He aha nā xanthomas, ʻano nui a pehea e mālama ai
Anter
- Nā ʻano nui o xanthoma
- He aha ka xanthelasma?
- Pehea e hōʻoia ai i ke kuhi
- Pehea e hana ai i ka lāʻau
- Hoʻomaʻo no ka gastric xanthoma
Kūlike ʻo Xanthoma i ke ʻano o nā leona liʻiliʻi i ke kōkua kiʻekiʻe ma ka ʻili, i hana ʻia e nā momona e hiki ke ʻike ʻia ma nā ʻāpana o ke kino, akā ma nā ʻāʻī, nā ʻili, nā lima, nā kapuwaʻi, nā ʻūhā a me nā kuli.
ʻO ka helehelena o ka xanthoma ka mea maʻamau i ka poʻe i loaʻa i ke kiʻekiʻe loa kolesterol a i ʻole triglycerides, ʻoiai hiki ke hōʻike ʻia i ka poʻe ʻaʻohe o lākou kololi.
ʻO ke kūʻana o xanthoma kahi hōʻailona he nui aku ka nui o ka holo ʻana o ke kōkōhō, ka mea i hana i nā macrophages, ʻo ia nā hunaola o ka ʻōnaehana pale, e hoʻopuni i nā hunaola momona, hoʻololi ʻia i macrophages hua a waiho ʻia i loko o ka nāʻaʻa. No laila, ʻaʻole ka xanthoma kahi maʻi, akā kahi hōʻailona e pili pū me kahi kīnā i ka metabolism o nā momona a me nā protein e hāpai i ka kolesterol i ke kino.
Nā ʻano nui o xanthoma
ʻO ka hoʻokumu ʻia ʻana o ka xanthoma ka mea maʻamau o ka poʻe i loaʻa ka nohona olakino maikaʻi ʻole, ʻo ia hoʻi, kahi papaʻai momona i nā momona a me nā mea noho, nā mea makemake i ka hōʻiliʻili ʻana o ka kolesterol a me nā triglycerides. Eia nō naʻe, hiki i ka xanthoma ke hana ma ke ʻano he hopena o nā maʻi ʻē aʻe, e like me ka decompensated diabetes, biliary cirrhosis a i ʻole ke kō ʻana o ke ake.
Wahi a ko lākou ʻano a me kahi, hiki ke hoʻokaʻawale ʻia nā xanthomas i:
- ʻO Xanthelasmas: ʻo ia ke ʻano o xanthoma e waiho nei ma ka lihilihi maka, i ke ʻano o nā pā melemele a palupalu hoʻi, maʻa mau i ka poʻe me ka mōʻaukala o ke kolesterol kiʻekiʻe;
- Hoʻopau xanthomas: ke ʻano maʻamau o ka xanthoma a pili pū me ka triglycerides māhuahua, kahi i ʻike ʻia nā puʻupuʻu melemele liʻiliʻi, ka hapanui ma nā ʻūhā, nā wāwae, ka ʻūhā a me nā lima. Hoʻomaikaʻi pinepine lākou ke hoʻonui ʻia nā triglycerides;
- Nā xanthomas tuberous: nā nodule melemele e koho maikaʻi ʻia ma nā kuʻekuʻe a me nā kuʻekuʻe wāwae o ka poʻe me ke kiʻekiʻe o ke kolesterol;
- ʻO Tendon xanthoma: ʻo ia ka waihona i loaʻa i nā kahena, ka hapanui i nā achilles tendon, i ka kuʻekuʻe, a i nā manamana lima, a hana pinepine ia i ka poʻe me ke kolesterol kiʻekiʻe;
- Nā xanthomas pālahalaha: pālahalaha lākou a ʻike pinepine ʻia i nā pale palpate, ke alo, ka pahu a me nā scars.
Aia kekahi ʻano xanthoma, ʻo ia hoʻi ʻo gastric xanthoma, kahi e hoʻokumu ʻia ai nā leona momona i loko o ka ʻōpū a ʻaʻole ia e kumu i nā ʻōuli, e ʻike ʻia i nā endoscopies a i ʻole nā ʻōpū gastric no nā kumu ʻē aʻe. He kakaikahi kēia ʻano xanthoma, a ʻaʻole ʻike maopopo ʻia kāna kumu.
He aha ka xanthelasma?
ʻO Xanthelasma kahi ʻano xanthoma kahi e loaʻa ai nā pā pālahalaha, melemele a me nā leona i nā maka, ʻoi aku ma nā lihilihi, ma ke ʻano like like. ʻAʻole hiki ke loaʻa ka xanthelasma, no ka mea he pane ia o ke kino i ka nui o ka nui o ka sirkulate kolesterol, a ʻoi aku ka pinepine i nā mākua i loaʻa i nā maʻi i ka metabolism o nā momona.
ʻOiai ʻaʻole ia e pilikia, hiki i ka xanthelasma ke hōʻoluʻolu i ke kanaka ma muli o ka ʻike ʻia o nā leona, no laila ke noi nei lākou e lawe i ka xanthelasma, i hana ʻia ma o ke kaha ʻana a i ʻole nā ʻenehana e luku ai i ka xanthelasma, e like me nā waikawa, nā laser a me ka electrocoagulation, laʻana.
Pehea e hōʻoia ai i ke kuhi
ʻO ke kuhi o ka xanthoma kahi maʻi, ʻo ia hoʻi, hana ʻia e kahi dermatologist a i ʻole ka mea hana maʻamau ma o ka loiloi i nā ʻano o xanthomas. I kekahi mau hihia, hōʻike ʻia paha kahi hōʻike koko e nānā i ka nui o ka cholesterol a me nā triglycerides e hele ana.
Pehea e hana ai i ka lāʻau
Inā ʻoi aku ka nui o ke kolamu a i ʻole triglycerides i ʻike ʻia i ke hoʻokolohua koko i ke kanaka me xanthomas, e hōʻike ke kauka i ka lapaʻau e kāohi i kēia mau pae, me nā lāʻau i kapa ʻia ʻo nā lāʻau hypolipidemic, e like me Simvastatin, Atorvastatin, a me nā fibrates, e like me Fenofibrate a i ʻole Bezafibrato, ʻo kahi laʻana. Eia hou, hiki ke hana i nā kaʻina hana no ka hemo ʻana i nā waihona momona, kahi pono e hana ʻia e ka dermatologist, e like me:
- ʻO ke kaha no ka hemo ʻana a me ka pani ʻana me nā humuhumu: ʻo ia ka koho ʻoi aku ka palekana, maikaʻi loa, hiki ke hana ʻia i ka haukapila maʻi, he uku haʻahaʻa kāna a hua ʻia nā hopena maikaʻi loa;
- Cauterization Nine Nine: ʻoi aku ka kūpono no nā leona liʻiliʻi a me ka nui. Hana ʻia ia ma o ka noi ʻana i nā mea caustic e like me ka trichloroacetic acid a i ʻole ka hui ʻana o nā waikawa;
- Lapaʻau kukuna: ma o ke kalapona kalapona kalapona a i ʻole ka kukuna pulsed;
- ʻO Cryosurgery: e hoʻohana ana i ka nitrogen wai a i ʻole ke kalapona kalapona hau;
He mea nui nō hoʻi e mālama ʻia ka mālama ʻana a me ka kaohi ʻana o nā maʻi ʻē aʻe e pili ana i nā loli o ka metabolism a me ka hoʻokumu ʻana i nā xanthomas, e like me ka maʻi kō, ka maʻi ʻaʻai ate, hypothyroidism a i ʻole nā maʻi puʻupaʻa.
Hoʻomaʻo no ka gastric xanthoma
ʻO Gastric xanthoma a i ʻole gastrant xanthelasma he ʻeke melemele o ka kolesterol a i ʻole nā lipids, me nā contour liʻiliʻi ʻole, hiki ke ana iā 1 a 2 mm, aia i loko o ka ʻōpū. No ka mālama ʻana i kēia ʻano xanthoma pono ka loaʻa ʻana o ka endoscopy a me nā hōʻike biopsy, a inā hōʻole ʻia nā hōʻailona o ka maʻi ʻaʻai ʻōpū, he kūlana maʻa mau ia, a e nānā pono ʻia ka hana, ʻo ia hoʻi, pono e nānā pinepine ʻia. ʻike i ka ulu ʻana o ka pilikia.
Eia nō naʻe, inā aia ka makaʻu o ka hoʻokumu ʻana i ka maʻi ʻaʻai a i ʻole nā hōʻailona o ka worsening o ka xanthoma, hiki i ke kauka ke alakaʻi i kona hemo ʻana, kahi hana i hana ʻia ma o endoscopy.