Hoʻopili nā pahū lāʻau i nā hopena ʻili āpau ma muli o ka lawelawe ʻana o nā lāʻau. Helu lākou no ka hapa o ka hopena o ka hopena ma muli o nā lāʻau.

ʻO ka hū ʻana o ka lāʻau ka hopena, i kekahi manawa he maʻi maʻi, ma muli o ka lawelawe ʻana o kahi lāʻau. ʻO kēia hopena ke kumu o nā maʻi ʻili, a dermatoses paha.

Pehea e ʻike ai i ka ʻōuli?

ʻIke ʻokoʻa ka hū ʻana o ka lāʻau i kēlā me kēia. ʻO nā hopena nui:

• ʻUrticaria
• Pana
• 'Elezema
• Nā kiʻi kiʻi
• ʻO Angioedema a me ka haʻalulu anaphylactic 
• Alopecia
• Psoriasis
• Pau
• Hāmeʻa
• ʻIke o nā palapū
• Puʻuloa
• ʻO Lichen
• kuni
• Etc…

Nā mea pilikino

ʻO nā lāʻau i hoʻohana pinepine ʻia e hoʻoulu i ka pele i 1 i 3% o nā maʻi. ʻOi aku ka maikaʻi ma mua o 90% o nā hū lāʻau. ʻO ke alapine o nā ʻano koʻikoʻi (make, sequelae koʻikoʻi) ʻo 2%.

Ma muli o ka ʻokoʻa nui o nā ʻōuli ma waena o nā mea maʻi, he paʻakikī i kekahi manawa e ʻike i ka hū ʻana o ka lāʻau. Hoʻokumu ʻia ka hōʻailona ma ka ʻoiaʻiʻo ke kūlike o nā dermatoses i kūlike me ka lawe ʻana i nā lāʻau. ʻO ka nalo ʻana o nā ʻōuli ke kū ʻia ka lāʻau a me ka hoʻi hou ʻana ma hope o ka lawe hou ʻana i ka lāʻau.

ʻO ka hū ʻana o ka lāʻau e hopena mau ʻia mai ka lawe ʻana i ka lāʻau, inā ma ka noi ʻili, kaʻai ʻana, ka inhalation a i ʻole ka injection.

ʻAʻole hiki ke ʻike ʻia nā hū ʻana o ka lāʻau a hana ʻia me nā kaila lapaʻau maʻamau. A hiki i ka hapa nui o nā lāʻau ke hoʻoulu i kēia mau hopena.

Eia nō naʻe, ʻoi aku ka maikaʻi o kekahi mau huahana pharmacological i ke kumu o ka hū ʻana o ka lāʻau:

• Antibiotics
• ʻO Paracetamol
• Aspirin
• Anesthetics kūloko
• Sulfonamides
• D-penicillamine
• ʻO ke serum
• Nā Barbiturates
• Nā lāʻau i loaʻa ka iodine (hoʻohana nui ʻia i ka radiology)
• ʻO Quinine
• Nā paʻakai gula
• ʻO Griseofulvin
• Nā Antimitics

ʻO ka hapanui pinepine o ka hoʻāla ʻana o ka lāʻau lapaʻau akā maikaʻi ia e hoʻokomo i nā pōpilikia i ka wānana nui o ka mea maʻi:

• ʻO Angioedema a me ka haʻalulu anaphylactic
• ʻO ka hū ʻana o ka lāʻau Pustular: He wīwī koke kēia, kuhihewa pinepine ʻia no kahi maʻi nui. Hoʻomaka ka hoʻomaka ʻana o 1 a 4 mau lā ma hope o ka lawelawe ʻana o ka lāʻau hoʻowalewale (pinepine he antibiotic), me ke kuni a me kahi erythema pepa.
• ʻO ka maʻi hypersensitivity lāʻau lapaʻau: Kākoʻo ʻia kēia maʻi e ke koʻikoʻi o ka hū, ʻili nui a me ka wela nui.
• Stevens-Johnson lāua ʻo Lyell Syndromes: ʻO kēia nā ʻano nui loa o ka hoʻāla ʻana o ka lāʻau. Hoʻomaka nā hopena ma kahi o ʻumi mau lā ma hope o ka hoʻomaka ʻana o ka lāʻau. Hele mai nā maka o nā epidermis ma ke kaomi iki. Kiʻekiʻe ka makaʻu o ka make (20 a 25%). Akā i ka hanana o ka hoʻōla, wikiwiki ka epidermization hou (10 a 30 mau lā) me ka sequelae pinepine pinepine: nā maʻi pigmentation a me nā scars.

I kekahi ʻaoʻao, hiki i kekahi mau mea maʻi ke hōʻike me nā pilikia non-cutaneile.

• ʻO nā maʻi Digestive e like me ka nausea, ka luaʻi, diarrhea
• Nā pilikia nui
• Asthma
• ʻO kahi hoʻohaunaele o ka hana hoʻolei ʻōpala o nā puʻupaʻa

ʻO ka kū ʻana i ka lāʻau i ka ʻōlelo aʻoaʻo lapaʻau ka lapaʻau nui. 

Hiki ke mālama i nā ʻōuli o ka hū ʻana o ka lāʻau a hiki i ka pau loa ʻana o ka lāʻau. No laila hiki i nā mea hoʻoliʻiliʻi ke hoʻemi i ka pruritus a hiki i nā antihistamines ke hōʻoluʻolu i kekahi mau aniani. 

I nā hihia ʻoi loa nā pilikia pono ka haukapila. 

Exceptionally, exhaustive investigations hiki ke kuhikuhi ʻia, ke hoʻohuoi ʻia kahi lāʻau pono i ka mea maʻi. Hoʻohālikelike nā hoʻokolokolo hou ʻana e hiki ai ke hoʻoholo i nā mole maoli e hoʻoulu i ka pele i ka pele. 

Pono e hana hou i ka lāʻau hou i kahi wahi olakino i hiki ke loaʻa me ka luaʻi o ka lāʻau hou.