Ua wehewehe ʻia e ka hōʻike ʻana o nā hōʻailona hou ʻole ma hope o ka lawe ʻana i ka lāʻau lapaʻau, ʻo iatrogenism ka lāʻau lapaʻau he pilikia olakino o ka lehulehu, ʻo ia hoʻi i ka poʻe ʻelemakule a me nā keiki. Pono e hōʻike ʻia nā hopena i manaʻo ʻole ʻia e ka mea mālama i ka Pharmacovigilance Center. 

ʻO nā maʻi iatrogenic ka hoʻonohonoho o nā hōʻailona makemake ʻole e kū pū ana me nā hōʻailona o ka maʻi i mālama ʻia ma muli o ka lāʻau lapaʻau. ʻO ka ʻoiaʻiʻo, hiki i nā lāʻau lapaʻau kūpono ke kūʻē i kekahi mau maʻi ke hoʻoulu i nā hopena ʻaoʻao maikaʻi ʻole, ʻokoʻa i kēlā me kēia kanaka, a hiki ke hoʻopilikia i ke olakino o ka mea maʻi e mālama ʻia. Hiki iā lākou ke lawe i nā ʻano like ʻole e like me ka ʻili ʻili ma muli o ka maʻi maʻi lāʻau, ka piʻi ʻana o ke koko a i ʻole kahi ulia hemorrhagic digestive.

He pinepine kēia mau hopena ʻaoʻao a ua helu ʻia ka hapa nui o lākou ma nā ʻōlelo kuhikuhi no nā lāʻau i kuhikuhi ʻia. ʻOhi ke kikowaena pharmacovigilance kūloko i nā hōʻike a pau mai nā limahana olakino a hoʻonui mau ʻia. ʻO ka pahuhopu o kēia waihona ʻo ia ka pale ʻana i kēia mau pilikia o nā maʻi iatrogenic, ka mea i hoʻohaʻahaʻa ʻia, a no laila e alakaʻi i ka hoʻololi ʻana i ka mālama ʻana a i ʻole ka hoʻoponopono ʻana (e hoʻemi a me ka hoʻokaʻawale ʻana o nā kau, lawe i ka lāʻau i ka waena o ka ʻai. me kekahi lāʻau pale ʻē aʻe…).

ʻO ka poʻeʻelemakule ka mea i hoʻopilikia nuiʻia e nā maʻi iatrogenic, no ka mea, pinepine lākou i ka polymedicated (he mau lāʻau lapaʻau e laweʻia i ka manawa hoʻokahi) aʻoi aku ka maʻalahi. ʻO kēia mau hopena ʻaoʻao he ʻelua mau manawa ma hope o 65 mau makahiki a ʻo 20% o kēia mau hopena ʻaoʻao e alakaʻi i nā halemai.

ʻO nā kumu o nā maʻi iatrogenic he nui:

• Overdose: aia ka pilikia o ka overdose i ka wā o ka ʻai ʻana i ka lāʻau lapaʻau ʻole ma muli o nā maʻi cognitive (nā maʻi noʻonoʻo) maʻamau i ka poʻe ʻelemakule.
• Allergy a intolerance: i kekahi mau lāʻau e like me nā lāʻau antibiotic, nā lāʻau anti-inflammatory, nā lāʻau hōʻeha ʻeha (analgesics), chemotherapy, contraception, kekahi mau ʻaila, a pēlā aku. ʻO kēia mau maʻi allergies a me nā intolerances e loli loa mai kekahi kanaka a i kekahi.
• Hoʻopau lohi: aia kekahi pilikia o ka hōʻemi ʻana i nā ala o ka hoʻopau ʻana i nā molekala lāʻau e ke ake a i ʻole nā ​​puʻupaʻa, e alakaʻi ana i ka overdose o ka lāʻau i ke kino.
• Nā pilina lāʻau: Aia paha he pilina lāʻau ma waena o ʻelua a ʻoi aku paha nā lāʻau i lawe ʻia i ka manawa like.
• Hoʻololi i ka metabolism: e kekahi mau lāʻau e like me ka diuretics, laxatives, nā lāʻau lapaʻau no ka thyroid gland, etc.
• ʻO ka lāʻau lapaʻau ponoʻī: ka mea e hoʻopilikia ai i ka lāʻau i kuhikuhi ʻia a i ʻole ka mālama pono ʻana i ka lāʻau lapaʻau.
• ʻAʻole kūpono nā dosages i nā keiki a i ʻole ka poʻe ʻelemakule, e pili ana i ka makahiki a me ke kaumaha.

ʻO kēia mau kumu ma ke kumu o ka lāʻau iatrogenism hiki ke hoʻoponopono pinepine ʻia, akā i kekahi manawa ke alakaʻi i nā ulia iatrogenic koʻikoʻi.

Hana ʻia kēia hōʻailona o nā maʻi iatrogenic ke ʻike ʻia nā hōʻailona i kūpono ʻole i ka maʻi e mālama ʻia nei. ʻO ka noʻonoʻo, hāʻule, nāwaliwali, luhi nui, ka maʻi maʻi, constipation, i kekahi manawa ka luaʻi koko a me nā mea ʻē aʻe. 

ʻO ka nīnau, ka hoʻokolohua lapaʻau, nā lāʻau lapaʻau i lawe ʻia, ʻoiai inā he mea hou ia, e alakaʻi i ka maʻi a me nā hoʻokolohua hou e hana ʻia. ʻO ka hoʻōki ʻana i ka lāʻau i manaʻo ʻia ʻo ia ka hana mua e hana ai.

Inā hahai ʻia kēia hoʻopau ʻana e ka hoʻomaikaʻi ʻana a i ʻole ka nalowale ʻana o nā hōʻailona o nā maʻi iatrogenic, hana ʻia ka maʻi e kahi hoʻāʻo therapeutic (hoʻopau i ka mālama ʻana). A laila pono e kākau i ka lāʻau e hoʻokō ai i kēia hopena ʻaoʻao a pale i ke kuhikuhi hou ʻana. Pono e ʻike ʻia kahi mea ʻē aʻe.

• ʻO ka huikau a me nā maʻi noʻonoʻo ma hope o ke kuhikuhi ʻana o nā diuretics e hoʻoikaika i ka hiki ʻana o ka hāʻule o ka sodium i loko o ke koko (hyponatremia) a me ka dehydration;
• ʻO ke kahe ʻana o ka ʻōpū ma hope o ka lawe ʻana i nā lāʻau anti-inflammatory e hōʻike ana i kahi lesion a i ʻole kahi maʻi maʻi digestive;
• ʻO ka ʻūhū, paʻakikī i ka hanu ʻana a me ka pehu ʻana o ka maka ma hope o ka lawe ʻana i nā lāʻau lapaʻau e hōʻike ana i kahi allergy i kēia antibiotic;
• ʻO Malaise ma hope o ka hoʻopaʻa ʻana a me ka edema ma ka wahi i hoʻopaʻa ʻia ma muli o kahi allergy i ke kano;
• ʻO ka mycosis waha a i ʻole gynecological ma hope o ka lāʻau antibiotic, ʻo ke kumu o ia mea he imbalance o ka flora waha a i ʻole gynecological ma hope o ka mālama ʻana.

ʻO ka mālama ʻana i nā hopena ʻaoʻao o kahi lāʻau lapaʻau e pili pinepine i ka hoʻōki ʻana i ka lāʻau a me ka ʻimi ʻana i kahi mea ʻē aʻe i ka lāʻau lapaʻau. Akā hiki nō hoʻi ke kakali i kēia hopena ʻaoʻao ma ke kuhikuhi ʻana i kekahi lāʻau lapaʻau e like me ka anti-ulcer i ka wā e kuhikuhi ai i nā lāʻau anti-inflammatory a i ʻole antimycotics i ka wā o ka mālama antibiotic.

ʻO nā manawa ʻē aʻe, lawa ia e hoʻoponopono i ke kaulike ʻole i hoʻokumu ʻia e ka lāʻau lapaʻau, e like me ka hāʻawi ʻana i ka sodium a i ʻole potassium i ka wā e loaʻa ai kahi maʻi koko (hyponatremia a hypokalaemia). 

Hiki ke kuhikuhi ʻia kahi laxative haʻahaʻa ma ke alo o ka constipation ma hope o ka mālama ʻana i ka lāʻau a i ʻole ka mea hoʻihoʻi hele i ka wā o ka maʻi maʻi. 

Hiki ke hoʻokomo i kahi meaʻai (ʻai haʻahaʻa paʻakai, maiʻa no ka hāʻawi potassium, ʻai haʻahaʻa i ka momona momona inā piʻi ka cholesterol, etc.). 

ʻO ka hope, hiki ke kuhikuhi ʻia ka lāʻau lapaʻau e hoʻomaʻamaʻa i ke koko me ka nānā mau.