Ka maʻi maʻi maʻi maʻi (Colect)

Anter

• He aha ka maʻi ʻaʻai kala?
• He aha nā hōʻailona o ka maʻi ʻaʻai kala?
• Kahua 3 a i ʻole 4 mau hōʻailona (hopena pae ʻōuli)
• Aia kekahi mau ʻano o ka maʻi ʻaʻai kala?
• He aha ke kumu o ka maʻi ʻaʻai kala?
• ʻO wai ka makaʻu no ka maʻi ʻaʻai kala?
• Nā kumu pilikia paʻa
• Hiki ke hoʻololi ʻia i nā pilikia pilikia
• Pehea e ʻike ʻia ai ka maʻi ʻaʻai kala?
• Ke hoʻāʻo fecal
• ʻO ka hoʻāʻo ʻana o ke kōkō ma muli o Guaiac (gFOBT)
• Hōʻikeʻike immunochemical fecal (FIT)
• Nā hoʻāʻo ma ka home
• Nā huahana e hoʻāʻo
• Hōʻike koko
• ʻO Sigmoidoscopy
• Kolonekia
• X-ray
• CT scan
• He aha nā koho lapaʻau no ka maʻi ʻaʻai kala?
• ʻOki kino
• ʻO Chemotherapy
• Pāhawewe
• Nā lāʻau ʻē aʻe
• He aha ka helu ola no ka poʻe me ka maʻi ʻaʻai kala?
• Hiki ke pale ʻia ka maʻi ʻaʻai kala?
• He aha ka manaʻo lōʻihi?

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

He aha ka maʻi ʻaʻai kala?

ʻO ka maʻi ʻaʻai Colorectal kahi maʻi ʻaʻai e hoʻomaka i ke kolona (ʻōpū nui) a i ʻole ke kiko. Aia kēia mau lālā ʻelua i ka hapa haʻahaʻa o kāu ʻōnaehana digestive. Aia ka kiko ma ka hopena o ke kolona.

Kuhi ka American Cancer Society (ACS) ma kahi o 1 i 23 mau kāne a me 1 i 25 mau wahine e hoʻomohala i ka maʻi ʻaʻai kala i ko lākou wā e ola nei.

Hiki i kāu kauka ke hoʻohana i ke kau ʻana ma ke ʻano he kulekele e ʻike ai i ka lōʻihi o ka maʻi ʻaʻai. He mea nui ia no kāu kauka e ʻike i ke kahua o ka maʻi ʻaʻai e hiki ai iā lākou ke hana me kahi hoʻolālā lapaʻau maikaʻi loa nāu a hāʻawi iā ʻoe i kahi kuhi o kāu nānā lōʻihi.

ʻO ka pae 0 ka maʻi ʻaʻai kala ʻo ka pae mua loa ia, a ʻo ka pae 4 ka pae kiʻekiʻe loa:

• Kahua 0. ʻIke pū ʻia ʻo carcinoma ma kahi, i kēia pae nā pūnaewele maʻamau wale nō i ka pale o loko o ka kolona a i ʻole ka pololei.
• Kahua 1. Ua komo ka maʻi ʻaʻai i ka uhi, a i ʻole ka mucosa, o ke kolona a i ʻole ka pololei, a ua ulu paha i ka papa o ka mākala. ʻAʻole ia i pālahalaha i nā lymph node kokoke a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.
• Kahua 2. Ua pālahalaha ʻia ka maʻi ʻaʻai i nā paia o ke kolona a i ʻole ke kolopa paha a i ʻole ma o nā paia i nā mea kokoke akā ʻaʻole i hoʻopili i nā lymph node.
• Kahua 3. Ua neʻe ka maʻi ʻaʻai i nā lymph node akā ʻaʻole i nā ʻāpana ʻē aʻe o ke kino.
• Kahua 4. Ua pālahalaha ʻia ka maʻi ʻaʻai i nā mea kino mamao ʻē aʻe, e like me ke akepaʻa a me nā akemāmā.

He aha nā hōʻailona o ka maʻi ʻaʻai kala?

ʻAʻole hiki i ka maʻi ʻaʻai kala me nā ʻōuli, keu hoʻi i nā wā mua. Inā ʻike ʻoe i nā ʻōuli i ka wā o ka wā mua, komo pū paha lākou:

• kōpaʻa
• pāhoehoe
• nā hoʻololi i ke kala o ka noho
• nā hoʻololi i ke ʻano o ka noho, e like me ka ʻūliki liʻiliʻi
• ke koko i ka pahu holo
• kahe ʻana o ke kō mai ka ihu
• kinoea nui loa
• ʻōpū o ka ʻōpū
• abdominal eha

Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hoʻopaʻa i kahi manawa me kāu kauka e kūkākūkā ai i ka loaʻa ʻana o kahi kānana kanikena colorectal.

Kahua 3 a i ʻole 4 mau hōʻailona (hopena pae ʻōuli)

Hoʻomaopopo hou ʻia nā ʻōuli kanalehua Colorectal i nā pae hope (nā pae 3 a me 4). Ma waho aʻe o nā hōʻailona ma luna, ʻike paha ʻoe:

• luhi nui loa
• nawaliwali i wehewehe ʻole ʻia
• lilo kaumaha kaumaha ʻole
• nā hoʻololi i kāu pahu noho i ʻoi aku ka lōʻihi ma mua o hoʻokahi mahina
• kahi manaʻo ʻaʻole e nele loa kou ʻōpū
• ka luaʻi

Inā pālahalaha ka maʻi ʻaʻai kala i nā ʻāpana ʻē aʻe o kou kino, ʻike paha ʻoe:

• jaundice, a i ʻole nā ​​maka melemele a me ka ʻili
• pehu i nā lima a i ʻole nā ​​wāwae
• nā pilikia hanu
• ʻeha poʻo poʻo
• ʻike hihi
• haki iwi

Aia kekahi mau ʻano o ka maʻi ʻaʻai kala?

ʻOiai ke kani nei ka wehewehe ʻana o ka maʻi ʻaʻai colorectal, aia nō ma mua o hoʻokahi ʻano. Pili nā ʻokoʻa i nā ʻano o nā hunaola e huli cancerous a me kahi e hana ai.

Hoʻomaka ka ʻano maʻamau o ka maʻi ʻaʻai kala i mai adenocarcinomas. Wahi a ka ACS, hana nā adenocarcinomas i ka nui o nā maʻi ʻaʻai kala. Inā ʻaʻole hōʻike kāu kauka i kahi ʻano ʻē aʻe, ʻo kēia ʻano maʻi ka maʻi ʻaʻai kala.

Hoʻokumu ʻo Adenocarcinomas ma loko o nā hunaola e hana ai i ka mucus i ke kolona a i ʻole ke kiko.

ʻOi aku ka liʻiliʻi, ua hoʻokumu ʻia nā maʻi ʻaʻai kala e nā ʻano tumole ʻē aʻe, e like me:

• lymphomas, hiki ke hana i nā lymph node a i ʻole i ke kolona mua
• carcinoids, e hoʻomaka nei i nā hunaola e hana ana i ka hormone ma loko o kou ʻōpū
• sarcomas, kahi e hana ai i nā mea palupalu e like me nā mākala i ke kolona
• nā ʻōpū stromal gastrointestinal, hiki ke hoʻomaka ma ke ʻano he benign a laila lilo i maʻi ʻaʻa (Hoʻokomo pinepine ʻia lākou i ka digestive tract, akā liʻiliʻi i ka kolona.)

He aha ke kumu o ka maʻi ʻaʻai kala?

Ke aʻo nei nā kānaka noiʻi i nā kumu o ka maʻi ʻaʻai kala.

Hoʻokumu ʻia paha ka maʻi ʻaʻa e nā hoʻololi kūlohelohe, a hoʻoilina paha i loaʻa ʻia. ʻAʻole hōʻoia kēia mau hoʻololi e hoʻomohala ʻoe i ka maʻi ʻaʻai kala, akā hoʻonui lākou i kou manawa.

Hiki i kekahi mutation ke hōʻiliʻili i nā hunaola kūlohelohe i ka uhi o ke kolona, ​​e hana ana i nā polyps. ʻO kēia ka ulu liʻiliʻi.

ʻO ka hemo ʻana i kēia mau ulu ʻana ma o ke kaha ʻana hiki ke lilo i mea e pale aku ai. Hiki i nā polyps i mālama ʻole ʻia ke lilo i maʻi maʻi maʻi.

ʻO wai ka makaʻu no ka maʻi ʻaʻai kala?

Ke ulu nei kahi papa inoa o nā kumu pilikia e hana wale a i ʻole i ka hui pū ʻana e hoʻonui i ka manawa o ke kanaka e hoʻomohala i ka maʻi ʻaʻai kala.

Nā kumu pilikia paʻa

ʻO kekahi mau mea e hoʻonui i kāu makaʻu i ka hoʻomohala ʻana i ka maʻi ʻaʻai kala e hiki ʻole ke hōʻalo ʻia a ʻaʻole hiki ke loli. ʻO ka makahiki kekahi o lākou. Hoʻonui ka manawa o ka hoʻomohala ʻana i kēia maʻi ʻaʻai ma hope o kou hiki ʻana i ka makahiki 50.

ʻO kekahi mau kumu pilikia ʻē aʻe i hoʻopaʻa ʻia:

• kahi moʻolelo mua o nā polyps kolona
• kahi moʻolelo mua o nā maʻi ʻōpū
• kahi moʻolelo ʻohana o ka maʻi ʻaʻai kala
• ka loaʻa ʻana o kekahi syndrome aʻa, e like me ka polyposis adenomatous ʻohana (FAP)
• no ka hikina he Iudaio a i ʻole he ʻohana ʻApelika

Hiki ke hoʻololi ʻia i nā pilikia pilikia

Hōʻalo ʻia nā mea ʻē aʻe ʻē aʻe. ʻO kēia ka hiki iā ʻoe ke hoʻololi iā lākou e hōʻemi i kou makaʻu i ka hoʻomohala ʻana i ka maʻi ʻaʻai kala. Nā kumumea ʻē aʻe i hiki ke pale ʻia:

• ka momona a ka momona paha
• he puhipaka
• he mea inu ʻona
• loaʻa ka maʻi ʻaʻano 2
• ka loaʻa ʻana o kahi nohona noho
• e ʻai ana i ka papaʻai kiʻekiʻe i nā meaʻai i hana ʻia

Pehea e ʻike ʻia ai ka maʻi ʻaʻai kala?

Hāʻawi kahi hōʻailona mua o ka maʻi ʻaʻai kala i ka manawa kūpono loa e hoʻōla ai.

Paipai ke Kulanui o nā Kauka ʻAmelika (ACP) i ka nānā ʻana no nā poʻe he 50 a 75 mau makahiki, ma ka awelika o ka hopena o ke ʻano, a he mau makahiki ke ola o 10 mau makahiki.

Paipai ka mea i nā kānana no nā poʻe 50 a 79 mau makahiki a nona ka 15 mau makahiki o ka hopena o ke ʻano ma ka liʻiliʻi he 3 pākēneka.

E hoʻomaka kāu kauka ma ka loaʻa ʻana o ka ʻike e pili ana i kāu kauka a me ka mōʻaukala ʻohana. E hana pū lākou i kahi hoʻokolohua kino. Kaomi paha lākou ma kou ʻōpū a hana paha i kahi hoʻokolokolo kūpono e hoʻoholo ai inā aia nā lumps a me nā polyps paha.

Ke hoʻāʻo fecal

Hiki iā ʻoe ke hoʻāʻo i ka fecal i kēlā me kēia 1 a 2 mau makahiki. Hoʻohana ʻia nā hoʻokolohua fecal e ʻike i ke koko huna i loko o kāu pahu. Aia he mau ʻano nui ʻelua, ʻo ka hoʻāʻo o ke koko ʻōkalakala ma ka guaiac (gFOBT) a me ka hoʻāʻo ʻana o ka immunochemical fecal (FIT).

ʻO ka hoʻāʻo ʻana o ke kōkō ma muli o Guaiac (gFOBT)

ʻO Guaiac kahi mea kanu i hoʻohana ʻia e uhi i ke kāleka i loaʻa i kāu laulau. Inā loaʻa kekahi koko i kāu pahu, e loli ke kāleka i ke kala.

Pono ʻoe e hōʻalo i kekahi mau meaʻai a me nā lāʻau, e like me ka ʻulaʻula a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), ma mua o kēia hōʻike. Hoʻopilikia paha lākou i kāu mau hopena hōʻike.

Hōʻikeʻike immunochemical fecal (FIT)

ʻIke ka FIT i ka hemoglobin, kahi protein i loaʻa i ke koko. Manaʻo ʻia ʻoi aku ka kikoʻī ma mua o ka hoʻāʻo o ka guaiac.

ʻO ia no ka mea hiki ʻole i ka FIT ke ʻike i ke kahe ʻana o ke kahe o luna o ka gastrointestinal tract (kahi ʻano o ke kahe ʻana o ke kahe e pili pinepine ʻole ʻia e ka maʻi ʻaʻai kala. Eia kekahi, ʻaʻole e hoʻopili ʻia nā hopena no kēia hōʻike e nā meaʻai a me nā lāʻau.

Nā hoʻāʻo ma ka home

Ma muli o ka makemake o nā laikini he nui no kēia mau hoʻāʻo, e hāʻawi paha kāu kauka iā ʻoe i nā pahu hoʻāʻo e hoʻohana ai ma ka home me ke kūʻē i ka hoʻāʻo ʻana iā ʻoe i loko o ka keʻena.

Hiki pū ʻia nā hōʻike ʻelua me nā pahu hoʻāʻo ma ka home i kūʻai ʻia ma ka pūnaewele mai nā ʻoihana e like me LetsGetChecked a me Everlywell.

Nui nā kime i kūʻai ʻia ma ka pūnaewele e koi iā ʻoe e hoʻouna i kahi laulau i kahi lab no ka loiloi. Pono e loaʻa i kāu mau hopena hōʻike ma ka pūnaewele ma waena o 5 mau lā ʻoihana. Ma hope, hiki iā ʻoe ke koho e kūkākūkā me kahi hui mālama olakino e pili ana i kāu mau hopena hōʻike.

Hiki ke kūʻai ʻia ka FIT Generation ʻElua ma ka pūnaewele, akā ʻaʻole pono e hoʻouna ʻia ka laikini i ka lab. Loaʻa nā hopena hōʻike ma loko o 5 mau minuke. Pololei kēia hōʻike, ua ʻāpono ʻia e FDA, a hiki ke ʻike i nā kūlana hou e like me ka colitis. Eia nō naʻe, ʻaʻohe kime mālama olakino e kikoʻī inā loaʻa kāu mau nīnau e pili ana i kāu hopena.

Nā huahana e hoʻāʻo

Hiki ke hoʻohana ʻia nā hoʻokolohua ma ka home e ʻike i ke koko i ka pahu, kahi hōʻailona koʻikoʻi o ka maʻi ʻaʻai kala. Kūʻai no lākou ma ka pūnaewele:

• LetsGetChecked Ke ʻimi ʻana i ka maʻi ʻaʻai kolone
• ʻO ka ho'āʻo loiloi Everlywell FIT Colon Cancer
• Hanauna Hou FIT (Fecal Immunochemical Test)

Hōʻike koko

E holo paha kāu kauka i kekahi mau hoʻokolohua koko e loaʻa ai kahi manaʻo ʻoi aku ke kumu o kāu mau hōʻailona. Hiki i nā hoʻokolohua hana ate a me nā helu piha o ke koko ke kāpae i nā maʻi a me nā maʻi ʻē aʻe.

ʻO Sigmoidoscopy

ʻO ka invasive liʻiliʻi, sigmoidoscopy e ʻae i kāu kauka e nānā i ka ʻāpana hope loa o kou kolona, ​​kahi i ʻike ʻia ʻo ke koloka sigmoid, no nā mea kūpono ʻole. ʻO ke kaʻina hana, i ʻike ʻia he sigmoidoscopy palupalu, pili i kahi paipu maʻalahi me kahi kukui ma luna.

Paipai ka ACP i kahi sigmoidoscopy i kēlā me kēia 10 mau makahiki, ʻoiai ka BMJ e paipai nei i kahi manawa hoʻokahi sigmoidoscopy.

Kolonekia

Hoʻopili kahi kolonoscopy i ka hoʻohana o kahi paipu lōʻihi me kahi kāmela liʻiliʻi i hoʻopili ʻia. ʻAe kēia hana i kāu kauka e ʻike i loko o kāu kolona a me ka pololei e nānā ai i nā mea maʻamau ʻole. Hana ʻia ia ma hope o nā hōʻike loiloi hoʻowalewale e hōʻike ai hiki iā ʻoe ke loaʻa i ka maʻi ʻaʻai kala.

I ka manawa o kahi kolonoscopy, hiki i kāu kauka ke wehe i nā kikoʻī mai nā wahi kūpono ʻole. Hiki ke hoʻouna i kēia mau kiko kiko i kahi keʻena hoʻokolohua no ka loiloi.

Ma waho o nā ʻano hana diagnostic e kū nei, ʻo ka sigmoidoscopies a me nā koloneka ka mea e ʻoi loa i ka ʻike ʻana i nā ulu benign e ulu ana i ka maʻi ʻaʻai kala.

Paipai ka ACP i kahi kolona i kēlā me kēia 10 mau makahiki, ʻoiai ka BMJ e paipai nei i kahi manawa hoʻokahi manawa.

X-ray

Hiki i kāu kauka ke kauoha i kahi X-ray e hoʻohana ana i kahi hopena kuhi radioactive i loaʻa i ka kemikala element barium.

Hoʻokomo kāu kauka i kēia wai i loko o kou ʻōpū ma o ka hoʻohana ʻana i kahi barium enema. I ka manawa ma kahi, ua pale ka hopena barium i ka uhi o ke kolona. Kōkua kēia i ka hoʻomaikaʻi ʻana i ka maikaʻi o nā kiʻi X-ray.

CT scan

Hāʻawi ʻo CT scans i kāu kauka me kahi kiʻi kikoʻī o kou kolone. ʻO kahi CT scan e hoʻohana ʻia e ʻike pono ai i ka maʻi ʻaʻai kala e kapa ʻia i kekahi manawa he kolonoscopy uila.

He aha nā koho lapaʻau no ka maʻi ʻaʻai kala?

ʻO ka mālama ʻana i ka maʻi ʻaʻai kala e hilinaʻi ʻia i nā ʻano like ʻole. ʻO ke kūlana o kou olakino āpau a me ke kahua o kāu maʻi ʻaʻai kala e kōkua i kāu kauka e hana i kahi hoʻolālā lapaʻau.

ʻOki kino

I nā wā mua o ka maʻi ʻaʻai kala, hiki paha i kāu kaukipō ke wehe i nā polyps maʻi maʻi ma o ke ʻoki kino. Inā ʻaʻole i hoʻopili ka polyp i ka paia o ka ʻōpū, e loaʻa paha iā ʻoe kahi hiʻohiʻona maikaʻi loa.

Inā ua pālahalaha kou maʻi ʻaʻai i loko o kāu mau kīhā o ka ʻōpū, pono paha i kāu kauka hana e hemo i kahi ʻāpana o ke kolona a i ʻole ka pololei e pili ana me nā lymph node kokoke. Inā hiki loa, e hoʻopili hou kāu kauka lāʻau i ka ʻāpana olakino i koe o ke kolona i ka pākū.

Inā hiki ʻole kēia, hana paha lākou i ka colostomy. Hoʻopili kēia i ka wehe ʻana i ka paia o ka ʻōpū no ka hemo ʻana o ka ʻōpala. Kūlohelohe a paʻa paha kahi colostomy.

ʻO Chemotherapy

Hoʻokomo ʻo Chemotherapy i ka hoʻohana ʻana i nā lāʻau e make ai i nā hunaola maʻi ʻaʻai. No ka poʻe me ka maʻi ʻaʻai kala, e hana pinepine ʻia ka chemotherapy ma hope o ke kaha ʻana, ke hoʻohana ʻia e luku i nā pūnaʻi maʻi maʻi maʻi lōʻihi e paʻa ana. Hoʻopili pū ʻo Chemotherapy i ka ulu ʻana o nā tumors.

Hoʻohana ʻia nā lāʻau Chemotherapy e mālama i ka maʻi ʻaʻai kala;

• capecitabine (Xeloda)
• fluorouracil
• oxaliplatin (Eloxatin)
• irinotecan (Camptosar)

Hele pinepine ʻo Chemotherapy me nā hopena i pono e kaohi ʻia me nā lāʻau hou.

Pāhawewe

Hoʻohana ka uila i kahi kukuna ikaika o ka ikehu, e like me ka mea i hoʻohana ʻia i nā kukuna X, e māka a hoʻopau i nā hunaola maʻi ʻaʻai ma mua a ma hope o ke kaha ʻana. Kū pinepine ka radiation radiation ma kahi o chemotherapy.

Nā lāʻau ʻē aʻe

Paipai ʻia nā therapies i hoʻolālā ʻia a me nā lāʻau pale maʻi. Nā lāʻau i ʻae ʻia e ka Food and Drug Administration (FDA) e mālama i ka maʻi ʻaʻai kala me:

• bevacizumab (Avastin)
• ramucirumab (Cyramza)
• ziv-aflibercept (Zaltrap)
• cetuximab (Erbitux)
• panitumumab (Vectibix)
• regorafenib (Stivarga)
• pembrolizumab (Keytruda)
• nivolumab (Opdivo)
• ipilimumab (Yervoy)

Hiki iā lākou ke mālama i ka metastatic, a i ʻole ka hopena o ka hopena, ka maʻi ʻaʻai kala e pane ʻole i nā ʻano lapaʻau ʻē aʻe a ua hoʻolaha ʻia i nā ʻāpana ʻē aʻe o ke kino.

He aha ka helu ola no ka poʻe me ka maʻi ʻaʻai kala?

Ke hopohopo nei ka loaʻa ʻana o kahi ʻōpala maʻi kanesa colorectal, akā hiki ke mālama ʻia kēia ʻano maʻi ʻaʻai, keu hoʻi ke loaʻa koke.

ʻO ka helu ola 5 mau makahiki no nā pae āpau o ka maʻi ʻaʻai kolone e hoʻohālikelike ʻia e 63 pakeneka e pili ana i ka ʻike mai ka 2009 a i ka 2015. No ka maʻi ʻaʻai kūpono, he 67 pākēneka ke ola o 5 mau makahiki.

Hōʻike ka helu ola 5 mau makahiki i ka pākēneka o ka poʻe i ola ma ka liʻiliʻi he 5 mau makahiki ma hope o ka hōʻailona.

Ua hele lōʻihi mai nā hana lapaʻau no nā hihia holomua o ka maʻi ʻaʻai kolona.

Wahi a ke Kulanui o Texas Southwestern Medical Center, i ka makahiki 2015, ʻo ka manawa maʻamau o ke ola ʻana no ka maʻi ʻaʻai pae 4 ma kahi o 30 mau mahina. I nā makahiki 1990, he 6 a 8 mau mahina.

I ka manawa like, ke ʻike nei nā kauka i kēia manawa i ka maʻi ʻaʻai kala i nā ʻōpio. Loaʻa paha kekahi o kēia i nā koho nohona ola ʻole.

Wahi a ka ACS, ʻoiai ua hōʻole nā ​​make ʻana i ka maʻi ʻaʻa ʻeleʻele i nā ʻelemākule, ua hoʻonui ʻia nā make ma ka poʻe ma mua o 50 mau makahiki ma waena o 2008 a me 2017.

Hiki ke pale ʻia ka maʻi ʻaʻai kala?

ʻAʻole hiki ke pale ʻia kekahi mau mea pilikia no ka maʻi ʻaʻai kala, e like me ka mōʻaukala ʻohana a me nā makahiki.

Eia nō naʻe, nā mea ola e hāʻawi i ka maʻi ʻaʻai kala he hiki ke pale ʻia, a kōkua paha e hōʻemi i kāu makaʻu ākea o ka hoʻomohala ʻana i kēia maʻi.

Hiki iā ʻoe ke hana i nā kaʻina hana i kēia manawa e hōʻemi i kou makaʻu e:

• ke hoʻemi nei i ka nui o ka ʻulaʻula āu e ʻai ai
• e hōʻalo nei i nā ʻiʻo i hana ʻia, e like me nā ʻīlio wela a me nā ʻino deli
• ka ʻai ʻana i nā meaʻai mea kanu
• hoʻemi i ka momona momona
• hoʻoikaika kino i kēlā me kēia lā
• ke kaupaona ʻana i ke kaupaona, inā paipai ke kauka iā ia
• haʻalele i ka puhipaka
• hoʻemi ana i ka inu lama
• hoʻēmi hoʻēmi
• ka mālama ʻana i ka maʻi kō preexisting

ʻO kekahi hana e pale aku ai e hōʻoia i ka loaʻa ʻana o kahi kolonexoscopi a i ʻole nā ​​kānana maʻi ʻē aʻe ma hope o ka makahiki 50. ʻO ka mua i ʻike ʻia ka maʻi ʻaʻai, ʻo ka maikaʻi ka hopena.

He aha ka manaʻo lōʻihi?

Ke hopu mua ʻia, hiki ke mālama ʻia ka maʻi ʻaʻai kala.

Me ka ʻike mua ʻana, noho ka hapa nui o ka poʻe ma kahi o 5 mau makahiki ma hope o ka ʻike ʻana. Inā ʻaʻole hoʻi ka maʻi ʻaʻai i kēlā manawa, aia kahi haʻahaʻa haʻahaʻa loa o ka hoʻi hou ʻana, keu hoʻi inā loaʻa ʻoe i ka maʻi ma mua.