Ke mālama ʻia nei ʻoe no ka maʻi diabetes Type 2? Inā pēlā, ua kuhikuhi paha kāu kauka iā ʻoe i kahi pila e hoʻohui i ʻelua mau lāʻau lapaʻau. ʻO kekahi hui pū ʻana i kuhikuhi pinepine ʻia ʻo Dapagliflozin lāua ʻo Metformin. Ua ʻike paha ʻoe iā ia ma kahi inoa inoa e like me Xigduo XR. ʻOiai he lāʻau lapaʻau kūikawā kēia, he mea nui loa ia e ʻike piha ʻia e pili ana i ia mea. No laila, e kamaʻilio kākou e pili ana i nā mea āpau ma ke ʻano maʻalahi a me ke aloha i kēia lā.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, hana pū nā mea ʻelua i loko o kēia lāʻau lapaʻau, ʻo Dapagliflozin lāua ʻo Metformin, e kōkua i ka kaohi ʻana i kou pae glucose koko. Hana ia i kēia ma kekahi mau ʻano. ʻO kekahi ma ka hoʻokuʻu ʻana i kou mau puʻupaʻa i ke kō hou aku ma o kou mimi. ʻO kekahi ma ka hoʻemi ʻana i ka nui o ke kō a kou akepaʻa e hana ai a ma ke kōkua ʻana i nā ʻāpana o kou kino e pane maikaʻi i ka insulin.
Akā, ʻaʻole lawa kēia lāʻau lapaʻau wale nō. Hiki iā ʻoe ke loaʻa nā hopena maikaʻi loa ke lawe ʻoe i kēia lāʻau lapaʻau me ka ʻai kūpono a me ka hoʻoikaika kino. Ua like ia me kahi haʻuki hui. Pono ʻoe, ke kauka, kēia lāʻau lapaʻau, a me kou nohona e hana pū.
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. Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, pono ʻoe e hāʻawi i kāu kauka i kahi wehewehe piha o kou kūlana olakino. ʻOi loa aku inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e haʻi iā lākou e pili ana i ia mea.
| Ke kūlana olakino a i ʻole ka maʻamau | No ke aha ʻoe e pono ai e haʻi aku i ke kauka ? |
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| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Hoʻopau ʻia kēia lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa, no laila inā he mau pilikia me kēia mau ʻōkana, pono paha e hoʻoponopono ʻia ka nui o ka lāʻau lapaʻau. |
| Maʻi puʻuwai a i ʻole ke koko haʻahaʻa | Hiki i kēia lāʻau lapaʻau ke hoʻohaʻahaʻa hou i ke koko. |
| Inā loaʻa iā ʻoe ka pancreatitis | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ka hoʻi hou ʻana o ke ʻano. |
| Inā inu pinepine ʻoe i ka waiʻona | ʻO ka hui pū ʻana o ka waiʻona a me ka Metformin hiki ke hana i kahi maʻi weliweli i kapa ʻia ʻo lactic acidosis. |
| Inā ua hōʻemi ʻoe i kāu ʻai ʻana ma muli o ka maloʻo ʻana o ka wai a i ʻole ka maʻi/ʻoki kino | Ke maloʻo ke kino, piʻi aʻe ka pilikia o nā hopena ʻaoʻao. |
| Inā loaʻa iā ʻoe nā maʻi ʻōpū mimi pinepine a i ʻole nā maʻi hū i ka ʻāpana genital | Hoʻonui kēia lāʻau lapaʻau i ka pilikia o ka loaʻa ʻana o kēia maʻi no ka mea hoʻonui ia i ka pae kō i loko o ka mimi. |
| Inā loaʻa iā ʻoe ka maʻi diabetes Type 1 | ʻŌlelo ʻia kēia lāʻau lapaʻau no ka maʻi diabetes type 2 wale nō. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | I kēia mau hihia, ʻaʻole kūpono kēia lāʻau lapaʻau. No laila, pono ʻoe e kamaʻilio me kāu kauka a noʻonoʻo i kahi koho ʻē aʻe. |
| Inā he maʻi ʻoe i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea ʻē aʻe | Hiki paha iā ʻoe ke maʻi ʻaleka i kekahi mea i loko o ka lāʻau lapaʻau. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
- E inu me ke aniani wai: He mea nui e lawe i kēia lāʻau i ka manawa like i kēlā me kēia lā, e like me ke kauoha a kāu kauka.
- E ale i ka papa: He papa i hana kūikawā ʻia kēia (Extended-Release). ʻO ke ʻano kēia, e hoʻokuʻu mālie ʻia ka lāʻau i loko o ke kino. No laila , mai uhaʻi, kuʻi, a nau paha i ka papa. E ale holoʻokoʻa.
- E lawe me ka meaʻai: ʻOi aku ka maikaʻi o ka lawe ʻana i kēia me ka ʻai e hōʻemi i ka pilikia o ka ʻōpū.
- Mai ho'ōki: E hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau a hiki i ka lōʻihi o ka manawa e ʻōlelo ai kāu kauka. Mai hoʻōki i ka lawe ʻana me ka manaʻo ʻole.
He aha inā e hala iaʻu kahi mahele lāʻau lapaʻau?
ʻAe, hiki ke hana. E lawe i ka mahele lāʻau i hala koke i kou hoʻomanaʻo ʻana. Akā inā kokoke ka manawa no kāu mahele lāʻau aʻe, e kāpae i ka mahele lāʻau i hala a lawe i ka pila aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka mahele lāʻau.
Nā lāʻau lapaʻau ʻē aʻe i kūlike ʻole me kēia lāʻau lapaʻau (Nā pilina)
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau kuʻuna), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia.
| Mai lawe pū i ka lāʻau lapaʻau me kēia! | |
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| Hāʻawi ʻia kekahi mau ʻano hoʻohālikelike ma mua o nā hoʻokolohua e like me nā X-ray, CT scans, a me MRI. | He lāʻau lapaʻau i kapa ʻia ʻo Dofetilide. |
| Hiki i kēia ke launa pū - e haʻi i kāu kauka. | |
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ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Nā mea kūikawā e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻokolohua maʻamau: E nānā mau kāu kauka iā ʻoe. Hana ʻia kahi hoʻāʻo koko i kapa ʻia ʻo HbA1C ma kahi o hoʻokahi manawa i kēlā me kēia 2-3 mahina. Ana ia i ka maikaʻi o ka kaohi ʻana o kāu kō koko.
- Haʻahaʻa ke kō koko (Hypoglycemia):I ka wā e lawe ai i kēia lāʻau lapaʻau, ʻoiai inā ʻoe e lawe pū me nā lāʻau lapaʻau maʻi diabetes ʻē aʻe e like me ka insulin, hiki ke hāʻule koke kou pae kō koko. Inā ʻike ʻoe i nā hōʻailona e like me ka hou ʻana, ka haʻalulu, ka pōloli nui, ka paʻakikī o ka noʻonoʻo ʻana, a i ʻole ka nāwaliwali, he hōʻailona paha ia o ke kō koko haʻahaʻa. E mālama mau i kahi cube kō, toffee, a i ʻole ka papa glucose kokoke no ka wā e hana ʻia ai kēia.
- Ke kō koko kiʻekiʻe a me ka DKA: I kekahi manawa, e like me ka maʻi, hiki i kou pae kō koko ke lilo i mea hiki ʻole ke kaohi. Inā ʻike ʻoe i nā hōʻailona e like me ka makewai nui, ka mimi pinepine, ka waha maloʻo, ka ʻala hanu hua, ka ʻeha o ka ʻōpū, a me ka nausea, he mau hōʻailona paha kēia o kahi maʻi weliweli i kapa ʻia ʻo Diabetic Ketoacidosis (DKA) . Inā hana kēia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
- ʻO ke ʻoki kino a me nā scan: Inā e hana ʻia ʻoe i ke ʻoki kino, kahi MRI, a i ʻole kahi CT scan, e haʻi mua i ka hui lapaʻau e lawe ana ʻoe i kēia lāʻau. Pono paha ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau i kekahi mau lā ma mua o ke kaʻina hana .
- ʻO ka uhi papa: I kekahi manawa, hiki i ka uhi paʻa ʻole o kēia lāʻau lapaʻau, ʻo ka papa ponoʻī, ke puka mai me kou ʻōpala. He mea maʻamau kēia, mai hopohopo no ia mea. Ua komo ka lāʻau lapaʻau i loko o ke kino.
- ʻO ka wikamina B12 a me ka waikawa folic: ʻO ka hoʻohana lōʻihi ʻana i ka metformin hiki ke hoʻohaʻahaʻa i nā pae wikamina B12. E kamaʻilio me kāu kauka e pili ana i kēia a e hoʻāʻo ʻia inā pono.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Nā hōʻailona e pono ai ʻoe e haʻi koke i kāu kauka a i ʻole e hele i ka ETU | |
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| He hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hōʻailona o ka Lactic Acidosis | ʻEha a ʻeha paha nā ʻiʻo, ʻeha ʻōpū, paʻakikī ka hanu ʻana, luhi nui. He pilikia koʻikoʻi loa kēia. |
| Nā Hōʻailona o ka Diabetic Ketoacidosis (DKA) | Ka makewai nui, ka mimi pinepine, ka waha maloʻo, ka hanu ʻala hua, ka paʻakikī o ka hanu ʻana, ka ʻeha o ka ʻōpū, ka luaʻi/ka luaʻi. |
| 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 maʻi ma ka ʻāpana genital | ʻUlaʻula, pehu, ʻeha, maneʻo, ʻala ʻino, a i ʻole ke kahe ʻano ʻē i loko a i ʻole a puni ka ʻāpana genital. |
| Ka maloʻo ʻana | Makewai nui, waha maloʻo, nāwaliwali, mimi ʻeleʻele. |
| ʻAʻole ia he mea koʻikoʻi, akā inā hoʻomau ia, e haʻi i kāu kauka. | |
| Ka maʻi pākī | Ka luaʻi/ka luaʻi ʻana |
| ʻEha poʻo | Nā hōʻailona e like me ke anu (anu) |
Inā manaʻo ʻoe ua lawe nui ʻia ʻoe, e hele koke i ka ʻOihana Pilikia kokoke loa (ETU). A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi Poisons Lahui ma ka Halemai Lahui ʻo Colombo.
Leka Lawe-Home
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E ale i ka papa me ka wai me ka ʻole o ka haki ʻana, ka wāwahi ʻana, a me ka nau ʻana.
- E makaʻala i nā hōʻailona o ka hypoglycemia a me DKA, hiki ke loaʻa i ka wā e kiʻekiʻe loa ai ke kō koko. He mea nui e ʻike i ka mea e hana ai i ia mau hihia.
- E hōʻalo i ka inu ʻona. E haʻi i kāu mau kauka e lawe ana ʻoe i kēia lāʻau lapaʻau ma mua o ke ʻoki ʻana a i ʻole kahi scan.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao koʻikoʻi a i ʻole kānalua paha, e nīnau koke aku i kāu kauka a i ʻole e hele i kahi Keʻena Pilikia (ETU).
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