He mau kiko keʻokeʻo kou i loko o kou waha? He ʻeha anei? E aʻo kākou e pili ana i ka (Oral Lichen Planus)!

Ua nānā paha ʻoe i loko o ke aniani a ʻike i kahi ʻano keʻokeʻo, e like me ka pūnaewele a i ʻole nā ​​kiko keʻokeʻo i loko o kou waha, ma loko o kou mau papālina, a i ʻole ma kou alelo? I kekahi manawa e manaʻo paha ʻoe i kahi ʻeha wela a ʻeha paha i ka wā e ʻai ai a palaki paha i kou mau niho. ʻO kēia kekahi o nā hōʻailona o ke kūlana a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo (Oral Lichen Planus). Mai hopohopo, ʻaʻole kēia he maʻi weliweli, ʻaʻole hoʻi he maʻi lele. Eia nō naʻe, he mea nui loa ka makaʻala i kēia.

He aha ka (Oral Lichen Planus)? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka Oral Lichen Planus kahi maʻi kahi e pehu ai ka ʻili palupalu i loko o kou waha, i kapa ʻia ʻo ka mucosa. ʻO ka maʻamau, loaʻa ka mumū ma nā wahi āpau o ko mākou kino e kōkua iā mākou e ho'ōla. Akā ma Oral Lichen Planus, no kekahi kumu i ʻike ʻole ʻia, hoʻouka kā mākou ʻōnaehana pale ponoʻī i kēia mau membrane palupalu i loko o ko mākou waha. Ua like ia me ko mākou pūʻali koa ponoʻī e hoʻouka ana i kā mākou mau koa ponoʻī.

ʻAʻole kēia he maʻi weliweli . A ʻaʻole ia e laha mai kekahi kanaka a i kekahi kanaka . No laila, inā loaʻa iā ʻoe kēia maʻi, mai makaʻu ʻoe e hoʻopili ʻoe i kou ʻohana a i ʻole nā ​​hoaaloha. Eia nō naʻe, hiki i kēia ke hana i nā ʻano kiko like ʻole, nā ʻōpala, a i kekahi manawa nā ʻeha i loko o ka waha. Hiki iā ia ke hana i ka ʻeha ma ka waha.

ʻO ka mea nui loa, ʻo ia ke ʻike ʻana i ke kauka niho inā loaʻa iā ʻoe kēia mau hōʻailona. ʻOiai ʻaʻohe lāʻau lapaʻau no ka Oral Lichen Planus, aia nā lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i nā hōʻailona a hāʻawi i ka hōʻoluʻolu.

ʻElua ʻano nui o ka (Oral Lichen Planus)

E nānā kākou i kēia mau ʻano ʻelua. He ʻokoʻa iki nā hōʻailona o kēia mau mea ʻelua.

1. ʻO ka Reticular Oral Lichen Planus

ʻO kēia ke ʻano maʻamau a ʻaʻole hoʻi i ʻoi aku ka ʻino o ka Oral Lichen Planus. Pili ia i:

• I loko o ka waha, ʻoi aku hoʻi ma loko o nā papālina a ma ke alelo, aia paha he mau ʻano keʻokeʻo, e like me ka pūnaewele a i ʻole nā ​​​​laina e like me ke kaula .
• ʻAʻole ʻeha kēia ʻano maʻamau. ʻAʻole paha ʻoe e ʻike he loaʻa iā ʻoe, a ʻike ʻia wale nō ke nānā ke kauka i kou waha.

2. ʻO ka Lichen Planus Waha ʻErosive

ʻO kēia ke ʻano ʻoi aku ka ʻino o ka (Oral Lichen Planus). Eia kekahi mau mea e hiki ke hana:

• He ʻulaʻula ʻōlinolino nā ʻāʻī, pehu, a ke nānā aku nei ua ʻeha .
• Hiki paha iā ʻoe ke ʻeha nui i ka wā e ʻai ai, inu ai, a palaki paha i kou mau niho .
• Hiki i nā ʻōpū ke ulu ma kekahi a ʻoi aku paha mau wahi i loko o ka waha. ʻO kēia mau ʻōpū nā mea e hoʻoulu ai i ka ʻeha nui loa.

E noʻonoʻo, ke ʻai ʻoe i kahi mea ʻala, manaʻo kou waha e like me ke kuni ʻana. Hiki ke loaʻa pinepine kēlā ʻano kuni nui a me ka ʻeha i kēia ʻano ʻino.

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He aha nā hōʻailona o ka (Oral Lichen Planus)?

ʻOkoʻa nā hōʻailona ma muli o ke ʻano o ka Oral Lichen Planus āu. ʻO ka hapa nui o ka manawa, hiki ke ʻike koke ʻia kēia mau hōʻailona a nalo wale i loko o kekahi mau lā, a i ʻole e hoʻomaikaʻi paha lākou me ka mālama ʻana. E nānā kākou i kekahi o nā hōʻailona maʻamau:

• Nā hoʻolālā keʻokeʻo e like me ka ʻupena nananana a i ʻole nā ​​kaha ma loko o nā papālina a i ʻole ma ke alelo.
• Nā kiko keʻokeʻo a i ʻole nā ​​​​​​palapala ma ke alelo a i ʻole nā ​​​​​​ʻāʻī.
• Nā ʻōpū ma ke alelo, ka waha, a i ʻole ka lehelehe.
• Lilo nā ʻāʻī i ʻulaʻula ʻālohilohi a pehu.
• ʻEha iki a koʻikoʻi . Hiki ke hoʻonui ʻia kēia ʻeha, ʻoiai i ka wā e palaki ai i kou mau niho a i ʻole i ka wā e ʻai ai i nā mea ʻala, ʻawaʻawa, paʻakai, a ʻawaʻawa paha. No ka laʻana, ʻo ka ʻai ʻana i kekahi mau pickles a i ʻole ke hamo ʻana i kahi mea ʻono tōmato liʻiliʻi i loko o kou waha hiki ke hana i kahi ʻano wela.

Loaʻa paha i kekahi poʻe ka oral lichen planus, kahi maʻi ʻili e hoʻoulu ai i nā ʻulaʻula a me nā ʻūlū ma kekahi mau ʻāpana o ke kino, me nā ʻōpū a me ke poʻo.

No ke aha e hana ʻia ai kēia ʻano ʻōpū lichen planus? He aha nā kumu?

ʻO kaʻoiaʻiʻo, ʻaʻole i ʻike pono nā kauka i ke kumu o ka Oral Lichen Planus. Akā hoʻokahi mea i maopopo: pili ia i kāu ʻōnaehana pale .

ʻO ka maʻamau, ke kaua aku nei nā pūnaewele i loko o kā mākou ʻōnaehana pale kino ('nā pūnaewele pale kino') i nā mea ʻino, e like me nā germs, a pale iā mākou mai nā maʻi. Akā i loko o ka "(Oral Lichen Planus)", hoʻouka hewa kēia mau pūnaewele pale kino i nā ʻiʻo olakino i loko o ko mākou waha ponoʻī . Ua like ia me nā pale o ke kino e kuhihewa ana iā lākou no nā ʻenemi a hoʻouka i kā lākou iho.

Ua ʻike ʻia kēia ʻano he mea maʻamau i waena o ka poʻe e hoʻohana ana i kekahi mau lāʻau lapaʻau . Eia kekahi laʻana:

• Nā lāʻau antifungal
• Nā lāʻau antiparasitic
• Nā lāʻau lapaʻau antiseizure
• ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe, e.g. (Beta-blockers)
• Nā lāʻau lapaʻau
• Nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory (Nonsteroidal anti-inflammatory drugs - NSAIDs)

Hiki ke ʻike ʻia i loko o nā kānaka me kekahi mau maʻi ʻē aʻe . Nā Laʻana:

• Hepatitis B
• Hepatitis C
• ʻO ka maʻi papilloma kanaka (HPV)
• ʻO ka cirrhosis biliary mua

Eia nō naʻe, pono ka noiʻi hou aku e hoʻoholo i ka pilina ma waena o kēia mau lāʻau lapaʻau a me nā maʻi a me ka Oral Lichen Planus. No laila, ʻaʻole hiki ke hoʻoholo ʻia inā ʻoe e lawe ana i kēia mau lāʻau lapaʻau a loaʻa paha iā ʻoe kēia mau maʻi, e loaʻa iā ʻoe ka Oral Lichen Planus.

He aha nā mea e hoʻāla ai i ka ʻā ʻana o ka (Oral Lichen Planus)?

He nui ka poʻe me ka Oral Lichen Planus (OLP) e ʻike i nā hōʻailona o ka hoʻāla ʻana a me ka hoʻāla ʻana. Ua kapa ʻia kēia mau mea he mau mea hoʻoulu. ʻAʻole i hoʻopilikia ʻia nā kānaka a pau e nā mea hoʻoulu like, a hiki ke ʻokoʻa lākou mai kēlā kanaka a i kēia kanaka. Eia kekahi mau mea hoʻoulu maʻamau:

• Nā hopena aleri: Hiki i kekahi mau meaʻai (e like me nā meaʻai ʻala, kekahi mau huaʻai), ka toothpaste, ka floss niho, a me nā hoʻopihapiha niho ke hana i nā aleri a hoʻonui i nā hōʻailona.
• Nā pilikia niho: ʻO nā mea e like me nā niho kūpono ʻole, nā niho ʻoi, a i ʻole kahi seti o nā niho i kūpono ʻole i loko o ka waha hiki ke alakaʻi i nā ʻeha pinepine i loko o ka waha a hoʻonui i ka Oral Lichen Planus.
• Kekahi mau lāʻau lapaʻau: E like me ka mea i ʻōlelo ʻia ma mua, hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i kēia ʻano.
• Nā ʻeha waha: Nā mea e like me ke nahu ʻana i kou papālina a i ʻole ka ʻeha ʻana i ka wā e palaki ai i kou mau niho me ka ikaika loa.
• Nā maʻi waha: Nā maʻi bacteria a fungal paha.
• Ke kaumaha a i ʻole ka hopohopo: He kumu nui kēia e hoʻopilikia ai i nā poʻe he nui. Wahi a ka poʻe he nui, i ka wā e piʻi ai ke kaumaha o ka noʻonoʻo, e piʻi pū nā hōʻailona o ka Oral Lichen Planus.

ʻO wai ka mea i ʻoi aku ka paʻakikī ke loaʻa i ka "Oral Lichen Planus"? (Nā kumu pilikia)

• ʻOi aku ka nui o nā wāhine i kēia maʻi ma mua o nā kāne, ʻekolu a ʻehā paha manawa .
• ʻOiai hiki ke ulu aʻe i kēlā me kēia makahiki, ʻike pinepine ʻia ia i nā poʻe ma waena o 30 a me 70 mau makahiki .

Nā pilikia e hiki mai ana ma muli o ka (Oral Lichen Planus)

Hiki i ka Oral Lichen Planus ke hōʻeha i ka ʻai ʻana, no laila ke kaupalena nei kekahi poʻe i kā lākou ʻai ʻana a hōʻole paha i ka ʻai. Hiki i kēia ke alakaʻi i ka pohō kaumaha . Eia kekahi, no ka mea ua hōʻino ʻia ka membrane mucous i loko o ka waha, aia kahi manawa nui o ka hū a me nā maʻi bacteria .

I kēia manawa, e ʻōlelo wau i kahi mea e pono e lawe ʻia me ke akahele. Ua hōʻike ʻia e ka noiʻi ma waena o 1% a me 4% o ka poʻe me ka Oral Lichen Planus hiki ke loaʻa i ka maʻi ʻaʻai waha . He kiʻekiʻe loa kēia pilikia no ka poʻe me ke ʻano koʻikoʻi, ʻo Erosive Oral Lichen Planus, i ʻōlelo ʻia ma mua.

Akā, mai hopohopo! ʻAʻole kēia manaʻo e loaʻa i nā kānaka a pau me ka Oral Lichen Planus ka maʻi kanesa. Ke hoʻomau nei ka noiʻi ʻana e hoʻoholo i ke kumu e loaʻa ai i kekahi poʻe wale nō. ʻO ka mea nui loa, ʻo ia ke nānā pinepine ʻana o kāu kauka i kou waha e nānā i nā loli precancerous. No ka mea, inā ʻike mua ʻia ka maʻi kanesa waha, hiki ke ho'ōla loa ʻia .

Pehea e ʻike ai nā kauka i kēia maʻi?

Hiki i ke kauka ke nānā i loko o kou waha a nānā i kāu mau hōʻailona e ʻike inā he Oral Lichen Planus kou. I ka manawa pinepine, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai loko mai o kou waha no ka hoʻāʻo ʻana e hōʻoia i ka hōʻailona a e kāpae i nā kūlana ʻē aʻe (e like me nā maʻi fungal a i ʻole nā ​​​​kūlana ʻē aʻe e hoʻoulu ai i nā ʻāpana keʻokeʻo, e like me Leukoplakia). Ua kapa ʻia kēia he biopsy. He hana liʻiliʻi kēia a ʻaʻole ia he mea e hopohopo ai.

He aha nā lāʻau lapaʻau no ka (Oral Lichen Planus)?

ʻO ka pahuhopu nui o ka mālama ʻana i ka Oral Lichen Planus ka hōʻemi ʻana i nā hōʻailona a pale iā lākou mai ka ʻino ʻana . ʻO ke ʻano kēia inā ʻaʻohe ou hōʻailona, ​​​​e like me ka ʻeha a i ʻole ka mumū, ʻaʻole paha ʻoe e pono i ka lāʻau.

ʻO ka maʻamau, pili ka lāʻau lapaʻau i ka hui pū ʻana o nā lāʻau lapaʻau a me nā loli o ke ʻano o ka nohona (e pale ana i nā mea hoʻoulu).

Nā lāʻau lapaʻau

Inā loaʻa iā ʻoe nā hōʻailona, ​​e kuhikuhi paha kāu kauka i ka lāʻau lapaʻau. Hana kekahi mau lāʻau lapaʻau ma ka hōʻoluʻolu ʻana i kāu ʻōnaehana pale a me ka hōʻemi ʻana i ka mumū i loko o kou waha. Hiki i nā mea ʻē aʻe ke kōkua i ka hōʻemi ʻana i ka ʻeha. E nānā kākou i kēia mau lāʻau lapaʻau:

• ʻO Corticosteroids: ʻO kēia nā mea i hoʻohana pinepine ʻia. Hiki ke hoʻopili ʻia ma ke ʻano he gel a kirīmi paha i ka wahi i hoʻopilikia ʻia. Inā ʻaʻole holo pono kēlā, hiki ke hāʻawi ʻia iā lākou ma ke ʻano he inikini a i ʻole he pila e lawe ʻia ma ka waha . Hoʻemi koke kēia i ka mumū a me ka ʻeha.
• Nā mea hoʻopaʻa Calcineurin: Hiki ke hāʻawi ʻia kēia mau lāʻau lapaʻau i ka poʻe i pane maikaʻi ʻole i nā corticosteroids. Hāʻawi pinepine ʻia lākou ma ke ʻano he kirīmi i kau ʻia ma ka wahi i hoʻopilikia ʻia.
• Nā lāʻau hoʻopau ʻeha: Hiki i nā lāʻau hoʻopau ʻeha e like me Paracetamol, ka mea i loaʻa pinepine mai kahi hale kūʻai lāʻau lapaʻau, ke kōkua i ka hōʻemi ʻana i ka ʻeha i hoʻokumu ʻia e ka Oral Lichen Planus. I kekahi manawa, inā koʻikoʻi ka ʻeha, hiki ke kuhikuhi ʻia kahi lāʻau hoʻomāno e like me Lidocaine.

Nā loli o ke ʻano o ka nohona

ʻO ka hana ʻana i nā hoʻololi liʻiliʻi i kāu hana maʻamau i kēlā me kēia lā e hiki ke kōkua nui i ka pale ʻana i nā ʻōhū. ʻAʻole like nā mea hoʻoulu o kēlā me kēia kanaka, akā no nā poʻe he nui, kōkua kēia mau mea:

• E hōʻemi i kāu ʻai ʻana i nā meaʻai ʻawaʻawa, ʻala, ʻūlū, a me ka paʻakai i ka hiki. Eia kekahi laʻana, nā pickles, nā meaʻai me ka lime a i ʻole ka vīnega, nā ʻuala palai, a me nā meaʻai me nā pepa chili wela.
• E hoʻōki loa i ka inu ʻana i ka waiʻona a me ka hoʻohana ʻana i nā huahana paka (e like me nā cigarettes a me ka nau ʻana i ka paka) . Hiki i kēia mau mea ke hōʻino hou aku i nā membrane palupalu i loko o kou waha.
• E hoʻohana i kahi palaki niho palupalu . A i ʻole, inā he palaki niho uila kāu, e hoʻohana ma ka hoʻonohonoho wikiwiki haʻahaʻa loa.
• ʻO ka toothpaste palupalu a ʻono ʻole a me ka floss nihoE hoʻohana i nā niho niho i loaʻa nā ʻono ikaika e like me ka mint, kinamona, a me ka sodium lauryl sulfate (SLS).
• E hoʻomaʻamaʻa i nā hana hoʻokele koʻikoʻi i kēlā me kēia lā. Hiki i nā mea e like me ka noʻonoʻo ʻana, ka yoga, a me nā hoʻomaʻamaʻa hanu ke kōkua.
• Inā he mau lāʻau lapaʻau āu e manaʻo nei e hoʻonui ana i kāu mau hōʻailona, ​​​​e kamaʻilio me kāu kauka e pili ana iā lākou a hoʻololi iā lākou inā pono.

Mea nui: Mai ho'ōki wale i ka lawe ʻana i kekahi lāʻau lapaʻau āu e lawe nei. E kamaʻilio mau me kāu kauka a e hahai i kāna mau kuhikuhi ma mua o ka hoʻōki ʻana.

ʻEhia ka lōʻihi e hoʻōla ai? (Ka manawa hoʻōla)

Ua ʻike ka poʻe he nui i ka emi nui ʻana o nā hōʻailona i loko o hoʻokahi mahina o ka hoʻomaka ʻana e hoʻohana i ka kirīmi corticosteroid topical. Me ka pana ʻana, hiki ke lawe i ʻelua a ʻekolu mau lāʻau lapaʻau e ʻike i ka hoʻomaikaʻi ʻana. Me nā pila, hiki ke hala i kekahi mau pule.

Ma muli o ka lāʻau lapaʻau i kuhikuhi ʻia iā ʻoe, hiki i kāu kauka ke hōʻemi mālie i ka nui. Hana ʻia kēia e hōʻemi i ka pilikia o nā hopena ʻaoʻao.

Āhea wau e ʻike ai i ke kauka?

Ke ʻike ʻia ʻoe me ka Oral Lichen Planus, he mea nui e ʻike i kāu kauka no nā nānā mau ʻana . He mea nui kēia ʻoiai inā ʻaʻohe ou hōʻailona. He mea nui loa kēia mau nānā ʻana e nānā i nā hōʻailona o nā loli pre-cancerous i ʻōlelo ʻia ma mua. Pono paha ʻoe i ka hoʻomaʻemaʻe niho mau e mālama i ke olakino waha maikaʻi.

Inā manaʻo ʻoe e piʻi koke ana kou mau hōʻailona, ​​a i ʻole ke loaʻa nei iā ʻoe kahi lapalapa, e hoʻomaopopo koke i kāu kauka i hiki iā lākou ke hoʻomaka i ka lāʻau e lawe mai iā ʻoe i ka hōʻoluʻolu.

He aha kaʻu e manaʻo ai ma ke ʻano he kanaka me ka (Oral Lichen Planus)?

ʻAʻole hiki ke ho'ōla piha ʻia ka Oral Lichen Planus. ʻO ia hoʻi, he maʻi mau loa ia. Akā, ʻaʻole ia he manaʻo e pono ʻoe e noho me ka ʻeha a me ka ʻoluʻolu ʻole i nā manawa a pau. He nui ka poʻe e loaʻa ana nā wā o ka hoʻāla ʻana a me nā wā o ka hoʻomaha ʻana.

Eia kekahi, ʻaʻole like ka ʻike o kēlā me kēia kanaka. Loaʻa paha i kekahi poʻe nā wahi liʻiliʻi wale nō i ʻeha ʻole a ʻaʻole pono ka mālama ʻana. Pono paha kekahi e hoʻohana i nā lāʻau lapaʻau ʻino e loaʻa ai ka hōʻoluʻolu.

E wehewehe pono ana kāu kauka iā ʻoe i ka mea e manaʻo ai ma muli o kāu mau hōʻailona.

He aha hou aʻe kaʻu e hana ai e ʻoi aku ka maikaʻi?

I ka wā e noho ana me kahi maʻi mau e like me kēia, hiki i ka mālama ʻana iā ia ke lilo i mea hopohopo i kekahi manawa. Inā ʻoe e manaʻo nei i kēia ʻano, hiki i ke kamaʻilio ʻana me kahi mea lapaʻau ke kōkua.Hiki ke kōkua nui. ʻO ke kaumaha ke kumu nui o ka Oral Lichen Planus, no laila he mea nui e noho mālie. Mai kānalua e noi i ke kōkua āu e pono ai.

He aha nā kūlana ʻē aʻe i hiki ke kuhihewa ʻia me ka "Oral Lichen Planus"?

Hiki ke huikau ʻia ka Oral Lichen Planus me kahi maʻi hū i loko o ka waha (i kapa ʻia ʻo thrush) a i ʻole me Leukoplakia (kekahi ʻano e hoʻoulu ai i nā ʻāpana keʻokeʻo i loko o ka waha). ʻOiai ʻo nā kūlana ʻekolu e hoʻoulu ai i nā ʻāpana keʻokeʻo a i ʻole nā ​​​​ʻāpana i loko o ka waha, he ʻokoʻa ko lākou mau kumu a me nā lāʻau lapaʻau like ʻole. No laila he mea nui e loaʻa kahi hoʻokolokolo kūpono a me ka hōʻoia mai ke kauka.

Hiki paha iā ʻoe ke aʻo mua e pili ana i ka Oral Lichen Planus ma muli o kahi ʻano ʻē, e like me ka pūnaewele āu e ʻike ai i loko o kou waha ke nānā ʻoe i ke aniani. A i ʻole ma muli paha o ka ʻā ʻana o kou ʻāʻī i ka wā e ʻai ai ʻoe. He ʻokoʻa ka ʻike no kēlā me kēia kanaka. A ʻokoʻa ka lāʻau lapaʻau maikaʻi loa no kēlā me kēia kanaka.

Eia nō naʻe, e hoʻomanaʻo he ʻano maʻi ka Oral Lichen Planus hiki ke mālama pono ʻia me ke kōkua o ke kauka niho. Hiki ke lōʻihi ka manawa e ʻike ai i ka hui kūpono o nā lāʻau lapaʻau a me nā hoʻololi ʻana i ke ʻano o ka nohona nou. Akā hiki i kāu kauka niho ke kōkua iā ʻoe e ʻike i ka hoʻolālā lapaʻau kūpono nou.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, e hoʻomanaʻo hou kākou iā ʻoukou i kekahi o nā mea a kākou i kamaʻilio ai:

• ʻO ka Oral Lichen Planus kahi mumū i hoʻopili ʻole ʻia e ka ʻōnaehana pale e kū ana i loko o ka waha.
• Hiki i nā hōʻailona ke komo pū me nā kiko keʻokeʻo, kahi ʻano pūnaewele, nā ʻāʻī ʻulaʻula, ka ʻeha, a me nā ʻeha.
• ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī , hiki ke hoʻonui ʻia e nā mea e like me ke kaumaha, kekahi mau lāʻau lapaʻau, a me nā maʻi allergies.
• ʻOiai ʻaʻohe lāʻau lapaʻau piha, aia nā lāʻau lapaʻau maikaʻi e kaohi ai i nā hōʻailona .
• He mea nui loa ka nānā ʻana i nā niho i kēlā me kēia manawa , ʻoiai hoʻi i ka makaʻala i ka pilikia o ka maʻi ʻaʻai waha.
• Hiki i nā hoʻololi maʻalahi o ke ʻano o ka nohona (ʻai, palaki ʻana i nā niho, hoʻokele kaumaha) ke hāʻawi i ka hōʻoluʻolu nui.
• Mai hopohopo, akā e makaʻala . Hiki iā ʻoe ke hoʻokele maikaʻi i kēia kūlana me kāu kauka.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka. E noho olakino!

ʻO ka lichen planus waha, nā ʻeha waha, nā maʻi waha, nā kiko keʻokeʻo, ka mumū, ka ʻōnaehana pale, ke olakino niho