Mea Kākau: Clyde Lopez
Lā O Ka Hana: 21 Iulai 2021
HōʻAno Hou I Ka Lā: 1 Iulai 2024
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He aha nā hoʻāʻo Down Syndrome?

ʻO Down Syndrome kahi maʻi e kū ai i ke kino kīnā o ka naʻau, nā hiʻohiʻona kino ʻokoʻa, a me nā pilikia olakino like ʻole. Hoʻopili paha kēia i nā kīnā o ka puʻuwai, ka nalo ʻana o ka lohe, a me ka maʻi thyroid. ʻO Down Syndrome kahi ʻano o ka maʻi chromosome.

ʻO nā Chromosome nā ʻāpana o kāu mau pūnaewele i loaʻa i kāu mau ʻāpana. ʻO nā ʻāpana nā ʻāpana o ka DNA i hoʻoili ʻia mai kou makuahine a me kou makuakāne. Hāpai lākou i ka ʻike e hoʻoholo ai i kāu ʻano kū hoʻokahi, e like me ke kiʻekiʻe a me ke kala o ka maka.

  • Loaʻa i nā kānaka he 46 chromosome, i mahele ʻia i 23 mau pālua, i kēlā me kēia cell.
  • ʻO kekahi o kēlā me kēia pālua chromosome mai kou makuahine, a ʻo kekahi mau mea ʻelua mai kou makuakāne mai.
  • I Down syndrome, aia kekahi kope hou o ka chromosome 21.
  • Hoʻololi ka chromosome keu i ke ʻano e ulu ai ke kino a me ka lolo.

ʻO Down Syndrome, i kapa ʻia hoʻi he trisomy 21, ʻo ia ka maʻi chromosome maʻa mau loa i United States.

I nā ʻano lua ʻole o Down syndrome, i kapa ʻia mosaic trisomy 21 a me translocation trisomy 21, ʻaʻole hōʻike ʻia ka chromosome keu i kēlā me kēia cell. ʻO ka poʻe me kēia mau maʻi maʻamau ka loaʻa o nā ʻano a me nā pilikia olakino e pili pū ana me ka maʻi maʻamau o Down Syndrome.


Hōʻike nā hōʻike loiloi ʻo Down Syndrome inā paha he Down Syndrome paha kāu pēpē i hānau ʻole ʻia. ʻO nā ʻano hoʻokolohua ʻē aʻe e hōʻoia a hōʻole paha i ka hōʻailona.

He aha nā mea e hoʻāʻo ai?

Hoʻohana ʻia nā hoʻāʻo Down Syndrome e nānā a ʻike pono paha i ka Down Syndrome. ʻAʻohe o ka makaʻu paha o nā hōʻike loiloi ʻo Down Syndrome iā ʻoe a i ʻole kāu pēpē, akā ʻaʻole hiki iā lākou ke haʻi pololei iā ʻoe inā he Down Syndrome kāu pēpē.

Hiki i nā hōʻoia diagnostic i ka wā o ka hāpai ke hōʻoia a hōʻole paha i kahi kuhi, akā he wahi liʻiliʻi ka hopena o nā hoʻokolohua ʻana.

No ke aha e pono ai iaʻu kahi hōʻike Down Down?

Hōʻike ka poʻe lawelawe olakino i ka loiloi ʻana o Down Syndrome a me / a i ʻole nā ​​hōʻike diagnostic no nā wahine hāpai i 35 mau makahiki a ʻoi paha. ʻO ka makahiki o ka makuahine ka mea nui pilikia no ka loaʻa ʻana o kahi pēpē me Down Syndrome. Hoʻonui ka makaʻi i ka nui ʻana o ka wahine. Akā hiki paha iā ʻoe ke makaʻikaʻi nui aʻe inā ua loaʻa iā ʻoe kahi pēpē me Down Syndrome a me / a i ʻole he moʻolelo ʻohana ka maʻi.

Eia hou, makemake paha ʻoe e hoʻāʻo e kōkua iā ʻoe e hoʻomākaukau inā hōʻike nā hopena i kāu pēpē e loaʻa i ka Down Syndrome. Hiki i ka ʻike ma mua ke hāʻawi iā ʻoe i ka manawa e hoʻolālā no ka mālama olakino a me nā lawelawe kākoʻo no kāu keiki a me kou ʻohana.


Akā ʻaʻole no ka poʻe āpau ka hoʻāʻo ʻana. Ma mua o kou hoʻoholo ʻana e hoʻokolohua, e noʻonoʻo e pili ana i kou manaʻo a me kāu e hana ai ma hope o ke aʻo ʻana i nā hopena. Pono ʻoe e kūkākūkā i kāu mau nīnau a me kāu mau hopohopo me kāu pakanā a me kāu kahu mālama ola.

Inā ʻaʻole ʻoe i hoʻokolohua i ka wā hāpai a makemake paha e hōʻoia i nā hopena o nā hoʻokolohua ʻē aʻe, makemake paha ʻoe e hoʻāʻo ʻia kāu pēpē inā loaʻa iā ia nā ʻōuli o Down Syndrome. Pākuʻi ʻia kēia mau mea:

  • Pālahalaha ka maka a me ka ihu
  • ʻO nā maka ʻano almond e piʻi i luna
  • Nā pepeiao liʻiliʻi a me ka waha
  • ʻO nā kiko keʻokeʻo liʻiliʻi ma ka maka
  • Kahi leo maikaʻi ʻole
  • Hoʻolālā hoʻomohala

He aha nā ʻano ʻokoʻa o nā hōʻike Down Down?

Aia ʻelua mau ʻano maʻamau o nā hoʻāʻo Down Syndrome: nā hōʻike loiloi ʻana a me nā diagnostics.

ʻO ka loiloi ʻana o Down Syndrome me nā hōʻike aʻe i hana ʻia i ka wā hāpai:

  • ʻO ka loiloi mua ʻana iā trimester komo pū kahi hoʻāʻo koko e nānā i nā pae o kekahi mau protein i ke koko o ka makuahine. Inā ʻaʻole maʻamau nā pae, ʻo ia hoʻi he ʻoi aku ka kiʻekiʻe o ka pēpē e loaʻa ana iā Down Syndrome. Hoʻokomo pū ʻia ka kānana me kahi ultrasound, kahi hōʻike kiʻi e nānā i ka pēpē i hānau ʻole ʻia no nā hōʻailona o Down Syndrome. Hana ʻia ka hoʻāʻo ma waena o ka pule he 10 a me ka 14 o ka hāpai keiki.
  • ʻO ka loiloi ʻana i ka trimester ʻelua. ʻO kēia nā hōʻoia koko e nānā pū kekahi no kekahi mau mea i ke koko o ka makuahine i hōʻailona paha o Down Syndrome. Nānā kahi hōʻike pale triple no ʻekolu mau mea like ʻole. Hana ʻia ia ma waena o ka pule 16th a me 18th o ka hāpai keiki. Nānā kahi hōʻike quadruple pale no nā mea ʻehā a hana ʻia ma waena o ka hebedoma 15 a me 20 o ka hāpai ʻana. E kauoha paha kāu mea hāʻawi i hoʻokahi o ʻelua paha o kēia mau hoʻāʻo.

Inā hōʻike kāu kānana Down Syndrome i kahi manawa kiʻekiʻe o Down Syndrome, makemake paha ʻoe e lawe i kahi hōʻike hōʻoia e hōʻoia a hōʻole paha i kahi hōʻailona.


ʻO nā hoʻāʻo diagnostical Down Syndrome i hana ʻia i ka wā hāpai.

  • ʻO Amniocentesis, nāna e lawe i kahi laʻana o ka wai amniotic, ka wai e hoʻopuni ana i kāu pēpē i hānau ʻole ʻia. Hana maʻamau ia ma waena o ka 15th a me ka 20 wiki o ka hāpai keiki.
  • Chorionic villus sampling (CVS), ka mea lawe i kahi laʻana mai ka placenta, ka meaola e hānai i kāu pēpē i hānau ʻole ʻia i loko o kou kōpū. Hana maʻamau ia ma waena o ka pule he 10 a me ka 13 o ka hāpai keiki.
  • ʻO ka ʻili koko umbilical Percutanious (PUBS), ka mea lawe i kahi hāpana koko mai ka umbilical cord. Hāʻawi ka PUBS i ka hōʻoia pololei loa o Down Syndrome i ka wā hāpai, akā ʻaʻole hiki ke hana a hiki i ka hopena o ka hāpai ʻana, ma waena o ka pule 18 a 22.

ʻO ka maʻi maʻi Down Syndrome ma hope o ka hānau ʻana:

Loaʻa paha i kāu pēpē ka hoʻokolohua koko e nānā i kāna chromosome. E haʻi kēia hōʻike iā ʻoe inā he Down Syndrome kāu pēpē.

He aha ka hana ma ka hoʻāʻo ʻana o Down Syndrome?

Ma kahi hoʻokolohua koko, e lawe kahi loea mālama ola i kahi laʻana koko mai kahi aa i loko o kou lima, e hoʻohana ana i kahi nila liʻiliʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.

No ka ultrasound trimester mua, e hoʻoneʻe kahi mea mālama ola i kahi mea ultrasound ma luna o kou ʻōpū. Hoʻohana ka hāmeʻa i nā nalu kani e nānā i kāu pēpē i hānau ʻole ʻia. E nānā kāu mea hāʻawi i ka mānoanoa ma ka hope o ka ʻāʻī o kāu pēpē, kahi hōʻailona o Down Syndrome.

No ka amniocentesis:

  • E moe ʻoe ma kou kua ma kahi papa hōʻike.
  • E neʻe kāu mea hāʻawi i kahi mea ultrasound ma luna o kou ʻōpū. Hoʻohana ka ultrasound i nā nalu kani e nānā i ke kūlana o kou kōpū, placenta, a me kāu pēpē.
  • E hoʻokomo kāu mea hāʻawi i kahi kui kele i loko o kou ʻōpū a huki i kahi liʻiliʻi o ka wai amniotic.

No ka laʻana chorionic villus (CVS):

  • E moe ʻoe ma kou kua ma kahi papa hōʻike.
  • E neʻe kāu mea hāʻawi i kahi mea ultrasound ma luna o kou ʻōpū e nānā i ke kūlana o kou kōpū, placenta, a me kāu pēpē.
  • E hōʻiliʻili kāu mea i nā hunaola mai ka placenta ma kekahi o nā ala ʻelua: ma o kāu cervix me kahi paipu lahilahi i kapa ʻia he catheter, a i ʻole me ka nila nīnū ma o kou ʻōpū.

No ka hōʻiliʻili koko umbilical percutaneous (PUBS):

  • E moe ʻoe ma kou kua ma kahi papa hōʻike.
  • E neʻe kāu mea hāʻawi i kahi mea ultrasound ma luna o kou ʻōpū e nānā i ke kūlana o kou kōpū, placenta, pēpē, a me nā kaula umbilical.
  • E hoʻokomo kāu mea hāʻawi i kahi nila kui lahilahi i loko o ka umbilical cord a huki i kahi hāpana koko liʻiliʻi.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no nā hoʻokolohua?

ʻAʻole pono kahi hoʻomākaukau kūikawā no ka hoʻāʻo ʻana o Down Syndrome. Akā pono ʻoe e kamaʻilio me kāu kauka olakino e pili ana i nā pilikia a me nā pono o ka hoʻāʻo ʻana.

Aia kekahi mau pilikia i nā hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka loaʻa ʻana o kahi hōʻoia koko a ultrasound paha. Ma hope o kahi hoʻāʻo koko, loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi i hoʻokomo ʻia ai ka nila, akā ʻo ka hapa nui o nā ʻōuli hele koke aku.

ʻO nā hoʻokolohua Amniocentesis, CVS, a me PUBS he hana palekana loa ia, akā he pilikia iki ko lākou no ka hana ʻana i ka hāpai keiki ʻole.

He aha ke ʻano o nā hopena?

Hōʻike wale nā ​​hopena kānana Down Syndrome inā ʻoi aku ka nui o kāu makaʻu i ka loaʻa ʻana o kahi pēpē me Down Syndrome, akā ʻaʻole hiki iā lākou ke haʻi iā ʻoe inā he Down Syndrome kāu pēpē He hopena paha kāu ʻaʻole maʻamau, akā e hāʻawi mai i kahi olakino pēpē me nā kīnā ʻole a me nā maʻi chromosomal paha.

Inā ʻaʻole maʻamau kāu mau hopena hōʻike Down Down, hiki iā ʻoe ke koho i hoʻokahi a ʻoi paha nā hōʻike diagnostic.

Hiki iā ia ke kōkua e ʻōlelo i kahi kākāʻōlelo genetic ma mua o ka hoʻāʻo ʻana a me / a ma hope paha o kāu loaʻa ʻana o kāu hopena. He loea aʻoaʻo aʻo loea kūikawā i ka genetics a me ka hoʻāʻo genetic. Hiki iā ia ke kōkua iā ʻoe e hoʻomaopopo i ke ʻano o kāu mau hopena.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hōʻike Down Down?

ʻO ka hāpai ʻana i kahi keiki me Down Syndrome hiki ke lilo i mea paʻakikī, akā maikaʻi nō hoʻi. ʻO ke kiʻi ʻana i ke kōkua a me ka mālama ʻana mai ka poʻe loea i ka wā mua o ke ola hiki ke kōkua i kāu keiki e hōʻea i kona hiki. Ke ulu nei nā keiki he nui me Down Syndrome e alakaʻi i ke ola olakino a hauʻoli hoʻi.

E kamaʻilio me kāu kauka olakino a me kāu kākāʻōlelo e pili ana i ka mālama kūikawā, nā kumuwaiwai, a me nā hui kākoʻo no ka poʻe me Down Syndrome a me ko lākou ʻohana

Nā kūmole

  1. ACOG: Nā Kauka Ola Ola Wahine [Pūnaewele]. Wakinekona D.C .: Ke Kulanui ʻAmelika o nā Obstetricians a me nā Gynecologists; c2017. Nā ho'āʻo ho'āʻo Prenatal Genetic Diagnostic; 2016 Sep [helu ʻia 2018 Jul 21]; [ma kahi o 3 pale]. Loaʻa mai: https://www.acog.org/Patients/FAQs/Prenatal-Genetic-Diagnostic-Tests
  2. ʻAhahui hāpai keiki ʻAmelika [Pūnaewele]. Irving (TX): ʻAmelika Hui Pū ʻIa ʻAmelika; c2018. Amniocentesis; [hoʻohou 2016 Sep 2; i helu ʻia 2018 Jul 21]; [ma kahi o 2 pale]. Loaʻa mai: http://americanpregnancy.org/prenatal-testing/amniocentesis
  3. ʻAhahui hāpai keiki ʻAmelika [Pūnaewele]. Irving (TX): ʻAmelika Hui Pū ʻIa ʻAmelika; c2018. ʻO Chorionic Villus Sampling: CVS; [hoʻohou 2016 Sep 2; i helu ʻia 2018 Jul 21]; [ma kahi o 2 pale]. Loaʻa mai: http://americanpregnancy.org/prenatal-testing/chorionic-villus-sampling
  4. ʻAhahui hāpai keiki ʻAmelika [Pūnaewele]. Irving (TX): ʻAmelika Hui Pū ʻIa ʻAmelika; c2018. Cordocentesis: Pākuʻi Blood Umbilical Percutane (PUBS); [hoʻohou 2016 Sep 2; i helu ʻia 2018 Jul 21]; [ma kahi o 2 pale]. Loaʻa mai: http://americanpregnancy.org/prenatal-testing/cordocentesis
  5. ʻAhahui hāpai keiki ʻAmelika [Pūnaewele]. Irving (TX): ʻAmelika Hui Pū ʻIa ʻAmelika; c2018. Down Syndrome: ʻO Trisomy 21; [hoʻohou 2015 Jul; i helu ʻia 2018 Jul 21]; [ma kahi o 2 pale]. Loaʻa mai: http://americanpregnancy.org/birth-defects/down-syndrome
  6. ʻAhahui hāpai keiki ʻAmelika [Pūnaewele]. Irving (TX): ʻAmelika Hui Pū ʻIa ʻAmelika; c2018. Sonogram ultrasound; [hōʻano 2017 2017 3; i helu ʻia 2018 Jul 21]; [ma kahi o 2 pale]. Loaʻa mai: http://americanpregnancy.org/prenatal-testing/ultrasound
  7. Nā kikowaena no ka mālama ʻana i ka maʻi a me ka pale ʻana [Pūnaewele]. Atlanta: Ke Keʻena ʻOihana Ola a me nā Lawelawe Pono ʻAmelika; Nā mea e pili ana i Down Syndrome; [hōʻano hou 2018 Feb 27; i helu ʻia 2018 Jul 21]; [ma kahi o 2 pale]. Loaʻa mai: https://www.cdc.gov/ncbddd/birthdefects/DownSyndrome.html
  8. Nā kikowaena no ka mālama ʻana i ka maʻi a me ka pale ʻana [Pūnaewele]. Atlanta: Ke Keʻena ʻOihana Ola a me nā Lawelawe Pono ʻAmelika; ʻSellelo aʻoaʻo genetic; [hoʻohou 2016 Mar 3; i helu ʻia 2018 Jul 21]; [ma kahi o 2 pale]. Loaʻa mai: https://www.cdc.gov/genomics/gtesting/genetic_counseling.htm
  9. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C .: ʻAmelika Hui Pū ʻIa no ka Chemical Clinical; c2001–2018. Nānā Chromosome (Karyotyping); [hōʻano hou 2018 Jan 11; i helu ʻia 2018 Jul 21]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/tests/chromosome-analysis-karyotyping
  10. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C .: ʻAmelika Hui Pū ʻIa no ka Chemical Clinical; c2001–2018. Down Syndrome; [hōʻano hou 2018 Jan 19; i helu ʻia 2018 Jul 21]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/conditions/down-syndrome
  11. Malaki o nā Dime [Pūnaewele]. White Plains (NY): Malaki o nā Dime; c2018. Down Syndrome; [kuhi ʻia 2018 Jul 21]; [ma kahi o 3 pale]. Loaʻa mai: https://www.marchofdimes.org/complications/down-syndrome.aspx
  12. Merck Manual Mea Kūʻai Manuahi [Pūnaewele]. Kenilworth (NJ): Merck & Co. Inc.; c2018. Down Syndrome (Trisomy 21); [kuhi ʻia 2018 Jul 21]; [ma kahi o 3 pale]. Loaʻa mai: https://www.merckmanuals.com/home/ Children-s-health-issues/chromosome-and-gene-abnormalities/down-syndrome-trisomy-21
  13. NIH Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) [Pūnaewele]. Rockville (MD): Ke Keʻena ʻOihana Ola a U.S. Pehea e hōʻoia ai nā mea lawelawe olakino Down Syndrome; [kuhi ʻia 2018 Jul 21]; [ma kahi o 5 pale]. Loaʻa mai: https://www.nichd.nih.gov/health/topics/down/conditioninfo/diagnosis
  14. NIH Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) [Pūnaewele]. Rockville (MD): Ke Keʻena ʻOihana Ola a U.S. He aha nā hōʻailona maʻamau o Down Syndrome?; [kuhi ʻia 2018 Jul 21]; [ma kahi o 5 pale]. Loaʻa mai: https://www.nichd.nih.gov/health/topics/down/conditioninfo/symptoms
  15. NIH National Human Genome Research Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā pono kūpono Chromosome; 2016 Ian 6 [helu ʻia 2018 Jul 21]; [ma kahi o 3 pale]. Loaʻa mai: https://www.genome.gov/11508982
  16. NIH U.S. National Library of Medicine: Genetics Home Reference [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Down Syndrome; 2018 Jul 17 [helu ʻia 2018 Jul 21]; [ma kahi o 3 pale]. Loaʻa mai: https://ghr.nlm.nih.gov/condition/down-syndrome
  17. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2018. ʻO Encyclopedia Health: Ka Ikepili Chromosome; [kuhi ʻia 2018 Jul 21]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=chromosome_analysis
  18. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2018. ʻO Encyclopedia Health: Down Syndrome (Trisomy 21) i nā keiki; [kuhi ʻia 2018 Jul 21]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=90&contentid=p02356
  19. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2018. ʻIkepili Ola: Amniocentesis: Pehea e hana ai; [hōʻano 2017 2017 6; i helu ʻia 2018 Jul 21]; [ma kahi o 6 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/amniocentesis/hw1810.html#hw1839
  20. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2018. ʻIkepili olakino: Chorionic Villus Sampling (CVS): Pehea e hana ai; [hoʻohou 2017 Mei 17; i helu ʻia 2018 Jul 21]; [ma kahi o 6 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/chorionic-villus-sampling/hw4104.html#hw4121
  21. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2018. ʻIkepili Ola: Down Syndrome: Nā hoʻāʻo a me nā hoʻāʻo; [hōʻano 2017 2017 Mei 4; i helu ʻia 2018 Jul 21]; [ma kahi o 8 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/major/down-syndrome/hw167776.html#hw167989
  22. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2018. ʻIkepili olakino: Down Syndrome: Hōʻuluʻulu Kumuhana; [hōʻano 2017 2017 Mei 4; i helu ʻia 2018 Jul 21]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/major/down-syndrome/hw167776.html
  23. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2018. ʻIkepili olakino: Nānā Trimester mua no nā hemahema hānau; [hoʻohou 2017 Nov 21; i helu ʻia 2018 Jul 21]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/special/first-trimester-screening-test/abh1912.html

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.

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Pehea e hoʻokele ai i ka politika #RealTalk i ka wā hoʻomaha

Pehea e hoʻokele ai i ka politika #RealTalk i ka wā hoʻomaha

ʻAʻole ia he mea hūnā he wīwī wela kēia - mai nā hoʻopaʻapaʻa ma waena o nā moho ponoʻī i nā hoʻopaʻapaʻa e hana nei ma kāu nūhou Facebook, ʻaʻohe mea i hiki ke polarize wikiwiki i ka poʻe ma mua o ka...
ʻOi aku ka maikaʻi o ka mālama ʻana i ka ʻili wai hou, hoʻohui, a me nā freaking maoli

ʻOi aku ka maikaʻi o ka mālama ʻana i ka ʻili wai hou, hoʻohui, a me nā freaking maoli

Inā loaʻa iā ʻoe kahi papa hana ʻili he nui a ʻanuʻu, ʻo kou ʻūpena lumi ʻauʻau (a i ʻole ka pahu hau maikaʻi!) Manaʻo paha e like me kahi keʻena chemi t. ʻO ke ʻano hou loa o ka mālama ʻili, e hoʻohu...