Ola kino, Maʻi a me nā kūlana
I ka papa kuhikuhiE symptoms o cirrhosis. Lapaʻau o cirrhosis
Cirrhosis - he nui e holumua ai maʻi. Ma ke ola i ke ana o ke kino i ka lepaʻano-eleele waihoʻoluʻu. I loko o ka maʻi i yellow. I ake cirrhosis changeover ia lŘlŘ. E like me ka hopena, ola aeee i ka heluna kānaka, a i UAIAaIN e me ka makaʻu no'aʻaʻa. E like me ka hopena - hana wāwahiʻia o keia kino, e hoʻomōhala ana i ake e loaa a me ka puka hypertension.
Kind cirrhosis
Mea Maluna i wahi ma luna o ka etiology o cirrhosis (ke kumu maʻi) a me ka morphology (mawaho ano). Ke kaumaha ma muli o ka nui o nā aka wahi ia mea:
- CKD (anawaena 3 mm);
- SKD (ma 3 mm);
- hui (me ka okoa ka ho aka wahi).
Ke kaumaha ma muli o ka etiology a me ka morphology o cirrhosis ua maheleia i:
- waiʻona;
- biliary (ma stagnation o bile i loko o ke ake);
- compensated;
- Postnecrotic;
- decompensated;
- Ka nū;
- pigmentosa.
Common symptoms o ke ake cirrhosis
Symptoms o cirrhosis hilinaʻi nui ma luna o ke kahua o ka maʻi. Ma ka loiloi mua (Class A) complications nae. 'O kēia ka pono manawa e hoʻopau i ke kumu o ka maʻi. I loko o kēia wā, e hiki ke malama i ke ake, a hoʻomau i alakai i ka maʻamau ke ola, no ka mea, i ke kino, ua nui e noho kūpono.
Ma holomua cirrhosis complications hoʻomaka (papa B a me C). Ka opu Hoʻonui i ka pono, he mau loli ma ka hana a me ka ike paka i. Omaka kahe ana ke koko nui aʻe ana a me ka ihu. Symptoms o cirrhosis i loko o na wahine - umauma hoʻonui (gineskomastiya) a me ka cessation o menstruation.
Akaka luhi, kaumaha poho, ma kahi ākea, ao sleepiness, Kanikani'āʻula. Loss o kona'ōpū. Ma ka'ōpū i ka manao o ka bloating. Ulu ka jaundice. Feces a me ka mimi mea maʻamau waihoʻoluʻu loli. Pehu wāwae, a hoʻomaka abdominal eha.
Ke abdomen Ua hoʻonui wai. Aia nā mea koʻohune nā mea palahēhē. Ehaeha pinepine headaches. Symptoms o cirrhosis i loko o nā kānaka: hapa 'ia' ole loa ke kino libido a maoli he umauma Ka maʻi 'aʻai. Hair hoʻomaka e hāʻule i loko o ka armpit a me ka pubic wahi.
I ake cirrhosis, piʻi pū paha, conversely, emi. Ma kekahiʻano, e lilo denser. Mahuahua spleen nui. Aia i na hoailona o ka jaundice a me ka puka hypertension. Pinepine aia no he hoopaa hoi, a aching kaʻeha ma ke akepaʻa wahi. Ua lilo ikaika ma hope o physical ka hana 'ole ma ka' aʻe 'ana i kaʻai.
Ikea itchy ili, nausea, a me ka luaʻi. O Nyos noho (diarrhea ole constipation). Mawaho hoailona - e vascular "hoku", kauluwela ka o ka poho. 'Ōlelo i ulaula.
Lapaʻau o cirrhosis
Cirrhosis hiki ole ke ola loa, akā, ka mea hiki ke 'ūlōlohi mai ana iloko o na kuʻina kakahiaka nui o ka maʻi. Me ka e holumua ai a me ka holomua hihia o ka 'inikua pono' i nona ma ka wehe 'ana o kaʻawaʻawa loa symptoms a me complications.
Ke kumu o ka iapaau ana o ka cirrhosis nā pākōlea ana:
- ʻai;
- diuretics;
- Antiviral Inc;
- glucocorticoid hormones;
- ai 'i lalo ke koko, i loko o ka nū āpana ( "Nitrosorbide" "Inderal");
- gepatoprotektory maluhia ake aeee ( "Ademethionine" "Silymarin");
- plasmapheresis;
- huʻi exacerbations o cirrhosis pono hospitalization.
Maʻoki lāʻau lapaʻau lapaau hana punctures ka abdominal wahi e wehe i loaa loli. I holo alaʻokoʻa hana (hana hou mau alahele no ke koko pele). A i 'ole paka i ke akepaʻa transplant.
Lapaʻau o cirrhosis leeches
Cirrhosis iapaau ana me leeches ua paipaiʻia, akā, ua hoʻohana 'ia ma lalo o' inikua hooponopono wale. No ka mea pono, e mau kanaka hoʻoponopono i ke kūlana o ka hoʻomanawanui ka koko a me symptoms o cirrhosis. Ka mua i ka iapaau ana ua hoomaka, o ka pono, e ia i ka hopena.
No hookahi ke kaʻina hana no ua koi 'ia mai ka 4 a hiki i 8 leeches. Holo nōhie, ka mea, ua mahele ia i loko o kekahi mau mea pākuʻi. A pau hoʻomaka e leech keiki omowaiu noa, ka mea, e weheʻia. i lawe mai kēia mau kaʻina hana palua i ka pule. A laila, i kekahi kau ahaolelo kela 7 lā. A pau häʻawi mai ai iä 12 kūlana kanaka.
e paa hai nā papa maʻanuʻu o 2-3 mahina. Ka huina papa o ka lapaʻau Ua lōʻihi. Nolaila, Pono e komo i kaʻai o ka hoʻomanawanuiʻai me ka kiʻekiʻe hao maʻiʻo (koe wale no kaʻai).
ka puka cirrhosis
Komo Nā cirrhosis - ka loa e like me ka ano o ka maʻi. Nā kumu ke e hepatitis, circulatory kāna hana, ka waiʻona a me ka poe ilihune digestion. Loliʻaneʻane ke akepaʻa holoʻokoʻa. Loa pinepine i ka maʻi susceptible kānaka ma hope o 40 makahiki.
Ka mua symptoms o cirrhosis - i ka nawaliwali, a me ka nausea. Ma o ka wahi o ka'ōpū, he meaʻawaʻawa loa ka waiʻona ma ke. Hiki hoʻomaka constipation paha diarrhea. Inā ka cirrhosis i kauoha ia e ka alcoholism, hoemiia wahine holo. Kekahi yellow mucous membranes a me ka ili.
Ka loa ano symptom - ke ano o ka luna kino a me ka abdomen punawelewele, aa koko, ulaula ke kala o na manamana a me nā poho lima. Ka poʻe abdominal loli hoʻomaka e loaa. Pinepine ulu gastritis.
Symptoms o ke akepaa cirrhosis i loko o ke kakahiaka nui kuʻina - o ke oolea a me ka eha ma ka akau maluna quadrant, lilo o ka ikaika loa ka makemake, koʻikoʻi nausea. Aia i Kanikani'āʻula, luhi, a me ka 'aʻe' ana o ka noho. Ke kiʻekiʻe, ka mea ake ka olelo hoopomaikai, E hoomahuahua oe i ka nui. Pehu wawae, na mawae, a keʻokeʻo Auana e ikeia ma ke alelo.
Aia he ekolu kahua o ka hoʻonaʻauao o ka cirrhosis. Symptoms i mua - mea ia e mahuahua. Ma ka lua o ka mea ku ole, ka mea emi. A ma luna o ke kolu o ka mea, lilo loa ka poe liilii, a me ke kaumaha o ia ka hoʻopā.
Iapaau ana mai o ka puka cirrhosis
Ma ka iapaau ana o ka puka cirrhosis hoomanawanui pono moe koena. Kekahi physical ha awina e e hoʻokoe '. Lapaʻau o cirrhosis ua pahuna kuhikuhi ma ke kāpaeʻana i nā kumu o ka maʻi. A no hoi, e pale aku complications i e alaʻe oia.
Ma ka iapaau ana o cirrhosis o ka nū E e loa e haawi i ka waiʻona. 'O kēia kekahi o nā kumu kumu o ka maʻi. He mea pono e hoʻomaʻemaʻe i ka akepaʻa.
Inā na ka puka cirrhosis, kena ae la no i ka hepatitis, lapaʻau E e pahuna kuhikuhi i ka paioʻana ia. Pono ke hoʻokoe 'ia ai', e hāʻawi aku complications ma ke akepaʻa.
He pono e malama i ka ikaikaʻai. Ke hoʻokoe 'ia mai i kaʻai o ka spicy, momoma a me ka palaiʻai. pono e hoemi ana i ka palena iki nui o ka laeʻula i. Ua ua hiki ole e hoʻohana canned, paka huahana a me sausages. Mai kaʻai mea pono e hookaawale ia kokoleka, kālika, nā komako a me kā lākou mau wai, Fish. ka paʻakaiʻai ana mea i makemake loa ia kń.
Paipai i kaʻai i kekahiʻano o kaʻai Nā Kopa me zazharki. Kekahi cereal, legumes a me kiliala. Haleʻuwī waiū haʻahaʻa-momona ai, hoolapalapaia moa, Tureke a me ka 'Olu. Oe Pono eʻai Mele a me crackers.
Meaʻai e ia 5-6 manawa i ka lā. Akā, ma ka liʻiliʻi'āpana. I ka Ia manawa i loko o kaʻaiʻoe e inu lāʻau lapaʻau kī, ake 'āhewa' ana. I ka wa i hookohuia ana ai 'gepatoprotektory mea kanu. ke akepaʻa'aʻaʻa ka mea, hoomalu a me kona kuleana pili i hoʻihoʻi aku.
A, e ia diuretics, a me ka, i ka hoʻomaʻemaʻe edema alakai mai, mai ke kino o ka hoʻonui oi loli. Like pono me ai ', ka noʻonoʻo symptoms o cirrhosis.
Inā keia aole i ke kōkua,ʻoki kino ua hoʻohana. A produces he ake transplant. No ka iapaau ana o ka puka cirrhosis e e ulu aoao o ka hoʻohana 'ana i anei i keena.
Postnecrotic cirrhosis
Postnecrotic cirrhosis mea i kekahi 'ano, he pono ole ke ano o ka maʻi. Loa pinepine hōʻike ma hope o mea hoʻomaʻi hepatitis a me ka waiʻona hainā. Ma ka liʻiliʻi loa - ma hope o make kaʻapu kōheoheo o kekahi ai ', huʻi infectious maʻi. I ka postnecrotic cirrhosis hoʻomaka make o ke akepaʻa'aʻaʻa. Aia i na scars, disruptive a me kino shape.
Symptoms o cirrhosis o ke akepaʻa ma ka kakahiaka nui ke kahua e hōʻike dramatically. Emo ole hoomaka e hana ino i ka opu, i diarrhea a me ka luaʻi. Mucous membranes a me ka ili huli yellow. Ke akepaʻa Ua hoomahuahua ia ka nui. A hiki aku i ka manao ka eha. Nausea, poho o ka ikaika loa ka makemake a me ke kaumaha.
I ka exacerbation hoomaka ka ohane, kahaha nui o ka mahuahua ana wela. Feces i haikea a me ka pouli mimi. Eia kahi mea akaka ascites, anaemia, naʻau ole. Employability ua dramatically hoemiia. He He pilikia loa ke ano o ka cirrhosis, e like me ka mea e hookomo ana ake maʻi 'aʻai. Lethal hoʻokūkū kānāwai ma kekahi kahua o ka maʻi.
Lapaʻau postnecrotic cirrhosis
Lapaʻau ua pahuna ma postnecrotic cirrhosis complications i kupu mai, mai ka puka hypertension. First ascites. Keʻai hoemiia ke kumuʻiʻo maʻiʻo. Pale ia ai 'hoʻonāukiuki hepatic coma. Inā he mea kekahi e pono - paa antimicrobial Inc.
Inā complications i ole malama, ka mea i lawa i ka papa'āweʻaweʻa kemika ka nānā 'ana a me ka mālamaʻana o nā mea maʻi. Inā cirrhosis e hoʻomōhala ana i ka maʻi i mea e like ia i hana (ina ia mea amenable ke Inc).
kanakaʻona mau cirrhosis
Kekahi mea e like me ka ano o ka maʻi - kanakaʻona mau cirrhosis. hiki e haʻi Symptoms o ka ia, a me kekahi manawa,ʻaʻole i nā mea a pau no ka lōʻihi manawa. Ka mea ikeia o ke kaumaha ma muli o ka degere o ke akepaʻa ka pōʻino. Aia i ekolu kahua o ka hoʻonaʻauao.
- Uku. Cirrhosis Ua kokoke malaila akā, E hoomahuahua auanei akepaʻa. I kekahi manawa ka mea, eʻikea ia ma ke hōʻemi iki nausea. Aia ka he mau nawaliwali ma ke kino a me ka luhi.
- Subindemnification. Deteriorating ikaika loa ka makemake ua ikaika hoemiia kino ke kaupaonaʻana, nausea a me ka luaʻi.
- Decompensation. Full depletion o ke kino, e hoʻomaka ana ake ole a me ka jaundice. Aia nō a pau complications o ka cirrhosis a me ka puka hypertension. Ke abdominal lua accumulates loli (ascites). He mea hiki ole ke hana. Ua loaʻa he mahuahua kahe ana ke koko. Aia paha e bouts o delirium. Pinepine ka mea, he hou mea koʻohune maʻiʻaʻai. Ma nā mea a pau nā mea maʻi, he mea hepatomegaly, he hapa - splenomegaly.
I ka holo pono kanakaʻona mau cirrhosis, ao alohilohi i na hoailona a me symptoms a externally. Aia ihu mailaila aku na moku. Parotid glands me ka nui loa i loko o mahuahua nui. Lehalehu t hiʻona e puffy.
No ka mea, o ka hopena o ka ethanol kaʻina kānāwai i na hui, ka pōʻino. E ikeia neuritis, pancreatitis, mastopathy, encephalopathy a me nā maʻi. Aia ka atrophy o na nāʻiʻo, pakahi aku la ia i loko o ka'ūhā mua kaei.
Iapaau ana o kanakaʻona mau cirrhosis
e loaʻa hou aku ma mua o nā wāhine pinepine Symptoms o ke akepaʻa cirrhosis i loko o nā kānaka. No ka waiʻona i ke hoʻohana hou "ikaika hapalua". I kanakaʻona mau cirrhosis, kuhikuhi e paa ana ia i mea kamaʻilio, oiai i ka hoʻomanawanui ua like no ka pakele o ka ino pili.
A laila, hāʻawi i ka kūikawāʻai. Loa ia'na o ke akepaa keena, i keia manawa, UAIAaIN e fibrous'aʻaʻa, hiki ole ke ola. Nolaila, lapaʻau ua pahuna i ka poe i nō hana i ka loli iki ana degere. Inā pono pili antiviral lapaau.
Inā he mea withdrawal, laila, hoʻohana kiaha dala a me ka hou ana ka wai-electrolyte koena. I ka complications o kanakaʻona mau cirrhosis hepatic encephalopathy waeia glyukokortisteroidy papa o 30 lā. A me ursodeoxycholicʻakika, a ua ālai 'aeea ka make, a ua Anati-hoʻoʻino hopena.
Like antioxidants hoʻohana bile nāʻakika, a me ka wikamina E. Ua pono no ka ka hanaʻana o ka ethanol ma a he oi accumulates ma ke akepaʻa, i loko o kanakaʻona mau cirrhosis.
Biliary cirrhosis
Biliary cirrhosis Ua emi, he pono ole ma mua o ka luna-i ho'ākāka 'ia shape. He He ano kahi hehi i ka kona kuleana pili i a me ka 'ole. No o ka hoopau ana o ka outflow o ke au, a me ka loli i loko o ka 'ole o kona ducts.
I ka maʻi i na ano like biliary cirrhosis, symptoms a me na kumu i keia manawa aole i hiki maopopo hoomaopopo. Ua Ua manaoio ia ia i hoʻomaka ma muli o ia i ka aaiaoe predisposition. A me kekahi ma ka 'aʻe' ana e hoʻonele a maʻiʻaʻai. Biliary cirrhosis ua maheleia i iniiaiie a me nā haumāna.
N biliary cirrhosis
Me na ano like iniiaiie biliary cirrhosis, symptoms a me na hoailona ulu i nā. Man pinepine no ka lōʻihi manawa i ole e ike e pili ana i ka maʻi. A me kona ano no ka lōʻihi manawa e noho lanakila ia. Aia nō nā kahua o ka hoʻonaʻauao.
Ma kekahi kakahiaka nui hoʻomaka 'maneo. Eia hoʻi, i kēia hiʻona mea akaka loa ma mua o ka jaundice. Kēia symptom mea mamua o kona, mai na malama eono a hiki i 1.5 makahiki. Akā, i kekahi manawa, a me ka maneo jaundice ana ka poʻe. Eia kahi mea akaka luhi, loa nawaliwali, kaumaha, drowsiness.
Ma ka hopena o ke kahua o ka maʻi like iniiaiie cirrhosis, symptoms hōʻike maopopo. ascites ia lŘlŘ. A me keia mea i ka mua hoailona o ke akepaʻa ole. Hou vascular "hoku", encephalopathy. Kekahi - xanthomas a me xanthelasma (plaques puni na maka). A hapaha o na nā mea maʻi akaka ili hyperpigmentation.
Lapaʻau o iniiaiie biliary cirrhosis
Lapaʻau o biliary cirrhosis ua muli i hoemi i ka nui o nā symptoms a me ka meheu o ka Holomua o ka maʻi. Hua mai la i Inc ikeia'ku complications a me Kāohiʻana o ko lākou mau hanana.
Mua o nā mea a pau ke hoʻomanawanui, e haawi aku i nā mea a pau hoʻi i ka hewaʻano a me ka lawe lapaʻauʻia e luku aku i ke akepaʻa. Ka nele no ka kānanaʻai a me ka hoʻokō 'ia o ka lole. Iloko o ka iapaau ana o ka cirrhosis lapaau ana ka poʻe a pau nā infectious maʻi maʻi.
Inā hana vocal 'uao (kahua niho ke kaʻina hana, etc.), laila antibiotics e pale maʻiʻaʻai. N biliary cirrhosis, na symptoms o i peʻahiʻana i ka hoʻololi ma dekompensatsionnuyu ke kahua pono moe e maha ai, a ma-hoʻomanawanui lapaau. Contraindicated physiotherapy haʻawina hoʻonaʻauao e ho'āʻo ai a me ka balneotherapy.
I ka wā o ka uku pono e 'O ke kaulikeʻai, a me kaʻai helu 5. A encephalopathy iloko Pono e emi i ke kiʻekiʻe o ke kumuʻiʻo. Inā ua ascites - e hookaawale, mai kaʻai o ka paakai. Nele ka neʻe aku physical hana haawe ana, a ma haahaa ana wela. Ua pono i ka helu o ka hele ana a me ka kekahi kime pāʻani kino.
Part ai 'hoʻokoe': kekahi mauʻano o nā antibiotics, aminoglycosides a me nonsteroidal Agena ka antiinflammatory hana. pili:
- immunosuppressives;
- glucocorticoids (i loko o ka palena haʻahaʻa nā māhele);
- ursodeoxycholicʻakika;
- D-penicillamine;
- antihistamines.
Inā ka hoʻomanawanui ua hoʻomaka 'ana i ka hope ke kahua, a hele mai i ka cirrhosis, na hoailona a me symptoms maopopo iho la i ka hōʻike i ka pono no kaʻoki lāʻau lapaʻau' uao. No ka laʻana, he nihinihi hiki mahuahua i ake ole. Ma keia hihia, ke hoʻomanawanui hiki ke hoolaia wale i ake transplant. Ka hapanui o kanaka ma hope o ia i ka hana, ke ola aneane 10 makahiki. Relapse ma hope transplantation i malama wale nō i loko o 15% o nā mea maʻi.
Secondary biliary cirrhosis
Secondary biliary cirrhosis e hoʻomōhala ana i loko o ka helehelena a piha iaʻi kuamoʻo outputting bile. Women e ae mai ia i na manawa elua i pinepine i na kanaka. IeAUPIIe, IAa IO ka mea, he haumāna palapala ma hope oʻoki kino, e wehe i ka gallbladder, he lōʻihi maʻi pancreatitis pahaʻeho.
Ma ia he maʻi like kiʻekiʻe biliary cirrhosis, symptoms kuhikuhi me ke kumu o ke iaʻi hou pili. A laila, ikea ka mea like me ia ma ka palapala ano.
Iapaau ana o nā haumāna biliary cirrhosis
Ma ka iapaau ana o nā haumāna biliary cirrhosis initially eliminated i ke kumu o ka maʻi. E ho ohana iʻoki lāʻau lapaʻau kaʻina hana (probing, pōʻalo o ka pohaku,? Anoe? Ducts, etc.). Ma hope o ka hana, he mea hiki, e hohola aku i ke ola o ka hoʻomanawanui.
Ināʻoki kino mea,ʻaʻole e hiki, alaila, o ka Inc mea like i ka mea i hoʻohana ma iniiaiie biliary cirrhosis. Lapaʻau ma keia hihia hilinaʻi nui ma luna o ka degere o ka iaʻi, kona kumu a hiki laau.
Compensated cirrhosis
Ma compensated cirrhosis, kanaka i ole ike e pili ana i ka maʻi, no ka mea, aohe mau symptoms. Ke ake e hana maʻamau. Ke hoomanawanui i ole bother. A me kaʻike, hiki ke kau wale ma luna o ka n ieaie? Ninaninau. A i 'ole Emo ole - ma ka hana.
Ka wale symptoms o cirrhosis, i kānāwai i loko o compensated cirrhosis - he mai kuni, redness o na poho, a kahe ana ke koko mai ka ihu. Akā, me kēiaʻano o ka maʻi kanaka ke ola no ka makahiki. No hoi, me kekahi complications.
Lapaʻau compensated cirrhosis
Lapaʻau compensated cirrhosis hilinaʻi nui ma luna o ke kahua o ka maʻi. Inā ia mea i loko o "hiamoe" moku'āina, a aole hoi e holomua, oe e ia wale wikamina a me ka mea pōhaku pakuʻi ai, a me ka ikaikaʻai helu 5. He pono e loa e haawi i ka pakalōlō, a ka waiʻona. Mai lawe hepatotoxic ai '.
Inā compensated cirrhosis progresses, ua ia i ka helu i kaʻai 5a mai a hiki i ka exacerbation subsides. Nui nā wikamina, folicʻakika a me ka cocarboxylase. Ka hoʻohanaʻana i ka waiū pua kala kōkua e wehe i toxins mai ke kino. Eia hou, ka mea, ua Anati-hoʻoʻino a hepatoprotective hana relieves Muscle spasms.
Decompensated cirrhosis: Symptoms a me ka iapaau ana
Nā mea maʻi me ka decompensated cirrhosis o ke akepaʻa mea iʻoi aku ma mua o ka wā shape compensated. Ke kaʻina hana o ka fibrosis. Aia nō i nā hōʻailona a pau o ka cirrhosis. Ka oi pepeiaohao nui - ka mea hōʻemi o mau ana, a me ka jaundice ascites.
Ma ka iapaau ana o decompensated cirrhosis kākauʻana ma luna o ka hoʻopau o kūloko hoikeana (ascites, etc.) a me na pathologies. I ka huʻi maʻi hoʻohana pele kōkua iā ia, e kākoʻo ake kuleana pili i. Akā, no kēia mea pono e kaʻi aku i ka hoʻomanawanui i loko o kūikawā 'inikua-oaio? A ma na manao maalea Ua hoʻouka kekahi.
Nā mea maʻi me ka decompensated cirrhosis o ke alo o kaʻeleu hepatitis B Inc ua hoʻohana ' "Lamivudine". Ua me ka nui loa hoonui ae i ke ano o ke ahonui, a me ka maikaʻi loa ma ke akepaʻa. I ka mua na hoailona o ka decompensation maikaʻi koho makemake e he ake transplant.
Pigment cirrhosis: Symptoms a me ka iapaau ana
Pigment cirrhosis hoike externally mau kiko ma luna o kaʻili, a me ka alo o ke kō ma ka mimi. Kekahi inoa no ka maʻi - keleawe mimikō. Loa pinepine, ua ili he hemahema helu o nā'ūhū. E like me ka hopena, ma na mea he nui nā loko (me ke akepaʻa) i waihoia lipofuscin a me ka hemosiderin.
A laila, hoʻoʻino keʻano o ka hanaʻana hoʻomaka a me ka sclerotic loli liʻiliʻi capillaries. Ua hele aku ai i deformation o kino. Ake, piʻi pū, a lilo hou anuanu. Akā, kona hana ua ole o Nyos. Kekahi manawa, aia no na symptoms o ka mimikō: makewai, mahuahua ikaika loa ka makemake. Ka mimi,ʻikea kō, a mahuahua kona pae i loko o ke koko.
Ke prognosis o adverse pigment cirrhosis. Make ia lŘlŘ mai ake e loaa, diabetic coma paha kahe ana ke koko. Ma ka iapaau ana i kauoha mai ai ma ka bloodletting, he papa o injections. Mimikō a complications paʻapū symptomatic Inc.
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