E noʻonoʻo i ko kākou kino e like me kahi hale hana nui. ʻO nā puʻupaʻa nā mea hana nui ma kēia hale hana e wehe i nā ʻōpala a me nā huahana ʻōpala e hōʻiliʻili ana i ka lā a pau. ʻAʻole wale kēlā, akā hana pū nā puʻupaʻa i nā hana koʻikoʻi he nui me ka leo ʻole, e like me ka mālama ʻana i ka nui kūpono o ka wai i loko o ke kino, ka hana ʻana i nā hormones e hoʻomalu i ke koko, ke kōkua ʻana i ka hana ʻana i nā hunaola koko ʻulaʻula, a me ka hana ʻana i ka huaora D he mea maikaʻi no nā iwi. Akā i kekahi manawa, hiki i kekahi mau lāʻau lapaʻau a kākou e hoʻohana ai me ka ʻike ʻole ke hoʻopilikia i kēia kaʻina hana waiwai i loko o nā puʻupaʻa. I kēia lā, e kamaʻilio kākou e pili ana.
He aha nā lāʻau lapaʻau e hiki ke hoʻopilikia i nā puʻupaʻa?
E nānā kākou i kekahi o nā lāʻau lapaʻau nui a kākou e hālāwai ai i ke ola o kēlā me kēia lā e hiki ai ke hoʻopilikia i nā puʻupaʻa.
Nā lāʻau lapaʻau
Lawe mākou a pau i nā lāʻau antibiotic no ke kuni, ka ho'ōla ʻana i nā ʻeha, a i ʻole nā maʻi ʻē aʻe. Palekana lākou. Eia nō naʻe, hiki i kekahi mau lāʻau antibiotic, ʻoiai ke lawe ʻia
i nā nui kiʻekiʻe a i ʻole no ka manawa lōʻihi, ke hoʻopilikia i nā puʻupaʻa. I ka ʻōlelo maʻalahi, hiki i kekahi mau lāʻau lapaʻau ke hana i nā kristal hiki ʻole ke hoʻoheheʻe ʻia i ko lākou hele ʻana ma waena o nā puʻupaʻa, e ālai ana i ke kahe ʻana o ka mimi. Hiki i nā lāʻau lapaʻau ʻē aʻe ke hōʻino pololei i nā hunaola puʻupaʻa. Eia kekahi, loaʻa i kekahi poʻe nā hopena maʻi i kekahi mau lāʻau antibiotic, hiki ke hoʻopilikia i nā puʻupaʻa. No laila, he mea nui loa ka lawe ʻana i nā lāʻau antibiotic
no ka manawa i kuhikuhi ʻia, e like me ke kauoha a ke kauka .
ʻO nā diuretics (a i ʻole "nā pila wai")
ʻO ka maʻamau, kapa mākou i kēia mau 'pila wai'. Hoʻohana nā kauka i kēia mau lāʻau lapaʻau e mālama i ke koko kiʻekiʻe a me ka pehu ʻana ma nā wahi like ʻole o ke kino. Hana lākou ma ka wehe ʻana i ka wai keu mai ke kino ma o ka mimi. Eia naʻe, i ka wā e hoʻohana ai i kēia mau mea, i kekahi manawa hiki i ke kino ke maloʻo, ʻo ia hoʻi, ʻaʻole lawa ka wai i loko o ke kino. ʻAʻole maikaʻi kēia no ke olakino o nā puʻupaʻa. No laila, inā ʻoe e hoʻohana nei i kēia mau lāʻau lapaʻau, he mea nui
e inu i ka wai lawa a hahai i nā ʻōlelo a kāu kauka .
He wahi kēia e pono ai ka poʻe he nui e hopohopo. ʻO nā lāʻau hoʻomaha ʻeha a mākou e kūʻai ai mai ka hale kūʻai lāʻau me ke kauoha ʻole no ke poʻo, ka ʻeha hope, a me ka ʻeha kuli, no kēia māhele ia. No ka laʻana, nā lāʻau lapaʻau e like me 'Aspirin', '
Ibuprofen' , 'Naproxen', 'Diclofenac'. Ma nā huaʻōlelo lapaʻau, kapa mākou i kēia mau 'Non-Steroidal Anti-Inflammatory Drugs' a i ʻole '(NSAIDs)'.
ʻOiai ʻo ka lawe ʻana i kēia mau lāʻau lapaʻau i ka wā pōkole, ʻaʻole ia he pilikia i nā dosis haʻahaʻa, ʻo ka hoʻohana mau ʻana iā lākou, i nā dosis kiʻekiʻe, me ka ʻole o ke aʻo lapaʻau, hiki ke lilo i mea weliweli.Hiki iā ia ke hōʻino pololei i nā puʻupaʻa .
Ua hōʻike ʻia nā noiʻi ma kahi o 5% o nā maʻi ma ka honua holoʻokoʻa i loaʻa i ka hāʻule piha ʻana o nā puʻupaʻa ma muli o ka hoʻohana pono ʻole ʻana i ia mau lāʻau ʻeha no ka manawa lōʻihi.
Nā mea pale i ka pamu proton (PPIs) - Lāʻau lapaʻau gastritis
ʻO ka gastritis, ka ʻeha puʻuwai, a me nā ʻōpū ʻōpū he mau pilikia maʻamau no nā kānaka he nui i kēia lā. ʻO nā lāʻau lapaʻau i hoʻohana ʻia e mālama ai i kēia mau kūlana ua kapa ʻia ʻo Proton Pump Inhibitors (PPIs) (e.g., Omeprazole, Esomeprazole, Lansoprazole), kahi e hōʻemi ai i ka nui o ka waikawa i hana ʻia i loko o ka ʻōpū. ʻOiai he maikaʻi loa kēia mau lāʻau lapaʻau, ua hōʻike nā noiʻi hou e hiki i
ka hoʻohana lōʻihi ʻana o kēia mau lāʻau lapaʻau ke alakaʻi i ka hōʻino ʻana o nā puʻupaʻa a me ka hāʻule ʻana o nā puʻupaʻa. Inā ʻoe e lawe ana i ka lāʻau lapaʻau no ka gastritis no ka manawa lōʻihi,
he mea nui e kamaʻilio me kāu kauka e pili ana i kēia a kūkākūkā inā pono ʻoe e hoʻomau i ka lawe ʻana i kēia mau lāʻau lapaʻau a i ʻole hiki iā ʻoe ke hoʻololi i kahi koho palekana (e like me nā mea pale H2).
| Papa Lāʻau Lapaʻau | Hoʻohana maʻamau | Ka hopena o ka puʻupaʻa |
|---|
| Nā lāʻau lapaʻau | No nā maʻi bacteria | Ka ālai ʻana o ke ala mimi, ka hōʻino ʻana i nā hunaola puʻupaʻa, nā maʻi ʻaleka. |
| Nā lāʻau lapaʻau | Ke koko kiʻekiʻe, ka pehu ʻana o ke kino | Ka hōʻino ʻia ʻana o nā puʻupaʻa ma o ka maloʻo ʻana o ka wai. |
| Nā lāʻau hoʻopau ʻeha (NSAID) | ʻEha, kuni, pehu | Ka pilikia o ka hāʻule ʻana o nā puʻupaʻa me ka hoʻohana pono ʻole ʻana i ka wā lōʻihi. |
| Lāʻau lapaʻau gastritis(Nā PPI) | ʻO Gastritis, ka mumū o ka umauma | Ka pilikia o ka maʻi puʻupaʻa me ka hoʻohana lōʻihi. |
Inā loaʻa iā ʻoe ka maʻi puʻupaʻa ...
Inā ua nāwaliwali iki kou mau puʻupaʻa, ʻo ia hoʻi, inā
ua ʻike mua ʻia ʻoe me ka maʻi puʻupaʻa , pono ʻoe e akahele loa. No ka mea, ʻo kekahi mau lāʻau lapaʻau ʻaʻole pilikia no ke kanaka maʻamau hiki ke hoʻopilikia i kou mau puʻupaʻa. No ka laʻana, ʻo kekahi mau lāʻau lapaʻau no ka cholesterol, kekahi mau lāʻau lapaʻau no ka maʻi diabetes, nā antacids no ka ʻōpū ʻeha, nā lāʻau antifungal a me nā antiviral,
pono ʻoe e kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana iā lākou. Hiki i kāu kauka ke hoʻoholo e hōʻemi i ka nui o ka lāʻau lapaʻau a hoʻololi paha iā ʻoe i kahi lāʻau lapaʻau palekana. Pēlā nō hoʻi i kekahi mau scan. Ke loaʻa iā ʻoe kahi MRI a i ʻole CT scan, i kekahi manawa ua hoʻokomo ʻia kahi wai kūikawā (contrast dye) e ʻike maopopo i loko o ke kino. ʻOiai he mea kakaikahi loa, hiki i kēia wai ke hōʻino i nā puʻupaʻa. Kāhea mākou i kēia mau kūlana `(Contrast-Induced Nephropathy - CIN)` a me `(Nephrogenic Systemic Fibrosis - NSF)`. No laila,
i ka wā e kuhikuhi ai no kahi scan, mai poina e haʻi i ke kauka he maʻi puʻupaʻa kou .
Leka Lawe-Home
- E lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka ma ka nui i kuhikuhi ʻia a no ka manawa i kuhikuhi ʻia. Mai hoʻololi i ka nui a i ʻole e hoʻōki i ka lāʻau lapaʻau ma kāu iho.
- Mai hoʻohana i nā lāʻau hoʻopau ʻeha ma luna o ke kauka ( NSAID ) no ka manawa lōʻihi me ka ʻole o ke kūkākūkā ʻana me ke kauka.
- Inā ua hoʻohana ʻoe i ka lāʻau like no ka gastritis (ʻoi aku hoʻi nā PPI ) no ka manawa lōʻihi, e kamaʻilio me kāu kauka e pili ana i ia mea a nīnau inā he mea pono nō ia.
- I kēlā me kēia manawa āu e ʻike ai i kāu kauka, e hoʻomaopopo iā ia e pili ana i nā lāʻau lapaʻau a pau , nā wikamina , a me nā mea hoʻopihapiha lāʻau lapaʻau āu e lawe nei.
- Inā loaʻa iā ʻoe kahi maʻi puʻupaʻa mua, e hoʻomanaʻo i kāu kauka e pili ana i ia mea ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau hou a i ʻole ke hana ʻia ʻana o kahi scan .
Pūpū, pūpū, nā lāʻau lapaʻau, NSAID, PPI, maʻi pūpū, nā lāʻau ʻeha
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