He aha ka Radiation Therapy? Ke Kumu, ke Kaʻina Hana & Nā Hopena

ʻO ka radiation therapy kahi lapaʻau lapaʻau e hoʻohana ana i nā kukuna ikaika kiʻekiʻe e luku i nā sela maʻi ʻaʻai a hoʻemi i nā ʻōpū. E noʻonoʻo iā ia he kukuna ikehu i kuhikuhi pono ʻia e hana ana ma ka pae kelepona e pale i ka maʻi ʻaʻai mai ka ulu ʻana a me ka laha ʻana. Ua kōkua kēia lapaʻau i nā miliona o nā kānaka e hakakā i ka maʻi ʻaʻai a hiki ke hoʻohana ʻia wale nō a i ʻole me nā lapaʻau ʻē aʻe e like me ke ʻoki a i ʻole ka chemotherapy.

He aha ka radiation therapy?

Hāʻawi ka radiation therapy i nā mahele i mālama ʻia o ka radiation ikaika kiʻekiʻe pololei i nā sela maʻi ʻaʻai. Hoʻopōʻino ka radiation i ka DNA i loko o kēia mau sela, kahi e pale ai iā lākou mai ka mahele a me ka ulu ʻana. Hiki i kāu mau sela olakino ke hoʻoponopono iā lākou iho mai kēia pōʻino, akā ʻaʻole hiki i nā sela maʻi ʻaʻai ke ola maʻalahi.

Aia ʻelua ʻano nui o ka radiation therapy. Hele mai ka radiation beam waho mai kahi mīkini ma waho o kou kino e kuhikuhi ana i nā kukuna i ka maʻi ʻaʻai. ʻO ka radiation kūloko, i kapa ʻia ʻo brachytherapy, pili i ka waiho ʻana i nā mea radioactive i loko a i ʻole kokoke i ka ʻōpū.

He mea kupaianaha ka radiation therapy o kēia au. Kōkua nā kiʻi kiʻekiʻe a me ka hoʻolālā kamepiula i nā kauka e kuhikuhi i nā sela maʻi ʻaʻai me ka pale ʻana i ka nui o ka ʻiʻo olakino e like me ka hiki. Ua hana kēia pololei i ka lapaʻau ʻoi aku ka maikaʻi a me ka ʻoluʻolu ma mua o ka wā i hala.

No ke aha e hana ʻia ai ka radiation therapy?

He nui nā kumu nui o ka radiation therapy i ka lapaʻau maʻi ʻaʻai. Hiki iā ia ke hoʻōla i ka maʻi ʻaʻai ke hoʻohana ʻia ma ke ʻano he lapaʻau nui, ʻoi aku hoʻi no kekahi mau ʻano e like me ka maʻi prostate a i ʻole ka maʻi umauma i ke kakahiaka. Hana maikaʻi nō hoʻi ia e hoʻemi i nā ʻōpū ma mua o ke ʻoki ʻana, e maʻalahi ai lākou e wehe loa.

Ma hope o ke ʻoki ʻana, hiki i ka radiation ke hoʻopau i nā sela maʻi ʻaʻai i koe i liʻiliʻi loa e ʻike ʻia. ʻO kēia ala, i kapa ʻia ʻo adjuvant therapy, e kōkua i ka pale ʻana i ka maʻi ʻaʻai mai ka hoʻi ʻana mai. Hiki i kāu kauka ke ʻōlelo aku i ka radiation e hoʻolohi i ka ulu ʻana o ka maʻi ʻaʻai ke hiki ʻole ke hoʻōla piha.

I kekahi manawa, ua kālele ʻia ka lāʻau lapaʻau radiation i ka hōʻoluʻolu ma mua o ka hoʻōla. Hiki iā ia ke hōʻemi i nā ʻōpū e kaomi ana i nā aʻalolo a i ʻole nā ʻōkana, e hōʻemi ana i ka ʻeha a hoʻomaikaʻi i kou ola. Kōkua kēia ʻano palliative i nā poʻe he nui e ʻoi aku ka maikaʻi a noho ikaika i ka wā o kā lākou huakaʻi maʻi maʻi.

He aha ke kaʻina hana no ka lāʻau lapaʻau radiation?

Hoʻomaka kāu huakaʻi lāʻau lapaʻau radiation me ka hoʻolālā a me ka hoʻomākaukau ʻana. ʻO ka mea mua, e hālāwai ʻoe me kahi oncologist radiation i loea i kēia lapaʻau. E nānā lākou i kāu mōʻaukala olakino, e nānā iā ʻoe, a e wehewehe pehea e kūpono ai ka radiation i kāu hoʻolālā lapaʻau maʻi maʻi.

ʻO ke kaʻina hana hoʻolālā, i kapa ʻia ʻo ka simulation, e pili ana i ka hana ʻana i kahi palapala kikoʻī o kāu wahi lapaʻau. E moe ʻoe ma luna o kahi papaʻaina i ka wā e hoʻohana ai nā technicians i nā scans CT a i ʻole nā kiʻi ʻē aʻe e kuhikuhi pololei i kahi e hele ai ka radiation. Hiki iā lākou ke kau i nā peʻa liʻiliʻi a i ʻole nā mea hoʻopili ma kou ʻili e hōʻailona i ka wahi lapaʻau.

I ka wā o nā kau lapaʻau maoli, e moe mālie ʻoe ma luna o kahi papaʻaina lapaʻau i ka wā e neʻe ai ka mīkini radiation a puni ʻoe. Hana ka mīkini i kekahi leo, akā ʻaʻole ʻeha ka radiation. ʻO kēlā me kēia kau e mau ana ma kahi o 15 a 30 mau minuke, ʻoiai e lawe wale ana ka radiation maoli i kekahi mau minuke.

Loaʻa i ka hapa nui o nā kānaka ka lāʻau lapaʻau radiation ʻelima lā i ka pule no kekahi mau pule. Hāʻawi kēia papa manawa i nā cell olakino i ka manawa e ola ai ma waena o nā lapaʻau ʻoiai e mālama ana i ke kaomi mau i nā cell maʻi maʻi. E nānā pono kāu hui radiation iā ʻoe i ke kaʻina holoʻokoʻa.

Pehea e hoʻomākaukau ai no kāu lāʻau lapaʻau radiation?

ʻO ka hoʻomākaukau ʻana no ka lāʻau lapaʻau radiation e pili ana i nā hana kūpono a me nā hana naʻau. E hāʻawi kāu hui mālama ola iā ʻoe i nā ʻōlelo kikoʻī, akā kōkua kekahi hoʻomākaukau maʻamau i ka hapa nui o nā kānaka e ʻoi aku ka hilinaʻi a me ka ʻoluʻolu.

Ma mua o kāu mālama mua ʻana, pono paha ʻoe i nā hoʻokolohua koko a me nā kiʻi kiʻi e hōʻoia i ka mākaukau o kou kino. Hiki i kāu kauka ke hoʻoponopono i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai inā hiki iā lākou ke hoʻopilikia i ka pono o ka radiation a i ʻole e hoʻonui i nā hopena ʻaoʻao.

Eia kekahi mau ʻanuʻu e hiki ke kōkua iā ʻoe e hoʻomākaukau kino a me ka naʻau:

• E ʻai i nā meaʻai momona a noho hydrated e kākoʻo i ka hoʻōla ʻana o kou kino
• E hoʻomaha nui e mālama i kou ikaika a me ka ʻōnaehana pale
• E hoʻonohonoho i ka lawe ʻana mai ka mea e luhi ai ʻoe ma hope o nā lāʻau lapaʻau
• E hoʻomākaukau i kou ʻili ma ka hoʻohana ʻana i nā mea hoʻomaʻemaʻe mālie, ʻaʻala ʻole
• E hoʻolālā i nā lole ʻoluʻolu i maʻalahi ke wehe no ke komo ʻana i ka lāʻau
• E noʻonoʻo e lawe mai i ke mele a i ʻole nā ​​puke leo e kōkua iā ʻoe e hoʻomaha i nā kau
• E nīnau e pili ana i nā hui kākoʻo a i ʻole nā ​​lawelawe aʻoaʻo inā e hopohopo ana ʻoe

Mai kānalua e nīnau i kāu hui radiation i nā nīnau e pili ana i ka mea e manaʻo ai. ʻO ka hoʻomaopopo ʻana i ke kaʻina hana e kōkua pinepine i ka hōʻemi ʻana i ka hopohopo a e manaʻo ai ʻoe e mālama i kāu ʻike lapaʻau.

Pehea e heluhelu ai i kāu hopena radiation therapy?

ʻAʻole like me nā hoʻokolohua koko me nā helu kikoʻī, ana ʻia nā hopena radiation therapy ma o nā kiʻi kiʻi a me nā hoʻokolohua kino i ka manawa. E hoʻohana kāu kauka i nā scans CT, MRIs, a i ʻole PET scans e ʻike i ka pane ʻana o nā maʻi maʻi i ka lāʻau lapaʻau a inā ua laha ka maʻi maʻi.

ʻO ke pane piha ʻana, ʻaʻole hōʻike nā kiʻi kiʻi i ka maʻi maʻi ma hope o ka lāʻau lapaʻau. ʻO kēia ka hopena maikaʻi loa, ʻoiai ʻaʻole ia e hōʻoiaʻiʻo ʻaʻole i loaʻa nā cell cancer microscopic. Hōʻike ka pane hapa i ka emi nui ʻana o ka maʻi maʻi, ma ka liʻiliʻi he 30 pakeneka.

I kekahi manawa, hōʻike nā scans i ka maʻi paʻa, ʻo ia hoʻi, ʻaʻole i ulu a emi nui ka maʻi maʻi. He hopena maikaʻi paha kēia, ʻoiai ke manaʻo ʻia e kāohi i ka ulu ʻana o ka maʻi maʻi ma mua o ka hoʻopau ʻana iā ia. ʻO ka maʻi holomua ke manaʻo nei ua hoʻomau ka ulu ʻana o ka maʻi maʻi me ka mālama ʻana.

E wehewehe kāu kauka i ke ʻano o kēia mau hopena no kou kūlana kikoʻī. E nānā pū lākou iā ʻoe no nā mahina a i ʻole nā ​​makahiki ma hope o ka pau ʻana o ka mālama ʻana, no ka mea, hiki i nā hopena o ka radiation ke hoʻomau i ka hana lōʻihi ma hope o kāu kau hope.

Pehea e mālama ai i nā hopena ʻaoʻao o ka radiation therapy?

ʻO ka mālama ʻana i nā hopena ʻaoʻao o ka radiation e kālele ana i ke kākoʻo ʻana i ka hoʻōla maoli o kou kino i ka wā e noho ana i ka ʻoluʻolu i ka wā o ka mālama ʻana. ʻO ka hapa nui o nā hopena ʻaoʻao he manawa pōkole a hiki ke mālama ʻia me ka mālama kūpono a me ka nānā ʻana.

ʻO ka luhi kekahi o nā hopena ʻaoʻao maʻamau, e kūkulu pinepine ana i ka lohi i nā pule he nui o ka mālama ʻana. ʻAʻole like kēia luhi me ka luhi maʻamau no ka mea ʻaʻole kōkua mau ka hoʻomaha. ʻO ka hana ʻana i ka hoʻoikaika kino māmā, ka ʻai ʻana i nā meaʻai maʻamau, a me ka mālama ʻana i ka papa hana hiamoe paʻa hiki ke kōkua i ka mālama ʻana i kou pae ikehu.

He mea maʻamau nō hoʻi nā loli ʻili ma ka wahi lapaʻau. Hiki i kou ʻili ke ʻulaʻula, maloʻo, a i ʻole ka ʻili, e like me ka lā. Eia ke ʻano e mālama ai i ka ʻili i mālama ʻia e ka radiation:

• E hoʻohana i nā kopa a me nā mea hoʻomaʻemaʻe ʻala ʻole
• E pale i ka wai wela a e ʻauʻau me ka wai mehana
• Mai hoʻohana i nā lotions me ka waiʻona, nā mea ʻala, a i ʻole nā ​​kemika koʻikoʻi
• E pale i ka ʻili i mālama ʻia mai ka lā me nā lole ʻoluʻolu
• E nīnau i kāu hui ma mua o ka hoʻohana ʻana i nā huahana ʻili hou
• E hōʻike koke i ka ʻulaʻula nui, ka ʻōpala, a i ʻole nā ​​ʻeha hāmama

ʻO nā hopena ʻē aʻe e hilinaʻi ana i ka ʻāpana o kou kino e loaʻa ai ka radiation. ʻO ka mālama ʻana i ke poʻo a me ka ʻāʻī e hiki ke hana i nā ʻeha waha a i ʻole nā loli i ka ʻono. Hiki i ka radiation i ka umauma ke alakaʻi i ka huhū o ka ʻāʻī a i ʻole ka pilikia o ka ʻai ʻana. E hoʻomākaukau kāu hui radiation iā ʻoe no nā hopena ʻaoʻao kikoʻī a hāʻawi i nā hoʻolālā hoʻokele.

He aha nā mea pilikia no nā pilikia o ka radiation therapy?

Nui nā mea e hiki ke hoʻopili i ka maikaʻi o kou hoʻomanawanui ʻana i ka radiation therapy a inā paha e ulu nā pilikia. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua i kāu hui lapaʻau e hoʻolālā i ka mālama palekana a maikaʻi loa no kāu kūlana kikoʻī.

He mea nui ka makahiki a me ke olakino holoʻokoʻa i ka hoʻomanawanui ʻana i ka radiation. ʻO nā mākua kahiko a i ʻole nā ​​kānaka me nā maʻi olakino maʻi e like me ka maʻi diabetes a i ʻole ka maʻi puʻuwai e ʻike paha i nā hopena ʻaoʻao hou aʻe. Eia naʻe, ʻaʻole e pale wale ka makahiki i ka mālama radiation kūleʻa.

Hiki i nā lāʻau lapaʻau maʻi ma mua ke hoʻopilikia i nā hopena o ka radiation therapy. Inā ua loaʻa iā ʻoe ka radiation ma mua, ʻoi aku hoʻi i ka wahi like, piʻi ka pilikia o nā pilikia. Hiki i kekahi mau lāʻau chemotherapy ke hoʻolilo i nā ʻiʻo i ʻoi aku ka naʻau i nā hopena radiation.

Eia nā mea hou aʻe e hiki ke hoʻonui i nā pilikia:

• ʻO ka puhi ʻana i ka paka, e hōʻino ana i ka hoʻōla a hoʻonui i ka pilikia o ka maʻi
• ʻO ke kūlana meaʻai maikaʻi ʻole e nāwaliwali ai kou ʻōnaehana pale
• Nā maʻi autoimmune e pili ana i ka hoʻōla ʻana o ka ʻiʻo
• Nā kūlana genetic e hoʻolilo iā ʻoe i mea naʻau i ka radiation
• Nā wahi mālama nui e hōʻike ana i nā ʻiʻo olakino
• Nā lāʻau radiation kiʻekiʻe e pono ai no kekahi mau ʻano maʻi maʻi
• ʻO ka chemotherapy like e hoʻonui ai i nā hopena radiation

E loiloi pono kāu oncologist radiation i kēia mau mea i ka wā e hoʻolālā ai i kāu mālama ʻana. Hiki iā lākou ke hoʻoponopono i nā lāʻau radiation, hoʻololi i nā papa hana lapaʻau, a i ʻole e ʻōlelo i ka mālama kākoʻo hou e hōʻemi i kou pilikia o nā pilikia.

He ʻoi aku ka maikaʻi o ka loaʻa ʻana o nā lāʻau radiation kiʻekiʻe a haʻahaʻa paha?

ʻAʻole pili ka

• Ka ʻeha nui o ka ʻili a i ʻole nā ʻeha i loaʻa i ka maʻi i loko o ka wahi lapaʻau
• He paʻakikī ke ale ʻana a i ʻole ka hanu ʻana mai ka pehu ʻana o ka ʻāʻī
• ʻO ka nausea mau a me ka luaʻi ʻana e pale ana i ka ʻai a i ʻole ka inu ʻana
• Nā hōʻailona o ka maʻi e like me ke kuni, nā anu, a i ʻole ka hoʻokuʻu ʻana i ka maʻamau
• He luhi nui e pale ana i nā hana maʻamau o kēlā me kēia lā
• ʻO ka ʻeha i mālama ʻole ʻia me nā lāʻau i kuhikuhi ʻia

Hiki i nā pilikia hope ke ulu i nā mahina a i ʻole nā makahiki ma hope o ka pau ʻana o ka lapaʻau. Hiki i kēia mau mea ke komo i ka ʻili ʻana o ka ʻiʻo, ka hana ʻino o nā ʻōkana, a i ʻole nā maʻi maʻi lua. ʻOiai ʻaʻole maʻamau nā pilikia hope me nā ʻenehana radiation hou, he mea nui ia e nānā iā lākou i ka wā o ka mālama ʻana.

He ʻokoʻa nui ka pilikia o nā pilikia ma muli o ka nui o ka radiation, ka wahi lapaʻau, a me kou mau mea olakino pilikino. E kūkākūkā kāu hui radiation i nā pilikia kikoʻī no kou kūlana a e hana i kahi hoʻolālā nānā e hopu koke i nā pilikia.

I ka manawa hea wau e ʻike ai i ke kauka i ka wā o ka radiation therapy?

Pono ʻoe e hoʻokaʻaʻike koke i kāu hui oncology radiation inā loaʻa iā ʻoe kekahi mau hōʻailona koʻikoʻi a i ʻole nā hōʻailona e pili ana i ka wā o ka lapaʻau. Mai kali no kāu manawa i hoʻonohonoho ʻia e hiki mai ana inā he mea hewa a ʻokoʻa paha mai ka mea a kāu hui i hoʻomākaukau ai iā ʻoe e manaʻo.

E ʻimi koke i ka lāʻau lapaʻau inā loaʻa iā ʻoe ke kuni ma luna o 100.4°F (38°C), ʻoiai inā e loaʻa ana iā ʻoe ka chemotherapy. Hiki i ke kuni ke hōʻike i ka maʻi, e koi ana i ka lāʻau lapaʻau wikiwiki ke pilikia paha kāu ʻōnaehana pale.

Eia nā hōʻailona hōʻailona e koi ana i ka loiloi olakino wikiwiki:

• He paʻakikī ka hanu ʻana a i ʻole ka ʻeha o ka umauma
• He palahū nui o ka ʻili me nā ʻeha hāmama a i ʻole ka pū
• ʻAʻole hiki ke ʻai a inu paha ma muli o nā ʻeha o ka waha a i ʻole ka ʻeha o ka ʻāʻī
• He luaʻi mau e pale ana i ka mālama ʻana i ka meaʻai a i ʻole nā wai
• Nā hōʻailona o ka maloʻo ʻana o ka wai e like me ka wili, ka mimi ʻeleʻele, a i ʻole ka make wai nui
• Ke kahe koko a i ʻole ka ʻeha ʻole
• He ʻeha nui ʻaʻole e pane i nā lāʻau i kuhikuhi ʻia
• ʻO kēlā me kēia hōʻailona e hoʻonui nui a ʻaʻole e hoʻomaikaʻi e like me ka mea i manaʻo ʻia

ʻOiai inā he mea liʻiliʻi nā hōʻailona, mai kānalua e kelepona i kāu hui radiation me nā nīnau a i ʻole nā hopohopo. He ʻike kā lākou i ka mālama ʻana i nā hopena ʻaoʻao radiation a hiki ke hāʻawi pinepine i ke alakaʻi kōkua ma ke kelepona. ʻO ka hana mua pinepine e pale ai i nā pilikia liʻiliʻi mai ka lilo ʻana i nā pilikia koʻikoʻi.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka radiation therapy

Q.1 He maikaʻi anei ka radiation therapy no nā ʻano maʻi ʻaʻai a pau?

He kūpono ka radiation therapy no nā ʻano maʻi ʻaʻai he nui, akā ʻaʻole ia ka koho maikaʻi loa no nā kūlana a pau. He hana maikaʻi ia no nā maʻi ʻaʻai e noho ana ma kahi hoʻokahi, e like me ka umauma, prostate, lung, a me nā maʻi ʻaʻai poʻo a me ka ʻāʻī i ke kahua mua. ʻAʻole paha e pane maikaʻi kekahi mau maʻi ʻaʻai koko a me nā maʻi ʻaʻai i laha nui i ka radiation.

Ke noʻonoʻo nei kāu oncologist i nā mea he nui i ka wā e ʻōlelo ai i ka radiation therapy, me ke ʻano o ka maʻi ʻaʻai, ke kahua, kahi, a me kou olakino holoʻokoʻa. E kūkākūkā lākou inā he mea pono ka radiation no kāu kūlana kikoʻī a pehea e kūpono ai i kāu hoʻolālā lapaʻau holoʻokoʻa.

Q.2 Hoʻokumu anei ka radiation therapy i ka maʻi ʻaʻai?

Hiki i ka radiation therapy ke hoʻonui iki i kou pilikia o ka hoʻomohala ʻana i ka maʻi ʻaʻai lua ma hope o ke ola, akā he mea liʻiliʻi loa kēia pilikia i ka hoʻohālikelike ʻana i ka pōmaikaʻi o ka mālama ʻana i kāu maʻi ʻaʻai i kēia manawa. Hoʻomohala maʻamau nā maʻi ʻaʻai lua mai ka radiation 10 a 20 mau makahiki ma hope o ka lapaʻau ʻana, a ua manaʻo ʻia ka pilikia ma lalo o 1 pakeneka no ka hapa nui o nā kānaka.

Ua hoʻemi nui nā ʻenehana radiation hou i kēia pilikia liʻiliʻi ma o ka hāʻawi ʻana i nā mea pololei i nā wahi liʻiliʻi. E kūkākūkā kāu kauka oncologist radiation i kēia pilikia me ʻoe, akā no ka hapa nui o nā kānaka, ʻoi aku ka maikaʻi o ka radiation therapy ma mua o ka pilikia liʻiliʻi o ka maʻi lua.

Q.3 E lilo anei au i radioactive ma hope o ka radiation therapy?

ʻAʻole e lilo ʻoe i radioactive i ka radiation therapy o waho. E hele ka radiation ma kou kino i ka wā o ka mālama ʻana akā ʻaʻole e noho i loko ou. Hiki iā ʻoe ke palekana me ka ʻohana, nā hoaaloha, a me nā holoholona ma hope koke o kēlā me kēia kau mālama.

He ʻokoʻa ka internal radiation therapy (brachytherapy) no ka mea ua waiho ʻia nā mea radioactive i loko o kou kino. Ma muli o ke ʻano, pono paha ʻoe e kaupalena i ka pilina pili me nā poʻe ʻē aʻe no ka manawa pōkole. E hāʻawi kāu hui radiation i nā ʻōlelo kikoʻī inā pili kēia i kāu mālama ʻana.

Q.4 Pehea ka lōʻihi o ka hopena o ka radiation therapy?

ʻO ka hapa nui o nā hopena ʻaoʻao mai ka radiation therapy e hoʻomaikaʻi mālie i loko o 2 a 6 mau pule ma hope o ka pau ʻana o ka mālama ʻana. Hoʻōla maʻamau ka huhū o ka ʻili i loko o hoʻokahi mahina, ʻoiai e hiki ke lawe i nā pule a i ʻole mau mahina e hoʻoponopono piha ai ka luhi. E hoʻomau ana kou kino i ka hoʻōla ʻana ma hope o ka pau ʻana o ka mālama ʻana.

Hiki ke hoʻomohala ʻia kekahi mau hopena hope ma hope o nā mahina a i ʻole nā makahiki, akā ʻaʻole maʻamau kēia me nā ʻenehana radiation hou. Aia kāu mālama ʻana i ka nānā ʻana no ka hoʻōla ʻana i ka wā pōkole a me nā hopena lōʻihi. Hoʻi ka hapa nui o nā kānaka i kā lākou hana maʻamau i loko o kekahi mau pule a i ʻole mau mahina ma hope o ka pau ʻana o ka radiation therapy.

Q.5 Hiki iaʻu ke hana i ka wā o ka radiation therapy?

Nui ka poʻe e hoʻomau i ka hana i ka wā o ka radiation therapy, ʻoiai inā he mau papa hana maʻalahi kā lākou a i ʻole hiki ke hana mai ka home. He pōkole nā kau mālama a hoʻonohonoho ʻia i nā manawa kūlike, e maʻalahi ai ka hoʻolālā ʻana a puni nā hana hana.

Eia naʻe, hiki i ka luhi a me nā hopena ʻē aʻe ke hoʻopilikia i kou pae ikaika, ʻoi aku hoʻi i ka wā e holomua ai ka lapaʻau. E noʻonoʻo e kūkākūkā i nā hoʻonohonoho hana maʻalahi me kāu mea hana, a mai kānalua e lawe i ka manawa hoʻomaha inā pono ʻoe. Pono ke olakino a me ka hoʻōla ʻana i ka mea nui loa.