Interferon Alfa-2b injection

Anter

• Hoʻohana ʻia ʻo injection Interferon alfa-2b
• Inā loaʻa iā ʻoe:
• Ma mua o ka loaʻa ʻana o interferon alfa-2b injection,
• Hoʻokumu paha ʻo Interferon alfa-2b injection 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 ʻoe e ʻike i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo AOAO IMĀKAHI a i ʻole nā ​​ʻĀINA WAIWAI MAKAHIKI, e kelepona koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

Interferon alfa-2b injection hiki ke kumu a i ʻole hōʻino i nā ʻano aʻe e weliweli a weliweli paha i nā ola: nā maʻi. nā maʻi noʻonoʻo, me ke kaumaha, ka naʻau a me nā pilikia o ka hana, a i ʻole nā ​​manaʻo ʻeha a pepehi paha iā ʻoe iho a i ʻole nā ​​mea ʻē aʻe nā maʻi ischemic (nā kūlana i loaʻa ʻole ke kahe o ke koko i kahi o ke kino) e like me ka angina (ʻeha o ka umauma) a i ʻole ka hōʻeha puʻuwai; a me nā maʻi autoimmune (nā kūlana e hoʻouka ai ka ʻōnaehana pale i hoʻokahi a ʻoi paha mau ʻāpana o ke kino e hiki ke hoʻopili i ke koko, nā hono, nā puʻupaʻa, ke ake, nā akemā, nā ʻili, ka ʻili, a me ka ʻaʻamo thyroid) E haʻi i kāu kauka inā loaʻa ʻoe i kahi maʻi; aiʻole inā ua loaʻa a loaʻa paha iā ʻoe kahi maʻi autoimmune, ʻo psoriasis (kahi maʻi ʻili kahi e hana ai nā ʻulaʻula, scaly patch ma kekahi mau wahi o ke kino), systemic lupus erythematosus (SLE a i ʻole lupus; kahi maʻi autoimmune kahi e hoʻouka ai ka ʻōnaehana immune i ke olakino. nā ʻāpana o ke kino), sarcoidosis (kahi ʻano e hana ai nā ʻōpuʻu liʻiliʻi o nā hunaola pale i nā ʻano like ʻole e like me nā akemāmā, nā maka, ka ʻili, a me ka puʻuwai a hoʻopilikia i ka hana o kēia mau ʻāpana), a i ʻole ka rheumatoid arthritis (RA; kahi ʻano i kahi 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); maʻi ʻaʻai; colitis (huʻu o ka ʻōpū); mimikō; maʻi hohola; ke koko kiʻekiʻe; nā pae triglyceride kiʻekiʻe (nā momona e pili ana i ka cholesterol); HIV (maʻi pale maʻi kanaka) a i ʻole ʻo AIDS (loaʻa maʻi maʻi maʻi maʻiodeodeode); kuʻi puʻuwai kūlike ʻole; maʻi noʻonoʻo e like me ke kaumaha, hopohopo, a i ʻole ka noʻonoʻo ʻana a i ʻole ke hoʻāʻo ʻana e pepehi iā ʻoe iho; aiʻole ka puʻuwai, ka puʻuwai, ka pancreas, a me ka maʻi thyroid.

Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ka maʻi diarrhea a i ʻole ka ʻōpū. fever, chills, batukū me ka phlegm (mucus), ʻeha puʻu, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi; ʻimi pinepine a i ʻole me ka ʻeha, ʻeha o ka umauma; kuʻi puʻuwai kūlike ʻole; nā hoʻololi i kou ʻano a i ʻole ʻano hana; kaumaha; ke hoʻomaka nei e hoʻohana hou i nā lāʻau i ke alanui a i ʻole ka waiʻona inā ʻoe i hoʻohana ma mua. hoʻonāukiuki (huhū maʻalahi); nā manaʻo e pepehi a hōʻeha paha iā ʻoe iho; hana kolohe a kolohe paha; paʻakikī i ka hanu ʻana; ʻeha ka umauma; nā hoʻololi i ka hele wāwae ʻana a i ʻole ka walaʻau ʻana; hoʻemi i ka ikaika a i ʻole nāwaliwali ma kekahi ʻaoʻao o kou kino; ʻike maka ʻole a nalowale paha o ka hihiʻo; ʻeha nui o ka ʻōpū; kahe koko ʻole a ʻeha paha; mimi ʻeleʻele kala; ʻōniʻoniʻo o ke ʻōpū māmā; a i ʻole ke ʻino ʻana o kahi maʻi autoimmune.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua e nānā i ka pane o kou kino i interferon alfa-2b.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Alakaʻi Medication) ke hoʻomaka ʻoe i ka lāʻau me interferon alfa-2b 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.

Hoʻohana ʻia ʻo Interferon alfa-2b injection e mālama i nā ʻano he nui.

Hoʻohana ʻia ʻo injection Interferon alfa-2b

• hoʻokahi a i ʻole hui pū ʻia me ka ribavirin (Copegus, Rebetol, Ribasphere) e mālama i ka maʻi hepatitis C lōʻihi (wā lōʻihi) (ka pehu ʻana o ke akepaʻa i hoʻokumu ʻia e kahi maʻi) i nā poʻe e hōʻike ana i nā hōʻino o ke ake.
• e mālama i ka maʻi hepatitis B mau loa (ka pehu ʻana o ke akepaʻa i hoʻokumu ʻia e kahi maʻi) i nā poʻe hōʻike i nā hōʻino o ke ake.
• e mālama i ka leukemia huluhulu (kahi maʻi ʻaʻai koko koko keʻokeʻo),
• e mālama i nā warts genital,
• e mālama i ka sarcoma a Kaposi (kahi ʻano o ka maʻi ʻaʻai e hiki ai ke ulu i nā mea like ʻole ma nā ʻāpana like ʻole o ke kino) e pili ana i ka loaʻa ʻana o ka maʻi maʻi maʻi (AIDS),
• e mālama i ka melanoma malignant (kahi maʻi ʻaʻai e hoʻomaka i loko o kekahi mau ʻili o ka ʻili) i kekahi poʻe i ʻoki ʻia e wehe i ka maʻi ʻaʻai.
• me kahi lāʻau lapaʻau ʻē aʻe e mālama ai i ka lymphoma non-Hodgkin's follicular (NHL; kahi maʻi maʻi koko e lohi ana).

Aia ʻo Interferon alfa-2b i kahi papa o nā lāʻau i kapa ʻia ʻo nā immunomodulator. Hana ʻo Interferon alfa-2b e mālama i ka maʻi hepitis C (HCV) a me ka maʻi hepitis B (HBV) ma ka hōʻemi ʻana i ka nui o nā mea hoʻomaʻi i ke kino. ʻAʻole hiki i ka Interferon alfa-2b ke hoʻōla i ka hepatitis B a i ʻole ka hepatitis C a pale aku paha iā ʻoe mai ka hoʻomohala ʻana i nā pilikia mai kēia mau maʻi e like me cirrhosis (scarring) o ke akepaʻa, ka ʻole o ke akepaʻa, a me ka maʻi ʻaʻai ate. ʻAʻole hiki iā ia ke pale i ka hoʻolaha ʻana o ka maʻi hepatitis B a i ʻole C i nā poʻe ʻē aʻe. ʻAʻole maopopo ia pehea interferon alfa-2b e hana ai e mālama i ka maʻi ʻaʻai a i ʻole nā ​​warts genital.

Hele mai ʻo Interferon alfa-2b me he pauma lā i loko o ka hue e kāwili ʻia me ka wai a ma ke ʻano he hopena e pahu ai i kekahi subcutaneʻāina (ma lalo pono o ka ʻili), intramuscularly (i loko o kahi mākala), intravenous (i loko o ka aa), a i ʻole intralesionally (i loko o kahi lesion ). ʻOi aku ka maikaʻi e hoʻomoʻi i ka lāʻau ma kahi o ka manawa like o ka lā i kāu mau lā o ka hoʻopiʻi ʻana, ma ka maʻamau i ke awakea ahiahi a i ʻole ke ahiahi.

Inā loaʻa iā ʻoe:

• HCV, e hoʻokomo i ka lāʻau i subcutaneously a i ʻole intramuscularly ʻekolu manawa i ka pule.
• HBV, hoʻopili i ka lāʻau i kekahi subcutaneously a i ʻole intramuscularly ʻekolu manawa i ka pule maʻamau no 16 mau pule.
• leukemia ʻula huluhulu, e hoʻokomo i ka lāʻau i loko o ka intramuscularly a i ʻole subcutaneously 3 manawa i ka hebedoma a hiki i 6 mau mahina.
• melanoma malignant, hoʻokomo i ka lāʻau i loko o ka maʻi no 5 mau lā i hala no 4 mau pule, a laila ʻekolu mau manawa i kēlā me kēia pule no 48 mau pule.
• follicular melanoma, e hoʻokomo i ka lāʻau subcutaneously ʻekolu mau manawa i kēlā me kēia pule a hiki i 18 mau mahina.
• nā warts genital, e hoʻokomo i ka lāʻau intralesionally ʻekolu manawa i kēlā me kēia pule i nā lā ʻē aʻe no 3 mau pule, a laila e hoʻomau ʻia ka mālama ʻana a 16 mau pule.
• ʻO ka sarcoma a Kaposi, e hoʻokomo i ka lāʻau i subcutane ʻole a i ʻole intramuscularly ʻekolu manawa i ka pule no 16 mau pule.

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 nā injection alfa-2b interferon e like me ke kuhikuhi. Mai hoʻohana i nā mea ʻoi aku a liʻiliʻi paha o kēia lāʻau a hoʻohana pinepine iā ia a i ʻole no kahi manawa lōʻihi ma mua o ka mea i kauoha ʻia e kāu kauka.

Hiki i kāu kauka ke hōʻemi i kāu lāʻau inā ʻike ʻoe i nā hopena koʻikoʻi o ka lāʻau. E ʻike pono i kāu kauka i kou ʻano i kou wā e mālama ai a nīnau i kāu kauka a kauka paha inā he nīnau kāu e pili ana i ka nui o nā lāʻau āu e hoʻohana ai.

E loaʻa iā ʻoe kāu kau mua o interferon alfa-2b ma ke keʻena o kāu kauka. Ma hope o kēlā, hiki iā ʻoe ke hoʻokuʻi iā interferon alfa-2b iā ʻoe iho a i ʻole he hoaaloha a ʻohana paha e hāʻawi iā ʻoe i nā injection. Ma mua o kou hoʻohana ʻana i ka interferon alfa-2b no ka manawa mua, ʻo ʻoe a i ʻole ke kanaka e hāʻawi ana i nā injection e heluhelu i ka ʻike o ka mea hana no ka mea maʻi e hele pū ana me ia. E noi i kāu kauka a kauka paha e hōʻike iā ʻoe a i ʻole i ke kanaka e hoʻopili ana i ka lāʻau pehea e ʻoki ai iā ia. Inā hoʻokomo kekahi kanaka i ka lāʻau no ʻoe, e ʻike pono ua ʻike ʻo ia i ka hōʻalo ʻana i nā nila hemahema.

Inā ʻoe e hoʻomoʻi i kēia lāʻau lapaʻau subcutaneously, inject interferon alfa-2b ma nā wahi āpau o kou ʻōpū, nā lima o luna, a me kou mau ʻūhā, koe wale nō ma kahi o kou pūhaka a i ʻole ka piko (pihi ʻōpū). Mai hoʻokomo i kāu lāʻau i loko o ka ʻili i hoʻonāukiuki ʻia, ʻehaʻula, ʻulaʻula, maʻi, a me nā makaʻu.

Inā ʻoe e hoʻokomo i kēia lāʻau i ka intramuscularly, e hoʻokomo i ka interferon alfa-2b i kou mau lima i luna, nā ʻūhā, a i ʻole ka wahi o waho o ka puʻupuʻu. Mai hoʻohana i ka wahi like i ʻelua manawa i ka lālani.Mai hoʻokomo i kāu lāʻau i loko o ka ʻili i hoʻonāukiuki ʻia, ʻehaʻula, ʻulaʻula, maʻi, a me nā makaʻu.

Inā ʻoe e hoʻokomo i kēia lāʻau i loko intralesionally, e hoʻokomo pono i ke kikowaena o ke kumu o ka wart.

Mai hoʻohana hou i nā syringes, nā nila, a me nā hue o interferon alfa-2b. Kiola i nā nila i hoʻohana ʻia i loko o ka ipu kūpaʻa kū ʻole, a hoʻolei i nā ipu i hoʻohana ʻia o ka lāʻau i loko o ka ʻōpala. E kamaʻilio me kāu kauka a kauka paha e pili ana i ka hoʻolei ʻana i ka ipu kūpaʻa.

Ma mua o kou hoʻohana ʻana i ka interferon alfa-2b, e nānā i ka hopena ma ka hue. Pono ka lāʻau e akāka a manuahi hoʻi i nā mea lele. E hōʻoia i ka hue e ʻike pono ʻaʻohe kulu a nānā i ka lā pau. Mai hoʻohana i ka hopena inā pau, kapua, loaʻa nā ʻāpana, a i ʻole i loko o kahi kīʻaha leaky.

E hoʻopili wale ʻoe i hoʻokahi ipu o interferon alfa-2b i kēlā me kēia manawa. ʻOi aku ka maikaʻi o ka kāwili ʻana i ka lāʻau ma mua o kou hoʻolālā ʻana e hoʻokomo iā ia. Eia nō naʻe, hiki iā ʻoe ke kāwili i ka lāʻau i mua, e mālama ia i loko o ka pahu hau, a hoʻohana i loko o 24 mau hola. E lawe pono i nā lāʻau i waho o ka pahu hau a ʻae iā ia e hele mai i ka wela o ka lumi ma mua o kou kuʻi ʻana.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Alakaʻi Medication) ke hoʻomaka ʻoe i ka lāʻau me interferon alfa-2b 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.

Hoʻohana pū ʻia ʻo Interferon alfa-2b i kekahi manawa e mālama i ka maʻi hepitis D (HDV; pehu o ke akepaʻa i hoʻokumu ʻia e kahi maʻi maʻi), caracoma basal cell (kahi ʻano maʻi ʻaʻai ʻili), lymphomas T-cell cutaneous (CTCL, kahi ʻano maʻi ʻaʻai o ka ʻili. ), a me ke kanesa maʻi ʻaʻai. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau no kou maʻi.

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 loaʻa ʻana o interferon alfa-2b injection,

• e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka interferon alfa-2b injection, nā lāʻau interferon alfa ʻē aʻe me PEG-interferon alfa-2b (PEG-Intron) a me PEG-interferon alfa-2a (Pegasys), nā lāʻau ʻē aʻe, albumin, a i ʻole kekahi o nā mea hoʻohui ʻē aʻe i ka interferon alfa-2b injection. 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 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: telbivudine (Tyzeka), theophylline (Elixophyllin, Theo-24, Theochron), a i ʻole zidovudine (Retrovir, ma Combivir, ma Trizivir). 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 ʻoe i ka maʻi maʻi akekī a i ʻole ka hepatitis autoimmune (ke ʻano e kūʻē ai nā hunaola o ka ʻōnaehana paleʻaleʻa i ke ake). E haʻi paha kāu kauka iā ʻoe ʻaʻole e hoʻohana i ka injection alfa-2b interferon.
• e haʻi i kāu kauka a kauka paha inā ua hana mua ʻoe i kahi transplant (ʻoki e hoʻololi i kahi ʻōpū i ke kino) a ke lawe nei i nā lāʻau e kāohi i kou ʻōnaehana pale E haʻi aku i kāu kauka inā loaʻa a i ʻole loaʻa iā ʻoe kekahi o nā ʻano i ʻōlelo ʻia i ka ʻARlelo Aʻo IMPORTANT a i ʻole kekahi o kēia mau mea: anemia PE; kahi kīʻaha koko i ka akemāmā), kahi maʻi pūpū e like me ka pulumonia, hypertension pulmonary arterial (PAH; ke kiʻekiʻe o ke koko i loko o nā kīʻaha e hāpai ana i ke koko i nā akemāmā, e hoʻoiho ana i ka hanu, ka luhi, a me ka māluhiluhi), maʻi pulmonary ākea ākea (COPD; kahi hui o nā maʻi e pili i nā akemāmā a me nā alaloa), a i ʻole nā ​​pilikia maka.
• e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka loaʻa ʻana o ka interferon alfa-2b injection, 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 ke loaʻa nei iā ʻoe interferon alfa-2b.
• pono ʻoe e ʻike he maʻi flu paha kou e like me ka headache, sweating, muscle aches, a me ka luhi ma hope o kou loaʻa ʻana i kāu injection. E haʻi paha kāu kauka iā ʻoe e lawe i ka acetaminophen (Tylenol), kahi ʻeha ma luna o ka counter a me ka lāʻau kuni e kōkua ai i kēia mau ʻōuli. E kamaʻilio me kāu kauka inā paʻakikī kēia mau ʻōuli e hoʻokele a lilo i koʻikoʻi.

E mālama pono i ka inu ʻana i ka wai i ka wā o kāu interferon alfa-2b lapaʻau mua.

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

Inā ʻoe e nalo i kahi mahele o interferon alfa-2b injection, e hoʻokomo i kāu lāʻau hou aʻe ke hoʻomanaʻo koke ʻoe a hiki paha ke hāʻawi iā ia. Mai hoʻohana i ka injection alfa-2b interferon i ʻelua mau lā i ka lālani. Mai hoʻokomo i kahi lāʻau pālua e pani no kahi mahele hala. Kāhea i kāu kauka inā haʻalele ʻoe i kahi lāʻau a he nīnau kāu e pili ana i ka mea e hana ai.

Hoʻokumu paha ʻo Interferon alfa-2b injection i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• ʻeha, hoʻokahe, ʻeha, ʻulaʻula, pehu, a i ʻole ukiuki ma kahi āu i injected interferon alfa-2b
• ʻeha mākala
• hoʻololi i ka hiki ke ʻono
• poho lauoho
• ʻūpā
• waha maloo
• pilikia pilikia
• ke anuanu a wela paha
• loli ke kaupaona
• loli ka ʻili

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 ʻARlelo AOAO IMĀKAHI a i ʻole nā ​​ʻĀINA WAIWAI MAKAHIKI, e kelepona koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

• hūwī
• hives
• ʻiliʻiliʻili
• ʻūlili
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana
• pehu o nā maka, maka, waha, alelo, a puʻu paha
• nā hoʻololi i ka hihiʻo
• ʻeha o ka ʻōpū, palupalu a pehu paha
• melemele o ka ʻili a me nā maka
• luhi loa
• huikau
• pāhoehoe
• nalo ʻai ʻole
• nausea
• ka luaʻi
• ʻeha kua
• nalowale o ka ʻike
• numbness, puhi ʻana a i ʻole ka ʻūlū ʻana i nā lima a me nā wāwae paha

Hoʻokumu paha ʻo Interferon alfa-2b injection i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka loaʻa ʻana o 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 loko o ka pahu hau, akā mai hoʻopili. Ke hoʻohui ʻia, hoʻohana koke. Hiki ke mālama ʻia i loko o ka pahu hau no 24 mau hola ma hope o ka hoʻohuihui ʻana. E hoʻolei i nā lāʻau i hala i ka wā kahiko a pono ʻole paha. E kamaʻilio me kāu kauka lāʻau e pili ana i ka hoʻolei kūpono ʻana o kāu lāʻau.

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.

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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