He maʻi kanesa anei ka puʻupuʻu ma kou kino? E kamaʻilio kākou e pili ana i kēia 'maʻi ʻōpū maikaʻi ʻole'!

Ke makaʻu nei ʻoe ke ʻike ʻoe i kahi mea e like me ka puʻupuʻu liʻiliʻi ma kekahi wahi o kou kino? Malia paha ke noʻonoʻo nei ʻoe, "ʻAuē, he maʻi kanesa kēia?" He ʻoiaʻiʻo he mea maʻamau ka makaʻu iki ke ʻike ʻoe i kahi puʻupuʻu hou a i ʻole ka puʻupuʻu ma kou kino. Akā, pono mua ʻoe e hoʻomaopopo ʻaʻole nā ​​puʻupuʻu āpau he maʻi kanesa . I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano puʻupuʻu i kapa ʻia ʻo 'benign tumor', ʻaʻole ia he maʻi kanesa, akā i kekahi manawa hiki ke hoʻopilikia iki iā mākou, a i ʻole e hoʻopilikia iki iā mākou.

ʻAʻole anei he maʻi kanesa ka puʻupuʻu maikaʻi ʻole?

I kēia manawa, e nīnau paha ʻoe, "ʻAʻole anei kēia he maʻi kanesa benign?" ʻO ka ʻōlelo pololei, ʻaʻole . ʻO ka maʻi kanesa benign he maʻi kanesa, ʻo ia hoʻi, ʻaʻole ia he 'malignant tumor' e like me ka kapa ʻana o nā kauka. ʻO kēia ka mea nui loa.

E noʻonoʻo, he mau ʻāpana ko kākou i loko o ko kākou kino. Māhele lākou a ulu ma ke ʻano maʻamau, a ma hope o kekahi manawa make lākou. ʻO ia ke kaʻina hana maʻamau. Akā i kekahi manawa, no kekahi kumu, hoʻomaka kekahi mau ʻāpana e māhele maʻamau ʻole, nui loa, a ʻaʻole make. ʻO ia ka mea a mākou e kapa nei he 'tumor', a i ʻole he ulu ʻana. I kekahi manawa kapa nā kauka i kēia he 'benign neoplasm' a i ʻole 'benign growth'.

ʻAʻole ulu wikiwiki kēia mau puʻupuʻu maikaʻi e like me nā hunaola kanesa, ʻaʻole hoʻi e laha i nā ʻāpana ʻē aʻe o ke kino (metastasis) e like me ke kanesa. ʻO ia ka hōʻoluʻolu nui a me ka ʻokoʻa. ʻO ka maʻamau, ulu kēia mau puʻupuʻu ma ke ʻano i kaupalena ʻia a hoʻonohonoho ʻia.

Eia nō naʻe, he mea kākaʻikahi loa, aia kekahi mau ʻano puʻupuʻu maikaʻi ʻole e hiki ke lilo i ka maʻi kanesa i ka hala ʻana o ka manawa. No ka laʻana, hiki i kekahi mau polyp colon - nā ulu liʻiliʻi e hana ʻia ma loko o ke kolona - ke lilo i maʻi kanesa. ʻO ia ke kumu e wehe ai nā kauka i nā polyp i ka wā o ka colonoscopy e pale aku iā lākou mai ka lilo ʻana i pilikia i ka wā e hiki mai ana.

He aha nā ʻano o nā tumors benign?

ʻAe, he aha kēia mau ʻano puʻupuʻu maikaʻi ʻole? Hiki iā lākou ke hana ma nā wahi āpau o ko mākou kino. E noʻonoʻo e pili ana i ia mea, ma nā wahi āpau mai ka ʻili a i ka lolo. Ua kapa ʻia ka puʻupuʻu ma muli o ke ʻano o ka ʻiʻo a me kahi i hana ʻia ai. E nānā kākou i kekahi o nā ʻano maʻamau:

• Adenomas: Hoʻomaka kēia i loko o ka ʻiʻo epithelial e hoʻopili ana i ko mākou mau ʻōpū a me nā kelepa. E noʻonoʻo i nā wahi e like me ko mākou ʻōpū a me ka kelepa thyroid. Ua like kēia me nā halo liʻiliʻi, e ulu mālie ana me kahi scythe.
• Nā Chondromas: ʻO kēia kahi e loaʻa ai i ko mākou kino ke cartilage - ʻo ia nā ʻāpana palupalu o ko mākou mau hono, ihu, a me nā pepeiao - a lākou e hana ai. ʻO ke Cartilage kahi ʻiʻo hoʻohui e pale ana i ko mākou mau iwi a me nā hono a hana ma ke ʻano he uluna.
• Nā Fibromas a i ʻole nā ​​​​fibroids:Ulu kēia mau mea i loko o nā ʻiʻo fibrous e hoʻopuni ana i ko kākou mau tendon (nā kāʻei e hoʻopili ai i nā ʻiʻo i nā iwi) a me nā ligaments (nā kāʻei e hoʻopili ai i nā iwi kekahi i kekahi). Hiki iā lākou ke ulu ma nā wahi āpau o ke kino. Ua lohe paha ʻoe i nā fibroids e ulu ana i loko o ka uterus.
• ʻO Hamartomas: He ʻano puʻupuʻu maikaʻi kēia e kū pinepine ana i loko o nā māmā, akā hiki ke kū pū i nā ʻōpū ʻē aʻe. He hōʻiliʻili maoli nō ia o nā cell ma ke ʻano haunaele.
• Hemangiomas: He ʻano maʻamau kēia o ka puʻupuʻu e hana ʻia mai ko kākou mau kīʻaha koko. I kekahi manawa hiki iā lākou ke ʻike ʻia he mau puʻupuʻu ʻulaʻula liʻiliʻi a poni paha ma ka ʻili, i hāpai ʻia ma luna o ka ʻili. ʻIke ʻia hoʻi lākou i nā keiki ʻōpio, a nalowale kekahi o lākou ma o lākou iho.
• ʻO Lipomas: He mea maʻamau kēia a he mea maʻamau. He mau puʻupuʻu momona ma lalo o ka ʻili. Neʻe lākou i kēia ʻaoʻao a i kēlā ʻaoʻao ke hoʻopā ʻia, a ʻaʻohe ʻeha. He ʻano puʻupuʻu palupalu lākou, a ʻo ia ke ʻano maʻamau o ka puʻupuʻu benign. Ua kapa pū kekahi poʻe iā lākou he 'mau puʻupuʻu momona'.
• ʻO Lymphangiomas: ʻO kēia ʻano puʻupuʻu ka mea maʻamau i nā keiki ʻōpio. Hoʻomohala lākou i loko o kā lākou ʻōnaehana lymphatic (kahi ʻōnaehana e kōkua ai i ka pale ʻana a me ke kaulike wai i loko o ke kino). Hiki iā lākou ke ʻike ʻia he mau ʻeke piha i ka wai ma ka ʻili, i loko o ka waha, i loko o ka ihu, a ma nā membrane mucous i loko o nā lihilihi.
• ʻO nā Meningiomas: Hoʻomaka kēia i nā meninges, nā membrane pale e hoʻopuni ana i ko mākou lolo a me ke kaula spinal. Hiki iā lākou ke hoʻokau i ke kaomi ma ka lolo a me ke kaula spinal. ʻOiai ʻo ka hapa nui o nā meningiomas he benign, hiki i kekahi ke lilo i mea hoʻoweliweli i ke ola ma muli o ko lākou wahi a me ka nui, ʻoiai he wahi koʻikoʻi loa ka lolo.
• Myomas: Hana ʻia kēia mau puʻupuʻu maikaʻi ʻole me nā ʻiʻo laumania. Hiki iā lākou ke kū i loko o ko mākou ʻōpū (uterine fibroids) a i ʻole i loko o kā mākou ʻōnaehana hoʻoheheʻe (gastrointestinal tract).
• Nā Neuromas: Hoʻomohala ʻia kēia mau puʻupuʻu ma nā aʻalolo. Ua like nā aʻalolo me nā uea e lawe ana i nā leka ma o ko mākou kino. Hiki i kēia mau puʻupuʻu ke ulu ma nā aʻalolo ma nā wahi āpau o ke kino. ʻO Schwannomas, neurofibromas, a me ganglioneuromas kekahi o nā ʻano neuromas maʻamau.
• Osteomas: He ʻano puʻupuʻu iwi maikaʻi kēia e hana ʻia i loko o nā iwi. ʻO nā ʻano puʻupuʻu iwi maikaʻi ʻē aʻe he osteoid osteoma, chondroblastoma, a me enchondroma.
• Nā puʻupuʻu ʻili:Nui nā ʻano ulu ʻili maikaʻi ʻole. ʻO nā mea maʻamau ka cherry angiomas (nā kiko ʻulaʻula liʻiliʻi), sebaceous hyperplasia (nā puʻupuʻu liʻiliʻi mai nā kelepa ʻaila), seborrheic keratoses (nā kiko ʻeleʻele, ʻāwiliwili e ʻike ʻia i kekahi manawa me ka ʻelemakule), dermatofibromas (nā puʻupuʻu liʻiliʻi a paʻakikī ma ka ʻili), a me nā acrochordons, a i ʻole ka mea a mākou e kapa nei he mau tag ʻili.

I kēia manawa ua maopopo paha iā ʻoe ke ʻano like ʻole o kēia mau ʻōpū benign.

He aha nā hōʻailona o kahi puʻupuʻu benign?

No laila he aha nā hōʻailona o kahi puʻupuʻu maikaʻi ʻole? ʻOkoʻa nā hōʻailona ma muli o kahi o ka puʻupuʻu a me kona nui. I kekahi manawa hiki ke loaʻa kēia mau puʻupuʻu me ka ʻole o nā hōʻailona . Loaʻa kekahi i ka wā i hana ʻia ai kahi scan no kekahi mea ʻē aʻe.

Akā inā ʻike ʻia nā hōʻailona, ​​​​​​e like paha lākou me kēia:

• ʻEha: Hiki ke loaʻa ka ʻeha inā kaomi ka puʻupuʻu i nā aʻalolo kokoke a i ʻole inā ulu ia i loko o ka iwi. No ka laʻana, hiki i nā puʻupuʻu iwi maikaʻi ke hoʻoulu pinepine i ka ʻeha mau a ʻoi aku ka ʻino.
• Ke kahe koko: ʻO nā ʻōpū kino i loko o ka ʻōpū, e like me nā fibroids uterine, hiki ke hoʻoulu i ke kahe koko maʻamau ʻole a i ʻole ke kahe koko ma waena o nā wā.
• Nā loli o ka ʻili: Hiki i nā ulu ʻili maikaʻi ke hōʻike me nā ʻano hōʻailona like ʻole. Loaʻa lākou mai nā kiko ʻulaʻula ʻaʻole i ʻoi aku ka nui ma mua o ka wēlau peni liʻiliʻi, a i nā puʻupuʻu liʻiliʻi e like me ke kala o ka ʻili (cellular dermatofibromas), a i nā hui o nā ʻiʻo ʻili e kau ana mai kahi kumu liʻiliʻi (acrochordons / skin tags).
• Paʻakikī ka hanu ʻana: ʻO nā puʻupuʻu e like me chondromas a me hamartomas e hoʻopilikia i ko mākou mau ala ea, no ka laʻana, nā māmā, hiki ke pilikia iā ʻoe ke hanu a hiki ke hoʻoulu i ka ʻū.
• ʻEha poʻo a me ka poniuniu: Hiki i ka meningioma, kahi puʻupuʻu maikaʻi e hana ʻia i loko o nā membrane e hoʻopuni ana i ka lolo, ke ulu a kaomi i ka lolo. Hiki i kēia ke hana i nā ʻano hōʻailona like ʻole. ʻO ka mea maʻamau ka ʻeha poʻo a me ka poniuniu . I kekahi manawa, hiki ke loaʻa nā pilikia ʻike a me nā hopu ʻana.
• Ka nalowale o ka makemake a i ʻole ka pohō kaumaha: Inā he lipoma a fibroma paha kou e kaomi ana i kou ʻōpū a i ʻole nā ​​​​​​naʻau, a i ʻole he myoma e hana ana i loko o ke ala gastrointestinal, hiki iā ia ke hoʻopilikia i kou makemake a hoʻemi i ke kaumaha.
• Ke hopu ʻana i kahi puʻupuʻu: Hiki ke ʻike ʻia nā puʻupuʻu ma lalo o ka ʻili, e like me nā lipomas.
• Ka haunaele i ka hana o ke kino pili: No ka laʻana, hiki i ka adenoma thyroid ke hoʻololi i ka hana hormonal.

No ke aha i hoʻokumu ʻia ai kēia mau ʻōpū maikaʻi?

ʻĀ, no ke aha i hoʻokumu ʻia ai kēia mau puʻupuʻu maikaʻi ʻole? ʻO kēia ka nīnau a ka poʻe he nui. ʻO kaʻoiaʻiʻo, ʻaʻole i ʻike pono nā kānaka noiʻi i ke kumu e māhele koke ai kekahi mau cell i ka maʻamau ʻole a lilo i mau puʻupuʻu maikaʻi ʻole. He wahi noiʻi nui ia.

Eia nō naʻe, ua ʻike ʻia kekahi mau kumu e hoʻololi i kēia:

• Nā mana hoʻoilina: Hiki i kekahi ʻano puʻupuʻu maikaʻi ke holo i loko o nā ʻohana. ʻO ke ʻano kēia he mana hoʻoilina paha. No ka laʻana, loaʻa i kekahi poʻe kahi ʻano hoʻoilina e hoʻomohala i nā lipomas.
• Ka ulu ʻana o ka ʻōpū: Hoʻomaka kekahi mau puʻupuʻu i ka wā o ka ulu ʻana o ka ʻōpū, ʻoiai ke pēpē i loko o ka ʻōpū. No ka laʻana, hiki ke ulu kahi lymphangioma inā hoʻopilikia kekahi mea i ka ʻōnaehana lymphatic o kahi pēpē ma mua o ka hānau ʻana.
• Nā kumu o ke kaiapuni: Ua manaʻo ʻia he kumu paha kēia e nā mea e like me ka ʻike ʻana i kekahi mau kukuna a me kekahi mau kemika, akā aia nō kēia i ke kahua noiʻi.
• Nā maʻi: Ua ʻike ʻia kekahi mau maʻi viral e pili ana me kekahi ʻano o nā maʻi ʻōpū benign.
• Ke kaumaha a me ke ʻano o ka nohona: Hiki i kēia mau mea ke loaʻa kahi hopena pololei ʻole.
• Ka mumū: I nā hihia o ka mumū lōʻihi, hiki ke ulu aʻe nā cysts.

I ka hapa nui o ka manawa, he paʻakikī ke loaʻa i kahi kumu kikoʻī .

Pehea e ʻike ai nā kauka i kahi puʻupuʻu maikaʻi ʻole?

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, a inā ʻike ʻoe i kahi puʻupuʻu hou ma kou kino, pehea lā e hoʻoholo ai ke kauka inā he puʻupuʻu maikaʻi ʻole ia?

ʻO ka mea mua, e nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona . Pehea ka lōʻihi o ko lākou noho ʻana, pehea ko lākou manaʻo, a inā he mau pilikia ʻē aʻe kāu. A laila, e hana lākou i kahi hoʻokolokolo kino e nānā i nā puʻupuʻu a i ʻole nā ​​​​puʻupuʻu ʻē aʻe ma luna a ma lalo paha o ka ʻili. E nānā lākou i ka nui a me ke ʻano o ka puʻupuʻu (he paʻakikī, palupalu, a neʻe paha).

Eia kekahi, hiki iā ʻoe ke hana i nā hoʻokolohua e like me kēia:

• Nā hoʻāʻo kiʻi: Lawe kēia i nā kiʻi o nā mea i loko o ke kino.
• ʻO ke kiʻi ʻana o ka ultrasound: Hoʻohana kēia i nā nalu kani e ʻike i nā mea e like me ke ʻano o ka puʻupuʻu (inā he paʻa a piha paha i ka wai). Hoʻohana nui ʻia ia e ʻimi i nā puʻupuʻu ma lalo o ka ʻili, e like me nā fibroids uterine.
• CT scan (Computed Tomography): Hoʻohana kēia i nā kukuna X a me kahi kamepiula e kiʻi i nā kiʻi ʻokiʻoki o ke kino. Hiki iā ia ke hōʻike maopopo i kahi, ka nui, a me ka pilina o ka puʻupuʻu i nā ʻōpū a puni.
• ʻIke MRI (Magnetic Resonance Imaging):Hoʻohana kēia i nā kahua magnetic ikaika a me nā nalu lekiō e hana i nā kiʻi maopopo a kikoʻī loa. He mea pono loa kēia no ka nānā ʻana i nā puʻupuʻu ma nā wahi e like me ka lolo, ke kaulahao kuamoʻo, a me nā hono.
• X-ray: Lawe nā X-ray i nā kiʻi o loko o ke kino, ʻoi aku hoʻi e ʻimi i nā ʻōpū iwi.
• Biopsy: ʻO kēia ke ala maikaʻi loa e ʻike pono ai inā he maʻi kanesa kahi puʻupuʻu a ʻaʻole paha . I loko o kahi biopsy, lawe ke kauka i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupuʻu (malia paha ma lalo o ka anesthesia, ma ke ʻano he hana liʻiliʻi) a hoʻouna aku i kahi pathologist, he kauka loea i nā ʻiʻo, e nānā iā ia ma lalo o kahi microscope. A laila wale nō hiki iā lākou ke ʻōlelo pololei i ke ʻano o nā cell, inā he benign a malignant paha.

Pehea e mālama ʻia ai nā ʻōpū benign?

ʻAe, i kēia manawa ua ʻike mākou pehea e ʻike ai. No laila pehea mākou e mālama ai?

Aia ka hoʻolālā lapaʻau i kekahi mau kumu, me ke ʻano o ka puʻupuʻu, kona wahi, kona nui, kou mau hōʻailona, ​​a me kou olakino holoʻokoʻa.

• Nānā / Kali makaʻala: Inā liʻiliʻi kou puʻupuʻu benign, ʻaʻole e ulu ana, a i ʻole e hōʻike ana i kekahi mau hōʻailona a pilikia paha, ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau . I kēlā mau hihia, hiki i kāu kauka ke ʻōlelo aku i ka 'kali makaʻala'. ʻO ke ʻano kēia e ʻike kāu kauka iā ʻoe i nā manawa maʻamau (e laʻa, i kēlā me kēia 6 mahina, hoʻokahi manawa i ka makahiki), a hiki ke hana i nā scan inā pono, e nānā i ka puʻupuʻu no nā loli. Hana pinepine ʻia kēia no nā mea e like me lipomas.
• Nā lāʻau lapaʻau: Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e kāohi i nā hōʻailona o kekahi mau puʻupuʻu maikaʻi ʻole. No ka laʻana, nā lāʻau ʻeha no ka ʻeha, nā lāʻau lapaʻau no ka pehu ʻana, a i ʻole ka lāʻau lapaʻau hormone e hoʻēmi i kekahi mau puʻupuʻu e hilinaʻi ana i ka hormone (e.g., fibroids uterine).
• ʻOki kino: Inā ke kumu nei ka puʻupuʻu i nā hōʻailona (e laʻa me ka ʻeha, ke kaomi ʻana ma nā ʻōpū kokoke, ke kahe ʻana o ke koko), inā e ulu wikiwiki ana ka puʻupuʻu, inā he kānalua iki paha he maʻi kanesa ia, a inā makemake ʻoe e wehe iā ia no nā kumu hoʻonaninani, hiki i kāu kauka ke ʻōlelo aku e wehe ʻia ka puʻupuʻu maikaʻi ʻole. I ka hapanui o nā hihia, ʻaʻole e ulu hou nā puʻupuʻu maikaʻi ʻole ke wehe loa ʻia.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi puʻupuʻu maikaʻi ʻole? Āhea ʻoe e ʻike ai i ke kauka?

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi tumor benign?

Ulu mālie ka hapa nui o nā ʻōpū maikaʻi.. Hiki i kekahi o lākou ke noho like i ka nui no nā makahiki. ʻAʻole paha ʻoe e pono i ka lāʻau lapaʻau. Akā, pono ʻoe e ʻike pinepine i kāu kauka e nānā i kou olakino holoʻokoʻa a e ʻike inā he mau loli i loko o ka puʻupuʻu, a mākou e kapa nei he 'follow-up'. E haʻi aku ke kauka iā ʻoe e hele mai no nā nānā ʻana i nā manawa maʻamau. E wehewehe pū ʻo ia iā ʻoe e pono ʻoe e hoʻomaopopo koke iā ia inā ʻike ʻoe i kekahi mau loli.

No laila, i ka manawa hea ʻoe e ʻike ai i ke kauka?

ʻO ka hapa nui o ka manawa, ʻaʻole nā ​​puʻupuʻu maikaʻi e hoʻoulu i nā pilikia nui. Inā hōʻoia nā hoʻokolohua he hoʻokahi kāu,

• Inā manaʻo ka puʻupuʻu e ulu nui ana,
• Inā loaʻa iā ʻoe ka ʻeha hou,
• Inā loli ke kala o ka ʻili ma kahi o ka puʻupuʻu, a inā paha e like me kahi ʻeha,
• Inā ʻike ʻia nā hōʻailona hou ʻē aʻe (e laʻa me ka paʻakikī o ka hanu ʻana, ka nalowale o ka makemake),

Inā ʻike ʻoe i kekahi mau loli ʻē i kou kino, e haʻi koke i kāu kauka . Eia kekahi laʻana, inā ʻike ʻoe he lipoma maikaʻi ʻole ka puʻupuʻu ma kou lima, he mea nui e haʻi i kāu kauka inā e nui koke ka puʻupuʻu a hoʻomaka paha e ʻeha.

He aha ka ʻokoʻa ma waena o kahi tumor benign a me kahi cyst?

ʻO kekahi mea ʻē aʻe, he mea like anei ka 'benign tumor' a me ka 'cyst'? ʻAe, he mea maikaʻi nō hoʻi kēlā e ʻike.

• He puʻupuʻu like me ke ʻeke kahi cyst i piha pinepine i ka wai, ka pus, a i ʻole ka ea.
• Akā, he puʻupuʻu paʻa o nā pūnaewele kahi ʻōpū benign.

ʻO ia ka ʻokoʻa nui. I kekahi manawa hiki i kahi scan ultrasound ke ʻike i kēia ʻokoʻa.

Malia paha ua noʻonoʻo ʻoe e pili ana i kēlā puʻupuʻu liʻiliʻi ma kou wāwae. ʻAʻole ia e nui aʻe ana, akā ʻaʻole ia e nalo ana. A i ʻole ua kamaʻilio paha ʻoe me ke kauka e pili ana i kēlā mau puʻupuʻu poni liʻiliʻi ma kou lima. Eia naʻe, i kēia manawa ua ʻike ʻoe he mau hōʻailona paha kāu mau hōʻailona o kahi puʻupuʻu maikaʻi. ʻAʻole ia he maʻi kanesa, akā hiki ke hopohopo iki a weliweli hoʻi ke ʻike he nui nā ʻano ʻē ma kekahi wahi o ko kākou kino, ʻeā? He mea maʻamau loa ia.

No laila, mai kānalua e nīnau i kāu kauka e pili ana i ka wikiwiki o ka ulu ʻana o ka puʻupuʻu, inā paha e ʻike ʻia nā hōʻailona hou, a inā paha e pono ke ʻoki kino. E kamaʻilio me lākou e pili ana i kāu mau nīnau a me nā makaʻu āpau. E hoʻomaopopo lākou i kou manaʻo, e pane i kāu mau nīnau, a e hoʻomaha iā ʻoe.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, e nānā kākou i kekahi mau mea maʻalahi e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai.

• ʻAʻole nā ​​puʻupuʻu maikaʻi ʻole he maʻi kanesa: ʻO kēia ka mea nui loa. ʻO kēia mau puʻupuʻu ulu lohi, kūloko i ʻole e laha i nā wahi ʻē aʻe o ke kino.
• ʻAʻole pono ka mālama ʻana i nā ʻōpū maikaʻi ʻole a pau:ʻAʻohe mea ʻino o kekahi o lākou a ʻaʻohe hōʻailona. Nānā wale nā ​​​​kauka iā lākou.
• Inā he mau hōʻailona, ​​aia ka lāʻau lapaʻau: Inā ke kumu nei ka ʻōpū i ka ʻeha, ke kaomi, ke kahe ʻana o ke koko, a inā e ulu wikiwiki ana ka ʻōpū, aia ka lāʻau lapaʻau kūpono (lāʻau lapaʻau a ʻoki kino paha).
• Inā kānalua, e ʻimi i ke kōkua lapaʻau: Inā ʻike ʻoe i kahi puʻupuʻu hou a i ʻole ka ulu ʻana ma kou kino, a inā ʻike ʻoe i kahi loli i kahi puʻupuʻu e kū nei (ka nui, ke ʻano, ke kala, ka ʻeha), ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a loaʻa ka ʻōlelo aʻoaʻo. Mai hoʻoholo i kāu iho.
• Mai makaʻu, akā e makaʻala: He mea nui e makaʻala i kēia mau mea a e makaʻala i kou kino. Akā, ʻaʻohe pono e makaʻu pono ʻole, no ka mea, hiki ke ho'ōla ʻia nā ʻōpū maikaʻi ʻole he nui a hiki iā ʻoe ke ola me ka ʻole o nā pilikia.

ʻO ka mea nui loa, ʻo ia ka makaʻala i nā loli i loko o kou kino, mai hoʻowahāwahā iā lākou, a e ʻimi i ke kōkua lapaʻau inā pono. He mea nui loa ia no ke ola olakino!

ʻO ka puʻupuʻu maikaʻi ʻole, ʻO ka puʻupuʻu maikaʻi ʻole, nā puʻupuʻu ʻaʻole maʻi kanesa, nā puʻupuʻu i ke kino, nā ʻano puʻupuʻu, nā hōʻailona, ​​​​​​lāʻau lapaʻau, olakino