Nā Hōʻailona ʻAʻalā: Nummular Eczema me Ringworm: Pehea e ʻIke Ai i ka ʻokoʻa

nā hōʻailona ʻaʻalā: nummular eczema me ringworm. ʻOiai hiki i kēia mau kūlana ʻelua ke hana i nā ʻāpana ʻili i like me nā moni, ʻokoʻa loa lākou. ʻO kekahi ka maʻi hoʻāʻapaʻa mai loko mai o kou kino, ʻo kekahi ka maʻi fungal i loaʻa mai ke kaiapuni.

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He aha ka Nummular Eczema (Discoid Eczema)?

Ke nīnau nei ʻoe e pili ana i kekahi ʻano eczema kūikawā i ʻike ʻia no kona ʻano kūʻokoʻa. Mai ka huaʻōlelo Lākina ʻo "nummular" ʻo ia hoʻi "moni," e wehewehe pono ana i nā ʻāpana ʻili poʻe a oval paha i hana ʻia ma ka ʻili. Kāhea pinepine ʻia ʻo ia ʻo discoid eczema.

ʻO ka Nummular eczema ka maʻi ʻili mau loa a hoʻāʻapaʻa. ʻO ia hoʻi ʻaʻole ia he mea āu e "hopu ai"—he pane ia mai kou kino ponoʻī, pinepine e pili ana i ka ʻili maloʻo loa a palupalu paha. ʻO kēia mau ʻāpana ʻili i like me nā moni ka mea ʻeha loa a hiki ke ʻā keʻā.

ʻO nā nā hōʻailona maʻamau o ka nummular eczema pū ʻana me puna:

• Nā maʻi ʻili i wehewehe maikaʻi ʻia, i like me nā moni a i ʻole nā oval.
• Ka ʻeha nui (pruritus) hiki ke hoʻopilikia i ka hiamoe.
• Hiki i nā ʻāpana ke hoʻomaka ma ke ʻano he ʻōpū liʻiliʻi e hui pū ana i kahi ʻāpana nui.
• Hiki i ka ʻāʻalā ke pulu (ʻūlū wai maʻemaʻe) a laila hana i ka ʻili, a i ʻole hiki ke maloʻo a ʻiliʻili.

ʻO kekahi o nā mea nui loa e ʻike ai ʻo kona kumu a me kona hiki ke laha. ʻO nā nā kumu nui o ka nummular eczema pinepine e pili ana i nā mea e hoʻonāukiuki ai i ka ʻili, e like me:

• ʻIli maloʻo loa (xerosis)
• Nā ʻeha ʻili e like me nā nahu pepeke, nā ʻoki, a i ʻole nā ʻāwāwā kemikela
• Ka holo ʻana o ke koko maikaʻi ʻole, ʻoi aku hoʻi i nā wāwae haʻahaʻa
• Ka hoʻopili ʻana me nā mea hoʻonāukiuki e like me ka nickel a i ʻole formaldehyde

No laila, ʻaʻole anei e laha ka nummular eczema? ʻAʻole maoli. ʻAʻole hiki iā ʻoe ke hoʻoili i kekahi kanaka ma o ka hoʻopā ʻana a i ʻole kekahi ala ʻē aʻe. He pane hoʻāʻapaʻa ia i loko, ʻaʻole he maʻi. ʻO ka hoʻomaopopo ʻana i ka mea ʻo ka nummular eczema ka ʻanuʻu mua i ka ʻokoʻa ʻana iā ia mai kona ʻano like.

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He Aha ka Ringworm (Tinea Corporis)?

E hele kāua i ka lua o kā mākou mea hoʻopaʻapaʻa. ʻO ka mea mua: e hoʻopau kāua i kahi manaʻo kuhihewa nui. ʻAʻohe mea e pili ana i nā ilo ka Ringworm. ʻAʻohe mea. Mai kona ʻano mai ka inoa—he ʻāʻalā i like me ke apo i manaʻo hewa ʻia i ka wā ma mua ua kumu ʻia e kahi parasite.

No laila, he aha ka ringworm (tinea corporis)? He maʻi fungal maʻamau a maʻalahi hoʻi e laha ana i ka papa luna o kou ʻili puna. ʻO ka ʻāpana "tinea" o kona inoa e pili ana i ka hui o nā fungi (dermatophytes) e kumu ai ka maʻi, a ʻo "corporis" e pili ana i ke kino.

ʻO nā nā hōʻailona maʻamau o ka ringworm e hana i ke ʻano kumu i ʻike ʻia ai:

• He ʻāʻalā poʻe a i ʻole ke apo.
• Maʻa mau ke kihi o ke apo i luna, ʻulaʻula, a ʻiliʻili.
• Maʻa mau ka waena o ke apo i maʻemaʻe a i ʻole ka liʻiliʻi ka hopena, ʻo ia ka mea e hana ai i kēlā ʻano "apo" maʻalahi.
• Maʻa mau ka ʻāʻalā.

ʻO nā nā kumu o ka ringworm maʻalahi: ka hoʻopili pololei ʻana me ka fungus. Hiki iā ʻoe ke loaʻa ma kekahi mau ʻano:

• Mai kanaka a kanaka: Ka hoʻopā ʻana mai ka ʻili a ka ʻili me ke kanaka i loaʻa maʻi.
• Mai holoholona a kanaka: Ka hoʻopā ʻana i ka holoholona i loaʻa maʻi, e like me ka pōpoki a i ʻole ka ʻīlio.
• Mai mea a kanaka: Ka hoʻopā ʻana me nā mea i loaʻa maʻi e like me nā kāwele, nā moena, nā palaki, a i ʻole nā lako hale haʻuki.

Eia kahi nīnau koʻikoʻi: maʻalahi anei ka laha ʻana o ka ringworm? ʻAe, maʻalahi loa ia e laha. ʻO ia kekahi o nā ʻokoʻa nui loa i ka hoʻohālikelike ʻana o nummular eczema me ringworm.

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He Aha ka ʻokoʻa ma waena o ka Ringworm a me nā ʻĀpana Eczema?

I ka nānā mua ʻana, he ʻāpana ʻili poʻe, ʻeha hoʻi, he ʻāpana ʻili poʻe, ʻeha hoʻi. Akā inā ʻike ʻoe i ka mea e nānā ai, hiki iā ʻoe ke ʻike i nā ʻokoʻa liʻiliʻi akā koʻikoʻi. ʻO ka pane ʻana i ka nīnau o "pehea e ʻike ai i ka ʻokoʻa ma waena o ka eczema a me ka ringworm" e koi ana i ka nānā kikoʻī ʻana i ke kumu, ka helehelena, a me ke ʻano o ka ʻāʻalā.

E hoʻokomo kāua iā lāua ma ka ʻaoʻao.

Hiʻona	Nummular Eczema (Discoid Eczema)	Ringworm (Tinea Corporis)
Kumu kumu	Pane hoʻāʻapaʻa i loko (pinepine e pili ana i ka ʻili maloʻo)	Maʻi fungal o waho
ʻIke	He ʻāpana paʻa, poʻe moni, i hoʻāʻapaʻa like. Hiki ke pulu a ʻiliʻili.	He ʻāʻalā poʻe me ke kihi i luna a ʻiliʻili a me ke kikowaena maʻemaʻe. Maʻa mau ka maloʻo.
Ka ʻeha	Maʻa mau ka ikaika, hiki ke komo pū me ke ʻā.	Maʻa mau ka ʻeha, akā liʻiliʻi ka manaʻo e ʻā.
Laha	ʻAʻole hiki ke laha	Maʻalahi loa e laha
Wahi	Maʻa mau nā ʻāpana he nui, maʻa mau ma nā lima a me nā wāwae.	Hiki ke hoʻokahi ʻāpana a i ʻole ʻelua, e puka ana ma nā wahi āpau o ke kino.
Lapaʻau	Nā mea hoʻomaloʻo, nā steroid topical, ka hoʻokele ʻana i nā mea hoʻonāukiuki.	Nā lāʻau antifungal topical a waha paha.

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[Kiʻi o Nummular Eczema ma kahi ʻē aʻe o ke Kiʻi o Ringworm, i kaha maʻalahi ʻia, e hōʻike ana i ka ʻokoʻa o ka uniformity o ka ʻāpana me ka ʻaoʻao e maʻemaʻe ana.]

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E komo hohonu kāua i kēia mau ʻokoʻa nui.

1. Ke Kumu Kumu: Ka Hoʻāʻapaʻa ʻana me ka Maʻi

ʻO kēia ka ʻokoʻa nui loa.

• Nummular Eczema ka ʻōnaehana pale o kou kino e pane nui ana i kahi mea hoʻonāukiuki e like me ka ʻili maloʻo a i ʻole ka mea hoʻonāukiuki. He pilikia ia mai loko mai o waho.
• Ringworm he pilikia mai waho a loko. Ua lele kahi fungus i kou ʻili a hoʻomaka e hoʻonui.

2. Ke ʻIke a me ke Kaha o ka ʻĀʻalā

Ma ʻaneʻi ʻoe e pāʻani ai i ka mākaʻi. ʻO ka hiʻohiʻona o ka eczema i like me ka ringworm hiki ke paʻakikī, akā aia nā hōʻailona.

• Ringworm: E nānā i ke apo maʻamau. Ua piʻi anei ke kihi a ʻiliʻili ʻoiai ke ʻano o ka waena e like me ka hoʻōla a i ʻole ka hoʻomaʻemaʻe? He hōʻailona ikaika ia o ka ringworm. Maʻa mau ka ʻāpana i ka maloʻo.
• Nummular Eczema: Maʻa mau ka ʻāpana i kahi pōʻai paʻa, piha i ka hoʻāʻapaʻa. ʻAʻohe hoʻomaʻemaʻe i waena. I kona wā mua, hiki ke ʻōpala a pulu paha (ʻūlū wai maʻemaʻe), a laila hana i kahi ʻili melemele meli. ʻO kēia ʻūlū kahi hōʻailona kumu ʻaʻole ʻoe e ʻike maʻa mau me ka ringworm.

3. Laha

He ʻokoʻa ʻeleʻele a keʻokeʻo kēia i loko o ka hoʻopaʻapaʻa ʻana o discoid eczema me ringworm.

• Nummular Eczema: ʻAʻole hiki iā ʻoe ke hāʻawi aku i kekahi. Pau.
• Ringworm: Hiki iā ʻoe ke laha maʻalahi iā ʻoe iho, i nā ʻāpana ʻē aʻe o kou kino ponoʻī, a ua hopu paha ʻoe ia mai ke kanaka, holoholona, a i ʻole ka ʻili.

4. Wahi a me Ka Helu o nā ʻĀpana

ʻOiai ʻaʻole ia he lula paʻa, hiki i ke kumu ke hāʻawi i nā hōʻailona.

• Maʻa mau ka Nummular Eczema i nā ʻāpana poʻe moni he nui, maʻa mau ma nā wāwae haʻahaʻa, nā lima mua, a me nā kua o nā lima.
• Hiki ke hoʻomaka ka Ringworm ma ke ʻano he hoʻokahi ʻāpana a hiki ke puka ma nā wahi āpau—kahi lima, wāwae, kino, a i ʻole ka maka paha.

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Loaʻa ka Hōʻailona Pololei: He Aha ka Manaʻo ʻia ma ke Keʻena Kauka

ʻOiai me kēia ʻike āpau, pilikia ka hoʻopaʻa ʻana iā ʻoe iho. ʻO ka ʻike like ʻana o kēia mau kūlana ʻelua ke kiʻekiʻe loa a pono ʻoe i nā kauka i kekahi manawa i ka hoʻāʻo e maopopo. ʻO ka hōʻailona ʻoihana ka wale nō ke ala e hōʻoiaʻiʻo ai ʻoe e loaʻa ka lapaʻau kūpono.

Ke ʻike ʻoe i ke kauka a i ʻole ka dermatologist e pili ana i pehea e ʻike ai i ka ʻokoʻa ma waena o ka eczema a me ka ringworm, ʻo kēia kāu e manaʻo ai:

1. Nānā Maka: E nānā kikoʻī ke kauka i ka ʻāʻalā, e ʻimi ana i nā hōʻailona kumu i kūkākūkā ʻia e mākou, e like me ke kikowaena e maʻemaʻe ana a i ʻole nā hōʻailona o ka ʻūlū. E nīnau pū ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, kāu moʻolelo pilikino a me ka ʻohana o ka eczema a i ʻole nā allergies, a me nā mea i hiki ke loaʻa i ka fungus (e laʻa, nā holoholona hou, ka hoʻohana ʻana i ka hale haʻuki).

2. Ka Hoʻomaʻemaʻe ʻana i ka ʻIli (KOH Test): ʻO kēia ka hoʻāʻo hope loa no ka ringworm a maʻalahi a ʻaʻohe ʻeha. E hoʻohana ke kauka i ke kihi o ka papa microscope a i ʻole ka scalpel e ʻoki mālie i kekahi mau ʻili ʻili mai ka wahi i loaʻa ai ka maʻi, ʻoi aku hoʻi ke kihi hoʻoikaika a ʻiliʻili. A laila hoʻokomo ʻia kēia mau ʻili i loko o kahi hopena potassium hydroxide (KOH) a nānā ʻia ma lalo o kahi microscope. Hoʻoheheʻe ka hopena KOH i nā huna ʻili kanaka, waiho wale ka fungus i hope, maʻalahi ke ʻike puna.

3. ʻIʻimi ʻIli: I nā hihia kakaʻikahi a paʻakikī paha kahi e maopopo ʻole ai ka hōʻailona, ​​hiki i ke kauka ke hana i kahi ʻiʻimi ʻili, kahi e komo ai ka hoʻomoe ʻana i ka wahi a lawe ʻana i kahi huna ʻili liʻiliʻi no ka loiloi ma ka hale hana.

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No ke Aha ka Lapaʻau Pololei: Eczema me Ringworm Therapies

Eia kahi e hoʻomaka ai nā huila e hele. ʻO ka loaʻa ʻana o ka hōʻailona pololei ka mea nui loa no ka mea ʻo nā lapaʻau no kēia mau kūlana ʻelua ke kūʻē loa.

HOʻOMAKAI KOʻIKOʻI: ʻO ka hoʻohana ʻana i ka lapaʻau hewa ke hoʻonui loa i kou ʻāʻalā. ʻO ka hoʻohana ʻana i kahi kalipupū steroid topical (he lapaʻau maʻamau no ka nummular eczema) i kahi maʻi ringworm he hewa nui. Hoʻopau ka steroid i ka pane immune kūloko o kou ʻili, ʻo ia ka mea e ʻae ai i ka fungus e ulu me ka palena ʻole. Hiki i kēia ke hoʻolaha i ka ʻāʻalā, lilo i mea hoʻāʻapaʻa, a hoʻololi i kona helehelena, he kūlana i kapa ʻia ʻo "tinea incognito" puna.

Lapaʻau ʻana i ka Nummular Eczema

ʻO ka pahuhopu o lapaʻau no ka nummular eczema ʻo ia ka hoʻokele ʻana i kahi maʻi mau loa ma ka hoʻomaloʻo ʻana i ka ʻili, ka hoʻemi ʻana i ka hoʻāʻapaʻa, a me ka pale ʻana i nā hopena.

• Ka Hoʻomaloʻo ʻana ke Kī: E ʻauʻau pōkole, mehana, e hoʻohana i nā mea hoʻomaʻemaʻe maʻalahi, ʻaʻohe ʻala, a e hoʻopili i kahi mea hoʻomaloʻo mānoanoa, kiʻekiʻe a i ʻole ka petroleum jelly i ka ʻili pulu ma hope koke o ka ʻauʻau.
• Nā Lāʻau Topical: E kauoha paha kāu kauka i kahi corticosteroid topical e hoʻemi i ka hoʻāʻapaʻa a me ka ʻeha. No ka ʻeha nui, hiki iā lākou ke kuhikuhi i nā antihistamines waha. Inā e pulu nui nā ʻāpana a hōʻike paha i nā hōʻailona o ka maʻi bacteria (he mea hiki ke hana me ka eczema), hiki ke pono ka antibiotic.
• Ka Hōʻalo ʻana i nā Mea Hoʻonāukiuki: He mea nui ka ʻike a me ka hōʻalo ʻana i kāu nā kumu o ka nummular eczema no ka hoʻokele wā lōʻihi. Hiki i kēia ke ʻo ia hoʻi ka ʻaʻahu ʻana i nā lole palupalu, ka hoʻohana ʻana i ka humidifier i ka wā maloʻo, a me ka hoʻokele ʻana i ke koʻikoʻi.

Lapaʻau ʻana i ka Ringworm

ʻO ka pahuhopu o lapaʻau no ka ringworm ʻo ia ka hoʻopau loa ʻana i kahi maʻi.

• Nā Lāʻau Antifungal: ʻO ka lapaʻau nui loa he kalipupū, lotion, a i ʻole pauka antifungal. He maʻalahi nā koho maʻamau e like me clotrimazole a i ʻole miconazole. No nā maʻi koʻikoʻi a nui paha, hiki i kāu kauka ke kauoha i kahi topical ikaika a i ʻole lāʻau antifungal waha.
• Ka Maʻemaʻe Mau: E mālama maʻemaʻe a maloʻo ka ʻili i loaʻa ai ka maʻi. E hōʻalo i ka kaʻana like ʻana i nā mea pilikino e like me nā kāwele, nā lole, a i ʻole nā ʻili. E holoi i kou mau moena a me nā lole i ka wai wela e pepehi i nā spores fungal.
• Hoʻopau i ka Papa Piha: He mea nui ka hoʻomau ʻana i ka hoʻohana ʻana i ka lāʻau antifungal no ka lōʻihi holoʻokoʻa i kauoha ʻia e kāu kauka—ʻoiai inā hoʻomaka ka ʻāʻalā e nānā maikaʻi. ʻO ka hoʻōki mua ʻana hiki ke ʻae i ka maʻi e hoʻi mai.

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Hopena

No laila, i ka hihia paʻakikī o nummular eczema me ringworm, ʻo kāu mea e lawe ai ʻo ia:

• Kumu: ʻO ka eczema he pane hoʻāʻapaʻa loko. ʻO ka Ringworm he maʻi fungal waho.
• ʻIke: ʻO ka eczema maʻa mau he ʻāpana paʻa, pulu, a ʻiliʻili paha. ʻO ka Ringworm he apo ʻiliʻili me ke kikowaena e maʻemaʻe ana.
• Lapaʻau: Lapaʻau ʻia ka Eczema me nā mea hoʻomaloʻo a me nā steroid. Lapaʻau ʻia ka Ringworm me nā antifungal.

Hiki i kēia mau ʻāʻalā ke hoʻopunipuni nui. ʻOiai hiki i nā kikoʻī ma ʻaneʻi ke kōkua iā ʻoe e hoʻomaopopo i ka puʻupuʻu ʻana o discoid eczema me ringworm, ʻaʻole lākou he pani no ka ʻōlelo aʻo olakino ʻoihana.

Inā he ʻāʻalā poʻe, ʻeha, ʻē aʻe kou, ʻo ka ʻanuʻu nui loa āu e hana ai, ʻo ia ka ʻike ʻana i ke kauka a i ʻole ka dermatologist i hōʻoia ʻia. ʻO ka hōʻailona pololei kou ala wikiwiki a palekana loa i ka ʻili maʻemaʻe, olakino. Mai kuhihewa—e nānā ʻia.