ʻO ka Certolizumab Injection

Anter

• Hoʻohana ʻia ka injection Certolizumab e hōʻoluʻolu i nā ʻōuli o kekahi mau maʻi autoimmune (nā kūlana e hoʻouka ai ka ʻōnaehana pale i nā ʻāpana olakino o ke kino a hōʻeha i ka ʻeha, pehu, a me nā hōʻino) e like me kēia:
• Ma mua o ka hoʻohana ʻana i ka pahu kui certolizumab,
• Hoʻokumu paha ka injection ʻo Certolizumab 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 ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e loaʻa i ke kōkua olakino pilikia.

Hiki i ka injection Certolizumab ke hoʻemi i kou hiki ke hakakā i ka maʻi a hoʻonui i ka makaʻu e loaʻa ʻoe i kahi maʻi kūpilikiʻi a i ʻole hoʻoweliweli e like me ka maʻi fungal, bacterial, a me nā maʻi viral i hoʻolaha ʻia i loko o ke kino. Pono e mālama ʻia kēia mau maʻi i ka haukapila a make paha ka make. E haʻi i kāu kauka inā loaʻa pinepine ʻoe i kekahi ʻano maʻi a i ʻole inā manaʻo a manaʻo paha ʻoe he ʻano maʻi paha kāu i kēia manawa. Hoʻopili kēia i nā maʻi liʻiliʻi (e like me nā ʻoki hāmama a i ʻole nā ​​ʻeha), nā maʻi i hiki a hele (e like me nā ʻeha anu), a me nā maʻi maʻi ʻole e hele. E haʻi pū aku i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi diabetes, hepatitis B (kahi maʻi viral e pili ana i ke ake), ka maʻi hoʻomaʻemaʻe kanaka (HIV), a i ʻole kekahi ʻano e hoʻopili i kāu ʻōnaehana paleʻea, a inā ʻoe e ola a i ʻole i noho i loko. nā wahi e like me nā awāwa ʻo Ohio a me Misisipi kahi e ʻike pinepine ʻia ai nā maʻi fungal. E noi i kāu kauka inā ʻaʻole ʻoe e ʻike inā maʻamau kēia mau maʻi i kou wahi. E haʻi i kāu kauka inā lawe ʻoe i nā lāʻau e hoʻolohi i ka hana o ka ʻōnaehana pale e like me abatacept (Orencia), adalimumab (Humira), anakinra (Kineret), etanercept (Enbrel), golimumab (Simponi), infliximab (Remicade), methotrexate ( Otrexup, Rasuvo, Trexall), natalizumab (Tysabri), rituximab (Rituxan), nā steroid pū me dexamethasone, methylprednisolone (Medrol), prednisolone (Prelone), a me prednisone (Rayos), a me tocilizumab (Actemra).

E nānā ana kāu kauka iā ʻoe no nā hōʻailona o ka maʻi i ka wā a ma hope o kāu hoʻoponopono ʻana. Inā loaʻa iā ʻoe kekahi o nā ʻōuli aʻe ma mua o kou hoʻomaka ʻana i kāu lāʻau lapaʻau a i ʻole inā ʻike ʻoe i kekahi o nā ʻōuli ma hope a i ʻole ma hope koke o kāu lapaʻau ʻana, e kāhea koke i kāu kauka: ʻeha ka ʻāʻī; uā; ke kuʻi nei i ka aʻa koko; kuni; ʻeha ka ʻōpū; pāhoehoe; nā hōʻailona like flu-like; ʻoki hamama a ʻeha hoʻi; Kaumaha emi; nāwaliwali; kāhili; paʻakikī i ka hanu ʻana; he urination paʻakikī, pinepine, a ʻeha paha; aiʻole nā ​​hōʻailona ʻē aʻe o ka maʻi.

Ua hele a maʻi paha ʻoe me ka tuberculosis (TB; kahi maʻi puʻuwai koʻikoʻi) a i ʻole hepatitis B (kahi maʻi e hoʻopili ana i ke ake) akā ʻaʻohe o nā ʻōuli o ka maʻi. I kēia hihia, hiki i ka hoʻohana ʻana i ka injection certolizumab ke hana i kou maʻi maʻi a hoʻonui iā ʻoe i nā ʻōuli. E hana ana kāu kauka i kahi hoʻāʻo ʻili e ʻike inā loaʻa ʻole ʻoe i ka maʻi TB hiki ʻole a kauoha paha i kahi hoʻāʻo ʻana i ke koko e ʻike inā loaʻa iā ʻoe ka maʻi hepatitis B hana ʻole. Inā pono, e hāʻawi aku kāu kauka iā ʻoe i ka lāʻau e mālama ai i kēia maʻi ma mua o kou hoʻomaka ʻana e hoʻohana i ka certolizumab. E haʻi i kāu kauka inā loaʻa paha iā ʻoe ka TB, inā ua noho ʻoe a kipa paha i kahi ʻāina e maʻa mau ai ka TB, a inā ua puni ʻoe i kekahi me ka TB. Inā loaʻa iā ʻoe kekahi o nā ʻōuli o TB, a i ʻole inā e hoʻomohala ʻoe i kekahi o kēia mau hōʻailona i kou wā e lapaʻau ai, e kāhea koke aku i kāu kauka: batukū, hoʻēmi kino, nalo ʻana o ke kani o nā mākala a me ke kuni. Kāhea koke aku hoʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli o ka hepatitis B a i ʻole inā e hoʻomōhala i kekahi o kēia mau hōʻailona i ka wā a ma hope paha o kāu lapaʻau ʻana: luhi nui, ʻili ʻana o ka ʻili a i ʻole nā ​​maka, nalo ʻole ka makemake, kahoʻi a i ʻole ka luaʻi, ʻeha nā ʻiʻo, mimi ʻeleʻele, neʻe ʻana o ka ʻōpū i ka pālolo, ke kuni, ka haʻalulu, ʻeha o ka ʻōpū, a me ka hū.

ʻO kekahi mau keiki a me nā ʻōpio i loaʻa i nā lāʻau e like me ke kī ʻana o ka certolizumab i hoʻomohala ʻia i nā maʻi ʻaʻai koʻikoʻi a i ʻole hoʻoweliweli e like me ka lymphoma (maʻi ʻaʻai e hoʻomaka i nā hunaola e hakakā i ka maʻi). ʻAʻole pono i nā kamaliʻi a me nā ʻōpio e loaʻa i nā ʻoki ʻana o ka certolizumab, akā i kekahi mau hihia, hoʻoholo paha ke kauka ʻo ka inikolo certolizumab ka lāʻau lapaʻau maikaʻi loa e mālama ai i ke ʻano o ke keiki. Inā kuhikuhi ʻia ka pahu kui certolizumab na kāu keiki, pono ʻoe e kamaʻilio me ke kauka o kāu keiki e pili ana i nā pilikia a me nā pono o ka hoʻohana ʻana i kēia lāʻau. Inā hoʻomohala kāu keiki i kekahi o kēia mau ʻōuli i kona wā e lapaʻau ai, e kāhea koke aku i kāna kauka: ka pohō kaumaha ʻole i wehewehe ʻia; ʻōpū pehu i ka ʻāʻī, underarms, a i ʻole ka ʻūlū; aiʻole ka palapū a hoʻokahe maʻalahi paha.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me ka injection certolizumab a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.

E kamaʻilio me kāu kauka e pili ana i nā makaʻu o ka hoʻohana ʻana i ka inikua certolizumab.

Hoʻohana ʻia ka injection Certolizumab e hōʻoluʻolu i nā ʻōuli o kekahi mau maʻi autoimmune (nā kūlana e hoʻouka ai ka ʻōnaehana pale i nā ʻāpana olakino o ke kino a hōʻeha i ka ʻeha, pehu, a me nā hōʻino) e like me kēia:

• ʻO ka maʻi o Crohn (kahi ʻano e hoʻouka ai ke kino i ka uhi o ka digestive tract, e hōʻeha ai i ka ʻeha, ka palahī, ka pohō kaumaha, a me ke kuni) ʻaʻole i hoʻomaikaʻi ʻia ke mālama ʻia me nā lāʻau ʻē aʻe.
• rheumatoid arthritis (kahi kūlana e hoʻouka ai ke kino i kāna mau hui ponoʻī, e hōʻeha ai i ka ʻeha, pehu, a me ka nalo ʻana o ka hana),
• psoriatic arthritis (kahi kūlana e hōʻeha i ka ʻeha hui a me ka pehu ʻana a me nā unahi ma ka ʻili),
• ka ankylosing spondylitis (kahi ʻano e hoʻouka ai ke kino i nā hono o ka iwi kuamoʻo a me nā wahi ʻē aʻe e hōʻeha ai i ka ʻeha, ka pehu ʻana, a me nā hui pū ʻia) me nā loli i ʻike ʻia ma ka X-ray,
• ka spondyloarthritis axial non-radiographic hana (kahi ʻano e hoʻouka ai ke kino i nā hono o ka iwi kuamoʻo a me nā wahi ʻē aʻe e hōʻeha ai i nā ʻeha a me nā hōʻailona o ka pehu ʻana), akā me ka ʻike ʻole ʻia o nā loli ma X-ray,
• plaque psoriasis (kahi maʻi ʻili kahi e hana ai nā ʻulaʻula a me nā scaly ma kekahi mau wahi o ke kino) i ka poʻe e pōmaikaʻi ai i nā lāʻau a i ʻole phototherapy (kahi lapaʻau e hōʻike ana i ka ʻili i nā kukui ultraviolet).

Aia kahi injection Certolizumab i loko o ka papa o nā lāʻau i kapa ʻia nā mea hōʻoki tumor tumrosis (TNF). Hana ia ma ke kāpae ʻana i ka hana o ka TNF, kahi mea i loko o ke kino e hoʻonā i ka wela.

Hele mai kahi injection Certolizumab ma ke ʻano he pauka e kāwili ʻia me ka wai sterile a injected i lalo subcutaneʻu (aia ma lalo o ka ʻili) e ke kauka a kahu hānai paha i loko o kahi keʻena lapaʻau a ma ke ʻano he syringe i hoʻopiha ʻia e hiki ai iā ʻoe ke kīkī subcutane iā ʻoe iho ma ka home. Ke hoʻohana ʻia ka injection certolizumab e mālama ai i ka maʻi o Crohn, hāʻawi pinepine ʻia i kēlā me kēia ʻelua pule no ʻekolu mau paukū a laila ma nā pule ʻehā no ka lōʻihi o ka hoʻomau ʻana o ka lāʻau. Ke hoʻohana ʻia ka injection certolizumab e mālama i ka rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, a i ʻole spondyloarthritis axial, hāʻawi pinepine ʻia i kēlā me kēia 2 mau pule no ʻekolu mau paukū mua a laila i kēlā me kēia 2 a i ʻole 4 mau pule no ka lōʻihi o ka mālama ʻana. Ke hoʻohana ʻia ka injection certolizumab e mālama i ka plake psoriasis, hāʻawi pinepine ʻia kēlā me kēia 2 mau pule. Inā ʻoe e wīwī nei iā ʻoe iho, e hāhai pono i nā kuhikuhi ma kāu lepili kuhikuhi. Mai hoʻokomo i ka ʻoi aku a ʻoi aku paha o ka certolizumab ma mua o ke kauoha a kāu kauka.

Inā ʻoe e wīwī ana iā ʻoe iho ma ka home a i ʻole he hoaaloha a ʻohana paha e hoʻopili i ka lāʻau naʻu, e noi i kāu kauka e hōʻike iā ʻoe a i ʻole i ka mea nāna e hoʻokomo i ka lāʻau pehea e hoʻopili ai iā ia. ʻO ʻoe a me ke kanaka nāna e hoʻokomo i ka lāʻau e pono e heluhelu i nā ʻōkuhi i kākau ʻia no ka hoʻohana ʻana me ka lāʻau.

Ma mua o kou wehe ʻana i ka pūʻolo i loko o kāu lāʻau, e nānā pono inā ʻaʻole i haehae ʻia ka pūʻolo, ʻaʻole i nalowale a haki paha nā sila tamper-maopopo ma luna a ma lalo o ka pūʻolo a ʻaʻole i pau ka lā palena pau i paʻi ʻia ma ka pūʻolo. hooholoia. Ma hope o kou wehe ʻana i ka pūʻolo, e nānā pono i ka wai i ka syringe. Pono ka wai e akāka a melemele paha a ʻaʻole pono i nā ʻāpana nui, kala. Kāhea i kāu kauka lāʻau, inā aia kekahi mau pilikia me ka pūʻolo a me ke ʻaʻa. Mai hoʻokomo i ka lāʻau.

Hiki iā ʻoe ke kīkī i ka pahu kui certolizumab ma nā wahi āpau o kou ʻōpū a i ʻole nā ​​uha, koe wale nō kou piko (pihi ʻōpū) a me kahi ʻelua ʻīniha a puni ia. Mai hoʻokomo i ka lāʻau i loko o ka ʻili i palupalu, ʻōpala, ʻulaʻula, a paʻakikī paha, a i ʻole nā ​​scars a i ʻole nā ​​kaha kauō. Mai hoʻokomo i ka lāʻau i ka wahi like ma mua o hoʻokahi manawa. Koho i kahi hou ma ka liʻiliʻi he 1 ʻīniha mai kahi kahi āu i hoʻohana ai ma mua o kēlā me kēia manawa e hoʻokomo ʻoe i ka lāʻau. Inā ua haʻi aku kāu kauka iā ʻoe e hoʻokomo i ʻelua syringes o certolizumab no kēlā me kēia kau, koho i kahi ʻokoʻa no kēlā me kēia inikū.

Mai hoʻohana hou i nā syringes i hoʻopihapiha ʻia a ʻaʻole hoʻi e kiʻi hou i nā nakeke ma hope o ka hoʻohana ʻana. E hoʻolei i nā kiʻiona i kahi pahu kūpaʻa kū ʻole. E noi i kāu kauka lāʻau pehea e hoʻolei ai i ka ipu.

Hiki ke kōkua i ka injection Certolizumab e kaohi i kāu mau ʻōuli, akā ʻaʻole ia e hoʻōla i kou ʻano. Mai hooki i ka hoʻohana ʻana i ka injection injection me ka walaʻau ʻole ʻana me kāu kauka.

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 pahu kui certolizumab,

• e haʻi i kāu kauka a me ka kauka inā ua maʻi ʻoe i ka injection certolizumab; kekahi lāʻau lapaʻau ʻē aʻe, latex a i ʻole kāpala, a i ʻole kekahi o nā mea hoʻohui i ka injection certolizumab. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no ka papa inoa o nā mea hoʻohui. Inā ʻoe e hoʻohana ana i ka syringe i hoʻomākaukau ʻia, e haʻi i kāu kauka inā ʻo ʻoe a ʻo ke kanaka e ʻākoʻumeʻa ana i ka lāʻau he maʻi maʻi ia i ka latex.
• e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E ʻōlelo pono i nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
• e haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i kahi maʻi e pili ana i kāu ʻōnaehana, e like me sclerosis maha (MS; kahi maʻi kahi e hana ʻole ʻole ʻole ai nā ʻalolo e hoʻonāwaliwali ai, numbness, nalo ʻana o ka hoʻohui ʻana o nā mākala a me nā pilikia me ka hihi, ʻōlelo. , a me ke kaohi o ka maʻi ʻaʻai) Guillain-Barré Syndrome (nāwaliwali, ʻūlū ʻana, a me ka hiki ʻole o ka palapū ma muli o ka ʻeha o ke aʻalolo) a i ʻole ka neuritis optic (ka palahu o ke aʻalolo nāna e hoʻouna i nā leka mai ka maka i ka lolo); numbness, puhi ʻana, a i ʻole ke kani ʻana i kekahi ʻāpana o kou kino; ka hopu ʻana; puʻuwai puʻuwai; kekahi ʻano maʻi ʻaʻai; a i ʻole nā ​​pilikia a me nā maʻi e pili ana i kou koko.
• E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka hoʻohana ʻana i ka injection certolizumab, e kāhea i kāu kauka.
• inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i ka injection certolizumab.
• ʻaʻohe o nā lāʻau āpau ke kamaʻilio ʻole ʻia me kāu kauka.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.

E hoʻopili i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Inā ʻaneʻane kokoke ka manawa no kāu kaukona aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai hoʻokomo i kahi lāʻau pālua e pani no kahi mea i hala.

Hoʻokumu paha ka injection ʻo Certolizumab i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• ʻulaʻula, ʻili, ʻeha, a pehu paha ma ke kahua o ka hoʻopili ʻana
• ʻeha poʻo
• ʻeha kua

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 ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e loaʻa i ke kōkua olakino pilikia.

• ka pehu o ka maka, ka ʻāʻī, ke alelo, nā lehelehe, nā maka, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
• hulahula
• pokole o ka hanu
• pilikia i ka ale ʻana a me ka hanu ʻana
• ʻeha ka umauma
• loaʻa kaumaha kaumaha
• hives
• ʻālohilohi wela
• paupauaho a maʻule paha
• ʻehu, ʻoi aku ma nā papalina a i ʻole nā ​​lima e ʻinoʻino i ka lā
• ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
• ʻili mae
• ʻili ʻōʻili
• luhi loa
• numbness a i ʻole ʻūlū ʻana
• nā pilikia me ka hihiʻo
• nāwaliwali i nā lima a me nā wāwae
• ʻeha pū
• nalo ʻai ʻole
• nā ʻili scaly ʻulaʻula a me / a i ʻole nā ​​puʻupuʻu piha pus i ka ʻili

ʻO nā mākua i loaʻa i ka injection certolizumab e ʻoi aku paha ka hoʻomohala ʻana i ka maʻi ʻaʻai ʻili, lymphoma, a me nā ʻano maʻi ʻaʻai ʻē aʻe ma mua o ka poʻe i loaʻa ʻole ka ʻoki certolizumab. E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka loaʻa ʻana o kēia lāʻau.

Hoʻokumu paha ʻo Certolizumab injection i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka hoʻohana ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i nā hue a me nā syringes i hoʻopiha ʻia i ka carton kumu i hele mai ai e pale iā lākou mai ka mālamalama a mai kahi hiki ʻole o nā keiki. E mālama i ka pahu kui certolizumab i loko o ka pahu hau a mai paʻa hau.

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

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.

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.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka injection o ka certolizumab.

Ma mua o ka hoʻāʻo ʻana i kahi keʻena hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua āu e hoʻohana nei i ka inikua certolizumab.

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 Cimzia^®