Ua ʻōhule paha kou lauoho ma kekahi mau wahi, e like me nā ʻōpala? E aʻo kākou e pili ana i ka Scarring Alopecia ma ke ala maʻalahi!

Ua ʻike anei ʻoe ua hele kou lauoho a i ʻole ko kekahi āu i ʻike ai i nā wahi, a ua lilo ka ʻili ma ia mau wahi i laumania a ʻālohilohi? I kekahi manawa hiki ke lilo i ʻulaʻula a ʻōpala. He mea kaumaha a hoʻonāukiuki kēia, ʻeā? I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano kikoʻī o ka nalowale o ka lauoho. Ua kapa nā kauka i kēia ʻo `(Scarring Alopecia)` a i ʻole `( cicatricial alopecia )`. I ka ʻōlelo maʻalahi, ʻo ka mea e hana ʻia ma kēia , ʻo ia ka luku mau ʻia ʻana o nā follicles liʻiliʻi kahi e ulu ai ko mākou lauoho, i kapa ʻia ʻo `(Hair Follicles)`. A laila, nalowale ka lauoho a ʻaʻole e ulu hou.

He aha ka Scarring Alopecia?

I ka ʻōlelo maʻalahi, ʻo `(Scarring Alopecia)` ʻo ia hoʻi he mau lua liʻiliʻi ma ka ʻili o ko kākou ʻili kahi e puka mai ai nā follicle lauoho, a ua hōʻino ʻia a luku loa ʻia kēlā mau `(Hair Follicles)`, e lilo ai ka lauoho i ka nalowale. E noʻonoʻo e pili ana iā ia, e like me ke kanu ʻana i kahi hua e kanu ai i kahi mea kanu, he mea nui kēia `(Hair Follicle)` no ka ulu ʻana o ka follicle lauoho. No laila, i ka wā e luku ʻia ai kēia, ʻaʻohe ala e ulu hou ai ka follicle lauoho.

Hiki ke kumu nui kēia ma muli o:

• Nā maʻi like ʻole: Hiki ke hana kēia ma muli o kekahi mau maʻi bacteria a fungal paha .
• Nā Kemika : Hiki ke komo kekahi mau kemika ʻino i loko o ka ʻili a i ʻole hiki ke hana ʻia e nā huahana ʻino i hoʻohana ʻia ma ka lauoho.
• Nā kuni: Hiki i nā kuni i ka ʻili ke hoʻopau i nā follicle lauoho.
• Nā maʻi Autoimmune : ʻO kēia ka manawa e hoʻouka ai ka ʻōnaehana pale ponoʻī o ko mākou kino i ko mākou mau follicle lauoho ponoʻī.

ʻO ka mea nui loa, ʻo ia ka hiki ke nalowale mau loa ka lauoho i nalowale ma muli o ka `(Scarring Alopecia)`. ʻO ia hoʻi, me ka ʻole o nā `(Hair Follicles)` olakino, ʻaʻole e ulu hou ka lauoho. No laila he mea nui e makaʻala i kēia i ka wā mua a loaʻa ka lāʻau lapaʻau inā pono.

He aha ka hopena o ka `(Scarring Alopecia)`?

ʻOiai hiki i kēia maʻi ke hoʻopilikia i kekahi ʻāpana o ke kino kahi i loaʻa ai ka lauoho, ʻike pinepine ʻia ma ke poʻo. Ua nalowale ka lauoho ma nā wahi, e waiho ana i nā hakahaka. No ka mea he mea kēia i ʻike ʻia, hiki iā ia ke hoʻopilikia i kekahi poʻe noʻonoʻo. Aia paha kekahi mau manawa e hopohopo ai lākou no ko lākou helehelena a paʻakikī ke alo i ke kaiāulu. No laila, ʻaʻole kēia he pilikia kino wale nō.

Pehea ke ʻano o ke ʻano o ka `(Scarring Alopecia)`?

ʻIke pinepine ʻia ka ʻōpala Alopecia ma ke ʻano he ʻāpana ʻōhule. Aia paha ia ma kahi hoʻokahi a i ʻole ma kekahi mau wahi. Hiki ke ʻike ʻia ka ʻili kahi i loaʻa ai ka lauoho ma mua he laumania a ʻālohilohi . Eia naʻe, ʻaʻole like kēia no nā kānaka a pau. Loaʻa i kekahi poʻe:

• He kala ʻulaʻula
• He maʻi ʻili
• Malia paha nā mea e like me nā pehu i piha i ka wai

...hiki iā ʻoe ke ʻike. No laila, inā ʻike ʻoe i kahi hōʻailona e like me kēia, mai hoʻowahāwahā iā ia.

He aha ka ʻokoʻa ma waena o ka Scarring Alopecia a me ka Nonscarring Alopecia?

He nīnau kēia a nā poʻe he nui e nīnau ai.

• (Scarring Alopecia): Ma kēia, ua luku mau ʻia ka follicle lauoho, e hopena ana i ka nalowale o ka lauoho . No laila, ua haʻahaʻa loa ka manawa e ulu hou ai ka lauoho, a i ʻole e nalowale loa paha.
• (Nonscarring Alopecia): Ma kēia, hiki ke hāʻule ka lauoho, hiki ke lahilahi ka lauoho, akā ʻaʻole i luku ʻia ka `(Hair Follicle)`. No laila, hiki ke lilo kēia ʻano i mea manawa pōkole, a i kekahi manawa hiki ke ulu hou ka lauoho. No ka laʻana, ʻo ke ʻano o ka ʻōhule i ʻike ʻia e ka poʻe he nui he `(Androgenetic Alopecia)`, ka mea i loaʻa i nā kāne a me nā wahine, he ʻano ia o `(Nonscarring Alopecia)`.

Aia kekahi mau ʻano like ʻole o ka `(Scarring Alopecia)`?

ʻAe, hiki ke hoʻokaʻawale nui ʻia ka `(Cicatricial Alopecia)` i ʻelua ʻano:

1. ʻO ka Alopecia ʻeha mua:ʻO ka mea e hana ʻia ma kēia hihia, ʻo ia ka hoʻouka pololei ʻana o kahi maʻi mumū a i ʻole kahi maʻi autoimmune i ko mākou mau follicle lauoho a luku iā lākou.

2. ʻO ka Alopecia ʻili lua: Hana ʻia kēia ma ke ʻano he hopena ʻaoʻao o kekahi ʻeha a i ʻole trauma i ko mākou ʻili. No ka laʻana, hiki i nā kuni, nā maʻi koʻikoʻi, ka radiation therapy, a i ʻole nā ​​​​pūpū ma ka ʻili ke hoʻopau i nā follicle lauoho, e waiho ana i ka lauoho me kahi ʻeha.

Aia kekahi mau ʻano o ka alopecia ʻili mua:

Nui nā ʻano ʻē aʻe ma lalo o kēia. E nānā kākou i kekahi o nā mea nui:

• ʻO ka Central Centrifugal Cicatricial Alopecia (CCCA): He ʻano kēia o ka hāʻule lauoho i ʻike nui ʻia i nā wahine, ʻoiai ka poʻe o ka hanauna ʻApelika. Hoʻomaka pinepine ia ma kahi o 30 mau makahiki. Hoʻomaka pinepine nā ʻāpana ʻōhule ma ka piko o ke poʻo a pālahalaha i waho. Hiki ke pili i nā kemika ʻino i hoʻohana ʻia ma ka lauoho (e.g., nā mea hoʻomaha) a me ka wela nui i hoʻopili ʻia i ka lauoho (e.g., nā kāhili wela). ʻO ka huki nui ʻana i nā follicle lauoho mai nā mea e like me ka ulana ʻana, nā ulana, a i ʻole nā ​​hoʻolōʻihi ʻana hiki ke lilo i kumu. Eia nō naʻe, hōʻike kekahi noiʻi he mea hoʻoilina paha.

• ʻO ka Lupus Erythematosus ʻUpena Mau (CCLE): He kūlana kēia e wehewehe ana i nā pilikia ʻili i hoʻokumu ʻia e kahi maʻi autoimmune i kapa ʻia ʻo lupus erythematosus. Ma waho aʻe o ka nalowale o ka lauoho, hiki i kekahi poʻe me CCLE ke loaʻa nā ʻeha ʻili, nā loli i ke kala o ka ʻili, a me ka ʻike i ka lā. ʻOi aku ka maʻamau o kēia i nā wahine.

• ʻO Folliculitis Decalvans: Hiki i kēia ke hopena o kahi maʻi bacteria. ʻO kekahi poʻe me ka maʻi Staphylococcus Aureus (Staph A) e hoʻomohala i kahi maʻi mumū mau loa e hiki ke hoʻopilikia i ko lākou mau follicle lauoho.

• Lichen Planopilaris: ʻO kēia ke ʻano maʻamau o ka alopecia scarring mua, ʻoi aku hoʻi i nā wahine ma luna o 50 mau makahiki. He ʻano maʻi ia i kapa ʻia ʻo lichen planus. Hiki iā ia ke hana i ka ʻili ʻana, ka mumū, ka maneʻo , nā ʻeha , ka hoʻololi ʻana o ka ʻili, a me nā puʻupuʻu liʻiliʻi i kapa ʻia ʻo papules.

He maʻi laha anei ka `(Scarring Alopecia)`?

ʻAʻole,ʻAʻole he maʻi lele ka `(Scarring Alopecia)`. ʻO ia hoʻi, ʻaʻole ia e laha mai kekahi kanaka a i kekahi kanaka ma o ka hoʻopili ʻana. No laila, ʻaʻohe mea e hopohopo ai.

ʻO wai ka mea hiki ke loaʻa i ka `(Scarring Alopecia)`?

Hiki i kēia maʻi ke hoʻopilikia i kekahi, akā ʻoi aku ka maʻamau i nā pākeke ma mua o nā keiki. Hiki i kekahi mau ʻano `(Scarring Alopecia)` ke hoʻopilikia i kahi kāne a i ʻole lāhui ma mua o nā mea ʻē aʻe. No ka laʻana, ʻoi aku ka maʻamau o ke ʻano `(CCCA)` a mākou i kūkākūkā ai ma mua i nā wahine o ka hanauna ʻApelika.

Pehea ka maʻamau o ka `(Scarring Alopecia)`?

Hoʻopilikia wale ka Scarring Alopecia i kahi 7% o ka poʻe e ʻike i ke kauka e pili ana i ka nalowale o ka lauoho. He helu haʻahaʻa kēia i hoʻohālikelike ʻia me ka nonscarring alopecia, kahi e hoʻopilikia ai ma waena o 50% a me 75% o nā pākeke ma luna o 50 mau makahiki.

He aha ke kumu o ka `(Scarring Alopecia)`?

I loko o nā ʻano he nui o ka `(Scarring Alopecia)`, loaʻa ka mumū ma ka ʻāpana waena o ko kākou `(Hair Follicle)`, ʻo ia hoʻi, ma kahi i kapa ʻia ʻo `(bulge).` ʻO kēia wahi `(bulge)` kahi e loaʻa ai nā cell kumu a me nā glands ʻaila e pono ai ke ulu i ka lauoho hou. Ma muli o kēia mumū, ua luku ʻia kēia ʻāpana o ka `(Hair Follicle)`, a hana ʻia nā ʻiʻo ʻeha `(Fibrosis)` ma laila. A laila, ʻaʻole e ulu hou ka lauoho.

I nā kānaka me ka "Scarring Alopecia", pani pinepine ʻia nā pores e puka mai ai nā follicle lauoho (Follicular Ostia).

Akā i loko o ka `(Nonscarring Alopecia)`, ʻo ka pōʻino maʻamau ka ʻāpana haʻahaʻa loa o ka `(Hair Follicle)`, ʻo ia hoʻi, ka `(bulb)`. ʻOi aku ka liʻiliʻi o ka pōʻino o ka `(Bulge)`. ʻO ia ke kumu he nui ka manawa e ulu hou ai ka lauoho i ka `(Nonscarring Alopecia)`. Maopopo iā ʻoe kēia ʻokoʻa?

Hiki i ka lāʻau lapaʻau maʻi kanesa ke kumu i ka `(Scarring Alopecia)`?

Ua ʻike paha ʻoe ʻo ka lāʻau lapaʻau `(Chemotherapy)` (Chemotherapy) ke kumu o ka hāʻule ʻana o ka lauoho. Akā , ʻaʻole `(Chemotherapy)` ke kumu o `(Scarring Alopecia)`. Hiki i nā lāʻau lapaʻau `(Chemotherapy)` ke pepehi i nā pūnaewele i loko o `(Hair Follicle)`, ka mea e hāʻule ai ka lauoho. Akā, ʻaʻole i luku loa ʻia ka `(Hair Follicle)`. No laila, hiki ke ulu hou ka lauoho ma hope o `(Chemotherapy)`.

Eia nō naʻe, hiki i ka radiation therapy ke hoʻoulu i ka scarring lua alopecia. Ua ʻike kekahi poʻe i nā ʻā ʻili mai ka radiation therapy, hiki ke hoʻopau mau i nā follicle lauoho.

He aha nā hōʻailona o ka `(Scarring Alopecia)`?

ʻO ka hōʻailona nui ka nalowale o ka lauoho. Loaʻa pinepine ia ma nā ʻāpana a i ʻole nā ​​ʻāpana. Hiki ke hana mālie kēia, i nā makahiki. A i ʻole hiki ke hoʻomaka koke a laha koke.

ʻOiai ʻo ia ka mea e hoʻopilikia pinepine ai i ke poʻo, hiki ke loaʻa ma nā wahi āpau ma ka lauoho.

Ma waho aʻe o ka pohō lauoho, hiki i kekahi poʻe ke loaʻa i nā pilikia ʻili e like me:

• Ke kahe ʻana o ke koko
• ʻŌhūhū
• Ka mumū
• Hoʻokumu ʻia ʻana a i ʻole ka ʻili ʻana e like me ka ʻili
• ʻO ka maneʻo, ke kani ʻana, a i ʻole ka ʻeha i ka wā e hoʻopā ai i ka wahi
• Nā pehu liʻiliʻi i piha i ka nahu (Pustules)
• ʻUlaʻula a i ʻole nā ​​​​loli kala ʻē aʻe

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.

Pehea e ʻike ai i ka `(Scarring Alopecia)`?

Hoʻohana kāu kauka i kekahi mau ʻano hana e ʻike ai i kēia maʻi:

1. Hoʻokolohua Kino: E nānā ke kauka i kahi i hele ai kou lauoho a pehea i pālahalaha ai. E nānā pū lākou i ka ʻili kahi i hele ai ka lauoho, e ʻike inā aia nō nā follicle lauoho a inā he mau hōʻailona o ka mumū. Pono ʻoe e haʻi i kāu kauka e pili ana i ka manawa i hoʻomaka ai kou hāʻule lauoho, inā he mau hōʻailona ʻē aʻe kāu, e like me ka maneʻo a i ʻole ke kuni ʻana.

2. Mōʻaukala Lapaʻau: E nīnau ke kauka e pili ana i kou makahiki, ke kāne, nā ʻano mālama lauoho, a me ke olakino holoʻokoʻa. E haʻi iā lākou inā he mau maʻi ʻē aʻe kāu, e like me ka lupus, anemia, a i ʻole ka maʻi thyroid. Hiki iā lākou ke kauoha i nā hoʻāʻo koko e nānā i nā kūlana ʻē aʻe e hiki ke kumu o ka hāʻule ʻana o kou lauoho.

3. Biopsy ʻIli: ʻO kēia wale nō ke ala e hōʻoia pono ai inā he Scarring Alopecia kou.E lawe ke kauka i kahi ʻāpana ʻili liʻiliʻi mai kou poʻo a i ʻole kahi ʻāpana ʻē aʻe o kou lauoho a hoʻouna aku i kahi lab. Ma laila, e nānā kahi pathologist (he kauka loea i nā hāpana ʻili) iā ia ma lalo o kahi microscope. A laila e nānā ke kauka i nā cell immune inflammatory a hoʻoholo i ke ʻano o ka Cicatricial Alopecia āu.

Aia kekahi mau pae like ʻole o ka `(Scarring Alopecia)`?

I kekahi manawa hiki i kahi biopsy ʻili ke hōʻike i nā ʻiʻo ʻeha akā ʻaʻole nā ​​​​​​pūnaewele mumū. Ua kapa nā kauka i kēia ʻo ka hopena-paepae scarring alopecia (ESSA) . ʻO ke ʻano o ESSA ua hala ke kūlana i ke kahua mumū ikaika. Hiki i kēia ke hōʻemi i ka pono o ka lāʻau lapaʻau.

He aha ke ʻano kauka e hiki ke hoʻoholo i ka `(Scarring Alopecia)`?

Hiki i ke kauka ʻili ke ʻike i ka Scarring Alopecia. Eia nō naʻe, hiki ke paʻakikī iki ka ʻike ʻana, no laila he mea nui loa ke ʻike i kahi kauka ʻili nona ka ʻike maikaʻi i ka nalowale o ka lauoho.

Aia kekahi lāʻau lapaʻau no ka `(Scarring Alopecia)`?

ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau no ka `(Scarring Alopecia)`. ʻO ka mea nui o ka mālama ʻana, ʻo ia ke kāohi ʻana i nā hōʻailona a me ka hōʻemi ʻana a i ʻole ka hoʻōki ʻana i ka nalowale o ka lauoho. Aia kekahi mau lāʻau hoʻonani e hiki ke hoʻomaikaʻi i ke ʻano o nā wahi ʻōhule i kekahi ʻano.

Pehea e mālama ʻia ai ka `(Scarring Alopecia)`?

Aia nā koho lapaʻau i ke ʻano o ka `(Cicatricial Alopecia)` āu i loaʻa ai. ʻO nā ʻano maʻamau o ka `(Scarring Alopecia)`:ʻO nā lāʻau anti-inflammatory nā lāʻau e hōʻemi i ka mumū. Hana kēia mau lāʻau ma ke kaua ʻana i nā hunaola mumū e luku ai i nā follicle lauoho. Hiki ke hāʻawi ʻia kēia mau lāʻau ma ke ʻano he mau pila (e like me Hydroxychloroquine) a i ʻole he mau inikini corticosteroids (e like me Triamcinolone Acetonide). Loaʻa pū kekahi mau lāʻau anti-inflammatory ma ke ʻano o nā kirīmi a i ʻole nā ​​​​ʻaila i hoʻopili ʻia i ka ʻili.

ʻO ka alopecia ʻili i hoʻokumu ʻia e nā maʻi bacteria e pono ai nā antibiotics (e like me Doxycycline a i ʻole Minocycline).

E noʻonoʻo e pili ana i ia mea, lawe ka hapa nui o ka poʻe i kēia lāʻau lapaʻau no kahi o 6 a 12 mau mahina, a hiki i ka wā e emi ai ko lākou mau hōʻailona a lohi a pau paha ka hāʻule ʻana o ko lākou lauoho. Akā inā hoʻomaka hou ko lākou lauoho e hāʻule i waho, pono paha lākou e hoʻomaka hou i ka lāʻau lapaʻau.

Hiki i kekahi me ka "Scarring Alopecia" ke hana i kahi "Hair Transplant"?

ʻO ke ʻano hoʻololi lauoho (Hair Transplant) he hana ʻoki kino ia e lawe ʻia ai ka lauoho mai kekahi ʻāpana o kou poʻo ponoʻī a hoʻoili ʻia i kekahi ʻāpana o kou poʻo kahi i liʻiliʻi ai ka lauoho a ʻaʻohe lauoho. Eia naʻe , ʻaʻole kēia he lāʻau maikaʻi no ka poʻe me ke ʻano ʻoki lauoho (Scarring Alopecia). ʻO kēia no ka mea hiki i ka ʻiʻo ʻoki ma lalo o ka ʻili ke pale i ka ulu ʻana o ka lauoho hou. Eia naʻe, inā ʻaʻole ʻoe i nalowale i kekahi lauoho hou no kekahi mau makahiki, hiki paha iā ʻoe ke hana i kēia. ʻOi aku ka maikaʻi o ka nīnau ʻana i kāu kauka e pili ana i kēia.

Hiki ke hoʻohana ʻia ka Platelet-Rich Plasma (PRP) Therapy no ka `(Scarring Alopecia)`?

ʻO ka PRP therapy kahi lāʻau lapaʻau e hoʻohana ana i nā platelets i unuhi ʻia mai kou koko ponoʻī e hōʻemi i ka mumū a kōkua i ka ho'ōla ʻana i nā ʻiʻo. Hiki i kēia ke kōkua i ka ulu hou ʻana o ka lauoho i nalowale ma muli o ka alopecia nonscarring a mālama i ka nalowale o ka lauoho. ʻAʻole hoʻohana pinepine ʻia ka PRP therapy no ka alopecia scarring, akā ua hōʻike kekahi mau noiʻi i nā hopena maikaʻi no kekahi mau ʻano nalowale o ka lauoho, e like me ka lichen planopilaris. He mea nui hoʻi e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau e pili ana i kēia.

E ulu hou anei koʻu lauoho inā loaʻa iaʻu ka `(Scarring Alopecia)`?

No ka mea hiki i ka alopecia scarring ke hoʻoulu i ka nalowale mau o ka lauoho, he mea paʻakikī loa ke ulu hou i ka lauoho ke luku ʻia ka follicle lauoho. Eia nō naʻe, inā ʻike mua ʻoe i ke kūlana, hiki i ka lāʻau lapaʻau ke hoʻōki i ka mumū ma mua o ka luku loa ʻia ʻana o ka follicle lauoho. No laila he mea nui e ʻike koke i ke kauka.

Hiki ke pale ʻia ke ʻano o ka "Scarring Alopecia"?

He paʻakikī maoli ka pale ʻana i kēia. Hiki i ka hoʻomaka ʻana i ka mālama ʻana ke kōkua i ka hoʻōki ʻana i ka hāʻule hou ʻana o ka lauoho. Ma waho aʻe o kēlā, he paʻakikī ke ʻōlelo maopopo, "Eia ka mea e hana ai e hoʻōki i kēia."

He aha ka manaʻo no kekahi me ka `(Scarring Alopecia)`?

Hiki ke ʻokoʻa ka nānā ʻana no kēia maʻi ma muli o ka wikiwiki o kou ʻimi ʻana i ka lāʻau lapaʻau. Hiki i kekahi poʻe ke nalowale wale ka lauoho ma kekahi mau wahi liʻiliʻi. Hiki i kekahi ke nalowale ka lauoho ma kahi ʻāpana nui, e like me ke poʻo holoʻokoʻa. No ka mea hiki ke hoʻi hou ka nalowale o ka lauoho ma hope o ka lāʻau lapaʻau, pono paha kekahi poʻe e lawe i ka lāʻau lapaʻau no ka manawa lōʻihi.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka e pili ana i ka `(Scarring Alopecia)`?

Inā loaʻa iā ʻoe ka `(Scarring Alopecia)`, hiki iā ʻoe ke nīnau i kāu kauka e like me kēia:

• Aia kekahi mau lāʻau lapaʻau kūlohelohe a home paha e hiki ke kōkua me ka `(Scarring Alopecia)`?
• Aia kekahi mau hopena ʻaoʻao mai ka lawe ʻana i ka lāʻau no ka manawa lōʻihi?
• E kōkua anei nā loli i kaʻu meaʻai a i ʻole ke ʻano o ka nohona i ka pale ʻana i ka nalowale hou ʻana o ka lauoho?
• Hiki iaʻu ke lilo i ʻōhule loa?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO ka nalowale o ka lauoho ma muli o ka `(Scarring Alopecia)` a i ʻole `(Cicatricial Alopecia)` hiki ke lilo i maʻi paʻakikī loa e mālama. Ma waho aʻe o nā hōʻailona kino e like me nā pilikia ʻili, pono paha ʻoe e kū i nā pilikia naʻau a me ka noʻonoʻo. ʻOiai ʻaʻole kēia maʻi e hoʻoulu i nā pilikia olakino koʻikoʻi, hiki iā ia ke hoʻoulu iā ʻoe i ka hilahila a me ka hilahila. No laila, e kamaʻilio me kāu kauka e pili ana i nā ʻano like ʻole o kou ola e hoʻopilikia nei ʻo `(Scarring Alopecia)`. Hiki iā lākou ke kuhikuhi iā ʻoe i ka lāʻau lapaʻau a me nā lawelawe kākoʻo āu e pono ai. Hiki i ka ʻike mua ʻana a me ka lāʻau lapaʻau kūpono ke hele lōʻihi i ka kaohi ʻana i kēia maʻi. No laila, mai hopohopo, akā he mea nui e makaʻala i kēia.