Created at:1/13/2025
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Ko te waikawa aminolevulinic topical he rongoā motuhake e whakahohetia ana e te marama e whakamahia ana hei rongoā i ētahi āhuatanga kiri, ko te nuinga o ngā wāhi i mua i te mate pukupuku e kiia nei ko te actinic keratoses. E mahi ana tēnei rongoā mā te whakanui ake i te tairongo o ngā pūtau koretake ki te marama, e āhei ai ngā tākuta ki te whai me te whakangaro i a rātou i te wā e waiho ana te kiri hauora kāore i pā.
He wāhanga te rongoā o tētahi tukanga e rua ngā wāhanga e kiia nei ko te photodynamic therapy (PDT). Ka whakamahi koe i te rongoā ki tō kiri, ka tatari kia mimiti, katahi ka whiwhi koe i te rongoā marama mai i tō kaiwhakarato hauora. E tuku ana tēnei huarahi i tētahi huarahi tika ki te whakatika i ngā raruraru kiri me te kore e hiahia ki te pokanga i te nuinga o ngā wā.
Ko te waikawa aminolevulinic topical he rongoā i runga i te whakahaunga e noho ana ki tētahi rōpū rongoā e kiia nei ko ngā āpiha whakaahua. Ka tae mai i te ahua o te otinga, te hēra rānei e whakamahia tika ana ki ngā wāhi kua pā o tō kiri.
Kei roto i te rongoā tētahi pūhui e puta noa ana i te taiao e whakaputaina ana e tō tinana i roto i ngā rahinga iti. Ki te whakamahia ki tō kiri i roto i ngā kukume teitei ake, ka kohikohi i roto i ngā pūtau koretake, i ngā pūtau e tipu tere ana rānei. Ko tēnei kohikohinga whiriwhiri te mea e tino whai ana, e whai hua ana te rongoā.
Whakaarohia he tohu tohu mō ngā pūtau raruraru. Kia whakamahia, ka "tohu" te rongoā i ngā pūtau koretake, e whai ana i a rātou ki te rongoā marama motuhake e whai ana. Ko te tukanga katoa e mahia ana i roto i te tari o tō tākuta i roto i te wā o ētahi hāora.
Ko tēnei rongoā te nuinga e whakamahia ana hei rongoā i te actinic keratoses, he wāhi taratara, unahi e puta ana i runga i te kiri e kitea ana e te rā. E kiia ana ēnei wāhi he mea i mua i te mate pukupuku nā te mea ka taea e rātou te whakawhanake ki te mate pukupuku kiri ki te kore e rongoā.
Ka tohutohu pea tō tākuta i tēnei rongoā mō ētahi momo mate pukupuku kiri pāpaku, otirā te basal cell carcinoma i ngā wāhi motuhake. E whakamahi ana ētahi tākuta kiri i tēnei rongoā mō ētahi atu āhuatanga pērā i te kino o te rā, ētahi momo hakihaki rānei, ahakoa he iti noa iho ēnei whakamahinga.
He pai rawa te rongoā mō te hunga he maha ngā pōtae i te wāhi kotahi, nā te mea ka taea te rongoā i tētahi wāhi kiri katoa i te wā kotahi. Nō reira he tino whai hua mō ngā wāhi pērā i te kanohi, te kiri o te mahunga, ngā ringa rānei, kei reira te kino o te rā e pūtake ana.
E mahi ana tēnei rongoā mā tētahi tukanga whakamīharo e whakamahi ana i te matū o tō tinana. Ki te whakamahi koe i te rongoā ki tō kiri, ka ngongo te pūtau kōaro i te rongoā i te tere atu i ngā pūtau hauora.
Kia uru ki roto i ngā pūtau kōaro, ka huri te waikawa aminolevulinic ki tētahi pūhui e kīia ana ko te protoporphyrin IX. Ka tino tairongo tēnei matū i ngā pūtau ki ngā ngaru marama motuhake. I te wā o te wāhanga rongoā marama, ka whakangaromia ēnei pūtau tairongo, i te mea ka noho tonu te kiko hauora e tata ana, kāore i te pā.
E whakaarohia ana he kaha te rongoā, he tino whāinga. Kāore i rite ki ētahi rongoā e pā ana ki tō tinana katoa, e mahi ana tēnei rongoā i te wāhi anake e whakamahia ana e koe. Ko te wāhanga whakahohe marama te mea e tino tika ana, e āhei ana tō tākuta ki te arotahi i te rongoā ki te wāhi e tino hiahiatia ana.
Ka whakamahia, ka whakahaerehia tēnei rongoā i roto i te taiao rongoā i raro i te tirotiro a te tohunga. E kore koe e tango i tēnei rongoā ki te kāinga. Mā tō kaiwhakarato hauora e whakahaere te tukanga whakamahi me te rongoā katoa.
I mua i tō pōhiri, me karo koe i te rā mō te 24 ki te 48 haora. Ka horoi tō tākuta i te wāhi e rongoatia ana, ā, ka tango marie pea i ngā kiri ngāwari, ngāwari hoki hei āwhina i te rongoā kia uru pai ake. Ka whakamahia te rongoā ki ngā wāhi e pā ana, ā, ka hipokina ki te kākahu whakamarumaru.
Ka tatari koe i te 1 ki te 3 haora kia uru te rongoā, i runga i te āhua e rongoatia ana. I tēnei wā, me noho koe i roto i tētahi rūma marama iti hei aukati i te whakahohenga o te rongoā. I muri i te wā tatari, ka tango tō tākuta i te kākahu ka whakamahi i te rongoā mā te mārama hei whakahohe i te rongoā.
Ko ia wā rongoā me te aminolevulinic acid topical he tono kotahi i te wā o tō haerenga ki te tari. Kāore te rongoā e hiahia ana kia whakamahia ia rā, pērā i ētahi atu rongoā ā-roto.
Heoi, tērā pea ka hiahia koe i ngā wā rongoā maha i te wā e maha wiki ana kia whakatutuki i ngā hua pai. Ka arotake tō tākuta i te urupare o tō kiri i muri i ia wā, ā, ka whakatau mēnā e tika ana ētahi atu rongoā. Ko te nuinga o te tangata e hiahia ana i te 1 ki te 3 wā katoa, ahakoa he rerekē tēnei i runga i te āhua e rongoatia ana me te urupare o tō kiri.
Ka haere tonu ngā pānga o ia rongoā mō ētahi rā i muri i tō haerenga i te wā e ora ana tō kiri, ā, ka whakakorea ngā pūtau kino. Ka whakarite tō tākuta i ngā pōhiri whai muri hei aroturuki i tō ahunga whakamua me te whakatau mēnā e hiahiatia ana ētahi atu rongoā.
Ko te nuinga o te tangata e pā ana ki ētahi momo urupare kiri i te wā me muri i te rongoā, he tohu tēnei kei te mahi te rongoā. He wā poto noa iho ēnei pānga, ā, ka taea te whakahaere mā te manaaki tika.
Ko ngā pānga taha e mōhiotia ana ka pā ki a koe ko te wera, te ngau, te mamae rānei i te wā o te rongoā mā te mārama. He maha ngā tāngata e kī ana he rite tēnei ki te pānga o te rā. Ka kitea hoki e koe te whero, te pūpū, me te kiri e tihore ana i ngā wāhi i rongoatia mō ētahi rā i muri i te rongoā.
Ko ngā pānga taha pea ka pā ki a koe, kua whakarārangitia mai i te mea e tino mōhiotia ana ki te mea kāore i te pērā:
Ngā Pānga Taha e Tino Mōhiotia Ana:
Ngā Pānga Taha Kāore i te Mōhiotia:
Ngā Pānga Taha Kāore i te Mōhiotia engari he Kaha:
Ka ngaro te nuinga o ngā pānga taha i roto i te 1-2 wiki i te wā e ora ana tō kiri. Ka hoatu e tō tākuta ngā tohutohu tiaki i muri i te rongoā hei āwhina i te whakaiti i te raruraru me te whakatairanga i te whakaora. Whakapā atu ki tō kaiwhakarato hauora mēnā ka pā ki a koe ētahi tohu e pā ana, mēnā rānei he kaha ake ngā pānga taha i te mea e tūmanakohia ana.
Kāore tēnei rongoā i te tika mō te katoa, ā, ka āta arotake tō tākuta mēnā he tika tēnei mō tō āhuatanga motuhake. Ko te mea nui ko te mōhio mēnā he āhuatanga ō koe e tino tairongo ana ki te mārama, e kore rānei e taea te whakawhiti i te tukanga rongoā.
Kāore koe e whiwhi i tēnei rongoā mēnā he porphyria tōu, he mate toto onge e pā ana ki te āhua o te tinana e tukatuka ana i ētahi pūhui. Ko ngā tāngata e mōhiotia ana he pānga ki te waikawa aminolevulinic, ki ētahi wāhanga rānei o te rongoā me karo hoki i tēnei rongoā.
He maha atu ētahi āhuatanga me ngā āhuatanga ka kore e tika tēnei rongoā mō koe:
Ngā Whakatūpato Kaha:
Ngā Āhuatanga e Hiahia Ana i te Whakatūpato Atu:
Ka arotake tō tākuta i tō hītori hauora katoa me ngā rongoā o nāianei i mua i te tūtohu i tēnei rongoā. Me mōhio ki ngā rongoā katoa i runga i te whakahaunga, ngā rongoā kore-whakahaunga, me ngā tāpiringa e tango ana koe, nā te mea ka taea e ētahi te whakanui i tō tairongo ki te mārama.
Ko te ingoa pūmau e tino whakahaua ana mō te waikawa aminolevulinic topical ko Levulan Kerastick. Ka tae mai tēnei hanganga hei otinga e whakamahia tika ana ki te kiri mā te whakamahi i tētahi taputapu motuhake.
Ko tētahi atu waitohu e wātea ana ko Ameluz, he hāteke tēnei. He rite tonu ngā whakauru kaha o ngā rongoā e rua, engari he rerekē pea ngā tikanga tono, ngā kukū rānei. Mā tō tākuta e whiriwhiri te hāteke e tika ana i runga i tō āhuatanga me te wāhi e rongoatia ana.
Ko ēnei rongoā waitohu i hangaia mō te rongoā photodynamic, ā, e wātea ana mā ngā kaiwhakarato hauora anake. Ka tonoa te rongoā i roto i te wāhi rongoā, nō reira kāore koe e tiki i tētahi rēhitatanga hei kawe ki te kāinga.
He maha atu ngā kōwhiringa rongoā mō ngā āhuatanga e rongoatia ana ki te waikawa aminolevulinic topical. Ka whakaaro pea tō tākuta ki ēnei kōwhiringa i runga i tō āhuatanga, te momo kiri, me ngā whāinga rongoā.
Ngā rongoā tuku iho ko te cryotherapy (te whakamātao ki te hauota wai), he whai hua pea mō ngā wāhi takitahi engari ka nui ake te kiko. Ko ngā rongoā chemotherapy topical pēnei i te 5-fluorouracil, imiquimod rānei e mahi ana i roto i ngā wiki, ā, ka taea te rongoā i ngā wāhi nui ake engari he maha ngā wā ka puta te riri kiri.
Ko ētahi atu kōwhiringa e tika ana kia kōrerohia ki tō tākuta ko:
Ngā Kōwhiringa Hāparapara:
Ngā Kōwhiringa Kāore i te Hāparapara:
He pai me ōna ake whakaaro mō ia kōwhiringa rongoā. Mā tō tākuta e āwhina i a koe ki te whakatau i ngā mea pēnei i te whai huatanga, te wā whakaora, ngā pānga taha pea, me te utu i te wā e whiriwhiri ana i te huarahi pai mō tō āhuatanga.
He maha ngā painga ahurei o te waikawa aminolevulinic topical e pai ai mō ētahi wā. Ka taea e te rongoā te whakatika i ngā wāhi maha i te wā kotahi, ā, he iti noa te kiko e toe ana i te whakataurite ki ngā kōwhiringa pokanga.
I te whakataurite ki te cryotherapy, ki te tango pokanga rānei, he pai ake te hua whakapaipai o te rongoā photodynamic, ina koa ki ngā wāhi e kitea ana pēnei i te kanohi. He iti ake te riri o te rongoā i te pokanga, ā, ka taea te whakahoki anō ki te hiahiatia me te kore e nui te tūponotanga o ngā raruraru.
Heoi anō, he pai ake ētahi atu rongoā i ētahi wā. He pai ake pea ngā kōwhiringa pokanga mō ngā kiko matotoru, ngā wāhi rānei e whakapaehia ana te mate pukupuku. Ko ngā rongoā topical pēnei i te imiquimod ka pai ake mō te hunga e hiahia ana ki te whakahaere i te rongoā i te kāinga, ahakoa te roa o te wā rongoā.
Ko te rongoā "pai" e whakawhirinaki ana ki ō āhuatanga takitahi: te rahi me te wāhi o ō kiko, te momo kiri, te manawanui ki ngā pānga taha, me ō whakaaro mō te oranga. Ka taea e tō tākuta kiri te āwhina i a koe ki te mārama ki te whakataurite o te waikawa aminolevulinic topical ki ētahi atu kōwhiringa mō tō āhuatanga motuhake.
Ka taea e te hunga mate huka te whiwhi rongoā waikawa aminolevulinic topical, engari me whakaaro tō tākuta ki tō hauora whānui me te kaha ki te whakaora. I ētahi wā ka taea e te mate huka te whakaroa i te whakaora i ngā patunga, ka pā pea tēnei ki tō whakaora mai i te rongoā.
Ka arotahi tō kaiwhakarato hauora ki te pai o te whakahaere i tō mate huka me te whai raruraru rānei e pā ana ki tō kiri, ki te tohanga toto rānei. Ko te mate huka kua pai te whakahaere, kāore e ārai i a koe ki te whiwhi i tēnei rongoā, engari ka āta titiro tō tākuta ki tō whakaora i ngā wā katoa.
Mena he mate huka tōu, me kōrero koe ki tō tākuta mō te whakahaere i tō huka toto me ngā raruraru e pā ana ki te kiri i mua i te maimoatanga. Ko te whakahaere pai i te huka toto i mua me muri i te maimoatanga ka āwhina i te whakatika i tō whakaora me te whakaiti i te tūponotanga o ngā raruraru.
He mea noa te mamae i te wā o te wāhanga maimoatanga mā te marama, ā, e tika ana kia pērā, engari me whakatika tonu te mamae nui e kore e taea te pā. Ka taea e tō kaiwhakarato hauora te whakamutu, te whakatika rānei i te maimoatanga mā te marama kia pai ake ai.
I te wā o te maimoatanga, kōrero tuwhera ki tō rōpū hauora mō te taumata o tō mamae. Ka taea e rātou te whakamahi i ngā taputapu whakamātao, te whakatika i te kaha o te marama, te whakarato rānei i ngā wā whakatā poto hei āwhina i te whakahaere i te mamae. Kia mahara ko te wāhanga maimoatanga mā te marama e 16-17 meneti noa te roa, nō reira he wā poto noa te mamae nui.
I muri i te maimoatanga, ka whakarato tō tākuta i ngā tohutohu motuhake mō te whakahaere i te mamae i te kāinga. Ko te tikanga ko te whakamahi i ngā kōpeke makariri, ngā rongoā mamae e hokona ana i te tākaro, me te tiaki kiri ngawari. Mēnā ka nui te mamae, ka mau tonu rānei i ngā rā i muri i te maimoatanga, whakapā atu ki tō kaiwhakarato hauora i te wā tonu.
Mēnā me ngaro i a koe tētahi wāhanga maimoatanga kua whakaritea, whakapā atu ki te tari o tō tākuta i te wā tonu ki te whakarite anō. He mea nui te wā i waenga i ngā maimoatanga mō ngā hua pai, nō reira ka hiahia tō kaiwhakarato hauora ki te whakatika i tō hōtaka maimoatanga kia tika.
Ko te ngaro i tētahi wāhanga e kore e raru i te hua o tō maimoatanga, engari ka roa pea tō hua whakamutunga. Ka tūtohu pea tō tākuta kia rerekē te wā i waenga i ngā wāhanga e toe ana, kia tāpirihia rānei tētahi wāhanga maimoatanga anō kia tutuki ai te hua e hiahiatia ana.
Whakamātauhia te whakarite anō i roto i te wā tika, ko te mea pai i roto i ngā wiki e rua i muri i tō rārangi tuatahi. Ko ngā roa o te wā i waenga i ngā maimoatanga ka hiahia pea ki te tīmata anō i te raupapa maimoatanga, i runga i tō āhuatanga me tō urupare ki ngā wāhanga o mua.
Ko tō tairongo nui ki te rā ka roa pea mō te 24 ki te 48 haora i muri i te maimoatanga, ahakoa ka noho tairongo ētahi tāngata mō te wiki. I tēnei wā, ahakoa te paku whakapā atu ki te rā ka pā mai te wera nui, ka kino rānei te urupare o tō kiri ki te maimoatanga.
Whakaritea kia noho i roto i ngā whare, i ngā wāhi rānei e whakamarumaru ana i ngā haora o te awatea mō te iti rawa i ngā rā e rua tuatahi i muri i te maimoatanga. Ki te hiahia koe ki te haere ki waho, mauhia ngā kākahu whakamarumaru e hipoki katoa ana i ngā wāhi i maimoatia. Kāore te rāhinu i te rawaka i tēnei wā o te tairongo nui.
Ka hoatu e tō tākuta he tohutohu motuhake mō te wā ka taea e koe te hoki ki te whakapā atu ki te rā. Ahakoa i muri i te wā o te tairongo tuatahi, ka noho tairongo tonu ngā wāhi i maimoatia ki te rā mō ētahi wiki, nā reira me whakamahi tonu i te whakamarumaru rā pai i te wā e rongo ana tō kiri.
Me karo koe i te nuinga o ngā hua tiaki kiri me te hanga-āhua i ngā wāhi i maimoatia mō ngā rā tuatahi i muri i te maimoatanga. Ka rongo tō kiri i te maimoatanga, ā, ko te tāpiri i ngā hua e pōrearea ana ka raru pea i tēnei tukanga, ka pā mai rānei te mumura atu.
Ka hoatu e tō tākuta he tohutohu motuhake mō ngā hua ka taea e koe te whakamahi i te wā e rongo ana. Ko te tikanga, kei roto i tēnei ko ngā horoi ngawari me ngā whakamākū i hangaia mō te kiri tairongo. Kaua e whakamahi i ngā hua kei roto te waipiro, ngā kakara, i ngā kai kaha rānei pēnei i te retinoids, i ngā waikawa rānei kia rongo ra anō tō kiri.
Ka taea e koe te hoki ki te mahi i o mahi tiaki kiri me te whakapaipai i te wa e ngaro ana te kiri me te whero, i roto i te 1-2 wiki pea. Me timata marie ki nga hua ngawari, ka whakahoki mai i o mahi o mua i te wa e pai ake ana to kiri.