Ua ʻulaʻula koke kou ʻili a me ka maneʻo? He Contact Dermatitis paha ia! E kamaʻilio kākou e pili ana i kēia?

ʻUlaʻula koke kou ʻili a ʻānai loa, ʻeā? Malia paha me nā pehu. ʻAʻole paha ʻoe e ʻike i ke kumu o kēia. ʻO ka hapa nui o ka manawa, hana ʻia kēia ke hoʻopā mākou i kahi mea, ʻo ia hoʻi, ke hoʻopā mākou i kahi mea. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi i kapa ʻia ʻo 'Contact Dermatitis'. ʻAʻohe mea e hopohopo ai, he mea kēia e hana ʻia i nā poʻe he nui. E nānā kākou i ke ʻano o ia mea, pehea e hana ai, a pehea e hiki ai iā mākou ke pale iā mākou iho.

He aha ka Dermatitis Hoʻokaʻaʻike?

I ka ʻōlelo maʻalahi, ʻo ka dermatitis pili ka wā e pane ai ko mākou ʻili i kahi mea i ke kaiapuni a hoʻoulu i kahi ʻulaʻula ʻā . ʻO "Dermatitis" ka huaʻōlelo lapaʻau no ka mumū a i ʻole ka pehu ʻana o ka ʻili. Loaʻa iā ʻoe kēia ʻano ke hoʻopili ʻoe i kahi mea e hōʻino ai i kou ʻili, ʻo ia hoʻi, e hoʻonāukiuki iā ia . Hiki ke lilo i ke kemika, kahi mea kanu, kahi metala, a i ʻole kekahi mea ʻē aʻe.

Aia kekahi mau ʻano o ka dermatitis pili?

ʻAe, ʻelua ʻano nui.

1. ʻO ka ʻili pili maʻi ʻaleka

ʻO ka mea e hana ʻia, pane kou kino i kahi mea āna e makemake ʻole ai, ʻo ia hoʻi, he maʻi ʻaleka . E noʻonoʻo e pili ana i ia mea, loaʻa i kekahi poʻe ka ʻili ʻulaʻula a me ka ʻili ʻāʻī ke komo lākou i nā mea hoʻonani i loaʻa ka nickel. Pēlā nō ia. ʻO nā mea maʻamau e hoʻopilikia ai i nā maʻi ʻaleka:

• Nā ʻano metala i loaʻa i kekahi mau mea hoʻonani (e like me ka nickel).
• ʻO kekahi mau huahana hoʻonani.
• Nā ʻAla ʻAla.
• Kekahi mau mea hoʻomalu.

I kēia hihia, hiki ke ʻike ʻia nā hōʻailona i kekahi mau lā ma hope o ka hoʻopili ʻana me ka allergen. ʻO ke ʻano kēia, ʻaʻole paha lākou e ʻike koke ʻia .

2. ʻO ka ʻili ʻili hoʻonāukiuki

ʻO kēia ka manawa e pili ai ka ʻili me kahi mea e hōʻino pololei iā ia, ʻo ia hoʻi, kahi mea hoʻonāukiuki, a ulu koke kahi ʻulaʻula ʻeha. Hiki koke mai kēia ma mua o ke ʻano maʻi ʻaleka. ʻO ka maʻamau penei ka hana ʻana:

• Pauka kopa, kekahi mau kopa ʻino (Detergents, Soaps).
• Nā mea hoʻomaʻemaʻe (Nā mea hoʻomaʻemaʻe).
• Nā ʻano waikawa (Acid).

ʻO ka hapa nui o ka manawa, ʻike mākou i kēia ʻano dermatitis hoʻopili huhū, ma mua o ke ʻano maʻi āpau.

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ʻO wai ka mea hiki ke loaʻa i ka Dermatitis Hoʻokaʻaʻike?

Hiki i kēia ke hana i kekahi o kēlā me kēia makahiki . Hiki ke hana i kahi pēpē liʻiliʻi, kahi ʻōpio, a i ʻole kahi pākeke. I kekahi manawa hiki ke hana ma hope o ka hoʻopā ʻana i kahi mea i hoʻokahi manawa, a i kekahi manawa hiki ke hana mālie i ka hala ʻana o ka manawa me ka hoʻomau ʻana i ka hoʻohana ʻana i kahi mea.

Eia nō naʻe, ʻoi aku ka nui o ka pilikia o ka poʻe ma kekahi mau ʻoihana i ka loaʻa ʻana o kēia maʻi no ka mea ua hōʻike pinepine ʻia lākou i nā kemika a i ʻole nā ​​​​mea hoʻonāukiuki e hōʻino i ka ʻili. Eia kekahi laʻana:

• Nā limahana kūkulu hale (ma muli o nā mea e like me ka sima, ka pena).
• Nā mea kūʻai pua (ma muli o ka wai o kekahi mau mea kanu).
• Nā mea hana meaʻai (ma muli o kekahi mau mea kanu, huaʻai, mea ʻala).
• Nā mea hoʻonaninani lauoho (ma muli o nā kala a me nā kemika).
• Nā limahana mālama ola (ma muli o ka holoi lima pinepine ʻana, kekahi mau lāʻau lapaʻau).
• Nā mea hana paipu, nā limahana hoʻomaʻemaʻe (ma muli o nā mea hoʻomaʻemaʻe ʻawahia).
• Nā mīkini (ma muli o ke kapala a me nā aila).
• Nā mea pena (ma muli o nā pena, nā mea hoʻoheheʻe).

Pehea ka maʻamau o kēia ʻano?

He mea maʻamau ka dermatitis pili. Nui nā mea a puni mākou e hiki ke hoʻopōʻino i ka ʻili, ʻeā? Inā he ʻili koʻikoʻi kou, a inā he mau maʻi ʻili ʻē aʻe kou, hiki ke loaʻa pinepine kēia maʻi.

Pehea ka hopena o ka Dermatitis Pilikia i koʻu kino?

ʻO kēia ka manawa e huhū ai kou ʻili, e like me ka ʻulaʻula. Hiki ke ʻike ʻia ma nā wahi āpau o kou kino. ʻIke pinepine ʻia ia he ʻulaʻula, maneʻo, a i kekahi manawa ʻeha . Hiki ke mau mai kekahi mau lā a ʻelua a ʻekolu pule. Eia naʻe, ʻo ka mea maikaʻi loa, ʻo ia ka ʻike ʻana i ke kumu o ia mea a pale i ka hoʻopā ʻana iā ia, a e ola koke ia .

Pehea ke ʻano o ka dermatitis pili? He aha nā hōʻailona?

I kēia hihia, ʻo nā hōʻailona āu e ʻike ai ma kou ʻili:

• Hiki ke ʻulaʻula ke ʻano o ka ʻili , poni paha , a ʻeleʻele paha ma mua o kou kala ʻili maoli.
• Hiki ke pehu, hāpai ʻia, a hiki ke nānā aku e like me ka pūnana meli .
• Hiki ke ʻike ʻia he hui o nā pehu liʻiliʻi .
• I kekahi manawa hiki i kēia mau pehu ke hoʻokahe i ka wai a i ʻole kekahi mea e like me ka pus .
• Hiki ke manaʻo ʻia e like me ke kuni a ʻā paha me ka ʻeha .
• Hiki ke ʻōhū a maloʻo ka ʻili.
• Ke kāhili mau nei .

He mea nui: Inā ʻoe e ʻānai pinepine i kēia wahi maneʻo, hiki ke hōʻino ʻia kou ʻili. Inā hana ia, hiki i nā germs ke komo i loko a hoʻoulu i kahi maʻi. A laila e lilo ka wahi i ʻulaʻula, ʻili, ʻoi aku ka ʻeha, a hiki ke hōʻiliʻili ka pus.

Ma hea ma ke kino e ʻike pinepine ʻia ai kēia mau hōʻailona?

Hiki ke ʻike ʻia kēia mau hōʻailona ma nā wahi a pau i pili ai kou ʻili me ka mea hōʻino, akā ʻo nā wahi maʻamau:

• Maka, ʻāʻī a me ke poʻo.
• Nā lehelehe, nā lihilihi maka, nā papālina.
• Nā lima, nā manamana lima, nā poʻohiwi o luna.
• Nā wahi ʻōpū (kāne a me ka wahine).
• Nā ʻāʻī.
• Nā wāwae a me nā wāwae.

He aha nā kumu o ka Dermatitis Hoʻokaʻaʻike?

E like me ka mea i ʻōlelo ʻia ma mua, ʻo ke kumu nui o kēia ka hoʻopā ʻana o ka ʻili me kahi allergen a i ʻole ka mea hoʻonāukiuki .

E noʻonoʻo e pili ana i ia mea, ke hoʻopā ʻoe i kahi mea āu e makemake ʻole ai ma kou ʻili, pane ka ʻōnaehana pale o kou kino iā ia. Ke ʻike ʻoe i kou ʻili e pehu ana a e ʻulaʻula ana, ʻo ia hoʻi ke hana nei kāu mau hunaola koko keʻokeʻo e kūʻē i kēlā mea hoʻonāukiuki a mea hoʻonāukiuki paha. ʻO ia ke kumu o kēlā mau puʻupuʻu ʻeha. Hiki i kahi mea hoʻonāukiuki ke hana i nā hōʻailona i loko o nā minuke. Hiki i kahi mea hoʻonāukiuki ke hala i nā hola, a i ʻole nā ​​lā, e hoʻomohala i nā hōʻailona.

Nā kumu maʻamau o ka Allergic Contact Dermatitis:

• Kekahi mau mea kanu a i ʻole nā ​​​​ʻāpana mea kanu (e.g., Poison Ivy).
• Nā huahana mālama ʻili me nā ʻala .
• Nā metala , ʻoi aku hoʻi ka nikala.
• Kekahi mau lāʻau lapaʻau (e.g. kekahi mau antibiotics).
• Nā mea hoʻomalu a i ʻole nā ​​​​kemika .

Nā kumu maʻamau o ka Irritant Contact Dermatitis:

• Nā ʻano waikawa (Nā ʻakika).
• Nā huahana hoʻomaʻemaʻe .
• ʻO nā wai o ke kino , e like me ka mimi (e like me ka ʻulaʻula diaper i nā pēpē ʻōpiopio) a me ka lawai.
• Kekahi mau mea kanu (e.g. poinsettia, pepa wela).
• Nā waihoʻoluʻu lauoho .
• Mea wehe pena kui a i ʻole nā ​​​​mea hoʻoheheʻe ʻē aʻe.
• Nā ʻano pena a me nā varnish.
• Nā kopa a i ʻole nā ​​mea holoi .
• Nā resins, nā plastik a me nā epoxies .

He laha anei ka Contact Dermatitis?

Eia kahi nīnau a ka poʻe he nui e nīnau ai. E noʻonoʻo ʻoe ua hoʻopā ʻoe i kahi mea kanu e like me (Poison Ivy). Inā ʻoe e hoʻopā i ka ʻili o kekahi me ka holoi ʻole i kou mau lima, hiki ke hoʻoili ʻia ka allergen mai kēlā mea kanu i kēlā kanaka. Inā he maʻi lākou i ia mea, hiki iā lākou ke maʻi. Eia naʻe, ʻaʻole hiki ke laha pololei ka dermatitis pili. Pane wale kou kino i ka mea āu i hoʻopā ai, ʻaʻole like ka pane ʻana o nā kānaka a pau.

Hiki i ka contact dermatitis ke laha i nā wahi ʻē aʻe o ke kino?

ʻAe, i kekahi manawa hiki. He ʻoiaʻiʻo loa kēia i ka dermatitis pili maʻi āpau. Pehea ʻoe e ʻike ai? Ma hope o kou hoʻopā ʻana i kahi allergen, laha ia i nā ʻāpana ʻē aʻe o kou kino ma mua o kou ʻike ʻana ua hoʻopā ʻoe iā ia. A i ʻole, ua hōʻike ʻia kekahi mau ʻāpana o kou kino i ka allergen i ka manawa like, a hoʻomaka nā hōʻailona e ʻike ʻia ma o lākou āpau. Inā ʻike ʻoe e laha ana ka ʻulaʻula i nā ʻāpana ʻē aʻe o kou kino, ʻoi aku ka maikaʻi o ke ʻike koke ʻana i ke kauka a loaʻa ka lāʻau lapaʻau.

Pehea e ʻike ai i ka dermatitis pili?

Hoʻoponopono ke kauka i kēia kūlana ma ka lawe ʻana i kahi mōʻaukala olakino piha, hana i kahi hoʻokolokolo kino, a nānā pono i kāu mau hōʻailona.

ʻAʻohe hoʻāʻo kikoʻī e ʻike ai i ke kumu pololei o ka dermatitis hoʻopili irritant. Akā e nīnau kāu kauka iā ʻoe i nā nīnau e pili ana i kou wahi e noho ai, nā mea āu i hoʻopā koke nei, kahi o ka ʻulaʻula, a me kona nui. Hiki ke nīnau ʻia nā nīnau e like me kēia:

• ʻEhia ka lōʻihi o kēia ahulau?
• Ua hana anei ʻoe i kekahi mau hoʻololi i kāu hana mālama ʻili?
• Ua hoʻopā anei ʻoe i kekahi mau mea kanu hou, nā mea lāʻau, a i ʻole nā ​​​​kemika?
• Ke hoʻopilikia mau nei ʻoe i nā mea hoʻonāukiuki a i ʻole nā ​​​​kemika?

Inā kānalua ʻia ka dermatitis pili i ka maʻi ʻaleka, e kuhikuhi paha kāu kauka i kahi hoʻāʻo ʻāpana . Pili kēia i ke kau ʻana i nā ʻāpana liʻiliʻi e like me ka sticker ma kou ʻili (ʻo kou kua maʻamau). Loaʻa i kēia mau ʻāpana nā allergens maʻamau. Ma hope o ʻelua lā, wehe ʻia nā ʻāpana e ʻike i ka mea a kou ʻili e pane ai.

I ka manawa kākaʻikahi loa, hiki i ke kauka ke lawe i kahi hāpana ʻili (moʻomeheu ʻili a biopsy paha) a nānā iā ia ma lalo o kahi microscope.

Pehea e mālama ʻia ai ka Dermatitis Hoʻokaʻaʻike?

Ua like loa nā lāʻau lapaʻau no kēia no nā ʻano ʻelua (allergic a me ka irritant).

• Ka pale ʻana: ʻO kēia ka mea nui loa. Ke ʻike ʻoe i ke kumu o ka pilikia, pono ʻoe e pale i ka hoʻopā ʻana a i ʻole ka hōʻike ʻia ʻana iā ia i ka hiki.
• Ke lawe ʻana i ka lāʻau lapaʻau e hōʻemi i ka pehu a me ka maneʻo: Hiki ke hana ʻia kēia ma ke kuhikuhi ʻana i nā kalima anti-match, antihistamines, corticosteroid creams (kahi ʻano steroid) a i ʻole i kekahi manawa nā pila steroid waha (e.g., prednisone). ʻAʻole i kuhikuhi pinepine ʻia nā lāʻau immunosuppressant.

Hiki i ka Dermatitis Hoʻokaʻaʻike ke hoʻoulu i nā pilikia?

Ma waho aʻe o ke kuʻi maʻamau, he mea kakaikahi loa nā pilikia koʻikoʻi, akā hiki iā lākou ke hana inā loaʻa iā ʻoe kahi maʻi allergy koʻikoʻi i kekahi mea. Hiki i kēia mau mea ke komo pū me:

• Hives: Nā wahi ʻili maneʻo, ʻulaʻula/ʻeleʻele e ʻike ʻia ana ua piʻi aʻe ma kekahi mau wahi.
• Pehu (Angioedema): ʻOi aku ka pehu o kahi ʻāpana o ka ʻili ma mua o ka lā ma mua. He pehu kēia e kū mai ana ma lalo o ka ʻili.
• Anaphylaxis: ʻO kēia ka hopena alerika koʻikoʻi loa . Hoʻoulu ia i ka pehu ʻana o nā alaloa, e paʻakikī ai ka hanu ʻana, a hiki ke hoʻoweliweli i ke ola.

He pilikia olakino ka anaphylaxis e pono ai ka mālama koke ʻana! Inā pilikia ʻoe i ka hanu ʻana, ka pehu ʻana o kou mau lehelehe a i ʻole ka waha, e hele koke i ka haukapila kokoke loa a kāhea aku paha i ka 1990.Hiki ke hoʻomalu ʻia kēia kūlana ma ka hāʻawi ʻana i kahi inikini i kapa ʻia ʻo (Epinephrine) koke. He mea nui i ka poʻe me nā maʻi ʻaleka koʻikoʻi e lawe mau i kahi inikini (Epinephrine), e like me (EpiPen®),.

He aha kaʻu e hana ai inā loaʻa iaʻu ka dermatitis pili ma ka hana?

Inā ʻike ʻia ʻoe i nā kemika a i ʻole nā ​​mea hoʻonāukiuki i mea ʻino i kou ʻili ma ka hana a loaʻa iā ʻoe kēia maʻi, e noi i kāu mea hana no kahi pepa ʻikepili palekana kemika no nā kemika. E lawe pū me ʻoe i kāu kauka. Hiki iā ia ke kōkua i ka hoʻoholo ʻana i ke kumu o kāu mau hōʻailona.

Pehea ka lōʻihi o ke ola ʻana o ka dermatitis pili?

ʻOiai me ka mālama ʻana, hiki ke hala i kekahi mau pule no ka nalo loa ʻana o kēia mau ʻeha. Eia nō naʻe, hiki ke emi iho nā hōʻailona e like me ka maneʻo i loko o kekahi mau lā o ka hoʻomaka ʻana o ka mālama ʻana, ʻoiai e mau ana paha nā ʻeha ʻili. ʻO ka dermatitis pili liʻiliʻi, inā e pale ʻia ke kumu, hiki ke hoʻopau ʻia i loko o kekahi mau lā me ka ʻole o ka mālama hou ʻana. Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka dermatitis pili?

ʻAʻohe lāʻau lapaʻau mau loa no kēia. ʻO ia hoʻi, inā ua pane kou kino i kahi mea hoʻonāukiuki a mea hoʻonāukiuki paha i hoʻokahi manawa, e pane like paha ia inā ʻoe e launa hou me kēlā mea. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke pale aku iā ia .

Hiki i nā poʻe he nui e loaʻa ana i kēia maʻi ma muli o ka ʻike ʻia ʻana o ka wahi hana ke loaʻa nā ala e hōʻemi ai i ko lākou ʻike ʻia ʻana. Hiki i ke kauka ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo no ka pehea e hana ai me kēia maʻi.

Pehea e pale aku ai i ka dermatitis pili?

Hiki iā ʻoe ke pale iā ʻoe iho mai kēia kūlana ma o ka hana ʻana i kēia mau mea:

• Mai hoʻopā i nā mea āu i ʻike ai he maʻi ʻoe .
• E koho i nā moisturizers ʻala ʻole .
• E hoʻohana i nā kopa a me nā mea hoʻomaʻemaʻe ʻaʻohe ʻala a i ʻole ka hoʻoluʻu .
• Inā ʻoe e hoʻopā i kahi mea āu i ʻike ai he mea ʻino, e holoi koke i kou mau lima a me kou ʻili .

Āhea wau e ʻike ai i ke kauka?

E ʻike i ke kauka inā like kou ʻili me kēia:

• Inā he mau pehu kou .
• Inā maikaʻi aʻe no kekahi manawa a laila ʻike hou ʻia .
• Inā ʻike ʻia he maʻi (ʻulaʻula, wela, pehu).
• Inā he ʻeha .
• Inā ʻoe e ʻūmiʻi mau ana me ka hiki ʻole ke hoʻomanawanui .
• Inā ʻaʻole holomua ka lāʻau lapaʻau i loko o hoʻokahi pule .

Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU) ?

Inā pilikia ʻoe i ka hanu ʻana , a inā pehu kou mau lehelehe a waha paha , e hele koke i ka lumi pilikia o ka haukapila kokoke loa a i ʻole e kelepona i ka 1990!He kūlana paha kēia i kapa ʻia ʻo anaphylaxis.

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

Inā loaʻa iā ʻoe nā hōʻailona o ka dermatitis pili, makemake paha ʻoe e nīnau i nā nīnau e like me kēia ke kamaʻilio me ke kauka:

• He aha ke kumu o kēia mau kiko ma koʻu ʻili?
• Pono anei au e hana i kahi hoʻāʻo allergy?
• He aha kaʻu e hana ai e pale aku ai i ka dermatitis pili?
• He aha ka lāʻau lapaʻau maikaʻi loa no kēia?
• He aha ka lāʻau lapaʻau maikaʻi loa no kēia ʻeha a me ka maneʻo?
• He aha nā mea hoʻomaʻemaʻe a me nā mea hoʻomaʻū e ʻōlelo aku nei hiki iā ʻoe ke kūʻai ma ka hale kūʻai lāʻau lapaʻau?
• He aha nā hōʻailona o nā pilikia e pono iaʻu e makaʻala?

He aha ka ʻokoʻa ma waena o ka Dermatitis Hoʻokaʻaʻike a me ka Herpes?

ʻOiai hiki i ka dermatitis pili a me ka herpes ke loaʻa i nā wahi like o ke kino, he ʻokoʻa loa lāua. He maʻi viral ka Herpes i lawe ʻia ma ke ʻano moekolohe a laha ʻia mai ke kanaka a i ke kanaka ma o ka pili ʻana. ʻAʻole he maʻi ka dermatitis pili, a ʻaʻole ia he mea laha.

He aha ka ʻokoʻa ma waena o ka Contact Dermatitis a me ka Atopic Dermatitis a i ʻole Eczema?

Pili ka Allergic Contact Dermatitis i kahi maʻi i kapa ʻia ʻo atopic dermatitis, a i ʻole eczema. Hiki i nā mea ʻelua ke loaʻa i nā poʻe me nā maʻi allergies. Loaʻa ka contact dermatitis ke pili kou ʻili me kahi mea e hōʻino ai iā ia. ʻO ia hoʻi, ua hoʻokumu ʻia e kahi mea mai waho. Loaʻa ka Atopic Dermatitis, a i ʻole eczema, i nā poʻe me nā maʻi allergies, akā ʻaʻole pinepine ia i hoʻokumu ʻia e kahi mea kikoʻī; hiki ke hoʻokumu ʻia e kahi mea mai loko mai.

Hiki i ka ʻaila lāʻau tī ke mālama i ka dermatitis pili?

Loaʻa i ka ʻaila lāʻau tī kekahi mau waiwai antibacterial, no laila hiki ke kōkua i nā hopena ʻili e like me ka dermatitis pili. Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona o ka dermatitis pili, mai hoʻohana i nā aila pono e like me ka ʻaila lāʻau tī me ka ʻole o ke kūkākūkā ʻana me ke kauka. ʻO ka hoʻopili ʻana i kahi mea hou i kou ʻili i kēia manawa hiki ke hoʻonui i ke kūlana a hoʻonui i ka ʻino.

Hōʻuluʻulu manaʻo a me nā mea e hoʻomanaʻo ai

No laila, ʻo ka dermatitis pili he ʻōhū ʻili e kū mai ana ke pane kou ʻili i kahi mea i kou wahi noho. Hiki i ke kauka ke kōkua iā ʻoe e ʻike i ke kumu o kou ʻili e pane ai, a kamaʻilio pū me ʻoe e pili ana i nā ala e pale aku ai i kou wahi noho. Inā ʻike ʻia ʻoe i kahi kemika a i ʻole kekahi mea ʻē aʻe ma kāu wahi hana, hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo, a hiki i kāu hui ke kōkua iā ʻoe e hana i kahi wahi hana palekana e hōʻemi i kou pilikia o nā pilikia ʻili i ka wā e hiki mai ana.

E hoʻomanaʻo, inā loaʻa iā ʻoe kekahi ʻeha ʻili ʻē aʻe, ka maneʻo, a i ʻole ka ʻeha, he mea naʻauao ke ʻimi i ka ʻōlelo aʻo lapaʻau me ka hoʻowahāwahā ʻole ʻana.

ʻili dermatitis pili, nā maʻi ʻili, nā maʻi ʻaleka, dermatitis, maneʻo ʻili, nā ʻeha ʻili, ka mumū ʻili