He aha ʻo Ospemifene: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau lapaʻau ʻo Ospemifene e kōkua ana i nā wahine e mālama i ka moekolohe ʻeha i hana ʻia e nā loli vaginal ma hope o ka menopause. Hana ia ma ka hana ʻana e like me ka estrogen i kekahi mau wahi o kou kino, ʻo ia hoʻi i nā ʻiʻo vaginal, e hoʻihoʻi i ka wai a me ka elasticity e emi maoli ana i ka wā e hāʻule ai nā pae hormone.

No ka papa o nā mea i kapa ʻia he selective estrogen receptor modulators, a i ʻole SERMs no ka pōkole. E noʻonoʻo iā ia he mea kōkua i manaʻo ʻia e hāʻawi ana i nā pōmaikaʻi e like me ka estrogen kahi āu e pono ai, me ka hoʻopilikia ʻole i kou kino holoʻokoʻa e like me ka hana ʻana o ka hormone therapy kuʻuna.

No ke aha e hoʻohana ʻia ai ʻo Ospemifene?

Hoʻomaʻamaʻa ʻo Ospemifene i ka dyspareunia, ʻo ia ka huaʻōlelo lapaʻau no ka moekolohe ʻeha. Hoʻomohala pinepine kēia maʻi ma hope o ka menopause i ka wā e hana ai kou kino i ka liʻiliʻi o ka estrogen, e alakaʻi ana i ka maloʻo o ka vaginal, nā ʻiʻo lahilahi, a me ka emi ʻana o ka maʻalahi.

Nui nā wahine e ʻike i kēia mau loli ma ke ʻano he ʻāpana o ka mea a nā kauka e kapa ai he vulvovaginal atrophy a i ʻole genitourinary syndrome of menopause. Hiki i kāu mau ʻiʻo vaginal ke lahilahi, ʻaʻole maʻalahi, a ʻoi aku ka maʻalahi i ka huhū a i ʻole ka haehae ʻana i ka wā pili.

ʻOiai ʻo ospemifene e manaʻo nui ana i ka moekolohe ʻeha, hiki nō ke kōkua i nā hōʻailona vaginal ʻē aʻe e like me ka maloʻo, ke kuni, a i ʻole ka huhū. Eia naʻe, e hoʻoholo kāu kauka inā ʻo kēia lāʻau lapaʻau ke koho kūpono e pili ana i kāu mau hōʻailona kikoʻī a me ka mōʻaukala olakino.

Pehea e hana ai ʻo Ospemifene?

Hana ʻo Ospemifene ma ka hoʻohālike ʻana i nā hopena o ka estrogen ma kāu mau ʻiʻo vaginal. Hoʻopaʻa ia i nā mea hoʻokipa estrogen ma kēia mau wahi a kōkua i ka hoʻihoʻi ʻana i ka mānoanoa maoli, ka wai, a me ka elasticity e emi ana ma hope o ka menopause.

Ua manaʻo ʻia kēia lāʻau lapaʻau he koho ikaika no ka mālama ʻana i nā hōʻailona vaginal. ʻOi aku ka ikaika ma mua o nā moisturizers ma luna o ka counter akā ʻoi aku ka maʻalahi ma mua o ka systemic hormone replacement therapy e pili ana i kou kino holoʻokoʻa.

Pono ka lāʻau lapaʻau i ka manawa e kūkulu ai i loko o kou ʻōnaehana a hōʻike i nā hopena. Hoʻomaka ka hapa nui o nā wahine e ʻike i ka hoʻomaikaʻi ʻana i ka hōʻoluʻolu a me ke olakino o ka ʻōpū i loko o 4 a 12 pule o ka hoʻohana ʻana i kēlā me kēia lā.

Pehea wau e lawe ai iā Ospemifene?

E lawe iā ospemifene e like me ke kauoha a kāu kauka, maʻamau hoʻokahi papa 60mg i hoʻokahi manawa i ka lā me ka meaʻai. ʻO ka lawe ʻana me ka ʻai e kōkua i kou kino e komo i ka lāʻau lapaʻau me ka maikaʻi a hoʻemi i ka manawa o ka ʻōpū.

Hiki iā ʻoe ke lawe iā ospemifene i kēlā me kēia manawa o ka lā, akā e hoʻāʻo e lawe iā ia i ka manawa like i kēlā me kēia lā e mālama i nā pae paʻa i loko o kou kino. Nui nā wahine i ʻike he mea kōkua ke hoʻopili ʻana i ka lawe ʻana i kā lākou lāʻau lapaʻau me ka ʻai maʻamau, e like me ka ʻaina kakahiaka a i ʻole ka ʻaina ahiahi.

E ale i ka papa holoʻokoʻa me ke aniani wai piha. Mai ʻoki, wāwahi, a nau paha i ka papa, no ka mea, hiki i kēia ke hoʻopilikia i ke ʻano o ka lawe ʻia ʻana o ka lāʻau lapaʻau a hiki ke hoʻonui i nā hopena ʻaoʻao.

Inā ʻoe e hoʻohana pū ana i nā mea hoʻomaʻemaʻe a i ʻole nā ​​mea lubricating, hiki iā ʻoe ke hoʻomau i ka hoʻohana ʻana iā lākou i ka wā e lawe ana iā ospemifene. Hiki i kēia mau huahana ke hāʻawi i ka hōʻoluʻolu hou aʻe i ka wā e kūkulu ai ka lāʻau lapaʻau i loko o kou ʻōnaehana.

Pehea ka lōʻihi e lawe ai au iā Ospemifene?

Pono ka hapa nui o nā wahine e lawe iā ospemifene no ka liʻiliʻi o 12 pule e ʻike i nā pōmaikaʻi piha. E ʻōlelo paha kāu kauka e hoʻomaka me kahi hoʻokolokolo 3-mahina e loiloi i ka maikaʻi o ka hana ʻana o ka lāʻau lapaʻau no kāu mau hōʻailona.

Inā kōkua ʻo ospemifene i ka hoʻomaikaʻi ʻana i kou hōʻoluʻolu a me ke ola, hiki iā ʻoe ke hoʻomau i ka lawe ʻana iā ia no ka wā lōʻihi. Nui nā wahine e lawe i kēia lāʻau lapaʻau no nā mahina a i ʻole nā ​​makahiki, ma muli o kā lākou pono pilikino a me ka pane ʻana i ka lāʻau.

E hoʻonohonoho kāu kauka i nā loiloi maʻamau e nānā i ke ʻano o kāu pane ʻana i ka lāʻau lapaʻau a nānā i nā hopena ʻaoʻao. Hiki iā lākou ke hana i nā hoʻokolohua pelvic i kēlā me kēia manawa e loiloi i nā hoʻomaikaʻi ʻana i kou olakino vaginal.

Mai hooki i ka lawe ʻana iā ospemifene me ka ʻole e kamaʻilio mua me kāu kauka. ʻOiai he palekana ka hoʻōki ʻana, hiki ke hoʻi mālie kāu mau hōʻailona ke hooki ʻoe i ka lāʻau lapaʻau.

He aha nā hopena ʻaoʻao o Ospemifene?

E like me nā lāʻau lapaʻau a pau, hiki i ka ospemifene ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole ʻike nā mea a pau iā lākou. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e manaʻoʻiʻo i kāu lapaʻau a ʻike i ka manawa e hoʻopili ai i kāu kauka.

ʻO nā hopena ʻaoʻao maʻamau he maʻalahi a maʻamau e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau i nā pule mua o ka lapaʻau.

Nā hopena ʻaoʻao maʻamau

Hoʻopilikia kēia mau hopena ʻaoʻao ma mua o 1 i 100 mau wahine e lawe ana i ka ospemifene a ʻaʻole pono e hoʻōki i ka lāʻau lapaʻau:

• Nā uila wela a i ʻole nā manaʻo wela koke
• Hoʻokuʻu ʻia ka ʻōpū e hiki ke maopopo a i ʻole ke kala iki
• Nā ʻiʻo ʻiʻo, ʻoi aku hoʻi i kou mau wāwae a i ʻole ke kua
• Hoʻokuʻu ʻia nā ʻōpū a i ʻole nā loli i nā mea huna o ka ʻōpū
• ʻO ka hou nui, ʻoi aku hoʻi i ka pō

Hoʻoponopono pinepine kēia mau hōʻailona i loko o 4 a 6 mau pule i ka wā e hoʻopili ai kou kino i ka lāʻau lapaʻau. Inā mau lākou a lilo i mea hoʻonāukiuki, hiki i kāu kauka ke hōʻike i nā ala e mālama ai iā lākou.

Nā hopena ʻaoʻao liʻiliʻi

Hiki i kekahi mau wahine ke ʻike i kēia mau hopena ʻaoʻao, e kū ana i ka liʻiliʻi ma mua o 1 i 100 poʻe e lawe ana i ka ospemifene:

• Nausea a i ʻole ka ʻoluʻolu o ka ʻōpū
• Nā poʻo a i ʻole ka ʻehaʻeha
• ʻO ka ʻili a i ʻole nā hopena maʻi maʻi maʻalahi
• Nā loli i ke ʻano a i ʻole ka hopohopo maʻalahi
• Nā ʻeha hui a i ʻole nā ʻiʻo

Inā ʻike ʻoe i kekahi o kēia mau hopena, e haʻi iā lākou i kāu kauka i kāu manawa e hiki mai ana. Hiki iā lākou ke kōkua i ka hoʻoholo ʻana inā he mea kōkua nā hoʻoponopono i kāu hoʻolālā lapaʻau.

Nā hopena ʻaoʻao koʻikoʻi

ʻOiai he mea maʻamau, pono kekahi mau hopena ʻaoʻao koʻikoʻi i ka lāʻau lapaʻau koke. Hoʻopilikia kēia i ka liʻiliʻi ma mua o 1 i 1,000 mau wahine akā he mea nui e ʻike:

• Nā hōʻailona o nā ʻōpū koko: ʻeha wāwae hikiwawe, pehu, ʻeha umauma, a i ʻole pilikia i ka hanu
• Nā hōʻailona o ka hahau ʻana: ʻeha poʻo nui hikiwawe, huikau, nā loli ʻike, a i ʻole nāwaliwali ma kekahi ʻaoʻao
• Ke kahe koko ʻokoʻa mai ka wāhine mai
• ʻEha ʻōpū nui a i ʻole ka luaʻi mau
• Nā hōʻailona o nā pilikia o ke akepaʻa: melemele o ka ʻili a i ʻole nā maka, mimi ʻeleʻele, luhi nui

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e hoʻokaʻaʻike koke i kāu kauka a i ʻole e ʻimi i ka mālama olakino pilikia. ʻOiai ʻaʻole maʻamau kēia mau pilikia, he mea nui ka mālama koke ʻana inā loaʻa lākou.

ʻO wai ka mea pono ʻole e lawe iā Ospemifene?

ʻAʻole kūpono ʻo Ospemifene no nā mea a pau, a e nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana. Hiki i kekahi mau maʻi a i ʻole nā mea pilikia ke hoʻolilo i kēia lāʻau i mea palekana ʻole iā ʻoe.

ʻO ka hoʻomaopopo ʻana i kēia mau kūʻē e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mālama palekana a kūpono loa no kāu mau hōʻailona.

Nā Kūʻē Kūpono

ʻAʻole pono ʻoe e lawe iā ospemifene inā loaʻa iā ʻoe kekahi o kēia mau maʻi:

• Ka maʻi ʻaʻai umauma i ʻike ʻia a i manaʻo ʻia paha, i kēia manawa a i ʻole i kāu mōʻaukala olakino
• Nā maʻi ʻaʻai i hilinaʻi ʻia i ka estrogen i ʻike ʻia a i manaʻo ʻia paha
• Ke kahe koko ʻokoʻa ʻike ʻole ʻia
• Nā ʻōpū koko ikaika a i ʻole ka mōʻaukala i nā wāwae a i ʻole nā ​​māmā
• Hahau ikaika a i ʻole ka mōʻaukala a i ʻole ka puʻuwai
• Ka maʻi ate i ʻike ʻia a i ʻole nā ​​ʻōpū ate
• Hāpai a i ʻole ka hiki ke hāpai

Hoʻokumu kēia mau maʻi i nā pilikia olakino koʻikoʻi ke hui pū ʻia me ospemifene, no laila ʻoi aku ka palekana o nā lāʻau lapaʻau ʻē aʻe no ka mālama ʻana i kāu mau hōʻailona.

Nā Kūʻē pili

E kaupaona kāu kauka i nā pōmaikaʻi e kūʻē i nā pilikia hiki ke loaʻa inā loaʻa iā ʻoe kekahi o kēia mau maʻi:

• He moʻolelo ʻohana ikaika o ka maʻi ʻaʻai umauma a i ʻole nā hoʻololi genetic e like me BRCA
• He moʻolelo o ka hyperplasia endometrial a i ʻole ka maʻi ʻaʻai uterine
• Nā migraines koʻikoʻi, ʻoi aku me nā hōʻailona ʻike
• Diabetes me nā pilikia vascular
• Ke koko kiʻekiʻe paʻakikī ke kāohi
• Maʻi gallbladder a i ʻole ka moʻolelo o nā pōhaku gall
• Hoʻopaʻa lōʻihi a i ʻole ke ʻoki nui e hiki mai ana

ʻAʻole ia e kāpae ʻakomi iā ʻoe mai ka lawe ʻana i ka ospemifene, akā e nānā pono kāu kauka iā ʻoe a e ʻōlelo paha i nā hana palekana hou.

Nā inoa inoa o Ospemifene

Loaʻa ʻo Ospemifene ma lalo o ka inoa inoa ʻo Osphena ma ʻAmelika Hui Pū ʻIa. ʻO kēia wale nō ka brand ospemifene i ʻae ʻia e ka FDA no ka mālama ʻana i ka moekolohe ʻeha e pili ana i ka menopause.

ʻAʻole like me kekahi mau lāʻau lapaʻau i loaʻa nā inoa inoa he nui a i ʻole nā mana generic, aia nō ʻo ospemifene ma lalo o ka pale patent. ʻO ia hoʻi, e loaʻa paha iā ʻoe ka brand Osphena like me ka hale kūʻai lāʻau lapaʻau āu e kipa ai.

Hiki ke ʻokoʻa kāu ʻinikua no nā lāʻau lapaʻau inoa inoa, no laila pono e nānā me kāu mea hāʻawi ʻinikua e pili ana i nā koho uhi a me nā koi ʻae mua e loaʻa paha iā lākou.

Nā koho ʻē aʻe o Ospemifene

Inā ʻaʻole kūpono ʻo ospemifene iā ʻoe a ʻaʻole hāʻawi i ka hōʻoluʻolu lawa, hiki i kekahi mau koho lapaʻau ʻē aʻe ke kōkua i ka mālama ʻana i ka moekolohe ʻeha a me nā hōʻailona vaginal ma hope o ka menopause.

Hiki i kāu kauka ke kōkua iā ʻoe e ʻimi i kēia mau koho ʻē aʻe e pili ana i kāu mau hōʻailona kikoʻī, ka mōʻaukala olakino, a me nā makemake pilikino.

Lapaʻau Estrogen Vaginal

Hele mai ka estrogen vaginal haʻahaʻa i nā creams, tablets, a i ʻole nā apo e hoʻokomo pololei ʻoe i loko o kou ʻōpū. Hāʻawi kēia mau lāʻau i ka estrogen ma kahi āu e pono ai, me ka liʻiliʻi o ka absorption i loko o kou kahe koko.

Hāʻawi pinepine ka estrogen vaginal i ka wikiwiki o ka hoʻomaha ʻana i nā hōʻailona ma mua o nā lāʻau lapaʻau waha e like me ka ospemifene, i kekahi manawa e hōʻike ana i nā hoʻomaikaʻi i loko o 2 a 4 mau pule o ka hoʻomaka ʻana i ka lāʻau.

Nā Koho ʻAʻole Hormonal

Nui nā lāʻau lapaʻau ʻaʻole hormonal e hiki ke kōkua i ka mālama ʻana i ka maloʻo a me ka hōʻoluʻolu ʻole:

• Nā mea hoʻomaʻemaʻe vaginal maʻamau i hoʻohana ʻia 2-3 manawa i ka pule
• Nā lubricants wai a i ʻole silicone no ka moekolohe
• Nā mea hoʻonui vaginal e hohola mālie i nā ʻiʻo
• Nā lāʻau lapaʻau laser (ʻoiai ke hana nei ka noiʻi)

Hana maikaʻi kēia mau koho no nā wahine makemake e pale i nā lāʻau lapaʻau hormonal a i ʻole nā ​​maʻi e hana ai i ka hormone therapy i mea kūpono ʻole.

Systemic Hormone Therapy

No nā wahine e ʻike nei i nā hōʻailona menopause he nui ma mua o nā pilikia vaginal, hiki i ka systemic hormone therapy ke ʻoi aku ka piha. Aia kēia i nā pila estrogen, nā pā, a i ʻole nā ​​gels e pili ana i kou kino holoʻokoʻa.

ʻOiai ʻoi aku ka maikaʻi no nā wela wela a me nā hōʻailona ʻōnaehana ʻē aʻe, lawe kēia ala i nā pilikia a me nā pōmaikaʻi like ʻole i hoʻohālikelike ʻia i nā lāʻau lapaʻau i manaʻo ʻia e like me ka ospemifene.

Ua ʻoi aku ka maikaʻi o ka Ospemifene ma mua o ka Estrogen Vaginal?

Hiki i ka ospemifene a me ka estrogen vaginal ke mālama pono i ka moekolohe ʻeha, akā hana lākou i nā mea like ʻole a hiki ke kūpono i nā wahine like ʻole e pili ana i kā lākou pono a me nā makemake.

Hāʻawi maʻamau ka estrogen vaginal i ka wikiwiki o ka hoʻomaha ʻana i nā hōʻailona, ​​e hōʻike pinepine ana i nā hoʻomaikaʻi i loko o 2 a 4 mau pule i hoʻohālikelike ʻia i ka 4 a 12 mau pule o ka ospemifene. Eia naʻe, hāʻawi ka ospemifene i ka maʻalahi o ka lāʻau lapaʻau waha hoʻokahi i kēlā me kēia lā ma mua o ka hoʻokomo ʻana i ka vaginal.

Makemake kekahi mau wahine i ka ospemifene no ka mea ʻaʻole pono ia i ka noi vaginal, hiki ke manaʻo he haumia a i ʻole ka maʻalahi ʻole. ʻIke nā mea ʻē aʻe i ka estrogen vaginal i ʻoi aku ka maikaʻi no ka mea hāʻawi ia i ka lāʻau lapaʻau pololei i ka wahi i hoʻopilikia ʻia me ka liʻiliʻi o ka absorption systemic.

Hiki i kāu kauka ke kōkua iā ʻoe e loiloi i kēia mau mea me kāu mōʻaukala olakino, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me kāu mau makemake pilikino e hoʻoholo ai i ke koho e kūpono iā ʻoe.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Ospemifene

He Palekana ʻo Ospemifene no nā Wahine me ka Maʻi Puʻuwai?

Pono nā wahine me ka maʻi puʻuwai e loiloi pono ma mua o ka lawe ʻana iā ospemifene. ʻOiai ua manaʻo ʻia he palekana ma mua o ka lāʻau lapaʻau hormone systemic, hiki nō iā ospemifene ke hoʻonui iki i ka pilikia o nā koko koko a me ka hahau.

E loiloi kāu kauka i kāu mau mea pilikia cardiovascular kikoʻī, me ke ʻano o kāu maʻi puʻuwai, nā lāʻau lapaʻau o kēia manawa, a me ke kūlana olakino holoʻokoʻa. Hiki iā lākou ke ʻōlelo i nā lāʻau lapaʻau ʻē aʻe e like me ka estrogen vaginal a i ʻole nā koho non-hormonal inā kiʻekiʻe loa kāu mau pilikia cardiovascular.

Inā ʻoe e lawe iā ospemifene me ka maʻi puʻuwai, e nānā paha kāu kauka iā ʻoe a ʻoi aku ka pili a hiki ke ʻōlelo i nā ana pale puʻuwai hou e like me ka hoʻoikaika kino mau, ka mālama ʻana i ke koko, a me ka mālama ʻana i ka cholesterol.

He aha kaʻu e hana ai inā lawe hewa au i ka nui o Ospemifene?

Inā lawe hewa ʻoe i kahi mahele hou o ospemifene, mai hopohopo. ʻAʻole paha e hōʻeha nui ka lawe ʻana i kahi mahele pālua i kekahi manawa, akā hiki iā ʻoe ke ʻike i nā hopena ʻaoʻao i hoʻonui ʻia e like me ka nausea, nā uila wela, a i ʻole ka hoʻokuʻu ʻana o ka vaginal.

E hoʻokaʻaʻike i kāu kauka a i ʻole ka mea kūʻai lāʻau lapaʻau no ke alakaʻi ʻana, ʻoiai inā ʻaʻole ʻoe maikaʻi a i ʻole ʻike i nā hōʻailona maʻamau. Hiki iā lākou ke aʻo iā ʻoe inā pono ʻoe i ka lāʻau lapaʻau a pehea e hoʻoponopono ai i kāu papa hana dosing.

Mai hoʻāʻo e

Inā ʻoe e poina i ka lāʻau ospemifene, e lawe koke ʻoe i ka wā e hoʻomanaʻo ai ʻoe, inā i loko o 12 hola o kou manawa maʻamau. Inā ua hala ma mua o 12 hola, e lele i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa maʻamau.

Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi e pani ai i ka lāʻau i poina, no ka mea, hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao. ʻO ka poina ʻana i kahi lāʻau i kekahi manawa ʻaʻole ia e hoʻopilikia nui i kāu lapaʻau, akā e hoʻāʻo e mālama i ke kūlike no nā hopena maikaʻi loa.

E noʻonoʻo e hoʻonohonoho i kahi hoʻomanaʻo i kēlā me kēia lā ma kāu kelepona a i ʻole e hoʻopili i kāu lāʻau i kahi hana i kēlā me kēia lā e like me ka ʻaina kakahiaka a i ʻole ka ʻaina awakea e kōkua iā ʻoe e hoʻomanaʻo e lawe mau.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Ospemifene?

Hiki iā ʻoe ke hooki i ka lawe ʻana iā ospemifene i kēlā me kēia manawa, akā ʻoi aku ka maikaʻi e kūkākūkā i kēia hoʻoholo me kāu kauka mua. ʻAʻole like me kekahi mau lāʻau, ʻaʻole pono ka ospemifene i ka hoʻohaʻahaʻa ʻana, no laila hiki iā ʻoe ke hooki koke i ka lawe ʻana inā pono.

E hoʻomanaʻo e hoʻi hou ana kāu mau hōʻailona vaginal ma hope o ka hooki ʻana i ka lāʻau, maʻamau i loko o kekahi mau mahina. Mālama ʻia nā hoʻomaikaʻi āu i ʻike ai inā ʻoe e hoʻomau i ka lawe ʻana iā ospemifene.

Hiki i kāu kauka ke kōkua iā ʻoe e ʻimi i nā hoʻolālā lapaʻau lōʻihi a kūkākūkā inā he kūpono ka lawe ʻana i nā wā hoʻomaha mai ka lāʻau a i ʻole ka hoʻololi ʻana i nā lāʻau lapaʻau ʻē aʻe no kou kūlana.

Hiki iaʻu ke lawe iā Ospemifene me nā lāʻau ʻē aʻe?

Hiki i ka Ospemifene ke launa pū me kekahi mau lāʻau, no laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a pau, nā lāʻau lapaʻau ma luna o ka pāʻani, a me nā mea hoʻohui āu e lawe nei.

Hiki i ka lāʻau ke hoʻopilikia ʻia e nā lāʻau e hoʻopilikia i nā enzymes ate, ʻo ia hoʻi nā mea e wikiwiki ai i ka hana ʻana o kou kino i nā lāʻau. Aia kēia mau mea i kekahi mau lāʻau hopu, kekahi mau antibiotics, a me kekahi mau mea hoʻohui lāʻau e like me St. John's wort.

E nānā kāu kauka i kāu papa inoa lāʻau a pono paha e hoʻoponopono i nā ʻano a i ʻole ka manawa inā ʻoe e lawe ana i nā lāʻau lapaʻau e launa pū me ka ospemifene. E nānā pū lākou iā ʻoe no nā hopena ʻaoʻao inā ʻoe e lawe ana i nā lāʻau he nui.