Ke haʻi aku kāu kauka iā ʻoe he maʻi diabetes Type 2 kou, ua kuhikuhi ʻia paha ʻoe i nā lāʻau like ʻole e kāohi i kou pae kō koko. I waena o lākou, ua loaʻa paha iā ʻoe kahi pila i loaʻa ka hui pū ʻana o ʻelua mau lāʻau i kapa ʻia ʻo Empagliflozin lāua ʻo Metformin. Ma Sri Lanka, hiki ke loaʻa kēia lāʻau lapaʻau ma lalo o nā inoa inoa e like me Synjardy XR. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau a me nā mea e makaʻala ai i ka wā e hoʻohana ana, maʻalahi a maopopo.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kēia e hoʻohaʻahaʻa i ke kiʻekiʻe o ke kō (glucose) i loko o kou koko. He hui pū ʻana ia o ʻelua ʻano lāʻau lapaʻau.
1. Empagliflozin: Hana kēia ma ka hoʻokuʻu ʻana i kou mau puʻupaʻa i ke kō keu mai kou kino ma o kou mimi.
2. Metformin: Hoʻemi nui kēia i ka nui o ke kō i hana ʻia e kou ake, a kōkua pū kekahi i nā ʻāpana o kou kino e pane maikaʻi i ka insulin.
ʻO ka mea nui loa, ʻo ia ka hoʻohana pinepine ʻia ʻana o kēia lāʻau lapaʻau me ka ʻai maikaʻi a me ka hoʻoikaika kino . ʻAʻole lawa ka lawe ʻana i ka lāʻau lapaʻau wale nō, pono ʻoe e hoʻololi i kou nohona.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha, ʻoiai inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
| ʻAno ʻike | Wehewehena |
|---|---|
| Nā kūlana olakino e kū nei | Maʻi puʻupaʻa, maʻi akepaʻa, maʻi puʻuwai, cholesterol kiʻekiʻe, anemia (helu koko haʻahaʻa), koko haʻahaʻa, pilikia pancreas (Pancreatitis), Polycystic Ovary Syndrome (PCOS), Diabetes Type 1. |
| Nā maʻi a me nā pilikia ʻē aʻe | Inā loaʻa iā ʻoe nā maʻi ʻōpū mimi pinepine (UTIs), kahi mōʻaukala o nā maʻi hū ma ka ʻāpana genital, paʻakikī i ka mimi, nā maʻi koʻikoʻi, a i ʻole nā ʻeha. |
| ʻO ke ʻano o ka nohona a me ka ʻai | Inā inu pinepine ʻoe i ka waiʻona, e hahai i ka papaʻai haʻahaʻa paʻakai, e ʻai iki ma muli o ka maʻi, ke ʻoki kino, a i ʻole nā kumu ʻē aʻe, e luaʻi ana, a i ʻole ua maloʻo loa. |
| Nā hanana kūikawā | Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, he makuahine hānai, he ʻoki kino e hiki mai ana, a i ʻole he maʻi allergy i kekahi lāʻau lapaʻau a meaʻai paha. |
Pehea e hoʻohana pono ai i ka lāʻau lapaʻau?
E hoʻomanaʻo pono i kēia mau mea.
- E lawe i kēia lāʻau lapaʻau me ke aniani wai.
- E ale holoʻokoʻa i ka pila. Mai uhaʻi, kuʻi, a nau paha. ʻO kēia no ka mea ua hana ʻia kēia mau mea no ka 'Extended-Release', ʻo ia hoʻi, ua hoʻokuʻu ʻia ka lāʻau i loko o ke kino i ka hala ʻana o ka manawa. Inā ʻoe e uhaʻi i ka pila, hiki i ka lāʻau ke komo i loko o ke kino i ka manawa hoʻokahi a hoʻoulu i nā kūlana weliweli.
- E lawe i kēia lāʻau lapaʻau me ka ʻai .
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa i kauoha ʻia. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu me ke aʻo ʻole a kāu kauka.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻia ʻoe, e kelepona koke i ke Kikowaena ʻIke ʻAi Poisons ma ka Halemai Lahui ʻo Colombo (helu kelepona 0112686143) a i ʻole e hele i ka Emergency Treatment Unit (ETU) kokoke loa i ka haukapila.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Akā inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe e like me ka hoʻonohonoho ʻana. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui). Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka wā e lawe pū ʻia ai.
ʻO kekahi mea nui, ʻaʻole pono e lawe pū ʻia me kēia lāʻau lapaʻau kekahi mau lāʻau 'contrast' i hoʻokomo ʻia i loko o ke kino ma mua o nā hoʻokolohua e like me nā X-ray, CT scans, a me MRI. Eia kekahi, mai lawe i ka lāʻau i kapa ʻia ʻo Dofetilide.
E hāʻawi i kāu kauka i kahi papa inoa o nā lāʻau lapaʻau āpau āu e lawe ai. ʻO ia ke ala palekana loa e hana ai. Hiki i kekahi mau lāʻau lapaʻau no ke kuni a me ke anu ke loaʻa ke kō a me ka waiʻona, hiki ke hoʻopilikia i kou pae kō koko.
Nā mea āu e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Lactic Acidosis: He maʻi kakaikahi kēia akā he koʻikoʻi. Inā loaʻa iā ʻoe 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 kāhea aku i kāu kauka.
- ʻO ke Ketoacidosis Diabetic (DKA): He maʻi koʻikoʻi ʻē aʻe kēia. Inā ʻike ʻoe i nā hōʻailona e like me ka waha maloʻo, ka makewai nui, ka mimi pinepine, ka ʻala hanu hua, a me ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- Hoʻāʻo HbA1C: ʻO kēia hoʻāʻo koko, e ana i kou kaohi kō koko i nā mahina 2-3 i hala, pono e hana ʻia i ka manawa i hoʻonohonoho ʻia e like me ke kuhikuhi a kāu kauka.
- Ke ana ʻana i nā pae kō koko: E aʻo i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kō koko kiʻekiʻe (hyperglycemia). E mālama i kahi mea e ʻai ai, e like me ka cube kō a i ʻole ka papa glucose, inā e hāʻule kāu kō koko.
- ʻO ke ʻoki kino a me nā hoʻāʻo: Inā e hana ʻia ʻoe i ke ʻoki kino, kahi MRI, a i ʻole kahi CT scan, e haʻi mua i ka hui lapaʻau e lawe ana ʻoe i kēia lāʻau lapaʻau. Pono paha ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau ma mua o ke kaʻina hana .
- Hāpai: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou pilikia o ka hāpai ʻana. No laila, e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i ka kaohi hānau kūpono. E haʻi koke i kāu kauka inā hāpai ʻoe a manaʻo paha ʻoe e hāpai ana.
- Nā hemahema o ka wikamina: ʻO ka hoʻohana lōʻihi ʻana i kēia lāʻau lapaʻau e hiki ke hana i nā pae haʻahaʻa o ka wikamina B12 a me ka waikawa folic. 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.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. E hoʻokaʻawale kākou iā lākou i ʻelua mau ʻano.
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka. | |
|---|---|
| Nā maʻi ʻaleʻale koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hōʻailona o ka Lactic Acidosis a i ʻole DKA | ʻEha ka ʻōpū, paʻakikī ka hanu ʻana, luhi loa, nausea, luaʻi. |
| Nā maʻi | ʻO ka maʻi ʻaʻai mimi (UTI), ka mimi pinepine ʻana, ka ʻulaʻula, ka pehu ʻana, ka maneʻo, ka ʻeha, a me ke ʻala ʻala i loko a i ʻole a puni ka ʻāpana genital. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā hōʻailona o ka make wai (waha maloʻo, makewai nui, mimi ʻeleʻele), nā hōʻailona o ka nele o ka huaora B12 (maneʻe i nā lima a me nā wāwae, poniuniu, nāwaliwali o nā ʻiʻo). |
| ʻAʻole maʻamau kēia mau mea koʻikoʻi, akā inā hoʻomau lākou, e haʻi i kāu kauka. | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka maʻi kahe, ka ʻōpū palahēhē, ka luaʻi. |
| Nā maʻi liʻiliʻi ʻē aʻe | ʻEha ka ʻeha , ʻono metala i loko o ka waha. |
Pehea ʻoe e mālama pono ai i ka lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku.
- E mālama ma ka mahana o ka lumi (ma waena o 15-30 kekelē Celsius).
- E hoʻolei i ka lāʻau lapaʻau i pau me ka hoʻohana ʻole ʻana.
Leka Lawe-Home
- E lawe mau i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, ma ke ʻano kūpono a i ka manawa kūpono.
- Mai uhaʻi, kuʻi, a nau paha i ka papa no kekahi kumu. E ale holoʻokoʻa.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā mea hoʻopihapiha āu e lawe nei.
- E makaʻala i nā hōʻailona o nā hopena ʻino e like me ka lactic acidosis, a e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi o kēia mau mea.
- E nānā pinepine i kou pae kō koko a e hana kāu kauka i nā hoʻokolohua, e like me HbA1c, i ka manawa kūpono.
- Inā he mau hopohopo a kānalua paha kāu, e ʻoluʻolu e kūkākūkā me kāu kauka.
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