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October 10, 2025
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ʻO ka polycythemia vera he maʻi koko maʻamau loa ia kahi e hana nui ai kou iwi kuamoʻo i nā pūnaewele koko ʻulaʻula. Hana kēia ma muli o ka loli kino e haʻi aku i kou kino e hoʻomau i ka hana ʻana i nā pūnaewele koko ʻulaʻula ʻoiai ʻaʻole ʻoe e pono iā lākou. E noʻonoʻo iā ia e like me ka hale hana ʻaʻole hiki ke pani i kāna laina hana, e hana ana i nā huahana ʻoi aku ma mua o ka mea pono.
ʻOiai ke kani nei kēia kūlana i ka hopohopo, nui nā kānaka e ola ana i nā ola piha a hana nui me ka hoʻokele pono. ʻO ke kī ka hoʻomaopopo ʻana i nā mea e hana nei i loko o kou kino a me ka hana pili me kāu hui olakino e mālama i nā mea āpau i kaulike.
ʻO ka polycythemia vera kahi ʻano o ka maʻi koko i kapa ʻia ʻo myeloproliferative neoplasm. ʻO kou iwi kuamoʻo, ʻo ia hoʻi kou hale hana koko, e hoʻomaka ana e hana nui i nā pūnaewele koko ʻulaʻula ma muli o kahi mutation kino. Hana kēia mutation e like me ka mea hoʻololi haki e paʻa ana i ke kūlana "on."
ʻO nā pūnaewele koko ʻulaʻula keu e hana ai i kou koko i ʻoi aku ka mānoanoa ma mua o ka maʻamau, e like me ke ʻano o ka meli e kahe mālie ana ma mua o ka wai. Hiki i kēia mānoanoa ke hana i ka paʻakikī o ke kahe ʻana o ke koko ma o kou mau kīʻaha koko. ʻOi aku ka nui o nā kānaka me kēia kūlana i nā pae kiʻekiʻe o nā pūnaewele koko keʻokeʻo a me nā platelets.
ʻAʻole kēia he mea āu i hana hewa ai a i ʻole hiki iā ʻoe ke pale aku. Hana kūlohelohe ka loli kino i ka hapa nui o nā hihia, a ʻaʻole ia he mea āu e hoʻoilina mai kou mau mākua a hoʻoili aku i kāu mau keiki.
Nui nā kānaka me ka polycythemia vera ʻaʻole ʻike i nā hōʻailona i ka wā mua, ʻo ia ke kumu e ʻike pinepine ʻia ai ke kūlana i nā hoʻokolohua koko maʻamau. Ke ʻike ʻia nā hōʻailona, pili pinepine lākou i ka nui o nā pūnaewele koko ʻulaʻula a me ke koko mānoanoa.
Eia nā hōʻailona maʻamau āu e ʻike ai:
ʻIke kekahi poʻe i nā hōʻailona ʻaʻole maʻamau akā ʻike ʻia. Hiki i kēia ke komo pū me ka kahe koko maʻamau ʻole a i ʻole ka ʻūlū, nā manaʻo puhi i kou mau lima a me kou mau wāwae, a i ʻole ka hou nui i ka pō. Hiki iā ʻoe ke ʻike pū i ka lōʻihi o ke kahe ʻana o nā ʻoki liʻiliʻi ma mua o ka maʻamau a i ʻole ʻoe e ʻūlū maʻalahi ma mua o ka wā ma mua.
Pono ka ʻili ʻili i ka nānā kūikawā no ka mea kūikawā loa ia i kēia kūlana. Manaʻo pinepine ʻia e like me nā pinprick liʻiliʻi a puni kou ʻili a hoʻonui pinepine ʻia me ka wai mahana. Hana kēia ma muli o ka hoʻokuʻu ʻana o nā pūnaewele koko keu i nā kemika e hoʻonāukiuki i kou ʻili.
ʻO ke kumu o ka polycythemia vera kahi mutation kino i kapa ʻia ʻo JAK2 V617F ma kahi o 95% o nā hihia. Hana kēia mutation i loko o nā pūnaewele iwi kuamoʻo a haʻi aku iā lākou e hana mau i nā pūnaewele koko ʻulaʻula, ʻoiai ua lawa kāu kino. E like ia me ka loaʻa ʻana o ka thermostat i paʻa a ʻaʻole e pane i ka mahana maoli.
ʻAʻole ia he mea āu i hānau ʻia me ia i ka hapa nui o nā hihia. Ma kahi o kēlā, e ulu ana ia i kekahi manawa i kou ola, maʻamau ma kou mau makahiki 50 a 60 paha. ʻAʻole maopopo loa i nā ʻepekema ke kumu o kēia mutation, akā me he mea lā e hana kūlohelohe ana.
ʻO ke koena 5% o nā kānaka me ka polycythemia vera he mau mutation ʻē aʻe, e like me nā loli i nā gen CALR a i ʻole MPL. Hoʻopili pū kēia i ke ʻano o ka hana ʻana o kou iwi kuamoʻo i nā pūnaewele koko, akā ʻoi aku ka liʻiliʻi o lākou.
He mea nui e ʻike ʻaʻole pili kēia kūlana, a ʻaʻole ʻoe i hana i kekahi mea e hoʻokumu ai. ʻAʻole hoʻonāukiuki nā kumu kūlohelohe, nā koho nohona, a i ʻole ke kaumaha i ka polycythemia vera. Hana wale ka mutation ma ke ʻano he mea kūlohelohe o nā hanana kelepona e hiki ke hana i ko mākou wā ʻelemakule.
Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā ʻoe e ʻike ana i nā hōʻailona mau ʻaʻole i loaʻa ka wehewehe maopopo. He mea nui loa kēia inā loaʻa iā ʻoe kekahi mau hōʻailona i hui pū ʻia, e like me ka luhi mau i hui pū ʻia me nā poʻo ʻeha a me ka ʻili ʻili.
E makaʻala nui i nā hōʻailona e hoʻopilikia ana i kou ola i kēlā me kēia lā a i ʻole e like me ka ʻoi aku ka ʻino ma mua o ka manawa. Inā ʻoe e manaʻo nei i ka luhi maʻamau no nā hebedoma, loaʻa nā poʻo ʻeha pinepine, a i ʻike paha ʻoe e ʻili nui kou ʻili ma hope o nā ʻauʻau mahana, pono kēia i ka kamaʻilio ʻana me kāu mea hoʻolako olakino.
E ʻimi i ka mālama olakino koke inā ʻoe e ʻike ana i ka ʻeha umauma, ka hanu pōkole nui, nā poʻo ʻeha nui koke, a i ʻole nā hōʻailona o kahi clot koko e like me ka ʻeha wāwae a me ka pehu koke. Hiki i kēia ke hōʻike i nā pilikia nui e pono ai ka mālama koke.
Mai kali inā loaʻa iā ʻoe nā loli ʻike, ka huikau, a i ʻole nā hōʻailona o ka hahau e like me ka nāwaliwali koke ma kekahi ʻaoʻao o kou kino. ʻOiai he mea liʻiliʻi kēia, hiki i ke koko mānoanoa i ka polycythemia vera ke alakaʻi i nā pilikia kahe koko e pono ai ka mālama pilikia.
Ke hoʻomaopopo nei i ka mea e ʻoi aku ka nui o ka loaʻa ʻana o ka polycythemia vera hiki ke kōkua i ka hoʻokau i kou kūlana i ka manaʻo. Eia naʻe, e hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ke kūlana, a ʻaʻole ka loaʻa ʻole o lākou e hōʻoia ʻaʻole ʻoe e loaʻa.
ʻO nā mea pilikia nui e komo pū ana:
ʻO ka makahiki ka mea pilikia ikaika loa, me ka nui o nā kānaka i ʻike ʻia ma waena o nā makahiki 50 a me 75. He mea maʻamau loa ke kūlana i nā kānaka ma lalo o 40, ʻoiai hiki ke hana i nā mākua ʻōpio a hiki i ka manawa liʻiliʻi, i nā keiki.
ʻIke ʻia ka liʻiliʻi o ka hoʻonui ʻia o ka pilikia i nā kānaka o ka mōʻaukala Iudaio e pili ana i nā kumu kino, akā hiki i ke kūlana ke hoʻopili i nā kānaka o kēlā me kēia lāhui. Hiki mai ka pilina radiation mai nā haʻawina o nā kānaka i hōʻike ʻia i nā pōkā atomic a i ʻole nā uaki nuklea, akā ʻaʻole hoʻonui nā X-ray a i ʻole nā CT scan maʻamau i kou pilikia.
ʻO ka mea nui loa, ʻaʻole loaʻa ka hapa nui o nā kānaka me kēia mau mea pilikia i ka polycythemia vera. Ke noho nei ke kūlana i ka maʻamau loa, e hoʻopili ana i 2 wale nō i kēlā me kēia 100,000 kānaka.
ʻOiai hiki ke hoʻokele ʻia ka polycythemia vera me ka mālama pono, he mea nui e hoʻomaopopo i nā pilikia hiki ke loaʻa iā ʻoe ke hana pū me kāu kauka e pale aku iā lākou. Hiki i ke koko mānoanoa a me nā pūnaewele koko keu ke alakaʻi i nā pilikia me ke kahe koko a me ke clot koko.
ʻO nā pilikia maʻamau e komo pū ana:
ʻO nā clot koko ka mea hopohopo nui loa no ka mea ʻaʻole kahe maikaʻi ke koko mānoanoa ma o kou mau kīʻaha koko. Hiki i kēia mau clot ke hana i kou mau wāwae, nā māmā, a i ʻole nā mea nui ʻē aʻe. ʻO ia ke kumu e manaʻo ai kāu kauka i nā lapaʻau e hoʻonāwaliwali i kou koko a hoʻemi i ka nui o nā pūnaewele koko ʻulaʻula.
ʻO ka mea hoihoi, ʻike kekahi poʻe me ka polycythemia vera i nā pilikia kahe koko. Me he mea lā he mea kūʻē kēia, akā hana ia no ka mea ʻaʻole hana pono nā platelets keu. Hiki iā ʻoe ke ʻike e ʻūlū maʻalahi ʻoe a i ʻole ke kahe lōʻihi o nā ʻoki liʻiliʻi ma mua o ka mea i manaʻo ʻia.
I nā hihia maʻamau, hiki i ka polycythemia vera ke holomua i nā maʻi koko koʻikoʻi e like me ka myelofibrosis a i ʻole ka leukemia ʻoi aku. Hana kēia ma lalo o 20% o nā hihia a lawe pinepine i nā makahiki he nui. Kōkua ka nānā mau i kāu kauka e hopu i nā loli koke.
Hoʻomaka ka ʻike ʻana i ka polycythemia vera me nā hoʻokolohua koko e hōʻike ana he nui nā pūnaewele koko ʻulaʻula. E nānā kāu kauka i kāu hematocrit (ka pakeneka o nā pūnaewele koko ʻulaʻula i loko o kou koko) a me nā pae hemoglobin. I ka polycythemia vera, ʻoi aku ka kiʻekiʻe o kēia mau helu ma mua o ka maʻamau.
ʻO ka hoʻokolohua ʻike nui e ʻimi ana i ka mutation JAK2 i loko o kou mau pūnaewele koko. ʻOiai ma kahi o 95% o nā kānaka me ka polycythemia vera i kēia loli kino kūikawā, ʻo ka loaʻa ʻana o ia mea e kōkua i ka hōʻoia ʻana i ka ʻike. Inā he maikaʻi ʻole ka hoʻokolohua JAK2, hiki i kāu kauka ke hoʻokolohua no nā mutation ʻē aʻe e like me CALR a i ʻole MPL.
Makemake pū kāu kauka e kāpae i nā kumu ʻē aʻe o nā helu pūnaewele koko ʻulaʻula kiʻekiʻe. Hiki i kēia ke komo pū me nā hoʻokolohua e nānā i kou mau pae oxygen, hana kidney, a me nā kūlana ʻē aʻe e hiki ke hoʻokumu i kou kino e hana i nā pūnaewele koko ʻulaʻula keu. I kekahi manawa, komo kēia i nā hoʻokolohua koko hou a i ʻole nā haʻawina kiʻi.
Hiki ke manaʻo ʻia kahi biopsy iwi kuamoʻo i kekahi mau hihia, ʻoi aku inā pono i kāu kauka ka ʻike hou aku e pili ana i nā mea e hana nei i kou iwi kuamoʻo. ʻOiai ke kani nei kēia i ka hopohopo, maʻamau ia e hana ʻia ma ke ʻano he hana ma waho me ka anesthesia kūloko a hāʻawi i ka ʻike waiwai no ka hoʻolālā ʻana i kāu lapaʻau.
Hoʻomaʻamaʻa ka lapaʻau no ka polycythemia vera i ka hoʻemi ʻana i kāu helu pūnaewele koko ʻulaʻula a me ka pale ʻana i nā pilikia. ʻO ka lono maikaʻi, me ka hoʻokele pono, hiki i ka hapa nui o nā kānaka me kēia kūlana ke ola i nā ola maʻamau a hana nui. E hoʻopilikino ʻia kāu hoʻolālā lapaʻau i kāu kūlana kūikawā, makahiki, a me nā mea pilikia.
ʻO nā ala lapaʻau nui e komo pū ana:
ʻO ka Phlebotomy pinepine ka lapaʻau mua āu e manaʻo ai kāu kauka. Hoʻokomo kēia i ka lawe ʻana i kahi paina o ke koko i kēlā me kēia mau pule a i ʻole mau mahina paha, e like me ka hāʻawi ʻana i ke koko. He kaʻina hana maʻalahi a palekana ia e hoʻemi pololei i ka nui o nā pūnaewele koko ʻulaʻula i loko o kou ʻōnaehana a kōkua i ka hoʻonāwaliwali ʻana i kou koko.
Hoʻopaʻa pinepine ʻia ka aspirin haʻahaʻa no ka mea kōkua ia i ka pale ʻana i nā clot koko ma ka hana ʻana i kāu mau platelets i ʻoi aku ka liʻiliʻi o ka pipili. E hoʻoholo kāu kauka inā kūpono kēia no ʻoe ma muli o kou pilikia kahe koko a me nā kūlana olakino ʻē aʻe.
Inā ʻaʻole lawa ka phlebotomy wale nō, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me ka hydroxyurea a i ʻole interferon. Kōkua kēia mau lāʻau i ka hoʻomāmā ʻana i ka hana ʻana o kou iwi kuamoʻo i nā pūnaewele koko. Hiki ke manaʻo ʻia nā lāʻau hou e like me ruxolitinib inā ʻaʻole hana maikaʻi nā lapaʻau ʻē aʻe a i ʻole inā loaʻa iā ʻoe nā hōʻailona nui.
ʻO ka hoʻokele ʻana i ka polycythemia vera ma ka home e komo pū ana i ka hana ʻana i kekahi mau hoʻoponopono nohona e hiki ke kōkua iā ʻoe e ʻike maikaʻi a hoʻemi i kou pilikia o nā pilikia. Hana kēia mau loli me kāu lapaʻau lapaʻau e hāʻawi iā ʻoe i nā hopena maikaʻi loa.
He mea nui ka noho wai maikaʻi no ka mea kōkua ia i ka pale ʻana i kou koko mai ka mānoanoa loa. E pahuhopu no ka liʻiliʻi o 8 mau aniani wai i kēlā me kēia lā, a inu hou aku inā ʻoe e hana nui a i ka wā mahana. E pale i ka maloʻo ʻana mai ka inu nui o ka waiʻona a i ʻole ka caffeine.
Hiki i ka hoʻoikaika kino maʻamau a maʻalahi ke kōkua i ka hoʻomaikaʻi ʻana i kou kahe koko a me kou olakino holoʻokoʻa. ʻO ka hele wāwae, ka ʻauʻau, a i ʻole ka yoga mālie nā koho maikaʻi loa. Eia naʻe, e pale i nā hana me ka pilikia kiʻekiʻe o ka hōʻeha no ka mea hiki iā ʻoe ke kahe koko maʻalahi. E nīnau mau i kāu kauka ma mua o ka hoʻomaka ʻana i kahi papahana hoʻoikaika kino hou.
E makaʻala i kou ʻili, ʻoi aku hoʻi ka ʻili ʻili e maʻamau me kēia kūlana. Hiki i ka ʻauʻau ʻana i ka wai mahana ma mua o ka wai wela ke kōkua i ka hoʻemi ʻana i ka ʻili ʻili. ʻIke kekahi poʻe i ka hoʻopili ʻana i ka moisturizer ʻoiai ua pulu ko lākou ʻili, a hiki i ka pale ʻana i nā kopa ʻino ke hana i kahi ʻokoʻa.
E mālama i kāu mau hōʻailona a me nā loli āu e ʻike ai. Kōkua kēia ʻike i kāu hui olakino e hoʻoponopono i kāu lapaʻau e like me ka pono. Mai kānalua e hoʻokaʻaʻike i kāu kauka inā ʻoe e ʻike i nā hōʻailona hou a i ʻole inā ʻoi aku ka ʻino o nā mea i loaʻa.
ʻO ka hoʻomākaukau ʻana no kāu hālāwai e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea maikaʻi loa mai kou manawa me kāu mea hoʻolako olakino. ʻO ka hele ʻana i ka hoʻonohonoho ʻana me nā nīnau a me ka ʻike e hana i ka huakaʻi ʻoi aku ka hua a kōkua i kāu kauka e hāʻawi i ka mālama maikaʻi.
Ma mua o kāu hālāwai, e kākau i kāu mau hōʻailona āpau, ʻoiai inā me he mea lā ʻaʻole pili. E komo pū i ka wā i hoʻomaka ai lākou, pehea ka pinepine o ka hana ʻana, a he aha ka mea e hoʻomaikaʻi ai a ʻoi aku ka ʻino paha. Hāʻawi kēia i kāu kauka i kahi kiʻi piha o ke ʻano o kou manaʻo.
E lawe mai i kahi papa inoa piha o nā lāʻau āpau āu e lawe nei, me nā lāʻau lapaʻau ma luna o ka papa kūʻai, nā huaora, a me nā mea hoʻohui. Hiki i kekahi mau lāʻau ke hoʻopilikia i kāu mau helu koko a i ʻole ka launa pū ʻana me nā lapaʻau no ka polycythemia vera, no laila he mea nui kēia ʻike.
E hoʻomākaukau i nā nīnau e pili ana i kou kūlana a me nā koho lapaʻau. Hiki iā ʻoe ke nīnau e pili ana i ka mea e manaʻo ai, pehea ka hoʻopili ʻana o ka lapaʻau i kou ola i kēlā me kēia lā, a i ʻole nā hōʻailona e pono ai ka nānā koke. ʻO ka kākau ʻana i kēia mau mea e hōʻoia ʻaʻole ʻoe e poina i nā nīnau nui i ka wā hālāwai.
E noʻonoʻo e lawe mai i kahi lālā ʻohana a i ʻole hoaaloha i kāu hālāwai. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike i kūkākūkā ʻia a hāʻawi i ke kākoʻo. Hiki ke kōkua nui ka loaʻa ʻana o kekahi i laila ke aʻo nei ʻoe e pili ana i kahi ʻike hou a i ʻole ka hoʻolālā lapaʻau.
ʻO ka polycythemia vera kahi kūlana hiki ke hoʻokele ʻia i ola nui nā kānaka me ia no nā makahiki he nui. ʻOiai pono ia i ka mālama olakino mau a me ka nānā ʻana, hiki i ka hapa nui o nā kānaka me kēia kūlana ke hoʻomau i ka hana, ka huakaʻi, a me ka leʻaleʻa i kā lākou mau hana maʻamau me ka lapaʻau pono.
ʻO ka mea nui loa e hoʻomanaʻo ai ʻo ka ʻike mua ʻana a me ka lapaʻau mau e hana i kahi ʻokoʻa nui i kou olakino lōʻihi. ʻO ka hana pili me kāu hui olakino a me ka hahai ʻana i kāu hoʻolālā lapaʻau e kōkua i ka pale ʻana i nā pilikia a mālama iā ʻoe e manaʻo maikaʻi.
Mai ʻae i kēia ʻike e hoʻomaopopo a i ʻole e kaupalena iā ʻoe. Me nā lapaʻau a me nā ʻenehana nānā o kēia lā, loaʻa pinepine i nā kānaka me ka polycythemia vera ka maikaʻi o ke ola. E noʻonoʻo, e hahai i kāu hoʻolālā lapaʻau, a mālama i ka kamaʻilio ākea me kāu mau mea hoʻolako olakino.
E hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o ka polycythemia vera he manaʻo ʻoe he nāwaliwali a pono ʻoe e ola i ka makaʻu. ʻO ia wale nō ka manaʻo he kūlana pono e hoʻokele ʻia, e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe. Me ke ala kūpono, hiki iā ʻoe ke hoʻomau i ka ola piha a hana nui.
ʻAe, ua hoʻokomo ʻia ka polycythemia vera ma ke ʻano he ʻano o ka maʻi koko, akā ʻokoʻa loa ia mai ka mea i manaʻo nui ʻia e ka hapa nui o nā kānaka he maʻi. He kūlana ulu mālie ia e liʻiliʻi loa ka pālahalaha ʻana i nā ʻāpana ʻē aʻe o kou kino. Me ka lapaʻau pono, ola ka hapa nui o nā kānaka me ka polycythemia vera i nā ola maʻamau a mālama i ka maikaʻi o ke ola. Hiki i ka huaʻōlelo "maʻi" ke hopohopo, akā ʻoi aku ka hoʻokele ʻana o kēia kūlana ma mua o nā maʻi ʻino.
I kēia manawa, ʻaʻohe lāʻau lapaʻau no ka polycythemia vera, akā hiki ke mālama ʻia a hoʻokele ʻia. Ola ka hapa nui o nā kānaka me kēia kūlana no nā makahiki he nui me ka ʻole o ka hoʻopilikia nui ʻana i ko lākou ola i kēlā me kēia lā. Hoʻomaʻamaʻa nā lapaʻau i ka kaohi ʻana i nā hōʻailona, ka pale ʻana i nā pilikia, a me ka mālama ʻana i kou maikaʻi o ke ola. Ke hoʻomau nei ka noiʻi i nā lapaʻau hou, a ola nui nā kānaka me ka polycythemia vera i nā ola maʻamau me ka mālama olakino pono.
Pono ka hapa nui o nā kānaka me ka polycythemia vera i kekahi ʻano o ka lapaʻau mau, akā hiki ke loli ke alapine a me ke ʻano ma mua o ka manawa. Pono kekahi poʻe i ka phlebotomy maʻamau i ko lākou ola, ʻoiai hiki i kekahi ke hoʻokele me nā lāʻau lapaʻau wale nō. E hoʻoponopono ʻia kāu hoʻolālā lapaʻau ma muli o ke ʻano o ka hoʻokele ʻana i kāu mau helu koko a me ke ʻano o kou manaʻo. ʻIke nui nā kānaka e lilo nā lapaʻau i mea liʻiliʻi ke hoʻokele maikaʻi ʻia ko lākou kūlana.
Hiki i nā kānaka he nui me ka polycythemia vera ke loaʻa nā keiki, akā pono ka hāpai ʻana i ka nānā a me ka mālama kūikawā. Hiki i ke kūlana ke hoʻonui i ka pilikia o nā clot koko a me nā pilikia ʻē aʻe i ka wā hāpai, no laila pono ʻoe i ka hana pili ma waena o kāu hematologist a me ka obstetrician. Pono kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ka polycythemia vera e hoʻopau ʻia i ka wā hāpai, akā loaʻa nā lapaʻau ʻē aʻe. ʻO ka hoʻolālā mua a me ka hana pū ʻana me nā mea hoʻolako olakino akamai ka mea nui.
I ka hoʻomaka, pono paha ʻoe i nā hoʻokolohua koko i kēlā me kēia mau pule e nānā i ke ʻano o ka hana ʻana o kāu lapaʻau. Ke kūpaʻa kāu mau helu koko, hiki ke hana ʻia ka hoʻokolohua i kēlā me kēia mau mahina. ʻIke ka hapa nui o nā kānaka i kā lākou hematologist i kēlā me kēia 3-6 mau mahina no nā nānā maʻamau, ʻoiai hiki ke loli kēia ma muli o kāu kūlana kūikawā. He mea nui ka nānā mau ʻana no ka hopu ʻana i nā loli koke a me ka hoʻoponopono ʻana i ka lapaʻau e like me ka pono. Ma hope o ka manawa, ʻike nui nā kānaka e lilo kā lākou mau hālāwai i mea maʻamau a emi pinepine.
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