"Zyprexa": olelo ao no ka hoʻohana. "Zyprexa": hōʻike manaʻo, analogs a me contraindications

Ke kanaka ko mākou hopohopo'ōnaehana o ke kauoha mai waena konu o ka pau meaola. Inā 'oe i pilikia oe ke malama deviations ma? Acaeoey, nā kāohi a me emotionally, a mentally. Currently, aia nō he nui helu o ka ai 'i hiki ke hana i na mea kupanaha, a kōkua oe Makuakane me ka maʻi he nui loa. Kekahi o ia mau mea - "Zyprexa". I ka 'atikala e e noʻonoʻo i kēia ka lapaʻauʻia manual. "Zyprexa" - he lāʻau i ua pinepine hoakaka no abnormalities i loko o ka'emi ko kahua.

Pharmacological waiwai o ka lāʻau

Kēia lāʻau no a hiki i ka pae ana o neuroleptics me ka ole ma ka palahalaha pae ana o na mea he nui mea loaʻa nenoai. Mālama 'ia haʻawina lehulehu ma i ka mea i loaʻa i olanzapine, kaʻeleu' Oponopono o ka lāʻau, he antagonism e serotonin, dopamine, a me cholinergic receptors.

I ike ia olanzapine ho'ēmi i kā ka excitability o ka mesolimbic dopaminergic neurons, a he uuku ia i ka striatal neural mau alahele o ka pae'āina ma ka rula o ka Hawaii i hana '.

Kaʻeleu 'Oponopono o ka lāʻau hoʻokāʻoi aʻe ana i ka Anati-ka iini ai i ka manawa o anxiolytic hōʻike.

Medicine "Zyprexa" e hele mai i loko o nā 'ano apau loa:

• Ma ka palapala o ka papa, ho film-kapa komo iā ia.
• Lyophilizate no ka makaukau o ka pāʻoihana no ka pahu kui.

I ka papa kuhikuhiEʻeleu 'Oponopono i loko o ka hoʻomākaukau maupaʻa olanzapine. Kākoʻo eiiiiiaiou i loko o ka papa i:

• Crospovidone.
• makanekiuma stearate.
• Lactose monohydrate.
• Kelulose.
• Giproloza.

I ka haku mele 'ana o ka ho film ka penaʻana papa i keʻokeʻo colorant, ai uliuli ka inika, mahuahua carnauba a me ka hypromellose.

I ka haku mele 'ana o kekahi lyophilisate no ka pāʻoihana no ka pahu kui kikowaena, he okoa ka papa kuhikuhiEʻeleu waiwai, lactose monohydrate a me tartaricʻakika.

Ma ka palapala e hookohu i kekahi lāʻau, e hana i ka hoomanawanui, ke kahuna lapaau e hooholo wale.

Nāʻikepili no ka hoʻohana ana i ka lāʻau '

Uluwehi O "Zyprexa" i nui nāʻikepili no ka hoʻohana 'ana, ka hapanui pinepine ka mea, ua koi' ia ma ka ana ma lalo nei:

• Schizophrenia i loko o ka huʻi palapala.
• Nā aʻalolo kāna hana pu ma delusions, hallucinations, manaʻo kāna hana.
• I olelo ia me ka manaʻoe hōʻeha a me ka hoʻohuoiʻia no ko mākou hopohopo kāna hana.
• Mea naʻau a pilina withdrawal.
• Affective symptoms a hoʻomohala e ku e ia i ke kāʻei kua o ka schizophrenia.
• E like me ka prophylactic Agena no schizophrenia relapses.
• Dementia.

Ia mea,ʻaʻole e pono e hoonoho ia ia iho i ka lāʻau me ke kuka mau ana me ka hoʻomalu, ua lapaʻau mea fraught me ka mea hopena.

Noaia lāʻau lapaʻau

He aha ke ano o keia manual? "Zyprexa" Ua häʻawi mai i ka hoʻomaka o ka iapaau ana o schizophrenia i loko o ka palena iki laʻau heluna. Ma mua, ka mea e e lawa i ka lawe 10 mg o ka lāʻau, hoʻokahi nō ka lā. I ka laulā o ka iapaau ana o ka meaʻaiʻai ana mai i kanawai.

Ka pākōlea laʻau heluna o ka lāʻau ke oko a mai ka 5 a hiki i 20 mg, akā, ka mea, ua hoʻonoho pākahi no kēlā me kēia hoomanawanui ma ka nānaina o kona moku'āina. Ma hope o nā mea a pau i ka noiʻi, ina ka hoʻomanawanui tolerates ka lāʻau mahele lāʻau hiki e mahuahua, akā, ma lalo o 'inikua hooponopono wale.

Ma ke alo o ka hoomaau ana Mania "Zyprexa" papa lawelawe i loko o ka nui o ka 15 mg, hoʻokahi nō ka lā. Iloko o ka Inc ia mea e pono ke kanaka hoʻoponopono i ke ano o ke ahonui, a me ka laʻau heluna like me pono.

Inā ka hoʻomanawanui e loaa mai hepatic pahaʻaʻa puʻuwai insufficiency, oia hoakaka i ka lāʻau "Zyprexa" 5 mg, ina o ka moku'āina mea maʻamau a me ka hana pono tolerated, hiki e mahuahua ke kiʻekiʻe o ka mahele lāʻau.

Ka lāʻau 'Ua pinepine lawelawe i nā mea maʻi ma ka pahu kui. Mua oe e ka ka pahu kui, e pono e pono hoike mai i ka lyophilisate. E hana i kēia, kahi o ka hue ua mea hoʻoheheʻe i loko o 2 ml o ka wai no ka pahu kui. Ke hoomakaukau pāʻoihana E e maopopo, a i ka lenalena waihoʻoluʻu.

Pehea e lawe? "Zyprexa", e like me ua oleloia, ua haawi ia ka hoʻomalu. No laila, i ka iapaau ana regimen, ina ka Inc ua lawe mai ma ka hale, e ke kūkākūkā me ke kauka.

I ka hoomakaukau ana i ke kākoʻo pāʻoihana no ka pahu kui E e hoʻomanaʻo:

• "Zyprexa" hiki e ia ka pono i loko o sterile ka wai wale.
• Ua hiki ole ke hui i loko o ka hookahi 'ohe i ka lāʻau a me ka "Diazepam".
• I huiia "Zyprexa" a me ka "Haloperidol" hiki aku i ka mea hoʻonāwaliwali maoli nō o ka hana o ka lāʻau mua.

Inā ke kauka prescribes ka lāʻau "Zyprexa", ka laʻau heluna e hilinaʻi ma kaʻike,. No ka laʻana, ma ka schizophrenia loiloi mua mahele lāʻau He 10 mg koke i ka lā. Ka lāʻau 'E e lawelawe wale intramuscularly. Inā koi 'ia ma ke ahonui o ka ana, i ka lua o ka stab lapaau ke e, akā,ʻaʻole mua aku, elua no hora ma hope o ka ka pahu kui mua.

Mua nā mea maʻi, a me ka alo ana i kekahi maʻi maʻi lāʻau lawelawe i loko o ka laʻau heluna o 2.5-5 mg.

E lawe i ka hoike ana o ka hoʻokomo 'ia' o "Zyprexa" hiki hoʻonāukiuki i ka haule i loko o ke koko, i ka pahu kui mea maikaʻi ia e ia ma ka moe ana kulana, o ka oi aku ina ma laila ma hope o ka pahu kui drowsiness a me ka pōniuniu. He mea pono i ka moe, like loa me ke kauka ma hope o ka hookolokolo ana, e ole koho i ka nele o ka ho'ēmiʻana i loko o ke koko, a me ka bradycardia.

Ua E hoi e hoʻomanaʻo aʻela ia i ka abolition o "Zyprexa" E e lawe mai i nā, e like me ka mea typical no ka lāʻau withdrawal maʻi pale. Oe E mau kūkākūkā i kēia me kou kauka.

Hooloihi ae i Inc "Zyprexa" i kekahi manawa ma hope ka pahu kui auou caiaiai o na papa io o ka laʻau heluna o ka 5 a hiki i 20 mg no ka lā. Ke kauka Ua koi 'ia e wehewehe i au mamuli pehea ka lāʻau "Zyprexa" lōʻihi pono e maliuʻia. I Hawaii i ka mea a me ka mea i ka iapaau ana noaia, ua nānā 'mākou, akā, ua pono e poina e pili ana i ka hua'ōlelo i makemake' ole.

ʻaoʻao 'ole o ka lāʻau

ʻaneʻane a pau ai 'no ka iapaau ana o ko mākou hopohopo'ōnaehana kāna hana e pili ana i ka hui, a ua paipaiʻia ole, e lawe me ka Consulting ke kauka. Kēia mea,ʻaʻole i koe no ka "Zyprexa" no ka mea, o ka lāʻau i ka oiaio, ua nui ka papa inoa o kaʻaoʻao ole:

• ʻO ko mākou hopohopo'ōnaehana ke pane headache a me ka pōniuniu, mau nawaliwali a me ka Kanikani'āʻula, amnesia a me nā phobias. Tremors a Muscle oolea mea i hiki. Pinepine, ua tinnitus, pepeiao kuli,ʻeha i loko o ka maka, ono o na kanaka haunaele.
• Ma ka hapa o ka mea'ōnaehana mānowai koko'ōnaehana i e tachycardia, ua haule i loko o ke koko,, loli ma ECG, cyanosis. Kālailai hiki hōʻike neutropenia, eosinophilia, leukocytosis, thrombocytopenia. I loa hoopii, hiki cardiac hopu.
• Aia He He pilikia o ka rhinitis, pharyngitis, laryngitis, cough mahuahua. Hiki worsen asthma, hiamoe apnea mea he kamepiula.
• Kāʻili 'hoonui ikaika loa ka makemake a me bulimia, ka makewai, a dryness ma moʻolelo o ka lua.
• Nausea a me ka luaʻi.
• Exacerbation o gastritis a me ka gastroenteritis.
• 'Aʻe' ana i ka noho a me ka flatulence.
• Metabolic kāna hana ke hoike kaumaha loli, i ka ulu ana o ka mimikō, diabetic coma.
• Urinary incontinence, cystitis, uterine fibrosis, amenorrhea a me ka ulu ana o urinary'āpana nā mea palahēhē i kekahi undesirable hoike ana, inu.
• Na Ke Kumu no ka hoʻohana ( "Zyprexa", e like me kakou e ike nei, he lāʻau e hiki i keʻano o nā hua'ōlelo i makemakeʻaoʻao 'ole) ao mai i ka hiki' ana o ka arthritis, bursitis, cramps i loko o ka bipi nāʻiʻo a me kaʻeha ma nā iwi.
• Skin i pane koke helehelena o excessive dryness, dermatitis, ulcer me ka ho okumu.
• urticaria ia lŘlŘ pinepine.
• Other symptoms i ke kaulana wela, ole, maʻi palū-me ka moku'āina.

Mai na luna a pau, ua hiki ke manao nei makou, "Zyprexa"ʻaoʻao 'ole ka mea e maona ai, no laila, lawe aʻela ka lapaʻauʻia wale nō ma luna o Kauka ka aʻo.

symptoms o overdose

Inā ka hoʻomanawanui 'aʻole e hooko me kauka koi no ka laʻau heluna o ka lāʻau, he mea he pilikia o ka overdose, a ua hoikeia mai ia e ke kēia symptoms:

• Tachycardia.
• Excessive irritability a me ka aggressiveness.
• Olelo ana kāna hana.
• Hoʻopōʻino ike paka i.
• Convulsions.
• Neuroleptic maʻi pale.
• Inhibition o ka hana ana o ka hanu.
• Lele i loko o ke koko,.
• Arrhythmia.
• I loa hoopii, cardiac hopu a me ka hanu.

Ma ka mua hoailona o ka overdose mea pono e holoi mai i ka opu, lawe charcoal. Symptomatic lapaʻau ua lawe mai i kulike ai me ka lapaʻau hoikeana, a mau kanaka hoʻoponopono i ka hana o ka nui nā loko.

Contraindications i ka hoʻohana 'ana i ka lāʻau'

E pale hua'ōlelo i makemake hoike ana ma hope o ka lawe "Zyprexa" ia mea pono e akahele hoʻopaʻa haʻawina o ka papa inoa o nā contraindications. I ka poe nā:

1. Mahuahua pā lonoaʻili i ka waiʻona.
2. Kaumaha o ka ua'emi ko kahua.
3. Coma.
4. Makahiki i ka makahiki 18.
5. Me ka malama nui, e hoakaka ia ka lāʻau "Zyprexa" i loko o ka kēia mau maʻi a me nā kumu:

• Hakuʻala, a ake ole.
• Glaucoma.
• Epilepsy.
• Prostatic hyperplasia.
• Myelosuppression.
• Phenylketonuria.
• Lolo ileus.
• Hāpai keiki.
• Ma breastfeeding.

Inā ka hoʻomanawanui i ma ka liʻiliʻi loa kekahi o na kēia mau maʻi a me na kumu i e maopopo leʻa hōʻike aku i kou kauka.

Lālau aʻela ia i ka lāʻau i hāpai keiki, a breastfeeding

Inā he wahine ka hāhai Inc me "Zyprexa" a lilo hapai, oe e hoʻomaopopo i kou kauka. Ka lāʻau i loko o ka wā o ka gestation o ke keiki e lawe wale ia i ka pomaikai a hiki i ka makuahine, ma mua o ka Loaʻaʻia nui kamepiula a hiki i ka ulu bebe.

"Zyprexa" - antipsychotic, i mea hiki ke komo i loko o ka umauma o ka waiu, no laila, i lāʻau Inc e ole hoʻomau 'e hanai ana oia i kou pēpē, ia mea maikaʻi, e OIeEOEIeAeEIIe iʻimi hoʻopunipuni ai ana.

I Kekahi Mau koi i Inc

Psychiatrists pinepine hooki i ka waeʻia ma luna o ka lāʻau "Zyprexa", i ke kumu kuai o ka i, Eia naʻe, Ua kiʻekiʻe. Penei, hoʻokahi pack o huaale (. 5 mg, 28 na apana) e loaʻa 2500 rubles, a me kekahi hue i ka pahu kui -. 239 hamo i.

ʻaneʻane e hiki i kāhea i ke kūpono 'ana o neuroleptic maʻi pale a pau ai' o keia pae, a "Zyprexa" mea i koe. Ma lāʻau lapaʻau pono e akahele, a ina he mea lolelua ka pāpaʻa a tachycardia, arrhythmia, a sweating, mahuahua kino mahana, oe, mai hai aku i kou kauka.

Lapaʻau hoikeana o neuroleptic malignant maʻi pale pono i ka lāʻau i koke hōʻoki aku.

Mālama 'ia lapaʻau haʻawina i loko i ka mea i loaʻa i ka lōʻihi-makahiki Inc "Zyprexa" ua kākaʻikahi pu ma dyskinesia, i makemake e hoʻopaʻi' inikua 'uao. Akā, mai hoopoina i loaʻa mea he pilikia ka hope? Acaeoey o keia kulana.

Inā loaʻa nō kekahi symptoms o psoriasis, ia mea pono e hoʻomaʻa i ka mahele lāʻau i loko o ka olelo o kona ka ho'ēmiʻana.

Ma ke alo o kaʻike, "akepaʻa hoʻokō 'ole'" ka lapaʻauʻia E e ia me ka lōʻihi mālama nui, o ka oi aku i ka mea ulu o ka AST a me ka Alt. Inā na oeeo? Kau o ka pilikia 'ilikai, ia mea pono e emi i ka laʻau heluna o "Zyprexa."

E e ia kēia lapaau me ka mālama nui, ina i ka mōʻaukala o ka hoʻomanawanui he epileptic kāʻili 'ana a mau paku ole ia i kumumea i lalo loa i ka kāʻili' ana i paepae.

Inā he hoʻomanawanui ho'āʻo ma hōʻike hoemi helu o keʻokeʻo koko keena paha neutrophils, i ke ano o ka "Zyprexa" E e lawe mai ma lalo o 'inikua hooponopono a me ka papa'āweʻaweʻa kemika ka mālamaʻana o ke koko kiko'î. No laila, i ka 'olelo ao no ka hoʻohana. "Zyprexa" kekahi pono kaʻaeʻana me kūikawā i lapaau ia inā:

• Aia mau hoailona o ka hoʻoluhi hewa 'ole' aʻe 'ana oʻawahia iwi ka lolo.
• Ke alo aku o ka concomitant illnesses i inhibit iwi lolo kuleana pili i.
• Inā he radiotherapy a chemotherapy ka mōʻaukala o ka hoʻomanawanui.
• Ke alo aku o ka hypereosinophilia.

Ma mana haʻawina Inc "Zyprexa" ua kākaʻikahi pu ma anticholinergic adverse 'ole, akā, i ka ike ana i ka hoʻohana' ana i kēia k i loko o nā mea maʻi me ka concomitant maʻi mea liʻiliʻi, no laila, lapaʻau, ina he pono, e ke hana cautiously, a ma lalo o 'inikua hooponopono wale.

ileus a me ka paʻa huina glaucoma mea no hoi i ke kumu no ka mea akahele iapaau ana o ka lāʻau "Zyprexa". I ka hana o ka lāʻau ma luna o ka Central ko mākou hopohopo'ōnaehana pono kaʻaeʻana me ka mālama nui, ina e pono ai i ka hoʻohui pū 'ia me nā' ano like 'ole ai'.

Ke k ‰ ia i hui me ka waiʻona, no laila, i Inc E i inu kanakaʻona mau nā mea inu.

E manao ana i ka iapaau ana o "Zyprexa" hiki i drowsiness, a laila, i kēia wā ia mea maikaʻi, e hoomanawanui mai e hoohauhee ana i kekahi kaa, e like me ka hana ana o ka hana e noi ana excessive lehulehu.

Pehea e hui pu iho "Zyprexa" me nā ai '

Pūnao o ka papa hana 'Oponopono o ka lāʻau i undergo loli ma lalo o ka aoao o nā mea kūpale a me inducers o cytochrome P450, a mana a lākou mau haʻawina e ku e CYP1A2. ʻae "Zyprexa" ua kūpono kou hoomahuahua ia i loko o nā mea maʻi i i ka maʻa e like me ka uiki e, e like me ka lalau ana i ka lāʻau "Carbamazepine".

Lapaʻau haʻawina Ua hoike ia ina he mea he hookahi mahele lāʻau o "Zyprexa" ka Inc "warfarin", "theophylline", "diazepam", "Imipramine", ka hope emi ma ka pūnao i malama.

I ka wā hoʻokahi hooponopono o ka lāʻau me ka waiʻona i mea fraught me ka hoʻokāʻoi kiaha dala waiwai o ka lāʻau, a hiki e alakai ai i ka mea hoʻonāwaliwali maoli nō o ka lehulehu.

Makeke-aaieieno? Me "Zyprexa" "fluoxetine" maoli ka i kā mākou lehulehu oʻeleu waiwai olanzapine. Akā, ma nā mea a pau nā mea maʻi, ua ololi ke i kekahi, ka 'aoʻao, no laila, i ka laʻau heluna ua like ma luna o ka pololei kanaka.

Inā "Zyprexa" hoʻomanaʻo lawelawe intramuscularly i loko o ka huipūʻana me benzodiazepines, ka mea, ua? Aeiiaiaoaony e hoʻomaka i ka hoʻokolokolo pono ninaninau o ka lapaʻau ana o ka hoʻomanawanui i loko o ana i ka inhibition o ka naehana'ōnaehana a me ka naau Muscle. Lapaʻau haʻawina o kēia k hoʻohui pū i ole ia, no laila, ina he mea hiki ia e ke käpae '.

I ka hoike ana o ka lāʻau mea fraught me ka hooulu ana o ka bradycardia a lalo, ke koko, a no ia mea, ua Inc E e hana loa cautiously i loko o nā mea maʻi i i pilikia i loko o ka mea'ōnaehana mānowai koko'ōnaehana, a me ka syncope i malama i mau pahi oi kulu i loko o ka puʻuwai.

Ua E hoi e hoʻomaopopo i ka hooponopono o ka ho'ā 'charcoal a antacid hoomakaukau me ka nui loa ho'ēmi i kā ka omo kaʻina "Zyprexa" i loko o ka intestinal'āpana, i ke kūlana maikaʻiʻole i ka iapaau ana ka hoʻokōʻana.

kaiapuni i Inc "Zyprexa"

Inā loaʻa nā kumumea e hoʻonui ai i ke kua'āina o pūnao o olanzapine, oe e emi i ka laʻau heluna. I kēia mau kumumea loaʻa:

• Female.
• Ke alo aku o nā palapalaʻano e like me e uwahi ana.
• Old makahiki.

I loko nō o ka mea i loa pinepine lawelawe "Zyprexa" keia Inc pono nānā 'ana i nā mea maʻi, ka poe i ai i suicidal tendencies.

Iloko o ka Inc e kanaka hoʻoponopono i ka ha awina o hepatic transaminases, keia mea oi loaʻoiaʻiʻo i loko o nā mea maʻi me ka hepatic hoʻopilikia.

Hoʻomanawanui iki mai, kona 'oihana a hana paha ua pili i kipaku ole ae hana i na hana e pono e nānā' a me ka lehulehu, i ka lāʻau 'ua hoakaka ia me ka mālama nui. Inā hiki, e ua auou caiaiai i kekahi lāʻau.

Inā he mau hoailona o neuroleptic malignant maʻi pale i loko o ka palapala o ke kuni, tachycardia, Muscle hoʻopilikia, oe e hooki lawe i ka waiʻona.

Mai ka Inc Hawaii restlessness "Zyprexa" hiki i restlessness, ikaika makemake e hoʻoneʻe, ia mea pono e emi i ka laʻau heluna he uuku, a hāʻawi aku antiparkinsonian konohiki.

lāʻau analogues

"Zyprexa" analogues i mau pūʻulu:

1. Synonyms, 'o ia hoʻi, me ka hookahiʻeleu waiwai. Kēia pūʻulu nā ke kēia lapaau: "Zalasta," "Olanzapine", "Parnasan", "Olaneks", "Normiton".
2. Ka lua o ka pūʻulu nā ai 'e i ma luna o ke kanaka kino like pharmacological' ole, e like me "Azaleptin", "Viktoel", "Ketilept", "Kutipin", "Lakvel", "Nantarid", "Safris" a me na mea e ae.

Inā kou kauka i hoakaka ia like Inc lapaau "Zyprexa", analogues e ole mai oukou, mailoko eʻohi mai, pela no oe e ole kū i ka makemake pākōlea hopena. Wale i ke kauka ke kōkua ke hoʻoponopono i kēia pukana. Ka makemake e puku i ka lāʻau analogy ka hoaponoia, no ka mea, o ka lāʻau "Zyprexa" i ke kumu kuai o loa kiʻekiʻe, akā, kona laulā mea no ke kumukuai o ke kala.

Reviews o ka la hoomalolo

I keia wa, aneane kela hoʻomanawanui ma mua oʻoukou e hele ai i ka hale kūʻai lāʻau lapaʻau no ka lapaʻauʻia i hoakaka ia ma kekahi kauka, eʻoiaʻiʻo, e noi aku e pili ana i ka manao o ka poe i manawa undergoing lapaau. "Zyprexa" pane pinepine i maikaʻi. E hoomanawanui i ka poe undergo Inc me ka lāʻau, kona kiʻekiʻe ka hoʻokōʻana wahi. A hiki ma hope o ka papa kuhikuhiE ala o ka lapaʻau, loa nā mea maʻi e olelo aku i ka mālama 'ana i nā māhele o ka lāʻau' Aʻole 'ae' i ka maʻi, e hele mai hoʻi, a relapses kokoke mai nei. Maikai e kaua i ka lāʻau me ka kaumaha, mai a ma hope o ka papa o ka Inc mea,ʻaʻole he kumumea i koe, a me he mea he makemake e noho ai.

Ua E hoi e kaulana ia, hoʻowahāwahā i ka mea i "Zyprexa" he maikai nāʻana, he nui loa nā mea maʻi hai i ka hoike ana o adverse loa. No pinepine ia lŘlŘ like me ka hopena o keia Inc overweight, nee pūnao, kekahi olelo restlessness a me ka makemake, e mau hana i kekahi mea.

Muli o kona kulana pinepine, nā mea maʻi i ohumu o ka oi aku kiʻekiʻe lilo o ka lāʻau, a 'aʻole i' ae ia ia e lawe i kekahi mau Hoʻohana o ka heluna kanaka.

Currently, kekahi o ka maʻi i loko o ka arsenal o ka lapaau, aia nō he nui helu o ka ai ', akā, ma hope o ka piha ninaninau wale, ke kauka e hōʻalo i kekahi o ia mau mea. Ia mea no ia mea,ʻaʻole e pono ke kū kaʻawale koho i kekahi Inc, i ka ua lapaʻau hiki i kekahi mau loa ma luna o nā mea maʻi. Ua pau hilinaʻi nui ma luna o nā 'ano o ka meaola, i ka nui ana a me ka papa o ka mea maʻi. He kuhikuhi pili hoomakaukau ana no ka iapaau ana o ka maʻi o ka'emi ko kahua. E malama no oe ia oe iho, a noho ola!