He aha ka Measles and Rubella Virus Vaccine Live? Nā Hōʻailona, ​​Nā Kumu, & Lapaʻau Kūloko

ʻO ka measles and rubella virus vaccine live he hui pū ʻia e pale aku iā ʻoe mai nā maʻi viral koʻikoʻi ʻelua. Aia i loko o kēia lāʻau lapaʻau nā mana nāwaliwali (ola attenuated) o nā mea maʻi ʻelua e kōkua i kāu ʻōnaehana pale e aʻo e hakakā i kēia mau maʻi me ka hana ʻole iā ʻoe.

ʻIke paha ʻoe i kēia lāʻau lapaʻau ma ke ʻano he ʻāpana o ka MMR vaccine, kahi e komo pū ana i ka pale ʻana i ka mumps. Hāʻawi ʻia ka hui measles-rubella i ka wā e pono ʻole ai ka pale mumps a i ʻole i ka wā i loaʻa mua ai ka mumps.

He aha ka Measles and Rubella Virus Vaccine Live?

ʻO kēia lāʻau lapaʻau he lapaʻau pale e aʻo ai i kāu ʻōnaehana pale e ʻike a hakakā i nā maʻi measles a me rubella. Hoʻohana ka lāʻau lapaʻau i nā mana ola akā nāwaliwali o kēia mau maʻi, ʻo ia hoʻi ʻaʻole hiki iā lākou ke hoʻoulu i nā maʻi maoli i nā kānaka olakino.

Hāʻawi nā mea mālama ola i kēia lāʻau lapaʻau ma ke ʻano he injection i loko o kou ʻiʻo, maʻamau i kou lima luna. Hoʻoulu nā maʻi nāwaliwali i ka lāʻau lapaʻau i kāu ʻōnaehana pale e hana i nā antibodies - nā koa pale kūlohelohe o kou kino e pale iā ʻoe inā ʻoe e hōʻike ʻia i nā maʻi maoli.

Hāʻawi ka lāʻau lapaʻau i ka pale lōʻihi, pinepine no ke ola ma hope o ka hoʻopau ʻana i nā lāʻau i ʻōlelo ʻia. Kōkua kēia pale i ka pale ʻana i nā pilikia koʻikoʻi e hiki ke hana me nā maʻi measles a me rubella.

Pehea ke ʻano o ka loaʻa ʻana o ka Measles and Rubella Vaccine?

ʻO ka hapa nui o nā kānaka e ʻike wale i ka hōʻoluʻolu maʻalahi i ka wā a ma hope o ka loaʻa ʻana o kēia lāʻau lapaʻau. ʻO ka injection ponoʻī e like me ka ʻoki wikiwiki a i ʻole ka ʻūhā e mau ana no kekahi mau kekona.

Ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau, e ʻike paha ʻoe i kekahi mau hopena ʻaoʻao maʻamau e hōʻike ana e pane pono ana kāu ʻōnaehana pale. He maʻalahi a he manawa pōkole kēia mau hopena, e mau ana no hoʻokahi a ʻelua paha lā.

Eia ka mea e ʻike ai ʻoe i nā hola a me nā lā ma hope o kāu lāʻau lapaʻau:

• Ka ʻeha, ka ʻulaʻula, a i ʻole ka pehu ʻana ma kahi i hoʻokomo ʻia ai ka lāʻau
• He kuni haʻahaʻa (ma lalo o 101°F maʻamau)
• He luhi iki a i ʻole ka manaʻo ua pau ka ikaika
• He ʻeha poʻo iki
• He ʻeha hui iki

He mau hōʻailona maikaʻi kēia mau hopena e hōʻike ana e kūkulu ana kāu ʻōnaehana pale i ka pale. ʻO ka hapa nui o nā kānaka e maʻamau loa i loko o 24 a 48 mau hola ma hope o ka hoʻopaʻa ʻia ʻana.

He aha ke kumu o ka pono no ka hoʻopaʻa ʻia ʻana o ka maʻi lepera a me ka rubella?

No ka pilikia olakino koʻikoʻi e hiki ai i nā maʻi lepera a me ka rubella ke hana mai ka pono no kēia lāʻau lapaʻau. Hāʻawi maʻalahi nā maʻi ʻelua ma o ka ea ke ʻuʻu, haʻihaʻi, a i ʻole ke kamaʻilio ʻana o nā kānaka i loaʻa i ka maʻi.

Hiki i ka maʻi lepera ke alakaʻi i nā pilikia koʻikoʻi me ka pehu ʻana o ka lolo, ka maʻi pneumonia, a me ka make. ʻO Rubella, ʻoiai he maʻalahi pinepine i nā keiki a me nā mākua, hiki ke hana i nā kīnā hānau weliweli inā loaʻa ka maʻi i ka wahine hāpai.

He nui nā kumu e pono ai ka hoʻopaʻa ʻia ʻana no ka pale ʻana i nā kānaka a me nā kaiāulu:

• Ka maʻi maʻi nui o nā maʻi ʻelua
• Nā pilikia koʻikoʻi e hiki ke hana me ka maʻi
• Ka pilikia i nā wahine hāpai a me kā lākou pēpē i hānau ʻole ʻia
• Ka nele i nā lāʻau lapaʻau kikoʻī no kēia mau maʻi viral
• Ka pale ʻana o ka palekana kaiāulu no ka poʻe i hiki ʻole ke hoʻopaʻa ʻia

ʻO ka hoʻopaʻa ʻia ʻana ke ala maikaʻi loa e pale ai i kēia mau maʻi a me kā lākou pilikia e hoʻoweliweli ana i ke ola.

He aha ka lāʻau lapaʻau lepera a me ka rubella e pale ai?

Pale pono kēia lāʻau lapaʻau i ʻelua mau maʻi viral like ʻole e hiki ke hana i ka maʻi koʻikoʻi. ʻO ka hoʻomaopopo ʻana i ka mea e hiki ai i kēlā me kēia maʻi ke hana e kōkua i ka wehewehe ʻana i ke kumu e koʻikoʻi ai ka hoʻopaʻa ʻia ʻana.

Pale ka pale ʻana i ka maʻi lepera iā ʻoe mai kahi maʻi maʻi nui e hiki ke hana i ke kuni kiʻekiʻe, ka ʻuʻu, ka ihu e kahe ana, a me ka ʻulaʻula ʻulaʻula. ʻOi aku ka koʻikoʻi, hiki i ka maʻi lepera ke alakaʻi i ka pneumonia, ka mumū o ka lolo, a me nā pilikia mau e like me ka lohe ʻole a i ʻole ke kino kīnā.

Mālama ka pale ʻana i ka rubella i ka maʻi e hoʻoulu ai i nā hōʻailona maʻalahi i ka hapa nui o nā kānaka, akā he mea weliweli loa ia i nā pēpē e ulu ana. Inā loaʻa i ka wahine hāpai ka rubella, ʻoiai i ka wā mua o ka hāpai ʻana, hiki ke hoʻoulu i ka hāʻule ʻana, ka hānau ʻana, a i ʻole nā ​​kīnā hānau koʻikoʻi i ʻike ʻia ʻo ka congenital rubella syndrome.

Kōkua pū ka lāʻau lapaʻau i ka pale ʻana i nā lālā kaiāulu nāwaliwali ʻaʻole hiki ke hoʻopaʻa ʻia ma muli o nā maʻi olakino, me nā pēpē hānau hou, nā kānaka me nā ʻōnaehana pale nāwaliwali, a me ka poʻe me kekahi mau maʻi maʻi.

Hiki i nā hopena ʻaoʻao mai ka lāʻau lapaʻau Measles a me Rubella ke hele wale nō?

ʻAe, hoʻoponopono maʻamau nā hopena ʻaoʻao maʻalahi mai kēia lāʻau lapaʻau ma ko lākou iho i loko o kekahi mau lā. Hoʻomaha maoli ka pane ʻana o kou kino i ka wā i aʻo ai e ʻike a hakakā i kēia mau maʻi.

ʻO ka hapa nui o nā hopena maʻamau e like me ka ʻeha ma kahi o ka injection, ke kuni haʻahaʻa, a i ʻole ka luhi maʻalahi e nalowale i loko o 24 a 72 mau hola. He manawa pōkole kēia mau hōʻailona a hōʻike i ka hana pono ʻana o kāu ʻōnaehana pale e kūkulu i ka pale.

I nā hihia kakaʻikahi, hiki i kekahi poʻe ke hoʻomohala i ka ʻili maʻalahi a i ʻole nā ​​lymph node pehu ma kahi o 1 a 2 mau pule ma hope o ka hoʻopaʻa ʻana. ʻOiai ʻo kēia mau hopena lohi e hoʻoponopono maʻamau me ka ʻole o ka mālama ʻana i loko o kekahi mau lā.

Pehea e mālama ʻia ai nā hopena ʻaoʻao mai ka lāʻau lapaʻau Measles a me Rubella ma ka home?

Hiki iā ʻoe ke mālama i ka hapa nui o nā hopena ʻaoʻao o ka lāʻau lapaʻau ma ka home me ka mālama maʻalahi a mālie. Hiki i kēia mau ala ke kōkua iā ʻoe e ʻoi aku ka maikaʻi i ka wā e kūkulu ai kāu ʻōnaehana pale i ka pale.

No ka hōʻoluʻolu ʻole o ka wahi injection, hiki i ka hoʻopili ʻana i kahi lole anuanu a pulu i ka wahi no 10 a 15 mau minuke ke hāʻawi i ka hōʻoluʻolu. Hiki i ka neʻe ʻana o ka lima mālie a me ke kikoo māmā ke kōkua i ka hōʻemi ʻana i ka ʻoʻoleʻo a me ka ʻeha.

Eia nā lāʻau lapaʻau home palekana e hiki ke hōʻoluʻolu i nā hopena ʻaoʻao maʻamau o ka lāʻau lapaʻau:

• E lawe i nā mea hōʻeha ʻeha i kūʻai ʻia ma waho o ka pāʻālua e like me ka acetaminophen a i ʻole ibuprofen no nā ʻeha a me ke kuni haʻahaʻa
• E hoʻopili i nā mea paʻa anu i kahi i hoʻokomo ʻia ai ka lāʻau no ka pehu a i ʻole ka ʻeha
• E noho maikaʻi i ka wai ma ka inu ʻana i ka wai nui
• E hoʻomaha kūpono e kākoʻo i kāu ʻōnaehana pale
• E ʻaʻahu i nā lole ākea a puni kahi i hoʻokomo ʻia ai ka lāʻau

Hiki i kēia mau hana maʻalahi ke kōkua iā ʻoe e ʻoluʻolu aʻe i ka wā e hoʻomohala ai kou kino i ka pale ʻana i ka maʻi measles a me ka rubella.

He aha ka Lapaʻau Lapaʻau no nā Hana Lāʻau Lapaʻau koʻikoʻi?

He mea maʻamau loa nā hana koʻikoʻi i ka lāʻau measles a me ka rubella, akā ua mākaukau nā mea mālama ola e mālama iā lākou inā loaʻa. ʻO ka hapa nui o nā hana lapaʻau e kālele ana i ka mālama ʻana i nā hōʻailona a me ke kākoʻo ʻana i ka hoʻōla ʻana o kou kino.

Inā loaʻa iā ʻoe ke kuni kiʻekiʻe (ma luna o 103°F) a i ʻole ka hopena maʻi koʻikoʻi, hiki i nā poʻe loea lapaʻau ke hāʻawi i nā lāʻau lapaʻau e hōʻemi i ka mumū a mālama i nā hōʻailona. Loaʻa ka lapaʻau pilikia no nā hihia maʻamau loa o nā hopena maʻi koʻikoʻi.

Hiki i nā mea mālama ola ke ʻōlelo aku i nā lāʻau lapaʻau i kuhikuhi ʻia no ke kuni lōʻihi, ka ʻeha hui nui, a i ʻole nā ​​hopena ʻē aʻe. Hiki iā lākou ke hāʻawi i ke alakaʻi ʻana i ka wā e pono ai nā hōʻailona i ka mālama olakino e kūʻē i nā pane pale maʻamau.

E nānā kāu kauka i kou hoʻōla ʻana a hiki ke hoʻololi i ka lapaʻau ma muli o kāu mau hōʻailona kikoʻī a me ka mōʻaukala olakino.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o ka loaʻa ʻana o ka lāʻau measles a me ka rubella?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā loaʻa iā ʻoe nā hōʻailona e ʻike ʻia he koʻikoʻi ʻole a ʻaʻole e hoʻomaikaʻi e like me ka mea i manaʻo ʻia. ʻOiai he mea maʻamau nā hana koʻikoʻi, he mea nui e ʻike i ka wā e ʻimi ai i ke alakaʻi olakino.

E kelepona i kāu kauka inā loaʻa iā ʻoe ke kuni ma luna o 103°F, ke poʻo koʻikoʻi, a i ʻole nā ​​hōʻailona e ʻoi aku ka maikaʻi ma mua o ka hoʻomaikaʻi ʻana ma hope o nā lā mua. Hiki i kēia mau mea ke hōʻike i kahi hopena e pono ai ka mālama olakino.

E ʻimi koke i ke kōkua olakino inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona e hopohopo nei:

• He paʻakikī ka hanu ʻana a i ʻole ka hanu ʻana
• Ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka ʻāʻī
• Nā hives koʻikoʻi a i ʻole ka ʻōpala ākea
• Ka wili a i ʻole ka hāʻule
• ʻEha nui o ka ʻōpū
• Nā hōʻailona o ka hopena maʻi koʻikoʻi (anaphylaxis)

E hilinaʻi i kou mau manaʻo - inā manaʻo ʻoe he hewa nui a i ʻole e hopohopo ana ʻoe no kāu mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka nānā ʻana me kahi loea mālama ola kino no ka maluhia o ka noʻonoʻo.

He aha nā mea pilikia no nā hopena ʻaoʻao o ka lāʻau lapaʻau?

Hiki i kekahi mau mea ke hoʻonui iki i kou hiki ke loaʻa nā hopena ʻaoʻao mai ka lāʻau lapaʻau measles a me rubella. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe e hoʻomākaukau a ʻike i ka mea e manaʻo ai.

Hiki i nā poʻe me nā ʻōnaehana pale maʻi i hoʻopilikia ʻia ke loaʻa nā hopena like ʻole i nā lāʻau lapaʻau ola, ʻoiai ʻaʻole kēia manaʻo he hopena ʻaoʻao koʻikoʻi. E noʻonoʻo kāu mea mālama ola kino i kou kūlana pale i ka wā e ʻōlelo ai i ka manawa o ka lāʻau lapaʻau.

Nui nā mea e hiki ke hoʻopilikia i kāu pane lāʻau lapaʻau:

• Nā hopena maʻi mua i nā lāʻau lapaʻau a i ʻole nā ​​mea lāʻau lapaʻau
• Maʻi i kēia manawa a i ʻole ke kuni i ka manawa o ka lāʻau lapaʻau
• Hāpai (ʻaʻole i ʻae ʻia nā lāʻau lapaʻau ola i ka wā hāpai)
• ʻO ka ʻōnaehana pale maʻi nāwaliwali loa ma muli o ka maʻi a i ʻole nā ​​lāʻau lapaʻau
• Hoʻoili koko hou a i ʻole ka mālama ʻana i ka immunoglobulin
• Makahiki (ʻoi aku ka ikaika o nā hopena o nā mākua ma mua o nā keiki)

E nānā kāu mea mālama ola kino i kēia mau mea me ʻoe e hōʻoia i ka palekana a me ke kūpono o ka lāʻau lapaʻau no kou kūlana.

He aha nā pilikia e hiki ke loaʻa i ka lāʻau lapaʻau measles a me rubella?

He kakaikahi loa nā pilikia koʻikoʻi mai ka lāʻau lapaʻau measles a me rubella, e hana ana ma lalo o hoʻokahi i loko o hoʻokahi miliona mau lāʻau. ʻO ka hapa nui o nā kānaka e loaʻa wale nā ​​hopena ʻaoʻao māmā a me ka manawa e hoʻoponopono koke ai.

ʻO ka pilikia koʻikoʻi loa akā he mea laha ʻole ka hopena maʻi ʻaʻai koʻikoʻi i kapa ʻia ʻo anaphylaxis, hiki ke hana i loko o kekahi mau minuke ma hope o ka lāʻau lapaʻau. Ua lako nā hale mālama ola e mālama i kēia pilikia inā e hana ia.

ʻO nā pilikia ʻē aʻe i maʻa ʻole paha e komo pū ana:

• Nā hopu ʻana i ke kuni i nā keiki ʻōpio me ke kuni kiʻekiʻe
• Ka helu platelet haʻahaʻa manawa (thrombocytopenia)
• ʻEha hui e mau ana no kekahi mau pule (ʻoi aku ka maʻamau i nā wahine makua)
• Ka mumū lolo manawa (ʻaʻole loa)

He mea nui e hoʻomanaʻo i kēia mau pilikia koʻikoʻi ʻaʻole hiki ke hana ʻia ma mua o nā pilikia koʻikoʻi e hiki ke hopena mai nā maʻi maʻi measles a i ʻole rubella.

He maikaʻi a he ʻino paha ka lāʻau lapaʻau Measles a me Rubella no ka hāpai ʻana?

ʻAʻole ʻōlelo ʻia ka lāʻau lapaʻau measles a me rubella i ka wā hāpai no ka mea aia nā maʻi virus ola. Eia naʻe, ʻo ka loaʻa ʻana o ka lāʻau lapaʻau ma mua o ka hāpai ʻana e hāʻawi i ka pale nui no ʻoe a me kāu pēpē e hiki mai ana.

Inā ʻoe e hoʻolālā ana e hāpai, ʻoi aku ka maikaʻi e loaʻa i kēia lāʻau lapaʻau ma ka liʻiliʻi hoʻokahi mahina ma mua o ka hāpai ʻana. Hōʻoia kēia manawa iā ʻoe i ka pale e pale aku ai iā ʻoe a me kāu pēpē e ulu ana mai kēia mau maʻi weliweli.

He mea maikaʻi loa ka lāʻau lapaʻau no ka hoʻolālā ʻana i ka hāpai ʻana no ka mea hiki i ka maʻi rubella i ka wā hāpai ke kumu i nā kīnā hānau koʻikoʻi. Ma ka loaʻa ʻana o ka lāʻau lapaʻau ma mua, hana ʻoe i kahi pale pale a puni kāu hāpai ʻana e hiki mai ana.

Inā loaʻa iā ʻoe ka lāʻau lapaʻau i ka wā hāpai, mai hopohopo - hōʻike nā haʻawina ʻaʻole i hoʻonui ʻia ka pilikia o nā kīnā hānau, akā e nānā pono kāu mea mālama ola i kāu hāpai ʻana.

He aha nā hopena o ka lāʻau lapaʻau Measles a me Rubella i hiki ke kuhi hewa ʻia?

I kekahi manawa, hiki ke huikau nā hopena ʻaoʻao maʻamau o ka lāʻau lapaʻau measles a me rubella me nā maʻi maʻamau ʻē aʻe. Hiki i kēia ke hana i ka hopohopo pono ʻole ke ʻike ʻoe i kahi pane lāʻau lapaʻau maʻamau.

Hiki i ka wela haʻahaʻa a me ka luhi ma hope o ka lāʻau lapaʻau ke manaʻo e like me ka loaʻa ʻana o ke anu a i ʻole ka maʻi flu. Eia naʻe, ʻike pinepine ʻia nā hōʻailona e pili ana i ka lāʻau lapaʻau i loko o 24 mau hola o ka lāʻau lapaʻau a hoʻoponopono wikiwiki ʻia ma mua o nā maʻi viral.

ʻO nā hui maʻamau e pili ana i ka huikau ʻana i nā hopena o ka lāʻau lapaʻau no:

• Nā hōʻailona anu a i ʻole flu maʻamau
• ʻO ka ʻona meaʻai (inā loaʻa iā ʻoe ka nausea maʻalahi)
• Nā hopena maʻi i nā mea ʻē aʻe
• ʻO ka ʻeha ʻiʻo (no ka ʻeha o ka pūnaewele injection)
• Nā hōʻailona e pili ana i ke koʻikoʻi

Hiki i ka manawa a me ke ʻano o nā hōʻailona ke kōkua i ka hoʻokaʻawale ʻana i nā hopena o ka lāʻau lapaʻau mai nā maʻi ʻē aʻe - hoʻomaka pinepine nā hopena ʻaoʻao o ka lāʻau lapaʻau i loko o nā hola a hoʻomaikaʻi i loko o nā lā.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Lāʻau Lapaʻau Measles a me Rubella

Q1: Pehea ka lōʻihi o ka pale ʻana mai ka lāʻau lapaʻau measles a me rubella?

Hāʻawi pinepine ka lāʻau lapaʻau measles a me rubella i ka pale ʻana i ke ola ma hope o ka hoʻopau ʻana i nā lāʻau i ʻōlelo ʻia. Mālama ka hapa nui o nā kānaka i nā pae antibody pale no nā makahiki ma hope o ka lāʻau lapaʻau.

Hiki i kekahi poʻe mākua ke pōmaikaʻi mai kahi lāʻau hoʻoikaika, ʻoiai inā hana lākou i ka mālama ola kino a i ʻole e hoʻolālā e hele i ka honua. Hiki i kāu kauka ke hoʻāʻo i kāu mau pae antibody e hoʻoholo inā pono ʻoe i ka lāʻau lapaʻau hou.

Q2: Hiki iaʻu ke loaʻa i ka measles a i ʻole rubella mai ka lāʻau lapaʻau?

ʻAʻole, ʻaʻole hiki iā ʻoe ke loaʻa i ka measles a i ʻole rubella mai ka lāʻau lapaʻau. Ua nāwaliwali nā maʻi i loko o ka lāʻau lapaʻau no laila ʻaʻole hiki iā lākou ke hana i nā maʻi maoli i nā kānaka olakino.

I kekahi manawa, hiki i kekahi poʻe ke hoʻomohala i kahi ʻulaʻula maʻalahi e like me ka measles, akā ʻaʻole like kēia me ka loaʻa ʻana o ka maʻi maoli a ʻaʻole hiki ke hoʻouna ʻia i nā poʻe ʻē aʻe.

Q3: He palekana ke noho me nā poʻe ʻē aʻe ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau?

ʻAe, palekana ka noho ʻana me nā poʻe ʻē aʻe ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau measles a me rubella. ʻAʻole maʻalahi ka hoʻouna ʻia ʻana o nā maʻi nāwaliwali i loko o ka lāʻau lapaʻau i nā poʻe ʻē aʻe.

Akā, pono ʻoe e pale i ka pilina pili me nā poʻe i nāwaliwali loa nā ʻōnaehana pale maʻi no kahi o 2 pule ma hope o ka hoʻopaʻa ʻana, ma ke ʻano he hana mālama.

Q4: He aha kaʻu e hana ai inā e hala wau i kaʻu mahele lāʻau i hoʻonohonoho ʻia?

Inā e hala ʻoe i kahi mahele lāʻau i hoʻonohonoho ʻia, e kāhea i kāu mea mālama ola e hoʻonohonoho hou i ka wā hiki wawe. ʻAʻole pono ʻoe e hoʻomaka hou i ka moʻo hoʻopaʻa ʻana - e hoʻomau wale mai kahi āu i haʻalele ai.

ʻAʻohe palena manawa kiʻekiʻe ma waena o nā mahele lāʻau, no laila inā ua hala nā mahina, hiki nō iā ʻoe ke hoʻopau pono i kāu moʻo hoʻopaʻa ʻana.

Q5: Hiki iaʻu ke loaʻa nā lāʻau lapaʻau ʻē aʻe i ka manawa like me ka maʻi lepera a me ka lāʻau lapaʻau rubella?

ʻAe, hiki iā ʻoe ke loaʻa palekana i ka hapa nui o nā lāʻau lapaʻau ʻē aʻe i ka manawa like me ka maʻi lepera a me ka lāʻau lapaʻau rubella. E hāʻawi kāu mea mālama ola iā lākou ma nā wahi injection like ʻole.

ʻO ka loaʻa ʻana o nā lāʻau lapaʻau he nui i ka manawa like ʻaʻole ia e hoʻonui i kou pilikia o nā hopena ʻaoʻao koʻikoʻi a kōkua i ka hōʻoia ʻana e noho palekana ʻoe mai nā maʻi he nui me ka maikaʻi.