He aha ka Droperidol: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau antipsychotic ikaika ka Droperidol i hāʻawi ʻia ma ka injection e kōkua i ka mālama ʻana i ka huhū nui, ka nausea, a me ka luaʻi ʻana i nā wahi haukapila. Hana wikiwiki kēia lāʻau lapaʻau e hōʻoluʻolu i ka ʻōnaehana nerve a hoʻohana pinepine ʻia i ka wā i hana ʻole ai nā lāʻau lapaʻau ʻē aʻe a i ʻole ke pono koke ke kōkua. Hoʻohana nā mea mālama ola kino i ka droperidol me ka akahele no ka mea he lāʻau ikaika ia e pono ai ka nānā pono ʻana.

He aha ka Droperidol?

No ka hui o nā lāʻau lapaʻau i kapa ʻia ʻo butyrophenones ka Droperidol, he mau lāʻau antipsychotic ikaika. Hana ia ma ka pale ʻana i kekahi mau kemika lolo i kapa ʻia ʻo dopamine receptors, e kōkua ana i ka hōʻemi ʻana i ka hana lolo ʻino e hoʻoulu ai i nā hōʻailona koʻikoʻi. Ua hoʻohana ʻia kēia lāʻau lapaʻau i nā wahi lapaʻau no nā makahiki he nui a ua manaʻo ʻia he mea maikaʻi no nā kūlana kikoʻī.

He wai maopopo ka lāʻau lapaʻau e hoʻokomo ai nā poʻe loea mālama ola kino i loko o kou ʻiʻo a i ʻole ke aʻa. E loaʻa wale iā ʻoe ka droperidol i nā haukapila, nā keʻena lapaʻau, a i ʻole nā ​​wahi lapaʻau kahi e hiki ai i nā limahana i aʻo ʻia ke nānā pono iā ʻoe. ʻAʻole loaʻa ia ma ke ʻano he pill a i ʻole no ka hoʻohana ʻana i ka home no ka mea pono ia i ka mālama olakino.

No ke aha i hoʻohana ʻia ai ka Droperidol?

Hoʻomaʻamaʻa ka Droperidol i ka huhū nui a me ka hana ʻino ke pilikia nui ʻoe. Hoʻohana pinepine nā kauka iā ia i nā lumi pilikia ke loaʻa kekahi i ka pilikia olakino noʻonoʻo a i ʻole ka ʻike ʻana i ka hana weliweli e hiki ke hōʻeha iā lākou iho a i ʻole nā ​​mea ʻē aʻe. He mea kōkua nui ia i ka wā i hana ʻole ai nā ʻenehana hoʻomaha waha a me nā lāʻau lapaʻau ʻē aʻe.

Pale a mālama pū kēia lāʻau lapaʻau i ka nausea a me ka luaʻi ʻana, ʻoi aku hoʻi ma hope o ke ʻoki ʻana a i ʻole i kekahi mau kaʻina hana lapaʻau. Nui ka poʻe e ʻike i kēia mau hōʻailona i ka wā e ola ana mai ka anesthesia, a hiki i ka droperidol ke hāʻawi i ke kōkua wikiwiki. He mea pono loa ia i ka wā i hana ʻole ai nā lāʻau anti-nausea ʻē aʻe.

I kekahi manawa hoʻohana nā kauka i ka droperidol ma ke ʻano he ʻāpana o ka anesthesia e kōkua iā ʻoe e noho mālie a hoʻomaha i ka wā o nā kaʻina hana lapaʻau. I kēia mau hihia, hana ia me nā lāʻau lapaʻau ʻē aʻe e hana i kahi palekana, kahi i mālama ʻia no ke ʻoki a i ʻole nā ​​lāʻau lapaʻau ʻē aʻe.

Pehea e hana ai ʻo Droperidol?

He lāʻau lapaʻau ikaika ʻo Droperidol e ālai ana i nā mea hoʻokipa dopamine i kou lolo, ʻoi aku hoʻi i nā wahi e mālama ai i ka neʻe, nā manaʻo, a me ka nausea. E noʻonoʻo i ka dopamine ma ke ʻano he ʻelele i kou lolo i kekahi manawa e hoʻouna i nā hōʻailona he nui loa, e hana ana i ka huhū a i ʻole ka nausea nui. Ma ka ālai ʻana i kēia mau mea hoʻokipa, kōkua ʻo droperidol i ka hāmau ʻana i nā hōʻailona lolo hana nui.

Hana wikiwiki ka lāʻau lapaʻau, maʻamau i loko o 15 a 30 mau minuke o ka injection. Hiki ke mau nā hopena no kekahi mau hola, e hāʻawi ana i kāu hui mālama ola i ka manawa e hoʻoponopono ai i nā kumu kumu o kāu mau hōʻailona. No ka mea he ikaika, hiki i nā mea liʻiliʻi ke loaʻa nā hopena nui i kāu ʻōnaehana nerve.

Hoʻopilikia pū kēia lāʻau lapaʻau i kou puʻuwai ma ka ālai ʻana i kekahi mau ala uila. ʻOiai he mea kōkua kēia i kekahi mau kūlana, ʻo ia ke kumu e nānā pono ai nā kauka i kāu hana puʻuwai ke loaʻa iā ʻoe ka droperidol.

Pehea wau e lawe ai iā Droperidol?

ʻAʻole ʻoe e lawe iā droperidol iā ʻoe iho no ka mea e hāʻawi mau ʻia e nā poʻe loea mālama ola i nā hoʻonohonoho lapaʻau. E hoʻokomo kahi kahu a kauka paha i loko o kou ʻiʻo a i ʻole pololei i loko o kahi vein ma o kahi laina IV. Aia ke ʻano i kāu kūlana kikoʻī a me ka wikiwiki e pono ai ʻoe i ke kōkua.

Ma mua o ka loaʻa ʻana o ka droperidol, e nānā kāu hui mālama ola i kāu mōʻaukala olakino a me ke kūlana olakino o kēia manawa. Makemake lākou e ʻike e pili ana i nā pilikia o ka puʻuwai, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a inā paha ua loaʻa iā ʻoe nā hopena i nā lāʻau lapaʻau like. Kōkua kēia ʻike iā lākou e hoʻoholo i ke ala palekana loa no kāu lapaʻau.

ʻAʻole pono ʻoe e ʻai a inu i kekahi mea kūikawā ma mua o ka loaʻa ʻana o ka droperidol. Akā naʻe, inā e loaʻa ana iā ʻoe ka injection ma mua o ke ʻoki ʻana, pono paha ʻoe e hahai i nā ʻōlelo aʻoaʻo hoʻokē ʻai a kāu hui lapaʻau e hāʻawi ai. E hāʻawi lākou iā ʻoe i nā ʻōlelo kikoʻī e pili ana i kou kūlana.

Pehea ka lōʻihi e lawe ai au i ka Droperidol?

Hāʻawi ʻia ka Droperidol ma ke ʻano he hoʻokahi dose a i ʻole he pūʻulu pōkole o nā injections ma mua o ka lapaʻau lōʻihi. Loaʻa ka hapa nui o nā kānaka i hoʻokahi manawa e hoʻoponopono i kahi pilikia koke a i ʻole kahi kaʻina hana lapaʻau kikoʻī. ʻO ka maʻamau, e mau ana nā hopena no 2 a 4 mau hola, ʻo ia ka manawa lawa e hoʻopaʻa ai i kou kūlana.

Inā pono ʻoe i nā doses he nui, e hoʻokaʻawale pono kāu hui mālama ola iā lākou a nānā mau iā ʻoe. E nānā lākou i nā hōʻailona e hana ana ka lāʻau a e nānā i nā hopena ʻaoʻao e pili ana. ʻO ka pahuhopu ka hoʻohana ʻana i ka dose liʻiliʻi loa i ka manawa pōkole loa.

E hooki kāu mau kauka i ka hāʻawi ʻana iā ʻoe i ka droperidol i ka wā e hoʻomaikaʻi ai kāu mau hōʻailona a i ʻole hiki iā lākou ke hoʻololi iā ʻoe i nā koho palekana. Hiki iā lākou ke hoʻololi iā ʻoe i nā lāʻau lapaʻau waha hiki iā ʻoe ke lawe ma ka home, a i ʻole e ʻike lākou ʻaʻole pono hou ʻoe i ka lāʻau lapaʻau.

He aha nā hopena ʻaoʻao o Droperidol?

E like me nā lāʻau lapaʻau ikaika a pau, hiki i ka droperidol ke hana i nā hopena ʻaoʻao mai ka maʻalahi a i ka koʻikoʻi. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua iā ʻoe e ʻike i ka mea e manaʻo ai a i ka manawa e ʻimi ai i ke kōkua hou. E nānā pono kāu hui mālama ola iā ʻoe e hopu i nā pilikia i ka wā mua.

ʻO nā hopena ʻaoʻao maʻamau e ʻike ai ka poʻe he nui, ʻo ia ka hiamoe, ka ʻūlū, a me ka manaʻo ʻole a hopohopo paha. Hiki nō hoʻi iā ʻoe ke ʻike i ka ʻoʻoleʻa o nā ʻiʻo, ʻoi aku hoʻi ma kou maka, ʻāʻī, a i ʻole nā lima. Manaʻo kekahi poʻe i ka huikau a i ʻole ka pilikia o ka noʻonoʻo ʻana ma hope o ka loaʻa ʻana o ka droperidol.

Eia nā hopena ʻaoʻao i hōʻike pinepine ʻia e hiki iā ʻoe ke ʻike:

• Ka hiamoe a me ka luhi e mau ana no kekahi mau hola
• Ka wili a i ʻole ka manaʻo paʻa ʻole i ka wā e kū ana
• Ka ʻoʻoleʻa o nā ʻiʻo, ʻoi loa i kou maka a me kou ʻāʻī
• Ka ʻoluʻolu ʻole a i ʻole ka manaʻo ʻaʻole hiki ke noho mālie
• Ka waha maloʻo a me ka make wai nui
• Ka ʻike pōpō a i ʻole ka pilikia o ka nānā ʻana
• Ke koko haʻahaʻa e hiki ke hoʻopilikia iā ʻoe

E pau ana kēia mau hopena maʻamau i ka wā e pau ai ka lāʻau, akā e kōkua kāu hui lapaʻau iā ʻoe e mālama i kekahi pilikia.

Pono nā hopena ʻaoʻao koʻikoʻi i ka lāʻau lapaʻau koke a me nā loli weliweli i ka puʻuwai. Hiki i ka Droperidol ke hana i kahi maʻi i kapa ʻia ʻo QT prolongation, kahi e lilo ai ka ʻōnaehana uila o kou puʻuwai i mea paʻa ʻole. ʻO ia ke kumu e loaʻa ai iā ʻoe ka nānā ʻana i ka puʻuwai mau i ka wā e loaʻa ana kēia lāʻau.

ʻO nā hopena ʻaoʻao laha akā koʻikoʻi e pono ai ka lāʻau lapaʻau ulia pōpilikia:

• Ka puʻuwai ʻole a i ʻole ka ʻeha o ka umauma
• Ka ʻoʻoleʻa o nā ʻiʻo koʻikoʻi ma kou kino a pau
• Ka wela nui me ka hou nui
• Ka pilikia o ka hanu ʻana a i ʻole ka ʻai ʻana
• Nā neʻe ʻana o nā ʻiʻo i kou maka a i ʻole ke alelo
• Ka hāʻule nui o ke koko e hoʻopilikia ai i ka maʻi
• Nā hopena maʻi maʻi me ka ʻōpala, ka pehu, a i ʻole ka pilikia o ka hanu ʻana

I nā manawa liʻiliʻi loa, hiki i ka droperidol ke hana i kahi maʻi e hoʻoweliweli ana i ke ola i kapa ʻia ʻo neuroleptic malignant syndrome, kahi e piʻi ai ka mahana o kou kino i kahi kiʻekiʻe weliweli a lilo kou mau ʻiʻo i mea paʻa loa. ʻIke kāu hui mālama ola pehea e ʻike ai a mālama koke i kēia maʻi.

ʻO wai ka mea ʻaʻole pono e lawe i ka Droperidol?

ʻAʻole palekana ka Droperidol no nā mea a pau, a e nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ka hoʻoholo ʻana inā kūpono ia iā ʻoe. ʻO ka poʻe me kekahi mau maʻi puʻuwai e kū ana i nā pilikia kiʻekiʻe no ka mea hiki i ka lāʻau ke hoʻopilikia i ka puʻuwai. E hana kāu hui mālama ola i kahi electrocardiogram (EKG) e nānā i ka hana uila o kou puʻuwai ma mua o ka hāʻawi ʻana iā ʻoe i ka droperidol.

ʻAʻole pono ʻoe e loaʻa i ka droperidol inā he maʻi ʻoe iā ia a i ʻole nā lāʻau lapaʻau like. Inā ua loaʻa iā ʻoe nā hopena koʻikoʻi i nā lāʻau antipsychotic ʻē aʻe, e koho paha kāu kauka i kahi lapaʻau ʻē aʻe. E pale nō hoʻi lākou i ka droperidol inā loaʻa iā ʻoe kekahi mau maʻi genetic kakaʻikahi e pili ana i ke ʻano o ka hana ʻana o kou kino i nā lāʻau lapaʻau.

He nui nā maʻi olakino e hoʻoweliweli ana i ka droperidol:

• Nā maʻi puʻuwai a i ʻole ka manawa QT lōʻihi
• Maʻi puʻuwai koʻikoʻi a i ʻole ka puʻuwai i loaʻa i kēia manawa
• Ke koko haʻahaʻa loa a i ʻole ka haʻalulu
• Maʻi kīkī a i ʻole ke ake koʻikoʻi
• Maʻi Parkinson a i ʻole nā maʻi neʻe like
• Nā maʻi hopu ʻaʻole i mālama maikaʻi ʻia
• Ka kaumaha nui a i ʻole nā manaʻo pepehi kanaka

E noʻonoʻo pono kāu kauka i nā pilikia a me nā pōmaikaʻi, ʻoiai inā loaʻa iā ʻoe kekahi o kēia mau maʻi akā pono loa i ka lāʻau lapaʻau.

ʻAʻole loaʻa i nā wahine hāpai ka droperidol ke ʻole he pilikia ola. Hiki i ka lāʻau lapaʻau ke hele i ka placenta a hiki ke hoʻopilikia i kāu pēpē e ulu ana. Inā ʻoe e hānai ana, e kūkākūkā kāu kauka inā ʻoi aku ka maikaʻi ma mua o nā pilikia, no ka mea, hiki ke hele i loko o ka waiū umauma.

Nā inoa inoa o Droperidol

Loaʻa ka Droperidol ma lalo o nā inoa inoa like ʻole, ʻoiai he nui nā halemai a me nā keʻena lapaʻau e hoʻohana i ka mana generic. ʻO ka inoa inoa maʻamau ʻo Inapsine, aia ka mea hana like me ka droperidol generic. Loaʻa paha i kekahi mau keʻena lapaʻau nā inoa inoa ʻē aʻe, akā hana like lākou a pau.

E haʻi aku kāu hui mālama ola iā ʻoe i ka huahana kikoʻī a lākou e hoʻohana nei, ʻoiai ʻaʻole pili ka inoa inoa i kāu lapaʻau. ʻO ka mea nui, ʻo ia ka loaʻa ʻana o ka lāʻau lapaʻau mai nā poʻe loea i hoʻomaʻamaʻa ʻia e hiki ke nānā pono iā ʻoe. He kūpono ka droperidol generic e like me nā mana inoa inoa a hoʻokō i nā kūlana palekana like.

Nā koho ʻē aʻe o Droperidol

He nui nā lāʻau lapaʻau ʻē aʻe e hiki ke mālama i nā maʻi like inā ʻaʻole kūpono ka droperidol iā ʻoe. No ka huhū nui, hiki i nā kauka ke hoʻohana i ka haloperidol, e hana like ana akā he ʻokoʻa nā hopena ʻaoʻao. ʻO Lorazepam kekahi koho ʻē aʻe e hiki ke hōʻoluʻolu i ka hopohopo a me ka huhū, akā hana ia ma nā ala lolo like ʻole.

No ka nausea a me ka luaʻi ʻana, nā koho ʻē aʻe e komo pū ana me ka ondansetron, ʻoi aku ka palekana no ka poʻe me nā pilikia o ka naʻau. ʻO Promethazine kekahi lāʻau anti-nausea e hana ʻokoʻa mai ka droperidol. Hiki i kāu kauka ke noʻonoʻo i ka metoclopramide, ma muli o ke kumu o kāu mau hōʻailona.

I kekahi manawa, ʻoi aku ka maikaʻi o nā hui pū ʻana o nā lāʻau lapaʻau ma mua o nā lāʻau hoʻokahi. Hiki i kāu hui mālama ola ke hoʻohana i nā mea liʻiliʻi o nā lāʻau lapaʻau ʻelua like ʻole ma mua o ka nui o ka droperidol. Hiki i kēia ala ke palekana a hāʻawi mau i ka hōʻoluʻolu hōʻailona maikaʻi.

Ua ʻoi aku ka maikaʻi o ka Droperidol ma mua o Haloperidol?

He mau lāʻau antipsychotic maikaʻi ʻo Droperidol a me haloperidol, akā he mau ikaika a me nā pilikia like ʻole. Hana wikiwiki ka Droperidol a makemake pinepine ʻia no nā kūlana pilikia kahi e pono ai ka hana koke. He mea maikaʻi loa ia no ka mālama ʻana i ka nausea a me ka luaʻi ʻana me ka huhū.

He palekana paha ʻo Haloperidol no ka poʻe me kekahi mau maʻi o ka naʻau no ka mea ʻaʻole nui ka hopena i ka puʻuwai. Eia naʻe, hiki iā ia ke hana i nā hopena ʻaoʻao e pili ana i ka neʻe ʻana e like me ka ʻoʻoleʻo o ka ʻiʻo a me nā haʻalulu. ʻO ke koho ma waena o lākou e hilinaʻi ana i kāu mau hōʻailona kikoʻī, ka mōʻaukala olakino, a me ke kūlana olakino o kēia manawa.

E noʻonoʻo kāu kauka i nā mea he nui i ke koho ʻana ma waena o kēia mau lāʻau lapaʻau. E nānā lākou i ka wikiwiki o kāu pono e hōʻoluʻolu i nā hōʻailona, ​​nā mea pilikia no nā hopena ʻaoʻao, a inā pono ʻoe i ka mālama ʻana no nā hōʻailona he nui i ka manawa hoʻokahi. ʻAʻole ʻoi aku ka maikaʻi o kekahi lāʻau lapaʻau - e hilinaʻi ana i kāu kūlana pilikino.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka Droperidol

Nīnau 1. Ua palekana anei ʻo Droperidol no ka poʻe me ka maʻi puʻuwai?

Pono ʻo Droperidol i ka mālama keu inā he maʻi puʻuwai kou no ka mea hiki iā ia ke hoʻopilikia i ka ʻōnaehana uila o kou puʻuwai. E hana kāu kauka i kahi EKG ma mua o ka hāʻawi ʻana iā ʻoe i ka lāʻau a e nānā mau i kou puʻuwai i ka wā o ka mālama ʻana. E kaupaona lākou i nā pilikia e kūʻē i nā pōmaikaʻi, ʻoiai inā aia ʻoe i kahi pilikia olakino.

Inā he mau pilikia puʻuwai maʻalahi kou, hiki i kāu kauka ke hoʻohana i ka droperidol akā me ka nānā pono ʻana a me ka haʻahaʻa haʻahaʻa. Eia naʻe, inā he maʻi puʻuwai koʻikoʻi kou a i ʻole nā pilikia puʻuwai hou, e koho paha lākou i kahi lāʻau ʻokoʻa. ʻO kou palekana ka mea nui loa.

Nīnau 2. He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Droperidol?

ʻAʻole hiki iā ʻoe ke lawe nui i ka droperidol no ka mea e helu pono nā poʻe loea mālama ola a hāʻawi i kēlā me kēia mahele. Eia naʻe, inā ʻike ʻoe i nā hopena ʻaoʻao koʻikoʻi ma hope o ka loaʻa ʻana o ka lāʻau, e haʻi koke i kāu hui lapaʻau. Ua aʻo ʻia lākou e ʻike a mālama i nā hōʻailona overdose.

ʻO nā hōʻailona o ka nui o ka droperidol e pili ana i ka hiamoe nui, ke koko haʻahaʻa loa, ka puʻuwai puʻuwai ʻole, a i ʻole ka pilikia o ka hanu ʻana. E hāʻawi kāu hui mālama ola i ka mālama kākoʻo, e nānā pono i kāu mau hōʻailona koʻikoʻi, a hiki ke hāʻawi iā ʻoe i nā lāʻau e kūʻē i nā hopena koʻikoʻi. Hana maʻamau ka hoʻōla ʻana i ka wā e haʻalele ai ka lāʻau i kāu ʻōnaehana.

Nīnau 3. He aha kaʻu e hana ai inā hala iaʻu kahi mahele o Droperidol?

ʻAʻole ia he mea hopohopo ka hala ʻana i kahi mahele no ka mea e hāʻawi pinepine ʻia ka droperidol ma ke ʻano he hoʻokahi injection a i ʻole kahi pūʻulu pōkole o nā mahele i nā wahi lapaʻau. Hoʻonohonoho kāu hui mālama ola i kēlā me kēia mahele e pili ana i kāu mau pono koke a me ka pane ʻana i ka mālama ʻana. Inā pono ʻoe e loaʻa i kahi mahele ma hope, e loiloi hou lākou inā pono ʻoe.

Mai hopohopo e pili ana i nā lāʻau i hala ma ka home no ka mea ʻaʻole ʻoe e lawe i ka droperidol ma waho o nā keʻena lapaʻau. E hoʻoponopono kāu hui mālama ola i kāu hoʻolālā lapaʻau e pili ana i ke ʻano o kāu pane ʻana a inā pono ʻoe i ka lāʻau hou.

Q4. I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Droperidol?

ʻAʻole ʻoe e hoʻoholo i ka manawa e hooki ai i ka droperidol no ka mea e mālama nā poʻe loea mālama ola i nā hoʻoholo ʻana i nā lāʻau. E hooki lākou i ka hāʻawi ʻana iā ʻoe i ka lāʻau i ka wā e hoʻomaikaʻi ai kāu mau hōʻailona, ​​i ka wā e hiki ai iā lākou ke hoʻololi palekana iā ʻoe i nā lāʻau lapaʻau ʻē aʻe, a i ʻole inā e loaʻa iā ʻoe nā hopena ʻaoʻao e pili ana. ʻO ka hapa nui o nā kānaka e loaʻa wale ana ka droperidol no kekahi mau hola a i ʻole kekahi mau lā.

E hoʻololi mālie kāu hui lapaʻau iā ʻoe mai ka droperidol ma mua o ka hooki ʻana i ka wā hiki. Hiki iā lākou ke hoʻololi iā ʻoe i nā lāʻau lapaʻau waha e hiki ai iā ʻoe ke lawe ma ka home, a i ʻole e hoʻoholo lākou ʻaʻole pono ʻoe i kekahi lāʻau. ʻO ka pahuhopu ka hoʻohana ʻana i ka liʻiliʻi o ka lāʻau lapaʻau no ka manawa pōkole e pono ai.

Q5. Hiki iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o Droperidol?

ʻAʻole pono ʻoe e kalaiwa a i ʻole e hana i nā mīkini no ka liʻiliʻi o 24 mau hola ma hope o ka loaʻa ʻana o ka droperidol no ka mea hiki iā ia ke hōʻeha i ka hiamoe, ka ʻūlū, a me ka hoʻopōʻino ʻia o ka noʻonoʻo. Hiki ke mau kēia mau hopena i kekahi mau hola ma hope o ka injection, ʻoiai ke manaʻo nei ʻoe he ʻoi aku ka makaʻala. Hiki ke hoʻopilikia ʻia kou manawa pane a me ka hoʻonohonoho ʻana inā ʻaʻole ʻoe e hiamoe.

Ma mua o ka haʻalele ʻana i ka hale lapaʻau, e hōʻoia ua loaʻa iā ʻoe kekahi e kalaiwa iā ʻoe i ka home. E hāʻawi kāu hui mālama ola iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka manawa e palekana ai e hoʻomaka hou i nā hana maʻamau. Mai hana i nā hoʻoholo nui a i ʻole e kau inoa i nā palapala kānāwai a hiki i ka pau ʻana o ka lāʻau a manaʻo ʻoe he maopopo ka noʻonoʻo.