Ua lohe paha ʻoe i kēia lāʻau i kapa ʻia ʻo St. John's Wort? Hoʻohana kekahi poʻe iā ia no nā mea e like me ke kaumaha, ʻo kekahi no nā kūlana e like me ADHD (Attention-deficit hyperactivity disorder), OCD (Obsessive-compulsive disorder), nā kūlana ʻili, a me nā hōʻailona o ka menopause. Akā he mea nui e hoʻomanaʻo ʻaʻole kēia he lāʻau lapaʻau, mālama, a pale paha i kekahi maʻi. Ua manaʻo ʻia he mea hoʻohui lāʻau.
He aha nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i ka `St. John's Wort`?
ʻAe, i kēia manawa inā ʻoe e noʻonoʻo nei e hoʻohana i kēia 'St. John's Wort', aia kekahi mau mea e pono ai ʻoe e haʻi mua i kāu kauka a kauka lāʻau paha. No ka mea, ʻaʻole pono nā mea āpau no nā kānaka āpau. Pono lākou e ʻike inā he mau maʻi olakino kou e like me kēia. E nānā i kēia papa inoa:
- Loaʻa iā ʻoe nā maʻi kahe koko, ʻo ia hoʻi, ʻaʻole maʻalahi ke koko e paʻa?
- He maʻi puʻuwai kou?
- He koko kiʻekiʻe kou?
- Loaʻa iā ʻoe ka 'HIV' a i ʻole ka 'AIDS'?
- Aia kekahi nāwaliwali a pilikia paha i loko o ka ʻōnaehana pale o kou kino?
- Ke ʻeha nei ʻoe i ka maʻi puʻupaʻa?
- He maʻi akepaʻa kou?
- Ke ʻeha nei ʻoe i kekahi maʻi noʻonoʻo? ʻO ia hoʻi nā kūlana e like me ka hopohopo, ke kaumaha, a i ʻole ka mania.
- Ua loaʻa anei iā ʻoe kahi hahau ma mua?
- Ua loaʻa anei iā ʻoe nā manaʻo, nā hoʻolālā, a i ʻole nā hoʻāʻo e pepehi iā ʻoe iho? A i ʻole ua hana kekahi o kou ʻohana pēlā? He kumuhana koʻikoʻi loa kēia, akā he mea nui e haʻi aku i kāu kauka .
- Ua hoʻohana anei ʻoe i kahi lāʻau lapaʻau i loko o ka hui o nā lāʻau lapaʻau i kapa ʻia ʻo `MAOI` (Monoamine Oxidase Inhibitors - no ka laʻana, Carbex, Eldepryl, Marplan, Nardil, Parnate) i nā pule ʻelua i hala?
- Loaʻa iā ʻoe kahi hopena maʻi i ka St. John's Wort, nā mea kanu ʻē aʻe, nā mea kanu, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala hana, a i ʻole nā mea mālama?
- Ke hāpai nei ʻoe i kēia manawa a ke manaʻolana nei paha ʻoe e hāpai i ka wā e hiki mai ana?
- He makuahine hānai waiū ʻoe?
He mea nui loa ia no kou palekana ponoʻī e kamaʻilio me kāu kauka e pili ana i kēia mau mea, maopopo?
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
ʻAe, e nānā kākou pehea e hoʻohana ai i kēia. ʻO ka maʻamau, hele mai ka 'St. John's Wort' ma ke ʻano he pila a capsule paha āu e lawe ai ma ka waha.
- Ke inu ʻoe i kēia, e inu pū me ke kīʻaha wai.
- Pono ʻoe e heluhelu pono i nā kuhikuhi ma ka pūʻolo a hahai pono iā lākou. A i ʻole, e nīnau i kāu kauka a mea kūʻai lāʻau paha no ka ʻike hou aku.
- E lawe i kāu lāʻau lapaʻau i ka manawa kūpono, ma ka nui kūpono. Mai lawe ʻoi aku ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe, ʻeā? Hiki i kēlā ke hana i nā pilikia pono ʻole.
Inā ʻoe e hāʻawi ana i kēia i nā keiki ʻōpio, e kamaʻilio me kāu hui lapaʻau e pili ana i ia mea. Pono paha ka mālama kūikawā.
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia, mai hopohopo a kāhea koke aku i ke kikowaena hoʻomalu lāʻau make kokoke loa a i ʻole ke keʻena pilikia o ka haukapila. He mea nui loa kēia, no ka mea, hiki i ka lawe nui ʻana ke lilo i mea weliweli.
E hoʻomanaʻo i kēia: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kahi hoaaloha a ʻohana paha i loaʻa nā hōʻailona like me ʻoe. He ʻokoʻa ke kino a me ke olakino o kēlā me kēia kanaka.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
I kēia manawa, e noʻonoʻo ua poina iā ʻoe ka lawe ʻana i kāu lāʻau lapaʻau i hoʻokahi manawa. Inā hana ʻia kēlā, mai hopohopo.
- E lawe i ka lāʻau i hala ʻole i ka wā e hoʻomanaʻo ai ʻoe.
- Eia nō naʻe, inā kokoke loa i ka manawa no kāu mahele aʻe ke hoʻomanaʻo ʻoe, e kāpae i ka mahele i hala ʻole a lawe i kāu mahele aʻe i ka manawa i hoʻonohonoho ʻia.
- Mai lawe i ʻelua mahele lāʻau i ka manawa hoʻokahi no kekahi kumu. Hoʻonui kēia i ka pilikia o nā hopena ʻaoʻao.
Ke launa pū nei kēia me nā lāʻau lapaʻau ʻē aʻe? He mea nui loa kēia!
ʻO kēia kahi e pono ai ʻoe e makaʻala loa. Hiki i ka St. John's Wort ke launa pū me nā lāʻau lapaʻau ʻē aʻe. No laila, inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe, nā mea kanu, nā huaora, a i ʻole nā mea hoʻohui, he mea nui loa ia e haʻi i kāu kauka e pili ana iā lākou.
Mai hoʻohana i ka `St. John's Wort` me kēia mau lāʻau lapaʻau:
- Nā lāʻau lapaʻau i kapa ʻia ʻo `MAOI` (nā laʻana: Carbex, Eldepryl, Marplan, Nardil, Parnate)
- ʻO ka Methylene blue, kahi lāʻau i hoʻokomo ʻia i loko o kahi aʻa
Eia kekahi, hiki i ka St. John's Wort ke launa pū me nā lāʻau lapaʻau a me nā mea i lalo:
- ʻAila
- ʻAmiodarone (he lāʻau lapaʻau no ka maʻi puʻuwai)
- ʻO Amphetamines (hoʻohana ʻia no kekahi mau maʻi noʻonoʻo a me nā maʻi neurological)
- ʻAspirin a me nā lāʻau lapaʻau e like me ka aspirin (e.g. Diclofenac, Ibuprofen)
- ʻO Bosentan (he lāʻau lapaʻau no ke koko kiʻekiʻe o ka pulmonary)
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā maʻi noʻonoʻo ʻē aʻe (e like me nā SSRI e like me Fluoxetine lāua ʻo Sertraline)
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no nā ʻeha poʻo migraine (e.g., triptans e like me almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan)
- Cyclosporine (kahi lāʻau lapaʻau i hoʻohana ʻia e kāohi i ka ʻōnaehana pale)
- ʻO Digoxin (he lāʻau lapaʻau no ka maʻi puʻuwai)
- ʻO nā hormones wahine, e like me nā estrogens a me nā progestins, a me nā pila hoʻomalu hānau - hiki i ka St. John's Wort ke hōʻemi i ka pono o nā pila hoʻomalu hānau, no laila pono paha ʻoe e noʻonoʻo i kahi ʻano hana ʻē aʻe o ka hoʻomalu hānau.
- ʻIrinotecan (he lāʻau lapaʻau anti-cancer)
- ʻO Linezolid (he lāʻau antibiotic)
- ʻO Lithium (he lāʻau lapaʻau i hoʻohana ʻia no nā maʻi noʻonoʻo e like me ka bipolar)
- Nā lāʻau lapaʻau like ʻole no ke koko a me ka maʻi puʻuwai
- Nā lāʻau lapaʻau no ka maʻi HIV (e like me nā mea hoʻopaʻa Protease, nā mea hoʻopaʻa Non-nucleoside reverse transcriptase)
- Nā mea hoʻomaha i ka wā o ke ʻoki kino
- ʻO nā NSAID (nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory, e.g. ibuprofen, naproxen)
- ʻO Procarbazine (he lāʻau lapaʻau anti-cancer)
- ʻO Rasagiline (he lāʻau lapaʻau no ka maʻi o Parkinson)
- ʻO Sirolimus, Tacrolimus (nā lāʻau lapaʻau e kāohi i ka ʻōnaehana pale)
- ʻO Sunitinib (he lāʻau lapaʻau anti-cancer)
- ʻO ka Theophylline (he lāʻau lapaʻau i hoʻohana ʻia no nā maʻi hanu e like me ka hānō)
- ʻO Tramadol (he lāʻau hoʻopau ʻeha)
- ʻO Tryptophan (he amino acid, i kekahi manawa lawe ʻia ma ke ʻano he mea hoʻohui no ka hiamoe a me ke ʻano)
- ʻO Warfarin (kahi lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko) - Hiki i ka St. John's Wort ke hoʻololi i ke ʻano o ka hana a Warfarin. He mea weliweli kēia.
ʻAʻole i piha kēia papa inoa. Aia paha kekahi mau lāʻau lapaʻau ʻē aʻe. ʻO ia ke kumu e paipai aku ai mākou iā ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā lāʻau lapaʻau lāʻau, nā lāʻau lapaʻau ʻaʻole i kauoha ʻia, a me nā mea hoʻohui meaʻai. E hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kēia mau mea āpau ke launa pū me kāu mau lāʻau lapaʻau.
He aha hou aʻe kaʻu e makaʻala ai i ka wā e hoʻohana ai i ka `St. John's Wort`?
Ke hoʻohana ʻoe i ka 'St. John's Wort', aia kekahi mau mea ʻē aʻe e pono ai ʻoe e makaʻala.
- Lapaʻau Ola Kino: Inā ʻoe e mālama ʻia nei no ka hopohopo, ke kaumaha, a i ʻole kekahi maʻi noʻonoʻo ʻē aʻe, pono ʻoe e hoʻohana i kēia mea hoʻohui ma lalo o ke aʻo a kāu kauka. Hiki paha i kēia ke hoʻopilikia i kāu mau lāʻau ʻē aʻe. Inā ʻaʻole e hoʻomaikaʻi a ʻoi aku paha ka ʻino o kāu mau hōʻailona, e ʻike koke i kāu kauka.
- ʻIke i ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou ʻili i ka lā. ʻO ke ʻano kēia e ʻoi aku ka maʻalahi o ka puhi ʻana, lilo i ʻulaʻula, a i ʻole ka pehu maʻalahi. No laila, e kaupalena i kou ʻike ʻana i ka lā i ke ao e like me ka hiki. Inā pono ʻoe e hele i waho i ka lā, e ʻaʻahu i nā lole e uhi pono i kou ʻili, e ʻaʻahu i ka pāpale, a e hoʻohana i kahi sunscreen maikaʻi (ma ka liʻiliʻi SPF 30). ʻAʻole ia he manaʻo maikaʻi e hoʻohana i nā kukui lā a i ʻole nā moena tanning/booths.
- ʻO ke ʻoki kino a me ka mālama ʻana i nā niho:Inā ʻoe e hana nei i kekahi mau kaʻina hana lapaʻau a niho paha, e haʻi mua i kāu hui mālama ola e lawe ana ʻoe i ka St. John's Wort. Hiki iā lākou ke aʻo aku iā ʻoe e hoʻōki i ka lawe ʻana i ka mea hoʻohui i kekahi mau lā ma mua o ke kaʻina hana.
- Waha maloʻo: Hiki i kekahi poʻe ke loaʻa ka waha maloʻo i ka wā e lawe ana i kēia lāʻau lapaʻau. Inā hana ʻia kēia, hiki iā ʻoe ke kōkua i ka hōʻemi ʻana ma ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā mea ʻono paʻakikī kō ʻole, a me ka inu ʻana i ka wai nui i ka lā a pau. Eia nō naʻe, inā hoʻomau kēia pilikia a i ʻole he koʻikoʻi, e kamaʻilio me kāu kauka .
Ka ʻike kūikawā e pili ana i nā mea hoʻohui lāʻau lapaʻau
Eia kekahi mea e hoʻomanaʻo ai: ʻAʻole i hoʻoponopono paʻa ʻia nā mea hoʻohui lāʻau lapaʻau a meaʻai paha e like me nā lāʻau lapaʻau a mākou e kūʻai ai ma ka hale kūʻai lāʻau. ʻO ia hoʻi, ʻaʻole koi mau ʻia nā kūlana paʻa no ka kaohi ʻana i ka maikaʻi.
- Hiki ke ʻokoʻa ka maʻemaʻe a me ka ikaika o kēia mau huahana mai kekahi pūʻolo a i kekahi, a mai kekahi lama a i kekahi.
- ʻAʻole i hōʻoia ʻia ka palekana a me ka pono o kēia mea hoʻohui meaʻai no kekahi maʻi kikoʻī.
- ʻAʻole i manaʻo ʻia kēia mau huahana e hōʻoia, mālama, ho'ōla, a pale aku paha i kekahi maʻi.
Hāʻawi nā keʻena e like me ka US Food and Drug Administration (FDA) i kēia mau ʻōlelo aʻoaʻo e kōkua i nā mea kūʻai aku e pale iā lākou iho:
- E heluhelu pono i nā lepili huahana a e hahai pololei i nā kuhikuhi.
- ʻOiai ua kapa ʻia kahi mea he "kūlohelohe" ʻaʻole ia he manaʻo he palekana loa ia no nā kānaka e hoʻohana. Hiki i kekahi mau mea kūlohelohe ke lilo i mea ʻino.
- Inā hiki, e ʻimi i nā huahana i helu ʻia ka `USP` (United States Pharmacopeia) ma hope o ka inoa o ka mea hoʻohui. Hiki i kēia ke hāʻawi iā ʻoe i kahi manaʻo o ke kūlana.
- ʻO nā mea hoʻopihapiha i hana ʻia a kūʻai ʻia aku paha e kahi ʻoihana meaʻai a lāʻau lapaʻau paha i hilinaʻi ʻia a ʻike ʻia ma ka ʻāina, ʻoi aku ka nui o ka hana ʻia ʻana ma lalo o nā kaohi paʻa.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka St. John's Wort?
ʻAe, e nānā kākou i nā hopena ʻaoʻao hiki ke loaʻa. ʻAʻole loaʻa i nā kānaka a pau nā hopena ʻaoʻao, akā loaʻa i kekahi poʻe.
Inā loaʻa kekahi mea e like me kēia, pono ʻoe e hele i kāu kauka a i ʻole ka haukapila kokoke loa i ka hikiwawe loa:
- Nā hopena aleri: Hiki ke lilo kēia i pilikia. ʻO nā hōʻailona:
- nā ʻeha ʻili, e like me ka eczema
- ʻĀnai
- Nā hives (nui, ʻulaʻula, pehu, ʻāʻī)
- ʻO ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu (hiki ke pilikia i ka hanu ʻana)
Aia kekahi mau hopena ʻaoʻao ʻaʻole ia he mea weliweli, akā pono ʻoe e haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha lākou iā ʻoe:
- ʻO kēlā me kēia loli i ka makemake moekolohe a i ʻole ka hana moekolohe (hiki ke emi a piʻi paha)
- Pōʻino
- Waha maloʻo
- ʻEha poʻo
- ʻIke i ka mālamalama - E like me ka mea i ʻōlelo ʻia ma mua, loaʻa nā pilikia ʻili ke hōʻike ʻia i ka lā.
- ʻEha ʻōpū, pehu, nausea, a pēlā aku.
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē, e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea e mālama ai i kēia lāʻau lapaʻau?
He mea nui hoʻi e mālama pono i kēia lāʻau.
- E mālama mau iā ia mai ka hiki ʻana aku o nā keiki a mai ko lākou hiki ʻana aku.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 degere Celsius, a i ʻole 59 a me 86 degere Fahrenheit). A i ʻole, inā ʻōlelo ka lepili pūʻolo i kahi mahana mālama, e hahai i kēlā.
- E pale iā ia mai ka makū. ʻO ia hoʻi, mai waiho i loko o nā wahi pulu e like me ka lua.
- E hoʻolei aku i kekahi lāʻau lapaʻau i hala kona lā palena pau.
Hoʻomaopopo: Hāʻawi kēia ʻatikala i kahi hōʻuluʻulu manaʻo pōkole wale nō o St. John's Wort. ʻAʻole i loko nā kikoʻī āpau. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e ʻoluʻolu e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole kekahi mea mālama ola kino ʻē aʻe.
No laila, he aha nā leka lawe home mai nā mea a mākou i kūkākūkā ai?
ʻO ka `St. John's Wort` kahi mea hoʻohui lāʻau lapaʻau a kekahi poʻe e hoʻohana ai e kōkua i kekahi mau kūlana noʻonoʻo a me ke kino. Eia nō naʻe, pono ʻoe e kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana. He mea nui loa kēia. No ka mea hiki iā ia ke pane, a i ʻole "hoʻopilikia," me nā kūlana olakino ʻē aʻe āu e loaʻa ai a i ʻole nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. Inā pēlā, hiki iā ia ke hana i ka ʻino ma mua o ka maikaʻi.
ʻAʻole palekana nā mea āpau e ʻōlelo ana "maoli" ma ka lepili no nā kānaka a pau. No laila, e heluhelu pono i ka lepili, e hahai pololei i nā kuhikuhi a kāu kauka, a mai hoʻohana wale i nā mea a haʻi e haʻi aku nei iā ʻoe he palekana.
Eia kekahi, ʻaʻole nā mea hoʻohui e like me kēia he mau lāʻau lapaʻau mana. Inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona, a inā e ʻoi aku ka ʻino, e ʻike koke i ke kauka. ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hoʻomaopopo a me ke kuleana i ka wā e hoʻoholo ai e pili ana i kou olakino. E noho olakino!
ʻO St. John's Wort, olakino noʻonoʻo, lau nahele, mea hoʻohui, nā hopena ʻaoʻao, nā hopena lāʻau
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