Ke haʻi aku kāu kauka iā ʻoe he maʻi diabetes ʻano 2 kou, ua hoʻomaka paha ʻoe e hoʻoikaika kino a kaohi i kāu ʻai. He mea maikaʻi kēlā. Akā i kekahi manawa, hiki ke paʻakikī ke kaohi i kou pae kō koko me kahi nohona olakino wale nō. ʻO ia ka manawa e haʻi aku ai kāu kauka iā ʻoe e hoʻomaka e lawe i ka lāʻau lapaʻau.
ʻElua ʻano lāʻau lapaʻau nui no ka maʻi diabetes type 2: nā pila a me ka insulin . Kōkua nā mea ʻelua i ka mālama ʻana i kou pae kō koko kokoke i ka maʻamau. He mea nui kēia no ka mea inā kiʻekiʻe kou pae kō koko no ka manawa lōʻihi, ʻoi aku ka nui o kou loaʻa ʻana i nā maʻi koʻikoʻi e like me ka hōʻino ʻana o ke aʻalolo, nā pilikia ʻike, nā pilikia puʻupaʻa, a me nā maʻi puʻuwai.
No laila, ʻo wai nā pila a i ʻole ka insulin ka mea maikaʻi loa iā ʻoe? Ma mua o kou kamaʻilio ʻana me kāu kauka e pili ana i kēia, e ʻike kākou i nā kikoʻī hou aku.
Nā ʻano lāʻau lapaʻau no ka maʻi diabetes
Inā ua ʻike ʻia ʻoe me ka maʻi diabetes type 2, e kuhikuhi mua paha kāu kauka i kahi ʻano lāʻau lapaʻau. ʻAʻole kēia e pani i ka hormone insulin, akā hiki iā lākou ke kōkua i kou kino:
- Hoʻopuka i ka insulin hou aʻe.
- E hoʻohana pono i ka insulin i hana ʻia e ke kino.
- Hoʻohaʻahaʻa i nā pae kō koko.
Hiki ke hāʻawi ʻia iā ʻoe kekahi o kēia mau lāʻau lapaʻau a i ʻole ka hui pū ʻana o kekahi mau mea. E nānā kākou i nā ʻano lāʻau lapaʻau nui.
Metformin
I ka ʻōlelo maʻalahi, ʻo kēia ka lāʻau lapaʻau mua loa i kuhikuhi ʻia e nā kauka no ka maʻi diabetes type 2. Loaʻa ia ma ke ʻano pila a me ka wai. Hana nui ʻo Metformin ma ka hoʻemi ʻana i ka nui o ke kō i hana ʻia e kou ake a ma ke kōkua ʻana i kou kino e hoʻohana maikaʻi i ka insulin. Hiki ke hāʻawi ʻia iā ʻoe nā lāʻau lapaʻau maʻi diabetes ʻē aʻe me ia. Hiki i kēia lāʻau lapaʻau ke kōkua iā ʻoe e lilo i kekahi kaumaha.
Eia nō naʻe, inā loaʻa iā ʻoe ka maʻi akepaʻa, nā pilikia puʻupaʻa, a i ʻole nā maʻi puʻuwai, a inā inu nui ʻoe i ka waiʻona, ʻaʻole paha ʻoe e hiki ke lawe i ka Metformin. I kēlā mau hihia, hiki i kou pae kō koko ke lilo i mea haʻahaʻa loa a i ʻole hiki ke hana ʻia kahi kūlana weliweli i kapa ʻia ʻo lactic acidosis .
Nā Sulfonylureas
Hana kēia mau lāʻau lapaʻau ma ke kōkua ʻana i kou kino e hana i ka insulin hou aʻe. ʻO Glimepiride (Amaryl), Glipizide (Glucotrol), a me Glyburide (DiaBeta) kekahi mau laʻana o kēia ʻano lāʻau lapaʻau. Eia nō naʻe, hiki iā lākou ke hoʻonui i ke kaumaha a me ke kō koko haʻahaʻa (hypoglycemia).
Nā Meglitinides
Hoʻoulu pū kēia mau lāʻau lapaʻau i ka pancreas e hana i ka insulin hou aʻe. Eia nō naʻe, hana wikiwiki lākou ma mua o nā sulfonylureas, akā lōʻihi ko lākou ola. ʻO Repaglinide (Prandin) a me Nateglinide (Starlix) kekahi o kēia mau lāʻau lapaʻau. Hiki i nā hopena ʻaoʻao ke komo pū me ke kō koko haʻahaʻa a me ka piʻi ʻana o ke kaumaha.
ʻO nā Thiazolidinediones
Hana kēia mau mea ma ka hoʻolilo ʻana i nā ʻiʻo o kou kino i mea ʻoi aku ka maʻalahi i ka insulin. ʻO ke ʻano kēia e kōkua ai i kou kino e hoʻohana pono i ka insulin. ʻO Rosiglitazone (Avandia) lāua ʻo Pioglitazone (Actos) nā lāʻau lapaʻau o kēia papa. Akā hāʻawi pinepine ʻia lākou inā ʻaʻole i holomua nā lāʻau ʻē aʻe ma muli o ka pilikia o nā hopena ʻaoʻao koʻikoʻi, e like me ka hōʻeha puʻuwai a me ka anemia.
E hōʻuluʻulu kākou i kēia ʻano lāʻau lapaʻau ma ke ʻano maʻalahi e hoʻomaopopo.
| Papa Lāʻau Lapaʻau | Pehea e hana ai ke kino | Nā hopena ʻaoʻao maʻamau |
|---|---|---|
| Nā mea pale DPP-4 (Laʻana: Sitagliptin (Januvia)) | Hoʻohaʻahaʻa iki i nā pae kō koko. | ʻEha hui, mumū o ka pancreas (pancreatitis). |
| Nā mea pale SGLT2 (e laʻa, Dapagliflozin (Farxiga), Empagliflozin (Jardiance)) | Kāohi ia i nā puʻupaʻa mai ke komo hou ʻana o ka glucose i loko o ke kino a hoʻokuʻu iā ia i loko o ka mimi. | ʻO ka pilikia o nā maʻi ʻōpū mimi, ke koko haʻahaʻa, a me ka ketoacidosis maʻi diabetes. |
| Nā Agonists Receptor GLP-1 (Laʻana: ka pila Semaglutide (Rybelsus)) | Kōkua i ke kino e hana i ka insulin hou aʻe ma hope o ka ʻai ʻana. | Ka luaʻi, ka maʻi pākī, ka pohō kaumaha, ka ʻeha poʻo. |
I ka manawa hea e pono ai ka insulin?
Inā ʻaʻole hiki iā ʻoe ke kāohi i kou pae kō koko me nā pila wale nō, e hoʻomaka paha kāu kauka iā ʻoe ma ka insulin. ʻO ka insulin kahi mea āu e loaʻa ai ma ke ʻano he pana.
No ke aha ʻoe e hiki ʻole ai ke ale i ka insulin e like me ka pila? ʻO ke kumu, inā ʻoe e ale iā ia e like me kēlā, e luku loa ʻia ia i ka wā o ke kaʻina hana ʻai i loko o ko kākou ʻōpū. No laila, ʻaʻohe ona pono. ʻO ia ke kumu i hāʻawi ʻia ai ma ke ʻano he inikini.
Aia kekahi mau ʻano insulin like ʻole, ʻokoʻa ka lōʻihi o kā lākou hana.
- ʻInisulina hana lōʻihi: ʻAʻole ia e komo i ke kahe koko a hiki i kekahi mau hola ma hope o ka hoʻokomo ʻana, akā mālama ia i nā pae kō koko ma lalo o ka kaohi no 24 mau hola. Paipai pinepine nā kauka i kēia ʻano insulin i ka pō no ka poʻe me ka maʻi diabetes type 2.
- ʻInisulina hana waena: Hoʻomaka kēia e hana i loko o kekahi mau hola a noho mau no ka hana ma waena o 12 a me 18 mau hola.
- ʻInsulin maʻamau a "hana pōkole": Komo ia i loko o ke koko ma kahi o ka hapalua hola ma hope o ka hoʻokomo ʻana a hana no ma waena o 3 a me 6 mau hola.
- ʻInisulina hana wikiwiki: Hoʻomaka e hana koke ma hope o ka hoʻokomo ʻana, akā hana no ka manawa pōkole, ma kahi o 2 a 4 mau hola.
I ka wā ma mua, ua kuhikuhi nā kauka i ka insulin ma ke ʻano he koho hope loa. Akā i kēia manawa, no ka mea hiki iā ia ke kāohi koke i nā pae kō koko, aia nā manawa e hiki ai ke hoʻomaka mua i ka insulin. ʻO ka hopena nui o nā ʻano insulin āpau, ʻo ia ke kō koko haʻahaʻa (hypoglycemia) .
Nā nīnau e nīnau aku ai i kāu kauka
ʻO ka lāʻau lapaʻau maikaʻi loa nāu he hoʻoholo ia āu a me kāu kauka e hana pū ai. ʻO kēlā me kēia lāʻau lapaʻau i ʻōlelo ʻia, e nīnau e pili ana i kēia mau mea.
- He aha nā hopena ʻaoʻao o kēlā me kēia lāʻau lapaʻau?
- Pehea lā ko lākou kumukūʻai?
- Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
- Pehea e mālama ai i kēia lāʻau lapaʻau?
Eia kekahi, e aʻo pono pehea e ʻike ai i ka wā e haʻahaʻa loa ai kou pae kō koko (hypoglycemia), a me ka mea e hana ai inā hana ia. He mea nui loa kēia.
Leka Lawe-Home
- He maʻi ka maʻi diabetes ʻano 2 e pono e mālama pono ʻia. He mea nui paha ka lawe ʻana i ka lāʻau lapaʻau me kahi nohona olakino.
- Hoʻomaka pinepine nā kauka me kahi lāʻau lapaʻau e like me ka metformin.
- Inā ʻaʻole hiki iā ʻoe ke kāohi i kou pae kō koko me nā pila wale nō, pono ʻoe e hoʻohana i nā inikini insulin.
- E kamaʻilio mau me kāu kauka e pili ana i ka lāʻau lapaʻau kūpono loa iā ʻoe. E nīnau i kāu mau nīnau.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ka mea e hana ai inā hana ia.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo