Inā ʻoe e ʻeha nei i ka maʻi diabetes Type 2, ua kuhikuhi paha kāu kauka iā ʻoe i kahi pila i hana ʻia me nā lāʻau lapaʻau he nui. ʻO Trijardy XR kekahi o ia mau pila, kahi hui kūikawā o ʻekolu mau lāʻau lapaʻau e kōkua ai i ka kaohi ʻana i ka maʻi diabetes. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau, kāna hana, a me nā mea e pono ai ʻoe e makaʻala i ka wā e hoʻohana ana.
I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia me kēia lāʻau lapaʻau?
ʻEkolu mau ʻano nui o kēia lāʻau lapaʻau: ʻEmpagliflozin, Linagliptin, a me Metformin . Hana pū kēia mau mea ʻekolu e hana i kekahi mau mea i loko o kou kino.
- Hoʻemi i nā pae kō koko.
- No kekahi poʻe, kōkua pū kēia i ka hōʻemi ʻana i ka pilikia o ka hōʻeha puʻuwai a me ka hahau e hiki ke hana ma muli o ka maʻi diabetes.
Akā e hoʻomanaʻo, ʻaʻole lawa ka lawe ʻana i kēia lāʻau lapaʻau wale nō. ʻO ka ʻai maikaʻi a me ka hoʻoikaika kino kekahi mau ʻāpana koʻikoʻi o kēia lāʻau lapaʻau. Hāʻawi wale ʻia kēia lāʻau lapaʻau no ka maʻi diabetes type 2, ʻaʻole kūpono ia no ka poʻe me ka maʻi diabetes type 1.
Nā mea e haʻi aku i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau, pono kāu kauka e ʻike i kou mōʻaukala olakino piha. Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka . He mea nui loa kēia no kou palekana.
| ʻAno ʻike | Nā kūlana e makaʻala ai |
|---|---|
| Nā kūlana olakino e kū nei | Maʻi puʻupaʻa, maʻi akepaʻa, maʻi puʻuwai, hāʻule puʻuwai, kolesterol kiʻekiʻe, koko haʻahaʻa, anemia, pancreatitis, nā maʻi ʻōpū mimi, polycystic ovary syndrome (PCOS), diabetic ketoacidosis. |
| Nā mea e pili ana i ke ʻano o ka nohona | Inā inu pinepine ʻoe i ka waiʻona, e hahai i ka papaʻai haʻahaʻa paʻakai, ua hoʻemi i ka ʻai ʻana i ka meaʻai ma muli o ke ʻoki kino, ka maʻi, a i ʻole nā kumu ʻē aʻe, a inā ua maloʻo kou kino. |
| Nā maʻi ʻaleka a me ka hāpai ʻana | Inā he maʻi ʻoe i kēia lāʻau lapaʻau a i ʻole kekahi lāʻau lapaʻau a meaʻai paha. Inā ua pilikia mua ʻoe i ka hanu ʻana me ka pehu ʻana o ke alelo, ka maka, a i ʻole nā lehelehe. Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana. |
| Nā kiko kūikawā ʻē aʻe | Inā ʻoe e hele ana i ka hemodialysis, pilikia i ka mimi ʻana, loaʻa iā ʻoe kahi maʻi koʻikoʻi a ʻeha paha, a i ʻole ʻoki poepoe ʻole ʻia. |
Pehea e hoʻohana pono ai i ka lāʻau lapaʻau?
- E lawe i kēia lāʻau lapaʻau me ka ʻaina kakahiaka me ke aniani wai.
- E lawe pono e like me ke kauoha a kāu kauka, i ka manawa kūpono. Mai lawe ʻoi aku ma mua o ka mea a ke kauka e ʻōlelo aku ai iā ʻoe.
- Mai uhaʻi, kuʻi, a nau paha i kēia pila. E ale holoʻokoʻa. No ka mea, he pila hoʻokuʻu-hoʻolōʻihi ʻia (XR) kēia, ua hoʻolālā ʻia e hoʻokuʻu i ka lāʻau lapaʻau i loko o ke kino i loko o kekahi mau hola. Inā ʻoe e uhaʻi, e nalowale kēlā kaʻina hana.
- Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E ʻike paha ʻoe i kahi mea e like me ka pila holoʻokoʻa e puka mai ana me kāu ʻōpala. He mea maʻamau kēia, mai hopohopo. ʻO ia ka pūpū hakahaka e koe ma hope o ka komo ʻana o ka lāʻau lapaʻau i loko o ka pila i loko o kou kino.
He aha inā hoʻonui ʻia ka nui o ka lāʻau ?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
He aha inā poina iaʻu e lawe i kaʻu lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Akā inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke launa pū me kēia lāʻau lapaʻau, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā huahana lāʻau) .
E akahele loa: He mea weliweli loa ka lawe ʻana i kēia lāʻau lapaʻau me kekahi mau mea hoʻohālikelike, e like me Dofetilide lāua ʻo Gatifloxacin, i hoʻokomo ʻia i loko o ke kino ma mua o nā hoʻokolohua e like me nā X-ray, CT scans, a me MRI.
Hiki i nā lāʻau lapaʻau ma lalo nei ke launa pū me kēia lāʻau lapaʻau, no laila he mea nui e hoʻomaopopo i kāu kauka inā ʻoe e lawe ana i kekahi o kēia mau mea.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| ʻO kekahi mau lāʻau lapaʻau no ke koko a me nā maʻi puʻuwai | ʻO nā Diuretics (nā lāʻau lapaʻau e hoʻonui ai i ka mimi), Digoxin, Ranolazine |
| ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana | ʻO Carbamazepine, Phenobarbital, Phenytoin, Topiramate |
| Nā ʻano o nā hormones a me nā steroids | ʻEstrogen, Progestin, Prednisone, Cortisone, nā lāʻau lapaʻau thyroid |
| Nā lāʻau lapaʻau a me nā mea ʻē aʻe like ʻole | ʻAila, Acetazolamide, Cimetidine, Rifampin, St. John's Wort, kekahi mau lāʻau lapaʻau no ka maʻi HIV/Hepatitis, Niacin |
ʻO nā mea nui e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Lactic Acidosis: Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka ʻakika o ke koko i kekahi manawa (lactic acidosis). Inā ʻike ʻoe i nā hōʻailona e like me ka nausea, ka luaʻi ʻana, ka ʻeha o ka ʻōpū, ka luhi nui, a i ʻole ka paʻakikī o ka hanu ʻana , e hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau a kamaʻilio me kāu kauka.
- Hoʻāʻo HbA1C: No ka ʻike ʻana i ke ʻano o ka kaohi ʻana o kāu maʻi diabetes, e kauoha kāu kauka i kahi hoʻāʻo koko i kapa ʻia ʻo HbA1C , i hana ʻia i kēlā me kēia 2-3 mahina.
- E makaʻala i kou pae kō koko: E aʻo i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kiʻekiʻe (hyperglycemia). E mālama mau i kahi mea ma ka lima, e like me ka glucose bar, ka cube kō, a i ʻole ka mea inu kō, e lawe koke inā hāʻule kou kō koko.
- Mai hōʻalo i ka ʻai: Mai hōʻalo i ka ʻai. E kūkākūkā me kāu kauka e pili ana i ka inu ʻana i ka waiʻona.
- Ka hāpai ʻana a me ka kaohi hānau ʻana:Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka ovulation i kekahi mau wahine a hoʻonui i ka manawa e hāpai ai. ʻAʻole kūpono kēia lāʻau lapaʻau inā ʻoe e hoʻāʻo nei e hāpai a hāpai paha. No laila, e kamaʻilio me kāu kauka e pili ana i ka kaohi hānau kūpono i ka wā e lawe ana i kēia lāʻau lapaʻau.
- ʻO ke ʻoki kino a me nā hoʻokolohua: Inā e hana ʻia kekahi ʻoki kino a i ʻole nā hoʻokolohua e like me ka MRI a i ʻole 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 no kēlā mau lā.
- Nā hemahema o ka wikamina: ʻO ka hoʻohana lōʻihi ʻana i kēia lāʻau lapaʻau e hōʻemi paha i nā pae o ka wikamina B12 a me ka folic acid. No laila, e kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i kahi meaʻai kaulike a me ka lawe ʻana i nā mea hoʻohui wikamina inā pono.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| 🚨 Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
| Ka hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| 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. |
| Ka maloʻo ʻana | Makewai nui, waha maloʻo, poniuniu, ʻeha poʻo, mimi melemele/ʻeleʻele. |
| 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 hōʻailona koʻikoʻi ʻē aʻe | ʻEha nui nā hono, nā hōʻailona o ka hāʻule puʻuwai (pōkole o ka hanu, pehu kuʻekuʻe wāwae), pancreatitis (ʻeha nui o ka ʻōpū), nā maʻi i loko a puni paha o nā ʻōpū, nā hōʻailona o ka nele o ka wikamina B12 (manoʻo i nā lima a me nā wāwae, poniuniu). |
| 🙂 Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
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Leka Lawe-Home
- E lawe mau i kēia lāʻau lapaʻau me ka ʻaina kakahiaka. E ale holoʻokoʻa i ka papa, mai uhaʻi a wili paha.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino āu.
- E mālama mau i kahi mea ma ka lima (e like me ka pahu kō) e lawe ai inā e hāʻule kou pae kō koko.
- E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona o nā hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka ʻeha nui o ka ʻōpū, a i ʻole ka makewai nui.
- He ʻāpana koʻikoʻi kēia o kāu huakaʻi hoʻokele maʻi diabetes. ʻOi aku ka maikaʻi ke hui pū ʻia me ka ʻai kūpono a me ka hoʻoikaika kino.
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