Ke loaʻa nei iā ʻoe nā kiko ʻē a me nā pehu ʻāʻī ma kou ʻili? He Lichen Planus paha ia!

Ua loaʻa koke anei iā ʻoe nā puʻupuʻu liʻiliʻi, maneʻo, a ʻano ʻē ma kou ʻili? A i ʻole ua loaʻa iā ʻoe nā ʻāpana keʻokeʻo i loko o kou waha e hoʻopilikia ai ʻoiai ʻoe e ʻai ana? He mau hōʻailona paha kēia o kahi maʻi ʻili i kapa ʻia ʻo Lichen Planus. Nui ka poʻe e makaʻu iki i ka lohe ʻana i kēia inoa, akā mai hopohopo, ʻaʻole ia he mea lele a weliweli paha. E kamaʻilio kākou e pili ana i nā kikoʻī, me ka maʻalahi loa.

He aha ka Lichen Planus?

I ka ʻōlelo maʻalahi, he maʻi ʻili ʻo Lichen Planus. Hiki iā ia ke hoʻopilikia i hoʻokahi wale nō wahi o ka ʻili, a i ʻole hiki ke hoʻopilikia i nā wahi he nui o ke kino i ka manawa hoʻokahi. Eia kahi i maʻamau ai:

• ʻIli: Hiki ke loaʻa ka maʻi ʻili ma nā wahi āpau o ke kino.
• I loko o ka waha: Kāhea mākou ia he "mucosa waha". Hiki ke ʻike ʻia ma loko o nā papālina, ke alelo, a me nā ʻāʻī.
• Poʻo: Hiki ke ʻike ʻia ma ke poʻo a me ka lauoho.
• Nā kui: Hiki ke hoʻopilikia ʻia nā kui lima a me nā manamana wāwae.
• Nā wahi genital: Hiki ke loaʻa i nā wahi e like me ka penis, vagina, a me labia.

Ua kapa ʻia kēia e nā kauka he maʻi no ka hui o nā lichenoid dermatoses. ʻO ke ʻano kēia he hui kēia o nā maʻi e ʻike ʻia ana he mau puʻupuʻu liʻiliʻi a ʻeleʻele ma ka ʻili.

He maʻi autoimmune anei kēia?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻAʻole ʻo Lichen Planus he maʻi autoimmune maoli, akā he hopena like ia e kū mai ana i loko o ko kākou kino. He maʻi "idiopathic". ʻO ia hoʻi , ʻaʻole i loaʻa ke kumu pololei o ia mea.

ʻO ka maʻamau, pale aku kā mākou ʻōnaehana pale iā mākou ma ke kaua ʻana i nā mea komo hewa mai nā ʻāina ʻē, e like me ka bacteria a me nā virus. Akā i ka poʻe me ka lichen planus, hoʻouka hewa nā pūnaewele T o kā mākou ʻōnaehana pale i kahi protein i loaʻa i loko o ko mākou ʻili a me nā membrane mucus. He mea pohihihi nō ke kumu e hana ai kēia mau pūnaewele T i kēia.

He aha ka ʻokoʻa ma waena o ka Lichen Planus a me ka Lichen Sclerosus?

Ua like iki nā inoa o kēia mau maʻi ʻelua, hiki ke alakaʻi i ka huikau. E like me Lichen Planus, he ʻano idiopathic ʻo Lichen Sclerosus e hoʻopilikia ai i ka ʻili. Eia nō naʻe, ma Lichen Sclerosus, lahilahi mālie ka ʻili, ʻili, a lilo i unahi. ʻOiai hiki ke loaʻa ma nā wahi āpau o ke kino, ʻo ka hapa nui o ia mea e hoʻopilikia ai i nā ʻōpū a me ka ʻili a puni ka anus. ʻOi aku ka maʻamau i nā wahine i hala i ka menopause.

ʻO ka ʻokoʻa nui, ʻaʻole pili pinepine ʻo Lichen Sclerosus i nā membrane mucous o ka waha, ʻoiai ʻo Lichen Planus ka mea maʻamau i ka waha.

He aha ka ʻokoʻa ma waena o ka lichen planus a me ka psoriasis?

ʻO ka psoriasis kekahi maʻi e hoʻoulu ai i nā ʻāpana ʻulaʻula a unahi ma ka ʻili. Hiki i nā mea ʻelua ke huikau no kekahi poʻe no ka mea e hoʻoulu ai lākou i nā ʻāpana kala ʻole. Eia nō naʻe, he ʻano unahi ko ka psoriasis a ʻaʻole ia e hoʻopilikia pinepine i loko o ka waha. ʻAʻole ʻike nui ʻia ke ʻano unahi o Lichen Planus.

ʻO wai ka mea e loaʻa pinepine ai kēia? Pehea ka maʻamau?

Hiki i ka Lichen Planus ke hoʻopilikia i kekahi, akā ua hōʻike ʻia nā noiʻi he ʻoi aku ka maʻamau o ia i nā wahine ma waena o 30 a me 60 mau makahiki. Ua hōʻike kekahi mau noiʻi he ʻelua ka nui o ka loaʻa ʻana o ia ma mua o nā kāne i nā wahine. Ua ʻōlelo ʻia he ʻoi aku ka maʻamau o ia i nā wahine i ko lākou mau makahiki 60 a me nā kāne i ko lākou mau makahiki 40.

Inā loaʻa ka lichen planus ma kou ʻili, aia he 50% a 75% ka manawa e loaʻa ai iā ia i loko o kou waha.

He mea maʻamau loa ia e hoʻopilikia ai ma kahi o 0.22% a i 1% o ka heluna kanaka makua. Hoʻopilikia ka Oral Lichen Planus ma waena o 1% a me 4% o ka heluna kanaka o ka honua.

Pehea ka hopena o Lichen Planus i ke kino? He aha nā hōʻailona?

ʻOkoʻa nā hōʻailona o ka lichen planus ma muli o kahi ma kou kino i hoʻopilikia ʻia.

Nā hōʻailona ʻili

ʻIke pinepine ʻia kēia ma nā pulima o kou mau lima, nā kuʻekuʻe lima (kapa mākou i kēia mau ʻili flexor), nā piko o kou mau lima (nā ʻili dorsal), a me nā alo o kou mau wāwae .

• Hoʻomaka ia me he mau kiko liʻiliʻi i hoʻokiʻekiʻe ʻia (kapa mākou iā lākou he "papules"), e like me ka nui o ke poʻo pine (ma kahi o 0.4 millimeters).
• Ma hope o kekahi manawa, hiki i kēia ke ulu iki aʻe a lilo i mānoanoa e like me ka penikala (ma kahi o 1 kenimika).
• Hiki i kēia ke poni ke kala a he ʻili pālahalaha.
• Hiki nō hoʻi ke ʻānai loa. ʻO kēia ʻānai ke kumu nui o ka ʻeha no nā kānaka he nui.
• I kekahi manawa hiki i kēia ke lilo i mau ʻeha, ʻoiai inā ua kahakaha ʻia. Hiki i kēia ʻano puʻupuʻu a ʻeha paha ke loaʻa ma ka ʻāpana genital.

Nā hōʻailona ma ka waha (Oral Lichen Planus)

Ma kahi o ka hapalua o ka poʻe me ka lichen planus aia i loko o ko lākou waha.

• Hoʻomaka ia me he mau kiko keʻokeʻo liʻiliʻi a i ʻole kekahi ʻano ʻupena ma loko o nā papālina, ma ke alelo, a i kekahi manawa ma nā lehelehe.
• I kekahi manawa lilo kēia i ʻulaʻula a ʻeha, a i ka wā e ʻai ai ʻoe i kahi mea ʻala (e like me kā mākou meaʻai i hoʻokomo ʻia i ka pepa chili), hiki iā ʻoe ke manaʻo i kahi mea wela a me ka ʻeha.
• Hiki ke hoʻonui ʻia kēia ʻeha ma ka ʻai ʻana i nā mea inu wela, nā tōmato, a me nā hua citrus (e like me nā ʻalani a me nā lime).

Nā loli i nā kui

ʻOiai he mea kakaikahi, hiki i kēia ke hoʻopilikia i nā kui o kekahi poʻe.

• Hoʻololi ke kala o nā kui.
• Ua māhele a ua māhele ʻia nā kui i ʻelua.
• Hiki ke oki ka ulu ʻana o nā kui, a i ʻole e hāʻule paha ke kui.
• Hiki ke ʻike ʻia nā laina lahilahi ma ka lōʻihi o ke kui.

ʻAʻole ʻeha ka Lichen Planus. Eia nō naʻe, inā ʻoe e kahakaha a haki i ka ʻili, hiki i nā germs ke komo a hoʻoulu i kahi maʻi, kahi hiki ke ʻeha.

He aha nā kumu o ka hoʻomohala ʻana o ka lichen planus?

Hiki i kekahi mau mea ke hoʻoulu i ka Lichen Planus e ʻoi aku ka ʻino a i ʻole e ʻike hou ʻia. Kāhea mākou i kēia mau flare-ups.

• ʻO ka maʻi Hepatitis C: ʻO ka poʻe i loaʻa i kēia maʻi e pilikia ana i ka hoʻomohala ʻana i ka lichen planus.
• Kekahi ʻano lāʻau pale: Eia kekahi laʻana, kekahi mau lāʻau pale maʻi flū.
• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs): Kekahi o nā lāʻau lapaʻau a mākou e hoʻohana ai e like me nā lāʻau ʻeha.
• ʻO kekahi mau lāʻau lapaʻau ʻē aʻe: ʻO kekahi mau lāʻau lapaʻau no ka maʻi ʻaʻai, ka maʻi puʻuwai, a me ke koko kiʻekiʻe.
• Kekahi mau kemika, metala, a i ʻole nā ​​​​​​pigment: No ka poʻe maʻi āpau i kēia mau mea. Eia kekahi laʻana, kekahi mau metala i hoʻohana ʻia i nā hoʻopihapiha niho.

He maʻi lele anei ka Lichen Planus?

ʻAʻole, ʻaʻole loa! ʻAʻole he maʻi lele ʻo Lichen Planus. ʻAʻole ia e laha ma o ka pili ʻana i ka moekolohe a i ʻole ka pili ʻana o ka ʻili i ka ʻili. Hoʻokumu ʻia ia e kahi loli i loko o kāu ʻōnaehana pale ponoʻī. No laila, mai makaʻu iā ia.

Pehea e ʻike ai i kēia?

Hiki i kāu kauka ke ʻike i ka lichen planus ma ka nānā ʻana i kāu mau hōʻailona a me ka hana ʻana i kahi hoʻokolokolo kino. Ke ʻimi nei nā kauka i kahi mea i kapa ʻia ʻo "Six Ps" (`(Six Ps)`):

• ʻŪhū: Māneʻe nā kiko.
• Polygonal: ʻO ke ʻano o nā kiko he hoʻokahi me nā kihi ʻoi he nui.
• Planar: He pālahalaha ka piko o nā kiko.
• Papule Poni: He poni ke kala o nā ʻōpū.
• Nā pāpaʻi: Nā wahi i hāpai ʻia, nā wahi i hoʻololi ʻia ke kala.

Akā i kekahi manawa, inā he kānalua inā paha kēia ka hihia, hiki i ke kauka ke hana i kekahi mau hoʻokolohua hou aʻe:

• Hoʻāʻo alerē: E nānā e ʻike inā he alerē kou i kekahi mea a inā ʻo ia ke kumu o kēia mau kiko.
• ʻO ka biopsy ʻili: Pili kēia i ka lawe ʻana i kahi ʻāpana ʻili liʻiliʻi mai kahi i loaʻa ai ka mole a hoʻouna aku i kahi keʻena hoʻokolohua. A laila e nānā ʻia ma lalo o kahi microscope e ʻike pono i ka mea i pilikia. He mea liʻiliʻi kēia, ʻaʻohe mea e hopohopo ai.
• Hoʻāʻo Hepatitis C:E like me ka mea i ʻōlelo ʻia ma mua, hiki ke hana ʻia kēia hoʻāʻo no ka mea pili ka lichen planus me ka maʻi Hepatitis C.

Hiki ke ho'ōla ʻia ʻo Lichen Planus? He aha nā lāʻau lapaʻau?

ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau no Lichen Planus. Eia nō naʻe, ʻo ka nūhou maikaʻi, ʻo ka hapa nui o nā hihia o ka lichen planus ma ka ʻili e hoʻopau iā lākou iho i loko o kekahi mau mahina a i kekahi mau makahiki, me ka ʻole o ka lāʻau lapaʻau.

Eia nō naʻe, aia nā lāʻau lapaʻau e hōʻemi i ka ʻeha a me ka ʻoluʻolu ʻole:

ʻO ka mālama ʻana no ka lichen planus o ka ʻili

• Nā kirimina a i ʻole nā ​​ʻaila corticosteroid: Hoʻemi kēia i ka mumū a me ka maneʻo o ka ʻili. Ua kuhikuhi ʻia kēia e ke kauka.
• Nā Antihistamine: He mau lāʻau lapaʻau i kuhikuhi pinepine ʻia kēia no nā maʻi allergies. Kōkua lākou i ka hōʻemi ʻana i ka maneʻo.
• Phototherapy: Hoʻohana kēia i ka mālamalama ultraviolet, ʻo UVB maʻamau, mai nā kukui kūikawā. He kūpono kēia kukui ultraviolet, i loaʻa i ka lā, no kekahi mau maʻi ʻili, me ka lichen planus.
• Nā Immunosuppressants: Inā ʻoi aku ka koʻikoʻi o ka maʻi, hiki i nā kauka ke kuhikuhi i nā lāʻau lapaʻau e kāohi i ka ʻōnaehana pale, e like me nā corticosteroids waha, mycophenolate mofetil, azathioprine, a i ʻole cyclosporine.
• ʻO nā Retinoids (nā mea i loaʻa mai ka huaora A): Loaʻa kēia mau mea ma ke ʻano he pila a i ʻole he kirīmi. Hana lākou ma ka hoʻonui ʻana i ka hana collagen i loko o ka ʻili, hoʻonui i nā kīʻaha koko, a kōkua i ka ho'ōla ʻana o nā ʻōpala. Eia nō naʻe, hiki i nā retinoids ke hana i nā kīnā hānau, no laila e haʻi pono i kāu kauka inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai.

Ka Hoʻokele ʻana no ka Oral Lichen Planus

ʻO ka maʻamau, e hoʻomaikaʻi ka Lichen Planus i loko o ka waha ma kahi o ʻelima mau makahiki. Eia nō naʻe, inā he mau ʻeha a he ʻōpū paha i loko o ka waha, hiki iā ʻoe ke loaʻa ka hōʻoluʻolu me kēia mau mea:

• Ka mālama ʻana i ke olakino waha maikaʻi: He mea nui e palaki i kou mau niho i kēlā me kēia lā, e hoʻohana i ka floss ma waena o kou mau niho, a e hoʻomaʻemaʻe ʻia kou mau niho e ke kauka niho ma ka liʻiliʻi ʻelua i ka makahiki.
• Ka hoʻēmi ʻana i nā ʻeha waha: Inā he mau ʻeha kou i loko o kou waha, hiki iā lākou ke lilo i mea pinepine a ʻoi aku ka ʻeha. No laila, he manaʻo maikaʻi e palaki pinepine i kou mau niho, e hoʻopili i ka wax niho a puni kou mau niho inā he mau pale kou, a wehe i nā piercings i loko o kou waha inā he mau mea kāu.
• Hoʻololi i ka hoʻopiha niho:I kekahi manawa, he mea kākaʻikahi paha ka maʻi ʻaleka o kekahi poʻe i nā amalgams, ʻo ia hoʻi nā mea hoʻopihapiha metala i hoʻohana ʻia i nā mea hoʻopihapiha niho. Hiki i kēia maʻi ʻaleka ke like me ka lichen planus. I ia mau hihia, ʻo ka hoʻololi ʻana i nā mea hoʻopihapiha me kahi mea hypoallergenic e hāʻawi i ka hōʻoluʻolu.

He aha nā lāʻau lapaʻau home?

Aia nā lāʻau lapaʻau hiki iā ʻoe ke kūʻai ma ka hale kūʻai lāʻau a me nā mea hiki iā ʻoe ke hana ma ka home e hoʻōki ai i ke kahakaha ʻana i kou mau kiko.

ʻOiai he palekana kēia no ka hapa nui o nā kānaka, he manaʻo maikaʻi e kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana iā lākou, no ka mea, hiki iā ʻoe ke maʻi āpau iā lākou i kekahi mau hihia.

• ʻAloe vera: He lāʻau lapaʻau kūlohelohe ka Aloe vera e kōkua ai i ka ho'ōla ʻana i nā ʻeha a hoʻomaʻū i ka ʻili. Ua hōʻike kekahi mau noiʻi e hiki i ka aloe vera ke kōkua i ka hōʻemi ʻana i nā hōʻailona o ka lichen planus i loko o ka waha a i ʻole ma ka labia.
• Nā Antihistamine: ʻO kēia mau lāʻau lapaʻau, hiki ke kūʻai ʻia ma ka hale kūʻai lāʻau, e hōʻemi ana i ka maneʻo.
• Nā kirimina a i ʻole nā ​​poni hydrocortisone: Hiki ke kūʻai ʻia kēia mau mea ma luna o ke kūʻai aku ma ka hale kūʻai lāʻau lapaʻau. He corticosteroid lākou i hui pū ʻia me kahi lāʻau hoʻopau ʻeha.
• ʻOatmeal: ʻO ke ala maikaʻi loa e hoʻohana ai i ka oatmeal no nā kiko lichen planus, ʻo ia ke wili iā ia i pauka maikaʻi i loko o ka mea hoʻoheheʻe a i ʻole ka mea hana meaʻai (ua kapa ʻia kēia he "colloidal oatmeal"). E kāwili i kēia oatmeal pauka me kahi wai wela e hana i kahi kāpili mānoanoa. E hoʻopili i kēia ma luna o nā kiko. E waiho no 10 mau minuke a laila holoi me kahi lole maʻemaʻe.

Ke piʻi nei nā hōʻailona i ka piʻi ʻana o ke kaumaha?

ʻAe, hiki i ke kaumaha ke hoʻonui i kekahi ʻano ʻili, me ka lichen planus. Ke kaumaha mākou, ʻaʻole ia e hoʻopilikia wale i ko mākou noʻonoʻo akā i ko mākou kino pū kekahi.

ʻO kekahi mau hōʻailona o ke kaumaha (hiki ke hoʻonui i kāu mau hōʻailona lichen planus):

• Kaumaha.
• Paʻakikī i ka hoʻomaha ʻana.
• E hoʻohana i ka waiʻona, ka paka, a i ʻole nā ​​​​lāʻau lapaʻau e hoʻomaha ai.
• Ka loaʻa ʻana o kahi manaʻo maikaʻi ʻole iā ʻoe iho (manaʻo haʻahaʻa iā ʻoe iho).
• Ke hopohopo mau nei.
• Manaʻo e like me nā mea a pau he nui loa, me he mea lā ʻaʻole hiki iā ʻoe ke kaohi.
• Paʻakikī i ka noʻonoʻo ʻana.
• Huhū koke, loli pinepine ka naʻau.

Nā hōʻailona kino o ke kaumaha (hiki i kēia mau mea ke hoʻonui i nā hōʻailona lichen planus):

• Luhi, poniuniu.
• Ka nalowale o ka makemake e moe kolohe.
• Hiamoe nui loa (hypersomnia).
• Ka hiamoe emi ʻana, ka insomnia.
• Ka maʻi pākī.
• Ka paʻa ʻana o ka ʻōpū.
• ʻOʻoleʻa o nā ʻiʻo, ʻeha.
• ʻEha kino.

No laila, he mea nui loa ka noʻonoʻo ʻana e pili ana i nā ʻano hana hoʻokele pilikia.Hiki i nā mea e like me ka noʻonoʻo ʻana, ka yoga, nā hoʻomaʻamaʻa hanu, a me ke komo ʻana i kahi hana leʻaleʻa punahele ke kōkua nui.

He aha nā meaʻai a me nā mea inu e pono iaʻu e pale aku inā loaʻa iaʻu ka lichen planus waha?

Inā loaʻa iā ʻoe ka oral lichen planus, ʻoi aku ka maikaʻi o ka noho mamao ʻana mai nā meaʻai a me nā mea inu ʻawaʻawa a me nā mea ʻala, no ka mea, hiki i kēia mau mea ke hoʻolilo i nā kiko i loko o kou waha i ʻeha a pehu.

• Nā pepa wela, nā pepa paʻakai, nā meaʻai ʻono chili. (Ma ko mākou ʻāina, he mea nui kēia mau mea, akā pono ʻoe e kāohi iki iā lākou.)
• Nā mea ʻono wela e like me ka salsa.
• Nā hua citrus (lemon, lime, ʻalani, tangerines).
• Nā tōmato a me ka wai tōmato.
• ʻAila.

Ma waho aʻe o ka hoʻopau ʻana i kēia mau meaʻai a me nā mea inu, he mea nui loa ia no ka poʻe puhipaka e hoʻōki loa i ka puhipaka.

Aia kekahi ala e pale aku ai i kēia?

ʻO ka mea pōʻino, ʻaʻohe ala kikoʻī e pale aku ai i ka ulu ʻana o Lichen Planus. No ka mea, ʻaʻole ʻike ʻia ke kumu pololei, he paʻakikī ke ʻōlelo pehea e pale aku ai.

He aha ka mea e hana inā loaʻa iā ʻoe ʻo Lichen Planus? He aha kāu e manaʻo ai?

ʻO ka Lichen Planus kahi maʻi i hiki ke mālama ʻia i kekahi manawa me ka ʻole o ka lāʻau lapaʻau. Akā pinepine, pono ka lāʻau lapaʻau e hōʻemi i nā hōʻailona. Inā loaʻa iā ʻoe ka lichen planus ma kou ʻili, hiki ke hala i nā mahina a i ʻole nā ​​​​makahiki e hoʻomaikaʻi ai. ʻO ka lichen planus waha i loko o kou waha hiki ke hala a hiki i ʻelima mau makahiki e hoʻomaikaʻi ai. Hiki i ka lāʻau lapaʻau a me nā lāʻau lapaʻau home ke kōkua i ka hōʻemi ʻana i kou ʻeha.

Inā loaʻa iā ʻoe ka lichen planus ma kou wahi genital, hiki iā ʻoe ke ʻike i ka ʻoluʻolu ʻole a me ka ʻeha i ka wā o ka moekolohe. Eia nō naʻe, ʻaʻole hiki iā ʻoe ke hoʻoili iā ia i kāu hoa.

Āhea ʻoe e ʻike ai i ke kauka?

I kēlā mau hihia, pono ʻoe e ʻike i ke kauka:

• Inā ʻoe e hoʻomohala i nā hōʻailona hou .
• Inā ʻaʻole hoʻomaikaʻi nā hōʻailona me ka mālama ʻole ʻia.
• Inā ʻoi aku ka lōʻihi o nā kiko ma mua o ka mea i manaʻo ʻia .
• Inā ʻike ʻia ka wahi i loaʻa ai nā kiko he maʻi (ʻulaʻula, pehu, kahe ʻana o ka pus).

He aha nā nīnau āu e nīnau ai i kāu kauka?

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

• Pehea lā e ʻike ai inā loaʻa iaʻu ʻo Lichen Planus?
• Inā ʻaʻohe oʻu Lichen Planus, he aha nā maʻi ʻili ʻē aʻe?
• Pehea ka lōʻihi e hoʻōla ai koʻu kino mai kēia maʻi?
• He aha ka lāʻau lapaʻau āu e paipai nei?
• Aia kekahi hopena ʻaoʻao i kēlā mau lāʻau lapaʻau?
• He aha nā lāʻau lapaʻau home āu e ʻōlelo nei?
• Aia kekahi kirīmi a ʻaila poni kūikawā paha e hiki ke kuhikuhi ʻia iaʻu?
• E ʻike anei au i ke kauka ʻili a i ʻole kekahi loea ʻē aʻe?

Leka Lawe-Home

He maʻi ʻili maʻamau ka Lichen Planus. Hiki iā ia ke hoʻopilikia i ka waha a me nā kui. Hiki ke hilahila iki a me ka maneʻo. Eia naʻe, ʻaʻole ia he maʻi weliweli a laha paha, a nalo wale ia ma kāna iho.

ʻO ka mea nui loa, ʻo ia ka makaʻala i kou ʻili. Inā ʻike ʻoe i kekahi mau kiko hou a i ʻole nā ​​loli ma kou ʻili, e ʻike koke i ke kauka. Ma kēlā ala, hiki iā ʻoe ke ʻike pono i ka mea e hana nei a hoʻomaka i ka mālama ʻana inā pono.

ʻO Lichen planus, nā maʻi ʻili, nā kiko ʻāʻī, nā kiko waha, nā maʻi ʻili, ka ʻōnaehana pale, ka mālama ʻana i ka ʻili