Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau hou no kāu maʻi diabetes type 2? I kou lohe ʻana ʻo Dapagliflozin lāua ʻo Saxagliptin ka inoa o ka lāʻau lapaʻau (i ʻike pinepine ʻia e ka inoa inoa ʻo QTERN), ua ʻike anei ʻoe he mea huikau iki? Mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau ma ke ʻano maʻalahi, me he mea lā e haʻi aku ana ʻoe i kahi hoaaloha.
He aha kēia lāʻau lapaʻau? I ka pōkole...
He lāʻau lapaʻau kēia i hoʻohana ʻia no ka mālama ʻana i ka maʻi diabetes Type 2. ʻElua ona hana nui. ʻO kekahi, ʻo ia ke kōkua i kou kino e hoʻokuʻu i ke kō keu (glucose) i loko o kou mimi. ʻO kekahi, ʻo ia ka hoʻoulu ʻana i ka hana ʻana o ka hormone insulin mai kou pancreas, kahi e kōkua ai i ka kaohi ʻana i nā pae kō koko.
E noʻonoʻo e like me ʻelua mau mea kōkua akamai e kaohi ana i nā pae kō o kou kino. Akā, ʻaʻole lawa kēia lāʻau lapaʻau wale nō. He mea nui nō hoʻi ka ʻai maikaʻi a me ka hoʻoikaika kino kūpono .
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 i kāu kauka ke ʻike i kou mōʻaukala olakino piha ma mua o ke kau ʻana i kēia lāʻau. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
| Kūlana a maʻamau paha | Wehewehena |
|---|---|
| Nā kūlana olakino e kū nei | ʻO ke kanesa o ka ʻōpū mimi, maʻi puʻuwai, hāʻule ʻana o ka puʻuwai, maʻi puʻupaʻa, cholesterol kiʻekiʻe, koko haʻahaʻa, pancreatitis a i ʻole ka mōʻaukala o ia mea, maʻi diabetes type 1. |
| Nā maʻi a me nā pilikia ʻē aʻe | Inā loaʻa iā ʻoe nā maʻi ʻōpū urinary pinepine (UTIs), kahi mōʻaukala o nā maʻi hū genital, paʻakikī i ka mimi, a i ʻole kahi maʻi i kapa ʻia ʻo diabetic ketoacidosis. |
| Nā mea pili i ke ola a me nā mea ʻē aʻe | Inā ua maloʻo ke kino, inā ʻoe e ʻai i ka papaʻai haʻahaʻa ka paʻakai, inā ua emi kāu meaʻai ma muli o ka maʻi, ke ʻoki kino, a i ʻole nā kumu ʻē aʻe, a inā inu pinepine ʻoe i ka waiʻona. |
| Nā hanana kūikawā | Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, a inā he makuahine hānai ʻoe. |
| Nā maʻi ʻaleka | Inā he maʻi ʻaleka kou i kēia lāʻau lapaʻau (dapagliflozin, saxagliptin) a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He mea maʻalahi loa kēia.
- E ale i kēia pila me ke aniani wai.
- E lawe iā ia e like me ke kauoha a kāu kauka, i ka manawa kūpono. Manaʻo pinepine ʻia e lawe i ke kakahiaka.
- Hiki ke lawe ʻia me ka meaʻai a me ka ʻole o ka meaʻai.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka dosage me ka ʻole o ke aʻo ʻana a kāu kauka .
- Inā hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki, pono ke aʻo kūikawā ʻia e ke kauka.
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kelepona koke aku i ke Kikowaena ʻIke ʻAi Poisons ma ka Halemai Lahui ʻo Colombo. A i ʻole, e hele i ka ʻOihana Pilikia (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 lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia lāʻau.
ʻO ka mea nui, e hoʻomaopopo pono e haʻi i nā lāʻau lapaʻau inā ʻoe e lawe ana iā lākou:
- ʻO kekahi mau lāʻau antibiotic, e like me gatifloxacin.
- ʻAila
- ʻO kekahi mau lāʻau antiviral i hāʻawi ʻia no ka maʻi HIV a i ʻole Hepatitis.
- ʻO nā lāʻau lapaʻau e like me ketoconazole a me ka itraconazole, i hoʻohana ʻia e mālama i nā maʻi fungal.
- Litiuma
- ʻO nā steroid e like me ka prednisone a me ka cortisone.
- ʻO nā sulfonylureas, e like me glimepiride, glipizide, a me glyburide, he mau lāʻau i hoʻohana ʻia no ka mālama ʻana i ka maʻi diabetes.
- Nā lāʻau lapaʻau no nā maʻi thyroid.
E hoʻomanaʻo, ʻaʻole i piha kēia papa inoa. E haʻi i kāu kauka e pili ana i nā huaora, nā huahana lāʻau lapaʻau, a i ʻole nā mea hoʻohui āu e lawe nei.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Pono ʻoe e mālama iki i kou olakino i ka wā e lawe ana i kēia lāʻau.
1. Nā hoʻokolohua lapaʻau maʻamau: E hele i nā keʻena lapaʻau e like me ka manawa i kauoha ʻia e kāu kauka. Hiki i kāu kauka ke kauoha i kahi hoʻāʻo koko i kapa ʻia ʻo HbA1C i kēlā me kēia 2-3 mahina e nānā i ka maikaʻi o ka kaohi ʻana o kāu kō koko.
2. E aʻo e hoʻāʻo i kāu kō koko: E aʻo pehea e hoʻāʻo ai i kāu kō koko ma ka home. E ʻike pono i nā hōʻailona o ka hypoglycemia a me ka hyperglycemia a pehea e hana ai me lākou.
3. E mālama i kekahi kō kokoke i ka wā pilikia: E mālama mau i kahi mea e ʻai ai, e like me ka cube kō, ka papa glucose, a i ʻole ka toffee, kokoke i ka wā e hāʻule koke ai kou pae kō.
4. Mai hōʻalo i nā meaʻai: Mai hōʻalo i nā meaʻai nui no kekahi kumu. E kūkākūkā me kāu kauka e pili ana i ka inu ʻana i ka waiʻona.
5. E komo i kahi palapala hōʻoia lapaʻau: ʻO ke komo ʻana i kahi kāleka a kūpeʻe lima paha e haʻi ana he maʻi diabetes kou a me nā ʻano a me nā nui o nā lāʻau lapaʻau āu e lawe ai he mea nui loa ia i ka wā pilikia.
Nā hopena ʻaoʻao o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻOiai he liʻiliʻi ka hapa nui o kēia mau mea, aia kekahi mau mea e pono ai mākou e makaʻala nui.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā kūlana koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
| Nā hopena maʻi koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻO ke ketoacidosis maʻi diabetes (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 nausea, ka luaʻi. |
| Nā Hōʻailona o ka Pōʻino o ka Puʻuwai | Paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole nā lima, piʻi koke ke kaumaha, luhi nui. |
| ʻO ka maʻi pancreatitis | ʻEha nui o ka ʻōpū (e pālahalaha ana i ke kua), ʻeha e ʻoi aʻe ana ma hope o ka ʻai ʻana a i ʻole ke hoʻopā ʻia, kuni, nausea, luaʻi. |
| ʻO ka maʻi ʻaʻai mimi (UTI) | ʻO ka maʻi ʻōpū mimi, ka mimi pinepine, ka mimi koko a ʻeleʻele paha, ka ʻeha o ke kua a i ʻole ka ʻeha o ka pelvis. |
| Nā maʻi ʻōpū | ʻUlaʻula, pehu, ʻeha, maneʻo, ʻala pilau, kahe mānoanoa. |
| Nā kūlana i maʻa mau ʻole i ke koʻikoʻi, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā maʻi liʻiliʻi ʻē aʻe | Ka maʻi kahe, ka ʻeha poʻo, ka ihu wai a paʻa paha, ka ʻāʻī ʻeha. |
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi kēia e kōkua ai i ka kaohi ʻana i kāu maʻi diabetes. E lawe mau iā ia e like me ke kauoha a kāu kauka , i ka manawa kūpono.
- Ma mua o ka hoʻomaka ʻana i ka 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 makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (ka hani, ka hou ʻana, ka pōloli nui) a me ke kō koko kiʻekiʻe (ka makewai nui, ka mimi pinepine).
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao koʻikoʻi e like me nā maʻi alerika koʻikoʻi, ka paʻakikī o ka hanu ʻana, a i ʻole nā ʻeha ʻōpū koʻikoʻi , e ʻimi koke i ke kōkua lapaʻau.
- ʻO kēia lāʻau lapaʻau kekahi ʻāpana wale nō o kāu hoʻolālā hoʻokele maʻi diabetes. E hōʻoia e mālama i kahi papaʻai kūpono a me ka hoʻoikaika kino.
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