Hōʻike ka ʻike hōʻeha o kēia wahine hāpai i nā mea like ʻole i ka mālama olakino no nā wahine ʻeleʻele

Anter

• ʻImi ʻana i ka Lapaʻau Pono
• Kākoʻo no kona ola kino
• Pehea ʻoe e kākoʻo ai iā ʻoe iho
• Nānā no

He ʻelima mau pule a me ka hapa wale nō ʻo Krystian Mitryk i ka wā i hoʻomaka ai ʻo ia e ʻike i ka nausea, luaʻi, dehydration, a me ka luhi nui. Mai ke kiʻi ʻana, ua ʻike ʻo ia i kāna mau ʻōuli i hoʻokumu ʻia e hyperemesis gravidarum (HG), kahi ʻano nui o ka maʻi kakahiaka e pili ana ma lalo o 2 pākēneka o nā wahine. Ua ʻike ʻo ia no ka mea ua ʻike mua ʻo ia i kēia.

"Ua loaʻa iaʻu ka HG i ka wā o koʻu hāpai mua ʻana, no laila ua manaʻo wau he mea hiki paha i kēia manawa," wahi a Mitryk. Kinohi. (FYI: He mea mau ia no HG e hoʻi hou i nā hāpai keiki he nui.)

ʻO ka ʻoiaʻiʻo, ma mua o ka hoʻomaka ʻana o nā hōʻailona o Mitryk, ʻōlelo ʻo ia ua hoʻāʻo ʻo ia e hele i mua o ka pilikia ma o ka hoʻopili ʻana i nā kauka i kāna hoʻomaʻamaʻa obstetrics a me ka nīnau ʻana inā he mau mea e mālama ai. Akā ʻoiai ʻaʻole ʻo ia i ʻike i kekahi hōʻailona i kēia manawa, ua ʻōlelo lākou iā ia e maʻalahi, noho hydrated, a noʻonoʻo i kāna mau meaʻai, wahi a Mitryk. (Eia kekahi mau pilikia olakino e hiki ke puka i ka wā hāpai.)

Akā, ua ʻike ʻo Mitryk i kona kino ma mua o kekahi, a ua ʻike ʻia kona ʻōpū; ua hoʻomohala ʻo ia i nā hōʻailona HG he mau lā wale nō ma hope o ke kiʻi ʻana i ka ʻōlelo aʻoaʻo mua. Mai ia manawa mai, ua ʻōlelo ʻo Mitryk ua ʻike ʻo ia e paʻakikī ke ala ma mua.

ʻImi ʻana i ka Lapaʻau Pono

Ma hope o kekahi mau lā o ka "luaʻi mau," i ʻōlelo ʻo Mitryk ua kāhea ʻo ia i kāna hana hoʻomaʻamaʻa a ua kau ʻia kahi lāʻau nausea waha. "Ua haʻi aku au iā lākou ʻaʻole wau i manaʻo e hana nā lāʻau lapaʻau no ka mea ʻaʻole hiki iaʻu ke mālama i kekahi mea," wehewehe ʻo ia. "Akā ua koi lākou iaʻu e hoʻāʻo."

ʻElua mau lā ma hope mai, ke kīloi mau nei ʻo Mitryk, ʻaʻole hiki ke hoʻopaʻa i nā meaʻai a wai paha (waiho wale ʻia nā lāʻau anti-nausea). Ma hope o ka hele hou ʻana i ka hoʻomaʻamaʻa, ua ʻōlelo ʻia ʻo ia e kipa i kā lākou hui hana a me ka triage. "Ua hiki au i laila a hoʻopili lākou iaʻu i ka wai intravenous (IV) a me ka lāʻau nausea," wahi āna. "I ka manawa paʻa iaʻu, hoʻouna lākou iaʻu i ka home."

Ua hiki mai kēia pūʻulu hanana eha manawa hou i loko o hoʻokahi mahina, wahi a Mitryk. "E komo wau i loko, e hoʻopili lākou iaʻu i ka wai a me ka lāʻau nausea, a i koʻu manaʻo maikaʻi aʻe, hoʻihoʻi lākou iaʻu i ka home," wehewehe ʻo ia. Akā ʻo ka manawa o ka wai i waho o kāna ʻōnaehana, e hoʻi hou kāna mau hōʻailona, ​​​​e koi ana iā ia e hele pinepine i ka hana, wahi āna.

Ma hope o nā pule i kōkua ʻole, ua ʻōlelo ʻo Mitryk ua hōʻoiaʻiʻo ʻo ia i kāna mau kauka e kau iā ia ma kahi pauma Zofran. ʻO Zofran kahi lāʻau anti-nausea ikaika i hāʻawi pinepine ʻia i nā maʻi chemo akā hiki ke hana maikaʻi no nā wahine me HG. Hoʻopili ʻia ka paila i ka ʻōpū me ka hoʻohana ʻana i kahi catheter liʻiliʻi a mālama i ka kulu mau o ka lāʻau nausea i loko o ka ʻōnaehana, e like me ka HER Foundation.

"Ua hele pū ka pauma ma nā wahi āpau me aʻu, me ka ʻauʻau," wahi a Mitryk. I kēlā me kēia pō, lawe ka wahine a Mitryk i ka nila a hoʻokomo hou i ke kakahiaka. "ʻOiai ʻaʻole e ʻeha ka nila liʻiliʻi, ua nalowale au i ka nui o ka momona o ke kino mai ka hoʻolei ʻana i luna i waiho ai ka paila iaʻu me ka ʻulaʻula a me ka ʻeha," wahi a Mitryk. "Ma luna o kēlā, hiki ʻole iaʻu ke hele wāwae no ka māluhiluhi, a ke luaʻi mau nei wau. Akā makemake wau e hana kekahi mea e ho'ōki i ka hū ʻana i koʻu ʻōpū."

Ua hala kekahi pule a ʻaʻole i maikaʻi nā hōʻailona o Mitryk. Ua pae hou ʻo ia i ka hana a me ka lawe ʻana i nā huahana triage, makemake nui i ke kōkua, wehewehe ʻo ia. No ka mea ʻaʻole i hana kekahi o nā lāʻau lapaʻau, ua hoʻāʻo ʻo Mitryk i ke aʻo ʻana nona iho a noi ʻia e hoʻopili ʻia i kahi laina catheter kikowaena peripherally inserted (PICC), wahi āna. ʻO kahi laina PICC he paipu lōʻihi, lahilahi, maʻalahi i hoʻokomo ʻia ma kahi vein i ka lima e hele i ka lāʻau lapaʻau IV lōʻihi i nā veins nui kokoke i ka puʻuwai, e like me ka Mayo Clinic. "Ua noi au i kahi laina PICC no ka mea ʻo ia ka mea i kōkua i kaʻu mau hōʻailona HG [i koʻu wā hāpai mua]," wahi a Mitryk.

Akā ʻoiai ua hōʻike ʻo Mitryk i ka maikaʻi o kahi laina PICC i ka mālama ʻana i kāna mau hōʻailona HG i ka wā ma mua, ʻōlelo ʻo ia he ob-gyn i kāna hana obstetrics i manaʻo ʻia he mea pono ʻole. I kēia manawa, ʻōlelo ʻo Mitryk ua hoʻomaka ʻo ia e like me ka hoʻokuʻu ʻia ʻana o kāna mau hōʻailona e pili ana i ka lāhui - a ʻo ke kamaʻilio ʻana me kāna kauka i hōʻoia i kona kānalua, wehewehe ʻo ia. "Ma hope o ka haʻi ʻana iaʻu ʻaʻole hiki iaʻu ke loaʻa ka lapaʻau aʻu e makemake ai, ua nīnau mai kēia kauka iaʻu inā ua hoʻolālā ʻia koʻu hāpai ʻana," wahi a Mitryk. "Ua hōʻeha wau i ka nīnau no ka mea ua manaʻo wau ua manaʻo ʻia ua loaʻa iaʻu kahi ʻōpū i hoʻolālā ʻole ʻia no ka mea he ʻeleʻele wau."

ʻO ka mea hou aku, ua ʻōlelo ʻo Mitryk i kāna palapala lapaʻau i hōʻike maopopo ʻia aia ʻo ia i loko o ka pilina kāne like a ua hāpai ʻo ia ma o intrauterine Insemination (IUI), kahi mālama hānai e pili ana i ka hoʻokomo ʻana i ka sperm i loko o ka ʻōpū e hoʻomaʻamaʻa i ka fertilization. "Me he mea lā ʻaʻole ia i hoʻopilikia iki i ka heluhelu ʻana i kaʻu pakuhi no ka mea, i kona mau maka, ʻaʻole au i like me kekahi mea e hoʻolālā i kahi ʻohana," kaʻana like ʻo Mystrik. (Pili: 11 mau ala e hiki ai i nā wahine ʻeleʻele ke pale i ko lākou olakino noʻonoʻo i ka wā o ka hāpai ʻana a me ka postpartum)

Ua maopopo ʻaʻole pono wau a me kaʻu pēpē iā ia e ʻimi i nā lāʻau lapaʻau ʻē aʻe e kōkua iaʻu.

Krystian Mitryk

Eia nō naʻe, ua ʻōlelo ʻo Mitryk ua mālama ʻo ia iā ia me ka ʻoluʻolu a hōʻoia hoʻi ua hoʻolālā maoli ʻia kāna hāpai. Akā ma kahi o ka hoʻololi ʻana i kāna leo, ua hoʻomaka ke kauka e kamaʻilio me Mitryk e pili ana i kāna mau koho ʻē aʻe. "Ua haʻi mai ʻo ia iaʻu ʻaʻole pono iaʻu e hana i koʻu hāpai ʻana inā ʻaʻole wau makemake," wahi a Mitryk. Kahaha ʻo ia, ua ʻōlelo ʻo Mitryk ua noi ʻo ia i ke kauka e hana hou i kāna mea i ʻōlelo ai, inā ua lohe hewa ʻo ia. "Me ka noʻonoʻo ʻole, haʻi mai ʻo ia iaʻu he nui nā makuahine e koho e hoʻopau i ka hāpai ʻana inā ʻaʻole hiki iā lākou ke mālama i nā pilikia HG," wahi āna. "No laila, hiki iaʻu ke hana inā ua kaumaha wau." (Pili: Pehea ka hopena ma ka hapai ʻana e hiki ai iā ʻoe ke hana * * maoli * Loaʻa i kahi Abortion?)

"ʻAʻole hiki iaʻu ke manaʻoʻiʻo i kaʻu e lohe nei," wahi a Mitryk. "E manaʻo paha ʻoe ʻo ke kauka - ʻo ka mea āu e hilinaʻi ai i kou ola - e hoʻopau i nā koho āpau ma mua o ka ʻōlelo ʻana i ka hoʻomake ʻana.

Ma hope o ka launa ʻole maikaʻi ʻole, ua ʻōlelo ʻo Mitryk ua hoʻouna ʻia ʻo ia i ka home a haʻi ʻia e kali a ʻike inā e holo ka Zofran. E like me kā Mitryk i manaʻo ai, ʻaʻole.

Kākoʻo no kona ola kino

Ma hope o ka hoʻolilo ʻana i kekahi lā aʻe e hoʻolei ana i ka waikawa a me ka bile i loko o kahi ʻeke luaʻi hiki ke hoʻohana ʻia, ua ʻeha hou ʻo Mitryk i kāna hana hoʻomaʻamaʻa. "I kēia manawa, ʻike nā kahu hānai ʻo wai wau," wehewehe ʻo ia. I ka emi ʻana o ke kūlana kino o Mitryk, ua lilo ia i mea paʻakikī iā ia e hana i nā kipa kauka he nui me kahi keikikāne 2 makahiki ma ka home a me kāna wahine e hoʻomaka ana i kahi hana hou.

A laila, aia ka puka o COVID-19. "Ua makaʻu loa wau i ka ʻike ʻana, a makemake wau e hana i nā mea āpau e hiki ai iaʻu ke kaupalena i kaʻu kipa ʻana," wahi a Mitryk. (E pili pū ana: He aha ka mea e manaʻo ai i kāu koho ʻana o Ob-Gyn ma waena - a ma hope - ka maʻi maʻi coronavirus)

Ke hoʻolohe nei i nā hopohopo a Mitryk a me ka ʻike ʻana i kona kūlana neʻe, ua kiʻi koke kahi kahu hānai i ke kauka i kāhea ʻia - ke kauka like nāna i mālama iā Mitryk ma mua. "Ua ʻike au he hōʻailona maikaʻi ʻole kēia no ka mea he moʻolelo ko kēia kauka no ka hoʻolohe ʻole iaʻu," wahi āna. "I kēlā me kēia manawa aʻu i ʻike ai iā ia, ʻo ʻo ia i kona poʻo i loko, ʻōlelo i nā kahu hānai e hoʻopili iaʻu i nā wai IV, a hoʻihoʻi iaʻu i ka home.

Minamina, ua hana pololei ke kauka i ka mea a Mitryk i manaʻo ai, wehewehe ʻo ia. "Ua huhū au a i ka hopena o koʻu naʻau," wahi āna. "Ua haʻi aku au i nā kahu hānai ʻaʻole wau makemake e mālama i kēia kauka a e ʻike maoli wau i kekahi mea ʻē aʻe i makemake e lawe koʻikoʻi i koʻu kūlana."

Ua ʻōlelo aku nā kahu hānai iā Mitryk e hele i ka haukapila i pili me kā lākou hana a loaʻa i ka manaʻo ʻelua mai kā lākou kāhea aku iā ob-gyns. Ua hōʻike pū nā kahu hānai i ke kauka kelepona ma ka hoʻomaʻamaʻa obstetrics ʻaʻole makemake hou ʻo Mitryk e hoʻomanawanui iā ia. (E pili ana: Ua nānā ʻole nā ​​kauka i kaʻu mau hōʻailona no ʻekolu mau makahiki ma mua o koʻu ʻike ʻia ʻana me ka Stage 4 Lymphoma)

He mau manawa ma hope o ka hōʻea ʻana i ka haukapila, ua hoʻokomo koke ʻia ʻo Mitryk ma muli o kona emi ʻana o ke olakino, hoʻomanaʻo ʻo ia. I ka pō mua o kona noho ʻana, wehewehe ʻo ia, ua ʻae kahi ob-gyn ʻo ke kau ʻana i kahi laina PICC ka papa ʻoi loa o ka lapaʻau. I ka lā ma hope, ua kākoʻo kekahi ob-gyn i kēlā hoʻoholo, wahi a Mitryk. I ka lā ʻekolu, ua hele ka haukapila i ka hoʻomaʻamaʻa obstetrics o Mitryk, e noi ana iā lākou inā hiki iā lākou ke neʻe i mua me kā lākou lāʻau lapaʻau PICC i manaʻo ʻia. Akā hōʻole ka hana hoʻopōkole i ke noi a ka haukapila, wahi a Mitryk. ʻAʻoleʻo ia wale nō, akā ua hoʻokuʻu ka hana iā Mitryk i mea maʻi ʻoiai aia ʻo ia i loko o ka haukapila pili - a ma muli o ka hāʻule ʻana o ka hana ma lalo o ka malu o ka haukapila, ua lilo ka mana o ka haukapila e hāʻawi iā ia i ka lāʻau e pono ai, wehewehe ʻo Mitryk.

Ma ke ʻano he wahine ʻeleʻele, male wahine ma ʻAmelika, ʻaʻole wau he malihini i ka manaʻo ʻuʻuku. Akā ʻo ia kekahi o ia mau manawa i maopopo ai ʻaʻole hiki i kēlā mau kauka a me nā kahu hānai ke mālama iki iaʻu a me kaʻu pēpē.

Krystian Mitryk

"Ua ʻae ʻia wau no ʻekolu mau lā, ʻo wau wale nō ma muli o COVID, a me nā maʻi ma mua o ka manaʻoʻiʻo ʻole," haʻi ʻo ia. "I kēia manawa ua haʻi ʻia mai iaʻu e hōʻole ʻia ana ka lāʻau e pono ai iaʻu e ʻoi aku ka maikaʻi? Ma ke ʻano he wahine ʻeleʻele, wahine male kāne ma ʻAmelika, ʻaʻole wau he malihini i ka manaʻo liʻiliʻi. Akā ʻo ia kekahi o kēlā mau manawa i maopopo ai ʻAʻole hiki i kēlā mau kauka a me nā kahu hānai [ma ka hoʻomaʻamaʻa obstetrics] ke mālama iki iaʻu a me kaʻu pēpē." (Pili: ʻO ka nui o nā make e pili ana i ka hāpai ʻana ma US he kiʻekiʻe loa)

"ʻAʻole hiki iaʻu ke kāpae i ka noʻonoʻo e pili ana i nā wahine ʻEleʻele a pau i like me kēia," wahi a Mitryk. "A i ʻole ehia paha o lākou i loaʻa i nā pilikia olakino hiki ʻole ke hoʻopau ʻia a i ʻole i nalowale i ko lākou ola ma muli o kēia ʻano hana haʻahaʻa."

Ma hope mai, ua aʻo ʻo Mitryk ua hoʻokuʻu ʻia ʻo ia mai ka hoʻomaʻamaʻa wale ʻana ma muli o ke kumu he "kūʻē kūʻokoʻa" me ke kauka ʻaʻole e lawe koʻikoʻi i kāna mau hōʻailona, ​​​​wahi āna. "I koʻu kāhea ʻana i ka hana hoʻokele pilikia o kēia hana, ua haʻi lākou iaʻu ua ʻeha nā manaʻo o ke kauka," ʻo ia ke kumu i hoʻoholo ai ʻo ia e hoʻokuʻu iaʻu, "i wehewehe ai ʻo Mitryk. "Ua manaʻo nō hoʻi ke kauka e hele wau e ʻimi i kahi mālama ʻē aʻe. ʻOiai inā ʻo ia ka hihia, e hōʻole ana iaʻu i ka mālama ʻana iaʻu e pono ai, i koʻu maʻi ʻana me kahi maʻi hiki ke hoʻoweliweli i ke ola, ua hōʻike maopopo ʻia ʻaʻohe manaʻo no koʻu olakino. a me ka maikaʻi."

Ua lilo he ʻeono mau lā no Mitryk e kiʻi ai i kahi kūlana paʻa e lawa ai e hoʻokuʻu ʻia mai ka haukapila. ʻOiai, hoʻohui ʻo ia, ʻo ia malie ʻaʻole i maikaʻi ke kino, a ʻaʻole i loaʻa iā ia kahi hopena lōʻihi i kona ʻeha. "Ua hele au i waho mai laila, [e hoʻomau nei i ka hoʻolei ʻana i loko o kahi ʻeke," hoʻomanaʻo ʻo ia. "Ua manaʻo ʻole wau me ka hopohopo ʻole ʻaʻohe mea e kōkua mai iaʻu."

I kekahi mau lā ma hope mai, ua hiki iā Mitryk ke komo i kahi hoʻomaʻamaʻa obstetrics ʻē aʻe kahi i ʻokoʻa loa kona ʻike. "Ua hele au i loko, ua ʻae koke lākou iaʻu, hoʻopili, kūkākūkā, hana e like me nā kauka maoli, a kau iaʻu ma kahi laina PICC," wehewehe a Mitryk.

Ua hana ka lāʻau lapaʻau, a ma hope o ʻelua mau lā, ua hoʻokuʻu ʻia ʻo Mitryk. "ʻAʻole au i hoʻolei a nausea mai ia manawa mai," wahi āna.

Pehea ʻoe e kākoʻo ai iā ʻoe iho

ʻOiai ua loaʻa iā Mitryk ke kōkua e pono ai, ʻo ka ʻoiaʻiʻo ʻo nā wahine ʻeleʻele i hāʻule pinepine ʻia e ka ʻōnaehana olakino o ʻAmelika. Hōʻike nā haʻawina he nui e hiki ke hoʻololi i ka pili ʻana o ka lāhui i ke ʻano o ka loiloi a mālama ʻana o nā kauka i ka ʻeha. Ma ke kaulike, ma kahi o hoʻokahi o ʻelima mau wahine Black e hōʻike i ka hoʻokae ke hele i ke kauka a i ʻole ke keʻena maʻi, e like me ka National Partnership for Women and Families.

"He mea maʻamau ka moʻolelo a Krystian a me nā ʻike like ʻole," wahi a Robyn Jones, M.D., he ob-gyn i hōʻoia ʻia e ka papa a me ka luna lapaʻau koʻikoʻi o ke olakino wahine ma Johnson & Johnson. "ʻAʻole hiki ke hoʻoloheʻia nā wāhineʻeleʻele e nā kauka lapaʻau ma muli o ka manaʻo a me kaʻikeʻole, ka hoʻokaeʻana i ka lāhui, a me ka ponoʻole o ka pūnaewele. " (ʻO ia kekahi o nā kumu e makemake nui ai ka US i nā kauka wahine ʻeleʻele.)

Keʻike nā wāhineʻeleʻele iā lākou iho i kēia mau kūlana,ʻo ka'ōlelo hoʻolaha ke kulekele maikaʻi loa, wahi a Dr. Jones. "Ua hana pololei ʻo Krystian i ka mea aʻu e paipai aku nei i ka manaʻo o nā makuahine e hana. "ʻOiai i kekahi manawa e lilo kēia mau kūlana i mea naʻau, e hana i ka mea maikaʻi loa e hoʻokele i kēlā manaʻo e hōʻike i kāu mau manaʻo ma ke ala mālie, akā paʻa." (Related: Hōʻike ʻia nā haʻawina hou e make ana nā wahine ʻeleʻele i ka maʻi maʻi umauma ma mua o nā wahine keʻokeʻo)

I kekahi mau hihia (e like me ma Mitryk's), hiki mai paha kahi manawa pono ʻoe e hoʻololi i kahi mālama ʻē aʻe, e hoʻomaopopo ʻo Dr. Jones. ʻOiai, he mea nui e hoʻomanaʻo e loaʻa iā ʻoe ka mālama maikaʻi loa, a iā ʻoe nā kuleana āpau e loaʻa ai ka ʻike āpau e hiki ai iā ʻoe e pili ana i kou kūlana, wehewehe ʻo Dr. Jones.

Eia naʻe, ʻo ka ʻōlelo ʻana iā ʻoe iho he mea hoʻoweliweli, wahi a Dr. Jones. Ma lalo, hāʻawi ʻo ia i nā ʻōkuhi i hiki ke kōkua iā ʻoe e hoʻokele i nā kamaʻilio paʻakikī me kāu kauka a e ʻike pono ʻoe i ke olakino āu e pono ai.

1. Pono ka ʻike olakino. Ma nā huaʻōlelo ʻē aʻe, ʻike a hoʻomaopopo i kou kūlana olakino pilikino, a me ka mōʻaukala olakino o kou ʻohana, i ka wā e kākoʻo ana iā ʻoe iho a kamaʻilio pū i nā mea mālama ola.
2. Inā manaʻo ʻoe e palaki ʻoe, e ʻōlelo akāka i kāu kauka ʻaʻole ʻoe e lohe ʻia. ʻO nā huaʻōlelo e like me "Pono wau e hoʻolohe mai iaʻu," a i ʻole "ʻAʻole ʻoe e hoʻolohe mai iaʻu," hiki ke hele ma mua o kou manaʻo.
3. E hoʻomanaʻo, ʻike ʻoe i kou kino ponoʻī. Inā ʻoe i hōʻike i kou mau manaʻo hopohopo a ʻaʻole lohe ʻia ʻoe, e noʻonoʻo e pili pū me ʻoe kahi hoaaloha a ʻohana paha i kēia mau kamaʻilio ʻana e kōkua ai e hoʻonui i kou leo ​​a me kāu leka.
4. E noʻonoʻo i kahi ala ʻoi aku ka piha o kāu mālama makuahine. Hiki iā ia ke hoʻokomo i ke kākoʻo o kahi doula a/a i mālama ʻia e kahi kahu hānai-paleke keiki i hōʻoia ʻia. Eia kekahi, e kaukaʻi i ka mana o telemedicine (ʻo ia hoʻi i kēia manawa o kēia lā), hiki ke hoʻohui iā ʻoe i kahi kahu mālama ma hea ʻoe.
5. E hoʻolālā i ka manawa e aʻo ai a ʻimi i ka ʻike mai nā kumuwaiwai hilinaʻi. Hiki i nā kumuwaiwai e like me Black Women's Health Imperative, Black Mamas Matter Alliance, Office of Minority Health, a me Office on Women's Health ke kōkua iā ʻoe e hoʻomau i ka ʻike e pili ana i nā pilikia olakino e pili ana iā ʻoe.

ʻOiai inā manaʻo ʻoe ʻaʻole pono ʻoe e kākoʻo ʻo ʻoe iho, hiki iāʻoe ke kōkua i nā wāhine'ē aʻe ma ke komoʻana i kekahi mau pūnaewele a me nā hui ma kahi kūlana kūloko a / a iʻole ka'āina, e'ōlelo anaʻo Dr. Jones.

"E ʻimi i nā manawa me nā hui kākoʻo aupuni nui e like me ka March for Moms," wahi āna. "Kamaʻāina, kōkua nui e hoʻopili aku me nā wahine a me nā makuahine ʻē aʻe i kou wahi ma o Facebook a i ʻole ma loko o kou kaiāulu e kūkā kamaʻilio e pili ana i kēia mau kumuhana a kaʻana like i nā ʻike. kākoʻo hou aku."

Nānā no