Ua kuhikuhi anei kāu kauka i kahi lāʻau lapaʻau maʻi diabetes hou? He inoa lōʻihi iki ia, ʻeā? He hui pū ʻana ia o ʻelua mau lāʻau lapaʻau i kapa ʻia ʻo Ertugliflozin lāua ʻo Metformin. Ua lohe paha ʻoe iā ia ma lalo o ka inoa inoa ʻo Segluromet. No laila, e kamaʻilio pōkole kākou, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha, e pili ana i ke ʻano o kēia lāʻau lapaʻau, pehea e hana ai i loko o ko kākou kino, a me nā mea e pono ai kākou e makaʻala i ka wā e hoʻohana ai.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau lapaʻau?
He lāʻau lapaʻau kēia i hoʻohana ʻia no ka mālama ʻana i
ka maʻi diabetes type 2. Hoʻohui ia i ʻelua mau lāʻau lapaʻau. ʻO Ertugliflozin lāua ʻo Metformin. I ka hui pū ʻana, kōkua kēia mau mea ʻelua i ka hoʻomalu ʻana i nā pae kō o kou kino, ʻo ia hoʻi, ka pae o ka glucose i loko o kou koko. E noʻonoʻo e hana ana ʻo Ertugliflozin ma ka hoʻokuʻu ʻana i kou mau puʻupaʻa i kekahi kō keu i loko o kou mimi. Hana nui ʻo Metformin ma ka hoʻēmi ʻana i ka nui o ke kō a kou akepaʻa e hana ai a ma ke kōkua ʻana i nā ʻāpana o kou kino e pane maikaʻi aku i ka insulin. Ma kēia ʻano, ua hoʻomalu ʻia kāu kō koko ma nā ʻano ʻelua.
Akā, hoʻokahi mea e pono e hoʻomanaʻo ʻia. ʻAʻole lawa ka lawe ʻana i kēia lāʻau lapaʻau wale nō. ʻO ka ʻai maikaʻi a me ka hoʻoikaika kino kūpono kekahi mau ʻāpana koʻikoʻi o kēia lāʻau lapaʻau. Hiki ke hoʻokō ʻia nā hopena maikaʻi loa ke lawe ʻia kēia lāʻau lapaʻau me nā hoʻololi ʻana o ke ʻano o ka nohona i kuhikuhi ʻia e ke kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, pono iā ia ke loaʻa kahi kiʻi piha o kou olakino. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei,
e hōʻoia e haʻi i kāu kauka e pili ana i ia mea. He mea nui loa kēia no kou palekana.
| ʻAno maikaʻi | Loaʻa iā ʻoe kēia mau maʻi? (E ʻoluʻolu e haʻi i kāu kauka ) |
|---|
| Nā kūlana e pili ana i ka maʻi diabetes | - Loaʻa i ka maʻi diabetes type 1
- Ma hope o ka loaʻa ʻana o ka Diabetic Ketoacidosis ( DKA ) ma mua
- Nā ʻeha wāwae ma muli o ka maʻi diabetes
- Ke hoʻololi nei i ka nui o ka insulin
- ʻO ka ʻoki ʻana (e wehe ʻia kahi wāwae a i ʻole kekahi hapa o ia mea)
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| Nā maʻi ʻē aʻe | - Maʻi puʻupaʻa a maʻi akepaʻa paha
- Loaʻa i ka maʻi puʻuwai , ka hōʻeha puʻuwai, a i ʻole ka hahau
- Loaʻa i ka pancreatitis
- Ka hoʻopilikia ʻana o ke kahe koko
- Nā maʻi ʻōpū urinary pinepine (UTIs) a i ʻole nā maʻi genital
- Paʻakikī ke mimi
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| Nā mea pili i ke ola a me nā mea ʻē aʻe | - Inu pinepine
- Ke hana nei i kahi hoʻololi nui i ka meaʻai (e.g. ka ʻai ʻana i ka liʻiliʻi)
- ʻAi ʻana i ka meaʻai paʻakai haʻahaʻa
- Ka maloʻo ʻana o ke kino
- Haʻahaʻa ke kiʻekiʻe o ka calcium koko a i ʻole ka huaora B
- Loaʻa ka ʻeha o ke aʻalolo a me ka numbness ma nā lālā
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| Nā hoʻolālā e hiki mai ana a me nā maʻi allergies | - Ua hoʻonohonoho ʻia e hana ʻia ke ʻoki kino a i ʻole kahi scan CT / X-ray i ka wā e hiki mai ana
- Ke ho'āʻo nei e hāpai a hāpai paha i kēia manawa
- Ka hānai ʻana i ka pēpē me ka waiū umauma
- Loaʻa kahi maʻi allergy iā Ertugliflozin, Metformin a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a pigment paha
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Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau.
- E lawe i kēia pila me ke aniani wai .
- E ho'āʻo e lawe iā ia i ka manawa like i kēlā me kēia lā , e like me ke kauoha a kāu kauka.
- ʻOi aku ka maikaʻi o ka lawe ʻana i kēia lāʻau lapaʻau i ka hoʻomaka ʻana o ka ʻai .
- Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka .
He aha inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo. Akā, mai lawe māmā hoʻi.
E hele koke i ka Halemai Pilikia (ETU) kokoke loa a i ʻole e kelepona
i ke Kikowaena ʻIke Lāʻau Make ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻo.
ʻO ka mea nui loa: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Poina iā kākou a pau ke lawe i kā kākou lāʻau lapaʻau i kekahi manawa. Inā hana ʻia kēlā, e lawe i ka lāʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe i kou hoʻomanaʻo ʻana, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia.
Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi. Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
ʻAʻole e holo pono nā lāʻau lapaʻau āpau āu e lawe ai me kēia lāʻau. Hiki i kekahi mau lāʻau ke hoʻopilikia i ke ʻano o ka hana ʻana o kēia lāʻau. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā huahana lāʻau lapaʻau āu e lawe nei.
Nā mea āu e pono ʻole ai e lawe pū me kēia lāʻau lapaʻau
Hiki i kēia lāʻau lapaʻau ke launa pū me kekahi
mau mea hoʻohālikelike (nā kala) i hoʻokomo ʻia i loko o ke kino, ʻoiai inā e loaʻa iā ʻoe kahi CT scan, MRI scan, a i ʻole X-ray. No laila, pono ʻoe e haʻi i nā limahana lapaʻau e lawe ana ʻoe i kēia lāʻau lapaʻau ma mua o ia ʻano hoʻokolohua.
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū
Hiki i nā lāʻau lapaʻau ma lalo nei ke launa pū me Ertugliflozin/Metformin.
- ʻAsetazolamide
- ʻO Cimetidine
- ʻO Dolutegravir
- Litiuma
- Ranolazine
- ʻO Topiramate
- ʻO Vandetanib
- ʻO Zonisamide
- ʻO Dichlorphenamide
- ʻAila
Nā lāʻau lapaʻau e hiki ke hoʻopilikia i nā pae kō koko
Hiki i kekahi mau lāʻau lapaʻau ke hoʻololi i kou pae kō koko (hoʻonui a hoʻemi paha iā lākou). Eia kekahi, hiki i kekahi mau lāʻau lapaʻau ke uhi i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia), ʻo ia hoʻi, ʻaʻole mākou e ʻike. Hiki ke lilo i mea weliweli iki kēia. No laila, inā ʻoe e lawe ana i kēia mau lāʻau lapaʻau, e haʻi aku kāu kauka iā ʻoe e nānā mau i kou pae kō koko.
| ʻAno o ka hopena | Nā laʻana o nā lāʻau lapaʻau |
|---|
| Nā lāʻau lapaʻau e hiki ke hoʻopilikia i nā pae kō koko | - ʻO kekahi mau lāʻau lapaʻau koko kiʻekiʻe (e.g., benazepril, lisinopril, losartan)
- Nā lāʻau diuretic (e.g. hydrochlorothiazide)
- Nā steroid (e.g. prednisone, cortisone)
- Nā ʻano hormones (Estrogen, progestin, Testosterone)
- Nā hormones thyroid
- ʻO kekahi mau antibiotics a me nā lāʻau lapaʻau no ka maʻi noʻonoʻo
|
| Nā lāʻau lapaʻau e hiki ke uhi i nā hōʻailona o ka hypoglycemia | - Nā mea pale beta (e.g. atenolol, metoprolol, propranolol)
- ʻO Clonidine, Guanethidine, Reserpine
|
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Pono nō hoʻi ʻoe e akahele iki i ka wā e lawe ai i kēia lāʻau.
- E ʻike i kāu kauka i ka manawa i hoʻonohonoho ʻia. He mea nui e nānā i kāu holomua a hana i nā hoʻokolohua e pono ai. E nānā ke kauka i kāu HbA1C (kahi hoʻokolohua e hōʻike ana i kou pae kō koko awelika i nā mahina 2-3 i hala).
- E ʻike i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). E mākaukau no nā hōʻailona e like me ka hou ʻana, ka haʻalulu, ka pōloli nui, a me ka puʻuwai wikiwiki. E lawe mau i kahi papa glucose a i ʻole kahi ʻeke kō me ʻoe.
- E pale i ka maloʻo ʻana o ka wai . E inu i ka wai he nui. Inā loaʻa iā ʻoe ke kuni, ka luaʻi ʻana, a i ʻole ka maʻi pākī, e makaʻala loa a e haʻi aku i kāu kauka no ka mea e nalowale ana ka nui o ka wai mai ke kino.
- E haʻi i kāu kauka e lawe ana ʻoe i kēia lāʻau lapaʻau ma mua o ke ʻoki ʻana a i ʻole kahi scan . E haʻi lākou iā ʻoe i ka wā e hoʻōki ai i ka lawe ʻana a me ka wā e hoʻomaka hou ai.
- E makaʻala me ka wikamina B12. ʻO ka lawe ʻana i kēia lāʻau lapaʻau no ka manawa lōʻihi e hiki ai ke hoʻemi i nā pae wikamina B12. E kamaʻilio me kāu kauka e pili ana i kēia.
- ʻO ke kau ʻana i kahi kūpeʻe lima a i ʻole kāleka hōʻike lapaʻau e hōʻike ana iā ʻoe he maʻi diabetes hiki ke lilo i mea pono loa i ka wā pilikia.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻaoʻao i kekahi poʻe, akā ʻaʻole i loaʻa i nā kānaka a pau. E makaʻala i nā hōʻailona ma lalo nei.
Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka: Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia
i kāu kauka inā hoʻomau lākou.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā hōʻailona |
|---|
| 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) | Ka makewai nui, ka mimi pinepine, ka waha maloʻo, ka paʻakikī o ka hanu ʻana, ka ʻala hua, ka ʻeha o ka ʻōpū, ka luaʻi. |
| Ka maloʻo ʻana | Makewai nui, waha maloʻo, nāwaliwali, mimi melemele ʻeleʻele a ʻeleʻele paha. |
| Lactic acidosis (kiʻekiʻe o ka waikawa lactic) | ʻEha nā ʻiʻo, ʻeha ka ʻōpū, pilikia ka hanu ʻana, luhi loa. |
| Nā maʻi | ʻO ka maʻi ʻōpū mimi (UTI) - ka mumū o ka urethra, ka mimi pinepine ʻana, ka ʻeha o ka ʻōpū ma lalo. ʻO ka maʻi hū ma ka ʻāpana genital - ka maneʻo, ka ʻulaʻula, ka pehu ʻana. ʻO ka maʻi nui ma ka ʻāpana mai ka ʻāpana genital a i ka anus. |
| Ka nele o ka wikamina B12 | ʻEha ma nā lālā, mae wale, nāwaliwali o nā ʻiʻo, poniuniu, huikau. |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka maʻi kahe, ke kinoea, ka nausea, ka luaʻi, ka ʻeha o ka ʻōpū. |
| ʻĒ aʻe | ʻEha poʻo. |
Pehea e mālama ai i ka lāʻau lapaʻau? Pehea e hoʻolei aku ai?
- E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona .
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius).
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei pono iā lākou.
- ʻO ke ala maikaʻi loa e hoʻopau aku ai i ka lāʻau lapaʻau, ʻo ia ke hāʻawi aku iā ia i kahi papahana lawe-hoʻihoʻi lāʻau lapaʻau i mālama ʻia e kahi hale kūʻai lāʻau lapaʻau a haukapila paha.
- Inā ʻaʻole hiki kēlā, e lawe i ka lāʻau lapaʻau mai loko mai o ka pahu, e kāwili me kahi mea e like me ke kope kope i hoʻohana ʻia, ka lepo, a i ʻole ka ʻōpala pōpoki, e waiho i loko o kahi ʻeke i hoʻopaʻa pono ʻia, a e hoʻolei i loko o ka ʻōpala. Mai hoʻolei i lalo i ka lua.
Leka Lawe-Home
- He kōkua wale nō kēia lāʻau lapaʻau i ka kaohi ʻana i ka maʻi diabetes. He mea nui ka ʻai kūpono a me ka hoʻoikaika kino.
- 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 makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ka dehydration.
- Inā loaʻa iā ʻoe kahi maʻi ʻōpū mimi, ka maʻi ʻōpū, a i ʻole nā hopena koʻikoʻi ʻē aʻe, e ʻike koke i kāu kauka.
- Mai ho'ōki i ka hoʻohana ʻana i kēia lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā he mau hopohopo kāu e pili ana i kāu mālama ʻana i ka maʻi diabetes, mai makaʻu e kamaʻilio me kāu kauka.
Maʻi diabetes, Ertugliflozin, Metformin, Segluromet, maʻi diabetes type 2, kō koko, kaohi kō
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