Mea Kākau: Clyde Lopez
Lā O Ka Hana: 26 Iulai 2021
HōʻAno Hou I Ka Lā: 1 Pepeluali 2025
Anonim
Wellbutrin (Bupropion) 2 Month Update
Wikiō: Wellbutrin (Bupropion) 2 Month Update

Anter

Aia kēia lāʻau i loko o ka bupropion, ka mea hana like like me kekahi mau lāʻau antidepressant (Wellbutrin, Aplenzin) a me kahi lāʻau i hoʻohana ʻia e kōkua i ka poʻe e hōʻoki i ka puhipaka (Zyban). 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 ka bupropion i ka wā o ka noiʻi maʻi ʻana i lilo i suicidal (e noʻonoʻo e pili ana i ka hōʻeha a pepehi paha iā ʻoe iho a i ʻole ke hoʻolālā a hoʻāʻo ʻana paha e hana pēlā ). 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. ʻAʻole ʻae ʻia ka hui pū ʻana o naltrexone a me bupropion no ka hoʻohana ʻana i nā keiki ma lalo o 18 mau makahiki.

Pono ʻoe e ʻike e loli paha kou olakino noʻonoʻo i nā ala i manaʻo ʻole ʻia ke lawe ʻoe i ka hui o naltrexone a me ka bupropion ʻoiai inā he mākua ʻoe ma mua o 24 mau makahiki. E lilo paha ʻoe i suicidal, keu hoʻi i ka hoʻomaka o kāu lapaʻau a i kēlā me kēia manawa e hoʻonui a hoʻemi ʻia paha kāu lāʻau. 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; hopohopo a i ʻole ka weliweli weliweli; paʻakikī e hiamoe a hiamoe paha; hana hoʻomāinoino, huhū, a kolohe paha; ukiuki; hana me ka noʻonoʻo ʻole; hoʻomaha ʻole loa; nā manaʻo a i ʻole nā ​​manaʻo ʻokoʻa; ke manaʻo nei he kūʻē nā kānaka iā ʻoe; hallucination (ʻike ʻana i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole); huikau ka manaʻo; pīhoihoi pīhoihoi frenzied; a i ʻole nā ​​hoʻololi hou a kolohe paha i ka lawena. 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 inā ʻaʻole hiki iā ʻoe ke ʻimi iā ʻoe lāʻau ponoʻī.


Makemake kāu mea mālama ola e ʻike pinepine iā ʻoe ke lawe nei ʻoe i ka hui o naltrexone a me bupropion, 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 aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Ke Alakaʻi Medication) ke hoʻomaka ʻoe i ka lāʻau me ka hui ʻana o naltrexone a me bupropion 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 pilikia o ka lawe ʻana i ka hui o naltrexone a me bupropion.

Hoʻohana ʻia ka hui pū ʻana o ka naltrexone a me ka bupropion me ka hōʻemi ʻana o ka ʻai a me ka hoʻolālā hoʻoikaika kino e kōkua ai i ka poʻe mākua i nā mea momona, a i ʻole nā ​​mea kaumaha a pili i nā pilikia olakino pili i ke kaupaona, e lilo i ka paona a laila e mālama i ka loaʻa ʻole o ia kaupaona. Aia ʻo Naltrexone i kahi papa o nā lāʻau i kapa ʻia ʻo nā opagon antagonists. ʻO Bupropion kahi papa o nā lāʻau i kapa ʻia antidepressants. Hana pū kēia mau lāʻau i nā wahi ʻelua o ka lolo, ke kikowaena pōloli a me ka ʻōnaehana uku, e hōʻemi i ka makemake a kōkua i ka mālama ʻana i ka ʻiʻini.


ʻO ka hui pū ʻana o ka naltrexone a me ka bupropion e hele mai ma ke ʻano he papa hoʻolōʻihi (hana lōʻihi) e lawe ma ka waha. Lawe ʻia ia i ʻelua mau manawa i ka lā. Mai lawe i kēia lāʻau me ka ʻai momona momona. Lawe i ka naltrexone a me ka bupropion ma nā 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. Lawe i ka naltrexone a me ka bupropion e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

E ale i nā papa hoʻolōʻihi lōʻihi; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau haʻahaʻa o ka hoʻohuihui o naltrexone a me bupropion a hoʻonui iki i kāu lāʻau, ʻaʻole ʻoi aku i hoʻokahi manawa i kēlā me kēia pule, no 4 mau pule. Ma hope o 16 mau pule o ka mālama ʻana, e nānā kāu kauka e ʻike i ka nui o kou kaumaha i lilo. Inā ʻaʻole ʻoe i nalo i kekahi nui o ke kaupaona, e haʻi paha kāu kauka iā ʻoe e haʻalele i ka lawe ʻana i ka naltrexone a me ka bupropion ʻoiai ʻaʻole paha ʻoe e pōmaikaʻi i ka hoʻomau ʻana i kāu lāʻau.


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 lawe ʻana i ka hoʻohui o naltrexone a me ka bupropion,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka naltrexone, bupropion, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i loko o ka naltrexone a me nā papa bupropion. 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 inā lawe ʻoe i kahi mea hoʻopaneʻe monoamine oxidase (MAO) e like me isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Zelapar), a me tranylcypromine (Parnate ) a i ʻole inā ua kū ʻoe i ka lawe ʻana i kahi mea hoʻopuka MAO i loko o 14 mau lā i hala. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka hui o naltrexone a me ka bupropion. Inā kū ʻoe i ka lawe ʻana i ka hui o naltrexone a me ka bupropion, e haʻi aku kāu kauka iā ʻoe e kali ʻoe ma 14 mau lā ma mua o kou hoʻomaka ʻana e lawe i kahi mea hōʻoki MAO.
  • e haʻi i kāu kauka inā e lawe ana ʻoe i nā lāʻau opioid a i ʻole nā ​​lāʻau o ke alanui me heroin, nā lāʻau ʻehaʻeha, tramadol (Ultram, Ultracet), nā lāʻau lapaʻau opioid dependant e like me buprenorphine (Buprenex, Butrans, Sublocade) a i ʻole methadone (Dolophine, Methadose), a me kekahi nā lāʻau no ka maʻi diarrhea, tale, a me ke anu. E haʻi aku i kāu kauka inā ua lawe ʻoe i kekahi o kēia mau lāʻau i ka liʻiliʻi ma mua o 7 a 10 mau lā i hala. E noi i kāu kauka inā ʻaʻole ʻoe e maopopo inā he lāʻau opioid kahi lāʻau āu i lawe ai. E haʻi aku kāu kauka iā ʻoe ʻaʻole e lawe i ka hui o naltrexone a me ka bupropion inā ʻoe i lawe a hoʻohana i nā opioids i ka liʻiliʻi ma mua o 7 a 10 mau lā i hala.
  • mai lawe i nā lāʻau opioid a i ʻole hoʻohana i nā lāʻau āpau opioid i kou wā e mālama ai me ka hui ʻana o naltrexone a me bupropion. Paʻa ʻo Naltrexone i nā hopena o nā lāʻau opioid a me nā lāʻau opioid alanui. ʻAʻole paha ʻoe e ʻike i nā hopena o kēia mau mea inā lawe ʻoe a hoʻohana iā lākou i nā mea haʻahaʻa a maʻamau paha. Inā ʻoe e hoʻohana a hoʻohana paha i nā lāʻau ʻoi aku o nā lāʻau lapaʻau opioid a i ʻole nā ​​lāʻau i ka wā o kāu mālama ʻana me ka hui pū ʻana o naltrexone a me ka bupropion, he kumu ia e hōʻeha nui ai, koma a make paha.
  • pono ʻoe e ʻike inā inā ʻoe i lawe i nā lāʻau opioid ma mua o kou mālama ʻia ʻana me ka hui pū ʻana o naltrexone a me bupropion, e makaʻala paha ʻoe i nā hopena o nā lāʻau opioid ke loaʻa ka hopena hou aʻe o ka hui pū ʻana o naltrexone a me bupropion, inā ʻoe e nalo i kahi lāʻau o ka hui pū ʻana o naltrexone a me ka bupropion, ma hope o kou hoʻopau ʻana i kāu lāʻau lapaʻau, a i ʻole inā ʻoe i detoxification. Inā ʻoe e hoʻohana i nā opioids i nā kālā āu i hoʻohana ai ma mua o kāu mālama ʻana me ka hui ʻana o naltrexone a me bupropion, hiki iā ia ke alakaʻi i ka overdose a me ka make. Ma hope o kou hoʻopau ʻana i kāu lāʻau, e haʻi aku i kekahi kauka nāna e kuhikuhi i nā lāʻau no ʻoe i mālama mua ʻia me ka hui pū ʻana o naltrexone a me bupropion. He mea nui e haʻi aku ʻoe i kou ʻohana a mea mālama paha e pili ana i kēia hoʻonui i ka ʻike i nā opioids a me ka makaʻu o ka overdose. Pono ʻoe a i kāu mea mālama paha e kōkua koke i nā kōkua olakino inā hoʻomohala ʻoe i kekahi o nā ʻōuli aʻe: pilikia ka hanu ʻana, hanu ʻololā, hiamoe, maʻule, luʻuluʻu, a huikau paha.
  • mai lawe i hoʻokahi huahana i loaʻa ka bupropion i ka manawa hoʻokahi, e like me nā antidepressants a i ʻole nā ​​huahana hoʻomaha puhipaka. Hiki iā ʻoe ke loaʻa i ka bupropion he nui a ʻike i nā hopena koʻikoʻi.
  • 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 haʻi pono i kekahi o kēia mau mea: amantadine (Osmolex ER), amitriptyline, amoxapine, carbamazepine (Carbatrol, Tegretol), citalopram (Celexa), clopidogrel (Plavix), desipramine (Norpramin), dexamethasone, digoxin (Lanoxin), Silenor), efavirenz (Sustiva, i Atripla), escitalopram (Lexapro), flecainide (Tambocor), fluoxetine (Prozac), fluvoxamine (Luvox), haloperidol (Haldol), imipramine (Tofranil), insulin a i ʻole nā ​​lāʻau oral no ka maʻi diabetes, levodopa ( ma Sinemet, ma Stalevo), lopinavir (i Kaletra), methylprednisolone (Medrol), metoprolol (Lopressor, Toprol XL), nortriptyline (Pamelor), paroxetine (Paxil), phenobarbital, phenytoin (Dilantin), prednisone, propafenone (Rythm) , protriptyline (Vivactil), risperidone (Risperdal), ritonavir (Norvir, ma Kaletra), sertraline (Zoloft), theophylline (Theo-24, Theochron), thioridazine, ticlopidine, trimipramine (Surmontil), venlafaxine (Effexor), a me nā mea ʻē aʻe nā lāʻau lapaʻau lilo. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Hiki paha i nā lāʻau ʻē aʻe ke launa pū me ka naltrexone a me ka bupropion, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa.
  • e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa paha i ka hopu ʻana, anorexia nervosa (kahi maʻi ʻai), a i ʻole bulimia (kahi maʻi ʻai) a inā he kiʻekiʻe kou koko e hiki ʻole ke kāohi ʻia. E haʻi aku i kāu kauka inā inu ʻoe i ka nui o ka waiʻona akā manaʻo ʻoe e hōʻoki koke i ka inu ʻana, lawe ʻoe i nā mea hoʻohiamoe, hypnotics, benzodiazepines, a i ʻole nā ​​lāʻau anti-seizure akā manaʻo ʻoe e kū koke i ka lawe ʻana iā lākou, a i ʻole inā ʻoe i ka haʻalele opioid. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka hui o naltrexone a me ka bupropion.
  • e haʻi i kāu kauka inā ʻoe a i ʻole kekahi o kou ʻohana i noʻonoʻo e pili ana a i hoʻāʻo paha e pepehi iā ʻoe iho a i ʻole i loaʻa paha iā ʻoe kahi maʻi bipolar (ʻano e loli ai mai ke kaumaha i ka pīhoihoi maoli ʻole), mania (frenzied, abnormal abnormalally mood), depression, schizophrenia (kahi noʻonoʻo maʻi e hoʻopilikia ai a noʻonoʻo ʻole paha, lilo o ka hoihoi i ke ola, a me nā manaʻo ikaika a kūpono ʻole paha), a i ʻole nā ​​maʻi noʻonoʻo ʻē aʻe; inā 'oi aku kou mau makahiki ma mua o 65 mau makahiki; inā puhi ʻoe a i ʻole inā manaʻo ʻoe e hoʻōki i ka puhipaka; a inā ua ʻeha ʻoe i ke poʻo, hōʻeha puʻuwai, hōʻeha, puʻupuʻu a maʻi paha o ka lolo a i ʻole ka iwi kuamoʻo, diabetes, haʻahaʻa kō kō, nā pae haʻahaʻa o ka sodium i loko o ke koko, a i ʻole ka puʻuwai, nā puʻupaʻa, a nā maʻi ate paha
  • E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka hui o naltrexone a me bupropion, e kāhea koke 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 lawe nei ʻoe i ka hui o naltrexone a me bupropion
  • e nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā mea inu ʻona ʻoiai ʻoe e lawe nei i ka hui o naltrexone a me bupropion. Hiki i ka waiʻona ke hana i nā hopena ʻino mai naltrexone a me bupropion i ʻoi aku ka maikaʻi.
  • pono ʻoe e ʻike ʻo ka hui pū ʻana o naltrexone a me bupropion ke kumu o ke kiʻekiʻe o ke koko a me ka wikiwiki o ka puʻuwai. Hiki i kāu kauka ke nānā i kou kaomi koko a me ka helu o ka puʻuwai ma mua o ka hoʻomaka ʻana i ka lāʻau a me ka manawa mau i kou lawe ʻana i kēia lāʻau.
  • pono ʻoe e ʻike ʻo ka hui pū ʻana o naltrexone a me bupropion ke kumu o ka glaucoma pani-pani (kahi i ālai koke ʻia ka wai a ʻaʻole hiki ke kahe i waho o ka maka e hoʻonui wikiwiki ai i ka maka o ka maka a hiki i ka nalo ʻana o ka ʻike) . E kamaʻilio me kāu kauka e pili ana i ka nānā ʻana i ka maka ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau e ʻike inā pilikia ʻoe no kēia maʻi. Inā loaʻa iā ʻoe ka ʻeha o ka maka, nā loli i ka hihiʻo, a i ʻole ka pehu ʻana a me ka ʻulaʻula a i ʻole a puni ka maka, e kāhea aku i kāu kauka a i ʻole e kiʻi koke ʻia i kahi lāʻau lapaʻau olakino.

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

E haʻalele i ka lāʻau i haʻalele ʻia a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

ʻO ka hui pū ʻana o naltrexone a me bupropion ka mea e hopena i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • nausea
  • ka luaʻi
  • pāhoehoe
  • kōpaʻa
  • waha maloo
  • nā loli i kou ʻano o ka ʻono
  • ʻeha poʻo
  • ʻūpā
  • luhi
  • ʻōhinu
  • luliluli ʻole ʻana i kahi ʻāpana o ke kino
  • sweating nui loa
  • kani i nā pepeiao

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 nā ʻARlelo AOAO IMPORTANT a me SPECIAL PRECAUTIONS, e hoʻōki i ka lawe ʻana i ka naltrexone a me ka bupropion a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

  • ka hopu ʻana
  • ʻehu a palapū paha
  • ʻūlili
  • hives
  • ʻōpū pehu
  • ʻehaʻeha i kou waha a i ʻole kou mau maka
  • pokole o ka hanu
  • pehu o nā lehelehe a i ʻole alelo
  • ʻeha ka umauma
  • fiva
  • ʻeha ka ʻōpū
  • mimi ʻeleʻele
  • melemele o ka ʻili a me nā maka
  • ʻehaʻeha a ʻeha pū paha

ʻO ka hui pū ʻana o naltrexone a me bupropion e hana i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe 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 i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela a mai ka nui o ka wela a me ka makū (ʻaʻole i loko o ka lua.

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.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • ka hopu ʻana
  • ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole
  • nalowale o ka ʻike
  • wikiwiki a kuʻi paha i ka puʻuwai puʻuwai

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

Ma mua o ka hoʻāʻo ʻana i kahi keʻena hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua ke lawe nei ʻoe i ka hui o naltrexone a me bupropion.

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.

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