He aha ke kumu o kuʻu huehue a me kuʻu, Pūhū Pūhā?
Anter
- Nā kūlana e kumu ai ka hū a me ka ʻāʻī, me nā kiʻi
- ʻĀʻī Strep
- Maʻi ʻelima
- Ka maʻi o ka lima, ka wāwae, a me ka waha
- ʻLeskela
- ulaula wela
- ʻO ka maʻi makua Ke hoʻomaka nei
- Virus Nile Komohana
- ʻO ka maʻi hanu koʻikoʻi koʻikoʻi (SARS)
- Polio
- Anaphylaxis
- Mononucleosis maʻi maʻi
- He aha ke kumu o ka hū a me ka ʻeha, ʻōkā o ka puʻu?
- Maʻi ʻelima
- Mononucleosis
- Strep puʻu a me ka ʻulaʻula
- Ka maʻi o ka lima, ka wāwae, a me ka waha
- ʻLeskela
- ʻO ka maʻi makua Ke hoʻomaka nei
- Maʻi maʻi virus West Nile
- SARS
- Polio
- I ka manawa hea e ʻimi ai i ke kōkua lapaʻau
- Pehea e mālama ai i kahi ʻūlū a ʻeha, ʻōhū hoʻi?
- Mālama home
- Pehea e hiki ai iaʻu ke pale aku i ka hū a me ka ʻāʻī ʻeha?
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.
Ua ʻeha ka ʻāʻī a me ka nānā ākea
Kū kekahi ʻeha ʻeha i ka wā e wela ai a hoʻonāukiuki paha kāu pharynx, a puʻu paha.
ʻO kahi wīwī kahi hoʻololi i ke ʻano a i ʻole ke kala o kou ʻili. Hiki i ka rashes ke ʻalalā a hoʻāla ʻia, a hiki i ka ʻili ke palapū, ke nānā a wali, a ʻeha paha. Hiki i ke ʻano o ka ʻōlapa ke hōʻike i nā kumu kūpono.
Nā kūlana e kumu ai ka hū a me ka ʻāʻī, me nā kiʻi
ʻO Rash a me ka ʻāʻī mau nā ʻōuli maʻamau o nā maʻi a me nā ʻano ʻē aʻe. Eia 11 kumu hiki.
ʻNinglelo Aʻo: Nā kiʻi kiʻi kiʻi i mua.
ʻĀʻī Strep
- Hoʻokumu ʻia kēia maʻi bacteria e ka hui A Streptococcus bacteria.
- Hoʻouna ʻia ia ma o ka hoʻopili ʻana me nā droplets i hohola ʻia e ka ʻūhū ʻana a me ka mimiki ʻana o ka poʻe maʻi.
- ʻO ke kuni, ʻeha, ʻāʻī puʻupuʻu me nā pā keʻokeʻo, ʻeha me ka ale ʻana, ʻeha ke poʻo, ʻalalā, nalowale o ka makemake, a pehu nā lymph node i ka ʻāʻī nā hōʻailona kūpono.
Maʻi ʻelima
- ʻEha poʻo, māluhiluhi, haʻahaʻa fiva, ʻeha puʻu, ihu runny, diarrhea, a me ka nausea
- ʻOi aku paha nā keiki ma mua o ka ʻike ʻana o nā mākua i ka hū
- Poepoe, ʻulaʻula ʻulaʻula ma nā papalina
- ʻO ka lash-patterned rash ma nā lima, nā wāwae, a me ke kino o luna e ʻike hou ʻia ma hope o ka ʻauʻau wela a ʻauʻau paha
Ka maʻi o ka lima, ka wāwae, a me ka waha
- Hoʻololi pinepine i nā keiki ma lalo o 5 mau makahiki
- Pā ʻeha, ʻulaʻula i ka waha a ma ke alelo a me ka gums
- Pālahalaha a hāpai ʻia paha i nā kiko ʻula i waiho ʻia ma nā poho o ka lima a me nā kapuwaʻi o nā wāwae
- Hiki ke ʻike ʻia nā kiko ma nā ʻūlū a i ʻole genital area
ʻLeskela
- ʻO nā ʻōuli e like me ke kuni, ʻeha ka ʻāʻī, ʻulaʻula, maka maka wai, lilo o ka makemake ʻole, uā, a me ka ihu ihu
- Hoʻolahalaha ka ʻulaʻula mai ke alo i lalo i ke kino ʻekolu a ʻelima mau lā ma hope o ka ʻike mua ʻia ʻana o nā ʻōuli
- ʻIke ʻia nā kiko ʻulaʻula liʻiliʻi me nā kikowaena keʻokeʻo uliuli i loko o ka waha
ulaula wela
- Hana ʻia i ka manawa like a ma hope paha o kahi maʻi o ka ʻāʻī strep
- ʻEleʻele ʻulaʻula i ke kino holoʻokoʻa (akā ʻaʻole ka lima a me ka wāwae)
- Hana ʻia ʻo Rash i nā puʻupuʻu liʻiliʻi e hoʻohālike iā ia e like me ka "ʻāpana one"
- Alelo ʻulaʻula ʻulaʻula
ʻO ka maʻi makua Ke hoʻomaka nei
- ʻO ka maʻi o ka mākua-onset kahi maʻi maʻi laha nui loa ia e hoʻoulu pinepine ai i ke kuni, ka luhi, ka pehu, a me ka pehu ʻana i nā hono, nā aʻa, nā meaola, a me nā pūnana lymph.
- Hoʻohālikelike ʻia e nā ʻāpana o ka lapalapa a me ke kala.
- Hoʻopili nā ʻōuli i kēlā me kēia lā, i nā fiva kiʻekiʻe hou a me nā ʻeha o ke kino.
- Hiki i kahi ʻulaʻula o ka ʻulaʻula ke hele pū me nā fiva.
- ʻO ka maʻi o ka mākua mau ke kumu o ka pehu ami a me ka ʻeha pū.
- ʻO nā ʻōuli ʻē aʻe e laʻa me nā wahi lymph pehu, ʻeha o ka ʻōpū, ʻehaʻeha, ʻeha e pili ana i ka hanu hohonu, a me ka pohō kaumaha ʻole.
Virus Nile Komohana
- Lawe ʻia kēia virus ma o nā nahu o nā mosquitos i loaʻa i ka maʻi.
- Hoʻopili ka maʻi maʻi i kahi ākea o nā ʻōuli mai ka maʻi akahai, flu-like i ka meningitis a me ka encephalitis.
- Fever, headache, aches of body, pain back, nausea, vomiting, loss of makemake, sore sore, swollen lymph nodes, and ruash on the back, umauma a me nā lima kekahi mau hōʻailona hiki.
- ʻO nā ʻōuli koʻikoʻi e pili ana i ka huikau, ka helu, ka lōlō, ka ʻeha nui, nā haʻalulu, a me nā pilikia me ke kaulike.
ʻO ka maʻi hanu koʻikoʻi koʻikoʻi (SARS)
- He ʻano koʻikoʻi kēia o ka maʻi pneumonia viral i hoʻokumu ʻia e ka coronavirus SARS.
- Hoʻouna ʻia ia mai kēlā me kēia kanaka ma o ka hanu ʻana i nā kulu wai mai ka puʻu a me ka ʻū ʻana o kahi kanaka maʻi.
- ʻAʻole hōʻike ʻia nā hihia hou o ka SARS mai ka 2004.
- ʻO nā ʻōuli maʻamau e laʻa me ke kuni, ka haʻalulu, ka ʻeha o ke kino, ka ʻeha poʻo, ka hikohukū, ka pōkole o ka hanu, ka ʻeha o ka umauma, ka palahī, ka ʻāʻī ʻeha, a me ka ihu ihu.
Polio
- ʻO Polio kahi maʻi maʻi lele loa i hoʻokumu ʻia e kahi maʻi e hōʻeha i ka ʻōnaehana nīnūnē, a i nā manawa kakaikahi, hiki i ka paralysis.
- Mahalo i ka mea i hana ʻia o ka lāʻau lapaʻau polio a me ka hoʻolālā hoʻopau honua polio, ka ʻAmelika, ʻEulopa, ka Pākīpika Komohana, a me ka Hikina Hema ʻo Asia me ka ʻole o ka polio.
- ʻO nā hōʻailona a me nā ʻōuli o ka polio nonparalytic me ke kuni, ka ʻāʻī, ke poʻo, ka luaʻi, ka luhi, a me ka meningitis.
- ʻO nā hōʻailona a me nā ʻōuli o ka polio paralytic e pili ana i ka lilo o reflexes, spasms koʻikoʻi a me ka ʻeha o ka ʻeha, nā lālā leʻa a palupalu, ka pākī hikiwawe, a me nā lālā hemahema.
Anaphylaxis
Manaʻo ʻia kēia ʻano he pilikia kino. Koi ʻia paha ka mālama nui.
- He hopena hoʻoweliweli kēia i ka hōʻike ʻana i ka alergen.
- Kū koke ka hopena o nā ʻōuli ma hope o ke kū ʻana i kahi alena.
- Hoʻopili kēia i nā hives ākea, ka huehue, ka pehu ʻana, ke koko haʻahaʻa, ka hanu paʻakikī, nāwaliwali, ka wikiwiki o ka puʻuwai.
- ʻO kausea, ka luaʻi, ka maʻi pākī, ʻeha o ka ʻōpū nā hōʻailona hou aʻe.
Mononucleosis maʻi maʻi
- Hoʻokumu pinepine ʻia ka maʻi maʻi mononucleosis e ka maʻi Epstein-Barr (EBV)
- Kū nui ia i nā haumāna o ke kula kiʻekiʻe a me ke kula nui
- ʻO nā ʻōuli e like me ke kuni, ka pehu o ka lymph glands, ka ʻeha o ka ʻāʻī, ka ʻeha o ke poʻo, ka luhi, ka hou o ka pō, a me nā ʻeha o ke kino.
- E mau paha nā hōʻailona ma kahi o 2 mau mahina
He aha ke kumu o ka hū a me ka ʻeha, ʻōkā o ka puʻu?
Hiki ke hōʻeha a ʻeha ka ʻāʻī ke lilo i mau pane hoʻāla. Hoʻokuʻu kou kino i nā kemika i kapa ʻia histamines ke hōʻike ʻia ʻoe i kahi alena. ʻOiai he kumu hoʻomalu kēia, hiki i nā histamines ke hana i ka ʻili a me ka ʻāʻī oʻā.
I kekahi manawa, kahi ʻūlū a pehu hoʻi me ka paʻakikī hanu ʻana e hōʻike paha i kahi hopena hoʻoweliweli i kapa ʻia he anaphylaxis. ʻO ka Anaphylaxis ka hopena o ka hōʻike ʻana i kekahi mea i ʻike ʻia e hana ai i nā hopena maʻi ʻaihue, e like me ka ʻūlū pi a i ʻole kekahi mau meaʻai.
Inā manaʻo ʻoe iā ʻoe a i ʻole kekahi a puni ʻoe e ʻike nei i ka anaphylaxis, e kāhea koke iā 911.
Hiki i nā maʻi maʻi a me nā maʻi koʻohune ke kumu i ka ʻūpē a me ka ʻāʻī ʻāʻī. Hiki i kēia ke hoʻopili i kēia mau mea:
Maʻi ʻelima
ʻO ka maʻi ʻelima kahi maʻi viral i hoʻopilikia pinepine ʻia i nā keiki ma waena o nā makahiki he 5 a 15. Hiki paha i kahi ʻāʻīʻeha ke kū i ka wā mua o ka maʻi a me ka holomua i kahi helehelena ma ka maka. A laila pālahalaha aku ia i nā ʻāpana ʻē aʻe o ke kino, e like me ka umauma, kua, lima, a me ka puʻupuʻu.
E ulu aʻe paha kahi ʻōpala i nā keiki ma mua o 10 mau makahiki.
Ma waho aʻe o kahi ʻūlū a ʻeha ka ʻāʻī, hiki i ka maʻi ʻelima ke hana i nā hōʻailona anuanu e like me ka ihu a me ka ihu ihu. Loaʻa i kekahi mau keiki i kahi fiva haʻahaʻa a hoʻopiʻi i ka ʻeha poʻo.
Ola ka hapa nui o nā keiki. ʻAʻohe lāʻau lapaʻau no ka maʻi ʻelima, akā ʻo ka hoʻomaʻemaʻe maikaʻi e like me ka holoi lima mau ʻana e kōkua i ka hōʻoki ʻana i ka maʻi.
Mononucleosis
Kāhea ʻia ʻo "maʻi honi," ʻo kēia maʻi viral ke kumu o ke kuni, ʻeha ka ʻāʻī, ʻūhū, a me nā lymph node pehu. ʻO Mononucleosis, a i ʻole mono, he maʻi lele lele ia mai kekahi kanaka a i kekahi kanaka ma o ka launa ʻana me ka lawā a me ka mucus. Hiki iā ʻoe ke lilo i maʻi ma hope o ka honi ʻana i kekahi me ka maʻi, a i ʻole kaʻana like ʻana i nā mea ʻai a me nā aniani inu me kahi mea maʻi.
Hoʻokumu pinepine nā ʻōuli i ʻehā a ʻeono pule ma hope o ka hōʻike ʻana i ka maʻi. Hiki ke mālama ʻia ka Mono ma ka home me ka maha o ka hoʻomaha a me ka lāʻau ʻeha e mālama ai i ka fiva, kahi ʻāʻī ʻeha, a me nā ʻeha poʻo.
Eia nō naʻe, hiki i kahi ʻāhā naha ke kūpikipiki loa i ka mono, e like me ka jaundice. E ʻike koke i ke kauka inā ʻike ʻoe i ka ʻeha nui, ʻehaʻeha ma ka ʻaoʻao luna o kou ʻōpū, a i ʻole nānā i kou ʻili a i ʻole nā maka e ʻā melemele.
Strep puʻu a me ka ʻulaʻula
Hoʻokumu ʻia ka puʻu ʻo Strep e ka hui A ʻO Streptococcus koʻohune. Hoʻomaka ke ʻano me ka ʻāʻī ʻeha. ʻO nā ʻōuli ʻē aʻe o ka ʻālina strep pū me:
- ʻāpana keʻokeʻo i ka ʻāʻī
- ʻōpū pehu
- fiva
- i hoʻonui ʻia nā tonsil
- paʻakikī i ka ale ʻana
Loaʻa paha i kekahi poʻe ka ʻeha o ka ʻōpū, ka maʻi poʻo, a me ke kuni.
Hiki i kāu kauka ke hōʻoia i ka ʻālina strep ma hope o ka hoʻāʻo ʻana o ka strep wikiwiki a i ʻole ka moʻomeheu puʻu. Hoʻopili ka hana i kahi papa o nā antibiotic.
Inā loaʻa iā ʻoe ka ʻāʻī strep, makaʻu ʻoe no ka hoʻomohala ʻana i ka fiva ʻulaʻula, ma muli o kahi toxin bacteria. ʻO kahi hōʻailona o ke kuni ʻulaʻula kahi wīwī ʻulaʻula mālamalama ma luna o kou kino, kahi e like me ka pepa one a ʻili paha.
ʻO kekahi poʻe i loaʻa i ke kuni ʻulaʻula kekahi me kahi alelo strawberry, a he ʻulaʻula a hāwele hoʻi.
E ʻimi i ka lāʻau inā manaʻo ʻoe he kuni ʻulaʻula. Inā haʻalele ʻole ʻia, hiki i nā koʻohune ke hoʻolaha aku i nā ʻāpana ʻē aʻe o ke kino e like me nā puʻupaʻa, ke koko, a me nā akemāmā. ʻO ke kuni Rheumatic kahi pilikia o ka fiva ʻulaʻula a hiki ke hoʻopili i kou puʻuwai, nā hono, a me nā ʻōnaehana.
E kauoha aku kāu kauka i nā lāʻau antibiotic e mālama i ke kuni ʻulaʻula.
Ka maʻi o ka lima, ka wāwae, a me ka waha
ʻO ka maʻi lima, ka wāwae, a me ka waha he maʻi lele loa ia e coxsackievirus. Hoʻolahalaha ʻia ia e ka launa pū ʻana me nā papa i hoʻohaumia ʻia e nā feces a i ʻole ma o ka pili ʻana i ka lawā, nā huna hanu, a i ʻole ka noho o ke kanaka i loaʻa i ka maʻi o ka lima, ka wāwae, a me ka waha.
Aia nā keiki ʻōpio i ka makaʻu kiʻekiʻe loa i ka loaʻa ʻana o kēia maʻi. ʻO nā ʻōuli, me ka ʻāʻī ʻeha, hoʻomaʻemaʻe maʻamau i loko o 10 mau lā.
ʻLeskela
ʻIke ʻia ka maʻi ʻula no ka lapalapa haʻi e uhi ana i ke kino ke holo ka maʻi. ʻO nā ʻōuli ʻē aʻe e like me ka flu, e like me ka ʻāʻī o ka ʻāʻī, ke kuni, a me ka ihu ihu, kū pū kekahi me ka ʻākea.
ʻAʻohe mālama maoli no ka maʻi ʻula, no laila ʻo ka mea maikaʻi e hana ai ka hoʻomaha nui a inu i nā wai. I mea e hōʻalo ʻole ai i ka maʻi ʻōlala, e kiʻi i ka lāʻau koʻokoʻo no ka maʻi ʻula, mumps, rubella (MMR).
ʻO ka maʻi makua Ke hoʻomaka nei
ʻO ka maʻi o ka mākua-onset Still (AOSD) kahi maʻi laha ʻole me nā ʻōuli mua e komo pū me ke kuni kiʻekiʻe, ka ʻeha pū, a me ka ʻulaʻula salmon. Hiki i ka AOSD ke hana i kahi ʻehaʻeha a me nā wahi lymph pehu.
Hoʻohālikelike ʻia ʻo ASOD e nā flare-ups a me ke kala. Hiki ke loaʻa i hoʻokahi wale nō ʻāpana i ke ola holoʻokoʻa, a i ʻole nā ʻāpana he nui i ka manawa manawa pōkole e like me kekahi mau mahina.
Maʻi maʻi virus West Nile
Lawe ʻia ka maʻi maʻi West Nile (WNV) e ka nahu ʻia ʻana e kahi makika i loaʻa i kēia maʻi. He mea nui e hoʻomaopopo ʻaʻole ka poʻe āpau e nahu ʻia e kēia mau mosquitos e ʻaelike iā WNV.
Hōʻike pinepine ʻia nā ʻōuli ma waena o 3 a 14 mau lā ma hope o ka maʻi a hiki ke hoʻopili ʻia:
- eha ka 'ā'ī
- fiva
- ʻeha poʻo
- ʻeha ke kino
- pehu lymph node
- hū ma ka umauma, ʻōpū, a i ʻole hoʻi
ʻO ke ala ʻoi loa e pale aku ai i ka maʻi WNV ka mālama ʻana i kou ʻili me nā pālule lole lima lōʻihi a me ka lole wāwae, komo i nā lāʻau ʻinoʻino, a hemo i kekahi wai kū a puni kou home.
SARS
ʻO ka maʻi maʻi respiratory respiratory koʻikoʻi (SARS) kahi maʻi pneumonia viral i ʻike mua ʻia i ka makahiki 2003. Kūlike nā ʻōuli me nā maʻi o ka maʻi palū a hiki ke hoʻopili ʻia:
- eha ka 'ā'ī
- fiva
- ʻūhū maloʻo
- nalo ʻai ʻole
- Hoʻoulu ka hau a me ka haʻalulu
- huikau
- pāhoehoe
- nā pilikia hanu (ma kahi o 10 mau lā ma hope o ka maʻi)
Ke hana nei nā kānaka noiʻi i kahi lāʻau āpau no ka SARS, akā ʻaʻohe hōʻoia i kēia manawa. ʻAʻole i hōʻike ʻia nā hihia o SARS i hōʻike ʻia.
Polio
ʻO Polio he maʻi lele lele ia e hōʻeha i ka ʻōnaehana ʻōnaehana a ʻike pinepine ʻia i nā keiki ma mua o 5 mau makahiki. ʻO nā ʻōuli like flu, e like me ka ʻāʻī o ka polio, nā ʻōuli maʻamau o ka polio. o nā hihia polio e hopena i ka paralysis mau.
Mahalo i ka lāʻau lapaʻau polio i hoʻomohala ʻia ma 1953 a me ka 1988 global polio eradication initiative, ʻo ka hapa nui o ka honua i kēia manawa he polio-ʻole. Aia nā ʻāpana i:
- ʻAmelika
- ʻEulopa
- Pakipika Komohana
- Hikina Hema Asia
Eia nō naʻe, aia ka polio ma Afghanistan, Pakistan, a me Nigeria.
I ka manawa hea e ʻimi ai i ke kōkua lapaʻau
ʻO nā hopena āpau āpau e kumu ai i kahi ʻūlū a me ka puʻu huʻupuʻu e hiki ke ʻano mai ke akahai a i ʻole koʻikoʻi. ʻIke ʻia kahi hopena koʻikoʻi ma ke ʻano he anaphylaxis. ʻO kēia kahi pilikia olakino hiki ke hoʻololi i ka hanu. E ʻimi koke i ka lāʻau lapaʻau inā ʻike ʻoe i kēia hopena.
E hana i kahi kau kauka inā loaʻa ʻoe i ke kuni ʻaʻole e emi i loko o ʻelua a ʻekolu paha lā. Hiki i kēia ke lilo i hōʻailona o ka maʻi viral a bacteria paha. Eia nō hoʻi, e ʻimi i ka lāʻau lapaʻau inā lilo ka pehu i mea ʻino ʻole, hoʻomaka ka ʻili a me ka ʻili, a i ʻole ʻike ʻoe ke ʻike nei ʻoe i kahi pilikia olakino.
Pehea e mālama ai i kahi ʻūlū a ʻeha, ʻōhū hoʻi?
ʻO ka mālama ʻana no ka hū a me ka ʻeha, ʻōkā o ka ʻāʻī e pili ana i ke kumu. ʻO kahi laʻana, hiki i nā lāʻau antihistamine ke mālama i ka hū a me ka puʻu pehu i hoʻokumu ʻia e kahi hopena maʻi. I nā hanana koʻikoʻi, hiki i ka epinephrine ke kōkua i ka hoʻēmi ʻana i ka pehu i ka ʻāʻī.
ʻOiai ʻaʻole hiki ke hoʻōla ʻia nā maʻi viral me ka lāʻau, hiki i nā maʻi bacteria. Kau kauka paha i ke kaukolo e hoʻoliʻiliʻi i nā ʻōuli a me ka lōʻihi o ka maʻi ʻaʻa.
Hiki paha i kāu kauka ke kuhikuhi a koi paha i kahi wai ʻona kumana a ʻehu paha e hoʻoliʻiliʻi i ka makaʻu a me ka hōʻoluʻolu ʻole mai kahi hū.
Mālama home
Hōʻalo i ka ʻānai ʻana i kahi hua nui e hoʻoliʻiliʻi i kona hoʻolaha ʻana a pale iā ia mai ka ʻino a lilo i maʻi. E mālama i ka wahi maloʻo a maʻemaʻe hoʻi, me ka hoʻohana ʻana i ke kopa ʻoluʻolu ʻole, a me ka wai mehana. Ke noi ʻana i ka lotion calamine a i ʻole ka krima hydrocortisone e kōkua paha i ka hōʻemi a hōʻoluʻolu i ka hū.
Hiki ke hōʻoluʻolu i ka gargling me ka wai paʻakai mahana i ka ʻāʻī ʻeha. Hiki ke kōkua i ka hoʻomaha a me ka inu ʻana i nā wai he nui e kākoʻo i ka ikehu e pono ai i kou kino e hoʻōla.
Lawe i nā lāʻau i kuhikuhi ʻia e like me ke kuhikuhi a hiki i ka wā e haʻalele ai i ka hoʻi hou ʻana - ʻoiai inā ʻoe e ʻoi aku ka maikaʻi.
Inā hoʻomohala ʻoe i kahi puʻu pehu a paʻakikī i ka hanu ʻana, pono ʻoe e loiloi koke ʻia i kahi lumi pilikia.
Pehea e hiki ai iaʻu ke pale aku i ka hū a me ka ʻāʻī ʻeha?
ʻO ka holoi lima pinepine ʻana e kōkua i ka mālama ʻana i ka maʻi. Hoʻopili kēia i ka holoi ʻana i kou mau lima ma hope o ka honi ʻana, ma mua a ma hope o ka ʻai ʻana, a ma hope o ka hoʻopili pololei ʻana me nā poʻe ʻē aʻe.
ʻO ka pale ʻana i nā mea āpau āpau e like me nā mea hoʻonani ʻala a me ka uahi paka hiki ke hōʻemi i ka likelike o kahi hopena.