Ua kuhikuhi anei kāu kauka iā ʻoe i ka hui pū ʻana o Ertugliflozin a me Metformin e kāohi i kāu Diabetes Type 2? A laila he mea nui loa kēia ʻatikala iā ʻoe. I ka ʻōlelo maʻalahi, hana kēia lāʻau lapaʻau ma ka hoʻohaʻahaʻa ʻana i kou pae kō koko (glucose). Eia naʻe, ʻaʻole lawa ka lawe wale ʻana i kēia lāʻau lapaʻau; he mea nui nō hoʻi e kāohi i kāu ʻai a me ka hoʻoikaika kino. E kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau me nā kikoʻī hou aku.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa e ʻike pono kāu kauka i kou kūlana olakino ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau. Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, pono ʻoe e haʻi i kāu kauka e pili ana i ia mea.
| Kou kūlana | No ke aha ʻoe e mālama ai? |
|---|---|
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha | He mea nui e kamaʻilio me kāu kauka e pili ana i kēia, no ka mea, ʻaʻole kūpono kēia lāʻau lapaʻau i kēia mau hihia. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Inā maikaʻi ʻole kāu hana puʻupaʻa a akepaʻa paha, e loli paha ke ʻano o ka hopena o kēia lāʻau i ke kino. |
| Inā loaʻa iā ʻoe ka maʻi puʻuwai, ka maʻi ʻaʻa, a i ʻole ka cholesterol kiʻekiʻe | Pono ka mālama kūikawā i nā kānaka me ka mōʻaukala o ka maʻi puʻuwai. |
| Inā inu pinepine ʻoe i ka waiʻona | Hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻino ke lawe ʻia me ka waiʻona. |
| Inā ua maloʻo ʻoe, e ʻai i ka paʻakai haʻahaʻa, a i ʻole ua hōʻemi ʻia ka ʻai ʻana ma muli o ka maʻi | I ia mau hihia, pono ke kauka e makaʻala no ka mea e loli ana ke kaulike wai o ke kino. |
| Inā ua loaʻa iā ʻoe ma mua ka diabetic ketoacidosis (DKA) | He mea nui e makaʻala i kēia lāʻau lapaʻau no ka mea hiki ke hoʻonui i ka pilikia o DKA. |
| Inā loaʻa iā ʻoe nā maʻi ʻōpū mimi pinepine a i ʻole nā maʻi hū i ka ʻāpana genital | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ia mau maʻi i kekahi manawa. |
| Inā he maʻi allergy ʻoe iā Ertugliflozin, Metformin a i ʻole kekahi lāʻau lapaʻau a meaʻai paha | Hiki i ka hoʻomaopopo mua ʻana i nā maʻi allergies ke kōkua i ka pale ʻana i nā hopena koʻikoʻi. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau.
- E ale i ka pila me ke aniani wai.
- ʻOi aku ka maikaʻi o ka lawe ʻana i ka lāʻau me ka ʻai .
- E lawe i kāu lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa i kauoha ʻia. Mai hōʻalo i nā lāʻau a lawe paha ma mua o ka nui i kauoha ʻia.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka. ʻO ka hana ʻana pēlā e piʻi koke ai kou pae kō koko.
ʻO ka mea nui loa: Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke ʻAi Poisons ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nou wale nō kēia lāʻau lapaʻau. Ua kuhikuhi ke kauka iā ia no kou kūlana. No laila, mai hāʻawi aku i kekahi.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe i ka manawa maʻamau. Mai lawe i ʻelua mau pila i ka manawa hoʻokahi, ʻoiai inā ua poina iā ʻoe kekahi.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora a me nā lāʻau lapaʻau kuʻuna, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia.
| Nā Hana like ʻana o nā Lāʻau Lapaʻau | |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me kēia lāʻau lapaʻau | |
| Hoʻokomo ʻia kekahi mau ʻano ʻokoʻa a me kahi lāʻau i kapa ʻia ʻo Dofetilide i loko o ke kino ma mua o nā hoʻokolohua e like me nā X-ray, CT scans, a me MRI. | |
| Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau (e haʻi i ke kauka) | |
| ʻAila | ʻO kekahi mau lāʻau lapaʻau no ke koko |
| Nā lāʻau lapaʻau | Nā ʻano steroid (Prednisone, Cortisone) |
| Lāʻau lapaʻau hormone thyroid | ʻO kekahi mau lāʻau antiviral i hāʻawi ʻia no ka maʻi HIV a i ʻole Hepatitis |
| Nā lāʻau lapaʻau e like me Isoniazid, Cimetidine, Digoxin, Ranolazine | Nā lāʻau lapaʻau ʻē aʻe e like me Topiramate, Zonisamide |
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Hoʻāʻo HbA1C: E kamaʻilio me kāu kauka e pili ana i kēia hoʻāʻo koko (HbA1C) i hana ʻia i kēlā me kēia 2-3 mahina e ʻike ai pehea ka maikaʻi o ka kaohi ʻana o kāu maʻi diabetes.
- E nānā i kou pae kō koko: E aʻo pehea e nānā ai i kou pae kō koko ma ka home. E makaʻala i nā hōʻailona o ka hypoglycemia a me ka hyperglycemia. E mālama mau i kahi kō liʻiliʻi, kahi ʻāpana kēne, a i ʻole kahi papa glucose kokoke inā e hāʻule kāu kō koko.
- Nā hopena ʻaoʻao koʻikoʻi: ʻAʻole pinepine kēia lāʻau lapaʻau e hoʻoulu i kahi maʻi koʻikoʻi i kapa ʻia ʻo lactic acidosis, ʻo ia hoʻi ka hōʻiliʻili ʻana o ka waikawa i loko o ke koko. 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 kāhea aku i kāu kauka.
- Nā 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. Pono paha ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau no kekahi mau lā.
- Wikamina B12: ʻO ka hoʻohana lōʻihi ʻana i kēia lāʻau lapaʻau e hiki ke hoʻohaʻahaʻa i nā pae 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 iaʻu ke ʻike?
E like me kekahi lāʻau lapaʻau, hiki i kēia lāʻau ke hoʻoulu i kekahi mau hopena ʻaoʻao.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Ka hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| ʻO ke ketoacidosis maʻi diabetes (DKA) | Waha maloʻo, make wai nui, mimi pinepine, ʻala hanu hua, paʻakikī ka hanu ʻana, ʻeha ʻōpū, nausea, luaʻi. |
| ʻO ka maʻi ʻaʻai mimi (UTI) | Ke kuni nei i ka wā e mimi ai, ka mimi pinepine, ka mimi ʻōlinolino a koko paha, ka ʻeha ma ke kua a i ʻole ka ʻeha pelvic. |
| Nā maʻi hū ma ka ʻāpana genital | ʻUlaʻula, pehu, ʻeha, maneʻo, ʻala pilau, kahe mānoanoa. |
| Nā maʻi ma ka wāwae a i ʻole ka wāwae | ʻEha hou, nā ʻeha, ke ʻano o ka ʻili, a i ʻole ka maʻi. |
| Ka maloʻo ʻana | Makewai nui, waha maloʻo, nāwaliwali, mimi melemele ʻeleʻele a ʻeleʻele paha. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Kinoea | Ka maʻi pākī |
| Ka luaʻi | ʻO ka ʻono metala i loko o ka waha |
| ʻEha poʻo | |
Leka Lawe-Home
- E lawe mau i kēia lāʻau me ka meaʻai e like me ke kuhikuhi a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā ʻike ʻoe i nā hōʻailona e like me ka nausea, ka luaʻi ʻana, ka ʻōpū ʻeha, ka luhi nui, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- 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 kāu kauka.
- E mālama mau i kahi mea kō (e like me kahi pā kini) kokoke e ʻai koke ai inā hāʻule kou pae kō koko.
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