Loaʻa iā ʻoe ke ʻano maneʻo hiki ʻole ke hoʻomanawanui a puni ka anus? (Pruritus Ani) E kamaʻilio kākou e pili ana i kēia!

Ke ʻānai nui nei ʻoe a puni kou anus i kekahi manawa? Malia paha e hoʻopilikia nui kēia ʻānai iā ʻoe a hiki ʻole iā ʻoe ke hiamoe i ka pō. A i ʻole ke manaʻo nei ʻoe e ʻoi aku ka ʻino ma hope o ka hele ʻana i ka lua? He pilikia kēia i loaʻa i nā poʻe he nui, akā hilahila iki lākou e kamaʻilio e pili ana. Eia naʻe, ʻaʻole hiki ke hoʻowahāwahā ʻia, no ka mea hiki ke hoʻoulu i ka ʻoluʻolu nui. No laila i kēia lā, e kamaʻilio kikoʻī kākou e pili ana i kēia ʻānai a puni ka anus, a i ʻole ma ka ʻōlelo lapaʻau, ʻo 'Pruritus Ani' .

He aha maoli ka pruritus ani?

I ka ʻōlelo maʻalahi, ʻo ka pruritus ani he ʻulaʻula ʻānai a puni kou anus. Ua manaʻo ʻia he maʻi ʻili ia . ʻOi aku ka ʻino o kēia ʻānai i ka pō . Hiki ke ʻoi aku ka ʻino ma hope o ka neʻe ʻana o ka ʻōpū. Hiki ke hoʻonāukiuki loa kēia, ʻoiai ʻo ka nui o kou ʻānai ʻana, ʻoi aku ka nui o kou ʻānai ʻana.

He aha nā ʻano nui o ka maneʻo?

ʻElua ʻano nui o ka pruritus ani. 1. ʻO ka Pruritus Ani mua (Idiopathic): ʻAʻole hiki ke ʻike ʻia kēia ʻano pruritus no kekahi kumu kikoʻī . ʻIke pinepine ʻia kēia ʻano pruritus. 2. ʻO ka Pruritus Ani lua (Lua): Hiki ke hana ʻia kēia ʻano pruritus e nā ʻano kumu like ʻole . ʻO nā laʻana e pili ana i nā maʻi, nā maʻi ʻōnaehana, ka dermatitis pili, a me nā maʻi ʻili ʻē aʻe.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa ka maneʻo anal. Eia nō naʻe, ua ʻike ʻia e ka noiʻi inā he kāne ʻoe ma waena o 40 a me 70 mau makahiki, ʻoi aku ka nui o kou loaʻa ʻana i kēia maʻi. ʻAʻole ia manaʻo ʻaʻole loaʻa i nā wahine, akā ʻoi aku ka maʻamau i waena o nā kāne.

Pehea ka maʻamau o kēia kūlana?

Ua hōʻike ʻia aia ma waena o 1% a me 5% o ka heluna kanaka he ʻeha anal. Eia kekahi, ʻehā manawa ka nui o ka loaʻa ʻana o ke kūlana i nā kāne ma mua o nā wahine.

Pehea ka hopena o ka ʻeha anal i ke kino?

ʻO ka mea nui, ʻo ia ka makemake nui e ʻānai i kou anus . Eia nō naʻe, ʻo ka pilikia, ʻoiai ka nui o kou ʻānai ʻana, hāʻawi wale ia i ka hōʻoluʻolu no ka manawa pōkole.

ʻO ka ʻoiaʻiʻo, ʻo ke kahakaha ʻana i kou anus e hoʻonui wale i ka maneʻo o ka wahi. Ma kahi o ka hōʻemi ʻana i ka maneʻo , hiki paha ke hoʻonui iā ia.

E noʻonoʻo e pili ana i ia mea, he palupalu loa ka ʻili a puni kou anus. ʻOi aku ka ikaika o kou mau kui ma mua o kēlā. No laila, ke kahakaha ʻoe me kou mau kui , kiʻekiʻe loa ka manawa e hōʻino ai i ka ʻili, e hana ana i nā kahakaha, a i ʻole ka maʻi . Inā hoʻomau kēia "pōʻaiapuni ʻūlū-ʻūlū", hiki iā ia ke hoʻoulu i ka ʻoluʻolu ʻole, ka ʻeha, a me ka mumū.

He aha nā hōʻailona o ka ʻeha anal?

I kēia hihia, hiki iā ʻoe ke loaʻa nā hōʻailona e like me:

• ʻO ka ʻūlū nui (Itchiness)
• ʻO ka huhū o ka ʻili a me ka ʻoluʻolu ʻole
• Manaʻo wela
• ʻEha
• Nā ʻōpala ( nā ʻōpala ) i hoʻokumu ʻia e ka maneʻo
• ʻIli mānoanoa a ʻili paha ma luna a puni paha o kou anus - ʻāpana perianal

No ke aha lā e pono ai kākou e ʻānai i ko kākou anus penei? He aha nā kumu?

Nui nā kumu o ka maneʻo o ka anal. E nānā kākou iā lākou pākahi.

ʻIkepili ʻili a me ka maʻemaʻe

He ʻili koʻikoʻi loa ka ʻili a puni kou anus (perianal area).

• Hiki i nā kopa ʻala, nā pauka, nā lotion, a me nā kirīmi ke hana i kekahi manawa i nā hopena alerika.
• Eia kekahi, ʻo ka holoi ʻana me ka pepa toilet ʻino , ka hoʻomaʻemaʻe ʻana i ka wahi me ka lole ʻino , a i ʻole ka wai wela hiki ke hoʻopōʻino i ka ʻili.

He mea nui loa ka hoʻomaʻemaʻe pono ʻana i kou anus ma hope o ka hoʻohana ʻana i ka lua. Inā ʻaʻole ʻoe e hoʻomaʻemaʻe pono, hiki i nā ʻāpana ʻōpala ke paʻa i loko o nā pelu o kou anus, e hoʻoulu ai i ka maneʻo. Hiki i ke alapine a me ke kūlike o kou mau ʻōpala ke hoʻopilikia i kēia. No ka laʻana, inā he paʻa kou ʻōpū (ʻoi aku ka liʻiliʻi ma mua o ʻekolu mau neʻe ʻana o ka ʻōpū i kēlā me kēia pule) a i ʻole he maʻi diarrhea, ʻoi aku ka nui o kou ʻike ʻana i ka maneʻo.

Meaʻai a me ka mea inu

Hiki i kekahi o nā meaʻai a me nā mea inu āu e ʻai ai ke hana i kēia maneʻo.

• Nā huahana waiū
• Nā mea inu kalapona
• Nā mea inu caffeine (e.g. kofe, tī, soda)
• Nā meaʻai ʻakika a mea ʻala paha (e like me nā tōmato, nā hua citrus, nā chili, ke kālika maka)

Nā lole

Hiki i nā lole āu e ʻaʻahu ai ke hoʻopilikia i kēia. Hiki i nā lole komo paʻa a i ʻole nā ​​​​lole paʻa ke hoʻopaʻa i ka wela a me ka makū (ka hou) ma ka ʻāpana a puni ka anus, e hoʻonui ai i ka maneʻo.

Nā kūlana olakino ʻē aʻe

Nā ʻōpū hemorrhoids

He pehu nā hemorrhoids, he mau kīʻaha koko i hoʻonui ʻia e kū mai ana i loko a ma waho o ka anus. Hiki i nā hemorrhoids nui ma waho o ka anus (hemorrhoids waho) ke paʻakikī i ka hele ʻana i ka ʻōpala ma hope o ka hele ʻana i ka lua. Hiki i nā hemorrhoids kūloko ke hoʻoulu i ke kahe koko a i ʻole ka lepo fecal a i ʻole ka incontinence. Hiki i kēia ke hana i ka ʻili ʻānai.

Nā maʻi hū (nā maʻi hū - Candida)

Hoʻokumu ʻia nā maʻi hū e kahi ʻano fungus i kapa ʻia ʻo Candida . Hiki i kēia mau maʻi ke hoʻomaka i loko o ka vagina a i ʻole ka rectum. Hiki iā lākou ke hana i ka hoʻololi ʻana o ka ʻili, ka pehu ʻana, a i ʻole nā ​​​​ʻoki liʻiliʻi a me nā māwae i loko o ka ʻili ma ia wahi.

Nā māwae anal

He mau haehae a māwae paha kēia ma ka ʻili a puni ka anus a i ʻole ke kahawai anal. ʻO ke kumu nui o kēia, he ʻano trauma ia i ka wahi. ʻO nā laʻana, ʻo ia ka paʻa ʻana o ka ʻōpū, ka hoʻoluhi ʻana i ka wā o ka neʻe ʻana o ka ʻōpū, ka maʻi diarrhea lōʻihi, a me ka moekolohe anal.

HPV a me nā Warts

ʻO ka Human Papillomavirus (HPV) kahi maʻi i hoʻopilikia pinepine i nā ʻōpū, anus, a me ka rectum. ʻO ka HPV ke kumu o nā warts genital . He mau maʻi i laha ma ke ʻano moekolohe kēia. Hoʻoulu lākou i nā puʻupuʻu liʻiliʻi a i ʻole nā ​​​​​​mea ulu (warts) ma nā ʻōpū a puni ka anus. I kekahi manawa hiki i kēia mau warts ke hoʻoulu i ke kahe koko liʻiliʻi, ka ʻoluʻolu ʻole, a me ka mumū.

Nā Ilo (Nā Ilo Pin / Nā Ilo Uliuli)

ʻO nā ilo pinworms, ʻoi aku hoʻi nā pinworms, he mau ilo liʻiliʻi loa, keʻokeʻo a hina hina paha. He mau parasites lākou, ʻo ia hoʻi ke hilinaʻi nei lākou i kahi kikowaena ʻē aʻe e ola ai. Noho kēia mau ilo i loko o nā ʻōpū a me ka rectum o ka poʻe i loaʻa i ka maʻi. Hoʻomoe lākou i nā hua a puni ka anus i ka pō . ʻO ia ke kumu nui o ka ʻūlū anal. He mea maʻamau loa kēia i waena o nā keiki ʻōpio.

Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe kēia ʻeha? (Diagnosis)

Ke hele ʻoe e ʻike i ke kauka, e hana mua ʻo ia i kahi hoʻokolokolo kino . E komo pū kēia me kahi hoʻokolokolo piha ʻana o ka ʻāpana a puni kou anus, e ʻimi ana i nā loli i ke kala o ka ʻili, ke ʻano, nā ʻulaʻula, a i ʻole nā ​​​​​​ʻeha. Eia kekahi, hiki i ke kauka ke nīnau iā ʻoe i nā nīnau e like me:

• Ke lawe nei ʻoe i kekahi mau lāʻau lapaʻau i kēia manawa?
• ʻEhia pinepine ʻoe e poop ai ?
• He aha ke ʻano o kou ʻōpala? (He wai a he puʻupuʻu paha?)
• He aha ke ʻano o nā meaʻai āu e ʻai nui ai?
• He aha ke ʻano o nā mea inu āu e inu ai?
• He aha ke ʻano kopa āu e hoʻohana ai i kou ʻauʻau ʻana?
• He aha ke ʻano o ka pepa lua āu e hoʻohana ai?
• Ke ʻaʻahu mau nei ʻoe i nā lole paʻa (nā lole komo, nā pālule)?
• Loaʻa iā ʻoe kekahi maʻi ʻaleka meaʻai?

Inā ʻaʻole hiki i ke kauka ke ʻike i ke kumu o kou ʻeha mai kēia ʻike, a inā ʻaʻole hoʻi e hoʻomaikaʻi kou kūlana me ka mālama ʻana, hiki iā ia ke kuhikuhi iā ʻoe i kahi dermatologist .

He aha nā hoʻokolohua e hana ʻia nei?

Aia kahi hoʻāʻo maʻalahi i kapa ʻia ʻo ka hoʻāʻo lipine e hoʻoholo ai inā ʻo nā pinworms ke kumu o ka maneʻo. Hana nui nā pinworms i ka pō. Inā kānalua ʻoe he maʻi kēia kāu keiki, hiki iā ʻoe ke hoʻopili i kahi ʻāpana lipine liʻiliʻi kokoke i ka anus ma mua o ka hiamoe ʻana o kāu keiki. Ke ala aʻe kāu keiki i ke kakahiaka, e lawe i ka lipine a nānā i nā ilo a i ʻole nā ​​hua manu.

Pehea ʻoe e mālama ai i kēia ʻeha anal?

I ka manawa pinepine, i ka wā e mālama ai i kēia, ʻo ka mea mua e kālele aiE hoʻomaʻamaʻa i ka hoʻomaʻemaʻe maikaʻi ʻana o ka anal. ʻO ke ʻano kēia o ka hoʻomaʻemaʻe pono ʻana i ka anus ma hope o ka neʻe ʻana o ka ʻōpū, e mālama i ka wahi maloʻo, a e hoʻopili i kahi liʻiliʻi o ka pauka talcum ʻaʻole i mālama ʻia. Inā loaʻa iā ʻoe ka pruritus ani lua , ʻo ia hoʻi ke kumu o ka maneʻo e kekahi ʻano ʻē aʻe, e hilinaʻi ka lāʻau lapaʻau i ke kumu kikoʻī . ʻO nā koho lapaʻau:

Nā kirīmi a me nā mea ʻaila

Aia nā kirīmi i loaʻa ma ka hale kūʻai lāʻau lapaʻau, e like me ka hydrocortisone . He mau ʻaila poni kēia no ka papa corticosteroid , i hui pū ʻia me kahi mea hoʻopau ʻeha. Hiki ke hoʻopili ʻia kēia mau mea i ka wahi i hoʻopilikia ʻia ʻelua a ʻekolu paha manawa i ka lā. Manaʻo kekahi mau noiʻi he koho maikaʻi nā kirīmi e loaʻa ana ka capsaicin i nā corticosteroids no ka ʻeha anal mau.

Nā lāʻau antibiotic a me nā lāʻau antifungal

Inā manaʻo kāu kauka ua loaʻa ka ʻeha i kahi maʻi, hiki iā ia ke kuhikuhi i nā lāʻau antibiotics a i ʻole nā ​​​​lāʻau antifungal .

ʻO ka inikini polū Methylene / Peʻa anal

Inā ʻaʻole holo pono nā lāʻau ʻē aʻe, hoʻohana pinepine nā kauka i kahi inikini i kapa ʻia ʻo methylene blue . Pili kēia i ke inikini ʻana i kēia lāʻau lapaʻau ma lalo o ka ʻili a puni ka anus. Hana ka Methylene blue ma ka hoʻomāʻū ʻana i nā hopena o ke aʻalolo ma ia wahi, e hōʻemi ana i ka ʻeha a me ka maneʻo.

Aia kekahi mau lāʻau lapaʻau e hiki ke hana ma ka home?

ʻAe, aia kekahi mau mea hiki iā ʻoe ke hana ma ka home e hōʻemi i ka anal itching:

• E hoʻohana i ka pepa toilet i ʻole nā ​​​​​​wai hoʻoluʻu a me nā ʻala: Aia kekahi mau pepa toilet i nā dyes a i ʻole nā ​​​​​​ala e hiki ai ke hoʻoulu i nā maʻi ʻili. No laila e koho i nā huahana e ʻōlelo ana i nā mea e like me "dye-free," "unscented," "unbleached," a me "hypoallergenic."
• E hōʻalo i ka hoʻohana ʻana i nā kopa ʻino, nā mea ʻala, a me nā deodorants ma kou ʻili: Loaʻa paha i kēia mau mea nā allergens a i ʻole nā ​​​​kemika .
• E ʻaʻahu i nā lole komo pulupulu: Hoʻopili maikaʻi nā lole komo pulupulu i ka makū. Eia kekahi, e hōʻoia i ke kūpono o kou lole komo a hoʻololi pinepine. E hoʻohana i kahi mea holoi ʻala ʻole i ka wā e holoi ai i kou lole komo.
• E pale i kekahi mau meaʻai a me nā mea inu: ʻO nā mea hana waiū, nā mea inu kalapona, nā mea inu caffeine, a me nā meaʻai ʻakika/ʻawaʻawa hiki ke hoʻonui i kou maneʻo. Akā, mai ho'ōki i ka ʻai ʻana iā lākou a pau i ka manawa hoʻokahi. E ho'āʻo e ʻoki i hoʻokahi mea i ka manawa no kekahi mau lā e ʻike ai i ka meaʻai/mea inu e hoʻoulu ai i kou maneʻo.

He aha kaʻu e manaʻo ai me kēia kūlana?

Me ka hoʻomaʻemaʻe kūpono a me ka mālama ʻana, hiki i ka poʻe me ka maneʻo anal ke ho'ōla koke.ʻO ka maʻamau, e pau nā hōʻailona i loko o hoʻokahi a ʻekolu pule. Eia nō naʻe, i nā hihia koʻikoʻi, hiki ke lōʻihi ka hoʻōla ʻana.

Pehea e mālama ai iaʻu iho? (Nā ʻōlelo aʻoaʻo no ka mālama ponoʻī)

Inā loaʻa iā ʻoe ka ʻeha anal, e hahai i kēia mau ʻōlelo aʻoaʻo mālama ponoʻī:

• E kāohi i kou makemake e ʻānai: Hiki ke ʻoi aku ka ʻino o ka maneʻo i ka pō. Hiki iā ʻoe ke ʻānai i kou mau kui i kou hiamoe ʻana me ka ʻike ʻole. No laila, e ʻaʻahu i nā mīkina lima pulupulu maʻemaʻe a palupalu i kou hiamoe ʻana i ka pō. Hiki i kēia ke kōkua i ka pale ʻana i ka hōʻino ʻana o ka ʻili a me ka maʻi.
• E mālama i ka wahi a puni ka anus i maʻemaʻe a maloʻo: Ma hope o ka neʻe ʻana o ka ʻōpū a ʻauʻau paha, e hoʻomaʻemaʻe i ka wahi a puni ka anus me ka wai maʻemaʻe (mai ka ʻauʻau a i ʻole ka bidet), pepa lua i hoʻomaʻū ʻia, a i ʻole nā ​​​​​​ʻūpī pēpē. A laila, e pā maloʻo me kahi kāwele pepa a i ʻole ke kāwele. Hiki iā ʻoe ke hoʻohana i kahi mea hoʻomaloʻo lauoho ma ka wela haʻahaʻa.
• E hoʻohana i nā mea omo: ʻO kahi palaoa kulina liʻiliʻi, kahi pauka talcum liʻiliʻi i hoʻohana ʻole ʻia i ka lāʻau lapaʻau, a i ʻole kahi ʻāpana pulupulu e hiki ke kōkua i ka omo ʻana i ka makū ma kahi.
• Mai hoʻomaʻemaʻe ikaika loa: E pale i ka hoʻohana ʻana i ke kopa i ka wā e hoʻomaʻemaʻe ai a puni ka anus. Mai hamo ikaika loa me ka pepa toilet a i ʻole ka lole.
• E hōʻalo i nā huahana i loaʻa nā ʻala: ʻO nā kirīmi ʻala, nā lotions, nā ʻauʻau pehu, a me nā pauka e hoʻonui i ka maneʻo.
• ʻAi i nā meaʻai momona i ka fiber : Kōkua ka ʻai kaulike i ka pale ʻana i ka constipation a i ʻole ka maʻi diarrhea a hoʻoponopono i ka neʻe ʻana o ka ʻōpū.
• E hoʻohana i nā kirīmi/ʻaila poni e like me ke kuhikuhi ʻana: Mai hoʻopili ma mua o ka mea i kauoha ʻia e ke kauka. Inā ʻaʻole e emi a ʻoi aku ka ʻino o ka maneʻo, e hoʻōki i ka hoʻohana ʻana a haʻi i kāu kauka.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka lāʻau lapaʻau akā ʻaʻole i emi ka maneʻo a puni ka anus, inā ʻoi aku ka ʻino o ka maneʻo ma hope o ka lāʻau lapaʻau, a inā paha ua ʻike ʻia ka ʻāpana i loaʻa i ka maʻi (ʻili ʻino, mumū, pehu), e ʻike koke i ke kauka .

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke ʻike ʻoe i kāu kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• Loaʻa iaʻu ka Primary Pruritus Ani a i ʻole Secondary Pruritus Ani?
• Inā loaʻa iaʻu ka pruritus ani lua, he aha ke kumu?
• He aha nā lāʻau lapaʻau āu e paipai nei?
• Hiki i kēlā mau lāʻau lapaʻau ke hana i kekahi hopena ʻaoʻao ?
• He aha nā lāʻau lapaʻau home āu e ʻōlelo nei?
• Aia kekahi kirīmi a ʻaila paha e hiki iā ʻoe ke kuhikuhi?
• Pono anei au e ʻike i ke kauka ʻili a i ʻole kekahi loea ʻē aʻe?

No ke aha e ʻeha ai koʻu anus i ka pō?

E like me kā mākou i kamaʻilio ai ma mua, waiho nā parasites e like me nā pinworms i kā lākou mau hua a puni ka anus i ka pō. ʻO ia ke kumu e ʻoi aku ai ko lākou hana i ka pō. ʻO ia ke kumu e ʻoi aku ai kou ʻeha i ka pō ma mua o nā manawa ʻē aʻe o ke ao.

Pono anei au e hopohopo e pili ana i ke kahakaha ʻana i kuʻu anus?

I ka hapanui o nā hihia, ʻaʻole pono ʻoe e ʻike i ke kauka inā loaʻa iā ʻoe ka maneʻo anal. Loaʻa i ka nui o ka poʻe ka hōʻoluʻolu me ka hoʻomaʻemaʻe kūpono a me kekahi mau lāʻau lapaʻau ma luna o ke kauka.

He ʻano ʻoluʻolu ʻole ka ʻāʻī ʻana o ka anal. He mea hoʻonāukiuki, hilahila, a i kekahi manawa hiki ʻole ke hoʻomanawanui ʻia a hiki ʻole iā ʻoe ke noʻonoʻo i kekahi mea ʻē aʻe. Akā e hoʻomanaʻo, aia ka hōʻoluʻolu!

ʻO ka hoʻomaʻemaʻe kūpono, ka lāʻau lapaʻau inā pono, a me ka mālama mālie e hiki ke kōkua i ka hōʻoluʻolu ʻana i ka maneʻo anal. Inā ʻaʻole e nalowale kāu mau hōʻailona me ka mālama ʻana, e ʻike koke i kāu kauka.

E hoʻomanaʻo i ka mea nui loa (Leka Lawe-Home)

No laila, ʻaʻole ia he mea e hoʻowahāwahā ʻia ai ka ʻeha anal.

• ʻO ka maʻemaʻe ka mea nui loa. E mālama mau i ka wahi a puni ka anus i maʻemaʻe a maloʻo.
• E ho'āʻo e ʻike i ke kumu o kou maneʻo. Hiki ke lilo i meaʻai, he ʻano kopa, a i ʻole kekahi maʻi ʻē aʻe.
• Mai hoʻōho! E hoʻonui wale ana kēlā i ke kūlana.
• Inā ʻaʻole kōkua nā lāʻau lapaʻau home, mai hilahila a e ʻike i ke kauka . Nāna e kuhikuhi i ka lāʻau kūpono nāu.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!

👩🏽‍⚕️ Nā nīnau hou aku (FAQs)

💬 No ke aha e loaʻa mau ai iaʻu ka maneʻo o ka anal?

Nui nā kumu no kēia. ʻO nā kumu nui, ʻaʻole i hoʻomaʻemaʻe pono ʻia ka wahi a i ʻole ua hōʻino ʻia ma ka holoi ʻana me ka ikaika loa. Hiki i nā ilo pinworms, nā maʻi fungal, a i ʻole nā ​​hemorrhoids ke hana i kēia maneʻo.

💬 He aha kā mākou e hana ai ma ka home ke loaʻa iā mākou kahi ʻōpū maneʻo?

Ke loaʻa iā ʻoe ka maneʻo, mai ʻānai iā ia a hōʻeha iā ʻoe iho. Ma hope o ka hoʻohana ʻana i ka lua, ma kahi o ke ʻānai ʻana, e holoi me ka wai a kāpī maloʻo me kahi lole palupalu. Eia kekahi, e hoʻomaʻamaʻa i ke komo ʻana i nā lole komo pulupulu palupalu wale nō.

💬 Aia kekahi mau ʻaila poni e hiki ke hoʻopili ʻia e hoʻōki i kēia maneʻo?

Hiki iā ʻoe ke hoʻopili i kahi liʻiliʻi o ka kirīmi e like me ka hydrocortisone, hiki iā ʻoe ke kūʻai mai kahi hale kūʻai lāʻau lapaʻau, e hōʻemi i ka maneʻo. Eia nō naʻe, inā mau ka maneʻo no ka ʻoi aku ma mua o hoʻokahi pule a inā paha e kahe ke koko, pono ʻoe e ʻike i ke kauka.