ʻAlekohola Kūʻai a me ka makaʻu o ka maʻi ʻaʻai

o ka Naauao

Hōʻike nā meta-analysis o nā noiʻi nānā ʻokoʻa i ka inu ʻana i ka waiʻona i nā hopena i makemake ʻole ʻia e like me ka hoʻonui ʻana i ka makaʻu o nā ʻano ʻino e like me ke kanesa poʻo a me ka ʻāʻī e like me ka maʻi ʻaʻa waha a me pharyngeal, maʻi ʻaʻai esophageal, maʻi ʻaʻai thyroid a me ka maʻi ʻaʻai o ka larynx, a ʻo colorectal, akepaʻa a me nā maʻi 'aʻai umauma, Eia naʻe, ʻo ka waiʻona paha ke kumu o ka maʻi ʻaʻa a me ka maʻi ʻaʻai prostate.

ʻO ke kanesa kekahi o nā kumu nui o ka make ma ka honua holoʻokoʻa. ʻO ka pilikia o ka hoʻomohala ʻana i ka maʻi kanesa e hilinaʻi ʻia i nā kumu he nui ʻaʻole i lalo o kā mākou mana e pili ana i nā genetic mutations, makahiki, mōʻaukala ʻohana o Ka maʻi 'aʻai a me nā mea kaiapuni e like me ka ʻike ʻana i ka radiation. Eia nō naʻe, he nui nā kumu ʻē aʻe e kumu nui ai i ka ulu ʻana o nā ʻano maʻi maʻi like ʻole (e like me ka umauma, ka māmā, ka prostate, colorectal, ke poʻo a me ka ʻāʻī a me nā mea ʻē aʻe) akā aia ma lalo o kā mākou mana, e like me nā ʻano meaʻai. ka ʻai ʻana i ka waiʻona, ka paka, ka ʻai ʻana i ka ʻiʻo ʻulaʻula, ka ʻiʻo i hana ʻia a me nā meaʻai ultra-processed a me nā kumu o ke ʻano o ke ola e like me ka nele o ka hoʻoikaika kino a me ka hoʻoikaika kino a me ka hoʻonui ʻana i ke kaumaha. 

ʻO ka waiʻona ka mea i manaʻo nui ʻia ma ke ʻano he ʻāpana nui o nā hoʻolauleʻa ʻana, nā ʻahaʻaina a me nā hana kaiaulu. ʻOiai he nui ka poʻe e inu i ka waiʻona i nā helu kaulike ma ke ʻano he ʻāpana o ka "inu inu kaiāulu", he nui ka nui o ka poʻe e ʻai pinepine i ka waiʻona i ka manawa pinepine, a ʻo ka hopena e hopena i nā hopena makemake ʻole ʻia e like me nā maʻi hoʻoweliweli ʻē aʻe a me nā ulia pōpilikia o ke alanui. ʻO ka nui o ka make ma mua (ke kakahiaka nui o ke ola) i pili i ka inu ʻona ʻana, e alakaʻi ana i kahi 13.5% make i ka makahiki ma waena o 20 a 39 mau makahiki. (World Health Organization) 

Hiki i ka inu waiʻona ke kumu i ka maʻi ʻaʻai?

Wahi a ka World Health Organization, ma kahi o 1 i loko o 20 mau make (ma kahi o 5.3% o nā make honua) ma muli o ka inu ʻana i ka waiʻona a ʻo 1 i loko o 6 mau make ma muli o ka maʻi kanesa ma ka honua holoʻokoʻa. No laila, ua mālama ʻia nā haʻawina like ʻole e nā mea noiʻi ma ka honua holoʻokoʻa e loiloi i ka pilina ma waena o ka waiʻona a me Ka maʻi 'aʻai. ʻO nā laʻana o kekahi mau meta-analyses i aʻo ai inā hiki i ka waiʻona ke hoʻoulu i nā ʻano maʻi maʻi like ʻole (e like me ke poʻo a me ka ʻāʻī, ka umauma, ka māmā, ka prostate a me ka colorectal) i hōʻuluʻulu ʻia ma kēia blog. 

Hiki i ka inu waiʻona ke kumu i ke poʻo a me ka maʻi ʻaʻai

1. Ua mālama ʻia kahi anamanaʻo e pili ana i ka heluna kanaka, nā ʻano nohona pre-diagnose a me nā ʻike maʻi mai ʻelima mau noiʻi ma loko o ka International Head and Neck Cancer Epidemiology (INHANCE) Consortium, i komo pū me nā maʻi maʻi maʻi poʻo a me ka ʻāʻī (HNC) 4759 i ʻike ʻia, ʻo ka inu ka mea wānana o ke ola holoʻokoʻa a me ke ola pilikino kikoʻī HNC no nā mea maʻi me ka maʻi ʻaʻai o ka larynx. (L (Giraldi et al, Ann Oncol., 2017)
2. I loko o kahi noiʻi i paʻi ʻia ma 2017, ua hoʻohana nā kānaka noiʻi i ka ʻikepili inu waiʻona o 811 poʻo a me ka ʻāʻī maʻi maʻi (HNC) a me 940 nā mana mai Taiwan e loiloi i ka hui ma waena o ka waiʻona a me HNC e nā pūnaewele kikoʻī a ʻike ʻia ua hoʻonui ka hopena o ka waiʻona i ka hopena HNC. me ka makaʻu kiʻekiʻe loa i ʻike ʻia no ka maʻi ʻaʻai hypopharyngeal, a ukali ʻia e nā maʻi maʻi oropharyngeal a me nā laryngeal. Ua ʻike ʻia ka kiʻekiʻe o ka makaʻikaʻi no kēlā me kēia kanaka me ka metabolism lohi o ka ethanol. (Cheng-Chih Huang et al, Sci Rep., 2017)
3. ʻO ka Meta-analysis o ka ʻikepili i loaʻa mai ka huli ʻana iā Pubmed a hiki i Kepakemapa 2009 i komo pū me 43 hihia-kaohi a me ʻelua mau haʻawina cohort me ka huina o 17,085 mau maʻi ʻaʻai waha a me pharyngeal (OPC) i ʻike ʻia e pili ana nā mea inu ʻawaʻawa nui me ka makaʻu nui loa o ka maʻi ʻaʻai ua hoʻonui ka pilikia i kahi ʻano hilinaʻi ʻia. Ua ʻike ʻia kekahi noiʻi ʻana i kekahi mahele lāʻau kaulike o> r = 1 inu a 10g ethanol / lā paha e pili pū me ka hoʻonui ʻia o ka makaʻu o OPC. (Irene Tramacere et al, Oral Oncol., 2010)
4. ʻImi ʻia ka ʻikepili i loaʻa mai ka huli palapala ʻana i ka ʻikepili e like me Embase, Latin American and Caribbean Health Science (LILACS), PubMed, Science Direct, a me Pūnaewele Pūnaewele) a hiki i Iulai 2018, i hoʻopili ʻia me nā ʻatikala he 15, ua ʻike ʻia ua hoʻonui ʻia ka ʻai ʻana o ka wai ʻona a me ka paka. ka makaʻu o ka oral cancamous cell carcinoma. (Fernanda Weber Mello et al, Clin Oral Investig., 2019)
5. ʻO kahi loiloi ʻōnaehana a me nā meta-analysis o ka ʻikepili i loaʻa mai ka huli palapala ma PubMed a me Embase ʻikepili pūnaewele a hiki i Iulai 2012 i hoʻopili ʻia me 8 cohort / heluna kanaka a me 11 mau hihia nānā i ka nānā ʻana i ka inu wai ʻona i nā mea maʻi me ka tract aerodigestive luna (oral hole, pharynx, larynx, a me esophagus) pili ka maʻi ʻaʻai me ka hoʻonui ʻia o ka makaʻu o nā maʻi maʻi ʻelua. (Nathalie Druesne-Pecollo et al, Ka maʻi maʻi Epidemiol Biomarkers Prev. 2014)

Hōʻike nā haʻawina i luna aʻe nei i ka nui o ka lawe ʻana i ka waiʻona i hiki i nā maʻi ʻeha a poʻo a me ka ʻāʻī e like me ka maʻi ʻaʻa waha / waha, maʻi ʻaʻai pharyngeal a me ka maʻi ʻaʻai o ka larynx. (Harindra Jayasekara, Alkoholoholoholola., 2016; V Bagnardi, Br J Cancer., 2015)

Hiki ke inu i ka waiʻona i ka maʻi ʻaʻai thyroid

I loko o kahi noi i paʻi ʻia ma 2016, ua kālailai nā kānaka noiʻi mai Kina i ka ʻikepili i loaʻa mai ka PubMed a me EMBASE data database i komo pū me 24 haʻawina me 9,990. maʻi ʻaʻai thyroid nā hihia a ʻike ʻia e pili ana ka inu nui ʻana o ka waiʻona me ka hoʻonui ʻana i ka makaʻu o ka maʻi ʻaʻai thyroid. (Xiaofei Wang et al, Oncotarget. 2016)

Hōʻike ka noiʻi e hiki i ka lawe ʻana i ka waiʻona kiʻekiʻe ke kumu i ka maʻi ʻaʻai thyroid. 

Hiki paha i ka inu waiʻona ke kumu i ka maʻi ʻaʻai Esophageal

1. I loko o kahi noiʻi i paʻi ʻia ma 2014, ua kālailai nā kānaka noiʻi mai ke Kula Nui Lapaʻau o Ke Kulanui o Michigan, ua ʻikepili ʻia mai ka ʻimi noiʻi moʻokalaleo i loko o nā waihona e like me MEDLINE, EBM loiloi, EMBASE, ISI Pūnaewele ʻIke a me BIOSIS i komo pū me 5 mau kaha puanaʻī a ʻike i ka wai ʻona a me ka paka. Loaʻa ka synergistically i ka lawe ʻana i ka makaʻu o maʻi ʻaʻai esophageal. (Anoop Prabhu et al, Am J Gastroenterol., 2014)
2. ʻO kahi loiloi ʻōnaehana a me ka meta-analysis me ka hoʻohana ʻana i 40 hihia uka a me 13 cohort / heluna kanaka i hoʻopaʻa ʻia me 17 mau noiʻi mai ʻAmelika, 22 mai ʻAsia, 1 mai Australia a me 13 mai ʻEulopa, ua ʻike ʻia e pili ana paha ka inu waikawa kaulike a kiʻekiʻe. pilikia o ka maʻi ʻaʻai esophageal. Ua ʻike ʻia ka noiʻi ʻana e pili pū ana paha ka ʻai ʻana i ka waiʻona māmā me ka maʻi ʻaʻai esophageal ma ʻAsia, e hōʻike ana i kahi kuleana kūpono o nā hanana susceptibility genetika. (Farhad Islami et al, Int J Cancer. 2011)

Hōʻike kēia mau noiʻi i ka lawe ʻana i ka waiʻona kiʻekiʻe i kumu e loaʻa ai ka maʻi ʻaʻai esophageal. (V Bagnardi, Br J Cancer., 2015)

Hiki paha i ka inu waiʻona ke kumu i ka maʻi ʻaʻai umauma

1. Ua hana ʻia kahi meta-analysis e nā kānaka noiʻi o ke Kulanui o Lanzhou, Kina e hoʻohana ana i nā noi cohort he 25 aia he pilina ma waena o ka inu ʻona ʻana a me ka make ʻana o ka maʻi ʻaʻai a me ka hoʻi hou ʻana. Ua ʻike pū lākou ka pili ʻana o ka wai ʻona ma mua o 20 g / lā e pili pū ana me ka hoʻonui ʻia o ka makaʻu o ka make ʻana i ka maʻi maʻi umauma. (Yun-Jiu Gou et al, Asian Pac J Cancer Prev., 2013)
2. Ua hōʻike ʻia kahi meta-analysis me nā nīnau nīnau pinepine pinepine e pili ana i ka ʻike mai nā noi prospect 6 me 200 i loaʻa i nā maʻi ʻaʻai umauma umauma mai Kanada, Netherlands, Sweden, a me ʻAmelika Hui Pū ʻIa i pili ka inu ʻana o ka waiʻona me ka hoʻonui pinepine ʻana o ka maʻi ʻaʻai umauma i wahine. Ua hōʻike ʻia kahi noiʻi i waena o nā wahine e inu mau ana i ka waiʻona i ka manawa mau, hiki ke kōkua i ka hōʻemi ʻana i ka waiʻona i ka hōʻemi ʻana i ka maʻi ʻaʻai o ka umauma. (SA Smith-Warner et al, JAMA, 1998)

Hōʻike kēia mau noiʻi i ka loaʻa ʻana o ka waiʻona kiʻekiʻe i kumu i ka maʻi ʻaʻai. (V Bagnardi, Br J Cancer., 2015)

Hiki i ka inu waiʻona ke kumu o ka maʻi ʻaʻai Colorectal 

1. Ua hana ʻia kahi meta-analysis e nā kānaka noiʻi o ke Kula Nui o Zhejiang University of Health Health, Kina e hoʻohana ana i ka ʻikepili mai ka ʻimi noiʻi puke ma ka PubMed a me ka Pūnaewele ʻEpekema mai Ianuali 1966 a Iune 2013 i komo pū me 9 mau noiʻi cohort i ʻike ʻia ka inu wai ʻawaʻawa nui e like me ≥50 g / lā o ka ethanol e hoʻonui i ka makaʻu o ka make ʻana i ka maʻi ʻaʻa colorectal. (Shaofang Cai et al, Eur J Cancer Prev., 2014)
2. ʻO kekahi ʻano hana hou e like me ka ʻikepili mai ka 27 cohort a me ka 34 case-control study i ʻike ʻia ma o ka Pubmed palapala noiʻi i ʻike ʻia ka inu wai ʻona ʻana o> 1 inu / lā e pili pū me ka hoʻonui ʻia o ka maʻi o ka maʻi ʻaʻai kala. (V Fedirko et al, Ann Oncol., 2011)
3. Meta-anamanaʻo o 16 hoʻopaʻa noiʻi i komo 14,276 colorectal cancer cancer a me 15,802 kaohi mai 5 case-control a me 11 nests case-control Studies i ʻike ʻia ka inu nui loa ʻana (ʻoi aku ma mua o 3 mau inu / lā) e pili ana me ka piʻi nui o ka makaʻu. o ka maʻi ʻaʻai kala. (Sarah McNabb, Int J Ka maʻi ʻaʻai., 2020)

Hōʻike kēia mau noiʻi i ka nui o ka lawe ʻana i ka waiʻona i kumu e loaʻa ai ka maʻi ʻaʻai kala. (Harindra Jayasekara, Alkoholoholoholola. 2016; V Bagnardi, Br J Cancer., 2015)

Hiki i ka inu waiʻona ke kumu o ka maʻi ʻaʻai 

1. Ua hana ʻia kahi ʻōkuhi meta me ka hoʻohana ʻana i ka ʻikepili mai ka huli palapala i PubMed a hiki i Mei 2014 i hoʻopili ʻia 112 mau puke i loaʻa i hoʻokahi mea inu waiʻona i kēlā me kēia lā (~ 12 g / lā) i pili me ka 1.1 manawa kiʻekiʻe o ka maʻi ʻaʻai. Ua hōʻike ʻia ke anamanaʻo i nā hopena synergistic o ka inu ʻana i ka waiʻona me ka maʻi hepitis a me ka maʻi diabetes i ka makaʻu o ka maʻi ʻaʻai ate, eia naʻe, ua ʻōlelo ʻia no ka nui o nā noiʻi e hoʻokumu i ka mea like. (Shu-Chun Chuang et al, Ka maʻi ʻana o ka maʻi ʻaʻai., 2015)
2. Ua hana ʻia kahi ʻano meta like me ka hoʻohana ʻana i ka ʻikepili mai ka huli palapala i ka PubMed a me EMBASE a hiki i ʻApelila 2013 i hoʻopili ʻia me 16 mau ʻatikala (19 cohorts) me 4445 mau hihia i loaʻa a 5550 ka make ʻana mai ka maʻi ʻaʻai akepaʻa, ua loaʻa kahi 46% i manaʻo ʻia he nui aʻe ka pilikia o ka maʻi ʻaʻai ate 50 g o ka ethanol i kēlā me kēia lā a me 66% no 100 g i kēlā me kēia lā. Kuhi ʻia kēia loiloi i ke kūlana maikaʻi ʻole o ka inu nui (ka hoʻohana ʻana i 3 a ʻoi aku paha mau mea inu ʻona i kēlā me kēia lā) no ka maʻi ʻaʻai ate, a me ka nele o ka hui pū ʻana me ka inu kaulike.

I kekahi hihia, hōʻike ʻia kēia mau noiʻi e pili ana i ka lawe nui ʻana i ka waiʻona i kumu no ka maʻi ʻaʻai. (V Bagnardi, Br J Ka maʻi ʻaʻai., 2015)

Hiki i ka inu waiʻona ke kumu o ka maʻi ʻaʻai Gastric 

1. Ua hana ʻia kahi meta-analysis ʻōnaehana me ka hoʻohana ʻana i ka ʻikepili mai ka huli ʻana a Medline me nā noiʻi he 10 i ʻike ʻia e pili ana ka inu ʻana o ka waiʻona kiʻekiʻe me kahi kiʻekiʻe o ka maʻi ʻōpū gastric Ua hoʻokūpaʻa hoʻi ke aʻo ʻana e pili pū ana ka inu ʻona kaulike ʻana a me ka inu nui ʻana i ka wai ʻona me ka hoʻonui ʻia o ka pilikia o ka maʻi ʻaʻai gastric. (Ke Ma et al, Med Sci Monit., 2017)
2. ʻIke ʻia ka Meta-analysis o nā noi cohort 11 i loaʻa mai i ka PUBMED a me Ichushi hulina waihona me ka ʻimi lima ʻana i ka heluna Kepanī i ʻike ʻia ma 9 mai loko o 11 mau noiʻi ʻaʻohe hui ma waena o ka inu wai ʻona a me ka maʻi ʻaʻai ʻōpū, eia naʻe, ua hōʻike ʻia hoʻokahi noiʻi ʻana i ka nui o ka makaʻu o ka gastric. maʻi ʻaʻai ma nā kāne me ka loaʻa nui o ka ʻalekohola. Ua ʻōlelo ʻia e nā kānaka noiʻi he nui nā noiʻi ʻana e pili ana i ka heluna Kepani e hōʻoia i ka mea like. (Taichi Shimazu et al, Jpn J Clin Oncol., 2008)

ʻO ka inu nui e hoʻopili ana i ka inu o 3 a ʻoi paha nā mea inu ʻona i kēlā lā i kēia lā ke kumu o ka maʻi ʻaʻai gastric.

ʻAlekohola ʻai a me nā hakuʻala, Prostate a me ka maʻi ʻaʻai pūpū o ka Lung

ʻŌpū o ka pūpū o ka pūpū

1. Loaʻa ka Meta-analysis o ka ʻikepili mai nā PubMed, EMBASE, a me nā pūnaewele MEDLINE a hiki i ʻAukake 2011 i hoʻopaʻa ʻia me 20 mau hoʻopaʻa hihia hihia, 3 haʻawina cohort, a me ka 1 hōʻuluʻulu manaʻo o nā noiʻi cohort i loaʻa, pūʻiwa, pili paha ka lawe ʻana i ka waiʻona me kahi haʻahaʻa haʻahaʻa. o ka maʻi ʻaʻai puʻupaʻa puʻuwai, me ka ʻai kūpono e hāʻawi ana i ka pale a me ka ʻoi aku ke kiʻekiʻe i ka hāʻawi ʻana i nā pono keu. (DY Song et al, Br J Cancer. 2012) Ua hōʻike ʻia kahi noiʻi e hiki i ka inu ʻona ʻana o ka waiʻona ke kōkua i ka hōʻemi ʻana i ka hopena o ka maʻi ʻaʻai pūpū.

2. Eia nō naʻe, kahi hōʻike meta ʻikepili hou aʻe i hoʻopili ʻia me 20 mau haʻawina nānā (4 cohort, 1 pooled a me 15 case-control) i loaʻa mai ka ʻimi noiʻi puke ma nā ʻikepili PubMed a me EMBASE a hiki i Nowemapa 2010 i ʻike ʻia e pili ana ka inu ʻana o ka wai ʻona me ka hoʻonui i ka makaʻu o ka maʻi ʻaʻai kolone.  

Ma ke ʻano holoʻokoʻa, pili ʻole ka pilina ma waena o ka inu wai ʻona a me ka maʻi ʻaʻai kidney.

Ka maʻi maʻi maʻi

Ua loiloi pū kekahi mau noiʻi i ka hui ma waena o ka wai ʻona a me ka maʻi ʻaʻai prostate. Eia nō naʻe, ua loaʻa kekahi mau kūlike ʻole i loko o kēia mau noiʻi e pili ana i ka pilina ma waena o ka inu ʻona ʻana a me ka maʻi maʻi ʻaʻai prostate (Jinhui Zhao et al, BMC Cancer., 2016; Christine M Velicer et al, Nutr Cancer., 2006; Matteo Rota et al, Eur ʻO J Cancer Prev., 2012). 

Lung Cancer

ʻO ka hoʻohana ʻana i ka waiʻona ke kumu o ka piʻi ʻana o ka maʻi maʻi maʻi maʻi maʻi ʻaʻole maopopo. ʻOiai ua hōʻike ʻia kahi haʻawina e "ʻoi aku ka nui o ka pilikia o ka māmā Ka maʻi 'aʻai ua pili pū me ka ʻai ʻana o > a i ʻole = 30 g ka waiʻona / lā i hoʻohālikelike ʻia me ka ʻai ʻole ʻana i ka waiʻona "(Jo L Freudenheim et al, Am J Clin Nutr., 2005), ua manaʻo ʻia kahi haʻawina ʻelua ʻaʻohe pilina ma waena o ka inu ʻana i ka waiʻona a me ka maʻi kanesa maʻi maʻi maʻi. "ʻaʻole loa" nā mea puhi paka. (V Bagnardi et al, Ann Oncol., 2011)

Pono nā noiʻi hou e hoʻopau inā paha ka inu ʻana o ka waiʻona i kumu o ka maʻi ʻaʻa.

ʻO ka ʻai ʻana i ka wai ʻona a me ka pilikia o ka maʻi ʻōiwi Endometrial a me ka Ovarian

Ua loiloi nā haʻawina meta-analyses he nui i ka pilina ma waena o ka inu ʻona a me ka endometrial Ka maʻi 'aʻai. Eia naʻe, ʻaʻole i loaʻa i nā haʻawina nā pilina koʻikoʻi ma waena o nā mea ʻelua. ʻO ka nui o kēia mau haʻawina i manaʻo ʻia ua like nā hopena me ka nānā ʻole i ke ʻano o ka mea inu ʻona. (Quan Zhou et al, Arch Gynecol Obstet., 2017; Qingmin Sun et al, Asia Pac J Clin Nutr. 2011)

ʻIke ʻia ka Meta o ka ʻikepili i loaʻa mai ka huli palapala ma PubMed a hiki i Kepakemapa 2011 i hoʻopili ʻia me 27 mau noiʻi nānā, a he 23 mau haʻawina hoʻopaʻa hihia, 3 kahi hoʻopaʻa cohort a me hoʻokahi anamanaʻo i hoʻopaʻa ʻia o nā noi cohort prospective, me kahi huina o 16,554 epithelial ovarian cancer case. , ʻaʻole i loaʻa kahi pilina ma waena o ka inu waiʻona a me ka maʻi ʻaʻai ovarian cancer.

Panina

He nui nā haʻawina a me nā meta-analyses e hōʻike ana i ka inu ʻana i ka waiʻona e hoʻokiʻekiʻe i ka pilikia o nā ʻano maʻi maʻi like ʻole e like me ka maʻi maʻi poʻo a me ka ʻāʻī e pili ana i ka maʻi maʻi waha a me ka pharyngeal, esophageal cancer, thyroid cancer, cancer of the larynx; ka maʻi 'aʻai kala; ka maʻi ʻaʻai a me ka maʻi ʻaʻai umauma. Eia naʻe, hōʻike ʻia ka meta-analysis o nā haʻawina like ʻole ʻaʻole pili i ka inu ʻona maʻi pū e like me ka endometrial a me ka ovarian cancers, akā, no nā maʻi maʻi ʻē aʻe e like me ka maʻi ʻaʻai a me ka maʻi prostate, ʻaʻole maopopo nā haʻawina. Eia nō naʻe, ʻoiai ʻaʻole maopopo ka hopena o ka waiʻona i ka maʻi kanesa o ka maʻi maʻi, ʻoi aku ka maikaʻi o ka pale ʻana i ka waiʻona e noho olakino.

Ma luna o nā noiʻi a me nā hōʻike ʻepekema e hōʻike pono ana i ka pono e hōʻemi a i ʻole inā hiki, kū / pale i ka inu ʻana i ka waiʻona e hōʻemi i ka maka maʻi ʻaʻai. ʻO ka waiʻona liʻiliʻi inu mākou, ʻoi aku ka maikaʻi no ke olakino maikaʻi e hiki mai ana.

He aha nā meaʻai āu e ʻai ai a me nā mea hoʻopihapiha āu e lawe ai i hoʻoholo. Pono e hoʻoholo i kāu hoʻoholo ʻana e pili ana i ka hoʻololi ʻana i nā ʻāpana o ka maʻi ʻaʻai, ka maʻi ʻaʻai, nā lāʻau e hoʻomau nei a me nā mea hoʻopihapiha, nā maʻi āpau, nā ʻike nohona, ke kaupaona, ke kiʻekiʻe a me nā ʻano.

ʻAʻole hoʻokumu ʻia ka hoʻolālā meaʻai no ka maʻi ʻaʻai mai addon ma ka ʻimi pūnaewele. Hoʻokele ia i ka hoʻoholo ʻana iā ʻoe ma muli o ka ʻepekema molekole i hoʻokō ʻia e ko mākou ʻepekema a me nā ʻenekini polokalamu. Nānā ʻole inā ʻoe e noʻonoʻo e hoʻomaopopo i ke ʻano o nā ʻolaola biōmika kumu a i ʻole ʻole - no ka hoʻolālā meaʻai no ka maʻi ʻaʻai e pono ai ka ʻike.

E hoʻomaka I K NOWIA manawa me kāu hoʻolālā meaʻai e ka pane ʻana i nā nīnau e pili ana i ka inoa o ka maʻi ʻaʻai, ka hoʻololi ʻana o nā kūpuna, nā mālama ʻana a me nā mea hoʻopihapiha mau, nā maʻi āpau, nā ʻano, ka nohona, nā makahiki a me nā kāne.

ʻO nā mea maʻi maʻi maʻi e hana pinepine me nā mea ʻokoʻa nā hopena ʻaoʻao chemotherapy kahi e hoʻopili ai i ko lākou ola o ke ola a nānā i nā hoʻoponopono ʻokoʻa no ka maʻi ʻaʻai. Lawe ana i ka ka meaʻai kūpono a me nā mea hoʻopihapiha e pili ana i nā noʻonoʻo ʻepekema (ka hōʻalo ʻana i ka wānana a me ke koho wale ʻana) ʻo ia ka lāʻau kūlohelohe maikaʻi loa no ka maʻi ʻaʻai a me nā lāʻau e pili ana i nā hopena ʻaoʻao.

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