Raakaute Papara Whenua

Ko te paparanga ma, rite te miro i te mata o roto o te kauae he tohu no te mate o te mangai, arā, te lichen planus.

Ko te lichen planus (LIE-kun PLAY-nus) he mate pāwera haere tonu e pā ana ki ngā kiri kiri o roto i te mangai. He maha ngā momo o te lichen planus e pā ana ki te mangai, engari ko ēnei e rua ngā momo matua:

• Reticular. Ka puta mai tēnei momo hei paparanga ma i roto i te mangai, ā, ka rite ki te miro. Ko tēnei te momo lichen planus tino noa. Kāore he tohu e pā ana ki a ia, hei tikanga. Ā, kāore e hiahiatia te rongoā, kāore hoki e arahi ki ngā raruraru nui.
• Erosive. Ka puta mai tēnei momo hei kiko whero, pupū, kāore rānei he mate. Ka puta pea he āwangawanga, kāore rānei he mamae. Me tirotiro tonu e te kaimahi hauora te lichen planus erosive, nā te mea ka arahi pea ki te mate pukupuku mangai.

Kāore e taea te tuku i te lichen planus i tetahi tangata ki tetahi. Ka puta te mate ina whakaeke te pūnaha matekai i ngā pūtau o ngā kiri kiri o te mangai, he take kāore i te mōhiotia.

Ka taea te whakahaere i ngā tohu. Engari, me whai whakamātautau auau ngā tāngata he lichen planus. Nō te mea ko te lichen planus —inā ko te momo erosive—ka piki pea te tūponotanga o te whiwhi mate pukupuku mangai i ngā wāhi e pā ana.

Ko ngā tohu o te mate kiri o te waha e pā ana ki ngā kiri kiri o te waha.

He rerekē ngā tohu e whakaatu ana i te momo mate kiri o te waha. Hei tauira:

• Reticular. Ka puta mai tēnei momo hei paparanga ma, ā, ka rite pea ki te aho.
• Erosive. Ka puta mai tēnei momo hei kiko whero, pupū, kāore rānei he pōka.

Ka puta mai ngā tohu o te mate i runga i:

• Te taha o roto o ngā paparinga, ko te wāhi tino noa.
• Nga kanohi.
• Te arero.
• Ngā kiko o roto o ngā ngutu.
• Te tara.

Kaore pea e mamae, e mamae rānei ētahi atu āwangawanga ngā paparanga ma, aho o te mate kiri o te waha reticular ina puta mai ki roto o ngā paparinga. Engari ko ngā tohu o te mate kiri o te waha erosive e puta mai ana me ngā paparanga whero, pupū, kāore rānei he pōka, e whai ake nei:

• Te āwangawanga wera, te mamae rānei.
• Te ngawari ki ngā kai wera, waikawa, kāore rānei he kai kawa.
• Te toto me te whākōkī me te horoi niho.
• Te mumura o ngā kanohi, e mohiotia ana ko te gingivitis.
• Ngā paparanga mamae, mātotoru i runga i te arero.
• Te mamae i te kōrero, te ngau, te horomi rānei.

Ki te pēhea koe te mate kiri o te waha, ka pā pea te mate kiri ki ētahi atu wāhanga o tō tinana, tae atu ki:

• Te kiri. Kei te whakawhirinaki ki te tae o te kiri, ka puta mai te mate kiri hei pupū puru, kāore rānei he violet, papatahi, e ngau pinepine ana.
• Ngā ira tangata. Ko te mate kiri i runga i ngā ira wahine e tino mate ana, e wera ana, e kore rānei e pai te moe. Ko ngā tohu e whero ana, e pakaru ana. Kei te whakawhirinaki ki te tae o te kiri, i etahi wa ka rite ki ngā wāhi ma. Ka taea hoki te puta mai te mate kiri i runga i ngā ira tane.
• Ngā taringa. Ka taea e te mate kiri o ngā taringa te arahi ki te ngaro o te rongohere.
• Te ihu. Ka taea te puta mai o ngā toto ihu pinepine me te kōpū roa.
• Te upoko. Ina puta mai te mate kiri i runga i te upoko, ka taea e ia te arahi ki te ngaro o te makawe poto, roa rānei. Ka taea te ngaro tonu o te makawe ki te kore e whakaora.
• Ngā kuihi. Ahakoa he onge, ko te mate kiri o ngā kuihi waewae, kāore rānei ngā ringa, ka taea te hua i ngā aho i runga i ngā kuihi, te whakaiti, te wehewehe rānei o ngā kuihi, me te ngaro o te kuihi poto, roa rānei.
• Ngā kanohi. He onge, ka uru pea te mate kiri ki ngā mata o te kiri o ngā kanohi, ka taea te arahi ki te tohu me te matapo.
• Te esophagus. He onge te mate kiri o te esophagus. Engari ina puta mai, ka taea e ia te whakaiti i te esophagus, kāore rānei e hanga i ngā potae, potae rite ki te mowhiti i roto i te esophagus e taea ai te ngākau nui te horomi.

Tena tirohia tō tākuta, tō kaimahi hauora rānei, ki te pēhea tetahi o ngā tohu kua whakarārangihia i runga nei.

E kore e mohiotia te take o te lichen planus waha. Engari, kei te kitea te whakahohe o ngā lymphocytes T—ngā pūtau toto ma e whai wāhi ana ki te mumura—i roto i te lichen planus waha. Ā, e āhei ana tenei te tikanga he āhuatanga mate pūnaha ārai mate tēnei, ā, e āhei ana hoki te whai wāhi o ngā āhuatanga ira. He mea nui ake te rangahau kia kitea te take pono.

I ētahi tāngata, ko ētahi rongoā, te whara o te waha, te mate, te mea whakapataritari mate pāwera pēnei i ngā rauemi niho pea te take o te lichen planus waha. Pea ka pā te ahotea ki te kino ake o ngā tohu, ki te hoki mai anō rātou i te wā ki te wā. Engari, kāohore i whakauia ēnei take.

Ka taea e te tangata tetahi te whiwhi i te lichen planus waha, engari he mea noa ake i roto i nga pakeke o te tau waenga, ina koa nga wahine neke atu i te 50 tau. He maha pea nga take ka piki ake ai to tupono ki te whiwhi i te lichen planus waha, penei i te whai i tetahi ahuatanga e whakaiti ana i to aukati, te tango ranei i etahi rongoa. Engari he nui ake te rangahau e hiahiatia ana.

Ko ngā keehi kino o te lichen planus waha ka piki ake te tūpono o:

• Te mamae nui.
• Te ngaro o te taumaha, te kore kai pai.
• Te ahotea, te manukanuka.
• Te toka i ngā wheka ngongo, i ētahi atu wāhi kua pā.
• Ngā mate huhu, harore i te waha.
• Te mate pukupuku waha.

Kaore he uauatanga

Ka taea e tō kaiāwhina hauora te whakatau i te mate o te mate kiri o te waha i runga i:

• Kōrero atu ki a koe mō tō hītori hauora me ngā niho me ngā rongoā e inu ana koe.
• Tirohia ngā tohu e puta ana i roto i tō waha me ētahi atu wāhi o tō tinana.
• Tirohia tō waha me ētahi atu wāhi kia rite ki te hiahia.

Ka tono pea hoki tō kaiāwhina hauora i ngā whakamātautau taiwhanga, pēnei i:

• Te tātaritanga o te kōeke. I roto i tēnei whakamātautau, ka tangohia he tauira iti o te kōeke mai i tetahi wāhi, atu rānei i roto i tō waha. Ka ata tirohia tēnei tauira i raro i te microscope kia kitea ai te mate kiri o te waha. Ka hiahiatia pea ētahi atu whakamātautau microscope motuhake hei kimi i ngā pūtau pūnaha ārai mate e hono ana ki te mate kiri o te waha.
• Ngā whakawhanaketanga. Ka tangohia he tauira o ngā pūtau mai i tō waha mā te whakamahi i te kāpia koati. Ka tirohia te tauira i raro i te microscope kia rapu ai i tetahi mate huaketo, mate huakita, mate huaketo rānei.
• Ngā whakamātautau toto. Ka taea te mahi i ēnei whakamātautau hei kimi i ngā āhuatanga pēnei i te hepatitis C, kaore pea e hono ki te mate kiri o te waha, me te lupus, ka rite pea ki te mate kiri o te waha.

Ko te mate pūkahukahu waha he āhuatanga ora tonu. Ka ngaro pea ngā āhuatanga ngawari ake nā rātou anō, engari ka puta anō muri mai. Nō te kore he rongoā, ka āta whakaarohia te maimoatanga ki te whakaora me te whakaheke i te mamae, i ētahi atu rātou tohu e whakararuraru ana i a koe. Ka tirotirohia e tō kaimahi hauora tō āhuatanga kia kitea ai te maimoatanga pai rawa atu, kia mutu rānei te maimoatanga kia rite ki te hiahia.

Ki te kore koe e mamae, kāore anō hoki ētahi atu āwangawanga, ā, he tohu pango, kōrari noa iho te mate pūkahukahu waha i roto i tō waha, pea kāore koe e hiahia ki tetahi maimoatanga. Mō ngā tohu nui ake, pea ka hiahia koe ki tētahi, ki ētahi atu rānei o ngā kōwhiringa kei raro nei.

Ka taea e ngā maimoatanga pēnei i ngā mea whakahaumaru e tāpirihia ana ki te kiri te hoatu wātea mō te wā poto ki ngā wāhi e tino mamae ana.

Ka taea e ngā rongoā e kiia nei ko ngā corticosteroids te whakaiti i te mumura e pā ana ki te mate pūkahukahu waha. Ka taea e tō kaimahi hauora te tūtohutia tētahi o ēnei momo:

• Rongoā e whakanohoia ana ki te kiri. Ka tāpiri koe i te horoi waha, te hinu, te keu rānei tika ki te kiri ngawari – ko te huarahi pai tēnei.
• Rongoā e inuhia ana. Ka inu koe i ngā corticosteroids i roto i te ahua piritaka mō tētahi wā poto.
• Rongoā e tangohia ana hei pūeru. Ka werohia tēnei rongoā tika ki te wāhi e pā ana.

Ka rerekē ngā pānga taha i runga i te huarahi e whakamahi ana koe. Kōrero atu ki tō kaimahi hauora kia taurite ai ngā painga me ngā pānga taha e taea ana.

• Ngā hinu, ngā keu rānei e tāpirihia ana ki te kiri. I roto i te ahua hinu, keu rānei, ka taea e ēnei rongoā whakautu ā-mate te whakaora pai i te mate pūkahukahu waha. Ko ētahi tauira ko te tacrolimus (Protopic) me te pimecrolimus (Elidel). Ahakoa he whakatūpato a te Tari Kai me te Rongoā o Amerika mō ēnei rongoā nā te hononga mārama kore ki te mate pukupuku, he maha ngā wā e whakamahia ana mō te mate pūkahukahu waha. Kōrero atu ki tō kaimahi hauora mō tetahi tūponotanga pea.
• Rongoā ā-tinana. Mō te mate pūkahukahu waha nui e pā ana hoki ki ētahi atu wāhi, pēnei i te pūkahukahu, ngā wahi ira tangata, te ngākau rānei, ka taea te whakaaro ki ngā rongoā ā-tinana e whakawaiwai ana i te pūnaha ā-mate, mā te taurite i ngā painga me ngā tūponotanga.

Ka taea e te whakamahinga o ētahi rongoā, pēnei i ngā steroids e whakanohoia ana ki te kiri, te arahi ki te nui haere o te huakita. E mohiotia ana tēnei ko te mate tuarua. I te wā e maimoatia ana, whakaritehia ngā haerenga tirotiro auau ki tō kaimahi hauora matua kia tirohia ai ngā mate tuarua, kia whiwhi ai i te maimoatanga. Ki te kore e maimoatia ngā mate tuarua, ka kaha ake pea te mate pūkahukahu waha.

Pātai atu ki tō tākuta, ki ētahi atu kaimahi hauora rānei mō ngā painga me ngā tūponotanga o te whakamahinga o ngā rongoā i roto i tetahi ahua.

Ki te āta kitea te hononga o tō mate pūkahukahu waha ki tētahi mea whakaohooho, pēnei i te rongoā, te mea pāwera, te ahotea rānei, ka taea e tō kaimahi hauora te tūtohutia te whakahaere i te mea whakaohooho. Hei tauira, ka uru pea ngā whakaaro ki te tamata i tētahi atu rongoā, te kite i tētahi tohunga pāwera, tohunga kiri rānei mō ētahi atu whakamātautau, te ako rānei i ngā tikanga whakahaere ahotea.

Kaore he uauatanga