ʻO Selegiline Transdermal Patch
Anter
- E hoʻohana ai i nā pākuʻi, e hāhai i kēia mau kaʻina hana:
- Ma mua o ka hoʻohana ʻana i ka transdermal selegiline,
- Hiki i nā Transegmal selegiline ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻ sectionlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka:
- Pākuʻi ʻia paha nā ʻōuli o ka overdose:
ʻO kahi liʻiliʻi o nā keiki, ʻōpio, a me nā ʻōpio ʻōpio (a hiki i ka 24 mau makahiki) i lawe i nā antidepressants ('mood lift') e like me transdermal selegiline i ka wā o nā noiʻi maʻi ʻana i lilo i suicidal (e noʻonoʻo ana e pili ana i ka hōʻeha a pepehi ʻana iā ʻoe iho a i ʻole ke hoʻolālā ʻana a hoʻāʻo paha e hana no laila). ʻO nā keiki, ʻōpio, a me nā ʻōpio ʻōpio e lawe i nā antidepressants e mālama i ke kaumaha a i ʻole nā maʻi noʻonoʻo ʻē aʻe e lilo i suicidal ma mua o nā keiki, ʻōpio, a me nā ʻōpio makua ʻole i lawe ʻole i nā antidepressants e mālama i kēia mau ʻano. Eia naʻe, ʻaʻole maopopo ka poʻe loea e pili ana i ka nui o kēia pilikia a pehea e noʻonoʻo ai i ka hoʻoholo ʻana inā paha e lawe kahi keiki a mea ʻōpio paha i kahi antidepressant. ʻO nā keiki ma mua o 18 mau makahiki ʻaʻole pono e lawe maʻamau i ka transdermal selegiline, akā i kekahi mau hihia, hoʻoholo paha ke kauka he transdermal selegiline ka lāʻau maikaʻi loa e mālama ai i ke ʻano o ke keiki.
Pono ʻoe e ʻike e loli paha kou olakino noʻonoʻo i nā ala i manaʻo ʻole ʻia ke lawe ʻoe i transdermal selegiline a i ʻole nā antidepressants ʻē aʻe inā ʻo ʻoe he makua ma luna o nā makahiki 24. Hiki iā ʻoe ke lilo i suicidal, keu hoʻi i ka hoʻomaka o kāu lapaʻau a me kēlā me kēia manawa e hoʻonui ʻia ai kāu mahele lāʻau. a i ʻole ua hōʻemi ʻia. ʻO ʻoe, kou ʻohana, a i ʻole kāu mea mālama e kāhea koke aku i kāu kauka inā ʻike ʻoe i kekahi o kēia mau ʻōuli: ke kaumaha hou a i ʻole ke kaumaha paha; ke noʻonoʻo nei e pili ana i ka hōʻino a pepehi paha iā ʻoe iho, a i ʻole ke hoʻolālā ʻana a hoʻāʻo ʻana paha e hana pēlā; hopohopo nui loa; hoʻonāukiuki; hoʻouka weliweli; paʻakikī e hiamoe a hiamoe paha; hana kolohe; ukiuki; hana me ka noʻonoʻo ʻole; hoʻomaha ʻole loa; a me ka pīhoihoi pīhoihoi frenzied. E ʻike pono i kou ʻohana a mea mālama paha e ʻike i nā hōʻailona e koʻikoʻi paha i hiki iā lākou ke kāhea i ke kauka ke hiki ʻole iā ʻoe ke ʻimi i ka lāʻau iā ʻoe iho.
Makemake kāu mea mālama ola e ʻike iā ʻoe pinepine ʻoiai ʻoe e lawe nei i ka selegiline transdermal, keu hoʻi i ka hoʻomaka o kāu lapaʻau. E mālama pono i nā koho a pau no ke kipa keʻena me kāu kauka.
E hāʻawi ke kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me transdermal selegiline. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke loaʻa i ke Alakaʻi Medication mai ka pūnaewele FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.
He mea ʻole kāu mau makahiki, ma mua o kou lawe ʻana i kahi antidepressant, pono ʻoe, kou makua, a i ʻole kāu mea mālama e kamaʻilio i kāu kauka e pili ana i nā pilikia a me nā pono o ka mālama ʻana i kāu kūlana me ka antidepressant a i ʻole me nā lāʻau ʻē aʻe. E kamaʻilio pū ʻoe e pili ana i nā makaʻi a me nā pōmaikaʻi o ka mālama ʻole ʻana i kou ʻano. Pono ʻoe e ʻike i ka loaʻa ʻana o ke kaumaha a i ʻole kekahi maʻi noʻonoʻo e hoʻonui nui ai i ka makaʻu e lilo ʻoe i suicidal. ʻOi aku ka kiʻekiʻe o kēia makaʻāinana inā ʻo ʻoe a i ʻole kekahi o kou ʻohana i loaʻa a i ʻole loaʻa paha i kahi maʻi bipolar (ʻano e loli ai mai ke kaumaha i ka pīhoihoi ʻole) a i ʻole mania (huhū, ʻano ʻoliʻoli ʻole) a i noʻonoʻo a hoʻāʻo paha e pepehi iā ʻoe iho. E kamaʻilio me kāu kauka e pili ana i kou ʻano, nā ʻōuli, a me ka mōʻaukala pilikino a me ka ʻohana. E hoʻoholo ʻoe a me kāu kauka i ke ʻano o ke kūpono kūpono iā ʻoe.
Hoʻohana ʻia ʻo Transdermal selegiline e mālama i ke kaumaha. Aia ʻo Selegiline i loko o ka papa o nā lāʻau i kapa ʻia nā mea kāohi iā monoamine oxidase (MAO). Hana ia ma ka hoʻonui ʻana i ka nui o kekahi mau mea kūlohelohe e pono ai e mālama i ke kaulike noʻonoʻo.
Hele mai ʻo Transdermal selegiline ma ke ʻano he patch e hoʻopili i ka ʻili. Hoʻohana maʻamau ia hoʻokahi i ka lā a waiho ma kahi no 24 mau hola. Wehe i kāu patch selegiline kahiko a kau i kahi patch hou ma kahi o ka manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E hoʻohana pono i ka transdermal selegiline e like me ke kuhikuhi. Mai hoʻopili i nā pākuʻi a hoʻopili i nā pākuʻi pinepine aʻe ma mua o ka mea i kauoha ʻia e kāu kauka.
E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau haʻahaʻa o transdermal selegiline a hoʻonui iki i kāu lāʻau, ʻaʻole ʻoi aku ma mua o hoʻokahi manawa i kēlā me kēia 2 pule.
Mālama ʻo Transdermal selegiline i ke kaumaha akā ʻaʻole ia e hoʻōla iā ia. E hoʻomaka paha kāu kūlana e hoʻomaikaʻi ma hope o kāu hoʻohana ʻana i ka transdermal selegiline no hoʻokahi pule a ʻoi paha. Eia nō naʻe, pono ʻoe e hoʻomau e hoʻohana i ka transdermal selegiline ʻoiai inā maikaʻi ʻoe. Mai hooki i ka hoʻohana ʻana i ka transdermal selegiline me ke kamaʻilio ʻole ʻana me kāu kauka.
E noi i nā pale selegiline e hoʻomaloʻo, ʻili ʻili i nā wahi āpau o kou umauma o luna, kou kua (ma waena o kou ʻāʻī a me kou pūhaka), kou ʻūhā luna, a i ʻole ka ʻaoʻao i waho o kou lima luna. Koho i kahi kahi e ʻānai ʻole ʻia ai ka pale e nā lole paʻa. Mai hoʻopili i nā pale selegiline i ka ʻili huluhulu, ʻaila, hoʻonāukiuki, haki, ʻehaʻeha, a i ʻole callouse.
Ma hope o kāu hoʻopili ʻana i kahi patch selegiline, pono ʻoe e ʻaukā i nā manawa āpau a hiki i kou mākaukau e hemo a kau i kahi pale hou. Inā hemo ka pale a hāʻule paha ma mua o ka manawa e pani ai, e hoʻāʻo e kaomi hou i kahi me nā manamana lima. Inā ʻaʻole hiki ke kaomi i ka pale, e hoʻolei a hoʻopili i kahi patch hou i kahi ʻokoʻa. E kuapo i ka pale hou i kāu manawa hoʻololi kuʻina papa hoʻonohonoho maʻamau.
Mai ʻokiʻoki i nā patch selegiline.
ʻOiai ʻoe e ʻaʻa nei i kahi patch selegiline, pale i ka pale mai ka wela pololei e like me nā pale pumehana, nā kapa uila, nā ipukukui, nā sauna, nā paipu wela, a me nā moena wai wela. Mai hōʻike i kahi āpau e kuhikuhi i ka lā no ka lōʻihi loa.
E hoʻohana ai i nā pākuʻi, e hāhai i kēia mau kaʻina hana:
- Koho i ka wahi āu e hoʻopili ai i ka pā. E holoi i kahi me ke kopa a me ka wai mehana. E holoi i nā kopa a pau a hoʻomaloʻo i ka wahi me kahi kāwele maʻemaʻe.
- E wehe i ka ʻeke pale a hemo i ka pā.
- Peel i ka ʻāpana mua o ka liner mai ka ʻaoʻao pipiki o ka pākuʻi. Pono e paʻa ka lua o ka liner i ka pā.
- E kaomi paʻa i ka pale ma luna o kou ʻili me ka ʻaoʻao pili i lalo. E makaʻala i ʻole e hoʻopā i ka ʻaoʻao pipiki me kou mau manamana lima.
- Wehe i ka lua o ka lālani pale a kaomi i ke koena o ka ʻaoʻao pipili o ka pale i kū pono i kou ʻili. E ʻike pono kaomi ʻia ka pā i ka ʻili me ka ʻole o nā puʻupuʻu a i ʻole nā pelu a paʻa paʻa ia.
- E holoi i kou mau lima me ke kopa a me ka wai e hemo i nā lāʻau i loaʻa iā lākou. Mai hoʻopā i kou mau maka a hiki i ka holoi ʻana i kou mau lima.
- Ma hope o 24 mau hola, e ʻohi mālie a palupalu ka pā. E pelu i ka pā i ka hapalua me nā ʻaoʻao pili a hoʻolei iā ia me ka palekana, i hiki ʻole ai i nā keiki a me nā holoholona. Hiki ke hōʻeha ʻia nā keiki a me nā holoholona inā nau lākou, pāʻani me, a ʻaʻahu paha i nā loʻi i hoʻohana ʻia.
- E holoi i ka wahi ma lalo o ka palapū me ke kopa me ka wai mehana e hoʻoneʻe i nā koena. Inā pono, hiki iā ʻoe ke hoʻohana i ka aila pēpē a i ʻole ka pale wehe lina lapaʻau e lawe i ke koena e hele ʻole me ke kopa a me ka wai. Mai hoʻohana i ka wai ʻona, mea hoʻoneʻe kui, a i ʻole nā mea hoʻoheheʻe ʻē aʻe.
- E noi i kahi pākuʻi hou i kahi ʻokoʻa ʻē aʻe ma ka hāhai ʻana i nā ʻanuʻu 1 a 6.
Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.
Ma mua o ka hoʻohana ʻana i ka transdermal selegiline,
- e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka selegiline a i ʻole nā lāʻau ʻē aʻe.
- e haʻi i kāu kauka inā e lawe ana ʻoe, lawe koke paha, a i ʻole hoʻolālā e lawe i kekahi o nā lāʻau i kuhikuhi ʻia a me nā lāʻau lapaʻau ʻole, nā huahana lāʻau, a i ʻole nā mea kōkua ponoolaola: amphetamines (stimulants, 'uppers') e like me amphetamine (i Adderall), benzphetamine (Didrex), dextroamphetamine (Dexedrine, Dextrostat, i Adderall), a me ka methamphetamine (Desoxyn); nā antidepressants e like me amitriptyline (Elavil) a me imipramine (Tofranil); buproprion (Wellbutrin, Zyban); buspirone (BuSpar); carbamazepine (Tegretol); cyclobenzaprine (Flexeril); dextromethorphan (Robitussin); nā lāʻau no ke kahe a me nā hōʻailona anu a i ʻole no ka pohō kaumaha; meperidine (Demerol); methadone (Dolophine); mirtazapine (Remeron); nā mea hoʻopale monoamine oxidase ʻē aʻe e like me isocarboxazid (Marplan), phenelzine (Nardil), selegiline waha (Eldepryl, Zelapar), a me tranylcypromine (Parnate); oxcarbazepine (Trileptal); pentazocine (Talwin); propoxyphene (Darvon); nā mea hoʻoliʻiliʻi serotonin reuptake e like me citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), a me sertraline (Zoloft); selotonin selective a me nā norepinephrine reuptake inhibitors (SSNRIs) e like me duloxetine (Cymbalta) a me venlafaxine (Effexor); St. John's wort; tramadol (Ultram, i Ultracet); a me nā hoʻopihapiha tyramine. E haʻi paha kāu kauka iā ʻoe ʻaʻole e hoʻohana i ka transdermal selegiline a hala nā pule he 1 a ʻoi paha mai kou lawe hope ʻana i kekahi o kēia mau lāʻau. Inā kū ʻoe i ka hoʻohana ʻana i ka transdermal selegiline, e ʻōlelo paha kāu kauka iā ʻoe ʻaʻole e lawe i kekahi o kēia mau lāʻau a hiki i ka hala ʻana o ʻelua mau pule ma hope o kou hoʻōki ʻana i ka selegiline transdermal.
- e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau a me nā lāʻau ʻole ʻē aʻe i lawe ʻia a lawe ʻia e hoʻolālā e lawe. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
- pono ʻoe e ʻike i ka selegiline hiki ke noho i loko o kou kino no mau pule ma hope o kou hoʻopau ʻana i ka hoʻohana ʻana i ka lāʻau. I loko o nā mau pule mua ma hope o ka pau ʻana o kāu lāʻau, e haʻi i kāu kauka a me ka kauka lāʻau ua hoʻopau koke ʻoe i ka hoʻohana ʻana i ka selegiline ma mua o kou hoʻomaka ʻana e lawe i nā lāʻau hou.
- e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa iā pheochromositosis (kahi tumo ma kahi gland liʻiliʻi kokoke i nā puʻupaʻa). E haʻi paha kāu kauka iā ʻoe ʻaʻole pono ʻoe e hoʻohana i ka transdermal selegiline.
- E haʻi aku i kāu kauka inā makemake ʻoe e hele a poniuniu a maʻule paha a inā ʻoe i loaʻa a i ʻole loaʻa paha i nā kuʻi ʻana, kahi puʻuwai puʻuwai, a i ʻole nā maʻi puʻuwai.
- e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka hoʻohana ʻana i ka transdermal selegiline, e kāhea i kāu kauka.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i transdermal selegiline
- pono ʻoe e ʻike i ka transdermal selegiline e hiamoe ai ʻoe. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
- e kamaʻilio me kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e hoʻohana nei i transdermal selegiline.
- pono ʻoe e ʻike ʻo transdermal selegiline ke kumu o ka hoʻoluhi, hoʻomālamalama, a me ka maʻule ke ala koke ʻoe mai kahi kūlana wahaheʻe. ʻOi aku ka maʻamau o kēia ke hoʻomaka mua ʻoe e hoʻohana i ka transdermal selegiline. I mea e hōʻalo ai i kēia pilikia, e hele mālie i waho o kahi moe, e hoʻomaha ana i kou mau wāwae i ka papahele no kekahi mau minuke ma mua o ke kū ʻana i luna.
Pono paha ʻoe e hāhai i kahi papaʻai kūikawā i kou wā e mālama ai me ka selegiline transdermal. Aia kēia i ka ikaika o nā loʻi āu e hoʻohana nei. Inā ʻoe e hoʻohana nei i ka pāʻina 6 mg / 24 hola, hiki iā ʻoe ke hoʻomau i kāu papaʻai maʻamau.
Inā ʻoe e hoʻohana ana i ka patch 9 mg / 24 hola a i ʻole ka patch 12 mg / 24 hola, ʻike paha ʻoe i kahi hopena koʻikoʻi inā ʻoe e ʻai i nā meaʻai i kiʻekiʻe i ka tyramine i kāu wā e lapaʻau ai. ʻIke ʻia ʻo Tyramine i nā meaʻai he nui, e like me ka ʻiʻo, nā moa, nā iʻa, a me nā tīhi i puhi ʻia, ʻelemakule, mālama pono ʻole ʻia, a i hōʻino ʻia paha; kekahi mau huaʻai, nā lau, a me nā pī; mea inu ʻona; a me nā huahana hū i hū. E haʻi aku kāu kauka a mea ʻaʻai paha i nā meaʻai āu e pale pono ai, a me nā meaʻai āu e ʻai ai i nā liʻiliʻi. E hāhai pono i kēia mau ʻōkuhi. E noi i kāu kauka a i ʻole kauka meaʻai inā he nīnau kāu e pili ana i ka mea āu e ʻai ai a inu ai i kāu wā e lapaʻau ai.
Inā hoʻopoina ʻoe e hoʻololi i kāu pāʻālua ma hope o 24 mau hola, hemo i ka pākuʻi kahiko, noi i kahi pāʻina hou ke hoʻomanaʻo ʻoe a hoʻomau i kāu papa hana maʻamau. Mai hoʻopili i kahi pākuʻi hou e pani no kahi mahele lāʻau i hala.
Hiki i nā Transegmal selegiline ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ʻulaʻula o kahi āu i noi ai i ka pā
- pāhoehoe
- puʻuwai puʻuwai
- waha maloo
- Kaumaha emi
- hūwī
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻ sectionlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka:
- ʻeha poʻo poʻo
- wikiwiki, lohi, a kuʻi paha i ka puʻuwai puʻuwai
- ʻeha ka umauma
- ʻāʻī ʻoʻoleʻa a ʻeha paha
- nausea
- ka luaʻi
- ka houʻu ʻana
- huikau
- nā haumāna ākea (nā pōʻaiʻeleʻele i ka waena o nā maka)
- ʻike maka o nā maka i ka mālam
Hiki i ka Transdermal selegiline ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.
E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua. E mālama i nā loʻi i kā lākou mau pale pale a mai wehe i kahi ʻeke a hiki i kou mākaukau e hoʻopili i ka pā.
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou.No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org
I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.
Pākuʻi ʻia paha nā ʻōuli o ka overdose:
- hiamoe
- ʻūpā
- maule
- ukiuki
- hyperactivity
- hoohaunaele
- ʻeha poʻo poʻo
- hallucination (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole ola)
- ʻāʻī paʻa
- ʻoʻoleʻa a hoʻopaʻa ʻia o ke kua
- ka hopu ʻana
- koma (nalo o ka noʻonoʻo no kahi manawa o ka manawa)
- wikiwiki a me ka pā ʻole o ka lāʻau ikiʻai
- ʻeha ka umauma
- hanu lohi
- ka houʻu ʻana
- fiva
- anu, ʻili paʻalili
Mālama i nā manawa āpau me kāu kauka.
Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.
He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.
- ʻO Emsam®