He aha ka Epinephrine Nasal Route: Nā Hoʻohana, Ka Leka, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

ʻO ka epinephrine nasal route he lāʻau lapaʻau pilikia e hoʻopakele ai i ke ola i hāʻawi ʻia ma kou ihu e mālama i nā hopena maʻi koʻikoʻi i kapa ʻia ʻo anaphylaxis. Hana kēia lapaʻau wikiwiki i loko o kekahi mau minuke e hoʻohuli i nā hōʻailona maʻi maʻi weliweli ke pane nui kou kino i nā allergens e like me nā meaʻai, nā lāʻau lapaʻau, a i ʻole nā ​​ʻūlū pepeke.

E noʻonoʻo iā ia ma ke ʻano he lāʻau lapaʻau hoʻopakele pilikia e hiki ke hoʻopakele maoli i kou ola ke hoʻoweliweli nā hopena maʻi koʻikoʻi i kou hanu ʻana a me ke koko. ʻOi aku ka maʻalahi o ka ʻōnaehana hāʻawi nasal e hoʻohana i ka wā pilikia i hoʻohālikelike ʻia me nā injections kuʻuna.

He aha ka Epinephrine Nasal Route?

ʻO ka epinephrine nasal route he ʻano i hoʻopaʻa ʻia o ka adrenaline āu e pīpī pololei ai i loko o kou ihu i ka wā o nā pilikia maʻi koʻikoʻi. Hana maoli kou kino i ka adrenaline, akā i ka wā o ka anaphylaxis, pono ʻoe i ka nui ma mua o ka hiki i kou kino ke hana nona iho.

Hele mai ka lāʻau lapaʻau i loko o kahi mea pīpī nasal liʻiliʻi, hiki ke lawe ʻia e hāʻawi i kahi mahele pololei o ka epinephrine ma nā kīʻaha koko i kou ihu. Hoʻopili koke kēia mau kīʻaha koko i ka lāʻau lapaʻau a hoʻouna iā ia i kou kino i loko o 1-3 mau minuke.

ʻAʻole like me nā mea hoʻopili epinephrine auto-injectors e koi ai i ka nila, hāʻawi ka nasal route i kahi koho ʻole nila i ʻike ʻia e ka poʻe he nui ʻaʻole e hoʻoweliweli e hoʻohana i ka wā pilikia. Eia naʻe, ua like ka mana a me ka pono i ka hoʻōki ʻana i nā hopena maʻi e hoʻoweliweli ana i ke ola.

No ke aha e hoʻohana ʻia ai ka Epinephrine Nasal Route?

Hoʻomaʻamaʻa ka epinephrine nasal route i ka anaphylaxis, ʻo ia ka hopena maʻi koʻikoʻi, holoʻokoʻa e hiki ke pepehi iā ʻoe i loko o kekahi mau minuke inā waiho ʻole ʻia. ʻAʻole kēia kou ihu e kahe ana a i ʻole ka maʻalahi o ka meaʻai - he pilikia olakino kahi e hoʻouka ai kou ʻōnaehana pale i kou kino holoʻokoʻa.

I ka wā o ka anaphylaxis, hāʻule kou koko i lalo loa, paʻa kou mau ala ea, a paʻakikī kou puʻuwai e pauma pono i ke koko. ʻO nā mea hoʻoulu maʻamau e komo pū ana me nā pī, nā iʻa pūpū, nā nahu meli, nā lāʻau lapaʻau e like me ka penicillin, a me ka hōʻike ʻana i ka latex.

Pono paha ʻoe i kēia lāʻau lapaʻau inā ʻike ʻoe i nā hōʻailona koʻikoʻi he nui, e like me:

• He paʻakikī ka hanu ʻana a i ʻole ka ʻū
• Ka pehu ʻana o kou maka, nā lehelehe, ke alelo, a i ʻole ka ʻāʻī
• He wikiwiki ka pulse nāwaliwali a i ʻole ka ʻūlū
• Nā hives a i ʻole ka ʻōpala ma ke kino holoʻokoʻa
• Nausea, ka luaʻi ʻana, a i ʻole nā ʻōpū ʻeha nui
• Ke manaʻo nei ʻoe e hāʻule

ʻO ke kī, ʻo ia ka ʻike ʻana i ka wā e pili ana nā ʻōnaehana he nui i kou kino i ka manawa like. ʻOiai inā ʻaʻole ʻoe maopopo he anaphylaxis, ʻoi aku ka palekana o ka hoʻohana ʻana i ka epinephrine ma mua o ke kali ʻana i ka wā e ʻike ʻia ai kēia mau hōʻailona.

Pehea e hana ai ka Epinephrine Nasal Route?

Hana ka epinephrine nasal route ma ka hoʻohālike ʻana i ka pane hakakā-a-lele o kou kino, akā ʻoi aku ka ikaika. Ua manaʻo ʻia he lāʻau lapaʻau ikaika loa e hana ana ma nā ʻōnaehana he nui i ka manawa like e hoʻohuli i nā hopena hoʻoweliweli o ka anaphylaxis.

Ke pīpī ʻoe i loko o kou ihu, komo koke ka lāʻau lapaʻau i loko o kou kahe koko a hana i ʻekolu ala koʻikoʻi. ʻO ka mea mua, wehe ia i kou mau ala ea ma ka hoʻomaha ʻana i nā ʻiʻo a puni kou mau ala hanu, e maʻalahi ai ka hanu hou.

ʻO ka lua, hoʻoikaika ia i ka hana pauma o kou puʻuwai a hoʻokiʻekiʻe i kou koko i nā pae palekana. ʻO ke kolu, hoʻemi ia i ka mumū nui a me ka pehu e hoʻoweliweli ana i kou hanu a me ke kahe.

Hoʻopili maikaʻi nā kīʻaha koko ihu i ka epinephrine, e hāʻawi pinepine ana i ke kōkua i loko o 1-3 mau minuke. Eia naʻe, ʻo ka hopena e mau ana no 10-20 mau minuke, ʻo ia ke kumu e pono ai ʻoe i ka mālama olakino pilikia ma hope o ka hoʻohana ʻana.

Pehea wau e lawe ai i ka Epinephrine Nasal Route?

E lawe koke i ka epinephrine nasal route ke ʻike ʻoe i nā hōʻailona o ka maʻi maʻi koʻikoʻi - mai kali e ʻike inā e ʻino aʻe lākou. Wehe i ka mea mai kona pahu pale a paʻa me kou manamana nui ma lalo a me kou manamana kuhikuhi ma luna.

E kau i ka piko ma kahi o ka hapalua iniha i loko o kekahi puka ihu a kaomi ikaika i ka plunger e hoʻokuʻu i ka lāʻau piha. ʻAʻole pono ʻoe e hanu hohonu a i ʻole e hoʻokiʻekiʻe i kou poʻo i hope - e kāpī wale i loko o kou ihu.

Ma hope o ka hoʻohana ʻana, e kelepona koke iā 911 a i ʻole e hoʻokele kekahi iā ʻoe i ka lumi pilikia. ʻAʻole hoʻōla ka lāʻau i ka anaphylaxis - kūʻai wale ia i ka manawa e loaʻa ai ka lāʻau lapaʻau ʻoihana.

Hiki iā ʻoe ke hoʻohana i kēia lāʻau me ka ʻole o ka meaʻai no ka mea he lāʻau lapaʻau pilikia. Eia naʻe, inā ʻoe e luaʻi nui ana, hiki i ke ala nasal ke hana maikaʻi aʻe ma mua o nā lāʻau lapaʻau waha e hiki ke hoʻi mai.

E mālama i ka mea i hoʻohana ʻia me ʻoe e hōʻike i nā limahana lapaʻau i ke ʻano o kāu i lawe ai a me ka manawa. Kōkua kēia ʻike iā lākou e hāʻawi i ka mālama maikaʻi loa.

Pehea ka lōʻihi e lawe ai au i ka Epinephrine Nasal Route?

Hoʻolālā ʻia ka epinephrine nasal route no ka lāʻau lapaʻau pilikia hoʻokahi, ʻaʻole ka lāʻau lapaʻau i kēlā me kēia lā. Hoʻohana ʻoe i hoʻokahi manawa i ka wā pilikia maʻi, a laila e ʻimi i ka lāʻau lapaʻau koke no ka mālama hou.

ʻO ka hopena o hoʻokahi mahele e mau ana ma kahi o 10-20 mau minuke, akā hiki ke hoʻi mai ka anaphylaxis ma hope o ka pau ʻana o ka lāʻau. Kapa ʻia kēia he hopena biphasic, a ʻo ia ke kumu e makemake ai nā kauka e nānā iā ʻoe i ka haukapila no kekahi mau hola ma hope o ka lāʻau.

Pono paha kekahi poʻe i ka mahele lua inā hoʻi mai nā hōʻailona a i ʻole ʻaʻole e hoʻomaikaʻi i loko o 5-15 mau minuke ma hope o ka mahele mua. Eia naʻe, e hoʻohana wale i ka mahele lua inā loaʻa iā ʻoe kahi mea ʻē aʻe a ke koʻikoʻi nei nā hōʻailona.

E kōkua kāu kauka iā ʻoe e hana i kahi hoʻolālā hana anaphylaxis e pili ana i ka manawa e hoʻohana ai i ka epinephrine, ka manawa e hoʻohana ai i ka mahele lua, a me ka mea e hana ai ma hope. ʻAʻole kēia he lāʻau lapaʻau āu e lawe mau ai - ʻo ia kāu hoʻolālā hoʻihoʻi pilikia.

He aha nā hopena ʻaoʻao o ke ala ihu epinephrine?

Hiki i ke ala ihu epinephrine ke hana i nā hopena ʻaoʻao no ka mea he lāʻau ikaika ia e pili ana i kou kino holoʻokoʻa, akā ʻo kēia mau hopena he mea manawa wale nō a ʻaʻole pilikia loa ma mua o ka anaphylaxis i mālama ʻole ʻia.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia ka puʻuwai wikiwiki, ka manaʻo jittery a hopohopo paha, ke poʻo, a me ka noʻonoʻo. Hiki nō hoʻi iā ʻoe ke ʻike i ka hou ʻana, ka nausea, a i ʻole ka ʻono metala i kou waha.

Hana maʻamau kēia mau hopena ʻaoʻao maʻamau no ka mea e hoʻoulu ai ka epinephrine i kāu ʻōnaehana nerve:

• Ka puʻuwai wikiwiki a i ʻole palpitations
• Ke haʻalulu a i ʻole ka haʻalulu ʻana o nā lima
• Ka manaʻo hopohopo a ʻoluʻolu paha
• Ke poʻo a i ʻole ka noʻonoʻo
• Ka hou ʻana ma mua o ka maʻamau
• Nausea a i ʻole ka ʻōpū
• He paʻakikī ka hiamoe inā hoʻohana ʻia ma hope o ka lā

ʻO ka hapa nui o kēia mau hopena e mae i loko o 10-20 mau minuke i ka wā e pau ai ka lāʻau. ʻO lākou ka pane maʻamau o kou kino i ka adrenaline a ʻaʻole maʻamau ke kumu no ka hopohopo hou.

He kakaikahi nā hopena ʻaoʻao koʻikoʻi akā hiki ke komo i ka ʻeha o ka umauma nui, ka puʻuwai puʻuwai ʻole, a i ʻole ke koko kiʻekiʻe loa. Eia naʻe, ʻoi aku ka haʻahaʻa o kēia mau pilikia ma mua o ka pilikia o ka make ʻana mai ka anaphylaxis i mālama ʻole ʻia.

ʻIke kekahi poʻe i ka huhū ihu, nā ihu, a i ʻole ka manaʻo wela i ka ihu kahi i pīpī ʻia ai ka lāʻau. He maʻalahi a he manawa pōkole kēia mau hopena kūloko.

ʻO wai ka mea pono ʻole e lawe i ke ala ihu epinephrine?

Hiki i ka poʻe kokoke i nā mea a pau ke hoʻohana palekana i ke ala ihu epinephrine i ka wā anaphylaxis no ka mea ʻoi aku ka maikaʻi ma mua o nā pilikia ke pilikia kou ola. Eia naʻe, pono kekahi poʻe i ka nānā ʻana i ka lāʻau lapaʻau hou aʻe ma hope o ka hoʻohana ʻana.

Hiki i ka poʻe me ka maʻi puʻuwai, ke koko kiʻekiʻe, ka maʻi diabetes, a i ʻole nā pilikia thyroid ke ʻike i nā hopena ʻaoʻao ikaika mai ka epinephrine. Akā ʻaʻole kēia manaʻo ʻaʻole pono ʻoe e hoʻohana - ʻo ia hoʻi, pono ʻoe i ka lāʻau lapaʻau me ka wikiwiki ma hope.

Inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, hiki nō iā ʻoe ke hoʻohana i ka epinephrine nasal route no ka anaphylaxis. Ua manaʻo ʻia ka lāʻau lapaʻau he palekana i ka wā hāpai no ka mea ʻo ka anaphylaxis i mālama ʻole ʻia e hōʻike ana i nā pilikia nui aʻe iā ʻoe a me kāu pēpē.

Hiki i nā poʻe ʻelemakule a me ka poʻe e lawe ana i kekahi mau lāʻau lapaʻau e like me nā beta-blockers ke loaʻa nā pane like ʻole i ka epinephrine. Pono kāu kauka e ʻike e pili ana i kāu mau lāʻau lapaʻau a pau i ka wā e kauoha ai i kēia lāʻau lapaʻau pilikia.

Hiki i nā poʻe me nā maʻi puʻuwai koʻikoʻi ke pono i ka nānā ʻana hou aʻe ma hope o ka hoʻohana ʻana i ka epinephrine, akā ʻaʻole pono lākou e pale i ka hoʻohana ʻana i ka wā anaphylaxis. ʻOi aku ka weliweli o nā pilikia o ka puʻuwai mai ka anaphylaxis i mālama ʻole ʻia ma mua o ka lāʻau lapaʻau.

Nā inoa inoa o ka epinephrine nasal route

ʻO ka inoa inoa nui no ka epinephrine nasal route ʻo Neffy, i ʻae ʻia e ka FDA ma ke ʻano he lāʻau lapaʻau epinephrine me ka nila ʻole no ka anaphylaxis. Hāʻawi kēia mea hana i ka lāʻau lapaʻau like me nā mea hoʻoheheʻe epinephrine auto akā ma kou ihu ma kahi o ka injection.

Loaʻa iā Neffy ka mea hana like (epinephrine) e like me nā huahana epinephrine pilikia ʻē aʻe e like me EpiPen a me Auvi-Q, akā hoʻohana ia i kahi ʻano hāʻawi like ʻole. ʻOi aku ka maʻalahi o ka ʻano nasal spray no ka poʻe makaʻu i nā nila a i ʻole nā pilikia me nā injections.

E kauoha kāu kauka i ka brand a me ke ʻano e hana maikaʻi loa no kāu kūlana kikoʻī. Makemake kekahi poʻe i ke ala nasal no ka mea ʻaʻole ia he mea hoʻoweliweli e hoʻohana, ʻoiai ʻo nā mea ʻē aʻe e pili ana me nā mea hoʻoheheʻe auto no ka mea ua kamaʻāina lākou iā lākou.

Nā koho ʻē aʻe o ka epinephrine nasal route

ʻO nā koho nui i ka epinephrine nasal route he epinephrine auto-injectors e like me EpiPen, Auvi-Q, a me nā mana generic. Hāʻawi kēia mau mea hana i ka lāʻau lapaʻau like ma o ka injection wikiwiki i loko o kou ʻiʻo ʻūhā.

ʻO nā mea hoʻokomo ponoʻī ka lāʻau maʻamau no ka anaphylaxis no nā makahiki he nui a hana maikaʻi loa. Hoʻouna lākou i ka lāʻau lapaʻau pololei i loko o ka ʻiʻo muscle, kahi mea a kekahi kauka e makemake ai no ka mea hiki ke wānana ʻia ka absorption.

He kūpono like nā ʻano nasal a me nā ʻano injectable o ka epinephrine i ka mālama ʻana i ka anaphylaxis. ʻO ke koho ma waena o lākou e pili pinepine ana i ka makemake pilikino, ka pae hōʻoluʻolu me nā nila, a me ka ʻōlelo aʻoaʻo a kāu kauka.

Hāpai kekahi poʻe i nā ʻano ʻelua - malia paha e mālama ana i ka ʻehu nasal ma ka hana kahi e pono ai nā poʻe ʻē aʻe e kōkua iā lākou, a e lawe ana i kahi mea hoʻokomo ponoʻī no ka hoʻohana pilikino. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻoholo i ka hui ʻana e hana maikaʻi loa no kou ola.

ʻAʻohe mea ʻē aʻe ʻaʻole epinephrine e mālama pono ai i ka anaphylaxis. Hiki i nā antihistamines e like me Benadryl ke kōkua i nā hopena maʻi maʻi maʻalahi, akā hana lākou i ka lohi a ʻaʻole ikaika loa no ka anaphylaxis e hoʻoweliweli ana i ke ola.

Ua ʻoi aku ka maikaʻi o ke ala nasal Epinephrine ma mua o EpiPen?

He lāʻau lapaʻau maikaʻi loa ke ala nasal epinephrine a me EpiPen no ka anaphylaxis, a ʻaʻole ʻoi aku kekahi ma mua o kekahi. Loaʻa iā lākou ka lāʻau lapaʻau e hoʻopakele ai i ke ola akā hāʻawi lākou ma nā ala like ʻole i loko o kou kino.

He maʻalahi paha ke ala nasal no kekahi poʻe e hoʻohana no ka mea ʻaʻole pono e wehe i nā pāpale palekana, ke kūlana e kūʻē i kou wāwae, a i ʻole ka hana ʻana me nā nila. Hiki ke kōkua nui kēia inā e hopohopo ana ʻoe i ka wā pilikia a i ʻole pono kekahi e kōkua iā ʻoe.

Hoʻouna ʻo EpiPen a me nā mea hoʻokomo ponoʻī i ka lāʻau lapaʻau pololei i loko o ka ʻiʻo muscle, e hāʻawi ana i ka absorption hilinaʻi loa. Makemake kekahi mau kauka i kēia ʻano hana no ka mea he mau makahiki ko lākou ʻike me ka wikiwiki a me ka maikaʻi o kāna hana.

Hoʻopili ke ala nasal i ka lāʻau lapaʻau ma nā kīʻaha koko i loko o kou ihu, hiki ke wikiwiki e like me ka injection akā hiki ke hoʻopilikia ʻia e nā mea e like me ka congestion nasal koʻikoʻi a i ʻole ke kahe ʻana.

Hiki i kāu koho ke hilinaʻi i nā mea e like me kou ʻoluʻolu me nā nila, inā he maʻi kou e pili ana i kou ihu, a i ʻole ka mea hana āu e manaʻo ai he hilinaʻi i ka wā pilikia. Ua ʻae ʻia nā koho ʻelua e ka FDA a he mea lapaʻau.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Epinephrine Nasal Route

He Palekana anei ka Epinephrine Nasal Route no ka maʻi puʻuwai?

ʻAe, palekana ka epinephrine nasal route no ka poʻe me ka maʻi puʻuwai ke hoʻohana ʻia no ka anaphylaxis, ʻoiai paha e hana i nā hopena ʻaoʻao ikaika e pili ana i ka puʻuwai. Hiki i ka lāʻau lapaʻau ke hoʻonui i kou puʻuwai a me ke koko, akā ʻoi aku ka weliweli o ka anaphylaxis i mālama ʻole ʻia i kou puʻuwai ma mua o ka lāʻau lapaʻau.

Inā he maʻi puʻuwai kou, pono ʻoe e hoʻohana i ka epinephrine i ka wā anaphylaxis akā e ʻimi koke i ka mālama olakino pilikia ma hope. Hiki i nā limahana o ka haukapila ke nānā i kou puʻuwai a hāʻawi i nā lāʻau lapaʻau hou inā pono.

Pono kāu cardiologist a me ka allergist e hana pū e hana i kāu hoʻolālā hana anaphylaxis, e hōʻoia ana ua ʻike ʻoe i ka wā e hoʻohana ai i ka epinephrine a me nā hōʻailona e pili ana i ka puʻuwai e nānā ai ma hope.

He aha kaʻu e hana ai inā hoʻohana hewa au i ka nui o ka Epinephrine Nasal Route?

Inā hoʻohana hewa ʻoe i ka nui o ka epinephrine nasal route, e kelepona iā 911 a i ʻole ka mana hoʻomalu i ka lāʻau make a e ʻimi koke i ka mālama olakino pilikia. ʻOiai he kakaikahi nā overdoses me ke ala nasal, hiki i ka nui o ka epinephrine ke hana i nā puʻuwai puʻuwai weliweli a i ʻole ke koko kiʻekiʻe loa.

ʻO nā hōʻailona o ka nui o ka epinephrine e pili ana i ke poʻo nui, ka ʻeha o ka umauma, ka puʻuwai puʻuwai ʻole, ka pilikia o ka hanu ʻana, a i ʻole ka manaʻo e heihei ana kou puʻuwai me ka ʻole o ka mana. Pono kēia mau hōʻailona i ka lāʻau lapaʻau koke.

Mai ho'āʻo e mālama i ka overdose ma ka home. Loaʻa i nā limahana o ka haukapila nā lāʻau lapaʻau a me nā mea hana e mālama pono i nā overdoses epinephrine a nānā i kou puʻuwai a hiki i ka pau ʻana o ka lāʻau.

He aha kaʻu e hana ai inā haʻalele au i kahi mahele o ka Epinephrine Nasal Route?

ʻAʻole hiki iā ʻoe ke “haʻalele i kahi mahele” o ka epinephrine nasal route no ka mea ʻaʻole ia he lāʻau lapaʻau i kēlā me kēia lā - hoʻohana ʻia ia i nā pilikia maʻi maʻi wale nō. Inā ʻoe e ʻike nei i nā hōʻailona anaphylaxis a ʻaʻole i hoʻohana i ka epinephrine, e hoʻohana koke ia.

Inā ua hoʻohana ʻoe i ka epinephrine akā hoʻi mai nā hōʻailona a i ʻole e ʻino ma hope o 5-15 mau minuke, pono paha ʻoe i kahi mahele ʻelua inā loaʻa iā ʻoe kahi mea hana ʻē aʻe. Eia naʻe, pono e hana ʻia kēia hoʻoholo me ke alakaʻi ʻana mai nā limahana lapaʻau pilikia.

ʻO ka mea nui ka ʻike ʻana i ka wā e pono ai ʻoe i ka epinephrine a hoʻohana koke ia ma mua o ke kali ʻana e ʻike inā e hoʻomaikaʻi nā hōʻailona iā lākou iho.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Epinephrine Nasal Route?

ʻAʻole ʻoe e “hooki i ka lawe ʻana” i ka epinephrine nasal route e like me kāu e hana ai i kahi lāʻau lapaʻau i kēlā me kēia lā - hoʻohana wale ʻoe ia i nā pilikia anaphylaxis. Ke hoʻohana ʻoe a loaʻa ka mālama olakino kūpono, ua pau ʻoe me kēlā mahele.

Eia naʻe, pono ʻoe e lawe mau i ka epinephrine me ʻoe inā pilikia ʻoe i ka anaphylaxis. ʻO ia hoʻi ka hoʻololi ʻana i nā mea hana i pau a me ka hōʻoia ʻana iā ʻoe i ke komo ʻana i ka lāʻau lapaʻau i kēlā me kēia manawa e hālāwai ai ʻoe i kāu mau allergens.

Hiki i kekahi poʻe ke hōʻemi i ko lākou pono e lawe i ka epinephrine ma o nā lāʻau lapaʻau e like me ka immunotherapy waha a i ʻole ma ka pale ʻana i kā lākou allergens, akā pono e hana ʻia kēia hoʻoholo me ke alakaʻi ʻana o kāu allergist.

Hiki iaʻu ke hoʻohana i ka Epinephrine Nasal Route inā loaʻa iaʻu ke anu a i ʻole ka ihu paʻa?

ʻAe, hiki iā ʻoe a pono nō e hoʻohana i ka epinephrine nasal route i ka wā anaphylaxis ʻoiai inā loaʻa iā ʻoe ke anu a i ʻole ka ihu paʻa. ʻOiai e pili iki paha ka congestion nasal i ka wikiwiki o ka absorption o ka lāʻau lapaʻau, ʻoi aku ka maikaʻi ma mua o ka mālama ʻole ʻana i ka anaphylaxis.

Hiki i nā kīʻaha koko i loko o kou ihu ke komo i ka lāʻau lapaʻau ʻoiai ke congested ʻoe, ʻoiai e lōʻihi iki paha ka hana. Inā hopohopo ʻoe e pili ana i ka absorption, hiki iā ʻoe ke puhi mālie i kou ihu ma mua o ka hoʻohana ʻana i ka mea hana inā hiki iā ʻoe ke hana pēlā.

Mai ʻae i nā hopohopo e pili ana i ka piʻi ʻana o ka ihu e pale iā ʻoe mai ka hoʻohana ʻana i kēia lāʻau lapaʻau e hoʻopakele ai i ke ola i ka wā pilikia maʻi maʻi. ʻOi aku ka nui o nā pōmaikaʻi ma mua o nā mea e hiki ke hōʻemi i ka pono.