Ke pilikia nei hoʻi ʻoe i ka hoʻokahe loa ʻana i kou ʻōpū mimi? E kamaʻilio kākou e pili ana i ka paʻa ʻana o ka mimi!

Ke manaʻo nei ʻoe i kekahi manawa ʻaʻole hiki iā ʻoe ke mimi loa? A i ʻole he mimi iki wale nō ʻoe a laila manaʻo e pono ʻoe e mimi hou? ʻO kēia ka mea a mākou e kapa wale nei he paʻa ʻana o ka mimi, a i ʻole i kapa ʻia ma ke ʻano lapaʻau he "Paʻa ʻana o ka Mimi". ʻO ka mea e hana ʻia ma kēia, ʻaʻole e hoʻokahe loa kāu ʻōpū mimi. Ua like ko mākou ʻōpū mimi me kahi pahu wai. ʻO ka mimi i kānana ʻia e nā puʻupaʻa mai ka wai a me nā wai a mākou e inu ai, ua hōʻiliʻili ʻia i loko o kēia ʻōpū mimi. A laila puka ia ma o ka urethra.

He aha ka paʻa ʻana o ka mimi? Aia kekahi mau ʻano?

I ka ʻōlelo maʻalahi, ʻo ka paʻa ʻana o ka mimi ka wā e hoʻokahe ʻole ai kou ʻōpū mimi i kou mimi ʻana. Hiki ke hana ʻia kēia ma nā ʻano nui ʻelua. 1. Paʻa ʻana o ka mimi koke: He kūlana koke kēia. ʻAʻole paha ʻoe e hiki ke mimi iki. He kūlana kēia e pono ai ka mālama olakino ulia pōpilikia. 2. Paʻa mau o ka mimi: He kūlana kēia e ulu mālie ana i ka hala ʻana o ka manawa. Hōʻike mālie ʻia nā hōʻailona. Hiki ke hana ʻia kēia e nā mea e like me ke ālai ʻana o ke ala mimi, kekahi mau lāʻau lapaʻau, a me nā pilikia o ka ʻōnaehana nerve.

E noʻonoʻo i kēia, e like me ka wā e paʻa ai kekahi mea i loko o ka paipu wai, e pau ke kahe ʻana o ka wai.

ʻO ka paʻa ʻana o ka mimi koke he pilikia maʻamau ia. Inā hana ʻia kēia, pono ʻoe e ʻike koke i ke kauka. ʻO ka paʻa mau ʻana o ka mimi ka mea maʻamau i nā kāne ma waena o 60 a me 80 mau makahiki.

Pehea ka maʻamau o kēia ʻano?

Ua hōʻike ʻia nā noiʻi ma kahi o 10% o nā kāne ma luna o 70 mau makahiki a ma kahi o 30% o nā kāne ma luna o 80 mau makahiki e loaʻa paha i kēia maʻi. ʻOiai hiki i nā wahine ke loaʻa i ka incontinence urinary, ʻaʻole ia he mea maʻamau ma mua o nā kāne.

He aha nā hōʻailona o ka paʻa ʻana o ka mimi?

Hiki ke loli kēia mau hōʻailona ma muli o ka loaʻa ʻana o nā hōʻailona koʻikoʻi a mau paha.

Nā Hōʻailona o ka Paʻa ʻana o ka Mimi

I kēia hihia, ʻike koke ʻia nā hōʻailona.

• ʻAʻole hiki ke mimi, a i ʻole ka mimi liʻiliʻi wale nō ke kahe ʻana ʻoiai ua piha ka ʻōpū mimi .
• I nā hihia koʻikoʻi, hiki iā ʻoe ke ʻike i ka ʻeha ʻōpū a me ka ʻeha o ka ʻōpū lalo. Inā hana kēia iā ʻoe, pono ʻoe e ʻike koke i ke kauka.

Nā Hōʻailona o ka Paʻa ʻana o ka Mimi Mau Loa

Hiki ke ʻokoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka. ʻO kekahi mau hōʻailona maʻamau:

• Ka paʻakikī e hoʻomaka ana e mimi.
• Ke kahe ʻana o ka mimi nāwaliwali, lohi, a i ʻole hiki ʻole ke kaohi ʻia.
• Manaʻo e like me ka pono e mimi hou ma hope koke iho o kou pau ʻana o ka mimi.
• Manaʻo e like me ka pono e mimi i nā manawa a pau.
• Ke kahe ʻana o kahi mimi liʻiliʻi me ka ʻike ʻole.
• Ke ala ʻana i nā manawa he nui i ka pō e mimi (Nocturia).

He aha nā kumu o ka paʻa ʻana o ka mimi?

Aia kekahi mau kumu no ka paʻa ʻana o ka mimi. ʻO nā mea nui:

• Aia kekahi ʻano mea ālai i ke ala o ka mimi e puka ana i waho o ke kino.
• ʻO kekahi mau lāʻau lapaʻau āu e lawe ai no nā kūlana ʻē aʻe.
• Nā pilikia e pili ana i ke aʻalolo e hoʻopilikia ai i ka hoʻololi ʻana o nā leka ma waena o ka lolo a me ka ʻōnaehana mimi .
• Nā maʻi a i ʻole ka pehu e ālai ana i ke kahe o ka mimi.
• ʻO ke ʻoki kino (ʻoi aku hoʻi ma hope o kekahi mau ʻoki kino).

1. Ke ālai ʻana

Inā ālai kekahi mea i ke kahe manuahi o ka mimi mai ka ʻōpū mimi a i ka urethra, hiki iā ia ke hana i kahi ālai ʻana o ka mimi. ʻO kēia ālai ke kumu nui o ka paʻa ʻana o ka mimi. ʻO kekahi o nā kumu hiki ke hana ʻia o ia mau ālai ʻana:

• ʻO ka Prostate i hoʻonui ʻia : I nā kāne, hiki i ka prostate gland ke hoʻonui ʻia a kaomi i ka urethra, e hana ana i ka ālai ʻia. Ua kapa ʻia kēia ʻo Benign Prostatic Hyperplasia ( BPH ).
• Ka Pale ʻana o ka Puka ʻŌpū Mimi: He pale ʻana ma kahi e puka ai ka mimi mai ka ʻōpū mimi (ka ʻāʻī o ka ʻōpū mimi).
• Ka Pale ʻana o ka Ureter: Ka pale ʻana o ka urethra ma muli o nā pōhaku mimi, nā ʻūpā koko, nā puʻupuʻu, a i ʻole nā ​​​​kumu ʻē aʻe.
• Cystocele : ʻO ia ke ʻano o ka ʻōpū mimi i loko o ka wahine e hāʻule ana i lalo i loko o ka vagina.
• Rectocele: ʻO kahi kūlana kahi e paʻi ai kahi ʻāpana o ka rectum i nā wahine i loko o ka paia o ka vagina.
• Urethral Stricture: Ka hāiki ʻana o ka urethra ma muli o ka ʻiʻo palapū.

2. Nā lāʻau lapaʻau

Hiki i kekahi mau lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻana o ka mimi. Eia kekahi laʻana:

• Nā antihistamines (e.g. Benadryl®)
• Nā lāʻau antispasmodics (e.g. Detrol®)
• Nā lāʻau ʻeha ʻeha opiate (e.g., Vicodin®)
• Nā lāʻau antidepressants Tricyclic (e like me Elavil®)

Hiki i kēia ke hoʻololi i ke ʻano o ka hana ʻana o nā ʻiʻo o ka ʻōpū mimi. ʻO kekahi mau ʻano lāʻau lapaʻau ʻē aʻe:

• Kekahi mau lāʻau lapaʻau koko kiʻekiʻe.
• Kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo (Antipsychotics).
• Nā lāʻau hoʻomaha ʻiʻo.

3. Nā pilikia o ke aʻalolo

ʻAʻole paha ʻoe i ʻike, akā pili pū ko kākou lolo i ka mimi ʻana. Hoʻouna ka lolo i kahi hōʻailona i nā ʻiʻo o ka ʻōpū mimi e hoʻopaʻa, ʻo ia ka manawa e puka mai ai ka mimi. I ka manawa like, haʻi ka lolo i nā ʻiʻo a puni ka urethra (nā ʻiʻo sphincter) e hoʻomaha. ʻO kēia ka manawa e puka maʻalahi ai ka mimi. No laila, inā he pilikia i kēia kamaʻilio ʻana ma waena o ka lolo a me nā aʻalolo, hiki ke loaʻa nā pilikia mimi. Nā kumu paha o nā pilikia e pili ana i ke aʻalolo:

• Hahau ʻana .
• ʻO ka maʻi diabetes `(Diabetes Mellitus)`.
• ʻO ka Sclerosis lehulehu (MS).
• Ka hōʻino ʻana i ka iwi kuamoʻo a i ʻole ka ʻāpana pelvic mai kahi ulia a ʻeha paha.
• Ka ʻūmiʻi ʻana o ke kaula kuamoʻo ma muli o kahi puʻupuʻu a i ʻole ka herniated disc.
• Ka hānau maʻamau ʻana (Vaginal Childbirth)
• Ua hana ʻia kekahi mau hana ʻoki ma ka ʻāpana pelvic.

Inā ua loaʻa iā ʻoe kahi catheter (urinary tube) i ka wā ma mua, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā pilikia nerve.

4. Ka maʻi a i ʻole ka pehu ʻana

Hiki i nā maʻi a me ka pehu ke ālai i ke kahe o ka mimi ma o ka urethra. Nā laʻana:

• Prostatitis: He maʻi a pehu paha o ka ʻōpū prostate, e hoʻoulu ai i ka pehu a kaomi ma ka urethra, e ālai ana i ke kahe o ka mimi.
• ʻO ka maʻi ʻōpū mimi (UTI): Hiki i kahi maʻi i loko o ka ʻōnaehana mimi ke hoʻoulu i ka pehu ʻana o ka urethra a i ʻole ka nāwaliwali o ka ʻōpū mimi. Hiki i kēia mau mea ʻelua ke hana i ka paʻa ʻana o ka mimi.
• Nā Maʻi Hoʻoili Pilikino (STI): Hiki i kēia mau maʻi ke hana i ka pehu a me ke ālai ʻana o ka mimi.

5. ʻoki kino

Hiki ke loaʻa ka paʻa ʻana o ka mimi ma hope o kekahi mau ʻoki kino. No ka laʻana, ke pani ʻana i ka ʻūhā a i ʻole ke ʻoki kino kuamoʻo. Eia kekahi, hiki ke loaʻa ka paʻa ʻana o ka mimi no ka manawa pōkole ma muli o ka anesthesia laulā i ka wā o ke ʻoki kino.

He aha nā kumu pilikia no ka paʻa ʻana o ka mimi?

ʻOiai hiki ke paʻa ka mimi i kekahi kanaka, ʻoi aku ka maʻamau i nā kāne . Kiʻekiʻe loa kēia pilikia i nā kāne me ka nui o ka prostate gland (Benign Prostatic Hyperplasia a i ʻole BPH), no ka mea, kaomi ko lākou prostate gland i ka urethra a ālai i ke kahe o ka mimi.

He aha nā pilikia e hiki ke kū mai ma muli o ka paʻa ʻana o ka mimi?

Inā ʻaʻole ʻike ʻia a mālama ʻole ʻia paha kēia maʻi, hiki ke kū mai nā pilikia penei:

• Nā maʻi ʻōpū mimi (UTI): Ke hōʻiliʻili ka mimi i loko o ka ʻōpū mimi, hana ia i kahi kūlana maikaʻi no ka ulu ʻana o ka bacteria. Hiki i kēia ke alakaʻi i nā maʻi ʻōpū mimi, hiki ke laha i nā puʻupaʻa.
• Ka pōʻino o ka ʻōpū mimi: Ke hōʻiliʻili nui ka mimi i loko o ka ʻōpū mimi, hiki ke kīkoʻo a hōʻino ʻia nā ʻiʻo o ka ʻōpū mimi.
• Ka pōʻino o nā puʻupaʻa:Inā laha kahi maʻi ʻaʻai mimi i nā puʻupaʻa, hiki i nā puʻupaʻa ke pehu a mumū. Hiki i kēia kaomi ke hōʻino i nā puʻupaʻa a hoʻoulu i nā maʻi puʻupaʻa.
• Ke kahe ʻana o ka mimi me ka makemake ʻole: Ke ʻole piha loa kou ʻōpū mimi, hiki iā ʻoe ke hoʻokahe i kekahi mimi me ka ʻike ʻole.
• Nā Pōhaku ʻŌmole: Hiki ke hana ʻia nā pōhaku ʻōmole ke hōʻiliʻili ka mimi i loko o ka ʻōpū.

Pehea e ʻike ʻia ai ka paʻa ʻana o ka mimi?

He pilikia olakino ka paʻa ʻana o ka mimi koke. Inā pilikia koke ʻoe i ka mimi ʻana, ʻoiai inā he ʻeha kou ma kou ʻōpū a i ʻole ke kua haʻahaʻa, pono ʻoe e ʻimi koke i ke kōkua lapaʻau . Inā he paʻa mau kou mimi, pono ʻoe e ʻike i kahi urologist. E hana ʻo ia:

• E nīnau lākou e pili ana i kāu mau hōʻailona a me ka lōʻihi o kou loaʻa ʻana iā lākou.
• E loaʻa ana kāu mōʻaukala lapaʻau piha.
• Ke hana nei i kahi hoʻokolokolo kino.
• Hoʻāʻo ʻia kahi hāpana mimi e ʻike ai inā he maʻi.
• Hana ʻia kahi hoʻokolohua rectal digital e nānā i ka ʻōpū prostate.

Eia kekahi, hiki i ke kauka ke hana i nā hoʻokolohua ʻē aʻe e ʻike ai i ke kumu o ka paʻa ʻana o ka mimi:

• Hoʻāʻo Mimi Koena Ma hope o ka puka ʻana o ka mimi (PVR): Ke ana kēia i ka nui o ka mimi i koe i loko o kou ʻōpū mimi ma hope o kou mimi ʻana.
• Cystoscopy: Pili kēia i ka nānā ʻana i loko o ka ʻōpū mimi a me ka urethra me ka hoʻohana ʻana i kahi cystoscope, kahi paipu e pili ana i ka nui o ka penikala, me ke kukui a me kahi kāmela a i ʻole lens.
• Hoʻāʻo Urodynamic: Ana kēia hoʻāʻo i ka hana aʻalolo a me nā ʻiʻo, ke kaomi i loko a puni ka ʻōpū mimi, a me ka nui o ke kahe ʻana o ka mimi.
• Hoʻāʻo PSA: Nānā kēia hoʻāʻo koko no ka maʻi ʻaʻai prostate ma ke ana ʻana i ka pae o ka Prostate-Specific Antigen (PSA).

He aha ka lāʻau lapaʻau no ka paʻa ʻana o ka mimi?

ʻO ka mālama ʻana no ka paʻa ʻana o ka mimi e pili ana i ka loaʻa ʻana o ka incontinence acute a mau paha, a me ke kumu.

Lapaʻau no ka paʻa koke ʻana o ka mimi

No ka mea he pilikia olakino kēia, e hoʻokomo ke kauka i kahi catheter (he paipu) i loko o kou ʻōpū mimi e hoʻokahe iā ia. Pono kēia e hāʻawi koke i ka hōʻoluʻolu. Ma hope o kēlā, e ʻike ʻia ke kumu a e hoʻomaka ʻia ka lāʻau kūpono.

Lapaʻau no ka paʻa mau ʻana o ka mimi

Aia ka lāʻau lapaʻau ma muli o ke kumu. Hiki ke pili i ka hui pū ʻana o hoʻokahi a ʻoi aku paha o kēia mau mea:

• Nā lāʻau lapaʻau.
• ʻOki kino.
• Nā koho ʻoki ʻole (nā loli ʻano).

Inā loaʻa iā ʻoe ka paʻa ʻana o ka mimi, ʻoiai ma muli o nā pilikia e pili ana i ke aʻalolo, hiki paha iā ʻoe ke hoʻohana i kahi catheter ma ka home no kekahi manawa. Inā pēlā, e aʻo aku kāu kauka iā ʻoe pehea e hoʻokomo ponoʻī ai i ka catheter.

Lāʻau lapaʻau

Hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau e mālama i ke kumu nui o kou paʻa ʻana o ka mimi. Eia kekahi laʻana:

• No ka prostate i hoʻonui ʻia: ʻO nā lāʻau lapaʻau e like me nā alpha-blockers a me nā 5-alpha reductase inhibitors e hoʻemi i ka prostate gland a hoʻomaha paha i nā ʻiʻo a puni ia.
• No nā maʻi: Hāʻawi ʻia nā lāʻau antibiotic e mālama i nā maʻi e hoʻopaʻa ai i ka mimi.

ʻoki kino

Ma muli o ke kumu, pono paha ke ʻoki kino e mālama i ka paʻa ʻana o ka mimi. Hiki i kāu kauka ke ʻōlelo i ke ʻoki kino no nā kūlana aʻe:

• ʻO ka prostate i hoʻonui ʻia: Aia kekahi mau ʻano hana ʻoki e mālama ai i kēia. No ka laʻana, ʻo ka transurethral resection o ka prostate (TURP), ka prostatic urethral lift, a i ʻole ka holmium laser enucleation o ka prostate (HoLEP). Hiki i kēia mau ʻano hana āpau (a me nā mea ʻē aʻe) ke wehe i ka mea e paʻa ai ke kumu o ka paʻa ʻana.
• Urethral stricture: Hiki i ke kauka ke hoʻohana i kahi catheter a i ʻole balloon e wehe i ka ʻiʻo scar e hoʻoulu ai i ka haiki. ʻO kekahi koho ʻē aʻe, ʻo ia ke hana i kahi ʻoki kino i kapa ʻia ʻo urethroplasty, kahi e pili ana i ka wehe ʻana a me ka hoʻoponopono ʻana i ka urethra.
• ʻO Cystocele a i ʻole Rectocele: Inā loaʻa kāu mau hōʻailona i ka ʻōpū mimi a i ʻole ka rectum i prolapsed a i ʻole e puka ana, hiki i kāu kauka ke ʻōlelo aku i kahi pessary (kahi mea e paʻa ai ka ʻōpū mimi i luna) a i ʻole ke ʻoki kino e hoʻihoʻi i nā kino i ko lākou wahi. Loaʻa ke ʻoki kino no kēlā me kēia ʻano prolapse o ke kino pelvic.
• Nā pōhaku ʻōpū mimi: Hiki i kāu kauka ke hoʻohana i kahi kaʻina hana i kapa ʻia ʻo cystolitholapaxy e wāwahi a wehe i nā pōhaku i loko o ka ʻōpū a i ʻole ka urethra.

E hoʻāʻo mua ke kauka i nā ʻano hana a me nā lāʻau lapaʻau i emi iki ka invasive. Eia naʻe, inā ʻaʻole kōkua kēia mau mea, hiki ke noʻonoʻo ʻia nā ʻano hana invasive hou aʻe, e like me:

• Ka wehe piha ʻana o ke kelepa prostate (Prostatectomy).
• Hoʻoulu ʻana i ke kaula kuamoʻo.
• ʻO ke ʻoki ʻana o ka ʻōpū mimi.
• Ke kūkulu hou ʻana a me ka hoʻohuli ʻana i ka mimi.

Nā Lapaʻau ʻAʻole ʻoki kino

I kekahi manawa, hiki i nā ʻano hana ʻoki ʻole ke hāʻawi i ka hōʻoluʻolu mai nā hōʻailona. Nā Laʻana:

• Nā hoʻomaʻamaʻa Kegel a i ʻole ka lāʻau lapaʻau ʻiʻo papahele pelvic:Hoʻoikaika nā hoʻomaʻamaʻa Kegel a me ka hoʻoikaika kino i nā ʻiʻo papahele pelvic.
• ʻO ka Vaginal Pessary: ​​​​He mea like me ke apo i hoʻohana ʻia e kākoʻo i ka ʻōpū mimi inā e prolapses.
• Kaohi ʻana i ka mimi: Hiki iā ʻoe ke kaohi i ka paʻa ʻana o ka mimi ma ka kaohi ʻana i ka wā e pono ai ʻoe e mimi a me ka hoʻolālā ʻana i ka wā e inu ai i nā wai.

Hiki ke pale ʻia ka paʻa ʻana o ka mimi?

ʻOiai ʻaʻole hiki ke pale loa ʻia kēia, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia:

• E hele i ka lua i ka wā e manaʻo ai ʻoe e mimi. Mai hoʻopaʻa i kou mimi i loko.
• E makaʻala i kāu mau ʻano mimi. E haʻi i kāu kauka inā ʻike ʻoe i kekahi mau loli.
• E ʻai i ka meaʻai kaulike, e mālama i ke kaumaha olakino, a inu i ka wai he nui.

Hiki iā ʻoe ke mimi ʻoiai inā he paʻa ka mimi?

ʻAe, hiki i kekahi poʻe ke mimi iki. ʻO ke paʻa ʻana o ka mimi ʻo ia hoʻi ʻaʻole hiki iā ʻoe ke mimi iki, a i ʻole ʻaʻole e hoʻokahe loa kou ʻōpū mimi ke mimi ʻoe. I kekahi manawa, piha ka ʻōpū mimi i ka mimi a piha, no laila hiki i kekahi mimi ke liki.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka paʻa ʻana o ka urinary?

Inā ua ʻike ʻia ʻoe me ka paʻa ʻana o ka mimi, he mea nui e hahai pololei i ka hoʻolālā lapaʻau a kāu kauka. E hele no nā hoʻokolohua hahai e ʻike ai inā e hoʻomaikaʻi ana kāu mau hōʻailona. No nā poʻe he nui, e kōkua ka lāʻau kūpono i ka hōʻoluʻolu ʻana i nā hōʻailona.

Āhea wau e ʻike ai i ke kauka?

E ʻike i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Inā manaʻo ʻoe e pono ʻoe e mimi pinepine, ʻoiai ma hope koke iho o kou pau ʻana o ka mimi.
• Inā pilikia ʻoe i ka hoʻomaka ʻana e mimi, a inā nāwaliwali a ua pau paha ke kahe o kou mimi.
• Inā loaʻa iā ʻoe ka ʻeha ma ka ʻōpū lalo, ka ʻāpana genital, a i ʻole ke kua i lalo.

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

Inā loaʻa iā ʻoe ka paʻa ʻana o ka mimi, he mea maʻamau ka loaʻa ʻana o nā nīnau. Hiki iā ʻoe ke nīnau i kāu kauka i nā mea e like me:

• He aha kou manaʻo no ke kumu o koʻu mau hōʻailona?
• Ke paipai nei ʻoe i ka hoʻāʻo hou aku?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
• Pehea e hiki ai iaʻu ke mālama pono i kaʻu mau hōʻailona?
• E ho'ōla loa ʻia anei koʻu paʻa ʻana o ka mimi?

Hiki ke manaʻo ʻia he mea hilahila ke kamaʻilio me ka ʻohana, nā hoaaloha, a me nā kauka e pili ana i kāu mau pilikia kaohi mimi. Akā, ʻaʻole ʻoe hoʻokahi. He maʻi maʻamau a hiki ke mālama ʻia ka paʻa ʻana o ka mimi. Inā ʻike ʻoe i kahi loli i kāu mau ʻano mimi, a inā ʻaʻole hiki iā ʻoe ke mimi iki, e ʻike i ke kauka. Aia kekahi mau lāʻau lapaʻau e hiki ke kōkua i ka hoʻokele ʻana i kāu mau hōʻailona.

Leka Hoʻihoʻi Hope Loa

ʻO ka paʻa ʻana o ka mimi he ʻano ia e hiki ke hoʻonāukiuki iki i kekahi manawa, a hiki ke koʻikoʻi i ka wā pilikia. ʻO ka mea nui loa, ʻo ia ka ʻike ʻana i nā hōʻailona a me ka ʻimi koke ʻana i ke kōkua lapaʻau.

• Nā hōʻailona pilikia: Inā ʻike koke ʻoe i nā hōʻailona e like me ka hiki ʻole ke mimi a i ʻole ka ʻeha o ka ʻōpū ma lalo , e hele koke i ka haukapila .
• Inā loaʻa iā ʻoe nā hōʻailona mau e like me ka paʻakikī o ka hoʻomaka ʻana e mimi, kahi kahawai mimi nāwaliwali, a i ʻole ka pono pinepine e mimi, mai hilahila a e ʻike i ke kauka no ka nānā ʻana.
• Nui nā kumu: nā pilikia prostate, nā lāʻau lapaʻau, nā pilikia aʻalolo, nā maʻi, a me nā mea ʻē aʻe. Ma ka loaʻa ʻana o ke kumu pololei e hiki ai ke hāʻawi ʻia ka lāʻau kūpono.
• Aia nā lāʻau lapaʻau: Ma muli o ke kumu, hiki ke mālama ʻia kēia ʻano me ka lāʻau lapaʻau, ke ʻoki kino, a i ʻole nā ​​​​​​hoʻololi ʻana i ke ʻano o ka nohona.
• Mai hoʻowahāwahā iā ia: Inā haʻalele ʻia, hiki ke loaʻa nā pilikia e like me ka hōʻino ʻana o nā puʻupaʻa a me ka maʻi.

No laila, inā loaʻa iā ʻoe kēia ʻano ʻoluʻolu ʻole, mai makaʻu e kamaʻilio me ke kauka. Hiki iā ʻoe ke loaʻa ka hōʻoluʻolu me ka mālama wikiwiki.