He aha ka Acetaminophen a me Codeine: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka Acetaminophen a me codeine he lāʻau lapaʻau e hui pū ana i ʻelua mau mea e hōʻoluʻolu ai i ka ʻeha e kōkua i ka mālama ʻana i ka ʻeha mai ka waena a i ka nui. Hana kēia hui ʻana ma ka hoʻouka ʻana i ka ʻeha mai nā kihi ʻelua - hoʻemi ka acetaminophen i nā hōʻailona ʻeha i kou lolo, ʻoiai ʻo codeine (he opioid) e ālai i nā leka ʻeha mai ka hiki ʻana i kou lolo. Hui pū, hāʻawi lākou i ka hōʻoluʻolu ʻeha ikaika ma mua o ka hiki i kekahi lāʻau ke hāʻawi wale.

He aha ka Acetaminophen a me Codeine?

ʻO ka Acetaminophen a me codeine he hui pū ʻana o ka lāʻau lapaʻau e hui pū ana i kahi mea hōʻoluʻolu ʻeha maʻamau me kahi opioid maʻalahi. Hiki iā ʻoe ke ʻike i ka acetaminophen ma kona inoa inoa ʻo Tylenol, ʻoiai ʻo codeine he opioid maoli i loaʻa mai ka mea kanu poppy.

Hele mai kēia lāʻau lapaʻau i ke ʻano papa a i ʻole ka wai a ua kauoha ʻia i ka wā i hāʻawi ʻole ai nā lāʻau ʻeha ʻē aʻe i ka hōʻoluʻolu lawa. Hiki i ka hui pū ʻana i nā kauka ke hāʻawi i ka mālama ʻeha ikaika aʻo ka hoʻohana ʻana i nā haʻahaʻa haʻahaʻa o kēlā me kēia mea hoʻohui, hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o nā hopena ʻaoʻao.

No ka mea he opioid ka codeine, ua helu ʻia kēia lāʻau lapaʻau ma ke ʻano he mea i mālama ʻia a pono i kahi kauoha mai kāu mea mālama ola. E noʻonoʻo pono kāu kauka i kou pae ʻeha, ka mōʻaukala olakino, a me nā mea ʻē aʻe ma mua o ke kau ʻana i kēia hui.

No ke aha e hoʻohana ʻia ai ka Acetaminophen a me Codeine?

Hoʻohana nui ʻia ka Acetaminophen a me codeine e mālama i ka ʻeha mai ka waena a i ka nui i pane ʻole i nā lāʻau ʻeha ʻē aʻe. Hiki i kāu kauka ke ʻōlelo aku i kēia hui ʻana ke ʻike ʻoe i ka ʻeha e hoʻopilikia nui i kāu mau hana i kēlā me kēia lā a i ʻole ka maikaʻi o ke ola.

ʻO nā kūlana maʻamau kahi e kauoha ʻia ai kēia lāʻau lapaʻau, ʻo ia ka hoʻōla ʻana mai nā kaʻina hana niho e like me ka wehe ʻana i nā niho a i ʻole ke ʻoki waha. Hiki i ka hui pū ʻana ke kōkua i ka mālama ʻana i ka ʻeha a me ka hōʻoluʻolu e hahai pinepine ana i kēia mau kaʻina hana.

Hiki nō iā ʻoe ke loaʻa kēia kauoha ma hope o nā ʻoki liʻiliʻi, nā ʻeha e like me nā haʻihaʻi a i ʻole nā ʻeha, a i ʻole i ka wā e ola ana mai kekahi mau hana lapaʻau. Hiki i kekahi poʻe me nā maʻi ʻeha mau ke hoʻohana i kēia lāʻau lapaʻau ke lawa ʻole kā lākou mālama ʻeha maʻamau.

He mea nui e hoʻomaopopo ʻia ua manaʻo ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i ka wā pōkole i ka hapanui o nā hihia. E hana pū kāu kauka me ʻoe e hoʻoholo i ka lōʻihi kūpono e pili ana i kāu kūlana kikoʻī a me nā pono mālama ʻeha.

Pehea e Hana ai ʻo Acetaminophen a me Codeine?

Hana kēia hui pū ʻana o nā lāʻau lapaʻau ma o nā ʻano hana ʻelua like ʻole e hāʻawi i ka hōʻoluʻolu ʻeha. Kāohi ʻo Acetaminophen i ka hana ʻana o kekahi mau kemika i loko o kou lolo e hana ai i ka ʻeha a me ke kuni, ʻoiai ʻo codeine e pili ana i nā mea loaʻa kikoʻī i loko o kou lolo a me ke kuamoʻo e hōʻemi i nā hōʻailona ʻeha.

E noʻonoʻo e like me ka loaʻa ʻana o ʻelua ʻōnaehana palekana like ʻole e pale ana i kou kino mai nā memo ʻeha. Hana ʻo Acetaminophen e like me ka kānana, e hōʻemi ana i ka ikaika o nā hōʻailona ʻeha ma mua o ka hiki ʻana i kou lolo. Hana ʻo Codeine e like me ka mea mālama puka, e ālai ana i nā memo ʻeha mai ke komo ʻana i kou ʻike.

Ua manaʻo ʻia ʻo Codeine he opioid maʻalahi i hoʻohālikelike ʻia me nā lāʻau lapaʻau ikaika e like me ka morphine a i ʻole oxycodone. Hana kēia i ka hui kūpono no ka ʻeha maʻalahi ʻoiai e lawe ana i ka liʻiliʻi o ka pilikia o nā hopena ʻaoʻao koʻikoʻi ma mua o nā lāʻau opioid ikaika.

Hoʻomaka maʻamau nā hopena i loko o 30 a 60 mau minuke ma hope o ka lawe ʻana i ka lāʻau lapaʻau a hiki ke mau no kahi o 4 a 6 mau hola. Hoʻoponopono ke kino o kēlā me kēia kanaka i nā lāʻau lapaʻau i nā ʻano like ʻole, no laila e ʻokoʻa iki paha kou ʻike mai kēia manawa.

Pehea wau e lawe ai i ka Acetaminophen a me Codeine?

E lawe i kēia lāʻau lapaʻau e like me ke kau ʻia e kāu mea mālama ola, a mai ʻoi aku i ka nui i ʻōlelo ʻia. Lawe ka hapanui o nā kānaka i ka acetaminophen a me codeine i kēlā me kēia 4 a 6 mau hola e like me ka mea e pono ai no ka ʻeha, akā ʻokoʻa paha kāu papa hana dosing kikoʻī e pili ana i kāu pae ʻeha a me ka mōʻaukala olakino.

Hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau me ka ʻole o ka meaʻai, akā ʻo ka lawe ʻana me ka meaʻai a i ʻole ka waiū e kōkua paha i ka hōʻemi ʻana i ka ʻōpū. Inā ʻoe e ʻike i ka nausea, e hoʻāʻo e lawe i ka lāʻau lapaʻau me kahi meaʻai māmā a i ʻole ka ʻai e kōkua i kou ʻōpū e mālama maikaʻi.

E inu i ka wai nui i ka lā a pau e lawe ana i kēia lāʻau lapaʻau, no ka mea, ʻo ka noho ʻana i ka wai hiki ke kōkua i ka pale ʻana i kekahi mau hopena ʻaoʻao. E pale loa i ka waiʻona i ka wā e lawe ana i kēia hui ʻana, no ka mea, hiki iā ia ke hoʻonui i ka pilikia o nā hopena ʻaoʻao weliweli me nā pilikia hanu.

Inā ʻoe e lawe ana i ke ʻano wai, e hoʻohana i ka mea ana e hele pū me ka lāʻau lapaʻau e hōʻoia i ka ana pololei. ʻAʻole hilinaʻi nā puna hale no ka ana ʻana i nā lāʻau lapaʻau wai a hiki ke alakaʻi i ka lawe ʻana i ka nui a i ʻole ka liʻiliʻi.

Pehea ka lōʻihi e lawe ai au i ka Acetaminophen a me Codeine?

Lawe ka hapa nui o nā kānaka i ka acetaminophen a me ka codeine no ka manawa pōkole, maʻamau mai kekahi mau lā a i ʻelua pule. E hāʻawi kāu kauka i nā alakaʻi kikoʻī e pili ana i kou kūlana a me ka maikaʻi o kāu pane ʻana i ka lāʻau lapaʻau.

No nā kūlana ʻeha nui e like me nā kaʻina hana niho a i ʻole nā ​​ʻeha liʻiliʻi, pono paha ʻoe i ka lāʻau lapaʻau no 3 a 7 mau lā. Pono paha ka mālama ʻana i ka ʻeha ma hope o ke ʻoki ʻana i ka lāʻau lapaʻau no 1 a 2 pule, ma muli o ka holomua o kou ola.

Makemake kāu mea mālama ola e loiloi hou i kāu mau pae ʻeha a me ke kūlana holoʻokoʻa i nā manawa maʻamau e hoʻoholo ai inā pono ʻoe i kēia lāʻau lapaʻau. Ke hoʻomaikaʻi ʻia kou ʻeha, hiki i kāu kauka ke hōʻemi i ka nui a i ʻole e hoʻololi iā ʻoe i kahi ala ʻē aʻe e mālama ai i ka ʻeha.

He mea nui ʻaʻole e hooki i ka lawe ʻana i kēia lāʻau lapaʻau inā ua hoʻohana mau ʻoe ia no nā lā ʻoi aku ma mua o kekahi mau lā, no ka mea, hiki i kēia ke kumu i nā hōʻailona haʻalele. E hana mau me kāu mea mālama ola e hōʻemi mālie i ka nui ke hiki i ka manawa e hooki ai.

He aha nā hopena ʻaoʻao o Acetaminophen a me Codeine?

E like me nā lāʻau lapaʻau a pau, hiki i ka acetaminophen a me ka codeine ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole ʻike nā kānaka a pau iā lākou. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mākaukau a ʻike i ka manawa e hoʻokaʻaʻike aku ai i kāu mea mālama ola.

ʻO nā hopena ʻaoʻao maʻamau loa āu e ʻike ai he maʻalahi a maʻamau ka maikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau:

• Ka hiamoe a i ʻole ka hiamoe i ka lā
• Ka maʻi a i ʻole ka ʻōpū
• Paʻa
• ʻO ka ʻūlū a i ʻole ka māmā
• Waha maloʻo
• Poʻo

ʻO kēia mau hopena ʻaoʻao maʻamau he mea hiki ke mālama ʻia a he manawa pōkole. ʻO ka inu ʻana i ka wai nui, ka ʻai ʻana i nā meaʻai momona i ka fiber, a me ka ala mālie ʻana mai ka noho ʻana a i ʻole ka moe ʻana hiki ke kōkua i ka hōʻemi ʻana i kekahi o kēia mau hopena.

ʻO nā hopena ʻaoʻao koʻikoʻi ʻaʻole maʻamau akā pono e mālama koke ʻia. Aia kēia mau mea i nā hopena maʻi maʻi koʻikoʻi, nā pilikia hanu, ka huikau, ka hiamoe nui, a i ʻole nā ​​hoʻololi ʻano ʻē. Inā ʻike ʻoe i kekahi o kēia mau mea, e hoʻokaʻaʻike aku i kāu mea mālama ola a i ʻole e ʻimi koke i ka lāʻau lapaʻau.

Hiki i kekahi poʻe ke ʻike i nā hopena ʻaoʻao kakaʻikahi akā koʻikoʻi e like me nā pilikia o ke ake (ʻoi loa inā e lawe ana i nā kiʻekiʻe kiʻekiʻe o ka acetaminophen), ka paʻa nui, a i ʻole nā ​​hōʻailona o ka hilinaʻi opioid. E nānā kāu kauka iā ʻoe no kēia mau pilikia i ka wā o kāu mālama ʻana.

ʻO wai ka mea ʻaʻole pono e lawe i ka Acetaminophen a me ka Codeine?

Pono kekahi poʻe e pale i ka acetaminophen a me ka codeine ma muli o ka piʻi ʻana o nā pilikia koʻikoʻi. E nānā pono kāu mea mālama ola i kāu moʻolelo olakino ma mua o ke kau ʻana i kēia lāʻau.

ʻAʻole pono ʻoe e lawe i kēia lāʻau inā he maʻi ʻoe i ka acetaminophen, codeine, a i ʻole nā ​​mea ʻē aʻe i loko o ka formulation. Pono nā kānaka me nā pilikia hanu nui, ka hānō nui, a i ʻole nā ​​pilikia o ka ʻōpū e pale pū i kēia hui.

Pono kekahi mau maʻi lapaʻau i ka noʻonoʻo kūikawā ma mua o ka hoʻohana ʻana i kēia lāʻau:

• Ka maʻi ate a i ʻole ka moʻolelo o nā pilikia ate
• Ka maʻi puʻupaʻa
• Nā pōʻino i ke poʻo a i ʻole ka piʻi ʻana o ke kaomi i loko o ka iwi poʻo
• Nā maʻi hanu koʻikoʻi
• Ka moʻolelo o ka hoʻohana ʻana i nā mea ʻino a i ʻole ka maʻi
• Nā maʻi olakino noʻonoʻo
• Nā maʻi thyroid

Pono nā wāhine hāpai a me nā wāhine e hānai ana i ka umauma i ka noʻonoʻo kūikawā, no ka mea, hiki i ka codeine ke hele i ka pēpē a hiki ke hoʻopilikia nui. E loiloi kāu kauka i nā pōmaikaʻi e kūʻē i nā pilikia inā hāpai ʻoe a i ʻole e hānai ana.

ʻO ka makahiki kekahi mea nui - pono kēia lāʻau lapaʻau i nā hoʻoponopono ʻana i ka dosage i nā mākua kahiko, ka poʻe i ʻoi aku ka naʻau i kona hopena. Pono nā keiki a me nā ʻōpio i ka noʻonoʻo kūikawā, ʻoiai e pili ana i ka metabolism codeine.

Nā inoa inoa o Acetaminophen a me Codeine

Loaʻa ka acetaminophen a me codeine ma lalo o nā inoa inoa like ʻole, ʻo Tylenol #3 kekahi o nā mea i ʻike nui ʻia. ʻO nā inoa inoa ʻē aʻe e pili ana iā Tylenol #4, Capital and Codeine, a me Phenaphen me Codeine.

Hōʻike nā helu ma hope o Tylenol (e like me #3 a i ʻole #4) i ka nui o ka codeine i kēlā me kēia papa. Loaʻa iā Tylenol #3 he 30mg o codeine, aʻo Tylenol #4 he 60mg o codeine, ua hui pū ʻia me 300mg o acetaminophen.

Loaʻa nui ʻia nā mana generic a loaʻa nā mea hana like me nā mana inoa inoa. Hiki i kāu kauka lapaʻau ke kōkua iā ʻoe e hoʻomaopopo i ka hoʻohuihui kikoʻī āu e loaʻa nei a e hōʻoia ana e lawe pololei ana ʻoe.

Nā koho ʻē aʻe o Acetaminophen a me Codeine

Nui nā koho ʻē aʻe inā ʻaʻole kūpono ka acetaminophen a me codeine iā ʻoe a i ʻole ʻaʻole e hāʻawi ana i ka hōʻoluʻolu ʻeha kūpono. Hiki i kāu mea mālama ola ke kōkua i ka hoʻoholo ʻana i ke koho ʻē aʻe e hana maikaʻi loa no kāu kūlana kikoʻī.

Hiki i nā koho ʻē aʻe ʻaʻole opioid ke hoʻohui i ka acetaminophen me ka ibuprofen, hiki ke hāʻawi i ka hōʻoluʻolu ʻeha maikaʻi me ka ʻole o nā pilikia e pili ana me nā opioids. Hiki nō hoʻi i nā NSAID (nā lāʻau anti-inflammatory non-steroidal) i kauoha ʻia ke kūpono no kekahi mau ʻano ʻeha.

ʻO nā lāʻau ʻeha ʻē aʻe i kauoha ʻia e kāu kauka e noʻonoʻo ai, ʻo ia ka tramadol, e hana ana i nā ʻano like ʻole mai nā opioids kuʻuna, a i ʻole nā hui opioid ʻē aʻe inā pono ka hōʻoluʻolu ʻeha ikaika. Hiki i nā lāʻau ʻeha topical ke maikaʻi no ka ʻeha i hoʻopaʻa ʻia.

Hiki i nā ala ʻaʻole lāʻau lapaʻau e like me ka physiotherapy, ka wela a i ʻole ke anuanu, ka hoʻoikaika kino mālie, a i ʻole nā ʻenehana hoʻomaha ke hoʻopili a i kekahi manawa e pani i ka mālama ʻeha e pili ana i ka lāʻau lapaʻau. Hiki i kāu mea mālama ola ke kōkua iā ʻoe e ʻimi i kēia mau koho.

Ua ʻoi aku ka maikaʻi o ka Acetaminophen a me ka Codeine ma mua o ka Ibuprofen?

ʻAʻole pono ka Acetaminophen a me ka codeine i

He Palekana ʻo Acetaminophen a me Codeine no ka Maʻi Puʻuwai?

Hiki i nā kānaka me ka maʻi puʻuwai ke lawe pinepine i ka acetaminophen a me codeine me ka palekana, akā pono e noʻonoʻo pono mai kāu mea mālama ola. Manaʻo ʻia ka ʻāpana acetaminophen he palekana no ka puʻuwai, a ʻo nā hopena o codeine i ka helu puʻuwai a me ke koko e maʻa mau ana i nā mea liʻiliʻi i nā mea i kuhikuhi ʻia.

E nānā kāu kauka i kou maʻi puʻuwai kikoʻī, nā lāʻau lapaʻau e lawe nei, a me ke olakino holoʻokoʻa ma mua o ke kuhikuhi ʻana i kēia hui pū. Hiki iā lākou ke ʻōlelo e hoʻomaka me kahi mahele haʻahaʻa a i ʻole e nānā pono iā ʻoe inā he mau pilikia puʻuwai kou.

He mea nui e haʻi i kāu mea mālama ola e pili ana i nā lāʻau lapaʻau puʻuwai a pau āu e lawe nei, no ka mea, pono paha kekahi mau hui i nā hoʻoponopono mahele a i ʻole ka nānā ʻana. Mai hooki i ka lawe ʻana i kāu mau lāʻau lapaʻau puʻuwai e hana i kahi no ka lāʻau ʻeha me ka ʻole e kūkākūkā mua i kāu kauka.

He aha kaʻu e hana ai inā ua hoʻohana au i ka nui o ka Acetaminophen a me Codeine?

Inā lawe ʻoe i ka nui o ka acetaminophen a me codeine, e hoʻokaʻaʻike koke i kāu mea mālama ola a i ʻole ke kikowaena mana ʻawaʻawa, ʻoiai inā maikaʻi ʻoe. ʻO ka lawe ʻana i ka nui hiki ke hoʻoulu i nā pilikia koʻikoʻi, me ka pōʻino o ke ake mai ka acetaminophen a me nā pilikia hanu mai ka codeine.

ʻAʻole paha e ʻike ʻia nā hōʻailona o ka overdose acetaminophen no kekahi mau hola a hiki ke komo i ka nausea, ka luaʻi, ka ʻeha o ka ʻōpū, ka hou, a me ka huikau. Hiki i nā hōʻailona overdose codeine ke komo i ka hiamoe nui, ka hanu lohi a paʻakikī paha, a me ka nalowale o ka ʻike.

Mai kali e ʻike inā e ulu nā hōʻailona - he mea nui ka mālama mua ʻana no ka pale ʻana i nā pilikia koʻikoʻi. E mālama i ka hue lāʻau me ʻoe i ka wā e ʻimi ai i ka mālama olakino i ʻike pono nā mea mālama ola i ke ʻano a me ka nui āu i lawe ai.

He aha kaʻu e hana ai inā ua hala au i kahi mahele o Acetaminophen a me Codeine?

Inā ʻoe e poina i ka lāʻau acetaminophen a me codeine, e lawe koke ʻoe i ka wā e hoʻomanaʻo ai ʻoe, akā inā ua hala ma lalo o 4 mau hola mai ka manawa i hoʻonohonoho ʻia ai kāu lāʻau. Inā ua hala ma mua o 4 mau hola, e lele i ka lāʻau i poina a e lawe i kāu lāʻau aʻe i ka manawa maʻamau.

Mai lawe ʻoe i ʻelua lāʻau i ka manawa hoʻokahi e uku ai i ka lāʻau i poina, no ka mea, hiki i kēia ke alakaʻi i nā hopena ʻaoʻao weliweli. No ka mea, lawe ʻia kēia lāʻau lapaʻau e like me ka mea e pono ai no ka ʻeha, ʻaʻole paha ʻoe e pono e lawe i ka lāʻau i poina inā ua maikaʻi kou ʻeha.

Inā ʻoe e lawe ana i kēia lāʻau lapaʻau ma kahi papa manawa maʻamau a poina pinepine i nā lāʻau, e noʻonoʻo e hoʻonohonoho i nā mea hoʻomanaʻo kelepona a i ʻole e hoʻohana i kahi mea hoʻonohonoho pila. Hiki i ka hoʻopaʻa ʻana ke kōkua i ka mālama ʻana i ka mana ʻeha maikaʻi a hoʻemi i ka pilikia o ka ʻeha.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Acetaminophen a me Codeine?

Hiki iā ʻoe ke hooki i ka lawe ʻana i ka acetaminophen a me codeine i ka wā i hoʻomaikaʻi ai kou ʻeha i kahi pae hiki ke mālama ʻia a i ʻole i ka wā e ʻōlelo ai kāu mea mālama ola iā ʻoe e hooki. No ka mea, ua kauoha ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i ka wā pōkole, nui ka poʻe i ʻike ʻaʻole pono lākou ma hope o kekahi mau lā a i hoʻokahi pule.

Inā ʻoe e lawe ana i kēia lāʻau lapaʻau maʻamau no nā lā ʻoi aku ma mua o kekahi mau lā, e kamaʻilio me kāu mea mālama ola ma mua o ka hooki ʻana. Hiki iā lākou ke ʻōlelo e hoʻemi mālie i ka lāʻau e pale ai i nā hōʻailona haʻalele, hiki ke komo i ka ʻoluʻolu ʻole, nā ʻeha ʻiʻo, a me ka pilikia o ka hiamoe.

ʻO nā hōʻailona e mākaukau paha ʻoe e hooki, ʻo ia ka hiamoe maikaʻi, hiki ke hana i nā hana i kēlā me kēia lā me ka ʻoluʻolu liʻiliʻi, a me ka ʻike ʻana e hāʻawi ana nā lāʻau lapaʻau ʻeha ma luna o ka counter i ka hōʻoluʻolu kūpono. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻoholo i ka manawa kūpono e hoʻololi ai mai kēia lāʻau lapaʻau.

Hiki iaʻu ke kalaiwa i ka wā e lawe ana i ka Acetaminophen a me Codeine?

ʻAʻole pono ʻoe e kalaiwa a i ʻole e hana i nā mīkini i ka wā e lawe ana i ka acetaminophen a me ka codeine, ʻoi loa i ka wā e hoʻomaka ai ʻoe e lawe a i ʻole ke hoʻonui ʻia kāu mahele. Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka hiamoe, ka wili, a me ka hoʻopilikia ʻia o ka manaʻo, hiki ke hoʻoweliweli i ke kalaiwa.

ʻOiai inā manaʻo ʻoe he makaʻala, hiki ke hoʻopilikia ʻia kou manawa pane a me nā mākau hoʻoholo ma nā ʻano āu e ʻike ʻole ai. Hiki i ka hui pū ʻana o ka codeine me ka acetaminophen ke hoʻopilikia nui, a hiki i kēia mau hopena ke mau no nā hola ma hope o ka lawe ʻana i ka lāʻau lapaʻau.

E kali a ʻike ʻoe i ke ʻano o kēia lāʻau lapaʻau iā ʻoe ma mua o ka hoʻāʻo ʻana e kalaiwa, a e hana mau i ka ʻaoʻao o ka akahele. Inā pono ʻoe e hele i ka wā e lawe ana i kēia lāʻau lapaʻau, e hoʻonohonoho i kekahi e kalaiwa iā ʻoe a i ʻole e hoʻohana i nā ʻano hana halihali ʻē aʻe.