Ma ka heluhelu ʻana i kā mākou ʻike alakaʻi a mākou i hoʻomākaukau ai no ka poʻe makemake e loaʻa i ka mālama ʻana i ka maʻi maʻi umauma ma Turkey, hiki iā ʻoe ke loaʻa ka ʻike e pili ana i nā mea hana i hoʻohana ʻia i ka mālama ʻana i ka maʻi maʻi umauma ma Turkey, nā halemai maikaʻi loa, FAQs a me nā ʻenehana hou.

He aha ka maʻi maʻi umauma

'O ka ma'i 'a'ai 'o ia ka ulu 'ole a me ka wikiwiki o nā pūnaewele i loko o ka umauma. ʻO ka ʻāina kahi i loaʻa ai nā cell proliferating i ka umauma e hoʻokaʻawale i nā maʻi kanesa e like me ko lākou ʻano. Ua māhele ʻia ka umauma i ʻekolu ʻāpana. ʻO kēia mau māhele he lobules, ducts and connective tissues; Hoʻomaka ka hapa nui o nā maʻi maʻi maʻi maʻi i loko o nā ducts a i ʻole lobules.

• Lobules: ʻO lākou nā ʻeleʻele e hana i ka waiū.
• Nā Ducts: He mau paipu ia e lawe ai i ka waiū i ka nipple.
• Mea pili: ʻO nā ʻiʻo e hoʻopuni a paʻa i nā mea āpau.

Nā kumu o ka maʻi maʻi umauma (Nā mea pilikia i ka maʻi maʻi umauma)

• "He wahine" ma ke ʻano he kumu pilikia degere mua
• E luna o 50 makahiki
• ʻO ka hōʻoia ʻana o ka maʻi maʻi umauma ma kahi ʻohana pili degere mua
• ʻAʻole i hānau ʻia a ʻaʻole hānai ʻia
• Hanau mua ma hope o 30 makahiki
• ʻO ka manstruation mua (ma mua o ka makahiki 12)
• ʻO ka menopause hope (ma hope o 55 makahiki)
• Ka lawe ʻana i ka hormone postmenopausal therapy
• Ka hoʻohana ʻana i nā lāʻau lapaʻau no ka manawa lōʻihi ma mua o ka hānau mua
• Loaʻa i ke kaumaha nui
• ʻO ka waiʻona a me ka puhi paka
• Ka lāʻau radiotherapy i ka wā ʻōpio (ma mua o 5 mau makahiki)
• Loaʻa i ka maʻi kanesa ma ka umauma ma mua
• Pākēneka haʻahaʻa momona i loko o ka ʻiʻo umauma
• Ka lawe ʻana i kahi ʻano maʻi kanesa umauma (BRCA)

Nā mea e hana ai no ka pale ʻana i ka maʻi maʻi umauma

• Ke kaupalena ʻana i ka ʻai ʻana i ka waiʻona: Wahi a nā noiʻi hou, ʻo ka ʻai ʻana i ka waiʻona a me ka maʻi ʻaʻai umauma ma ke ʻano pololei. ʻO ka inu ʻana i hoʻokahi waiʻona i ka lā e hoʻonui i kēia pilikia.
• E hooikaika kino: He mea nui ka hooikaika kino i ka pale ana i ka ma'i ma'i umauma. ʻOi aku ka liʻiliʻi o ka loaʻa ʻana o ka maʻi maʻi umauma o nā wahine.
• Ka hānai: He mea koʻikoʻi ka hānai ʻana i ka maʻi maʻi umauma. ʻO ka lōʻihi o ka hānai ʻana o ka wahine, ʻoi aku ka kiʻekiʻe o kona pale.
• E kaupalena i ka lāʻau lapaʻau postmenopausal: He hopena koʻikoʻi ka lāʻau hormone i ka maʻi kanesa o ka umauma. ʻOi aku ka nui o ka loaʻa ʻana o ka maʻi maʻi umauma i nā wahine e lawe ana i ka hormone therapy.

Hoʻokaʻawale ʻia ka maʻi kanesa o ka umauma i nā ʻano e like me nā wahi i hoʻomaka ai;

Ka maʻi maʻi maʻi ʻaʻai

Invasive ductal carcinoma ʻo ia ke ʻano maʻi maʻi maʻamau. He ʻano maʻi maʻi ʻaʻai ia e ulu ana i loko o nā auwai waiu. Hoʻopili ia i ka ʻiʻo fibrous a i ʻole ka momona o ka umauma. He ʻano ia e uhi ana i ka 80% o nā maʻi maʻi umauma.

ʻO ka maʻi maʻi lobular invasive he maʻi maʻi ʻaʻai e kū mai ana i loko o ka mammary glands. ʻO ka maʻi maʻi invasive e pili ana i ka maʻi kanesa hiki ke laha a me ka metastasis mai ka lobule i kahi ʻē aʻe.

ʻO ka maʻi o Nipple Paget ʻO ke ʻano o ka ʻike ʻana i ka ʻili, ka ʻulaʻula o ka ʻili a me ka ʻā ʻana ma ka ʻāpana ʻeleʻele a puni ka nipple a me ka nipple. He hōʻailona paha kēia pilikia o ka maʻi kanesa.

ʻO ka maʻi ʻaʻai umauma inflammatory he ʻano laha loa o ka maʻi ʻaʻai umauma. He ʻano ia e ulu wikiwiki a hoʻoulu i ka ʻulaʻula, ka pehu a me ka palupalu o ka umauma. Hoʻopaʻa ʻia nā maʻi maʻi maʻi umauma inflammatory i nā moku lymphatic i loko o ka ʻili e uhi ana i ka umauma. ʻO ia ke kumu o ka hoʻoneʻe ʻana a me ka pehu ʻana o ka umauma.

Tumo Phyllodes he ʻano ʻokoʻa kakaʻikahi. Hoʻokumu ʻia ia e ka hoʻomohala ʻana o nā cell abnormal i ka ʻiʻo pili i kapa ʻia ʻo stroma i loko o ka umauma. ʻAʻole maʻamau ka maʻi kanesa ʻo Phyllodes. No laila, ʻaʻole lākou metastase, akā ulu wikiwiki lākou.

ʻO ka maʻi maʻi maʻi umauma noninsasive

Ductal carcinoma in situ (DCIS): He ʻano maʻi maʻi ʻaʻai ia e hoʻomaka ana ma nā awāwa waiū. He ʻano maʻi ʻaʻai ia e ulu ana me ka abnormalization a me ka ulu wikiwiki ʻana o nā cell i loko o nā auwai waiū. ʻO ia hoʻi ka pae mua o ka maʻi kanesa o ka umauma. Inā hōʻoia ka laʻana biopsy i kēia ʻano o ka maʻi ʻaʻai umauma, ʻo ia hoʻi, ua lilo nā keʻena o kou umauma i mea ʻino akā ʻaʻole naʻe i lilo i ʻōpū. Ma ka ʻaoʻao ʻē aʻe, e mālama ʻia ʻoe me ka ʻike mua.

Lobular carcinoma in situ - LCIS: He mea ʻino ia e hoʻomaka ana ma nā lobes umauma. ʻAʻole ia he maʻi kanesa. Hōʻike wale kēia i ka piʻi ʻana o kou pilikia o ka ulu ʻana i ka maʻi maʻi umauma i ka wā e hiki mai ana. ʻAʻole hiki ke ʻike ʻia e ka mammography. Ke ʻike ʻia, ʻaʻole pono ka mālama ʻana. Ua lawa ka hahai ʻana me nā mana i kēlā me kēia 6-12 mahina.

Nā hōʻailona maʻi maʻi umauma

Hōʻike ʻia kēlā me kēia ʻano o ka maʻi kanesa o ka umauma. Pono e hoʻomaopopo ʻia ʻo kēia mau hōʻailona, ​​​​i kekahi manawa ʻaʻole i loaʻa iki, he hōʻailona paha ia o kahi maʻi ʻē aʻe;

• Ka nui o ka umauma
• Nui ma ka ʻāʻī
• ʻO ka pehu o ka ʻāpana o ka umauma.
• ʻO ka huhū a i ʻole ka lua o ka ʻili o ka umauma.
• ʻO ka ʻulaʻula a i ʻole ka ʻili ʻana ma ka ʻāpana nipple a i ʻole ka umauma
• Hoemi o ka nipple
• ʻEha ma kahi o ka nipple.
• hoʻokuʻu nipple
• ʻO kēlā me kēia hoʻololi i ka nui a i ʻole ke ʻano o ka umauma.
• ʻEha ma kekahi ʻāpana o ka umauma.

Ka heluna o ke ola ma'i ma'i o ka umauma

ʻOiai ʻokoʻa ka nui o ke ola ma waena o kēlā me kēia kanaka, pili pololei kēia helu i kekahi mau kumu. ʻOi aku ka hopena o ke ʻano a me nā pae o ka maʻi kanesa.

Hana 1: Ua ola ka hapa nui o na wahine i ko lakou ma'i kanesa no 5 makahiki a oi ma hope o ka ma'i ma'i.
Waihona 2: Ma kahi o 90 o 100 wahine e kaʻawale i ka maʻi kanesa no 5 mau makahiki a ʻoi aʻe paha ma hope o ka maʻi ʻana.
Waihona 3: ʻOi aku ma mua o 70 o 100 wahine e ola i ko lākou maʻi kanesa no 5 mau makahiki a ʻoi aʻe paha ma hope o ka hōʻoia ʻana.
Hana 4: Ma kahi o 25 o 100 wahine e ola i 5 mau makahiki a oi ma hope o ka loaʻa ʻana o ka maʻi kanesa. ʻAʻole hiki ke mālama ʻia ka maʻi kanesa i kēia manawa, akā hiki ke mālama ʻia me kekahi mau makahiki o ka mālama ʻana.

Nā ʻāina e hāʻawi ana i ka lapaʻau ʻana i ka maʻi maʻi umauma me ka helu lanakila kiʻekiʻe

Aia kekahi mau ʻāina me ka helu lanakila kiʻekiʻe ma lapaʻau maʻi maʻi umauma. Aia kekahi mau kumu i loaʻa i kēia mau ʻāina. Mahalo i kēia mau kumu, hiki iā lākou ke hāʻawi i nā lapaʻau kūleʻa;

• ʻO ka ʻenehana hiki ke hiki ke ʻike mua
• Lapaʻau maikaʻi
• mālama ola

Hiki iā ʻoe ke loaʻa i nā lāʻau lapaʻau maʻi maʻi umauma kūleʻa ma nā ʻāina me kēia mau kumu. Ma kēia ʻatikala, kūkākūkā mākou ka mālama ʻana i ka maʻi maʻi umauma ma Turkey. Aia ʻo Turkey i waena o nā ʻāina alakaʻi o ka mākaʻikaʻi olakino i nā makahiki i hala. Hele nā ​​maʻi i Turkey no nā lāʻau lapaʻau he nui. Hiki iā ʻoe ke aʻo e pili ana i nā manawa kūpono a me nā lawelawe i hāʻawi ʻia ma Turkey ma ka heluhelu ʻana i ka ʻike a mākou i hoʻomākaukau ai no ka poʻe e noʻonoʻo nei e loaʻa i ka mālama ʻana i ka maʻi maʻi maʻi ma kēia ʻāina, e hāʻawi pū ana hoʻi i ka mālama ʻenehana kiʻekiʻe loa no nā maʻi weliweli e like me ke kanesa. No laila hiki ke wikiwiki kāu hoʻoholo.

Lapaʻau ʻana i ka maʻi maʻi umauma ma Tureke

Hāʻawi ʻo Turkey i nā lāʻau lapaʻau me kahi kiʻekiʻe ka lanakila me kona mau halemai i lako pono, nā kauka lapaʻau akamai a me nā lāʻau lapaʻau ʻole me ke kali ʻole. Hele ka poʻe maʻi i Turkey mai nā ʻāina he nui e loaʻa i kēia mau lāʻau lapaʻau. Inā pono ʻoe e noʻonoʻo i nā kumu i ke koho ʻana iā Turkey, hiki iā ʻoe ke aʻo hou i ka kikoʻī ma ka hoʻomau ʻana i ka heluhelu.

ʻO ka ʻoki ʻana i ka umauma ma Tureke

Lumpectomy

ʻO ia ke kaʻina hana o ka wehe ʻana i ka nui i hana ʻia e nā sela maʻi maʻi i loko o ka umauma a me kekahi o nā ʻiʻo a puni. Inā hāʻawi ʻia ka mea maʻi i ka chemotherapy adjuvant, hoʻopaneʻe pinepine ʻia ka radiotherapy a hiki i ka pau ʻana o ka mālama ʻana i ka chemotherapy.

ʻO Quadrantectomy

Hoʻopili ia i ka wehe ʻana i ka ʻiʻo ma mua o ka lumpectomy. Lawe ʻia kahi hapahā o ka umauma. Hāʻawi pinepine ʻia ka radiotherapy ma hope o kēia hana. Eia hou, inā e hāʻawi ʻia ka chemotherapy, ua lohi ka radiotherapy.

Mastectomy ma Tureke

Mastectomy maʻalahi

ʻO ia ka hana maʻamau i hoʻohana ʻia i ka mālama ʻana i ka maʻi maʻi umauma. Hoʻopili ia i ka wehe ʻana i ka hapa nui o ka ʻiʻo mai ka umauma, me ka nipple. ʻAʻole hoʻokomo ʻia ka wehe ʻana i nā ʻiʻo o ka umauma a me nā puʻupuʻu lymph armpit.

Mastectomy mālama ʻili

Loaʻa iā ia ka wehe ʻana i ka ʻiʻo a me ka mastectomy maʻalahi. Ua like ka pono. Hoʻopili ia i ka wehe ʻana i ka nipple a me ka wahi ʻeleʻele a puni ka nipple. ʻAʻole hoʻopā ʻia nā ʻupena i koe. Nui nā poʻe maʻi i makemake i kēia ʻano hana no ka mea makemake lākou i ka ʻiʻo ʻeha liʻiliʻi a me ka hiʻohiʻona maikaʻi o ka umauma.

Mastectomy mālama nipple

ʻO kēia kaʻina hana ka wehe ʻana i ka ʻiʻo, akā ʻaʻole e hōʻino i ka nipple a me ka ʻili umauma. Ma kekahiʻaoʻao, inā makemakeʻia kēiaʻano hana i nā wāhine me nā umauma nui, hiki ke kikoo a hoʻopukaʻia ka nipple. No kēia kumu, makemake nui ʻia kēia ʻano lapaʻau e nā wahine me nā umauma liʻiliʻi a i ʻole ka nui.

Hoʻololi Radical Mastectomy

He mastectomy maʻalahi. Eia naʻe, aia kekahi ʻokoʻa. Hoʻopili kēia hana i ka wehe ʻana i nā axillary lymph nodes.

Mastectomy Radical

Hoʻopili kēia ʻenehana i ka wehe piha ʻana o ka umauma. I ka manawa like, ua wehe ʻia nā lymph nodes ma ka ʻāʻī. ʻOiai ua hoʻohana pinepine ʻia kēia ʻano hana i ka wā ma mua, ua emi ka hoʻohana pinepine ʻia i kēia manawa. ʻAʻole i hoʻohana nui ʻia kēia ʻenehana ma hope o ka loaʻa ʻana o nā ʻenehana hou a emi ʻole ka pōʻino. Hoʻohana nui ʻia ia i nā ʻōpū nui ma lalo o ka umauma.

He aha ka holomua o ka mālama ʻana i ka maʻi maʻi umauma ma Turkey?

Nā Halemai Oncology ma Tureke

Hoʻolako nui ʻia nā halemai Oncology ma Turkey. Hāʻawi ia i ka lapaʻau me ka ʻenehana hou loa i ka mālama ʻana i ka maʻi kanesa. I loko o kēia mālama ʻana, hiki iā ia ke hoʻopau i nā maʻi kanesa me ka liʻiliʻi o ka pōʻino i ka mea maʻi. No laila, mālama ʻia nā poʻe maʻi i nā halemai hilinaʻi me nā helu kūleʻa kiʻekiʻe. Ma ka lima 'ē aʻe, aia nā ʻōnaehana ventila i kapa ʻia ʻo Hepafilters ma nā halemai. Mahalo i kēia mau kānana, ua hōʻoia ʻia ʻo nā lumi lapaʻau ʻelua, nā lumi hana a me nā lumi hoʻomanawanui he sterile loa. Mālama kēia mau kānana i ka poʻe maʻi maʻi maʻi immunocompromised mai nā ʻano maʻi āpau a hāʻawi i nā lāʻau lapaʻau ʻaʻohe pilikia o ka maʻi.

Hoʻolako ʻia nā Kauka ʻoka i ka maʻi maʻi maʻi umauma ma Turkey

I ka mālama ʻana i ka maʻi kanesa o ka umauma, hāʻawi ʻia ka lāʻau lapaʻau e Oncology, Radiology o ka umauma a me na kauka lapaau. He mau inoa kūleʻa kēia mau kauka lapaʻau ma ke kula. I ka manawa like, hiki iā lākou ke hoʻohana i nā mea hana e hoʻolako i ka mālama ʻana me ka ʻenehana hou i ke ala maikaʻi loa.

ʻO kēia poʻe, nā mea i mālama i nā tausani o nā maʻi i kā lākou ʻoihana ma ke ʻano he kauka, he poʻe ʻike i loaʻa i ka hoʻomaʻamaʻa kūikawā i ke kamaʻilio ʻana me nā maʻi.. Ma ka ʻaoʻao ʻē aʻe, loaʻa i nā haukapila nā mea lapaʻau no ka poʻe maʻi e mālama ana i ka maʻi kanesa. No laila, me ke kōkua o ka mea lapaʻau, loaʻa nā mea maʻi i kahi lāʻau lapaʻau i ikaika ai lākou i ka psychologically. E like me ka ʻike a nā mea a pau, ʻo ka hauʻoli ka hana mua e luku ai i nā maʻi kanesa.

Lapaʻau ʻana i ka maʻi maʻi umauma me ka wā kali ʻole ma Turkey

ʻAʻole lawa nā ʻāina he nui i kēia mea. Kokoke kēlā me kēia ʻāina e hāʻawi ana i nā lāʻau lapaʻau maikaʻi he manawa kali. He lōʻihi loa kēia mau manawa no ka hoʻohaʻahaʻa ʻia. I loko o kahi maʻi e like me ka maʻi kanesa, ka maʻi mua a me ka mālama ʻana, he mea maikaʻi loa ia, pono e loiloi maikaʻi ʻia.

ʻO nā manawa kali ma ka ʻāina āu i hoʻoholo ai e loaʻa i ka lāʻau lapaʻau ʻoiai ʻo ka ʻāina me ka maikaʻi kiʻekiʻe e hōʻemi i ka helu kūleʻa o kēia lapaʻau. Eia naʻe, ʻaʻohe manawa kali ma Turkey. Hiki ke hoʻomaka ka lāʻau lapaʻau i ka lā i hoʻomākaukau ʻia ai ka hoʻolālā lapaʻau e pono ai. Mahalo i kēia pono, lilo ia i ʻāina makemake ʻia i ka mālama ʻana i ka maʻi kanesa.

Nā ʻano hana i hoʻohana ʻia i ka mālama ʻana i ka maʻi maʻi umauma ma Turkey

• ʻO keʻano maʻamau
• ʻO ke kelepona
• Chemotherapy
• Hoʻōla lāʻau Hone

Hoʻohana ʻia nā ʻenehana i ka mālama ʻana i ka maʻi maʻi umauma ma Turkey

ʻO ka maʻi kanesa ka maʻi maʻi maʻamau i nā wahine. ʻOiai he ʻano maʻi maʻi weliweli loa ia i ke ola a me ke kiʻekiʻe o ka make i ka wā kahiko, ua lilo ia i mea maʻalahi me nā noiʻi a me nā papahana. Mahalo i ka noiʻi hou loa, hiki ke aʻo maʻalahi ke ʻano o ka maʻi kanesa. Hāʻawi kēia i ka hiki ke mālama pono i ke ʻano o ka maʻi kanesa. Me nā lāʻau lapaʻau pilikino ma Turkey, ua hōʻoia ʻia e loaʻa i ka mea maʻi ka mālama kūleʻa.
Nā ʻenehana i hoʻohana ʻia e Turkey i ka maʻi maʻi maʻi;

Kiʻi alakaʻi Radiation Therapy (IGRT) i ka maʻi maʻi umauma

Electa HD Versa

I ka wā kahiko, he mea pōʻino ka hoʻohana ʻana i ka radiotherapy i ka mea maʻi. ʻOiai ka ua hoʻopili ʻia nā kukuna kiʻekiʻe i ka maʻi kanesa, ua hoʻopōʻino pū lākou i nā ʻiʻo olakino a puni. No laila, ʻaʻole hiki ke hoʻohana ʻia ka nui o ka radiation i makemake ʻia. Eia naʻe, me ka ʻenehana hou loa, hoʻohana ʻia ka nui o ka radiation i ka cell cancer a hiki ke mālama ʻia ka mea maʻi me ka hoʻopōʻino ʻole i ke kino olakino.

Cone Beam CT

Eia hou, ʻaʻole hiki ke ʻike ʻia kahi kikoʻī o nā kaola i hoʻohana ʻia i ka wā kahiko. No kēia kumu, ua hoʻohana ʻia ka radiation therapy i kahi wahi nui. He mea pōʻino kēia i nā ʻiʻo olakino o ka mea maʻi. Eia naʻe, mahalo i kēia mea hana, hiki ke ʻike pono ʻia ka ʻiʻo irradiated. No laila, ʻo ka ʻiʻo maʻi maʻi wale nō e hoʻomālamalama ʻia me ka ʻole o ka hoʻopōʻino ʻana i ka mea maʻi.

ʻO nā lāʻau lapaʻau akamai i ka mālama ʻana i ka maʻi maʻi umauma

ʻO kēia ʻano lapaʻau, e koi ana i ka hoʻokolokolo ʻana i ke ʻano genetic o ka ʻōpū, hāʻawi i ka manaʻolana i nā pa he nuinā maka. Hoʻoholo ʻia ʻo ka lāʻau lapaʻau e hiki ke mālama ʻia no ka maʻi ʻaʻai i hoʻoholo ʻia ke ʻano genetic i loko o ka hale hana. No laila, ʻaʻole hāʻawi ʻia nā lāʻau e hoʻopōʻino i ke kino o ka mea maʻi. ʻO ka chemotherapy i hāʻawi ʻia i ka mea maʻi he ala ʻeha ia e hōʻino ai i nā ʻiʻo olakino. Eia naʻe, mahalo i ka ʻO nā lāʻau lapaʻau akamai hou loa, ke hoʻohana ʻia ka lāʻau, hoʻouka wale ia i ka ʻōpū. No laila, hiki ke mālama ʻia nā maʻi me ka ʻeha ʻole a me ka hoʻopōʻino ʻole i ko lākou kino.

ʻO nā pono o ka loaʻa ʻana o ka maʻi maʻi maʻi umauma ma Turkey

E like me nā maʻi maʻi āpau, ʻo ka maʻi kanesa o ka umauma he maʻi e pono e hoʻoikaika. Pono ka mea maʻi e ʻoluʻolu a hauʻoli. No kēia kumu, hiki i nā maʻi e loaʻa ana i ka mālama ʻana ma Turkey ke loaʻa ka maluhia me kona ʻano a me ke kai. ʻO ka hoʻololi ʻana i nā ʻāina a me ka ʻike ʻana i nā wahi hou e hoʻoikaika i ka mea maʻi. Ma ka ʻaoʻao ʻē aʻe, i ka wā e lawe ʻia ai ka maʻi maʻi umauma, kahi e koi ai i kahi kaʻina mālama lōʻihi Hoʻokō ʻia ʻo Turkey, kahi noho a me nā pono ʻē aʻe.

ʻAʻole hiki ke hoʻōla ʻia ka maʻi kanesa i ka lā hoʻokahi. No laila, pono paha ʻoe e noho ma ka ʻāina no nā pule. ʻAe kēia iā ʻoe e noho ma Turkey i nā kūlana maikaʻi aʻe ma mua o nā ʻāina ʻē aʻe a hoʻi i ka home ma ka uku ʻana i nā kumukūʻai kūpono. Ma hope o ka loaʻa ʻana o ka mālama ʻana ma kahi ʻāina ʻē, hiki iā ʻoe ke koho ʻaʻole e hoʻolilo ʻoi aku ma mua o kāu waihona ma ke koho ʻana iā Turkey ma mua o ka hele ʻana i ka aie.

He aha kaʻu e hana ai no ka loaʻa ʻana o ka mālama maʻi maʻi umauma ma Turkey?

Hiki iā ʻoe ke hoʻokaʻaʻike mai iā mākou. Hāʻawi mākou i ka lāʻau lapaʻau i nā haukapila kūleʻa i ʻike ʻia e nā mea a pau. Me kā mākou pūʻulu mālama ola e pili ana i nā kauka lapaʻau kūikawā a me nā kahu hānai, a me kā mākou hui mālama maʻi ʻike, hāʻawi mākou iā ʻoe i nā lawelawe ma nā halemai i hoʻokumu i kahi ʻohana nui. Inā makemake ʻoe e mālama ʻia i loko o kēia mau halemai kahi i hoʻohana ʻia ai ka ʻenehana me ka kānalua ʻole, hiki iā ʻoe ke hoʻokaʻaʻike mai iā mākou.

Hana nā poʻe akamai i nā manawa e hiki ai iā ʻoe ke hiki i 24/7. No laila, e hana ʻia ka hoʻolālā lapaʻau ma hope o ka loaʻa ʻana o nā palapala a me nā ʻike e pono ai no ka mālama ʻana mai iā ʻoe. Wahi a ka hoʻolālā, ua lawa ia ma Turkey. E pōmaikaʻi ko mākou poʻe maʻi i nā lāʻau lapaʻau ma o ka lawe ʻana i ka lawelawe pūʻolo. Hiki iā ʻoe ke hoʻokaʻaʻike mai iā mākou no ka loaʻa ʻana o ka ʻike e pili ana i kā mākou lawelawe pūʻolo a loaʻa ke kumukūʻai.

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