ʻO ka lupus a me ka rosacea he mau pilikia ʻili ʻelua like ʻole e hoʻohui pinepine ʻia ma muli o nā hōʻailona like. Aia kēia alakaʻi e wehewehe i ka ʻokoʻa o lāua a me ke kumu e pono ai ka ʻike pololei.
ʻO ka lupus kahi maʻi autoimmune lōʻihi e hiki ke hoʻoulu i nā hōʻailona he nui, e like me ka ʻili ʻili maopopo, ka luhi, a me ka ʻeha o nā hono. Hiki ke hoʻopilikia i nā ʻōnaehana he nui, e lilo ai i maʻi paʻakikī. Ma ke ʻano ʻē, ʻo ka rosacea kahi pilikia ʻili maʻamau e hōʻike pinepine ʻia ma ke ʻano he ʻulaʻula, nā kīʻaha koko i ʻike ʻia, a i kekahi manawa nā ʻōpuʻu like me nā ʻōpū ma ka maka.
He mea maʻamau nā kūlana ʻelua, me ka lupus e hoʻopilikia ana i kahi 1.5 miliona mau ʻAmelika a me ka rosacea e hoʻopilikia ana i kahi 16 miliona mau kānaka ma ʻAmelika Hui Pū ʻIa. ʻO ka hoʻomaopopo ʻana i nā hōʻailona o kēlā me kēia kūlana ka mea nui no ka hoʻokele a me ka mālama pono.
No ka laʻana, ʻike pinepine ʻia ka ʻili lupus e like me kahi ʻano pepeke ma nā papalina a me ka ihu, ʻoiai ʻike pinepine ʻia ka rosacea ma ke ʻano he ʻulaʻula a puni nā papalina, ka ihu, a me ka lae. ʻO ka ʻike ʻana i kēia mau ʻokoʻa e kōkua i nā kānaka e loaʻa koke i ka ʻōlelo aʻo lapaʻau kūpono a pale aku i nā pilikia hou aku. Ma ke ʻano holoʻokoʻa, ʻo ka hoʻokaʻawale ʻana i ka lupus a me ka rosacea e kōkua i ka hoʻonui ʻana i ka ʻike a alakaʻi i nā hopena olakino maikaʻi.
ʻO ka ʻili lupus kahi hōʻike ʻili maʻamau o ka systemic lupus erythematosus (SLE), kahi kūlana autoimmune kahi e hoʻouka ai ka ʻōnaehana pale i nā pūnaewele olakino, me ka ʻili. ʻO ka ʻike ʻana i nā ʻano a me nā mea hoʻoulu i ka ʻili lupus he mea nui no ka hoʻokele pono.
Nā ʻAno o ka ʻIli Lupus
ʻIli Pepeke (ʻIli Malar): He ʻili ʻulaʻula a poni paha ma nā papalina a me ka ihu.
ʻIli Discoid: nā ʻāpana kiʻekiʻe, scaly e hiki ke hoʻoulu i ka ʻeha, pinepine ma ke poʻo, ka maka, a i ʻole ka ʻāʻī.
ʻIli Photosensitivity: He ʻili i hoʻoulu ʻia e ka ʻike o ka lā, e ʻike ʻia ana ma ke ʻano he mau ʻāpana ʻulaʻula ma nā wahi i ʻike ʻia e ka lā e like me nā lima, ka umauma, a me ka maka.
2. Nā Mea Hoʻoulu
Ka Lā (ʻIke UV): ʻO ka mea hoʻoulu nui, pinepine e hoʻoulu ai i nā flare-ups i nā kānaka i maʻalahi i ka lā.
Ke Kaumaha: Hiki i ke kaumaha manaʻo a kino ke hoʻonui i nā hōʻailona lupus, me nā ʻili ʻili.
Nā Lāʻau Lapaʻau: Hiki i kekahi mau lāʻau ke hoʻoulu i nā hōʻailona like me ka lupus, me ka ʻili.
3. Nā Hōʻailona
ʻO ka ʻili ʻulaʻula, inflamed e hiki ke ʻūhā a ʻeha paha.
Hiki i nā flare-ups ke hui pū me nā hōʻailona lupus ʻē aʻe, e like me ka ʻeha o nā hono a i ʻole ka luhi.
4. Ka Mālama a me ka Hoʻokele
Nā ʻOili Topical: Hoʻemi nā ʻoili steroid a i ʻole non-steroid i ka mumū.
Ka Pale Lā: ʻO ka hoʻohana ʻana i ka sunscreen a me nā lole pale e hoʻemi i ka photosensitivity.
Nā Lāʻau Lapaʻau: Kūleʻa nā antimalarials e like me ka hydroxychloroquine i ka hoʻokele ʻana i nā hōʻailona ʻili a me nā ʻōnaehana.
ʻO ka rosacea kahi kūlana ʻili maʻi lōʻihi e hoʻopili nui ana i ka maka, e alakaʻi ana i ka ʻulaʻula, nā kīʻaha koko i ʻike ʻia, a ma kekahi mau hihia, nā ʻōpuʻu like me ka acne. ʻOiai ʻaʻole maopopo kona kumu pololei, hiki i ka rosacea ke hoʻopilikia nui i ke ola o ke kanaka inā waiho ʻia me ka mālama ʻole.
1. Nā ʻAno o ka Rosacea
Erythematotelangiectatic Rosacea (ETR): ʻike ʻia e ka ʻulaʻula mau a me nā kīʻaha koko i ʻike ʻia.
Papulopustular Rosacea: Loaʻa ka ʻulaʻula me nā ʻōpuʻu like me ka acne a i ʻole nā pustules.
Phymatous Rosacea: ʻO kēia le alakaʻi i ka ʻili mānoanoa, pinepine ma ka ihu (rhinophyma).
Ocular Rosacea: hoʻopilikia i nā maka, e hoʻoulu ana i ka ʻulaʻula, ka maloʻo, a me ka huhū.
2. Nā Hōʻailona
ʻUlaʻula maka, ʻoi aku ma nā papalina, ka ihu, ka lae, a me ka ihu.
Nā kīʻaha koko i ʻike ʻia (telangiectasia).
Nā ʻōpuʻu like me ka acne a i ʻole nā pustules.
Nā manaʻo puhi a ʻāʻā paha ma ka ʻili.
Nā maka maloʻo a huhū paha (ma ka ocular rosacea).
3. Nā Mea Hoʻoulu
Wela, lā, a i ʻole ke anuanu.
Nā meaʻai ʻawaʻawa, ka waiʻona, a i ʻole nā mea inu wela.
Ke kaumaha a i ʻole ka hana kino ikaika.
Nā huahana mālama ʻili a i ʻole nā lāʻau lapaʻau.
4. Ka Mālama a me ka Hoʻokele
Nā Mālama Topical: Nā ʻoili a i ʻole nā gels kauoha e hoʻemi i ka ʻulaʻula a me ka mumū.
Nā Lāʻau Lapaʻau Oral: nā lāʻau antibiotic a i ʻole isotretinoin no nā hihia koʻikoʻi.
Nā Hoʻololi ʻAno Ola: Pale ʻana i nā mea hoʻoulu i ʻike ʻia, me ka hoʻohana ʻana i nā huahana mālama ʻili mālie, a me ka hoʻohana ʻana i ka sunscreen.
Hiʻona | ʻIli Lupus | Rosacea |
---|---|---|
Kumu | Kahi kūlana autoimmune kahi e hoʻouka ai ka ʻōnaehana pale i nā pūnaewele olakino. | Kūlana ʻili mumū lōʻihi; ʻaʻole maopopo ke kumu pololei akā hiki ke komo pū me nā kumu vascular a me nā mea pale. |
ʻAno | He ʻili ʻulaʻula, ʻano pepeke ma nā papalina a me ka ihu; nā ʻāpana discoid a scaly paha. | ʻUlaʻula mau maka, nā kīʻaha koko i ʻike ʻia, a me nā ʻōpuʻu like me ka acne. |
Nā Mea Hoʻoulu | Ka lā (ʻike UV), ke kaumaha, a me kekahi mau lāʻau lapaʻau. | Wela, lā, anuanu, nā meaʻai ʻawaʻawa, ka waiʻona, ke kaumaha, a me nā huahana mālama ʻili. |
Nā Wahi i Hoʻopilikia ʻia | ʻOi aku nā papalina a me ka ihu; hiki ke hoʻolōʻihi i ke poʻo, ka ʻāʻī, a i ʻole ka umauma. | Maka (papalina, ihu, lae, a me ka ihu); i kekahi manawa hoʻopilikia i nā maka (ocular rosacea). |
Nā Hōʻailona | ʻIli ʻulaʻula, inflamed, ʻūhā, a i ʻole ʻeha; hiki ke hui pū me ka ʻeha o nā hono a i ʻole ka luhi. | Nā manaʻo puhi a ʻāʻā paha; maloʻo a huhū paha; ma ka ocular rosacea, nā maka ʻulaʻula, maloʻo, a huhū. |
ʻIke | Nā hoʻokolohua koko (ANA), biopsy, a me ka loiloi lapaʻau. | ʻO ka ʻike lapaʻau ma muli o ka ʻano a me nā mea hoʻoulu; ʻaʻohe hoʻokolohua labo kūikawā. |
Mālama | Sunscreen, nā ʻoili steroid, antimalarials (e.g., hydroxychloroquine). | Nā mālama topical, nā lāʻau lapaʻau oral, isotretinoin, a me nā hoʻololi ʻano ola. |
Prognosis | Lōʻihi, akā hiki ke hoʻokele ʻia me ka mālama pono a me nā lāʻau lapaʻau. | Lōʻihi; hiki ke kaohi ʻia nā hōʻailona akā ʻaʻole hoʻōla ʻia. |
ʻO ka ʻili lupus a me ka rosacea he mau kūlana ʻili ʻokoʻa e kaʻana like ana i ka ʻulaʻula maka ma ke ʻano he hiʻona maʻamau akā ʻokoʻa i kā lākou mau kumu, nā mea hoʻoulu, a me nā hōʻailona. ʻO ka ʻili lupus, kahi kūlana pili i ka autoimmune, pinepine e ʻike ʻia ma ke ʻano he ʻili ʻulaʻula ʻano pepeke ma nā papalina a me ka ihu a i ʻole nā ʻāpana discoid scaly. Hoʻoulu ʻia e ka lā, ke kaumaha, a i ʻole kekahi mau lāʻau lapaʻau a hiki ke hui pū me nā hōʻailona systemic e like me ka luhi a i ʻole ka ʻeha o nā hono.
ʻO ka rosacea, kahi kūlana ʻili mumū lōʻihi, ʻike ʻia e ka ʻulaʻula mau, nā kīʻaha koko i ʻike ʻia, a me nā ʻōpuʻu like me ka acne, ʻoi aku ma ka maka. Hoʻoulu pinepine ʻia e ka wela, nā meaʻai ʻawaʻawa, ka waiʻona, a me ke kaumaha. ʻAʻole like me ka lupus, hiki i ka rosacea ke komo pū me nā hōʻailona maka ma ka ocular rosacea.
ʻOkoʻa ka ʻike a me ka mālama ʻana no nā kūlana ʻelua. Pono ka ʻili lupus i nā hoʻokolohua koko a me nā lāʻau lapaʻau e like me nā antimalarials, ʻoiai ke kaulike nei ka hoʻokele rosacea i nā mālama topical, nā lāʻau lapaʻau oral, a me nā hoʻololi ʻano ola. Loaʻa i nā kūlana ʻelua ka pono mai ka pale lā a me ka mālama lapaʻau no ka kaohi pono ʻana i nā hōʻailona. He mea nui ka ʻike pololei e kahi limahana olakino no ka mālama kikoʻī a me ka hoʻomaikaʻi ʻana i ke ola.
Hōʻole: He kahua ʻike olakino ʻo ʻAukake a ʻaʻole hōʻike kāna mau pane i ka ʻōlelo aʻoaʻo lapaʻau. E kūkākūkā mau me kahi ʻoihana lapaʻau laikini kokoke iā ʻoe ma mua o ka hana ʻana i nā hoʻololi.
Hana ʻia i India, no ka honua