He aha te Mate Huka Polymorphous? Tohutohu, Take, me te Maimoatanga

Ko te mate huka polymorphous (PLE) tētahi āhuatanga kiri noa e puta ana ina pā te ra ki tō kiri i muri i te wā poto o te kore pā o te ra. Whakaarohia ko te huarahi o tō kiri ki te kī kei te hiahia ia ki te wā hei whakatika anō ki ngā ra o te rā.

Ko tēnei āhuatanga e pā ana ki te 10-20% o te iwi o te ao, ā, ko tētahi o ngā raruraru kiri e pā ana ki te rā. Ko te rongo pai, ahakoa kaore e pai te PLE me te awangawanga ina puta tuatahi, ehara i te mea kino, ā, ka taea te whakahaere pai me te huarahi tika.

He aha te Mate Huka Polymorphous?

Ko te mate huka polymorphous te whakautu whakaroa o tō kiri ki te mārama ultraviolet (UV) mai i te rā. Ko te ingoa "polymorphous" e kī ana "he maha ngā āhua" nā te mea ka rerekē te ahua o te pupuhi mai i te tangata ki te tangata, ā, ka rerekē hoki i te tangata kotahi i te wā.

Ko tō pūnaha ārai e tino pāngia ana ki te mārama o te rā, ina koa i muri i ngā marama o te takurua, i ngā wā ka iti te pā o te rā. Ina ka piki tere tō wā i te rā, ka pā pea tō kiri ki te pupuhi e puta ana i ngā haora ki ngā rā i muri i te pā.

Ehara tēnei i te rite ki te tahuna o te rā, e puta ana i te wa poto mai i te nui o te pā o te UV. Engari, ko te PLE tētahi whakautu ārai e whanake ana i te wa roa, e puta ana i te 6-24 haora i muri i tō noho i te rā.

He aha ngā Tohutohu o te Mate Huka Polymorphous?

Ka rerekē ngā tohutohu o te PLE mai i te tangata ki te tangata, engari ka puta ana i ngā wāhi o tō tinana e pā ana ki te rā. Ka kite pea koe i te pupuhi e whanake ana i roto i ngā haora ki ngā rā i muri i te pā o te rā, ina koa i ngā wā tuatahi i te rā kaha ia tau.

Ko ngā tohutohu tino noa ko:

• Ngā pūpū iti, ngā pupuhi ranei e ngau ana i te kiri e pā ana ki te rā
• Ngā wahi whero, teitei e mahana ana ki te pa
• Te tahuna, te wera ranei i ngā wāhi e pā ana
• Ngā rōpū o ngā pūpū iti e rite ana ki ngā hives
• Ngā tohu whero, papatahi e rite ana ki te pupuhi wera
• Ngā wahi mātotoru, tautau i etahi wā

Ko te pupuhi e puta ana i tō uma, ringa, waewae, ā, i etahi wā tō mata. He mea whakahihiri, ko ngā wāhi e pā ana ki te rā, penei i ō ringa me tō mata, kaore e pāngia, nā te mea kua "kaha" ki te rā.

I etahi wā, ka pāngia etahi tangata ki ngā tohutohu nui ake penei i ngā pupuhi nui, te pupuhi nui, te kirika ranei. Ko ēnei tohutohu e hiahia ana ki te tiaki hauora tonu, nā te mea ka taea te tohu i te whakautu nui ake.

He aha ngā momo Mate Huka Polymorphous?

Ka whakarōpūhia e ngā kaiwhakarato hauora te PLE i runga i te ahua o te pupuhi i tō kiri. Ko te mārama ki ēnei whakaaturanga rerekē ka āwhina i a koe ki te mohio ki tō tauira motuhake me te korero pai atu ki tō tākuta.

Ko ngā momo matua ko:

• Momo Papular: Ngā pūpū iti, teitei e rite ana ki ngā pūpū iti
• Momo Vesicular: Ngā pupuhi iti, kī kī e pakaru ana
• Momo Papa: Ngā wahi whero nui ake, papatahi e tautau ana
• Rite ki te Erythema multiforme: Ngā tohu āhua-pānga me ngā mowhiti o ngā tae rerekē
• Rite ki te ngau pepeke: Ngā pūpū e rite ana ki ngā ngau namu

Ko te nuinga o te iwi e whanake ana i te momo pupuhi kotahi i ia wā e pā ana ki te PLE. Heoi, he mea pea te tauira pupuhi kia rerekē i te wā, i te pānga ranei ki te maha o ngā momo i te wā kotahi.

I etahi wā, ka whanake etahi tangata i te ahua nui e kiia nei ko te "actinic prurigo," e taea ai te whakaputa i ngā huringa kiri hohonu me te tohu. Ko tēnei momo e tino noa ana i etahi iwi, ā, ka hiahia pea ki te maimoatanga motuhake.

He aha ngā Take o te Mate Huka Polymorphous?

Kaore i tino mārama te take tika o te PLE, engari e whakapono ana ngā kairangahau kei roto i te whakautu o tō pūnaha ārai ki ngā huringa o tō kiri e puta ana i te mārama UV. Ina pā ana ngā ra UV ki tō kiri, ka taea e rātou te whakarerekē i ētahi pūmua, ka kitea e tō pūnaha ārai he kaiwhakaeke ke rātou.

He maha ngā take e āwhina ana ki te whanaketanga o te PLE:

• Ngā huringa o te pā o te rā i ia wa: Ka ngaro te "manawanui" o tō kiri ki te mārama UV i ngā marama o te takurua
• Ngā huringa pūmua kiri e puta ana i te UV: Ka whakarerekē te rā i ngā pūmua i roto i ngā pūtau kiri
• Te pāngia o te pūnaha ārai: Ko te pūnaha tiaki o tō tinana e tino whakautu ana ki ēnei huringa pūmua
• Te whakaheke i te ira: Ko te hītori whānau e piki ake ana tō tūponotanga ki te whanaketanga o te PLE
• Te momo kiri mā: Ko te iwi kiri mā e tino pāngia ana

He mea whakahihiri, ko te nuinga o te iwi me te PLE e kite ana ka whakaritea tahitia to ratou kiri ki te pā o te rā i te raumati. Ko tēnei tukanga, e kiia nei ko te "kaha," e kī ana ka pai ake ngā tohutohu, ka ngaro ranei i te wa e piki haere ana te raumati.

I etahi wā, ka taea e etahi rongoā te whakaiti i tō tūponotanga ki te whanaketanga o te PLE. Kei roto i ēnei ētahi rongoā mate huka, diuretics, me ngā rongoā anti-mumura e piki ake ana te pāngia o tō kiri ki te rā.

Nōhea te Tiro ki te Tākuta mō te Mate Huka Polymorphous?

Ahakoa he kore kino te PLE, he wā kei reira e hiahia ana koe ki te rapu awhina hauora. Ko te nuinga o ngā take ka taea te whakahaere i te kāinga, engari ko te aratohu ngaio e āwhina ana ki te whakarite i te tautuhi me te maimoatanga tika.

Me whakapiri atu koe ki tō kaiwhakarato hauora mena:

• Koinei te wā tuatahi e pā ana koe ki te pupuhi e pā ana ki te rā
• Ko te pupuhi e tino ngau ana, e āwangawanga ana i ō mahi o ia rā
• Ka whanake koe i ngā pupuhi nui, i ngā wahi pakaru ranei
• Ko te pupuhi e horapa ana ki ngā wāhi kaore i pā ki te rā
• Ka pāngia koe e te kirika, te wiri, te ngoikore ranei
• Kaore te pupuhi e pai ake i roto i te wiki o te karo i te pā o te rā

Rapua te tiaki hauora tonu mena ka whanake koe i ngā tohu o te mate, penei i te whero nui ake, te wera, te pū, te whero ranei mai i te pupuhi. Ko ēnei tohutohu ka taea te tohu i te mate huakita e hiahia ana ki te maimoatanga rongoā.

Hei tāpiri atu, mena ka pāngia koe e te uaua ki te manawa, te pupuhi nui o tō mata, o tō korokoro ranei, te māuiui ranei, ko ēnei pea ngā tohu o te mate pāwera nui e hiahia ana ki te tiaki āwangawanga.

He aha ngā Take Tūponotanga mō te Mate Huka Polymorphous?

Ko te mārama ki ō take tūponotanga mō te PLE ka āwhina i a koe ki te tango i ngā mahi aukati me te mohio ina pea ka tino pāngia koe ki te whanaketanga o tēnei āhuatanga. Ko ētahi take ka taea e koe te whakahaere, ko ētahi atu he wāhanga noa iho o ō āhuatanga taiao.

Ko ngā take tūponotanga matua ko:

• Te kiri mā: Ko te iwi kiri mā e tino pāngia ana ki te PLE
• Te wahine: Ko ngā wāhine e tino pāngia ana i ngā tāne
• Te tau: Ko te tino noa i waenga i te 20-40 tau
• Te wāhi whenua: Te noho i ngā āhuarangi o te raki me te iti o te rā takurua
• Te hītori whānau: Ko te whai whānau me te PLE e piki ake ana tō tūponotanga
• Ētahi iwi: Ko ngā iwi Māori me ngā iwi Hispanic e whakaatu ana i ngā reiti teitei

Ka taea hoki e ngā take oranga te awe i tō tūponotanga. Mena ka nui atu tō wā i roto i te whare i ngā marama o te takurua, ka piki tere te pā o te rā i te puna, i te raumati ranei, ka tino pāngia koe ki te whanaketanga o te PLE.

I etahi wā, ko te whai i ētahi āhuatanga autoimmune, te tango ranei i ētahi rongoā e piki ake ana te photosensitivity ka taea te whakaiti i tō tūponotanga ki te whanaketanga o te PLE, i ngā whakautu pāngia ki te mārama rite ranei.

He aha ngā Hua Ka Taea o te Mate Huka Polymorphous?

Ko te rongo pai, ko te PLE kaore e tino whakaputa i ngā hua kino. Ko te nuinga o te iwi e pā ana ki te kore pai o te wa poto e mutu ana i a ia ano ina he iti te pā o te rā, ā, ka ora te kiri.

Heoi, ka puta etahi hua ka taea:

• Te mate huakita tuarua: Ko te karaka i te pupuhi ngau ka taea te whakauru i ngā huakita
• Te tae kiri wa poto: Ko ngā wahi pouri ake, mā ranei ka mau tonu mō ngā wiki
• Te tohu: Ko te nuinga he iti, engari he mea pea me te karaka nui
• Ngā herenga oranga: Ko te karo i te pā o te rā ka pā ki ngā mahi i waho
• Te pānga hinengaro: Ko ngā pupuhi e puta ana i ia wā ka taea te whakaputa i te awangawanga mō te pā o te rā

Ko te nuinga o ēnei hua ka taea te aukati me te tiaki tika me te karo i te karaka nui. Ko te tae kiri e ngaro ana i roto i ngā wiki ki ngā marama.

I etahi wā, ko te iwi me te PLE nui, e puta ana i ia wā, ka whanake i ngā huringa kiri roa, i te piki ake ranei o te pāngia ki te mārama i roto i te whare. Ko te taumata o te nui kaore e tino noa, ā, ka hiahia pea ki te tiaki dermatological motuhake.

Me pēhea te aukati i te Mate Huka Polymorphous?

Ko te aukati te huarahi tino pai ki te whakahaere i te PLE. Ko te matua ko te whakaritea haere i te manawanui o tō kiri ki te rā i te wa e tiaki ana koe i a koe i te nui o te pā UV.

Ko ēnei ngā rautaki aukati tino pai:

• Te pā o te rā i te wa poto: Tīmata ki te 10-15 meneti o te rā ia rā i te tīmatanga o te puna
• Te whakamarumaru rā whānui: Whakamahia te SPF 30 neke atu rānei, e tono ana i te 30 meneti i mua i te haere ki waho
• Ngā kakahu tiaki: Kakahu ringa roa, tarau, me ngā potae whānui
• Rapua te atarangi: Kaua e noho tika ki te rā i ngā haora nui (10 AM ki te 4 PM)
• Ngā karāhe rā: Tiaki i te kiri ngawari i te taha o ō kanohi
• Phototherapy: Ko etahi tangata e whai hua ana i te pā UV whakahaeretia i mua i ngā wa raumati

Ko te tikanga o te whakaaturanga wa poto e tino pai ana, nā te mea ka taea e ia tō kiri te whakawhanake i te tiaki taiao i te wā. Whakaarohia ko te whakangungu i tō kiri ki te whakahaere i te piki o te rā.

Mō te iwi me te PLE nui, ka taunaki pea ngā tākuta i ngā maimoatanga phototherapy aukati i te mutunga o te takurua, i te tīmatanga ranei o te puna. Ko tēnei whakaaturanga whakahaere e āwhina ana i tō kiri ki te hanga manawanui i mua i te piki o te pā o te rā.

Me pēhea te Tautuhi i te Mate Huka Polymorphous?

Ko te tautuhi i te PLE e whakauru ana i tō tākuta ki te tirotiro i tō kiri me te ako mo ō tohutohu me te hītori o te pā o te rā. Kaore he whakamātautau kotahi e tautuhi ana i te PLE, na reira ka whakakotahi tō kaiwhakarato hauora i ngā tohu maha.

Ka ui pea tō tākuta mo:

• Nōhea me te wāhi i puta tuatahi ai te pupuhi
• Ō tauira pā o te rā tata nei
• He mea pea tēnei e puta ana i ia wā i muri i te pā o te rā
• Ngā rongoā e tangohia ana e koe
• Te hītori whānau o ngā whakautu kiri rite
• Me pēhea te huringa o te pupuhi i te wā

I etahi wā, ka taea e tō tākuta te mahi i te tukanga "phototesting." Ko tēnei e whakauru ana ki te whakaatu i ngā wāhi iti o tō kiri ki ngā nui whakahaeretia o te mārama UV ki te kite mena ka whakaputa i ō tohutohu.

Kaore e tino noa, ka hiahiatia pea he biopsy kiri mena ka hiahia tō tākuta ki te whakakore i ētahi atu āhuatanga e rite ana ki te PLE. Ko ngā whakamātautau toto kaore e tino hiahiatia ki te kore he awangawanga mō ētahi atu āhuatanga autoimmune.

He aha te Maimoatanga mō te Mate Huka Polymorphous?

Ko te maimoatanga mō te PLE e aro ana ki te whakahaere i ngā tohutohu me te aukati i ngā putanga o muri. Ko te rongo pai, ko te nuinga o ngā take e pai ana te whakautu ki ngā maimoatanga ngāwari, ā, ko te nuinga o te iwi e kite ana ka pai ake ngā tohutohu i te wā.

Ko ngā kōwhiringa maimoatanga noa ko:

• Ngā corticosteroids topical: Ngā kiri mumura hei whakaiti i te whero me te ngau
• Ngā antihistamines waha: Āwhina ki te whakahaere i te ngau me te whakaiti i te mumura
• Ngā kāpeka makariri: Hoatu te whakaora tonu mō te tahuna me te ngau
• Ngā kaiwhakamātotoru: Āwhina ki te whakaora i te kiri me te aukati i te āwangawanga atu
• Ngā corticosteroids waha: E waiho ana mō ngā take nui kaore e whakautu ki ngā maimoatanga topical

Ko tō tākuta e tīmata ana ki ngā maimoatanga ngāwari tuatahi. Ko ngā corticosteroids topical te maimoatanga tuatahi, nā te mea ka taea te whakaiti i te mumura me te kore he pānga nui ina whakamahia tika.

Mō te iwi me te PLE e puta ana i ia wā, nui, ka taunaki pea ngā maimoatanga aukati. Kei roto i ēnei ngā rongoā antimalarial penei i te hydroxychloroquine, i ngā huihuinga phototherapy aukati ranei i mua i ngā wa raumati.

I etahi wā kaore e tino noa te PLE e tino pā ana ki te kounga o te ora, ka whakaarohia pea ngā rongoā immunosuppressive, ahakoa he mea kaore e tino noa, e hiahia ana ki te tirotiro tika.

Me pēhea te tango i te maimoatanga kāinga i te wā o te Mate Huka Polymorphous?

Ko te whakahaere i te PLE i te kāinga ka tino whai hua mō ngā take iti ki te reo. Ko te matua ko te whakamarie i tō kiri i te wā e ora ana, me te karo i te pā o te rā kia mutu ra ano te pupuhi.

Ko ēnei ngā mea ka taea e koe i te kāinga:

• Noho atu i te rā: Kaua e pā ki te rā kia ora ra ano te pupuhi
• Ngā kaukau makariri: Tāpirihia te oatmeal colloidal, te paura tunutunu ranei hei whakaiti i te ngau
• Te whakamātotoru ngāwari: Whakamahia ngā lotions kore kakara i te wā e makuku tonu ana te kiri
• Karo i te karaka: Pupuri i ngā kuihi poto, me te whakaaro ki te kakahu i ngā karapu i te pō
• Ngā kakahu huruhuru: Kakahu kakahu ngawari, manawa e kore ai e āwangawanga te pupuhi
• Te whakaora mamae i runga i te kaute: Ko te ibuprofen, te acetaminophen ranei ka āwhina ki te kore pai

Ko te kiri gel aloe vera ka taea te hoatu whakaora makariri, engari kia tino whiriwhiri koe i ngā hua kaore he kakara, he waipiro ranei, e taea ai te āwangawanga atu i te kiri ngawari.

Mena he nui te ngau, ko te kaukau makariri i te wāhi o ngā kaukau wera ka āwhina. Ko te wai wera ka taea te whakaiti i te mumura me te piki ake o te ngau. Patuhia tō kiri kia maroke ngāwari i te wahi o te wīwī me te tauera.

Me pēhea te Whakarite mō tō Huihuinga Tākuta?

Ko te whakarite pai mō tō huihuinga ka āwhina i tō tākuta ki te tautuhi tika i tō āhuatanga me te taunaki i te maimoatanga tino tika. Ko te whakarite pai ka taea te whakarerekē i waenga i te tautuhi tere me ngā haerenga maha.

I mua i tō huihuinga:

• Tuhia ō tohutohu: Tangohia ngā whakaahua o te pupuhi me te tuhi i te wā i puta ai
• Aroturuki i te pā o te rā: Tuhia ngā mahi tata nei me te wā i noho ai koe ki waho
• Rārangi rongoā: Whakauruhia ngā rongoā rongoā, ngā taapiri, me ngā hua topical
• Tuhia te hītori whānau: Ui ki ngā whānau mo ngā whakautu kiri rite
• Whakaritea ngā pātai: Tuhia ngā mea e hiahia ana koe ki te ui ki tō tākuta
• Mau mai ngā rēkōta o mua: Mena kua whai pupuhi rite koe i mua

Whakaarohia te pupuri i te "raarangi rā" e aroturuki ana i tō pā o te rā me ētahi whakautu kiri. Ko ēnei korero ka tino nui ki te tautuhi i ngā tauira me te whakau i te tautuhi PLE.

Kaua e whakamahi i te whakapaipai nui, i ngā lotions ranei i ngā wāhi e pā ana i mua i tō huihuinga, nā te mea ka uaua ake te tirotiro i tō kiri e tō tākuta.

He aha te Tākutake Matua mō te Mate Huka Polymorphous?

Ko te mea nui rawa atu hei mahara mo te PLE ko te āhuatanga noa, e taea te whakahaere, kaore e whakaputa i ngā morearea hauora nui. Ahakoa kaore e pai, ka awangawanga hoki ina puta tuatahi, ko te mārama ki te aha, me pēhea te whakahaere ka taea te hoatu i te whakawhirinaki ki te whakahaere i ngā wāhanga o muri.

Ko te nuinga o te iwi e kite ana ka pai ake ngā tohutohu PLE i te wā e whakawhanake ana to ratou kiri i te manawanui ki te rā. Ko te whakakotahitanga o te pā o te rā i te wa poto, te tiaki rā tika, me te maimoatanga tika ina hiahiatia ka taea e te nuinga o te iwi te pai ki ngā mahi i waho me te kore he herenga nui.

Kia mahara ko te PLE ko te huarahi o tō kiri ki te whakarite ki te piki o te pā o te rā, ina koa i muri i ngā wā o te iti o te rā. Me te manawanui me te tiaki tika, ka taea e koe te mahi tahi me te tukanga whakarite taiao o tō kiri i te wahi o te whawhai ki a ia.

Ngā Pātai E Ui Ana I Te Wā I Te Mate Huka Polymorphous

Q1: Ka ngaro noa atu te PLE?

Ae, ko te PLE e ngaro ana i a ia ano i roto i ngā rā ki ngā wiki ina karo koe i te pā o te rā. Ko te nuinga o te iwi e kite ana ka iti ake ngā tohutohu, ka ngaro ranei i te wā e whakawhanake ana to ratou kiri i te manawanui i te wa raumati. Heoi, me te kore ngā mahi aukati, ka hoki mai pea me te pā o te rā o muri.

Q2: Ka taea tonu e au te haere ki waho mena kei a au te PLE?

Ka taea e koe te haere ki waho, engari me tango koe i ngā whakaritenga atu hei tiaki i tō kiri. Whakamahia te whakamarumaru rā whānui me te SPF 30 neke atu rānei, kakahu kakahu tiaki, me te whakapiki haere i tō wā pā o te rā. Ko te nuinga o te iwi me te PLE ka taea te pai ki ngā mahi i waho me te tiaki me te whakarite tika.

Q3: Ko te PLE te rite ki te poihana o te rā?

Kāo, ko te PLE me te poihana o te rā he āhuatanga rerekē. Ko te poihana o te rā he tahuna o te rā nui e puta ana i te wa poto mai i te nui o te pā UV. Ko te PLE he whakautu ārai whakaroa e whanake ana i ngā haora ki ngā rā i muri i te pā o te rā, ahakoa he nui te nui o te rā.

Q4: Ka taea e ngā tamariki te whiwhi PLE?

Ae, ka taea e ngā tamariki te whanaketanga o te PLE, ahakoa he tino noa i ngā pakeke. Ina puta ana te PLE i ngā tamariki, ka puta ana i ngā pūpū iti, ngau i ngā wāhi e pā ana ki te rā. Ko ngā kaupapa aukati me te maimoatanga rite e tono ana, engari me ui ngā mātua ki te tākuta mō te whakahaere tika.

Q5: Ka whai PLE ahau mō te toenga o toku ora?

Ko te nuinga o te iwi e kite ana ka iti ake te raruraru o te PLE i te wā. Ko etahi tangata e tupu ana i a ia ano, ko etahi atu e ako ana ki te whakahaere pai me te tiaki rā me te whakaaturanga wa poto. Ko te āhuatanga e tino ngawari ana, e tino whai kiko ana i te wā e mārama ana koe ki ō whakaohooho me te whakawhanake i ngā rautaki aukati whai hua.