ʻO kekahi o nā lāʻau antidiabetic maʻamau loa mai ka pūʻulu sulfanylurea ʻo Amaryl.
Mahalo i nā mea hana a me nā mea hoʻohui hou, kōkua ka lāʻau lapaʻau i ka hoʻohaʻahaʻa i ka kaohao o ka glucose a me ka hoʻomaikaʻi maikaʻi ʻana i ka nui o nā hōʻailona o ka maʻi maʻi.
ʻO ka lāʻau antidiabetic Amaril e ʻae ʻia no ka hoʻohana ʻana i ka waha. ʻO ka inoa inoa maʻamau o ka lāʻau ʻo ʻAnaryl. Hoʻohana ʻia ka lāʻau lapaʻau i Kelemānia, ʻo ka mea hana ʻo Aventis Pharma Deutschland GmbH.
Loaʻa ka lāʻau lapaʻau i nā hōʻiliʻili like ʻole e like me ka nui o nā mea ikaika.
- Amaryl 1 mg;
- Amaryl 2 mg;
- 3 mg amaril;
- Amaryl 4 mg.
ʻOkoʻa paha ka nui o ka pākaukau, ka nui o nā papa i kēlā me kēia - mai 30 a hiki i 120. Hoʻololi ʻia ka ʻano o ka lāʻau lapaʻau ma muli o ka neʻe o ka glimepiride a me ka metformin. ʻUlaʻula nā papaʻaina me 1 mg o ka mea hoʻōla ikaika, 2 mauono a ʻōmaʻomaʻo, 3 mg ka melemele. Amaril 4 mg papa uliuli. Pale nā ʻano o nā papa ma nā ʻaoʻao ʻelua, oval. Ma nā papa, me ke koʻo o ka manaʻo o ka ʻohana ikaika, aia kekahi kahakui: "ff" a me "NMK", kahi mea e hiki ke kōkua i ka wehe ʻana i kahi hoʻopunipuni.
Aʻoiai e hui pū i ka lāʻau lapaʻau maʻamau, aia kahi hui pū - Amaril m.ʻokoʻa ia i kahi kū iā Amaril i kona ʻano. Ma kahi o ka mea nui o ka glimepiride, ʻo ka hoʻonohonoho ʻana o ka lāʻau me ka ʻāpana ʻē aʻe me kahi hopena hypoglycemic - metformin. E loaʻa i nā huahana i hui ʻia i nā koho ʻelua wale nō:
- Glimepiride (1 milligram), metformin (250 mg).
- Glimepiride - 2 mg, metformin - 500 mg.
He like ke ʻano o nā papa Amaryl M, ʻoiai inā ʻokoʻa ka dosage o ka glimepiride: heʻokoʻa ke ʻano o nā papa, ʻulaʻula, ke keʻokeʻo ka ʻulaʻulaʻula.
ʻO nā mea waiwai nui o ka lāʻau lapaʻau
ʻO ka mea hana nui ka ʻāpana o ka lāʻau - glimepiride (inoa Latin - Glimepiride) pili ikaika i ka hoʻokuʻu ʻana i ka insulin.
Mahalo i kēia māhele, ua pono ka hopena o ka lāʻau lapaʻau.
Me ka hoʻokuʻu i ka hormone mai nā pū beta, kahi nui o ka emi ʻana o ke kō. Hoʻopili kahi ʻano hana like me kahi holomua o ka hoʻololi ʻana i nā maʻi beta i ka glucose.
Ma kahi o nā mea hana koʻikoʻi, hiki i nā mea hou ke hoʻohui i ke ʻano o ka lāʻau lapaʻau.
- povidone;
- lactose monohala;
- indigo carmine;
- magnesium stearate;
- cellulose microcrystalline.
Hoʻopili ia, hoʻoponopono ka lāʻau i ka hana o ka hormone pancreatic. ʻO kēia ma muli o ka pilina o ke glimepiride a me ke metformin me nā kahe pālolo ma ka membrane cell beta. ʻO ka paʻa ʻana o ka hana ikaika i nā protein e hoʻoponopono i ka hana o ke kahawai, ʻo ia hoʻi, e pani a wehe i ka wehe.
Loaʻa iā Amaryl kahi hopena extrapancreatic - hoʻomaikaʻi i ka hoʻohanaʻana o ka insulin e nā uaua a me ka kiko adipose. Hana ʻia kēia ma muli o ke kāohi ʻana i nā kahe pākela i loko o nā membrane cell a me ka hoʻonui nui o ka kōomi o ka calcium ma nā pūpū. ʻO ka hopena extrapancreatic e hōʻemi i ka pale ʻana i ka insulin, akā pili pū kekahi i ka hana o ke kīʻaha o ka puʻuwai a me ke koko.
Loaʻa ka ʻike kiʻekiʻe loa o ka hana ikaika me ka hoʻohana pinepine. ʻO kahi laʻana, i ka wā e lawe ai i ka 4 mg o ka glimepiride i kēlā me kēia lā, loaʻa ka minamina kiʻekiʻe loa i nā hola 2.
Loaʻa ka kōpili piha o ka lāʻau i ka wā i lawe ʻia ai. Hoʻololi ka ʻai i ka meaʻai i ke kaʻina o ka assimilation o ka lāʻau lapaʻau, akā hiki ke mālama ʻia kēia hopena. Ke hele nei ka hana o ka glimepiride i loko o nā ʻōpū a me nā kau.
Nā papa inoa o nā hōʻike a me nā contraindications no ke komo ʻana
ʻAe nā huaʻōlelo ʻo Amaryl no ka hoʻohana ʻana. ʻO ka mea nui, ʻo ka mālama ʻana i ka maʻi diabetes 2. Maikaʻi ʻo Amaril i nā poʻe maʻi ʻaʻole pono i nā inikini insulin, a no nā mea e hōʻike ʻia ana i ka insulin e hoʻomaikaʻi i ko lākou pono.
Ma ka mālamaʻana i ka maʻi maʻi, ua kuhikuhi mua ʻia nā papa ʻo Amaryl e like me ka lāʻau nui. Akā me kaʻole o ka hoʻokalakupua metabolic (ʻoi aku ka hoʻokaʻawale ʻana i ka mea maʻi i ka nui o ka lāʻau), ʻo Glimepiride i hui pū me Metformin i kuhikuhi ʻia. Hiki i kēia ke hoʻomaikaʻi i ka mālama metabolic. Eia kekahi, ʻoi aku ka maikaʻi o nā hopena ma mua o ka mea i loaʻa i kahi lāʻau lapaʻau kaawale.
ʻO ka hopena maikaʻi e loaʻa ana ma muli o ka lāʻau paʻakikī e hoʻohana ana iā Glimepiride a me Metformin i hōʻemi ʻia ka hoʻomohala ʻana o ka lāʻau lapaʻau ʻo ʻAmaryl M. Hāʻawi ʻia kahi lāʻau lapaʻau no kēia lāʻau inā he mālama i ka maʻi mellitus me nā lāʻau paʻakikī, pono ia no nā maʻi.
Hiki i ka lāʻau hoʻohaʻahaʻa i ka amaril ke lawe i nā maʻi e pono i nā inikua maʻamau o ka insulin. I ka manawa like, hoʻomaikaʻi pū ka mana metabolic, akā e hoʻemi ʻia ka nui o nā kime o ka glimepiride.
E like me nā lāʻau lapaʻau, ʻaʻole hiki ke noʻonoʻo pono ka lāʻau. He mau contraindications a Amaril, a nui loa kā lākou papa inoa.
ʻO ka mea mua, ke ʻōlelo ʻia e makaʻala i ka lawe ʻana i ka lāʻau lapaʻau ma ka hana mua o ka mālama ʻana: i ka manawa o kēia manawa, ke kū mau nei ke kao o ka emi o ke kahe o ka glucose. Inā hala ka wā i noho ka pilikia o ka hypoglycemia, ua pono ke hoʻololi i ke koʻola lāʻau lapaʻau a i ʻole ka hopena ʻana o ka nui o Amaril. Pono ʻoe e makaʻala a pono hoʻi i kekahi mau maʻi, kahi ʻano kūpono ʻole, nā meaʻai ʻole kūpono.
ʻO nā contraindications koʻikoʻi i ke koho ʻana iā Amaril e make i loko o nā maʻi (a i ʻole ke ʻano kino o ke kino):
- ʻO kahi mea maʻi coma a i ʻole ka kūpuna.
- Ketoacidosis.
- ʻOi ka maʻi nui a me nā maʻi pūpū.
- Intolerance a hypersensitivity paha i nā mea nui a ʻokoʻa aʻe paha o ka lāʻau.
- Nā maʻi hoʻoili hoʻoili (lactose intolerance, lactase deficiency, etc.).
- Kahawai I ka wā hoʻolālā i ka wā hāpai, pono e sui ke ʻano o ka hoʻoponopono. Lawe ʻia ka mea maʻi i nā inikua insulin, ʻaʻole i kuhikuhi ʻia ka lāʻau lapaʻau.
- I ka wā o ka hōʻuluʻulu ʻana, e hoʻomau ka hoʻomohala ʻana o ka insulin. Inā no kahi kumu kūpono ʻole kēia hoʻoponopono, ua ʻōlelo ʻia ʻo Amaril i ka mea maʻi, akā uaāpono ʻia e pani i ka lactation.
ʻAʻohe mea lapaʻau e kuhikuhi ʻia no ka mālama ʻana o ka maʻi diabetes type II. ʻO kahi contraindication kūpono loa nā keiki o nā keiki. ʻAʻohe data lapaʻau e pili ana i ka hoʻomehana ʻana i nā lāʻau i nā keiki.
No laila, no ka mālamaʻana i ka maʻi maʻi i nā keiki, ʻoi aku ke ʻano o ka analogue palekana o ka lāʻau.
Nā ʻaoʻao ʻaoʻao o ka hoʻohana ʻana i ka lāʻau
Ma muli o ka lawe ʻana iā Amaril, hiki paha i nā hopena hopena.
I kekahi mau hihia, hiki i ke kolohe ke hana i nā hana o nā ʻano ʻano like ʻole a me nā ʻōnaehana o ke kino.
Ma ka ʻaoʻao o ka metabolism, ua ʻike ʻia nā hopena hypoglycemic. Hoʻohā pinepine ʻia lākou i mua, akā hikiʻole ke mālama ʻia.
ʻO kekahi mau maʻi maʻi maʻi maʻi ma kahi e pilikia ai nā kinipōpō ma waena.
ʻO nā mea lawe iā Amaril i loaʻa nā hōʻailona like ʻole:
- ʻʻAla
- nānā ʻole;
- nele i ka hoʻonohonoho ʻana;
- e hoʻolohi ana i ka hopena;
- moe hiamoe;
- hūnā a nalowale ʻole o ka ʻike;
- kūlana ʻeha;
- haunaele ʻōlelo;
- hopohopo, hopohopo, etc.
ʻO ka hopena o ka lawe ʻana i ka lāʻau lapaʻau e like me ka hōʻino ʻole o ka digestive tract. Hiki iā lākou ke hōʻike ʻia ma ka ʻōpū ma ka ʻōpū a i ʻole ka ʻōpū, ke ala, ka maʻi ʻōpū, ka luaʻi, hoʻonui ʻia ka pōloli.
Ma muli o nā hopena o ka glimepiride, hiki i ke kauʻana i ke kiʻekiʻe o ka glucose ka mea hiki ke hoʻopilikia i ka kūlana o nā puna o nā mea ʻike, ka mea e hōʻeha i ka ʻike maka.
E pili ana ka lāʻau lapaʻau i nā kaʻina hana o ke koko, hiki iā ia ke hana i ka pōʻino o nā loli like:
- Anemia
- ʻO Thrombocytopenia (o kahi ʻano paʻakikī).
- Pancytopenia.
ʻOi aku ka maʻamau o nā maʻi kūlohelohe maʻamau:
- huu
- ʻili kino ʻili;
- ʻulaʻulaʻula o ka ʻili;
- vasculitis.
Ma hope o ka lawe ʻana i ka lāʻau lapaʻau Amaril, hoʻomaʻamaʻa pinepine nā maʻi allergy a hele wikiwiki me ka mālama kūpono.
Akā ʻoiaiʻo ia he mea nui loa e hoʻomaka i ka mālama ʻana i ka manawa kūpono: ke noho nei ka pōpilikia o ka anaphylactic shock.
Nā ʻōkuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau
ʻAʻole hiki ke mālama ʻia ka hoʻomaʻamaʻa ʻana me ka ʻole o ka hahai ʻana i nā ʻōlelo aʻoaʻo no ka hoʻohana ʻana iā Amaril. ʻO ke kānāwai koʻikoʻi o ka hoʻokele e pili ʻole i ka papa. E lawe kīkī iā Amaril 3 i ka piha holoʻokoʻa, me ka nui o ka wai i mea e maʻalahi ai ka moni ʻana.
Hoʻomilikino ʻia ka hopena kiʻekiʻe ʻo Amaril no ka mea maʻi. ʻO ka hana nui e hoʻohana ʻia i ke kuhikuhi ʻana i ka lāʻau lapaʻau ka ʻike ʻana o ka glucose i loko o ke koko. Ua kuhikuhi ʻia ke kaha haʻahaʻa haʻahaʻa loa, e hiki ke kōkua i ka hoʻohuihui ʻana i ka mana metabolic. Hoʻopili i nā pae glucose, i ka pauku kuhikuhi i ke ala o ka hoʻohana ʻana i ka lāʻau e hōʻike ana i ka mālama mau ʻana i ka pae kūlohelohe wale nō, akā e pono ai hoʻi ka hemoglobin glycated.
Loaʻa i nā kūlana i ka poina e hoʻopoina e lawe i ka papa ʻai Amaril i ka manawa. I kēlā mau kūlana, ke hāʻawi hou nei i ka nui o ka lāʻau lapaʻau ma ka pāpālua ʻia ʻana o ka dosage ʻaʻole ʻia. ʻO ka maʻamau ke kūlike nā ka papaʻaau, ʻaʻole i hoʻonui ʻia nā papa i hala ʻole. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana i ke kauka ma mua e pili ana i nā hana i loko o ia mau kūlana.
Ma ka hana mua no ka mālama ʻana, ua kuhikuhi ʻia nā mea maʻi iā Amaryl 1 mg i kēlā me kēia lā. ʻOi aku ka manawa, inā pono, kahi piʻi lohi i loko o ka lāʻau o ka lāʻau lapaʻau e 1 mg e ʻae ʻia, ʻokoʻa a hala ka 6 mg i kēlā me kēia lā, a laila ma ka 8 mg. Me ka kaohi o ka maʻi maʻamau, ʻaʻole nui ka nui o ka nui ma mua o 4 mg i ka lā. Nui ka nui ma kahi o ka 6 mg i kēlā me kēia lā e hoʻomaʻamaʻa hoʻomaikaʻi ʻia. ʻO ka nui o ka lāʻau i 8 mg e kuhikuhi ʻia i nā kūlana kūʻokoʻa.
Hoʻoholo ʻia ka manawa ma waena o kēlā me kēia hoʻonui i ka dosage e ke ʻano o ka mea maʻi a me ka hoʻokō pono o ka nui o nā lāʻau lapaʻau i lawe ʻia, akā ʻaʻole ia e emi iho ma mua o 1-2 pule.
Pono e lawe i ka lāʻau lapaʻau ma hope o ka ʻai ʻana, me ka mea hiki ke ʻano he hypoglycemia.
ʻO ka lāʻau hoʻohui Amaryl M e lawe ʻia e like me ke kānāwai. Ka hoʻēmi ʻia ʻana o ka nui o ka lāʻau lapaʻau i hōʻike ʻia e ka laʻana i ʻelua mau kakahiaka: i ke kakahiaka a me ke ahiahi, a lawe ʻia piha paha. I ka manawa pinepine, ua ʻōlelo ʻia e nā maʻi e lawe iā Amaril 2m + 500 mg.
Kahi ʻia ka nui o Amaril mai ka maʻi maʻi ma ka maʻi maʻi ma waena o ka poʻe maʻi, a e mālama ʻia ana ka mālama ʻana me ka mālama mau ʻana i nā kuli.
Hoʻohui hou i ka ʻikepili
I ke koho ʻana iā Amaril a i ʻole Amaril M, ʻaʻole pono ke kauka e hāʻawi i nā ʻōlelo e pili ana i ka hoʻohana pono ʻana i ka lāʻau lapaʻau, akā e hoʻomanaʻo pū no nā hopena kūpono paha. Pono ka nānā koʻikoʻi e uku i ka hopena o ka hypoglycemia, hiki iā ia ke hoʻomohala inā hoʻopoina ka mea maʻi i ka ʻai koke ma hope o ka lawe ʻana iā Amaril. I mea e pale aku ai ma ka hypoglycemia, ʻoi aku ka maikaʻi o ka loaʻa ʻana o kahi ʻāpana a me ke kukui paha.
Hoʻopili i nā kiʻekiʻe o ke kō a me ke kūpaʻa glucose i loko o ka pāʻai, pono e ʻike pinepine ka mea maʻi i ka hana o nā pūpū a me ka ate.
ʻO kahi nīnau maʻamau e pili paha i hiki ke inu i ka waiʻona i ka wā o ka maʻi me Amaril. He mea kūpono ke hoʻomanaʻo o ka waiʻona i ka ʻilihune i ka wā o ka mālama ʻana i ka maʻi maʻi maʻi a ʻaʻole hui pū me nā hapa nui. Aʻo Amaril pū kekahi o kēlā. Hiki ke loaʻa ʻole nā hopena o ka lawe ʻana i ka lāʻau lapaʻau a me ka waiʻona i ka manawa like. I kekahi mau hihia, ulu nui ka ulu o ka lāʻau, a ma nā mea ʻē aʻe ua hōʻemi nui ʻia ia. No laila, i ka wā o ka mālama ʻana, pono ʻoe e haʻalele i ka waiʻona a me ka mea inu wai.
E like me ka launa pū ʻana o Amaril me nā lāʻau lapaʻau ʻē aʻe, e hilinaʻi nei nā mea a pau ma ke ʻano o ka lāʻau lapaʻau. ʻO ka lawe ʻana i kekahi mau lāʻau lapaʻau e hoʻomaikaʻi ai i ka hopena o Amaril, kekahi - e hōʻemi ana i ka pono. ʻO kahi papa inoa o kēlā mau lāʻau a me nā lāʻau ʻē aʻe e ākea nui. No laila, inā pono, e lawe i nā lāʻau e ae, he mea pono e hōʻike i ke kauka hele e pili ana i ka maʻi ʻaina a me ka lāʻau lapaʻau e lawe ʻia ana. I kēia hihia, hiki i ke kauka ke koho i kahi lāʻau lapaʻau ʻaʻole loa e loaʻa i ka hopena koʻikoʻi i ka hopena o Amaril.
Inā he hopena like paha, pono ʻoe e hoʻōki i ka lāʻau lapaʻau a nīnau aku i kahi kauka.
Hiki i ke kauka ke kākahi i nā ʻōmole Amaril kūpono.
Nā hōʻikeʻike e pili ana i ka lāʻau lapaʻau
I ka hoʻohanaʻana o Amaril no ka maʻi diabetes type 2, loaʻa nā loiloi maikaʻi mai nā mea maʻi. Hōʻoia kēia i ka mea, me ka dosis kūpono, hoʻōla hakakā ka lāʻau lapaʻau hyperglycemia.
Hoʻohui hou i ka hana pono, ua nui nā mea kūʻai aku i kapa aku i nā ʻano like ʻole o nā papa i kahi maikaʻi maikaʻi o ka lāʻau - kōkua kēia i ʻole e hoʻokau hewa ʻole i ka lāʻau lapaʻau me nā ʻano like ʻole o glimepiride.
ʻO nā loiloi i loaʻa iā Amaril i hōʻoiaʻiʻo ʻia ʻaʻole wale ia i kona pono, akā, ʻo nā hopena hope loa i hōʻike ʻia i nā ʻōlelo kuhikuhi iā Amaril.
I ka manawa pinepine, nā poʻe maʻi e lawe nei i ka lāʻau lapaʻau e hōʻike i nā hōʻailona o ka hypoglycemia:
- Weupuaa.
- Tremor.
- E haalulu ana a puni ke kino.
- ʻʻAla
- Hoʻonui ka momona.
ʻO ka pinepine, ma muli o ka hypoglycemia i loko o ka diabetes mellitus, aia kahi pōʻino o ka naloʻole. No laila, ʻo ka poʻe e lawe iā Amaril e hoʻomau mau i nā huahana a nā aila (e like me ka sweets) me lākou, ka mea inā pono e hiki iā lākou ke hoʻonui i nā nui o ke kō a hoʻomaikaʻi lākou i ko lākou maikaʻi. Eia naʻe, e like me nā kauka, ʻo ka hoʻololi ʻana i ke kaona o ke kō, ʻaʻole ia kahi hōʻailona o ka maikaʻi ʻole o ka lāʻau. Ke kū ʻia kēlā mau ʻōuli, lawa ia e hoʻoponopono i ke ʻano.
ʻO kahi pilikia maʻamau no nā poʻe mākaʻi e koi ʻia ana e lawe i ka lāʻau hypoglycemic i kahi mea e ulu ai ka wā i ke kaʻa ʻana i kahi kaʻa. Hōʻike ʻia kahi hopena like i loko o nā ʻōkuhi i ka papa inoa o nā hopena like ʻole. ʻO ka emi ʻana o ke kinohi ma muli o ka hopena o ka glimepiride ma ka wahī.
Ma waena o nā mea maʻi me ka maʻi ʻōpiopio kahiko, i nā loiloi ʻo Amaril, nui ka mea i ʻike i kekahi wahi maikaʻi ʻole: ʻoiai ke kūpono me ka haʻahaʻa ʻo Amaril, e hōʻemi nui ka lāʻau lapaʻau, no ka mea nui ke kumukūʻai o ka lāʻau lapaʻau ma mua o kekahi mau analogue, a me ka Lūkini hoʻi. hana ʻana.
Kūʻai a me nā helu o ka lāʻau lapaʻau
Hiki iā ʻoe ke kūʻai iā Amaril ma loko o ka hale kūʻai lapaʻau maʻamau, akā hoʻokahi hoʻokahi mea hoʻāhu: ʻaʻole kūʻai ʻia. Me ka loaʻa ʻana o nā mea pono antidiabetic, e kūʻai iā Amaryl e hōʻike ai i kahi papa inoa.
ʻO kekahi nīnau nui e makemake i nā maʻi maʻi he nui ka nui o ke kumukūʻai o Amaril. ʻO ke kumukūʻai o ka lāʻau lapaʻau i kēia hihia e hilinaʻi ʻia ana i ka helu o nā papa i loko o ka pākana a me ka dole o ka lāʻau lapaʻau. No laila, no ka laʻana, kahi pākana o ka lāʻau no nā papa he 30, e hilinaʻi ana ma ka ʻano lāʻau, mai 200 a 850 mau rubles. I ka manawa like, ʻo Amaril 1 mg e uku i ka awelika o 230-280 rubles, ka pōpō o nā papa Amaril 2 mg - 450-560 rubles, 3 mg - no 630-830 rubles. ʻO nā papa nui loa iā Amaril 4 mg 90 pcs. - kūʻai lākou i ka awelika o 870-1080 rubles.
Hiki ke kūʻai aku iā Amaril M no 570-600 rubles. He mea nui e noʻonoʻo e hiki ke kūʻai ʻia i nā papa Amaril 2mg + 500 mg ma kēia kūʻai. He mea paʻakikī loa ka loaʻa ʻana o kahi haʻahaʻa haʻahaʻa loa (1 mg + 250), ʻo ka mea liʻiliʻi ke hoʻolaʻa pinepine ʻia e nā kauka, a ma muli hoʻi, ʻaʻole ia i kūʻai lilo aku.
Nui nā lāʻau lapaʻau like like. ʻO nā mea kikoʻī maʻamau:
- Glimepiride.
- Hoʻolauleʻa 850.
- Gliclazide.
- Diaformin.
- Alarahi.
- Kūkākūkā.
No ka laʻana, ua hoʻololi pinepine ʻo Amaril i ka lāʻau lapaʻau Gliclazide (pln - Gliclazide). No ka mea paha ia o kahi hui sulfanylurea.ʻO ka hoʻonohonoho o nā lāʻau lapaʻau ka mea wale nō i ka mea ikaika - gliclazide a me nā mea hoʻohui hou. Hoʻokomo ka lāʻau lāʻau i nā hana beta, e hoʻomaikaʻi i ka hana o insulin. Eia kekahi, pono ka lāʻau lapaʻau me ka edema, ʻoiai e hoʻomaikaʻi i ka microcirculation koko, ke pale aku i ka uhi platelet, a laila hōʻemi ʻia ka hopena o ka thrombosis a me nā hoʻopiʻi pono.
He aha nā lāʻau lapaʻau hypoglycemic kūpono e haʻi i ka mea loea i ka wikiō ma kēia ʻatikala.
