Me ka holomua o ka lāʻau lapaʻau, ʻoi aku ka nui o nā lāʻau hou a maikaʻi no ka mālama ʻana i ka psoriasis i nā makahiki i hala.Ua hiki i nā maʻi he nui ke hoʻomaʻemaʻe i ko lākou ʻili a hoʻi i ke ola maʻamau ma o ka mālama ʻana.Eia nō naʻe, aia kekahi pilikia, ʻo ia hoʻi, pehea e wehe ai i ke koena pigmentation (nā kiko) ma hope o ka wehe ʻia ʻana o nā ʻili?
Ma hope o ka heluhelu ʻana i nā ʻatikala ʻepekema olakino Kina a me nā haole, ua hōʻuluʻulu au i kēia kikokikona, me ka manaʻo e kōkua i nā mea a pau.
Nā ʻōlelo paipai mai nā dermatologists home
Hōʻike ka Psoriasis i ka ʻili i ka mumū lōʻihi a me ka maʻi, ka hopena i ka ʻili ʻino me nā ʻāpana ʻulaʻula o ka ʻili ma ka ʻili, me nā hōʻailona e like me ka desquamation a me ka scaling.Ma hope o ka hoʻoulu ʻia ʻana e ka mumū, ua lohi ke kahe o ke koko ma lalo o ka ʻili, kahi e hōʻike ai i nā hōʻailona kūloko o ka pigmentation.No laila, ma hope o ka hoʻihoʻi ʻana, e ʻike ʻia ʻoi aku ka ʻeleʻele o ka ʻili o ka ʻili (a ʻoi aku ka māmā) ma mua o ke kala a puni, a e ʻike pū ʻia nā hōʻailona o ka pōʻeleʻele o ka ʻili.
I kēia hihia, hiki iā ʻoe ke hoʻohana i ka ʻaila waho no ka mālama ʻana, e like me ka hydroquinone cream, hiki ke hoʻokō i kahi hopena o ke kāohi ʻana i ka hana melanin a loaʻa hoʻi ka hopena o ka diluting melanin.No nā poʻe me nā hōʻailona melanin koʻikoʻi, pono e hoʻomaikaʻi ʻia ma o nā ʻano kino, e like me ka mālama ʻana i ka laser, hiki ke hoʻoheheʻe i nā ʻāpana melanin subcutaneous a hoʻihoʻi i ka ʻili i kahi kūlana maʻamau.
—— Li Wei, Keʻena o Dermatology, ʻO ka Halemai Hoʻohui ʻelua o ke Kula Nui o Zhejiang University of Medicine
Hiki iā ʻoe ke ʻai i nā meaʻai ʻoi aku ka nui o ka huaora C a me ka huaora E, e kōkua i ka hōʻemi ʻana i ka synthesis o ka melanin i loko o ka ʻili a hoʻoikaika i ka hoʻopau ʻana i nā waihona melanin.Hiki ke hoʻohana ʻia kekahi mau lāʻau lapaʻau e pono ai ka hoʻopau ʻana i ka ua melanin, e like me ka hydroquinone cream, kojic acid cream, etc.
Hiki i ka ʻakika Retinoic acid ke hoʻolalelale i ka excretion o ka melanin, a hiki i ka nicotinamide ke keʻakeʻa i ka lawe ʻana o ka melanin i nā cell epidermal, nā mea āpau i loaʻa i kekahi hopena therapeutic i ka melanin precipitation.Hiki nō hoʻi iā ʻoe ke hoʻohana i ke kukui pulsed ikaika a i ʻole ka hoʻomaʻamaʻa ʻana i ka laser pulsed pigmented e wehe i nā ʻāpana puaʻa nui i loko o ka ʻili, ʻoi aku ka maikaʻi.
—— Zhang Wenjuan, Keʻena o Dermatology, Halemai Kanaka o ke Kulanui o Peking
Manaʻo ʻia e hoʻohana i ka vitamina C, vitamin E, a me ka glutathione no ka lāʻau lapaʻau waha, hiki ke pale pono i ka hana ʻana o nā melanocytes a hoʻemi i ka nui o nā ʻāpana puaʻa i hoʻokumu ʻia, a laila e loaʻa ai ka hopena o ke keʻokeʻo.No ka hoʻohana ʻana i waho, ua ʻōlelo ʻia e hoʻopili i ka hydroquinone cream, a i ʻole ka ʻaila vitamin E, hiki ke kuhikuhi pololei i nā ʻāpana pigmented no ka keʻokeʻo.
——Liu Hongjun, Keʻena o Dermatology, Shenyang Seventh People's Hospital
He kanaka maʻi psoriasis ʻo Kim Kardashian ʻAmelika.Ua nīnau ʻo ia i kekahi manawa ma ka pūnaewele media, "Pehea e wehe ai i ka puaʻa i waiho ʻia ma hope o ka pau ʻana o psoriasis?"Akā ʻaʻole i liʻuliʻu, ua hoʻopuka ʻo ia ma ka pāpaho pūnaewele me ka ʻōlelo ʻana, "Ua aʻo wau e ʻae i kaʻu psoriasis a hoʻohana i kēia huahana (kahi kumu) ke makemake wau e uhi i kaʻu psoriasis," a hoʻouka i kahi kiʻi hoʻohālikelike.Hiki i kahi kanaka ʻike ke haʻi i ka nānā ʻana e lawe ana ʻo Kardashian i ka manawa e lawe mai i nā waiwai (e kūʻai aku i nā waiwai).
Ua ʻōlelo ʻia ke kumu i hoʻohana ai ʻo Kardashian i ke kumu no ka uhi ʻana i nā wahi psoriasis.ʻO wau iho, manaʻo wau hiki iā mākou ke hahai i kēia ʻano, a aia kekahi ʻano concealer vitiligo e noʻonoʻo ʻia.
ʻO Vitiligo kekahi maʻi e pili ana i ka autoimmunity.Hōʻikeʻia ia e nā kiko keʻokeʻo me nā palena maʻemaʻe ma kaʻili, e pili nui ana i ke ola maʻamau o nā maʻi.No laila, e hoʻohana kekahi mau maʻi me ka vitiligo i nā mea masking.Eia nō naʻe, ʻo kēia mea uhi uhi ka mea nui e hana i kahi ʻano melanin protein biological e hoʻohālike i ke kino o ke kanaka.Inā hoʻomaʻemaʻe ʻia kāu mau psoriasis a waiho ʻia me ka ʻulaʻula ʻulaʻula (keʻokeʻo), hiki iā ʻoe ke noʻonoʻo e hoʻāʻo.Manaʻo ʻia e kūkākūkā Aia i ka poʻe loea e hoʻoholo.
Nā ʻatikala mai nā ʻatikala ʻepekema olakino haole
Hoʻoponopono ka psoriasis a waiho i nā kikoʻeleʻele a māmā paha (hyperpigmentation) e mae i ka manawa, akā ʻike kekahi poʻe maʻi i ka pilikia a makemake lākou e hoʻomaʻemaʻe koke nā kiko.Ma hope o ka hoʻoholo ʻana o ka psoriasis, hiki ke hoʻomaha ʻia ka hyperpigmentation koʻikoʻi me ka topical tretinoin (tretinoin), a i ʻole topical hydroquinone, corticosteroids (hormones).Eia nō naʻe, ʻo ka hoʻohana ʻana i nā corticosteroids (hormones) e hōʻoluʻolu i ka hyperpigmentation he mea pilikia a pili i nā mea maʻi ʻeleʻele.No laila, pono e kaupalena ʻia ka lōʻihi o ka hoʻohana ʻana i ka corticosteroid, a pono nā kauka lapaʻau e aʻo i nā maʻi e pale i nā pilikia ma muli o ka hoʻohana nui ʻana.
——Ua hoike mai o Dr.ʻO Alexis
"I ka wā e pau ai ka mumū, e hoʻi mālie ka ʻili i ka maʻamau.Eia nō naʻe, hiki ke lōʻihi ka hoʻololi ʻana, mai nā mahina a i nā makahiki.I loko o kēlā manawa, hiki ke nānā aku me he ʻula.Inā ʻaʻole maikaʻi kāu kala Psoriatic pigmentation i ka wā lōʻihi, e nīnau i kāu dermatologist inā he moho maikaʻi ka lāʻau laser no ʻoe.
—Amy Kassouf, MD
ʻO ka hapa nui o ka manawa, ʻaʻole pono ʻoe e hana i kekahi mea e mālama ai i ka hyperpigmentation ma psoriasis no ka mea e hoʻomaʻemaʻe iā ia iho.Hiki ke lōʻihi inā he ʻeleʻele kou ʻili.Hiki iā ʻoe ke hoʻāʻo i nā huahana māmā e hoʻomālamalama i ka hyperpigmentation a i ʻole nā wahi ʻeleʻele, e ʻimi i nā huahana i loaʻa kekahi o kēia mau mea:
● 2% hydroquinone
● ʻakika Azelaic (Azelaic acid)
● ʻAka Glycolic
● Kojic Acid
● Retinol (retinol, tretinoin, gel adapalene, a i ʻole tazarotene)
● Vitamin C
★ E kamaʻilio mau i ke kauka dermatologist ma mua o ka hoʻohana ʻana i kēia mau huahana, no ka mea, aia i loko o lākou nā mea e hoʻoulu ai i ka psoriasis flare-up.
Ka manawa hoʻouna: Mar-15-2023