He aha ka Kanesa Akea? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

Hana ʻia ka kanesa akea i ka wā e ulu ai nā cell maʻamau ʻole i loko o kou akepaʻa a hoʻokumu i nā ʻōpū. ʻO kou akepaʻa, kekahi o nā ʻōnaehana nui loa o kou kino, aia ma ka ʻaoʻao ʻākau o luna o kou ʻōpū a hana nui e kānana i nā mea ʻino, hana i nā protein, a kōkua i ka ʻai ʻana.

Aia ʻelua ʻano nui o ka kanesa akea. Hoʻomaka ka kanesa akea mua i loko o ka akepaʻa ponoʻī, ʻoiai ka kanesa akea lua e pālahalaha aku i ka akepaʻa mai nā ʻāpana ʻē aʻe o kou kino. ʻO ka hoʻomaopopo ʻana i ka ʻokoʻa e kōkua i nā kauka e koho i ke ala lapaʻau kūpono no kou kūlana kikoʻī.

He aha nā hōʻailona o ka kanesa akea?

ʻAʻole pinepine e hōʻike mai ka kanesa akea mua i nā hōʻailona i ʻike ʻia, ʻo ia ke kumu i kapa ʻia ai ʻo ia he maʻi “ʻōlelo ʻole.” I ka wā e ʻike ʻia ai nā hōʻailona, ​​hiki iā lākou ke manaʻo ʻia he mau mea maʻamau a like me nā pilikia olakino maʻamau ʻē aʻe.

Eia nā hōʻailona āu e ʻike ai i ka wā e holomua ai ka kanesa akea:

• Pau ke kaumaha me ka ho'āʻo ʻole e lilo i kaumaha
• Nalowale ka makemake ai a i ʻole ka manaʻo piha ma hope o ka ʻai ʻana i nā mea liʻiliʻi
• ʻEha a i ʻole ka ʻoluʻolu o ka ʻōpū o luna, ʻoi aku ma ka ʻaoʻao ʻākau
• ʻO ka pehu ʻana i loko o kou ʻōpū mai ka wai e hōʻiliʻili ana
• ʻO ka melemele ʻana o kou ʻili a me kou mau maka (jaundice)
• Luhi maʻamau ʻaʻole e hoʻomaikaʻi me ka hoʻomaha
• Nausea a me ka luaʻi
• Keʻokeʻo a i ʻole nā ​​wai melemele

Ua ʻike kekahi poʻe i ka lilo ʻana o ko lākou mimi i ʻeleʻele ma mua o ka maʻamau. Hiki i kēia mau hōʻailona ke ulu mālie i nā hebedoma a i ʻole nā ​​mahina. E hoʻomanaʻo, ʻaʻole ʻo ka loaʻa ʻana o kēia mau hōʻailona e ʻōlelo koke ana ua loaʻa iā ʻoe ka kanesa akea, ʻoiai he nui nā kūlana ʻē aʻe e hiki ke hana i nā manaʻo like.

He aha nā ʻano o ka kanesa akea?

Hoʻomaka ka kanesa akea mua i kou akepaʻa a hele mai i kekahi mau ʻano. ʻO ka ʻano maʻamau loa ʻo ia ka hepatocellular carcinoma, kahi e pili ana i ka 80% o nā kanesa akea mua a pau.

Hoʻomohala pinepine ʻia ka hepatocellular carcinoma i nā kānaka i loaʻa mua ka maʻi akepaʻa a i ʻole cirrhosis. Hoʻomaka pinepine ia e ulu mālie i ka hoʻomaka akā hiki ke pālahalaha i nā ʻāpana ʻē aʻe o kou akepaʻa a i ʻole ke kino ma hope o kekahi manawa.

ʻO nā ʻano ʻē aʻe ʻaʻole maʻamau e komo pū me ka cholangiocarcinoma, kahi e hoʻomaka ai i nā ʻāpana bile i loko o kou akepaʻa. ʻOi aku ka liʻiliʻi o kēia ʻano akā hiki ke paʻakikī ke mālama no ka mea ua ʻike pinepine ʻia ma hope.

ʻO ka kanesa akea lua, i kapa ʻia hoʻi ʻo ka kanesa akea metastatic, ʻoi aku ka maʻamau ma mua o ka kanesa akea mua. Hana ʻia kēia i ka wā e pālahalaha ai ka kanesa mai kahi ʻāpana ʻē aʻe o kou kino i kou akepaʻa ma o kou kahe koko a i ʻole ka ʻōnaehana lymphatic.

He aha nā kumu o ka kanesa akea?

Hoʻomohala ʻia ka kanesa akea i ka wā e hōʻino ʻia ai ka DNA i nā cell akepaʻa, e hana ana i ka ulu ʻana o lākou. Hiki i kēia hōʻino ke hana no kekahi mau kumu, a ʻo ka hoʻomaopopo ʻana i kēia mau kumu e kōkua iā ʻoe e hana i nā hoʻoholo naʻauao e pili ana i kou olakino.

ʻO nā kumu maʻamau loa e komo pū me:

• Nā maʻi hepatitis B a i ʻole hepatitis C mau
• Cirrhosis mai ka hoʻohana ʻana i ka waiʻona lōʻihi
• Maʻi akepaʻa momona ʻaʻole waiʻona
• Hōʻike ʻia i nā aflatoxins (nā mea ʻino mai nā hua pala a i ʻole nā ​​nā hua)
• Nā maʻi akepaʻa hoʻoilina e like me ka maʻi Wilson
• Ka maʻi diabetes, ʻoi aku ka hui pū ʻana me nā kūlana akepaʻa ʻē aʻe
• Momona a me ka metabolic syndrome

ʻO kekahi mau kumu liʻiliʻi e komo pū me ka hōʻike ʻia i kekahi mau kemika e like me ka vinyl chloride a i ʻole thorium dioxide. Hiki i nā steroids anabolic i hoʻohana ʻia no ka manawa lōʻihi ke hoʻonui i kou pilikia, ʻoiai he mea maʻamau ʻole kēia.

ʻAʻole ʻo ka loaʻa ʻana o kekahi o kēia mau pilikia e ʻōlelo ana e loaʻa nō ʻoe i ka kanesa akea. ʻAʻole loaʻa i nā kānaka he nui me kēia mau kūlana ka maʻi kanesa, ʻoiai kekahi poʻe ʻaʻohe pilikia maopopo i loaʻa iā lākou.

I ka wā e ʻike ai i ke kauka no ka kanesa akea?

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā loaʻa iā ʻoe nā hōʻailona mau e hopohopo ai ʻoe, ʻoi aku inā lōʻihi lākou ma mua o kekahi mau hebedoma. Hiki i ka ʻike mua ke hana i kahi ʻokoʻa nui i nā hopena lapaʻau.

E ʻimi koke i ka mālama lapaʻau inā ʻike ʻoe i ka melemele ʻana o kou ʻili a i kou mau maka, ʻoiai hiki i kēia ke hōʻike i kahi pilikia akepaʻa koʻikoʻi e pono ai ka loiloi koke. ʻO ka ʻeha ʻōpū koʻikoʻi a i ʻole ka pehu koke ʻana i kou ʻōpū e pono pū ke loiloi lapaʻau koke.

Inā loaʻa iā ʻoe nā pilikia e like me ka hepatitis mau a i ʻole cirrhosis, ʻoi aku ka nui o nā nānā maʻamau me kāu kauka. Hiki iā lākou ke nānā i kou olakino akepaʻa a hopu i nā loli mua.

He aha nā pilikia o ka kanesa akea?

He nui nā mea hiki ke hoʻonui i kou manawa e loaʻa ai ka kanesa akea, ʻoiai ʻaʻole hōʻoia ka loaʻa ʻana o nā pilikia e loaʻa iā ʻoe ka maʻi. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo maikaʻi loa no kou olakino.

ʻO nā pilikia nui loa e komo pū me:

• Ka maʻi hepatitis B a i ʻole C mau
• Cirrhosis mai kekahi kumu
• Hoʻohana nui ʻana i ka waiʻona ma nā makahiki he nui
• Maʻi akepaʻa momona ʻaʻole waiʻona
• Ka maʻi diabetes
• Momona
• Mōʻaukala ʻohana o ka kanesa akea
• ʻO ka kāne (ʻoi aku ka nui o nā kāne e loaʻa i ka kanesa akea)
• ʻOi aku ka makahiki ma mua o 60

ʻO kekahi mau pilikia liʻiliʻi e komo pū me kekahi mau kūlana genetic e like me ka hemochromatosis, kahi e hana ai i ka nui o ka hao i kou kino. ʻO ka primary biliary cholangitis a me ka alpha-1 antitrypsin deficiency nā kūlana genetic liʻiliʻi ʻē aʻe e hiki ke hoʻonui i ka pilikia.

He kuleana ko nā mea geographical. ʻOi aku ka nui o nā kanesa akea ma nā wahi o Asia a me ʻApelika kahi i ʻoi aku ka nui o nā maʻi hepatitis B.

He aha nā pilikia hiki ke loaʻa i ka kanesa akea?

Hiki i ka kanesa akea ke alakaʻi i kekahi mau pilikia koʻikoʻi i ka wā e holomua ai, e hoʻopilikia ana i kāu hana akepaʻa a me kou olakino holoʻokoʻa. ʻO ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe a me kāu hui lapaʻau e hoʻomākaukau a pane kūpono.

ʻO nā pilikia maʻamau e komo pū me:

• Hāʻule ka akepaʻa i ka wā e pani ai nā cell kanesa i nā ʻiʻo akepaʻa olakino
• Hōʻiliʻili wai i loko o kou ʻōpū (ascites)
• Ke kahe koko mai nā kīʻaha koko nui i loko o kou esophagus
• Kuhihewa a i ʻole ka noʻonoʻo ʻokoʻa mai ka hōʻiliʻili ʻana o nā mea ʻino
• Nā pilikia kidney
• Pālahalaha ʻana o ka kanesa i nā ʻōnaehana ʻē aʻe

Hoʻomohala kekahi poʻe i ka portal hypertension, kahi e hana ai i ka wā e pani ʻia ai ke kahe koko ma o ka akepaʻa. Hiki i kēia ke hana i ke kahe koko weliweli a pono i ka mālama lapaʻau koke.

ʻO nā pilikia liʻiliʻi e komo pū me nā clots koko i nā kīʻaha koko o ka akepaʻa a i ʻole nā ​​maʻi koʻikoʻi. E nānā pono kāu hui lapaʻau iā ʻoe e hopu a mālama i nā pilikia mua.

Pehea e pale aku ai i ka kanesa akea?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā hihia a pau o ka kanesa akea, hiki iā ʻoe ke lawe i nā ʻanuʻu koʻikoʻi e hoʻemi nui i kou pilikia. Nui nā hoʻolālā pale ʻana e pili ana i ka pale ʻana i kou akepaʻa mai ka hōʻino e hiki ke alakaʻi i ka kanesa.

ʻO nā ʻanuʻu pale ʻana maikaʻi loa e komo pū me ka loaʻa ʻana o ka lāʻau pale mai ka hepatitis B inā ʻaʻole ʻoe i loaʻa. He mea maikaʻi loa kēia lāʻau pale a hiki ke pale aku i kekahi o nā kumu nui o ka kanesa akea ma ka honua holoʻokoʻa.

ʻO ka palena ʻana i ka hoʻohana ʻana i ka waiʻona e pale aku i kou akepaʻa mai ka cirrhosis, kahi e hoʻonui nui ai i ka pilikia kanesa. Inā inu ʻoe i ka waiʻona, e ho'āʻo e noho i loko o nā palena i ʻōlelo ʻia a i ʻole e noʻonoʻo e pale aku iā ia inā loaʻa iā ʻoe nā pilikia akepaʻa ʻē aʻe.

ʻO ka mālama ʻana i ke kaumaha olakino ma o ka hoʻoikaika kino maʻamau a me ka ʻai kaulike e kōkua i ka pale ʻana i ka maʻi akepaʻa momona. E nānā i ka ʻai ʻana i nā hua, nā huaʻai, a me nā huaola holoʻokoʻa ʻoiai e kaupalena ana i nā meaʻai i hana ʻia a me nā kō i hoʻohui ʻia.

Inā loaʻa iā ʻoe ka hepatitis B a i ʻole C, e hana pili me kāu kauka e mālama i ka maʻi me nā lāʻau antiviral. Hiki i kēia mau lapaʻau ke hoʻemi nui i kou pilikia e loaʻa ai ka kanesa akea.

Pehea e ʻike ʻia ai ka kanesa akea?

ʻO ka ʻike ʻana i ka kanesa akea e komo pinepine ana i kekahi mau hoʻokolohua e kōkua i kāu kauka e ʻike i nā mea e hana nei i loko o kou akepaʻa. Hoʻomaka pinepine ke kaʻina hana me nā hoʻokolohua koko a me nā haʻawina kiʻi e kiʻi i kahi kiʻi maopopo.

E hoʻomaka paha kāu kauka me nā hoʻokolohua koko e nānā i kāu hana akepaʻa a e ʻimi i nā mea hōʻailona tumor e like me ka alpha-fetoprotein (AFP). Hiki i nā pae AFP kiʻekiʻe ke hōʻike i ka kanesa akea, ʻoiai ʻaʻole nā ​​kānaka a pau me ka kanesa akea i nā pae kiʻekiʻe.

Kōkua nā hoʻokolohua kiʻi e like me nā CT scans, MRI, a i ʻole ultrasound i nā kauka e ʻike i ka nui, kahi, a me ka nui o nā ʻōpū i loko o kou akepaʻa. He mea ʻoluʻolu ʻole kēia mau hoʻokolohua a hāʻawi i nā kiʻi kikoʻī o kou ʻano akepaʻa.

I kekahi manawa, pono ka biopsy akepaʻa e hōʻoia i ka ʻike. I kēia kaʻina hana, e wehe kāu kauka i kahi ʻāpana liʻiliʻi o ka ʻiʻo akepaʻa e nānā ma lalo o ka microscope. Hāʻawi kēia i ka pane maopopo loa e pili ana i ka loaʻa ʻana o nā cell kanesa.

I kekahi mau hihia, hiki i nā kauka ke ʻike i ka kanesa akea ma muli o nā kiʻi wale nō, ʻoi aku inā loaʻa iā ʻoe ka cirrhosis a loaʻa i ka tumor nā hiʻohiʻona hiʻohiʻona ma nā scans.

He aha ka lapaʻau no ka kanesa akea?

ʻO ka lapaʻau no ka kanesa akea e hilinaʻi ana i kekahi mau mea, e komo pū ana me ka nui a me kahi o nā ʻōpū, pehea ka maikaʻi o ka hana ʻana o kou akepaʻa, a me kou olakino holoʻokoʻa. E hana pū kāu hui lapaʻau me ʻoe e hana i kahi papahana lapaʻau pilikino.

Hāʻawi ka ʻoki kino i ka manawa maikaʻi loa no ka ho'ōla ʻana i ka wā i hopu ʻia ai ka kanesa mua a ʻaʻole i pālahalaha ma mua o ka akepaʻa. ʻO nā koho e komo pū me ka wehe ʻana i kahi ʻāpana o kou akepaʻa (partial hepatectomy) a i ʻole, i kekahi mau hihia, ka hoʻololi ʻana i ka akepaʻa.

No nā ʻōpū hiki ʻole ke wehe ʻia ma ke ʻoki kino, hiki i kekahi mau lapaʻau ʻē aʻe ke kōkua i ka kaohi ʻana i ka kanesa a hoʻomaikaʻi i ka maikaʻi o ke ola:

• Hoʻopau ka ablation therapy i nā cell kanesa me ka wela, ke anu, a i ʻole ka waiʻona
• Hoʻopau ka embolization i ke kahe koko i nā ʻōpū
• Hoʻopili ka radiation therapy i nā cell kanesa me nā kukui ikehu kiʻekiʻe
• Hoʻouka ka targeted drug therapy i nā hiʻohiʻona cell kanesa kikoʻī
• Kōkua ka immunotherapy i kou ʻōnaehana pale e hakakā i ka kanesa
• Chemotherapy, ʻoiai ʻaʻole pinepine i hoʻohana ʻia no ka kanesa akea

Loaʻa i kekahi poʻe ka pōmaikaʻi mai ka hui pū ʻana i nā lapaʻau. No ka laʻana, hiki iā ʻoe ke loaʻa ka ablation therapy ma hope o nā lāʻau i hoʻopili ʻia, a i ʻole ka ʻoki kino i hui pū ʻia me ka chemotherapy.

Nānā ka mālama palliative i ka mālama ʻana i nā hōʻailona a hoʻomaikaʻi i ka ʻoluʻolu i ka wā ʻaʻole hiki ke lapaʻau hoʻōla. Hiki i kēia mālama lapaʻau kūikawā ke hoʻomaikaʻi nui i kou maikaʻi o ke ola i ka wā lapaʻau.

Pehea e mālama ai i ka kanesa akea ma ka home?

ʻO ka mālama ʻana iā ʻoe iho ma ka home he kuleana nui ia i kāu papahana lapaʻau holoʻokoʻa. Hiki i nā loli maʻalahi i kāu hana i kēlā me kēia lā ke kōkua iā ʻoe e ʻoluʻolu a kākoʻo i kāu mau lapaʻau lapaʻau.

Liʻiliʻi ka ʻai ʻana i ka wā e loaʻa ai iā ʻoe ka kanesa akea. E nānā i ka loaʻa ʻana o ka protein lawa e kōkua i kou kino e ikaika, a e ho'āʻo e ʻai i nā mea liʻiliʻi, nā mea ʻai pinepine inā ʻoe e manaʻo piha koke.

E noho wai ma ka inu ʻana i ka wai nui i ka lā holoʻokoʻa. E pale aku i ka waiʻona loa, ʻoiai hiki iā ia ke hōʻino hou aku i kou akepaʻa ʻoiai i nā mea liʻiliʻi.

Hiki i ka hoʻoikaika kino māmā e like me ka hele wāwae ke kōkua i ka mālama ʻana i kou ikaika a me kou pae ikehu. E hoʻolohe i kou kino a hoʻomaha i ka wā e pono ai ʻoe, akā e ho'āʻo e noho ikaika e like me kou hiki i loko o kou pae ʻoluʻolu.

E mālama i kāu mau hōʻailona a me nā loli āu e ʻike ai. Kōkua kēia ʻike i kāu hui lapaʻau e hoʻoponopono i kāu papahana lapaʻau e like me ka pono.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

ʻO ka hoʻomākaukau ʻana no kāu mau kipa kauka e kōkua iā ʻoe e hana i ka nui o kou manawa pū a hōʻoia iā ʻoe e loaʻa i ka ʻike āu e pono ai. Hiki i ka hoʻomākaukau iki ke hana i kēia mau hālāwai i ʻoi aku ka hua a me ka haʻalulu ʻole.

E kākau i kāu mau hōʻailona a pau, e komo pū ana i ka wā i hoʻomaka ai lākou a pehea lākou i loli ai i ka manawa. E komo pū i nā kikoʻī e pili ana i nā pae ʻeha, nā loli makemake, a me nā hopohopo ʻē aʻe āu i ʻike ai.

E lawe mai i kahi papa inoa piha o nā lāʻau lapaʻau, nā mea hoʻohui, a me nā huaora āu e lawe nei. E komo pū i nā dosages a me ka pinepine o kāu lawe ʻana, ʻoiai hiki i kekahi mau mea ke hoʻopilikia i kou akepaʻa.

E hoʻomākaukau i kahi papa inoa o nā nīnau āu e makemake ai e nīnau i kāu kauka. Mai hopohopo e nīnau i nā nīnau he nui - makemake kāu hui lapaʻau e kōkua iā ʻoe e hoʻomaopopo i kou kūlana a me nā koho lapaʻau.

E noʻonoʻo e lawe mai i kahi lālā ʻohana a i ʻole hoaaloha i kāu mau hālāwai. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a hāʻawi i ke kākoʻo manaʻo i ka wā o nā kamaʻilio paʻakikī.

He aha ka mea nui e pili ana i ka kanesa akea?

He kūlana koʻikoʻi ka kanesa akea, akā ʻo ka hoʻomaopopo ʻana iā ia e manaʻo nui iā ʻoe e hana i nā hoʻoholo naʻauao e pili ana i kou olakino. ʻO ka ʻike mua a me ka lapaʻau e hoʻomaikaʻi nui i nā hopena, ʻo ia ke kumu e pili ana ka nānā ʻana i nā hōʻailona a me nā pilikia.

E hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o nā pilikia e ʻōlelo ana e loaʻa nō ʻoe i ka kanesa akea, a nui nā lapaʻau maikaʻi loa i loaʻa. ʻO kāu hui lapaʻau kāu kumuwaiwai maikaʻi loa no nā ʻōlelo aʻoaʻo a me ka mālama pilikino.

E nānā i nā mea āu e hiki ke kaohi - ka mālama ʻana i kahi ola olakino, ka hahai ʻana i kāu papahana lapaʻau, a me ka noho pili me kāu mau mea lawelawe olakino. He mea kūikawā ka huakaʻi o kēlā me kēia kanaka me ka kanesa akea, a ʻo ka manaʻolana kekahi ʻāpana nui o ke kaʻina ho'ōla.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka kanesa akea

Hiki ke ho'ōla loa ʻia ka kanesa akea?

ʻAe, hiki ke hoʻōla ʻia ka kanesa akea, ʻoi aku ka hopu ʻia ʻana i ka wā mua a ʻaʻole i pālahalaha ka kanesa ma mua o ka akepaʻa. Hāʻawi ka ʻoki kino i ka manawa maikaʻi loa no ka hoʻōla piha, me nā kānaka he nui e ola ana i nā ola maʻamau ma hope o ka lapaʻau holomua. ʻOiai i nā hihia holomua, hiki i nā lapaʻau ke hoʻolōʻihi nui i ke ola a hoʻomaikaʻi i ka maikaʻi o ke ola.

Pehea ka wikiwiki o ka pālahalaha ʻana o ka kanesa akea?

Pālahalaha ka kanesa akea i nā wikiwiki like ʻole ma muli o ke ʻano a me nā mea pilikino. Hoʻomaka kekahi mau kanesa akea e ulu mālie i nā mahina a i ʻole nā ​​makahiki, ʻoiai hiki i nā mea ʻē aʻe ke holomua wikiwiki. Hiki i kāu kauka ke loiloi i kou kūlana kikoʻī a kōkua iā ʻoe e hoʻomaopopo i nā mea e manaʻo ai ma muli o kāu mau hopena hoʻokolohua a me nā hiʻohiʻona kanesa.

ʻEha anei ka kanesa akea?

ʻAʻole pinepine e hōʻike mai ka kanesa akea i ka ʻeha, ʻoi aku i nā kahua mua. I ka wā e loaʻa ai ka ʻeha, manaʻo pinepine ʻia ʻo ia he ʻeha palupalu a i ʻole ka ʻoluʻolu ʻole ma ka ʻaoʻao ʻākau o luna o kou ʻōpū. ʻO ka mālama ʻeha he ʻāpana nui ia o ka lapaʻau, a hiki i kāu hui lapaʻau ke kōkua iā ʻoe e noho ʻoluʻolu i ka wā o kāu mālama.

Hiki iā ʻoe ke ola me kahi ʻāpana o kou akepaʻa i wehe ʻia?

ʻAe, hiki iā ʻoe ke ola maikaʻi me kahi ʻāpana o kou akepaʻa i wehe ʻia no ka mea he mana kupaianaha ka akepaʻa e hoʻoponopono hou. Ma hope o ka ʻoki kino, hiki i ka ʻiʻo akepaʻa olakino i koe ke ulu hou i ka nui maʻamau i loko o kekahi mau mahina. Hoʻi hou nā kānaka he nui i kā lākou mau hana maʻamau a ola i nā ola piha ma hope o ka wehe ʻana i kahi ʻāpana o ka akepaʻa.

He aha nā meaʻai āu e pale aku ai me ka kanesa akea?

E pale aku i ka waiʻona loa, ʻoiai hiki iā ia ke hōʻino hou aku i kou akepaʻa. E kaupalena i nā meaʻai i hana ʻia, ka paʻakai nui, a me nā meaʻai kiʻekiʻe i nā momona saturated. E nānā i ka ʻai ʻana i nā protein lahilahi, nā hua, nā huaʻai, a me nā huaola holoʻokoʻa. Hiki i kāu hui olakino a i ʻole ka mea ʻai ke hāʻawi i nā ʻōlelo aʻoaʻo ʻai pilikino ma muli o kāu mau pono kikoʻī a me ka papahana lapaʻau.