ʻO Vitamin C: Nā Kumuwaiwai a me nā Pōmaikaʻi ma Ka maʻi ʻaʻai

o ka Naauao

ʻO ka lawe ʻana i ka Vitamin C (ascorbic acid) i nā meaʻai/kumu waiwai ma ke ʻano he ʻāpana o ka meaʻai i kēlā me kēia lā e hōʻemi i ka pilikia o nā maʻi maʻi maʻi e like me ka maʻi kanesa a me ka glioma. Loaʻa pū nā mea hoʻohui Vitamin C me ka calcium e hoʻopau i nā pilikia digestive. ʻO ka Vitamin C, ʻo ia hoʻi, hoʻomaikaʻi i ka absorption o ka calcium e ko mākou kino. E pili ana i ka mālama ʻana i ka maʻi maʻi, ʻo ka nele o ka absorption maikaʻi loa o ka Vitamin C mai kāna mau mea hoʻopiha waha a me nā meaʻai / kumu he palena. Eia naʻe, hōʻike nā haʻawina like ʻole i nā pono o ka Vitamin C intravenous i loko Ka maʻi 'aʻai me ka hoʻomaikaʻi ʻana i ka maikaʻi o nā lāʻau lapaʻau, hōʻemi i nā mea ʻawaʻawa a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola o nā maʻi maʻi maʻi.

ʻO ka Vitamin C, ʻo ia hoʻi ʻo ascorbic acid, kahi antioxidant ikaika a me kekahi o nā mea hoʻoikaika kūlohelohe i hoʻohana pinepine ʻia. ʻOiai he wikamina pono, ʻaʻole hana ʻia e ke kino o ke kanaka a loaʻa ʻia ma o ka papaʻai olakino. ʻO ia kekahi o nā wikamina hiki ʻole ke hoʻoheheʻe ʻia i ka wai i loaʻa i nā hua a me nā lau. ʻO ka loaʻa ʻole o ka Vitamin C (ascorbic acid) ma o nā meaʻai / papaʻai no ʻoi aku ma mua o 3 mau mahina i hopena i ka maʻi Vitamin-C i kapa ʻia ʻo scurvy. 

Lawe i ka Wikamina C (ascorbic acid) i nā meaʻai momona he nui nā pono olakino ma muli o kāna antioksidant, anti-inflammatory, anti-cancer a me nā waiwai boosting immune. Kōkua ia i ka mālama ʻana i ke olakino a ʻōnaehana pale paʻa, nā mea hoʻopili, hoʻohaʻahaʻa i ke kahe o ke koko a hoʻomaikaʻi i ke olakino cardiovascular. Kōkua ka Wikamina C i ke kino e hana i collagen e kōkua i ka hōʻeha ʻana i ka ʻeha. ʻO nā waiwai antioxidant o ka Wikamina C kōkua i ka pale ʻana i kā mākou pūnaewele mai ka hōʻino ʻia e nā radical manuahi. Hoʻokomo ʻia nā radical free i nā hui reactive i hana ʻia i ka wā e hoʻopili ai kā mākou kino i ka meaʻai. Hoʻopuka pū ʻia kēia mau mea ma muli o nā hōʻike kaiapuni e like me ka uahi paka, ka hoʻohauna ea a i ʻole nā ​​kukuna ultraviolet i ka lā.

Nā Meaʻai / Nā Kumuwaiwai o Vitamin C (Ascorbic Acid)

Hiki iā mākou ke hālāwai maʻalahi i nā koi o kēlā me kēia lā o ka Vitamin C ma o ka hoʻopili ʻana i nā ʻano huaola C (ascorbic acid) i nā huaʻai a me nā mea kanu i kā mākou papaʻai. ʻO nā meaʻai / kumuwaiwai kiʻekiʻe loa o ka Vitamin C (ascorbic acid) e komo pū me: 

• ʻO nā hua citrus e like me ka ʻalani, lemona, grapefruits, pomelos, a me nā lime. 
• guava
• Nā pepa ʻōmaʻomaʻo
• Peppers ʻulaʻula
• Strawberries
• Kiwi hua
• Papaya
• Pineapple
• ʻO ka wai momona
• uala
• Broccoli
• Nā Cantaloupes
• Kāpelu ʻula
• Spinach

ʻO ka Wikamina C a me ka omo ʻākena

ʻO ka wikamina C ke lawe ʻia me ka puna, hiki ke hoʻomaikaʻi i ka omo calcium. ʻO kahi noiʻi na Morcos SR mā. hōʻike pū ʻia i hiki i ka waiʻaila C / ascorbic acid, ʻalani a me ka wai pepa ke hoʻonui i ka omo o ka puna kōpū. Ke lawe pū ʻia, hiki i ka Wikamina C a me ka calcium ke hoʻonui i ka ikaika o ka iwi.

ʻO ka Vitamin C / ascorbic acid he acidic i ke kūlohelohe. A ʻo kahi hopena, kiʻekiʻe ka lawe ʻana i nā meaʻai / kumuwaiwai Vitamin C a i ʻole nā ​​huakō Vitamin C maoli e alakaʻi i nā pilikia digestive. No laila, i ka mākeke, loaʻa pū nā mea kōkua Vitamin C me ka Kalipuna, a kūʻai ʻia aku e like me nā mea paʻakai ascorbate calcium. Kaleponi ascorbate nā mea hoʻopili i loko o ka kalepuna carbonate i hiki ke hoʻopau i ka hopena acidic o Ascorbic Acid / Vitamin C.

ʻO ka ʻae no nā meaʻai makua a ka Vitamin C he 75 mg no nā wahine makua a me 90 mg no nā kāne makua. Ke lawe waha ʻia ʻo 30-180 mg o Wikamina C i kēlā me kēia lā ma o nā meaʻai a me nā mea hoʻopihapiha, 70-90% lawe ʻia. Eia nō naʻe, no nā ʻai i ʻoi aku ma mua o 1g / lā, hāʻule ka helu o ke omo ma lalo o 50% (ʻO Robert A. Jacob & Gity Sotoudeh, Nutrite in Clinical Care, 2002).

Nā pono o ka lawe ʻana i ka Vitamin C (Aascorbic Acid) nā meaʻai momona i ka maʻi ʻaʻai

Ma muli o kā lākou olakino olakino olakino, nui nā hoʻokolohua hoʻokolohua e noiʻi ana i ka Wikamina C waiwaiʻai / kumuwaiwai e hoʻopaʻa i kā lākou hiki ke loaʻa pono i ka maʻi ʻaʻai. Ua lawe ʻia kekahi mau noiʻi e hoʻopaʻa i ka hui o ʻO kaʻai Vitamin C me ka makaʻu maʻi ʻaʻai a i ʻole e hoʻopaʻa i kona hopena i ka mālama ʻana i ka maʻi ʻaʻai. 

Wikamina C & Pilikino Pilikino

1. Ka hui pū ʻana me ka maʻi ʻaʻai pūpū o ka puʻu

I loko o kahi noiʻi i paʻi ʻia ma 2014, ua hoʻokō nā mea noiʻi i kahi meta-analysis o nā ʻano noiʻi like ʻole i loiloi i ka pili o ka lawe ʻana o ka Wikamina C (ascorbic acid) nā meaʻai momona a i ʻole nā ​​mea hoʻopihapiha a me ka maka maʻi ʻaʻai pūhū. I mea e ʻike ai i nā noiʻi, ua lawe nā kānaka noiʻi i ka ʻimi noiʻi moʻokalaleo ma nā hōkeo ʻikepili, ʻo Pubmed hoʻi, Wan Fang Med Online a me ka Pūnaewele ʻIke (Luo J et al, Sci Rep., 2014). Ua hoʻokomo ʻia ka meta-analysis me 18 mau ʻatikala like ʻole i hōʻike ʻia he 21 mau noiʻi e pili ana i nā maʻi maʻi ʻaʻai pūpū 8938. Ma loko o kēia mau mea, ua mālama ʻia he 15 mau noiʻi ma United States, 2 ma Netherlands, 2 ma Kina, 1 ma Kanada a me 1 ma Uruguay. 6 o nā ʻatikala 18 i hoʻohana ʻia no ka meta-analysis ua hoʻokumu ʻia ma ka nānā ʻana i ka hihia / kaohi lāʻau lapaʻau a me 12 e pili ana i nā noiʻi heluna kanaka / cohort. 

Ua hōʻike ʻia nā hopena o ke kālailai e pili nui ana ka lawe ʻana o ka wikamina C me ka hoʻēmi ʻana o ka makaʻu o ka maʻi ʻaʻai pūpū, ʻo ia hoʻi ma ʻAmelika Hui Pū ʻIa a me nā noi cohort. ʻAʻole i hōʻike nā hopena i kahi hopena nui o ka Vitamin C i loko o nā noiʻi mai nā ʻatikala 6 case-control / clinical.

I kēia manawa, ua lawe pū kekahi nā mea noiʻi i kahi anamanaʻo pane-pane me ka hoʻohana ʻana i ka ʻikepili mai nā noiʻi 14 me nā hihia 6607. Ua hōʻike ʻia nā hopena o ke aʻo ʻana no kēlā me kēia 100 mg / lā hoʻonui i ka lawe ʻana o Vitamin C, aia he 7% e hoʻemi ana i ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai māmā. (Luo J et al, Sci Rep., 2014).

Kiʻi Ala:

Hōʻike kēia mau hopena i kahi loaʻa kiʻekiʻe o Vitamin C (ascorbic acid) i nā meaʻai momona i hiki ke hōʻemi i ka maka maʻi ʻaʻai o ka maʻi māmā.

2. Ka hui pū ʻana me ka maʻi ʻaʻai Brain (Glioma)

I kahi noiʻi i paʻi ʻia ma 2015, ua hoʻokō nā mea noiʻi i kahi meta-analysis o nā ʻano noiʻi like ʻole i loiloi i ka hui pū ʻana o ka lāʻau Vitamin C a me ka maʻi maʻi ʻaʻai glioma / lolo. No nā noiʻi kūpono, ua lawe nā mea noiʻi i ka huli palapala i nā waihona, ʻo ka Pubmed a me ka Pūnaewele o ka ʻike a hiki i Iune 2014 (Zhou S et al, Neuroepidemiology., 2015). Aia ma loko o ka ʻanalike he 13 mau ʻatikala i hōʻike ʻia he 15 mau noiʻi e pili ana i nā hihia glioma 3409 mai ʻAmelika Hui Pū ʻIa, Australia, Kina, a me Kelemania. Ua loaʻa i nā kānaka noiʻi nā hui kūpale nui i ka heluna kanaka o ʻAmelika a me nā hoʻopaʻa ʻana i ka hihia.

Kiʻi Ala:

Kuhi ʻia nā hopena o ke aʻo ʻana e hoʻemi ʻia ka loaʻa ʻana o ka lāʻau C i ka makaʻu o glioma, ʻoi aku ma waena o nā ʻAmelika. Eia nō naʻe, pono ʻia nā noiʻi noiʻi hou aku e hoʻokumu i ka mea like.

Ka hopena i nā mālama ʻana i ka maʻi ʻaʻai a me ke ola o ke ola

Hoʻolālā maikaʻi ʻia nā hoʻokolohua hoʻokolohua e pili ana i ka hoʻohana ʻana o nā mea hoʻohui Vitamin C waha / kumu waiwai i loaʻa ʻole nā ​​pono no ka poʻe me ka maʻi ʻaʻai. ʻO ka lāʻau kiʻekiʻe Vitamin C mai ka waha kumukanawai a/ ʻaʻole hoʻokomo maikaʻi ʻia nā meaʻai e hoʻokō i nā kiʻekiʻe kiʻekiʻe e like me ka mea i loaʻa ma o ka infravenous Vitamin C infusion a no laila ʻaʻole i hōʻike ʻia nā pōmaikaʻi. Hāʻawi ʻia ka Vitamin C me ka intravenous e hōʻike i ka hopena maikaʻi ma ka like ʻole me ka mahele ma ka waha. Ua ʻike ʻia nā infusions intravenous ʻo Vitamin C maluhia a hoʻomaikaʻi paha i ka pono a me ka haʻahaʻa nā meaʻona ke hoʻohana pū ʻia me radiation a me nā chemotherapy. Ua nui nā noiʻi hoʻokolohua e noiʻi ana i nā hopena maikaʻi o ka hoʻohana ʻana i ka lāʻau kiʻekiʻe Vitamin Vitamin i nā ʻano maʻi ʻaʻai.

1. Nā pōmaikaʻi ma Glioblastoma (Brain Cancer) nā mea maʻi i mālama ʻia me Radiation a i ʻole TMZ chemo lāʻau

Ua loiloi ʻia kahi noiʻi lapaʻau i paʻi ʻia ma 2019 i ka palekana a me ka hopena o ka lawelawe ʻana i ka infusion pharmacological ascorbate (Vitamin C) me Radiation a i ʻole ka chemotherapy TMZ i nā maʻi glioblastoma (brain cancer). ʻO Radiation a me TMZ nā kūlana maʻamau ʻelua o ka mālama mālama ʻana no ka glioblastoma (ka maʻi maʻi lolo). Ua loiloi ka haʻawina i ka ʻikepili mai ka lolo 11 Ka maʻi 'aʻai nā maʻi (ʻO Allen BG et al, ʻo Clin Cancer Res., 2019). 

Ua ʻike nā kānaka noiʻi i ka nui o nā lāʻau nui infravenous Vitamin C / ascorbate infusions i hoʻomaikaʻi ai i ke ola holoʻokoʻa o nā maʻi glioblastoma mai 12.7 mau mahina a 23 mau mahina, keu hoʻi i nā kumuhana i ʻike ʻia kahi māka kaulana o ka wānana maikaʻi ʻole. ʻO ka mahele lāʻau intravenous nui loa Vitamin C / ascorbate infusions i hōʻemi i nā hopena ʻino o ka luhi, nausea a me nā hanana maikaʻi hematological e pili ana me TMZ a me radiation therapy. ʻO nā hopena maikaʻi ʻole e pili ana i ka ascorbate / Vitamin C infusion a nā mea maʻi i ʻike ʻia he waha maloʻo a haʻalulu.

Kiʻi Ala:

Hōʻike nā mea i loaʻa i ka lawelawe ʻana i nā lāʻau nui intravenous Vitamin C / ascorbate infusions me ka Radiation therapy a i ʻole TMZ i nā mea maʻi ʻo Glioblastoma e palekana a hoʻomanawanui paha. ʻO ka mahele lāʻau intravenous kiʻekiʻe Vitamin C hiki ke hoʻonui i ka pono o ka lāʻau e like me ka mea i hōʻike ʻia e ka hoʻomaikaʻi ʻana i ke ola holoʻokoʻa o nā mea maʻi.

2. Nā pōmaikaʻi i nā kūpuna Myeloid Leukemia elemakule i mālama ʻia me kahi mea hana hypomethylating (HMA)

Hoʻohana ʻia nā mea hana Hypomethylating (HMA) no ka mālama ʻana i ka Acute Myeloid Leukemia a me Myelodysplastic Syndromes (MDS). Eia nō naʻe, he haʻahaʻa ka helu pane o kekahi mau lāʻau hypomethylating, ma kahi o 35-45% wale nō. (Welch JS et al, New Engl. ʻO J Med., 2016)

Ma ka hou o like alakaʻi ʻia ma Kina, ua loiloi nā mea noiʻi i ka hopena o ka lawelawe ʻana i ka lāʻau haʻahaʻa C intravenous Vitamin C me kahi HMA kikoʻī i nā maʻi maʻi myeloid leukemia (AML) ʻelemakule. Ua kālailai nā kānaka noiʻi i nā hopena maʻi o 73 mau mea maʻi AML ʻelemakule i loaʻa i ka hui pū ʻana o ka lāʻau haahaa intravenous Vitamin C a me ka HMA a ʻo HMA wale nō. (Zhao H et al, Leuk Res., 2018)

Ua ʻike nā kānaka noiʻi ʻo nā mea maʻi i lawe i kēia HMA i hui pū ʻia me ka Vitamin C i loaʻa ka helu remit piha piha o 79.92% me 44.11% i ka poʻe i lawe i ka HMA wale nō. Ua ʻike pū lākou he 15.3 mau makahiki ke ola waena (OS) ma ka hui i loaʻa nā Vitamin C a me ka HMA i hoʻohālikelike ʻia me 9.3 mau mahina i ka hui i loaʻa iā HMA wale nō. Ua hoʻoholo lākou i ke kumu ʻepekema ma hope o ka hopena maikaʻi o ka Vitamin C ma kēia pane HMA kikoʻī. No laila, ʻaʻole kēia he hopena kaulele wale nō. 

Kiʻi Ala:

ʻO ka lawe ʻana i kahi lāʻau haʻahaʻa C intravenous Vitamin C me ka lāʻau HMA kikoʻī e palekana a maikaʻi paha i nā mea maʻi AML ʻelemākule. Hoʻohui ʻia, hoʻomaikaʻi paha ia i ke ola holoʻokoʻa a me ka pane olakino o nā mea maʻi AML i mālama ʻia me ka HMA. Hōʻike kēia mau hopena i kahi hopena synergistic o intravenous Vitamin C a me kahi mea hana hypomethylating i nā mea maʻi AML. 

3. Ka hopena ma ka hoʻowahāwahā ʻana i nā maʻi maʻi ʻaʻai

Ua noi ʻia kahi noiʻi i paʻi ʻia ma 2012 i ka hopena o ka hopena kiʻekiʻe o ka lāʻau Vitamin C ma luna o ka mumū i nā maʻi maʻi ʻaʻai. Ua komo ka noiʻi i ka ʻikepili mai nā maʻi he 45 i mālama ʻia ma ke Keʻena ʻo Riordan, Wichita, KS, ʻAmelika Hui Pū ʻIa. Ua ʻike ʻia kēia mau mea maʻi me ka maʻi ʻaʻai prostate, ka maʻi ʻaʻai umauma, maʻi ʻaʻai o ka maʻi ʻaʻai, maʻi ʻaʻa pancreatic, maʻi ʻaʻa maʻi, ka maʻi ʻaʻai thyroid, ka maʻi ʻaʻa ʻili a me ka lymphoma B-cell. Ua lawelawe ʻia lākou me nā lāʻau kiʻekiʻe o ka Vitamin C i kau i kā lākou maʻamau maʻamau maʻamau. (Mikirova N et al, J Translate Med. 2012)

Hoʻopili ka hoʻāla a me ka protein C-reactive kiʻekiʻe (CRP) me ka wānana maikaʻi ʻole a hoʻemi i ke ola i nā ʻano maʻi ʻaʻai. (Mikirova N et al, J Translate Med. 2012) Nā hualoaʻa o ke aʻo ʻana ua hiki i ka Vitamin C intravenous ke hoʻemi nui i nā pae o nā māka e hoʻonui ai i ka mumū e like me IL-1α, IL-2, IL-8, TNF-α, chemokine eotaxin a me CRP. Ua ʻike pū kekahi nā mea noiʻi ʻo ka emi ʻana o nā pae CRP i ka wā o ka mālama ʻana ʻo Wikamina C e hoʻopili ʻia me ka hoʻēmi ʻana o nā kaha tumora.

Kiʻi Ala:

Hōʻike kēia mau hopena i ka hopena o ka lāʻau Vitamin C i hiki ke hoʻemi i ka mumū i nā mea maʻi maʻi maʻi.

4. Ka hopena i ka maikaʻi o ke ola o nā maʻi maʻi ʻaʻai

I loko o kahi noiʻi nānā ʻana i nā kikowaena nui, ua nānā nā mea noiʻi i nā hopena o ka nui o ka intravenous Vitamin C i ka maikaʻi o ke ola. Ka maʻi 'aʻai nā maʻi. No ke aʻo ʻana, ua nānā nā mea noiʻi i ka ʻikepili mai nā maʻi me ka maʻi kanesa hou i loaʻa i ka nui o ka intravenous Vitamin C ma ke ʻano he adjuvant therapy. Ua loaʻa nā ʻikepili mai nā maʻi 60 mai nā hui i komo ma Iapana ma waena o Iune a me Kekemapa 2010. Ua hana ʻia ka nānā ʻana i ka maikaʻi o ke ola me ka hoʻohana ʻana i ka ʻikepili ma muli o ka nīnau nīnau i loaʻa ma mua, a ma 2 a me 4 mau pule o ke kiʻekiʻe intravenous Vitamin C therapy.

Ua hōʻike ʻia nā noiʻi i ka hoʻomaʻemaʻe ʻana o ka lāʻau Vitamin C i loko o ka lāʻau nui i hoʻomaikaʻi i ke olakino a me ka maikaʻi o ke ola o nā maʻi. Ua ʻike pū lākou i ka hoʻomaikaʻi ʻana i ke kino, ka naʻau, ka noʻonoʻo, a me ka hana kaiāulu ma 4 mau pule o ka lawelawe ʻana o Vitamin C. Ua hōʻike nā hualoaʻa i ke kōkua nui i nā ʻōuli e like me ka luhi, ʻeha, hiamoe a me ka paʻa paʻa. (Hidenori Takahashi et al, Personalised Medicine Universe, 2012).

Kiʻi Ala:

Hōʻike kēia mau hopena i ka hopena o ka lāʻau lāʻau C intravenous kiʻekiʻe hiki ke hoʻomaikaʻi i ke ola o nā maʻi maʻi maʻi.

Panina

I ka hōʻuluʻulu ʻana, he mau antioxidants maikaʻi nā meaʻai Vitamin C me nā pono olakino a pono e lilo i ʻāpana o kā mākou meaʻai i kēlā me kēia lā. Hoʻomaikaʻi ka Vitamin C i ka absorption o ka calcium e ko mākou kino a hoʻonui i ka ikaika o ka iwi. Ua hōʻike pū kekahi i ka hiki ke hōʻemi i ka pilikia o nā kikoʻī maʻi pū e like me ka maʻi kanesa a me ka glioma. I ka wā e pili ana i ka mālama ʻana i ka maʻi kanesa, ʻaʻole lawa ka Vitamin C waha ma muli o ka sub-optimal absorption. Eia nō naʻe, ua hōʻike ʻia nā infusions Vitamin C intravenous e hoʻomaikaʻi i ka hopena therapeutic a me ka hoʻomanawanui o nā lāʻau lapaʻau chemotherapy kūikawā. Ua hōʻike pū kēia mau mea i ka hiki ke hoʻonui i ka poʻe maʻi maikaʻi o ke ola a me ka hoʻēmi ʻana i ka mea ʻawahia o ka radiation a me nā regimens chemotherapy. Ua hōʻike pū ʻia nā infusions vitamona C (ascorbate) kiʻekiʻe i ka hiki ke hoʻoliʻiliʻi i nā mea ʻino o nā chemotherapies kikoʻī i nā maʻi pancreatic a me ovarian. (ʻO Welsh JL et al, Cancer Chemother Pharmacol., 2013; ʻO Ma Y et al, ʻo Sci. Unuhi. Med., 2014).

He aha nā meaʻai āu e ʻai ai a me nā mea hoʻopihapiha āu e lawe ai i hoʻoholo. Pono e hoʻoholo i kāu hoʻoholo ʻana e pili ana i ka hoʻololi ʻana i nā ʻāpana o ka maʻi ʻaʻai, ka maʻi ʻaʻai, nā lāʻau e hoʻomau nei a me nā mea hoʻopihapiha, nā maʻi āpau, nā ʻike nohona, ke kaupaona, ke kiʻekiʻe a me nā ʻano.

ʻAʻole hoʻokumu ʻia ka hoʻolālā meaʻai no ka maʻi ʻaʻai mai addon ma ka ʻimi pūnaewele. Hoʻokele ia i ka hoʻoholo ʻana iā ʻoe ma muli o ka ʻepekema molekole i hoʻokō ʻia e ko mākou ʻepekema a me nā ʻenekini polokalamu. Nānā ʻole inā ʻoe e noʻonoʻo e hoʻomaopopo i ke ʻano o nā ʻolaola biōmika kumu a i ʻole ʻole - no ka hoʻolālā meaʻai no ka maʻi ʻaʻai e pono ai ka ʻike.

E hoʻomaka I K NOWIA manawa me kāu hoʻolālā meaʻai e ka pane ʻana i nā nīnau e pili ana i ka inoa o ka maʻi ʻaʻai, ka hoʻololi ʻana o nā kūpuna, nā mālama ʻana a me nā mea hoʻopihapiha mau, nā maʻi āpau, nā ʻano, ka nohona, nā makahiki a me nā kāne.

ʻO nā mea maʻi maʻi maʻi e hana pinepine me nā mea ʻokoʻa nā hopena ʻaoʻao chemotherapy kahi e hoʻopili ai i ko lākou ola o ke ola a nānā i nā hoʻoponopono ʻokoʻa no ka maʻi ʻaʻai. Lawe ana i ka ka meaʻai kūpono a me nā mea hoʻopihapiha e pili ana i nā noʻonoʻo ʻepekema (ka hōʻalo ʻana i ka wānana a me ke koho wale ʻana) ʻo ia ka lāʻau kūlohelohe maikaʻi loa no ka maʻi ʻaʻai a me ka lāʻau e pili ana nā hopena ʻaoʻao.

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