Hiki i ka lūlū ma luna o nā kuʻiwi ke hōʻailona o ke kino i nāʻano o waho a iʻole i loko. ʻAʻole i maʻalahi kēiaʻano, a nuiʻole ka poʻe e hoʻolohe koke i kēia hōʻailona, keʻole inā e kauʻia ka'ōpala ma ka kuʻe lima,ʻaʻole ma loko, akā ma waho. Eia nō naʻe, inā loaʻa iāʻoe kekahi hāpala, ponoʻoe e nīnau i ke kauka eʻike i ke kumu a me ke kumu no ka mālamaʻana inā pono.
Nā kumu o ka'āpala ma nā āpau
ʻO nā maʻi maʻamau e pili ana i kēia maʻi he:
- ʻO Psoriasis. Ma kēiaʻano, he palahalaha a hoʻonani ka'ōpala, i keʻano o nā paleʻeleʻeleʻeleʻele i uhiʻia me ka'eahi kālā. Aia ma kaʻaoʻao o ka kuʻehiwi, e pā ana i nā lālāʻelua i ka manawa like.
- 'Elezema. Ke hoʻouluuluʻia ka'ōpū he'ōmaʻomaʻiʻeleʻele aʻulaʻula paha, a laila e hakihaʻiʻia, e hoʻoulu ai, i ka hanaʻana o nā māwae. Ke hoʻohuiʻana, hiki i nā kumukūʻai ke hoʻoulu, kaheʻana. I nāʻano he nui me ka maʻi palepokeleʻele, e'ākau ka lūlū ma luna o nā kuʻekuʻe, aʻeleʻele kaʻili ma nā wahi i pā.
- ʻO ka hua'ōlelo atopic dermatitis. ʻO ka pinepine o ka palauaki me ke deropitis atopic e pā ana i kaʻaoʻao i loko o nā āpau, i keʻano o nā wahiʻulaʻula liʻiliʻi liʻiliʻi, me ka'ōmole a me kaʻili maloʻo.
- ʻO ka granuloma ka mea maʻamau. Hiki i ka'ōmaʻomaʻoʻulaʻula ma ke kua o nā āpau ke hōʻike i kēia maʻi. I ka wā mua,ʻo ka palahalaha he mau palale maikaʻiʻoʻoleʻa, a ma hope iho o kekahi manawa (ʻo kekahi mau mahina he nui) e lilo i mea nui loa.
- ʻO Mycosis. ʻO kahi'ōpiopio'ōpiopio, me ka momona, keʻano o nā kupapaʻu, nā nodules, nā unahi a me nā mea koho, he mea maʻamau no ka hoʻouka lele.
- ʻO ka laikini ulaʻula. Me kēia maʻi, eʻikeʻia he'āhuhu maha-morphic,ʻo ia hoʻi nā pale nodules o ka hueʻulaʻula aʻulaʻula paha me kahi hapa nui i hoʻokuʻuʻia a me kahi ākea maʻemaʻe. I ka manawa pinepine, aia kaʻona.