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October 10, 2025
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ʻO ka maiʻa (TB) kahi maʻi bacteria e hoʻopili nui ana i kou māmā, ʻoiai hiki ke pālahalaha i nā ʻāpana ʻē aʻe o kou kino. ʻOiai paha ke kani nui nei ka inoa, ua hoʻōla piha ʻia ka maiʻa me ka mālama lapaʻau kūpono, a he mau miliona o nā kānaka e ola hou ana i kēlā me kēia makahiki.
Ua loaʻa kēia maʻi kahiko no nā tausani o nā makahiki, akā ua hāʻawi mai ka lāʻau lapaʻau hou iā kākou i nā mea hana ikaika e hakakā ai. Hiki i ka hoʻomaopopo ʻana i ka maiʻa ke kōkua iā ʻoe e ʻike i nā hōʻailona i ka wā mua a ʻimi i ka mālama kūpono inā pono.
Hoʻokumu ʻia ka maiʻa e nā bacteria i kapa ʻia ʻo Mycobacterium tuberculosis e hoʻouka nui ana i kou māmā. E noʻonoʻo i kēia mau bacteria e like me nā malihini ʻoluʻolu ʻole e hiki ke moe mālie i loko o kou kino no nā makahiki me ka ʻole o nā hōʻailona, a i ʻole hiki iā lākou ke hana a hoʻomaʻi iā ʻoe.
Aia ʻelua ʻano nui o ka maiʻa āu e ʻike ai. ʻO ka maiʻa latent ke ʻano o nā bacteria i loko o kou kino akā ʻaʻole hana, e like me nā hua e kali ana i nā kūlana kūpono e ulu ai. ʻAʻole ʻoe e manaʻo maʻi a ʻaʻole hiki ke pālahalaha i nā poʻe ʻē aʻe i kēia wā.
ʻO ka maiʻa hana ke ulu nui nā bacteria a hoʻokumu i nā hōʻailona. ʻO kēia ke ʻano e hoʻomaʻi ai iā ʻoe a hiki ke pālahalaha i nā poʻe ʻē aʻe ma o ka ʻōhū a i ʻole ka pueo. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ia ka pane maikaʻi ʻana o nā ʻano ʻelua i ka mālama ʻana i ka wā e hopu ʻia ai i ka wā mua.
Hoʻomohala pinepine ʻia nā hōʻailona maiʻa i nā hebedoma a i ʻole nā mahina, ʻo ia ke kumu i ʻike ʻole ai kekahi poʻe i loaʻa iā lākou i ka wā mua. Hiki i kou kino ke hakakā i ka maʻi no kekahi manawa ma mua o kou ʻike ʻana i kekahi mea maʻamau ʻole.
ʻO nā hōʻailona maʻamau āu e ʻike ai, ʻo ia:
Hiki i nā hōʻailona maʻamau ʻole ke kū mai i ka wā e pālahalaha ai ka TB ma mua o kou mau māmā. Hiki i kēia ke komo pū me ka ʻeha kua inā pili ia i kou kua, ke koko i loko o kou mimi inā hiki ia i kou mau puʻupaʻa, a i ʻole nā poʻo ʻeha mau inā pili ia i kou lolo.
E hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o kēia mau hōʻailona e ʻōlelo koke ana he TB kāu. He nui nā kūlana ʻē aʻe e hiki ke hoʻokumu i nā hōʻailona like, ʻo ia ke kumu e nui ai ka loiloi lapaʻau kūpono.
Hoʻokaʻawale ʻia ka TB i ʻelua ʻano nui ma muli o ka hana a ʻaʻole paha o nā bacteria i loko o kou kino. Hiki i ka hoʻomaopopo ʻana i kēia mau ʻokoʻa ke kōkua iā ʻoe e hoʻomaopopo maikaʻi i kāu ʻike a me nā pono mālama.
ʻO ka maʻi latent tuberculosis infection e ʻōlelo ana ʻoe e hāpai ana i nā bacteria TB, akā noho lākou i ka hana ʻole. E ʻoluʻolu loa ʻoe a ʻaʻole hiki ke hoʻolaha i ka maʻi i nā poʻe ʻē aʻe. Ma kahi o hoʻokahi hapakolu o ka heluna kanaka o ka honua ka TB latent, a ʻaʻole ka nui e loaʻa i ka maʻi hana.
Kū mai ka maʻi tuberculosis hana i ka wā e hoʻonui ai nā bacteria a hoʻokumu i nā hōʻailona. Hiki i kēia ʻano ke pālahalaha i nā poʻe ʻē aʻe a pono i ka mālama koke. Hiki ke hoʻokaʻawale hou ʻia ka TB hana ma ke ʻano he pulmonary (pili i nā māmā) a i ʻole extrapulmonary (pili i nā ʻāpana kino ʻē aʻe).
ʻO ka Pulmonary TB ka ʻano maʻamau loa, e pili ana i kou mau māmā a me nā ala hanu. ʻOi aku ka maʻalahi o kēia ʻano no ka mea hiki i nā bacteria ke pālahalaha ma o nā droplets hanu i ka wā e ʻaehuehue a i ʻole kuʻi ʻoe.
Hoʻopili ka maʻi TB ʻaʻole ma nā māmā i nā kino ʻē aʻe ma waho o kou mau māmā, e like me kou mau puʻupaʻa, koʻu kua, lolo, a i ʻole nā nā huina lymph. ʻOiai ʻaʻole pinepine, hiki i kēia ʻano ke koʻikoʻi a pono i nā ʻano mālama kūikawā.
Hoʻoulu ʻia ka maʻi TB e kahi ʻano bacteria i kapa ʻia ʻo Mycobacterium tuberculosis. He ikaika loa kēia mau bacteria a hiki ke ola ma waho o ke kino kanaka no nā manawa lōʻihi, ʻoi aku hoʻi i nā wahi pouli a me ka haʻalulu.
Hiki iā ʻoe ke loaʻa i ka maʻi TB ke kikī, ʻūhū, ʻōlelo, a i ʻole mele kekahi me ka maʻi TB pulmonary ikaika kokoke iā ʻoe. Holo nā bacteria ma o nā kulu liʻiliʻi i ka lewa, kahi āu e hiki ai ke hanu i loko o kou mau māmā. Eia naʻe, ʻaʻole maʻalahi ka maʻi TB e like me nā anu maʻamau a i ʻole ka maʻi flu.
Pono ka pilina pili loa a lōʻihi no ka hoʻoili ʻana. ʻO ia hoʻi, ʻoi aku ka nui o kou loaʻa ʻana i ka maʻi TB mai kekahi āu e noho pū ai a i ʻole e hoʻolilo i nā hola he nui me ia i kēlā me kēia lā, ma mua o nā hālāwai pōkole me nā malihini.
He ʻokoʻa loa nā bacteria e hoʻoulu ai i ka maʻi TB mai nā bacteria maʻamau ʻē aʻe. ulu mālie lākou a loaʻa iā lākou kahi papa waxy e pale ai iā lākou i nā mālama maʻamau he nui, ʻo ia ke kumu e pono ai ka maʻi TB i nā lāʻau antibiotic kūikawā i lawe ʻia no nā mahina he nui.
Pono ʻoe e hoʻokaʻaʻike i kāu mea lawelawe ola kino inā loaʻa iā ʻoe kahi kikī i lōʻihi ma mua o ʻekolu pule, ʻoi aku hoʻi inā hele pū ʻia me ka mahana, ka pohō kaumaha, a i ʻole ka hou ʻana i ka pō. Pono kēia mau hōʻailona mau i ka loiloi lapaʻau, ʻoiai inā ʻano māmā lākou.
E ʻimi i ka mālama lapaʻau koke inā ke kikī nei ʻoe i ke koko, loaʻa iā ʻoe ka ʻeha umauma me ka hanu ʻana, a i ʻole ke ʻike nei i ka luhi nui e hoʻopilikia ana i nā hana o kēlā me kēia lā. Hōʻike kēia mau hōʻailona i ka pono o kou kino i ke kākoʻo lapaʻau koke.
Mai kali inā ua hōʻike ʻia ʻoe i kekahi me ka maʻi TB ikaika, ʻoiai inā maikaʻi kou manaʻo. Hiki i ka hoʻokolohua mua ke ʻike i ka maʻi latent, a hiki i ka mālama ke pale aku iā ia mai ka lilo ʻana i maʻi ikaika ma hope.
Inā ʻoe ma kahi hui pilikia nui no nā pilikia TB, e like me ka loaʻa ʻana o ka HIV, ka maʻi suka, a i ʻole ka lawe ʻana i nā lāʻau lapaʻau immunosuppressive, e kūkākūkā me kāu kauka e pili ana i ka nānā ʻana i ka TB i ka wā o nā nānā maʻamau.
Hiki i kekahi mau mea ke hoʻonui i kou manawa e loaʻa ai ka maʻi TB, akā ʻo ka loaʻa ʻana o nā kumu pilikia ʻaʻole ia he manaʻo e loaʻa nō ʻoe i ka maʻi. Hiki i ka hoʻomaopopo ʻana i kēia mau mea ke kōkua iā ʻoe e lawe i nā palekana kūpono a ʻimi i ka hoʻokolokolo ke pono.
ʻO nā kumu pilikia nui loa e komo pū ana:
Ke kū nei kekahi poʻe i nā pilikia kiʻekiʻe ma muli o nā kūlana ma waho o ko lākou mana, e like me kahi i hānau ʻia ai lākou a i ʻole ko lākou komo ʻana i ka mālama ola. Inā loaʻa iā ʻoe nā kumu pilikia he nui, mai hopohopo, akā e kūkākūkā me kāu mea mālama ola e pili ana i ka nānā ʻana i ka TB.
ʻO nā limahana mālama ola a me nā limahana labo e hiki ke ʻike ʻia i nā bacteria TB ke kū nei hoʻi i ka pilikia nui a loaʻa pinepine i ka nānā maʻamau ma ke ʻano he ʻāpana o nā koi o kā lākou hana.
Ke hopu ʻia ka TB i ka wā mua a mālama pono ʻia, he mea maʻamau ʻole nā pilikia. Eia naʻe, hiki i ka TB i mālama ʻole ʻia a i ʻole ka mālama ʻino ʻia ke alakaʻi i nā pilikia olakino koʻikoʻi e hoʻopilikia ana i nā ʻāpana like ʻole o kou kino.
ʻO nā pilikia maʻamau loa ka hopena i kou mau mākū a me ka hanu. Loaʻa paha kēia i ka hōʻino mau ʻana o nā mākū, ka paʻakikī o ka hanu, a i ʻole ka hoʻonui ʻia o ka pilikia o nā maʻi mākū. Hoʻomōhala kekahi poʻe i ka wai a puni ko lākou mau mākū, hiki ke hoʻoluhi i ka hanu.
Hiki i ka TB ke pālahalaha ma mua o kou mau mākū a hoʻokumu i nā pilikia i nā ʻōnaehana ʻē aʻe:
ʻO ka TB pale ʻole i ka lāʻau lapaʻau kahi pilikia koʻikoʻi loa e kū mai ana i ka wā ʻaʻole e pane nā bacteria i nā lāʻau lapaʻau maʻamau. Pono kēia ʻano i ka mālama lōʻihi me nā hui lāʻau lapaʻau paʻakikī, akā hiki ke mālama ʻia me ka mālama kūpono.
ʻO ke kī i ka pale ʻana i nā pilikia ka ʻike mua ʻana a me ka hoʻopau ʻana i kāu papa holoʻokoʻa o ka mālama ʻana, ʻoiai ke hoʻomaka ʻoe e ʻoluʻolu. E nānā pono kāu hui olakino iā ʻoe e hopu i nā pilikia i ka wā mua.
Kūkulu ʻia ka pale ʻana i ka TB i ka hoʻōki ʻana i ka pālahalaha ʻana o nā bacteria a me ka pale ʻana iā ʻoe mai ka hōʻike ʻia. ʻOiai ʻaʻole hiki iā ʻoe ke kaohi i nā mea pilikia āpau, aia kekahi mau hana maʻalahi hiki iā ʻoe ke hana e hōʻemi i kou manawa e loaʻa ai ka TB.
Inā loaʻa iā ʻoe ka TB latent, ʻo ka lawe ʻana i nā lāʻau lapaʻau i kuhikuhi ʻia e like me ke kuhikuhi ʻana ʻo ia ke ala maikaʻi loa e pale ai iā ia mai ka lilo ʻana i mea hana. Hoʻopili maʻamau kēia mālama i ka lawe ʻana i nā lāʻau antibiotic no kekahi mau mahina, a he mea nui ka hoʻopau ʻana i ka papa holoʻokoʻa.
No ka pale ʻana iā ʻoe iho mai ka maʻi, e pale i ka pili kokoke lōʻihi me nā kānaka me ka maʻi TB hana a hiki i ko lākou komo ʻana i ka lāʻau lapaʻau no ʻelua pule ma hope. E hōʻoia i ka ea maikaʻi i loko o nā wahi noho, ʻoiai ʻoi aku ka maʻalahi o ka pālahalaha ʻana o ka bacteria TB i nā wahi ʻāʻī a pani ʻia.
ʻO ka mālama ʻana i ke olakino maikaʻi e hoʻoikaika i ka mana o kou ʻōnaehana pale kino e paio i ka bacteria TB. ʻO kēia ka ʻai ʻana i nā meaʻai momona, ka hana kino maʻamau, ka mālama ʻana i nā maʻi lōʻihi e like me ka maʻi suka, a me ka pale ʻana i ka paka a me ka waiʻona nui.
Loaʻa ka lāʻau BCG ma kekahi mau ʻāina kahi i maʻamau ai ka maʻi TB, ʻoiai ʻaʻole ia i hoʻohana mau ʻia ma ʻAmelika Hui Pū ʻIa. Inā hele ʻoe i nā wahi pilikia kiʻekiʻe, e kūkākūkā me kāu kauka lapaʻau e pili ana i nā hana pale ma mua o kāu huakaʻi.
Hoʻomaʻamaʻa pinepine nā limahana olakino a me nā poʻe ʻē aʻe i pilikia kiʻekiʻe i ka nānā TB maʻamau e hopu i nā maʻi i ka wā mua, i ka wā maʻalahi ke mālama a emi iki ka pālahalaha ʻana i nā poʻe ʻē aʻe.
ʻO ka hōʻoia ʻana i ka maʻi TB e komo pū ana i nā hoʻokolohua he nui no ka mea ua like nā hōʻailona me nā kūlana ʻē aʻe o ka māmā. E hoʻomaka kāu kauka me ka moʻolelo olakino piha a me ka nānā kino e hoʻomaopopo i kāu mau hōʻailona a me nā mea pilikia.
ʻO ka hoʻokolohua ʻili tuberculin (TST) kekahi ʻano nānā maʻamau. Hoʻokomo ʻia kahi protein liʻiliʻi mai ka bacteria TB ma lalo o kou ʻili, a nānā ʻia ka pane ma hope o 48-72 mau hola. Hōʻike kahi hoʻokolohua maikaʻi i ka pili ʻana i ka maʻi TB akā ʻaʻole ia e hoʻokaʻawale i waena o ka maʻi latent a me ka maʻi hana.
Ana nā hoʻokolohua koko i kapa ʻia ʻo interferon-gamma release assays (IGRAs) i ka pane o kou ʻōnaehana pale kino i ka bacteria TB. ʻOi aku ka maʻalahi o kēia mau hoʻokolohua ma mua o nā hoʻokolohua ʻili a ʻaʻole ia i hoʻopilikia ʻia e ka lāʻau BCG ma mua.
Inā manaʻo ʻia ka maʻi TB, pono paha ʻoe i ka X-ray umauma e ʻimi i nā hōʻailona o ka maʻi māmā. I kekahi manawa, hāʻawi nā kiʻi hou aku e like me nā CT scan i nā kiʻi kikoʻī o kou mau māmā a me nā kino ʻē aʻe.
He mea nui nā hāpana sputum no ka hōʻoia ʻana i ka maʻi TB hana. E hoʻokuʻu ʻoe i ka phlegm e hoʻokolohua ʻia no nā bacteria TB ma lalo o ka microscope a ulu ʻia i nā moʻomeheu lapaʻau. Hiki i kēia mau hoʻokolohua ke mau i kekahi mau pule akā hāʻawi i ka ʻike kūpono a me ka ʻike e pili ana i ka pale ʻana i ka lāʻau.
I kekahi mau hihia, pono paha i kāu kauka nā hāpana pūnaewele mai nā ʻāpana kino i pilikia a i ʻole nā hāpana wai mai ke kaiapuni o kou mau māmā a i ʻole nā wahi kino ʻē aʻe e hana i kahi ʻike.
He mea maikaʻi loa ka lapaʻau TB ke hahai pono ʻia, me nā helu ho'ōla ma mua o 95% no nā hihia i maʻalahi i ka lāʻau. ʻO ke kī i ka lapaʻau holomua, ʻo ia ka lawe ʻana i kāu mau lāʻau lapaʻau e like me ka mea i kuhikuhi ʻia no ka lōʻihi holoʻokoʻa, ʻoiai inā hoʻomaka ʻoe e ʻoluʻolu.
ʻO ka lapaʻau no ka TB huna e pili ana i ka lawe ʻana i hoʻokahi a ʻelua paha antibiotics no 3-9 mau mahina, ma muli o nā lāʻau lapaʻau āu kauka i koho ai. ʻO nā koho maʻamau loa, ʻo ia ka isoniazid wale nō a i ʻole ka isoniazid i hui pū ʻia me ka rifapentine.
Pono ka TB hana i ka lapaʻau me nā antibiotics he nui i ka manawa hoʻokahi e pale ai i nā bacteria mai ka hoʻomohala ʻana i ka pale ʻana. ʻO ka lapaʻau hoʻomaka maʻamau e komo pū ana i ʻehā mau lāʻau lapaʻau: isoniazid, rifampin, pyrazinamide, a me ethambutol, i lawe ʻia no nā mahina ʻelua mua.
Ma hope o ke kahua mua, hoʻomau mau ka lapaʻau me ka isoniazid a me ka rifampin no ʻehā mau mahina hou aku. E hoʻoponopono kāu kauka i ka regimen ma muli o nā hopena hoʻokolohua e hōʻike ana i ka maikaʻi o ka pane ʻana o nā bacteria i ka lapaʻau.
Pono ka TB pale lāʻau i ka lapaʻau paʻakikī loa me nā lāʻau lapaʻau lua e hiki ke loaʻa nā hopena ʻaoʻao hou aʻe a pono e lawe ʻia no 12-24 mau mahina. Eia naʻe, hiki ke mālama ʻia kēia mau hihia me ka mālama lapaʻau kūpono.
E nānā pono kāu hui olakino iā ʻoe i ka wā o ka lapaʻau me nā nānā maʻamau, nā hoʻokolohua koko, a me nā moʻomeheu sputum e hōʻoia i ka hana ʻana o nā lāʻau lapaʻau a e nānā i nā hopena ʻaoʻao.
ʻO ka mālama pono ʻana iā ʻoe iho ma ka home i ka wā o ka mālama ʻana i ka maʻi TB e kōkua i kou kino e hoʻōla a pale aku i ka hoʻolaha ʻana o ka maʻi i nā poʻe ʻē aʻe. ʻO ka mea nui loa, ʻo ia ka lawe pono ʻana i kāu mau lāʻau lapaʻau e like me ka mea i kuhikuhi ʻia, ʻoiai inā hoʻomaka ʻoe e ʻoluʻolu ma hope o kekahi mau pule.
Inā loaʻa iā ʻoe ka maʻi TB hana, pono ʻoe e noho ma ka home mai ka hana a i ʻole ke kula no nā pule mua o ka mālama ʻana a hiki i ka wā ʻaʻole ʻoe e hoʻolaha hou. E haʻi aku kāu kauka iā ʻoe i ka wā e palekana ai ke hoʻi i nā hana maʻamau, maʻamau ma hope o 2-3 mau pule o ka mālama ʻana.
E uhi i kou waha a me kou ihu i ka wā e ʻaehue a i ʻole kuʻi ai, ʻoi aku ka maikaʻi me kahi lole e hoʻolei koke ʻoe. E holoi pinepine i kou mau lima a pale aku i ka pili kokoke ʻana me nā poʻe ʻē aʻe, ʻoi aku hoʻi nā keiki, nā ʻelemakule, a i ʻole nā mea i nā ʻōnaehana pale ʻole.
E hōʻoia i ka ea maikaʻi i kou wahi noho ma ka wehe ʻana i nā puka makani i ka hiki a me ka hoʻohana ʻana i nā pā i ka hoʻoneʻe ʻana i ka ea. Hoʻolaha maʻalahi nā bacteria TB i nā wahi pani, no laila, kōkua ka ea hou e pale i kou ʻohana.
E kau i ka manaʻo i ka ʻai ʻana i nā meaʻai momona e kākoʻo i kou ʻōnaehana pale a kōkua i kou kino e hakakā i ka maʻi. E loaʻa ka hoʻomaha nui, e noho wai, a pale aku i ka waiʻona, hiki ke hoʻopilikia i kāu mau lāʻau lapaʻau a hoʻolohi i ka hoʻōla.
E mālama i ka papa hana o kāu lāʻau lapaʻau a me nā hopena ʻaoʻao. Hiki i kekahi mau lāʻau TB ke hana i ka nausea, no laila, ʻo ka lawe ʻana iā lākou me ka ʻai e kōkua paha. E kelepona i kāu mea mālama ola inā loaʻa iā ʻoe nā hopena ʻaoʻao mau a i ʻole nā hōʻailona e hopohopo nei iā ʻoe.
ʻO ka hoʻomākaukau ʻana no kāu kipa kauka e pili ana i ka TB e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻike pololei loa a me ka mālama kūpono. E hoʻomaka ma ka kākau ʻana i kāu mau hōʻailona a pau, me ka wā i hoʻomaka ai lākou a pehea lākou i loli ai i ka manawa.
E hana i ka papa inoa o nā lāʻau lapaʻau āpau āu e lawe nei i kēia manawa, me nā lāʻau lapaʻau kuhikuhi, nā lāʻau lapaʻau ma luna o ka papa kūʻai, a me nā mea hoʻohui. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka mālama ʻana i ka TB, no laila pono i kāu kauka kēia ʻike piha.
E hōʻiliʻili i ka ʻike e pili ana i kou moʻolelo lapaʻau, me ka hoʻopili ʻana i kekahi hoʻolaha TB ma mua, ka huakaʻi ʻana i nā wahi pilikia kiʻekiʻe, a i ʻole nā kūlana e hiki ke hoʻopilikia i kou ʻōnaehana pale. Inā ua loaʻa iā ʻoe nā hoʻokolohua TB ma mua, e lawe mai i kēlā mau hopena inā loaʻa.
E noʻonoʻo e pili ana i nā kānaka āu i pili kokoke ai i kēia manawa, ʻoi aku hoʻi inā he TB hana paha ʻoe. Pono paha kāu mea lawelawe ola e hoʻokaʻaʻike iā lākou no ka hoʻokolohua a me ka mālama ʻana paha e pale aku i ka hoʻolaha hou aku.
E hoʻomākaukau i nā nīnau e pili ana i kāu ʻike, nā koho mālama, nā hopena ʻaoʻao e manaʻo ʻia, a me ka lōʻihi o kou pono e lawe i nā lāʻau lapaʻau. Mai kānalua e nīnau e pili ana i kekahi mea e hopohopo ai ʻoe a i ʻole ʻaʻole ʻoe i maopopo.
Inā ʻike ʻia ʻoe me ka TB, e nīnau e pili ana i ka mālama hoʻomau, i ka wā e hiki ai iā ʻoe ke hoʻi i ka hana a i ʻole ke kula, a pehea e pale aku ai i kou ʻohana a me kou mau hoaaloha mai ka maʻi i ka wā o kāu mālama.
ʻO ka mea nui loa e hoʻomanaʻo ai e pili ana i ka maʻi tuberculosis, ʻo ia ka mea hiki ke mālama ʻia loa ke hopu ʻia i ka wā mua a mālama pono ʻia. ʻOiai hiki i ka TB ke kani weliweli, ua hāʻawi mai ka lāʻau lapaʻau hou iā mākou i nā mea hana ikaika e hakakā pono ai i kēia maʻi kahiko.
Mai hoʻowahāwahā i nā hōʻailona mau loa e like me ka ʻōhū lōʻihi ma mua o ʻekolu pule, ka nalowale kaumaha wehe ʻole ʻia, a i ʻole ka hou ʻana o ka pō. ʻO ka ʻike mua e hana i ka mālama ʻana i ka pōkole, ʻoi aku ka maikaʻi, a pale aku i nā pilikia e hiki ke loaʻa me ka TB mālama ʻole ʻia.
Inā ʻike ʻia ʻoe me ka TB, ʻo ka lawe ʻana i kāu mau lāʻau lapaʻau e like me ka mea i kuhikuhi ʻia he mea nui no kāu ola hou ʻana a pale aku i ka hoʻomohala ʻana o nā bacteria pale lāʻau. ʻOi aku ka maikaʻi o ka manaʻo o ka hapa nui o nā kānaka i loko o kekahi mau pule ma hope o ka hoʻomaka ʻana o ka mālama ʻana.
E hoʻomanaʻo ʻaʻole ka loaʻa ʻana o ka TB he mea maikaʻi ʻole ia iā ʻoe a i ʻole kou hoʻomaʻemaʻe. He maʻi maʻi wale nō ia e hiki ke hoʻopilikia i kekahi, a me ka mālama pono, hiki iā ʻoe ke manaʻo e hana hou a hoʻi i kāu mau hana maʻamau.
ʻAe, hiki ke hoʻōla piha ʻia ka maʻi palupalu me ka mālama kūpono. I ka lawe ʻana i kāu mau lāʻau lapaʻau i kuhikuhi ʻia e like me ke kuhikuhi ʻia no ka manawa mālama piha, ʻoi aku ka nui o nā helu hoʻōla ma mua o 95% no ka maʻi palupalu i pane maikaʻi i ka lāʻau. ʻO nā ʻano maʻi palupalu i kūʻē i ka lāʻau lapaʻau, hiki ke hoʻōla ʻia, ʻoiai e pono ai ka mālama lōʻihi me nā lāʻau lapaʻau ʻē aʻe.
ʻO ka mālama ʻana no ka maʻi palupalu hana e lawe pinepine ana i nā mahina 6-9, ʻoiai paha e pono ai kekahi mau hihia i ka mālama lōʻihi. ʻO ka mālama ʻana i ka maʻi palupalu huna e mau pinepine ana i nā mahina 3-9, ma muli o nā lāʻau lapaʻau a kāu kauka e kuhikuhi ai. Hiki i ka maʻi palupalu i kūʻē i ka lāʻau lapaʻau ke pono i nā mahina 12-24 o ka mālama ʻana, akā e nānā pono kāu hui olakino i kou holomua.
ʻAʻole, lilo ka maʻi palupalu i mea hoʻolaha iki loa ma hope koke o ka hoʻomaka ʻana o ka mālama ʻana. ʻAʻole hoʻolaha hou ka hapa nui o nā kānaka me ka maʻi palupalu hanu hana ma hope o 2-3 mau pule o ka lawe pono ʻana i kā lākou mau lāʻau lapaʻau. E hōʻoia kāu kauka i ka wā ʻaʻole ʻoe e hoʻolaha hou ma mua o kou hoʻi ʻana i ka hana a i ʻole ke kula.
ʻOiai hiki ke loaʻa hou i ka maʻi palupalu ma hope o ka hoʻōla ʻia, he mea maʻamau ʻole ia inā ua hoʻopau ʻoe i kāu papa mālama piha. E hoʻomohala kāu ʻōnaehana pale i kekahi pale ma hope o ka hakakā ʻana i ka maʻi palupalu, akā ʻoi aku ka maʻalahi o nā kānaka me nā ʻōnaehana pale nāwaliwali a i ʻole nā kumu pilikia nui e hoʻopili hou ʻia.
Hiki i ka poina ʻana i nā lāʻau ke ʻae i nā bacteria maʻi palupalu e hoʻomohala i ka kūʻē i kāu mau lāʻau lapaʻau, e hoʻopilikia a lōʻihi loa i ka mālama ʻana. Inā poina ʻoe i kahi lāʻau, e lawe iā ia i ka manawa āu e hoʻomanaʻo ai, akā mai pālua i nā lāʻau. E kelepona koke i kāu mea mālama ola inā ua poina ʻoe i nā lāʻau he nui, ʻoiai paha e pono e hoʻoponopono ʻia kāu papahana mālama.
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