Nā lāʻau lapaʻau: pehea e mālama ai i ke kālā a pono ia

Ua ʻōlelo ʻia nā huahana lāʻau (nā hoʻomākaukau, nā lāʻau lapaʻau, nā huaora, nā lāʻau lapaʻau) no ka ʻike ʻike wale nō. ʻAʻole mākou e paipai i ka hoʻohana ʻana iā lākou me ka ʻole o ke kauka. Heluhelu ʻia: " No ke aha ʻaʻole hiki iā ʻoe ke lawe i nā lāʻau me ka ʻole o ke kauka?". I nā makahiki i hala iho nei, ua piʻi aʻe nā kumukūʻai lāʻau ma 30-100%. Aia kekahi mau lāʻau lapaʻau, ua piʻi pinepine ke kumukūʻai, no laila ʻaʻole ia he mea kupanaha i ka ʻōlelo ʻana o nā mea kūʻai maʻamau he kumukūʻai ka mālama ʻana. E noʻonoʻo kākou i ka ʻoiaʻiʻo o kēia ʻōlelo, no ka mea, ua hana ʻia nā lāʻau lapaʻau me ka ʻano like ʻole ma lalo o nā inoa like ʻole a, no laila, ʻokoʻa ke kumukūʻai.

I ka makahiki 2018, ua hoʻoholo ka State Duma o Rūsia i kahi kānāwai e koi ana i nā lāʻau lapaʻau e hāʻawi i nā mea maʻi ʻaʻole wale i nā lāʻau lapaʻau, akā i nā analogues ʻoi aku ka liʻiliʻi. Ua ʻae ka Ministry of Health o Ukraine i nā kauka e kākau i kahi palapala kauoha no ka inoa ʻole o ka honua. Ma kēia ala, hiki i nā mea hoʻohana ke koho kūʻokoʻa i ka mea hana a me ke kumu kūʻai o nā lāʻau lapaʻau. Pēlā nō, hiki iā ʻoe ke hana like me ka lāʻau lapaʻau ponoʻī a me ke kūʻai ʻana i nā lāʻau lapaʻau ma luna o ke kūʻai ʻana, ke koho ʻana i nā huahana i ke ʻano waena a me ke kumu kūʻai haʻahaʻa. E mālama nui kēia i ka waihona kālā ʻohana.

ʻO nā hui lāʻau lapaʻau kaulana loa

wale nō no nā lāʻau lapaʻau kumu kūʻai nui, akā no kā lākou mau analogues haʻahaʻa loa. E ho'āʻo kākou e hoʻohālikelike i kekahi mau pūʻulu lāʻau kaulana.

ʻO nā lāʻau anti-inflammatory non-steroidal me ka hopena analgesic. ʻO kahi lāʻau lapaʻau kaulana loa ʻo ia ka diclofenac capsules, i lawe pinepine ʻia e ka poʻe ʻelemakule e hoʻomaha i ka ʻeha a me ka mumū i ka maʻi arthritis, sciatica, a me ka bursitis. Ke hoʻohālikelike nei i ka lāʻau lapaʻau Kelemania ʻo Dicloberl Retard capsules 100 mg, 20 mau ʻāpana i kēlā me kēia pā a me nā analogue home, maʻalahi ke ʻike: ʻokoʻa paha ke kumukūʻai e 5-10 mau manawa, akā like ka hopena.

Hoʻomākaukau antiseptic no nā maʻi ʻāʻī. ʻO kekahi o nā lāʻau lapaʻau kaulana loa ʻo Strepsils, i loaʻa i nā ʻano ʻono like ʻole (ʻalani, eucalyptus, honey-lemon, kumu, ʻaʻohe kō). Manaʻo pinepine ʻia i nā lāʻau lapaʻau, no ka mea aia kahi waiʻona antiseptic dichlorobenzyl maikaʻi. He maʻalahi ka loaʻa ʻana o nā analogues o ka lāʻau lapaʻau. No ka laʻana, ʻo Vokacept lozenges, ʻo ke kumukūʻai o ia ka hapalua.

Hoʻohana ʻia nā antifungals no ka candidiasis vaginal acute i nā wahine. Hoʻokahi capsule o French Diflucan e kūʻai i 10 mau manawa ma mua o kekahi lāʻau lapaʻau e pili ana i ka fluconazole, ʻo ia ka mea hana.

Ua kaulana nā lāʻau antidiarrheal e hoʻemi ana i ka neʻe ʻana o ka ʻiʻo maʻemaʻe o ka ʻōpū. ʻO ka manawa pinepine, ʻōlelo ka lāʻau lapaʻau i nā capsules Imodium, hiki ke hoʻololi ʻia me ka loperamide home.

He mea pono mau anei ke koho ana i na analogues makamae. Hoʻopili ka ʻenehana hana i ke kumukūʻai o kēlā me kēia lāʻau. ʻO nā huahana kumu e hele i kahi ala lōʻihi: mai ka synthesis o kahi mea, ma o ke aʻo ʻana i kāna mau waiwai a me nā hoʻokolohua lapaʻau, a hiki i ke komo ʻana i ka mākeke. Hiki i kēia ke lawe i nā makahiki 12-15, a i kekahi manawa ʻo 20. ʻO nā analogues, hiki ke hoʻokuʻu wale ʻia ma hope o ka pau ʻana o ka patent kumu, "lele" i kekahi mau pae i ka manawa hoʻokahi. ʻO kekahi o lākou he mau hoʻokolohua lapaʻau, no laila, no laila, ʻoi aku ka haʻahaʻa o ke kumukūʻai.

Akā ʻo ka nele o nā hoʻokolohua lapaʻau he mamao loa ia mai ke kumu wale nō i hiki ʻole ai ke hoʻololi i ka lāʻau. ʻO kahi mea nui i ka mālama ʻana i nā lāʻau pharmacological ko lākou bioavailability, ka mea e hoʻoholo ai i ka hopena therapeutic o ka lāʻau lapaʻau, pehea ka wikiwiki e hiki mai ai, a me ka paʻakikī o nā hopena ʻaoʻao. No ka laʻana, ʻo ka Institute of Pharmacology o ka State Medical University ma St. Petersburg, i ka hoʻohālikelike ʻana i ka azithromycin kumu a me kāna mau analogues, ʻike ʻia ma muli o ka lohi o ka absorption o nā lāʻau antibiotic cheap, ua emi ko lākou bioavailability. No laila, ʻoi aku ka haʻahaʻa o ka lāʻau lapaʻau i nā manawa he nui, a ʻo ia ka mea i manaʻo ʻia no ka mālama ʻana i nā maʻi koʻikoʻi.

ʻO kekahi mea koʻikoʻi ʻo ka mana o nā mea hoʻopihapiha kōkua. I kekahi ʻano o nā lāʻau lapaʻau, ʻaʻole lākou i kemika inert, a hiki ke hana pinepine me ka mea ikaika, a laila e hoʻopilikia ai i ka maikaʻi o ka lāʻau, hoʻololi kona pharmacokinetics a me pharmacodynamics:

  • solubility lāʻau lapaʻau huahana;
  • ka hoʻokuʻu ʻana o ka mea hoʻoikaika a me ka manawa e hiki ai i kona ʻike kiʻekiʻe;
  • metabolism, excretion;
  • hopena i ke kino, oi loa aku ma ke alo o na ma'i hui.

Ma muli o ia mau pilina, ʻokoʻa paha ka neʻe ʻana o nā mea hana. Ua hōʻike ʻia nā hoʻohālikelike kemika o nā huahana kumu a me nā analogues e piʻi pinepine kēia helu i kahi ʻokoʻa o 7%. ʻO ia ke ʻano o ka loaʻa ʻole o ka mea maʻi i ka dosage āna e pono ai.

ʻO ka mea hope loa i koʻikoʻi nui no ka hiki a i ʻole hiki ʻole ke hoʻololi i nā lāʻau lapaʻau ʻo ia ke kaulike.ʻEkolu mau hiʻohiʻona o kēia hōʻailona:

  • therapeutic - ʻo ka hapa nui o nā maʻi, me ka ʻike nui, e ʻeha i nā maʻi ʻē aʻe, no laila pono e hana nā lāʻau lapaʻau i nā ʻāpana a me nā ʻōnaehana i ka loa nā ala like;
  • lāʻau lapaʻau - i kēia hihia, pono e like ke ʻano o ka lāʻau lapaʻau, ke ʻano o ka hoʻokuʻu ʻana a me nā mea o nā ʻāpana;
  • lapaʻau – pono pū ka hoʻomanawanui lāʻau i ke kumu.

Nā kūlana i pāpā loa ʻia ai ka hoʻololi ʻana

ʻAʻole pono e hoʻololi i nā lāʻau lapaʻau no ka mea maʻi a me ka lāʻau lapaʻau me ka ʻole o ka ʻae ʻana o ka kauka. Eia nō naʻe, pili pinepine ka mea like i nā lāʻau lapaʻau kūʻai.

Hoʻohana ka lāʻau lapaʻau i ʻelua ʻōnaehana pani. ʻO ka mea mua, ka nui, hāʻawi i ka hiki ke hoʻohana i nā analogs e like me ka bioavailability, equivalence, pharmacokinetics a me pharmacodynamics. Ke kākau ʻana i kahi ʻōlelo kuhikuhi no ia mau kālā, kau ke kauka i kahi hōʻailona kūikawā me ka ʻae. I kēia hihia , hoʻoholo ka mea lapaʻau i ka lāʻau kūpono no ka mea maʻi.

ʻO ka lua, pāpā, ʻaʻole hiki ke koho i nā analogues ma kahi o ka lāʻau i kuhikuhi ʻia. Pono ke kauka e hoʻomaopopo i kēia ma ka palapala kauoha. No ka laʻana, pāpā loa ia e hoʻololi i nā pūʻulu pharmacological o nā lāʻau lapaʻau e like me β-blockers, Ca antagonists, antiepileptic lāʻau. A mamao loa kēia mai kahi papa inoa piha.

Eia kekahi, ʻaʻole pono ke hoʻololi i nā lāʻau me nā analogues inā:

  • aia nā pathologies koʻikoʻi, ʻoi aku ka ate a me nā puʻupaʻa, no ka mea ʻokoʻa loa ka metabolism o nā lāʻau like ʻole.
  • ​​
  • he moʻolelo ko ka mea maʻi o diabetes mellitus, no ka mea, hoʻohui kekahi mau mea hana i nā mea hoʻoponopono ʻono e pili ana i sucrose, glucose i kā lākou hoʻomākaukau. e hoʻomaikaʻi i ka ʻono].
  • Hoʻohana ʻia nā lāʻau lapaʻau no nā keiki a me nā maʻi ʻelemakule.

A pehea ma nā ʻāina ʻē aʻe

Ma nā wahi like ʻole o ka honua, ʻokoʻa ka manaʻo o ka hoʻopakele ʻana ma ke pani ʻana i nā lāʻau me nā lāʻau liʻiliʻi. No ka laʻana, ma USA a me Kanada, hiki wale kēia inā ʻaʻole i ʻike ke kauka i ka pāpā ʻana i ke pani. Ma UK, ua hoopau loa ia keia. Pono ka lāʻau lapaʻau e hoʻokuʻu wale i ka lāʻau lapaʻau i hōʻike ʻia ma ka ʻōlelo kuhikuhi.

ʻOi aku ka kūpaʻa ʻo Denemaka - e hoʻololi i ke kauka, ua lawa ia e "hāʻawi i ka hele mua", a ʻo ke Kuhina Ola ʻo Farani e paipai nei i ke kuhikuhi ʻana i nā lāʻau lapaʻau maʻalahi. He ʻōnaehana hoʻopaʻi ko kēia ʻāina no ke kuhikuhi ʻana i nā lāʻau lapaʻau pipiʻi.

Inā e koho mau ana ʻoe i nā analogues ʻoi aku ka liʻiliʻi, pono ʻoe e noʻonoʻo pono i ka hui o nā lāʻau i kuhikuhi ʻia e ke kauka a i ʻole nā ​​​​hōʻailona āu e pono ai e kāpae. Inā koʻikoʻi ke kūlana, ʻaʻole pono ʻoe e pani i nā lāʻau iā ʻoe iho.

Pono pono ka hoahu ana!

Puna