He aha ʻo Ingenol: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau lapaʻau topical ʻo Ingenol i kauoha ʻia e nā kauka e mālama i nā keratoses actinic, he mau ʻili ʻāpala ma kou ʻili i hana ʻia e ka pōʻino o ka lā. Hana kēia lapaʻau gel ma ka ʻimi ʻana i nā cell ʻili maʻamau i hiki ke ulu i ka maʻi ʻili inā ʻaʻole i mālama ʻia.

Hele mai ka lāʻau lapaʻau mai kahi mea kanu i kapa ʻia ʻo Euphorbia peplus, i ʻike nui ʻia ʻo milkweed a i ʻole petty spurge. Hiki i kāu dermatologist ke ʻōlelo aku iā ingenol ke loaʻa iā ʻoe nā keratoses actinic he nui ma kahi hoʻokahi e pono ai ka mālama ʻana.

No ke aha e hoʻohana ʻia ai ʻo Ingenol?

Mālama ʻo Ingenol i nā keratoses actinic, nā ʻili ʻāpala e like me ke one e ʻike ʻia ma nā wahi i ʻike ʻia i ka lā o kou ʻili. Manaʻo ʻia kēia mau ʻili he precancerous, ʻo ia hoʻi, hiki iā lākou ke lilo i squamous cell carcinoma inā ʻaʻole i mālama ʻia.

E ʻike maʻamau ʻoe i nā keratoses actinic ma kou maka, poʻo, pepeiao, ʻāʻī, lima lima, a i ʻole nā lima. Loaʻa i kēia mau wahi ka nui o ka lā i nā makahiki. Hiki i nā ʻili ke ʻano ʻino ke holo ʻoe i kou manamana lima ma luna o lākou, a hiki ke ʻano ke kala mai ka ʻili-toned a i ka ʻulaʻula-ʻeleʻele.

Koho kūikawā kāu kauka iā ingenol ke loaʻa iā ʻoe kekahi mau keratoses actinic i hui pū ʻia ma kahi hoʻokahi. ʻOi aku ka maikaʻi o kēia ma mua o ka mālama ʻana i kēlā me kēia ʻili me nā ʻano hana ʻē aʻe e like me ka hau a i ʻole ka ʻōpala.

Pehea e hana ai ʻo Ingenol?

Hana ʻo Ingenol ma o kahi hana dual-action e ʻimi ana i nā cell ʻili maʻamau me ka mālama ʻana i ka ʻiʻo olakino. Hoʻoulu ka lāʻau lapaʻau i ka make o ke kelepona i nā cell i pōʻino e hana i nā keratoses actinic, e hōʻeha ana iā lākou e wāwahi a hāʻule.

I ka manawa like, hoʻāla ʻo ingenol i kāu ʻōnaehana pale e ʻike a hoʻouka i nā cell maʻamau i koe ma ka wahi i mālama ʻia. Kōkua kēia pane immune e hōʻoia i ka piha ʻana o ka mālama ʻana a hoʻemi i ka manawa e hoʻi ai nā keratoses.

He manaʻo ʻia he lāʻau lapaʻau topical ikaika. Hana ʻia nā hopena me ka wikiwiki i hoʻohālikelike ʻia me nā lāʻau lapaʻau topical ʻē aʻe, akā ʻo ia hoʻi e ʻike paha ʻoe i nā hopena ʻili i ʻike ʻia i ka wā o ke kaʻina hana hoʻōla.

Pehea e lawe ai au i ka Ingenol?

Hoʻopili pololei ʻoe i ka ingenol i ka wahi ʻili i hoʻopilikia ʻia i hoʻokahi manawa i ka lā no 2 a i ʻole 3 mau lā e pili ana, ma kahi āu e mālama nei. No ka mālama ʻana i ka maka a me ke poʻo, hoʻohana ʻoe ia no 3 mau lā. No nā wahi kino e like me nā lima a i ʻole nā lima, hoʻohana maʻamau ʻoe ia no 2 mau lā.

Ma mua o ka hoʻopili ʻana i ka gel, holoi pono i kou mau lima a e hōʻoia i ka maʻemaʻe a maloʻo ka wahi lapaʻau. E kaomi i waho i ka gel lawa e uhi i ka wahi lapaʻau holoʻokoʻa me kahi papa lahilahi, a laila e hamo mālie a hiki i ka nalo ʻana.

ʻAʻole pono ʻoe e lawe i kēia lāʻau me ka meaʻai a i ʻole ka wai no ka mea ua hoʻopili ʻia i kou ʻili. Eia naʻe, pono ʻoe e pale i ka loaʻa ʻana o ka gel kokoke i kou mau maka, waha, a i ʻole nā ​​ʻeha hāmama. Ma hope o ka hoʻopili ʻana, holoi koke i kou mau lima e pale ai i ka laha ʻana o ka lāʻau i nā wahi ʻē aʻe.

E hoʻopili i ka gel i ka manawa like i kēlā me kēia lā, ʻoi aku ka maikaʻi i ke ahiahi. Kōkua kēia i ka hōʻemi ʻana i ka ʻike ʻana i ka lā i ka wahi i mālama ʻia ma hope koke o ka hoʻopili ʻana.

Pehea ka lōʻihi e lawe ai au i ka Ingenol?

He pōkole loa ke kaʻina hana me ka ingenol - 2 a 3 mau lā wale nō. ʻAʻole like me nā lāʻau lapaʻau topical ʻē aʻe e koi ai i nā pule a i ʻole nā ​​mahina o ka hoʻohana ʻana, hana wikiwiki a ikaika ka ingenol i kēia manawa pōkole.

Ma hope o kou hoʻopau ʻana i ke kaʻina hana 2 a i ʻole 3 mau lā, e hooki ʻoe i ka hoʻohana ʻana i ka lāʻau lapaʻau. E hoʻomau ana kou ʻili e hana a hoʻōla i nā pule e hiki mai ana, e lawe ana ma kahi o 2 a 4 mau pule e ola piha ai.

ʻAʻole pono ʻoe e hana hou i ka lāʻau lapaʻau ke ʻole e ulu nā keratoses actinic hou ma ka wahi like, hiki ke hana i nā mahina a i ʻole nā ​​makahiki ma hope. E nānā kāu dermatologist i kou ʻili a e hoʻoholo inā pono nā lāʻau lapaʻau e hiki mai ana.

He aha nā hopena ʻaoʻao o Ingenol?

ʻO ka hapa nui o nā kānaka e ʻike i nā hopena ʻili ma ka wahi i mālama ʻia, he mau hōʻailona maoli nō ia e hana pono ana ka lāʻau lapaʻau. He ʻāpana kēia mau hopena o ke kaʻina hana hoʻōla maʻamau i ka wā e hoʻokahe ai kou ʻili i nā pūnaewele i pōʻino.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia ka ʻulaʻula, ka pehu, a me ka palupalu ma ka wahi i mālama ʻia. Hoʻomaka maʻamau kēia mau hōʻailona i loko o hoʻokahi a ʻelua paha lā ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau a hiki ke mau no kekahi mau pule.

Eia nā hopena āu e ʻike ai, e hoʻomaka ana me nā mea maʻamau:

• ʻUlaʻula a me ka mumū i hiki ke ʻike nui ʻia
• Pehu a puni ka wahi i mālama ʻia
• Ke ahi a i ʻole ka ʻehaʻeha i ka wā a ma hope o ka hoʻopili ʻana
• Ka ʻōpala a i ʻole ka ʻōpala i ka wā e hoʻōla ai ka ʻili i pōʻino
• Ka ʻili a i ʻole ka ʻili ʻana o ka ʻili
• Ka ʻūlū ʻana ma ka wahi lapaʻau
• ʻEleʻele a i ʻole ka māmā ʻana o ka ʻili

Hōʻike kēia mau hopena e hana pono ana ka ingenol i nā pūnaewele abnormal. ʻOiai hiki iā lākou ke nānā aku i ka weliweli, ʻaʻole lākou he mea weliweli a e hoʻoponopono ʻia i ka wā e hoʻōla ai kou ʻili.

ʻO nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi, hiki ke komo i nā hopena maʻi maʻi koʻikoʻi, ʻoiai he mea maʻamau kēia. ʻO nā hōʻailona o kahi hopena koʻikoʻi, ʻo ia ka ʻōpala ākea, ka pilikia o ka hanu ʻana, a i ʻole ka pehu ʻana o kou maka, nā lehelehe, ke alelo, a i ʻole ka ʻāʻī.

Hiki i kekahi poʻe ke ʻike i ke poʻo, ka huhū o ka maka inā komo ka lāʻau lapaʻau i ka maka, a i ʻole nā ​​hōʻailona e like me ka maʻi flu i ka wā o ka lāʻau lapaʻau. He mea manawa wale nō kēia mau hopena a maʻamau ka maʻalahi.

ʻO wai ka mea pono ʻole e lawe i ka Ingenol?

ʻAʻole pono ʻoe e hoʻohana i ka ingenol inā he maʻi ʻoe i kekahi o kāna meaʻai a i ʻole inā ua loaʻa iā ʻoe nā hopena koʻikoʻi i nā lāʻau lapaʻau topical like i ka wā i hala. Pono paha nā kānaka me kekahi mau maʻi ʻili a i ʻole nā ​​pūnaehana pale i hoʻopilikia ʻia e pale i kēia lāʻau lapaʻau.

E loiloi pono kāu kauka inā kūpono ka ingenol iā ʻoe e pili ana i kāu mōʻaukala olakino a me ke kūlana olakino o kēia manawa. E noʻonoʻo lākou i nā mea e like me ke ʻano o kou ʻili, ke koʻikoʻi o kāu actinic keratoses, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.

ʻO nā kūlana kikoʻī kahi e kūpono ʻole ai ka ingenol:

• Hāpai a i ʻole ka hānai ʻana i ka waiū (ʻaʻole i hoʻokumu ʻia ka palekana)
• Nā maʻi ʻili ikaika ma ka wahi lapaʻau
• Nā ʻeha hāmama a i ʻole nā ʻoki kahi e pono ai ʻoe e hoʻopili i ka lāʻau lapaʻau
• ʻO ka eczema koʻikoʻi a i ʻole psoriasis ma ka wahi lapaʻau
• Mōʻaukala o nā hopena ʻili koʻikoʻi i nā lāʻau lapaʻau topical
• Hoʻohana ʻia i kēia manawa o kekahi mau lāʻau immunosuppressive

E kūkākūkā kāu dermatologist i kēia mau mea me ʻoe a kōkua i ka hoʻoholo inā ʻo ingenol ke koho lapaʻau maikaʻi loa no kāu kūlana kikoʻī.

Nā inoa inoa Ingenol

Ua loaʻa mua ka Ingenol mebutate ma lalo o ka inoa inoa Picato ma nā ʻāina he nui, me ʻAmelika Hui Pū ʻIa a me ʻEulopa. Eia naʻe, ua haʻalele manawaleʻa ʻia kēia lāʻau lapaʻau mai ka mākeke e ka mea hana i ka makahiki 2020 ma muli o nā hopohopo palekana.

Ua hana ʻia ka haʻalele ʻana ma hope o nā haʻawina i hōʻike i ka piʻi ʻana o ka pilikia o ka maʻi ʻili ma ka wahi lapaʻau i kekahi poʻe maʻi. ʻO ka hopena, ʻaʻole i loaʻa hou ka ingenol mebutate no ke kālepa ʻana no ka mālama ʻana i ka actinic keratoses.

Inā ua kauoha ʻia ʻoe i ka Picato a i ʻole ingenol mebutate, e ʻōlelo kāu kauka i nā lāʻau lapaʻau ʻē aʻe no kāu actinic keratoses. Nui nā koho ʻē aʻe i loaʻa e hiki ke hoʻoponopono i kāu mau pilikia ʻili me ka palekana.

Nā koho ʻē aʻe o Ingenol

Mai ka wā i loaʻa hou ʻole ai ka ingenol, he nui nā lāʻau lapaʻau ʻē aʻe i loaʻa i kāu dermatologist no ka actinic keratoses. Hana ʻokoʻa kēia mau koho ʻē aʻe akā hiki ke hoʻokō i nā hopena like i ka hoʻomaʻemaʻe ʻana i nā cell ʻili maʻamau.

ʻO nā koho ʻē aʻe e pili ana i ka ʻaila imiquimod, e hoʻoikaika ana i kou ʻōnaehana pale e hakakā i nā pūnaewele maʻamau, a me ka ʻaila fluorouracil, e kuhikuhi ana i nā pūnaewele e māhele wikiwiki ana. Pono nā mea ʻelua i nā manawa lōʻihi o ka mālama ʻana ma mua o ka ingenol akā he mau palekana i hoʻokumu maikaʻi ʻia.

Aia nā koho lapaʻau i kēia manawa:

• ʻO ka ʻaila Imiquimod (hoʻohana ʻia 2-3 manawa i ka pule no kekahi mau pule)
• ʻO ka ʻaila Fluorouracil (hoʻohana ʻia i ʻelua manawa i ka lā no 2-4 pule)
• ʻO ka gel Diclofenac (hoʻohana ʻia i ʻelua manawa i ka lā no 2-3 mahina)
• Cryotherapy (ka hau me ka nitrogen wai)
• Curettage (ka ʻoki ʻana i ka ʻiʻo maʻamau)
• Photodynamic therapy (lapaʻau i hoʻāla ʻia e ka mālamalama)

Loaʻa i kēlā me kēia koho nā pōmaikaʻi a me nā manaʻo like ʻole. E kōkua kāu dermatologist iā ʻoe e koho i ke koho maikaʻi loa e pili ana i kāu mau pono kikoʻī, ke ʻano o ka ʻili, a me nā mea ola.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Ingenol

He Palekana ʻo Ingenol no ka poʻe me ka ʻili ʻoluʻolu?

ʻAʻole i loaʻa hou ʻo Ingenol ma muli o nā hopohopo palekana i alakaʻi i kona haʻalele ʻana i ka mākeke i ka makahiki 2020. I ka wā i loaʻa ai, hiki iā ia ke hoʻoulu i nā hopena ʻili nui i ka poʻe me ka ʻole o ka ʻili ʻoluʻolu.

Inā he ʻili ʻoluʻolu kou a pono ʻoe i ka lāʻau no ka actinic keratoses, hiki i kāu dermatologist ke ʻōlelo aku i nā koho ʻoluʻolu e like me ka gel diclofenac a i ʻole e kūkākūkā i nā papa hana lapaʻau i hoʻololi ʻia me nā lāʻau lapaʻau topical ʻē aʻe e hōʻemi i ka huhū.

He aha kaʻu e hana ai inā ua hoʻohana mua au iā Ingenol?

Inā ua hoʻohana ʻoe iā ingenol (Picato) i ka wā ma mua, he mea nui e hoʻomau i nā loiloi ʻili maʻamau me kāu dermatologist. Ua haʻalele ʻia ka lāʻau lapaʻau ma muli o nā hopohopo e pili ana i ka piʻi ʻana o ka maʻi maʻi ʻili ma nā wahi lapaʻau.

E nānā i nā wahi kahi āu i hoʻopili ai iā ingenol no nā kiko hou a i ʻole nā ​​wahi e loli ana, nā ulu maʻamau, a i ʻole nā ​​hoʻololi ʻili mau. E hōʻike koke i nā hopohopo i kāu dermatologist i hiki iā lākou ke loiloi a hoʻoponopono pono iā lākou.

He aha nā koho maikaʻi loa i kēia manawa iā Ingenol?

ʻO nā koho ʻē aʻe i kauoha pinepine ʻia, ʻo ia ka ʻaila imiquimod a me ka ʻaila fluorouracil, ʻelua i loaʻa nā moʻolelo lōʻihi o ka palekana a me ka pono. Hiki nō hoʻi i kāu kauka ʻili ke ʻōlelo aku i ka cryotherapy a i ʻole ka photodynamic therapy.

ʻO ke koho maikaʻi loa e hilinaʻi ana i nā mea e like me ka helu a me kahi o kāu actinic keratoses, ke ʻano o kou ʻili, a me kou makemake no ka lōʻihi o ka mālama ʻana. Makemake kekahi poʻe i nā mālama pōkole a ʻoi aku ka ikaika, aʻo nā mea ʻē aʻe makemake i nā koho mālie a lōʻihi.

Hiki iaʻu ke loaʻa iā Ingenol ma o nā Polokalamu Loaʻa Kūikawā?

ʻAʻole loaʻa ʻo Ingenol mebutate ma o nā polokalamu loaʻa kūikawā a i ʻole nā polokalamu hoʻohana aloha mai ka mea hana i haʻalele manawaleʻa iā ia mai nā mākeke honua. Ua piha ka haʻalele ʻana a pili i nā ʻāina a pau i ʻae ʻia ma mua.

Hiki i kāu kauka ʻili ke kūkākūkā i nā hōʻike i kēia manawa i loaʻa a loaʻa nā ʻano palekana i hōʻoia ʻia no ka mālama pono ʻana i ka actinic keratoses.

Pehea e hoʻohālikelike ai nā mālama i kēia manawa i ka mea a Ingenol i hāʻawi ai?

He kūpono loa nā mālama ʻana i kēia manawa no ka actinic keratoses a loaʻa ka pōmaikaʻi o ka ʻikepili palekana nui. ʻOiai ua hāʻawi ʻo ingenol i ka lōʻihi o ka mālama ʻana, hiki i nā koho ʻē aʻe ke hoʻokō i nā hopena like a ʻoi aku paha me nā ʻano pilikia i maopopo.

He nui nā maʻi i ʻike i nā mālama i kēia manawa, ʻoiai e koi ana i nā manawa noi lōʻihi, e hoʻoulu i nā hopena ʻili liʻiliʻi a hāʻawi i nā hopena i hiki ke wānana ʻia. Hiki i kāu kauka ʻili ke kōkua iā ʻoe e hoʻomaopopo i ke koho i kēia manawa e hana maikaʻi loa no kāu kūlana.