Ua ʻike anei ʻoe i ke kanesa waha? E kamaʻilio kākou e pili ana i ia mea!

Ua lohe paha ʻoe i ke kanesa waha? Ua makaʻu iki paha ʻoe i kou lohe ʻana i ka inoa. Eia nō naʻe, he mea nui loa ka loaʻa ʻana o ka ʻike maopopo i kēia. No ka mea, inā ʻike mua ʻia, ʻoi aku ka maʻalahi o ka mālama ʻana a hiki ke ho'ōla nui ʻia. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia kanesa waha me nā kikoʻī.

He aha ke kanesa waha? ʻO wai ka mea e loaʻa ai?

I ka ʻōlelo maʻalahi, ʻo ke kanesa waha kahi ʻano kanesa e ulu ana ma ka ʻili o kou waha. I kekahi manawa hiki i kēia ke like me nā pilikia maʻamau, e like me nā kiko keʻokeʻo ma kou mau lehelehe a i loko o kou waha, a i ʻole nā ​​​​​​ʻeha koko. Akā ʻo ka ʻokoʻa, ʻaʻole e ho'ōla kēia mau loli a hoʻomau. Inā ʻaʻole mālama ʻia, hiki i ke kanesa waha ke laha ma kou waha a me kou puʻu, a laha aku i nā ʻāpana ʻē aʻe o kou poʻo a me kou ʻāʻī. Wahi a nā helu helu, ma kahi o 63% o ka poʻe me ke kanesa waha e ola ana i ʻelima mau makahiki ma hope o ka ʻike ʻia ʻana.

I kēia manawa, e nānā kākou i ka mea i ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi ʻaʻai waha. Ma ka awelika, ma kahi o ʻumikūmākahi mau kānaka mai loko mai o hoʻokahi haneli tausani hiki ke loaʻa i kēia maʻi i ko lākou ola. I ka hapanui o nā hihia, ʻoi aku ka nui o ka loaʻa ʻana o nā kāne ma mua o nā wahine. Eia kekahi, ua ʻōlelo ʻia he ʻoi aku ka nui o ka loaʻa ʻana o ka poʻe keʻokeʻo i kēia ʻano maʻi ʻaʻai ma mua o ka poʻe ʻeleʻele.

Pehea ka hopena o ke kanesa waha i ke kino?

Ma hea kahi e hoʻopilikia maoli ai ka maʻi ʻaʻai waha? ​​ʻO kou waha a me kekahi mau ʻāpana o kou puʻu. Ma ke ʻano lapaʻau, hoʻopilikia ia i nā wahi i kapa ʻia ʻo 'oral cavity' (`(oral cavity)`) a me ka '(oropharynx)`). ʻO ka oropharynx (`(oropharynx)`) ka ʻāpana waena o kou puʻu e hiki ai iā ʻoe ke ʻike ke hāmama nui kou waha, kahi ʻāpana o ke alelo, a me kahi ʻāpana o ke kaupaku o kou waha. Inā ulu ka maʻi ʻaʻai ma laila, kapa mākou ia he '(oropharyngeal cancer)'. Akā ma kēia ʻatikala, e kamaʻilio hou mākou e pili ana i nā maʻi ʻaʻai e ulu ana i loko o ka waha, ʻo ia hoʻi, ma ka '(oral cavity)'.

He aha nā ʻāpana o ka lua waha?

No laila, ke ʻōlelo mākou he "waha waha", he aha ia mea nona? E noʻonoʻo e pili ana i ia mea...

• Kou mau lehelehe.
• Kou ʻāʻī.
• ʻO ka ʻili ma loko o kou mau papālina (kapa mākou ia he "laina o loko o kou mau papālina").
• ʻO nā hapakolu ʻelua o mua o kou alelo.
• Ka papahele o kou waha (ʻo ia hoʻi, ka ʻāpana ma lalo o kou alelo).
• ʻO ka ʻāpana mua o ke kaupaku o kou waha.
• ʻO ka ʻāpana ma hope o nā niho hope ʻelua ("(niho naʻauao)`).

He aha nā kumu o ka maʻi ʻaʻai waha?

ʻAe, e nānā kākou pehea e hana ʻia ai ka maʻi ʻaʻai waha. I ka ʻōlelo maʻalahi, aia kekahi ʻano pūnaewele i loko o ko kākou waha i kapa ʻia ʻo "squamous cells". He mau pūnaewele pālahalaha kēia e like me nā unahi iʻa ke nānā ʻia ma lalo o kahi microscope. Hoʻokumu ʻia nā pūnaewele kanesa i ka wā e loli ai ka "DNA" o kēlā mau "squamous cells" maʻamau, a hoʻomaka kēlā mau pūnaewele e ulu a māhelehele me ke kāohi ʻole. I ka hala ʻana o ka manawa, hiki i kēia mau pūnaewele kanesa ke laha i nā wahi ʻē aʻe o ka waha, a laila i nā wahi ʻē aʻe o ke poʻo a me ka ʻāʻī, a malia paha i nā wahi ʻē aʻe o ke kino.

Nā ʻano a me nā kumu e hoʻonui ai i ka pilikia

Aia kekahi mau ʻano a me nā kumu e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai waha. Ua ʻike anei ʻoe he 75% o ka poʻe e loaʻa ana i ka maʻi ʻaʻai waha e pili ana i kēia mau mea:

• Ka puhipaka ʻana i nā mea e like me nā sikaleka, nā cigarette, a me nā paipu.
• Ke nau ʻana i ka paka, ka hoʻohana ʻana i ka paka me nā lau betel, a me ka hoʻohana ʻana i nā mea e like me ka "hookah" a i ʻole "shisha".
• Ka inu pinepine ʻana i ka wai nui.
• Ke noho ʻana i ka lā no ka manawa lōʻihi me ka ʻole o ka pale ʻana i nā lehelehe (no ka laʻana, me ka ʻole o ka hoʻopili ʻana i ka "sunblock").
• Ua loaʻa i ka maʻi "Human Papillomavirus" a i ʻole "HPV".
• He moʻolelo ʻohana o ka maʻi ʻaʻai waha (ʻo ia hoʻi, he loulou hoʻoilina).

Akā, he mea nui hoʻi e hoʻomanaʻo he 25% o ka poʻe i loaʻa i ka maʻi ʻaʻai waha ʻaʻole lākou e puhi paka a i ʻole he mau kumu pilikia ʻē aʻe. No laila, he mea maikaʻi no kākou a pau e makaʻala i kēia.

He aha nā hōʻailona o ka maʻi ʻaʻai waha?

I kēia manawa, e nānā kākou i nā hōʻailona o ka maʻi ʻaʻai waha. I kekahi manawa hiki ke huikau ʻia kēia me nā pilikia waha maʻamau. No ka laʻana, ʻike paha ʻoe i nā ʻāpana keʻokeʻo i loko o kou waha ʻaʻole hiki iā ʻoe ke kahakaha. Hiki i kēia ke lilo i mau kūlana pre-cancerous.

Aia kekahi mau ʻano kiko e like me kēia e ʻike ʻia ma ka waha a me ka puʻu, a ʻokoʻa ko lākou kala:

• Leukoplakia: He mau kiko pālahalaha keʻokeʻo a hina paha kēia.
• Erythroplakia: He ʻulaʻula kēia, i kekahi manawa ua piʻi iki aʻe, a i ʻole nā ​​​​​​ʻāpana pālahalaha. Hiki ke kahe ke koko ke kahakaha ʻia.
• Erythroleukoplakia: He mau ʻāpana kēia i hui pū ʻia me ka ʻulaʻula a me ke keʻokeʻo.

Eia kekahi, ʻo kēia nā hōʻailona maʻamau o ka maʻi ʻaʻai waha:

• Inā he mau ʻeha ma kou mau lehelehe a i loko paha o kou waha e kahe maʻalahi ana ke koko a ʻaʻole e ho'ōla ma hope o ʻelua pule.
• Nā mea e like me nā lehelehe, nā ʻāʻī, nā wahi ʻāʻī i loko o ka waha, a me nā wahi i ʻili ʻia ai.
• Inā he kahe koko mai loko mai o ka waha me ke kumu ʻike ʻole ʻia.
• Inā ʻike ʻoe i ka ʻeha, ka ʻeha, a i ʻole ke kuni ʻana ma kou maka, ʻāʻī, a i loko o kou waha me ke kumu ʻole.
• Inā pilikia ʻoe i ka nau ʻana, ka moni ʻana, ka ʻōlelo ʻana, ʻeha kou ʻauwae, a i ʻole pilikia ʻoe i ka hoʻoneʻe ʻana i kou alelo.
• Inā ʻoe e emi kaumaha me ka manaʻo ʻole ʻia (`(ʻO ka emi kaumaha i manaʻo ʻole ʻia)`).
• ʻEha pepeiao.
• Inā loaʻa iā ʻoe ka hanu ʻino mau loa ("(Chronic bad breath)`).

Pehea e ʻike ʻia ai ke kanesa waha?

Inā ʻoe e hele pinepine i ke kauka niho, hiki iā ia ke nānā i nā hōʻailona o ka maʻi ʻaʻai waha i kāu nānā maʻamau. Inā kānalua ʻo ia i kēia, hiki iā ia ke hana i kekahi mau hoʻokolohua maʻamau a kuhikuhi paha iā ʻoe i kahi kauka niho a me ka maxillofacial (`(Oral and Maxillofacial Surgeon)`) a i ʻole ke kauka poʻo a me ka ʻāʻī (`(Head and Neck Surgeon)`). Ua kapa ʻia kēia mau loea he mau loea pepeiao, ihu a me ka ʻāʻī (`(ENT specialists)`).

Eia kekahi o nā hoʻokolohua i hoʻohana ʻia no ka ʻike ʻana i ka maʻi ʻaʻai waha:

• Hoʻokolokolo kino: E nānā kāu kauka i loko o kou waha a e hoʻopā paha i kou waha. E nānā pū lākou i kou poʻo, kou maka, a me kou ʻāʻī no nā hōʻailona o ke kanesa a i ʻole nā ​​kūlana precancerous.
• ʻO ka biopsy palaki (i kapa ʻia hoʻi he scrape biopsy a i ʻole exfoliative cytology): Hoʻohana ke kauka i kahi palaki liʻiliʻi a spatula paha e ʻeli mālie i kahi liʻiliʻi o nā cell mai ka wahi kānalua. A laila hoʻāʻo ʻia nā cell e ʻike inā he maʻi kanesa lākou.
• ʻO ka biopsy incisional: Ma kēia, wehe ke kauka i kahi ʻāpana o ka ʻiʻo mai ka wahi kānalua a hoʻāʻo i nā cell e ʻike inā he maʻi kanesa lākou.
• ʻO ka laryngoscopy ʻaʻole pololei a me ka pharyngoscopy: Hoʻohana ke kauka i kahi mea hana lōʻihi me kahi aniani liʻiliʻi i hoʻopili ʻia iā ia e nānā i kou puʻu, ke kumu o kou alelo, a me kahi ʻāpana o kou larynx (pahu leo).
• ʻO ka pharyngoscopy pololei (hiki ke hoʻololi ʻia) a me ka laryngoscopy: I kekahi manawa hoʻohana ʻia kahi endoscope e nānā hohonu i loko o ka puʻu a me ka waha i ʻike ʻole ʻia me kahi scope. He ʻōmole lahilahi a hiki ke hoʻololi ʻia ka endoscope me ke kukui a me kahi aniani ma ke alo.

Aia kekahi mau pae o ka maʻi ʻaʻai waha?

ʻAe, ʻoiaʻiʻo nō. Kōkua kēia mau hoʻāʻo i ka hoʻoholo ʻana i ke kahua ('kahua') o ke kanesa. ʻO ke kahua e pili ana i kahi o ke kanesa, pehea ka mamao o kona laha ʻana, a inā ua laha ma mua o kahi i hoʻomaka mua ai. Nānā pū kēia mau hoʻāʻo inā ua laha ke kanesa i nā ʻāpana ʻē aʻe o ke kino.

Hoʻohana nā kauka i ka ʻike e pili ana i kēia kahua e hoʻolālā i ka mālama ʻana a wānana i nā manawa e hoʻōla ai.

Hoʻokaʻawale ʻia ke kanesa waha ma o ka ʻōnaehana TNM.

• ʻO ka leka T e pili ana i ka nui a me kahi o ka puʻupuʻu mua.
• Hōʻike ka leka N inā ua pālahalaha ka puʻupuʻu i nā lymph nodes.
• Hōʻike ka leka M inā ua pālahalaha ka puʻupuʻu i nā ʻāpana mamao o ke kino (metastasized).

ʻO nā pae o ka maʻi ʻaʻai waha e like me kēia:

• TI: He 2 kenimika a emi mai paha ka nui o ka puʻupuʻu ma ka waha.
• T2: ʻOi aku ka nui o ka puʻupuʻu ma mua o 2 kenimika, akā ʻaʻole i ʻoi aku ma mua o 4 kenimika.
• T3: ʻOi aku ka nui o ka puʻupuʻu ma mua o 4 kenimika.

Pehea e mālama ʻia ai ka maʻi ʻaʻai waha?

ʻEkolu mau ala nui e mālama ai i ka maʻi ʻaʻai waha: ke ʻoki kino, ka radiation therapy, a me ka chemotherapy . Pono ʻoe e kamaʻilio me kāu kauka e pili ana i kāu mau koho āpau, ko lākou mau hopena ʻaoʻao, a pehea e mālama ai iā lākou.

Noʻonoʻo ke kauka i kekahi mau kumu ma mua o ka hāʻawi ʻana i kahi lāʻau lapaʻau. Eia kekahi o lākou:

• He aha ke ʻano o ka maʻi ʻaʻai waha āu?
• Inā ua pālahalaha kou maʻi ʻaʻai mai kahi i hoʻomaka mua ai i nā ʻāpana ʻē aʻe o kou waha a me kou puʻu, a i ʻole i nā ʻāpana ʻē aʻe o kou kino.
• Kou olakino laulā.
• kou mau makahiki.

He aha nā ʻoki kino e hana ʻia no ka maʻi ʻaʻai waha?

ʻO nā hana ʻoki maʻamau i hana ʻia no ka maʻi ʻaʻai waha:

• ʻO ke ʻoki ʻana i ka puʻupuʻu mua: Wehe nā kauka i ka puʻupuʻu ma o kahi ʻoki ʻana i loko o ka waha a i ʻole ma ka ʻāʻī.
• Glossectomy: Pili kēia i ka wehe ʻana i kahi ʻāpana a i ʻole ke alelo holoʻokoʻa.
• ʻO ke ʻoki ʻana i ka iwi ʻauwae (ʻoki ʻana i ka ʻauwae): He ʻoki ʻana kēia e hana ʻia inā he maʻi ʻaʻai ma ka iwi ʻauwae.
• Maxillectomy: Hoʻopau kēia ʻoki kino i kahi hapa a i ʻole ka ʻāpana āpau o luna o ka waha (ka ʻāpana iwi o luna o ka waha, i ʻike ʻia hoʻi ʻo ka palate).
• ʻO ka biopsy node lymph Sentinel: ʻAe kēia hoʻāʻo i nā kauka e ʻike inā ua pālahalaha ke kanesa ma waho o ke kahua mua.
• ʻO ka ʻoki ʻāʻī: Hana ʻia kēia ʻoki e wehe i nā lymph nodes ma ka ʻāʻī.
• Hana Hou: Ma hope o ke ʻoki ʻana e wehe i kahi nui o nā ʻiʻo, hiki ke hana ʻia ke ʻoki hana hou e hoʻopiha i ka hakahaka kahi i loaʻa ai ka puʻupuʻu a i ʻole e kūkulu hou i nā ʻāpana o ke kino, e like me ka lehelehe, ke alelo, ka lehelehe, a i ʻole ka ʻauwae. I kekahi manawa, pili kēia hana hou i ka lawe ʻana i ka iwi olakino a me nā ʻiʻo mai nā ʻāpana ʻē aʻe o ke kino.

Nā lāʻau lapaʻau ʻē aʻe

Hiki i nā kauka ke hoʻohana i nā lāʻau lapaʻau ʻē aʻe, ma ka hui pū ʻana me ke ʻoki kino a i ʻole ma kahi kaʻawale.

• Lapaʻau radiation: Hoʻohana kēia i nā kukuna ikehu kiʻekiʻe e pepehi i nā hunaola kanesa a i ʻole e hoʻōki iā lākou mai ka ulu ʻana. Hiki i kāu kauka ke hoʻohui i ka radiation therapy me nā lāʻau lapaʻau ʻē aʻe.
• Lapaʻau i kuhikuhi ʻia: Hoʻohana kēia ʻano lapaʻau maʻi kanesa i nā lāʻau lapaʻau a i ʻole nā ​​​​mea ʻē aʻe e ʻike a hoʻouka i nā ʻano kikoʻī o nā cell cancer me ka ʻole o ka hōʻino ʻana i nā cell maʻamau. ʻO nā antibodies monoclonal nā protein ʻōnaehana pale i hana ʻia i loko o kahi keʻena hoʻokolohua. Hoʻohana ʻia lākou e mālama i ka maʻi kanesa.
• Kemoterapi: Hiki i ke kauka ke hoʻohana i nā lāʻau lapaʻau anticancer e pepehi i nā hunaola kanesa. Hoʻopilikia kēia lāʻau i nā ʻāpana he nui o ke kino.
• Immunotherapy: He lāʻau lapaʻau kēia e hoʻohana ana i kāu ʻōnaehana pale ponoʻī e hakakā i ka maʻi kanesa. I kekahi manawa ua kapa ʻia ʻo ia he biological therapy.

He aha ka mea e hiki ke hana ʻia e pale aku ai i ka maʻi ʻaʻai waha?

He maʻi hiki ke pale ʻia ka maʻi ʻaʻai waha. Hiki iā ʻoe ke kōkua ikaika i ia mea. ʻO ka hahai ʻana i kēia mau ʻōlelo aʻoaʻo e kōkua iā ʻoe e pale aku i ka maʻi ʻaʻai waha:

• Inā ʻoe e hoʻohana i ka paka (nā cigarette, beedis), nau i ka paka, a hoʻohana paha i ka paipu wai, e hoʻāʻo e hoʻōki a hōʻemi paha. E kamaʻilio me kāu kauka e pili ana i nā papahana hoʻōki puhipaka.
• Inā ʻoe e inu i ka waiʻona, e inu mālie.
• I kou hele ʻana i waho i ka lā, mai poina e hoʻohana i ka "pale lā pale UV-AB" no kou maka a me kou lehelehe.
• E kiʻi i ka lāʻau pale no ka maʻi `(Human Papillomavirus - HPV)`.
• E ʻai i ka meaʻai kaulike.
• E nānā mau i nā niho. He manaʻo maikaʻi e nānā i nā niho no ke kanesa waha ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia ʻekolu makahiki no ka poʻe ma waena o 20 a me 40 mau makahiki, a i kēlā me kēia makahiki ma hope o 40 mau makahiki.

Hiki iaʻu ke ʻike inā loaʻa iaʻu ka maʻi ʻaʻai waha?

Inā ʻike mua ʻia ka maʻi ʻaʻai waha, hiki ke lohi kona ulu ʻana a i ʻole kona laha ʻana.

Hiki iā ʻoe ke hana i kahi hoʻokolokolo ponoʻī o kou waha i kēlā me kēia mahina. Inā ʻike ʻoe i kekahi mea ʻē a ʻano ʻē paha i ka wā e hana ana pēlā, e ʻike koke i ke kauka niho. Eia pehea e nānā ai i kou waha, ʻāʻī, a me ka ʻāʻī no nā hōʻailona o ka maʻi ʻaʻai waha:

• E hoʻopā i kou mau lehelehe, ke alo o kou mau ʻāʻī, a me ke kaupaku o kou waha.
• E hoʻopā i kou ʻāʻī a ma lalo o kou mau ʻūpā no nā puʻupuʻu a i ʻole nā ​​​​kikowaena lymph pehu.
• E hele i kahi wahi i hoʻomālamalama maikaʻi ʻia i mua o ke aniani a nānā i loko o kou waha.
• E hoʻohuli i kou poʻo i hope a nānā i ke kaupaku o kou waha.
• E huki i waho i nā papālina a nānā i loko o ka waha, ka ʻili i loko o nā papālina, a me nā ʻāʻī ma hope.
• E kīkoʻo i kou alelo i waho a nānā i luna, lalo, a me nā ʻaoʻao. E pahu mālie i kou alelo i hope a nānā i lalo o kou waha.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka maʻi ʻaʻai waha?

ʻO ke kanesa waha kahi ʻano kanesa e ulu ana i loko o ka waha. E like me nā kanesa he nui, hiki i ka ʻike mua ʻana a me ka mālama ʻana ke hoʻolohi i ka laha ʻana o ke kanesa waha. Ma kahi o ka hapakolu o ka poʻe i mālama ʻia no ke kanesa waha e loaʻa i kahi kanesa hou. Inā ua mālama ʻia ʻoe no ke kanesa waha, e kamaʻilio me kāu kauka e pili ana i nā hoʻokolohua hahai.

He aha ka mea e hana ʻia ma hope o ka pau ʻana o ka lāʻau lapaʻau?

Ma hope o kou hoʻopau ʻana i ka mālama ʻana no ka maʻi ʻaʻai waha, e hāʻawi kāu kauka iā ʻoe i ka ʻike e pili ana i ka hopena o ka lāʻau lapaʻau āu i loaʻa ai i kou ola o kēlā me kēia lā.

Eia kekahi laʻana, hiki ke mālama pono ʻia kekahi poʻe me ka maʻi ʻaʻai waha ma ka wehe ʻana i ka puʻupuʻu mai ka lehelehe a i ʻole ka waha. Eia nō naʻe, ʻo kekahi kanaka nona ka maʻi ʻaʻai i pālahalaha ʻia e pono paha i kahi ʻoki ʻokoʻa a ʻoi aku ka nui, malia paha e hana hou i kahi ʻāpana o ka waha a i ʻole ka ʻāwae.

ʻOiai kou kūlana, pono ʻoe e ʻike i kāu mau kauka, me kou kauka niho, i nā manawa a pau no nā nānā ʻana (`(nā manawa hahai)`).

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi mau loli i kou waha - nā ʻeha hou i hoʻōla ʻole ma hope o ʻelua pule, nā ʻāpana ʻino, a pēlā aku - e ʻike koke i ke kauka. He mea nui loa ia. ʻO ka wikiwiki o kou ʻike ʻana, ʻo ka nui o ka kūleʻa o ka lāʻau.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Eia kekahi mau nīnau maʻamau hiki iā ʻoe ke nīnau i kāu kauka:

• He aha ka ʻokoʻa ma waena o ke kanesa waha pre-cancerous a me ke kanesa waha?
• He manawa pōkole a he mau loa paha koʻu maʻi?
• He aha paha ke kumu e loaʻa ai iaʻu ka maʻi kanesa?
• He aha nā ʻano hoʻokolohua e pono iaʻu e hana a pehea e hana ʻia ai?
• He aha ka lāʻau lapaʻau maikaʻi loa?
• He aha nā koho ʻē aʻe i ke ʻano hana nui āu e hāpai nei?
• Inā pono iaʻu e hana i ke ʻoki kino, pono anei iaʻu e hana i ke ʻoki kino hou?
• Pono anei au e ʻike i kahi loea? ʻEhia ke kumukūʻai, a e uhi anei kaʻu ʻinikua iā ia?
• He aha kaʻu e hana ai e hōʻemi i koʻu mau hōʻailona?
• He aha nā hoʻololi o ke ʻano o ka nohona e hiki iaʻu ke hana e kōkua ai i ka mālama ʻana a me ka hoʻōla ʻana?

ʻO ka mea nui loa āu e hoʻomanaʻo ai! (Leka Lawe-Home)

ʻOiai he maʻi koʻikoʻi ka maʻi ʻaʻai waha, hiki ke mālama pono ʻia inā ʻike mua ʻia.

ʻO ia ke kumu he mea nui e ʻike i ke kauka niho ma ka liʻiliʻi ʻelua i ka makahiki a e nānā i kou waha iā ʻoe iho ma ka liʻiliʻi hoʻokahi i ka mahina. Aia kekahi mau ala e pale aku ai i ka maʻi ʻaʻai waha. ʻO kekahi o nā mea nui loa o kēia mau mea, ʻo ia ka pale ʻana i ka hoʻohana ʻana i nā huahana paka. He mea maʻamau ka makaʻu ke ʻike ʻoe he maʻi ʻaʻai kou. Akā e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Inā makemake ʻoe i ke kōkua e kamaʻilio me kou mau hoaaloha a me kou ʻohana e pili ana i kou maʻi ʻaʻai waha, e kamaʻilio me kāu mau kauka e pili ana i ia mea. E mālama i kou olakino, no ka mea, ʻo ia ka mea waiwai nui loa āu!

ʻO ke Kanesa Waha, Kanesa Waha, Nā Hōʻailona, ​​Nā Kumu, Ka Lāʻau, Ke ʻoki kino, Ka Pale ʻana, Ka Nānā ʻana iā ʻOe Iho