I ka wā hāpai, hiki ke hele i ka placenta a hiki i ke kahe koko o ka pēpē i ke kau ʻana a me nā lāʻau lapaʻau ma mua o ka kūʻai ʻana, nā mea kanu lāʻau, nā ʻaila topical, nā inhalers, nā huaora, a me nā mea hoʻohui. No laila, pono e nīnau i ke kauka ma mua o ka lawe ʻana i kekahi ʻano lāʻau lapaʻau.

Inā ʻoe e lawe nei i ka lāʻau lapaʻau no ka maʻi maʻi mau loa (ka hānō, ka maʻi diabetes, a me nā mea ʻē aʻe) a i ʻole kekahi maʻi, e haʻi aku kāu kauka i kāu mea e hana ai i kou wā hāpai.

Ma keʻano laulā, ʻoi aku ka maikaʻi o ke koho ʻana i nā ala ʻē aʻe no nā maʻi maʻamau.

Ina he anu:

ʻO ka Acetaminophen (Tylenol) a i ʻole ka paracetamol (Doliprane, Efferalgan) palekana. E puhi mau i kou ihu, e hoʻohana i ka serum physiological e hoʻomaʻemaʻe i ka ihu.

Loaʻa pinepine nā lāʻau anu i nā hopena vasoconstrictor (e hoʻemi ana i ke anawaena o nā kīʻaha koko) a ʻaʻole ʻōlelo ʻia no nā wahine hāpai.

ʻAʻole ʻōlelo ʻia nā ʻōpala ihu i loaʻa i ka azelastine (antihistamine), pono e hoʻohana ʻia nā mea i loaʻa i ka ephedrine a i ʻole phenylephrine no ka manawa pōkole, me ka ʻole o ka nui o nā dosage.

Pono e pale ʻia nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), e like me ka ibuprofen (Advil®, Motrin®) a me ka acetylsalicylic acid (Aspirin®) i nā mahina ʻehā hope o ka hāpai ʻana.

Inā ʻo ka ʻāʻī:

Inā pono (ka hoʻopau ʻana, ka maloʻo maloʻo luhi, etc.) a me ka ʻae ʻana o ke kauka, nā antitussifs me nā opiates māmā (loaʻa ka codeine a i ʻole dextromethorphan) hiki ke lawe ʻia me ka ʻole o ka nui o nā kau i kuhikuhi ʻia. Eia naʻe, e makaʻala ʻaʻole e lawe i kekahi mau lā ma mua o ka hānau ʻana ma muli o ka pilikia o ka hopena sedative no ke keiki.

I ka hihia o ka constipation:

Makemake i ka meaʻai momona i ka fiber, inu nui, hoʻoikaika mau.

ʻO nā huahana lāʻau lapaʻau e pili ana i ka bran a i ʻole mucilage (mea kanu e pehu ana i ka wai wai), e like me Metamucil® a i ʻole Prodiem®, a me lubricant laxatives Hiki ke hoʻohana ʻia ka ʻaila paraffin no kekahi mau lā.

Hōʻalo i ka mannitol (Manicol®) a me ka pentaerythritol (Auxytrans®, Hydrafuca®). E makaʻala i nā kī lāʻau laxative, hiki i kekahi ke hoʻoikaika i ka ʻoki ʻana o ka ʻōpū.

I ka hihia o ka nausea a me ka luaʻi:

ʻO Diclectin® (doxylamine succinate-pyridoxine hydrochloride) kahi lāʻau lapaʻau i mālama ʻia i ka wā hāpai no ka mea ua hōʻike ʻia ʻaʻole ia e hōʻeha i nā pēpē. Loaʻa iā ia kahi nui o ka huaora B6 (pyridoxine). He mau haʻawina^{20, 21} ua hōʻoia pū i ka pono o ka huaora B6 e hōʻemi i ka nausea a me ka luaʻi i nā wahine hāpai i ka wā hāpai mua.