ʻO ka hapanui o nā kānaka e hoʻohana i ka lāʻau paʻi ma luna o ka pākeke (OTC) i kekahi manawa e pale aku i nā maʻi liʻiliʻi, nāʻeha, a me nāʻeha. ʻO kēia mau lāʻau lapaʻau kahi o nā lāʻau lapaʻau loa i hoʻohanaʻia, akāʻaʻole i maopopo loa i ka hapanui o nā poʻe e lawe nei iā lākou. Pono lākou a kūpono i ka hoʻohanaʻiaʻana i mea kūpono no ka hoʻoluhiʻia o kaʻeha, akā, loaʻa nō hoʻi iā lākou nā hopena a me nā hopena hopena.
Ka mea e pono ai eʻike e pili ana i nā mea hoʻonāukiuki
ʻElua mauʻano maʻamau o nā mea hōʻoluʻolu o ke kaumaha ma waho: NSAID (non-anti-inflammatory drugs), e like me ka aspirin, ibuprofen (Advil a me Motrin), naproxen sodium (Aleve), a me ka ketoprofen (Orudis KT) a me Acetaminophen (Tylenol a me Panadol).
Hoʻopili kekahi mau huahana i kēia mau mea kaumaha me nā meaʻokoʻa e like me ka meaʻai a me nā meaʻaihue a kūʻai aku i ka huahana no ka hui pūʻana o nā hōʻailona. I kekahi manawaʻikeʻoe i kēia mau hua i hoʻolahaʻia no ka pale anuanu a me ka maʻi. Hiki i kēia mau mea kōkua ke hoʻopili i nā hōʻailona me ka'ākau ihu a me ka hina.
Ma keʻano laulā, ibuprofen, naproxen, a me ka ketoprofen e hoʻonā i kaʻeha ma mua o ka likeʻana o ka'āpana a me ka aspirin,ʻoiai he mea'ē aʻe nā mea'ē aʻe i ka acetaminophen a me ka aspirin. Hoʻokomo pinepineʻia ka Acetaminophen no ka mālamaʻana i kaʻeha o ke ākea no ka mea,ʻaʻole ia e hoʻonāukiuki i ka'ōpū. ʻO ia ka mea palekana palekana no nā keiki a me nā poʻe mākua.
ʻO ia hoʻi,ʻo ka aspirinʻo ia wale nō ka hoʻopaʻiʻeha e hoʻemiʻia ai ka hopena o ka maʻi pūpū.
NSAID
Mālama ka NSAID i ke kino mai ka hanaʻana i prostaglandins. ʻO nā Prostaglandins nā huahana i hanaʻia e ke kino e hana ma keʻano he poʻe kūkākūkā no nāʻanoʻoihana physiologically a me ka paleʻana i ka'ōpū o ka'ōpū a me ka hoʻopaʻiʻana i ke koko.
Hāpai pū lākou i kaʻeha a me ka mumū. Hana kekahi NSAID ma ka paleʻana i nā prostaglandins a pau. No laila, oiai lākou e pāpā i nā mea eʻeha ai, e pāpā lākou i ka poʻe e mālama ana i ka'ōpū o ka'ōpū, a hiki iā ia, no laila, e hoʻonāukiuki ai i ka'ōpū a iʻole ka hoʻomauʻana o ke kīpē i kekahi poʻe.
ʻO ka Prostaglandin kekahi mea kōkua i nā kīʻaha koko a pale i ke kaola. Ma ka kuhiʻana i ke mele, kahi i hoʻolālāʻia e NSAID e hana ai, hiki i ka mea nāna e lawe i kahi aspirin NSAIDs-specifically ibuprofen (Motrin), naproxen (Aleve), diclofenac (Voltaren) a me celecoxib (Celebrex) Hoʻonuiʻia ka pilikia o nā pilikia me ka hoʻohana lōʻihi o NSAIDs. Eia nō naʻe, pono ka NSAID ke hoʻohaʻahaʻa i nāʻanakē, kaʻeha, ke kuni, a me ka mumū.
ʻOiai ka maikaʻi i ka hōʻemiʻana i kaʻeha a me ka mumū, ʻaʻole i'ōleloʻia nā NSAID no ka hoʻohana muaʻana a iʻole i loko o nā haʻuki mau. Ua loaʻa i kekahi mau noiʻi he pono kūpono ka hana maikaʻi no ka laweʻana i ka ibuprofen a'ōlelo aku e hiki ke pale i kaʻeha, e hiki ai ke hoʻonui i ka pōpilikia. Ua aʻo aku kekahi mau noi'ē aʻe e pili ana ka hoʻohanaʻana i nā NSAID i ka hanaʻana o ke kala ultra me ka hoʻonuiʻia o ka pilikia o hyponatremia .
ʻO Aspirin
ʻOiai ua heluʻia heʻano NSAID, heʻano kūlohelohe nō kahi aspirin.
ʻO ka aspirin he meaʻoluʻolu pale e hoʻemiʻia ai ka maʻi a me ke kuni. Ua hōʻikeʻia hoʻi e kōkua i ka paleʻana i ka hōʻeha o ka puʻuwai, a loaʻa paha i nā pōmaikaʻi lōʻihi lōʻihi, e like me ka hōʻemiʻiaʻana o ka pōʻino o ka maʻi loli. Ke hana nei ia e like me ke koko ka lahilahi a, no laila, hiki ke pale i ke koko. ʻAeʻole ka aspirin.
ʻOiaiʻo'Aspirina kekahi mau pilikia. ʻAʻole pono e laweʻia e nā keiki i piha i 16 mau makahiki he mau moa laʻau a hōʻailona paha, no ka pilikia o Reye's Syndrome. ʻAʻole ia i'ōleloʻia no ka poʻe me nā maʻi o ka'ōpū, maʻi maʻi, nā maʻi pīpī, nā maʻi koko, a me nā mea'aehepal aspirin.
Nā lāʻau lapaʻau Topical Pain, nā Kaumāna Hoʻolaula, a me nā Gels
ʻO nā lāʻau lapaʻau paʻakikī nā mea e pili pono ana i kaʻili.
Hiki lākou i nāʻano likeʻole me nā meaʻono, nā momi a me nā pāpale. ʻEkolu mauʻano nui o nā mea hōʻoluʻolu o ka maʻi maʻamau, akāʻo nā mea pāʻani e hoʻohana nui (Bengay, Aspercreme, a me Sportscreme) nā salicylates (methyl salicylates), nā mea like i loaʻa i ka aspirin. ʻO lākou nā mea paʻipaʻi nui e hoʻemiʻia ai ke kauʻana i ka wā e hoʻohanaʻia e kaʻili a hoʻohana ponoʻia, akā, loaʻa kekahi mau pilikia
ʻO ka Acetaminophen
Uaʻikeʻia kona inoa inoaʻo Tylenol a me Panadol, ke acetaminophen e hana ma nā pokapūʻeha ma ka lolo. ʻO lākou nā mea paakiki pale loa no ka meaʻaʻole lākou e pāpā i ka prostaglandins, a no laila e hanaʻole i ke kahe o GI (gastrointestinal). ʻO ka Acetaminophen e ho'ēmi i kaʻeha a me ke kuni, akā,ʻaʻole i ka hū. He mea kūpono ia no ka mālamaʻana i ka osteoarthritis a iʻole e mālama i ka poʻe me ke koko kiʻekiʻe. Hiki i nā kūpaʻi nui o ka acetaminophen ke hoʻoweliweli i ka huhū, aʻikeʻia nā mea iʻikeʻia paha, e like me ka uila a me nā pilikia urinary.
He aha ka meaʻoi loa o ka paʻi haʻahaʻa nou?
E like me ka manawa mau, e kamaʻilio me ke kauka i mua o kou laweʻana i kahi palekana. Inā lawelaweʻoe i nā lāʻau no kekahi mau lāʻau lapaʻau (e like me ka nui o ke koko, ka maʻamau, ka maʻi hīkī, ulcer, a me kaʻeha) he manaʻo maikaʻi e nīnau a hoʻomaopopo i nā pilina pili me ka hopena. Ponoʻoe e haʻi aku i kāu kauka a me ka mea lapaʻau e pili ana i kekahi mau lāʻau a iʻole nā mea hoʻopihaʻi āu e lawe nei i mua o kou hoʻohuiʻana i nā mea hōʻoluʻolu kaumaha. ʻAʻole e mālamaʻia ka NSAID e nā wāhine hāpai (E nānā mau me kāu kauka e pili ana i ka hoʻoluhi o kaʻeha i ka wā o ka'ōpū).
Ināʻoe e pale i ka lāʻau hōʻailona pale, pono e hahai pono i nā kuhikuhi. ʻO ka mea nui, ibuprofen (Advil, Motrin), naproxen sodium (Aleve) aiʻole ketoprofen (Orudis KT) he mea kōkua i ka poʻe i loaʻa i kaʻeha hoʻolālā e hopena ai i kaʻeha, hoʻoulu, a me ka mumū. Hana nā hana laulā maʻamau i keʻano hoʻokahi a pono e kūlike i nā kūlana likeʻole e like me ka inoa inoa inoa like, akā, emiʻole. E heluhelu a hahai i nā kuhikuhi a kaʻaina aʻaʻole e lawe i nā meaʻoi aʻe ma mua o ka lāʻau i manaʻoʻia. Eia kekahi, mai hoʻohana i kekahi lāʻau o ka OTC no nā lā he 10 a hikiʻole i kāu kauka aiʻole kaukapa e haʻi iāʻoe he maikaʻi ia e hana pēlā.