

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
ʻO Tirbanibulin kahi lāʻau lapaʻau topical e kōkua ana i ka mālama ʻana i nā keratoses actinic, nā pāpaʻi ʻōpala a me ka unahi e hiki ke ulu ma ka ʻili i pōʻino i ka lā. Hana kēia ʻaila kauoha ma ka ʻimi ʻana i nā cell ʻili maʻamau e hiki ke ulu i ka maʻi ʻili inā ʻaʻole i mālama ʻia.
Hiki i kāu kauka ke kauoha iā tirbanibulin inā he nui kāu keratoses actinic ma kou maka a i ʻole ke poʻo. Ua hoʻolālā ʻia e hoʻopili ʻia i hoʻokahi manawa i ka lā no nā lā ʻelima wale nō, e hana ana i kahi papa lapaʻau pōkole e hoʻohālikelike ʻia me nā lāʻau lapaʻau ʻē aʻe.
ʻO Tirbanibulin kahi lāʻau lapaʻau topical hou i hoʻolālā ʻia e mālama i nā keratoses actinic. ʻO kēia nā maʻi ʻili precancerous e ʻike ʻia he mau pāpaʻi ʻōpala a me ka unahi ma nā wahi i ʻike pinepine ʻia i ka lā.
Hele mai ka lāʻau lapaʻau ma ke ʻano he 1% ʻaila āu e hoʻopili pololei ai i nā wahi ʻili i hoʻopilikia ʻia. No ka papa o nā lāʻau lapaʻau i kapa ʻia ʻo microtubule inhibitors, ʻo ia hoʻi, hana ia ma ka hoʻopau ʻana i ka ulu ʻana o nā cell ʻili maʻamau.
ʻAʻole like me kekahi mau lāʻau lapaʻau topical no nā keratoses actinic, pono ʻo tirbanibulin i kahi papa lapaʻau ʻelima lā wale nō. Hiki i kēia manawa pōkole ke maʻalahi no nā maʻi he nui me ka hāʻawi ʻana i nā hopena maikaʻi.
Hoʻomaʻamaʻa ʻo Tirbanibulin i nā keratoses actinic ma ka maka a me ke poʻo o nā pākeke. Ua ulu kēia mau maʻi i ka wā i pōʻino ai kou ʻili i nā makahiki o ka ʻike ʻana i ka lā, e hana ana i nā wahi kahi e ulu ai nā cell maʻamau.
Hiki i nā keratoses actinic ke like me nā pāpaʻi liʻiliʻi, ʻōpala e like me ke one ke hoʻopā ʻoe iā lākou. Hiki iā lākou ke ʻike ʻia he ʻulaʻula, ʻulaʻula, a i ʻole ke kala ʻeleʻele, a i kekahi manawa ʻoi aku ka maʻalahi o ka manaʻo ma mua o ka ʻike ʻia. ʻOiai ʻaʻole nā keratoses actinic a pau e lilo i ka maʻi maʻi, ʻo ka mālama ʻana iā lākou e kōkua i ka pale ʻana i ka holomua ʻana i ka maʻi ʻili.
E ʻōlelo maʻamau kāu kauka ʻili i ka tirbanibulin ke loaʻa iā ʻoe nā keratoses actinic he nui ma kahi e mālama ʻia ai. Hiki i ka lāʻau lapaʻau ke mālama i nā ʻeha he nui i ka manawa hoʻokahi, ma mua o ka pono e mālama i kēlā me kēia wahi.
Hana ʻo Tirbanibulin ma ka hoʻopilikia ʻana i ka hana o loko o nā pūnaewele ʻili maʻamau ʻole. Hoʻopaʻa ia i nā microtubules, ʻo ia nā mea liʻiliʻi e kōkua i nā pūnaewele e mālama i ko lākou ʻano a māhele pono.
Ke keakea ʻo tirbanibulin i kēia mau microtubules, ʻaʻole hiki i nā pūnaewele maʻamau ʻole e hana i nā keratoses actinic ke hana maʻamau. ʻO kēia ke kumu e wāwahi ai lākou a ma hope e hoʻomaʻemaʻe ʻia e nā hana maoli o kou kino.
Manaʻo ʻia ka lāʻau lapaʻau he ikaika iki ma waena o nā lāʻau lapaʻau topical no nā keratoses actinic. Ua lawa ka maikaʻi e hoʻomaʻemaʻe i nā ʻeha i loko o ʻelima mau lā wale nō, akā ua hoʻolālā ʻia nō hoʻi e hōʻemi i nā hopena ʻili ikaika e hiki ai i kekahi mau lāʻau lapaʻau ʻē aʻe ke hana.
E hoʻopili i ka tirbanibulin i hoʻokahi manawa i ka lā no ʻelima mau lā ma ka wahi i hoʻopilikia ʻia. Pono ʻoe e hoʻopili iā ia ma kahi o ka manawa like i kēlā me kēia lā e mālama i nā pae kūlike o ka lāʻau lapaʻau ma kou ʻili.
E hoʻomaka me ka holoi ʻana i kou mau lima, a laila e hoʻomaʻemaʻe mālie i ka wahi i mālama ʻia me ke kopa maʻalahi a me ka wai. E maloʻo loa i ka wahi ma mua o ka hoʻopili ʻana i ka ʻaila. E hoʻopili i kahi papa lahilahi o tirbanibulin e uhi i ka wahi lapaʻau holoʻokoʻa, me kahi 1 kenimika o ka ʻili maʻamau a puni nā ʻeha i ʻike ʻia.
Ma hope o ka hoʻopili ʻana i ka lāʻau lapaʻau, holoi hou i kou mau lima i kēia manawa ke ʻole ʻoe e mālama nei i kou mau lima. E pale i ka holoi ʻana i ka wahi i mālama ʻia no ka liʻiliʻi o 8 mau hola ma hope o ka hoʻopili ʻana. ʻAʻole pono ʻoe e lawe i kēia lāʻau lapaʻau me ka meaʻai a i ʻole ka waiū no ka mea ua hoʻopili ʻia i kou ʻili ma mua o ka lawe ʻia e ka waha.
E hoʻāʻo e hoʻohana i ka tirbanibulin i ka manawa e hiki ai iā ʻoe ke pale i nā hana e hiki ke hamo a holoi paha i ka lāʻau. Nui ka poʻe i ʻike he mea maʻalahi ke hoʻopili ʻana i ke ahiahi ma mua o ka moe, e ʻae ana e hana i ka pō.
E hoʻohana i ka tirbanibulin no ʻelima mau lā i ka lālani, a laila e hooki i ka lapaʻau. Ua lawa kēia papa pōkole e mālama pono i nā keratoses actinic.
Hiki iā ʻoe ke ʻike i nā hopena ʻili e like me ka ʻulaʻula, ka pehu, a i ʻole ka ʻōpala i ka wā a ma hope o ka lapaʻau. He maʻamau kēia mau hopena a hōʻike maʻamau i ka hana ʻana o ka lāʻau. Hiki i ka wahi i mālama ʻia ke hōʻike i nā hōʻailona o ka hoʻōla ʻana no kekahi mau pule ma hope o kou hoʻopau ʻana i ka papa ʻelima lā.
Mai hoʻolōʻihi i ka lapaʻau ma mua o ʻelima mau lā, ʻoiai inā manaʻo ʻoe e pono ana ʻoe i ka lāʻau hou. ʻAʻole e hoʻomaikaʻi ka hoʻohana ʻana i ka tirbanibulin ma mua o ka mea i kauoha ʻia i nā hopena a hiki ke hoʻonui i kou pilikia o nā hopena ʻaoʻao. E loiloi kāu kauka i nā hopena lapaʻau i ka wā o nā manawa hahai.
ʻO ka hapa nui o nā kānaka e ʻike i kekahi mau hopena ʻili kahi e hoʻopili ai lākou i ka tirbanibulin, a he mau hōʻailona maʻamau kēia e hana pono ana ka lāʻau. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mākaukau i ka wā o ka lapaʻau.
ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia:
Hoʻomohala maʻamau kēia mau hopena i nā lā mua o ka lapaʻau a hiki ke hoʻomau no 1-2 mau pule ma hope o ka hoʻopau ʻana i ka papa ʻelima lā. ʻO ka ikaika e piʻi maʻamau ma kahi o ka lā 3-5 o ka lapaʻau.
ʻAʻole i maʻamau akā hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi, ʻoiai he kakaikahi lākou. Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā loaʻa iā ʻoe ka ʻeha nui e keakea ana i nā hana o kēlā me kēia lā, nā hōʻailona o ka maʻi e like me ka ʻōpala a i ʻole ka ʻulaʻula, a i ʻole nā hopena maʻi e like me ka ʻōpala ākea a i ʻole ka pilikia o ka hanu.
Hiki i kekahi poʻe ke ʻike i nā hopena ʻōnaehana e like me ke poʻo, ka maʻi, a i ʻole ka luhi, ʻoiai ʻaʻole maʻamau kēia mau mea. Inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana i ka wā o ka mālama ʻana, mai kānalua e hoʻokaʻaʻike i kāu mea mālama ola.
ʻAʻole kūpono ʻo Tirbanibulin no nā mea a pau, a e loiloi pono kāu kauka inā kūpono ia iā ʻoe ma mua o ke kau ʻana. ʻO kekahi mau maʻi olakino a me nā kūlana e hana i kēia lāʻau lapaʻau kūpono ʻole a i ʻole ka pōʻino.
ʻAʻole pono ʻoe e hoʻohana i ka tirbanibulin inā he maʻi ʻoe i kekahi o kāna mau meaʻai. ʻO nā poʻe me nā ʻōnaehana pale i hoʻopilikia nui ʻia, e like me ka poʻe e hele ana i ka chemotherapy a i ʻole ka lawe ʻana i nā lāʻau immunosuppressive, pono paha i nā lāʻau lapaʻau ʻē aʻe.
Pono nā wahine hāpai e pale i ka tirbanibulin, no ka mea, ʻaʻole lawa ka ʻikepili palekana e pili ana i kāna hoʻohana ʻana i ka wā hāpai. Inā ʻoe e hānai ana i ka umauma, e kūkākūkā i nā pilikia a me nā pōmaikaʻi me kāu kauka, no ka mea, ʻaʻole ʻike ʻia inā hele ka lāʻau lapaʻau i loko o ka waiū umauma.
ʻAʻole pono nā keiki a me nā ʻōpio e hoʻohana i ka tirbanibulin, no ka mea, ʻaʻole i hoʻokumu ʻia kona palekana a me ka pono i nā poʻe ma lalo o 18. Eia kekahi, inā he mau ʻeha hāmama, nā ʻoki, a i ʻole nā maʻi ikaika i ka wahi lapaʻau, pono ʻoe e kali a hiki i ka hoʻōla ʻana o kēia mau mea ma mua o ka hoʻomaka ʻana i ka mālama ʻana.
ʻO nā poʻe me kekahi mau maʻi ʻili e like me ka eczema a i ʻole psoriasis i ka wahi lapaʻau e pono paha i ka nānā kūikawā a i ʻole nā lāʻau lapaʻau ʻē aʻe. E noʻonoʻo kāu kauka i kāu moʻolelo olakino piha ma mua o ka hoʻoholo ʻana inā kūpono ka tirbanibulin iā ʻoe.
Loaʻa ʻo Tirbanibulin ma lalo o ka inoa inoa ʻo Klisyri ma ʻAmelika Hui Pū ʻIa. ʻO kēia wale nō ka inoa inoa e kūʻai ʻia ai kēia lāʻau.
Aia i loko o Klisyri ka 1% tirbanibulin ma ke ʻano he mea hana a hele mai i loko o nā pūʻolo hoʻohana hoʻokahi. Aia i loko o kēlā me kēia pūʻolo ka lāʻau lapaʻau lawa no ka lā hoʻokahi o ka mālama ʻana i ka maka a i ʻole ka ʻili o ke poʻo.
No ka mea he lāʻau lapaʻau hou ʻo tirbanibulin, ʻaʻole i loaʻa nā mana generic. E kuhikuhi kāu kauka i ka Klisyri, a pono ʻoe e hoʻohana i ka mea a kāu kauka i kuhikuhi ai.
Nui nā lāʻau lapaʻau ʻē aʻe e hiki ke mālama i nā keratoses actinic inā ʻaʻole kūpono ʻo tirbanibulin iā ʻoe. Hiki i kāu kauka ke noʻonoʻo i kēia mau koho ʻē aʻe e pili ana i kāu kūlana a me ka mōʻaukala olakino.
ʻO nā koho maʻamau e pili ana i ka imiquimod (Aldara), e hoʻoulu ai i kāu ʻōnaehana pale e hakakā i nā cell ʻili maʻamau. Pono kēia lapaʻau i ka hoʻohana ʻana i 2-3 mau manawa i ka pule no kekahi mau pule. ʻO kekahi koho ʻo 5-fluorouracil (Efudex), e koi ana i ka hoʻohana ʻana i kēlā me kēia lā no 2-4 mau pule akā hiki ke hoʻoulu i nā hopena ʻili ikaika.
ʻO ka gel diclofenac (Solaraze) kahi koho mālie e koi ana i ka hoʻohana ʻana i ʻelua manawa i ka lā no 2-3 mau mahina. He mea maʻamau ia e hoʻoulu i ka liʻiliʻi o ka ʻili akā hiki ke lōʻihi ka hōʻike ʻana i nā hopena. Hiki i kāu kauka ke noʻonoʻo i nā lapaʻau procedural e like me ka cryotherapy (hau) a i ʻole ka photodynamic therapy.
Aia ke koho ma waena o kēia mau koho i nā mea e like me ka helu a me kahi o kāu keratoses actinic, kou ʻae ʻana i nā hopena ʻili, a me kou hiki ke hahai i nā papa hana lapaʻau like ʻole. E kōkua kāu dermatologist iā ʻoe e koho i ka lapaʻau kūpono loa no kāu mau pono.
He mau lapaʻau maikaʻi ʻo Tirbanibulin a me imiquimod no nā keratoses actinic, akā hana lākou i nā mea like ʻole a loaʻa nā pono like ʻole. Aia ke koho
ʻO ka pōmaikaʻi nui o Tirbanibulin, he papa lapaʻau pōkole wale nō ia o ʻelima mau lā, i hoʻohālikelike ʻia me ka papa maʻamau o imiquimod o 2-16 pule. He mea maʻalahi kēia o tirbanibulin a hiki ke hoʻomaikaʻi i ka pili ʻana i ka lapaʻau. ʻO ke ala pōkole hoʻi, ʻo ia hoʻi, e hoʻoponopono koke ʻia nā hopena ʻaoʻao.
Akā naʻe, ua loaʻa ʻo Imiquimod no ka manawa lōʻihi a he nui aku nā noiʻi e kākoʻo ana i kāna hoʻohana. Hana ia ma ka hoʻoulu ʻana i kāu ʻōnaehana pale, ma mua o ka hoʻopā pololei ʻana i nā pūnaewele maʻamau ʻole. Hiki i kekahi poʻe ke ʻae maikaʻi iā imiquimod, a ʻo nā mea ʻē aʻe e makemake i ka papa lapaʻau wikiwiki o tirbanibulin.
Hiki i nā lāʻau lapaʻau ʻelua ke hoʻoulu i nā hopena ʻili e like me ka ʻulaʻula, ka pehu, a me ka ʻōpala, akā ʻokoʻa paha ka lōʻihi a me ka ikaika ma waena o nā kānaka. E noʻonoʻo kāu kauka i nā mea e like me kāu mōʻaukala olakino, ka nui o kāu actinic keratoses, a me kou ola i kēlā me kēia lā i ka wā e ʻōlelo ai i ke koho kūpono loa.
Ua manaʻo ʻia ʻo Tirbanibulin he palekana no ka poʻe me ka maʻi diabetes, no ka mea, ua hoʻopili ʻia ma luna a he liʻiliʻi ka lawe ʻana i ka ʻōnaehana. Eia naʻe, hiki i ka poʻe me ka maʻi diabetes ke lohi ka hoʻōla ʻana o ka ʻeha, hiki ke hoʻopilikia i ke ʻano o kou ʻili i ka lapaʻau.
E makemake kāu kauka e nānā i kāu holomua hoʻōla inā loaʻa iā ʻoe ka maʻi diabetes. E hōʻoia e mālama i kāu pae kō koko i ka wā o ka lapaʻau, no ka mea, kākoʻo kēia i ka hoʻōla maikaʻi loa. E hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i nā hōʻailona o ka maʻi a i ʻole ka hoʻōla lohi.
Inā hoʻopili ʻoe i ka nui o tirbanibulin ma mua o ka mea i ʻōlelo ʻia, e holoi mālie i ka mea nui me ke kopa maʻalahi a me ka wai. Mai hoʻāʻo e holoi ikaika, no ka mea, hiki i kēia ke hoʻonāukiuki i kou ʻili.
ʻAʻole e ʻoi aku ka maikaʻi o ka lapaʻau ʻana ma ka hoʻohana ʻana i ka lāʻau lapaʻau nui a hiki ke hoʻonui i kou pilikia o nā hopena ʻaoʻao. Inā loaʻa iā ʻoe nā hopena ʻili koʻikoʻi ma hope o ka hoʻohana nui ʻana, e kelepona i kāu kauka. No nā noi e hiki mai ana, e hoʻomanaʻo he lawa ka papa lahilahi e uhi ana i ka wahi lapaʻau.
Inā poina iā ʻoe kahi mahele, e hoʻopili iā ia i ka wā e hoʻomanaʻo ai ʻoe i ka lā hoʻokahi. Inā ʻaʻole ʻoe e hoʻomanaʻo a hiki i ka lā aʻe, e lele i ka mahele i poina a e hoʻomau i kāu papa manawa maʻamau.
Mai hoʻopili i ʻelua mahele i ka manawa hoʻokahi e hoʻopiha ai i kahi noi i poina. Inā poina iā ʻoe ma mua o hoʻokahi mahele, e kelepona i kāu kauka e kūkākūkā inā pono ʻoe e hoʻomaka hou i ka papa lapaʻau ʻelima lā a i ʻole e hoʻomau me nā lā i koe.
E hooki i ka hoʻohana ʻana iā tirbanibulin ma hope o ka pau ʻana i ka papa ʻelima lā, ʻoiai inā e nānā mau ana kou ʻili i ka huhū. Ke hana mau nei ka lāʻau lapaʻau ma hope o kou hooki ʻana i ka hoʻopili ʻana, a hiki i ke kaʻina hana hoʻōla ke lawe i kekahi mau pule.
Mai hooki i ka lapaʻau ʻana i ka wā mua, ʻoiai inā loaʻa iā ʻoe nā hopena ʻili, ke ʻole e ʻōlelo kāu kauka iā ʻoe e hana pēlā. He maʻamau kēia mau hopena a hōʻike i ka hana ʻana o ka lāʻau lapaʻau. Eia naʻe, e kelepona i kāu kauka inā loaʻa iā ʻoe ka ʻeha nui a i ʻole nā hōʻailona o ka maʻi.
E pale i ka hoʻopili ʻana i ka make-up a i ʻole nā huahana ʻē aʻe i ka wahi i mālama ʻia i ka wā o ka papa lapaʻau ʻelima lā. E kali ma ka liʻiliʻi he 8 mau hola ma hope o ka hoʻopili ʻana iā tirbanibulin ma mua o ka hoʻohana ʻana i nā huahana topical ʻē aʻe.
Ma hope o ka pau ʻana o ka lapaʻau, hiki iā ʻoe ke hoʻomaka hou i ka hoʻohana ʻana i ka make-up a me nā huahana mālama ʻili i ka wā e hoʻōla ai kou ʻili. E koho i nā huahana maʻalahi, ʻaʻala ʻole i ka wā mua. He mea nui ka pale lā ma hope o ka lapaʻau ʻana e pale i ka ʻili i hoʻōla hou ʻia mai ka pōʻino o ka lā.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.