pū ʻia i ʻike ʻia ʻo PUVA.
• ʻO ka kukuna kala ʻele. ʻO ka laser kala Pulsed kahi hana lapaʻau e hoʻohana ai e pepehi i nā hunaola maʻi.
• Lapaʻau laser Excimer. ʻO kahi laser excimer ma 308 nanometers he PN i pane ʻole i nā ʻano lāʻau ʻē aʻe.

E kuhi paha kāu kauka olakino i kahi hoʻomaʻamaʻa hoʻōla maʻamau e kōkua iā ʻoe e ho'ōki i ka ʻōlapa.

Nā hoʻoponopono hou

ʻO kekahi mau hoʻāʻo e pili ana i ka hoʻohana ʻana i nā lāʻau i waho o ka lepili i hōʻike hoʻohiki ʻia i ka hoʻoliʻiliʻi ʻana i ka aniani.

• naloxone intravenous a me naltrexone oral mu-opioid receptor antagonists, a he hopena mua paha nā hopena
• nā immunosuppressants, e hoʻopili ana i ka cyclosporine a me ka methotrexate
• gabapentinoids, i hoʻohana ʻia no ka poʻe i pane ʻole i nā ʻano lāʻau ʻē aʻe a i ʻole nā ​​neuropathies ʻeha
• thalidomide, i hōʻike ʻia he mana, akā manaʻo ʻia ʻo ia ma ke ʻano he hopena hope loa no ka hopena o ka hopena
• nalbuphine a me nemolizumab, ke hoʻāʻo ʻia nei i kēia manawa
• isoquercetin, kahi mea i loaʻa mai ka quercetin mea kanu
• , ʻo ia kahi lāʻau injection

Nā manaʻo hou aku no ka mālama ʻana i kāu PN

ʻOkoʻa ka ʻili o kēlā me kēia, a liʻliʻi paha ka manawa e ʻike i kahi hana maʻamau e kōkua ai i kou pākī.

ʻOi aku ka maikaʻi o ka hui ʻana o nā lāʻau. He mea nui e hoʻāʻo e uhaʻi i ka pākeke-wili pōʻai e pale ai i nā nodule hou a ʻae i nā mea kahiko e hoʻonā.

Hoʻohui ʻia i nā lāʻau i kuhikuhi ʻia a me nā kalima OTC:

• E hoʻohana i kahi ʻeke hau e hoʻalili i nā wahi ʻili.
• E lawe i kahi wai mehana, ʻauʻau pōkole me ka oatmeal colloidal.
• Hoʻomaʻemaʻe pinepine me Vaseline a i ʻole i ka kirimina hypoallergenic.
• E hoʻohana i nā kopa ʻaʻala ʻole a me nā huahana ʻē aʻe no ka ʻili lahilahi.

Kākoʻo

E kāhea iā Nodular Prurigo International no ka ʻike hou aku a i ʻole e hui pū me kāna hui Facebook pilikino a i ʻole wehe i ka hui Facebook.

ʻO ke komo ʻana i ka hoʻokolohua hoʻokolohua PN kekahi koho.

Nā Kumu

ʻAʻole maopopo maopopo ke kumu kikoʻī o PN, akā manaʻo ʻia nā leona he hopena pololei ia o ka ʻili ʻili, a ma muli o nā kumu he nui.

Ua pili pū ʻo PN me nā ʻano he nui, e like me:

• atopic dermatitis (eczema)
• diabetes
• holo pono kīnā ʻole
• he hepatitis C mau
• nā maʻi neurological
• nā maʻi psychiatric
• neuralgia post-herpetic
• lymphoma
• lichen planus
• puʻuwai puʻuwai kongestive
• maʻi pulmonary pulupulu paʻa (COPD)
• HIV
• kekahi mau lāʻau lapaʻau no ka maʻi ʻaʻai (pembrolizumab, paclitaxel, a me ka carboplatin)

Manaʻo ʻia ua kū ʻo PN ke hana nā kumu ʻē aʻe i ka ʻūnū mau ʻana a me ka ʻili ʻana (kahi ʻōpala itch-Scratch), ka hopena i nā leona ʻano.

ʻOiai ke hoʻonā ʻia ke ʻano o ke kumu paʻa, ʻōlelo ʻia ʻo PN e hoʻomau mau i kekahi manawa.

Eia kekahi, aia kahi noiʻi ma 2019 e pili ana i ka 13 pākēneka o ka poʻe me PN i loaʻa ʻole kahi predisposing maʻi a me nā kumu.

Ke nānā nei nā mea noiʻi i nā ʻano hana i lalo e pili ana i PN, i hoʻopili ʻia:

• nā hoʻololi i nā huna ʻili
• nā ʻalā nerve
• loli nā ʻōnaehana neuropeptides a me neuroimmune

E like me ke kumu o ka hoʻomohala ʻana o PN e maopopo ai, manaʻo ka poʻe noiʻi e hiki ke mālama ʻia nā lāʻau ʻoi aku ka maikaʻi.

Nā ʻoiaʻiʻo wikiwiki

• ʻO ka PN maʻamau i nā poʻe ma waena o nā makahiki 20 a me 60.
• Pili like ʻo PN i nā kāne a me nā wahine.
• Kākaʻikahi ʻo PN. Aia kekahi mau haʻawina o kona prevalence a hanana paha. Ua ʻike ʻia kahi noiʻi ma 2018 o nā maʻi 909 me PN i loaʻa i nā mea maʻi ʻApelika ʻAmelika ma mua o nā mea keʻokeʻo.

Kāohi

A hiki i ka ʻike pono ʻia ʻana o ka mīkini kumu o PN, paʻakikī e pale. ʻAʻole i wili i ka ʻili ke ala hoʻokahi wale nō.

Inā makemake mua ʻoe iā PN, ma muli o nā genetics a i ʻole kahi maʻi maʻi, e nānā pono i kou ʻili. E ʻike i kahi mea mālama ola no ka mālama ʻana i nā itchiness lōʻihi loa. E hoʻāʻo e hoʻōki i kekahi pōʻaiapili wiwi ma mua o ka hoʻomaka ʻana.

Hiki i nā lāʻau lapaʻau he nui ke kōkua i ka hōʻoluʻolu ma mua o ka lilo ʻana o ka paʻakikī i ka mālama ʻana.

ʻO ka lawe lawe ʻana

ʻO PN kahi maʻi ʻili huhū nui e hiki ai ke hoʻopau. ʻAʻole maopopo piha kāna kumu kikoʻī, akā ʻike ʻia e pili ana me nā ʻano ʻē aʻe.

Hiki i nā ʻano lapaʻau he nui, akā lōʻihi paha ka manawa e hoʻokele kūleʻa ai i kāu PN. Maliʻa paha e holo ka hui ʻana o ke kumuhana, nā lāʻau, a me nā mea hoʻoponopono ʻē aʻe iā ʻoe.

ʻO ka nūhou maikaʻi he mau lāʻau hou a me nā mea hoʻoponopono hou i lalo o ka hoʻomohala a me ka hoʻāʻo ʻana. Ke aʻo hou nei nā mea noiʻi e pili ana i ka hana PN, e hoʻomohala ʻia nā mea hoʻomākaukau kūpono hou ʻia.