Ua kuhikuhi mai kāu kauka iā ʻoe i kahi lāʻau lapaʻau hou e kāohi i kāu maʻi diabetes? ʻO Canagliflozin lāua ʻo Metformin ka inoa o kēlā lāʻau lapaʻau? Inā pēlā, he mea nui loa kēia ʻatikala iā ʻoe. I kekahi manawa, ke kuhikuhi mai kāu kauka i kahi lāʻau lapaʻau, ʻaʻole paha ʻoe e ʻike i nā kikoʻī kikoʻī e pili ana i ia mea. Mai hopohopo, i kēia lā e kamaʻilio wale mākou e pili ana i kēia lāʻau lapaʻau, kāna hana, a me nā mea āu e pono ai e makaʻala i ka wā e lawe ana.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o ʻelua mau lāʻau lapaʻau. ʻO ia hoʻi, aia ʻo Canagliflozin lāua ʻo Metformin i loko o hoʻokahi pila. Hāʻawi ʻia kēia i ka poʻe me ka maʻi diabetes Type 2. ʻO ka hana nui o kēia , ʻo ia ke kāohi i ka pae kō i loko o kou kino, ʻo ia hoʻi, ka pae o ka glucose i loko o ke koko.
Akā e hoʻomanaʻo i hoʻokahi mea. ʻAʻole hiki iā ʻoe ke kāohi i ka maʻi diabetes ma ka lawe ʻana i kēia lāʻau lapaʻau wale nō. Pono ʻoe e hoʻohana i kēia lāʻau lapaʻau me ka ʻai kūpono a me ka hoʻoikaika kino . Me ka ʻole o kēlā mau mea ʻelua, he mea paʻakikī ke manaʻo i nā hopena maikaʻi mai kēia lāʻau lapaʻau wale nō.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa kēia. No kou palekana ponoʻī e hoʻomaopopo i kāu kauka e pili ana i nā pilikia olakino āu e loaʻa nei. Inā loaʻa iā ʻoe kekahi o nā kūlana ma ka papa ma lalo nei, e hōʻoia e haʻi iā lākou ma mua o ka hoʻomaka ʻana i kēia lāʻau.
| Loaʻa iā ʻoe kēia mau kūlana? | No ke aha he mea nui e hoʻomaopopo i ke kauka? |
|---|---|
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Ma muli o ke komo pono ʻana o kēia mau ʻōkana i ke kaʻina hana o ka hoʻopau ʻana i kēia lāʻau lapaʻau mai ke kino, he mea nui e ʻike e pili ana i kā lākou hana. |
| Maʻi puʻuwai, cholesterol kiʻekiʻe, a i ʻole ke koko haʻahaʻa | Pono kāu kauka e makaʻala i ke kūlana o kou puʻuwai, no ka mea, hiki i nā hopena o ka lāʻau ke hoʻopilikia i kou puʻuwai a me ke kahe koko. |
| Inā inu mau ʻoe i ka waiʻona | ʻO ka hui pū ʻana o ka waiʻona a me ka Metformin e hoʻonui i ka pilikia o ka hoʻomohala ʻana i kahi maʻi weliweli i kapa ʻia ʻo lactic acidosis. |
| Inā ua loaʻa iā ʻoe ka Diabetic Ketoacidosis (DKA) ma mua | Ma muli o ka hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o DKA i kekahi manawa, he mea nui e hoʻomaopopo e pili ana i ka mōʻaukala ma mua. |
| Inā loaʻa iā ʻoe nā maʻi ʻōpū mimi pinepine a i ʻole nā maʻi hū i ka ʻāpana genital | Ma muli o ka hoʻonui ʻana o ka lāʻau lapaʻau canagliflozin i ka nui o ke kō i loko o ka mimi, hiki ke hoʻonui ʻia ka pilikia o kēia mau maʻi. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha | ʻAʻole kūpono kēia lāʻau lapaʻau i ka wā hāpai a me ka wā hānai waiū. No laila e haʻi pono i kāu kauka e pili ana i kēia. |
| Inā ua hoʻonohonoho ʻia ʻoe e hana i ke ʻoki kino, kahi MRI, a i ʻole kahi CT scan koke | E ʻoluʻolu e hoʻomaopopo mai iā mākou ma mua no ka mea he mea pono paha e hoʻōki i ka lāʻau lapaʻau no kekahi manawa ma mua o ia mau kūlana. |
| Inā he maʻi allergy kou i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai a mea ʻē aʻe paha | He mea nui loa i kāu kauka ke ʻike i kou mōʻaukala allergies. |
ʻO ke ala kūpono e lawe ai i ka lāʻau lapaʻau
He mea maʻalahi loa kēia.
- E ale i ka pila me ke aniani wai.
- ʻO ka mea nui loa, pono e lawe mau ʻia kēia lāʻau me ka ʻai. Mai lawe iā ia ma ka ʻōpū ʻole. Manaʻo pinepine nā kauka e lawe me ka ʻaina kakahiaka.
- E lawe wale i ka nui i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia e kāu kauka. Mai hoʻololi i ka nui e like me kou makemake a lawe pinepine paha ma mua o ka mea i kuhikuhi ʻia.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo. E kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa .
He aha inā poina iaʻu e lawe i kaʻu lāʻau lapaʻau?
E lawe i ka lāʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i poina.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Pono ʻoe e noʻonoʻo hou aʻe e pili ana i kou olakino i ka wā e lawe ai i kēia lāʻau.
- Ke Nānā ʻana i nā Pae Kō Koko: E aʻo pehea e nānā ai i kou pae kō koko ma ka home. E makaʻala i nā hōʻailona o ka hypoglycemia a me ka hyperglycemia, a me ka mea e hana ai inā loaʻa.
- Inā hāʻule kou kō koko: E mālama mau i kahi mea kokoke e hiki ai ke hoʻihoʻi koke i kou kō koko, e like me ka glucose toffee a i ʻole kahi cube kō. Inā manaʻo ʻoe ua nāwaliwali a haʻahaʻa ke kō koko, e haʻi aku i kou ʻohana e hiki ke ʻūlū lākou inā ʻoe e hoʻāʻo e hāʻawi iā lākou i kahi mea e ʻai ai a inu paha. Inā hana ʻia kēia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
- Hoʻāʻo HbA1c: E hana kāu kauka i kēia hoʻāʻo i kēlā me kēia 2-3 mahina. Nānā kēia hoʻāʻo i ka maikaʻi o ka kaohi ʻana o kāu maʻi diabetes i nā mahina i hala iho nei.
- Mai hōʻalo i ka ʻai: E ʻai i ka manawa kūpono.
- Wikamina B12: Hiki i kekahi poʻe ke loaʻa i nā pae haʻahaʻa o ka wikamina B12 i ka wā e lawe ana i ka metformin i ka wā lōʻihi. Inā ʻike ʻoe i nā hōʻailona e like me ka mae ʻana o kou mau lima a me kou mau wāwae a i ʻole ka poniuniu, e haʻi i kāu kauka . Hiki iā ia ke kuhikuhi i kahi mea hoʻohui wikamina inā pono.
- ID Lapaʻau: He mea nui loa ke kau ʻana i kahi kāleka a kūpeʻe lima paha e papa inoa ana i kāu maʻi diabetes a me nā lāʻau lapaʻau āu e lawe ai i ka wā pilikia.
Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. Akā, ʻaʻole loaʻa i nā kānaka a pau. E nānā kākou i kēia mau hopena ʻaoʻao.
| Nā hōʻailona koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| Ka hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| ʻAkika Lactic | Luhi nui, ʻeha nā ʻiʻo, ʻeha ka ʻōpū, paʻakikī ka hanu ʻana, nausea, luaʻi. (He maʻi koʻikoʻi loa kēia). |
| ʻO ke ketoacidosis maʻi diabetes (DKA) | Waha maloʻo, make wai nui, mimi pinepine, ʻala hanu hua, paʻakikī ka hanu ʻana, ʻeha ʻōpū. |
| ʻO ka maʻi ʻaʻai mimi (UTI) | ʻO ka maʻi ʻōpū mimi, ka mimi pinepine ʻana, ke koko i loko o ka mimi, ka ʻeha o ke kua a i ʻole ka ʻeha o ka pelvis. |
| Nā pilikia wāwae a i ʻole ka wāwae | ʻEha hou, nā ʻeha, nā ʻōpū palapū, ke ʻano ʻili ʻole, a i ʻole ka maʻi ma ka wāwae. |
| Nā hōʻailona maʻamau e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | ʻEha ʻōpū, pehu, nausea, luaʻi, kinoea (loaʻa pinepine i ka hoʻomaka ʻana o ka lawe ʻana i ka lāʻau lapaʻau a laila nalowale). |
| ʻEha poʻo | He ʻeha poʻo maʻamau. |
Leka Lawe-Home
- E lawe mau i kēia lāʻau me ka ʻai, e like me ke kuhikuhi a kāu kauka.
- 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 makaʻala i nā hōʻailona o ke kō koko haʻahaʻa a kiʻekiʻe.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi, e like me ka paʻakikī o ka hanu ʻana, ka ʻeha nui o ka ʻōpū, a i ʻole kahi ʻeha wāwae hou, e ʻike koke i ke kauka.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a ke kauka.
- Mai poina i ka mea nui no ka kaohi pono ʻana i ka maʻi diabetes, ka ʻai a me ka hoʻoikaika kino, a me ka lāʻau lapaʻau.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka mea e hoʻohana ʻia ai ʻo Canagliflozin lāua ʻo Metformin (Canagliflozin; Metformin / Invokamet)?
He lāʻau lapaʻau hui kūpono loa kēia e kaohi ana i nā pae kō koko kiʻekiʻe (HbA1c) i nā poʻe maʻi me ka Type 2 Diabetes! Paipai nā kauka i kēia lāʻau kūikawā, i hui pū ʻia me ka Canagliflozin olakino puʻuwai hou, no ka poʻe ʻaʻole i kaohi ʻia ko lākou pae kō me Metformin wale nō.
💬 Pehea e hoʻohaʻahaʻa ai kēia mau lāʻau ʻelua (Metformin + SGLT2 inhibitor) i kā mākou kō?
Hoʻouka ia mai nā ʻaoʻao ʻelua! 1. Hoʻemi ka Metformin i ka hana ʻana o ke kō hou (glucose) i loko o kou ake a koi i ke koena o ke kō e komo i loko o kou mau ʻiʻo. 2. ʻO kekahi mea kilokilo ʻo Canagliflozin (SGLT2 inhibitor)! ʻO ka maʻamau, hoʻihoʻi hou ko mākou mau puʻupaʻa i ke kō āpau i loko o kā mākou mimi i loko o ke koko. Pale kēia i kēlā '100% o ka omo ʻana o ke kō mai nā puʻupaʻa' a hoʻopau loa i ke kō keu i loko o kou kino ma o ka mimi.
💬 ʻOiai ua emi ka maʻi diabetes, he aha nā hopena ʻaoʻao kikoʻī e pono ai i ka poʻe e lawe ana i kēia mau lāʻau ke makaʻala?
ʻO ka pilikia nui loa, ʻo ia nā pilikia i hoʻokumu ʻia e Canagliflozin! Ke hoʻokuʻu ʻia ka nui o ke kō (meli) i loko o ka mimi, hiki i nā fungi/hū a me nā bacteria ke ulu ma kēlā mau wahi āu e mimi ai/nā wahi pilikino (nā maʻi mycotic genital / UTI) a hiki ke make, e hoʻopō ai i ka wahi a ʻoki ʻia i waho (Fournier's Gangrene)! Eia kekahi, hiki i ka mimi pinepine ke alakaʻi i ka dehydration a me ke koko haʻahaʻa.
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