He aha te Hidradenitis Suppurativa? Tohutohu, Take, me te Maimoatanga

Ko te hidradenitis suppurativa he mate kiri roa e puta ai ngā pupū mamae me ngā whewhe i ngā wāhi e wiri tahi ana te kiri. Ka mōhio pea koe ki a ia hei HS, ā, ko te nuinga o te wā ka pā ki ngā wāhi pēnei i ō pūngāwerewere, ō turi, ō hope, me raro i ō u.

Ka puta tēnei mate ina katia, ka mumura ngā ngutu huruhuru, ka puta ai ngā pūngāwerewere hohonu, ngawari e taea te pakaru me te rere. Ahakoa he uaua pea te noho tahi me te HS, ko te mārama ki te aha te mea kei te puta me te mohio ki ō kōwhiringa maimoatanga ka taea te awhina i a koe ki te whakahaere pai.

He aha te Hidradenitis Suppurativa?

Ko te hidradenitis suppurativa he mate kiri mumura e hanga ai ngā pupū mamae, e puta ana i ngā wāhi kōpiko o tō tinana. Ko ēnei wāhi ngā wāhi e pā ana te kiri ki te kiri, e hanga ana i ngā taiao mahana, makuku.

Ka tīmata te mate ina katia ngā ngutu huruhuru ki ngā pūtau kiri mate me ngā hinu. Kāore i rite ki te mate pūngāwerewere noa, ka hohonu atu te HS ki roto i tō kiri, ā, ka pā ki ngā whewhe apocrine, arā, ngā whewhe wera e kitea ana i ngā wāhi he huruhuru kikī.

Kāore te HS e pā, na reira e kore e taea e koe te hopu mai i tētahi atu, kāore rānei e horapa ki ētahi atu. Kāore hoki i puta mai i te kore o te horoi, ahakoa te whakaaro o ētahi.

He aha ngā tohu o te Hidradenitis Suppurativa?

Ko te tohu tuatahi tino noa ko ngā pupū iti, ngawari e rite ana ki ngā pī i raro i tō kiri. Ko te nuinga o te wā ka puta ēnei pupū i ngā wāhi e wiri tahi ana tō kiri i ngā mahi o ia rā.

Ko ēnei ngā tohu matua ka pā pea ki a koe:

• Ngā pupū whero mamae e tīmata iti ana, engari ka taea te nui ake
• Ngā pūngāwerewere hohonu, kī kī e taea te pakaru me te rere
• Ngā pūngāwerewere pango e puta ana i ngā rua, i ngā rōpū rānei
• Ngā tohu mātotoru, rite ki te aho e hono ana i ngā wāhi rerekē kua pā
• Ngā rua i raro i tō kiri e hono ana i ngā pupū
• Te rere tonu me te kakara kino
• Ngā āwangawanga me te tahumaero i ngā wāhi kua pā

Ko te nuinga o te wā ka haere mai, ka haere atu ngā tohu i roto i ngā huringa. Ka pā pea ki a koe ngā whakakapi ka puta mai ai ngā pupū hou, ka whai ake ngā wā ka pai ake te ahua o tō kiri.

Ko ētahi o ngā tāngata e pā ana ki te HS e pā ana hoki ki te kirika, te ngenge, me ngā āwangawanga whānui o te kore pai i ngā whakakapi nui. Ka puta ēnei tohu katoa o te tinana nā te mea kei te mahi kaha tō pūnaha ārai ki te whawhai i te mumura.

He aha ngā momo Hidradenitis Suppurativa?

Ka wehewehe ngā tākuta i te HS ki ngā toru kaupae i runga i te nui o ō tohu. Ko tēnei pūnaha wehewehenga ko te pūnaha kaupae Hurley, ā, ka āwhina i tō kaiwhakarato hauora ki te whakarite i te huarahi maimoatanga pai rawa atu.

Kaupae 1 (Māori): Kei a koe ngā pupū kotahi, maha rānei, kāore he tohu, kāore rānei he hanga rua. Ka taea pea te rere o ngā pupū, engari kāore e hono ki tetahi atu i raro i tō kiri.

Kaupae 2 (Wāhi): Kei a koe ngā pupū e puta ana me ētahi hanga rua me te tohu. Ka taea pea te maha o ngā pupū i ngā wāhi kua pā e hono ana e ngā rua i raro i tō kiri.

Kaupae 3 (Nui): Kei a koe ngā pupū whānuitia, ngā whatunga rua whānuitia, me te tohu nui puta noa i ngā wāhi whānuitia. Ko te nuinga o te wā ka uru atu tēnei kaupae ki ngā wāhi maha e hono ana, ā, ka taea te pā kino ki tō oranga o ia rā.

Ko te nuinga o ngā tāngata ka tīmata ki ngā tohu Kaupae 1, engari ka taea te haere tonu te mate i te wā ki te kore e maimoatia. Ka taea te āwhina i te maimoatanga wawe ki te aukati i te haere tonu ki ngā kaupae nui ake.

He aha ngā take o te Hidradenitis Suppurativa?

Kāore i tino mārama te take pono o te HS, engari ka tīmata ki ngā ngutu huruhuru katia i ngā wāhi kei a koe ngā whewhe wera apocrine. Ina katia ēnei ngutu, ka taea te tipu o ngā huakita, ka puta ai te mumura.

Ko ētahi take e mahi tahi ana ki te whakaoho i te HS:

• Ngā ira - ko te tata ki te toru tekau ōrau o ngā tāngata e pā ana ki te HS he whānau kei a rātou te mate
• Ngā huringa homoni, inā koa i te wā o te pakehatanga, te wā, te hapu rānei
• Te kore mahi o te pūnaha ārai e puta ai te mumura nui
• Te wiri mai i ngā kakahu pītau, i te kiri rānei e wiri ana ki te kiri
• Te whakakī, e taea ai te whakaiti i te mumura me te whakaheke i te ora
• Te momona, e whakanui ana i te wiri o te kiri me ngā huringa homoni

He mea nui kia mōhio kei te kore te HS i puta mai i te kore o te horoi, i te "porangi" rānei. Ahakoa ngā tāngata he tikanga horoi pai kei a rātou ka taea te whanake i tēnei mate.

Ko ētahi huringa ira tino onge ka taea te whakaoho i te HS. Ka uru atu ēnei ki ngā ira e whakahaere ana i te āhua o te whakautu o tō pūnaha ārai ki te mumura, engari koinei te iti o te ōrau o ngā take.

Nōhea te haere ki te taote mō te Hidradenitis Suppurativa?

Me haere koe ki te kaiwhakarato hauora mena kei a koe ngā pupū mamae e puta ana i ō pūngāwerewere, ō turi, ō hope, i ngā wāhi u rānei. Ka taea te āwhina i te maimoatanga wawe ki te aukati i te kino o te mate me te whakaiti i tō tūponotanga ki ngā raruraru.

Rapua te awhina hauora tonu mena ka pā ki a koe:

• Te kirika me ō tohu kiri
• Ngā raina whero e horapa atu ana i te wāhi kua pā
• Ngā pupū e tino mamae ana, e tipu haere ana rānei
• Ngā tohu o te mate whānui pēnei i te wiri, te kore pai rānei
• Te uaua ki te neke nā te mamae, te pupū rānei

Kaua e tatari mena kei te pā ō tohu ki tō kounga o te ora, ki te mahi, ki ngā whanaungatanga rānei. Ko te nuinga o ngā tāngata e pā ana ki te HS e whakaroa ana te rapu maimoatanga nā te whakama, engari he tino mohio ngā tākuta kiri ki tēnei mate.

Mena kua maimoatia e koe te mea e whakaaro ana koe he mate pūngāwerewere noa, he whewhe rānei, kāore he pai, he mea tika kia whiwhi whakaaro mai i tetahi tohunga. Me whakamahi ngā huarahi maimoatanga rerekē mō te HS i ngā mate kiri atu.

He aha ngā take tūponotanga mō te Hidradenitis Suppurativa?

Ko ētahi take ka taea te whakanui ake i tō tūponotanga ki te whanake i te HS. Ka taea te āwhina i te mārama ki ēnei take tūponotanga i a koe me tō taote ki te aromatawai i tō āhuatanga me te whakarite i ngā rautaki aukati.

Ko ēnei ngā take tūponotanga tino noa:

• Te tau - ko te nuinga o te wā ka tīmata te HS i muri i te pakehatanga, ko te nuinga o te wā i ngā tekau tau rua tekau me ngā toru tekau
• Te ira tangata - ko ngā wāhine e toru te wā pea te tūponotanga ki te whanake i te HS i ngā tāne
• Te hītori whānau - ko te whai whānau e pā ana ki te HS ka whakanui ake i tō tūponotanga
• Te whakakī - ka rua te tūponotanga o te whakamahinga tapeka me te whakaiti i ngā tohu
• Te momona - ka whakanui te taumaha nui i te wiri me ngā huringa homoni
• Ngā mate ārai atu pēnei i te mate puku mumura

Ko ētahi atu tāngata he tūponotanga teitei ake nā ētahi rongoā, nā ngā āhuatanga hauora rānei e pā ana ki tō pūnaha ārai. Ka taea hoki e ngā āhuatanga homoni pēnei i te mate ovary polycystic (PCOS) te whakanui ake i tō tūponotanga.

Ahakoa e kore e taea e koe te whakarereke i ngā take pēnei i ō ira, i tō ira tangata rānei, ka taea e koe te mahi i ngā take tūponotanga e taea te whakarereke. Ka taea te āwhina i te pupuri i te taumaha hauora me te karo i te whakakī ki te whakaiti i tō tūponotanga, ki te whakapai rānei i ō tohu mena kei a koe kē te HS.

He aha ngā raruraru pea o te Hidradenitis Suppurativa?

Me te kore o te maimoatanga tika, ka taea e te HS te arahi ki ngā raruraru maha e pā ana ki tō hauora tinana me tō kounga o te ora. Ko te rongo pai ko te maimoatanga wawe ka taea te aukati i te nuinga o ēnei raruraru.

Ka taea e ngā raruraru tinana te whakauru ki:

• Te tohu mau tonu me te mātotoru o te kiri i ngā wāhi kua pā
• Te nekehanga whakawātea nā te hanga o te kiri tohu
• Te mamae roa e āwangawanga ana ki ngā mahi o ia rā
• Ngā mate huakita tuarua e hiahia ana ki te maimoatanga antibiotic
• Ngā raruraru whakaheke lymphatic e puta ai te pupū
• Ngā raruraru whatukuhu mai i te mumura roa (tino onge, engari he kino)

Ka taea hoki e te HS te pā kino ki tō oranga hinengaro. Ko te nuinga o ngā tāngata e pā ana ki te pouri, te manukanuka, me te wehe atu i te hapori nā te mamae, te kakara, me ngā āwangawanga āhua.

I roto i ngā take tino onge, ka taea e te HS roa te whakanui ake i te tūponotanga o te momo mate pūngāwerewere e kiia nei ko te mate pūngāwerewere squamous. Ko te nuinga o te wā ka puta tēnei i ngā wāhi he mumura nui, roa kua puta mo ngā tau maha.

Ko te ki ki te aukati i ngā raruraru ko te mahi tahi me tō rōpū hauora ki te whakahaere pai i tō mate. Me te maimoatanga tika, ka taea e te nuinga o ngā tāngata e pā ana ki te HS te noho ora, ora tonu.

Me pēhea te aukati i te Hidradenitis Suppurativa?

Ahakoa e kore e taea e koe te aukati katoa i te HS mena kei a koe ngā ira e pā ana ki a ia, ka taea e koe te tango i ngā kaupae hei whakaiti i tō tūponotanga ki ngā whakakapi me te whakaheke i te haere tonu o te mate.

Ko ngā huringa oranga e taea te āwhina:

• Te pupuri i te taumaha hauora hei whakaiti i te wiri o te kiri
• Te mutu i te whakakī, e tino whakapai ake ana i ngā hua
• Te kakahu i ngā kakahu huruhuru, manawa pai i hangaia mai i ngā muka tūturu
• Te whakamahi i ngā hautai ngawari, kāore he kakara, me te karo i te horoi kino
• Te whakahaere i te ahotea mā ngā tikanga whakamahinga, te tohutohu rānei
• Te whai i te kai anti-mumura e whai hua ana i ngā hua me ngā huawhenua

Ko ētahi o ngā tāngata e kite ana ko ētahi kai e whakaoho ana i ō rātou whakakapi. Ko ngā kai whakaoho noa ko ngā hua waiu, ngā kai nui te huka, me ngā kai mai i te whānau nightshade pēnei i ngā tamati me ngā pepa.

Pupurihia he raarangi tohu hei kimi i ō kaiwhakaoho whaiaro. Ka taea tēnei te āwhina i a koe ki te whakatau i ngā whakatau mō ngā huringa oranga e taea te whai hua ki tō āhuatanga motuhake.

Me pēhea te whakatau i te Hidradenitis Suppurativa?

Ko te whakatau i te HS e whakawhirinaki ana ki te tirotiro hauora a tō taote me tō hītori hauora. Kāore he whakamātautau toto motuhake, he rangahau whakaahua rānei e whakatau ana i te HS.

Ka titiro tō taote ki te tauira tohu o ngā pupū, ngā tohu, me ngā rua i ngā wāhi tinana noa. Ka ui rātou ki te wā i tīmata ai ō tohu, te maha o ngā whakakapi, me te whai whānau rānei e whai take rite ana.

Ko ngā tikanga whakatau e whakauru ana ki te whai i ngā pupū noa i ngā wāhi noa i te iti rawa rua i roto i ngā marama ono. Ka taea pea e tō taote te mahi i te whakawhanaketanga huakita mena ka whakaaro rātou he mate tuarua.

I ētahi wā, ka taea pea e tō taote te tūtohutia he biopsy kiri iti hei whakakore i ngā āhuatanga atu. Ko te nuinga o te wā ka puta tēnei ina kāore i mārama te whakatau, ina kore rānei ngā tohu e whakautu ana ki ngā maimoatanga noa.

He mea nui te whiwhi i te whakatau tika nā te mea ka taea te whakapohehe i te HS ki ētahi atu āhuatanga pēnei i ngā whewhe noa, ngā whewhe pilonidal, i ngā raruraru o te mate Crohn. Ka taea e te tākuta kiri e tohunga ana ki ngā mate kiri mumura te tuku i te whakatau tika rawa atu.

He aha te maimoatanga mō te Hidradenitis Suppurativa?

Ko te maimoatanga mō te HS e aro ana ki te whakaiti i te mumura, te aukati i ngā whara hou, me te whakahaere i te mamae. Ka whakawhirinaki tō mahere maimoatanga ki te nui o tō mate me ngā wāhi o tō tinana kua pā.

Mō te HS ngawari (Kaupae 1), ko ngā maimoatanga e whakauru ana ki:

• Ngā rongoā antibiotic topical e tonohia ana tika ki ngā wāhi kua pā
• Ngā kāpeka mahana hei whakaiti i te mamae me te whakatenatena i te rere
• Ngā rongoā anti-mumura pēnei i te ibuprofen mō te whakaora i te mamae
• Ngā horoi antiseptic hei aukati i ngā mate tuarua

Mō te HS wāhi ki te nui, ka taea pea e tō taote te tūtohutia:

• Ngā rongoā antibiotic waha mō ngā wā roa hei whakahaere i te mumura
• Ngā maimoatanga homoni, inā koa mō ngā wāhine e kino ake ana ō tohu me ngā huringa wā
• Ngā rongoā Biologic e whai take ana ki ngā wāhanga motuhake o tō pūnaha ārai
• Ngā whakaurunga steroid tika ki ngā pupū nui, mamae
• Ngā mahi pokanga hei tango i te kiri kua pā, hei whakaheke rānei i ngā whewhe nui

Ko ngā maimoatanga biologic hou pēnei i te adalimumab kua whakaatu i ngā hua pai mō te tini o ngā tāngata e pā ana ki te HS wāhi ki te nui. Ka mahi ēnei rongoā mā te aukati i ngā tohu mumura motuhake i roto i tō pūnaha ārai.

Ka hiahiatia pea te pokanga mō ngā take nui, inā koa ina he nui te hanga rua, te tohu rānei. Ko ngā kōwhiringa pokanga e puta ana mai i ngā mahi whakaheke ngāwari ki te tango nui atu i te kiri me te hanga hou.

Me pēhea te whakahaere i te Hidradenitis Suppurativa i te kāinga?

Ko te whakahaere kāinga he mea nui ki te whakahaere i ngā tohu HS me te aukati i ngā whakakapi. Ko ēnei rautaki te mahi pai rawa atu ina whakamahia tahi me ō maimoatanga hauora kua tohua.

Ko ngā mahi tiaki o ia rā e taea te āwhina:

• Te horoi ngawari me te hautai antibacterial, te karo i te horoi kino
• Te tono i ngā kāpeka mahana, makuku ki ngā wāhi mamae mō ngā meneti 10-15
• Te whakamahi i ngā kakahu huruhuru, manawa pai hei whakaiti i te wiri
• Te pupuri i ngā wāhi kua pā kia maroke, kia pai te hau ina taea
• Te karo i ngā whitiki pītau, ngā riipene, i ngā kakahu rānei e wiri ana ki ngā wāhi kua pā

Ka taea te whakauru ki te whakahaere mamae i te kāinga ngā rongoā anti-mumura kore-tohu pēnei i te ibuprofen, i te naproxen rānei. Whai tonu i ngā tohutohu i roto i te kete, tirohia hoki ki tō taote mō te whakamahinga roa.

Ko ētahi o ngā tāngata e kite ana i te whakaora mai i ngā huarahi tūturu pēnei i ngā taapiri turmeric, te konuka, i ngā tono hinu tii rānei. Ahakoa kāore ēnei i te maimoatanga kua whakamāramahia, ka taea pea te whakarato i te whakamarie atu ina whakamahia haumaru tahi me te tiaki hauora.

He mea nui hoki te whakahaere ahotea, nā te mea ka taea e te ahotea te whakaoho i ngā whakakapi. Whakaarohia ngā tikanga whakamahinga, te whakakori noa e kore e āwangawanga i tō kiri, te tohutohu rānei hei awhina i te whakahaere i ngā āhuatanga hinengaro o te noho tahi me te HS.

Me pēhea te whakarite mō tō hui taote?

Ka taea te āwhina i te whakarite mō tō haerenga ki te taote ki te whiwhi i te tiaki pai rawa atu me te whakarite kua whakautuhia ō awangawanga katoa. Ka arahi te whakarite pai ki ngā hua maimoatanga pai ake.

I mua i tō hui, hanga he rārangi o:

• Ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te maha o te wā ka puta
• Ngā rongoā me ngā taapiri katoa kei te tangohia e koe inaianei
• Ngā pātai e hiahia ana koe ki te ui mō te whakatau, ngā kōwhiringa maimoatanga, i ngā huringa oranga rānei
• Tetahi hītori whānau o ngā āhuatanga kiri rite
• Ngā take e ātaahua ana i ō tohu, e kino ake rānei

Whakaarohia te pupuri i te raarangi tohu mō ngā wiki torutoru i mua i tō hui. Tātaihia te wā e puta mai ana ngā whakakapi, te mea kei te mahi koe, te mea i kai koe, me ō taumata ahotea.

Kaua e whakama ki te kōrero tika mō ō tohu. Me whai ngā korero katoa tō taote hei whakarato i te tiaki pai rawa atu, ā, kua kite rātou i ēnei āhuatanga maha i mua.

Mau mai he rārangi o ngā maimoatanga kua whakamātauhia e koe, tae atu ki ngā hua kore-tohu, ngā rongoā kāinga, i ngā rongoā kua tohua e ētahi atu tākuta rānei. Ka āwhina tēnei ki te karo i te whakamahinga anō i ngā maimoatanga kore hua.

He aha te mea nui mō te Hidradenitis Suppurativa?

Ko te hidradenitis suppurativa he mate roa e taea te whakahaere e pā ana ki te miriona o ngā tāngata puta noa te ao. Ahakoa he uaua pea te noho tahi, he maimoatanga whai hua kei te wātea e taea te whakapai ake i tō kounga o te ora.

Ko te mea nui rawa atu hei mahara ko te maimoatanga wawe ka puta he rerekētanga. Mena kei te whakaaro koe pea kei a koe te HS, kaua e tatari ki te rapu awhina hauora. Ka taea te āwhina i te whiwhi i te whakatau me te maimoatanga tika i te wawe ki te aukati i te haere tonu o te mate ki ngā kaupae nui ake.

Kāore koe e noho kotahi ana i te whakahaere i tēnei mate, ā, ehara i tō he. Ko te HS he mate hauora tika e hiahia ana ki te tiaki hauora tika, ehara i te mea ka taea te whakatika mā te horoi pai ake, mā te kaha rānei.

Me te whakakotahitanga tika o te maimoatanga hauora, ngā huringa oranga, me te tiaki whaiaro, ka taea e te nuinga o ngā tāngata e pā ana ki te HS te whakahaere pai i ō rātou tohu me te pupuri i ngā ora ora, whai hua.

Ngā pātai e ui pinepinetia ana mō te Hidradenitis Suppurativa

P1: Kei te pā te hidradenitis suppurativa?

Kāo, kāore te hidradenitis suppurativa e pā. E kore e taea e koe te hopu mai i tētahi atu, te horapa atu rānei ki ētahi atu tāngata mā te hono, mā te tuwha i ngā taonga whaiaro, mā ētahi atu huarahi rānei. Ko te HS he mate mumura e whanake ana nā ō take tūponotanga me ō ira motuhake.

P2: Ka taea te whakaora katoa i te hidradenitis suppurativa?

I tēnei wā, kāore he rongoā mō te HS, engari ka taea te whakahaere pai rawa atu me te maimoatanga tika. Ko te tini o ngā tāngata e whiwhi ana i ngā wā roa o te whakaora ka iti noa atu rānei ō rātou tohu. Ko te ki ko te mahi tahi me tō rōpū hauora ki te kimi i te whakakotahitanga tika o ngā maimoatanga mō tō āhuatanga motuhake.

P3: Kei te kino ake te hidradenitis suppurativa i te wā e pakeke ana?

Kāore te HS e kino ake i te wā e pakeke ana, engari ka taea te haere tonu mena ka kore e maimoatia. Ko ētahi o ngā tāngata e kite ana i te pai ake o ō rātou tohu i muri i te menopause nā ngā huringa homoni. Me te maimoatanga tika, ko te tini o ngā tāngata e pupuri ana i ngā tohu pumau, i te pai ake rānei i te wā, ahakoa te tau.

P4: Ka taea te āwhina i ngā huringa kai ki te hidradenitis suppurativa?

Ko ētahi o ngā tāngata e pā ana ki te HS e kite ana ko ētahi huringa kai e āwhina ana ki te whakaiti i ō rātou whakakapi. Ko ngā kai whakaoho noa ko ngā hua waiu, ngā kai nui te huka, me ngā kai mai i te whānau nightshade. Ka taea pea te āwhina i te kai anti-mumura e whai hua ana i ngā hua, ngā huawhenua, me ngā ngako momona omega-3 ki ētahi tāngata, ahakoa kei te whanake tonu te mōhiohio pūtaiao.

P5: Kei te haumaru te pokanga mō te hidradenitis suppurativa?

Ka taea te tino whai hua te pokanga mō te HS ina mahihia e ngā tohunga pokanga, inā koa mō ngā take nui, i ngā wāhi rānei e kore e whakautu ana ki te maimoatanga hauora. He pai ngā reiti angitu o ngā tikanga pokanga hou, ā, ka taea te whakarato i te whakaora roa. Ka kōrero tō taote ki a koe mō ngā painga me ngā tūponotanga i runga i tō āhuatanga motuhake.