Clonidine, Papa ʻ Orlelo

Anter

• Nā ʻōlelo aʻoaʻo koʻikoʻi
• He aha ka clonidine?
• No ke aha e hoʻohana ʻia ai
• Pehea e hana ai
• Nā hopena ʻaoʻao Clonidine
• Nā hopena ʻaoʻao hou aʻe
• Nā hopena hopena koʻikoʻi
• Hiki paha i Clonidine ke launa pū me nā lāʻau ʻē aʻe
• Nā lāʻau e hoʻonui ai i ka hiamoe
• Nā lāʻau antidepressants Tricyclic (TCA)
• Nā lāʻau puʻuwai
• Nā lāʻau Antipsychotic
• Nā lāʻau kaomi koko
• Nā ʻōlelo aʻoaʻo a Clonidine
• Nā Pāhoihoi
• Launa ʻalekohola
• Nā ʻōlelo aʻoaʻo no kekahi mau pūʻulu
• Pehea e lawe ai i ka clonidine
• Ke ʻano a me ka ikaika
• Nā hana no ka maʻi deficit hyperactivity maʻi (ADHD)
• Lawe e like me ke kuhikuhi
• Nā manaʻo nui no ka lawe ʻana i ka clonidine
• Generala
• Waihona
• Hoʻopiha hou
• Huakaʻi
• Nānā lapaʻau
• ʻInikua
• Aia kekahi mau koho ʻē aʻe?

Nā mea nui no clonidine

1. Loaʻa ʻo Clonidine ma ke ʻano he lāʻau laulā a me ka inoa inoa inoa. Nā inoa inoa: Kapvay.
2. Hoʻohana ʻia nā papa hoʻokuʻu hoʻokuʻu Clonidine e mālama i ka maʻi hyperactivity deficit attention (ADHD).
3. ʻO nā hopena ʻaoʻao āpau e pili ana i ka maʻi o ka hanu luna, e huhū ana, pilikia i ka hiamoe ʻana, a me nā moemoeā ʻino.

Nā ʻōlelo aʻoaʻo koʻikoʻi

• ʻNinglelo Aʻo Allergy: Mai lawe i ka clonidine waha inā ua loaʻa iā ʻoe kahi hopena maʻi ʻaʻai i clonidine a i ʻole ka clonidine patch. Lawe i ka clonidine waha ma hope o ka loaʻa ʻana o ka ʻili i ka pale i hiki ke hana i kahi ʻōpala ma luna o kou kino holoʻokoʻa, ʻūlū, a me ka hopena maʻi ʻino paha.
• ʻ Warlelo Aʻo ʻoki: Hiki iā ʻoe ke lawe i ka clonidine a i 4 mau hola ma mua o ke kaha ʻana. Mai lawe iā ia i loko o nā hola 4 ma mua pono o kou ʻoki kino. Hiki iā ʻoe ke hoʻomaka hou iā ia ma hope koke o ke kaha ʻana.

He aha ka clonidine?

ʻO Clonidine kahi lāʻau lapaʻau. Loaʻa iā ia ma ke ʻano he patch, kahi papa waha, a me kahi papa hoʻolōʻihi hoʻolōʻihi ʻia. Pili paha ka palapala āu e hoʻohana ai i kāu kūlana.

Loaʻa nā papa hoʻokuʻu hoʻokuʻu ʻia ʻo Clonidine ma ke ʻano he lāʻau lapaʻau inoa Kapvay. Loaʻa pū lākou ma ke ʻano he lāʻau laulaha. ʻOi aku ke kumu kūʻai o nā lāʻau lapaʻau Generic. I kekahi mau kumu, ʻaʻole i loaʻa lākou i kēlā me kēia ikaika a i ʻole ʻano e like me ka brand.

No ke aha e hoʻohana ʻia ai

Hoʻohana ʻia nā papa hoʻokuʻu hoʻokuʻu Clonidine e mālama ai i nā ʻōuli o ka maʻi hyperactivity deficit attention (ADHD). Hiki iā lākou ke hoʻohana ʻia e ka poʻe mai 6-18 mau makahiki.

Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau ma ke ʻano he mahele o ka hoʻohuihui hoʻohui. ʻO ia hoʻi pono ʻoe e lawe me nā lāʻau ʻē aʻe.

Pehea e hana ai

ʻO Clonidine kahi papa o nā lāʻau i kapa ʻia he alpha-agonists e hana ana ma waena. ʻAʻole ʻike maopopo ʻia pehea e hana ai nā papa hoʻolōlā ʻia clonidine e hōʻemi i nā ʻōuli o ADHD. ʻIke mākou he hana ka clonidine i ka ʻāpana o ka lolo e kōkua ai i ka hoʻoponopono ʻana i ka lawena, ka nānā ʻana, a pehea mākou e hōʻike ai i ka naʻau.

Nā hopena ʻaoʻao Clonidine

Hiki i ka papa oral waha ke Clonidine ke hiamoe. Eia naʻe, e hele paha kēia hopena i ka lōʻihi o kou lawe. Hiki iā ia ke kumu i nā hopena ʻē aʻe.

Nā hopena ʻaoʻao hou aʻe

E hala paha nā hopena ʻino ma waena o kekahi mau lā a i ʻole ʻelua mau pule. E kamaʻilio me kāu kauka a kauka paha inā ʻoi aku ke koʻikoʻi a i ʻole hele aku. ʻO nā hopena ʻē aʻe i hiki ke hana ʻia me clonidine e hoʻopili pū ʻia:

• waha maloʻo a me nā maka maloʻo
• ʻūpā
• luhi
• huhū o ka ʻōpū a ʻeha paha
• hoʻomālie
• kōpaʻa
• ʻeha poʻo
• maʻi maʻi maʻi luna o luna
• huhū
• pilikia hiamoe
• moeʻuhane moeʻuhane

Nā hopena hopena koʻikoʻi

Inā ʻoe e ʻike i kekahi o kēia hopena hopena koʻikoʻi, e kāhea koke aku i kāu kauka. Inā hoʻoweliweli ke ola o kāu mau ʻōuli a i ʻole inā manaʻo ʻoe ke ʻike nei ʻoe i kahi ulia pōpilikia, kāhea iā 911. Hiki i nā hopena ʻē aʻe ke hoʻopili ʻia.

• hoʻonui a laila hoʻemi i ke kahe o ke koko
• lohi a wikiwiki paha ka helu o ka naʻau
• kōmi puʻuwai kaulike ʻole
• ʻūpē ke kū ʻoe
• hala ʻana i waho
• hoʻolohi i ka hanu a i ʻole pilikia i ka hanu ʻana
• ʻeha ka umauma
• hallucinating (ke ʻike nei i nā mea ʻaʻole ma laila)

Hoʻolaha: ʻO kā mākou pahuhopu ka hāʻawi ʻana iā ʻoe i ka ʻike pili loa a me ka ʻike o kēia wā. Eia nō naʻe, no ka mea ʻokoʻa ka hopena o nā lāʻau i kēlā me kēia kanaka, ʻaʻole hiki iā mākou ke hōʻoia i ka pili ʻana o kēia ʻike i nā hopena ʻē aʻe āpau. ʻAʻole pani kēia ʻike i ka ʻōlelo aʻo kino. Kūkākūkā mau i nā hopena ʻē aʻe me kahi mea mālama ola i ʻike i kāu mōʻaukala olakino.

Hiki paha i Clonidine ke launa pū me nā lāʻau ʻē aʻe

Hiki i ka papa ʻōlelo waha Clonidine ke launa me nā lāʻau ʻē aʻe, nā mea kanu, a me nā huaora āu e lawe nei. ʻO ia ke kumu e mālama pono ai kāu kauka i kāu mau lāʻau āpau. Inā he mau nīnau kāu e pili ana i ka launa ʻana o kēia lāʻau me kekahi mea ʻē aʻe āu e lawe nei, e kamaʻilio me kāu kauka a kauka paha.

Kahakaha: Hiki iā ʻoe ke hōʻemi i kou manawa o ka launa ʻana o ka lāʻau ma o ka hoʻopiha ʻana i kāu kauka holoʻokoʻa i ka hale kūʻai like. ʻO kēlā ala, hiki i kahi kauka lāʻau ke nānā i nā launa lāʻau hiki.

Nā lāʻau e hoʻonui ai i ka hiamoe

Mai hoʻohui i kēia mau lāʻau me clonidine. ʻO ka lawe ʻana i kēia mau lāʻau me clonidine e hoʻonui ai i ka hiamoe:

• barbiturates e like me:
  • phenobarbital
  • pentobarbital
• phenothiazines e like me:
  • chlorpromazine
  • thioridazine
  • kālaipunahele
• nā benzodiazepines e like me:
  • lorazepam
  • diazepam
• lāʻau no ka ʻeha (opioids) e like me:
  • ʻoxycodone
  • hydrocodone
  • morphine
• nā lāʻau hoʻomālie ʻē aʻe

Nā lāʻau antidepressants Tricyclic (TCA)

ʻO ka hoʻohui ʻana i kēia mau lāʻau me ka clonidine hiki ke hoʻonui i kou kahe koko. Eia kekahi laʻana o kēia mau lāʻau:

• clomipramine (Anafranil)
• desipramine (Norpramin)
• doxepin (Sinequan)
• imipramine (Tofranil)
• nortriptyline (Pamelor)
• protriptyline (Vivactil)
• trimipramine (Surmontil)

Nā lāʻau puʻuwai

ʻO ka hoʻohui ʻana i kēia mau lāʻau puʻuwai me ka clonidine hiki ke hoʻolohi i ka helu o kou puʻuwai. Hiki i kēia ke lilo i koʻikoʻi. Pono paha ʻoe e hele i ka haukapila a i ʻole he pacemaker. Inā ʻoe e lawe i kekahi o kēia mau lāʻau, ʻaʻole paha ʻo ke clonidine ke koho maikaʻi loa nāu.

Eia kekahi laʻana o kēia mau lāʻau puʻuwai:

• digoxin
• beta ālai
• nā poloka ʻauʻa calcium e like me:
  • diltiazem
  • verapamil

Nā lāʻau Antipsychotic

Inā ʻoe e lawe i kēia mau lāʻau me ka clonidine, lilo paha ʻoe i ka puʻupuʻu a i ʻole pilikia ʻoe i ke kaulike ke noho ʻoe ma hope o ka moe ʻana i lalo, a kū paha ma hope o ka noho ʻana. Kāhea ʻia kēia ʻo ka orthostatic hypotension. Eia kekahi laʻana o kēia mau lāʻau:

• clozapine (Clozaril)
• aripiprazole (Abilify)
• quetiapine (Seroquel)

Nā lāʻau kaomi koko

Hoʻohui pū i kēia mau lāʻau me ka clonidine e hoʻoliʻiliʻi nui i kou kahe koko. Hāpai kēia i kāu makaʻu i ka hala ʻana. Eia kekahi laʻana o kēia mau lāʻau:

• angiotensin II receptor blockers e like me:
  • losartan
  • valsartan
  • irbesartan
• nā mea hoʻohiwahiwa angiotensin-hoʻololi i ka enzyme (ACE) e like me:
  • enalapril
  • lisinopril
• nā diuretics e like me:
  • hydrochlorothiazide
  • hulahula

Hoʻolaha: ʻO kā mākou pahuhopu ka hāʻawi ʻana iā ʻoe i ka ʻike pili loa a me ka ʻike o kēia wā. Eia nō naʻe, no ka mea ʻokoʻa ka launa ʻana o nā lāʻau i kēlā me kēia kanaka, ʻaʻole hiki iā mākou ke hōʻoia i ka pili o kēia ʻike i nā launa kūpono āpau. ʻAʻole pani kēia ʻike i ka ʻōlelo aʻo kino. E kamaʻilio mau me kāu mea mālama ola e pili ana i nā launa kūpono me nā lāʻau lapaʻau āpau, nā wikamina, nā mea kanu a me nā mea hoʻopihapiha, a me nā lāʻau i kūʻai mua ʻole ʻia e lawe nei.

Nā ʻōlelo aʻoaʻo a Clonidine

Hele mai kēia lāʻau lapaʻau me nā ʻōlelo aʻoaʻo.

Nā Pāhoihoi

Mai hoʻohana i kēia lāʻau inā loaʻa ʻoe i ka hopena maʻi ʻaʻai i nā papa clonidine a i ʻole nā ​​ʻāpana o ka clonidine patch i ka wā ma mua.

Lawe i ka clonidine waha ma hope o ka loaʻa ʻana o ka ʻili i ka patch clonidine hiki ke hana i kahi wīwī ma luna o kou kino holoʻokoʻa, ka huehue, a me ka hopena maʻi ʻino paha.

Hiki i kahi hopena maʻi ʻaʻai koʻikoʻi ke kumu:

• pilikia hanu
• pehu o kou puʻu a me kou alelo
• hives

Launa ʻalekohola

ʻO ka hui pū ʻana i ka waiʻona me ka clonidine ke kumu o kahi hopena sedative weliweli. Hoʻohiʻohi paha ia i kāu reflexes, hana i ka noʻonoʻo maikaʻi ʻole, a hoʻomaka i ka hiamoe.

Nā ʻōlelo aʻoaʻo no kekahi mau pūʻulu

No ka poʻe me nā pilikia puʻuwai: Hoʻopili kēia i ke koko haʻahaʻa, haʻahaʻa o ka puʻuwai, a me nā maʻi puʻuwai. Hoʻoemi kēia lāʻau i ke kahe o ke koko a me ka helu o ka puʻuwai. Hiki paha iā ʻoe ke makaʻala i nā hopena ʻino hou aʻe inā he haʻahaʻa haʻahaʻa kou a keu a he haʻahaʻa haʻahaʻa paha ka puʻuwai.

No ka poʻe pīhoihoi i ke kū ʻana: Kāhea ʻia kēia ʻano he hypological orthostatic. Hiki iā Clonidine ke hōʻeha i kēia ʻano. Mai kū koke i luna a hōʻoia ʻaʻole e maloʻo. Hiki i kēia mau mea ke hoʻonui i kou luʻuluʻu a me ka makaʻu o ka maʻule.

No ka poʻe me ka syncope (maʻule): Hiki iā Clonidine ke hana i kēia ʻano ʻino. Mai kū koke i luna a hōʻoia ʻaʻole e maloʻo. Hiki i kēia mau mea ke hoʻonui i kou luʻuluʻu a me ka makaʻu o ka maʻule.

No ka poʻe me nā pilikia o ka maka: Hoʻopili kēia i ka maʻi maka maloʻo a me nā pilikia e kia ana i kou mau maka. Hiki paha iā Clonidine ke hana i kēia mau pilikia.

No nā wahine hāpai: ʻO Clonidine kahi mahele C hāpai lāʻau. ʻO ia ke ʻano o nā mea ʻelua:

1. Ua hōʻike ʻia ka noiʻi ʻana i nā holoholona i nā hopena maikaʻi ʻole i ka fetus ke lawe ka makuahine i ka lāʻau.
2. ʻAʻole lawa nā noiʻi i hana ʻia i loko o nā kānaka e maopopo ai pehea ka hopena o ka lāʻau i ka fetus.

E kamaʻilio me kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Pono e hoʻohana ʻia ʻo Clonidine i ka wā hāpai wale nō inā hōʻoia ka hopena kūpono i ka hopena i ka fetus.

No nā wahine e hānai ana i nā waiū: Hele paha ʻo Clonidine i loko o kāu waiū umauma a hiki ke kumu i nā hopena i loko o kahi keiki hānai. E haʻi i kāu kauka inā hānai ʻoe. Pono paha ʻoe e hoʻoholo inā e hoʻōki i ka hānai ʻana a i ʻole hoʻōki ʻana i ka lawe ʻana i ka clonidine.

No ka poʻe ʻelemākule: Hoʻopili kēia lāʻau i ke kaomi koko, i hiki ai ke hoʻolilo a hoʻonui i kou maka o ka hāʻule.

No nā keiki: ʻAʻole i aʻo ʻia kēia lāʻau i nā keiki me ADHD ma lalo o ka makahiki 6.

Pehea e lawe ai i ka clonidine

ʻAʻole hiki ke hoʻokomo ʻia nā dosages a me nā ʻano āpau ma aneʻi. Kau kau lāʻau, palapala, a me ka manawa hea ʻoe e lawe ai e hilinaʻi ia:

• kou mau makahiki
• ke ʻano e mālama ʻia ana
• pehea ke koʻikoʻi o kou ʻano
• nā kūlana olakino ʻē aʻe āu
• pehea ʻoe e hana ai i ka mahele lāʻau mua

Ke ʻano a me ka ikaika

Palapala: papa hoʻolōʻihi hoʻolōʻihi ʻia

Nā ikaika: 0,1 mg

Nā hana no ka maʻi deficit hyperactivity maʻi (ADHD)

Nā mea hana makua (nā makahiki 18 a ʻoi paha)

ʻAʻole i hoʻokumu ʻia kahi lāʻau palekana a maikaʻi hoʻi no nā mākua.

Nā ana keiki (makahiki 6-17 makahiki)

• ʻO ka mahele hoʻomaka he 0.1 mg i lawe ʻia i ka wā hiamoe.
• Hoʻonui ʻia paha nā hana e kahi 0,1 mg hou aʻe i kēlā me kēia lā i kēlā me kēia pule a hiki i ka maikaʻi o kāu mau hōʻailona a i ʻole hiki i ka maximum o kēlā me kēia lā.
• ʻO ka nui o nā lā i kēlā me kēia lā he 0.1-0.4 mg i kēlā me kēia lā.
• Hoʻokaʻawale ʻia ka nui o nā lā i kēlā me kēia lā i 2 mau lā i kēlā me kēia lā.
• Inā kū ʻoe i ka clonidine, pono e hōʻemi ʻia ka nui o kēlā me kēia lā e 0.1 mg i kēlā me kēia lā 5-7.

Nūhou keiki (mau makahiki 0-5)

ʻAʻole i hoʻokumu ʻia kahi lāʻau palekana a maikaʻi hoʻi no kēia pae makahiki.

Nā manaʻo hana kūikawā

Inā loaʻa ʻoe i ka maʻi puʻuwai: Inā loaʻa ʻoe i ka maʻi puʻupaʻa, e haʻahaʻa paha kāu hoʻomaka ʻana. E hoʻonui ʻia paha kāu mea ma muli o kāu kaomi koko.

Hoʻolaha: ʻO kā mākou pahuhopu ka hāʻawi ʻana iā ʻoe i ka ʻike pili loa a me ka ʻike o kēia wā. Eia nō naʻe, no ka mea ʻokoʻa ka hopena o nā lāʻau i kēlā me kēia kanaka, ʻaʻole hiki iā mākou ke hōʻoia i kēia papa inoa e pili ana i nā lāʻau kūpono āpau. ʻAʻole pani kēia ʻike i ka ʻōlelo aʻo kino. E kamaʻilio mau me kāu kauka a kauka paha e pili ana i nā dosages kūpono iā ʻoe.

Lawe e like me ke kuhikuhi

ʻO Clonidine kahi lāʻau lōʻihi. Hele mai ia me nā pilikia koʻikoʻi inā ʻaʻole ʻoe e lawe e like me ke kauoha.

Inā ʻaʻole ʻoe e lawe iki ma ka manawa paha

ʻOi aku paha ka maikaʻi o kāu mau hōʻailona a me nā hōʻailona o ADHD.

Inā kū koke ʻoe

He mea nui ʻaʻole e hōʻoki koke i ka lawe ʻana i kēia lāʻau. Hiki i kēia ke alakaʻi i kahi hopena haʻalele. Pākuʻi paha nā hopena i:

• ʻeha poʻo
• haʻalulu
• ka piʻi wikiwiki o ke kaomi koko

He aha e hana ai inā ʻike ʻoe i kahi lāʻau

Inā ʻoe e nalo i kahi mahele lāʻau, e lele i ka lāʻau i hala ʻole a lawe i ka mahele aʻe e like me ka manawa i hoʻonohonoho ʻia.

Mai lawe i nā mea i ʻoi aku i ka nui o ka clonidine i kuhikuhi ʻia i kēlā me kēia lā i kahi manawa 24 mau hola.

Pehea e haʻi ai inā e holo nei ka lāʻau

Hiki paha iā ʻoe ke haʻi i ka hana ʻana o kēia lāʻau inā ʻike ʻoe i ka hoʻomaikaʻi ʻana i kāu mau hōʻailona, ​​keu hoʻi i ka nānā ʻana, hyperactivity, a me impulsivity.

Nā manaʻo nui no ka lawe ʻana i ka clonidine

E hoʻomanaʻo i kēia mau noʻonoʻo inā kuhikuhi kāu kauka iā clonidine no ʻoe.

Generala

• Hiki iā ʻoe ke lawe i ka clonidine me ka ʻai ʻole.
• E lawe i ka clonidine i ke kakahiaka a i ka manawa hiamoe: Hoʻokaʻawale ʻia ka huina o kēlā me kēia lā i 2 mau lā. Kūlike nō kēlā me kēia mahele lāʻau, akā i kekahi manawa makemake ʻia kahi lāʻau kiʻekiʻe. Inā loaʻa iā ʻoe kahi lāʻau kiʻekiʻe, e lawe ia i ka wā hiamoe.
• Mai hōʻoki, nau, a ʻokiʻoki paha i kēia lāʻau.

Waihona

• E mālama i kēia lāʻau i ke ana wela ma waena o 68 ° F a me 77 ° F (20 ° F a me 25 ° C).
• E mālama i ka lāʻau mai ka mālam.
• E mālama i kēia lāʻau mai nā wahi kahi e pulu ai, e like me ka lua.

Hoʻopiha hou

Hoʻopiha hou kahi kuhikuhi no kēia lāʻau. ʻAʻole pono ʻoe i kahi palapala hou no kēia lāʻau e hoʻopiha hou. E kākau kāu kauka i ka helu o nā hoʻopihapiha i ʻae ʻia ma kāu kauka.

Huakaʻi

Ke hele pū me kāu lāʻau:

• E hāpai mau me ʻoe a i ʻole i kāu ʻeke halihali.
• Mai hopohopo e pili ana i nā mīkini X-ray kahua mokulele. ʻAʻole hiki iā lākou ke hōʻeha i kēia lāʻau.
• Pono paha ʻoe e hōʻike i ka lepili i paʻi mua ʻia o kāu lāʻau lapaʻau e ʻike i ka lāʻau. E mālama pū me ʻoe i ka pahu lepili kuhikuhi i ka huakaʻi.

Nānā lapaʻau

Hiki paha i kāu kauka ke hana i nā hoʻokolohua i kāu mālama ʻana me kēia lāʻau. Hiki i kēia mau hoʻāʻo ke kōkua i ka hana ʻana o ka lāʻau a ke palekana nei ʻoe i ka wā o ka therapy. Hiki i kāu kauka:

• nānā i kāu hana hakuʻala e ʻike inā pono ka haʻahaʻa o kāu lāʻau hoʻomaka.
• hana i kahi electrocardiogram a i ʻole nā ​​hoʻokolohua puʻuwai e nānā i ka hana o kou puʻuwai a i ʻole e loaʻa nā hopena ʻaoʻao.
• kiaʻi i kou kaomi koko a me ka helu o ka puʻuwai e hōʻoia i ka hana ʻana o kēia lāʻau.

E pili ke kumukūʻai o kēia mau hōʻoia i kāu ʻinikua uhi.

ʻInikua

Nui nā ʻoihana ʻinikua e koi i kahi ʻae mua no ka mana inoa inoa o kēia lāʻau. Pono kēia e ʻae ʻia kāu kauka mai kāu ʻoihana inikua ma mua o ka uku ʻana o kāu ʻoihana ʻinikua no ka ʻōlelo kauoha.

Aia kekahi mau koho ʻē aʻe?

Loaʻa nā lāʻau lapaʻau e mālama i kou ʻano. Kūpono paha kekahi iā ʻoe ma mua o nā mea ʻē aʻe. E kamaʻilio me kāu kauka e pili ana i nā koho ʻē aʻe.

Hoʻolaha: Ua hana ʻo Healthline i nā hana āpau e hōʻoia i ka pololei o ka ʻike āpau, ka hoʻopihapiha ʻana, a me kēia manawa. Eia nō naʻe, ʻaʻole pono e hoʻohana i kēia ʻatikala i pani no ka ʻike a me ka mākaukau o kahi loea mālama ola laikini. E nīnau mau ʻoe i kāu kauka a i ʻole ʻoihana olakino ʻē aʻe ma mua o ka lawe ʻana i nā lāʻau. Hiki ke loli i ka ʻike o ka lāʻau i loko a ʻaʻole i manaʻo ʻia e uhi i nā hoʻohana a pau, nā kuhikuhi, ka mālama ʻana, nā ʻōlelo aʻoaʻo, nā launa lāʻau, nā hopena maʻi ʻaʻai, a me nā hopena maikaʻi ʻole. ʻO ka loaʻa ʻole o nā ʻōlelo aʻoaʻo a i ʻole nā ​​ʻike ʻē aʻe no kahi lāʻau i hāʻawi ʻia ʻaʻole ia e hōʻike i ka palekana o ka lāʻau a lāʻau paha i kūpono no nā mea maʻi āpau a i ʻole nā ​​hoʻohana kikoʻī āpau.