Loaʻa ka'ōpū a me nā'ākea lehulehu i ke kino o ke keiki mai ka hānauʻana mai. A o kekahi o keʻano o ka huhū he'ekena -'elahi nui ma kaʻili. I nā keiki hou, a me nā kamaliʻi i ke ola o nā mahina he 3-11, e ulu ana kēia maʻi me ka maikaʻi aʻaʻole lōʻihi.
Akā naʻe,ʻaʻole kēia manaʻo he ponoʻoe e hoʻohuli i nā maka makapō i ka'ōpū i loko o nā keikiʻuʻuku, e pono paha ke koiʻia ka lāʻau lapaʻau. Ke hana neiʻo ia i ka'ānela i hoʻopalaʻoleʻia i loko o nā pēpē "pop up up" i ka wā'ōpiopio me ka hoʻonāukiuki i ka helehelena. ʻO keʻano o ka lāʻau lapaʻau e kauʻia e kahi pilikino wale nō, no ka mea he kumu'ē aʻe ka hopena, e like me keʻano - maʻi.
ʻO kaʻeha ka hopena o nā'āpanaʻeleʻele, i hanaʻia e ka hopena o nā hōʻailona a me nā meaʻenehana mai ka cortex adrenal. Inā hoʻonui nui ke kauʻana o ke koko i ka kiʻekiʻe o dehydroepiandrosterone sulfate, a laila, hiki ke hanaʻia o kaʻehaʻeha. Hoʻomaʻiʻia nāʻele i loko o nā keiki liʻiliʻi ma keʻano o ka lāʻau.
ʻOiwi Neonates
Uaʻikeʻia he 20% o nā keiki i hala mai nā lā mua o ke ola. ʻO keʻano maʻamau o ka'ōpala keʻano o ka erythematosis o ka papulo. ʻAʻohe kahi o Comedones i laila. Ke kau nei ka palepaʻi ma nā papalina, ka lae, ka ihu, nā'ōpū, ka pulu, ka umauma ma luna, ka'ā'ī. ʻO ke kaumaha o ka maʻi ma keʻano kūpono, me kaʻole o ke ala, i 1-3 mau mahina. Eia naʻe, hiki i ka līlū ke hoʻopaʻa i nā keiki a hiki i ka 6-12 mau mahina.
Hāʻawiʻia kēlāʻewa i nā keiki hou e hōʻikeʻia ana ma kahi kūlana kūʻokoʻa kūʻokoʻa kūʻokoʻa,ʻo ka lāʻau maʻamau i ka nui o nā hihiaʻaʻole i koiʻia. Eia naʻe, ināʻikeʻia nāʻehaʻili he nui, ua hōʻikeʻia ka noiʻana o ka huila lāʻau me ka ketoconazole. ʻO kēia mau lāʻau lapaʻau ke emi nei i ka lōʻihi o ka maʻi o ka haki.
Ke keiki hānai
ʻO ka'ōpū i loko o nā'ōpiopio ke hoʻohaʻahaʻa pinepineʻia ma mua o kaʻeha i nā keiki hou - ma waena o nā makahiki o 3 a 16 mau mahina. Ke maʻi pinepine nei nā keikikāne. Inā uaʻeha nā mākua i kaʻele,ʻoi aku kaʻino o kēia maʻi i nā keiki. ʻO ka'ōlohelohe i loko o nā keiki liʻiliʻi eʻikeʻia i ke kāpiliʻia o nā comedones, a me nā momona, nā pustules a me nā papule. Hoʻonui ka lapalapa aʻoi aku ka nui o nā mea inflammatory. I kekahi manawa, hoʻokumuʻia nā kumukūnū hanu, e hana ana i ke koko. Hoʻomoeʻia ka'ōpala ma nā pāpālina. Hiki ke hāʻule nāʻeha ma mua o nā makahiki o 1-2, akā nui mau a hiki i 5 mau makahiki. ʻO kahiʻanoʻeha o kaʻeha heʻeha kēpau ia, kahi e hui ai nā pū i loko o nā conglomerates. Hōʻike i nā'ōpū a me nā hōʻino. ʻO nā pēpē liʻiliʻi,ʻo ia hoʻi kaʻano conglobate, hiki ke alakaʻi i ka uluʻana o kekahi maʻiʻeha i ka wā'ōpiopio.
I ka mālamaʻana i ka hakihaki i loko o nā keikiʻuʻuku, hoʻohanaʻia nāʻenehana topical. ʻO ka hui pūʻana me nā lāʻau'okikiko (clindamycin, erythromycin) a me benzoyl peroxide. ʻO kahi maʻi nui o ka maʻi, he lionaʻeha me ke kūkuluʻiaʻana o nā pōpō a me nā papule i hoʻopilikiaʻia no kekahi mau mahina. I kēia hihia, hāʻawiʻia ka erythromycin i loko o nā papa. Inā hoʻokemuʻia keʻano o ka erythromycin, hiki ke kau i ka trimethoprim / sulfamethoxazole. ʻAʻole i manaʻoʻia ka hoʻohanaʻana i ka tetracycline i ka mālamaʻana i nā kamaliʻi, no ka mea, uaʻeha ka uluʻana o nā niho a me nā iwi.
Hiki ke mālamaʻia i nāʻano momona wahaheʻe a me nā'ā'ī ma ke kāohiʻana i ka acononide triaminolone i kahi haʻahaʻa haʻahaʻa. Ināʻaʻohe hopena maʻi, hiki i ke kauka ke noi aku iā isotretinoin. Hōʻikeʻia ka lāʻau lapaʻau no nā'ōpio. Ma kahi kūpono,ʻaʻohe o nā hopenaʻaoʻao. Ke hāʻawiʻia ka lāʻau lapaʻau i nā keiki liʻiliʻi,ʻo ka pahu wale nō kahiʻano kūponoʻole o ka hoʻokuʻuʻana o ka lāʻau lapaʻau ma keʻano o nā capsule gelatin. Ma muli o ka mana o ka oxygen a me ka isotretino o ka lā ua weheʻia, ua weheʻia nā capsules i loko o kahi lumi i uhiʻia a ua hui kokeʻia me ka momona aiʻole ka waiū. Pono e kākoʻoʻia me nā kauʻana o nā koko e hoʻomalu i ke kiʻekiʻe o ka cholesterol, triglycerides, i ka hana.
ʻO ka lōʻihi o ke kauʻana o ka'ōpū he 6-11 mahina. Pono nā mākua e noʻonoʻo i ka wā o ka'ōpio, hiki i ka'ānela ke komo hou.