Malia paha e lawe ana ʻoe i kekahi mau ʻano lāʻau lapaʻau no nā maʻi like ʻole i ka manawa hoʻokahi, ʻeā? A i ʻole e lawe paha ʻoe i kahi lāʻau lapaʻau mai ke kauka me kahi huaora a i ʻole kekahi mea hoʻohui ʻē aʻe. I kekahi manawa, me ka ʻike ʻole ʻia e kākou, hiki i kēia mau lāʻau lapaʻau ke "hana maikaʻi ʻole" me ka meaʻai a kākou e ʻai ai, a i ʻole me kekahi maʻi ʻē aʻe i loko o ko kākou kino. ʻO ia ke kumu e kapa wale ai mākou iā lākou he mau pilina lāʻau . He mea kēia e pono ai kākou a pau e makaʻala. No ka mea, he mea hiki ke pōmaikaʻi ka lāʻau lapaʻau inā lawe pono ʻia, akā hiki ke hoʻopilikia iā kākou inā lawe hewa ʻia.
He aha nā pilina lāʻau lapaʻau? E hoʻomaopopo maʻalahi kākou iā lākou!
I ka ʻōlelo maʻalahi, ʻo ka launa pū ʻana o nā lāʻau lapaʻau ke hoʻopilikia kekahi mea āu e lawe ai (e like me kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, mea inu, a mea hoʻohui paha) i ke ʻano o ka hana ʻana o kahi lāʻau lapaʻau, a i ʻole ke hoʻopilikia kekahi mea āu e lawe ai (e like me kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, mea inu, a mea hoʻohui paha), a i ʻole ke loaʻa iā ʻoe kekahi maʻi ʻē aʻe, i ke ʻano o ka hana ʻana o kahi lāʻau lapaʻau. Ke hana ʻia kēia, hiki i kēia mau mea ke hana i kāu lāʻau lapaʻau:
- ʻAʻole hana pono ka lāʻau lapaʻau: ʻO ke ʻano kēia ua emi ka pono o ka lāʻau lapaʻau. E nalowale paha iā ʻoe ka hopena kūpono o ka lāʻau lapaʻau āu e lawe nei no kou maʻi.
- Ke hana nui nei ka lāʻau lapaʻau: I kekahi manawa, hiki i ka lāʻau lapaʻau ke lilo i ikaika loa a ʻaʻole hiki i ke kino ke lawelawe.
- Nā hopena ʻaoʻao hou a i ʻole ka ʻawahia: Hiki ke loaʻa nā hopena ʻaoʻao i manaʻo ʻole ʻia, a i kekahi manawa hiki i ka lāʻau lapaʻau ke lilo i mea ʻawahia i ke kino.
E noʻonoʻo i ia mea, ʻoiai inā hoʻokahi wale nō lāʻau lapaʻau āu e lawe ai, hiki i nā mea āu e ʻai ai a inu ai ke "hakakā" ʻaʻole wale me nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, akā me kēia mau mea hoʻi:
- Me kekahi lāʻau lapaʻau ʻē aʻe i kuhikuhi ʻia e ke kauka.
- Me kahi lāʻau lapaʻau ma luna o ke kūʻai aku (OTC) āu e kūʻai ai iā ʻoe iho mai ka hale kūʻai lāʻau lapaʻau.
- Lawe ʻoe i nā huaora, nā minelala, a i ʻole nā mea hoʻohui meaʻai, e like me nā mea kanu kuʻuna.
- Lawe pinepine ʻia me ka ʻai a mea inu paha.
- Me ka waiʻona.
- Me ka paka.
- Me nā lāʻau lapaʻau leʻaleʻa.
ʻAʻole wale kēia mau mea, akā, ʻo kekahi mau lāʻau lapaʻau paha ʻaʻole kūpono iā ʻoe ma muli o kekahi mau kūlana olakino āu i loaʻa mua ai. Eia kekahi laʻana, ʻo ka lāʻau lapaʻau i hāʻawi ʻia no kekahi kūlana e hoʻonui paha i kekahi kūlana ʻē aʻe.
Eia nō naʻe, i ka hapa nui o ka manawa, he manawa pōkole a hiki ke hoʻokele ʻia kēia mau pilina lāʻau. Hiki i kāu kauka ke hoʻololi i kāu nui o ka lāʻau a haʻi aku paha iā ʻoe e hoʻōki i ka ʻai ʻana i kekahi mau meaʻai no kekahi manawa. Eia nō naʻe, i kekahi mau hihia, hiki iā lākou ke koʻikoʻi a hoʻoweliweli i ke ola. No laila, he mea nui e ʻike inā ʻoe i ka pilikia a hana i nā hana e pale aku ai iā lākou. A laila wale nō hiki iā ʻoe ke loaʻa ka hapa nui o kāu lāʻau lapaʻau.
ʻO wai ka mea i ʻoi aku ka paʻakikī o ka ʻike ʻana i kēia mau mea (Nā Hana Pilikino Lāʻau Lapaʻau)?
ʻO kaʻoiaʻiʻo, hiki i kēia mau pilina lāʻau ke hana i kekahi, i kēlā me kēia makahiki. Akā, ʻo ʻoeʻOi aku ke kiʻekiʻe o kēia pilikia inā lawe ʻoe i nā lāʻau lapaʻau he nui i ka manawa hoʻokahi, a i ʻole inā he ʻoi aku kou maʻi ma mua o hoʻokahi.
ʻO ka maʻamau, i ko kākou ʻelemakule ʻana, loaʻa iā kākou nā maʻi maʻi mau loa, a pono kākou e lawe i nā lāʻau lapaʻau hou aku. No laila, i ka wā e nui ai nā kemika a me nā kaʻina hana e hana nei i loko o kou kino, aia kahi manawa kūpono e "puhi" ai kekahi mea.
E noʻonoʻo ʻoe e hoʻokani ana i kahi pāʻina liʻiliʻi. Inā ʻoe e kono wale i kekahi mau hoaaloha āu i ʻike maikaʻi ai, ua holomua ka hapa nui, ʻeā? Akā inā ʻoe e kono i ka nui o nā kānaka, aia paha kekahi mau manaʻo kūʻē a me nā paio manaʻo ma waena o lākou. ʻAʻole paha e launa maikaʻi kekahi poʻe me kekahi. Pēlā nō nā lāʻau lapaʻau. Ke lawe ʻoe i nā ʻano lāʻau lapaʻau like ʻole a me nā mea hoʻohui i ka manawa like, i kekahi manawa hiki iā lākou ke loaʻa ka hopena maikaʻi ʻole kekahi i kekahi, a ʻo ka hopena āu e manaʻo ai he mea ʻē aʻe paha.
ʻO ia ke kumu he mea nui loa ke kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau 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. ʻO kāu kauka ka mea e haʻi pololei iā ʻoe inā pono ʻoe i kēia lāʻau lapaʻau a mea hoʻohui paha, inā he pono ia nou, inā palekana, a inā e hoʻopilikia ia i ka wā e lawe ʻia ai me nā mea ʻē aʻe.
He aha nā ʻano nui o nā pilina lāʻau? E nānā kākou!
Hoʻokaʻawale pinepine nā kauka i kēia mau pilina lāʻau i kekahi mau ʻano nui:
- Nā pilina lāʻau lapaʻau: Ka pilina o kekahi lāʻau lapaʻau me kekahi.
- Nā pilina lāʻau lapaʻau-mea hoʻohui: He lāʻau lapaʻau e launa pū me kahi mea hoʻohui āu e lawe nei .
- Ka pilina lāʻau lapaʻau-meaʻai/mea inu: He lāʻau lapaʻau e launa pū me kahi mea āu e ʻai ai a inu paha.
- Ka pilina o ka lāʻau lapaʻau me ke kūlana: ʻO kahi kūlana kahi e hoʻopuka ai ka lāʻau lapaʻau āu e lawe ai i kahi hopena i manaʻo ʻole ʻia.
I kēia manawa, e kamaʻilio kākou e pili ana i kēlā me kēia ʻano me nā kikoʻī hou aku .
### Nā pilina lāʻau lapaʻau
ʻO kēia ka manawa e hoʻololi ai kekahi lāʻau i ke ʻano o ka hana ʻana o kekahi lāʻau ʻē aʻe i loko o kou kino. ʻO ke ʻano kēia:
- Aia paha he paio ma waena o nā lāʻau ʻelua i kuhikuhi ʻia e ke kauka.
- Aia paha he paio ma waena o nā lāʻau lapaʻau ʻelua i kūʻai ʻia ma ka hale kūʻai lāʻau.
- Aia paha he paio ma waena o ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka a me ka lāʻau lapaʻau i kūʻai ʻia ma ka hale kūʻai lāʻau.
ʻAʻole wale kēia, akā hiki i nā mea e like me ka paka, ka waiʻona, a i ʻole nā lāʻau lapaʻau leʻaleʻa ke launa pū me ka lāʻau lapaʻau āu e lawe nei, hiki ke alakaʻi i nā hopena i manaʻo ʻole ʻia.
Ma muli o nā pilina lāʻau lapaʻau e like me kēia:
- Hiki ke hoʻonui ʻia nā hopena ʻaoʻao:E noʻonoʻo inā ua lawe ʻoe i ʻelua mau lāʻau lapaʻau me ka mea hana like i ka manawa like. No ka laʻana, ua lawe ʻoe i kahi lāʻau hoʻomaha ʻeha a me kahi lāʻau hoʻomaha anu i loaʻa pū kekahi acetaminophen (like me ka paracetamol). A laila e loaʻa i kou kino ka acetaminophen ma mua o ka mea e pono ai, kahi e alakaʻi ai i ka hoʻonui ʻia o nā hopena ʻaoʻao a me ka lāʻau make.
- Hiki ke hoʻemi ʻia ka pono o ka lāʻau lapaʻau: "Hoʻokūkū" kekahi mau lāʻau lapaʻau kekahi i kekahi. ʻO ke ʻano kēia, ʻo ka hana a kekahi lāʻau lapaʻau, e pau ana kekahi lāʻau lapaʻau. A laila, ʻaʻole paha e hana maikaʻi kekahi lāʻau lapaʻau.
- Hiki ke loli ke ʻano o ka omo ʻana a me ka hoʻomaʻemaʻe ʻana o ka lāʻau lapaʻau e ke kino: Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui a hoʻemi paha i ka omo ʻana o nā lāʻau lapaʻau ʻē aʻe. Eia kekahi, hiki ke hoʻopilikia ʻia ke kaʻina hana o ka hoʻomaʻemaʻe ʻana i ka lāʻau lapaʻau mai ko kākou akepaʻa (metabolism). A laila, inā e hoʻomaʻemaʻe koke ʻia kahi lāʻau lapaʻau mai ke akepaʻa, e emi ana ka maikaʻi o ka lāʻau lapaʻau, a inā e hoʻomaʻemaʻe lohi loa, e ʻoi aku ka ikaika o ka lāʻau lapaʻau a hiki ke loaʻa nā hopena ʻaoʻao.
He mea paʻakikī ke noʻonoʻo i ka nui o nā lāʻau lapaʻau like ʻole e launa pū kekahi me kekahi. No laila, he mea nui e kamaʻilio me kāu kauka e pili ana i kekahi lāʻau lapaʻau hou āu e lawe nei, inā paha i kuhikuhi ʻia e ke kauka a i kūʻai ʻia paha ma ke kūʻai aku. Pono ʻoe e haʻi i kāu kauka e pili ana i kekahi mau lāʻau lapaʻau āu e lawe nei, a inā hoʻohana ʻoe i ka waiʻona, ka paka, a i ʻole nā lāʻau lapaʻau. ʻO ka nui o ka ʻike āu e hāʻawi ai, ʻoi aku ka maikaʻi o kāu kauka e pale aku iā ʻoe.
### Nā pilina lāʻau lapaʻau-mea hoʻohui
ʻO nā mea hoʻohui meaʻai he mau mea e like me nā huaora, nā minelala, a i ʻole nā mea kanu āu e lawe ai e kōkua i kou olakino. Hiki i kekahi o kēia mau mea ke hōʻemi i ka pono o nā lāʻau lapaʻau āu e lawe ai. Ke emi ka maikaʻi o kahi lāʻau lapaʻau, ʻaʻole ia e hana pono. Ma ka ʻaoʻao ʻē aʻe, hiki i kekahi mau mea hoʻohui ke hoʻoikaika i kāu lāʻau lapaʻau ma mua o ka mea e pono ai. Hiki i kēia ke alakaʻi i nā hopena ʻaoʻao, a ʻo kekahi o ia mau mea he mea koʻikoʻi.
No laila, he aha nā mea hoʻohui e launa pū me kēia lāʻau lapaʻau?
ʻO kekahi ʻo `(St. John's wort)` . He lau nahele kuʻuna kēia. Hoʻopili ia me nā lāʻau lapaʻau he nui, i kekahi manawa he mea weliweli. No ka laʻana, inā ʻoe e lawe i `(St. John's wort)` me `(SSRIs - Selective Serotonin Reuptake Inhibitors)`, kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi noʻonoʻo, hiki iā ʻoe ke loaʻa i kahi maʻi hoʻoweliweli ola i kapa ʻia ʻo `(Serotonin syndrome)`.
Eia kekahi mau mea hoʻohui ʻē aʻe e hiki ke hoʻopilikia:
- Nā ʻāpana kālika: No ka mea he mau mea hoʻokahe koko kēia, hiki iā lākou ke hoʻonui i ke kahe koko ke lawe ʻia me nā lāʻau hoʻokahe koko e like me Warfarin, a ma hope o ke ʻoki ʻana.
- Goldenseal: He lau nahele nō hoʻi kēia. Hiki iā ia ke launa pū me nā lāʻau lapaʻau he nui no ka mea hoʻololi ia i ke ʻano o ka hoʻomaʻemaʻe ʻana o ke akepaʻa i nā lāʻau lapaʻau.
- Nā mea hoʻohui kī ʻōmaʻomaʻo i hoʻopaʻa ʻia:Hiki i kēia ke launa pū me ka pseudoephedrine, ka mea i loaʻa i loko o nā lāʻau lapaʻau anu a me ka maʻi flu he nui.
He mau laʻana wale nō kēia. Ma mua o kou lawe ʻana i kekahi mea hoʻohui, he mea nui e nīnau i ke kauka inā palekana ia nou.
Pono ʻoe e haʻi i kāu kauka e pili ana i nā mea hoʻopihapiha āu e lawe nei, ʻoiai ma kēia mau hihia:
- Inā ʻoe e lawe ana i kahi lāʻau lapaʻau me kahi "hāiki therapeutic range" (ʻoiai kahi liʻiliʻi o kēia lāʻau lapaʻau hiki ke hana i nā pilikia nui).
- Inā ʻoe e hoʻomākaukau ana no ke ʻoki kino .
He aha kēia mau lāʻau lapaʻau "narrow therapeutic range"?
Aia kekahi mau lāʻau lapaʻau e pono ai ke komo i loko o ke kino i ka nui kūpono. ʻOiai he ʻokoʻa iki, ʻo ia hoʻi, nui loa a liʻiliʻi paha, hiki ke hana i nā pilikia nui, i kekahi manawa hiki ke hoʻoweliweli i ke ola. ʻO ia ka mea a mākou e kapa nei he "narrow therapeutic range" no ia mau lāʻau lapaʻau. Hiki i kekahi mau "mea hoʻohui" ke hoʻololi i kēia nui.
Nā Laʻana:
- `(Carbamazepine)` a i ʻole `(Phenytoin)` a i ʻole (lāʻau lapaʻau no ka maʻi epilepsy a me nā hopu ʻana)
- `(Cyclosporine)` (He lāʻau lapaʻau i hāʻawi ʻia e pale aku i ka hōʻole ʻia ʻana o kahi hoʻoili kino)
- `(Digoxin)` (lāʻau lapaʻau i hāʻawi ʻia no ka maʻi puʻuwai, ka puʻuwai ʻano ʻole)
- `(Warfarin)` (lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko)
Nā Mea Hoʻohui a me ke ʻoki kino
Hiki i kekahi mau mea hoʻohui ke hoʻonui i kou pilikia o ke ʻoki kino. Pehea?
- Hoʻopilikia ia i ke ʻano o ka hana ʻana o nā lāʻau lapaʻau ʻē aʻe, e like me ka anesthesia.
- Hoʻonui ʻia ka pilikia o ke kahe ʻana o ke koko.
- Hoʻopilikia ia i kou koko a me ka helu o ka puʻuwai.
ʻOiai inā palekana ka mea hoʻohui no ʻoe, ʻaʻole paha ia e palekana i ka wā e hoʻomākaukau ana ʻoe no ke ʻoki kino. E haʻi aku kāu kauka iā ʻoe i nā lāʻau lapaʻau āu e hoʻōki ai i ka lawe ʻana ma mua o ke ʻoki kino.
### Pehea e pale aku ai i ka launa pū ʻana o ka lāʻau lapaʻau-meaʻai/mea inu
Hiki i kekahi o nā mea āu e ʻai ai a inu ai ke hoʻololi i ke ʻano o ka hana ʻana o ka lāʻau lapaʻau āu e lawe ai i loko o kou kino. Eia kekahi mau mea e hiki ke hana ʻia ma muli o kahi mea āu e ʻai ai a inu ai paha:
- Hiki iā ia ke pale i ka omo pono ʻana o ka lāʻau lapaʻau .
- Hiki iā ʻoe ke hoʻololi i ke ala e hiki ai ka lāʻau lapaʻau i kahi kūpono o ke kino.
- Ma ka hoʻonui ʻana i ka wikiwiki o ka hoʻomaʻemaʻe ʻia ʻana o ka lāʻau lapaʻau (metabolism), hiki ke hoʻemi ʻia ka pono o ka lāʻau lapaʻau .
- Hiki i ka lāʻau lapaʻau ke hoʻolohi i ka wikiwiki o ka hoʻomaʻemaʻe ʻana a hoʻoulu i nā hopena ʻaoʻao .
- ʻAʻole paha e hoʻopau ʻia ka lāʻau lapaʻau mai ke kino i ka manawa kūpono, e hoʻoulu ai i ka ʻawahia .
Makemake ʻoe e hana pololei kāu lāʻau lapaʻau e like me ka mea i manaʻo ʻia. Inā hoʻopilikia ka meaʻai a me ka mea inu iā ia, hiki iā ʻoe ke loaʻa nā hopena ʻaoʻao, a me nā pilikia koʻikoʻi. No ka laʻana, inā ʻoe e lawe i ka warfarin (kahi mea hoʻokahe koko), hilinaʻi ʻoe i kēlā lāʻau lapaʻau e pale i kou koko mai ke kāpili ʻana. Eia nō naʻe, inā ʻai koke ʻoe i ka nui o nā meaʻai kiʻekiʻe i ka huaora K (e like me ka spinach), hiki i ka warfarin ke oki i ka hana pono, e hoʻonui ana i kou pilikia o nā kāpili koko.
ʻO kekahi o nā meaʻai a me nā mea inu nui e hiki ke launa pū me nā lāʻau lapaʻau:
- ʻAi ʻia ma ke ʻano he hua a i ʻole he wai huaʻai, launa pū ia me nā lāʻau lapaʻau he 85 a ʻoi aku, me kekahi mau statins (nā lāʻau hoʻohaʻahaʻa cholesterol) a me nā lāʻau hoʻoili kino.
- Nā Waiū: Hiki i kēia ke launa pū me ka levothyroxine (lāʻau lapaʻau hormone thyroid), bisphosphonates (nā lāʻau lapaʻau iwi), a me kekahi mau antibiotics.
- Wikamina K: Loaʻa kēia i nā meaʻai he nui, e like me nā lau ʻai ʻōmaʻomaʻo. Eia nō naʻe, pono e lawe ʻia ma lalo o ke alakaʻi a ke kauka no ka mea hiki ke launa pū me Warfarin.
- Tyramine: Loaʻa i nā meaʻai i hoʻomoʻa ʻia a hoʻoulu ʻia (e.g., kekahi mau tīhi, ʻiʻo i hoʻomoʻa ʻia). Hiki iā ia ke launa pū me Linezolid, Isoniazid (he lāʻau lapaʻau no ka maʻi puʻupuʻu), a me MAOIs (he lāʻau lapaʻau no ka maʻi noʻonoʻo).
- ʻAila: He ʻano lāʻau lapaʻau ka ʻaila. Hoʻopili ia me nā lāʻau lapaʻau he nui. Eia kekahi laʻana: Metronidazole (kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i kekahi mau maʻi), barbiturates (kahi lāʻau lapaʻau e kōkua iā ʻoe e hiamoe), Warfarin, a me Acetaminophen (paracetamol).
I kekahi manawa, pono ʻoe e hoʻokē ʻai no kekahi mau hola ma mua a ma hope paha o ka lawe ʻana i ka lāʻau lapaʻau. ʻO kēia no ka mea ʻaʻole hana pono kekahi mau lāʻau lapaʻau me kekahi meaʻai. Pono e lawe ʻia nā lāʻau lapaʻau ʻē aʻe me ka meaʻai e hana pono ai. Hana maikaʻi kekahi me ka meaʻai momona kiʻekiʻe.
Hiki i kāu kauka ke aʻo aku iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau meaʻai a mea inu paha, a i ʻole e hoʻololi i ka manawa a me ka nui o ka manawa āu e lawe ai iā lākou. Hiki iā lākou ke haʻi iā ʻoe inā e lawe i kekahi mau lāʻau lapaʻau me ka meaʻai a i ʻole ma ka ʻōpū ʻole.
### ʻAʻole hana pono kahi lāʻau lapaʻau ma muli o kahi maʻi i loaʻa iā ʻoe (Nā pilina lāʻau lapaʻau-kūlana)
Ua kapa ʻia hoʻi kēia he "pilina lāʻau lapaʻau-maʻi." ʻO ka mea e hana ʻia ana, ʻo ka lāʻau lapaʻau āu e lawe ai no kekahi maʻi e hoʻonui i ka maʻi ʻē aʻe āu e loaʻa nei, a i ʻole e hoʻoulu i kahi hopena ʻaoʻao i manaʻo ʻole ʻia.
Eia kekahi laʻana, hiki i nā lāʻau lapaʻau he nui ke hoʻonui i ke koko. Inā loaʻa iā ʻoe ke koko kiʻekiʻe, hiki i kēia piʻi ke lilo i mea weliweli loa iā ʻoe. ʻO nā mea hoʻomaʻemaʻe ihu kahi laʻana nui. Eia kekahi, ʻo nā mea e like me nā amphetamines, NSAIDs (e like me ibuprofen a me naproxen), a me kekahi mau steroids (e like me prednisone) hiki ke hana i kēia.
Ma keʻano laulā, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, ʻoi aku kou pilikia o ka hoʻomohala ʻana i kahi maʻi mai kahi lāʻau lapaʻau:
- Nā pilikia kaohi ʻana o ka ʻōpū mimi
- ʻO ka maʻi diabetes (Diabetes Mellitus)
- Ka prostate i hoʻonui ʻia
- Glaucoma (maʻi maka)
- Ke koko kiʻekiʻe a haʻahaʻa paha
- ʻAʻole hiki ke hiamoe
- ʻŌpū ʻōpū
He aha kā mākou e hana ai e pale aku i kēia mau mea (Nā Hana Pilikino Lāʻau Lapaʻau)?
ʻAe, e nānā kākou i ka mea hiki iā kākou ke hana e pale aku ai i kēia mau paio lāʻau lapaʻau. He mau mea maʻalahi loa kēia, akā he mea nui loa.
### E mālama i kahi papa inoa kikoʻī o nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe ai.
E hāʻawi paha kāu kauka iā ʻoe i kahi ʻano no kēia, a i ʻole kahi pakuhi e hoʻopiha ai. ʻO ka maʻamau, pono i kāu papa inoa ke komo pū me kēia mau ʻike:
- ʻO ka inoa piha o ka lāʻau lapaʻau a i ʻole ka mea hoʻohui.
- ʻO nā mea hana nui i loko:
- ʻO ke kumu āu i kūʻai ai.
- ʻO ka nui (dose) a me ka manawa āu e lawe ai.
- Pehea ka lōʻihi e pono ai ʻoe e lawe (e like me nā lāʻau antibiotic pōkole, a i ʻole nā lāʻau hoʻokahe koko no ke ola holoʻokoʻa).
- Nā kuhikuhi kūikawā (e.g. inā e lawe pū me ka meaʻai).
- Inā pili, ka inoa o ke kauka nāna i kuhikuhi i ka lāʻau lapaʻau.
Hiki ke loli kēia papa inoa i kēlā me kēia manawa. No laila, he mea nui loa ia e hoʻohou iā ia i ka wā e loli ai kekahi mea. E hāʻawi i nā mea a pau e pili ana i kāu mālama (kauka mua, nā loea, nā kauka lāʻau lapaʻau) i kope o kēia mea hou loa. Inā hiki, e ho'āʻo e kiʻi i kāu mau lāʻau lapaʻau a pau mai ka hale kūʻai lāʻau like, kahi e maʻalahi ai nā mea.
No kou pono ponoʻī, e mālama i kekahi mau kope o kēia papa inoa - hoʻokahi ma ka home kahi e hiki ai iā ʻoe ke nānā i kēlā me kēia manawa, a hoʻokahi e lawe pū me ʻoe.
### Ma mua o ka hoʻomaka ʻana i kahi lāʻau lapaʻau hou, e kamaʻilio me kāu kauka.
I mea e pale aku ai i nā paio lāʻau lapaʻau, he mea nui ke kamaʻilio maikaʻi. Pono kēlā me kēia kauka e mālama iā ʻoe, ʻoiai ke kauka lāʻau āu e kūkākūkā ai, e makaʻala i nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe ai. E kamaʻilio mau me ke kauka e pili ana i:
- Ma mua o ka hoʻomaka ʻana i kahi lāʻau lapaʻau a mea hoʻopihapiha paha.
- Ma mua o ka hana ʻana i kekahi hoʻololi i kāu mau lāʻau lapaʻau a i ʻole nā mea hoʻohui.
- Inā ʻaʻole ʻoe maopopo i nā kuhikuhi lāʻau lapaʻau a i ʻole nā mea palekana.
- Inā ʻoe e poina i kahi mahele o ka lāʻau lapaʻau.
- ʻAʻohe pilikia inā ʻike ʻia nā hopena ʻaoʻao hou , a inā loli nā mea e kū nei .
- Inā manaʻo ʻoe ʻaʻole e hana ana ka lāʻau lapaʻau e like me ka mea i manaʻo ʻia.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i nā mea āu e kūʻai nei.
Pono wau e hoʻomanaʻo iā ʻoe i ka manaʻo aʻu i ʻōlelo ai ma mua -He mea nui loa ia e nīnau i kāu kauka ma mua o ka hoʻomaka ʻana i kekahi mea hou. ʻAʻole ia he mea nui inā he lāʻau lapaʻau i kūʻai ʻia ma ke kūʻai aku a i ʻole kahi mea āu i lawe ai ma mua. Hoʻololi ko mākou kino a me ko mākou mau pono olakino i ka hala ʻana o ka manawa. ʻO kāu kauka ka mea hiki ke aʻo iā ʻoe i ka mea palekana a pono nou, ma muli o kāu mau pono o kēia manawa.
Inā kuhikuhi kāu kauka i kahi lāʻau lapaʻau, lāʻau lapaʻau kūʻai ʻole ʻia, a i ʻole mea hoʻohui, e hōʻoia e maopopo pono iā ʻoe pehea e lawe ai. Hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:
- ʻEhia ka nui a pehea ka pinepine e pono ai iaʻu e lawe?
- Pono anei au e lawe i kēia me ka meaʻai a i ʻole ma ka ʻōpū ʻole? He aha ke ʻano o "ma ka ʻōpū ʻole"?
- He aha nā meaʻai a me nā mea inu e pono iaʻu ke hōʻalo?
- Pono anei iaʻu e hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau a i ʻole nā mea hoʻohui aʻu e lawe nei?
- He aha nā hopena ʻaoʻao āu e manaʻo ai? Āhea ʻoe e kamaʻilio ai e pili ana iā lākou?
### E lawe mau i kāu lāʻau lapaʻau e like me ka hana maʻamau i kēlā me kēia lā.
ʻO ka hana ʻana ma ke ʻano hoʻonohonoho, ka hoʻokumu ʻana i kahi hana maʻamau, hiki ke kōkua iā ʻoe e hoʻomanaʻo e lawe i kāu lāʻau lapaʻau i ka manawa kūpono. Eia kekahi laʻana:
- E mālama i kahi kalena ma kahi e hiki ai iā ʻoe ke ʻike - e like me ma kāu pākaukau a ma luna paha o ka friji - me kahi papa inoa o nā lāʻau lapaʻau āu e pono ai e lawe a me ka manawa hea.
- E hoʻohana i kahi pahu pila. Akā e hoʻomanaʻo e waiho iā ia mai ka hiki ʻana aku o nā keiki a me nā holoholona.
- E hoʻonohonoho i nā mea hoʻomanaʻo (nā leka hoʻomaopopo) ma kāu kelepona. Akā ua ʻike mākou a pau ʻaʻole hiki ke hilinaʻi ʻia ka ʻenehana 100%. He manaʻo maikaʻi nō hoʻi e mālama i kahi moʻolelo i kākau ʻia inā loaʻa kekahi mea.
- E haʻi aku i kekahi ma kou home i ka wā e pono ai ʻoe e lawe i kāu lāʻau lapaʻau. Hiki iā lākou ke hoʻomanaʻo iā ʻoe inā poina iā ʻoe a i ʻole e paʻahana ana i nā mea ʻē aʻe.
He ʻōlelo e pili ana i ka mea nānā i ka pilina lāʻau lapaʻau ma ka pūnaewele...
I kēia mau lā, nui nā mea ma ka Pūnaewele e like me nā "mea nānā pilina lāʻau lapaʻau" e hiki ai iā ʻoe ke paʻi i kahi inoa lāʻau a ʻike inā e launa pū me nā mea ʻē aʻe. Akā, pono ʻoe e makaʻala loa i ka hoʻohana ʻana i kēia mau mea. Hiki ke lilo nā mea nānā pūnaewele a me nā pakuhi i mea pono, akā, ʻaʻole loa lākou e pani no ke kamaʻilio ʻana me ke kauka.
ʻO kāu kauka ka mea hiki ke hāʻawi i ka ʻike hou loa e pili ana i nā pilina lāʻau. Eia kekahi, no ka mea ua ʻike ʻo ia iā ʻoe a me kou mōʻaukala olakino, hiki iā ia ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo i kūpono i kāu mau pono.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAʻole maʻalahi ke ola, ʻoiai ke lawe nei ʻoe i nā lāʻau lapaʻau he nui, a hiki ke lilo nā mea i mea paʻakikī. ʻAʻole maʻalahi ka wānana pololei i ka wā a pehea e hana ʻia ai nā pilina lāʻau lapaʻau - ʻoiai ke loli nei kou kino a me kou mau pono olakino i ka hala ʻana o ka manawa.
Ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau a mea hoʻohui hou paha, e kamaʻilio me kāu kauka.ʻO kēia ka mea nui loa hiki iā ʻoe ke hana e pale aku i nā paio lāʻau a me ko lākou hopena ʻino. Eia kekahi, e hōʻoia i loaʻa i kāu mau kauka āpau kahi papa inoa hou o kāu mau lāʻau. ʻO ka noho hoʻonohonoho ʻana e kōkua nui i ka pale ʻana i kou olakino. Ke makemake nei iā ʻoe i ke olakino maikaʻi!
Nā paio lāʻau lapaʻau , nā pilina lāʻau lapaʻau, nā hopena ʻaoʻao, nā lāʻau lapaʻau a me ka meaʻai, ka palekana o nā lāʻau lapaʻau, nā ʻōlelo aʻoaʻo lapaʻau, ke olakino











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