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.

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