Kou makuahine, kou makuakāne, kou kupuna wahine, kou ʻanakē... Ehia mau lāʻau lapaʻau a kēia poʻe e lawe ai i ka lā? Malia paha he ʻoi aku ma mua o hoʻokahi, malia paha he 5 a i ʻole 6 paha, ʻeā? Manaʻo mākou he mea maʻamau kēia no ka mea e maʻi ana mākou kekahi ma hope o kekahi i ko mākou ʻelemakule ʻana. Akā, ua manaʻo anei ʻoe ʻaʻole kūpono nā lāʻau lapaʻau a pau i hāʻawi ʻia i kahi ʻelemakule no lākou? ʻO ka ʻoiaʻiʻo, hiki i nā hopena ʻaoʻao o kekahi mau lāʻau lapaʻau ke ʻoi aku ka nui ma mua o nā pono o ka lāʻau lapaʻau. No kēia kumu, pono nā kauka e nānā pono i kēia.
I ka ʻōlelo maʻalahi, he aha nā pae hoʻohālikelike no ka pia?
ʻAe, e mālama kākou i kēia maʻalahi. ʻAʻole pili nā Pae Hoʻohālikelike Beers i kahi hōʻailona pia kikoʻī. He papa inoa ia o nā alakaʻi kikoʻī i hoʻolauna ʻia e ka American Geriatrics Society. Aia i loko o kēia papa inoa nā lāʻau lapaʻau e pono e hāʻawi ʻia me ke akahele loa a i ʻole he mea hōʻino paha i ka poʻe ma luna o 65 mau makahiki .
E noʻonoʻo i kēia ʻano. ʻOkoʻa ka nui o ka lāʻau lapaʻau i hāʻawi ʻia i kahi keiki liʻiliʻi mai ka nui i hāʻawi ʻia i kahi pākeke, ʻeā? Pēlā nō, ʻaʻole pane ke kino o kahi ʻōpio i kahi lāʻau lapaʻau e like me ke kino o kahi ʻelemakule. ʻO ko lākou mau kino, e like me ko lākou mau puʻupaʻa a me ke akepaʻa, ʻaʻole paha i hana nui. No laila, ʻaʻole paha lākou e hiki ke ʻae i kekahi mau lāʻau lapaʻau, a i ʻole he mau hopena ʻaoʻao i manaʻo ʻole ʻia.
Ua ʻike ʻia ma ka noiʻi ʻana he ʻoi aku ma mua o 90% o ka poʻe ma luna o 65 mau makahiki e lawe ana i hoʻokahi lāʻau lapaʻau i kēlā me kēia lā. ʻOi aku ma mua o 66% e lawe ana ma mua o ʻekolu mau lāʻau lapaʻau i kēlā me kēia mahina. No laila, ke lawe ʻoe i nā lāʻau lapaʻau he nui, kiʻekiʻe ka manawa e launa pū ai kekahi lāʻau lapaʻau me kekahi. ʻO ia ke kumu e hoʻohana ai nā kauka i kēia papa inoa i kapa ʻia ʻo Beers Criteria. Ua kapa ʻia hoʻi ʻo Beers List .
He aha nā kumu nui 5 ma nā Pae Hoʻohālikelike o ka Pia?
Ua māhele ʻia kēia alakaʻi i ʻelima mau ʻāpana nui, e kōkua i nā kauka e hoʻomaopopo i ka mea e noʻonoʻo ai ma mua o ke kuhikuhi ʻana i kahi lāʻau lapaʻau.
- Nā lāʻau lapaʻau e pono e hōʻalo ʻia i nā poʻe ma luna o 65 mau makahiki (koe wale nō ka poʻe e loaʻa ana i ka mālama kūikawā ma ka haukapila): ʻO kēia nā lāʻau lapaʻau e hiki ke hoʻopilikia nui aʻe ma mua o ka pono ke hāʻawi ʻia i ka poʻe ʻelemakule.
- Nā lāʻau lapaʻau e pono e pale ʻia e ka poʻe me kekahi mau maʻi: No ka laʻana, no kekahi kanaka me ka maʻi puʻuwai, aia kekahi mau lāʻau lapaʻau e hiki ke hoʻonui i kēlā ʻano. Hoʻokomo ʻia kēlā mau lāʻau lapaʻau ma lalo o kēia māhele.
- Nā lāʻau lapaʻau e hoʻoulu ai i nā hopena ʻino (Nā Hana Lāʻau Lapaʻau) ke lawe ʻia me nā lāʻau lapaʻau ʻē aʻe: I kekahi manawa, hiki i kahi lāʻau lapaʻau palekana ke lawe wale ʻia ke lilo i mea weliweli ke lawe ʻia me kekahi lāʻau lapaʻau ʻē aʻe. Ke kālele nei kēia ʻāpana i kēlā.
- Nā lāʻau lapaʻau e pono e hōʻalo ʻia no ka mea he nui aku ko lākou hopena ʻaoʻao ma mua o nā pono:ʻOiai paha e hāʻawi kekahi mau lāʻau lapaʻau i kahi hōʻoluʻolu mai ka maʻi, hiki i nā hopena ʻaoʻao (e like me ka hāʻule pinepine ʻana, ka huikau) ke koʻikoʻi loa.
- Nā lāʻau lapaʻau e hoʻopilikia ai i ka hana o nā puʻupaʻa a pono e kaupalena ʻia ka nui a i ʻole e hoʻopau ʻia : Hoʻemi maoli ka hana o nā puʻupaʻa me ka makahiki. No laila, hoʻopau mālie ʻia kekahi mau lāʻau lapaʻau mai ke kino. Hāʻawi kēia papa inoa i nā ʻōlelo aʻoaʻo no ka hōʻemi ʻana i ka nui o ia mau lāʻau lapaʻau a i ʻole e pale aku iā lākou āpau.
ʻO ka mea nui, he alakaʻi wale nō kēia e kōkua i kāu kauka e hoʻoholo. ʻAʻole ia e hōʻole i ka ʻike a i ʻole ka hoʻomaopopo ʻana o kāu kauka i kou kūlana.
He aha nā ʻano lāʻau lapaʻau ma kēia papa inoa? (Kekahi mau laʻana)
Aia ma kahi o 100 mau ʻano lāʻau lapaʻau ma kēia papa inoa. No ka mea he paʻakikī ke kamaʻilio e pili ana iā lākou āpau, e nānā kākou i kekahi o nā hiʻohiʻona maʻamau a me ke kumu e hōʻino ai lākou i ka poʻe ʻelemakule. Ke ʻike ʻoe i kēia, e hoʻomaopopo hou aku ʻoe i ke koʻikoʻi o kēia.
| Māhele Lāʻau Lapaʻau | Nā kumu a me nā hiʻohiʻona o ka hōʻino ʻana |
|---|---|
| Nā lāʻau hoʻomaha ʻeha | Eia kekahi laʻana: (Meperidine) . Hiki ke hana i ka neurotoxicity a me ka delirium . |
| Nā lāʻau lapaʻau allergy (Antihistamine) | Eia kekahi laʻana: (Brompheniramine) . Hiki ke loaʻa ka huikau , ka hemahema o ka noʻonoʻo , a me ka delirium . |
| Nā lāʻau hoʻomaha | Eia kekahi laʻana: Benzodiazepines . ʻO ka metabolism i hoʻopilikia ʻia , ka ʻike ʻole, a me ke hele wāwae paʻa ʻole hiki ke alakaʻi i ka hāʻule ʻana. |
| Nā mea hoʻomaʻamaʻa hipnotika | Eia kekahi laʻana: (Barbiturates) . Loaʻa i kēia mau mea kahi pilikia kiʻekiʻe o ka hilinaʻi a me ka overdose . |
| Nā mea hoʻomaha ʻiʻo | Hoʻokumu ia i nā hopena ʻaoʻao e like me ka huikau, ka waha maloʻo , a me ka paʻa ʻana o ka ʻōpū . |
| Nā lāʻau lapaʻau | Eia kekahi laʻana, i ka wā e lawe ʻia ai ʻo Ciprofloxacin me nā lāʻau hoʻomāmā koko e like me Warfarin , piʻi aʻe ka pilikia o ke kahe ʻana o ke koko. |
| Nā lāʻau lapaʻau no ka maʻi diabetes | Eia kekahi laʻana: (Chlorpropamide) . Kiʻekiʻe ka pilikia o ka haʻahaʻa loa o ke kō koko (Hypoglycemia) . |
| Nā lāʻau ʻeha ʻaʻole steroidal (NSAIDs) | Eia kekahi laʻana: (Aspirin) ʻoi aku ma mua o 325mg i kēlā me kēia lā. Hiki ke loaʻa nā ʻōpū ʻeha a me ke kahe koko ma ka ʻōpū . |
Mai hopohopo i kēia papa inoa! ʻAʻole kēia manaʻo ʻaʻole pono e hāʻawi ʻia kēia mau lāʻau lapaʻau i ka poʻe ʻelemakule. I kekahi mau hihia koʻikoʻi, i ka wā ʻaʻohe koho ʻē aʻe, hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau. Akā e hana ʻo ia pēlā ma hope o ka noiʻi pono ʻana i kou kūlana a ma lalo o ka nānā pono ʻana.
No ke aha e loli ai nā hopena o nā lāʻau lapaʻau i ko kākou wā ʻelemakule?
He mea nui hoʻi kēia e ʻike. ʻO ke ʻelemakule ʻana, e loli iki ana kēlā me kēia ʻōnaehana i loko o ko kākou kino. Ma muli o kēia mau loli, e loli pū ke ʻano o ka hana ʻana o nā lāʻau lapaʻau a kākou e lawe ai i loko o ke kino.
- ʻOi aku ka lōʻihi o ka haʻalele ʻana o ka lāʻau lapaʻau i ke kino:I ko kākou ʻelemakule ʻana, lohi iki ka hana ʻana o ke akepaʻa a me nā puʻupaʻa. Hoʻopau kēia mau ʻōkana ʻelua i nā lāʻau lapaʻau e komo i loko o ko kākou kino a hoʻopau iā lākou ma ke ʻano he mau ʻōpala. Ke lohi kēia kaʻina hana, noho lōʻihi nā lāʻau lapaʻau i loko o ke kino. ʻO ia ke kumu i hāʻawi ʻia ai i ka poʻe ʻelemakule nā lāʻau lapaʻau haʻahaʻa.
- Hiki i kahi lāʻau lapaʻau i hāʻawi ʻia no kekahi kūlana ke hoʻopilikia i kekahi: E noʻonoʻo he kanaka ke koko kiʻekiʻe a me ka ʻeha hui. ʻO kekahi mau lāʻau hōʻeha (NSAID) i hāʻawi ʻia no ka ʻeha hui hiki ke hoʻonui i ke koko. No laila, koho ke kauka i kahi lāʻau lapaʻau ma hope o ka noʻonoʻo ʻana i kēia mau mea āpau.
- Nā loli o ke ʻano o ka nohona: Hiki i nā mea e like me kou pae hana, nā mea āu e ʻai ai, a me ka pakeneka momona o kou kino ke hoʻopilikia i ka maikaʻi o ka hana ʻana o kāu lāʻau lapaʻau. No laila, ke kamaʻilio ʻoe me kāu kauka, he mea nui e haʻi iā lākou e pili ana i nā mea hoʻohui āu e lawe ai, nā lāʻau lapaʻau kuʻuna, a me kāu ʻai.
Pehea e hoʻohana ai nā kauka i kēia?
Ma mua o ke kau ʻana o ke kauka i kahi lāʻau lapaʻau no kekahi ma luna o 65 mau makahiki, e nānā pono ʻo ia i kāu mōʻaukala olakino piha, nā maʻi o kēia manawa, a me nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau Ayurvedic).
A laila, nānā ʻo ia e ʻike inā aia ka lāʻau lapaʻau hou āna e hāʻawi aku ai iā ʻoe ma ka papa inoa Beers Criteria. Inā aia ma ka papa inoa, noʻonoʻo ʻo ia i nā pilikia o ka hāʻawi ʻana iā ʻoe, a inā he koho ʻē aʻe palekana.
I ka manawa pinepine, loaʻa i nā kauka nā lāʻau lapaʻau ʻē aʻe e hiki ai iā lākou ke hoʻohana ma kahi o nā mea ma kēia papa inoa. Eia nō naʻe, e like me kaʻu i ʻōlelo ai ma mua, i kekahi manawa pono paha e hāʻawi i kēlā lāʻau lapaʻau. I kēlā mau hihia, e nānā mau kāu kauka iā ʻoe a nānā pono iā ʻoe no nā hopena ʻaoʻao.
No laila, inā he mau nīnau a hopohopo paha kāu e pili ana i ka lāʻau lapaʻau a kou makuahine, kou makuakāne, kou kupuna wahine, a kou ʻanakē paha e lawe nei, mai makaʻu e kamaʻilio pololei me kā lākou kauka e pili ana i ia mea. He mea nui loa kou hopohopo no ko lākou palekana.
Leka Lawe-Home
- ʻO nā Paepae Beers kahi papa inoa o nā alakaʻi e kōkua i nā kauka e kuhikuhi i nā lāʻau lapaʻau i ka poʻe ma luna o 65 mau makahiki.
- I ko kākou ʻelemakule ʻana, loli ke ʻano o ka pane ʻana o ke kino i nā lāʻau lapaʻau, a he mea ʻino paha kekahi mau lāʻau lapaʻau.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau a pau, nā wikamina, a me nā mea hoʻopihapiha āu a i ʻole kāu mea aloha ʻelemakule e lawe nei.
- Mai ho'ōki i ka lawe ʻana i kahi lāʻau lapaʻau i kuhikuhi ʻia a hoʻololi paha i ka dosage me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā loaʻa iā ʻoe kekahi mau pilikia a i ʻole nā hopena ʻaoʻao me kahi lāʻau lapaʻau āu e lawe nei, e kelepona koke aku i kāu kauka.E hoʻomaopopo i ke kauka e pili ana i ia mea.
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