ʻO nā halemai pilikino maikaʻi loa o Turkey: Halemai Hoʻomanaʻo

Hāʻawi ʻo Memorial Health Group i nā lawelawe e like me nā kūlana koʻikoʻi o ka honua me kāna mau limahana hanohano a me kāna mau hana ʻoluʻolu. Mai keia wahi mākaʻikaʻi olakino ʻO ia kekahi o nā halemai i makemake nui ʻia ma ke ʻano o

ʻO ka haukapila, e hāʻawi ana i nā lawelawe e like me nā kūlana koʻikoʻi o ka honua, e huki pū i ka nānā me kāna mau hana paionia ma ka ʻāpana. Ua hoʻolauna ʻo Memorial iā Turkey i nā lawelawe olakino maikaʻi o ka honua. Eia kekahi, loaʻa iā ia ka ʻokoʻa o ka haukapila mua ma Turkey e loaʻa i ka JCI Accreditation Quality Certificate.

Ke hoʻomau nei ʻo Memorial i kāna hana me kāna mau kauka lapaʻau, nā limahana olakino a me ka ʻike lawelawe hoʻomanawanui. Ua lilo ʻo Memorial i ka helu o ka hilinaʻi i ke olakino me kāna maʻi a me nā ʻāpana lapaʻau i hoʻolako ʻia me ka ʻenehana lapaʻau kiʻekiʻe, ke kulekele maikaʻi, nā wahi hou a me nā lumi maʻi ʻoluʻolu.

Ola ka waha a me ka niho

ʻO nā maʻi e pili ana i ka waha a me nā niho kekahi o nā pilikia olakino koʻikoʻi ma Turkey a ma ka honua holoʻokoʻa. ʻOiai ʻaʻole hoʻoweliweli pololei kēia mau maʻi i ke ola, pili lākou i ka maikaʻi o ke ola. No laila, he mea nui ka mālama ʻana i nā maʻi niho.

Inā ʻaʻole mālama ʻia nā maʻi e pili ana i ka waha a me nā niho, hiki mai nā pilikia like ʻole e like me ka pōʻino o ke olakino o ka naʻau, nā pilikia o waho, nā ʻeha nui, nā pilikia digestive, nā hanu ʻino, a me nā maʻi ʻōlelo. Nā Halemaʻi Pūʻulu Ola Hoʻomanaʻo olakino a me nā niho Hoʻohana ʻia nā maʻi niho a me nā waha ma ke ʻano maikaʻi me nā ʻenehana hou i hoʻohana ʻia i kā mākou keʻena.

He aha nā hana a ke Keʻena Ola Oral and Dental Health?

Mahalo i ka ʻōnaehana koho pūnaewele ma Memorial Health Group oral and dental centers, hiki ke hele maʻalahi i nā niho niho. nā mea hoʻokomo niho ʻO nā lapaʻau koʻikoʻi e like me Hāʻawi ʻia nā lawelawe lapaʻau niho ma Memorial Health Group Hospitals;

·         Lapaʻau ʻana i ka ʻeha niho

·         Lai niho pale

·         Ka lapaʻau ʻana i nā niho naʻauao

·         Nā mea hoʻohana lāʻau niho Aesthetic

·         Nā pilikia o ka ʻeha maka

·         Lapaʻau niho prosthetic

·         Hoʻopiha a me ka mālama ʻana i ke aʻa

·         nā noi hoʻomaʻemaʻe niho

·         Nā noi hoʻokomo niho

·         Nā lāʻau lapaʻau Orthodontic

·         nā maʻi ʻāʻī

·         ʻO nā maʻi waha, niho a me ka maxillofacial a me ke ʻoki

·         Ka nui o na noi niho niho hapa

Lai niho pale Ma nā noi, hoʻomohala ka laina niho waiū a me nā laina niho i hui pū ʻia i nā wā ʻoi loa o ka ulu ʻana o nā keiki. E hoʻomaka ana nā niho hū mua i 6 mahina. E hāʻule nā ​​niho waiū i nā hui like ʻole i kekahi mau manawa a hoʻomaka nā niho waiū mau e kū i ko lākou wahi. Ke hoʻomau nei kēia kūlana a hiki i ka 12 makahiki. I kēia wā, ʻo ka nalowale ʻana o nā niho waiū i ka wā mua e hoʻopilikia pū i ko lākou ulu ʻana. Hoʻopilikia kēia i ka nani a me ka haʻi ʻōlelo. Hiki ke hoʻohana maʻalahi nā lāʻau lapaʻau a pau i nā niho paʻa.

Hana ʻia ka mālama ʻana i nā niho o nā keiki ma ke kahua o ka pedodontics. He keʻena kaʻawale kēia wahi o ka dentistry e koi ana i nā ʻano loea. Eia kekahi, pono e nānā ʻia ka ulu ʻana o ka iwi iwi o nā keiki e ka orthodontist i ko lākou wā ulu. Mālama nā keʻena olakino waha a me nā niho hoʻomanaʻo a hana i nā lāʻau lapaʻau e hōʻoia i ka loaʻa ʻana o nā niho olakino a me nā hale o nā keiki i ka wā ulu, mahalo i kā lākou mau kauka loea i kēia kahua.

ʻO ka ʻokiʻoki ʻana i ka nani, ka plastik a me ka hana hou

Hāʻawi ʻo Aesthetic, plastic and reconstructive surgery i kahi ākea o nā lawelawe i nā maʻi. ʻAʻole like me nā lālā ʻokoʻa like ʻole, hoʻomau kēia ʻoihana i kāna hana me ka misionari o ka hoʻoponopono a me ka hoʻomaikaʻi ʻana a me ka hana a me ke ʻano. Rhinoplasty ʻO ia kekahi o nā noi aesthetic makemake nui i kēia lā.

ʻO nā ʻokoʻa ma waena o nā ʻoihana aesthetic, plastic a me reconstructive. ʻO lākou nā ʻāpana like ʻole o ka hana a me ke ʻano. Ke neʻe nei mākou mai nā noi aesthetic i ke kūkulu hou ʻana, e hele mai ana nā hoʻoponopono hana i mua.

ʻOki kino ea

ʻOki kino ea Hana ʻia ia i mea e nani ai ka helehelena a me ke kino. ʻOiai ua hoʻololi ʻia nā manaʻo nani i nā makahiki, ua mau nā pae nani e pili ana i ke kino kanaka. ʻOi aku ka pili o ka poʻe i kēia mau pae, ʻoi aku ka maikaʻi o ko lākou manaʻo. ʻO kēia kahi e pāʻani ai ke ʻoki plastik. Ma kēia wahi, ua hōʻoia ʻia e loaʻa i nā kānaka nā koho kūpono a nani.

ʻO nā ʻano hoʻohana ʻokoʻa aesthetic e like me kēia;

·         ʻO ka hoʻoponopono pepeiao koʻikoʻi

·         ʻO ka hoʻoponopono ʻana i ka umauma ma hope o ka ʻoki ʻana i ka maʻi kanesa

·         Nā noi Rhinoplasty

·         Nā noi e pili ana i ka hoʻopiha a me ka botox

·         ʻAno nani o ka lihilihi maka

·         Nā mea hoʻohana nani o ke kino

·         ʻO ka hoʻomaʻamaʻa ʻana o ka maka me nā ʻili momona

·         Nā noi hana kino ma hope o ka hoʻemi ʻana o ke kaumaha

·         papalina hollywood

·         kūkulu ʻia ʻo Brazil

·         Nā noi hana dimple

·         ka hoʻoheheʻe ʻana

·         ʻO nā hoʻomaʻamaʻa ʻana i ka maka a me ka ʻāʻī

·         Ka wāwae, ka lima a me ka ʻōpū

·         ʻO ka hōʻemi ʻana o ka umauma, hoʻonui a hoʻokiʻekiʻe

·         Nā polokalamu Gynecomastia

·         Hoʻonui i ka umauma a hāpai i nā noi

ʻO ke kaha uila a me ka hana hou

ʻO ka ʻoki kino a me ka hana hou Hana ʻia ia no ka hoʻoponopono ʻana i nā ʻāpana kino i hōʻino ʻia ma muli o nā maʻi ulu, nā maʻi hānau, nā maʻi, nā ʻeha, nā ʻōpū a me nā maʻi ʻē aʻe.

ʻOiai e uku ʻia ka nānā ʻana i nā hiʻohiʻona e loaʻa i kēia pae, ʻo ke kumu nui e loaʻa hou ke olakino a me ka hana. ʻO nā hana hoʻomaʻamaʻa plastik a me ka hana hou ʻana i hana pinepine ʻia, ʻo ia nā ʻeha hoʻōla ʻole a paʻakikī paha ke hoʻōla, haʻihaʻi iwi maka, ʻulaʻula, nā maʻi congenital o nā ʻōpū, nā maʻi maʻi ʻili, microsurgery, hana hou i ka umauma, hoʻoponopono i nā lālā e like me nā lehelehe, ihu a me pepeiao.

ʻO ka ʻoki ʻana i ka maʻi gastroenterology

ʻoki gastroenterology Hoʻokō ka 'Oihana i kāna mau lawelawe me kāna mau lako honua a me nā ʻenehana i ka ʻike a me ka mālama ʻana i nā maʻi ʻōnaehana digestive, a me ka pale ʻana i ke olakino digestive.

Ma kēia ʻāpana, hāʻawi ʻia nā ʻano hana hou a me nā lā hou o ka maʻi a me ka mālama ʻana i nā poʻe o nā makahiki āpau, mai ka poʻe mākua a hiki i ka poʻe ʻelemakule, i loaʻa nā pilikia ʻōnaehana digestive. Pūnaehana digestive; Uhi ia i na kino a pau mai ka esophagus a hiki i ka opu, duodenum, gall bladder, ate a me ka anus. ʻO nā maʻi maikaʻi a me nā maʻi ʻino a pau e kū nei i loko o kēia mau ʻāpana i loko o ka māhele o nā maʻi e pili ana i ka ʻōnaehana digestive. ʻO ka mālama ʻana i nā maʻi e pili ana i ka ʻōnaehana digestive me nā lāʻau lapaʻau, nā ʻano hana ʻole a me nā kaʻina hana interventional, a me nā ʻokiʻoki gastroenterology e mālama ʻia e ke keʻena ʻokiʻoki gastroenterology.

ʻO nā maʻi i mālama ʻia ma ka ʻoihana o ka gastroenterology surgery;

·         ʻO nā maʻi o ka gallbladder a me ka ʻāpana biliary

·         ʻO nā maʻi esophageal

·         ʻO nā maʻi e pili ana i ka pancreas

·         Nā maʻi o ka ʻōpū a me ka duodenum

·         ʻO nā maʻi pili i ke ake

·         ʻO nā maʻi maʻi anus a me nā maʻi anal canal.

Hoʻokokoke i ka mea maʻi me nā ʻano ʻokiʻoki hou

Halemai Memorial Gastroenterology oihana oki ʻōnaehana digestive Hana ʻia ka ʻike a me ka mālama ʻana i nā maʻi e pili ana i ka maʻi me ka hoʻohana ʻana i nā ʻenehana hou. Hoʻokō ʻia nā lawelawe olakino e like me nā kūlana āpau me nā ala hoʻomanawanui a me nā mea maʻi. Hiki ke hana ʻia nā hana ʻokiʻoki me ka hoʻohana ʻana i ka robotic, laparoscopic a i ʻole nā ​​​​ʻano wehe. Hana ʻia nā hana endoscopic a me nā kaʻina hana stent endoscopic i ka gastroenterology.

ʻO ka maʻi maʻi a me ka Obstetrics

ʻO ka maʻi maʻi a me ka Obstetrics Hāʻawi ke keʻena i nā lawelawe me kāna mau limahana akamai a me nā ʻenehana hou e pili ana i ka hāpai ʻana, ke olakino wahine a me nā maʻi, nā pilikia e pili ana i ke kaʻina hana hānau a ma hope, kōkua ʻia nā ʻano hana hānau a me nā maʻi maʻi gynecological. Eia kekahi, ua komo pū nā hana lāʻau pale i ke olakino wahine i loko o nā hana o ka ʻoihana. Ma ka Gynecology and Obstetrics Department, hāʻawi ʻia nā lawelawe lapaʻau maikaʻi loa i nā wahine o nā makahiki āpau.

He aha ka Obstetrics a me Gynecology?

ʻO ke keʻena e pili ana i ka hānau hānau a me ka hānau ʻana o nā wahine nā maʻi gynecological inoa ʻia. ʻO nā maʻi gynecological, i kapa ʻia ʻo gynecology, hāʻawi i ka mālama ʻana i ka ʻōpū, nā ovaries, ka ʻāpana genital, nā pilikia urinary bladder.

I loko o nā wahine, menstrual irregularities, ovarian cysts, vaginal discharges, fibroids, chocolate cysts, infertility, uterine and cervical cancer, sexual dysfunctions, pelvic pain, urinary incontinence. Eia kekahi, no nā poʻe maʻi e makemake ana e loaʻa nā keiki, lawe ʻia ka IVF a me nā noi o ka lāʻau lapaʻau ma ka ʻoihana gynecology. Hoʻohana nā kauka i ka gynecologists i ka maʻi maʻi a me nā ʻano lapaʻau ma nā wahi he nui.

He aha nā hoʻokolohua i hana ʻia ma ke Keʻena o Obstetrics a Gynecology?

ʻO nā kaʻina hana a me nā hoʻokolohua i hana ʻia e nā kauka maʻi maʻi he loea i kā lākou ʻoihana e like me ka mōʻaukala maʻi o ka mea maʻi, nā ʻike a me nā maʻi i manaʻo ʻia. Hoʻohana ʻia nā kaʻina hana ma ka ʻoihana obstetrics a gynecology;

·         Nā noi e pili ana i ka hoʻāʻo HPV

·         Nā hoʻokolohua ultrasonic

·         hoʻāʻo smear

·         Nā hoʻāʻo koko e ʻike i nā maʻi hormonal

·         hoao koko

·         Nā ana o ka iwi i ka menopause

·         Ultrasound

·         Nā kaʻina hana hoʻokolohua Gynecological

·         Nā hōʻike maʻi maʻi

·         Nā kūlana maʻi maʻi maʻi gynecological

·         Mammography

He aha nā maʻi a nā Gynecologists e hana ai?

Gynecology a me ke olakino hana ʻia ma kahi ākea loa. Hoʻomaʻamaʻa a mālama nā kauka i kēia mau maʻi. ʻO nā maʻi gynecological maʻamau;

·         Pediatric, gynecology ʻōpio

·         ʻO ke kumu o ka male ʻole a me nā pilikia menstrual iregularity

·         ʻO nā moe kolohe

·         ʻOvarian cysts

·         ʻO ka hahai ʻana i nā hāpai ʻana i ka pilikia nui

·         fibroids

·         nā pilikia uregynecological

·         polycystic ovary syndrome

·         keʻokeʻo kino

·         Endometriosis a me ke kokoleka koko

·         PRP ma'i

·         ʻO ka maʻi HPV a me ke kano

·         ʻano nani o ke kino

·         ʻO nā maʻi oncological Gynecological

·         vaginism

·         ʻoʻoleʻa

·         mimi ʻole

·         ʻO nā pilikia o ka hoʻokuʻu ʻana

·         Kaʻina menopause

·         ʻO nā pilikia hū o ka wahine

·         pilikia pili kino

·         Ka hahai ʻana i ka hāpai ʻana

·         hapai kino

·         nā maʻi i ka wā hāpai

·         pilikia hāpai ectopic

·         Nā pilikia intrauterine

·         ʻO nā mokuʻāina ʻo Dysmenorrhea

·         nā maʻi HPV

·         premenstrual syndrome

Kikowaena Hoopae Ake

Memorial kikowaena o ke akea Hāʻawi ia i nā lawelawe ma nā kūlana honua me kāna mau kauka lapaʻau kaulana kaulana i ka honua a me nā limahana olakino i loea i ka mālama maʻi ma hope o ka hoʻololi ʻana o ke kino. Hoʻokō ʻia nā kaʻina hana hoʻololi a pau mai nā mea ola a me nā cadavers i nā kikowaena me nā hopena maikaʻi loa ma ka honua. I ka manawa like, ua hōʻoia ʻia e hoʻokō pono ʻia ka hoʻololi ʻana o ke akepaʻa o ke keiki a me nā pākeke.

ʻO nā keʻena kahi e mālama ʻia ai ka hoʻololi ʻana o ke kino ʻaʻole wale me ke kaʻina hana, akā me ka hui pū ʻana a me ka maikaʻi o nā keʻena hoʻokolohua a me nā kiʻi kiʻi, mālama koʻikoʻi, lumi hana, nā papahele inpatient, loaʻa nō hoʻi ka hiʻohiʻona o ke kikowaena kuhikuhi ma ka honua holoʻokoʻa. .

Ua komo ka Halemai Hoʻomanaʻo i ka palapala lapaʻau honua i nā ʻokiʻoki i hana ʻia a paionia i nā mea mua ma Turkey. Ma nā keʻena hoʻololi o ke akepaʻa Memorial, ua hana maikaʻi ʻia nā kaʻina hana hoʻololi ʻana i ke ake koko ʻole a me nā ʻano hana ʻoki kūikawā.

Nā Kaʻina Hoʻololi ʻana i ke ake

ʻO ka lāʻau lapaʻau wale nō no ka hāʻule ʻole o ka ate hoʻololi ʻana i ke akepaʻa he mau hana. I loko o kēia mau noi, ua hōʻoia ʻia e hoʻololi ʻia nā ate maʻi me nā ate olakino. Ma ka honua holoʻokoʻa, hana ʻia ka hoʻololi ʻana o ka ate maʻamau no nā maʻi me ka cirrhosis. Eia kekahi, hiki ke hana ʻia kēia mau noi no kekahi mau maʻi congenital a me kekahi mau maʻi ate.

Pono nā kino i nā kaʻina hana hoʻololi kino. Hiki ke kiʻi ʻia nā kino kūpono no ka hoʻololi ʻana mai nā mea hāʻawi ola mai ka poʻe i make a i ʻole nā ​​ʻohana o nā maʻi. Inā hoʻoholo nā ʻohana o ka poʻe i nalowale i ko lākou ola ma lalo o nā kūlana mālama koʻikoʻi e hāʻawi i nā ʻāpana, e hoʻopakele kēlā mau kino i nā ola o nā maʻi like ʻole. ʻO ka hoʻololi ʻana i ke akepaʻa i hana ʻia me nā ʻōkana i hāʻawi ʻia ma kēia ʻano i kapa ʻia ʻo cadaveric ate ​​transplants.

ʻAʻole lawa ka nui o nā hāʻawi kino, make ka hapa nui o nā maʻi i ke kali ʻana i ke ake. I mea e pale aku ai i kēia mau kūlana, hiki ke hoʻopakele i nā ola o nā maʻi ma o ka lawe ʻana i kahi ʻāpana o ko lākou ate mai kahi mea ola ʻē aʻe. No kēia kumu, hiki i kekahi o nā ʻohana o nā maʻi i kūpono i ka hui manawa hiki ke hāʻawi manawaleʻa no ke ʻoki. Inā ʻaʻohe pilikia o ka hāʻawi ʻana i ke akepaʻa ma hope o ka hoʻokō ʻana o nā mea hāʻawi i nā hoʻokolohua koʻikoʻi loa a me nā loiloi, lawe ʻia ka ʻāpana ate kūpono no ke kaumaha o nā maʻi mai ka mea hāʻawi a hoʻololi ʻia me nā ate o nā maʻi.

Hale Kikokikona Obesity

MomonaʻO ia kekahi o nā maʻi maʻamau i kēia mau lā. Ma ka hakakā ʻana i kēia maʻi ma nā ʻano āpau, lawe ʻia nā kaʻina hana lapaʻau me kahi hui a me ka ʻaha kūkā.

Hāʻawi ka Memorial Health Group Obesity Surgery Centers i ka mālama ʻana i ka momona, kahi e hoʻoulu ai i nā maʻi he nui a manaʻo ʻia he maʻi iā ia iho, me ka ʻike multidisciplinary. ʻO ka obesity kekahi kumu pilikia nui no ka maʻi maʻi type 2, nā maʻi cardiovascular, hypertension, prostate, ka umauma, nā pilikia gynecological a me ka maʻi maʻi colon.

Eia kekahi, he koʻikoʻi ko ka momona i ka hoʻokumu ʻana i nā maʻi like ʻole, me nā gallstones, nā maʻi hui, nā maʻi varicose, reflux, infertility, menstrual irregularities, sleep apnea syndrome, nā pilikia hānau, ke kaumaha.

He aha ka Obesity?

ʻO ka momona ka inoa i hāʻawi ʻia i ka loaʻa ʻana o nā ʻiʻo momona i loko o ke kino ma mua o ka maʻamau. I kēia mau lā, ma kahi o 30% o ka heluna kanaka o ke ao nei he poʻe paona a momona paha. ʻO ka momona kekahi o nā pilikia olakino koʻikoʻi o ka 21st century. ʻO kēia maʻi ke kumu ma kahi o 5% o nā make nui.

ʻoki obesityʻAʻole ia ka koho mua no kēlā me kēia maʻi i ka wā o ka lāʻau lapaʻau. ʻO ka mea mua, pono e hoʻokomoʻia nā mea maʻi i nā papahana hoʻomalu kaumaha me nāʻanoʻai a me nā hana hoʻoikaika kino. Eia nō naʻe, i nā poʻe maʻi paʻakikī me kahi helu helu kino nui loa, aia kekahi mau hihia i ʻike ʻole ʻia ke kaumaha ʻoiai inā e hoʻomau ʻia kēia mau papahana no ka manawa lōʻihi. No kekahi mau pūʻulu maʻi, ʻo kahi ala kūpono e hāʻawi ai i ka mana paʻa paʻa paʻa ʻo ia ke ʻoki bariatric.

ʻoki ʻoki ʻāʻī ʻO ia kekahi o nā noi i makemake nui ʻia i ka ʻoihana bariatric. Ma ke ʻano o ka hāʻawi ʻana i kahi hopena paʻa a mau loa o ka hōʻoki ʻana i ka momona, he mea nui ia i ka poʻe e hoʻomau i kā lākou meaʻai a me nā hoʻomaʻamaʻa ma hope o ke ʻoki ʻana, me ka ʻike ʻana he hana koʻikoʻi kā lākou. Ma muli o ke kaʻina hana bariatric, hoʻomaka ka poʻe maʻi e lilo i ke kaumaha me ka wikiwiki. Eia nō naʻe, he mea koʻikoʻi loa i nā poʻe maʻi ke hoʻololi mau i ko lākou nohona i mea e mālama ai i ko lākou kaumaha.

I nā poʻe maʻi i hoʻololi ʻole i kā lākou meaʻai a me ke ʻano o ke ola ma hope o ke ʻoki ʻana, hiki ke loaʻa hou kekahi o nā kaumaha i nalowale. Ua alakaʻi ka holomua ʻenehana i nā hoʻomohala koʻikoʻi i ka ʻoki bariatric. Ma hope o ka hana ʻana o ka bariatric me ka laparoscopic a me nā ʻano robotic, hiki i nā maʻi ke hoʻōla i ka manawa pōkole a hoʻi maʻalahi i ko lākou ola i kēlā me kēia lā. ʻO ka maʻalahi o nā kaʻina hana ʻokiʻoki a me ka hōʻemi ʻana i nā pilikia ma hope o ka hana ʻana i ʻoi aku ka maikaʻi o nā lāʻau lapaʻau i nā lapaʻau momona. Eia kekahi, ma hope o ka hoʻokō ʻana i ka hana bariatric, hiki i nā mea maʻi ke hoʻopau i nā pilikia olakino pili i ka momona.

ʻO nā ʻano hana ʻokiʻoki e hoʻohana ʻia i nā mea maʻi e hoʻolālā ʻia ma muli o nā maʻi e pili ana i ka momona, ka makahiki, ke kaumaha a me ka ʻai ʻana. ʻAi ʻāʻī liʻiliʻi makemake pinepine ʻia ka noi i kēia lā. Aia nā ʻano hana ʻokoʻa e pili ana i nā ʻano hana a me nā hopena lōʻihi. ʻO nā poʻe maʻi i hana i nā kaʻina hana i loko o ka Memorial Health Group Obesity Surgery centers e ukali ʻia e nā hui multidisciplinary ma hope o ke kaʻina.

Ka Makaikai Ola ma Tureke

ʻO nā lāʻau lapaʻau i hana ʻia e nā kauka lapaʻau ma Turkey he kūleʻa loa. No kēia kumu, ʻo Turkey kekahi o nā ʻāina i makemake ʻia e pili ana i ka mākaʻikaʻi olakino. Eia kekahi, ʻo nā lāʻau lapaʻau i hana ʻia ma Turkey he kumukūʻai loa. ʻO ka mākaʻikaʻi olakino ma Turkey Hiki iā ʻoe ke kelepona i kā mākou hui no ka ʻike kikoʻī.