Hoʻopili anei nā lāʻau lapaʻau āu e lawe nei kekahi i kekahi? (Nā Hana Pilikino Lāʻau Lapaʻau) E ʻike pono kākou e pili ana i kēia!

I kēia mau lā, nui ka poʻe o kākou e lawe nei i nā lāʻau lapaʻau no nā maʻi he nui. Ke lawe nei paha ʻoe i hoʻokahi no kou koko koko, kekahi no kou cholesterol, a kekahi no kou maʻi diabetes. Hiki paha iā ʻoe ke lawe i kahi lāʻau ʻeha mai ka hale kūʻai lāʻau no ka ʻeha ʻāʻī. Akā ua manaʻo paha ʻoe e hiki i kēia mau lāʻau ke "kamaʻilio" kekahi i kekahi, a i kekahi manawa "hakakā" kekahi i kekahi? ʻO ia ka mea a mākou e kapa nei he mau pilina lāʻau, a i ʻole "Drug Interactions". He kumuhana koʻikoʻi loa kēia e pono ai kākou a pau e makaʻala.

He aha ka pilina lāʻau?

I ka ʻōlelo maʻalahi, ʻo ka "Drug Interaction" ʻo ia ka wā e hoʻololi ai kahi lāʻau lapaʻau āu e lawe ai i kāna hana ma muli o kekahi mea ʻē aʻe e komo i loko o kou kino (hiki ke lilo i lāʻau lapaʻau ʻē aʻe, meaʻai, mea inu, wikamina), a i ʻole kekahi maʻi ʻē aʻe āu e loaʻa nei. Ua like kēia me nā kaʻa ma ke alanui. Inā hele kēlā me kēia kaʻa i kona ala ponoʻī, ʻaʻohe pilikia. Akā inā hele mai kekahi kaʻa ma ke ala hewa, hiki ke loaʻa kahi ulia, ʻeā? Pēlā nō ka mea e hana ʻia me nā lāʻau lapaʻau.

Ke hana ʻia kēia ʻano pilina, hiki ke hana ʻia ʻekolu mau mea nui:

• Ka emi ʻana o ka pono o ka lāʻau lapaʻau: ʻO ke ʻano kēia, ʻaʻole hana pono ka lāʻau lapaʻau. Inā ʻoe e lawe i ka lāʻau lapaʻau no ke koko, inā ʻaʻole i komo pono ʻia e ke kino ma muli o kekahi mea ʻē aʻe, ʻaʻole e emi ke koko.
• Ka nui o ka lāʻau lapaʻau: I kekahi manawa hoʻomaka ka hana a ka lāʻau lapaʻau i ka nui loa, kahi e hiki ai ke hana i ka pōʻino ma mua o ka maikaʻi.
• Nā hopena ʻaoʻao a i ʻole ka ʻawahia: Hiki i nā lāʻau ʻelua ke launa pū kekahi me kekahi a hana i nā hopena ʻaoʻao hou a i ʻole ka ʻawahia.

E noʻonoʻo, hiki i kekahi lāʻau lapaʻau āu e lawe ai ke launa pū me nā mea e like me:

• ʻO kekahi lāʻau lapaʻau āu e lawe ai (hiki ke lilo i kauka lapaʻau mai ke kauka a i ʻole kahi lāʻau lapaʻau over-the-counter (OTC) āu e kūʻai ai mai kahi hale kūʻai lāʻau lapaʻau).
• Nā mea hoʻopihapiha meaʻai e like me nā huaora, nā papa hao, a me nā mea kanu.
• Hiki iā ʻoe ke ʻai a inu paha.
• ʻAila.
• Paka.
• Nā lāʻau lapaʻau ʻē aʻe.

ʻAʻole wale kēia mau mea, akā ʻaʻole paha e kūpono kekahi mau lāʻau lapaʻau iā ʻoe ma muli o nā kūlana olakino ʻē aʻe āu. Eia kekahi laʻana, hiki i kahi lāʻau lapaʻau no kekahi kūlana ke hoʻonui i kahi kūlana ʻē aʻe āu.

Akā, mai hopohopo. ʻO ka hapa nui o ka manawa, he manawa pōkole a hiki ke mālama ʻia kēia mau pilina lāʻau. Hiki i kāu kauka ke hoʻololi i ka nui o kāu lāʻau lapaʻau a haʻi aku paha iā ʻoe e hoʻōki i ka ʻai ʻana i kekahi mau meaʻai no kekahi manawa. Akā, hiki i kekahi mau pilina ke koʻikoʻi loa a hiki ke hoʻoweliweli i ke ola. No laila, ʻo ka ʻike ʻana iā lākou a me ka lawe ʻana i nā hana e pale aku ai iā lākou hiki ke kōkua iā ʻoe e loaʻa ka hapa nui o kāu lāʻau lapaʻau.

ʻO wai ka mea i ʻoi aku ka pilikia?

Hiki ke hana i nā pilina lāʻau lapaʻau i kekahi o kēlā me kēia makahiki, akā inā ʻoe e lawe ana i nā lāʻau lapaʻau he nui a i ʻole he nui nā kūlana olakino, ʻoi aku ka nui o ka pilikia.

Ma keʻano laulā, i ko kākou ʻelemakule ʻana, loaʻa iā kākou nā maʻi maʻi mau loa. No laila, piʻi ka nui o nā lāʻau lapaʻau a kākou e lawe ai. E noʻonoʻo e pili ana i ia mea, i ka wā e hana pū ana nā kemika a me nā kaʻina hana i loko o kou kino, ʻoi aku ka kiʻekiʻe o ka hiki ke hana hewa kekahi mea, ʻeā?

Ua like ia me ka hoʻolei ʻana i kahi pāʻina. Inā ʻoe e kamaʻilio wale me kekahi mau hoaaloha āu i ʻike maikaʻi ai, hiki iā ʻoe ke loaʻa kahi pāʻina maikaʻi. Akā, ʻo ka nui o nā malihini āu e kamaʻilio pū ai, ʻo ka nui o ka hiki ke loaʻa kekahi mau manaʻo kūʻē. E like me ka poʻe ma kahi pāʻina, hiki i nā lāʻau lapaʻau ke launa pū kekahi me kekahi ma nā ʻano ʻaʻole i like ka launa pū.

ʻO ia ke kumu he mea nui e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau hou a mea hoʻohui paha, a i ʻole ma mua o ka hana ʻana i kekahi hoʻololi i kāu papa inoa lāʻau lapaʻau o kēia manawa. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻoholo i nā lāʻau lapaʻau maikaʻi loa iā ʻoe, ka mea pono loa, a me ka palekana loa, a inā palekana lākou e lawe hoʻokahi a i ʻole e hui pū me nā lāʻau lapaʻau ʻē aʻe.

He aha nā ʻano nui o nā pilina lāʻau?

Hiki ke hoʻokaʻawale ʻia kēia mau pilina i ʻehā mau māhele nui. E nānā kākou i ke ʻano o lākou.

1. Nā pilina lāʻau lapaʻau

ʻO kēia ke ʻano a mākou e ʻike pinepine ai. Hoʻololi kekahi lāʻau i ke ʻano o ka hana ʻana o kekahi lāʻau ʻē aʻe. Hiki i kēia ke hana:

• Ma waena o nā lāʻau ʻelua i kauoha ʻia e ke kauka.
• Ma waena o nā lāʻau lapaʻau ʻelua āu i kūʻai ai ma ka hale kūʻai lāʻau lapaʻau.
• Ma waena o ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka a me ka lāʻau lapaʻau āu i kūʻai ai ma ka hale kūʻai lāʻau.

Eia kekahi, hiki i ka paka, ka waiʻona, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe ke launa pū me ka lāʻau lapaʻau āu e lawe nei a hoʻoulu i nā hopena makemake ʻole.

Nā mea e hiki ke hana me kēia ʻano pilina:

• Hiki ke hoʻonui ʻia nā hopena ʻaoʻao: E noʻonoʻo e lawe ana i ʻelua mau lāʻau lapaʻau me ka mea hana like. No ka laʻana, inā ʻoe e lawe i kahi lāʻau hoʻomaha ʻeha me ka acetaminophen no ka ʻeha ʻāʻī a laila kekahi lāʻau lapaʻau ʻē aʻe me ka acetaminophen no ke anu, e hoʻonui ʻia ka nui o ka acetaminophen e hiki aku i kou kino. Hiki i kēia ke hoʻonui i nā hopena ʻaoʻao a i ʻole e hoʻoulu i ka ʻawaʻawa o ke ake.
• ʻAʻole paha e hana maikaʻi nā lāʻau lapaʻau: Hana kekahi mau lāʻau lapaʻau kekahi i kekahi. Hiki i kekahi ke ālai i kahi protein i loko o ke kino, aʻo kekahi e hoʻoulu iā ia. I kēia hihia, ʻaʻole e loaʻa i nā lāʻau lapaʻau ʻelua ka hopena i makemake ʻia.
• Hiki ke loli ke ʻano o ka hana ʻana o kahi lāʻau lapaʻau: Hoʻopilikia kekahi mau lāʻau lapaʻau i ka maikaʻi o ka komo ʻana o nā lāʻau lapaʻau ʻē aʻe i loko o ke kino. Eia kekahi, hoʻololi kekahi mau lāʻau lapaʻau i ka wikiwiki o ka wāwahi ʻana o ko kākou akepaʻa i nā lāʻau lapaʻau ʻē aʻe. Hiki i kēia ke kumu i ka wāwahi koke ʻana o ka lāʻau lapaʻau a lilo i mea ʻole, a i ʻole hiki ke noho i loko o ke kino no ka manawa lōʻihi a lilo i ikaika loa.

No laila, ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau hou (inā he lāʻau lapaʻau a OTC paha), e kamaʻilio me kāu kauka. E haʻi iā ia e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. Inā ʻoe e hoʻohana i ka waiʻona, nā cigarette, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe, he mea nui no kou palekana ponoʻī e wehe e pili ana i ia mea.

2. Nā pilina lāʻau lapaʻau-mea hoʻohui

Manaʻo pinepine mākou no ka mea he "kūlohelohe" nā mea e like me nā huaora a me nā mea hoʻohui lāʻau lapaʻau, ʻaʻole hiki iā lākou ke hana i kahi pōʻino. He kuhihewa nui kēlā. Hiki i kekahi mau mea hoʻohui ke hōʻemi a hoʻonui paha i ka pono o nā lāʻau lapaʻau āu e lawe ai, a i ʻole e hoʻoulu i nā hopena ʻaoʻao weliweli.

ʻO kekahi o nā mea weliweli loa o kēia ʻo ia ka wort o St. John.He lāʻau lapaʻau ia. Hoʻopili ia me nā lāʻau lapaʻau he nui, i kekahi manawa ma ke ʻano e hoʻoweliweli ai i ke ola. No ka laʻana, hiki i ka wort ʻo St. John ke hana i kahi maʻi weliweli i kapa ʻia ʻo Serotonin Syndrome ke lawe pū ʻia me SSRIs, kahi papa o nā lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana e like me ke kaumaha.

ʻO kekahi mau mea ʻē aʻe e hiki ke hoʻoulu i nā pilikia hou aʻe:

• Nā mea hoʻoheheʻe koko: He mau mea hoʻokahe koko kēia. Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko e like me Warfarin, a inā ʻoe e hoʻomākaukau ana no ke ʻoki kino, ʻo ka lawe ʻana i kēia mau mea e hiki ai ke hoʻokahe nui i ke koko.
• Goldenseal: Hoʻopilikia kēia i ke ʻano o ka wāwahi ʻana o ke akepaʻa i nā lāʻau lapaʻau a hiki ke hoʻopilikia i nā lāʻau lapaʻau he nui.
• Nā mea hoʻohui kī ʻōmaʻomaʻo i hoʻohuihui ʻia: ʻAʻole kēia ke kī ʻōmaʻomaʻo a mākou e inu nei, akā nā mea hoʻohui i hoʻohuihui ʻia. Hiki i kēia ke launa pū me ka "pseudoephedrine" i loaʻa i loko o kekahi mau lāʻau anu.

He mau laʻana wale nō kēia. Ma mua o kou lawe ʻana i kekahi mea hoʻohui, he mea nui e nānā me kāu kauka e hōʻoia i ka palekana nou. Pono ʻoe e noʻonoʻo hou e pili ana i ka lawe ʻana, ʻoiai inā loaʻa iā ʻoe kekahi o kēia mau kūlana:

• Inā ʻoe e lawe ana i kahi lāʻau lapaʻau me kahi pae therapeutic haiki: ʻO ke ʻano kēia, pono e pololei loa ka pae o ka lāʻau lapaʻau i loko o ke kino. ʻOiai ka nui a liʻiliʻi paha hiki ke lilo i mea weliweli. Hiki i kekahi mau mea hoʻohui ke hoʻopilikia i kēia kaulike. Nā laʻana: Carbamazepine, Phenytoin, a me Warfarin, i hoʻohana ʻia e pale aku i ke kāpili ʻana o ke koko.
• Inā ʻoe e hoʻomākaukau ana no ke ʻoki kino: Hiki i kekahi mau mea hoʻohui ke hoʻopilikia i nā lāʻau lapaʻau i hoʻohana ʻia no ka anesthesia, hoʻonui i ke kahe koko, a hoʻopilikia i ke koko a i ʻole ka helu o ka puʻuwai.

3. Nā pilina lāʻau lapaʻau-meaʻai/mea inu

ʻAe, hiki i kāu mea e ʻai ai a inu ai ke hoʻololi i ke ʻano o ka hana ʻana o kāu mau lāʻau lapaʻau. ʻO kekahi mau meaʻai a me nā mea inu:

• Hiki iā ia ke pale i ka komo ʻana o ka lāʻau lapaʻau i loko o ke kino.
• Hiki ke hoʻololi ʻia ka metabolism o kahi lāʻau lapaʻau, e hoʻonui ana a hoʻemi ana paha i kona pono.
• Hiki iā ia ke hoʻopaneʻe i ka hoʻopau ʻana o ka lāʻau mai ke kino a hoʻoulu i ka ʻawahia.

E nānā kākou i nā meaʻai a me nā mea inu nui e hoʻoulu ai i kēia ʻano pilikia.

ʻO ia ke kumu i ʻōlelo ʻia ai kekahi mau lāʻau lapaʻau e lawe ʻia ma ka ʻōpū ʻole ma mua o ka ʻai ʻana, a ʻōlelo ʻia kekahi e lawe ʻia me ka ʻai ʻana. No laila, e hahai pono i nā ʻōlelo a kāu kauka.

4. Nā pilina lāʻau lapaʻau-kūlana

ʻO ka mea e hana ʻia ma kēia hihia, ʻo ka lāʻau lapaʻau āu e lawe ai no kekahi maʻi e hoʻonui i ka maʻi ʻē aʻe āu e loaʻa nei.

Eia kekahi, hiki i nā lāʻau ʻeha (NSAID) (e.g., Ibuprofen, Naproxen) a me kekahi mau steroid ke hoʻonui i ke koko. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e makaʻala loa i ka wā e lawe ai i nā lāʻau lapaʻau hou.

• Maʻi diabetes
• Ke koko kiʻekiʻe
• Ke kūlana Glaucoma
• Ka prostate i hoʻonui ʻia
• ʻŌpū ʻōpū

Pehea e hiki ai ke pale ʻia kēia mau pilina lāʻau?

Aia kekahi mau mea maʻalahi akā koʻikoʻi loa hiki iā ʻoe ke hana e pale iā ʻoe iho mai kēia mau kūlana pōʻino.

1. E mālama i kahi papa inoa hou o nā mea āpau āu e kūʻai ai.

E hana i puke a ʻāpana pepa paha me nā kikoʻī o kēlā me kēia lāʻau lapaʻau, wikamina, a me nā mea hoʻohui lāʻau lapaʻau āu e lawe ai. E hoʻokomo i kēia ʻike ma loko:

• Inoa piha o ka lāʻau lapaʻau/mea hoʻopihapiha.
• ʻO ka mea hana i loko.
• No ke aha ʻoe e lawe nei?
• Ka nui o ka lāʻau a me ka manawa.
• Pehea ka lōʻihi e pono ai?
• Nā kuhikuhi kūikawā, e like me ma mua a ma hope o ka ʻai ʻana.
• ʻO ka inoa o ke kauka nāna i kuhikuhi i ka lāʻau lapaʻau.

E hoʻomau i kēia papa inoa i kēia manawa. E hāʻawi i kāu kauka ʻohana, kauka loea, a me kāu mau kauka ʻē aʻe a pau i kope hou o kēia papa inoa. Inā hiki, e kiʻi i kāu mau lāʻau lapaʻau a pau mai ka hale kūʻai lāʻau like. Ma kēlā ʻano, e ʻike pū lākou i kāu mau lāʻau lapaʻau. E mālama i kope o kēia papa inoa i loko o kāu ʻeke i nā manawa a pau.

2. E kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi mea.

ʻO kēia ka mea nui loa. ʻO ke kamaʻilio ke kī ma ʻaneʻi.

• E nīnau mau ma mua o ka lawe ʻana i kahi lāʻau lapaʻau hou , wikamina, a i ʻole mea hoʻohui lāʻau lapaʻau. ʻAʻole ia he mea nui inā he mea ia e hiki iā ʻoe ke loaʻa ma ka hale kūʻai lāʻau lapaʻau a inā paha ua lawe ʻoe ia mea no nā makahiki. Hoʻololi ko mākou kino a me nā pono olakino i ka hala ʻana o ka manawa.
• Inā ʻaʻole ʻoe maopopo i kekahi mea e pili ana i ka lāʻau lapaʻau, e nīnau.
• E nīnau i ka mea e hana ai inā e poina iā ʻoe kahi mahele o ka lāʻau lapaʻau.
• E haʻi i kāu kauka inā loaʻa iā ʻoe nā hopena ʻaoʻao hou.
• E haʻi mai iaʻu inā manaʻo ʻoe ʻaʻole e hana ana ka lāʻau lapaʻau.

Ke kuhikuhi kāu kauka i kahi lāʻau lapaʻau hou, mai poina e nīnau i kēia mau nīnau:

• ʻEhia kaʻu e lawe ai a ʻehia mau manawa i ka lā?
• E lawe anei au me ka meaʻai a i ʻole ma ka ʻōpū ʻole?
• He aha nā meaʻai a me nā mea inu e pono iaʻu ke pale aku i ka wā e lawe ana i kēia lāʻau?
• Pono anei iaʻu e ho'ōki i ka lawe ʻana i nā lāʻau lapaʻau ʻē aʻe aʻu e lawe nei?
• He aha nā hopena ʻaoʻao āu e manaʻo ai? He aha kāu e kamaʻilio ai inā loaʻa lākou?

3. E mālama i nā mea āpau i ka hoʻonohonoho pono ʻana.

He mea nui hoʻi e lawe i kāu lāʻau lapaʻau i ka manawa kūpono a me ka pololei. Hiki i nā mea e like me kēia ke kōkua:

• E hoʻopili i kahi kalena me nā manawa lāʻau lapaʻau ma kahi e ʻike ʻia ai, e like me ma ka friji.
• E hoʻohana i kahi pahu pila me nā mahele lāʻau i kēlā me kēia lā (e waiho ma kahi hiki ʻole i nā keiki ke loaʻa).
• E hoʻonohonoho i nā mea hoʻomanaʻo ma kāu kelepona.
• E haʻi aku i kekahi ma ka home e pili ana i kou mau manawa lāʻau lapaʻau.