Ke haʻi aku kāu kauka iā ʻoe he Type 2 Diabetes Mellitus kou, e ʻōlelo ʻia paha ʻoe e lawe i ka insulin. Akā ʻo ka ʻoiaʻiʻo, ʻaʻole pono ka insulin i nā kānaka a pau me ka Type 2 Diabetes. Akā inā pono ʻoe e lawe i ka insulin, he mea nui loa ia no kou olakino e hoʻoholo i ka nui kūpono. I kekahi manawa pono paha ʻoe e hoʻoponopono i kēia nui iā ʻoe iho i ka loli ʻana o kou nohona. No laila, e kamaʻilio maʻalahi kākou e pili ana i kēia.
Pehea e hoʻolālā ʻia ai ka mālama ʻana i ka insulin?
ʻO ke kī ma ʻaneʻi, ʻo ia ka mālama ʻana i kou pae kō koko i loko o kahi pae palekana. Pono paha ʻoe e hoʻohana i hoʻokahi ʻano insulin a ʻelua paha. Hoʻomaka mua nā kauka me hoʻokahi ʻano mua.
1. ʻInisulina hana lōʻihi
ʻO kekahi inoa no kēia, ʻo ia ka insulin basal . I ka ʻōlelo maʻalahi, ke hoʻokomo ʻoe iā ia, hana ia i loko o kou kino no kahi o 24 mau hola, i kekahi manawa ʻoi aku ka lōʻihi. Ua like ia me ke kaohi ʻana i kou pae kō koko ma ke kua. Lawe pinepine ʻia i hoʻokahi manawa i ka lā, akā he mea nui e lawe iā ia i ka manawa like i kēlā me kēia lā.
Pehea e hoʻoholo ai i ka dosage?
Nui nā ʻano o kēia ʻano insulin, a ʻokoʻa paha nā dosages no kēlā me kēia.
- ʻO ka mahele hoʻomaka maʻamau: Hoʻomaka ka hapa nui o ka poʻe me kahi o 10 mau ʻāpana i ka lā.
- Ka helu ʻana ma muli o ke kaumaha: I kekahi manawa e hoʻoholo kāu kauka i ka nui ma muli o ke kaumaha o kou kino. No ka laʻana, hiki ke helu ʻia kou kaumaha kino ma ke ʻano he 0.2 mau ʻāpana o ka insulin no 1 kilogram (2.2 paona).
ʻOi aku paha ka haʻahaʻa o ka mahele mua ma mua o kou pono, akā he hoʻomaka maikaʻi ia. A laila, e hoʻonui mālie kāu kauka i kāu mahele ma ʻelua a ʻehā mau ʻāpana i kēlā me kēia ʻekolu lā a hiki i kou pae kō koko hoʻokē ʻai i kāu pae pahuhopu (ma waena o 80-130 mg/dL ). ʻO ke koho ʻana i ke ʻano insulin kūpono nou e hilinaʻi ʻia i nā kumu he nui, me kou kaumaha, nā pae kō koko, inā he mau maʻi ʻē aʻe kou, ke kumukūʻai o ka insulin, a me kāu mau makemake.
2. ʻInisulina pili i ka ʻai (Insulina hana pōkole a wikiwiki paha)
Hiki i kāu kauka ke kapa aku i kēia he insulin bolus a i ʻole insulin prandial . Hāʻawi ʻia kēia mau mea ma mua o ka ʻai nui e kōkua i kou kino e kāohi i ka nui o nā kalapona i ka meaʻai āu e ʻai ai. Hoʻohui ʻia kēia ʻano insulin ke lawa ʻole ka insulin o ka lā holoʻokoʻa i ʻōlelo ʻia ma luna.
Pehea e hoʻoholo ai i ka dosage?
Pili ka nui o ke ana i kekahi mau kumu: kāu pae kō koko i makemake ʻia, ka nui o nā kalapona i ka pāʻina āu e ʻai ai, a me kou pae o ka hana.
- Ka nui paʻa:ʻO ka maʻamau, hiki iā ʻoe ke hoʻomaka me 4-6 mau ʻāpana a hoʻonui i ka 2-3 mau ʻāpana i kēlā me kēia 3 lā a hiki i ka wā e kaohi ʻia ai kāu pae kō.
- Ka Helu ʻana i nā Kalapona: He ʻano holomua iki kēia. Maanei, ke helu nei ʻoe i ka nui o ka insulin ma muli o ka nui o nā kalapona āu e ʻai ai.
- Ka lawe ʻana i ka overdose ulia.
- ʻO ke kāwili ʻana i nā ʻano insulin hana pōkole a me ka hana lōʻihi.
- ʻO ka ʻai ʻana i kahi meaʻai haʻahaʻa-kalapona a me ka lawe ʻana i ka insulin hou aʻe no ia.
- Poina i ka ʻai ʻana ma hope o ka lawe ʻana i ka insulin.
- Ke hoʻoikaika kino ʻana ma mua o ka maʻamau a ʻaʻole hoʻi e hōʻemi i kāu nui o ka insulin e uku ai.
- He mea kūikawā ke ʻano a me ka nui o ka insulin iā ʻoe. E hahai mau i nā kuhikuhi a kāu kauka. Mai hoʻohālikelike i kāu nui me ka nui o ka poʻe ʻē aʻe.
- E hoʻomaopopo i ka ʻokoʻa ma waena o ka insulin hana lōʻihi a me ka insulin hana pōkole.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). Mai hopohopo a ʻike pono i ka mea e hana ai i ia kūlana.
- Mai hilinaʻi i nā polokalamu kelepona (apps) i ʻae ʻole ʻia a hilinaʻi ʻole ʻia e helu i nā nui o ka insulin.
- E nānā pinepine i kou pae kō koko. E kamaʻilio ākea me kāu kauka e pili ana i nā loli a me nā hopohopo āu e loaʻa ai.
E noʻonoʻo i kēia ʻano: ʻAi ʻoe i kahi ʻāpana pizza, a he 60 grams o nā kalapona i loko. ʻO ka maʻamau, 1 ʻāpana o ka insulin hana wikiwiki e "uhi" ma kahi o 10-15 grams o nā kalapona. E ʻōlelo kākou he 10 grams. A laila pono ʻoe ma kahi o 6 mau ʻāpana o ka insulin no kēlā ʻāpana pizza.
ʻOkoʻa kēia lakio insulin-i-carb mai kēlā me kēia kanaka. Hiki ke loli i nā manawa like ʻole o ka lā. No laila, he mea nui e kamaʻilio me kāu kauka e ʻike i ke ʻano hana kūpono iā ʻoe.
He aha ka mea e hana inā hoʻonui ʻia ka nui o ka insulin?
Inā lawe ʻoe i ka nui o ka insulin, hiki i kou pae kō koko ke hāʻule koke i lalo loa. Ua kapa ʻia kēia he hypoglycemia . He kūlana koʻikoʻi kēia e hiki ke hoʻoweliweli i ke ola.
He aha ke kumu o ka hoʻonui ʻia ʻana o ka insulin?
| Nā hōʻailona maʻamau o ke kō koko haʻahaʻa (Hypoglycemia) | |
|---|---|
| Hopohopo | ʻEha poʻo |
| Pōʻino | Ka luaʻi |
| Ka wikiwiki o ka puʻuwai | Ka haʻalulu |
| ʻIli hou a palupalu paha | Pōloli loa |
ʻO ka mea nui, hiki ke ʻokoʻa kēia mau hōʻailona mai kēlā kanaka a kēia kanaka, no laila e hoʻolohe i ke ʻano o kou kino.
He aha e hana koke ai inā hāʻule kou kō koko
ʻO ke ala wale nō e ʻike pono ai inā haʻahaʻa kāu kō, ʻo ia ke ana koke i kou pae kō me kahi glucometer.
1. Inā ʻoi aku ka nui o ke kō koko ma lalo o 70 mg/dL , e ʻai koke i kahi mea momona. No ka laʻana, e ʻai i kahi papa glucose, hapalua kīʻaha wai huaʻai me ke kō ʻole, a i ʻole kahi punetune meli. E hāʻawi kēia i kahi 15 grams o nā kalapona hana wikiwiki.
2. E kali i 15 mau minuke.
3. E nānā hou i kou pae kō koko.
4. Inā haʻahaʻa mau ia (ma luna o 70 mg/dL), e ʻai hou i kahi mea momona. Ke hoʻi hou kou pae kō i ka maʻamau, ʻoi aku ka maikaʻi o ka ʻai ʻana i kahi meaʻai māmā liʻiliʻi (e.g., kahi ʻāpana berena).
Inā hana pinepine kēia, a inā lilo ia i mea koʻikoʻi a nalowale kou ʻike, e lawe koke kekahi iā ʻoe i ka Emergency Treatment Unit (ETU) kokoke loa.
Hiki ke hoʻohana ʻia nā polokalamu no kēia hana?
Nui nā polokalamu e koi ana e kōkua iā ʻoe e helu i kāu lakio insulin-i-carb a i ʻole e helu i kāu nui o ka insulin. Akā ua ʻike ʻia kahi noiʻi 2015 ʻaʻole hana pono ka hapa nui o kēia mau mea. He mea weliweli loa ia. Inā ua kuhikuhi ʻia ʻoe i ka nui hewa, hiki ke hoʻoweliweli i ke ola.
No laila, inā pono ʻoe e hoʻohana i kahi polokalamu, e hoʻohana wale i kahi polokalamu hilinaʻi i ʻōlelo ʻia e kāu kauka a i ʻole ke keʻena maʻi diabetes.
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