Ke Hidradenitis Assurativa i ka helehelena

Anter

• Nā Kumu
• Lapaʻau
• Nā huahana e hōʻalo ai
• Outlook

ʻO Hidradenitis suppurativa (HS) kahi maʻi e pehu ai nā puʻupuʻu ʻeha e hana ma ka ʻili. ʻO ka hapanui o nā manawa, ʻike ʻia kēia mau puʻupuʻu ma kahi o nā follicle o ka lauoho a me nā gland sweat, ʻo ia hoʻi ma nā wahi e ʻānai ai ka ʻili i ka ʻili, e like me ma lalo o kou ʻāpana lima a i ʻole nā ​​ʻūhā o loko.

No kahi poʻe liʻiliʻi me HS, ʻike ʻia nā puʻupuʻu ma ka maka. Hiki i ka HS ma kou alo ke hoʻopili i kou helehelena, keu hoʻi inā he nui kāu mau puʻupuʻu a nui paha lākou.

Pehu paha a ʻeha hoʻi nā puʻupuʻu ke kūkulu ka pā i loko o lākou. Inā ʻaʻole ʻoe e loaʻa i ka lāʻau no nā puʻupuʻu, hiki iā lākou ke paʻakikī a hana i nā kaha mānoanoa a me nā tunnels ma lalo o kou ʻili.

Like me HS ka huehue, a hui pū nā ʻano ʻelua. Hoʻomaka lāua ʻelua mai ka lī i nā follicle o ka lauoho. ʻO kekahi ala e haʻi ai i ka ʻokoʻa ʻo HS ke ʻano o nā scars like kaula ma ka ʻili, ʻoiai ʻaʻole ka huehue.

Nā Kumu

ʻAʻole maopopo ka poʻe kauka i ke kumu o ka HS. Hoʻomaka ia i kou lauoho lauoho, ʻo ia nā ʻeke liʻiliʻi ma lalo o ka ʻili kahi e ulu ai ka lauoho.

Hoʻopili ʻia nā follicle, a i kekahi manawa kokoke i nā glandes hou. Kūkulu ka ʻaila a me nā koʻohune i loko, e hoʻoulu ana a i kekahi manawa ka wai kulu e ʻala maikaʻi ʻole.

Hiki paha i nā Hormones ke hana i HS ma muli o ka ulu pinepine ʻana ma hope o ka ʻōpio. Pili pū kekahi ʻōnaehana pale pale overactive.

E loaʻa paha kekahi mau kumu iā ʻoe e HS a e hoʻomāinoino paha i ka maʻi, e like me:

• puhipaka
• nā genes
• ke kaumaha nui
• lawe i ka lāʻau lithium, kahi e mālama ai i ka maʻi bipolar

ʻO ka poʻe me ka maʻi o Crohn a me ka polycystic ovarian syndrome e loaʻa paha iā HS ma mua o ka poʻe i loaʻa ʻole kēia mau ʻano.

ʻAʻohe o HS mea e hana ai me ka hoʻomaʻemaʻe. Hiki iā ʻoe ke loaʻa kahi hoʻomaʻemaʻe pilikino maikaʻi loa a hoʻomohala mau ia. ʻAʻole hoʻolaha ʻo HS mai kekahi kanaka i kekahi kanaka.

Lapaʻau

E hoʻokumu ana kāu kauka i kāu hana HS ma ka paʻakikī o kāu breakouts, a ma hea i kou kino e loaʻa ai iā lākou. Ke hana nei kekahi mau lapaʻau i kou kino holoʻokoʻa, ʻoiai e nānā ana kekahi i ka hoʻomaʻemaʻe ʻana i kou alo.

Inā ʻaʻohe ou dermatologist, hiki i ka mea hana Healthline FindCare ke kōkua iā ʻoe e loaʻa i kahi kauka i kou wahi.

Lawa paha kahi lāʻau huehue over-the-counter a holoi paha e hoʻomaʻemaʻe HS akahai i kou helehelena. Ke hoʻohana nei i kahi holoi antiseptic e like me 4 pakeneka chlorhexidine gluconate i kēlā me kēia lā hiki ke kōkua i ka hoʻokuʻu i nā puʻupuʻu.

No nā puʻupuʻu kaʻawale, kau i kahi kapa holoi mahana ma luna o lākou a paʻa ma kahi o 10 mau minuke i ka manawa. A i ʻole, hiki iā ʻoe ke pulu i kahi teabag i loko o ka wai e hoʻolapalapa ana no ʻelima mau minuke, hemo iā ia mai ka wai, a i hoʻokahi manawa ʻoluʻolu ke hoʻopā, kau i nā puʻupuʻu no nā manawa he 10 mau minuke.

No nā pālahalaha ākea ākea a koʻikoʻi paha, hiki i kāu kauka ke koi aku i kekahi o kēia mau lāʻau:

• Nā Antibiotics. Pepehi kēia mau lāʻau i ka maʻi bacteria i kou ʻili ke kumu o ka pehu a me nā maʻi. Hiki i nā Antibiotics ke kāohi i nā breakouts i loaʻa iā ʻoe mai ka maikaʻi ʻole, a pale i nā mea hou mai ka hoʻomaka ʻana.
• Nā NSAID. Hiki i nā huahana e like me ibuprofen (Advil, Motrin) a me aspirin ke kōkua me ka ʻeha a me ka pehu ʻana o HS.
• Nā lāʻau Corticosteroid. E hoʻohaʻahaʻa i nā huaale Steroid i ka pehu a pale i nā puʻupuʻu hou mai ka hana ʻana. Eia nō naʻe, hiki iā lākou ke hana i nā hopena ʻoluʻolu ʻole e like me ka loaʻa ʻana o ke kaupaona, nā iwi nāwaliwali, a me nā ʻano o ke ʻano.

I kekahi mau hihia, hiki i kāu kauka ke koi aku i ka hoʻohana ʻana i nā lāʻau lapaʻau off-label no HS. ʻO ka hoʻohana ʻana i ka lāʻau lapaʻau i hōʻailona ʻia ʻo kahi lāʻau i ʻae ʻia e ka Food and Drug Administration (FDA) no hoʻokahi kumu e hoʻohana ʻia no kahi kumu ʻē aʻe i ʻae ʻole ʻia.

Hiki i nā mālama laikini lepili no HS ke hoʻopili pū:

• Retinoid. ʻO Isotretinoin (Absorica, Claravis, a me nā mea ʻē aʻe) a me ka acitretin (Soriatane) he lāʻau ikaika loa ka huaola A. Mālama lākou i ka huehue a hiki ke kōkua inā loaʻa iā ʻoe nā kūlana ʻelua. ʻAʻole hiki iā ʻoe ke lawe i kēia mau lāʻau inā hāpai ʻoe no ka mea hoʻonui lākou i ka makaʻu o ka hānau hānau.
• Metformin. Mālama kēia lāʻau diabetes i ka poʻe i loaʻa iā HS a me kahi hui o nā mea pōpilikia i kapa ʻia ʻo metabolic syndrome.
• Hoʻoikaika Hormone. Hoʻonohonoho paha nā pae hormonone i ka laha ʻana o ka maʻi HS. Hiki ke kōkua i ka lawe ʻana i nā huaale mālama hānau a i ʻole ka lāʻau kaomi koko spironolactone (Aldactone) i ka mālama ʻana i kāu pae hormonone e kāohi ai i nā laha.
• Methotrexate. Kōkua kēia lāʻau ʻōpala i ka hoʻoponopono ʻana i ka ʻōnaehana pale. Kōkua paha ia no nā hihia koʻikoʻi o HS.
• ʻO Biologics. ʻO Adalimumab (Humira) a me infliximab (Remicade) e hōʻoluʻolu i ka pane pale immune overactive i hāʻawi i nā hōʻailona HS. Loaʻa ʻoe i kēia mau lāʻau i ke kaila. Ma muli o ka biologics he lāʻau ikaika, e loaʻa wale nō iā ʻoe inā koʻikoʻi kou HS a ʻaʻole i hoʻomaikaʻi me nā ʻano lāʻau ʻē aʻe.

Inā nui kou ulu ʻana, hiki i kāu kauka ke hoʻopili iā ia me nā corticosteroids e hoʻohaʻahaʻa i ka pehu a hoʻēmi i ka ʻeha.

Hoʻohana nā kauka i kekahi manawa i ka radiation radiation e mālama iā HS nui o ka maka a me nā wahi ʻē aʻe o ke kino. ʻO ke kukuna ke koho inā ʻaʻole i holo nā hana ʻē aʻe.

Pono paha nā breakouts koʻikoʻi loa i kahi kaʻina hana. Hiki i kāu kauka ke hoʻokahe i nā puʻupuʻu nui, a hoʻohana i kahi laser e hoʻomaʻemaʻe iā lākou.

Nā huahana e hōʻalo ai

ʻO kekahi mau meaʻai a me nā huahana ʻē aʻe e hōʻino paha i kāu HS hōʻailona. E noi i kāu kauka inā pono ʻoe e noʻonoʻo e ʻoki i kēia mau mea mai kāu hana maʻamau o kēlā me kēia lā.

• Paka paka. Hoʻohui ʻia i nā hopena weliweli ʻē aʻe i kou olakino, puhaka ka puhi ʻana a hoʻomāhuahua i ka haki HS.
• Nā pahi kaua. Hiki ke hoʻonāukiuki i ka ʻumiʻumi i ka ʻili ma nā wahi i loaʻa iā ʻoe nā puʻupuʻu HS. E noi i kāu dermatologist pehea e wehe ai i ka lauoho helehelena me ka ʻole o ka hoʻonui ʻana i nā breakouts.
• Nā huahana waiū. ʻO ka waiū, ka tī, ka ʻaikalima, a me nā meaʻai waiū ʻē aʻe e hoʻāla i nā kiʻekiʻe o ka hormone insulin i kou kino. Ke kiʻekiʻe nā pae o ka insulin, hana ʻoe i nā mea pili i ka wahine e hoʻonui i ka HS.
• ʻO ka hū a Brewer. Kōkua kēia mea ola, hana pono i ka pīpī pia a hana i ka palaoa a me nā mea bakena ʻē aʻe. I hoʻokahi, ʻoki ʻana i kēia mau meaʻai i hoʻomaikaʻi i nā ʻili o ka ʻili ma HS.
• Nā mea ʻono. ʻO ka ʻoki ʻana i nā kumuwaiwai o ke kō i hoʻohui ʻia, e like me ke kanakē a me nā kuki, hiki ke hoʻohaʻahaʻa i kāu pae o ka insulin e lawa pono e hoʻomaikaʻi ai i nā hōʻailona HS.

Outlook

He kūlana mau ʻo HS. Hiki iā ʻoe ke hoʻomau i nā breakouts i kou ola. ʻOiai ʻaʻohe mea ola, e hoʻomaka ana i kahi lāʻau i ka wā hiki iā ʻoe ke kōkua iā ʻoe e mālama i kāu mau ʻōuli.

He mea nui ka mālama ʻana iā HS. Me ka ʻole o ka lapaʻau ʻana, hiki i ke ʻano ke hoʻopili i kou helehelena, keu hoʻi i kou alo. Inā kaumaha ʻoe ma muli o ke ʻano o HS e nānā ai a haha ​​aku ai paha, e kamaʻilio me kāu dermatologist a ʻimi i ke kōkua mai kahi ʻoihana olakino noʻonoʻo.