Loaʻa iā ʻoe ka maʻi diabetes, a i ʻole ka Type 2 Diabetes? A i ʻole kekahi āu i ʻike ai he maʻi kēia? A laila ua kuhikuhi paha kāu kauka iā ʻoe i ka hui pū ʻana o ʻelua mau lāʻau lapaʻau, ʻo ia hoʻi ʻo Canagliflozin lāua ʻo Metformin, ʻo ia hoʻi kahi pila hoʻokuʻu lōʻihi . ʻO ka inoa inoa paha o kēia ʻo Invokamet XR. No laila, e kamaʻilio hou kākou e pili ana i kēia lāʻau lapaʻau i kēia lā, ʻeā?
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, hoʻohana ʻia kēia lāʻau lapaʻau e kāohi i kou pae kō koko (glucose koko) . Ke loaʻa iā ʻoe ka 'Type 2 Diabetes', aia kekahi mau loli i ke ʻano o ko mākou kino e kāohi ai i ke kō. Hana kēia lāʻau lapaʻau ma ka hoʻohaʻahaʻa ʻana i kēlā pae kō a kōkua iā ʻoe e noho olakino. Ma kēia, kōkua ʻo 'Canagliflozin' i ke kino e hoʻokuʻu i ke kō keu ma o ka mimi, ʻoiai ʻo 'Metformin' e hōʻemi i ka hana ʻana o ke kō e ke akepaʻa a hoʻonui i ka ʻike o nā cell o ke kino i ka insulin. Akā e hoʻomanaʻo, ʻaʻole lawa kēia lāʻau lapaʻau wale nō. He mea nui loa ka ʻai maikaʻi a me ka hoʻoikaika kino no kēia.
He aha nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau?
He mea nui loa kēia. Inā loaʻa iā ʻoe kekahi o kēia mau maʻi, pono ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau. No ka mea, a laila hiki i ke kauka ke hoʻoholo inā kūpono kēia lāʻau iā ʻoe a i ʻole, a inā paha e pono e hoʻololi ʻia ka nui. E noʻonoʻo wale, inā ʻaʻole ʻoe e haʻi i ke kauka i kēia mau kikoʻī, hiki iā ʻoe ke kū i ka pilikia pono ʻole.
- Inā loaʻa iā ʻoe ka "Anemia"
- Inā loaʻa iā ʻoe ka maʻi arterial
- Inā ua maloʻo kou kino ma muli o ka nele i ka wai
- Inā ua loaʻa iā ʻoe ma mua ka `Diabetic ketoacidosis (DKA)` (ka piʻi ʻana o ka acidity o ke koko ma muli o ka maʻi diabetes)
- Inā ʻoe e ʻai i ka papaʻai haʻahaʻa paʻakai
- Inā ʻoe e ʻai iki ana ma muli o ka maʻi, ke ʻoki kino, ka ʻai ʻana, a i ʻole nā kumu ʻē aʻe
- Inā he mau ʻeha wāwae kou
- Inā ʻoe e hana ʻoki kino ana i ka wā e hiki mai ana
- Inā he maʻi puʻuwai kou
- Inā he kiʻekiʻe kou cholesterol ('High cholesterol')
- Inā kiʻekiʻe ka pae potassium i loko o ke koko ('Nā pae kiʻekiʻe o ka potassium i loko o ke koko')
- Inā ua wehe mua ʻia kou wāwae a ʻāpana paha (`Mōʻaukala o ka ʻoki ʻia ʻana`)
- Inā he moʻolelo kou o ka pancreatitis a i ʻole nā pilikia ʻē aʻe me kāu pancreas
- Inā loaʻa iā ʻoe kahi moʻolelo o nā maʻi hū o ka penis a i ʻole ka vagina
- Inā he mea inu waiʻona mau ʻoe
- Inā loaʻa iā ʻoe nā maʻi i loko o ka ʻōpū mimi, nā puʻupaʻa, a i ʻole ke ala urinary
- Inā loaʻa iā ʻoe ka maʻi puʻupaʻa (ʻaʻole kūpono kēia lāʻau lapaʻau inā ʻoi aku ka hana o ka puʻupaʻa ma lalo o kekahi pae)
- Inā loaʻa iā ʻoe ka maʻi akepaʻa
- Inā he haʻahaʻa kou koko ('Low blood pressure')
- Inā loaʻa iā ʻoe ka pōʻino o ke aʻalolo
- Inā he kanaka ʻoe e hana ʻia ana i ka hemodialysis
- Inā loaʻa iā ʻoe ka 'Polycystic ovary syndrome (PCOS)' (kahi kūlana e hoʻokumu ʻia ai nā cysts i loko o nā ovaries)
- Inā he pilikia kou i ka mimi ʻana
- Inā loaʻa iā ʻoe kahi maʻi koʻikoʻi a ʻeha paha
- Inā loaʻa iā ʻoe ka `Type 1 Diabetes` (No ka poʻe me ka `Type 2` diabetes kēia lāʻau lapaʻau)
- Inā he kāne ʻoki poepoe ʻole ʻoe
- Inā ʻoe e luaʻi pinepine ana
- Inā loaʻa iā ʻoe kahi hopena maʻi i Canagliflozin, Metformin, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai
- Inā he makuahine hānai ʻoe ('Breast-feeding`)
Mai hopohopo i kēia papa inoa. ʻAʻole pili kēia mau mea a pau i nā kānaka a pau. Akā inā he mea e pili ana iā ʻoe, he mea nui no kou palekana ponoʻī e haʻi aku i kāu kauka .
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
ʻAe, e nānā kākou pehea e hoʻohana pono ai i kēia lāʻau lapaʻau.
- Pono ʻoe e lawe i kēia lāʻau lapaʻau me ke aniani wai .
- Pono e lawe ʻia kēia me ka meaʻai . ʻO ka maʻamau me ka ʻai nui mua o ka lā. A i ʻole e like me ke kuhikuhi a kāu kauka.
- E ale holoʻokoʻa i ka papa . Mai kuʻi a nau paha. ʻO kēia no ka mea ua hoʻolālā ʻia e hana no ka manawa lōʻihi. Inā ʻoe e uhaʻi, e komo koke ka lāʻau i loko o kou kino, e hoʻoulu ai i ka emi koke ʻana o ke kō koko a i ʻole nā pilikia ʻē aʻe.
- E lawe i ka lāʻau lapaʻau i kauoha ʻia, i ka manawa i kauoha ʻia, ma ke ʻano he nui i kauoha ʻia, e like me ke kuhikuhi ʻana ma ka lepili.
- Mai inu ʻoe ma mua o ka mea i ʻōlelo ʻia e ke kauka, a mai inu pinepine aku.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka. ʻO ka hana ʻana pēlā e hiki ai ke piʻi koke i kou pae kō koko.
Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia iā ʻoe kahi pepa ʻike kūikawā (he `MedGuide`) me ia. E hōʻoia e heluhelu pono iā ia i kēlā me kēia manawa āu e loaʻa ai kāu lāʻau lapaʻau a i ʻole e loaʻa iā ʻoe kahi `refill`. Loaʻa iā ia ka nui o nā ʻike koʻikoʻi nāu.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?
Pono ʻoe e kamaʻilio me kāu hui mālama ola e pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki. ʻO ka maʻamau, he lāʻau lapaʻau kēia i hāʻawi ʻia i nā pākeke. Inā pono ia no nā keiki, pono ia i nā kumu kūikawā a me ka nānā pono ʻana.
He aha inā inu nui ʻoe? (`Overdosage`)
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka ʻoihana pilikia o ka haukapila kokoke loa, a i ʻole e kelepona i kahi kikowaena kaohi lāʻau make (e.g. National Poisons Information Center - 0112 686 143) . Mai hoʻonele i ka manawa.
He mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kāu lāʻau lapaʻau me nā poʻe ʻē aʻe, ʻoiai inā loaʻa iā lākou ke kūlana like me ʻoe. No ka mea, ʻo kahi lāʻau lapaʻau e hana ana no kekahi kanaka, ʻaʻole paha e hana no kekahi.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
ʻAuē, i kekahi manawa e poina ʻoe i kahi lāʻau. Inā hana ʻia kēlā, e lawe koke iā ia ke hoʻomanaʻo ʻoe . Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe (e.g., i loko o kekahi mau hola), e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau. ʻO ka hana ʻana pēlā e hiki ai i kāu kō koko ke hāʻule haʻahaʻa loa.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
He mea nui loa kēia. ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau ʻo 'Canagliflozin; Metformin', ʻaʻole pono e lawe i kekahi mau lāʻau lapaʻau ʻē aʻe. Eia kekahi, hiki ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e ke kauka, nā mea āu e kūʻai ai mai kahi hale kūʻai lāʻau lapaʻau, nā lāʻau lapaʻau kuʻuna, nā huaora, a me nā 'mea hoʻohui meaʻai'). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka ana, inu waiʻona, a lawe paha i nā lāʻau lapaʻau ʻē aʻe.
Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me kēia lāʻau lapaʻau:
- ʻO kekahi mau ʻano lāʻau 'contrast', i hāʻawi ʻia ma ke ʻano intravenous ma mua o kekahi mau hoʻokolohua e like me nā X-ray, CT scans, a me MRI, hiki ke hoʻopilikia i nā puʻupaʻa a, i ka wā e hui pū ʻia me 'Metformin', hoʻonui i ka pilikia o kahi maʻi weliweli i kapa ʻia ʻo 'Lactic Acidosis'.
- ʻO 'Dofetilide' (he lāʻau lapaʻau kēia i hāʻawi ʻia no ke ʻano o ka puʻuwai kūpono ʻole).
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau:
(ʻAʻole paha i piha kēia papa inoa, no laila he mea nui e haʻi i kāu kauka i nā mea āpau āu e lawe nei)
- ʻAcetazolamide
- ʻAila - Hoʻonui i ka pilikia o ka lactic acidosis a hiki ke hoʻohaʻahaʻa i ke kō koko.
- ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole Hepatitis
- ʻO kekahi mau lāʻau lapaʻau no ke koko koko, ka maʻi puʻuwai, a me nā maʻi puʻuwai puʻuwai (e like me nā beta-blockers, hiki ke uhi i nā hōʻailona o ke kō koko haʻahaʻa)
- ʻO Cimetidine
- ʻO Dichlorphenamide
- ʻO Digoxin (kahi lāʻau lapaʻau puʻuwai) - Hiki ke loli nā pae Digoxin ke lawe ʻia me Canagliflozin.
- ʻO nā diuretics (nā lāʻau lapaʻau e hoʻonui ai i ka mimi) - Hoʻonui i ka pilikia o ka dehydration a me ke koko haʻahaʻa.
- Nā hormones Estrogen a i ʻole progestin
- ʻO ka Glycopyrrolate
- ʻIsoniazid (he lāʻau lapaʻau no ka maʻi puʻupuʻu)
- ʻO Lamotrigine
- ʻO ka līkiuma
- ʻO ka Memantine
- ʻO ka Methazolamide
- ʻO ka Metoclopramide
- ʻO Midodrine
- ʻO Niacin
- ʻO ka Phenobarbital
- Nā Phenothiazines (e.g. chlorpromazine, prochlorperazine, thioridazine)
- ʻO Phenytoin
- ʻO Ranolazine
- ʻO Rifampin (kahi lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ka maʻi puʻupuʻu a i ʻole nā maʻi ʻē aʻe) - Hiki ke hōʻemi i ka pono o Canagliflozin.
- ʻO ka lāʻau Ritonavir
- Nā lāʻau steroid (e like me prednisone a i ʻole cortisone) - hiki ke hoʻonui i nā pae kō koko.
- Nā lāʻau hoʻoulu no nā maʻi nānā, ka pohō kaumaha, a i ʻole ke ala ʻana
- Nā lāʻau lapaʻau thyroid
- ʻO Topiramate
- ʻO Trospium
- ʻO Vandetanib
- ʻO Zonisamide
E noʻonoʻo wale, he nui nā mea e hiki ke hoʻololi i ka hopena o kēia lāʻau lapaʻau. ʻO ia ke kumu he mea nui e hoʻomaopopo i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau āu e lawe ai .
He aha nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
I ka hoʻohana ʻana i kēia lāʻau lapaʻau, pono ʻoe e makaʻala iki aʻe i kou olakino.
- E ʻike pinepine i kāu kauka ('nā nānā maʻamau') e nānā i kou kūlana . E kiʻi i nā hoʻokolohua e like me ka hana o nā puʻupaʻa a me nā pae huaora B12 e like me ka ʻōlelo a kāu kauka.
- No ka mea, aia ka 'Metformin' i loko o kēia lāʻau lapaʻau, i kekahi manawa hiki i ka ʻakika o ke koko ke lilo i mea kiʻekiʻe loa ('Lactic Acidosis') . ʻOiai he mea kakaikahi loa kēia, hiki ke lilo i mea weliweli loa inā hana ia. Inā ʻike ʻoe i nā hōʻailona e like me ka nausea, ka luaʻi ʻana, ka ʻeha o ka ʻōpū, ka luhi ʻē, ka paʻakikī o ka hanu ʻana, ka hanu wikiwiki ʻana, ke anu ʻana, a i ʻole ka poniuniu, e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau a kāhea aku i kāu kauka a hele paha i ka haukapila . Inā hiki, e nānā pū i kāu mimi no nā ketones me kahi 'ketone dipstick'.
- Hiki iā Canagliflozin ke hana i kahi maʻi i kapa ʻia ʻo Diabetic Ketoacidosis (DKA) . He ʻano kēia kahi e piʻi ʻole ai ke kiʻekiʻe o ke kō koko. ʻO nā hōʻailona e pili ana i ka makewai nui, ka mimi pinepine, ka waha maloʻo, ka luhi, ka ʻala hanu hua, ka pōkole o ka hanu, ka ʻeha o ka ʻōpū, ka nausea, a me ka luaʻi. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e haʻi koke i kāu kauka .
- E kauoha pinepine kāu kauka i kahi hoʻokolohua i kapa ʻia ʻo `HbA1C (A1C)` e ʻike i ke ʻano o ka hoʻomalu ʻia ʻana o kou kō koko . He hoʻokolohua koko maʻalahi kēia. Hiki iā ia ke hōʻike i ke ʻano o ka hoʻomalu ʻia ʻana o kou kō koko i loko o 2-3 mau mahina. Hana pinepine ʻia kēia hoʻokolohua i kēlā me kēia 3-6 mahina.
- E aʻo pehea e hoʻāʻo ai i kou pae kō koko ma ka home . Eia kekahi, e makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kō koko kiʻekiʻe (hyperglycemia) a pehea e hoʻokele ai iā lākou .
- E mālama mau i kahi kumu kō wikiwiki (e laʻa me nā ʻāpana kō, nā papa glucose, kahi mea inu kō, wai huaʻai) me ʻoe inā loaʻa iā ʻoe nā hōʻailona o ke kō koko haʻahaʻa (ka hou ʻana, ka haʻalulu, ka pōloli nui, ka puʻuwai wikiwiki, ka poniuniu, ka huikau). Eia naʻe, inā nalowale ʻoe i ka ʻike a loaʻa paha nā hopu ʻana , e haʻi aku i kou ʻohana e hiki ke ʻū ʻia lākou inā hoʻāʻo lākou e hāʻawi iā ʻoe i ka meaʻai a mea inu paha. Inā hana ʻia kēia , pono ʻoe e ʻimi koke i ke kōkua lapaʻau .
- Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa i kāu pae folic acid a me ka huaora B12, ʻoiai me ka metformin. No laila, e hōʻoia e ʻai ʻoe i nā huaora lawa i ka wā e lawe ana i kēia lāʻau lapaʻau. Hiki i kāu kauka ke kuhikuhi i kahi mea hoʻohui huaora inā pono.
- E pale i ka maloʻo ʻana o ka wai . E inu i ka wai he nui, ʻoiai i ka wā wela, i ka wā e hoʻoikaika kino ai, a inā paha he ʻeha kou ʻōpū.
- E mālama pono i kou mau wāwae . E nānā i kou mau wāwae i kēlā me kēia lā, no ka mea, aia kahi pilikia liʻiliʻi o ka maʻi a i ʻole ke ʻoki ʻana o nā wāwae haʻahaʻa i ka wā e lawe ana i kēia lāʻau lapaʻau (ʻoi aku hoʻi ʻo Canagliflozin). No laila, inā he mau ʻeha, māwae, ʻulaʻula, a pehu paha ma kou mau wāwae, e haʻi koke i kāu kauka .
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. Akā, ʻaʻole loaʻa i nā kānaka a pau. He koʻikoʻi kekahi a pono ʻoe e haʻi koke i kāu kauka . ʻO kekahi, ʻaʻole koʻikoʻi, akā inā hoʻomau lākou, he manaʻo maikaʻi e haʻi i kāu kauka .
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka
- Nā hopena maʻi : ka ʻili ʻulaʻula, ka maneʻo, ka hives (nā kiko ʻulaʻula ma ka ʻili), ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu (hiki ke pilikia i ka hanu ʻana).
- Maloʻo : Hoʻonui ʻia ka make wai, waha maloʻo, poniuniu, ʻeha poʻo, mimi melemele ʻeleʻele a ʻeleʻele paha, a me ka emi ʻana o ka mimi i hoʻopuka ʻia.
- ʻO ka ketoacidosis maʻi diabetes (DKA) : Hoʻonui ʻia ka makewai a i ʻole ka mimi ʻana, ka waha maloʻo, ka luhi nui, ka ʻala hanu hua, ka pōkole o ka hanu, ka ʻeha o ka ʻōpū, ka nausea, a me ka luaʻi.
- ʻO ka maʻi hū genital : (i loko o ka vagina i nā wahine, i loko o ka penis i nā kāne) ʻulaʻula, pehu, ʻeha a maneʻo paha, kahi ʻala pilau, a me kahi kahe keʻokeʻo mānoanoa a ʻūlū paha.
- Hoʻonui ʻia ka waikawa lactic i loko o ke koko ('Lactic Acidosis') : ʻEha a ʻāʻī paha nā ʻiʻo, ʻeha ʻōpū, paʻakikī ka hanu ʻana, hanu wikiwiki, ʻeha a me ka luhi maʻamau, poniuniu, anuanu.
- ʻO ka maʻi a puni nā ʻōpū a i ʻole ma kahi e alakaʻi ana i ka anus ('Fournier's gangrene`) : ʻulaʻula, pehu, ʻoʻoleʻa, a ʻeha paha, i kekahi manawa me ke kuni. He kūlana koʻikoʻi loa kēia a hoʻoweliweli i ke ola, no laila e haʻi koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona.
- Ka pae haʻahaʻa o ka wikamina B12 : ʻEha, mae wale, a nalowale paha ka ʻike ma nā lālā, nāwaliwali o nā ʻiʻo, poniuniu, paʻakikī i ka noʻonoʻo ʻana, huikau, ʻeha ke alelo, hoʻololi ke ʻano o ka ʻili.
- ʻEha hou a ʻoʻoleʻa paha ma ka wāwae a i ʻole ka wāwae, ka loli ʻana o ka ʻili, nā ʻeha a i ʻole nā ʻōpū, a i ʻole ka maʻi.He mau mea kēia e pono e nānā koke ʻia.
- ʻO ka maʻi ʻaʻai mimi (UTI) : Ke kuni ʻana i ka wā e mimi ai, ka mimi pinepine ʻana, ka mimi koko a ʻeleʻele paha, ka ʻeha ma ke kua i lalo a i ʻole ka ʻūhā, ke kuni.
- Nā haki iwi : Ua hōʻike kekahi mau noiʻi i kahi piʻi iki o ka pilikia o nā haki iwi i ka poʻe e lawe ana iā Canagliflozin. No laila e makaʻala i ka hāʻule ʻana.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau, akā inā hoʻomau lākou, pono ʻoe e haʻi i kāu kauka.
- Ka maʻi pākī
- Kinoea
- ʻEha poʻo
- Ka luaʻi
- ʻEha ʻōpū
- Ka luaʻi ʻana
- Hoʻonui pinepine ʻia o ka mimi ʻana
- Makewai nui
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e kamaʻilio me kāu kauka. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (Food and Drug Administration) ma 1-800-FDA-1088.
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
He mea nui hoʻi e mālama pono i kāu lāʻau lapaʻau.
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius, ma waena o 59 a me 86 kekelē Fahrenheit). E pale mai ka makū nui a me ka lā pololei. Mai mālama ma nā wahi haʻahaʻa kiʻekiʻe, e like me ka lua.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei aku iā lākou.
Pehea ʻoe e hoʻolei aku ai i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a pau ka lāʻau?
- Inā hiki, e hāʻawi i kēia lāʻau lapaʻau i kahi papahana lawe-hoʻihoʻi lāʻau lapaʻau. Hiki iā ʻoe ke ʻike e pili ana i ia mau wahi ma kāu hale kūʻai lāʻau lapaʻau a i ʻole me kou luna olakino kūloko.
- Inā ʻaʻole, e nānā i ka lepili ma ka ʻōmole/ʻeke lāʻau lapaʻau e ʻike ai inā pono e hoʻolei ʻia i loko o ka ʻōpala a hoʻolei ʻia paha i loko o ka lua. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka a kauka lāʻau paha.
- Inā hiki iā ʻoe ke hoʻolei i loko o ka ʻōpala (ʻo ia ka mea pinepine), e lawe i ka lāʻau lapaʻau mai loko mai o ka pahu, e kāwili me kahi mea ʻaʻole e ʻai ʻia e kekahi, e like me ke kope kope i hoʻohana ʻia, ka lepo, a i ʻole ka ʻōpala pōpoki, a waiho i loko o kahi ʻeke a i ʻole ka pahu hiki ke sila ʻia a hoʻolei i loko o ka ʻōpala. ʻO kēia ke pale aku i kekahi mai ka loaʻa ʻana o ka lāʻau lapaʻau a me ka hoʻohana ʻana.
Leka Lawe-Home
ʻAe, ua kamaʻilio nui mākou e pili ana i nā lāʻau lapaʻau maʻi diabetes ʻo 'Canagliflozin' a me 'Metformin'. I ka pōkole:
- He lāʻau lapaʻau koʻikoʻi kēia no ka maʻi diabetes Type 2 e kaohi ai i ke kō koko .
- Loaʻa nā hopena maikaʻi loa ke hui pū ʻia kēia me ka ʻai a me ka hoʻoikaika kino.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E like me ka ʻōlelo a ke kauka,E lawe i ka mahele i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, me ka meaʻai . E ale holoʻokoʻa i ka papa.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a e mālama i kekahi kō no ka wā e pono ai.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē (ʻoi aku ka hiki ke loaʻa nā hōʻailona o 'DKA' a i ʻole 'Lactic Acidosis', nā maʻi genital (ka pilikia o 'Fournier's gangrene'), nā ʻeha wāwae, nā hōʻailona o ka maloʻo ʻana o ka wai), e haʻi koke i kāu kauka .
- E hoʻomau i ka launa pū me kāu kauka a kamaʻilio e pili ana i kou kūlana. Mai makaʻu e nīnau.
E hoʻomanaʻo, he kōkua wale nō kēia lāʻau lapaʻau e kāohi i kāu maʻi diabetes. Aia wale nō kou olakino i kou nohona, ka ʻai ʻana, a me ka hahai ʻana i nā ʻōlelo a kāu kauka. ʻAʻole hoʻōla kēia lāʻau lapaʻau i ka maʻi diabetes, kōkua wale ia i ka kāohi ʻana.
Inā he mau nīnau hou aku kāu, mai kānalua e nīnau i kāu kauka, kauka lāʻau lapaʻau, a i ʻole kekahi mea lawelawe olakino ʻē aʻe. Aia lākou ma laila e kōkua iā ʻoe.
ʻO Canagliflozin, Metformin, Invokamet XR, Maʻi Diabetes ʻAno 2, Maʻi Diabetes, Kō Koko, Lāʻau Lapaʻau Maʻi Diabetes, Nā Hopena ʻAoʻao











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