He aha nā hōʻailona o Lupus?
Hiki ke ʻokoʻa nā hōʻailona o ka lupus mai kēlā kanaka a kēia kanaka. ʻO ke ʻano kēia, ʻaʻole e ʻike nā kānaka a pau i nā hōʻailona like. Akā, aia kekahi mau hōʻailona maʻamau. E nānā kākou i ke ʻano o ia mau mea.- He ʻulaʻula ma ka maka a i ʻole nā ʻāpana ʻē aʻe o ke kino . I kekahi manawa hiki ke ʻike ʻia kēia ma nā ʻaoʻao ʻelua o ka maka i ke ʻano e like me ka pulelehua (butterfly rash).
- Lilo ka ʻili i mea maʻalahi loa i ka lā . ʻOiai ʻo ka hōʻike pōkole ʻana i ka lā hiki ke hoʻolilo i ka ʻili i ʻulaʻula a huhū .
- Manaʻo nui i ka luhi . ʻAʻole pili i ka nui o kou hiamoe ʻana, manaʻo paha ʻoe ʻaʻole e nalowale kēia luhi.
- Ke kuni e hele mai me ke kumu ʻole .
- ʻEha a me ka pehu ʻana o nā hono . Hiki ke ʻoi aku ka ʻino o kēia ʻeha i ke kakahiaka.
- ʻO ka maʻi Raynaud . ʻO kēia ka wā e lilo koke ai nā manamana lima a me nā manamana wāwae i keʻokeʻo, uliuli, mae, a ʻeha ke kau ʻia i ke anu. A laila lilo hou lākou i ʻulaʻula.
- ʻEha nā ʻiʻo .
- Ka emi ʻana o ke kaumaha .
- Nā ʻeha ma ka ihu, ka waha, a i ʻole ka puʻu .
- Nā ʻōpū pehu .
- Nā ʻāpana polū a me ka pohō lauoho .
- ʻO ka emi ʻana o ka helu o nā hunaola koko ʻulaʻula, ʻo ia hoʻi, anemia .
- Loaʻa pinepine nā maʻi .
- Ka mumū ʻana o nā membrane e hoʻopuni ana i ka puʻuwai, ka ʻōpū, a i ʻole nā māmā . Hiki i kēia ke hōʻeha i ka umauma a me ka paʻakikī o ka hanu ʻana.
- Nā ʻūlū a i ʻole nā pilikia neurological ʻē aʻe.
- Nā pilikia puʻupaʻa : Hiki ke loaʻa ka protein i loko o ka mimi a me ka pehu ʻana ma nā wāwae.
E hoʻomanaʻo, ʻoiai inā loaʻa iā ʻoe kekahi a ʻelua paha o kēia mau hōʻailona, ʻaʻole ia he manaʻo he lupus kou. Akā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona i ka lālani, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo.ʻIke pinepine ʻia ʻo Lupus i nā wahine ʻōpio, ʻoi aku hoʻi ka poʻe ma waena o nā makahiki 15 a me 45.
He aha nā ʻano nui o ka lupus?
ʻOiai ua kapa ʻia ʻo lupus, aia kekahi mau ʻano nui. E nānā kākou i ke ʻano o lākou.ʻO ka Lupus Erythematosus Pūnaehana (SLE)
ʻO kēia ke ʻano maʻamau o ka lupus. ʻO ka huaʻōlelo 'systemic' ke ʻano e hoʻopilikia ia i nā ʻōnaehana he nui i loko o ke kino. ʻO ia hoʻi, hiki i ka SLE ke hoʻopilikia i nā ʻano kino like ʻole, me ka ʻili, nā hono, nā puʻupaʻa, ka lolo, ka puʻuwai, a me nā māmā. ʻO ia ke kumu i ʻokoʻa ai nā hōʻailona.Lupus ʻili
Hoʻopilikia nui kēia ʻano i ka ʻili. Aia kekahi mau ʻano ʻē aʻe o kēia ʻano, no ka laʻana:- ʻO Discoid Lupus Erythematosus (DLE) : ʻO kēia ke kumu o nā ʻāpana poepoe, ʻulaʻula, ʻili unahi e ʻike ʻia ma ka ʻili. ʻO kēia ka mea maʻamau ma nā wahi i hōʻike ʻia e ka lā e like me ka maka, nā pepeiao, a me ke poʻo. Inā ʻike ʻia ka ʻulaʻula ma ke poʻo, hiki iā ia ke lilo ka lauoho a i kekahi manawa he ʻeha.
- ʻO Subacute Cutaneous Lupus Erythematosus (SCLE) : Hiki i kēia ke hana i nā ʻeha ʻulaʻula, annular, a i ʻole papulosquamous. Loaʻa pinepine kēia mau mea i nā wahi i hōʻike ʻia e ka lā. Eia nō naʻe, ʻoi aku ka liʻiliʻi o ka hiki ke hoʻoulu i ka ʻeha ma mua o DLE.
ʻO ka Lupus Erythematosus i hoʻoulu ʻia e ka lāʻau lapaʻau (DILE)
He moʻolelo ʻokoʻa kēia. Hiki i kekahi mau lāʻau lapaʻau (no ka laʻana, kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe, ka maʻi puʻuwai, a me ka maʻi epilepsy) ke hana i nā hōʻailona lupus ma ke ʻano he hopena i ka hoʻohana lōʻihi. Akā ʻo ka mea nui, ʻo ia ka nalo pinepine ʻana o kēia mau hōʻailona i loko o kekahi mau mahina ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau. A ʻoi aku ka liʻiliʻi o ka hiki ke hana i nā pōʻino koʻikoʻi, e like me ka hōʻino ʻana o nā puʻupaʻa.He aha nā kumu o ka lupus?
He paʻakikī ke kuhikuhi i hoʻokahi wale nō kumu o ka lupus. Hoʻokumu pinepine ʻia ia e ka hui pū ʻana o nā kumu. E nānā kākou i nā kumu nui e kōkua ana:- ʻO ke kūlana hoʻoilina : Inā loaʻa i kekahi poʻe ka lupus a i ʻole nā maʻi autoimmune ʻē aʻe i loko o ko lākou mau ʻohana, loaʻa paha iā lākou kahi ʻano kūpono e hoʻomohala i kēia maʻi. ʻO ke ʻano kēia, he mana ko nā genes ma luna o ia mea. Eia nō naʻe, ʻaʻole ke kumu o ka maʻi ka loaʻa ʻana o nā genes wale nō, pono e pāʻani pū kekahi mau mea ʻē aʻe.
- Nā mea hoʻoulu kaiapuniI kekahi manawa hiki ke hoʻoulu ʻia kēia maʻi e nā mea i ke kaiapuni o waho.
- Nā maʻi : Ua ʻike ʻia hiki ke ʻike ʻia nā hōʻailona lupus ma hope o kekahi mau mea, e like me nā maʻi viral.
- Kekahi mau lāʻau lapaʻau : E like me kā mākou i kūkākūkā ai ma mua, hiki i ka lupus ke kū mai ma ke ʻano he hopena i kekahi mau lāʻau lapaʻau.
- Lā (kukui UV) : ʻO ka ʻike ʻia ʻana i ka kukuna ultraviolet hiki ke hoʻāla a ulu paha ka lupus i kekahi poʻe.
- Ke kaumaha kino a naʻau nui paha : Hiki ke ʻike ʻia nā hōʻailona ma hope o nā hanana kaumaha nui, e like me kahi ulia nui, ke ʻoki kino, a i ʻole ka make ʻana o kahi mea aloha.
- Nā Hormones : No ka mea, ʻoi aku ka maʻamau o ka lupus i nā wahine, manaʻoʻiʻo nā kānaka ʻepekema he pili paha ka hormone wahine estrogen i ka maʻi. No ka laʻana, hiki ke loli nā hōʻailona i ka wā hāpai a i kekahi mau manawa o ke kaʻina hana menstrual.
ʻO ke ʻano kēia, no kekahi e loaʻa ai ka lupus, pono iā lākou kahi predisposition genetic i ia mea, a pono hoʻi he kumu kaiapuni a i ʻole kekahi kumu ʻē aʻe e hoʻāla ai i kēlā mau genes. Ua like kēia me ke huki ʻana i ke kumu o ka pū e kī.
Pehea e ʻike ʻia ai ʻo Lupus?
Hiki ke paʻakikī iki ka ʻike ʻana i ka lupus i kekahi manawa no ka mea he ʻokoʻa kona mau hōʻailona mai kēlā kanaka a kēia kanaka a hiki ke hoʻohālike i nā maʻi ʻē aʻe. Inā kānalua ke kauka i ka lupus, e hana lākou i kēia mau mea:- E nīnau lākou iā ʻoe i nā nīnau he nui e pili ana i kāu mau hōʻailona : he aha kāu mau hōʻailona, i ka manawa hea i hoʻomaka ai, pehea lākou e ʻoi aku ai ka maikaʻi a i ʻole ka ʻino, a pēlā aku. E nīnau paha lākou inā ua loaʻa i kekahi o kou ʻohana kēia mau maʻi.
- Hoʻokolokolo kino : Nānā i nā ʻeha ʻili, nā hono pehu, nā māmā, a me ka puʻuwai.
- Nā hoʻāʻo koko : He mea nui loa kēia. Nānā nā hoʻāʻo koko i nā mea e like me:
- Helu Koko Piha (CBC) : Nānā kēia i ka helu o nā hunaola koko ʻulaʻula, nā hunaola koko keʻokeʻo, a me nā platelets. Loaʻa paha i ka poʻe me ka lupus ka anemia, nā hunaola koko keʻokeʻo haʻahaʻa, a me nā platelets haʻahaʻa.
- Hoʻāʻo Antibody Antinuclear (ANA) : ʻO kēia ka hoʻāʻo nui i hana ʻia ke kānalua ʻia ka lupus. ʻO ANA kahi ʻano antibody i hana ʻia e kūʻē i ka nucleus o nā cell o ko mākou kino. ʻO ka hapa nui o ka poʻe me ka lupus he hoʻāʻo ANA maikaʻi. Eia naʻe, ʻaʻole nā mea āpau i loaʻa ka ANA maikaʻi i ka lupus. Hiki i ka ANA ke maikaʻi i nā kūlana olakino ʻē aʻe a i kekahi poʻe olakino.
- ʻO nā autoantibodies kikoʻī ʻē aʻe: Inā maikaʻi ka ANA, a laila e ʻimi pū mākou i nā antibodies i ʻoi aku ka kikoʻī i ka lupus, e like me ka anti-dsDNA a me ka anti-Sm. Inā maikaʻi kēia mau mea, he kōkua nui lākou i ka hōʻoia ʻana i ka lupus.
- ʻO ESR (Erythrocyte Sedimentation Rate) a me CRP (C-Reactive Protein) : Hiki i kēia mau hoʻokolohua ke nānā i ka mumū i loko o ke kino. Hiki ke hoʻokiʻekiʻe ʻia kēia mau mea i ka wā e hoʻonui ʻia ai ka lupus.
- Nā hoʻāʻo mimi : Hana ʻia nā hoʻāʻo mimi e ʻike inā ua hoʻopilikia ʻia nā puʻupaʻa. Nānā lākou no ka protein a me ke koko i loko o ka mimi.
- I kekahi manawa, hiki ke hana ʻia kahi hāpana ʻiʻo (biopsy) : Inā he ʻeha ʻili, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ia mea (biopsy ʻili) a nānā ʻia ma lalo o kahi microscope e ʻike inā he mau loli e pili ana i ka lupus. Eia kekahi, inā he kānalua ua hoʻopilikia ʻia nā puʻupaʻa, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka puʻupaʻa a nānā ʻia (biopsy puʻupaʻa).
Ua like ka ʻike ʻana i ka lupus me ka hoʻoponopono ʻana i kahi puzzle. E hoʻohui pū kāu kauka i kāu mau hōʻailona, nā hopena hoʻāʻo, a me nā ʻike ʻē aʻe e hiki ai i kahi hōʻailona pololei. No laila, he paʻakikī ke hana i kahi hōʻailona paʻa ma muli o hoʻokahi hoʻāʻo.
He aha nā lāʻau lapaʻau no Lupus?
ʻAʻohe lāʻau lapaʻau no ka lupus i kēia manawa. Akā , mai hopohopo, nui nā lāʻau lapaʻau kūpono i loaʻa e kōkua i ka kaohi ʻana i nā hōʻailona, hōʻemi i nā ʻōhū, a hōʻemi i ka hōʻino ʻana o nā kino. Hoʻokumu ʻia ka lāʻau lapaʻau ma luna o nā kino i hoʻopilikia ʻia a me ke koʻikoʻi o kāu mau hōʻailona . ʻO ka mea me ka lupus maʻamau e pono ai ke kōkua o kahi hui o nā kauka.Kōkua mai nā kauka loea
No ka mea hiki i ka lupus ke hoʻopilikia i nā ʻāpana like ʻole o ke kino, pono paha ke kōkua o nā loea he nui. Eia kekahi laʻana:- Kauka Lāʻau Lapaʻau : He kauka loea i nā maʻi o nā hono, nā ʻiʻo, a me nā ʻiʻo pili. He kuleana koʻikoʻi ka kauka lāʻau lapaʻau i ka mālama ʻana i ka lupus.
- Nephrologist : He kauka loea i nā maʻi puʻupaʻa. Inā pili nā puʻupaʻa i ka lupus, he mea nui ke kōkua o kēia kauka.
- Kauka ʻili : Mālama i nā maʻi ʻili e like me nā kīnā a me nā ʻeha.
- Kauka Puʻuwai : Inā he mau hopena ma ka puʻuwai.
- Pulmonologist : Inā he mau hopena ma nā māmā.
- Neurologist : Inā he hopena ma ka lolo a i ʻole ka ʻōnaehana nerve.
- Kauka Noʻonoʻo a Kauka Psychiatrist paha : E kōkua iā ʻoe e hoʻoponopono i ke kaumaha a me ke kaumaha e hele mai me ka noho ʻana me kahi maʻi lōʻihi e like me lupus.
Nā ʻano lāʻau lapaʻau i hoʻohana ʻia
Hoʻohana ʻia nā lāʻau lapaʻau like ʻole e kāohi i nā hōʻailona o ka lupus a pale i ka hoʻonui ʻia ʻana o ka maʻi.- Nā lāʻau lapaʻau anti-inflammatory :
- Nā Lāʻau Anti-Inflammatory Non-steroidal (NSAID) : No ka laʻana, nā lāʻau e like me ka ibuprofen a me ka naproxen. Hāʻawi ʻia kēia mau mea no nā mea e like me ka ʻeha o nā hono, ka ʻeha o nā ʻiʻo, a me ke kuni. Eia nō naʻe, pono e lawe ʻia kēia mau mea ma lalo o ke aʻo ʻana a ke kauka, no ka mea, hiki i kekahi poʻe ke loaʻa i nā pilikia o ka ʻōpū a me nā pilikia o nā puʻupaʻa.
- Nā lāʻau lapaʻau antimalarial : ʻO Hydroxychloroquine ka lāʻau i hoʻohana nui ʻia. ʻOiai he lāʻau ia no ka malaria, he mea kōkua nui ia i ka hōʻemi ʻana i nā ʻulaʻula ʻili, ka ʻeha hui, a me ka luhi i ka lupus. Hoʻemi pū ia i ke koʻikoʻi o ka maʻi.
- ʻO Corticosteroids : Nā lāʻau lapaʻau e like me prednisolone. Kōkua kēia i ka hōʻemi ʻana i ka mumū a me ka hana ʻana o ka ʻōnaehana pale ma ka wikiwiki. Hoʻohana ʻia kēia mau lāʻau lapaʻau i ka wā e koʻikoʻi ai ka maʻi a i ka wā e hoʻoweliweli ai ka hōʻino ʻana o nā kino i ke ola. Eia nō naʻe, no ka mea hiki i kēia mau mea ke hana i nā hopena ʻaoʻao (ka piʻi ʻana o ke kaumaha, ka maʻi diabetes, ka lahilahi o nā iwi, a me ka hoʻonui ʻia o ka maʻalahi i nā maʻi) ke hoʻohana ʻia no ka manawa lōʻihi, hoʻāʻo nā kauka e hāʻawi iā lākou i ka mahele haʻahaʻa loa no ka manawa pōkole loa.
- Nā lāʻau pale kino : Nā lāʻau e like me Azathioprine, Mycophenolate, Cyclophosphamide, a me Methotrexate. Hana kēia mau mea ma ka hōʻemi ʻana i ka hana o ka ʻōnaehana pale a me ke kāohi ʻana iā ia mai ka hoʻouka ʻana i kona kino ponoʻī. Hoʻohana ʻia kēia mau lāʻau i ka wā e hōʻino nui ʻia ai nā ʻōpū, ʻoiai nā puʻupaʻa. Pono ʻoe e noho mau ma lalo o ka nānā ʻana o ke kauka i ka wā e lawe ana i kēia mau lāʻau, no ka mea, piʻi ka pilikia o ka loaʻa ʻana o nā maʻi.
- Biologics : Loaʻa i kēia manawa nā lāʻau lapaʻau hou, e like me Belimumab lāua ʻo Rituximab. Hoʻopili kēia i nā ʻāpana kikoʻī o ka ʻōnaehana pale a ʻoi aku ka maikaʻi no kekahi poʻe.
ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka e like me ke kauoha, i ka manawa i kuhikuhi ʻia, a no ka manawa i kuhikuhi ʻia. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono iā ʻoe a me ka lōʻihi o kou lawe ʻana. Mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui o ka lāʻau ma kāu iho.
He aha hou kāu e pono ai e ʻike e pili ana i ka noho ʻana me ka lupus?
ʻOiai he maʻi lōʻihi ka lupus, he mea nui e aʻo e noho me ia. Ma waho aʻe o ka lāʻau lapaʻau, aia kekahi mau hoʻololi maʻalahi hiki iā ʻoe ke hana i kou nohona e hiki ke kōkua i ka hoʻokele ʻana i nā hōʻailona a pale i nā hoʻāla ʻana.- E pale iā ʻoe iho mai ka lā.He nui ka poʻe me ka lupus i maʻalahi i ka lā. No laila, e pale i ka hele ʻana i waho i ka lā ma waena o 10 a.m. a me 4 p.m. i ka hiki. Inā ʻoe e hele i waho, e hoʻohana i kahi sunscreen me ka SPF o 30 a ʻoi aku paha. E ʻaʻahu i nā lole lima lōʻihi, ka pāpale, a me nā aniani maka.
- E hoʻomaha nui : ʻO ka luhi kahi hōʻailona nui o ka lupus. No laila e ho'āʻo e hiamoe ma ka liʻiliʻi he 8 mau hola i ka lā. He mea maikaʻi nō hoʻi e hoʻomaha iki i ke ao. Mai hoʻoluhi nui i kou kino.
- ʻAi i ka ʻai olakino : He mea nui loa ka ʻai ʻana i ka ʻai kaulike. E hoʻokomo i nā mea kanu, nā huaʻai, nā legume, nā meaʻai waiwai i ka fiber, a me nā protein lean (iʻa, moa) i kāu papaʻai. E hōʻemi i nā meaʻai i hana ʻia, nā meaʻai kiʻekiʻe i ke kō, a me nā meaʻai momona kiʻekiʻe.
- Hoʻoikaika Kino : Mai noho wale ma kahi hoʻokahi no ka mea ua luhi ʻoe. Hiki i nā hoʻoikaika kino mālie e like me ka hele wāwae, ka ʻauʻau ʻana, a me ka yoga ke kōkua i ka hōʻemi ʻana i ka ʻoʻoleʻa o nā hono, hoʻoikaika i nā ʻiʻo, hōʻemi i ka luhi, a hoʻomaikaʻi i ke olakino noʻonoʻo. Akā ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka e pili ana i nā hoʻoikaika kino kūpono iā ʻoe.
- Hoʻokele koʻikoʻi : Hiki i ke koʻikoʻi ke hoʻonui i nā hōʻailona lupus. No laila e ho'āʻo e hōʻemi i ke koʻikoʻi ma o nā mea e like me ka noʻonoʻo ʻana, yoga, nā hoʻomaʻamaʻa hanu hohonu, a me ke komo ʻana i kahi leʻaleʻa āu e makemake ai.
- E pale i ka puhipaka : Hiki i ka puhipaka ke hoʻonui i ka lupus a hoʻonui i ka pilikia o ka maʻi puʻuwai. No laila, inā ʻoe e puhipaka, e kiʻi i ke kōkua e haʻalele.
- E hele i nā hoʻokolohua lapaʻau maʻamau : E hele i nā manawa a kāu kauka e like me ka mea i hoʻonohonoho ʻia. He mea nui loa kēia e ʻike inā e hana pono ana ka lāʻau lapaʻau, inā he mau hopena ʻaoʻao, a inā ua kaohi ʻia ka maʻi.
- E ʻike i nā hōʻailona hōʻike o ka lapalapa ʻana : E hoʻāʻo e hoʻomaopopo i nā hōʻailona āu i loaʻa ai ma mua o ka lapalapa ʻana (e laʻa, ka luhi nui, ka ʻeha hui hou, ka ʻulaʻula ʻili). Inā ʻoe e haʻi aku i kāu kauka i ka wā e ʻike ai ʻoe i kēia mau hōʻailona, hiki iā ʻoe ke hoʻomaka i ka lāʻau lapaʻau i ka wā mua a pale i ka maʻi mai ka ʻino ʻana.
- E hoʻomaopopo i kāu wahi hoʻonaʻauao a wahi hana paha : Inā he haumāna ʻoe, e haʻi i kāu mau kumu a me nā limahana kula e pili ana i kou kūlana. A laila hiki iā ʻoe ke loaʻa ke kākoʻo āu e pono ai. Inā ʻoe e hana ana, e hoʻomaopopo i kāu wahi hana inā pono.
Hiki ke paʻakikī ke noho me ka lupus, akā ʻaʻole ʻoe hoʻokahi. E kiʻi i ke kākoʻo mai kāu hui lapaʻau, ʻohana, a me nā hoaaloha. E ʻike pono e pili ana i ka maʻi.
Leka Lawe-Home
ʻAe, ke lana nei koʻu manaʻo he manaʻo maikaʻi kou e pili ana iā Lupus mai nā mea a mākou i kūkākūkā ai. ʻO ka mea hope loa, eia kekahi mau mea nui e hoʻomanaʻo ai:- He maʻi lōʻihi ʻo Lupus kahi e hoʻouka ai ko kākou ʻōnaehana pale ponoʻī i ko kākou kino. Hiki iā ia ke hoʻopilikia i nā ʻōkana he nui.
- ʻOkoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka. ʻO ka ʻili ʻulaʻula, ka ʻeha o nā hono, ka luhi nui, a me ke kuni kekahi o nā hōʻailona maʻamau.
- He mea nui nā ʻōlelo aʻoaʻo a me nā hoʻokolohua lapaʻau no ka ʻike pololei ʻana. Mai hoʻāʻo e ʻike i ka maʻi iā ʻoe iho.
- ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia ka lupus, aia nā lāʻau lapaʻau kūpono loa i kēia manawa e kaohi i nā hōʻailona a hoʻomaikaʻi i ke ʻano o ke ola.
- He mea nui loa ka hoʻohana pono ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka a e hana i nā hoʻokolohua i kuhikuhi ʻia.
- Hiki i nā hoʻololi maʻalahi o ke ʻano o ka nohona (pale ʻana i ka lā, ka ʻai olakino, ka hoʻoikaika kino, ka hoʻokele kaumaha) ke kōkua nui i ka kaohi ʻana i ka maʻi.
- ʻAʻole ʻoe hoʻokahi. Aia nā kauka, nā kahu maʻi, nā kākāʻōlelo, a me kāu poʻe aloha e hiki ke kōkua iā ʻoe e hoʻomanawanui i ka lupus.
ʻO ke ala maikaʻi loa e ola kūleʻa ai me ka lupus, ʻo ia ka ʻike ʻana iā ia, e kamaʻilio ākea e pili ana iā ia, a e loaʻa ke kākoʻo āu e pono ai. Inā he mau hopohopo kāu, mai makaʻu e kamaʻilio me ke kauka.
Lupus, SLE, autoimmunity, nā hōʻailona, lāʻau lapaʻau, Sri Lanka, autoimmunity, ʻeha hui, nā maʻi ʻili
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