Ke ʻike nei hoʻi ʻoe i nā ʻāpana ʻulaʻula a unahi ma kou ʻili? He psoriasis plaque paha ia!

Loaʻa iā ʻoe i kekahi manawa nā ʻāpana ʻulaʻula, unahi, a mānoanoa iki ma kou ʻili, ʻoiai ma kou mau kuʻekuʻe lima, kuli, a i ʻole ke poʻo? He nui ka maneʻo o kekahi poʻe, a i kekahi manawa ʻeha a wela lākou. ʻO kēia kūlana ka mea a mākou e kapa nei ʻo 'Plaque Psoriasis' . Mai hopohopo, ʻaʻole ia he mea laha. E kamaʻilio kākou e pili ana i nā kikoʻī.

He aha ke ʻano o ka 'Plaque Psoriasis'?

I ka ʻōlelo maʻalahi, ʻo ka 'Plaque Psoriasis' he maʻi ʻili lōʻihi. Hoʻokumu ʻia ia e kahi loli o ka ʻōnaehana pale o ko mākou kino, a i ʻole kahi maʻi 'autoimmune' . ʻO ka mea e hana ʻia ma kēia, ʻo ia ka māhele ʻana o ko mākou mau ʻili i ka wikiwiki ma mua o ka maʻamau, e hana ana i nā ʻili hou. Hoʻohui kēia mau ʻili hou e ulu wikiwiki ana me nā ʻili kahiko, e hopena ana i nā ʻāpana mānoanoa, unahi, a i ʻole ka mea a mākou e kapa nei he 'plaques', aʻu i ʻōlelo ai ma mua, ma ka ʻili o ka ʻili. ʻIke pinepine ʻia kēia mau mea:

• Maikaʻi kou kuʻekuʻe lima.
• Ma ke kua
• Ma nā kuli
• Ma ke poʻo (kahi o ka lauoho)

Eia nō naʻe, no kekahi poʻe, inā e holomua nui ke kūlana, hiki i kēia mau 'plaques' ke ʻike ʻia ma ke kino holoʻokoʻa . ʻO ke ʻano kēia:

• Ma ka maka
• Ma nā lima ʻelua
• Ma nā wāwae
• Hiki ke ʻike ʻia ma nā wahi genital (no ka laʻana, a puni ka vagina a me ka vulva i nā wahine, a a puni ka penis i nā kāne).

ʻO wai ka mea i ʻoi aku ka nui o ka loaʻa ʻana o ka psoriasis plaque?

Hiki i ka psoriasis plaque ke hoʻopilikia i kekahi. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe. E nānā inā pili kēia mau ʻoiaʻiʻo iā ʻoe:

• No ka poʻe keʻokeʻo (ʻaʻole paha kēia e pili loa iā Sri Lanka, akā he ʻōlelo maʻamau ia)
• No ka poʻe inu waiʻona
• No ka poʻe e ʻeha nei i ke kaumaha nui a i ʻole ke kaumaha
• Inā ua loaʻa i kekahi o kou ʻohana ka psoriasis ma mua (ʻo ia hoʻi, hiki ke hoʻoilina ʻia)
• No ka poʻe momona
• No ka poʻe puhipaka a hoʻohana paha i nā huahana paka
• No ka poʻe i lawe ʻole i kā lākou mau lāʻau lapaʻau i kuhikuhi ʻia i ka manawa kūpono (ʻoi aku hoʻi kekahi mau lāʻau lapaʻau i lawe ʻia no nā kūlana olakino ʻē aʻe)

Pehea ka maʻamau o ka psoriasis plaque?

ʻO ka psoriasis plaque ka ʻano maʻamau o ka psoriasis. He miliona miliona o nā pākeke a puni ka honua i loaʻa i kēia maʻi. Ma waena o 80% a me 90% o ka poʻe me ka psoriasis he psoriasis plaque. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​e ʻike ʻoe ʻaʻole ʻoe hoʻokahi.

Pehea ka hopena o ka plaque psoriasis i koʻu kino?

ʻO ka psoriasis plaque ke kumu o kou ʻili e mānoanoa, ʻoʻoleʻa, unahi, a me nā plaque a i ʻole nā ​​​​​​pale i hoʻololi ʻia ke kala . Hiki i kēia mau pale ke ʻā a ʻeha paha i kekahi manawa. Manaʻo kekahi poʻe e like me ke kuni ʻana a i ʻole ke kuʻi ʻana o ko lākou ʻili. Hiki i kēia ke paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā.

He aha nā hōʻailona o ka psoriasis plaque?

ʻO nā hōʻailona nui o ka psoriasis plaque:

• ʻO nā kiko i hāpai ʻia, ʻano ʻē (hiki ke ʻulaʻula, ʻeleʻele, hina, a poni paha) me kahi ʻili keʻokeʻo a ʻāhinahina paha ma ko lākou ʻili.
• I kekahi manawa, hiki i kēia mau kiko ke lilo i mau māwae.
• Hiki ke kahe ke koko (ʻoi aku hoʻi i ka wā e nahu ʻia ai).
• Hiki ke loaʻa ka ʻūlū nui .
• E manaʻo paha ʻoe i kahi ʻeha a wela paha i ka ʻili .

He aha ke kumu o ka psoriasis plaque?

He pilikia ka psoriasis plaque me kā mākou ʻōnaehana pale. I ka ʻōlelo maʻalahi, lilo ka ʻōnaehana pale o ko mākou kino i mea hana nui, e hoʻoulu ai i ka mumū e hoʻoulu ai i nā ʻili ʻili e ulu koke.

E noʻonoʻo e pili ana i ia mea, maʻamau he 28 a 30 mau lā no nā ʻili hou e hana a hiki i ka ʻili o ka ʻili. Akā i loko o kekahi kanaka me ka psoriasis plaque, hana ʻia kēia mau ʻili hou a hiki i ka ʻili i loko o kahi manawa pōkole, ma kahi o 3-4 mau lā. ʻO kēia no ka mea e hōʻiliʻili nā ʻili hou ma mua o ka hiki ke hoʻokahe ʻia nā ʻili kahiko, ʻo ia ke kumu e hana ʻia ai kēlā mau plaque.

He mea kēia e holo i loko o nā ʻohana, ʻo ia hoʻi, aia paha kahi pilina hoʻoilina. Hiki i nā keiki ke hoʻoilina i kēia maʻi mai ko lākou mau mākua mai.

Aia kekahi mau mea e hiki ai ke hoʻoulu i ka hoʻoulu ʻana o ka plaque psoriasis?

ʻIke ka poʻe me ka psoriasis plaque i nā flare ups, hiki ke ʻokoʻa mai kēlā kanaka a kēia kanaka. ʻAʻole i ʻike ʻia ke kumu pololei o kēia mau flare ups . Eia nō naʻe, aia kekahi mau mea i manaʻo ʻia e hoʻoulu ai i kēia mau flare ups:

• Kekahi mau meaʻai a mea inu paha (e kamaʻilio mākou e pili ana i kēia ma hope).
• ʻO kekahi mau lāʻau lapaʻau (no ka laʻana, nā lāʻau lapaʻau no ka maʻi noʻonoʻo e like me ka lithium, a me nā lāʻau lapaʻau no ke koko kiʻekiʻe e like me nā beta-blockers).
• Maloʻo ka ʻili.
• Ka pilikia nui o ka noʻonoʻo.
• Nā ʻeha ʻili (ʻoki, nā ʻōpala, kahi ʻoki ʻana).
• Ka ʻā ʻana o ka lā.

Ua ʻike anei ʻoe e hoʻonui ʻia kēia mau kiko i ka wā e kaumaha nui ana ʻoe, a i ʻole i kou hiamoe wale ʻana? Hana kekahi poʻe. No laila he mea nui e makaʻala i nā mea e like me kēia.

He laha anei ka psoriasis plaque?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻAʻole he maʻi lele ka Plaque Psoriasis. ʻAʻole hiki ke laha kēia maʻi i kekahi kanaka ma o ka hoʻopā ʻana a i ʻole ka moe kolohe ʻana. No laila, mai makaʻu iā ia.

Pehea e ʻike pololei ai ke kauka i ka 'plaque psoriasis'?

Ke ʻike ʻoe i ke kauka, e nānā ʻo ia i nā wahi i hoʻopilikia ʻia o kou ʻili a e nānā i nā hōʻailona maʻamau o ka plaque psoriasis. E nīnau pū ʻo ia iā ʻoe:

• Nā kikoʻī e pili ana i kāu mau hōʻailona.
• Aia kekahi o kou ʻohana i loaʻa i ke kūlana like?
• Ma mua o ka puka ʻana mai o kēia mau kiko, ua hoʻomaka anei ʻoe e hoʻohana i kekahi huahana hou (e like me nā kopa a i ʻole nā ​​​​kirimi) a hoʻomaka paha a hoʻōki paha i ka lawe ʻana i kekahi mau lāʻau lapaʻau?

I kekahi manawa, hiki ke hana ʻia kēia mau hōʻailona e nā maʻi ʻili ʻē aʻe (e.g., eczema a dermatitis paha), no laila pono paha ke kauka e hana i kekahi mau hoʻokolohua hou aʻe . Kāhea mākou i kēia he 'diagnosis differential.' Hiki i kēia mau hoʻokolohua ke komo pū me:

• Hoʻāʻo alerē.
• ʻO ka biopsy kahi ʻāpana liʻiliʻi o ka ʻili i lawe ʻia no ka hoʻokolokolo ʻana.
• Nā hoʻāʻo koko e ʻike inā loaʻa kēia mau kiko i kekahi kumu ʻē aʻe, ʻaʻole pili i ka psoriasis plaque.

Hiki ke ho'ōla loa ʻia ka psoriasis plaque?

ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau no kēia maʻi i kapa ʻia ʻo 'Plaque Psoriasis'. Hiki iā ia ke hele mai a hele i ke ola holoʻokoʻa (flare-ups), a i kekahi manawa hiki ke hele me ka ʻole o nā hōʻailona (remission) . Eia nō naʻe, aia nā lāʻau lapaʻau maikaʻi. Me kēia mau lāʻau lapaʻau, hiki iā ʻoe ke kāohi i kāu mau hōʻailona a loaʻa ka hōʻoluʻolu.

Inā loaʻa iaʻu ka psoriasis plaque, pono anei iaʻu e pale i kekahi mau meaʻai a me nā mea inu?

He pilikia kēia no nā poʻe he nui. ʻAe, hiki i kekahi mau meaʻai a me nā mea inu ke kōkua i ka hoʻāla ʻana o ka psoriasis plaque. No laila, inā loaʻa iā ʻoe kēia maʻi, he manaʻo maikaʻi e mālama i kahi puke moʻolelo meaʻai. Ma ka mālama ʻana i kahi moʻolelo o nā mea āu e ʻai ai a inu ai, hiki iā ʻoe a me kāu kauka ke ʻike i ke kumu o kāu mau ʻōhū.

ʻO ka hahai ʻana i kahi papaʻai anti-inflammatory e kōkua paha i ka hōʻemi ʻana i kāu mau flare psoriasis plaque. ʻO nā meaʻai i loaʻa nā waiwai anti-inflammatory:

• ʻO ka iʻa ʻaila (e.g. salmon, mackerel, sardines)
• Nā mea kanu ʻōmaʻomaʻo (e.g. spinach, kale)
• ʻAila ʻoliva

Aia kekahi mau meaʻai a me nā mea inu i manaʻo ʻia e hoʻoulu ai i nā 'flare-ups':

• ʻAila
• Waiū a me nā huahana waiū (waiū bipi, hua manu)
• Nā hua citrus (lime, lemona, ʻalani)
• ʻO Gluten ( kahi protein i loaʻa i nā meaʻai he nui, ʻoiai nā mea i hana ʻia mai ka palaoa huita)
• Nā mea kanu nightshade (e.g., pepa, ʻuala, tōmato)

Akā e hoʻomanaʻo, ʻaʻole pono kēia mau meaʻai a pau no nā kānaka a pau. He ʻokoʻa ia mai kēlā kanaka a kēia kanaka. No laila he mea nui ka puke moʻolelo meaʻai.

He aha nā lāʻau lapaʻau no ka psoriasis plaque?

Inā ʻaʻole koʻikoʻi loa kāu psoriasis plaque, hiki i kāu kauka ke kuhikuhi i kahi kirīmi, lotion, a gel paha e like me kēia:

• ʻAnthralin
• Ke kāla lanahu
• ʻO nā Corticosteroids (he ʻano lāʻau lapaʻau kēia e hōʻemi ai i ka mumū)
• ʻO ka waikawa Salicylic (wehe kēia i nā ʻāpana make mai ka ʻili o ka ʻili)

Inā he mau palaki ma kou poʻo, hiki iā ʻoe ke hoʻohana i nā shampoos me ka waikawa salicylic .

Eia nō naʻe, inā koʻikoʻi ka psoriasis plaque a ua pālahalaha paha i nā wahi he nui o ke kino, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:

• Nā inikini lāʻau lapaʻau: Hiki i kāu kauka ke hoʻohana i kahi nila lahilahi e inikini i ka lāʻau lapaʻau i loko o kou ʻili a i loko o kahi aa koko ma kou lima. ʻO nā hiʻohiʻona o kēia mau lāʻau lapaʻau e komo pū me adalimumab, etanercept, a i ʻole ustekinumab . He mau lāʻau lapaʻau kēia e hoʻololi i ke ʻano o ka hana ʻana o kāu ʻōnaehana pale.
• Nā lāʻau lapaʻau waha: ʻO kēia nā lāʻau lapaʻau i hāʻawi ʻia ma ke ʻano he papa a i ʻole capsules e lawe pū me ka wai. ʻO nā laʻana e like me ka acitretin, cyclosporine, a i ʻole methotrexate .
• Phototherapy: Pili kēia i ka mālama ʻana i ka ʻili me ka mālamalama ultraviolet, ʻo UVB maʻamau, mai nā kukui kūikawā. Hiki i nā kukuna ultraviolet mai ka lā ke kōkua i kekahi mau maʻi ʻili, e like me ka plaque psoriasis.

Aia kekahi mau lāʻau lapaʻau home no nā hōʻailona psoriasis plaque?

ʻAe, aia kekahi mau mea hiki iā ʻoe ke hana ma ka home e kōkua i ka hoʻokele ʻana i kāu mau hōʻailona psoriasis plaque. ʻOiai he palekana kēia no ka hapa nui o ka poʻe, he mea naʻauao ke kamaʻilio me kāu kauka ma mua o ka hoʻāʻo ʻana iā lākou, no ka mea, he maʻi paha ʻoe i kekahi mau mea hoʻohui.

• Inā he ʻeha nui ka maneʻo, e lawe i kahi lāʻau antihistamine over-the-counter (OTC) mai ka hale kūʻai lāʻau.
• I ka ʻauʻau ʻana a i ʻole ka holoi ʻana , mai hoʻohana i ka wai wela, e hoʻohana i ka wai mehana . E kaupalena i ka manawa āu e noho ai i loko o ka wai ʻaʻole i ʻoi aku ma mua o 15 mau minuke .
• E hoʻohana i nā kopa palupalu a i ʻole nā ​​huahana ʻē aʻe i nele i nā mea ʻala, nā mea hoʻoluʻu, a i ʻole ka waiʻona . E ʻimi i nā huahana i kapa ʻia ʻo "ʻaʻohe ʻala" a i ʻole "no ka ʻili koʻikoʻi."
• E hoʻopili i kahi kirīmi moisturizer a i ʻole ka ʻaila poni i kou ʻili i nā manawa he nui i ka lā, ʻoi aku hoʻi ma hope o ka ʻauʻau ʻana . Hiki i ka ʻaila niu ke kōkua i ka mālama ʻana i kou ʻili i ka maʻū a hōʻemi i ka ʻeha.
• E hoʻokomo i ka paʻakai Kai Make i loko o kahi kīʻaha wai mehana (ma kahi o 35 kekelē Celsius - 95 Fahrenheit) a hoʻomohu i nā wahi i hoʻopilikia ʻia no ka liʻiliʻi he 10 mau minuke. Pono paha ʻoe e hana i kēia i nā manawa he nui i ka pule.
• E ʻaʻahu i nā lole palupalu i hiki i ka makani ke pā ma nā wahi i hoʻopilikia ʻia.
• Ua hōʻike kekahi mau noiʻi e hiki i nā lāʻau lapaʻau e like me ka aloe vera ke hāʻawi i kahi hōʻoluʻolu.

Aia kekahi ala e pale aku ai i ka psoriasis plaque?

ʻAʻohe ala kikoʻī e pale aku ai i ka psoriasis plaque. Inā loaʻa iā ʻoe ke ʻano, hiki iā ia ke lapalapa a emi iho i kekahi manawa i kou ola. Eia nō naʻe, hiki i ka lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i nā hōʻailona. He ʻoiaʻiʻo kēia no ka poʻe me ka psoriasis plaque koʻikoʻi.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka psoriasis plaque?

Hiki i ka psoriasis plaque ke hoʻāla a hoʻomaha i kou ola a pau. Eia nō naʻe, hiki ke mālama maikaʻi ʻia me ka mālama ʻana. No laila, mai hopohopo.

Hiki iaʻu ke moe i ka wā e loaʻa ai iaʻu ka plaque psoriasis ma koʻu wahi genital?

ʻAe, hiki iā ʻoe ke moe kolohe inā loaʻa iā ʻoe kahi 'flare-up' o ka plaque psoriasis ma kou mau wahi genital, ʻo ia hoʻi, ka ʻāpana groin, ka intergluteal cleft , a i ʻole ka ʻili ma luna o kou mau genital (pubis) .

ʻAʻole he maʻi laha ma ke ʻano moekolohe (STI) ka psoriasis plaque. Eia nō naʻe, hiki ke like ia me kahi STI i kekahi manawa. No laila, inā loaʻa iā ʻoe kahi ʻeha, he manaʻo maikaʻi e haʻi i kāu hoa i ka ʻoiaʻiʻo e pili ana i ia mea. Inā he mau hopohopo ko lākou, e paipai iā lākou e kamaʻilio me ke kauka ma mua o ka moe kolohe ʻana.

Hiki paha iā ʻoe ke loaʻa i kahi ʻoluʻolu ʻole a ʻeha paha i ka wā o ka moekolohe ke loaʻa iā ʻoe kahi lapalapa o ka plaque psoriasis ma kou wahi genital. ʻO ka hoʻohana ʻana i nā lubricants moekolohe (lubes) a me nā condoms hiki ke kōkua i ka hōʻemi ʻana i kēia ʻoluʻolu ʻole, ʻeha, a i ʻole ka maneʻo.

Ma hope o ka moekolohe, e hoʻomaʻemaʻe pono a hoʻomaloʻo i kou wahi genital, a e hoʻopili hou i ka lāʻau no ka plaque psoriasis.

Pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe ka psoriasis plaque, eia nā ala maikaʻi loa e mālama ai iā ʻoe iho:

• E hoʻohana i ka lāʻau lapaʻau e like me ke kauoha a ke kauka.
• E hoʻopili pinepine i ka moisturizer, ʻoi aku hoʻi ma hope o ka ʻauʻau ʻana.
• E pale i ka hoʻohana ʻana i nā kopa ʻino e hōʻino i ka ʻili.

Eia kekahi, e hana i kēia mau mea e noho olakino ai:

• E kamaʻilio me kāu kauka e pili ana i ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o nā maʻi ʻē aʻe (e like me ka maʻi puʻuwai, ke kaumaha, ka maʻi diabetes mellitus ) e pili ana paha me kēia maʻi.
• E hōʻemi i kou kaumaha ma ka noʻonoʻo ʻana, hoʻoikaika kino, a ʻike paha i kahi loea olakino noʻonoʻo .

Āhea wau e ʻike ai i ke kauka?

E ʻike i kāu kauka inā:

• Inā ʻoe e hoʻomohala i nā hōʻailona hou .
• Inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona ma hope o ka mālama ʻana.
• Inā ʻike ʻia kou mau plaques ua maʻi ʻia (ʻo ia hoʻi he ʻulaʻula, poni, hina, a keʻokeʻo paha ka ʻili; aia ka mumū a me ka pehu).

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

Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i kēia mau nīnau:

• Pehea lā e hiki ai iā ʻoe ke ʻike he 'Plaque Psoriasis' koʻu?
• Inā ʻaʻohe oʻu plaque psoriasis, he aha nā maʻi ʻili ʻē aʻe e loaʻa iaʻu?
• Pehea e hiki ai iaʻu ke pale aku i kēia mau hōʻailona a mālama i kaʻu mau hōʻailona?
• 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 mau hopena ʻaoʻao i kēlā mau lāʻau lapaʻau ma ka home?
• He aha hou aʻe kaʻu e hana ai e hōʻoluʻolu i koʻu mau hōʻailona?
• Aia kekahi kirīmi a ʻaila paha e hiki iā ʻoe ke kuhikuhi?
• E ʻike anei au i ke kauka ʻili a i ʻole kekahi loea ʻē aʻe?

He aha ka ʻokoʻa ma waena o 'Guttate Psoriasis' a me 'Plaque Psoriasis'?

He ʻokoʻa ke ʻano o ka psoriasis guttate a me ka psoriasis plaque.ʻO ka psoriasis guttate kahi maʻi e hōʻike ʻia ai nā ʻāpana ʻili liʻiliʻi, unahi, e like me ka kulu wai. ʻO ia ka mea maʻamau i nā keiki a me nā ʻōpio . Hoʻomohala pinepine ia ma hope o ka ʻeha ʻana o ka puʻu i hoʻokumu ʻia e ka maʻi streptococcal. Hiki ke nalo wale ia i loko o kekahi mau pule me ka ʻole o ka mālama ʻia.

He aha ka ʻokoʻa ma waena o 'Eczema' a me 'Plaque Psoriasis'?

ʻOkoʻa ke ʻano a me ke ʻano o ka eczema a me ka plaque psoriasis. He ʻūlū loa ka eczema . Hiki i ka plaque psoriasis ke ʻūlū, akā hiki nō hoʻi ke hele pū me kahi manaʻo wela a ʻā paha .

Hiki i ka Eczema ke hoʻoulu i ka ʻili e pehu a hoʻololi i ke kala, a hiki ke ulu i nā ʻāpana ʻinoʻino, piʻi aʻe, a ʻeleʻele . Loaʻa pinepine i ka plaque psoriasis nā unahi keʻokeʻo a kālā paha i piʻi aʻe ma luna o ka ʻili . ʻOi aku ka mānoanoa o ka plaque psoriasis ma mua o ka eczema.

ʻO ka mea nui loa e hoʻomanaʻo

ʻO ka psoriasis plaque kahi maʻi e ulu ai nā ʻāpana ʻili mānoanoa a unahi ma muli o ke kaulike ʻole o kā mākou ʻōnaehana pale. Hiki ke hilahila a hoʻohilahila, ʻoiai ke ʻānai a ʻeha paha. Eia nō naʻe, e hoʻomanaʻo ʻaʻole ia he mea laha. Aia nā lāʻau lapaʻau maikaʻi no ia mea, a hiki ke mālama ʻia nā hōʻailona.

ʻO ka mea nui loa, ʻo ia ka mālama ʻana i kou ʻili. I kou ʻike ʻana i kēia mau kiko ma kou ʻili, e ʻike koke i ke kauka no ka ʻōlelo aʻo. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻo ka nui o kou loaʻa ʻana o ka hōʻoluʻolu. Mai hopohopo, ʻaʻole ʻoe hoʻokahi, a hiki iā ʻoe ke ola me ka holomua me kēia maʻi.

ʻO ka psoriasis plaque, nā maʻi ʻili, ka ʻōnaehana pale, nā kiko ʻili, ka maneʻo, ka mālama ʻana i ka ʻili, ka mumū