Lactulose, Hua ʻlelo

Anter

• He aha ka lactulose?
• No ke aha e hoʻohana ʻia ai
• Pehea e hana ai
• Nā hopena ʻaoʻao Lactulose
• Nā hopena ʻaoʻao hou aʻe
• Nā hopena hopena koʻikoʻi
• Hiki i ka lactulose ke launa pū me nā lāʻau ʻē aʻe
• ʻO nā lāʻau ʻaʻole pono ʻoe e hoʻohana me ka lactulose
• Nā launa pū e hiki ai ke hōʻemi i kāu mau lāʻau
• Pehea e lawe ai i ka lactulose
• Nā ʻano a me nā ikaika
• Nā hana no ka paʻa paʻa
• Nā hana no ka portal-ʻōnaehana encephalopathy (maʻi ate)
• Nā ʻōlelo aʻoaʻo a ka hana
• Lawe e like me ke kuhikuhi
• Lactulose kāki
• Nā manaʻo nui no ka lawe ʻana i kēia lāʻau
• Generala
• Waihona
• Hoʻopiha hou
• Huakaʻi
• Hoʻoponopono ponoʻī
• Nānā lapaʻau
• ʻInikua
• Aia kekahi mau koho ʻē aʻe?
• Nā ʻōlelo aʻoaʻo koʻikoʻi
• Nā ʻōlelo aʻoaʻo Lactulose
• ʻLelo aʻoaʻo ʻaʻai
• Nā ʻōlelo aʻoaʻo no ka poʻe me kekahi ʻano olakino
• Nā ʻōlelo aʻoaʻo no nā hui ʻē aʻe

Nā mea nui no ka lactulose

1. Loaʻa ka hopena haʻi waha ʻo Lactulose ma ke ʻano he lāʻau laulaha a me nā lāʻau lapaʻau inoa. Nā inoa inoa: Enulose a me Generlac.
2. Loaʻa ʻo Lactulose ma ke ʻano he hopena ʻoi. Hāʻawi wale ʻia ka hopena pololei ma ke ʻano he enema e kahi mea mālama ola.
3. Hoʻohana ʻia ka hopena waha ʻo Lactulose e mālama ai i ka paʻa paʻa. Hoʻohana ʻia ia e mālama i kahi pilikia o ka lolo i kapa ʻia ʻo portal-systemic encephalopathy. ʻO kēia pilikia kahi pilikia o ka maʻi ake nui.

He aha ka lactulose?

ʻO ka hopena haʻi waha ʻo Lactulose kahi lāʻau lapaʻau i loaʻa e like me nā lāʻau lapaʻau inoa ʻO Enulose a me Generlac. Loaʻa iā ia ma ke ʻano he lāʻau laulaha. ʻOi aku ke kumu kūʻai o nā lāʻau lapaʻau Generic. I kekahi mau hihia, ʻaʻole i loaʻa lākou i kēlā me kēia ikaika a ʻano paha e like me nā mana inoa inoa inoa.

Hele mai ʻo Lactulose ma ke ʻano he hopena ʻoi. Hāʻawi wale ʻia kēia palapala he enema e kahi mea mālama ola.

No ke aha e hoʻohana ʻia ai

Hoʻohana ʻia ka hopena waha ʻo Lactulose e mālama ai i ka paʻa paʻa. Hoʻohana ʻia ia e mālama i kahi pilikia o ka lolo i kapa ʻia ʻo portal-systemic encephalopathy. ʻO kēia pilikia kahi pilikia o ka maʻi ake nui.

Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau ma ke ʻano he mahele o ka hoʻohuihui hoʻohui. ʻO kēia ke pono paha ʻoe e lawe me nā lāʻau ʻē aʻe.

Pehea e hana ai

Pili ʻo Lactulose i kahi papa lāʻau i kapa ʻia he laxatives. ʻO kahi papa o nā lāʻau lapaʻau kahi hui o nā lāʻau i hana i kahi ala like. Hoʻohana pinepine ʻia kēia mau lāʻau e mālama i nā ʻano like.

ʻO ka Lactulose kahi kō kōka synthetic (hana ʻia e ke kanaka). Haki ia i loko o kou ʻōpū nui a laila huki i ka wai i loko o ka ʻōpū. Palupalu kēia i kāu pahu, kahi e kōkua ai i ka maʻalahi i ka paʻa paʻa.

Hoʻohana ʻia ʻo Lactulose e mālama i nā kiʻekiʻe o ka amonia i loko o ke koko ma muli o ka maʻi ate. Hiki i nā pae amonia kiʻekiʻe ke alakaʻi i ka encephalopathy portal-ʻōnaehana. Hana kēia lāʻau i ke kiʻi ʻana i ka amonia mai kou koko i kāu ʻōpū nui. Lawe kāu ʻōpū nui i ka amonia ma loko o kāu pahu.

Nā hopena ʻaoʻao Lactulose

ʻAʻole hoʻonā ka wai lactulose waha i ka hiamoe. Eia nō naʻe, kumu ia i nā hopena ʻē aʻe.

Nā hopena ʻaoʻao hou aʻe

ʻO nā hopena ʻē aʻe o ka lactulose e hiki ke hoʻopili ʻia:

• hoʻolewa
• ʻenekini
• nausea
• cramp ma nā wahi āpau o ke kino

Inā akahai kēia mau hopena, hele paha lākou i loko o kekahi mau lā a i ʻole ʻelua mau pule. Inā ʻoi aku ke koʻikoʻi a i ʻole hele aku, e kamaʻilio me kāu kauka a kauka paha.

Nā hopena hopena koʻikoʻi

Kāhea koke i kāu kauka inā loaʻa nā hopena koʻikoʻi. Kāhea iā 911 inā manaʻo kou mau hōʻailona i ka hoʻoweliweli ola a i ʻole inā manaʻo ʻoe e loaʻa ana kahi pilikia olakino. Hiki i nā hopena ʻē aʻe a me kā lākou mau hōʻailona ke hoʻohui i kēia:

• Mākī nui loa. Hiki i kēia ke kumu i ka make wai (nā pae wai haʻahaʻa loa i kou kino).
• Hoʻopilikia i ka ʻōpū a i ʻole ʻeha
• ʻO ka luaʻi

Hoʻolaha: ʻO kā mākou pahuhopu ka hāʻawi ʻana iā ʻoe i ka ʻike pili loa a me ka ʻike o kēia wā. Eia nō naʻe, no ka mea ʻokoʻa ka hopena o nā lāʻau i kēlā me kēia kanaka, ʻaʻole hiki iā mākou ke hōʻoia i ka pili ʻana o kēia ʻike i nā hopena ʻē aʻe āpau. ʻAʻole pani kēia ʻike i ka ʻōlelo aʻo kino. Kūkākūkā mau i nā hopena ʻē aʻe me kahi mea mālama ola i ʻike i kāu mōʻaukala olakino.

Hiki i ka lactulose ke launa pū me nā lāʻau ʻē aʻe

Hiki i ka lactulose oral solution ke hui pū me nā lāʻau ʻē aʻe, nā wikamina, a me nā mea kanu āu e lawe nei. ʻO kahi pilina ke hoʻololi kahi mea i ke ala o ka lāʻau. Hiki ke hōʻeha a pale paha i ka lāʻau mai ka hana maikaʻi.

I mea e hōʻalo ai i ka launa ʻana, pono i kāu kauka e mālama pono i kāu mau lāʻau āpau. E ʻike pono i kāu kauka e pili ana i nā lāʻau āpau, nā wikamina, a me nā mea kanu āu e lawe nei. E ʻike ai pehea e launa ai kēia lāʻau me kekahi mea ʻē aʻe āu e lawe nei, e kamaʻilio me kāu kauka a kauka paha.

ʻO nā laʻana o nā lāʻau i hiki ke hana i nā pilina me ka lactulose i helu ʻia ma lalo.

ʻO nā lāʻau ʻaʻole pono ʻoe e hoʻohana me ka lactulose

Mai lawe i kēia mau lāʻau me ka lactulose. Eia kekahi laʻana o kēia mau lāʻau:

• Nā Antacids: ʻAʻole pono ʻoe e lawe i nā antacids me ka lactulose. Hiki i nā Antacids ke pale aku i ka lactulose mai ka hana maikaʻi ʻana.

Nā launa pū e hiki ai ke hōʻemi i kāu mau lāʻau

Ke hoʻohana ʻia me ka lactulose, hiki i kēia mau lāʻau ke hoʻoliʻiliʻi i ka lactulose. ʻO ke kumu ʻaʻole ia e holo pono e mālama i kou ʻano. Eia kekahi laʻana o kēia mau lāʻau:

• Nā Antibiotics e like me neomycin: Hoʻopau paha kēia mau lāʻau i ka haki ʻana o ka lactulose i loko o kou ʻōpū nui. E nānā pono kāu kauka iā ʻoe inā ʻoe e lawe lactulose me kahi antibiotic.

Hoʻolaha: ʻO kā mākou pahuhopu ka hāʻawi ʻana iā ʻoe i ka ʻike pili loa a me ka ʻike o kēia wā. Eia nō naʻe, no ka mea ʻokoʻa ka launa ʻana o nā lāʻau i kēlā me kēia kanaka, ʻaʻole hiki iā mākou ke hōʻoia i ka pili o kēia ʻike i nā launa kūpono āpau. ʻAʻole pani kēia ʻike i ka ʻōlelo aʻo kino. E kamaʻilio mau me kāu mea mālama ola e pili ana i nā launa kūpono me nā lāʻau lapaʻau āpau, nā wikamina, nā mea kanu a me nā mea hoʻopihapiha, a me nā lāʻau i kūʻai mua ʻole ʻia e lawe nei.

Pehea e lawe ai i ka lactulose

ʻO kēia ʻike mahele no ka lactulose oral solution. ʻAʻole hiki ke hoʻokomo ʻia nā dosages a me nā ʻano lāʻau āpau ma aneʻi. ʻO kāu mea hana, lāʻau lāʻau, a me ka manawa hea ʻoe e lawe ai i ka lāʻau e hilinaʻi ʻia:

• kou mau makahiki
• ke ʻano e mālama ʻia ana
• pehea ke koʻikoʻi o kou ʻano
• nā kūlana olakino ʻē aʻe āu
• pehea ʻoe e hana ai i ka mahele lāʻau mua

Nā ʻano a me nā ikaika

Brand: Generlac

• Palapala: hopena waha
• Nā ikaika: 10 Bi / 15 mL

Generic: Lactulose

• Palapala: hopena waha
• Nā ikaika: 10 Bi / 15 mL

Brand: Enulose

• Palapala: hopena waha
• Nā ikaika: 10 Bi / 15 mL

Nā hana no ka paʻa paʻa

Nā mea hana makua (nā makahiki 18 a ʻoi paha)

• Nā mea maʻamau: 1-2 punetēpu (a i ʻole 15-30 mL) hoʻokahi i kēlā me kēia lā.
• Nā kiʻekiʻena palena nui: 4 punetēpu (60 mL) i kēlā me kēia lā.

Nā ana keiki (mau makahiki 0-17 makahiki)

ʻAʻole i hoʻokūpaʻa ʻia ka palekana a me ka maikaʻi o kēia lāʻau i nā keiki ma mua o 18 mau makahiki no ka mālama ʻana i ka paʻa paʻa.

Nā hana no ka portal-ʻōnaehana encephalopathy (maʻi ate)

Nā mea hana makua (nā makahiki 18 a ʻoi paha)

• Nā mea maʻamau: 2-3 punetēpu (aiʻole 30-45 ML) ʻekolu a ʻehā mau manawa i kēlā me kēia lā.
• Hoʻololi hana Hiki i kāu kauka ke hoʻoponopono i kāu mea hana i kēlā me kēia lā a i kēlā me kēia lā a hiki i ka wā e hiki ai iā ʻoe ke hana i ʻelua a ʻekolu paha mau noho palupalu i kēlā me kēia lā.

Nā ana keiki (mau makahiki 0-17 makahiki)

• Ke hoʻomaka nei i nā hana: 2.5-10 mL i lawe ʻia e ka waha i kēlā me kēia lā i ʻekolu a ʻehā mau mahele i hoʻokaʻawale ʻia.
• Hoʻonui ʻia ka hana no nā keiki nui a me nā ʻōpio: Hiki paha i ke kauka o kāu keiki ke hoʻonui i nā kaha o kāu keiki i 40-90 ML i kēlā me kēia lā i lawe ʻia i ʻekolu a i ʻole ʻehā mau mahele i hoʻokaʻawale ʻia.

Nā ʻōlelo aʻoaʻo a ka hana

Inā kumu ka maʻi o kāu keiki i ka maʻi diarrhea, pono i kā lākou kauka e hōʻemi koke i kā lākou lāʻau. Inā hoʻomau ka diarrhea, e hoʻokau paha kā lākou kauka iā lākou i ka lawe ʻana i kēia lāʻau.

Hoʻolaha: ʻO kā mākou pahuhopu ka hāʻawi ʻana iā ʻoe i ka ʻike pili loa a me ka ʻike o kēia wā. Eia nō naʻe, no ka mea ʻokoʻa ka hopena o nā lāʻau i kēlā me kēia kanaka, ʻaʻole hiki iā mākou ke hōʻoia i kēia papa inoa e pili ana i nā lāʻau kūpono āpau. ʻAʻole pani kēia ʻike i ka ʻōlelo aʻo kino. E kamaʻilio mau me kāu kauka a kauka paha e pili ana i nā dosages kūpono iā ʻoe.

Lawe e like me ke kuhikuhi

Hoʻohana ʻia ʻo Lactulose no ka mālama wā pōkole o ka paʻa paʻa. Hoʻohana ʻia ia no ka mālama wā pōkole a lōʻihi paha o ka encephalopathy portal-systemic. Hele mai ia me nā pilikia koʻikoʻi inā ʻaʻole ʻoe e lawe e like me ke kauoha.

Inā kū ʻoe i ka lawe ʻana i ka lāʻau i kēia manawa a mai lawe iki paha:

• No ka paʻa paʻa: ʻAʻole hoʻomaikaʻi a kūpikipiki paha kāu kōpipipiki.
• No ka encephalopathy portal-systemic:Hiki ke hoʻonui i nā pae amonia i kou koko i nā pae weliweli. Hiki iā ʻoe ke hele i kahi koma.

Inā ʻoe e nalo i nā lāʻau a mai lawe ʻole i ka lāʻau i ka papa kuhikuhi. ʻAʻole holo pono paha kāu lāʻau a oki paha i ka hana holoʻokoʻa. No ka hana maikaʻi ʻana o kēia lāʻau, pono i loko o kou kino i kekahi nui i nā manawa āpau.

Inā lawe nui ʻoe: Hiki iā ʻoe ke loaʻa nā pae weliweli o ka lāʻau i kou kino. Hiki i nā ʻōuli o ka overdose o kēia lāʻau ke komo pū:

• ʻōpū nui loa
• ikaika ka ʻōpū o ka ʻōpū

Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau, e kāhea i kāu kauka a i ʻole e ʻimi i ke alakaʻi mai ka ʻAmelika Hui Pū ʻIa Poison Control ma 800-222-1222 a i ʻole ma o kā lākou mea pono pūnaewele. Akā inā koʻikoʻi kāu mau ʻōuli, e kāhea iā 911 a i ʻole e hele koke i kahi lumi pilikia kokoke.

He aha e hana ai inā e ʻike ʻoe i kahi mahele lāʻau: E lawe i kāu lāʻau i ka wā e hoʻomanaʻo ai ʻoe. Inā ʻoe e hoʻomanaʻo he mau hola wale nō ma mua o kāu kau palena papala aʻe, e lawe i hoʻokahi wale nō lāʻau. Mai hoʻāʻo e hopu i ka lawe ʻana i ʻelua kaha i ka manawa hoʻokahi. Hiki i kēia ke hopena i nā hopena ʻino weliweli.

Pehea e haʻi ai inā e holo nei ka lāʻau:

• No ka paʻa paʻa: Pono ʻoe e hoʻomaka e loaʻa i nā ʻōpū maʻamau. Lawe paha iā 24-48 mau hola no ka hana o kēia lāʻau.
• No ka encephalopathy portal-ʻōnaehana: ʻElua a ʻekolu paha mau noho palupalu kāu i kēlā me kēia lā. Lawe ʻia nā pae amonia kiʻekiʻe e ka hopena mai kou kino ma o kāu pahu. Hoʻomaka paha kēia lāʻau e hana ma loko o 24 mau hola, akā i kekahi manawa ʻaʻole ia e hoʻomaka i ka hana no 48 mau hola a ʻoi.

Lactulose kāki

Nā manaʻo nui no ka lawe ʻana i kēia lāʻau

E hoʻomanaʻo i kēia mau noʻonoʻo inā kuhikuhi kāu kauka i ka hopena lactulose waha no ʻoe.

Generala

• Hiki iā ʻoe ke lawe i kēia lāʻau me ka ʻai ʻole.
• E lawe i kēia lāʻau i ka manawa i manaʻo ʻia e kāu kauka.

Waihona

• E mālama lactulose i loko o ka pahu hau a i ka mahana wela o ka lumi. E mālama ma waena o 36 ° F a me 86 ° F (2 ° C a me 30 ° C).
• Mai hoʻopili i kēia lāʻau.

Hoʻopiha hou

Hoʻopiha hou kahi kuhikuhi no kēia lāʻau. ʻAʻole pono ʻoe i kahi palapala hou no kēia lāʻau e hoʻopiha hou.E kākau kāu kauka i ka helu o nā hoʻopihapiha i ʻae ʻia ma kāu kauka.

Huakaʻi

Ke hele pū me kāu lāʻau:

• Lawe mau i kāu lāʻau. Ke lele nei, mai hoʻokomo i loko o kahi ʻeke i hōʻoia. E mālama iā ia i loko o kāu ʻeke lawe.
• Mai hopohopo e pili ana i nā mīkini X-ray kahua mokulele. ʻAʻole hiki iā lākou ke hōʻeha i kāu lāʻau.
• Pono paha ʻoe e hōʻike i nā limahana mokulele i ka lepika lāʻau lapaʻau no kāu lāʻau. Lawe mau i ka ipu palapala inoa i kuhikuhi ʻia me ʻoe.
• Mai hoʻokomo i kēia lāʻau i loko o ka pahu lima o kāu kaʻa a waiho paha i loko o ke kaʻa. E hōʻalo pono i ka hana ʻana i kēia ke wela a anuanu loa ke aniau.

Hoʻoponopono ponoʻī

Inā pono, hiki iā ʻoe ke kāwili i ka lactulose me kahi wai huaʻai liʻiliʻi, wai, a waiū paha. Inu koke ka hui ʻana. Mai mālama ia no ka mea ma hope.

Nānā lapaʻau

Hiki i kāu kauka ke hana i nā hoʻokolohua koko e nānā i kāu mau electrolyte pae i kāu mālama ʻana me kēia lāʻau. Hiki paha i kāu kauka ke hana i kēia inā lawe ʻoe i kēia lāʻau ma mua o 6 mau mahina. Hiki i kēia nānā ʻana ke kōkua i ka hōʻoia ʻana i kāu mau pae i waena o ka pae i manaʻo ʻia e kāu kauka ʻoi aku ka maikaʻi no ʻoe, me ka makaʻu haʻahaʻa o nā hopena ʻaoʻao.

ʻInikua

Nui nā ʻoihana ʻinikua e koi i kahi ʻae mua no kēia lāʻau. ʻO kēia ka mea e pono ai i kāu kauka e ʻae mai kāu ʻoihana ʻinikua ma mua o ka uku ʻana o kāu ʻoihana ʻinikua no ka ʻōlelo kauoha.

Aia kekahi mau koho ʻē aʻe?

Loaʻa nā lāʻau ʻē aʻe e mālama i kou ʻano. Kūpono paha kekahi iā ʻoe ma mua o nā poʻe ʻē aʻe. E kamaʻilio me kāu kauka e pili ana i nā koho lāʻau ʻē aʻe e pono iā ʻoe.

Nā ʻōlelo aʻoaʻo koʻikoʻi

• Ka ʻōlelo aʻo pākī: Hiki i kēia lāʻau ke kumu i ka maʻi diarrhea a alakaʻi i ka make ʻole loa. Kāhea koke i kāu kauka inā loaʻa ʻoe i ka maʻi nui loa i ka lawe ʻana i kēia lāʻau.
• ʻO ka ʻōlelo aʻo Galactose a me ka lactose: Loaʻa kēia lāʻau i nā galactose a me nā lactose (nā hua waiū). E nīnau i kāu kauka inā palekana kēia lāʻau no ʻoe inā ʻaʻole ʻoe e hoʻomanawanui i ka lactose, e ʻai i ka papaʻai galactose haʻahaʻa, a i ʻole loaʻa ka maʻi diabetes.

Nā ʻōlelo aʻoaʻo Lactulose

Hele mai ka hopena haʻi waha ʻo Lactulose me nā ʻōlelo aʻoaʻo.

ʻLelo aʻoaʻo ʻaʻai

Hiki i ka lactulose ke hana i kahi hopena maʻi kūpilikiʻi. Hiki i nā ʻōuli ke hoʻohui pū:

• pilikia hanu
• pehu o kou puʻu a me kou alelo

Inā loaʻa ʻoe i kahi hopena maʻi ʻaʻa, e kāhea koke aku i kāu kauka a i ʻole kikowaena kikowaena lāʻau ʻona kūloko. Inā koʻikoʻi kāu mau ʻōuli, e kāhea iā 911 a i ʻole e hele i kahi lumi pilikia kokoke loa.

Mai lawe hou i kēia lāʻau inā loaʻa iā ʻoe kahi hopena maʻi iā ia. Lawe hou ia he mea make (kumu make).

Nā ʻōlelo aʻoaʻo no ka poʻe me kekahi ʻano olakino

No ka poʻe me nā pilikia me ka digesting galactose: Loaʻa i kēia lāʻau i ka galactose (kō waiū). E nīnau i kāu kauka inā palekana kēia lāʻau iā ʻoe.

No ka poʻe me ka maʻi diabetes: Hiki i kēia lāʻau ke hoʻonui i kou mau kō kō. E nīnau i kāu kauka inā palekana kēia lāʻau iā ʻoe.

Nā ʻōlelo aʻoaʻo no nā hui ʻē aʻe

No nā wahine hāpai: ʻO ka Lactulose kahi mahele B hāpai lāʻau. ʻO ia ke ʻano o nā mea ʻelua:

• ʻAʻole hōʻike ʻia ka noiʻi ʻana i nā holoholona i ka hopena o ka fetus ke lawe ka makuahine i ka lāʻau.
• ʻAʻole lawa nā noiʻi i hana ʻia i loko o nā kānaka e hōʻike ai inā kū ka lāʻau i ka fetus.

E kamaʻilio me kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. ʻAʻole wānana pinepine nā noiʻi holoholona i ke ala e pane ai nā kānaka. No laila, pono e hoʻohana ʻia kēia lāʻau i ka hāpai keiki inā maopopo pono. Kāhea koke i kāu kauka inā hāpai ʻoe i ka lawe ʻana i kēia lāʻau.

No nā wahine e hānai ana i nā waiū: Hiki paha i ka Lactulose ke hele i loko o ka waiū o ka waiū a hana i nā hopena i loko o kahi keiki i hānai ʻia. E kamaʻilio me kāu kauka e pili ana i ka hānai ʻana i kāu keiki. Pono paha ʻoe e hoʻoholo inā e hoʻōki i ka hānai ʻana a i ʻole hoʻōki ʻana i ka lawe ʻana i kēia lāʻau.

No nā keiki: ʻAʻole i hoʻokūpaʻa ʻia ka palekana a me ka maikaʻi o kēia lāʻau no ka mālama ʻana i ka paʻa paʻa i nā keiki ma mua o 18 mau makahiki.

Inā lawe kāu keiki i kēia lāʻau no nā pilikia mai ka maʻi akepaʻa, e nānā pono kā lākou kauka iā lākou i ka wā e hoʻomaʻamaʻa ai e loaʻa iā lākou ma kahi o ʻelua a ʻekolu paha mau noho palupalu i kēlā me kēia lā. ʻO kēia no ka lawe ʻia ʻana o ka amonia mai ke kino o kāu keiki ma o kā lākou pahu. E nānā pū ke kauka o kāu keiki no nā hopena ʻē aʻe, e like me ka diarrhea.

Hoʻolaha: Ua hana ʻo Healthline i nā hana āpau e hōʻoia i ka pololei o ka ʻike āpau, ka hoʻopihapiha ʻana, a me kēia manawa. Eia nō naʻe, ʻaʻole pono e hoʻohana i kēia ʻatikala i pani no ka ʻike a me ka mākaukau o kahi loea mālama ola laikini. E nīnau mau ʻoe i kāu kauka a i ʻole ʻoihana olakino ʻē aʻe ma mua o ka lawe ʻana i nā lāʻau. Hiki ke loli i ka ʻike o ka lāʻau i loko a ʻaʻole i manaʻo ʻia e uhi i nā hoʻohana a pau, nā kuhikuhi, ka mālama ʻana, nā ʻōlelo aʻoaʻo, nā launa lāʻau, nā hopena maʻi ʻaʻai, a me nā hopena maikaʻi ʻole. ʻO ka loaʻa ʻole o nā ʻōlelo aʻoaʻo a i ʻole nā ​​ʻike ʻē aʻe no kahi lāʻau i hāʻawi ʻia ʻaʻole ia e hōʻike i ka palekana o ka lāʻau a lāʻau paha i kūpono no nā mea maʻi āpau a i ʻole nā ​​hoʻohana kikoʻī āpau.