Contents
ʻO Colonoscopy kekahi o nā ʻano o ka hoʻokolokolo instrumental o ka ʻōpū, e hiki ai ke ʻike i ka manawa a me ka mālama ʻana i nā pathologies koʻikoʻi. Eia naʻe, pili ka pololei o ke aʻo ʻana i ka mākaukau o ke kanaka no ke kaʻina hana. I kēia hihia, ke kamaʻilio nei mākou e pili ana i ka hoʻomaʻemaʻe ʻōpū. Inā ʻaʻole ʻoe e hahai i nā ʻōlelo aʻoaʻo no ka hoʻomaʻemaʻe ʻana i ke kino ma mua o ka colonoscopy, a laila e hoʻopilikia nui ʻia ka nānā ʻana o ka maʻi. ʻO ka hopena, ʻaʻole hiki i ke kauka ke ʻike i kahi kikoʻī inflammatory a i ʻole ka ulu ʻana o ka neoplasm, a i ʻole ke kiʻi piha o ka maʻi.
ʻO ka hoʻomākaukau ʻana no ka colonoscopy e pili ana i ka hoʻomaʻemaʻe ʻana i ka ʻōpū, ka ʻai ʻana, a me ka hoʻokē ʻai ma mua o ke kaʻina hana. ʻO ka mea nui like ka manaʻo noʻonoʻo kūpono.
Hoʻomākaukau no ka colonoscopy
ʻOi aku ka maikaʻi o ka hoʻomākaukau ʻana o ke kanaka no ka colonoscopy, ʻoi aku ka kiʻekiʻe o ka ʻike o ka haʻawina:
10 mau lā ma mua o ke kaʻina hana, pono e ho'ōki i ka lawe ʻana i ka hoʻomākaukau hao, mai ka lanahu hoʻōla. Pono nō hoʻi e haʻalele i nā lāʻau lapaʻau e hoʻokaʻawale i ke koko, kahi e pale ai i ka ulu ʻana o ke koko.
Inā hoʻokomo ʻia ka puʻuwai artificial i ka mea maʻi, a laila ʻōlelo ʻia kahi papa o nā lāʻau antibacterial ma mua o ka colonoscopy. Pono kēia e pale i ka ulu ʻana o ka endocarditis bacterial.
Inā ʻae ke kauka, a laila ma mua o ka colonoscopy, hiki i ka mea maʻi ke lawe i kahi antispasmodic, no ka laʻana, No-shpu.
Manaʻo nā kauka ʻaʻole e lawe i nā lāʻau mai ka hui NSAID a me nā lāʻau lapaʻau e hoʻopau i ka maʻi maʻi (Lopedium, Imodium, etc.).
E hoʻomaʻemaʻe i ka ʻōpū, e hoʻopili pū i kahi meaʻai. I ka pō o ke kaʻina hana, pono e lawe i kahi laxative (Fortrans, Lavacol, etc.).
ʻO ka meaʻai ma mua o ka colonoscopy
No 2-3 mau lā ma mua o ke kaʻina hana e hiki mai ana, pono ka mea maʻi e mālama i ka meaʻai ʻole slag. Pono e hoʻokaʻawale ʻia nā meaʻai i loaʻa i ka fiber mai ka ʻai, no ka mea hiki iā lākou ke hoʻomaka i nā kaʻina fermentation i loko o ka ʻōpū.
ʻO kaʻai ma mua o ka colonoscopy e pili ana i kēia mau loina:
Pono ʻoe e paʻa i kahi meaʻai no ka manawa pōkole, no ka mea he kīnā ʻole a kaulike ʻole i ka haku mele.
E inu pono i ka wai. Pono ka meaʻai e hāʻawi i ke kino me ka ikehu, nā huaora a me nā mea ʻala.
Mai ka papa kuhikuhi, pono ʻoe e haʻalele i nā meaʻai paʻakikī e ʻeli, a i ʻole hiki ke hoʻonāukiuki i nā kaʻina hana fermentation i loko o ka ʻōpū. No laila, hoʻoneʻe ʻia ka ʻiʻo momona a me ka sinewy, sausage, refractory fats, nā mea puhi, nā marinades mai ka ʻai. Mai ʻai i nā mea kanu hou, nā halo a me nā mea kanu. ʻO ka pāpā ʻana he cereals, berena i hana ʻia mai ka palaoa bran a me ka rai, nā hua a me nā nati, ka waiū a me nā huahana waiu, a me nā mea inu ʻona.
Hoʻokumu ʻia ka meaʻai ma luna o nā broths, ma luna o nā meaʻai meaʻai, soup a me nā cereals.
Pono ʻoe e inu ma kahi o 1,5 lita o ka wai i kēlā me kēia lā.
Hoʻomohu ʻia a hoʻolapalapa ʻia nā huahana. ʻAʻole ʻae ʻia ka ʻana.
Wehe i nā mea ʻala a me ka paʻakai mai ka papa kuhikuhi.
E ʻai i ka meaʻai ma nā ʻāpana liʻiliʻi, akā pinepine.
24 mau hola ma mua o ke kaʻina hana, hoʻololi lākou i ka hoʻohana ʻana i nā kīʻaha wai. Hiki i kēia mau mea ke ʻai, ke kī me ka meli, nā wai i hoʻoheheʻe ʻia me ka wai, yoghurts a me kefir.
ʻO nā meaʻai hiki ke ʻai ʻia:
ʻO ka moa, ka pipi, ka ʻiʻo, ka iʻa a me ka ʻiʻo rabbit.
Nā huahana huahana.
Buckwheat a me ka laiki paila.
ʻO nā kīʻaha haʻahaʻa momona a me ka cheese cottage.
Berena keʻokeʻo, kuki biscuit.
ʻO ke kī ʻōmaʻomaʻo me ka meli me ke kō ʻole.
ʻO ka wai i hoʻoheheʻe ʻia me ka wai a me ka compote.
Pono e haʻalele ʻia nā huahana mai ka papa kuhikuhi:
Barley a me ka millet.
ʻO ka lau letus, paprika, kāpeti, beets a me kāloti.
Piʻi a me ka pī.
Raspberries a me nā gooseberries.
ʻO nā hua maloʻo a me nā nati.
ʻAlani, ʻāpala, tangerines, hua waina, apricots, maiʻa a me nā peaches.
Berena rai.
Nā mea ʻono.
ʻO nā mea inu kalapona, kofe a me ka waiū.
He laʻana o kahi papa kuhikuhi e hahai i ʻekolu lā ma mua o kahi colonoscopy:
ʻAina kakahiaka: ka laiki paila a me ke kī.
Meaʻai: kefir momona haʻahaʻa.
ʻAina awakea: ka sopa me nā mea kanu a me ka compote.
ʻAʻai ʻai: cheese haʻahaʻa momona.
ʻAina ahiahi: iʻa paila, laiki a me ke kīʻaha kī.
ʻO kahi laʻana o kahi papa kuhikuhi e hahai i 2 mau lā ma mua o kahi colonoscopy:
ʻAi kakahiaka: ka liʻiliʻi liʻiliʻi momona.
ʻAi ʻai: ʻelua pahū me ke kī.
ʻO kaʻaina awakea: ka hulu me kahi'āpana liʻiliʻi o kaʻiʻo, kāpīpī mahu.
Meaʻai: ryazhenka.
ʻAina ahiahi: ka buckwheat i hoʻolapalapa ʻia a me ke kī.
I ka lā ma mua o ka colonoscopy, pono ka ʻai hope loa ma mua o 14 mau hola.
Nā hana hoʻomaʻemaʻe ma mua o ka colonoscopy
ʻO kahi pae koi o ka hoʻomākaukau ʻana no ka colonoscopy ka hana o ka hoʻomaʻemaʻe ʻana i ka ʻōpū. Hoʻokō ʻia me ke kōkua o kahi enema a i ʻole me ke kōkua o nā lāʻau lapaʻau. Hāʻawi ʻia kahi enema ma ka pō o ke aʻo ʻana ma kahi o 2 mau manawa. A laila 2 mau manawa hou e waiho ʻia ma mua o ke kaʻina hana ponoʻī.
No ka hoʻokahi hoʻokokoke, ma kahi o 1,5 lita o ka wai i hoʻokomo ʻia i loko o ka ʻōpū. I mea e maʻalahi ai ke kaʻina hana hoʻomaʻemaʻe, hiki iā ʻoe ke lawe i kahi laxative 12 mau hola ma mua o ka colonoscopy.
Inā loaʻa i ka mea maʻi nā ʻeha rectal a i ʻole nā maʻi ʻē aʻe o ke kino, a laila pāpā ʻia e hāʻawi iā ia i kahi enema. I kēia hihia, hōʻike ʻia ka hoʻokele ʻana i nā lāʻau lapaʻau e pili ana i ka hoʻomaʻemaʻe haʻahaʻa o nā ʻōpū.
ʻO nā ʻano laxatives no ka colonoscopy
Hoʻohana ʻia nā laxatives e hoʻomaʻemaʻe i ka ʻōpū. Hele mai lākou e hoʻopakele i nā hihia kahi i contraindicated ka enema.
Fortrans
Hoʻolālā ʻia kēia lāʻau lapaʻau no ka hoʻomākaukau ʻana i nā mea maʻi ma mua o ka ʻoki ʻana a me ka nānā ʻana i ka ʻōnaehana digestive.
ʻO Fortrans kahi laxative osmotic i hoʻohana ʻia e mālama i ka constipation mau a me ka hoʻomaʻemaʻe ʻana i ka ʻōpū.
Hoʻohui: nā paʻakai (sodium a me ka potassium), macrogol, soda, additive E 945.
pharmacological parameters. ʻAʻole komo ka lāʻau lapaʻau i loko o ke koko, ʻaʻole komo i loko o ka digestive tract. Loaʻa ka hopena 1-1,5 mau hola ma hope o ka ʻai ʻana. ʻO ka hoʻohana ʻana i ka nui aʻe e ʻoki i kēia manawa i ka hapalua.
Ke ʻano a me ke ʻano. Hana ʻia ka lāʻau lapaʻau ma ke ʻano o ka pauka, aia i loko o nā ʻeke. Ma mua o ka lawe ʻana i 1 sachet e hoʻoheheʻe ʻia i ka lita o ka wai. No kēlā me kēia 20 kg o ke kaumaha, pono ʻoe e lawe i 1 sachet. Hoʻokaʻawale ʻia ka leo hope a pau i 2 mau ʻāpana like. ʻO ka hapa mua e inu i ke ahiahi ma mua o ke kaʻina hana e hiki mai ana, a ʻo ka hapa lua i ke kakahiaka, 4 mau hola ma mua o ke aʻo ʻana.
Contraindications. Mai lawe i ka lāʻau lapaʻau i ka poʻe me ka puʻuwai naʻau, nā poʻe ma lalo o ka nui o nā makahiki, nā mea maʻi me nā maʻi maʻi kanesa o ka ʻōnaehana digestive.
Nā hōʻike makemake ʻole: luaʻi.
Hana ʻia ka lāʻau lapaʻau ma Farani. ʻO ke kumukūʻai o ka hoʻopili ʻana he 450 rubles.
Lavacol
ʻO kēia lāʻau lapaʻau kahi analogue o ka lāʻau Fortrans. Hana ʻia ia e ka Moscow Pharmaceutical Factory. ʻO ke kumukūʻai no kahi pūʻolo o kahi lāʻau lapaʻau he 200 rubles.
Nā mea komo: macrogol, sodium sulfate, potassium chloride, sodium chloride a me ka sodium bicarbonate.
pharmacological parameters. He hopena laxative ka lāʻau. ʻO Macrogol, ma hope o ke komo ʻana i ka ʻōpū, mālama i nā molekole wai, no laila e hoʻokuʻu koke ʻia nā mea o ke kino i waho. ʻO ka paʻakai paʻakai a me ka paʻakai paʻakai e pale i ka ulu ʻana o nā pilikia electrolyte i ke kino.
Ke ʻano a me ke ʻano. Hana ʻia ka lāʻau lapaʻau ma ke ʻano pauka, no kēlā me kēia 5 kg o ke kaumaha, lawe ʻia hoʻokahi sachet o ka lāʻau lapaʻau, i hoʻoheheʻe ʻia i loko o ke aniani o ka wai mahana. Inā ʻoe e hoʻohui i kahi syrup liʻiliʻi i ka hopena, e hoʻomaikaʻi nui ka ʻono o ka lāʻau. E lawe i kahi aniani o ka hopena i kēlā me kēia 15-30 mau minuke.
Contraindications: naʻau hemahema, obstruction obstruction, perforation o ka ʻōpū a i ʻole nā paia o ka ʻōpū, nā ʻeha a me ka erosion o ka ʻōpū a i ʻole ka ʻōpū, ka stenosis ʻōpū, ka maʻi maʻi.
Nā hōʻike makemake ʻole: nausea a me ka luaʻi ʻana, ʻeha ʻeha o ka ʻōpū.
Moviprep
ʻO Moviprep kekahi o nā hoʻomākaukau macrogol i aʻo maikaʻi ʻia a hoʻohana nui ʻia i ka honua. I Rusia, ua ʻike ʻia ʻo ia i 2 mau makahiki i hala. Ua hōʻoia ʻia ka maikaʻi e nā noiʻi lapaʻau he nui i mālama ʻia ma ʻEulopa, ʻAmelika a me Iapana. No 10 mau makahiki o kona noho ʻana ma ka mākeke lāʻau lapaʻau, ua loaʻa iā Moviprep nā loiloi maikaʻi wale nō mai ka poʻe loea.
Ke hoʻohālikelike ʻia me nā lāʻau like ʻole, loaʻa iā Moviprep nā mea maikaʻi aʻe:
No ka hoʻomaʻemaʻe ʻana i ka ʻōpū kiʻekiʻe, pono ʻoe e inu i 2 mau manawa liʻiliʻi o ka hopena, ʻo ia hoʻi, ʻaʻole 4, akā 2 lita.
ʻAʻole hana ka lāʻau i ka nausea a me ka luaʻi. Loaʻa i kahi ʻono lemon maikaʻi.
Huihui. Sachet A: macrogol, sodium sulfate, sodium chloride, potassium chloride, aspartame, lemon flavor, acesulfame potassium. Sachet B: ascorbic acid, sodium ascorbate.
pharmacological parameters. Hoʻokumu ka lāʻau lapaʻau i ka maʻi maʻi maʻamau, kahi e hiki ai iā ʻoe ke hoʻomaʻemaʻe qualitatively i nā ʻōpū.
Ke ʻano a me ke ʻano. Lawe ʻia ka lāʻau ma ka waha. Hoʻoheheʻe ʻia nā sachets A a me B i kahi wai liʻiliʻi, a laila hoʻoponopono ʻia kona leo i 1 lita. No laila, pono ʻoe e hoʻomākaukau i kahi ʻāpana o ka hopena. ʻO ka hopena, pono ʻoe e loaʻa i 2 lita o ka wai i hoʻopau ʻia. Hiki ke inu i ka manawa (i ke kakahiaka a i ke ahiahi paha ma mua o ke kaʻina hana hoʻomaʻemaʻe), a i ʻole i māhele ʻia i 1 doses (hoʻokahi lita i lawe ʻia i ke ahiahi, a ʻo ka lua o ka inu i ke kakahiaka). Pono e inu ʻia ka nui holoʻokoʻa o ka hopena i loko o 2-1 mau hola, māhele ʻia i nā ʻāpana like. Pono ʻoe e hoʻohui i ka nui o ka wai me ka wai pulp-free, kī a kofe me ka waiū ʻole i ka nui o 2 lita. E ho'ōki i ka inu wai i ʻelua hola ma mua o ka colonoscopy.
Contraindications: gastroparesis, keakea o ka ʻōpū, ka perforation o nā paia o ka ʻōpū a me nā ʻōpū, phenylketonuria, ulcerative colitis, maʻi o Crohn, megacolon meaʻawaʻawa, makahiki ma lalo o 18 mau makahiki, nele i ka ʻike, hypersensitivity i nā ʻāpana o ka lāʻau.
Nā hōʻike kūpono ʻole: anaphylaxis, headaches, convulsions, dizziness, hoʻonui i ke kaomi, ʻeha o ka ʻōpū, nausea, luaʻi, flatulence, ʻili ʻili a me nā rashes, make wai, ʻoluʻolu, malaise, hoʻololi i ke kiʻi koko.
ʻO ke kumukūʻai o ka lāʻau lapaʻau he 598-688 rubles.
Endofalk
He lāʻau laxative kēia, ʻo ka mea hana nui i loko o ka macrogol. Ua kuhikuhi ʻia no ka hoʻomaʻemaʻe ʻana i ka ʻōpū ma mua o ka colonoscopy e hiki mai ana.
Nā mea hoʻohui: macrogol, sodium a me ka potassium chloride, sodium bicarbonate.
Nā ʻāpana Pharmacological: he hopena carminative ka lāʻau lapaʻau, ʻaʻole i komo i loko o ke kino, puka mai ka loli ʻole.
Ke ʻano a me ke ʻano. Aia ka lāʻau i ke ʻano pauda. Ma mua o ka lawe ʻana, pono e hoʻoheheʻe ʻia i ka wai (1 lita o ka wai e pono ai no 0,5 sachet o ka pauka). No ka hoʻomaʻemaʻe ʻana i nā ʻōpū, pono ka 3,5-4 lita o ka hopena. Pono e hoʻopau ʻia ka nui o ka lāʻau i loko o 4-5 mau hola.
Contraindications: dysphagia, gastric stenosis, ulcerative colitis, obstruction intestinal.
Nā hōʻike i makemake ʻole ʻia: nā haunaele i ka hana o ka puʻuwai, nausea, luaʻi, nā hopena maʻi.
Hana ʻia ka lāʻau lapaʻau e kahi hui lāʻau lapaʻau Italia. ʻO kona kumukūʻai he 500-600 rubles.
Picoprep
ʻO Picoprep kahi lāʻau hou i hoʻohana ʻia e hoʻomaʻemaʻe i ka ʻōpū. ʻO ka sodium picosulfate, ʻo ia kekahi hapa o ia mea, e hoʻoneʻe i ka ʻili i waho. Hoʻopili ka Magnesium citrate i ka wai a hoʻomaʻamaʻa i nā mea i loko o ka ʻōpū.
Nā mea hoʻohui: Citric Acid, Magnesium Oxide, Sodium Picosulfate, Potassium Bicarbonate, Sodium Saccharinate Dihydrate, Mea Hoʻohui ʻAlani. Aia i loko o kēia waihona ka waikawa ascorbic, ka xanthine gum, ka ʻalani maloʻo a me ka lactose. He ʻano pauda ko ka lāʻau lapaʻau. He keʻokeʻo ka pauda ponoʻī, a ʻo ka hoʻonā i hoʻomākaukau ʻia mai ia mea he ʻulaʻula melemele a he ʻala ʻalani.
pharmacological parameters. Aia kēia lāʻau lapaʻau i ka hui o nā hopena laxative.
Ke ʻano a me ke ʻano. Pono e hoʻoheheʻe ʻia hoʻokahi sachet o ka lāʻau i 150 ml o ka wai. Lawe ʻia ka ʻāpana mua o ka hopena ma mua o ka ʻaina ahiahi, holoi ʻia me 5 mau aniani wai, 0,25 lita i kēlā me kēia. Lawe ʻia ka hopena aʻe i ka wā e moe ai me 3 mau aniani wai.
Contraindications: dehydration, peptic ulcer o ka gastrointestinal tract, nā maʻi o ka puʻuwai a me nā kīʻaha koko, hāpai ʻana, colitis, obstruction intestinal, maʻi maʻi maʻi, hapai, makahiki ma lalo o 9 mau makahiki, lactose intolerance, manawa hoʻoponopono ma hope o ka ʻoki.
Nā hōʻike i makemake ʻole ʻia: nā hopena allergy, headache, nausea a me ka luaʻi ʻana, ka ʻōpū, ka ʻeha o ka ʻōpū.
ʻO ke kumukūʻai o ka lāʻau lapaʻau he 770 rubles.
Flit Phospho-Soda
haku mele: ka sodium hydrogen phosphate dodecahydrate, ka sodium dihydrogen phosphate dihydrate, ka sodium benzoate, ka glycerol, ka waiʻona, ka sodium saccharin, ka lemona a me ka ʻaila ginger, ka wai, ka waikawa citric.
pharmacological parameters. No ka laxative ka lāʻau lapaʻau, mālama a hōʻiliʻili i ka wai i loko o ka ʻōpū, ka mea e hoʻopiʻi ai a hoʻoikaika i ka hemo wikiwiki.
Ke ʻano a me ke ʻano:
Koho kakahiaka. Ma ka hola 7 o ke kakahiaka, ma kahi o ka ʻaina kakahiaka, inu lākou i kahi aniani o ka wai a me ka nui mua o ka lāʻau (45 ml o ka lāʻau i hoʻoheheʻe ʻia i ka hapalua o ke aniani wai). Holoi ʻia kēia hoʻonā me kekahi kīʻaha wai. I ka ʻaina awakea, ma kahi o ka ʻai ʻana, inu i 3 mau aniani wai. Ma kahi o ka ʻaina awakea, e lawe i kahi kīʻaha wai hou. Ma hope o kaʻaina awakea, e lawe i ka hopena hou o ka hopena, i hoʻoheheʻeʻia i ka hapalua o ke aniani wai. E holoi i ka lāʻau me ke aniani wai anuanu. Pono ʻoe e inu wai ma mua o ke aumoe.
Koho ahiahi. I ka hola ʻekahi hiki iā ʻoe ke ʻai i ka meaʻai māmā. I ka hola ʻehiku inu lākou i ka wai. Ma hope o kaʻaina awakea, e lawe i ka lāʻau mua o ka lāʻau me kahi aniani wai. I ke ahiahi, pono ʻoe e inu i 3 mau aniani wai hou.
Ma ka lā koho. I ka ʻehiku o ke kakahiaka ʻaʻole lākou e ʻai, inu lākou i ke aniani wai. Ma hope o ka ʻaina kakahiaka, e lawe i ka lāʻau hou aʻe o ka lāʻau lapaʻau, e inu pū me kekahi kīʻaha wai.
Contraindications: kanaka intolerance i na mea o ka laau, intestinal obstruction, nausea, luaʻi, abdominal eha, inflammatory maʻi o ka digestive tract a me ka uhaki i ka pono o ko lakou mau paia, renal hemahema, makahiki ma lalo o 15 makahiki, hapai a me ka lactation.
Nā hōʻailona makemake ʻole: nausea, luai, eha opu, flatulence, dizziness, headache, allergic rashes, dehydration.
ʻO ke kumukūʻai o ka lāʻau lapaʻau he 1606-2152 rubles i kēlā me kēia pā
Dufalac
Ka hui: ka wai a me ka lactulose.
Nā ʻāpana Pharmacological: hoʻonui i ka motility intestinal, hoʻolalelale i ka metabolism. Hoʻokomo ʻia kahi mea liʻiliʻi o ka lāʻau i loko o ke koko.
Ke ʻano a me ke ʻano. Hana ʻia ka lāʻau lapaʻau ma ke ʻano o ka syrup, i hoʻopaʻa ʻia i loko o nā hue 200 a me 500 ml. Hoʻoholo ʻia ka dosage e ke kauka, i ka wā o ka mālama ʻana he mea pono e nānā i ka regimen inu i kuhikuhi ʻia.
Contraindications: diabetes mellitus, appendicitis, lactulose intolerance.
Nā hōʻike kūpono ʻole: flatulence, luaʻi, dizziness, hoʻonui i ka nāwaliwali.
Hana ʻia ka lāʻau lapaʻau ma Netherlands, ʻo kona kumukūʻai he 475 rubles.
Dinolak
Ka hui: lactulose, simethicone.
pharmacological parameters. Hoʻonui ka lāʻau lapaʻau i ka motility intestinal, hoʻonui i ka metabolism, neutralizes i nā kinoea. ʻAʻole i komo i loko o ke kino, ua hoʻokuʻu ʻia me ka loli ʻole.
Ke ʻano a me ke ʻano. Loaʻa ka lāʻau lapaʻau ma ke ʻano o ka hoʻokuʻu. Na ke kauka e koho pakahi.
Contraindications: keakea o ka ʻōpū, ka hoʻomanawanui lactulose.
Nā hōʻike maikaʻi ʻole: ka puʻuwai puʻuwai, ke poʻo, hoʻonui i ka luhi.
Hana ʻia ka lāʻau lapaʻau ma Rusia. ʻO ke kumukūʻai o ka lāʻau lapaʻau he 500 rubles.
ʻOi aku ka mālie o ka hoʻomākaukau ʻana i ka lactulose ma mua o ka hoʻomākaukau ʻana i ka macrogol.
E ʻae ʻo Colonoscopy iā ʻoe e loaʻa nā hopena hilinaʻi wale nō ma ke ʻano e hahai ke kanaka i nā ʻōlelo aʻoaʻo a ke kauka e pili ana i ka hoʻomaʻemaʻe ʻana i ka ʻōpū a me ka ʻai ʻana. ʻO ka hapa nui o ka manawa, hele ka hana me ka pilikia ʻole. Eia nō naʻe, me ka piʻi ʻana o ka mahana o ke kino, me ka hoʻomohala ʻana i ke koko o ka ʻōpū a i ʻole ka luaʻi ʻana, pono ʻoe e ʻimi i ke kōkua olakino i ka hiki.