Nā Hana like ʻana o nā Lāʻau Lapaʻau a me ka Meaʻai
Hana ʻia nā pilina lāʻau lapaʻau-meaʻai ke hoʻopilikia kekahi mau meaʻai, mea inu, a i ʻole nā meaʻai i ke ʻano o ka hana ʻana o ka lāʻau lapaʻau i loko o ke kino. Hiki ke ʻokoʻa nā hopena: lilo ka lāʻau lapaʻau i mea liʻiliʻi ka hopena, lilo kona hopena i ikaika loa, a i ʻole piʻi ka pilikia o nā hopena ʻaoʻao. Ma muli o ka hana ʻana o nā lāʻau lapaʻau ma o ka omo ʻana, ka hoʻolaha ʻana, ka metabolism, a me ka hoʻopau ʻana, hiki i nā mea a mākou e ʻai ai ke "hoʻololi" i nā ala o kēia mau lāʻau lapaʻau. He mea nui ka hoʻomaopopo ʻana i kēia mau pilina, ʻoiai no ka poʻe e lawe mau ana i nā lāʻau lapaʻau, ka poʻe ʻelemakule, nā wahine hāpai, a me nā poʻe maʻi me nā maʻi mau.
No ke aha e hiki ai i ka meaʻai ke hoʻopilikia i ka lāʻau lapaʻau?
Ke lawe ʻia ka lāʻau lapaʻau, pono ke kino e omo mua iā ia ma o ke ala ʻai. Hiki i ka meaʻai ke hoʻolohi a hoʻolalelale paha i ka hoʻokahe ʻana o ka ʻōpū, hoʻololi i nā pae acidity, hoʻopilikia i nā enzymes digestive, a launa pū me nā mea hana o ka lāʻau. Eia kekahi, hoʻopilikia kekahi mau meaʻai i nā enzymes ate (e like me ka ʻōnaehana enzyme CYP450) nāna e hoʻopili i nā lāʻau lapaʻau, e hoʻonui a hoʻemi paha i nā pae koko. Eia kekahi, hiki i nā lāʻau lapaʻau ke hoʻopilikia i ka omo ʻana o kekahi mau meaʻai, e alakaʻi ana i nā hemahema o ka huaora a i ʻole nā mineral me ka hoʻohana lōʻihi.
Nā ʻano pilina o nā lāʻau lapaʻau a me nā meaʻai
Ma keʻano laulā, hiki ke hoʻokaʻawale ʻia nā pilina lāʻau a me ka meaʻai i kekahi mau ʻano:
1. Nā pilina e pili ana i ka omo ʻana
Hiki i kekahi mau meaʻai ke hoʻopaʻa i nā lāʻau lapaʻau i loko o ke ala ʻai a hoʻololi paha i ke kūlana o ka ʻōpū a me nā naʻau i ʻole e komo pono ʻia ka lāʻau lapaʻau.
2. Nā pilina e pili ana i ka metabolism
Hiki i nā meaʻai ke kāohi a hoʻonui paha i ka hana o nā enzymes akepaʻa. ʻO ka hopena, hiki i nā lāʻau lapaʻau ke noho lōʻihi i loko o ke kino a i ʻole e wāwahi koke ʻia ma mua o ko lākou hopena.
3. Nā pilina e hoʻopilikia ai i nā hopena lāʻau (pharmacodynamics)
Hiki i ka meaʻai ke hoʻoikaika pololei a hoʻonāwaliwali paha i nā hopena o nā lāʻau lapaʻau, no ka laʻana ma o kona hopena ma ke koko, ke kāpili ʻana o ke koko, a i ʻole nā pae kō.
4. Nā pilina e hoʻopilikia ai i ke kūlana meaʻai
Hoʻemi kekahi mau lāʻau lapaʻau i ka omo ʻana o nā wikamina/minerala, a i ʻole ke kumu o nā loli i ka makemake e ʻai, ka mea e hoʻopilikia hope loa i ke olakino.
Nā hiʻohiʻona o nā pilina lāʻau a me ka meaʻai e hana pinepine ʻia
1. ʻO ka hua waina a me kekahi mau lāʻau lapaʻau
Ua ʻike ʻia ka grapefruit e hoʻopilikia i ka metabolism o nā lāʻau lapaʻau he nui ma o ka pale ʻana i ka enzyme CYP3A4 i loko o ka ʻōpū. ʻO ka hopena, hiki ke piʻi aʻe nā pae koko o ka lāʻau, e hana ana i nā hopena ʻaoʻao weliweli. ʻO nā laʻana kekahi mau lāʻau hoʻohaʻahaʻa cholesterol (kekahi mau statins), kekahi mau lāʻau koko koko, nā lāʻau no nā maʻi puʻuwai, a me kekahi mau lāʻau anti-anxiety. No ka mea hiki ke lōʻihi loa nā hopena o ka grapefruit, ʻo ka pale ʻana iā ia ka mea palekana loa inā e aʻo ʻia e ke kauka a i ʻole ka mea kūʻai lāʻau.
2. Waiū, kalipuna, a me kekahi mau lāʻau ʻalopelo
Hiki i nā huahana waiū a me nā mea hoʻohui calcium ke hoʻopaʻa i nā antibiotic tetracycline (e.g., doxycycline) a me nā fluoroquinolones (e.g., ciprofloxacin), e hōʻemi ana i ko lākou omo ʻana. Hiki i kēia ke hoʻolilo i nā antibiotics i mea liʻiliʻi ka hopena a hoʻolilo i ka maʻi i mea paʻakikī ke mālama. Manaʻo nui ʻia e waiho i kahi kaawale o kekahi mau hola ma waena o ka lawe ʻana i ka lāʻau lapaʻau a me ka ʻai ʻana i ka waiū a i ʻole nā mea hoʻohui mineral e like me ka calcium, magnesium, a i ʻole ka hao.
3. ʻO ka wikamina K i loko o nā mea kanu ʻōmaʻomaʻo a me ka warfarin
He mea hoʻokahe koko ʻo Warfarin i hoʻopilikia nui ʻia e ka lawe ʻana i ka huaora K. ʻO nā mea kanu ʻōmaʻomaʻo e like me ka spinach, kale, broccoli, a me nā greens mustard he kiʻekiʻe i ka huaora K, hiki ke hōʻemi i nā hopena o ka warfarin, e hoʻonui ana i ka pilikia o nā ʻūpā koko. ʻAʻole kēia manaʻo e hoʻōki nā mea maʻi i ka ʻai ʻana i nā mea kanu, akā he mea nui ka kūlike: pono e kūlike ka lawe ʻana i ka huaora K i kēlā me kēia lā i hiki ke hoʻoponopono pono ʻia ka nui o ka lāʻau.
4. Kafeina a me kekahi mau lāʻau lapaʻau
Hiki i ka caffeine i loko o ke kofe, ke kī, a me nā mea inu ikehu ke hoʻoikaika i nā hopena hoʻoulu, hoʻonui i ka helu o ka puʻuwai, a hoʻoulu paha i ka hopohopo ke lawe ʻia me kekahi mau lāʻau lapaʻau. I kekahi poʻe, launa pū ka caffeine me nā lāʻau hānō (e like me ka theophylline) a i ʻole kekahi mau lāʻau anu i loaʻa nā decongestants. Eia kekahi, hiki i ka caffeine ke hoʻopilikia i ka hiamoe, ʻoiai kekahi mau lāʻau lapaʻau e pono ai ka hoʻomaha kūpono no ka hoʻōla ʻana.
5. ʻO ka waiʻona a me nā ʻano lāʻau lapaʻau he nui
ʻO ka waiʻona kekahi o nā "pilina hoʻoulu" maʻamau. Hiki i ka waiʻona ke hoʻonui i nā hopena hoʻomaha o nā lāʻau lapaʻau e like me nā antihistamines kahiko, nā lāʻau hiamoe, nā lāʻau hopohopo, a me kekahi mau lāʻau ʻeha, e hoʻonui ana i ka pilikia o nā ulia a me nā pilikia hanu. Hoʻokau pū ka waiʻona i kahi kaumaha ma ke akepaʻa; i ka wā e hui pū ʻia me nā lāʻau lapaʻau i hoʻoheheʻe ʻia i loko o ke akepaʻa, hiki ke piʻi aʻe ka pilikia o ka hōʻino ʻia o ke akepaʻa. I ka poʻe me ka maʻi diabetes, hiki i ka waiʻona ke hoʻoulu i ka hypoglycemia i ka wā e hui pū ʻia me ka insulin a i ʻole kekahi mau lāʻau lapaʻau.
6. Nā meaʻai paʻakai kiʻekiʻe a me nā lāʻau lapaʻau hypertension
Hana kekahi mau lāʻau lapaʻau hypertension ma ke kōkua ʻana i ke kino e hoʻokuʻu i ka sodium a me ka wai, a i ʻole ma ka hoʻomaha ʻana i nā kīʻaha koko. ʻO ka nui o ka paʻakai e paʻakikī ai ke kāohi i ke koko, a ʻike ʻia paha he emi ka maikaʻi o ka lāʻau lapaʻau. I nā poʻe maʻi me ka hypertension, pono pinepine nā hoʻololi ʻana i ka ʻai no ka mālama maikaʻi loa.
7. Maiʻa, ʻalani, a me nā lāʻau hoʻonui potassium
Waiwai kekahi mau hua i ka potassium. I ka poʻe e lawe ana i nā lāʻau lapaʻau e hiki ke hoʻonui i nā pae potassium (no ka laʻana, kekahi mau lāʻau koko e like me nā ACE inhibitors a i ʻole nā diuretics potassium-sparing), hiki i ka lawe ʻana i ka potassium kiʻekiʻe loa ke hoʻonui i ka pilikia o ka hyperkalemia. Hiki i nā hōʻailona ke komo pū me ka nāwaliwali, ka nausea, a me nā haunaele o ka puʻuwai. ʻAʻole kēia manaʻo e pale loa i nā huaʻai, akā pono ia i ka nānā ʻana a me ka ʻōlelo aʻoaʻo lapaʻau.
Nā lula laulā: inu ma mua, ma hope, a i ʻole me ka ʻai?
He nui ka poʻe e huikau nei i ka wā e lawe ai i ka lāʻau lapaʻau. Ma keʻano laulā:
– ʻO ka manaʻo maʻamau, "Ma ka ʻōpū ʻole" he 1 hola ma mua a i ʻole 2 hola ma hope o ka ʻai ʻana. Hoʻopaʻa kēia i ka omo maikaʻi ʻana o ka lāʻau lapaʻau a pale i ka hoʻopilikia ʻana o ka meaʻai.
– ʻŌlelo pinepine ʻia ʻo "Ma hope o ka ʻai" no nā lāʻau lapaʻau e hiki ai ke hoʻonāukiuki i ka ʻōpū a i ʻole ke kumu o ka luaʻi. Kōkua ka meaʻai i ka pale ʻana i ka ʻōpū.
– “Me ka meaʻai” hiki ke ʻano he ʻoi aku ka maikaʻi o ka hoʻopili ʻia ʻana o ka lāʻau ke loaʻa ka momona a i ʻole kekahi mau meaʻai, a i ʻole e hōʻemi i nā hopena ʻaoʻao o ka ʻōpū.
Eia nō naʻe, ʻokoʻa kēia mau lula ma muli o ke ʻano o ka lāʻau lapaʻau. Mai hilinaʻi i ka noʻonoʻo maʻamau; e heluhelu i ka lepili a kūkākūkā me kāu kauka lāʻau.
Nā hui e pono ai ke makaʻala nui aku
ʻOi aku ka pilikia o ka launa pū ʻana o nā lāʻau lapaʻau a me ka meaʻai ma:
– ʻElemakule, ma muli o ka emi ʻana o ka hana o ke akepaʻa a me nā puʻupaʻa a me ka hoʻohana pinepine ʻana i nā lāʻau lapaʻau he nui (polypharmacy).
- Nā maʻi me nā maʻi mau e like me ke koko kiʻekiʻe, ka maʻi diabetes, nā maʻi puʻuwai, nā maʻi puʻupaʻa, a me nā maʻi ate.
– Nā makuahine hāpai a me nā makuahine hānai waiū, no ka mea, hiki i nā loli kino ke hoʻopilikia i ka nui o ka lāʻau a me ka palekana o ka ʻōpū/pēpē.
– ʻO ka poʻe e lawe ana i nā mea hoʻohui lāʻau lapaʻau e like me ginkgo, ginseng, a i ʻole ka wort St. John (ma kekahi mau ʻāina). ʻOiai he "kūlohelohe" lākou, hiki i nā mea kanu ke launa pū me nā lāʻau lapaʻau.
Pehea e pale ai i ka launa pū ʻana o nā lāʻau lapaʻau a me ka meaʻai
ʻO kekahi mau hana kūpono e hiki ke hana ʻia:
1. E heluhelu i ka lepili lāʻau a me ka pepa ʻike: aia nā ʻōlelo aʻo e pili ana i nā meaʻai/mea inu e pono e hōʻalo ʻia.
2. E hana i kahi papa inoa o nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui meaʻai. E hōʻike i kāu kauka/kauka lāʻau lapaʻau.
3. E nīnau kikoʻī: "Hiki ke lawe ʻia kēia lāʻau lapaʻau me ka waiū? Kofe? Kī? ʻAila? Pono anei e lawe ʻia ma mua a ma hope paha o ka ʻai ʻana?"
4. E mālama i nā ʻano ʻai like, ʻoiai inā e lawe ana i nā lāʻau lapaʻau i pili i kekahi mau meaola (e laʻa me ka warfarin).
5. E ʻae i ka manawa inā pono, no ka laʻana ma waena o kekahi mau lāʻau antibiotic a me ka waiū a i ʻole nā mea hoʻohui mineral.
6. E nānā i nā hōʻailona ʻē: ka poniuniu nui, ka nausea nui, ka ʻulaʻula, ka palpitations o ka puʻuwai, ke kahe ʻana o ke koko, a i ʻole nā loli nui i ke koko/pae kō.
7. Mai ho'ōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka, ʻoiai inā manaʻo ʻoe he pilina pili.
Pani
He pilikia maoli ka pilina o nā lāʻau lapaʻau a me ka meaʻai e hiki ke hoʻopilikia i ka holomua o ka lāʻau lapaʻau a me ka palekana o ka mea maʻi. ʻO kekahi mau pilina e hoʻemi iki i ka hopena o nā lāʻau lapaʻau, aʻo kekahi e hiki ke hana i nā hopena ʻaoʻao koʻikoʻi. ʻO ke kī ka ʻike pololei, nā hana hoʻohana mau, a me ke kamaʻilio ʻana me kāu kauka a me ka mea kūʻai lāʻau. Ma ka hoʻomaopopo ʻana i nā mea hiki a me nā mea hiki ʻole ke lawe ʻia me nā lāʻau lapaʻau, hiki iā mākou ke hoʻonui i nā pono o ka lāʻau lapaʻau me ka hoʻēmi ʻana i nā pilikia makemake ʻole ʻia.
Inā makemake ʻoe, hiki iaʻu ke hoʻopilikino i kēia ʻatikala i mea kikoʻī hou aku, no ka laʻana no ka lāʻau lapaʻau hypertension, diabetes, antibiotics, a i ʻole no kahi ʻano blog olakino me nā poʻomanaʻo pōkole a me nā kiko bullet.
