He aha ka hoʻokolohua iwi iwi? Ke kumu, nā pae/hana & nā hopena

ʻO ka hoʻokolohua iwi iwi he hana lapaʻau e nānā ana i ka ʻiʻo palupalu a me ka ʻōpala i loko o kou mau iwi kahi e hana ʻia ai nā keʻena koko. Lawe kāu kauka i kahi laʻana liʻiliʻi o kēia ʻiʻo e nānā i ka maikaʻi o kou kino e hana ai i nā keʻena koko a e ʻimi i nā hōʻailona o nā maʻi koko, nā maʻi, a i ʻole kekahi mau maʻi maʻi.

E noʻonoʻo i ka iwi iwi e like me ka hale hana keʻena koko o kou kino. Ke pono nā kauka e hoʻomaopopo i ke kumu o ka maʻamau ʻole o kāu helu koko a i ʻole ke kānalu nei i kahi maʻi pili i ke koko, nānā lākou i kēia hale hana. Hāʻawi ka hoʻokolohua i ka ʻike koʻikoʻi ʻaʻole hiki i nā hoʻokolohua koko wale nō ke hōʻike.

He aha ka iwi iwi?

ʻO ka iwi iwi ka ʻiʻo palupalu, e like me ka jelly i loaʻa i loko o nā wahi hakahaka o kou mau iwi nui, ʻoi aku hoʻi i kou mau iwi ʻūhā, ka iwi umauma, a me ke kuamoʻo. ʻO kēia ʻiʻo kupaianaha e lawelawe ana ma ke ʻano he kikowaena hana keʻena koko mua o kou kino, e hana mau ana i nā keʻena koko ʻulaʻula, nā keʻena koko keʻokeʻo, a me nā platelets.

Aia i loko o kou iwi iwi ʻelua ʻano ʻiʻo nui. Hana ikaika ka iwi ʻulaʻula i nā keʻena koko, ʻoiai e mālama ana ka iwi melemele i ka momona a hiki ke hoʻololi i ka iwi ʻulaʻula ke pono kou kino i nā keʻena koko hou aʻe. I kou wā ʻelemakule, ʻoi aku ka nui o kāu iwi ʻulaʻula e hoʻololi maoli i ka iwi melemele.

ʻO ke kaʻina hana o ka hana ʻana i nā keʻena koko i loko o kou iwi iwi i kapa ʻia ʻo hematopoiesis. Hoʻokaʻawale nā ​​keʻena kūikawā i kapa ʻia he mau keʻena kumu a oʻo i nā ʻano keʻena koko like ʻole ma mua o ke komo ʻana i kou kahe koko. Hana mau kēia kaʻina hana i kou ola a pau, e pani ana i nā keʻena koko kahiko a me nā keʻena koko i pōʻino.

No ke aha e hana ʻia ai ka hoʻokolohua iwi iwi?

Paipai nā kauka i nā hoʻokolohua iwi iwi ke pono lākou e noiʻi i nā loli i wehewehe ʻole ʻia i kāu helu keʻena koko a i ʻole ke kānalu nei i kekahi mau maʻi koko. Kōkua ka hoʻokolohua i ka ʻike ʻana i nā kūlana e pili ana i ka hana ʻana o ke keʻena koko a hāʻawi i ka ʻike kikoʻī e pili ana i ke olakino a me ka hana o kou iwi iwi.

Hiki i kāu kauka ke ʻōlelo aku i kēia hoʻokolohua inā he luhi mau ʻoe, nā maʻi i wehewehe ʻole ʻia, a i ʻole ke kahe ʻana o ke koko i hiki ke hōʻike i nā pilikia o ke koko. Hiki nō hoʻi i ka hoʻokolohua ke kōkua i ka nānā ʻana i ka maikaʻi o ka hana ʻana o nā lāʻau lapaʻau no nā maʻi koko.

Eia nā kumu nui e kauoha ai nā kauka i nā hoʻokolohua iwi:

• Ka ʻike ʻana i nā maʻi maʻi koko e like me ka leukemia, lymphoma, a i ʻole multiple myeloma
• Ke noiʻi ʻana i nā helu koko haʻahaʻa a kiʻekiʻe ʻole i wehewehe ʻia
• Ke nānā ʻana i nā maʻi genetic e pili ana i ka hana ʻana o ke koko
• Ka nānā ʻana i ka pane ʻana i ka lāʻau lapaʻau i nā maʻi koko
• Ka ʻike ʻana i kekahi mau maʻi e pili ana i ka iwi
• Ka loiloi ʻana i ka anemia a i ʻole nā maʻi kahe ʻana i wehewehe ʻole ʻia
• Ka loiloi ʻana i ka hana iwi ma mua o ke kanu ʻana i ke kelepona stem cell

Hāʻawi ka hoʻokolohua i ka ʻike ʻaʻole hiki i nā hoʻokolohua koko maʻamau ke hāʻawi, e hāʻawi ana i kāu hui lapaʻau i ke kiʻi piha o kāu ʻōnaehana hana koko.

He aha ke kaʻina hana no ka hoʻokolohua iwi?

ʻO ka hoʻokolohua iwi e pili ana i ʻelua kaʻina hana pili: ka makemake iwi a me ka biopsy iwi. I ka wā o ka makemake, huki kāu kauka i ka iwi wai, aʻo ka biopsy e wehe i kahi ʻāpana liʻiliʻi o ka ʻiʻo iwi paʻa no ka nānā ʻana.

Hana ʻia ke kaʻina hana ma kahi haukapila a i ʻole ke keʻena outpatient a maʻa mau ma kahi o 30 mau minuke. Loaʻa i ka hapa nui o nā maʻi ka anesthesia kūloko e hoʻopōʻino i ka wahi, a hiki i kekahi ke loaʻa i ka sedation māmā e kōkua iā lākou e hoʻomaha i ka wā o ke kaʻina hana.

Eia ka mea e hana ʻia i ka wā o ka hoʻokolohua iwi:

1. E moe ana ʻoe ma kou ʻaoʻao a i ʻole kou ʻōpū, ma muli o kahi o ka laʻana
2. Hoʻomaʻemaʻe a hoʻopāpā kou kauka i ka ʻili ma luna o kou iwi pūhaka a i ʻole iwi umauma
3. Hoʻokomo ʻia kahi nila lahilahi ma ka ʻili i loko o ka iwi
4. Lawe ʻia ka wai iwi iwi wai me ka syringe (aspiration)
5. Wehe ʻia kahi nila nui aʻe i kahi ʻāpana liʻiliʻi o ka iwi me ka iwi iwi (biopsy)
6. Hoʻopaʻa ʻia nā wahi laʻana a nānā ʻia ʻoe no ka manawa pōkole

Hiki paha iā ʻoe ke manaʻo i ke kaomi a me ka ʻeha pōkole a ʻoi loa i ka wā e unuhi ʻia ai ka iwi iwi, akā ʻaʻole lōʻihi ka ʻoluʻolu. Hōʻike ka hapa nui o nā kānaka e like me ka loaʻa ʻana o kahi pana, ʻoiai ʻoi aku ka ikaika.

Pehea e hoʻomākaukau ai no kāu hoʻokolohua iwi iwi?

ʻO ka hoʻomākaukau ʻana no ka hoʻokolohua iwi iwi e pili ana i ka hoʻomākaukau kino a me ka noʻonoʻo e hōʻoia i ka holo pono ʻana o ke kaʻina hana. E hāʻawi kāu kauka i nā ʻōlelo kikoʻī, akā ʻo ka hapa nui o ka hoʻomākaukau ʻana he pololei a ʻaʻole pono i nā loli nui o ke ola.

E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, ʻoiai nā mea lahilahi koko e like me ka aspirin a i ʻole warfarin. Pono paha ʻoe e hooki i kekahi mau lāʻau lapaʻau i kekahi mau lā ma mua o ka hoʻokolohua e hōʻemi i ka pilikia o ke kahe ʻana.

Eia pehea e hoʻomākaukau ai no kāu hoʻokolohua iwi iwi:

• E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope o ke kaʻina hana
• E ʻai i ka ʻai māmā ma mua o ka hoʻokolohua ke ʻole i ʻōlelo ʻia
• E ʻaʻahu i nā lole ʻoluʻolu a me nā lole
• E lawe i nā lāʻau lapaʻau i kauoha ʻia e like me ke kuhikuhi
• E lawe mai i ka papa inoa o kāu mau lāʻau lapaʻau i kēia manawa
• E hoʻolālā e hoʻomaha no ke koena o ka lā ma hope o ka hoʻokolohua

He mea maʻamau ka manaʻo hopohopo e pili ana i ke kaʻina hana. E kamaʻilio me kāu hui mālama ola e pili ana i nā hopohopo āu, a mai kānalua e nīnau i nā nīnau e pili ana i ka mea e manaʻo ai.

Pehea e heluhelu ai i nā hopena o kāu hoʻokolohua iwi iwi?

Hāʻawi nā hopena hoʻokolohua iwi i ka ʻike kikoʻī e pili ana i ka hana ʻana o kāu mau keena koko a me ke olakino o ka iwi. E nānā ana ke kauka lapaʻau i kāu mau laʻana ma lalo o ka microscope a hiki ke hana i nā hoʻokolohua hou e nānā ai i nā loli genetic a i ʻole nā māka kikoʻī e hōʻike ana i ka maʻi.

Hōʻike nā hopena maʻamau i ka iwi olakino me ka helu kūpono o nā keena koko e ulu ana ma nā pae like ʻole o ke oʻo. Pono e ʻike maʻamau nā keena i ka nui, ke ʻano, a me ke ʻano, me ka ʻole o nā hōʻailona o ka maʻi kanesa a i ʻole nā mea ʻē aʻe.

ʻO ka maʻamau, loaʻa i kāu mau hopena ka ʻike e pili ana i:

• Nā helu keena a me nā pākēneka o nā ʻano keena koko like ʻole
• Ke ʻano o ke keena a me nā pae oʻo
• Ka loaʻa ʻana o nā keena ʻokoʻa a i ʻole ke kanesa
• Nā māka genetic a i ʻole nā loli chromosome
• Nā hōʻailona o ka maʻi a i ʻole nā maʻi ʻē aʻe
• Ka cellularity iwi holoʻokoʻa (pehea ka hana)

E wehewehe kāu kauka i ke ʻano o kāu mau hopena kikoʻī no kou olakino a kūkākūkā i nā koho mālama a i ʻole nā koho lapaʻau e pono ai. Hiki i nā hopena ke lawe i kekahi mau lā i hoʻokahi pule e hoʻi mai ai.

He aha nā mea i loaʻa i ka iwi maʻamau?

Hōʻike ka iwi maʻamau i ka hana ʻana o ke keena koko olakino, me nā keena ma nā pae like ʻole o ka ulu ʻana. Pono e loaʻa i ka iwi nā ʻāpana kūpono o nā mea mua o ke keena koko ʻulaʻula, nā mea mua o ke keena koko keʻokeʻo, a me nā keena e hana ana i ka platelet i kapa ʻia ʻo megakaryocytes.

I loko o ka iwi olakino, e ʻike ʻoe i nā keena ʻōpio e oʻo mālie ana i nā keena koko hana piha. Pono e loaʻa i nā keena nā ʻano maʻamau, nā nui, a me nā hale kūloko me ka ʻole o nā hōʻailona o nā mea ʻokoʻa genetic a i ʻole nā loli malignant.

ʻO nā mea maʻamau maʻamau:

• Ka hana kaulike o nā ʻano pūnaewele koko a pau
• Ke ʻano maʻamau o nā pūnaewele a me nā ʻano oʻo
• Ka nui kūpono o nā pūnaewele iwi no kou makahiki
• ʻAʻohe nui o nā pūnaewele ʻōpio a i ʻole nā pūnaewele maʻamau ʻole
• Nā hōʻailona genetic maʻamau a me ke ʻano chromosome
• ʻAʻohe pūnaewele maʻi ʻaʻai a i ʻole nā mea ola maʻi

ʻAʻole pono ke ʻano o nā hopena maʻamau e manaʻo ai he olakino loa ʻoe, akā hōʻike lākou e hana pono ana kou iwi a hana maʻamau i nā pūnaewele koko.

He aha nā mea i loaʻa i nā iwi maʻamau ʻole?

Hiki i nā mea i loaʻa i nā iwi maʻamau ʻole ke hōʻike i nā ʻano maʻi like ʻole e pili ana i ka hana ʻana o nā pūnaewele koko, mai nā maʻi maikaʻi a i nā maʻi ʻaʻai koʻikoʻi. Kōkua nā mea maʻamau ʻole i kāu kauka e hoʻoholo i ke kumu a me ke ʻano lapaʻau kūpono.

ʻO nā mea maʻamau ʻole e pili ana i ka nui a i ʻole ka liʻiliʻi o nā pūnaewele o kekahi mau ʻano, nā pūnaewele e nānā ʻokoʻa ma lalo o ka microscope, a i ʻole ke alo o nā pūnaewele ʻaʻole pono e loaʻa i loko o ka iwi. Hiki i kēia mau loli ke hōʻike i nā ʻano maʻi koko like ʻole.

Hiki i nā mea maʻamau ʻole ke komo:

• Nui loa nā pūnaewele koko keʻokeʻo ʻōpio (leukemia paha)
• Hoʻemi ʻia ka hana pūnaewele holoʻokoʻa (ʻaʻole hana ka iwi)
• Nā ʻano pūnaewele maʻamau ʻole a i ʻole nā nui (dysplasia)
• Ke alo o nā pūnaewele maʻi ʻaʻai mai nā ʻōkana ʻē aʻe
• Nā maʻi genetic i nā pūnaewele koko
• Nā hōʻailona o ka maʻi a i ʻole nā maʻi inflammatory
• Hoʻonui ʻia ka mālama ʻana i ka hao a i ʻole nā loli metabolic ʻē aʻe

E hoʻohui kāu kauka i kēia mau mea i loaʻa me kāu mau hōʻailona, ​​ka mōʻaukala olakino, a me nā hopena hoʻāʻo ʻē aʻe e hana i kahi hōʻailona pololei a paipai i ka lapaʻau kūpono.

He aha nā mea pilikia no nā iwi maʻamau ʻole?

Hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i nā pilikia iwi, ʻoiai ʻaʻole nui ka poʻe me nā mea pilikia e hoʻomohala i nā maʻi koʻikoʻi. ʻO ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe a me kāu kauka e nānā pono i kou olakino.

ʻO ka makahiki kekahi o nā mea pilikia nui loa, no ka mea, ʻoi aku ka maʻamau o nā maʻi iwi iwi i ka wā e ʻelemakule ai ʻoe. E lilo maoli ana kāu iwi iwi i ka hana ʻole me ka makahiki, a e hōʻiliʻili nā loli genetic i ka manawa.

Eia nā mea pilikia nui no nā maʻi iwi iwi:

• ʻO ka makahiki kiʻekiʻe (ʻoi aku ka nui o nā maʻi koko ma hope o 60 mau makahiki)
• Ka mālama ʻana i ka maʻi ma mua me ka chemotherapy a i ʻole ka radiation
• ʻO ka mōʻaukala ʻohana o nā maʻi koko a i ʻole kekahi mau maʻi genetic
• Ka hōʻike ʻana i kekahi mau kemika e like me ka benzene a i ʻole nā pesticides
• Ka puhi ʻana a me ka ʻai nui ʻana i ka waiʻona
• ʻO kekahi mau maʻi genetic e like me ka Down syndrome
• Nā maʻi ʻōnaehana immune a i ʻole nā maʻi maʻi mau
• Nā maʻi koko ma mua a i ʻole nā kūlana iwi iwi

ʻO ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe nā pilikia iwi iwi, akā he mea nui e kūkākūkā iā lākou me kāu kauka no ka nānā pono ʻana a me ka mālama ʻana.

He aha nā pilikia hiki ke loaʻa i ka hoʻāʻo iwi iwi?

He palekana maʻamau nā hoʻāʻo iwi iwi me nā helu pilikia haʻahaʻa. ʻO ka hapa nui o nā kānaka e ʻike wale i ka ʻoluʻolu iki a hoʻōla piha i loko o kekahi mau lā. He kakaikahi nā pilikia koʻikoʻi akā hiki ke loaʻa, ʻoiai i ka poʻe me nā maʻi koko a i ʻole nā ʻōnaehana immune i hoʻopilikia ʻia.

ʻO ka pilikia maʻamau ma hope o ka hoʻāʻo iwi iwi, ʻo ia ka ʻeha iki ma kahi o ka biopsy, e hoʻoponopono maʻamau i loko o kekahi mau lā me nā mea hōʻoluʻolu ʻeha ma luna o ka counter. Hiki i kekahi poʻe ke ʻike i ka ʻeha liʻiliʻi a puni ka wahi.

ʻO nā pilikia hiki ke loaʻa:

• Ke kahe koko ma kahi o ka biopsy (maʻamau liʻiliʻi)
• Ka maʻi ma kahi o ka nila
• ʻO ka ʻeha lōʻihi a i ʻole ka ʻoluʻolu ʻole
• ʻO ka ʻeha a i ʻole ka pehu a puni ka wahi
• I kekahi manawa, ka pōʻino i nā hale kokoke
• Ka hopena maʻi i ka anesthesia (kakaikahi loa)

E kāhea aku i kāu mea mālama ola inā loaʻa iā ʻoe ka ʻeha nui, nā hōʻailona o ka maʻi e like me ke kuni a i ʻole ka ʻulaʻula, a i ʻole ke kahe ʻana o ke koko ʻaʻole e pau me ke kaomi mālie. ʻO ka hapa nui o nā pilikia he mea liʻiliʻi a maʻalahi ke mālama.

I ka manawa hea e ʻike ai au i ke kauka no nā hopohopo i ka iwi iwi?

Pono ʻoe e ʻike i ke kauka inā loaʻa iā ʻoe nā hōʻailona mau e hiki ke hōʻike i nā pilikia o ke koko a i ʻole ka iwi iwi. Nui nā maʻi iwi iwi e ulu mālie, no laila, ʻike ʻia nā hōʻailona mua he māmā a ʻaʻole pili i nā maʻi koʻikoʻi.

E nānā i nā hōʻailona e mau ana no nā pule ʻoi aku ma mua o kekahi mau pule a i ʻole e ʻino aʻe. ʻOiai he nui nā kumu o kēia mau hōʻailona, ​​i kekahi manawa hōʻike lākou i nā pilikia iwi iwi e pono ai ka loiloi olakino.

E ʻike i kāu kauka inā loaʻa iā ʻoe:

• ʻO ka luhi mau ʻaʻole e hoʻomaikaʻi me ka hoʻomaha
• Nā maʻi pinepine a i ʻole ka lohi o ka hoʻōla
• ʻO ka ʻeha ʻole a i ʻole ke kahe ʻana o ke koko
• Ka pōkole o ka hanu i ka wā o nā hana maʻamau
• ʻO ka ʻeha iwi, ʻoiai ma kou kua a i ʻole ka umauma
• Nā puʻupuʻu lymph i pehu ʻaʻole e hele
• Ka pohō kaumaha ʻole a i ʻole nā ​​sweats pō
• ʻO ka ʻili palupalu a i ʻole ka manaʻo nāwaliwali

Hiki i ka ʻike mua a me ka mālama ʻana i nā maʻi iwi iwi ke hoʻomaikaʻi nui i nā hopena, no laila, mai kānalua e kūkākūkā i nā hōʻailona e pili ana me kāu mea mālama ola.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka hoʻāʻo iwi iwi

He ʻeha anei ka hoʻāʻo iwi iwi?

ʻO ka hoʻāʻo iwi iwi e hana i kekahi ʻoluʻolu ʻole, akā he pōkole a hiki ke mālama ʻia. ʻO ka hapa nui o nā kānaka e wehewehe i ka ʻeha he ʻoi akā pōkole, e like me ka injection hohonu a i ʻole ka lāʻau lapaʻau. Hoʻopau ka anesthesia kūloko i ka ʻili a me ka iwi waho, akā hiki nō iā ʻoe ke manaʻo i ke kaomi a me ka manaʻo huki i ka wā e unuhi ʻia ai ka iwi.

ʻO ka manawa ʻoluʻolu ʻole e mau ana no kekahi mau kekona wale nō ke unuhi ʻia ka iwi wai. Nui nā mea maʻi e ʻōlelo ana ʻoi aku ka ʻino o ka manaʻo ma mua o ke kaʻina hana maoli. Hiki i kāu hui mālama ola ke hāʻawi i nā koho hoʻokele ʻeha hou inā ʻoe e ʻike nui i ka ʻoluʻolu ʻole.

Pehea ka lōʻihi o ka loaʻa ʻana o nā hopena hoʻāʻo iwi iwi?

ʻO ka maʻamau, lawe nā hopena hoʻāʻo iwi iwi i 3-7 mau lā no nā ʻike mua, ʻoiai e hiki ke lawe i ʻelua pule no nā hopena piha. Aia ka manawa ma nā hoʻokolohua kikoʻī a kāu kauka e kauoha ai a pehea ka paʻakikī o ka loiloi.

Loaʻa kekahi mau hopena, e like me ka helu cell maʻamau a me ka helehelena, i ka wikiwiki. Eia naʻe, hiki i ka hoʻāʻo genetic, nā stains kūikawā, a i ʻole nā hoʻokolohua no nā mea hōʻailona kikoʻī ke lawe i ka manawa e hoʻopau ai. E haʻi aku kāu kauka iā ʻoe i ka wā e manaʻo ai i nā hopena a pehea lākou e kamaʻilio ai i nā ʻike iā ʻoe.

Hiki i ka hoʻāʻo iwi iwi ke ʻike i nā ʻano maʻi ʻaʻai āpau?

He mea maikaʻi nā hoʻāʻo iwi iwi no ka ʻike ʻana i nā maʻi ʻaʻai koko e like me ka leukemia, lymphoma, a me ka myeloma nui, akā ʻaʻole hiki iā lākou ke ʻike i nā ʻano maʻi ʻaʻai āpau. Hoʻomaʻamaʻa ka hoʻāʻo i nā ʻiʻo e hana ana i ke koko a hiki ke ʻike i nā maʻi ʻaʻai i loaʻa mai a i ʻole e laha i ka iwi iwi.

Inā ua laha ka maʻi ʻaʻai mai kahi ʻōkana ʻē aʻe i kou iwi iwi, hiki i ka hoʻāʻo ke ʻike i kēia mau cell maʻi ʻaʻai. Eia naʻe, no ka hapa nui o nā ʻōpū paʻa e like me ka umauma, ka māmā, a i ʻole ka maʻi ʻaʻai kolonā, ʻoi aku ka kūpono o nā ʻano diagnostic ʻē aʻe no ka ʻike mua a me ke kahua.

He aha ka mea e hana ai inā he mea maʻamau kaʻu hoʻāʻo iwi iwi?

Inā hōʻike kāu hoʻāʻo iwi iwi i nā hopena maʻamau, e hana kāu kauka me ʻoe e hoʻoholo i ke kumu kumu a hoʻomohala i kahi hoʻolālā lapaʻau kūpono. Ke alakaʻi nei nā mea maʻamau kikoʻī i nā hoʻokolohua hou e pono ai a me nā koho lapaʻau i loaʻa.

ʻAʻole nā hopena maʻamau a pau e hōʻike ana i nā maʻi koʻikoʻi. Hiki i kekahi mau mea i loaʻa ke hōʻike i nā maʻi hiki ke mālama ʻia e like me nā hemahema o nā huaora a i ʻole nā maʻi. E wehewehe kāu hui mālama ola i ke ʻano o kāu mau hopena kikoʻī a kūkākūkā i nā ʻanuʻu aʻe i kāu mālama ʻana, e komo pū ana me nā hoʻokolohua hou, nā kuhikuhi loea, a i ʻole nā koho lapaʻau.

Pehea ka pinepine e pono ai iaʻu nā hoʻokolohua iwi iwi?

Aia ka pinepine o nā hoʻokolohua iwi iwi i kāu kūlana olakino pilikino. Nui ka poʻe e pono wale i hoʻokahi hoʻokolohua e kōkua i ka ʻike ʻana i kahi maʻi, ʻoiai ʻo nā poʻe ʻē aʻe me nā maʻi koko e pono ai nā hoʻokolohua manawa e nānā i ka pane ʻana i ka lapaʻau a i ʻole ka holomua o ka maʻi.

Inā e mālama ʻia ana ʻoe no ka maʻi kanesa koko, hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua iwi iwi hou i kēlā me kēia mau mahina e nānā i ka maikaʻi o ka hana ʻana o ka lapaʻau. No ka nānā ʻana i kekahi mau maʻi, hiki ke hana ʻia nā hoʻokolohua i kēlā me kēia makahiki a i ʻole ka liʻiliʻi pinepine. E hana kāu hui mālama ola i kahi papa hana nānā e pili ana i kāu hōʻailona kikoʻī a me ka hoʻolālā lapaʻau.