Inhalation Kanaka Insulin

Anter

• Ma mua o ka hoʻohana ʻana i ka inhalation insulin,
• Hiki i kēia lāʻau ke hoʻololi i kāu kō kō. Pono ʻoe e ʻike i nā ʻōuli o ke kō a me ke kō i kō a me nā mea e hana inā loaʻa kēia mau hōʻailona iā ʻoe.
• Hiki i ka inhalation insulin ke hopena i nā hopena. 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 ʻoe e ʻike i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻĀINA WAIWAI, e kelepona koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
• Hiki i ka insulin inhalation overdose ke hana inā lawe nui ʻoe i ka inhalation insulin a inā ʻoe e lawe i ka nui kūpono o ka inhalation insulin akā ʻai a hoʻomaʻamaʻa paha ma lalo o ka maʻamau. Hiki i ka insulin inhalation overdose ke kumu i ka hypoglycemia. Inā loaʻa iā ʻoe kekahi o nā ʻōuli o ka hypoglycemia, e hāhai i nā ʻōlelo aʻoaʻo a kāu kauka no ka mea āu e hana ai inā e ulu ʻoe i ka hypoglycemia. Nā ʻōuli ʻē aʻe o ka overdose:

Hiki i ka inhalation insulation ke hoʻemi i ka hana māmā a hiki ke hana i nā bronchospasms (nā pilikia hanu). E haʻi i kāu kauka inā loaʻa iā ʻoe a i loaʻa paha i ka hānō a i ʻole nā ​​maʻi pulmonary obstructive maʻi mau loa (COPD; kahi hui o nā maʻi e hoʻopili i nā akemāmā a me nā alaloa). E haʻi aku kāu kauka iā ʻoe mai hoʻohana i ka inhalation insulin inā loaʻa ʻoe i ka hānō a i ʻole COPD. E kauoha kāu kauka i kekahi mau hoʻokolohua e nānā i ka maikaʻi o ka hana o kāu mau māmā ma mua o ka hoʻomaʻamaʻa, 6 mau mahina ma hope o ka hoʻomaka ʻana o ka lāʻau, a i kēlā me kēia makahiki ke hoʻohana nei ʻoe i ka lāʻau inhalation insulin. E haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā ʻōuli penei: ka hū ʻana a i ʻole ka hanu paʻakikī ʻana.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka ʻikepili ʻike hoʻomanawanui o ka mea hana (Ke alakaʻi alakaʻi) ke hoʻomaka ʻoe i ka lāʻau me ka inhalation insulin 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 o ka mea hana e kiʻi i ka Medication Guide.

E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka hoʻohana ʻana i ka inhalation insulin.

Hoʻohana ʻia ka inhalation insulina me ka insulin lōʻihi e mālama ai i ka maʻi diabetes 1 (kahi e hana ʻole ai ke kino i ka insulin a no laila ʻaʻole hiki ke kaohi i ka nui o ke kō i ke koko). Hoʻohana ʻia ia me ka hui pū me nā lāʻau ʻē aʻe e mālama i ka poʻe me ka maʻi kōkō ʻelua (ke ʻano kahi e hoʻohana ʻole ai ke kino i ka insulin a no laila, ʻaʻole hiki ke kaohi i ka nui o ke kō i ke koko) e pono ai ka insulin e kāohi i ko lākou maʻi kō. ʻAʻole hoʻohana ʻia ka inhalation insul no ka mālama diabetic ketoacidosis (kahi kūlana koʻikoʻi e ulu paha inā ʻaʻole mālama ʻia ke kō koko kiʻekiʻe). ʻO ka inhalation insulina kahi hana pōkole, hana ʻia e ke kanaka no ka insulin kanaka. Hana ka inhalation insulina i ka hoʻololi ʻana i ka insulin i hana maʻamau ʻia e ke kino a me ke kōkua ʻana e neʻe i ke kō mai ke koko i nā kino o ke kino kahi i hoʻohana ʻia no ka ikehu. Hoʻopau hoʻi ia i ke akepaʻa mai ka hoʻohua ʻana i ke kō.

I ka hala ʻana o ka manawa, hiki i ka poʻe i loaʻa i ka maʻi diabetes a me ke kō kō ke kiʻekiʻe ke hoʻomohala i nā pilikia koʻikoʻi a i ʻole hoʻoweliweli i ke ola, e like me ka maʻi puʻuwai, ka hahau, nā pilikia o ka puʻupaʻa, nā ʻeha o ke aʻa, a me nā pilikia o ka maka. Ke hoʻohana nei i nā lāʻau (s), ka hoʻololi ʻana i ke ʻano o ka nohona (e laʻa me ka ʻai, ka hoʻoikaika kino, ka haʻalele ʻana i ka puhipaka), a me ka nānā pinepine ʻana i kāu kō kō e kōkua paha i ka mālama ʻana i kāu maʻi kō. Hoʻoemi paha kēia hoʻomaʻamaʻa i kou manawa e loaʻa ai ka puʻuwai puʻuwai, hahau ʻana, a i ʻole nā ​​pilikia e pili ana i ka maʻi diabetes e like me ka hōʻino ʻana o ka puʻuwai, nā ʻāʻī nerve (numb, nā wāwae anu a i ʻole nā ​​wāwae; hoʻemi i ka hiki i ka wahine i nā kāne a me nā wahine), nā pilikia o ka maka, me nā loli. a i ʻole ka nalo ʻana o ka ʻike, a i ʻole ka maʻi gum. E kamaʻilio pū kāu kauka a me nā mea lawelawe ʻē aʻe iā ʻoe e pili ana i ke ala maikaʻi loa e mālama ai i kāu maʻi diabetes.

ʻO ka inhalation insulina e hele mai me he pauma e inhale e ka waha e hoʻohana ana i kahi inhaler kūikawā. Hoʻohana mau ʻia ia i ka hoʻomaka o kēlā me kēia pāʻina. 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 inhalation insulin e like me ke kuhikuhi. Mai hoʻohana i ka ʻoi aku a i ʻole ka liʻiliʻi o ia mea a hoʻohana pinepine paha iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

Hoʻopili ka inhalation insulation i ka maʻi diabetes, akā ʻaʻole ia e hoʻōla iā ia. Hoʻomau e hoʻohana i ka inhalation insulin ʻoiai ʻoe e manaʻo maikaʻi. Mai hoʻōki i ka hoʻohana ʻana i ka inhalation insulin me ke kamaʻilio ʻole ʻana me kāu kauka. Mai hoʻololi i kahi ʻano insulin ʻē aʻe me ke kamaʻilio ʻole ʻana me kāu kauka.

Ma mua o kou hoʻohana ʻana i kāu insulina oral inhaler i ka manawa mua, e heluhelu i nā ʻōkuhi i kākau ʻia me ia. E nānā pono i nā kiʻikuhi a e ʻike pono ʻike ʻoe i nā ʻāpana āpau o ka inhaler. E noi i kāu kauka a kauka paha e hōʻike iā ʻoe pehea e hoʻohana ai. E hoʻomaʻamaʻa i ka hoʻohana ʻana i ka mea hoʻōha i kona alo.

ʻO ka paukū inhalation ka paukū e hele mai me he cartridge hoʻohana hoʻokahi. E hoʻohana wale ʻia nā cartridges me ka inhaler e hiki mai me kāu kauka. Mai hoʻāʻo e wehe i ka pūkini, ale i ka pūkini, a i ʻole inhale i nā mea me ka ʻole o ka inhaler e hele mai me kāu kauka.

Ma hope o kou hoʻokomo ʻana i kahi pūkini i loko o ka mea hoʻopili, e mālama i ka pae inhaler me ka waha waha keʻokeʻo ma luna a me ka base poni ma lalo. Inā kū i luna ka mea inhaler i lalo, a i ʻole e kuhikuhi ʻia ka waha o ka waha, hoʻoluliluli ʻia, a i ʻole hoʻolei ʻia, nalowale paha kāu lāʻau. Inā kū kēia, pono ʻoe e pani i ka pūkini me kahi pahu hou ma mua o ka hoʻohana ʻana i ka inhaler.

E hāhai i nā ʻōlelo aʻoaʻo a kāu kauka e pili ana i ka nui o nā cartridges inhalation insulin āu e hoʻohana ai i kēlā me kēia lā. Ke hoʻomaka nei ʻoe e hoʻohana i ka inhalation insulina, pono paha i kāu kauka e hoʻoponopono i nā kaukana o kāu mau lāʻau maʻi diabetes ʻē aʻe, e like me ka insulin lōʻihi a me nā lāʻau waha no ka maʻi kō. Pono paha i kāu kauka e hoʻoponopono i kāu mahele lāʻau o ka inhalation insulin i kāu mālama ʻana. E hāhai pono i kēia mau ʻōkuhi a nīnau i kāu kauka inā he nīnau kāu. Mai hoʻololi i ka hopena o ka inhalation insulin a i ʻole nā ​​lāʻau ʻē aʻe no ka maʻi kō me ka ʻole o ke kamaʻilio 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 inhalation insulin,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka insulin (Apidra, Humulin, Lantus, Levemir, Novolog, a me nā mea ʻē aʻe), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana ʻole i ka inhalation insulin. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
• e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E ʻike pono i kekahi o kēia mau mea: albuterol (Proair HFA, Proventil, Ventolin, a me nā mea ʻē aʻe); Angiotensin-hoʻololi i ka ʻenemika (ACE) mea kāohi e like me benazepril (Lotensin, ma Lotrel), enalapril (Vasotec, ma Vaseretic), fosinopril, lisinopril (Prinivil, Zestril, i Prinzide, i Zestoretic), quinapril (Accupril, i Quinaretic), a ramipril (Altace); angiotensin II antagonists (angiotensin receptor blockers; ARBs) e like me azilsartan (Edarbi), candesartan (Atacand, ma Atacand HCT), eprosartan (Teveten, ma Teveten HCT), irbesartan (Avapro, ma Avalide), losartan (Cozaar, in Hyzaar) , olmesartan (Benicar, ma Azor, ma Benicar HCT, ma Tribenzor), telmisartan (Micardis, ma Micardis HCT, ma Twynsta), a me valsartan (Diovan, ma Diovan HCT, ma Exforge HCT, a me nā mea ʻē aʻe); beta blockers e like me atenolol (Tenormin, ma Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ma Dutoprol, a me nā mea ʻē aʻe), nadolol (Corgard, ma Corzide), a me propranolol (Hemangeol, Inderal, Innopran XL); clonidine (Catapres, Catapres-TTS, Kapvay, nā mea ʻē aʻe); clozapine (Clozaril, Fazaclo ODT, Versacloz); danazol; disopyramide (Norpace, Norpace CR); diuretics; fenofibrate (Lipofen, TriCor, Triglide); fluoxetine (Prozac, Sarafem, Selfemra, ma Symbyax); gemfibrozil (Lopid); Nā mea hoʻopalekana protease HIV me atazanavir (Reyataz), indinavir (Crixivan), lopinavir (i Kaletra), nelfinavir (Viracept), ritonavir (Norvir, ma Kaletra, ma Viekira Pak), a me saquinavir (Invirase); hōʻano hou hormonone; isoniazid (Laniazid, ma Rifamate, ma Rifater); lithium (Lithobid); nā lāʻau no ka hānō, nā anu, nā maʻi noʻonoʻo, a me ka nausea; monoamine oxidase (MAO) mea kāohi, me isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), a me selegiline (Eldepryl, Emsam, Zelapar); niacin; nā pale pale waha (nā pā kaohi hānau); nā lāʻau lapaʻau waha no ka maʻi diabetes e like me pioglitazone (Actos, ma Actoplus Met, ma Duetact, ma Oseni) a i ʻole rosiglitazone (Avandia, ma Avandamet, ma Avandaryl); nā steroid ʻo waha e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos); octreotide (Sandostatin); olanzapine (Zyprexa, Zydis, i Symbyax); nā lāʻau i inhaled; pentamidine (NebuPent, Pentam); pentoxifylline (Pentoxil); pramlintide (Symlin); propoxyphene; reserpine; nā mea kōkua salicylate ʻeha e like me aspirin; somatropin (Genotropin, Humatrope, Nutropin, nā mea ʻē aʻe); nā lāʻauʻaeʻa sulfa; terbutaline; a me nā lāʻau thyroid. 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 nā ʻōuli o ka hypoglycemia (kō kō kō. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka inhalation insulina inā loaʻa iā ʻoe kēia ʻano.
• e haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi ʻaʻai a inā ʻoe e puhi a i ʻole inā kū ʻoe i ka puhipaka i loko o 6 mau mahina i hala. Eia kekahi, e haʻi aku i kāu kauka inā loaʻa a i ʻole loaʻa iā ʻoe i ka maʻi ʻaʻa lung, hōʻino nā nerve i hoʻokumu ʻia e kāu maʻi diabetes, puʻuwai puʻuwai, a i ʻole ka maʻi puʻuwai a i ʻole ate.
• 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 inhalation insulin, e kāhea i kāu kauka.
• inā ke ʻoki nei ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i ka inhalation insulin.
• e nīnau i kāu kauka i ka manawa pinepine e nānā ai i kāu kō kō. E makaʻala hiki i ka kō kō ke kō ke hoʻololi i kou hiki ke hana i nā hana e like me ka hoʻokele a nīnau i kāu kauka inā pono ʻoe e nānā i kāu kō kō i mua o ka hoʻokele a hana ʻana paha i nā mīkini.
• hiki i ka wai ʻona ke hoʻololi i ke kō kō. E noi i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e hoʻohana nei i ka inhalation insulin.
• e noi i kāu kauka i ka mea e hana ai inā loaʻa ʻoe i ka maʻi, loaʻa a hōʻemi paha i ka paona, ʻike i ke koʻikoʻi maʻamau, hoʻolālā e huakaʻi i nā wahi o ka manawa, a i ʻole hoʻololi i kāu hoʻolālā a hana paha Hiki i kēia mau hoʻololi ke hoʻololi i kāu papa hana dosing a me ka nui o ka insulin āu e pono ai.

E mālama pono i nā hana hoʻoikaika kino a me nā papa kuhikuhi papaʻai i hana ʻia e kāu kauka a i ʻole dietitian. He mea nui ka ʻai ʻana i kahi papaʻai olakino a e ʻai e pili ana i nā nui like o nā ʻano meaʻai like ma nā manawa like i kēlā me kēia lā. ʻO ka haʻalele ʻana a hoʻolohi ʻana paha i nā pāʻina a hoʻololi paha i ka nui a ʻano ʻano meaʻai āu e ʻai ai hiki ke hoʻopilikia i kāu kaohi kō kō.

Ke hoʻomaka mua ʻoe e hoʻohana i ka inhalation insulina, e noi i kāu kauka i ka mea e hana ai inā poina iā ʻoe e inhale i kahi lāʻau ma ka manawa kūpono. E kākau i kēia mau ʻaoʻao i hiki iā ʻoe ke nānā iā lākou ma hope.

Hiki i kēia lāʻau ke hoʻololi i kāu kō kō. Pono ʻoe e ʻike i nā ʻōuli o ke kō a me ke kō i kō a me nā mea e hana inā loaʻa kēia mau hōʻailona iā ʻoe.

Hiki i ka inhalation insulin ke hopena i nā hopena. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• ʻūhā
• ʻeha ka ʻāʻī a i ʻole ka ukiuki
• luhi
• pāhoehoe
• nausea
• ʻeha poʻo
• ʻeha, wela urination
• loaʻa kaupaona

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻĀINA WAIWAI, e kelepona koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

• ʻākeʻakeʻa a ʻili ranei
• hives
• puʻuwai wikiwiki
• ka houʻu ʻana
• paʻakikī i ka ale ʻana
• pokole o ka hanu
• ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a i nā wāwae lalo
• loaʻa kaumaha kaumaha
• hiamoe nui loa
• huikau
• ʻūpā

Hiki i ka inhalation insulin ke hoʻonui i ka makaʻu e hoʻomohala ʻoe i ka maʻi ʻaʻa maʻi. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i ka inhalation insulin.

Hoʻokumu paha ka inhalation insul 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 kēia lāʻau i loko o ka pahu hau, i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole i hiki i nā kamaliʻi. Ma mua o ka hoʻohana ʻana, hemo i nā cartridges mai ka pahu hau a mālama i ke ana wela o ka lumi no 10 mau minuke. Hiki ke mālama ʻia nā lāʻau i wehe ʻole ʻia i ka mahana o ka lumi a i 10 mau lā. Ke wehe ʻia, e hoʻohana i nā ʻūlū palepa i loko o 3 mau lā ke mālama ʻia i ka mahana wela. E hoʻohana i ka inhaler a i 15 mau lā mai ka lā mua o ka hoʻohana, a laila hoʻolei a hoʻololi iā ia me kahi inhaler hou. Mai holoi i ka inhaler; mālama maloʻo.

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.

Hiki i ka insulin inhalation overdose ke hana inā lawe nui ʻoe i ka inhalation insulin a inā ʻoe e lawe i ka nui kūpono o ka inhalation insulin akā ʻai a hoʻomaʻamaʻa paha ma lalo o ka maʻamau. Hiki i ka insulin inhalation overdose ke kumu i ka hypoglycemia. Inā loaʻa iā ʻoe kekahi o nā ʻōuli o ka hypoglycemia, e hāhai i nā ʻōlelo aʻoaʻo a kāu kauka no ka mea āu e hana ai inā e ulu ʻoe i ka hypoglycemia. Nā ʻōuli ʻē aʻe o ka overdose:

• nalowale o ka ʻike
• ka hopu ʻana

ʻO kāu kō kō a me ka hemoglobin glycosylated (HbA1c) e nānā mau ʻia e hoʻoholo ai i kāu pane i ka inhalation insulin. E haʻi aku kāu kauka iā ʻoe pehea e nānā ai i kāu pane i ka insulin ma ke ana ʻana i kou koko a i ʻole mimi kō pae ma ka home. E hāhai pono i kēia mau ʻōkuhi.

Mai ʻae i kekahi e hoʻohana 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.

• Afrezza^®