E aʻo kākou e pili ana i nā lāʻau lapaʻau kūikawā (Leukotriene Modifiers) e kaohi ai i nā maʻi allergies a me ka hānō.

ʻO ke kihe pinepine ʻana, ka ihu wai, a i kekahi manawa ka paʻakikī o ka hanu ʻana... Pehea ka hoʻonāukiuki o kēia mau mea? Nui ka poʻe e loaʻa ana i nā maʻi allergies a me ka hānō. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi papa lāʻau hou i hoʻohana ʻia e kāohi i kēia mau kūlana. Ua kapa ʻia kēia mau mea ʻo 'Leukotriene Modifiers'.

He aha nā Leukotriene Modifiers? Pehea lākou e hana ai?

Ma mua o ko kākou hoʻomaopopo ʻana i kēia lāʻau lapaʻau, e aʻo kākou e pili ana i kahi mea liʻiliʻi e hana ana i loko o ko kākou kino.

I ka ʻōlelo maʻalahi, ke komo kahi mea a mākou e maʻi ai, ʻo ia hoʻi, kahi allergen - no ka laʻana, ka lepo, ka pollen - i loko o ko mākou kino, pane mai kā mākou ʻōnaehana pale iā ia. Ma ke ʻano he ʻāpana o kēia pane, hana ko mākou kino i nā kemika i kapa ʻia ʻo 'leukotrienes' .

ʻO kēia kemika, i kapa ʻia ʻo leukotriene, ke kuleana no nā hōʻailona he nui o kā mākou allergy a me ka hānō . ʻO kēia no ka mea:

• Hoʻopili ʻia nā ala ea e hele ai i nā māmā, e paʻakikī ai ka hanu ʻana (hiki ke hanu ʻia).
• Hoʻonui ʻia ka mucus a me nā wai ʻē aʻe i loko o nā ala ea.
• Pehu nā ʻiʻo ihu a pani ʻia ka ihu.

No laila, ʻo ka mea a nā Leukotriene Modifiers e hana ai, ʻo ia ke ālai i ka hana o kahi kemika i kapa ʻia ʻo leukotriene. I ka pololei, pale lākou i kēia kemika mai ka launa pū ʻana me nā ʻāpana o ke kino. Ua like ia me ka pani ʻana i ka puka. A ke kāohi nei kēlā i ka hanana o kēlā mau hōʻailona hoʻonāukiuki a mākou i kamaʻilio ai ma mua. Akā e hoʻomanaʻo, ʻaʻole kēia ka lāʻau lapaʻau mua.

Pehea e kōkua ai kēia lāʻau lapaʻau i ka mālama ʻana i nā hōʻailona allergy?

ʻO ka ʻūhū ʻana, ka ihu wai, ka ihu wai, a me ka ihu paʻa nā hōʻailona maʻamau o nā maʻi ʻaleka (allergic rhinitis). Eia kekahi, hiki ke loaʻa nā maka ʻāʻī, pehu, waimaka (allergic conjunctivitis) a me ka ʻeha ʻāʻī. ʻIke ka poʻe i ʻike i kēia mau kūlana i ka paʻakikī o ke ola ʻana me ia.

ʻO nā mea hoʻololi leukotriene, ka mea e ālai ai i ka hana a nā leukotrienes, he kōkua nui ia i ka kaohi ʻana i ka ʻūhū a me ka maneʻo e kū mai ana i nā pae mua o nā maʻi ʻaleka, a me ka ihu paʻa e kū mai ana ma hope o kekahi manawa.

Pehea e hoʻohana ai i kēia lāʻau lapaʻau no ka hānō?

Hoʻohana nui ʻia kēia mau lāʻau lapaʻau no ka pale ʻana a me ka kaohi lōʻihi o ka hānō. Paipai ʻia hoʻi lākou no ka pale ʻana i ka hānō i hoʻoulu ʻia e ka hoʻoikaika kino.

Eia nō naʻe, he mea nui loa kēia : ʻAʻole hiki ke hoʻohana wale ʻia kēia lāʻau lapaʻau e kāohi i ka hoʻouka kaua hānō. ʻO ke ʻano kēia, ʻaʻole e kōkua ka lawe ʻana i kēia lāʻau lapaʻau i ka wā e koʻikoʻi loa ai ka hānō a ke paʻakikī nei ʻoe i ka hanu ʻana. I kēlā mau manawa, pono ʻoe e hoʻohana i kahi inhaler hana wikiwiki. He mea nui kēia lāʻau Leukotriene Modifier e mālama i ka maʻi ma lalo o ke kaohi.

He aha nā lāʻau hoʻololi leukotriene i kuhikuhi pinepine ʻia ma Sri Lanka?

ʻOiai ʻo nā lāʻau lapaʻau hānō e like me `zafirlukast (Accolate)` a me `zileuton (Zyflo)` no kēia hui, ʻo ka lāʻau lapaʻau i hoʻohana nui ʻia ma Sri Lanka, i ʻāpono ʻia no ka rhinitis allergic a me ka hānō, ʻo ia ʻo `montelukast` . Ua ʻike paha ʻoe iā ia ma ka inoa inoa ʻo `Singulair`.

Eia ka pono o ka montelukast e like me ka mea i loaʻa i ka noiʻi:

No laila, ʻōlelo pinepine nā kauka e hoʻāʻo i kahi ʻaila steroid intranasal ma mua o ke kuhikuhi ʻana i kahi Leukotriene Modifier, no ka mea, ʻoi aku ka ikaika o ko lākou hopena.

Aia kekahi mau hopena ʻaoʻao?

E like me nā lāʻau lapaʻau āpau, hiki i kekahi poʻe ke loaʻa nā hopena ʻaoʻao. ʻO nā mea maʻamau:

• Manaʻo e like me kou kuni
• ʻEha poʻo
• ʻeha ka ʻōpū
• Ka luaʻi a i ʻole ka luaʻi
• Paʻa ihu

He mea e makaʻala nui ai!

Ua hoʻopuka ka FDA i kahi ʻōlelo aʻo e pili ana i ka pilikia o nā hopena koʻikoʻi o ka lāʻau lapaʻau ʻo 'Montelukast'. ʻOiai he mea kakaikahi loa kēia, he mea nui e makaʻala iā lākou.

Inā ʻike ʻoe a i ʻole kāu keiki i kekahi o kēia mau hōʻailona i ka wā e lawe ana i kēia lāʻau lapaʻau, e hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau a e haʻi aku i kāu kauka:

• Hoʻomaha ʻole, hoʻonāukiuki
• Nā moeʻuhane kupanaha a weliweli paha
• Kaumaha
• Nā manaʻo pepehi kanaka

Inā ʻike ʻoe i kekahi mea e like me kēia, mai hoʻokaʻulua. E ʻimi koke i ke kōkua lapaʻau.

ʻO wai ka mea pono ʻole e hoʻohana i kēia lāʻau lapaʻau?

• Nā kamaliʻi ʻōpio: ʻAʻole i hoʻokumu piha ʻia ka palekana o kēia mau lāʻau lapaʻau no ka hānō i nā pēpē ma lalo o 12 mau mahina a me ka rhinitis allergic mau loa i nā pēpē ma lalo o 6 mau mahina. No laila, mai hāʻawi i kēia mau mea i nā keiki ʻōpio me ka ʻole o ke aʻo ʻana a ke kauka.
• Nā makuahine hāpai a me nā makuahine hānai: Inā hāpai ʻoe, e hoʻolālā ana e hāpai, a hānai waiū paha, pono ʻoe e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau.

Loaʻa kēia lāʻau lapaʻau ma ke ʻano o nā papa, nā papa nau, a me nā granules. Hiki ke hala ma waena o ʻekolu lā a ʻelua pule e loaʻa ai ka pono piha o kēia lāʻau lapaʻau. No laila, mai hoʻōki i ka lawe ʻana no ka mea ʻaʻole ʻoe e ʻoluʻolu i loko o ʻelua a ʻekolu paha lā. E hoʻohana no ka manawa piha e like me ke kauoha a kāu kauka.