He aha ka Pyoderma Gangrenosum? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka pyoderma gangrenosum kahi maʻi ʻili maʻamau ʻole e hana ai i nā ʻeha hohonu a ʻeha paha ma kou ʻili. ʻAʻole ia he maʻi bacteria a gangrene paha, ʻo ia kahi maʻi inflammatory kahi e hoʻouka ai kou ʻōnaehana pale kino i nā ʻili olakino.

Hoʻopili kēia maʻi ma kahi o 1 i 100,000 mau kānaka i kēlā me kēia makahiki, a ʻoiai he mea weliweli ke ʻike, hiki i ka hoʻomaopopo ʻana i ka mea e hana nei ke kōkua iā ʻoe e manaʻo ʻoi aku ka mana. ʻO ka ʻoiaʻiʻo maikaʻi, me ka lapaʻau kūpono, hiki i ka hapa nui o nā kānaka ke hoʻokele pono i kā lākou mau hōʻailona a ʻike i ka hoʻomaikaʻi nui.

He aha ka Pyoderma Gangrenosum?

ʻO ka pyoderma gangrenosum kahi maʻi inflammatory ʻili e pili ana i kahi hui o nā kūlana i kapa ʻia ʻo neutrophilic dermatoses. E lilo kāu ʻōnaehana pale kino i mea hana nui a hoʻomaka e hoʻouka i kāu mau pūnaewele ʻili ponoʻī, e hana ana i nā ʻeha ʻeha e hiki ke ulu wikiwiki.

Hoʻomaka maʻamau ka maʻi ma ke ʻano he mau puʻupuʻu liʻiliʻi, palupalu a i ʻole nā ​​pustules e haki koke i nā ʻeha hohonu, ʻeha. Loaʻa i kēia mau ʻeha nā lihi ʻole, i hoʻopau ʻia e like me ka ʻulaʻula a me ka uliuli a puni nā palena. ʻIke pinepine ʻia ke kikowaena o ka ʻeha e like me ka ʻiʻo ʻulaʻula, ʻōpala.

ʻO ka mea e hana ai i kēia kūlana he mea paʻakikī loa, ʻo ia ka hiki ke ʻike koke ʻia a hoʻolaha koke. ʻAʻole hoʻōla nā ʻeha e like me nā ʻeha maʻamau - ʻoiaʻiʻo, ʻo kēlā me kēia trauma i ka ʻili, me ka ʻoki a i ʻole ka mālama ʻeha ikaika, hiki ke hoʻopilikia iā lākou ma o kahi kaʻina hana i kapa ʻia ʻo pathergy.

He aha nā Hōʻailona o Pyoderma Gangrenosum?

Hiki i nā hōʻailona o ka pyoderma gangrenosum ke ʻokoʻa ma muli o ke ʻano a me ka nui o kou kūlana. ʻIke mua ka hapa nui o nā kānaka i nā wahi liʻiliʻi, ʻeha e ulu koke i kahi mea ʻoi aku ka hopohopo.

Eia nā hōʻailona nui āu e ʻike ai:

• Nā ʻeha ʻili ʻeha - He nui pinepine ka ʻeha a ʻoi aku ka nui ma mua o ka mea āu e manaʻo ai mai ka nui o ka ʻeha.
• Nā ʻōpala e hohola koke ana - Hiki i nā wahi liʻiliʻi ke ulu a hiki i kekahi mau ʻīniha i loko o nā lā a i ʻole nā pule.
• Nā lihi ʻeha ʻole, i hoʻopau ʻia - He ʻulaʻula, polū, a i ʻole violaceous nā palena a hohola ma lalo o ka ʻili maʻamau.
• Wahi ʻeha ʻulaʻula, ʻulaʻula - He granular ka kumu o ka ʻōpala a koko maʻalahi.
• Ka mumū ʻana o ka ʻili a puni - Hiki ke ʻulaʻula, pehu, a me ka ʻeha ka wahi a puni ka ʻōpala.
• Nā ʻeha he nui - Hiki iā ʻoe ke loaʻa nā ʻōpala he nui i ka manawa hoʻokahi a i ʻole ma hope.
• Pathergy - Hiki i nā ʻeha hou ke puka mai ma nā wahi o ka hōʻeha iki, me nā inikini a i ʻole nā wahi ʻoki.

ʻO ka ʻeha e pili ana i ka pyoderma gangrenosum ka hōʻailona ʻeha loa pinepine. He nui ka poʻe e wehewehe iā ia he ʻeha nui, ʻeha, a i ʻole ka puhi ʻana e hoʻopilikia nui i kā lākou hana i kēlā me kēia lā a me ka hiamoe.

He aha nā ʻAno o ka Pyoderma Gangrenosum?

Hōʻike ʻia ka pyoderma gangrenosum ma kekahi mau ʻano like ʻole, ʻo kēlā me kēia me kāna mau ʻano ponoʻī. ʻO ka hoʻomaopopo ʻana i ke ʻano āu e loaʻa ai e kōkua i kāu kauka e koho i ke ala lapaʻau kūpono loa.

ʻO nā ʻano nui e komo pū ana:

• ʻAno Ulcerative (Classic) - ʻO ke ʻano maʻamau loa, me nā ʻōpala hohonu, ʻeha me nā palena ʻole, i hoʻopau ʻia.
• ʻAno Pustular - Hōʻike ʻia e like me nā ʻōpala pālahalaha i hoʻopuni ʻia e nā pustules liʻiliʻi, i ʻike pinepine ʻia me ka maʻi inflammatory bowel.
• ʻAno Bullous - Hōʻike ʻia e like me nā blisters superficial e haki e hana i nā erosions pālahalaha, pili pinepine ʻia me nā maʻi koko.
• ʻAno Vegetative - ʻO ke ʻano palupalu loa, e hōʻike ana i nā ʻōpala pālahalaha me ka kumu granular a me ka ʻeha iki.

E nānā pono kāu kauka i kāu mau ʻeha e hoʻoholo i ke ʻano āu e loaʻa ai, no ka mea, e hoʻopilikia kēia i nā kūlana kumu e ʻimi ai a me ka hoʻolālā lapaʻau e hana maikaʻi loa no ʻoe.

He aha ka mea e hoʻoulu ai i ka Pyoderma Gangrenosum?

ʻAʻole maopopo loa ke kumu o ka pyoderma gangrenosum, akā manaʻo ʻia ia mai ka pane ʻōnaehana pale ʻole. E lilo ka ʻōnaehana pale o kou kino i mea nui a hoʻomaka e hoʻouka i nā ʻiʻo ʻili olakino ma mua o ka pale ʻana.

Hiki i kekahi mau mea ke kōkua i ka hoʻomohala ʻana i kēia kūlana:

• Nā maʻi autoimmune - Nā kūlana e like me ka maʻi ʻāʻī rheumatoid, ka maʻi inflammatory bowel, a i ʻole kekahi mau maʻi koko
• Nā kumu genetic - Hiki i kekahi poʻe ke loaʻa ka predisposition genetic i ka hoʻomohala ʻana i nā kūlana ʻili neutrophilic
• Ka hana ʻole o ka ʻōnaehana pale - Nā pilikia me ke ʻano o ka hana a me ke kamaʻilio ʻana o kāu mau cell pale
• Nā mea hoʻoulu inflammatory - Hiki i kekahi mau lāʻau lapaʻau, nā maʻi, a i ʻole ka hōʻeha kino ke hoʻoulu i ke kūlana i nā poʻe i loaʻa ka maʻi

I kekahi mau hihia, ʻike ʻia ka pyoderma gangrenosum he idiopathic, ʻo ia hoʻi, ʻaʻohe kumu kumu e hiki ke ʻike ʻia. ʻAʻole kēia manaʻo he ʻoiaʻiʻo ʻole a i ʻole hiki ke mālama ʻia ke kūlana - ʻo ia wale nō ka manaʻo ua hoʻomohala kāu ʻōnaehana pale i kēia ʻano pane me ka ʻole o ka mea hoʻoulu maopopo.

I ka wā e ʻike ai i ke kauka no ka Pyoderma Gangrenosum?

Pono ʻoe e ʻimi i ka nānā ʻana o ke kauka inā loaʻa iā ʻoe nā ʻeha ʻili ʻeha e ʻaʻole e hoʻōla maʻamau a i ʻole e ʻoi aku ka maikaʻi ʻana me ka mālama ʻana i ka ʻeha maʻamau. Hiki i ka ʻike mua a me ka mālama ʻana ke pale aku i ke kūlana mai ka holomua ʻana a me ka hoʻopilikia ʻana i ka pōʻino nui aʻe.

E hoʻokaʻaʻike koke i kāu mea lawelawe olakino inā loaʻa iā ʻoe:

• Nā ʻōlelo hōʻino e ulu wikiwiki ana - ʻOi loa inā ulu nui loa lākou i loko o kekahi mau lā
• ʻEha nui - ʻEha e like me ka nui loa no ka nui o ka ʻeha
• Nā ʻeha hou he nui - Ke ulu ʻana o nā ʻōlelo hōʻino he nui i ka manawa hoʻokahi a i ʻole ma hope koke
• Nā hōʻailona o ka maʻi - Ke kuni, ka ʻulaʻula nui ʻana, ka mahana, a i ʻole ka pus (ʻoiai he paʻakikī kēia e hoʻokaʻawale mai ke kūlana ponoʻī)
• Nā ʻeha e ʻino ai me ka lāʻau lapaʻau - Nā ʻeha e nui aʻe a i ʻole ʻeha nui aʻe me ka mālama pono ʻana i ka ʻeha

Mai kali e ʻike inā e hoʻomaikaʻi ke kūlana ma kona iho. Pono ka pyoderma gangrenosum i ka lāʻau lapaʻau kūikawā a ʻaʻole e ho'ōla me ka mālama maʻamau wale nō i ka ʻeha. ʻOi aku ka maikaʻi o kou hoʻomaka ʻana i ka lāʻau lapaʻau kūpono, ʻoi aku ka maikaʻi o kou manawa e kaohi pono ai i ke kūlana.

He aha nā kumu pilikia no ka Pyoderma Gangrenosum?

ʻOiai hiki i ka pyoderma gangrenosum ke hoʻopili i kekahi kanaka, hiki i kekahi mau mea ke hoʻonui i kou manawa e loaʻa ai kēia kūlana. Hiki i ka hoʻomaopopo ʻana i kēia mau kumu pilikia ke kōkua iā ʻoe a me kāu kauka e makaʻala no nā hōʻailona mua.

ʻO nā kumu pilikia nui e komo pū ana:

• Ka maʻi inflammatory bowel - Ma kahi o 50% o nā kānaka me ka pyoderma gangrenosum he maʻi Crohn a ulcerative colitis paha
• Ka maʻi inflammatory arthritis - Nā kūlana e like me ka rheumatoid arthritis a i ʻole spondyloarthritis
• Nā maʻi koko - Kekahi mau leukemia, lymphomas, a i ʻole nā ​​kūlana hematologic ʻē aʻe
• Makahiki - ʻOi aku ka maʻamau i nā mākua mai 20-50 mau makahiki, ʻoiai hiki ke loaʻa i kēlā me kēia makahiki
• Ke kāne - ʻOi aku ka maʻamau i nā wāhine ma mua o nā kāne
• Ka ʻoki kino a i ʻole ka hōʻeha hou - Hiki ke hoʻoulu i ke kūlana i nā kānaka i loaʻa ka maʻi
• Kekahi mau lāʻau lapaʻau - Hiki i kekahi mau lāʻau ke hoʻonui i ka pilikia i nā kānaka i loaʻa ka maʻi

ʻO ka loaʻa ʻana o hoʻokahi a ʻoi paha mau kumu pilikia ʻaʻole ia he manaʻo e loaʻa nō ʻoe i ka pyoderma gangrenosum. He nui nā kānaka me kēia mau kūlana ʻaʻole loa e ʻike i nā pilikia ʻili, ʻoiai ke loaʻa nei i kekahi poʻe ka pyoderma gangrenosum me ka ʻole o nā kumu pilikia i ʻike ʻia.

He aha nā hopena hiki ke loaʻa i ka Pyoderma Gangrenosum?

ʻOiai hiki ke mālama pono ʻia ka pyoderma gangrenosum me ka mālama kūpono, he mea nui ia e hoʻomaopopo i nā hopena hiki ke loaʻa, ʻoi aku inā ʻaʻole i mālama koke ʻia a kūpono paha ke kūlana.

ʻO nā hopena nui āu e hālāwai ai me:

• Nā ʻōpala mau loa - Hoʻokumu pinepine nā ʻōpala hohonu i nā ʻōpala nui ma hope o ka ho'ōla ʻana
• Nā maʻi bacteria lua - Hiki i nā ʻeha ākea ke loaʻa i ka maʻi bacteria, e hoʻopilikia ana i ka mālama ʻana
• ʻEha lōʻihi - Loaʻa i kekahi poʻe ka ʻeha mau loa ma hope o ka ho'ōla ʻana o nā ʻeha
• Ka nele o ka hana - Hiki i nā ʻeha nui ma nā lima, nā wāwae, a i ʻole nā ​​hui ke kaupalena i ka neʻe ʻana a me nā hana o kēlā me kēia lā
• Ka hopena noʻonoʻo - Hiki i ke ʻano ʻike ʻia a me ka ʻeha lōʻihi ke hoʻopilikia i ke olakino noʻonoʻo a me ke ʻano o ke ola
• Pathergy - Ke ulu nei nā lesions hou ma nā wahi o ka hōʻeha iki a i ʻole nā ​​kaʻina hana lapaʻau

I nā hihia kakaikahi, hiki i nā kānaka ke loaʻa nā hopena koʻikoʻi e like me ka nalowale nui o nā pūnaewele e pono ai nā ʻili graft a i ʻole, kakaikahi loa, ka mumū systemic e weliweli ana i ke ola. He mea maʻamau ʻole kēia mau hopena koʻikoʻi ke ʻike pono ʻia ke kūlana a mālama ʻia i ka wā mua.

ʻO ke kī i ka pale ʻana i nā hopena ʻo ka hana pili pono me kāu hui olakino e ʻimi i kahi papahana mālama pono a hahai mau iā ia, ʻoiai ke ʻoluʻolu nei ʻoe.

Pehea e ʻike ʻia ai ka Pyoderma Gangrenosum?

He paʻakikī ke ʻike i ka pyoderma gangrenosum no ka mea ʻaʻohe hoʻokolohua hoʻokahi e hōʻoia i ke kūlana. E hoʻohana kāu kauka i ka hui pū ʻana o ka nānā kino, ka mōʻaukala lapaʻau, a me nā hoʻokolohua e kāpae i nā kūlana ʻē aʻe e hiki ke loaʻa nā hōʻailona like.

ʻO ka hana ʻike maʻamau e pili ana i:

• Nānā kino - E nānā pono kāu kauka i kāu mau ʻeha ʻili, e ʻimi ana i nā hiʻohiʻona hiʻohiʻona e like me nā lihi i hoʻopau ʻia a me ka holomua wikiwiki
• Nānā ʻana i ka mōʻaukala lapaʻau - Kūkākūkā ʻana i kāu mau hōʻailona, ​​i ka manawa i hoʻomaka ai, a me nā kūlana pili
• Biopsy ʻili - Hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo e kāpae i nā kūlana ʻē aʻe e like me nā maʻi a i ʻole ka maʻi kanesa
• Nā hoʻokolohua koko - No ka nānā ʻana i nā kūlana inflammatory a i ʻole nā ​​maʻi koko
• Nā moʻomeheu ʻeha - No ka ʻike ʻana i nā maʻi bacteria e hiki ke hoʻopilikia i ke kūlana
• Nā haʻawina kiʻi - Pono i kekahi manawa e loiloi i ka nui o ka hoʻopili ʻana o ka ʻiʻo

Hiki nō hoʻi i kāu kauka ke hoʻokolohua no nā kūlana kumu e pili pinepine ana i ka pyoderma gangrenosum, e like me ka maʻi inflammatory bowel a i ʻole ka maʻi rheumatoid. Kūleʻa kēia ala hoʻopili piha e hōʻoia iā ʻoe e loaʻa ka mālama kūpono loa.

Hoʻokumu pinepine ʻia ka ʻike ma ka hiʻohiʻona hiʻohiʻona o nā lesions, ko lākou holomua wikiwiki, a me ka kāpae ʻana i nā kumu ʻē aʻe. He mea nui ka ʻike o kāu kauka i kēia kūlana maʻamau no ka ʻike pololei.

He aha ka lāʻau lapaʻau no ka Pyoderma Gangrenosum?

ʻO ka lāʻau lapaʻau no ka pyoderma gangrenosum e kau i ka hoʻopau ʻana i ka pane ʻimi kūpono ʻole e hana ana i ke kūlana ʻoiai e hoʻolaha ana i ka hoʻōla ʻana o ka ʻeha. Hoʻopili pinepine ka ala i nā lāʻau lapaʻau he nui a pono i ke ahonui, ʻoiai hiki ke lōʻihi nā pule a i nā mahina.

Hiki i kāu papahana lapaʻau ke komo pū me:

• Corticosteroids Topical - Holikahi waiʻona ikaika a i ʻole nā ​​ʻaila i kau pololei ʻia ma luna o nā ʻeha
• Corticosteroids Systemic - Nā steroids waha a i ʻole i hoʻopili ʻia e hōʻemi i ka mumū ma kou kino holoʻokoʻa
• Nā lāʻau Immunosuppressive - Nā lāʻau lapaʻau e like me ka cyclosporine, methotrexate, a i ʻole mycophenolate e hoʻomaha i kou ʻōnaehana pale kino
• Nā lāʻau Biologic - Nā lāʻau hou e like me nā mea pale TNF no nā hihia koʻikoʻi a i ʻole kūʻē
• Nā mea hoʻoemi Calcineurin Topical - Nā lāʻau lapaʻau e like me ka tacrolimus hiki ke hoʻopili ʻia i ka ʻili
• Nā inikini Intralesional - Nā steroids a i ʻole nā ​​lāʻau lapaʻau ʻē aʻe i hoʻopili ʻia pololei i nā lihi o ka ʻeha

E hoʻomaka paha kāu kauka me hoʻokahi a ʻelua paha mau lāʻau lapaʻau a hoʻoponopono i kāu mālama ʻana ma muli o kāu pane. E ʻike kekahi poʻe i ka hoʻomaikaʻi ʻana i loko o nā lā, ʻoiai ʻo nā poʻe ʻē aʻe e pono paha i kekahi mau pule a i ʻole mau mahina paha e hoʻokō ai i ka hoʻōla.

He mea nui ka hoʻomanawanui me ka mālama ʻana a mālama i ka kamaʻilio pili me kāu hui mālama ola. Pono paha lākou e ho'āʻo i nā hui like ʻole o nā lāʻau lapaʻau e ʻike i ka mea kūpono loa no kāu kūlana kikoʻī.

Pehea e lawe ai i ka mālama home i ka wā o Pyoderma Gangrenosum?

ʻOiai he mea nui ka mālama lapaʻau no ka pyoderma gangrenosum, aia kekahi mau mea hiki iā ʻoe ke hana ma ka home e kākoʻo i ka hoʻōla a mālama i kāu mau hōʻailona. Hana kēia mau hana me nā lāʻau lapaʻau i kuhikuhi ʻia iā ʻoe, ʻaʻole ma kahi o lākou.

Eia pehea ʻoe e kōkua ai iā ʻoe iho e hoʻōla:

• Mālama ʻāpono i ka ʻeha - Hoʻomaʻemaʻe mālie i nā ʻeha me ka wai paʻakai a pale i ka hamo ʻana a i ʻole ka hoʻomaʻemaʻe kolohe
• Palekana mai ka hōʻeha - E hoʻohana i nā kāwele palupalu a pale i nā lole paʻa e hiki ke hamo i nā ʻeha
• Mālama ʻeha - E lawe i nā lāʻau lapaʻau ʻeha i kuhikuhi ʻia e like me ke kuhikuhi ʻana a hoʻohana i nā ʻeke hau inā kuhikuhi ʻia
• Kūpono ka meaʻai - E ʻai i kahi meaʻai kaulike me ka protein lawa e kākoʻo i ka ho'ōla ʻana o ka ʻeha
• E inu wai nui - E inu nui i ka wai e kōkua i kou kino e ho'ōla a hoʻoponopono i nā lāʻau lapaʻau
• Pale i ka hōʻeha - E makaʻala loa e pale i nā ʻoki, nā ʻili ʻili, a i ʻole nā ​​ʻeha ʻē aʻe e hiki ke hoʻoulu i nā ʻeha hou
• Mālama i ke kaumaha - E hoʻomaʻamaʻa i nā ʻano hoʻomaha, ʻoiai hiki i ke kaumaha ke hoʻopilikia i nā kūlana inflammatory

E hoʻomanaʻo ʻaʻole e ho'ōla nā ʻeha pyoderma gangrenosum e like me nā ʻoki maʻamau a i ʻole nā ​​ʻili ʻili. Pale i ka hoʻowalewale e koho a hoʻomaʻemaʻe kolohe i nā ʻeha, ʻoiai hiki i kēia ke hoʻopilikia iā lākou ma o ka pathergy.

E mālama i kāu mau hālāwai lapaʻau a pau a e lawe i nā lāʻau lapaʻau e like me ke kuhikuhi ʻia, ʻoiai inā hoʻomaka ʻoe e ʻike maikaʻi. Hiki i ka hoʻōki ʻana i ka mālama ʻana i ka wā mua ke alakaʻi i ka hoʻoulu hou ʻana o ke kūlana.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka hōʻailona pololei loa a me ka papahana mālama maikaʻi loa. ʻOiai he mea maʻamau ʻole ka pyoderma gangrenosum, ʻo ka hāʻawi ʻana i ka ʻike kikoʻī e kōkua i kāu kauka e hana i nā hoʻoholo maikaʻi loa e pili ana i kāu mālama.

Ma mua o kāu hālāwai, e hōʻiliʻili i kēia ʻike:

• Kaula wā hōʻailona - I ka wā hea i ʻike mua ʻia ai nā ʻeha, pehea ka wikiwiki o ka ulu ʻana, a pehea ka loli o ka ʻeha
• Kiʻi palapala - Lawe i nā kiʻi maopopo o kāu mau ʻeha mai nā kihi like ʻole e hōʻike i ka holomua
• Mōʻaukala lapaʻau - E papa inoa i nā kūlana autoimmune, nā maʻi inflammatory bowel, nā maʻi ʻāʻī, a i ʻole nā ​​maʻi koko
• Papa lāʻau lapaʻau - E hoʻokomo i nā lāʻau lapaʻau āpau, nā lāʻau lapaʻau ma luna o ka pākaukau, a me nā mea hoʻohui
• Nā lapaʻau ma mua - ʻO nā mea āu i ho'āʻo ai a pehea ka pane o kou ʻili
• Mōʻaukala ʻohana - Kekahi mau hoahānau me nā kūlana autoimmune a i ʻole inflammatory
• Nā kaʻina hana hou - Kekahi mau hana ʻoki, inikini, a i ʻole nā ​​ʻeha kokoke i nā wahi i pilikia

I ka wā o ka hālāwai, mai kānalua e nīnau i nā nīnau e pili ana i kāu ʻike, nā koho lapaʻau, a me nā mea e manaʻo ai. ʻO ka hoʻomaopopo ʻana i kou kūlana e kōkua iā ʻoe e lilo i hoa hana ikaika i kāu mālama.

Inā ʻoe e ʻike ana i ke kauka hou, e noʻonoʻo e lawe mai i kahi lālā ʻohana a hoaaloha paha e hiki ke kōkua i ka hoʻomanaʻo ʻana i nā ʻike koʻikoʻi i kūkākūkā ʻia i ka wā o ka kipa.

He aha ka lawe nui e pili ana i ka Pyoderma Gangrenosum?

He kūlana paʻakikī akā hiki ke mālama ʻia ka Pyoderma gangrenosum e pono ai ka nānā koke ʻana o ke kauka a me ka hoʻokele mau. ʻOiai paha he mea kaumaha ke loaʻa iā ʻoe ka ʻike mua, nui nā kānaka e loaʻa ka mana maikaʻi o kā lākou mau hōʻailona me ka mālama kūpono.

ʻO nā mea nui loa e hoʻomanaʻo ai ʻaʻole kēia kūlana he hewa kou, ʻaʻole ia he mea hoʻopili, a hiki ke hoʻokele maikaʻi ʻia me ke ala kūpono. ʻO ka ʻike mua ʻana a me ka mālama ʻana e hāʻawi iā ʻoe i ka manawa maikaʻi loa e pale aku ai i nā pilikia a me ka hoʻōla.

E hana pono me kāu hui olakino, e hoʻomanawanui i ke kaʻina hana lapaʻau, a mai kānalua e noi aku i ke kākoʻo ke pono ʻoe. Me ka mālama pono, hiki i ka hapa nui o nā kānaka me ka pyoderma gangrenosum ke mālama i kahi ola maikaʻi a ʻike i ka ho'ōla maikaʻi ʻana o ko lākou ʻeha.

E hoʻomanaʻo he pono ka manawa no ka ho'ōla, a ʻokoʻa nā huakaʻi o kēlā me kēia kanaka me kēia kūlana. E kālele i ka hahai mau ʻana i kāu papa hana lapaʻau a e hoʻolauleʻa i nā hoʻomaikaʻi liʻiliʻi ma ke ala.

Nā Nīnau Pinepine e pili ana i ka Pyoderma Gangrenosum

Q.1 He mea hoʻopilikia anei ka pyoderma gangrenosum?

ʻAʻole, ʻaʻole hoʻopilikia ka pyoderma gangrenosum. ʻOiai ʻo ka

E pale aku i ka hoʻomaʻemaʻe ʻino o ka ʻeha, ka ʻeli ʻana i nā ʻeha, a i ʻole kekahi hōʻino pono ʻole i kou ʻili. Mai hoʻohana i nā mea hoʻomaʻemaʻe ʻili koʻikoʻi a mai hamo ikaika i nā ʻeha. E pale aku hoʻi i nā hana ʻoki a i ʻole nā ​​​​kaʻina hana kokoke i nā wahi i pilikia inā hiki, no ka mea, hiki i ka hōʻino ke hoʻoulu i nā ʻeha hou ma o ka pathergy. E kūkākūkā mau i nā kaʻina hana lapaʻau i hoʻolālā ʻia me kāu kauka mua.

Nīnau 5. Pono anei wau e ʻike i kahi loea no ka pyoderma gangrenosum?

ʻAe, ʻoi aku ka maikaʻi o ka nui o nā kānaka me ka pyoderma gangrenosum i ka ʻike ʻana i kahi dermatologist nona ka ʻike i kēia maʻi maʻamau ʻole. Ma muli o kekahi mau kūlana o loko e loaʻa paha iā ʻoe, pono paha ʻoe e ʻike i kahi rheumatologist, gastroenterologist, a i ʻole hematologist. Hoʻohana pinepine ʻia kahi ala hana hui no ka mālama ʻana i ke kūlana o ka ʻili a me nā pilikia olakino pili.