He maʻi maʻi maʻi maʻi maʻi maʻi maʻamau ka maʻi diabetes i loaʻa i nā poʻe he nui ma ko kākou ʻāina. No laila, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau no kēia. Inā ua loaʻa iā ʻoe kahi pila e hui pū ana i ʻelua mau lāʻau i kapa ʻia ʻo Empagliflozin lāua ʻo Metformin, he mea nui loa kēia ʻatikala iā ʻoe. E kamaʻilio kākou e pili ana i kēia lāʻau, kāna hana, a me nā mea e pono ai ʻoe e makaʻala i ka wā e hoʻohana ana.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, hoʻohana ʻia kēia lāʻau lapaʻau e mālama i ka maʻi diabetes Type 2. Hana pū nā lāʻau ʻelua i loko o kēia lāʻau lapaʻau e kōkua i ka kaohi a me ka hoʻohaʻahaʻa ʻana i nā pae kō koko (glucose) i loko o kou kino.
Akā, e hoʻomanaʻo i hoʻokahi mea. ʻAʻole lawa kēia lāʻau lapaʻau wale nō. Me kēia, he mea nui ka ʻai kūpono a me ka hoʻoikaika kino . Ke hui pū ʻia kēia mau mea ʻekolu hiki iā ʻoe ke loaʻa nā hopena maikaʻi loa.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa ka hāʻawi ʻana i kāu kauka i kahi wehewehe piha o kou mōʻaukala olakino. No ka mea, e kōkua kēlā ʻike iā lākou e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a i ʻole inā pono e hoʻololi i ka nui o ka lāʻau. Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e hoʻomaopopo i kāu kauka.
| Ke kūlana olakino a i ʻole ka maʻamau | No ke aha he mea nui ka hoʻolaha? |
|---|---|
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Ma muli o ka hoʻopau ʻia ʻana o nā lāʻau lapaʻau mai ke kino ma o kēia mau ʻōkana, he mea nui e ʻike pehea lākou e hana ai. |
| Maʻi puʻuwai a i ʻole ke kolesterol kiʻekiʻe | Pono e hōʻike ʻia kēia no ka mea hiki ke hoʻopilikia i nā kūlana puʻuwai. |
| Inu pinepine | Aia kahi pilikia o nā hopena ʻaoʻao koʻikoʻi me ka waiʻona. |
| Ka maloʻo ʻana o ka wai, ka luaʻi ʻana, a i ʻole ka ʻai paʻakai haʻahaʻa | Hiki i nā pae wai kino haʻahaʻa ke hoʻopilikia i kēia lāʻau lapaʻau. |
| Inā ua loaʻa iā ʻoe ka ketoacidosis maʻi diabetes ma mua | He kūlana koʻikoʻi kēia. Pono ke kauka e makaʻala i kēia. |
| Nā maʻi ʻōpū mimi pinepine a i ʻole nā maʻi hū genital | Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i ka pilikia o ka loaʻa ʻana o ia mau maʻi. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | ʻAʻole kūpono kēia lāʻau lapaʻau i kēia mau hihia, a he mea nui e ʻimi i ke kōkua lapaʻau. |
| Inā ʻoe e hana ana i kekahi ʻoki kino | Pono paha e hoʻōki ʻia ka lāʻau lapaʻau no kekahi manawa ma mua o ke ʻoki ʻana. |
| Inā he maʻi ʻoe i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu | He mea nui e hoʻomaopopo e pili ana i kekahi mau maʻi allergies. |
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He mea maʻalahi loa kēia.
- E lawe i kēia papa me ka ʻai me ke aniani wai. Mai lawe i ka ʻōpū ʻole.
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a ke kauka, i ka manawa kūpono.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻonui a hoʻēmi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Akā inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi.
He aha kāu e hana ai inā inu nui ʻoe?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hana koke. Mai hoʻokaʻulua. E hele i ka haukapila kokoke loa i ka Emergency Department (ETU) i ka hikiwawe loa. A i ʻoleE kelepona i ke Kikowaena ʻIke Lāʻau Make Lahui ma ka Halemai Lahui ʻo Colombo .
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 ai, ʻaʻole wale nā mea i kuhikuhi ʻia e kāu kauka, akā, ʻo nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui āu e lawe ai. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia a hoʻoulu i nā pilikia.
ʻO kekahi mea kūikawā, ʻaʻole pono e lawe pū ʻia me kēia lāʻau lapaʻau kekahi mau mea hoʻohālikelike 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 dofetilide.
Eia kekahi, hiki i nā lāʻau lapaʻau ʻē aʻe he nui, e like me nā mea no ke koko kiʻekiʻe, nā maʻi puʻuwai, HIV, nā hormones, a me nā steroids, ke launa pū me kēia. No laila, ʻoi aku ka maikaʻi o ka hāʻawi ʻana i kāu kauka i kahi papa inoa o nā lāʻau lapaʻau āpau āu e lawe nei.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
He mea maikaʻi ke nānā pono i kou kino i ka wā e lawe ana i kēia lāʻau.
- Nā pae kō koko: E aʻo pehea e ana ai i kou pae kō koko. E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kō koko kiʻekiʻe (hyperglycemia). E mālama i kahi pahu kō a i ʻole kahi ʻāpana kinikini kokoke e hoʻohana inā ʻike ʻoe i nā hōʻailona o ke kō koko haʻahaʻa.
- Hoʻāʻo HbA1C: E noi aku kāu kauka iā ʻoe e lawe i kahi hoʻāʻo koko i kapa ʻia ʻo HbA1C i kēlā me kēia 3 a 6 mahina. Hiki i kēia ke kōkua iā ʻoe e ʻike pehea i kāohi ʻia ai kou kō koko i nā mahina 2-3 i hala.
- Mai hōʻalo i ka ʻai: E ʻai i ka manawa kūpono.
- Nā kūlana koʻikoʻi: ʻOiai he mea kakaikahi, hiki i kēia lāʻau lapaʻau ke hana i kahi kūlana koʻikoʻi i kapa ʻia ʻo lactic acidosis, kahi e piʻi ai ka nui o ka waikawa i loko o ke koko. 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.
- Wikamina B12 a me ka Waikawa Folic: ʻO ka lawe ʻana i kēia lāʻau lapaʻau no ka manawa lōʻihi e hōʻemi paha i ka nui o ka wikamina B12 a me ka waikawa folic i loko o ke kino. No laila, e ʻai pono i ka meaʻai momona. Inā pono, e kuhikuhi kāu kauka iā ʻoe i kahi mea hoʻohui wikamina.
- ID Lapaʻau: Inā ʻoe e kau i kahi kāleka a kūpeʻe lima paha e hōʻike ana he maʻi diabetes kou a me nā lāʻau lapaʻau āu e lawe ai, hiki ke lilo i mea pono loa i ka wā pilikia.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Nā hōʻailona e pono e hōʻike koke i ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻO ke ketoacidosis maʻi diabetes (DKA) | Makewai nui, mimi pinepine, waha maloʻo, ʻala hanu hua, paʻakikī ka hanu ʻana, ʻeha ʻōpū, nausea, luaʻi. |
| ʻO ka acidosis lactic (ʻAkika lactic kiʻekiʻe) | ʻEha a ʻūmiʻi paha nā ʻiʻo, ʻeha o ka ʻōpū, paʻakikī ka hanu ʻana, luhi nui. |
| ʻO ka maʻi ʻaʻai mimi (UTI) | Ke kuni nei i ka wā mimi, ka mimi pinepine ʻana, ke koko a i ʻole ka mimi ʻeleʻele, ka ʻeha o ka ʻōpū ma lalo a i ʻole ke kua. |
| Nā maʻi ʻōpū | ʻUlaʻula, pehu, ʻeha, maneʻo, ʻala, a i ʻole ka hoʻokahe mānoanoa. |
| ʻO nā hōʻailona ʻaʻole ia he mea e hopohopo ai, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
| Ka maʻi pākī | ʻŌpū |
| Kinoea | Hoʻopiha i ka ʻōpū |
| ʻEha poʻo | ʻEha poʻo |
| ʻO ka ʻono metala i loko o ka waha | He ʻono hao i loko o ka waha |
| Ka luaʻi | Manaʻo e like me ka luaʻi |
Leka Lawe-Home
- E lawe mau i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, me ka ʻai ʻana.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā kūlana olakino ʻē aʻe āu e loaʻa nei.
- E makaʻala i nā hōʻailona o nā hopena ʻino koʻikoʻi (e like me ka paʻakikī o ka hanu ʻana, ka ʻeha nui o ka ʻōpū, ka luaʻi ʻana) a e ʻimi koke i ke kōkua lapaʻau inā loaʻa kekahi o kēia mau mea.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a ke kauka. E kamaʻilio me kāu kauka inā he mau hopohopo kāu.
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