Ke noʻonoʻo ka poʻe i ka maʻi diabetes, manaʻo ka hapa nui o ka poʻe i nā inikini insulin. Manaʻo kekahi poʻe he mea weliweli iki kēia a he mea hoʻonāukiuki iki hoʻi no ka mea pono lākou e inikini i nā manawa he nui i ka lā. Akā ua ʻike anei ʻoe aia kekahi mau lāʻau lapaʻau hou, ʻaʻohe insulin, no ka Type 2 Diabetes? Pono kekahi o kēia mau mea e inikini ʻia i hoʻokahi manawa i ka pule. No laila i kēia lā, e kamaʻilio pōkole kākou e pili ana i kēia mau lāʻau lapaʻau hou a holomua.
He aha kēia lāʻau lapaʻau? Pehea kāna hana?
ʻO ke ʻano lāʻau lapaʻau nui a kaulana loa i kēia māhele ua kapa ʻia ʻo GLP-1 Receptor Agonists . ʻOiai ke kani iki nei ka inoa, he maʻalahi loa ke ʻano o kāna hana.
E noʻonoʻo, aia kahi hormone i kapa ʻia ʻo "GLP-1" i hana maoli ʻia i loko o ko kākou kino. Ke ʻai kākou, hoʻouna kēia hormone i kahi hōʻailona i ko kākou pancreas, e ʻōlelo ana, "ʻAe, i kēia manawa ke hōʻiliʻili nei ke kō i loko o ke koko, no laila e hana i ka nui o ka insulin e pono ai." He nāwaliwali iki kēia kaʻina hana i ka poʻe me ka maʻi diabetes.
ʻO ka hana a kēia mau lāʻau lapaʻau injectable a mākou e kamaʻilio nei i kēia lā, ʻo ia ka hana e like me kēlā hormone kūlohelohe a hāʻawi i kēia hōʻailona pololei. ʻO ia hoʻi:
- Kōkua ia i ka pancreas e hana i ka insulin ke piʻi aʻe nā pae kō koko .
- Hoʻomalu ia i ka hana pono ʻole o ke kō e ke akepaʻa.
- Hoʻolohi ia i ka wikiwiki o ka ʻai ʻana. Hoʻomāʻona kēia iā ʻoe ma hope o ka ʻai ʻana i kahi liʻiliʻi. Kōkua kēia i ka kaohi ʻana i ka ʻai nui ʻana a kōkua i ka pohō kaumaha .
I kēia manawa, e nānā kākou i kekahi mau ʻano lāʻau lapaʻau like ʻole o kēia māhele.
| ʻO Dulaglutide (Trulicity) | |
|---|---|
| He aha kēia? | He lāʻau GLP-1 nō hoʻi kēia. ʻO ka mea kūikawā, pono e hoʻokomo ʻia i hoʻokahi manawa wale nō i ka pule . |
| ʻO wai ka mea e lawe? | Paipai nā kauka iā ia no nā pākeke me ka maʻi diabetes type 2 i hiki ʻole ke hoʻomalu pono i ko lākou kō koko me nā lāʻau lapaʻau ʻē aʻe. Hiki ke hoʻohana wale ʻia a i ʻole me nā lāʻau lapaʻau maʻi diabetes ʻē aʻe (e like me ka metformin). |
| Nā hopena ʻaoʻao maʻamau | Hiki ke loaʻa ka luaʻi, ka ʻeha o ka ʻōpū, ka pehu ʻana, a me ka nalowale o ka makemake i nā pae mua. ʻO ka hapa nui o ka manawa, e emi iho kēia mau mea i loko o kekahi mau lā. |
| ʻO Semaglutide (Ozempic) | |
|---|---|
| He aha kēia? | He lāʻau GLP-1 kaulana loa kēia i lawe ʻia i hoʻokahi manawa i ka pule . Ua ʻike ka nui o ka poʻe ma Sri Lanka iā ia ma ka inoa ʻo Ozempic. |
| ʻO wai ka mea e lawe? | Hāʻawi ʻia ia i nā pākeke me ka maʻi diabetes type 2. Ua ʻike ʻia he mau pono hou aʻe kona, ʻoiai no ka poʻe i loaʻa i ka pilikia nui o ka maʻi puʻuwai a i ʻole ka maʻi puʻupaʻa. Paipai pū nā kauka iā ia no ka poʻe momona no ka mea kōkua pū ia i ka pohō kaumaha. |
| Nā hopena ʻaoʻao maʻamau | ʻO ka nausea iki a i ʻole ka luaʻi waena, ka nalowale o ka makemake, ka ʻeha o ka ʻōpū, a i kekahi poʻe, hiki ke hoʻonui ʻia nā pilikia maka (diabetic retinopathy). No laila e makaʻala i nā hoʻokolohua maka. |
| ʻO Tirzepatide (Mounjaro) | |
|---|---|
| He aha kēia? | He lāʻau hou a ʻoi aku ka holomua o kēia. Hana ia e like me GLP-1 a me kekahi hormone ʻē aʻe i kapa ʻia ʻo GIP. No laila, he lāʻau 'hana pālua' ia. Lawe ʻia hoʻi i hoʻokahi manawa i ka pule. |
| ʻO wai ka mea e lawe? | Hāʻawi ʻia ia i nā pākeke me ka maʻi diabetes type 2. Hōʻike ia i nā hopena maikaʻi loa i ka kaohi ʻana i ke kō koko a me ka pohō kaumaha. |
| Nā hopena ʻaoʻao maʻamau | E like me nā lāʻau lapaʻau ʻē aʻe, hiki ke loaʻa ka nausea, ka ʻōpū huhū, ka nalowale o ka makemake, ka ʻeha o ka ʻōpū, a me ka constipation. |
Mea nui: ʻIke kūikawā e pili ana i nā lāʻau lapaʻau papa GLP-1
Ua hōʻike nā haʻawina holoholona i ka pilina ma waena o kēia mau lāʻau lapaʻau a me ka piʻi ʻana o ka pilikia o ka maʻi kanesa thyroid i nā holoholona, e like me nā ʻiole. Eia naʻe, ʻaʻole maopopo inā e like kēia me ke kanaka . Eia nō naʻe, ma ke ʻano he hana palekana, inā he moʻolelo kou a i ʻole kekahi o kou ʻohana no ka maʻi kanesa thyroid, pono ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau.
ʻO kekahi lāʻau lapaʻau ʻē aʻe e hana iki ana
Ma waho aʻe o ka papa GLP-1, aia kekahi lāʻau pale ʻē aʻe e hana ʻokoʻa ana.
| ʻO Pramlintide (Symlin) | |
|---|---|
| He aha kēia? | He ʻano synthetic kēia o kahi hormone i kapa ʻia ʻo Amylin, ka mea i hana ʻia e ko mākou pancreas me ka insulin. |
| ʻO wai ka mea e lawe? | Hāʻawi ʻia kēia i nā poʻe me ka maʻi diabetes type 1 a me type 2 e lawe ana i ka insulin me nā meaʻai . Hoʻohana ʻia ia me ka insulin. |
| Pehea e hana ai | Ke lawe ʻia me ka insulin ma mua o ka ʻai ʻana, hana pū nā mea ʻelua e kaohi i ke kō koko. E like me nā lāʻau lapaʻau ʻē aʻe, hoʻolohi lākou i ka ʻai ʻana i ka meaʻai a hoʻomāʻona iā ʻoe. |
| Nā hopena ʻaoʻao maʻamau | ʻO ka hopena ʻaoʻao nui, ʻo ia ka nausea. No ka hōʻemi ʻana i kēia, e hoʻomaka ke kauka me kahi mahele haʻahaʻa a hoʻonui mālie i ka mahele. Hiki nō hoʻi ke nalowale ka makemake e ʻai, ka luaʻi ʻana, ka luhi, a me ka poniuniu. |
Inā ʻoe e noʻonoʻo nei e pili ana i kēia lāʻau lapaʻau ...
He holomua loa kēia mau lāʻau lapaʻau a he pono hoʻi. Akā, ʻaʻole kūpono ia no nā kānaka a pau. Hiki i kāu kauka ke hoʻoholo inā kūpono kēia ʻano lāʻau lapaʻau iā ʻoe. E koho ʻo ia i ka lāʻau lapaʻau maikaʻi loa ma hope o ka noʻonoʻo ʻana i nā kumu he nui e like me kou kūlana olakino, ke ʻano o kou maʻi diabetes, ka makahiki, a me nā maʻi ʻē aʻe.
ʻOi loa aku inā ʻoe e hoʻolālā ana e hāpai a i ʻole ke hāpai nei ʻoe, pono ʻoe e hoʻomaopopo i kāu kauka ma mua o ka hoʻohana ʻana i kekahi o kēia mau lāʻau lapaʻau, no ka mea, ʻaʻole lawa nā haʻawina e pili ana i ko lākou hopena i nā wahine hāpai.
Leka Lawe-Home
- ʻAʻole nā inikini maʻi diabetes a pau he insulin. I kēia manawa, aia nā lāʻau lapaʻau holomua i lawe ʻia i hoʻokahi manawa i ka pule, e like me Ozempic lāua ʻo Trulicity.
- ʻAʻole wale kēia mau lāʻau lapaʻau e kāohi i ke kō koko, akā hiki iā lākou ke kōkua iā ʻoe e hōʻemi i ke kaumaha ma ka hoʻomāʻona ʻana iā ʻoe.
- ʻO nā hopena ʻaoʻao e like me ka nausea, ka luaʻi ʻana, a me ka nalowale o ka makemake i ka wā e hoʻomaka mua ai ʻoe e lawe i kēia lāʻau. ʻO ka hapa nui o ka manawa, nalo lākou ma hope o kekahi mau lā. Akā inā hoʻomau lākou a koʻikoʻi paha, e haʻi i kāu kauka.
- Ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau hou, e hōʻoia e haʻi i kāu kauka e pili ana i kou mau kūlana olakino o kēia manawa a me ka mōʻaukala olakino ʻohana (ʻoi aku ka maʻi kanesa thyroid).
- Mai hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe ma ka nānā ʻana i ka pūnaewele. ʻO ke kauka nāna ʻoe e nānā wale nō ke hana i kēlā hoʻoholo.
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