6 ʻano maʻamau o nā maʻi ʻai (a me kā lākou mau ʻōuli)

Anter

• He aha nā maʻi ʻai?
• He aha ke kumu o lākou?
• 1. Anorexia nervosa
• 2. Bulimia nervosa
• 3. Ka maʻi ʻaʻai Binge
• 4. ʻO Pica
• 5. ʻO ka maʻi ahulau
• 6. ʻO ka maʻi hōʻeha / kaohi kaʻai
• Nā maʻi ʻai ʻē aʻe
• Ke laina lalo

ʻOiai ka inoa o ka ʻai ʻana i ka inoa, ʻoi aku ka nui o nā maʻi ma mua o ka meaʻai. He kūlana olakino olakino paʻakikī lākou e koi pinepine ai i ka hana a nā loea lapaʻau a me ka noʻonoʻo e hoʻololi i kā lākou papa.

Hōʻike ʻia kēia mau maʻi i ka American Psychiatric Association's Diagnostic and Statistics Manual of Mental Disorder, ʻelima paʻi (DSM-5).

Ma ʻAmelika Hui Pū ʻIa wale nō, kuhi ʻia he 20 miliona mau wahine a 10 miliona mau kāne i loaʻa a loaʻa paha i kahi maʻi ʻai i kekahi manawa o ko lākou ola (1).

Hōʻike kēia ʻatikala i ka 6 o nā ʻano maʻamau o nā maʻi ʻai a me kā lākou mau hōʻailona.

He aha nā maʻi ʻai?

ʻO nā maʻi ʻai kahi laulā o nā kūlana psychological i kumu e ulu ai nā ʻano ʻai pono ʻole. E hoʻomaka paha lākou me ka pulakaumaka i ka meaʻai, ke kaumaha o ke kino, a me ke ʻano o ke kino.

I nā hihia koʻikoʻi, hiki i nā maʻi ʻai ke hana i nā hopena olakino koʻikoʻi a hiki i ka hopena ke make inā haʻalele ʻole ʻia.

Hiki i nā mea me nā maʻi ʻai ke loaʻa i nā ʻōuli like ʻole. Eia nō naʻe, ʻo ka hapanui e hoʻopili ana i ke kaohi koʻikoʻi o ka meaʻai, ka binges meaʻai, a i ʻole nā ​​ʻano hoʻomaʻemaʻe e like me ka luaʻi a me ka hoʻoikaika kino.

ʻOiai ʻo nā maʻi ʻai e hiki ke hoʻopili i ka poʻe o kēlā me kēia ʻano kāne i kēlā me kēia wā o ke ola, hōʻike pinepine ʻia lākou i nā ʻōpio a me nā wahine ʻōpio. I ka ʻoiaʻiʻo, hiki i ka 13% o ka ʻōpio ke ʻike ma ka liʻiliʻi i hoʻokahi maʻi ʻai ma ka makahiki 20 ().

Hōʻuluʻulu Manaʻo ʻO nā maʻi ʻai ka maʻi olakino noʻonoʻo i kahakaha ʻia e ka pulakaumaka i ka meaʻai a i ʻole ke kino. Hiki iā lākou ke hoʻopili i kekahi akā ʻoi aku ka laha i waena o nā wahine ʻōpio.

He aha ke kumu o lākou?

Manaʻo ka poʻe loea i ke kumu o ka ʻai ʻana i nā maʻi ma o nā ʻano like ʻole.

ʻO kekahi o kēia nā genetics. ʻO nā haʻawina māhoe a me nā keiki hānai e pili ana i nā māhoe i hoʻokaʻawale ʻia i ka wā hānau a lawe ʻia e nā ʻohana ʻokoʻa e hāʻawi i kekahi mau hōʻike e pili ana ka hoʻoilina i nā maʻi.

Ua hōʻike pinepine ʻia kēia ʻano noiʻi inā ulu kekahi māhoe i kahi maʻi ʻai, he 50% paha ka manaʻo o kekahi e hoʻomohala pū kekahi, ma ka awelika ().

ʻO nā ʻano pilikino kekahi kumu. Eia kekahi, ʻo ka neuroticism, ka hemolele, a me ka impulsivity ʻekolu mau ʻano pilikino e pili pinepine ana i kahi pilikia kiʻekiʻe o ka hoʻomohala ʻana i kahi maʻi ʻai ().

ʻO nā kumu kūpono ʻē aʻe e pili ana i nā kaomi i ʻike ʻia he lahilahi, nā makemake moʻomeheu no ka lahilahi, a me ka hōʻike ʻana i ka pāpāho e hoʻolaha ana i kēlā mau manaʻo maikaʻi.

ʻO ka ʻoiaʻiʻo, ʻike ʻole ʻia kekahi mau maʻi ʻai i ka hapa nui ʻole i nā moʻomeheu i hōʻike ʻole ʻia i nā manaʻo Komohana o ka lahilahi ().

ʻ Thatlelo ʻia, aia nā manaʻo kuhi o ka lahilahi o ka lahilahi i nā wahi he nui o ka honua. Eia nō naʻe, i kekahi mau ʻāina, hoʻopau kekahi mau kānaka i kahi maʻi ʻai. No laila, kumu ʻia lākou e ka hui ʻana o nā mea.

I kēia mau lā aku nei, ua kuhi ka poʻe loea i ka ʻokoʻa o ka hanana o ka lolo a me ke kālaolaola pū kekahi i ka ulu ʻana o nā maʻi ʻai.

Eia kekahi, ʻo nā pae o nā ʻelele lolo ka serotonin a me ka dopamine paha he mau kumu (5, 6).

Eia nō naʻe, pono i nā noiʻi hou aʻe ma mua o ka hiki ke hoʻoholo ikaika.

Hōʻuluʻulu Manaʻo Hoʻokumu ʻia nā maʻi ʻai e kekahi mau kumu. Hoʻopili kēia i nā genetics, biology lolo, ʻano pilikino, a me nā moʻomeheu moʻomeheu.

1. Anorexia nervosa

ʻO Anorexia nervosa paha ka maʻi ʻai kaulana loa.

Hoʻolālā maʻamau i ka wā ʻōpio a i ʻole ke ʻōpio makua a hoʻomaʻamaʻa i ka nui o nā wahine ma mua o nā kāne ().

ʻO ka poʻe me ka anorexia e ʻike iā lākou iho he keu kaupaona, ʻoiai inā he kaumaha weliweli lākou. Mālama pinepine lākou i ko lākou kaumaha, pale i ka ʻai ʻana i kekahi ʻano o nā meaʻai, a kaohi loa i kā lākou mau calorie.

ʻO nā ʻōuli maʻamau o anorexia nervosa pū me (8):

• he underweight nui loa ia e hoʻohālikelike ʻia me nā poʻe o ka makahiki a me ke kiʻekiʻe like
• kapu loa i nā lauʻai
• ka makaʻu nui i ka loaʻa ʻana o ke kaumaha a i ʻole nā ​​hana hoʻomau e hōʻalo i ka loaʻa ʻana o ke kaumaha, ʻoiai ka underweight
• kahi alualu hoʻomau ʻana o ka lahilahi a me ka makemake ʻole e mālama i kahi kaupaona olakino
• kahi mana kaumaha o ke kaumaha o ke kino a i ʻike ʻia paha ke ʻano o ke kino i ka hilinaʻi iā ia iho
• kahi kiʻi kino i hoʻohuli hewahewa ʻia, me ka hōʻole ʻana i ke kaumaha nui

Aia pū kekahi nā ʻōuli-obsessive. ʻO kahi laʻana, hana pinepine ka poʻe me ka anorexia i ka manaʻo mau e pili ana i ka meaʻai, a hōʻiliʻili paha kekahi i nā papa hana a i ʻole ka hoʻāhu meaʻai.

Pilikia paha kēlā mau kanaka i ka ʻai ʻana i ka lehulehu a hōʻike i ka makemake nui e kaohi i ko lākou kaiapuni, ka palena ʻana i ko lākou hiki ke hele wale.

Hoʻokaʻawale ʻia ʻo Anorexia i ʻelua subtypes - ke ʻano kaohi a me ka binge ʻai a me ka hoʻomaʻemaʻe (8).

ʻO nā kānaka me ka ʻāpana kapu e lilo ka paona wale nō ma o kaʻai ʻana, ka hoʻokē ʻai ʻana, a i ʻole ka hoʻoikaika nui ʻana.

ʻO nā kānaka me ka ʻai binge a me ka hoʻomaʻemaʻe ʻana e ʻānai paha i ka nui o ka meaʻai a ʻai liʻiliʻi paha. I nā kūlana ʻelua, ma hope o kā lākou ʻai ʻana, hoʻomaʻemaʻe lākou i ka hoʻohana ʻana i nā hana e like me ka luaʻi, lawe ana i nā laxatives a i ʻole nā ​​diuretics, a i ʻole ka hoʻoikaika kino ʻana.

Anorexia hiki ke hōʻino loa i ke kino. I ka hala ʻana o ka manawa, hiki i nā poʻe e noho pū me ia ke ʻike i ka lahilahi o ko lākou mau iwi, ka hū ʻole, ka lauoho palupalu a me nā kui, a me ka ulu ʻana o kahi papa o ka lauoho maikaʻi ma luna o ko lākou kino (9).

I nā hihia koʻikoʻi, hiki i ka anorexia ke hopena i ka puʻuwai, ka lolo, a i ʻole nā ​​make maha a me ka make.

Hōʻuluʻulu Manaʻo Hiki i nā poʻe me ka anorexia nervosa ke kaupalena i kā lākou lawe ʻana i ka meaʻai a i ʻole ke uku no ia mea ma o nā ʻano hoʻomaʻemaʻe like ʻole. He makaʻu nui lākou i ka loaʻa ʻana o ke kaumaha, ʻoiai ke kaumaha nui o ke kaumaha.

2. Bulimia nervosa

ʻO Bulimia nervosa kekahi maʻi maʻi ʻē aʻe i kaulana.

E like me ka anorexia, hoʻomōhala ka bulimia i ka wā ʻōpio a me ke ʻano makua a ʻike ʻia ka liʻiliʻi ma waena o nā kāne ma mua o nā wahine ().

ʻAi pinepine ka poʻe me ka bulimia i ka nui o nā meaʻai i kahi manawa kikoʻī.

Hoʻomau mau kēlā me kēia pāʻina ʻai a hiki i ka piha ʻana o ke kanaka i ka ʻeha. I ka wā o ka binge, manaʻo ka mea maʻamau ʻaʻole hiki iā lākou ke hōʻoki i ka ʻai ʻana a kaohi ʻana i ka nui o kā lākou ʻai ʻana.

Hiki i nā Binges ke hana me nā ʻano meaʻai āpau akā ʻike pinepine ʻia me nā meaʻai e hōʻalo ai kēlā me kēia.

ʻO kēlā me kēia kanaka me ka bulimia e hoʻāʻo e hoʻomaʻemaʻe e uku no nā calorie i hoʻopau ʻia a hōʻoluʻolu i ka ʻōpū o ka ʻōpū.

ʻO nā hana hoʻomaʻemaʻe maʻamau e pili ana i ka luaʻi ikaika, ka hoʻokēʻai ʻana, nā laxatives, nā diuretics, nā enemas, a me ka hoʻoikaika nui.

ʻIke like paha nā ʻōuli me nā ʻano o ka binge ʻai a hoʻomaʻemaʻe paha i nā subtypes o anorexia nervosa. Eia nō naʻe, mālama mau nā mea me ka bulimia i kahi kaupaona maʻamau, ma mua o ka lilo ʻana i kaupaona.

ʻO nā ʻōuli maʻamau o bulimia nervosa pū me (8):

• nā hanana hou o ka ʻai ʻana me ka manaʻo ʻole o ka kaohi
• hanana hou o nā hana hoʻomaʻemaʻe kūpono ʻole e pale ai i ka loaʻa ʻana o ke kaumaha
• hoʻowahāwahā nui ʻia e ka kino a me ke kaupaona
• makaʻu i ka loaʻa ʻana o ke kaupaona, ʻoiai ke kau kaupaona maʻamau

Hiki i nā ʻaoʻao ʻaoʻao o bulimia ke hoʻopili i ka ʻāʻā a me ka ʻāʻī pūhū, nā pehu salivary i pehu, ka enamel niho paʻa, ka palaho o ka niho, reflux waikawa, ka huhū o ka ʻōpū, ka maloʻo loa, a me nā haunaele hormonal (9).

I nā hihia koʻikoʻi, hiki i ka bulimia ke hana i kahi kaulike ʻole i nā pae o nā electrolytes, e like me ka sodium, potassium, a me ka calcium. Hiki i kēia ke hōʻeha a hōʻeha puʻuwai paha.

Hōʻuluʻulu Manaʻo ʻAi ka poʻe me ka bulimia nervosa i ka nui o nā meaʻai i nā manawa pōkole, a laila hoʻomaʻemaʻe. Makau lākou i ka loaʻa ʻana o ke kaumaha ʻoiai ke kau ʻana ma ke kaupaona maʻamau.

3. Ka maʻi ʻaʻai Binge

Manaʻo ʻia ʻo ka maʻi ʻaʻai Binge ʻo ia kekahi o nā maʻi ʻai maʻamau, ʻoi loa ma United States ().

Hoʻomaka ia i ka wā ʻōpio a me ke ʻano makua, ʻoiai e hiki ke ulu ma hope.

ʻO nā kānaka me kēia maʻi loaʻa nā ʻōuli e like me ka bulimia a i ʻole ka binge ʻai subtype o anorexia.

ʻO kahi laʻana, ʻai pinepine lākou i nā meaʻai he nui i nā manawa pōkole o ka manawa a manaʻo i ka ʻole o ka kaohi i ka wā o ka inu ʻana.

ʻAʻole kaohi ka poʻe me ka maʻi ʻoi loa i ka calorie a hoʻohana paha i nā ʻano hoʻomaʻemaʻe, e like me ka luaʻi a i ʻole hoʻoikaika kino, e uku no kā lākou binges.

ʻO nā ʻōuli maʻamau o ka maʻi ʻai binge me (8):

• e ʻai wikiwiki nei i ka nui o nā meaʻai, ma kahi hūnā a hiki i ka piha ʻana o ka hōʻoluʻolu, ʻoiai ʻaʻole i pololi
• ke manaʻo nei i ka ʻole o ka kaohi i ka wā o ka ʻai ʻana
• nā manaʻo o ke kaumaha, e like me ka hilahila, hoʻowahāwahā, a i ʻole ka lawehala ʻana, ke noʻonoʻo nei e pili ana i ka nohona binge
• hoʻohana ʻole i ka hoʻomaʻemaʻe i nā lawena, e like me ka palena ʻana o ka calorie, ka luaʻi, ka hoʻoikaika kino nui, a i ʻole ka laxative a hoʻohana diuretic paha, e uku no ka binging

ʻO ka poʻe me ka maʻi ʻai binge pinepine ka momona a momona paha. Hiki i kēia ke hoʻonui i ko lākou pilikia o nā pilikia olakino e pili ana i ka nui o ke kaupaona, e like me ka maʻi puʻuwai, hahau, a me ka maʻi diabetes 2 ().

Hōʻuluʻulu Manaʻo ʻO ka poʻe me ka binge e ʻai nei i ka maʻi maʻamau a hoʻopau ʻole i ka nui o nā meaʻai i nā manawa pōkole o ka manawa. ʻAʻole like me ka poʻe me nā maʻi ʻai ʻē aʻe, ʻaʻole lākou e hoʻomaʻemaʻe.

4. ʻO Pica

ʻO Pica kahi maʻi ʻai ʻē aʻe e pili ana i ka ʻai ʻana i nā mea i manaʻo ʻole ʻole ʻia he meaʻai.

Makemake nā poʻe me ka pica i nā mea ʻai ʻole, e like me ka hau, ka lepo, ka lepo, ka kopa, ka pepa, ka lauoho, ka lole, ka hulu hipa, ka ʻiliʻili, ka mea holoi lole, a i ʻole ka kānana kānana (8).

Hiki i ka Pica ke hana i nā mākua, a me nā keiki a me nā ʻōpio. ʻO kēlā ʻōlelo, ʻike pinepine ʻia kēia maʻi i nā keiki, nā wahine hāpai, a me nā kānaka me ke kino kīnā ().

ʻO ka poʻe me ka pica i ka nui o ka makaʻu o ka lāʻau make, nā maʻi, nā ʻeha o ka ʻōpū, a me nā hemahema o ka meaʻai. Kaukaʻi ʻia i nā mea i lawe ʻia, make paha ka pica.

Eia nō naʻe, e noʻonoʻo ʻia i ka pica, ʻaʻole pono ka ʻai ʻana i nā mea ʻai ʻole i ʻāpana maʻamau o ka moʻomeheu a hoʻomana a kekahi. Hoʻohui, ʻaʻole pono e noʻonoʻo ʻia he hana i ʻae ʻia e ka nohona o nā kānaka.

Hōʻuluʻulu Manaʻo Makemake nā kānaka me ka pica i ka ʻiʻina a ʻai i nā mea ʻai ʻole. Hiki paha i kēia maʻi ke hoʻololi i nā keiki, nā wahine hāpai, a me nā kānaka me ke kino kīnā ʻole.

5. ʻO ka maʻi ahulau

ʻO ka maʻi rumination kekahi maʻi ʻai hou i ʻike ʻia.

Hōʻike ia i kahi ʻano e regurgitates ai kahi kanaka i ka meaʻai a lākou i nau mua ai a ale ai hoʻi, a nāu hou ai iā ia, a laila e ale hou paha iā ia a kuha iā ia ().

Kū pinepine kēia rumination i loko o nā 30 mau minuke ma hope o ka pāʻina ʻana. ʻAʻole like me nā kūlana olakino e like me reflux, he manawaleʻa (14).

Hiki ke ulu i kēia maʻi i ka wā pēpē, kamaliʻi, a makua paha. I nā pēpē, hoʻolālā ia i waena o 3-12 mau mahina o ka makahiki a nalo pinepine iā ia iho. ʻO nā keiki a me nā mākua me ke ʻano e koi pinepine i ka lāʻau e hoʻonā iā ia.

Inā ʻaʻole i hoʻonā ʻia i loko o nā pēpē, hiki i ka maʻi rumination ke hopena i ka pohō o ke kaupaona a me ka malnutrisi ikaika e hiki ai ke make.

Hiki i nā mākua me kēia maʻi ke hoʻopaʻa i ka nui o nā meaʻai a lākou e ʻai ai, keu hoʻi i ka lehulehu. Hiki i kēia ke alakaʻi iā lākou e lilo i ka paona a lilo i kaupaona (8, 14).

Hōʻuluʻulu Manaʻo Hiki i ka maʻi rumination ke hoʻopili i ka poʻe ma nā pae āpau o ke ola. ʻO ka poʻe me ke ʻano e laha hou ka meaʻai a lākou i ale iho nei. A laila, nau hou lākou a ale a ale paha iā ia.

6. ʻO ka maʻi hōʻeha / kaohi kaʻai

ʻO ka maʻi hōʻino / kaohi ʻana i ka meaʻai (ARFID) kahi inoa hou no kahi maʻi kahiko.

Hoʻololi ka huaʻōlelo i ka mea i ʻike ʻia ma ke ʻano he "maʻi hānai o ka wā kamaliʻi a me ka wā kamaliʻi," kahi maʻi i mālama mua ʻia no nā keiki ma lalo o 7 mau makahiki.

ʻOiai hoʻomohala ʻo ARFID i ka wā o ke kamaliʻi a i ʻole ke keiki ʻōpio, hiki ke hoʻomau i ka wā makua. He aha hou aʻe, like ka maʻamau ma waena o nā kāne a me nā wahine.

ʻO nā kānaka me kēia ʻano maʻi ʻike i hoʻopilikia ʻia i ka ʻai ʻana ma muli o ka nele o ka hoihoi i ka ʻai ʻana a i ʻole distaste no kekahi ʻala, ʻono, kala, ʻano, a me nā mahana.

ʻO nā ʻōuli maʻamau o ARFID e komo pū me (8):

• ka hōʻalo ʻana a i ʻole ka palena ʻana o ka lawe ʻana i ka meaʻai e pale ai i ke kanaka mai ka ʻai ʻana i ka nui o nā calories a me nā meaola
• nā ʻanoʻai e hoʻopilikia i nā hana kaiaulu maʻamau, e like me ka ʻai ʻana me nā poʻe ʻē aʻe
• ka pohō kaumaha a me ke kūkulu maikaʻi ʻole ʻana no ka makahiki a me ke kiʻekiʻe
• deficiencies nutrient a i ʻole ke kaukaʻi ʻana i nā mea kōkua a i ʻole ka hānai ʻana o ka Tube

He mea nui e hoʻomaopopo i ka hele ʻana o ARFID ma mua o nā hana maʻamau, e like me ka ʻai picky i nā keiki ʻōpio a i ʻole ka lawe ʻana i ka meaʻai i nā mākua makua.

Eia kekahi, ʻaʻole pili i ka hōʻalo a me ke kaohi o nā meaʻai ma muli o ka loaʻa ʻole a i ʻole nā ​​hana haipule a moʻomeheu paha.

Hōʻuluʻulu Manaʻo ʻO ARFID kahi maʻi ʻai e hoʻonā ai i ka poʻe e undereat. No ka nele paha o ka hoihoi i ka meaʻai a i ʻole kahi distaste ikaika no ka nānā ʻana o kekahi mau meaʻai, ʻaʻala, a ʻono paha.

Nā maʻi ʻai ʻē aʻe

Ma waho aʻe o nā maʻi ʻai ʻeono i luna, ʻaʻole ʻike ʻia a ʻike ʻole ʻia nā maʻi ʻai like ʻole. Hāʻule kēia mau mea ma lalo o kekahi o nā ʻano ʻekolu (8):

• Maʻi hoʻomaʻemaʻe. ʻO nā kānaka me ka maʻi hoʻomaʻemaʻe e hoʻohana pinepine i nā lawena hoʻomaʻemaʻe, e like me ka luaʻi, laxatives, diuretics, a i ʻole ka hoʻoikaika nui ʻana, e kaohi i ko lākou kaumaha a me ko lākou ʻano. Eia naʻe, ʻaʻole lākou e lawehala.
• ʻO ka maʻi ʻaʻai pō. ʻO ka poʻe me kēia maʻi e ʻai pinepine i ka ʻai, pinepine ma hope o ka ala ʻana mai ka hiamoe.
• ʻO nā maʻi hānai a me nā maʻi ʻai ʻē aʻe i hōʻike ʻia (OSFED). ʻOiai ʻaʻole i loaʻa i ka DSM-5, pili pū kēia i nā ʻano kumu ʻē aʻe i loaʻa nā hōʻailona e like me nā ʻano o ka maʻi ʻai akā ʻaʻole kūpono i kekahi o nā ʻāpana i luna.

ʻO kekahi maʻi e hāʻule paha ma lalo o OSFED ka orthorexia. ʻOiai ʻoi aku ka nui o ka ʻōlelo ʻia ma ka pāpāho a me nā noiʻi ʻepekema, ʻaʻole ʻike ʻia ʻo orthorexia ma ke ʻano he ʻano ʻai ʻokoʻa e ka DSM o kēia manawa.

ʻO ka poʻe me ka orthorexia e nānā i ka nānā nui i ka ʻai olakino, i kahi nui e hoʻohaunaele i ko lākou ola i kēlā me kēia lā.

ʻO kahi laʻana, hiki i ka mea i hoʻopilikia ʻia ke hoʻopau i nā pūʻulu meaʻai āpau, ke hopohopo ʻaʻole lākou olakino. Hiki i kēia ke alakaʻi i ka malnutrice, ka pohō kaumaha nui, ka paʻakikī e ʻai ma waho o ka home, a me ke kaumaha kaumaha.

Kālele iki ka poʻe me ka orthorexia i ka nalo ʻana o ka paona. Ma ka hakahaka, hilinaʻi ʻia ko lākou pono ponoʻī, ʻike ʻike, a ʻoluʻolu paha i ka maikaʻi o kā lākou mālama pono ʻana i kā lākou rula papaʻai ponoʻī (15).

Hōʻuluʻulu Manaʻo ʻO ka hoʻomaʻemaʻe hoʻomaʻemaʻe a me ka maʻi ʻaʻai pō he ʻelua mau maʻi ʻai hou aʻe ʻaʻole i wehewehe maikaʻi ʻia i kēia manawa. Hoʻopili ka mahele OSFED i nā maʻi ʻai āpau, e like me orthorexia, ʻaʻole kūpono i kekahi mahele ʻē aʻe.

Ke laina lalo

ʻO nā mahele i luna aʻe nei e hāʻawi i ka ʻike ʻoi aku ka maikaʻi o nā maʻi ʻai maʻamau a hoʻopau i nā kaʻao e pili ana iā lākou.

ʻO nā maʻi ʻai ka maʻi olakino e koi pinepine ai i ka lāʻau. Hiki iā lākou ke hōʻino i ke kino inā haʻalele ʻole ʻia.

Inā loaʻa iā ʻoe kahi maʻi ʻai a ʻike paha i kekahi mea e loaʻa i kekahi, e ʻimi i ke kōkua mai kahi kauka olakino e loea i ka maʻi ʻai.

Ka leka a ka Luna Hoʻoponopono: Ua paʻi mua ʻia kēia ʻāpana i ka lā 28 Kepakemapa 2017. ʻO kāna lā paʻi o kēia manawa e hōʻike nei i kahi hōʻano hou, kahi e loaʻa ai kahi loiloi olakino e Timothy J. Legg, PhD, PsyD.