Loaʻa iā ʻoe i kekahi manawa nā ʻeha waha e ʻeha loa ai ʻaʻole hiki iā ʻoe ke ʻai? A i ʻole loaʻa iā ʻoe nā pehu liʻiliʻi ma kou mau lehelehe e hoʻopilikia iā ʻoe? ʻO kēia nā mea a mākou e kapa nei ʻo 'Stomatitis' a i ʻole nā maʻi waha. ʻAʻohe mea e hopohopo ai, he mea kēia e hana ʻia i nā poʻe he nui. E ʻike kākou i nā mea hou aʻe e pili ana i kēia lā.
He aha ka maʻi stomatitis?
I ka ʻōlelo maʻalahi, ʻo ka stomatitis kahi mumū a pehu paha o nā membrane mucous (i kapa ʻia hoʻi he "mucous membranes" a i ʻole "mucosa") i loko o kou waha, me kou mau lehelehe. Ma ke ʻano pololei, hāʻule kēia maʻi ma lalo o ka māhele nui o "mucositis". ʻO "Mucositis" e pili ana i ka mumū o kēia mau membrane mucous, ʻaʻole wale ma kou waha, akā ma loko o kāu ʻōnaehana digestive holoʻokoʻa ("gastrointestinal (GI) tract").
E noʻonoʻo, ke loaʻa iā kākou kahi ʻeha ma kekahi wahi o ko kākou kino, lilo kēlā wahi i ʻulaʻula, pehu, a ʻeha. Pēlā nō hoʻi ka mea e hana ʻia i loko o ko kākou waha. Inā ua hōʻino ʻia kēia mau membrane palupalu i loko o ko kākou waha ma kekahi ʻano, ʻo ka pane kūlohelohe o ko kākou kino ke kumu o kēia mumū. ʻO ia ke kumu he mea nui e ʻike i kēia mau hōʻailona. ʻO ka hapa nui o ka manawa, ʻaʻole koʻikoʻi loa nā kumu o kēia mumū, a ho'ōla lākou iā lākou iho. Akā i kekahi manawa, aia nā manawa e pono ai ka ʻōlelo aʻoaʻo lapaʻau a me nā lāʻau lapaʻau.
He aha nā ʻano nui o nā stomatitis?
Aia nā ʻano stomatitis like ʻole. E nānā kākou i nā ʻano maʻamau.
Nā ʻeha waha (Canker Sores / Aphthous Stomatitis)
ʻO kēia nā mea maʻamau. Hoʻokumu ʻia lākou i loko o kou waha, i kekahi manawa ma loko o kou mau lehelehe, ma lalo o kou alelo, a i ʻole i loko o kou mau papālina. ʻIke pinepine lākou e like me nā ʻeha liʻiliʻi, keʻokeʻo me kahi palena ʻulaʻula a puni lākou. Hiki iā lākou ke ʻeha iki. No ka laʻana, loaʻa i kekahi poʻe kēia mau ʻeha ma hope o ka ʻai ʻana i kahi mea ʻala a i ʻole ma hope o ka hiamoe ʻole, ʻeā?
Nā pehu ma nā lehelehe (Nui nā ʻeha / Herpetic Stomatitis)
He mau pehu liʻiliʻi a wai kēia e hana pinepine ʻia ma luna a puni paha o nā lehelehe. I kekahi manawa, hiki ke ʻike ʻia kahi pehu hoʻokahi, a i ʻole e ʻike ʻia i loko o nā puʻupuʻu. Hoʻokumu ʻia lākou e kahi maʻi i kapa ʻia ʻo `(Herpes Simplex Virus type 1 - HSV-1)`. Hiki nō hoʻi iā lākou ke laha.
Ma waho aʻe o kēia mau ʻano nui ʻelua, aia kekahi mau ʻano kākaʻikahi ʻē aʻe:
- ʻO Angular Cheilitis / Angular Stomatitis: ʻO kēia ka mumū, nā māwae, a me nā ʻeha e ulu ana ma nā kihi o kou waha. Lilo nā kihi o kou waha i ʻulaʻula, maloʻo, a i kekahi manawa ke kahe ke koko. Hiki ke hana ʻia kēia e kekahi mau hemahema o ka wikamina.
- ʻO Thrush (Candidal Stomatitis): Hana ʻia kēia ke ulu nui kahi ʻano fungus i kapa ʻia ʻo Candida i loko o ka waha. ʻIke pinepine ʻia ia he mau ʻāpana keʻokeʻo ma ke alelo a ma loko o nā papālina. ʻOi aku ka maʻamau i nā keiki ʻōpio a me nā poʻe me nā ʻōnaehana pale nāwaliwali.
- Stomatitis Pilikia: Hiki ke hana kēia ke hoʻopā aku ʻoe i kahi mea āu e maʻi ai, no ka laʻana, kekahi mau meaʻai (no kekahi poʻe, nā mea e like me ka paina a me nā tōmato), nā lāʻau lapaʻau, a i ʻole ka toothpaste.
- ʻO ka stomatitis niho ʻino:Hoʻomaʻamaʻa pinepine ʻia kēia i nā poʻe e hoʻohana ana i nā niho kuʻi. Lilo ka ʻulaʻula o ka waha a pehu. I kekahi manawa hiki ke hele pū ʻia kēia me kahi maʻi i kapa ʻia ʻo "Candidal Stomatitis". Hoʻokumu ʻia kēia e ka hoʻomaʻemaʻe pono ʻole ʻana i nā niho kuʻi.
- ʻO Gingivostomatitis: He mumū kēia o ka waha a me nā ʻāʻī i hoʻokumu ʻia e kahi maʻi viral a bacteria paha. Hiki i nā ʻāʻī ke pehu a kahe ke koko.
- ʻO Nicotine Stomatitis: Loaʻa kēia i nā poʻe puhipaka a hoʻohana paha i ka paka. Hiki ke ʻike ʻia he mau ʻāpana keʻokeʻo a ʻāʻī ma luna o ka waha. Inā hoʻomau kēia, aia kahi pilikia o ka maʻi kanesa.
He aha nā hōʻailona o ka stomatitis?
Hiki i ka stomatitis ke hana i nā hōʻailona like ʻole i nā poʻe like ʻole. E nānā kākou i kekahi o nā hōʻailona maʻamau:
- ʻUlaʻula a me ka pehu ʻana i loko o ka waha.
- ʻIke ʻia kahi pehu liʻiliʻi (a i ʻole kekahi mau pehu) ma luna a puni paha o nā lehelehe.
- Hoʻokahi a ʻoi aku paha nā ʻeha i loko o ka waha. He keʻokeʻo, hina, a melemele paha kēia mau mea. Loaʻa paha iā lākou kahi palena ʻulaʻula a puni lākou.
- Nā ʻāpana keʻokeʻo a hina paha ma ke alelo, luna o ka waha, a i loko paha o nā papālina (ʻoi aku hoʻi i ka thrush).
- He manaʻo wela ma ke alelo a me ke kaupaku o ka waha.
- He manaʻo o ka ʻeha mau, i kekahi manawa he ʻeha nui a ʻoluʻolu ʻole paha . Hiki i kēia ke paʻakikī i ka ʻai ʻana, ka moni ʻana, a me ka ʻōlelo ʻana.
- Hanu ʻino.
- I kekahi manawa e loaʻa paha iā ʻoe ke kuni.
ʻO ka mea nui loa, ʻoiai inā loaʻa iā ʻoe kekahi a ʻelua paha o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. I kekahi manawa he mea maʻalahi paha ia, akā i kekahi manawa pono ʻoe e ʻimi i ke aʻo lapaʻau.
He aha nā kumu o ka stomatitis?
Nui nā kumu o ka stomatitis. Hiki i nā kumu he nui ke kōkua i ia mea, e like me nā maʻi viral, nā ʻeha waha, a me nā hemahema o ka ʻōnaehana pale. E nānā kākou i kēia mau kumu me nā kikoʻī hou aku.
- Nā maʻi: ʻO ke kumu nui o ka stomatitis ka maʻi. ʻO ka hapa pinepine, ʻo ka maʻi herpes i kapa ʻia ʻo HSV-1, ka mea e hoʻoulu ai i nā ʻeha anu, ke kumu. Hiki i nā maʻi ʻē aʻe (e like me ka chickenpox), bacteria, a me nā fungi ke hana i ka stomatitis. No ka laʻana, i kekahi manawa hiki iā ʻoe ke loaʻa i kēia maʻi ma ke kau ʻana i kou mau lima i loko o kou waha me nā lima lepo a i ʻole ma ka kaʻana like ʻana i kahi pā me kahi mea i loaʻa i ka maʻi.
- Nā ʻeha waha: Inā ua hōʻino ʻia ka uhi palupalu o kou waha ma kekahi ʻano, hoʻomaka ke ʻano ho'ōla o ko mākou kino a hoʻoulu i ka mumū. No ka laʻana, kahi niho kū pono ʻole e hamo i loko o kou waha, ua ʻeha kou mau ʻāʻī ke palaki nui ʻoe i kou mau niho, ua wela kou waha ma hope o ka inu ʻana i kahi mea wela, ua ʻūlū ʻia kou waha ke ʻai ʻoe i ka meaʻai paʻakikī, a i ʻole ka wela mai ka puhi ʻana i kahi cigarette hiki ke hana i kēia.
- Nā hopena aleri a i ʻole ka huhū o ka waha: Hiki ke hana ʻia ka mucositis waha e nā mea āu e aleri ai a i ʻole nā mea e hoʻonāukiuki ai i kou waha. ʻO nā laʻana e komo pū me kekahi mau toothpastes, nā holoi waha, nā mea hoʻonani (e.g. lipstick), a me nā meaʻai ʻala. Loaʻa i kekahi poʻe nā ʻeha waha ma hope o ka ʻai ʻana i nā meaʻai e like me ka paina a me nā tōmato, ʻeā? Pololei kēlā.
- Nā Lapaʻau: ʻO ka mucositis waha kahi hopena maʻamau o kekahi mau lāʻau lapaʻau maʻi kanesa. ʻOiai ʻo nā lāʻau lapaʻau e like me ka chemotherapy a me ka radiation therapy e pepehi i nā hunaola maʻi kanesa, hiki iā lākou ke hōʻino i nā hunaola olakino. ʻO nā hunaola i loko o kēia mau membrane palupalu i loko o ka waha he mea maʻalahi loa ia i kēia hōʻino.
- Nā lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau ke hoʻoulu i ka mucositis waha. No ka laʻana, nā beta-blockers (kahi ʻano lāʻau lapaʻau i hoʻohana ʻia e mālama i ke koko kiʻekiʻe), nā immunosuppressants (nā lāʻau lapaʻau e kāohi i ka ʻōnaehana pale), a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) (nā painkillers). Inā loaʻa iā ʻoe nā ʻeha waha ma hope o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau hou, pono ʻoe e haʻi i kāu kauka.
- Nā kūlana ʻōnaehana: Hiki ke hana ʻia ka stomatitis e kekahi mau maʻi e hoʻopilikia i ke kino holoʻokoʻa . No ka laʻana, ʻo ka maʻi ʻo Behçet (ka mea e hoʻoulu ai i nā ʻeha waha, nā ʻeha genital, a me nā maʻi maka) a me ka maʻi celiac (ka maʻalahi i ka gluten protein). Hiki ke hana ʻia ka stomatitis e nā maʻi ʻili e like me ka bullous pemphigoid a me ka lichen planus.
- Nā hemahema o ka meaʻai: Hiki ke ulu ka stomatitis inā ʻaʻole lawa nā meaʻai i kou kino e hoʻoponopono ai i ka uhi ʻino o kou waha. He ʻoiaʻiʻo kēia inā nele ʻoe i nā meaʻai e like me ka folate, ka hao, ka huaora B12, ka huaora C, a me ka zinc. Ua ʻike ʻoe i ke koʻikoʻi o ka ʻai ʻana i ka meaʻai kaulike, ʻeā?
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka stomatitis?
ʻOi aku ka pilikia o kekahi poʻe i ka loaʻa ʻana o ka stomatitis ma mua o kekahi. E nānā kākou iā lākou:
- ʻO ka poʻe i palaki pono ʻole i ko lākou mau niho: Inā ʻaʻole ʻoe e mālama pono i kou mau niho a me ke olakino waha, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o nā maʻi. ʻO ka palaki ʻana i kou mau niho i ʻelua manawa i ka lā a me ka flossing hiki ke kōkua i ka hōʻemi ʻana i kēia pilikia.
- Nā kānaka me ka waha maloʻo: Ua like ka lawai me kahi uhi pale no nā membrane palupalu i loko o ko kākou waha. Ke lawa ʻole ka lawai, nui ka manawa e loaʻa ai nā ʻeha a me nā maʻi i loko o ka waha. Hiki ke hana ʻia ka waha maloʻo e kekahi mau lāʻau lapaʻau a i ʻole kekahi mau maʻi.
- ʻO ka poʻe me nā ʻōnaehana pale kino nāwaliwali: ʻO ka poʻe me nā maʻi e like me ka HIV/AIDS, ka poʻe e mālama ʻia ana i ka maʻi kanesa, a i ʻole ka poʻe e lawe ana i nā lāʻau immunosuppressant e ʻoi aku ka maʻalahi o ka maʻi i nā maʻi ma muli o ko lākou ʻōnaehana pale kino nāwaliwali.
- ʻO ka poʻe e puhi paka ana a inu lama ana.
- Nā kānaka me nā pae kaumaha kiʻekiʻe.
He aha nā pilikia e hiki ke hoʻopilikia i ka stomatitis?
I kekahi manawa, ʻo ka ʻeha a me ka pehu i hoʻokumu ʻia e ka stomatitis ua koʻikoʻi loa ia a hiki ʻole iā ʻoe ke ʻai a inu paha i kekahi mea. He mea maʻamau ka manaʻo e hōʻalo i ka ʻai ʻana. Eia nō naʻe, inā ʻaʻole ʻoe e loaʻa i nā meaʻai a me nā wai e pono ai kou kino, hiki iā ia ke alakaʻi i nā pilikia olakino koʻikoʻi e like me ka ʻai ʻole a me ka make wai .
Hiki ke hoʻoulu ʻia ka stomatitis e kahi maʻi, a hiki nō hoʻi ke hoʻoulu ʻia ka stomatitis e kahi maʻi. Pehea lā e hiki ai kēlā? Ke loaʻa kahi ʻeha i loko o ka waha, ʻoi aku ka nui o ka manawa e komo ai nā germs. Hiki i kēia ke alakaʻi i ka mumū hou aʻe a me ka hōʻino ʻana i nā ʻiʻo. I kekahi manawa hiki i kēia mau maʻi ke komo i loko o ke koko a laha ma ke kino holoʻokoʻa (sepsis), he kūlana weliweli ia.
No laila, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka a ʻimi i ka lāʻau lapaʻau me ka kali ʻole i ka ʻino ʻana o ke kūlana.
Pehea e ʻike ʻia ai ka stomatitis?
Ke hele ʻoe i ke kauka, hiki iā ia ke ʻike pinepine i nā ʻano maʻamau o ka stomatitis, e like me nā ʻeha canker a me nā ʻeha anu, ma kahi. ʻO ke kamaʻilio ʻana e pili ana i kou mōʻaukala olakino a me nā hōʻailona hiki ke kōkua i ka ʻike ʻana. No ka laʻana, inā ʻoe e mālama ʻia nei no ka maʻi kanesa, manaʻo paha kāu kauka he hopena ʻaoʻao o kāu mālama ʻana kou mau ʻeha waha. Inā loaʻa iā ʻoe nā hōʻailona ma nā wahi ʻē aʻe o kou kino, ʻaʻole wale kou waha, he hōʻailona paha ia o kahi maʻi ʻōnaehana e hoʻopilikia i kou kino holoʻokoʻa.
I kekahi manawa pono nō hoʻi nā hoʻokolohua e ʻike ai i ka stomatitis. ʻO kēia mau mea:
- Ke lawe nei i kahi hāpana mai ka ʻeha a hoʻāʻo iā ia no nā maʻi viral, bacteria, a fungal paha.
- Hana ʻia nā hoʻāʻo koko e nānā i kou olakino holoʻokoʻa a i ʻole e nānā i nā maʻi e hoʻopilikia ana i ke kino holoʻokoʻa. No ka laʻana, hiki iā lākou ke nānā i nā hemahema o ka meaʻai.
- Hana ʻia nā hoʻokolohua allergy e ʻike ai inā he allergy ke kumu o ka stomatitis.
- I kekahi manawa, inā ʻaʻole i maopopo nā hoʻokolohua ʻē aʻe, hiki ke lawe ʻia kahi biopsy (kahi laʻana o nā ʻiʻo) e nānā i kahi maʻi koʻikoʻi. Hana pinepine ʻia kēia, e like me ka wā ʻaʻole i ho'ōla ʻia ka ʻeha a aia nō ia ma laila.
Inā loaʻa kou mau ʻeha waha i kahi kemika a mea hoʻonāukiuki paha, hiki ke lōʻihi ka manawa e hoʻomaopopo ai. No ka laʻana, inā manaʻo kāu kauka ʻo ka holoi waha āu e hoʻohana nei ke kumu o nā ʻeha, hiki iā ia ke kuhikuhi e hoʻololi iā ia a ʻike inā e hoʻomaikaʻi nā ʻeha.
Pehea e mālama ai ka stomatitis?
Hoʻōla ʻia ka stomatitis ma muli o ke kumu. No ka ho'ōla piha ʻana i ka stomatitis, pono e mālama ʻia a kāohi ʻia paha ke kumu o ka pilikia. Eia kekahi mau koho lapaʻau:
- Hiki ke kūʻai ʻia nā lāʻau lapaʻau ma luna o ke kūʻai aku (OTC) ma ka hale kūʻai lāʻau no nā ʻeha canker a me nā ʻeha anu.
- Nā lāʻau lapaʻau no nā maʻi. Eia kekahi laʻana, nā antiviral, antibiotics, a me nā antifungals. Pono ke kauka e lawe i kēia mau mea.
- E lawe i nā wikamina a i ʻole nā mea hoʻopihapiha e hōʻoia i ka loaʻa ʻana o nā meaolaola āu e pono ai (e like me nā wikamina B, C, hao).
- E noho mamao aku mai nā meaʻai a i ʻole nā huahana e hoʻoulu ai i ka mumū i loko o kou waha.
- A hiki i ka wā e ola ai nā ʻeha waha, e hoʻomaʻamaʻa i ka hoʻomaʻemaʻe waha maikaʻi e mālama i kou waha mai nā bacteria ʻino. Eia kekahi laʻana, e palaki pinepine i kou mau niho me kahi palaki niho palupalu a holoi i kou waha me ka wai paʻakai (1/2 tīpune o ka paʻakai i loko o ke kīʻaha wai mahana) i nā manawa he nui i ka lā.
- E hōʻemi i ka ʻeha: Hiki iā ʻoe ke lawe i nā mea hoʻomaha ʻeha e like me ka paracetamol.
I kēia manawa, hiki i kāu kauka ke ʻōlelo aku i kekahi mau lāʻau lapaʻau kikoʻī e kōkua i ka kaohi ʻana i ka ʻeha. ʻO nā laʻana e komo pū me nā anesthetics topical, nā holoi waha i hana kūikawā ʻia (hiki ke loaʻa nā ʻehaʻeha, nā antacids, a me nā antihistamines), a me nā corticosteroids (kahi ʻano lāʻau lapaʻau e hōʻemi ai i ka mumū - ma ke ʻano o nā kirīmi a i ʻole nā pila).
He aha ka mea e hana ai inā loaʻa iā ʻoe ka stomatitis?
Hoʻōla kekahi ʻano stomatitis iā lākou iho. No ka laʻana, hoʻōla pinepine nā ʻeha canker a me nā ʻeha anu i loko o ʻelua pule, pinepine me ka ʻole o ka lāʻau lapaʻau. Hiki i ka lāʻau lapaʻau ke kōkua iā ʻoe e hoʻōla koke. Eia nō naʻe, no ka mea, ʻaʻohe lāʻau lapaʻau no ka maʻi herpes e hoʻoulu ai i nā ʻeha anu, hiki i kēia mau ʻeha ke hoʻi hou mai a hou i kou ola. Akā, ʻaʻole lākou he mea koʻikoʻi.
No nā ʻano stomatitis ʻē aʻe, e hilinaʻi kou ho'ōla ʻana i ke kumu. Hiki ke mālama ʻia a kāohi ʻia paha nā kumu he nui.
Hiki ke pale ʻia ka mucositis waha?
ʻOiai ʻaʻole hiki iā mākou ke pale aku i nā kumu āpau o ka stomatitis, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia:
- ʻO ka palaki ʻana i kou mau niho i ʻelua manawa o ka lā me ka pulupulu niho palupalu , ka hoʻohana ʻana i ka floss i kēlā me kēia lā, a me ka hoʻomaʻemaʻe mau ʻana i kou mau niho.
- ʻAi i ka papaʻai kaulike (nā huaʻai, nā mea kanu, a me nā greens) a inu i ka wai lawa i kēlā me kēia lā.
- E pale i ka puhipaka a me ka hoʻohana ʻana i ka paka (a inā hana mua ʻoe, e hoʻāʻo e hoʻōki).
- E pale i ka kaʻana like ʻana i ka meaʻai, nā mea inu, a me ka lip balm me kahi mea i loaʻa i ka ʻeha anu, a pale i ka launa pū ʻana me lākou, e like me ka honi ʻana a me ka moekolohe waha.
- E makaʻala i ka wā e ʻai ana i nā mea ʻala, nā mea wela a me nā mea inu .
- Ke ho'āʻo nei e hōʻemi i ke kaumaha (noʻonoʻo ʻana, hoʻoikaika kino, a pēlā aku).
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kahi ʻōpū waha a nāwaliwali kou ʻōnaehana pale (immunocompromised) , e ʻike koke i ke kauka. Inā he makua a mea mālama paha ʻoe i kahi pēpē hānau hou a ʻike ʻoe i kahi ʻeha anu ma ka lehelehe o kāu pēpē, e ʻike koke i kahi kauka pediatric. Hiki i ka stomatitis ke alakaʻi i nā maʻi koʻikoʻi i kēia mau hihia.
Eia kekahi, inā he ʻeha waha kou i ho'ōla ʻole ma hope o 10-14 mau lā , a loaʻa iā ʻoe nā hōʻailona ʻē aʻe e like me kēia, e hoʻonohonoho i kahi manawa e ʻike ai i ke kauka:
- Inā ʻoi aku ke kuni ma mua o 38 degere Celsius (100.4 degere Fahrenheit).
- Inā he mau pehu a he ʻulaʻula paha ma kou ʻili.
- Inā he ʻeha kou maka, ʻulaʻula, ʻike maka pohihihi, a pehu paha.
- Inā loaʻa pinepine nā ʻeha waha.
- Inā nui ka ʻeha a hiki ʻole iā ʻoe ke ale i ka meaʻai.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau ʻana i kēia mau nīnau:
- He aha ke kumu o ka stomatitis iaʻu?
- E ho'ōla wale anei kēia? A i ʻole pehea ka lōʻihi?
- He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu e ho'ōla i kēia?
- He aha nā lāʻau lapaʻau e hiki ke kōkua i ka hōʻemi ʻana i nā hōʻailona a hiki i ka ho'ōla ʻana o ka mumū? Aia kekahi mau mea hiki iaʻu ke hana ma ka home?
- He aha kaʻu e hana ai e pale aku ai i kēia mai ka hana hou ʻana?
- Pono anei au e hoʻololi i kekahi mea e pili ana i kaʻu mea e ʻai ai a e inu ai?
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
He ʻano ʻoluʻolu ʻole loa ka Stomatitis, a i ʻole ka mucositis waha, ʻaʻohe mea ke kumu. Hiki i nā hōʻailona o nā ʻeha waha a me nā pehu ke hilahila i kekahi manawa. ʻO ka nūhou maikaʻi, he pōkole wale nō kēia ʻoluʻolu ʻole, a e hoʻomaikaʻi ka mumū i ka hala ʻana o ka manawa. Ma muli o ke kumu, hiki iā ʻoe ke wikiwiki i ke kaʻina hana ho'ōla me nā lāʻau lapaʻau ma luna o ke kauka a i ʻole nā lāʻau lapaʻau i kuhikuhi ʻia.
ʻO ka mea nui loa, inā loaʻa iā ʻoe kahi ʻeha waha e ho'ōla ʻole ʻia, a inā he mau hōʻailona ʻē aʻe kāu, e ʻike pono i ke kauka. Hiki iā ia ke ʻike i ke kumu a hāʻawi i nā lāʻau lapaʻau e kōkua iā ʻoe. He mea nui loa ka mālama ʻana i kou olakino waha! No ka mea, he hoʻomaka maikaʻi ka waha olakino i ke kino olakino.
ʻEha waha, Stomatitis, Mucositis waha, Nā maʻi waha, Nā pehu lehelehe, Nā ʻeha Canker, Nā ʻeha anu, Mumū waha, Ola kino waha, Nā maʻi waha











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