ʻO Lisinopril 10 kahi mea hoʻoneʻe ACE e pili ana i ka hui carboxyl, e hōʻoia ai i kāna hopena lōʻihi a me ke ahonui. Mālama ka lāʻau i ka hōʻeha, ka angina pectoris, ka huhū o ka naʻau.
Inoa Kūʻai ʻole honua
Lisinopril.
ATX
Kapua.
E hoʻokuʻu i nā palapala a me ka ʻano
Hoʻomaopopo ʻia ka lāʻau lapaʻau i ke ʻano o nā papa i he ʻokoʻa lio. ʻO ka hana ikaika a hapa ʻāpana he lisinopril dihydrate; Pono nā mea hoʻohui hou e hāʻawi i nā papa i kahi ʻano a puni ka hakahaka.
ʻO Lisinopril 10 kahi mea hoʻoneʻe ACE e pili ana i ka hui carboxyl, e hōʻoia ai i kāna hopena lōʻihi a me ke ahonui.
Loaʻa nā mea:
- kalekaʻiʻiwikena dihydrogen calcium;
- kōpana;
- ku'ālā.
Loaʻa nā mea hoʻohui'ē aʻe me nā hui a me nā ʻili, akā ʻaʻole e hoʻololi i ka bioavailability o ka lāʻau.
Ka hana lāʻau lapaʻau
Hoʻonui ka lāʻau lapaʻau i ka manaʻolana o ke ola, pale i ka hoʻomohala ʻana o ka hypertrophy ventricular hema, hoʻoemi i ka nui o ka protein i loko o ka urine, ʻaʻole ia i ka hypoglycemia.
Lapaʻau lāʻau
ʻO nā hiʻohiʻona lapaʻau o ka lāʻau lapaʻau ka mea nui o ka lapaʻau:
- bioavailability kiʻekiʻe;
- hana kūʻokoʻa, no ka mea he lāʻau lapaʻau ka hana;
- ka lōʻihi o ka hoʻohiolo ʻana o ACE;
- wehewehe.
Eia kekahi, ʻaʻole i komo ka lāʻau i ka metabolism, no ka mea haʻahaʻa kona lipophilicity, hoʻolaha i ka hoʻonui ʻia o nā ʻāpana o nā ʻāpana, hoʻopili ʻia i ka urine. ʻO Bioavailability 50% a ʻaʻole ia e loli i lalo o ka mana o ka kaʻai o ka meaʻai.
Hoʻomaopopo ʻia ka lāʻau lapaʻau i ke ʻano o nā papa i he ʻokoʻa lio.
ʻAʻole hōʻino ka lāʻau lapaʻau i ka palupalu, ʻaʻole e like me nā vasodilators ʻē aʻe. ʻO ka ʻike kiʻekiʻe loa i ka serum i nānā ʻia ma nā hola 7 ma hope o ka hoʻokuʻu ʻana i ka lāʻau.
ʻO ka nele o nā hana metabolism ma ka ate e hiki ai i ka hoʻohana ʻana o ka hana ikaika ma ka mea maʻi me ka pathology o ka hepatobiliary ʻōnaehana.
He aha ia e hoʻōla ai
ʻO nā papa antihypertensive he lāʻau mua e mālama ai i ka mālama ʻana i ka maʻi myocardial maʻi, i ukali ʻia me ka hema o ventricular dysfunction.
ʻO kēia ka hopena o ka lāʻau lapaʻau i nā mea:
- Kākoʻo i ka homeostasis;
- he hopena antiioxidant a me ka cardioprotective;
- hoʻokaʻawale iā Myocardial ischemia.
Nā hōʻailona no ka koho ʻana o ka lāʻau lapaʻau nā:
- pae maʻi II-III;
- infarction myocardial waha i ka hopena o ka hoʻonohonoho ʻana o ka hemodynamics;
- blockade o na lala o kona pua;
- kuʻi ʻana i ka hana systolic o ka ventricle hema;
- angina pectoris;
- kūmole lipid kiʻekiʻe;
- diabetes mellitus;
- ka pale ʻana o ka pīpī platelet a me nā māka koko.
Hoʻohana ʻia ka lāʻau lapaʻau ma ke ʻano o ka hui pū ʻana me ka diuretics. Ua kuhikuhi ʻia nā papa no ka asymptomatic left ventricular dysfunction.
No ka pale ʻana i ka lua o nā maʻi a me nā maʻi vascular, ua kuhikuhi ʻia ka lāʻau lapaʻau no nā poʻe maʻi me ka mōʻaukala o ka myocardial infarction, e hōʻeha ana i ka hoʻokaʻawale ʻana o nā puʻuwai puʻuwai, i hele pū ʻia e ka systolic dysfunction.
I nā maʻi me ka hypertension ua ʻoi aku ma mua o 65 mau makahiki, ka hopena o ka mea ikaika e hana i ka hana o nā kuhi.
Nā Hoʻohui
ʻAʻole kuhikuhi ʻia ka lāʻau lapaʻau inā ua hoʻomohala ka mea maʻi i kēia mau ala pili:
- hypotension arterial;
- pehu ana pane;
- ka paʻakai nui i loko o ke koko;
- nā maʻi maʻi ʻili;
- ka piʻokeo o ka pūpū a me nā pōpilikia (komo i ke ʻano adrenal kūlia);
- kohola
- hana ʻai iwi;
- stenosis hāmeʻa;
- hōʻemi i ka hana thyroid;
- urticaria.
Me nā pathologies ate, ʻaʻole i kuhikuhi ʻia ka lāʻau lapaʻau.
I kahi kanaka makua, ma hope o ka noi ʻana i ka nui o ka lāʻau o ka lāʻau, ulu ka hypotension, ulu nui ka pae o ke olakino, a me ka hopena o kahi hopena o ka hōʻeha.
Pēlā nō, ʻaʻole i kuhikuhi ʻia ka lāʻau lapaʻau no nā poʻe maʻi me ka tachycardia, edema a me nā maʻi o ka ʻōnaehana o ka bronchopulmonary. ʻO ka mea maʻi i lawe i ke ʻano nui o ka lāʻau lapaʻau e hoʻopiʻi nei i ke olakino maikaʻi, hōʻeha, nāwaliwali, nā hiamoe a me ka palupalu.
Inā pilikia ka mea maʻi me nā pūpū puʻuwai a i ʻole hōʻeha i ka lolo a me ka lahilahi, a laila hoʻokaʻawale ʻia ke koko ma hope o ka loaʻa ʻana o kahi vasodilator.
Pehea e lawe ai iā Lisinopril 10
ʻO ka hopena o ka lāʻau lapaʻau e kuhikuhi ʻia e ke kauka. Hoʻohana ʻia kahi vasodilator no monotherapy, a ʻōlelo ʻia nō hoʻi ʻo ia i ʻāpana o kahi hanana holoʻokoʻa me nā lāʻau lapaʻau ʻē aʻe.
Lawe ʻia ka antihypertensive ma ka manawa like.
ʻO ka hopena o ka lāʻau lapaʻau e kuhikuhi ʻia e ke kauka.
Me ka Renovascular Hypertension
Loaʻa ka lāʻau lapaʻau no ka hana haʻahaʻa haʻahaʻa plasma. No nā mea maʻi ma lalo o 60 makahiki o kona makahiki, he lāʻau lapaʻau i loko o kahi lā i kēlā me kēia lā he 2.5-40 mg e ʻōlelo ʻia. I nā hihia he nui, ua kau ke kauka i ke kau ʻana i nā papa papa ma kahi o 5 mg / lā.
ʻO ka regimen mālama no ka hypertension kekahi kanaka, e hilinaʻi ana i ka nui o ke kahe o ke koko. I ka haʻalele ʻana o ka hopena, hoʻonui ʻia ka nui o ka lāʻau i ka 10-15 mg. Hoʻopuka ʻia kahi lāʻau antihypertensive me ka manaʻo e hoʻoponopono i ke koko, e hoʻokō nei i kahi pae kiʻekiʻe o 140/90 mm RT. ʻAniā. (i ka poʻe me ka maʻi maʻi).
Hoʻonohonoho ʻia nā papa i hui pū ʻia me kahi mea paʻa beta a me kahi diuretic.
Me ka pani ʻole ʻana
Ma ka hoʻomaʻamaʻa lāʻau lapaʻau, ua hoʻākāka ʻia ka lāʻau lapaʻau e hōʻemi i ka hiʻona o nā capillaries i loko o ka glomeruli, e hoʻemi ana i ka pīpī a me ka hana o ka protein me ka urine. ʻO ka hemahema o Renal ke kumu no ka koho ʻana i kahi kū hoʻokahi o ka lāʻau lapaʻau.
ʻO ka hemahema o Renal ke kumu no ka koho ʻana i kahi kū hoʻokahi o ka lāʻau lapaʻau.
I ka papa hoʻopiʻi ʻaʻole i hoʻopili ʻia o ka maʻi, ʻo ka nui o ka māla therapeutic he 5-10 mg 1 mau lā i kēlā me kēia lā. I ka poʻe maʻi me ka cleince clearance haʻahaʻa ma lalo o 80 ml / minute, kahi hui pū me kahi lawaiʻa hypotensive a me ka diuretic ma loko o nā huina o 10 mg / 125 mg i hoʻokahi lā i hoʻohana ʻia.
Acokocococococe neume huahi
Hāʻawi ʻia ka lāʻau lapaʻau i ka lā mua o ka hoʻomohala ʻana i kahi hana pathological koʻikoʻi. ʻO ka pilina o ka lāʻau lapaʻau he 5-10 mg. Lawe ka mea maʻi i ka lāʻau lapaʻau no 3 pule. Ma hope o ka mālama ʻana, hoʻomaikaʻi hou ka hana o ka ventricle hema.
No ka mālamaʻana i ka infarction myocardial, ua hoʻokaʻawale ʻia kahi ʻāpana angiopertensive ma ke ʻano o ka hui ʻana me ka acid acetylsalicylic.
Lawe i ka lāʻau lapaʻau no ka maʻi maʻi maʻi
Hoʻomaopopo ʻia ka lāʻau lapaʻau no nā mea maʻi me ka diabetes-type type II diabetes mellitus. Mālama i nā papa papaʻa vascular maʻamau, hoʻohaʻahaʻa haʻahaʻa i ke koko. Kuhi ʻia ka mea maʻi i nā papa he 10 mg.
Hoʻomaopopo ʻia ka lāʻau lapaʻau no nā mea maʻi me ka diabetes-type type II diabetes mellitus.
He hopena lōʻihi ka hopena o ka lāʻau. E kū'ē i ke kua o ke kō i ka maʻi gula, e hōʻemi ana i ka pilikia o ka hoʻomohala ʻana i ka palaka microvascular, hoʻolohi i ka hoʻololi o ke kūlana prediabetic i ka maʻi diabetes. Hiki ke hoʻokaʻawale ʻia nā ʻona o ka lāʻau i ka 2 wai: i ke kakahiaka a i ke ahiahi, papa.
Nā hopena hopena
Hoʻopilikia ka vasodilator i nā hopena i makemake ʻole ʻia e hiki ke akahū a hoʻoneʻe.
ʻŌpala Gastrointestinal
Hāpai i nā paila no ke kaomi ʻana no kekahi mau makahiki i ka mea maʻi me ka hana ʻino kahi mea predisposing no ka hoʻomohala ʻana i ka gastritis. Hōʻike ʻia nā ʻōkumu e ka nausea, ka luaʻi, ka ʻōpū o ka ʻōpū, ke kuʻuna, a me ka hoʻololi i kahi pāono.
Hoʻohui pinepine:
- lōkohu
- hepatitis;
- jaundice.
Hoʻopiʻi ka mea maʻi i ka puka mai o ke kaumaha ma hope o ka ʻai ʻana, ka ʻeha ʻōpio.
Mai ka palaki gastrointestinal, hiki i nā ʻāpana ke keu ke kū nei, no ka laʻana, me ka ʻōpū o ka naʻau.
Hematopoietic mau hui
Hoʻomaʻamaʻa pinepine ma hope o ka lawe ʻana i ka lāʻau lapaʻau, ʻike ka mea maʻi i ka nānā ʻana i nā hōʻailona kikoʻī.
ʻO ka hopena ʻino o ka lāʻau lapaʻau ma ke koko me ka:
- leukopenia;
- thrombocytopenia;
- ka hoʻoemi nui ʻana o nā agranulocytes a me ka hemoglobin.
Pūnaehana pīhoihoi waena
ʻO kēia hōʻailonaʻeha pū kekahi me nā maʻi neurotic i loko o kahi maʻi:
- ua hōʻemi ʻia ka nānā ʻana;
- pupule o ka ike;
- hiamoe
- lie kanikela
- confulting twitching of lehelehe a me nā lālā;
- ke ʻano o ke ʻano o ke koko;
- aloha.
ʻO ka hueloʻe kekahi o nā hopena o ka lawe ʻana i ka lāʻau lapaʻau mai ka kaila waena.
Hoʻomoʻa ka hoʻōla o ka waiʻona, ka hana nui, overheating e hōʻemi i ka pīhoihoi o ke ʻano, a me ka mālama ʻana me kahi vasodilator e pōʻino ana i ke kūlana o ka mea maʻi.
Mai ka papa huhū
He hoʻopiʻi koʻikoʻi ʻo Bronchospasm ma hope o ka lawe ʻana i nā papa o ka lāʻau hypertensive. Hoʻomaʻomaʻo ka mea maʻi i ka nele o ka ea, makaʻu i ka make, palpitations, ʻōpala maloʻo. I ka ʻōpū o ka hanu, hōʻiliʻili ka ʻupihi, hiki i ke ulu ʻana o ka edema laryngeal.
E hoʻopiʻi ka mea maʻi i ka maloʻo maloʻo, hoʻonui kona hanu, a pā nui ka ʻāʻī o ka ʻāʻī ma ka exhale.
Ma ka ʻāpana o ka ʻili
Ma hope o ka lawe ʻana i ka lāʻau lapaʻau, ʻike ʻia nā maʻi ʻili e hiki mai ana.
- urticaria;
- angioedema;
- ʻili kino ʻili;
- huu
- fiva.
Ma hope o ka lawe ʻana i ka lāʻau lapaʻau, hiki ke hōʻike ʻia ka hopena: ka hāhai ʻana, ka ʻalī ma ka ʻili.
Hiki ke uhi ʻia ka ʻili i kāwili ʻia me nā hulu liʻiliʻi. Ke puka nei nā liona ma kekahi ʻāpana o ke kino: ke kua o ke poʻo, ka ʻāʻī, ke alo o ka ihu o nā ʻūhā, kūlou ʻia nā elbow.
Mai ka pūnaehana genitourinary
Hoʻopilikia ka lāʻau lapaʻau i ke ala o ke kaʻina hana i ka organ urinary.
Hoʻokumu ka mea maʻi i nā ʻano pili holoholo:
- pūnana cystitis
- pyelonephritis;
- huehae huehal i pau ole.
Hoʻopuka i kahi pōpoki hana paʻakikī i ke olakino ponoʻī o ke kino.
ʻŌnaehana Endocrine
ʻO ka lesi ʻōmaʻomaʻo ʻoe ka mea maʻamau:
- ua hōʻemi ʻia o ka hana o ka mea endocrine;
- Hoʻokumu ʻia ka thyroid.
Hoʻopiʻi ka mea maʻi i nā pōʻino ʻino:
- mea momona
- nalowale o ka ikaika;
- hiamoe
- chillle;
- ka māla ʻana
- constipation.
Ma hope o ka lawe ʻana i ka lāʻau lapaʻau, hiki i ka mea maʻi ke hoʻopiʻi no ka constipation.
Hiki i ka maʻi diabetes II. Ke holo wikiwiki nei ka maʻi.
I nā kāne, kau ʻia ka potency.
Nā ʻōlelo kikoʻī
Pono e kāohi i ka hana o ke keiki, inu i ka wai o ka nui ma mua o ka lawe ʻana i ka lāʻau lapaʻau.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
Ke lawe nei i nā papa i ke ʻano wela, hiki i ka inhibition ke hoʻomohala, aʻoiai ka ulu ʻana o ka nānā ʻana. No laila, ʻaʻole i kauoha ʻia ka lāʻau lapaʻau no nā poʻe maʻi e komo i ka hana ʻoi loa.
Hoʻohana i ka wā hāpai a me ka lactation
He hopena maikaʻi ka mea paahana i ka papa a me ka hopena i ka wā hāpai.
He hopena maikaʻi ka mea paahana i ka papa a me ka hopena i ka wā hāpai.
ʻAʻole i aʻo ʻia nā haʻawina e hoʻokū i ka kiʻekiʻe o ke koʻikoʻi i ka wā o ka umauma.
Kuhi ʻana iā Lisinopril i ka 10 mau keiki
Hoʻomaopopo ʻia ka lāʻau lapaʻau ma ka haʻalele ʻana o nā contraindications a me ka noʻonoʻo ʻana i nā makahiki o ke keiki. Hoʻomaopopo ʻia ka mea maʻi i kahi hōʻemi ʻemi o kahi lāʻau antihypertensive, makemake i nā lāʻau lapaʻau me ka hopena kūlohelohe kūleʻa. Koho ia ka mea maʻi mai ka pyelonephritis me ka mālama pono.
Hoʻohana i ka wā kahiko
I nā maʻi me ka hypertension koʻikoʻi, ua kuhikuhi ʻia ka lāʻau lapaʻau ma kahi o ka 10 mg / lā. Me ka hypertension o ka pae mua o ka paʻakikī, hiki i ka lāʻau lapaʻau ke hoʻokō i ka normalization o ka pume diastolic.
Noho ka hopena o ka lāʻau i nā hola 24 i lawe ʻia i ka manawa 1 i kēlā me kēia lā. Hōʻike ʻia kahi pale ACE e ka maikaʻi hānai ma ka pākeke.
Hōʻike ʻia kahi pale ACE e ka maikaʻi hānai ma ka pākeke.
Ke noi no ka hana renal haukapole
Lawe ʻia ka lāʻau lapaʻau i ka manawa 1 i ka lā, me ke ʻano o ka ʻai ʻana o ka meaʻai. I ka hihia o ka hana renal impaired, kahi laʻa mua haʻahaʻa i kau ʻia: 2.5-5 mg / lā. I ka wā o ka mālama ʻana, pono ia e kāohi i ka hana o ke kaena o ka urinary, ʻo ke kaohi ʻana o nā papa paʻakai i loko o ka serum koko.
Hoʻoholo ʻia ka ʻimi mua ma ke ʻano o ka hoʻopukapuka ʻana i hana i ka creatinine. Inā ʻo 10 kona waiwai he 10-30 ml / mau minuke, a laila 2.5-5 mg o kahi lāʻau lapaʻau hypertensive e hoʻolako ʻia no ka maʻi.
Hoʻohana no ka hana lawelawe lēwa
ʻIke ʻia e pili ana i kahi kāwele o nā noʻeau. ʻAʻole pili ke hōʻino i nā mea kanu i ka pharmacokinetics o ka lāʻau. ʻO ka lawe ʻana i ka lāʻau lapaʻau ma kahi o 10 mg o ka lā i hōʻemi ʻia ke koko i ka maʻi o 53% o nā mea maʻi.
ʻO nā maʻi me ka steatosis a me ka cirrhosis e hōʻemi maikaʻi i ka lāʻau lapaʻau antihypertensive. Hoʻohui ʻia ka nui o ka lāʻau o ka lāʻau a hoʻohui ʻia a i ʻole hypothiazide.
ʻO nā maʻi me ka steatosis a me ka cirrhosis e hōʻemi maikaʻi i ka lāʻau lapaʻau antihypertensive.
Ke keu
I nā maʻi o ka wā kiʻekiʻe a me ka senile, ma ka mālama ʻana i ka palaka o ka naʻau puʻuwai, ʻike pinepine ʻia nā hōʻailona, e hōʻike ana i kahi overdose o ka lāʻau antihypertensive.
ʻO kahi lāʻau lapaʻau i kuhikuhi ʻia i loko o kahi hopena nui e loaʻa i nā hōʻailona o ka nele o nā nui o nā hui, ka hana a ka naʻau.
Hoʻokumu ka mea maʻi i kēia mau ʻano hōʻailona:
- nele i ka lewa;
- pōkole o ka hanu i ka wā e hoʻoikaika ai i ke kino;
- kūʻai;
- tachycardia;
- arrhythmia;
- mea momona
- ʻʻAla
- tinnitus;
- aūlū
- ʻōpala
- manaʻo ʻino
I ke hopena o kahi overdose, hiki ke loaʻa ka dizziness.
Hoʻopili pū me nā lāʻau ʻē aʻe
ʻO ka lāʻau a me ka diuretics me ka hoʻohana pū ʻana e hoʻoiho i ka maʻi hypercalcemia, kahi hoʻopiʻi weliweli pili ʻia - hopu ʻia ka puʻuwai.
ʻO ka hopena o ka lawe ʻana i ka lāʻau lapaʻau ke kau ʻia i nā beta-blockers, thiazides, calcium channel blockers.
ʻO nā lāʻau lapaʻau no ka mālama ʻana i nā ʻUwī i hōʻemi i ka lawe ʻana o kahi inhibitor ACE i loko o ka ʻōpū.
Hoʻolaha ka waipuna
ʻO ka hoʻohana pinepine ʻana i nā mea inu ʻawaʻawa e alakaʻi i ka overdose o ka mea hana a me ka hoʻomohala ʻana i nā hōʻailona e pōʻino ai i ke ola o ka mea maʻi.
Nā kuʻina
ʻO ke maʻi maʻi ʻo ka maʻi koʻikoʻi. Hoʻohana pinepine nā Generics no ka maʻi:
- Diroton;
- Dapril;
- Sinopril;
- Lawaʻula;
- Lisinotone;
- Kāleka;
- ʻInflelo.
ʻO Diroton kekahi o nā kaona o ka lāʻau lapaʻau.
He hopena antihypertensive nā lāʻau.
ʻO nā kūlana hoʻomaha o Lisinopril 10 mai nā lāʻau lapaʻau
I mea e kūʻai ai i ka lāʻau lapaʻau, pono ʻoe i kahi lāʻau lapaʻau mai kāu kauka.
Hiki iaʻu ke kūʻai me ke kī ʻole
I nā hihia kūikawā, hiki iā ʻoe ke kūʻai i ka lāʻau lapaʻau mai kahi lāʻau lapaʻau, e wehewehe ana i ke kumu no ka nele o kahi papa inoa.
Ehia
Kūlike ke kumukūʻai ma ka mea hana.
ʻO ka lāʻau lapaʻau o ka ʻoihana ALSI-Pharma i uku ʻia he 17 mau rubles. pākahi o 30 mau pcs. ʻO ke kumukūʻai mai ka mea hana Ratiopharm - 330 mau rubles. no 30 pcs.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
Ma kahi pūpū cell i ka mahana o ka lumi ma kahi wahi pouli.
E mālama i loko o kahi pū kaona ma ka wela o kahi lumi ma kahi wahi ʻino.
ʻO ka lā kau
ʻO 4 mau makahiki
Lisinopril 10
ʻO ka lāʻau lapaʻau e hana ʻia e kekahi mau mea hana:
- Teva
- ʻĀina;
- Ratiopharm a me nā mea ʻē aʻe
Hōʻikeʻike e pili ana iā Lisinopril 10
He pane maikaʻi nā kauka a me nā mea kūʻai aku no ka lāʻau lapaʻau.
Kauka
Irina, cardiologist, Novorossiysk
Hoʻomaopopo wau i ka lāʻau lapaʻau no ka loaʻa ʻana o ka maʻi hypertension. Ma mua o ka hoʻomaka ʻana i ke ʻano, ke hoʻoholo nei au i ka hana pūpū. Ke kuhikuhi nei wau i 10 mg hoʻokahi manawa i ka lā ma ke ʻano he mālama holoʻokoʻa.
Valentin, cardiologist, Moscow
Kuhi wau i ka lāʻau lapaʻau i ka mālama ʻana i ka maʻi hypertension. Ke lawe nei ʻoe, he mea nui e hahai i nā ʻōlelo a pau, me ka Hiki i nā lāʻau lapaʻau ke hōʻeha i nā hopena ʻaoʻao.
ʻO nā maʻi maʻi
Olga, 62 g, Moscow
Hoʻopilikia wau mai ka maʻi hypertension o ke koʻo o ka papa III, ʻeha palau, hōʻohi pōkole, palpitations. Ua kuhikuhi ke kauka i kahi lāʻau lapaʻau no ka hoʻoikaika ʻana i ka hui pū me Indapamide.Inu wau i nā papa ma hope o ka ʻai ʻana i ka 5 mg o ke kakahiaka a me ke ahiahi. Ua hoʻomaikaʻi ke ʻano.
Igor, 56 makahiki, Omsk
Ua kuhikuhi ke kauka i kēia lāʻau lapaʻau no ka pōkole o ka hanu. Ua hoʻomaʻamaʻa ke kūlana, ʻaʻole i ʻike ʻia i nā hopena ʻaoʻao.
