He ʻino anei kou ʻū a me ke anu? E aʻo kākou e pili ana iā Promethazine; Codeine Solution.

I kekahi manawa ke loaʻa iā ʻoe ke anu a i ʻole kahi maʻi ʻaleka, ʻaʻole e nalowale maʻalahi ka ʻū, ka ihu wai, a me nā maka ʻāʻī, ʻeā? ʻO ia ka manawa e kuhikuhi ai nā kauka i kahi wai i kapa ʻia ʻo Promethazine; Codeine. He hui pū kēia o nā lāʻau lapaʻau ʻelua. ʻO kekahi he antihistamine, a ʻo kekahi he opioid cough suppressant. I ka hui pū ʻana, e kāohi kēia mau mea ʻelua i kāu mau hōʻailona.

He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?

ʻAe, i kēia manawa ua kuhikuhi ʻia kēia lāʻau lapaʻau e ke kauka, he mea nui e kūkākūkā i kekahi ʻike koʻikoʻi e pili ana i kou olakino me kāu hui mālama ma mua o ka hoʻohana ʻana. ʻO kēia no ka mea ʻoi aku ka maʻalahi o kekahi poʻe me kekahi mau kūlana olakino i kēia lāʻau lapaʻau, a i ʻole e loaʻa paha nā pilikia ʻē aʻe. E nānā e ʻike inā loaʻa iā ʻoe kekahi o kēia mau kūlana:

• ʻO ka maʻi o Addison
• ʻŌpū lolo
• Maʻi diabetes
• Maʻi ʻōpū
• Glaucoma )
• ʻEha poʻo
• Maʻi puʻuwai
• Inā ua loaʻa iā ʻoe kahi puʻuwai puʻuwai kūpono ʻole ma mua ('Mōʻaukala o ka puʻuwai puʻuwai kūpono ʻole')
• Inā ua hoʻohana ʻia ʻoe i nā lāʻau lapaʻau ('Mōʻaukala o ka maʻi hoʻohana waiwai')
• Inā he mea inu mau ʻoe
• Maʻi puʻupaʻa
• Maʻi akepaʻa
• Inā he haʻahaʻa kou koko ('Low blood pressure')
• Nā pilikia o ka māmā a i ʻole ka hanu ʻana, e like me ka hānō
• Pilikia olakino noʻonoʻo ('Kūlana olakino noʻonoʻo')
• Maʻi pancreatic
• Nā kūlana e like me ka hopu ʻana
• Nā pilikia o ka ʻōpū a i ʻole ka naʻau
• Maʻi thyroid
• Ka pilikia o ka mimi ʻana
• Inā ua loaʻa iā ʻoe kahi hopena maʻi ʻē aʻe i nā lāʻau lapaʻau codeine, promethazine, phenothiazines, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā ​​​​mea mālama.
• Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai
• Inā he makuahine hānai ʻoe

Inā loaʻa kekahi mea e like me kēia, pono ʻoe e haʻi aku i kāu kauka , no ka mea, a laila hiki iā lākou ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a i ʻole inā pono lākou e hāʻawi iā ʻoe i kahi mea ʻē aʻe.

Pehea e hoʻohana pono ai i kēia lāʻau lapaʻau?

Pono e lawe ʻia kēia lāʻau lapaʻau ma ka waha. E hahai i nā kuhikuhi ma ka lepili kauoha e like me ka ʻōlelo a kāu kauka a kauka lāʻau paha iā ʻoe. Hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau ma mua a ma hope paha o ka ʻai ʻana. Eia nō naʻe, inā he ʻōpū ʻeha kou, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.

ʻO ka mea nui loa, ʻo ia ka hoʻohana ʻana i kahi puna a i ʻole kahi pahu i hōʻailona kūikawā ʻia i ke ana ʻana i ka lāʻau lapaʻau. ʻAʻole pololei nā tīpune a me nā punetune a mākou ma ka home. E nīnau i ka hale kūʻai lāʻau lapaʻau inā ʻaʻohe āu. Eia kekahi, mai hoʻolapalapa i ka lāʻau lapaʻau i ke ana ʻana. E holoi mau i ke kīʻaha ana me ka wai ma hope o ke ana ʻana. E lawe i ka lāʻau lapaʻau i ka wā e ʻōlelo ai ke kauka iā ʻoe, a i ka nui wale nō i kuhikuhi ʻia. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia.

I kēlā me kēia manawa āu e loaʻa ai kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, inā he mea hou a he hoʻopihapiha paha, e hāʻawi ʻia ʻoe i kahi pepa kuhikuhi kūikawā (he MedGuide). Pono e heluhelu pono ʻia, no ka mea, aia i loko ka ʻike koʻikoʻi no kou palekana.

He mea nui: ʻAʻole ʻae ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki ʻōpio. No laila, e kamaʻilio me kāu kauka e pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki.

He aha ka mea e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau?

Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i ke kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia. Hiki ke lilo i mea weliweli loa kēia, no laila mai hoʻokaʻulua.

Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi.

He aha inā e hala iaʻu kahi mahele lāʻau lapaʻau?

Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi, ʻo ia hoʻi, he lāʻau pālua. ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o nā hopena ʻaoʻao.

ʻO nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau!

I kēia manawa, e kamaʻilio kākou e pili ana i nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau. He mea nui loa kēia, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke hana i nā hopena ʻino ke lawe ʻia me ka promethazine; codeine.

Mai lawe pū me kēia mau mea i ka promethazine; he hopena codeine!

Inā ʻoe e hoʻohana nei i kekahi o kēia mau mea, pono ʻoe e hoʻōki i ka lawe ʻana iā Promethazine; ʻO ka hopena Codeine:

• ʻAila
• ʻO nā antihistamines ʻē aʻe no nā maʻi allergies, cough a me ke anu
• ʻO kekahi mau lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe
• ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, no ka laʻana ʻo amitriptyline, fluoxetine, sertraline
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka hopu ʻana, no ka laʻana carbamazepine, phenobarbital, phenytoin, primidone
• ʻO Cisapride
• ʻO Dofetilide
• ʻO Dronedarone
• Hoʻohana ʻia nā lāʻau anesthetic laulā, e like me halothane, isoflurane, methoxyflurane, a me ka propofol, e hoʻoulu ai i ka hiamoe i ka wā o ke ʻoki ʻana.
• Nā lāʻau anesthetics kūloko, no ka laʻana lidocaine, pramoxine, tetracaine
• Nā lāʻau lapaʻau ʻano 'MAOI' (MAOI e like me Carbex, Eldepryl, Marplan, Nardil, a me Parnate)
• Nā lāʻau lapaʻau e hoʻomaha ai i nā ʻiʻo no ke ʻoki ʻana
• ʻO Metoclopramide
• Nā lāʻau lapaʻau narcotic ʻē aʻe (opiates) no ka ʻeha a i ʻole ke kuni
• ʻO nā phenothiazines (e like me chlorpromazine, mesoridazine, prochlorperazine, thioridazine)
• Pimozide
• ʻO Quinidine

Hiki i kēia mau lāʻau lapaʻau ke launa pū me ka promethazine; codeine ...

Hiki i nā lāʻau lapaʻau aʻe ke launa pū me Promethazine; ʻO ka hopena Codeine. No laila e haʻi aku i kāu kauka e pili ana i kēia mau mea:

• Nā lāʻau lapaʻau antiviral no ka hepatitis, HIV a i ʻole AIDS
• ʻAtropine
• ʻO kekahi mau lāʻau antibiotic, no ka laʻana erythromycin a me clarithromycin
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no nā pilikia o ka ʻōpū mimi, e like me ka oxybutynin a me tolterodine
• ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal, e like me ketoconazole a me ka itraconazole
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi o Parkinson e komo pū me benztropine a me trihexyphenidyl.
• ʻO kekahi mau lāʻau lapaʻau i hāʻawi ʻia no nā maʻi ʻōpū, e like me ka 'dicyclomine', 'hyoscyamine'
• ʻO kekahi mau lāʻau lapaʻau no ka maʻi neʻe, e like me ka scopolamine
• ʻIpratropium
• ʻO nā lāʻau lapaʻau ʻē aʻe e hoʻolōʻihi i ka wā QT (e hana i kahi ʻano puʻuwai maʻamau)
• ʻO Rifampin

ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā pilina āpau e hiki ai. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā mea kanu, nā lāʻau lapaʻau i kauoha ʻole ʻia, a me nā mea hoʻohui meaʻai āu e lawe nei. E haʻi pū i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kekahi mau mea ke launa pū me kāu lāʻau lapaʻau.

Nā mea e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau

Aia kekahi mau mea e pono ai ʻoe e makaʻala i ka wā e hoʻohana ai i kēia lāʻau lapaʻau. E nānā kākou i ke ʻano o ia mau mea.

E lawe i kēia lāʻau lapaʻau e like me ka mea a kāu kauka e ʻōlelo ai. Mai lawe ʻoi aku ma mua o ka nui i ʻōlelo ʻia.Inā ʻoe e hoʻohana i kēia lāʻau lapaʻau no ka manawa lōʻihi, hiki iā ʻoe ke hoʻomohala i kahi "hoʻomanawanui", a i ʻole ka maʻa mau ʻana iā ia. ʻO ke ʻano kēia, i ka hala ʻana o ka manawa, e emi ana ka hōʻoluʻolu mai kou ʻū. Inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona, ​​a inā e ʻoi aku ka ʻino, e haʻi i kāu kauka .

ʻAʻole pono ʻoe e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau ma hope o ka hoʻohana ʻana no ka manawa lōʻihi. ʻO ka hana ʻana pēlā e hiki ai ke hana i kahi hopena koʻikoʻi. ʻO kēia no ka mea ua maʻa kou kino i ka lāʻau lapaʻau. ʻAʻole kēia manaʻo ua lilo ʻoe i mea hoʻopili iā ia. ʻO ka hoʻopili ʻana he ʻano e pili ana i ka loaʻa ʻana a me ka hoʻohana ʻana i kahi lāʻau lapaʻau no ke kumu ʻaʻole no ke olakino. Inā makemake kāu kauka e hoʻōki ʻoe i ka lawe ʻana i ka lāʻau lapaʻau, e hoʻemi mālie lākou i ka nui, i ʻole e loaʻa nā hopena ʻaoʻao.

Aia kekahi mau ʻano o kēia mau lāʻau hoʻomaha ʻeha narcotic (opiates). Inā ʻoe e lawe i kekahi mau ʻano i ka manawa like, a inā ʻoe e lawe i kekahi lāʻau ʻē aʻe e hoʻohiamoe ai iā ʻoe, hiki iā ʻoe ke loaʻa nā hopena ʻaoʻao hou aʻe. No laila e hāʻawi i kāu kauka i kahi papa inoa o nā lāʻau āpau āu e lawe ai. E haʻi lākou iā ʻoe i ka nui e lawe ai. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia. Inā pilikia ʻoe i ka hanu ʻana a i ʻole manaʻo hiamoe ʻole ʻia, e kelepona koke i nā lawelawe ulia pōpilikia.

Hiki i kēia lāʻau lapaʻau ke hoʻohiamoe a poniuniu paha iā ʻoe. No laila, a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe, mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ka noʻonoʻo pono. Mai kū koke a noho paha, ʻoiai inā he ʻelemakule ʻoe. E hōʻemi kēia i ka pilikia o ka poniuniu a me ka hāʻule ʻana. Hiki i ka waiʻona ke hoʻopilikia i ke ʻano o ka hana a kēia lāʻau lapaʻau. No laila, e pale i ka inu ʻana i ka waiʻona.

Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou ʻili i ka lā (photosensitivity). No laila, e pale i ka lā i ka hiki. Inā pono ʻoe e hele i waho i ka lā, e ʻaʻahu i nā lole pale a hoʻohana i ka sunscreen. Mai hoʻohana i nā kukui lā a i ʻole nā ​​​​moena tanning/booths.

Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻōpū. E ho'āʻo e neʻe i ka ʻōpū ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia ʻelua a ʻekolu lā. Inā ʻaʻole ʻoe e neʻe i ka ʻōpū ma hope o ʻekolu lā, e kamaʻilio me kāu kauka . ʻO kēia no ka mea hiki i ka codeine ke hoʻolohi i ka neʻe ʻana o ka ʻōpū. ʻO ka inu ʻana i ka wai he nui a me ka ʻai ʻana i ka fiber hou aku e kōkua paha. Eia nō naʻe, inā koʻikoʻi ka paʻa ʻōpū, pono ʻoe e kamaʻilio me kāu kauka .

Maloʻo paha kou waha. ʻO ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā mea ʻono paʻakikī, a me ka inu ʻana i ka wai he nui e kōkua i ka hoʻomaha ʻana i kēia. Inā hoʻomau kēia pilikia a i ʻole he koʻikoʻi, e ʻike i kāu kauka.E haʻi mai iaʻu. Hiki i kēia lāʻau lapaʻau ke hoʻomaloʻo i nā maka a me ka ʻike maka ʻole. Inā ʻoe e komo i nā aniani hoʻopili, hiki iā ʻoe ke loaʻa i kahi ʻoluʻolu ʻole. Hiki ke kōkua ka hoʻohana ʻana i nā kulu lubricating. Inā hoʻomau kēia pilikia a lilo paha i mea koʻikoʻi, e ʻike i kāu kauka maka.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?

ʻAe, e nānā kākou i nā hopena ʻaoʻao e hiki mai ana ke lawe ʻia kēia lāʻau lapaʻau. He mea weliweli iki kekahi o lākou, a pono ʻoe e haʻi koke i ke kauka. ʻAʻole koʻikoʻi kekahi o lākou, akā inā hoʻomau lākou a lilo paha i mea hoʻopilikia, he manaʻo maikaʻi e haʻi i kāu kauka .

Inā loaʻa iā ʻoe kēia mau hopena ʻaoʻao, e haʻi koke aku i kāu kauka !

• Nā hopena maʻi āpau-ʻili ʻulaʻula, ʻeha, hives, pehu o ka maka, lehelehe, alelo, a puʻu paha
• Kaumaha o ka ʻōnaehana nerve waena ('CNS depression') - hanu lohi a pāpaʻu paha, pōkole o ka hanu, nāwaliwali, poniuniu, huikau, pilikia e ala ai
• Ke kuni nui, nā ʻiʻo ʻoʻoleʻa, ka hou nui ʻana, ka puʻuwai wikiwiki a ʻano ʻole paha, a me ka huikau - hiki i kēia ke lilo i mau hōʻailona o kahi maʻi i kapa ʻia ʻo neuroleptic malignant syndrome.
• Ka maʻi—ke kuni, ke anu, ke kuni, a i ʻole ka ʻeha o ka puʻu
• Hana haʻahaʻa o ke kelepa adrenal—nausea, luaʻi, nalowale o ka makemake, nāwaliwali a luhi paha, poniuniu
• Ke koko haʻahaʻa—ka pōʻino, ka manaʻo palupalu a poʻo māmā paha, ka ʻike maka pōwehiwehi
• ʻO ka ʻeha maka koke a i ʻole nā ​​loli ʻike, e like me ka ʻike maka blurry, ka ʻike ʻana i nā halo a puni nā kukui, a i ʻole ka nalowale o ka ʻike
• Ka pilikia o ka mimi ʻana
• ʻO nā neʻe kino i kāohi ʻole ʻia a hana hou ʻia, ka ʻoʻoleʻa a i ʻole ka ʻūmiʻi ʻana o nā ʻiʻo, ka haʻalulu a i ʻole ka haʻalulu, ka nalowale o ke kaulike a i ʻole ka hoʻonohonoho ʻana, ka hoʻomaha ʻole, ka hele wāwae ʻana - hiki i kēia ke lilo i mau hōʻailona o ka extrapyramidal syndrome (EPS).

ʻAʻole pono e hōʻike ʻia kēia mau hopena ʻaoʻao i ke kauka (akā inā hoʻomau lākou a lilo paha i mea hoʻopilikia, e haʻi iā lākou).

• Ka huikau
• Ka paʻa ʻana o ka ʻōpū
• Pōʻino
• Hiamoe
• Waha maloʻo
• ʻEha poʻo
• Ka luaʻi
• Ka luaʻi ʻana

ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. E kamaʻilio me kāu kauka no ka ʻōlelo aʻoaʻo lapaʻau e pili ana i nā hopena ʻaoʻao. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (1-800-FDA-1088).

Pehea e mālama pono ai a hoʻolei aku i kēia lāʻau lapaʻau?

Aia kekahi ala e mālama ai i kēia lāʻau. He mea nui loa hoʻi e hoʻolei pono iā ia ke pau kāu hoʻohana ʻana a i ʻole ke pau kona lāʻau.

• E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona. Hiki ke hoʻohana hewa ʻia kēia lāʻau lapaʻau ('hana ʻino ʻia'). No laila e mālama iā ia ma kahi palekana e pale aku ai mai ka ʻaihue ʻia. Mai kaʻana like i kēia lāʻau lapaʻau me kekahi. He mea weliweli a kūʻē i ke kānāwai ke kūʻai aku a hāʻawi paha i kēia lāʻau lapaʻau i kekahi.
• E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius - ma waena o 59 a me 86 kekelē Fahrenheit). E pale mai ka mālamalama.
• Hiki i kēia lāʻau lapaʻau ke hōʻino a make paha inā lawe ʻia e nā pākeke ʻē aʻe, nā keiki, a i ʻole nā ​​holoholona. No laila , he mea nui loa e hoʻolei aku iā ia i ka wā e pono ʻole ai ʻoe a i ʻole i ka wā e pau ai ka lāʻau. ʻElua ala e hana ai i kēia:
• E lawe i kēia lāʻau lapaʻau i kahi papahana lawe-hoʻihoʻi lāʻau lapaʻau. E nīnau i kāu hale kūʻai lāʻau lapaʻau a i ʻole nā ​​mākaʻi e pili ana i ia ʻano papahana.
• Inā ʻaʻole hiki iā ʻoe ke hoʻihoʻi i ka lāʻau lapaʻau, e nānā i ka lepili a i ʻole ka loko o ka lāʻau lapaʻau e ʻike ai inā pono e hoʻolei ʻia i loko o ka ʻōpala a hoʻolei ʻia paha i loko o ka lua. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka a kauka lāʻau paha. Inā palekana ke hoʻolei ʻana i loko o ka ʻōpala, e lawe i ka lāʻau lapaʻau mai loko mai o ka pahu. E kāwili i ka lāʻau lapaʻau me kahi mea āu e pono ʻole ai, e like me ka ʻōpala pōpoki, ka lepo, a i ʻole ka lepo kope. E hoʻokomo i ka hui ʻana i loko o kahi ʻeke a i ʻole ka pahu a sila pono. A laila e hoʻolei i loko o ka ʻōpala.

ʻO ka mea hope loa, kekahi mau mea nui e hoʻomanaʻo

ʻOiai ʻo kēia wai hoʻōla "Promethazine; Codeine" he lāʻau lapaʻau i hāʻawi ʻia no ke kuni, ke anu, a me nā hōʻailona allergy, he lāʻau lapaʻau ia e pono e hoʻohana ʻia me ke akahele nui no ka mea aia i loko kahi mea "opioid" i kapa ʻia ʻo "codeine. "

• E lawe wale i ka nui a kāu kauka e ʻōlelo ai iā ʻoe e lawe, a e like me ke kauoha. Hiki i ka lawe ʻana i nā mea hou aku ke lilo i mea weliweli.
• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā maʻi ʻē aʻe āu e loaʻa ai, no ka mea, hiki i kēia lāʻau ke launa pū me nā lāʻau lapaʻau ʻē aʻe.
• No ka mea hiki ke hoʻohiamoe, mai hoʻokele kaʻa a hana paha i kekahi mea e pono ai ka noʻonoʻo pono ʻana i ka wā e lawe ana i kēia lāʻau.
• ʻAʻole i ʻae ʻia no ka hoʻohana ʻana e nā keiki. Eia kekahi, e mālama iā ia mai ka hiki ʻana aku o nā keiki.
• Mai lawe pū me ka waiʻona.
• Mai ho'ōki koke i ka hoʻohana ʻana. E ho'ēmi mālie i ka nui e like me ke kuhikuhi a kāu kauka.
• E hoʻolei aku me ka maluhia ke pau ka hoʻohana ʻana a i ʻole ke pau ka lā palena.

Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka, kauka lāʻau, a mea mālama ola kino paha. E hiki iā lākou ke kōkua iā ʻoe.

ʻO ka Promethazine Codeine Solution, Lāʻau lapaʻau no ke kuni, Lāʻau anu, Nā maʻi ʻaleka, Nā Opioids, Nā hopena ʻaoʻao, Hiamoe