ICalcium, iMagnesium, iPotassium, kunye neSodium Oxybate

Umxholo

• Ukulungiselela iidosi ze-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate, landela la manyathelo:
• Ngaphambi kokuthatha i-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate,
• I-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate inokubangela iziphumo ezibi. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo okanye ezo zidweliswe kwicandelo LESILumkiso ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:
• Iimpawu zokudlula ngaphezulu zinokubandakanya:

I-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate lelinye igama le-GHB, into ehlala ithengiswa ngokungekho semthethweni kwaye ixhatshazwa, ngakumbi ngabantu abadala abancinci kwiindawo zentlalo ezinjengeeklabhu zasebusuku. Xelela ugqirha wakho ukuba uyasela okanye wakha wasela izixa ezikhulu zotywala, wasebenzisa okanye wakha wasebenzisa iziyobisi zasesitalatweni, okanye ukuba usebenzise kakhulu amayeza kagqirha. I-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate zinokuba yingozi xa zithathwa ngabantu ngaphandle komntu ebezimiselwe. Musa ukuthengisa okanye ukunika ikhalsiyam, imagniziyam, i-potassium, kunye neoksadiyamdiliya nakowuphi na umntu; ukuthengisa okanye ukwabelana ngayo kuchasene nomthetho. Gcina i-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate kwindawo ekhuselekileyo, njengekhabhathi okanye ibhokisi, ukuze kungabikho mntu unokuyithatha ngengozi okanye ngenjongo. Gcina umkhondo wokuba kungakanani ulwelo olushiyekileyo kwibhotile yakho ukuze wazi ukuba akukho nto ilahlekileyo.

I-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate inokubangela iziphumo ezibi kakhulu, kubandakanywa neengxaki zokuphefumula. Ukuthatha amayeza athile ngexesha lonyango lwakho nge-calcium, i-magnesium, i-potassium kunye ne-oxybate ye-sodium kunokunyusa umngcipheko wokuba ube neengxaki zokuphefumla okanye zokubeka ubomi emngciphekweni. Tshela ugqirha wakho ukuba uthatha iipilisi zokulala. Ugqirha uya kukuxelela ukuba ungayithathi i-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate ngelixa uthatha la mayeza. Kwakhona, xelela ugqirha wakho ukuba uthatha i-anti-depressants; benzodiazepines ezifana ne-alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), kunye ne triaz amayeza okugula ngengqondo, isicaphucaphu, okanye ukuxhuzula; izihlunu ezonwabisayo; okanye amayeza entlungu. Ugqirha wakho unokufuna ukutshintsha amayeza akho kunye nokubeka esweni ngononophelo. Musa ukusela iziselo ezinxilisayo ngelixa uthatha i-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate.

I-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate ayifumaneki kwii-pharmacy zentengiso. I-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate ifumaneka kuphela ngenkqubo yokuhambisa ethintelweyo ebizwa ngokuba yiNkqubo yeXywav kunye neXyrem REMS. Yinkqubo ekhethekileyo yokuhambisa amayeza kunye nokubonelela ngolwazi malunga namayeza. Amayeza akho aya kuthunyelwa ngeposi usuka kwikhemesti esembindini emva kokuba ulifundile ulwazi kwaye wathetha nosokhemesti. Buza ugqirha wakho ukuba unemibuzo malunga nokuba uza kuwafumana njani amayeza akho.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seMithi) xa uqala unyango ngecalcium, nemagniziyam, potassium, kunye nesodium oxybate kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungasifumana isiKhokelo seMithi kwiwebhusayithi ye-FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.

Gcina lonke ixesha lokudibana nogqirha wakho.

Thetha nogqirha wakho malunga nemingcipheko yokuthatha i-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate.

I-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate isetyenziselwa ukunyanga ukuhlaselwa kwe-cataplexy (iziqendu zobuthathaka bemisipha eziqala ngesiquphe kwaye zihlala okwexeshana) kunye nokulala kakhulu emini kubantu abadala nakubantwana abaneminyaka esi-7 ubudala nangaphezulu abane-narcolepsy (a ingxaki yokulala enokubangela ukulala kakhulu, ngesiquphe ukungalawuleki komnqweno wokulala ngexesha lemisebenzi yemihla ngemihla, kunye ne-cataplexy). I-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate ikudidi lwamayeza abizwa ngokuba yi-central system depressants. I-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate zisebenza ukunyanga i-narcolepsy kunye ne-cataplexy ngokunciphisa umsebenzi kwingqondo.

I-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate iza njengesisombululo (ulwelo) sokudibanisa namanzi uthathe ngomlomo. Ihlala ithathwa kabini ubusuku ngabunye kuba i-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate iyaphela emva kwexesha elifutshane, kwaye iziphumo zedosi enye aziyi kuhlala ubusuku bonke. Idosi yokuqala ithathwa ngexesha lokulala, kwaye idosi yesibini ithathwa iiyure ezi-2/2 ukuya kwezi-4 emva kwethamo lokuqala. I-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate kufuneka ithathwe ngaphandle kwesisu esingenanto, ke idosi yokuqala kufuneka ithathwe ubuncinci iiyure ezi-2 emva kokutya. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo.

Sukuthatha idosi yakho yokulala ngexesha le-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate de wena okanye umntwana wakho ulele kwaye ukulungele ukulala ebusuku. I-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate iqala ukusebenza ngokukhawuleza, kwisithuba semizuzu emi-5 ukuya kweli-15 emva kokuyithatha. Beka idosi yakho yesibini yekhalsiyam, yemagniziyam, potasium, kunye neoksijini yesodiyam kwindawo ekhuselekileyo kufutshane nebhedi yakho (okanye kwindawo ekhuselekileyo oza kuyinika umntwana wakho) ngaphambi kokuba ulale. Sebenzisa iwotshi yealam ukuba uqiniseke ukuba uya kuvuka ngexesha lokuthatha idosi yesibini. Ukuba wena okanye umntwana wakho uvuka ngaphambi kokuba ialam ikhale kwaye ubuncinci iiyure ezi-2/2 okoko uthathe idosi yakho yokuqala, thatha idosi yakho yesibini, ucime ialam, kwaye uphinde ulale.

Ugqirha wakho uya kukuqala ngethamo eliphantsi le-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate kwaye ngokuthe ngcembe yonyuse idosi yakho, hayi rhoqo rhoqo kube kanye ngeveki.

I-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate inokuba ngumkhwa wokwenza. Sukuyithatha ngaphezulu okanye uyithathe rhoqo kunokuyalelwa ngugqirha. Ukuba uthatha i-calcium eninzi, i-magnesium, i-potassium kunye ne-sodium oxybate, unokuba neempawu ezisongela ubomi kubandakanya ukubanjwa, ukuncipha okanye ukuyeka ukuphefumla, ukulahleka kwengqondo, kunye ne-coma. Unokuphinda uhlakulele umnqweno we-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate, uzive unesidingo sokuthatha amanani amakhulu kunye namakhulu, okanye ufuna ukuqhubeka nokuthatha i-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate nangona ibangela iimpawu ezingathandekiyo. Ukuba uthathe i-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate ngezixa ezikhulu kunokuba umiselwe ngugqirha wakho, kwaye ngequbuliso uyeke ukuyithatha, unokufumana iimpawu zokurhoxa njengobunzima bokulala okanye ukulala, ukungazinzi, ixhala, ukucinga okungaqhelekanga, Ukuphulukana nokunxibelelana nenyani, ukulala, ukukhathazeka esiswini, ukungcangcazela kwilungu lomzimba ongakwaziyo ukulilawula, ukubila, ukuxilwa kwezihlunu nokubetha kwentliziyo okukhawulezayo.

I-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate inokukunceda ukulawula iimpawu zakho kodwa ayizukuyinyanga imeko yakho. Qhubeka uthathe i-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate nokuba uziva uphilile. Ungayeki ukuthatha i-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate ngaphandle kokuthetha nogqirha wakho. Ugqirha wakho uya kufuna ukunciphisa umthamo wakho ngokuthe ngcembe. Ukuba ngequbuliso uyeka ukuthatha i-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate, unokuba nokuhlaselwa ngakumbi kwe-cataplexy kwaye unokufumana uxinzelelo kunye nobunzima bokulala okanye ukulala.

Ukulungiselela iidosi ze-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate, landela la manyathelo:

1. Vula ibhokisi engene iyeza lakho ususe ibhotile yeyeza kunye nesixhobo sokulinganisa.
2. Susa isixhobo sokulinganisa kwisisongeli sayo.
3. Vula ibhotile ngokutyhalela ezantsi kwikepusi kwaye ujike ikepusi ngokungqinelana newashi (ngasekhohlo) ngaxeshanye.
4. Beka ibhotile evulekileyo ithe nkqo phezu kwetafile.
5. Bamba ibhotile ime nkqo ngesandla esinye. Sebenzisa esinye isandla ukubeka incam yesixhobo sokulinganisa kwiziko lokuvula ngaphezulu kwebhotile. Cinezela incam ngokuqinileyo kuvulwe.
6. Bamba ibhotile kunye nesixhobo sokulinganisa ngesandla esinye. Sebenzisa esinye isandla ukubuyela kwiplunger de kube kukumakisha okuhambelana nethamo ugqirha wakho amiselweyo. Qiniseka ukuba ugcina ibhotile ethe nkqo ukuvumela iyeza ukuba ligele kwisixhobo sokulinganisa.
7. Susa isixhobo sokulinganisa ngaphezulu kwebhotile. Beka incam yesixhobo sokulinganisa kwenye yeekomityi zokulinganisa zinikwe amayeza.
8. Cinezela phantsi kwiplunger ukukhupha iyeza kwindebe ye-dosing.
9. Yongeza ii-ounces ezi-2 (i-60 milliliters, i-1/4 indebe, okanye malunga neepuni ezine) zamanzi ompompo kwindebe ye-dosing. Yenza hayi xuba iyeza kunye nejusi yeziqhamo, iziselo ezihlwahlwazayo, okanye naluphi na ulwelo.
10. Phinda amanyathelo ama-5 ukuya kwele-9 ukulungiselela idosi ye-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate kwikomityi yesibini yedosi.
11. Beka iminqwazi kuzo zombini iikomityi zokulinganisa. Jika ikepusi nganye ngokwewotshi (ngasekunene) ide icofe kwaye itshixe endaweni yayo.
12. Hlanganisa isixhobo sokulinganisa ngamanzi.
13. Faka ikepusi kwibhotile ye-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate kwaye ubuyisele ibhotile kunye nesixhobo sokulinganisa kwindawo ekhuselekileyo apho zigcinwe kude ebantwaneni nakwizilwanyana zasekhaya. Beka zombini iikomityi zedosi ezilungiselelwe kwindawo ekhuselekileyo kufutshane nebhedi yakho okanye kwindawo ekhuselekileyo yokunika umntwana wakho ukufikelela kubantwana nakwizilwanyana zasekhaya.
14. Xa ilixesha lokuba uthathe idosi yokuqala ye-calcium, i-magnesium, i-potassium, kunye ne-oxybate yesodium, cinezela ezantsi kwikepusi kwaye uyijike ujonge ngasekhohlo (ngasekhohlo). Sela lonke ulwelo xa uhleli ebhedini yakho. Beka ikepusi emva kwindebe, uyijike ngokwewotshi (ngasekunene) ukuyitshixela endaweni yayo, kwaye ulale kwangoko.
15. Xa uvuka i-2/2 ukuya kwi-4 iiyure kamva ukuba uthathe idosi yesibini, phinda inyathelo le-14.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuthatha i-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba u-aleji kwi-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate, nawaphi na amanye amayeza, okanye nasiphi na isithako esikwicalcium, i-magnesium, i-potassium, kunye nesisombululo se-sodium oxybate. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo. Qiniseka ukuba ukhankanya oku kulandelayo: divalproex (Depakote). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wakha wanesiphene se-semialdehyde dehydrogenase (imeko ezuzwe njengelifa apho izinto ezithile zakha emzimbeni kwaye zibangela ukudodobala kunye nokulibaziseka kophuhliso). Ugqirha wakho uya kukuxelela ukuba ungayithathi i-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate.
• xelela ugqirha wakho ukuba uyarhona; ukuba ukhe wacinga ngokuzenzakalisa okanye ukuzibulala okanye ucebe okanye uzame ukwenza njalo; kwaye ukuba unesifo semiphunga okanye wakha wanesifo semiphunga, ukuphefumla nzima, ukuphefumla ubuthongo (ingxaki yokulala ebangela ukuphefumla kuyeke okwexeshana xa ulele), ukuxhuzula, ukudakumba okanye esinye isifo sengqondo, okanye isifo sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate, biza ugqirha wakho.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate.
• Kuya kufuneka uyazi ukuba uya kulala kakhulu ubuncinci iiyure ezingama-6 emva kokuba uthathe i-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate, kwaye usenokozela nasemini. Ungaqhubi ngemoto, usebenzise oomatshini, uhambe ngenqwelomoya, okanye wenze nayiphi na into eyingozi ubuncinci iiyure ze-6 emva kokuba uthathe amayeza akho. Thintela imisebenzi eyingozi ngalo lonke ixesha de ube uyazi ukuba ikukuthinta njani i-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Ukuba uphoswa ithamo lesibini le-calcium, i-magnesium, i-potassium, kunye ne-sodium oxybate, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethosi rhoqo ngobusuku obulandelayo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo. Njalo vumela ubuncinci iiyure ezingama-2/2 phakathi kwamayeza e-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate.

I-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate inokubangela iziphumo ezibi. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukufuma ebhedini
• intloko ebuhlungu
• isiyezi
• ukungcangcazela kwelungu lomzimba ongenakulilawula
• iimvakalelo zokuba ndindisholo, ukurhawuzelela, ukuhlaba, ukutshisa, okanye ukukhasa esikhumbeni
• ubunzima bokuhamba xa ulele okanye uvuka
• isicaphucaphu
• ukugabha
• urhudo
• umlomo owomileyo
• ukucaphuka
• ubuthathaka
• ukudumba kwezihlunu
• ukubila

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo okanye ezo zidweliswe kwicandelo LESILumkiso ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

• ukulala
• amaphupha angaqhelekanga
• ukuphazamiseka
• Ubundlongondlongo
• ixhala
• ukudakumba
• ukudideka okanye iingxaki zememori
• utshintsho kubunzima okanye ukutya
• ukuziva unetyala
• iingcinga zokuzenzakalisa okanye ukuzibulala
• Ndiva ukuba abanye bafuna ukukwenzakalisa
• ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho)
• ukuphulukana nokunxibelelana nenyani
• iingxaki zokuphefumla, ukurhona, okanye ubuthongo bokulala
• ukozela kakhulu emini

I-calcium, i-magnesium, i-potassium kunye ne-sodium oxybate inokubangela ezinye iziphumo. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni nakwizilwanyana zasekhaya. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Thela nawaphi na amayeza aseleyo phantsi kwesinki ukuba ngaphezulu kweeyure ezingama-24 emva kokulungiswa. Nqamleza ileyibhile kwibhotile enesiphawuli uze uyilahle kwibhotile engenanto emgqomeni.Buza ugqirha wakho okanye utsalele ikhemesti esembindini ukuba unemibuzo malunga nokuchithwa okufanelekileyo kwamayeza akho ukuba aphelelwe lixesha okanye awasafuneki.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu zokudlula ngaphezulu zinokubandakanya:

• ukudideka
• iingxaki ngokulungelelanisa
• ukuphazamiseka
• ukulahleka kwengqondo
• ikhoma
• ukuphefumla kancinci, kancinci, okanye okuphazamisayo
• ukulahleka kolawulo lwesinyi
• ukuphulukana nolawulo lwamathumbu
• ukugabha
• ukubila
• intloko ebuhlungu
• ukungaboni kakuhle
• izihlunu zemithambo okanye ukujija
• ukuxhuzula
• ukubetha kwentliziyo kancinci
• ubushushu bomzimba obuphantsi
• izihlunu ezibuthathaka

Buza ugqirha wakho okanye utsalele ikhemesti esembindini ukuba unayo nayiphi na imibuzo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• Xywav^®