He aha ka Lapaʻau Smallpox-Monkeypox? Nā Hōʻailona, ​​Nā Kumu, & Lapaʻau Kūloko

ʻO ka lapaʻau smallpox-monkeypox he lapaʻau ola, ʻaʻole hana hou e kōkua iā ʻoe e pale aku i nā maʻi smallpox a me monkeypox. Hoʻohana kēia lapaʻau hou i kahi mana nāwaliwali o ka maʻi vaccinia ʻaʻole hiki ke hoʻonui i loko o kou kino, e palekana loa ai ma mua o nā lapaʻau smallpox kahiko a hāʻawi mau i ka pale ikaika.

Hiki iā ʻoe ke loaʻa kēia lapaʻau ma o nā ʻano hana ʻelua: ma o ka hoʻokomo liʻiliʻi ʻana ma lalo pono o ka ʻili (intradermal) a i ʻole i loko o ka ʻiʻo ma lalo o kou ʻili (subcutaneous). He kūpono nā ala ʻelua, a e koho kāu mea mālama ola i ke koho maikaʻi loa e pili ana i kāu kūlana kikoʻī a me ka lako lapaʻau i loaʻa.

He aha ka Lapaʻau Smallpox-Monkeypox?

ʻO ka lapaʻau smallpox-monkeypox he lāʻau pale e aʻo ai i kou ʻōnaehana pale e ʻike a hakakā i nā maʻi smallpox a me monkeypox. Aia i loko o ka lapaʻau kahi maʻi ola akā i hoʻololi ʻia i kapa ʻia ʻo vaccinia ʻaʻole hiki ke hana hou i loko o kou kino, e palekana loa ai ma mua o nā lapaʻau smallpox kuʻuna.

Hoʻolālā ʻia kēia lapaʻau no ka poʻe i pilikia i ka hōʻike ʻana i ka monkeypox a i ʻole i nā kūlana e pono ai ka pale ʻana i ka smallpox. Ua ʻike ʻia hoʻi ma ka inoa inoa ʻo JYNNEOS a hōʻike i kahi holomua nui i ka ʻenehana pale maʻi pox.

ʻO ka manaʻo

Ma ke ala intradermal, e ʻike paha ʻoe i kahi puʻupuʻu liʻiliʻi ma kahi i hoʻokomo ʻia ai ka lāʻau lapaʻau, he mea maʻamau loa ia. Hōʻike pinepine ʻia kēia puʻupuʻu i loko o kekahi mau hola a palahalaha mālie i nā lā e hiki mai ana i ka wā e hana ai kou kino i ka lāʻau lapaʻau.

Hiki i ka hoʻokomo ʻana i ka subcutaneous ke hoʻoulu i ka ʻoluʻolu iki i ka wā mua no ka mea e hohonu ana ka nila, akā ʻike ka hapa nui o nā kānaka i nā ʻano hana ʻelua. Hōʻike kekahi poʻe i ka manaʻo ʻana i kahi manaʻo wela pōkole e pau koke ana.

He aha ke kumu o ka pono no ka Smallpox-Monkeypox Vaccination?

ʻO ke kumu nui o kēia lāʻau lapaʻau ʻo ka hiki ke hōʻike ʻia i ka maʻi monkeypox, i lilo i mea maʻamau i nā makahiki i hala iho nei. Loaʻa pinepine nā limahana mālama ola, nā limahana hale hana, a me nā kānaka e pili kokoke ana me nā kānaka i loaʻa i kēia lāʻau lapaʻau ma ke ʻano he pale.

Hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka pono i kēia lāʻau lapaʻau, a ʻo ka hoʻomaopopo ʻana i kēia mau mea e kōkua i ka wehewehe ʻana i ke kumu e ʻōlelo ʻia ai ka lāʻau lapaʻau iā ʻoe:

• Ke hana nei i nā wahi mālama ola kahi e hālāwai ai ʻoe me nā maʻi i loaʻa
• Hana hale hana e pili ana i nā maʻi pox a i ʻole nā mea i haumia
• Hoʻopili pilikino kokoke me kekahi i hōʻoia ʻia me ka monkeypox
• Ke noho nei ma nā wahi e loaʻa ana nā maʻi monkeypox
• Ke komo nei i nā hana e hoʻonui ai i ka pilikia o ka hōʻike
• Loaʻa i kahi ʻōnaehana pale i hoʻopilikia ʻia e hoʻoweliweli ai ka maʻi

E loiloi kāu mea mālama ola i kāu mau mea pilikia pilikino a e ʻōlelo i ka lāʻau lapaʻau inā manaʻo lākou e pōmaikaʻi ʻoe mai ka pale. ʻO ka pahuhopu ka pale mau ʻana i ka maʻi ma mua o ka loaʻa ʻana ma hope.

He aha ka Vaccination he hōʻailona a hōʻailona paha o?

ʻO ka loaʻa ʻana o kēia lāʻau lapaʻau ʻaʻole ia he hōʻailona o ka maʻi akā he hana olakino ikaika. Hōʻike ia ua ʻike ʻoe a i ʻole kāu mea mālama ola i ka piʻi ʻana o ka pilikia o ka hōʻike ʻana i ka monkeypox a i ʻole ka smallpox.

Hiki i ka ʻōlelo aʻoaʻo no ka lāʻau lapaʻau ke hōʻike i nā kūlana like ʻole i kou ola a i ʻole kaiāulu. Hiki i kēia mau mea ke komo i ka hana ʻana i kahi ʻoihana pilikia nui, ka noho ʻana ma kahi me nā hihia ikaika, a i ʻole ka loaʻa ʻana o nā kūlana pilikino e hoʻonui ai i kou pilikia.

I kekahi manawa, ua ʻōlelo ʻia ka lāʻau lapaʻau ma ke ʻano he ʻāpana o nā hana pane i ka maʻi, ʻo ia hoʻi ua ʻike nā luna olakino i ka piʻi ʻana o ka maʻi i kou wahi. He hana pale kēia, ʻaʻole he hōʻailona e maʻi nei ʻoe a i ʻole i loaʻa i ka maʻi.

Hiki i nā hopena ʻaoʻao o ka lāʻau lapaʻau ke hele wale aku?

ʻAe, ʻo ka hapa nui o nā hopena ʻaoʻao mai ka lāʻau lapaʻau smallpox-monkeypox e pau wale nō i loko o kekahi mau lā a i hoʻokahi pule. E mālie ana ka pane ʻana o kou kino i ka wā e hana ai i ka lāʻau lapaʻau a kūkulu i ka pale.

ʻO nā hopena ʻaoʻao maʻamau e nalowale maʻamau me ka ʻole o ka mālama ʻana, e komo pū ana me ka ʻeha ma kahi i hoʻokomo ʻia ai, ka luhi māmā, a me ke kuni haʻahaʻa. Hōʻike maoli kēia mau hopena e pane pono ana kāu ʻōnaehana pale i ka lāʻau lapaʻau.

Hiki ke palupalu iki ka wahi i hoʻokomo ʻia ai a i ʻole e hōʻike i kekahi ʻulaʻula no ka lōʻihi o hoʻokahi pule, akā e mae mālie ana kēia i ka wā e hoʻōla ai kou kino. ʻIke ka hapa nui o nā kānaka he mea hiki ke mālama ʻia kekahi ʻoluʻolu a ʻaʻole e keakea i kā lākou hana i kēlā me kēia lā.

Pehea e mālama ʻia ai nā hopena ʻaoʻao o ka lāʻau lapaʻau 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. ʻO ke kī, ʻo ia ke kākoʻo ʻana i ke kaʻina hana hoʻōla maoli o kou kino i ka wā e noho ana ʻoluʻolu i ka wā o ka pane ʻana o ka immune.

Eia kekahi mau hoʻolālā mālama home maikaʻi e hiki ke kōkua i ka hōʻoluʻolu i kekahi ʻoluʻolu āu e ʻike ai:

• E hoʻopili i kahi lole pulu a anuanu i kahi i hoʻokomo ʻia ai ka lāʻau no 10-15 mau minuke i kēlā me kēia manawa
• E lawe i nā mea hōʻeha ʻeha i kūʻai ʻia ma ka hale kūʻai, e like me ka acetaminophen a i ʻole ibuprofen inā pono
• E mālama i kahi i hoʻokomo ʻia ai ka lāʻau i maʻemaʻe a maloʻo, e pale ana i nā kopa ikaika a i ʻole ka holoi ʻana
• E ʻaʻahu i nā lole ākea ʻaʻole e hamo i kahi i hoʻokomo ʻia ai ka lāʻau
• E noho maikaʻi i ka wai a e hoʻomaha nui e kākoʻo i kāu ʻōnaehana pale
• E pale i ka hoʻoikaika kino ikaika no 24-48 mau hola inā ʻoe e ʻoluʻolu a ʻeha paha

Hiki i kēia mau hana maʻalahi ke hoʻomaikaʻi nui i kou ʻoluʻolu i ka wā e kūkulu ai kou kino i ka pale. E hoʻomanaʻo he mea maʻamau nā hopena ʻaoʻao maʻalahi a hōʻike maʻamau i ka hana pono ʻana o ka lāʻau lapaʻau.

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

He mea maʻamau nā hopena koʻikoʻi i ka lāʻau lapaʻau smallpox-monkeypox, akā loaʻa ka lapaʻau lapaʻau inā pono. Hiki i nā mea mālama ola ke mālama i nā hopena ʻaoʻao nui me nā lāʻau lapaʻau i kauoha ʻia a me ka mālama kākoʻo.

No nā hopena kūloko koʻikoʻi ma kahi i hoʻokomo ʻia ai ka lāʻau, hiki i kāu kauka ke kauoha i nā lāʻau lapaʻau topical a i ʻole nā lāʻau lapaʻau waha e hōʻemi i ka mumū a pale i ka maʻi. E nānā pono lākou i ka pūnaewele e hōʻoia i ka hoʻōla pono.

I nā hihia kakaʻikahi loa o nā hopena systemic, hiki i ka lapaʻau lapaʻau ke komo i nā antihistamines, corticosteroids, a i ʻole nā lāʻau lapaʻau ʻē aʻe e mālama i nā hōʻailona. Loaʻa ka mālama haukapila no nā hopena maʻi maʻi koʻikoʻi loa, ʻoiai e hana ʻia kēia mau mea ma lalo o hoʻokahi i loko o hoʻokahi miliona mau mahele.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o ka hoʻopaʻa ʻana?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i nā hōʻailona e pili ana i ka mea maʻamau a koʻikoʻi paha. ʻOiai he maʻalahi ka hapa nui o nā hopena lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke alakaʻi ke maopopo ʻole ʻoe i kāu mea e ʻike nei.

ʻO nā kūlana kūikawā e pono ai ka nānā ʻana i ke olakino, ʻo ia ka wela kiʻekiʻe mau, ka ʻeha nui ʻaʻole e hoʻomaikaʻi me nā lāʻau lapaʻau maʻamau, a i ʻole nā hōʻailona o ka maʻi ma kahi i hoʻokomo ʻia ai ka lāʻau. E hilinaʻi i kou manaʻo no ka mea e manaʻo maʻamau ai kou kino.

Eia nā hōʻailona maopopo e hōʻike ana e pono ʻoe e hoʻokaʻaʻike aku i kāu mea mālama ola:

• ʻO ka wela ma luna o 101°F (38.3°C) e mau ana ma mua o 24 hola
• ʻO ka ʻeha nui a i ʻole ka pehu ʻana ma kahi i hoʻokomo ʻia ai ka lāʻau e ʻoi aku ka maikaʻi ma hope o 48 hola
• Nā kaha ʻulaʻula e laha ana mai kahi i hoʻokomo ʻia ai ka lāʻau
• Pus a i ʻole ka wai ʻano ʻē mai kahi i hoʻokomo ʻia ai ka lāʻau
• He paʻakikī ka hanu ʻana a i ʻole ka ʻai ʻana
• ʻO ka ʻōpala ākea a i ʻole nā hives
• ʻO ka nausea mau, ka luaʻi ʻana, a i ʻole ka maʻi palahī

Hiki i kāu mea mālama ola ke loiloi wikiwiki inā pono kāu mau hōʻailona i ka lāʻau lapaʻau a i ʻole he ʻāpana o ka pane maʻamau i ka lāʻau lapaʻau. Mai kānalua e kelepona inā he hopohopo kāu e pili ana i kou ola hou ʻana.

He aha nā Kumu Pilikia no nā hopena ʻaoʻao o ka lāʻau lapaʻau?

Hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa nā hopena ʻaoʻao mai ka lāʻau lapaʻau smallpox-monkeypox. ʻO ka hoʻomaopopo ʻana i kēia mau kumu pilikia e kōkua iā ʻoe a me kāu mea mālama ola e hana i nā hoʻoholo i ʻike ʻia e pili ana i ka lāʻau lapaʻau a e hoʻomākaukau no nā hopena hiki ke loaʻa.

Hiki i nā poʻe me nā ʻōnaehana pale i hoʻopilikia ʻia ke loaʻa nā hopena like ʻole i ka lāʻau lapaʻau, ʻoiai ua manaʻo ʻia he palekana no ka hapa nui o nā kānaka. Hiki i kou makahiki, ke olakino holoʻokoʻa, a me ka mōʻaukala lāʻau lapaʻau ma mua ke hoʻopili i ke ʻano o ka pane ʻana o kou kino.

Hiki i kekahi mau kūlana a me nā kūlana ke hoʻopili i kāu pane lāʻau lapaʻau, a ʻo ke kūkākūkā ʻana i kēia mau mea me kāu mea mālama ola e kōkua i ka hōʻoia ʻana i ke ala palekana loa:

• Nā hopena koʻikoʻi i nā lāʻau lapaʻau a i ʻole nā mea i loko o ka lāʻau lapaʻau
• Maʻi i kēia manawa a i ʻole ke kuni i ka wā o ka lāʻau lapaʻau
• Ke lawe nei i nā lāʻau e kāohi ana i kou ʻōnaehana pale
• Loaʻa nā maʻi ʻili e like me ka eczema a i ʻole dermatitis
• Hāpai a i ʻole e hoʻolālā ana e hāpai
• He moʻolelo o nā pilikia o ka puʻuwai a i ʻole nā mea pilikia o ka puʻuwai
• Ma lalo o 18 mau makahiki a i ʻole ma luna o 65 mau makahiki

E nānā pono kāu mea mālama ola i kāu moʻolelo olakino a me ke kūlana olakino i kēia manawa ma mua o ka ʻōlelo ʻana i ka lāʻau lapaʻau. Hiki iā lākou ke hoʻololi i ka manawa a i ʻole e hāʻawi i ka nānā hou inā he mau mea pilikia kāu.

He aha nā pilikia hiki ke loaʻa i ka lāʻau lapaʻau?

He kakaikahi loa nā pilikia koʻikoʻi mai ka lāʻau lapaʻau smallpox-monkeypox, akā he mea nui e hoʻomaopopo i ka mea e hiki ke hana. ʻO ka hapa nui o nā kānaka e ʻike wale i nā hopena maʻalahi, akā ʻo ka ʻike i nā pilikia hiki ke kōkua iā ʻoe e ʻike i ka wā e ʻimi ai i ka lāʻau lapaʻau.

ʻO nā pilikia maʻamau he mau hopena kūloko ma kahi o ka injection, e like me ka ʻulaʻula lōʻihi, ka pehu, a i ʻole ka palupalu. Hoʻoponopono maʻamau kēia mau mea me ka manawa a me ka mālama kūpono, ʻoiai e lōʻihi paha lākou ma mua o nā hopena maʻalahi maʻamau.

Hiki i nā pilikia kakaikahi loa ke komo i nā hopena ʻōnaehana koʻikoʻi, a ʻoiai he mea maʻamau ʻole kēia, he mea nui e ʻike:

• Nā hopena maʻi maʻi koʻikoʻi (anaphylaxis) - kakaikahi loa akā pono ka lāʻau lapaʻau koke
• Hoʻāhu o ka puʻuwai (myocarditis a i ʻole pericarditis) - kakaikahi loa, ʻoi aku ka maʻamau i nā kāne ʻōpio
• Nā hopena ʻili koʻikoʻi a i ʻole ka ʻōpala ākea
• Ke kuni lōʻihi a i ʻole nā ​​hōʻailona e like me ka maʻi flu e mau ana ma mua o hoʻokahi pule
• Maʻi bacteria lua ma kahi o ka injection
• Luhi nui a i ʻole nā ​​waliwali e keakea ana i nā hana i kēlā me kēia lā

Hiki ke loaʻa kēia mau pilikia i ka hapa liʻiliʻi loa o nā kānaka i loaʻa ka lāʻau lapaʻau. E nānā pono kāu mea mālama ola iā ʻoe a hāʻawi i ke alakaʻi i ka ʻike ʻana a me ka mālama ʻana i nā hopena maʻamau ʻole.

ʻOi aku ka maikaʻi o ke ala Intradermal a i ʻole Subcutaneous?

He kūpono nā ala intradermal a me subcutaneous no ka hāʻawi ʻana i ka lāʻau lapaʻau smallpox-monkeypox. ʻO ke koho ma waena o lākou e hilinaʻi pinepine ana i ka lako lāʻau lapaʻau, kou kūlana olakino kikoʻī, a me ka ʻōlelo aʻoaʻo a kāu mea mālama ola.

Hoʻohana ke ala intradermal i ka liʻiliʻi o ka lāʻau lapaʻau i hāʻawi ʻia ma lalo o ka ʻili, hiki ke kōkua i ka wā e kaupalena ʻia ai nā lako lāʻau lapaʻau. Ua hōʻike ʻia kēia ʻano hana e hāʻawi i ka pale ʻana i ka ʻōnaehana pale maikaʻi loa me ka hoʻohana ʻana i ka liʻiliʻi o ka lāʻau lapaʻau no kēlā me kēia kanaka.

ʻO ke ala subcutaneous e pili ana i ka hoʻokomo ʻana i ka lāʻau lapaʻau i loko o ka ʻiʻo ma lalo o kou ʻili. Ua aʻo nui ʻia kēia ʻano hana kuʻuna a hāʻawi i ka palekana hilinaʻi, ʻoiai e koi ana i ka nui o ka lāʻau lapaʻau.

E noʻonoʻo kāu mea mālama ola i nā mea e like me ka mānoanoa o kou ʻili, ka mōʻaukala o ka lāʻau lapaʻau ma mua, a me ka loaʻa ʻana o ka lāʻau lapaʻau i kēia manawa i ke koho ʻana i ke ala maikaʻi loa no ʻoe. Ua manaʻo ʻia nā ʻano hana ʻelua he palekana a he kūpono hoʻi no ka pale ʻana i ka monkeypox a me ka smallpox.

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

Hiki ke huikau ʻia nā hopena o ka lāʻau lapaʻau me nā kūlana ʻē aʻe, ʻoi loa i nā lā ma hope o ka lāʻau lapaʻau. ʻO ka hoʻomaopopo ʻana i kēia mau hui pū ʻana e kōkua iā ʻoe a me kāu mea mālama ola e loiloi pololei i kāu e ʻike nei.

Hiki ke kuhi hewa ʻia nā hopena kūloko ma ke kahua injection no nā maʻi ʻili, nā nahu pepeke, a i ʻole nā hopena maʻi i nā huahana topical. ʻO ka manawa a me kahi o nā hōʻailona e kōkua maʻamau i ka hoʻokaʻawale ʻana i nā hopena o ka lāʻau lapaʻau mai nā kumu ʻē aʻe.

Hiki ke huikau nā hōʻailona ʻōnaehana e like me ke kuni, ka luhi, a me ka ʻeha ʻiʻo me nā maʻi viral, ʻoiai inā ʻoe e hōʻike ʻia i nā maʻi maʻamau i ka manawa o ka lāʻau lapaʻau. ʻO ka ʻokoʻa nui, ʻo ia ka hoʻomaka ʻana o nā hopena lāʻau lapaʻau i loko o 24-48 mau hola o ka lāʻau lapaʻau a hoʻoponopono koke ʻia.

Ke hopohopo nei kekahi poʻe e hōʻike ana nā hopena ʻaoʻao o ka lāʻau lapaʻau e hoʻomohala ana lākou i ka maʻi maoli, akā ʻaʻole hiki kēia me ka lāʻau lapaʻau ʻaʻole e hana hou. ʻO nā hōʻailona āu e ʻike ai, ʻo ia ka pane o kāu ʻōnaehana pale i ka lāʻau lapaʻau, ʻaʻole nā ​​hōʻailona o ka maʻi.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Lāʻau Lapaʻau Smallpox-Monkeypox

Q1. Pehea ka lōʻihi o ka pale ʻana mai ka lāʻau lapaʻau?

Hōʻike ka noiʻi i kēia manawa e hiki ke mau ka pale ʻana mai ka lāʻau lapaʻau smallpox-monkeypox no nā makahiki he nui, ʻoiai ke aʻo ʻia nei ka lōʻihi pololei. Hoʻomohala ka hapa nui o nā kānaka i ka pale ikaika o ka ʻōnaehana pale i loko o 2-4 mau pule ma hope o ka pau ʻana o ka moʻo lāʻau lapaʻau. Hiki i kāu mea mālama ola ke aʻo iā ʻoe e pili ana i nā pana booster e pili ana i kāu mau mea pilikia e hiki mai ana a me nā ʻōlelo aʻoaʻo ʻepekema hou loa.

Q2. Hiki iaʻu ke kiʻi i ka lāʻau lapaʻau inā hāpai au a i ʻole e hānai ana i ka waiū?

ʻAʻole ʻōlelo pinepine ʻia ka lāʻau lapaʻau smallpox-monkeypox i ka wā hāpai ke ʻole ʻoe i kahi pilikia nui o ka hōʻike ʻana. Inā ʻoe e hānai ana i ka waiū, e noʻonoʻo pono kāu mea mālama ola i nā pōmaikaʻi a me nā pilikia e pili ana i kāu kūlana kikoʻī. E kūkākūkā mau i kou hāpai ʻana a i ʻole ke kūlana hānai waiū me kāu mea mālama ola ma mua o ka loaʻa ʻana o kekahi lāʻau lapaʻau.

Q3. Ehia mau ʻāpana o ka lāʻau lapaʻau e pono ai iaʻu?

Pono ka hapa nui o nā kānaka i ʻelua ʻāpana o ka lāʻau lapaʻau smallpox-monkeypox, i hāʻawi ʻia ma kahi o 4 mau pule, e loaʻa ai ka pale maikaʻi loa. Eia naʻe, inā ua loaʻa mua iā ʻoe ka lāʻau lapaʻau smallpox, pono paha ʻoe i hoʻokahi ʻāpana wale nō. E nānā kāu mea mālama ola i kāu mōʻaukala lāʻau lapaʻau a hoʻoholo i ka papa manawa kūpono no kou kūlana.

Q4. Hiki iaʻu ke loaʻa nā lāʻau lapaʻau ʻē aʻe i ka manawa like?

ʻAe, hiki iā ʻoe ke loaʻa nā lāʻau lapaʻau ʻē aʻe i ka manawa like me ka lāʻau lapaʻau smallpox-monkeypox, akā pono e hāʻawi ʻia i nā lima like ʻole ke hiki. E hoʻonohonoho kāu mea mālama ola i kāu papa hana lāʻau lapaʻau e hōʻoia e loaʻa iā ʻoe nā lāʻau lapaʻau pono a pau me ka palekana a me ka pono.

Q5. He aha kaʻu e hana ai inā e hala wau i kaʻu mahele lua?

Inā e hala ʻoe i kāu mahele lua i hoʻonohonoho ʻia, e hoʻokaʻaʻike i kāu mea mālama ola i ka hiki wawe e hoʻonohonoho hou. ʻAʻole pono ʻoe e hoʻomaka hou i ka pūʻulu lāʻau lapaʻau, akā ʻo ka loaʻa ʻana o ka mahele lua i ka manawa kūpono e kōkua ai e hōʻoia e loaʻa iā ʻoe ka pale piha. Hiki i kāu mea lawelawe ke aʻo iā ʻoe i ka manawa maikaʻi loa no ka hoʻopau ʻana i kāu pūʻulu lāʻau lapaʻau.