He aha ka DTaP-Hepatitis B-Poliovirus-Haemophilus B Vaccine? Nā Pōmaikaʻi, nā hopena ʻaoʻao, & He aha e manaʻo ai

ʻO ka DTaP-Hepatitis B-Poliovirus-Haemophilus B vaccine he pahu hui e pale ai i nā maʻi koʻikoʻi ʻelima i hoʻokahi injection. ʻO kēia vaccine, i ʻike ʻia ʻo ka pentavalent vaccine, kōkua i ka ʻōnaehana pale o kāu keiki e kūkulu i ka pale ʻana i ka diphtheria, tetanus, pertussis (whooping cough), hepatitis B, polio, a me Haemophilus influenzae type b (Hib). Ua hoʻolālā ʻia e hana i nā papa hana hoʻopaʻa ʻana i ka wā kamaliʻi i maʻalahi a hāʻawi i ka pale piha i nā makahiki mua loa o kāu keiki.

He aha nā maʻi e pale ai kēia vaccine hui?

Mālama kēia vaccine ikaika i kāu keiki mai ʻelima mau maʻi e hiki ke hoʻoweliweli i ke ola. Hoʻopā kēlā me kēia ʻāpana i kahi maʻi kikoʻī e hiki ke hoʻopilikia nui i nā pēpē a me nā keiki ʻōpio.

Pale ka ʻāpana DTaP i ka diphtheria, tetanus, a me ka pertussis. Hiki i ka Diphtheria ke hoʻoulu i nā pilikia hanu nui a me nā pilikia o ka naʻau, aʻo ka tetanus e alakaʻi i nā spasms ʻiʻo ʻeha e hiki ke make. ʻO Pertussis, i kapa ʻia ʻo whooping cough, e hoʻoulu i nā ʻūlū ʻino e hiki ke pilikia loa no nā pēpē.

Pale ka ʻāpana hepatitis B i kahi maʻi ate e hiki ke lilo i maʻi mau a alakaʻa i ka pōʻino o ke ake ma hope o ke ola. Pale ka ʻāpana poliovirus i ka polio, hiki ke hoʻoulu i ka paralysis mau. ʻO ka hope, pale ka ʻāpana Haemophilus B i ka Hib, he bacteria e hiki ke hoʻoulu i ka meningitis, pneumonia, a me nā maʻi koʻikoʻi ʻē aʻe.

Pehea ke ʻano o ka loaʻa ʻana o kēia vaccine?

E loaʻa i kāu keiki kēia vaccine ma ke ʻano he pana i loko o ko lākou ʻiʻo ʻūhā (no nā pēpē) a i ʻole ka lima luna (no nā keiki nui). He mau kekona wale nō ka injection a manaʻo e like me ka ʻū a i ʻole ka ʻeha.

Uē pōkole ka hapa nui o nā keiki ke loaʻa iā lākou ka pana, he mea maʻamau loa ia. Hele maʻamau ka ʻoluʻolu i loko o hoʻokahi a ʻelua paha minuke. Manaʻo kekahi mau mākua he mea kōkua ke paʻa i kā lākou keiki i ka wā e hoʻokomo ʻia ai a hāʻawi koke i ka hōʻoluʻolu ma hope.

Ma hope o ka pana, e ʻike paha kāu keiki i kekahi ʻoluʻolu, ʻulaʻula, a i ʻole ka pehu iki ma kahi i hoʻokomo ʻia ai. He mau hōʻailona kēia mau hana e hōʻike ana e pane ana ka ʻōnaehana pale o kāu keiki i ka lāʻau lapaʻau a ke kūkulu nei i ka pale.

He aha ke kumu o nā hopena ʻaoʻao mai kēia lāʻau lapaʻau?

Hiki mai nā hopena ʻaoʻao no ka mea e hana ikaika ana ka ʻōnaehana pale o kāu keiki e kūkulu i ka pale ʻana i kēia mau maʻi. Ke hoʻolauna ka lāʻau lapaʻau i nā ʻāpana liʻiliʻi a palekana o kēia mau mikiona, hana ke kino o kāu keiki i nā antibodies e hakakā iā lākou.

Hiki i kēia pane immune ke hana i nā hōʻailona maʻalahi e mau ana no 1-2 mau lā. ʻO nā hana maʻamau e hana ʻia ma kahi i hoʻokomo ʻia ai no ka mea ma laila ka ʻōnaehana pale o kāu keiki e hālāwai mua ai me nā mea i loko o ka lāʻau lapaʻau.

He mea maʻamau loa nā hopena ʻaoʻao koʻikoʻi, akā hiki ke hana inā he maʻi maʻi kāu keiki i kekahi o nā mea i loko o ka lāʻau lapaʻau. Eia naʻe, ua aʻo ʻia nā mea mālama ola e ʻike a mālama koke i kēia mau hana.

He aha nā kūlana e hiki ai i kēia lāʻau lapaʻau ke kōkua i ka pale ʻana?

Pale kēia lāʻau lapaʻau i ʻelima mau maʻi maʻi koʻikoʻi i mea maʻamau i ka make a me ke kino kīnā i ka wā kamaliʻi. ʻO ka hoʻomaopopo ʻana i ka mea hiki i kēlā me kēia maʻi ke hana e kōkua i ka wehewehe ʻana i ke kumu e koʻikoʻi ai kēia pale.

Eia nā kūlana e kōkua ai kēia lāʻau lapaʻau i ka pale ʻana:

• Diphtheria: He maʻi bacteria e hana ana i kahi uhi mānoanoa i ka ʻāʻī, e paʻakikī ai ka hanu ʻana a hiki ke hoʻopilikia i ka puʻuwai a me nā aʻalolo
• Tetanus: He maʻi bacteria e hoʻoulu ai i nā ʻiʻo ʻiʻo nui a hiki ke make me ka mālama ʻana
• Pertussis (ʻūhū): He maʻi hanu maʻi loa e hoʻoulu ai i nā ʻūhū ikaika, he mea weliweli loa ia no nā pēpē ma lalo o 6 mahina
• Hepatitis B: He maʻi ate e hiki ke lilo i maʻi mau a alakaʻi i ka maʻi ate a i ʻole ka maʻi ate ma hope o ka manawa
• Polio: He maʻi viral e hiki ke hoʻoulu i ka maʻi lolo mau, nā pilikia hanu, a me ka make
• Haemophilus influenzae type b (Hib): He maʻi bacteria e hiki ke hoʻoulu i ka meningitis, pneumonia, a me nā pilikia ʻē aʻe e hoʻoweliweli ana i ke ola

Hiki i kēlā me kēia maʻi ke hoʻoulu i nā pilikia nui a i ʻole ka make, ʻoi aku hoʻi i nā keiki ʻōpio e ulu ana nā ʻōnaehana pale. Kōkua ka lāʻau lapaʻau i ke kino o kāu keiki e ʻike a hakakā i kēia mau germs ma mua o ka hiki iā lākou ke hoʻoulu i ka maʻi.

Hiki i nā hopena ʻaoʻao mai kēia lāʻau lapaʻau ke hele wale?

ʻAe, ʻo ka hapa nui o nā hopena ʻaoʻao mai kēia lāʻau lapaʻau he maʻalahi a hoʻoponopono iā lākou iho i loko o 1-3 mau lā. Hoʻoponopono maoli ke kino o kāu keiki i nā mea o ka lāʻau lapaʻau a hoʻomaha ka pane ʻana o ka immune.

ʻO nā hopena ʻaoʻao maʻamau e like me ka ʻeha ma kahi o ka injection, ke kuni maʻalahi, a i ʻole ka huhū e piʻi maʻamau i loko o nā hola 24 mua a laila e hoʻomaikaʻi mālie. ʻAʻole pono ʻoe e hana i kekahi mea kūikawā no kēia mau hopena maʻalahi ma mua o ka mālama ʻana i kāu keiki.

Eia naʻe, inā e ulu ana kāu keiki i ke kuni kiʻekiʻe (ma luna o 105°F), me he mea lā ʻaʻole maikaʻi loa, a i ʻole e hōʻike i nā hōʻailona o ka hopena maʻi, ʻaʻole e hoʻoponopono kēia mau hōʻailona iā lākou iho a pono i ka lāʻau lapaʻau koke.

Pehea e mālama ʻia ai nā hopena ʻaoʻao o ka lāʻau lapaʻau ma ka home?

Hiki iā ʻoe ke kōkua i kāu keiki e ʻoluʻolu ma hope o ka hoʻopaʻa ʻia ʻana me nā hana mālama home maʻalahi. Hiki i kēia mau hana mālie ke hōʻoluʻolu i nā hopena ʻaoʻao maʻamau a kōkua i kāu keiki e ola wikiwiki.

No ka ʻeha o ka wahi injection, hiki iā ʻoe ke hoʻopili i kahi lole anuanu a pulu i ka wahi no 10-15 mau minuke i ka manawa. E pale i ka hamo ʻana a i ʻole ka lomilomi ʻana i ka wahi injection, no ka mea, hiki i kēia ke hoʻonui i ka ʻeha.

Inā loaʻa i kāu keiki ke kuni haʻahaʻa a i ʻole ke ʻano huhū, hiki iā ʻoe ke hāʻawi i nā mea kūpono o ka acetaminophen a i ʻole ibuprofen e like me nā ʻōlelo kuhikuhi o ka pūʻolo. E hōʻoia i ka nui o ka hoʻomaha ʻana o kāu keiki a hāʻawi i nā wai keu inā makemake lākou.

Hiki i ka neʻe mālie ʻana o ka lima a i ʻole ka wāwae i hoʻokomo ʻia ke kōkua i ka hōʻemi ʻana i ka ʻoʻoleʻo, akā mai koi i ka hana inā ʻoluʻolu ʻole kāu keiki. Hoʻi ka hapa nui o nā keiki i kā lākou hana maʻamau i loko o hoʻokahi a ʻelua paha lā.

He aha ka lāʻau lapaʻau no nā hopena koʻikoʻi o ka lāʻau lapaʻau?

He mea maʻamau loa nā hopena koʻikoʻi i kēia lāʻau lapaʻau, akā ua mākaukau nā mea mālama ola e mālama koke iā lākou. Loaʻa i ka hapa nui o nā wahi hoʻopaʻa ʻia nā lāʻau lapaʻau pilikia a me nā lako i loaʻa.

Inā loaʻa i kāu keiki kahi hopena maʻi koʻikoʻi (anaphylaxis), e hāʻawi nā limahana lapaʻau i ka epinephrine a me nā lāʻau lapaʻau pilikia ʻē aʻe. E nānā pū lākou i ka hanu ʻana o kāu keiki, ke koko, a me ka puʻuwai a hiki i ka pau ʻana o ka hopena.

No ke kuni kiʻekiʻe a i ʻole nā ​​puʻupuʻu (febrile seizures), hiki i nā kauka ke hoʻohana i nā lāʻau lapaʻau e hoʻemi ai i ke kuni, nā hana hoʻoluʻu, a i ʻole nā ​​lāʻau anti-seizure inā pono. ʻO kēia mau hopena, ʻoiai he mea weliweli, ʻaʻole pinepine i nā pilikia mau i ka wā e mālama koke ʻia ai.

Hiki i kāu mea mālama ola ke ʻōlelo e hoʻopaneʻe i nā mea e hiki mai ana a i ʻole ka hoʻohana ʻana i nā ʻano lāʻau lapaʻau like ʻole inā loaʻa i kāu keiki kahi hopena nui, ʻoiai he mea maʻamau kēia.

I ka manawa hea wau e hoʻokaʻaʻike aku ai i ke kauka e pili ana i nā hopena o ka lāʻau lapaʻau?

Pono ʻoe e kelepona i ke kauka o kāu keiki inā loaʻa iā lākou nā hōʻailona hopohopo ma hope o ka lawelawe ʻana i ka lāʻau lapaʻau. ʻOiai he maʻalahi a manaʻo ʻia ka hapa nui o nā hopena, hōʻike kekahi mau hōʻailona e pono ai kāu keiki i ka loiloi olakino.

E kelepona koke i kāu kauka inā loaʻa i kāu keiki ke kuni ma luna o 105°F (40.6°C), me he mea lā e hiamoe loa ana a paʻakikī paha e ala, a i ʻole e uē ana me ka ʻole o ka hōʻoluʻolu no nā hola ʻoi aku ma mua o 3. Pono kēia mau hōʻailona, ʻoiai he kakaikahi, i ka mālama olakino wikiwiki.

E ʻimi koke i ka mālama ulia pōpilikia inā hōʻike kāu keiki i nā hōʻailona o ka hopena maʻi koʻikoʻi. Aia kēia me ka pilikia o ka hanu ʻana, ka pehu ʻana o ka maka a i ʻole ka ʻāʻī, ka ʻōpala ākea, a i ʻole ka luaʻi nui a me ka maʻi maʻi i loko o nā hola o ka lawelawe ʻana i ka lāʻau lapaʻau.

E kelepona pū i kāu mea mālama ola inā e ʻino aʻe ka ʻulaʻula a i ʻole ka pehu ʻana ma ke kahua injection ma hope o 24 mau hola, e laha nui ana, a i ʻole inā loaʻa i kāu keiki kekahi mau hōʻailona e hopohopo ai ʻoe. E hilinaʻi i kāu mau ʻōlelo aʻoaʻo ma ke ʻano he makua - ʻike maikaʻi ʻoe i kāu keiki.

He aha nā mea pilikia no nā hopena lāʻau lapaʻau?

Hoʻomanawanui ka hapa nui o nā keiki i kēia lāʻau lapaʻau, akā hiki i kekahi mau mea ke hoʻonui iki i ka pilikia o nā hopena. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua iā ʻoe a me kāu mea mālama ola e hana i nā hoʻoholo i ʻike ʻia e pili ana i ka lawelawe ʻana i ka lāʻau lapaʻau.

ʻO nā keiki me ka mōʻaukala o nā hopena maʻi koʻikoʻi i nā lāʻau lapaʻau mua a i ʻole nā ʻāpana lāʻau lapaʻau e kū nei i ka pilikia kiʻekiʻe o nā hopena maʻi. E nānā pono kāu kauka i ka mōʻaukala olakino o kāu keiki ma mua o ka lawelawe ʻana i ka lāʻau lapaʻau.

Eia nā mea e hiki ke hoʻonui i ka pilikia o ka hopena:

• Nā hopena koʻikoʻi i nā lāʻau lapaʻau ma mua: ʻO nā keiki i loaʻa nā hopena koʻikoʻi i nā lāʻau lapaʻau ma mua, ʻoi aku paha ka maʻalahi o ka pane hou ʻana.
• Nā maʻi o ka ʻōnaehana pale: ʻO nā keiki me nā ʻōnaehana pale i nāwaliwali paha he mau pane like ʻole i nā lāʻau lapaʻau.
• Nā lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ke ʻano o ka pane ʻana o ka ʻōnaehana pale i nā lāʻau lapaʻau.
• Maʻi nui: Pono nā keiki me nā maʻi waena a koʻikoʻi e kali a hiki i ka wā e ola ai ma mua o ka lāʻau lapaʻau.
• Nā maʻi maʻi i nā mea i loko o ka lāʻau lapaʻau: Nā maʻi maʻi i nā mea i loko o ka lāʻau lapaʻau e like me ka gelatin a i ʻole nā lāʻau antibiotic.

Hiki nō i nā keiki me kēia mau mea pilikia ke loaʻa i nā lāʻau lapaʻau me ka palekana me nā hana kūpono a me ka nānā ʻana. E loiloi kāu mea mālama ola i nā pōmaikaʻi a me nā pilikia no kāu keiki.

He aha nā pilikia hiki ke loaʻa mai ka loaʻa ʻole o kēia lāʻau lapaʻau?

Hiki i nā maʻi e pale ai kēia lāʻau lapaʻau ke hana i nā pilikia koʻikoʻi i ʻoi aku ka koʻikoʻi ma mua o nā hopena ʻaoʻao o ka lāʻau lapaʻau. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia e kōkua i ka hoʻonoho ʻana i ke koʻikoʻi o ka lāʻau lapaʻau.

Hiki i ka diphtheria ke hana i ka hāʻule ʻana o ka puʻuwai a me ka paralysis, ʻoiai ʻo ka tetanus he 10-20% ka make ʻana me ka mālama olakino koʻikoʻi. He mea weliweli loa ka pertussis no nā pēpē, e hana ana i ka pneumonia, ka pōʻino o ka lolo, a me ka make ma kahi o 1 i loko o 100 mau pēpē i loaʻa.

Hiki i ka hepatitis B ke alakaʻi i nā pilikia o ke ake i ke ola a pau, me ka maʻi ʻaʻai o ke ake a me ka hāʻule ʻana o ke ake. Hiki i ka polio ke hana i ka paralysis mau loa, a pono kekahi poʻe i nā mīkini e kōkua iā lākou e hanu no ke koena o ko lākou ola.

Hiki i ka Haemophilus influenzae type b ke hana i ka meningitis bacterial, e alakaʻi ana i ka pōʻino o ka lolo, ka nalowale o ka lohe, a i ʻole ka make ma kahi o 1 i loko o 5 mau hihia. Ma mua o ka lāʻau lapaʻau Hib, ʻo kēia bacteria ke kumu nui o ka meningitis bacterial i nā keiki ma lalo o 5.

Ke hōʻike nei kēia mau pilikia i ke kumu e ʻōlelo ikaika ai nā mea mālama ola i kēia lāʻau lapaʻau me ka pilikia liʻiliʻi o nā hopena ʻaoʻao. ʻOi aku ka nui o ka pale e hāʻawi ai ma mua o nā pilikia no nā keiki a pau.

Ua palekana anei kēia lāʻau lapaʻau no nā keiki me nā maʻi olakino?

Hiki i nā keiki he nui me nā maʻi olakino ke loaʻa i kēia lāʻau lapaʻau me ka palekana, akā pono paha kekahi i nā hana kūikawā. E loiloi kāu mea mālama ola i ke kūlana kikoʻī o kāu keiki e hoʻoholo ai i ke ala maikaʻi loa.

Hiki i nā keiki me nā maʻi liʻiliʻi e like me ke anu a i ʻole ke kuni haʻahaʻa ke loaʻa i ka lāʻau lapaʻau me ka palekana. Eia naʻe, pono nā keiki me nā maʻi maʻamau a koʻikoʻi e kali a ola lākou i mea e pale ai i ka huikau ʻana i nā hōʻailona maʻi me nā hopena lāʻau lapaʻau.

Pono paha nā keiki me nā maʻi ʻōnaehana pale e hoʻololi i nā papa hana lāʻau lapaʻau a i ʻole ka nānā ʻana. Pono paha kekahi mau keiki e lawe ana i kekahi mau lāʻau lapaʻau i nā hoʻoponopono manawa, akā ua ʻōlelo pinepine ʻia ka lāʻau lapaʻau no ka mea aia lākou i ka pilikia nui o nā maʻi koʻikoʻi.

E kūkākūkā mau i nā maʻi olakino o kāu keiki, nā lāʻau lapaʻau, a me nā hopena lāʻau lapaʻau ma mua me kāu mea mālama ola. Hiki iā lākou ke hana i kahi hoʻolālā lāʻau lapaʻau palekana a kūpono hoʻi no nā pono kikoʻī o kāu keiki.

He aha nā hopena lāʻau lapaʻau i hiki ke kuhi hewa ʻia?

I kekahi manawa hopohopo nā mākua i nā hōʻailona ʻē aʻe he hopena lāʻau lapaʻau ke maʻi maoli lākou. Maʻi pinepine nā keiki ʻōpio, a maʻalahi ka hoʻopili ʻana i kekahi hōʻailona i kahi lāʻau lapaʻau hou.

ʻO nā hōʻailona anu maʻamau e like me ka ihu kahe, ka ʻu, a i ʻole ka congestion e ʻike ʻia i nā lā ma hope o ka lāʻau lapaʻau he maʻi maʻamau ma mua o nā hopena lāʻau lapaʻau. ʻIke maʻamau nā hopena lāʻau lapaʻau maoli i loko o 24-48 mau hola o ka lāʻau lapaʻau.

ʻO nā maʻi o ka ʻōpū, nā maʻi pepeiao, a i ʻole nā maʻi maʻamau o nā keiki e like paha me ka pili ʻana i ka lāʻau lapaʻau, akā ʻoi aku ka nui o nā pilikia olakino ʻokoʻa. ʻO ka manawa a me nā hōʻailona kikoʻī e kōkua i ka hoʻokaʻawale ʻana ma waena o nā hopena o ka lāʻau lapaʻau a me nā maʻi ʻaʻole pili.

Inā ʻaʻole ʻoe maopopo inā pili nā hōʻailona o kāu keiki i ka lāʻau lapaʻau, e kelepona i kāu mea mālama ola. Hiki iā lākou ke kōkua i ka hoʻoholo inā pili nā hōʻailona i ka lāʻau lapaʻau a i ʻole pono kāu keiki i ka lāʻau no kekahi maʻi ʻē aʻe.

Nā nīnau i nīnau pinepine ʻia e pili ana i kēia lāʻau lapaʻau

N: Ehia mau lāʻau o kēia lāʻau lapaʻau e pono ai kaʻu keiki?

Pono kāu keiki i 3-4 mau lāʻau o kēia lāʻau lapaʻau i nā mahina 18 mua o ke ola. Aia ke ana kikoʻī i ka hui pū ʻana o ka lāʻau lapaʻau a kāu kauka e hoʻohana ai a me ka makahiki o kāu keiki i ka hoʻomaka ʻana i nā lāʻau lapaʻau.

Loaʻa i ka hapa nui o nā keiki nā lāʻau ma 2, 4, a me 6 mau mahina o ka makahiki, me kekahi mau ʻano e koi ana i ka lāʻau ʻehā ma waena o 12-18 mau mahina. E hāʻawi kāu mea mālama ola iā ʻoe i kahi papa hana pilikino e pili ana i nā pono o kāu keiki a me ka lāʻau lapaʻau i hoʻohana ʻia.

N: Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau me nā lāʻau lapaʻau ʻē aʻe?

ʻAe, hiki ke hāʻawi palekana ʻia kēia lāʻau lapaʻau me nā lāʻau lapaʻau maʻamau o nā keiki i ka wā o ka kipa like. Hoʻonohonoho pinepine nā mea mālama ola i nā lāʻau lapaʻau e hōʻemi i ka helu o nā kipa e pono ai i ka mālama ʻana i ka pale.

Ke hāʻawi ʻia nā lāʻau lapaʻau he nui, hāʻawi ʻia lākou ma nā wahi like ʻole (e like me nā lima a i ʻole nā wāwae like ʻole) e hōʻemi i nā hopena kūloko. Ua aʻo nui ʻia kēia ʻano hana a ua hōʻoia ʻia he palekana a maikaʻi.

N: He aha kaʻu e hana ai inā haʻalele kaʻu keiki i kahi lāʻau i hoʻonohonoho ʻia?

Inā haʻalele kāu keiki i kahi lāʻau, e kelepona i kāu mea mālama ola e hoʻonohonoho hou i ka hiki wawe. ʻAʻole pono e hoʻomaka hou i ka moʻo holoʻokoʻa - hiki i kāu keiki ke hoʻomau me ka lāʻau aʻe i ka papa.

ʻAʻole e hoʻēmi ka lōʻihi o ka manawa ma waena o nā lāʻau i ka pono o ka lāʻau lapaʻau, no laila, mai hopohopo inā he lohi. E kōkua kāu mea mālama ola iā ʻoe e hoʻi i ke ala me ka papa hana i ʻōlelo ʻia.

Nīnau: Aia kekahi hopena lōʻihi mai kēia lāʻau lapaʻau?

Hōʻike ka noiʻi nui ʻaʻole kēia lāʻau lapaʻau e hoʻoulu i nā pilikia olakino lōʻihi. Hoʻopau ʻia nā mea i loko o ke kino o kāu keiki i loko o nā lā, akā noho nā antibodies pale no nā makahiki.

Ke hopohopo nei kekahi poʻe e pili ana i nā pilina ma waena o nā lāʻau lapaʻau a me nā kūlana e like me ka autism, akā ua ʻike nā haʻawina nui he nui ʻaʻohe pilina. ʻOi aku ka nui o nā pōmaikaʻi lōʻihi o ka pale ʻana i ka maʻi ma mua o nā pilikia theoretical.

Nīnau: Pehea ka pono o kēia lāʻau lapaʻau i ka pale ʻana i ka maʻi?

He mea pono loa kēia lāʻau lapaʻau i ka pale ʻana i nā maʻi ʻelima a pau e manaʻo ai. ʻO ka maʻamau ka laulā o nā helu pale mai 85-95% no ka hapa nui o nā mea, me kekahi e hāʻawi ana i nā helu pale kiʻekiʻe.

ʻOiai inā maʻi kekahi keiki i hoʻopaʻa ʻia me kekahi o kēia mau maʻi, ʻoi aku ka maʻalahi o ka maʻi ma mua o ka ʻole o ka lāʻau lapaʻau. Hōʻike kēia i ka waiwai o ka lāʻau lapaʻau ʻoiai i nā hihia breakthrough.