Health Library
February 8, 2026
Question on this topic? Get an instant answer from August.
Hiki i ka loaʻa ʻana o ka puʻu ma kou kua ke hoʻohoka, ʻoi aku hoʻi ke ʻike ʻole ʻoe iā ia. ʻO ka hapa nui o nā puʻu e kupu mai ana ma ke kua ʻaʻole he maʻi kanikino, ʻo ia hoʻi, ʻaʻole lākou he maʻi ʻaʻai, a he nui nō hoʻi ka ʻole o ka pilikia. Hiki i kou kino ke ulu aʻe nā ulu liʻiliʻi a i ʻole ka pehu ʻana no nā kumu he nui, a ʻo ka hapa nui hoʻi e ola hou ana iā lākou iho a i ʻole e mālama maʻalahi ʻia. E hele kāua ma o ka mea e hiki ke hana ʻia, ka mea e nānā ai ʻoe, a me ka wā e pono ai ke kamaʻilio me kāu kauka.
Maʻa mau ka ulu ʻana o ka puʻu ma ke kua ke ulu aʻe ka ʻiʻo ma lalo o kou ʻili, pehu, a ʻohi ʻia ma kahi hoʻokahi. Hiki kēia i loko o ka ʻili ponoʻī, i ka papa momona ma lalo pono ona, a i ʻole ʻoi aku ka hohonu i loko o ka ʻiʻo a i ʻole ka ʻiʻo hoʻohui. Ke hoʻomaʻemaʻe a hoʻoponopono nei ka kino iā ia iho, a i kekahi manawa, hana kēlā hana i kahi puʻupuʻu liʻiliʻi i ʻike ʻia.
Nui nā ʻano o kēia mau puʻu i ka nui, ka ʻano, a me ke ʻano o ko lākou manaʻo. ʻO kekahi he palupalu a hiki ke neʻe, ʻoiai kekahi he paʻa a paʻa paha ma kahi. Hiki i ka hoʻomaopopo ʻana i nā kumu maʻamau ke kōkua iā ʻoe e ʻoi aku ka mālie ke hoʻoholo ʻoe i kāu mau ʻanuʻu aʻe.
Eia nā kumu pinepine loa o ke kumu ʻana o ka puʻu ma kou kua, a me ke ʻano o kēlā me kēia me kona ʻano maʻamau:
• Lipoma: He puʻu lohi-ulu, palupalu kēia i hana ʻia me nā selula momona. Maʻa mau nā Lipoma a ʻaʻohe pilikia. He palupalu ko lākou manaʻo, neʻe maʻalahi ma lalo o kou ʻili ke paʻi ʻoe iā lākou, a ʻaʻole pinepine ka ʻeha. Hiki lākou ke kupu ma nā wahi āpau o kou kino, me kou kua, a ulu lohi loa ma luna o nā mahina a i ʻole nā makahiki.
• Sebaceous cyst (epidermoid cyst): He mau puʻupuʻu liʻiliʻi a poʻe kēia e ulu ana ke pani ʻia kahi follicle o ka lauoho a i ʻole ka ʻili. Hoʻopiha ʻia lākou me kahi wai mānoanoa, melemele, a pinepine hoʻi me kahi puka liʻiliʻi i ʻike ʻia ma ka ʻili. ʻAʻole pinepine ka ʻeha o nā sebaceous cyst ke ʻole lākou e maʻi, a i kēlā hihia, hiki iā lākou ke ʻulaʻula, mahana, a palupalu.
• Skin abscess: He ʻeke pūpū kēia e ulu ana ke komo nā bacteria i ka ʻili, ma o ka ʻoki a i ʻole ka lauoho i loko. Manaʻo ka abscess i ka mahana, ka pehu, a me ka ʻeha. Hiki ke ʻulaʻula a wela paha ka ʻili ma luna ona. Ke hakakā nei kou kino i ka maʻi, no laila hiki iā ʻoe ke manaʻo i ka luhi a i ʻole ke kuni.
• Dermatofibroma: He mau puʻupuʻu paʻa a liʻiliʻi kēia e ulu ana ma hope o nā ʻeha liʻiliʻi o ka ʻili e like me nā nahu pepeke a i ʻole nā ʻili. Maʻa mau lākou he ʻeleʻele a ʻulaʻula paha a manaʻo e like me kahi pōhaku liʻiliʻi paʻa ma lalo o ka ʻili. ʻAʻole pilikia ka dermatofibromas a ʻaʻole pinepine ka pono o ka lāʻau lapaʻau inā ʻaʻole lākou e hoʻopilikia iā ʻoe.
• Swollen lymph node: He ʻāpana ia o ka ʻōnaehana pale pale o kou kino a hiki ke pehu ke hakakā ʻo kou kino me ka maʻi. Inā he puʻu kou ma kahi o kou iwi poʻohiwi a i ʻole ke kua o luna, he lymph node paha ia e pane ana i ka maʻi a i ʻole ka maʻi ma kahi kokoke. ʻO kēia mau puʻu he palupalu a hiki ke emi i kou wā e ola hou ai.
• Pilonidal cyst: Ua ulu kēia ʻano cyst ma kahi o ka iwi kuamoʻo ma ke kumu loa o kou iwi kuamoʻo. Hoʻomaka pinepine ia ma ke ʻano he lua liʻiliʻi a i ʻole lua i loko o ka ʻili a hiki ke pehu a maʻi. Maʻa ʻoi aku nā pilonidal cyst i nā ʻōpio a me ka poʻe e noho ana no ka manawa lōʻihi.
ʻO ka hapa nui o kēia mau kumu he maʻalahi a maʻalahi hoʻi e mālama. ʻO ka hoʻomaopopo ʻana i ke ʻano o ka puʻu āu e loaʻa ai hiki ke kōkua iā ʻoe e hoʻoholo inā e nānā ia ma ka home a i ʻole e ʻimi kōkua ʻoi aku ka koke.
ʻOiai ka hapa nui o nā puʻu ma kou kua ʻaʻole pilikia, aia nā kumu ʻoi aku ka liʻiliʻi e pono ai ka nānā. ʻAʻole kēia no ka hoʻoweliweli iā ʻoe, akā e kōkua iā ʻoe e noho mālama a ʻike i ka wā e pono ai kekahi mea e nānā hou aku.
Aia kekahi mau mea hiki ʻē aʻe:
• Liposarcoma: He ʻano tumora maʻi kanikino kēia e ulu ana i ka ʻiʻo momona. ʻAʻole e like me ka lipoma, ulu wikiwiki ka liposarcoma, paʻa a paʻa paha kona manaʻo, a hiki ke ʻeha. ʻAʻole ia he mea maʻa maʻa ma mua o nā lipoma ʻino ʻole, akā he mea nui e nānā ʻia kekahi puʻu e ulu koke ana a i ʻole ka paʻa ʻole ʻole e kekahi kauka.
• Neurofibroma: He mau puʻupuʻu palupalu kēia e ulu ana ma luna o nā aʻalolo ma lalo o kou ʻili. Hoʻopili ʻia lākou me kahi maʻi hoʻoilina i kapa ʻia ʻo neurofibromatosis, hiki ke holo i nā ʻohana. ʻAʻole pinepine ka ʻeha o ka neurofibromas akā hiki ke hoʻoulu i ka ʻūlū a i ʻole ka ʻeha inā paʻi lākou i kahi aʻalolo.
• Schwannoma: He tumora lohi-ulu, ʻino ʻole kēia e ulu ana ma ka pāpale e uhi ana i kahi aʻalolo. ʻAʻole maʻa nā Schwannomas a ʻike pinepine ʻia he puʻu palupalu a hiki ke neʻe. Hiki iā lākou ke hoʻoulu i ka hōʻole ʻole a i ʻole ka nawaliwali inā hoʻopaʻi lākou i nā aʻalolo kokoke.
• Metastatic tumor: I kekahi manawa, hiki i ka puʻu ma ke kua ke hōʻailona o ka maʻi ʻaʻai mai kahi ʻāpana ʻē aʻe o ke kino i laha. ʻO kēia mau puʻu he paʻa, paʻa ma kahi, a hiki ke ʻike ʻia ma ka ʻaoʻao o nā hōʻailona ʻē aʻe e like me ka nalowale kaumaha ʻole, ka luhi, a i ʻole ka ʻeha. ʻAʻole kēia mea maʻa, akā inā he mōʻaukala maʻi ʻaʻai kou a i ʻole nā hōʻailona ʻē aʻe e hopohopo nei, pono ke kūkākūkā me kāu kauka.
• Bone growth or tumor: I kekahi manawa, hiki i ka puʻu āu e manaʻo ai ma kou kua ke pili i ka iwi kuamoʻo a i ʻole nā iwi ma lalo. ʻO Osteochondromas nā ulu ulu o ka iwi ʻino ʻole e hiki ke hana i kahi puʻupuʻu ʻike ʻia, ʻoi aku i ka poʻe ʻōpio. ʻAʻole maʻa nā tumora iwi akā pono e loiloi ʻia me ka imaging inā kānalua.
ʻAʻole maʻa kēia mau maʻi ma mua o nā cysts, lipomas, a i ʻole nā abscesses. Eia naʻe, ʻo ka ʻike ʻana i ko lākou ola ʻana e kōkua iā ʻoe e hoʻomaopopo i ke kumu e nīnau ai kāu kauka a i ʻole e kauoha i nā hoʻokolohua e hōʻole iā lākou.
ʻAʻole hoʻopilikia ka hapa nui o nā puʻu ma kou kua i nā hōʻailona ma waho o ka puʻupuʻu ponoʻī. Eia naʻe, hiki i ka nānā ʻana i ke ʻano o ka puʻupuʻu, ka manaʻo, a me ke ʻano o kona hoʻololi ʻana i ka manawa ke hāʻawi iā ʻoe a me kāu kauka i nā ʻōlelo kōkua pono.
Eia nā hōʻailona e hōʻike ana he ʻino ʻole paha kou puʻu a ʻaʻole pono ka wikiwiki:
• Palupalu ka puʻupuʻu, hiki ke neʻe, a manaʻo e like me ka palaoa a i ʻole ka lāʻau.
• Ua lōʻihi ka mahina a i ʻole makahiki me ka ʻole o ka nui o ka hoʻololi.
• ʻAʻole ia e ʻeha ke ʻole ʻoe e paʻi iā ia.
• Maʻa mau ka ʻili ma luna ona me ka ʻole o ka ʻulaʻula a me ka wela.
• ʻOi aku ka maikaʻi o kou manaʻo me ka ʻole o ke kuni, ka nalowale kaumaha, a i ʻole ka luhi.
Hoʻopaʻa kēia mau ʻano i ka manaʻo a hōʻike pinepine i nā kumu maʻa mau, ʻino ʻole e like me nā lipomas a i ʻole nā cysts.
Ma kekahi ʻaoʻao, hōʻike kekahi mau hōʻailona e pono ʻoe e kamaʻilio me kahi mea mālama ola kino i ka wā mua ma mua o ka lohi:
• Ua ulu koke ka puʻu ma luna o nā lā a i ʻole nā pule.
• Manaʻo ʻoe he paʻa, paʻa ma kahi, a i ʻole ʻaʻole like kona ʻano.
• Hoʻomaopopo ʻoe i ka ʻeha, ka ʻulaʻula, ka wela, a i ʻole ka puka ʻana o ka puʻu.
• Loaʻa iā ʻoe ke kuni a i ʻole manaʻo maʻi ʻole ʻoe.
• ʻOi aku ka nui o ka puʻu ma mua o ʻelua ʻiniha ka laulā.
• Loaʻa iā ʻoe ka nalowale kaumaha ʻole, ka ʻūhini pō, a i ʻole ka luhi mau ʻana.
• Ua kupu mai ka puʻu ma hope o ka ʻeha hou loa a i ʻole me he mea lā e pili ana i kou iwi kuamoʻo.
ʻAʻole kēia mau hōʻailona e hōʻike ana he mea koʻikoʻi paha, akā pono lākou i ka loiloi ʻoihana e hōʻole i ka maʻi, ka mumū, a i ʻole nā maʻi ʻē aʻe e pono ai ka lāʻau lapaʻau.
Ke kipa ʻoe i kāu kauka e pili ana i ka puʻu ma kou kua, e hoʻomaka lākou ma ke nīnau ʻana iā ʻoe a me ka nānā ʻana i ka wahi. Kōkua kēia loiloi mua iā lākou e hoʻopōkole i nā mea hiki a hoʻoholo inā pono kekahi mau hoʻokolohua.
E nīnau paha kāu kauka i ka lōʻihi o ka puʻu ma laila, inā ua hoʻololi kona nui, inā ʻeha ia, a inā ua loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe. Makemake pū lākou e ʻike e pili ana i kāu mōʻaukala olakino, me nā ʻoki mua, nā maʻi, a i ʻole ka mōʻaukala ʻohana o kekahi mau maʻi.
I ka wā o ka hoʻokolohua kino, e manaʻo mālie kāu kauka i ka puʻu e loiloi i kona nui, ʻano, ʻano, a inā neʻe ia. E nānā pū lākou i ka ʻili ma luna ona no ka ʻulaʻula, ka wela, a i ʻole nā hōʻailona o ka maʻi. Hoʻolako pinepine ka loiloi lima lima i ka ʻike lawa e hoʻomaopopo i nā kumu maʻa mau e like me nā lipomas a i ʻole nā cysts.
Inā pono kāu kauka i ka ʻike hou aku, hiki iā lākou ke paipai i hoʻokahi a ʻoi aku paha o nā hoʻokolohua ma lalo nei:
• Ultrasound: Hoʻohana kēia hoʻokolohua kiʻi i nā nalu kani e hana i kiʻi o ka puʻu a me ka ʻiʻo a puni. ʻAʻole ia e ʻeha a kōkua i ka hoʻokaʻawale ma waena o nā puʻu paʻa a me nā cysts i hoʻopiha ʻia i ka wai.
• MRI a i ʻole CT scan: Hiki i kēia mau kiʻi kikoʻī ke hōʻike i nā ʻano hohonu, me nā ʻiʻo, nā iwi, a me nā aʻalolo. He mea pono kēia inā nui ka puʻu, hohonu, a i ʻole ma kahi kokoke i kou iwi kuamoʻo.
• Biopsy: Inā loaʻa kekahi hopohopo e pili ana i ka puʻu hiki ke ʻano ʻole a ʻaʻai paha, hiki i kāu kauka ke lawe i kahi laʻana ʻiʻo liʻiliʻi e nānā ma lalo o ka microscope. Hiki ke hana ʻia nā biopsies me ka nila a i ʻole ma o ka ʻoki liʻiliʻi, maʻa mau me ka anesthesia kūloko e mālama ai iā ʻoe.
• Blood tests: I kekahi mau hihia, hiki i ka hana koko ke kōkua i ka hoʻomaopopo ʻana i nā hōʻailona o ka maʻi, ka mumū, a i ʻole nā maʻi ʻē aʻe e hiki ke hoʻohui i ka puʻu.
He mau mea hana kēia mau hoʻokolohua no ka hāʻawi ʻana i kāu kauka i kiʻi maopopo. ʻO ka hapa nui o nā puʻu ka ʻino ʻole, a ʻo ka hoʻokolohua wale nō e hōʻoiaʻiʻo ana i kēlā nūhou hōʻoluʻolu.
ʻO ka lāʻau lapaʻau no ka puʻu ma kou kua e pili ana i ke kumu o ia mea. ʻAʻole pono ka nui o nā puʻu i ka lāʻau lapaʻau a hiki ke nānā wale ʻia i ka manawa. Hiki i nā mea ʻē aʻe ke pono i nā hana liʻiliʻi a i ʻole nā lapaʻau.
Inā he lipoma kou puʻu a ʻaʻole ia e hoʻopilikia iā ʻoe, hiki i kāu kauka ke paipai i ka waiho ʻana iā ia. ʻAʻole pinepine ka pilikia o Lipomas a ʻaʻole pono e wehe ʻia ke ʻole lākou e ʻeha, ulu, a hoʻopilikia i kou helehelena. Inā koho ʻoe e wehe ia, ʻo ka hana maʻa mau ka wikiwiki a hana ʻia ma lalo o ka anesthesia kūloko.
Hoʻoponopono pinepine nā sebaceous cyst iā lākou iho, akā inā lākou e maʻi a ʻoluʻolu ʻole paha, hiki i kāu kauka ke hoʻokahe iā lākou a wehe loa iā lākou. ʻO ka hoʻokahe ʻana e hāʻawi i ka hoʻomaha wikiwiki, ʻoiai ka wehe ʻana i ka ʻoki e hoʻemi i ka manawa e hoʻi hou mai ai.
Pono e hoʻokahe ʻia nā abscesses ʻili e ʻae ai i ka maʻi e ola. E hoʻomoe kāu kauka i ka wahi, hana i kahi ʻoki liʻiliʻi, a hoʻomaʻemaʻe i ka pūpū. Pono paha ʻoe i nā lāʻau antibiotic inā ua laha ka maʻi a i ʻole inā loaʻa ʻoe i ke kuni.
No nā lymph node i pehu, ke nānā nei ka lāʻau lapaʻau i ke kumu ma lalo. Inā loaʻa iā ʻoe ka maʻi, ʻo ka mālama ʻana iā ia me nā lāʻau antibiotic a i ʻole nā lapaʻau antiviral maʻa mau e kōkua i ka lymph node e hoʻi i ka nui maʻamau.
Pilonidal cysts i maʻi pinepine ka pono e hoʻokahe ʻia a hoʻomaʻemaʻe ʻia. I kekahi mau hihia, paipai ʻia ka ʻoki e wehe i ka cyst a pale i kona hoʻi ʻana. ʻO ka mālama ʻana i ka wahi a me ka pale ʻana i ka noho lōʻihi ʻana ke kōkua i ka wā o ka hoʻōla.
Inā huli aʻe ka puʻu i kekahi mea ʻano ʻole e like me ka liposarcoma a i ʻole kekahi tumora ʻē aʻe, e hana pū kāu kauka me ʻoe e hana i kahi hoʻolālā lapaʻau. Hiki i kēia ke komo i ka ʻoki, ka radiation, a i ʻole nā lapaʻau ʻē aʻe ma muli o ke ʻano a me ka pae o ka ulu. ʻO ka ʻike mua a me ka lāʻau lapaʻau e alakaʻi i nā hopena ʻoi aku ka maikaʻi, ʻo ia ke kumu nui o ka nānā ʻana i nā puʻu ʻano ʻole.
Pono ʻoe e kamaʻilio me kahi mea mālama ola kino inā ʻeha kou puʻu, ulu koke, a me nā hōʻailona ʻē aʻe e hopohopo nei. He mea naʻauao hoʻi ke nānā ʻia kekahi puʻu hou inā ʻoi aku ia ma mua o ka pōhaku liʻiliʻi, manaʻo he paʻa a neʻe ʻole paha, a ʻaʻole kūlike me nā ʻano o nā puʻu ʻino maʻa mau.
Inā he mōʻaukala maʻi ʻaʻai kou a i ʻole he mōʻaukala ʻohana o kekahi mau maʻi hoʻoilina, he mea nui loa ke loiloi ʻia nā puʻu hou koke. Hiki i kāu kauka ke hāʻawi i ka maluhia o ka noʻonoʻo a i ʻole ka hopu ʻana i kekahi mea ma mua ke maʻalahi ka mālama ʻana.
ʻAʻole pono ʻoe e wikiwiki i ka lumi pilikia no ka hapa nui o nā puʻu ma kou kua. Eia naʻe, inā kupu koke ka puʻu ma hope o ka ʻeha, ʻoi aku ka ʻeha, a me ka ʻūhini kiʻekiʻe, ka pilikia hanu ʻana, a i ʻole nā hōʻailona neurological e like me ka hōʻole ʻole a i ʻole ka nawaliwali, e ʻimi kōkua koke.
ʻOiai ʻaʻole hiki iā ʻoe ke pale i nā ʻano puʻu āpau, aia nā ʻanuʻu āu e hiki ai ke lawe e hoʻemi i kou pilikia o kekahi mau kumu. ʻO ka mālama ʻana i kou ʻili me ka maʻemaʻe a me ka māʻūnaʻa e kōkua i ka pale ʻana i nā ʻili pani a me nā cysts. ʻO ka mālama ʻana i nā ʻoki a me nā ʻeha liʻiliʻi koke e hoʻemi i kou manawa o ka ulu ʻana i nā abscesses.
Inā maʻa ʻoe i nā pilonidal cyst, ʻo ka pale ʻana i ka noho lōʻihi ʻana, ka mālama ʻana i ka wahi me ka maʻemaʻe a me ka maloʻo, a me ka wehe ʻana i ka lauoho a puni ka iwi kuamoʻo ke kōkua i ka pale ʻana i nā wela. ʻO ka mālama ʻana i ke kaumaha olakino a me ka noho ikaika ʻana ke kākoʻo i ke olakino ʻili a me ka ʻiʻo holoʻokoʻa.
Minamina, ʻaʻole hiki ke pale ʻia nā maʻi e like me nā lipomas a me kekahi mau kumu hoʻoilina o nā puʻu. Eia naʻe, ʻo ka noho ʻana me ka ʻike i kou kino a me ke kamaʻilio me kāu kauka ke kupu mai kekahi mea hou ka ala maikaʻi loa e hopu ai i nā pilikia ma mua.
Inā ua ʻike ʻoe i ka puʻu ma kou kua, e lawe i ka manawa e hanu a loiloi mālie. E manaʻo mālie i ka puʻu a hoʻomaopopo i kona nui, ʻano, a inā ʻeha ia. E nānā i ka ʻili a puni no ka ʻulaʻula, ka wela, a i ʻole nā hoʻololi ʻē aʻe.
Inā liʻiliʻi ka puʻu, palupalu, a ʻaʻole ʻeha, kūpono ke nānā iā ia no kekahi mau pule e ʻike ai inā hoʻololi ia. Nui nā puʻu ʻino ʻole e noho like a i ʻole e ʻemi iki i ka manawa. E mālama i nā hōʻailona āpau a hoʻomaopopo inā ulu ka puʻu a ʻoluʻolu ʻole paha.
Inā ʻaʻole ʻoe maopopo a i ʻole he mau ʻano hopohopo paha ka puʻu, e hoʻopaʻa manawa me kāu kauka. Hiki iā lākou ke nānā iā ia, pane i kāu mau nīnau, a hāʻawi i ka hōʻoluʻolu a i ʻole ka lāʻau lapaʻau e like me ka pono. ʻAʻole pono ka hapa nui o nā puʻu ma ke kua e hopohopo ai, a ʻo ka nānā ʻana e hāʻawi i ka maluhia o ka noʻonoʻo.
E hoʻomanaʻo, ke hoʻololi a hoʻoponopono mau nei kou kino, a he ʻāpana maʻamau o ke ola ka liʻiliʻi o nā puʻupuʻu a me nā puʻu no nā poʻe he nui. Ma ka noho ʻana me ka ʻike a me ka ʻimi ʻana i ke kōkua ke pono, ke mālama maikaʻi nei ʻoe iā ʻoe iho a e noho ana me ka hoʻolohe i kou olakino.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.