ʻO nā Metformin-Teva analogues
Hāʻawi kēia ʻaoʻao i kahi papa inoa o nā Metformin-Teva analogues a pau a me ka hōʻike no ka hoʻohana. ʻO kahi papa inoa o nā analogue maʻalahi, a hiki iāʻoe ke hoʻohālikelike i nā kumukūʻai i nā lāʻau lapaʻau.
- ʻO ka hoʻohālikelike maʻalahi o Metformin-Teva:Hoʻolaha
- ʻO ka mea kaulana loa o Metformin-Teva:Metformin
- Hoʻolaha ATX: Metformin
- Nā mea waiwai / pilikino: metformin
# | Ke poʻo inoa | He kumukūʻai ma Rusia | Kumukūʻai ma Ukraine |
---|---|---|---|
1 | Hoʻolaha metformin Kahi i ka hoʻonohonohoʻana a me nā hōʻike | 12 ʻōpala | 15 UAH |
2 | Metformin metformin Kahi i ka hoʻonohonohoʻana a me nā hōʻike | 13 ʻōpala | 12 UAH |
3 | Reduxin Met metformin, sibutramine Kahi i ka hoʻonohonohoʻana a me nā hōʻike | 20 ʻōpala | -- |
4 | Canon Metformin metformin, ovidone K 90, mauʻa palaoa, crospovidone, magnesium stearate, talc Kahi i ka hoʻonohonohoʻana a me nā hōʻike | 26 ʻōpala | -- |
5 | Kūkulu Analogue i ka hoʻonohonoho ʻana a me ka hōʻike | 37 ʻōpala | -- |
I ke helu ʻana i ke kumukūʻai analogie Metformin-Teva a ʻo ke kumukūʻai haʻahaʻa i loaʻa ma nā papa kumukūʻai i hāʻawi ʻia e nā lāʻau lapaʻau i lawe ʻia i ka mooolelo
# | Ke poʻo inoa | He kumukūʻai ma Rusia | Kumukūʻai ma Ukraine |
---|---|---|---|
1 | Metformin metformin Kahi i ka hoʻonohonohoʻana a me nā hōʻike | 13 ʻōpala | 12 UAH |
2 | Reduxin Met metformin, sibutramine Kahi i ka hoʻonohonohoʻana a me nā hōʻike | 20 ʻōpala | -- |
3 | Siofor Analogue i ka hoʻonohonoho ʻana a me nā hōʻike | 208 ʻōpala | 27 UAH |
4 | Hoʻolaha metformin Kahi i ka hoʻonohonohoʻana a me nā hōʻike | 12 ʻōpala | 15 UAH |
5 | Kūkulu Analogue i ka hoʻonohonoho ʻana a me ka hōʻike | 37 ʻōpala | -- |
Hāʻawi ʻia papa inoa o nā lāʻau lapaʻau kahua o nā helu helu o nā lāʻau lapa i noi nui ʻia
Nā kumumanaʻo i ka mea haku mele a me nā hōʻike no ka hoʻohana
Ke poʻo inoa | He kumukūʻai ma Rusia | Kumukūʻai ma Ukraine |
---|---|---|
Bagometua Metformin | -- | 30 UAH |
He metformin Glucofage | 12 ʻōpala | 15 UAH |
Huʻi ʻia ka metformin xr | -- | 50 UAH |
ʻO Reduxin Met Metinin, ʻo Sibutramine | 20 ʻōpala | -- |
Dianormet | -- | 19 UAH |
Metformin Diaformin | -- | 5 UAH |
ʻO ke metformin metformin | 13 ʻōpala | 12 UAH |
Metformin metozin metformin | -- | 13 UAH |
Siofor | 208 ʻōpala | 27 UAH |
ʻO ka metformin hydrochloride | -- | -- |
ʻO Emnorm EP Metformin | -- | -- |
Megifort Metformin | -- | 15 UAH |
Metamine Metformin | -- | 20 UAH |
Metamine SR Metformin | -- | 20 UAH |
Metfogamma metformin | 256 ʻōpala | 17 UAH |
ʻO Tefor metformin | -- | -- |
Glycometer | -- | -- |
Glycomet SR | -- | -- |
Kālaiʻa | 37 ʻōpala | -- |
Metformin Canon metformin, ovidone K 90, mauʻa palaoa, crospovidone, magnesium stearate, talc | 26 ʻōpala | -- |
Insuffor metformin hydrochloride | -- | 25 UAH |
Diaformin SR metformin | -- | 18 UAH |
Mepharmil Metformin | -- | 13 UAH |
Metformin Metformin | -- | -- |
ʻO ka papa inoa ma luna o nā mea hoʻohālikelike lapaʻau, e hōʻike ana ʻO ke ʻano ʻo Metformin-Teva, kūpono loa ia no ka mea ua like lākou me ka like o nā mea hana a me ke kūleʻa e like me ke kuhikuhi ʻana no ka hoʻohana
Ka ʻokoʻa like, hiki ke pili pū i ka hōʻike a me ke ʻano o ka noi
Ke poʻo inoa | He kumukūʻai ma Rusia | Kumukūʻai ma Ukraine |
---|---|---|
Avantomed rosiglitazone, metformin hydrochloride | -- | -- |
ʻO Glibenclamide Glibenclamide | 30 ʻōpala | 7 UAH |
Maninyl Glibenclamide | 54 ʻōpala | 37 UAH |
ʻO ka Glibenclamide-Health Glibenclamide | -- | 12 UAH |
Glyurenorm glycidone | 94 ʻōpala | 43 UAH |
ʻO Bisogamma Glyclazide | 91 ʻōpala | 182 UAH |
ʻO Glidiab Glyclazide | 100 rub | 170 UAH |
Diabeton MR | -- | 92 UAH |
Diagnizide mr Gliclazide | -- | 15 UAH |
ʻO Glidia MV Gliclazide | -- | -- |
ʻO Glykinorm Gliclazide | -- | -- |
Hoʻolaha ʻia Gliclazide | 231 rub | 57 UAH |
Glyclazide 30 MV-Indar Glyclazide | -- | -- |
Hoʻolaha-Hoʻolima Glyclazide-Health | -- | 36 UAH |
ʻO Glioral Glyclazide | -- | -- |
Hoʻolaha Glaclazide Diagnizide | -- | 14 UAH |
Diazide MV Gliclazide | -- | 46 UAH |
Osliklid Gliclazide | -- | 68 UAH |
Gliclazide Diadeon | -- | -- |
ʻO Glyclazide MV Gliclazide | 4 ʻōpala | -- |
Amaril | 27 ʻōpala | 4 UAH |
Glimepiride ʻO Glemaz | -- | -- |
Hoʻolaha ʻia ka inoa momona | -- | 77 UAH |
ʻO Glimepiride Glyride | -- | 149 UAH |
Diapiride Glimepiride | -- | 23 UAH |
Alarahi | -- | 12 UAH |
Hoʻolālā ʻia ʻo Glimax | -- | 35 UAH |
Gimepiride-Lugal glimepiride | -- | 69 UAH |
Clay glimepiride | -- | 66 UAH |
Glabepiride diabrex | -- | 142 UAH |
Nā glimepiride ʻo Meglimide | -- | -- |
Melpamide Glimepiride | -- | 84 UAH |
ʻO ka glimepiride Perinel | -- | -- |
Hoʻohui | -- | -- |
Kahiʻu | -- | -- |
Gimepiride glimepiride | 27 ʻōpala | 42 UAH |
ʻO Glimepiride-teva glimepiride | -- | 57 UAH |
Gimepiride Canon glimepiride | 50 ʻōpala | -- |
ʻO Glimepiride Pharmstandard glimepiride | -- | -- |
Dimaril glimepiride | -- | 21 UAH |
ʻO Glamepiride diamerid | 2 hoʻoheʻe | -- |
Amaryl M Limepiride Maikaʻi ʻia, Metformin Hydrochloride | 856 ʻōpala | 40 UAH |
ʻO ka glibenclamide glibomet, metformin | 257 ʻōpala | 101 UAH |
ʻO Glucovans glibenclamide, metformin | 34 ʻōpala | 8 UAH |
Dianorm-m Glyclazide, Metformin | -- | 115 UAH |
Dibizid-m glipizide, metformin | -- | 30 UAH |
Douglimax glimepiride, metformin | -- | 44 UAH |
Duotrol glibenclamide, metformin | -- | -- |
Hoʻolauleʻa | 45 kahi | -- |
Glibofor metformin hydrochloride, glibenclamide | -- | 16 UAH |
Avandamet | -- | -- |
Avandaglim | -- | -- |
ʻO metumin metumin, sitagliptin | 9 ʻōpala | 1 UAH |
Velmetia metformin, sitagliptin | 6026 rub | -- |
Galvus Met vildagliptin, metformin | 259 ʻōpala | 1195 UAH |
ʻO glimepiride Tripride, metformin, pioglitazone | -- | 83 UAH |
Huihui XR metformin, saxagliptin | -- | 424 UAH |
Metformin Comboglyz Prolong, saxagliptin | 130 ʻōpala | -- |
Gentadueto linagliptin, metformin | -- | -- |
ʻO ka metformin Vipdomet, alogliptin | 55 ʻ .pū | 1750 UAH |
Sinjardi empagliflozin, metformin hydrochloride | 240 ʻōpala | -- |
ʻO Voglibose Oxide | -- | 21 UAH |
He pioglitazone Glutazone | -- | 66 UAH |
ʻO Dropia Sanovel pioglitazone | -- | -- |
ʻO Jasonvia sitagliptin | 1369 ʻōpala | 277 UAH |
Galvus vildagliptin | 245 ʻōpala | 895 UAH |
Onglisa saxagliptin | 1472 ʻōpala | 48 UAH |
Nesina alogliptin | -- | -- |
Vipidia alogliptin | 350 ʻōpala | 1250 UAH |
Trazhenta linagliptin | 89 ʻōpala | 1434 UAH |
Lixumia lixisenatide | -- | 2498 UAH |
Guanem guar gum | 9950 ʻōpala | 24 UAH |
Hoʻopau ka Insvada | -- | -- |
Novonorm Repaglinide | 30 ʻōpala | 90 UAH |
Hoʻokomo ʻo Repodiab Repaglinide | -- | -- |
Baeta Exenatide | 150 ʻōpala | 4600 UAH |
Baeta Long Exenatide | 10248 ʻōpala | -- |
Viktoza liraglutide | 8823 kahaki | 2900 UAH |
Saxenda liraglutide | 1374 ʻōpala | 13773 UAH |
Forksiga Dapagliflozin | -- | 18 UAH |
Forsiga Dapagliflozin | 12 ʻōpala | 3200 UAH |
Invocana canagliflozin | 13 ʻōpala | 3200 UAH |
Jardins Empagliflozin | 222 ʻōpala | 566 UAH |
Trulicity Dulaglutide | 115 ʻōpala | -- |
Pehea e ʻike ai i kahi analogue ʻano maʻalahi o kahi lāʻau lapaʻau nui?
No ka ʻike ʻana i kahi analogue kūʻai like ʻole i ka lāʻau lapaʻau, kahi generic a i ʻole synonymation, ʻo ka mea mua mua mākou i manaʻo no ka hoʻolohe ʻana i ka hoʻopili ʻana, ʻo ia nā ʻano like ʻole o nā mea kaha a me nā hōʻailona no ka hoʻohana. Hōʻike ka mea like ʻole o ka lāʻau lapaʻau me ka lapaʻau a like pū me ka lāʻau lapaʻau, kūloko a me ka mea pono i ʻole nā lāʻau lapaʻau. Eia naʻe, mai poina e pili ana i nā māhele like ʻole o nā lāʻau like like, e hiki ai ke hoʻopilikia i ka palekana a me ka hana. Mai poina e pili ana i nā kauoha a nā kauka, hiki i ka lāʻau lapaʻau ponoʻī ke hōʻeha i kou olakino, no laila e ʻōlelo mau i kāu kauka ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau.
ʻFormlelo aʻo Metformin-Teva
Ka hana lāʻau lapaʻau
Hoʻopili ka Metformin i ka glucoseoneogenesis i loko o ka puhiluhi, e hōʻemi ana i ka lilo ʻana o ka glucose i loko o nā lau, hoʻomaikaʻi ai i ka hoʻohana ʻana i peripheral i nā glucose, a hoʻonui pū hoʻi i ka ʻike ʻana o nā io i ka insulin. ʻAʻole pili i ka huna ʻana o ka insulin e nā cell beta o ka pancreas, ʻaʻole ia i ka hopena hypoglycemic. Hoʻemi i ka pae o ka triglycerides a me ka linoproteins haʻahaʻa haʻahaʻa ma ke koko. Mālama a hoʻoikaika paha i ke kaumaha o ke kino. Loaʻa ia he hopena fibrinolytic ma muli o ke kaohi ʻana o kahi kaila plasminogen activator inhibitor.
Lapaʻau lāʻau
Ma hope o ka hoʻopale ʻana i ka waha, hoʻohuihui ʻia ka metformin mai ka digestive tract. Bioavailability ma hope o ka lawe ʻana i kahi maʻa maʻamau he 50-60%. Loaʻa ka Cmax i loko o ke koko koko 2.5 mau hola ma hope o ke kau ʻana. ʻAʻole hiki ke hoʻopaʻaʻia i nā protein plasma. Hoʻomili ia i nā mea kuʻi salivary, nā mākala, nā ʻōpū a me nā puʻupuʻu. Hoʻokuʻu ʻia ia i nā loli a ke keiki. ʻO T1 / 2 he mau hola 9-12. Me ka hana nona kahi paʻa ʻole, hiki i ka cumulation o ka lāʻau.
Nā Hōʻike
- ka maʻi mellitus type 2 me kaʻole o ka ketoacidosis (ʻoi aku hoʻi i nā mea maʻi me ka huelo) me ka maikaʻi ʻole o ka mālama ʻana i nā meaʻai,
- i hui pū me ka insulin - no ka mellitus type 2 no ka lā, keu loa me ka pae i hua ʻia o ka momona, i hui pū ʻia e ka pale kino insulin.
Ka hoʻoponopono ʻia ʻana
Hoʻonohonoho ʻia ka hopena o ka lāʻau e kēlā me kēia kauka, i ka pae o ka glucose i loko o ke koko.
ʻO ka ʻōlelo mua ma 500-1000 mg / lā (1-2 mau papa). Ma hope o nā lā 10-15, hiki ke hoʻonui hou ʻia ka nui o ka wai ma muli o ka pae o ke kaila o ke koko.
ʻO ka mālama mālamaʻana o ka lāʻau no ka mea maʻamau 1500-2000 mg / lā. (3-4 tab.) ʻO ka nui loa ka nui o ka 3000 mg / lā (6 papa).
I nā poʻe maʻi maʻi, ʻaʻole eʻoi aku ka nui o ka lāʻau i kēlā me kēia lā i 1 g (2 mau papa).
Pono e lawe ʻia nā papa metformin i ka wā āpau a ma hope paha o ka ʻaina me ka liʻiliʻi o ka wai (kahi kīʻaha wai). No ka hōʻemi i nā hopena ʻaoʻao mai ka gastrointestinal tract, pono e hoʻokaʻawale ʻia ka nui o ka lā i 2-3 mau pona.
Ma muli o ka hoʻonui nui o ka acidosis lactic, pono e hoʻemi ʻia ka nui o ka maʻi ma ka hopena o ka hōʻoluʻolu metabolic.
Loaʻa ka hopena
Mai ka pūnaehana hana ʻana: nausea, luaʻi, metallic ʻono i loko o ka waha, ka nele ʻana i ka momona, ka ʻōpū ʻana, ka lemela, ka ʻeha o ka ʻōpū. Hoʻohana maʻamau kēia mau hōʻailona i ka hoʻomaka ʻana o ka mālama ʻana a maʻamau e hele ma o lākou iho. Hiki i kēia mau hōʻailona ke hōʻemi i ka koho ʻana o nā anthocides, derivatives o ka atropine a i nā antispasmodics.
Mai ka ʻaoʻao o ka hana o ka metabolism: i nā hihia maʻamau - lactic acidosis (koi i ka hoʻokuʻu ʻana o ka mālama ʻana), me ka mālama lōʻihi ʻana - hypovitaminosis B12 (malabsorption).
Mai nā hemopoietic organitions: i kekahi mau hihia - megaloblastic anemia.
Mai ka pūnaehana endocrine: hypoglycemia.
Nā maʻi kūlou: hāpau ka ʻili.
Nā Hoʻohui
- ka maʻi ketoacidosis maʻi, maʻi diabetes precoma, coma,
- hana Renal hana
- ka maʻi ʻeha me ka pilikia o ka hoʻomohala ʻana i ka hana ʻauha: ka hoʻomōhulu (me ka huehue, hoʻopuka), ka ʻōpū, ka maʻi maʻi pāpaʻi, hypoxia (haʻalulu, sepsis, maʻi pūpū, nā maʻi bronchopulmonary).
- nā mea hōʻike olakino i hōʻike ʻia mai nā maʻi a me nā maʻi e hiki ai ke alakaʻi i ka hoʻomohala ʻana i nā kiko hypoxia (puʻuwai a i ʻole ka hemahema, ʻeha myocardial infarction),
- nā hoʻomaʻamaʻa hāmeʻa koʻikoʻi a me nā hōʻeha (ke hōʻike ʻia ka lāʻau insulin),
- hana hewa pāpaʻi hemahema,
- nā mea paʻa i ka lewa, ka waiʻona huakino
- hoʻohana no ka liʻiliʻi he 2 mau lā ma mua a i loko o 2 mau lā ma hope o ka hoʻopaʻa ʻana i nā haʻawina radioisotope a i ʻole x-ray me ka hoʻomaka ʻana o ka iodine-medium medium,
- ka acidosis lactic (me ka mōʻaukala),
- ka mālamaʻana i kahi pāʻina haʻahaʻa-haʻahaʻa (emi iho ma mua o 1000 cal / lā),
- ka wahine hāpai
- wā lactation,
- Hypersensitivity i ka lāʻau lapaʻau.
ʻAʻole ia e hoʻohana i ka lāʻau i loko o nā kānaka ma mua o 60 mau makahiki o ka mea e hana i ka hana kino kino, a pili pū me ka piʻi nui o ka hoʻomohala ʻana i ka acidact lactic i loko o lākou.
ʻŌpū a me ka lactation
Ke hoʻolālā nei i ka wā hapai, ma ka hopena o ka wā hāpai i ka wā e lawe ai i ka Metformin, pono loa ia e kāpae ʻia a kuhikuhi hoʻi i nā lāʻau lapaʻau. ʻOiai inā ʻaʻohe data i ka komo ʻana i ka waiū umauma, ua hoʻohālikelike ʻia kēia lāʻau lapaʻau i ka umauma. Inā pono e hoʻohana i ka Metformip i ka wā o ka hōʻuluʻulu ʻana, pono e hoʻokaʻawale ka pale umauma.
Nā ʻōlelo kikoʻī
I ka wā mālama, pono ia e nānā i nā hana renal. Ma kahi o 2 mau manawa i ka makahiki, e like me ka nānā ʻana me myalgia, pono ka hoʻoholoʻana o ka lactate ma ka plasma. Eia kekahi, ʻo ia mau manawa i kēlā me 6 mahina pono pono e hoʻomalu i ka pae o ka creatinine i loko o ka serum koko (maʻa mau o nā maʻi o nā makahiki kiʻekiʻe). ʻAʻole pono ke kuhikuhi ʻo Metformin inā he kiʻekiʻe loa ka pae ma ka koko ma mua o 135 mol / L i nā kāne a me 110 mol / L i nā wahine.
Malia paha o ka hoʻohanaʻana i ka lāʻau Metformin i hui pū me ka huaʻala sulfonylurea. I kēia hihia, pono e mālama pono ana i ka pae o ka glucose koko.
ʻO 48 mau hola ma mua a i loko o nā hola 48 ma hope o ka radiopaque (urography, iv angiography), pono e ho'ōki i ka lawe ʻana iā Metformin.
Inā loaʻa i ka mea maʻi ka maʻi bronchopulmonary a i ʻole kahi maʻi hopohopo o nā hanana genitourinary, pono e hoʻomaopopo koke ʻia ke kauka hele mai.
I ka wā mālama, pono ʻoe e pale i ka inu ʻana i ka waiʻona a me nā lāʻau ʻai e pili ana i ka ethanol. . ^ E Ha yM.
Hoʻokomo i ka hiki ke lawe i nā kaʻa a kāohi i nā mīkini
ʻAʻole pili ka hoʻohana ʻana i ka lāʻau lapaʻau ma ka monotherapy i ka hiki ke hoʻokau i nā kaʻa a hana me nā mīkini.
I ka manawa e hui pū ai ʻo Metformin me nā māmala hypoglycemic ʻē aʻe (sulfonylurea derivatives, insulin), ulu paha nā kūlana hypoglycemic e hiki ai i ka hana ke hoʻokele aku i nā kaʻa a komo i nā hana ʻē aʻe kūpono ʻole e koi ai i ka piʻi nui a me ka wikiwiki o ka psychomotor rea.
Ke keu
Me kahi overdose o Metformin, kahi hopena lactic acidosis me kahi hopena momona. ʻO ke kumu o ka hoʻomohala ʻana o ka acidosis lactic hiki ke lilo i ka hoʻohui ʻia o ka lāʻau ma muli o ka hana renal impaired.
Nā hōʻailona o ka lactic acidosis: nausea, luaʻi, hōʻeha ke hoʻohaʻahaʻa, hoʻohaʻahaʻa i ke ʻano kino o ke kino, ʻeha o ka ʻōpū, ka ʻeha o ka naʻau, i ka wā e hiki mai ana ka nui o ka hanu, ka ʻōpū, ka naʻau a me ka hoʻomohala ʻana i ka piko.
Hoʻomaʻamaʻa : i ka hihia o ka acidact lactic acid, pono e hoʻokaʻawale ke mālama me Metformin, hiki i ka mea maʻi ke hoʻomanawanui i ka haukapila a me ka hoʻoholo ʻana i ke kūpaʻa o ka lactate, e hōʻoia i ka maʻi maʻi. ʻO ka ʻoi aku ka hopena e hiki ai ke hoʻopau i ka lactate a me ke metformin mai ke kino he hemodialysis. Hoʻopili ʻia hoʻi ka hana maʻi Symptomatic.
I ka hui pū ʻana me Metformin a me sulfonylureas, hiki i ka hypoglycemia ke ulu.
Hoʻohui nūhou
ʻAʻole kōkua ʻia ka hoʻohana pinepine ʻana o danazolea e pale ai i ka hopena hyperglycemic o ka mea hope. Inā pono ke mālama ʻana me ka danazol a ma hope o ka hoʻokuʻu ʻana i ka hopena, pono ka hoʻoponopono ʻana o ka metformin a me ka iodine e hoʻomalu i ka pae o ka glycemia.
ʻO nā hui e koi ana i ka mālama kūikawā: chlorpromazine - i ka wā e lawe ai i nā dosis he nui (100 mg / lā) e hoʻonui i ka glycemia, e hoʻoneʻe ana i ka hoʻokuʻu ʻana i ka insulin.
I ka mālamaʻana i nā antipsychotics a ma hope o ka pau ʻana i ka lawe ʻana i ka hopena, pono ka hoʻoponopono ʻana o ka metformin i lalo o ka kaohi o ka pae glycemia.
Me ka hoʻohana like ʻana me nā derivatives sulfonylurea, acarbose, insulin, NSAIDs, MAO inhibitors, oxytetracycline, ACE inhibitors, clofibrate derivatives, cyclophosphamide, β-blockers, hiki ke hoʻonui i ka hopena hypoglycemic o ka metformin.
Me ka hana like me ka GCS, ka poʻe i hoʻohālikelike i ka waha, epinephrine, sympathomimetics, glucagon, hormon tiroid, thiazide a me diuretics loop, derivatives phenothiazine, ka hopena hoʻōla o ka nikotinic, hiki ke hōʻemi i ka hopena hypoglycemic o metformin.
Hoʻololi ʻo Cimetidine i ke kāpae ʻana o ka metformin, e hoʻonui ai i ka hopena o ka lactic acidosis.
Hiki i ka metformin ke nawaliwali i ka hopena o nā anticoagulants (derivatives Coumarin).
Hoʻonui ka ʻōpū i ka waiʻona i ka hopena o ka hoʻomohala ʻana i ka waikaʻi lactic i ka wā o ka hoʻohuʻawaʻawa ʻawa o ka waiʻona, ka mea nui a i nā hihia ʻaina ʻole e hele nei ma kaʻai haʻahaʻa, a me ka puʻuwai hemahema.
Hoʻohui Kūʻai Kūʻai
Ke kūleʻa aku nei ka lāʻau lapaʻau.
Nā kuleana a me nā kūlana e waiho ai
E kūʻai ma kahi maloʻo malū a maloʻo ma kahi wela o 15 ° a 25 ° C.
Mai mālama i nā keiki.