He pila hou e kāohi i ka maʻi diabetes: ʻO ka mea e pono ai ʻoe e ʻike e pili ana iā Ertugliflozin lāua ʻo Sitagliptin

Ke hakakā nei ʻoe me ka maʻi diabetes Type 2? Inā pēlā, ua haʻi aku paha kāu kauka iā ʻoe e pili ana i kahi lāʻau lapaʻau hou. He hui pū ʻana ia o ʻelua mau lāʻau i kapa ʻia ʻo Ertugliflozin lāua ʻo Sitagliptin. E nānā kākou pehea e hiki ai ke kōkua i ka kaohi ʻana i kou pae kō koko, a me nā mea āu e pono ai e makaʻala i ka wā e hoʻohana ai.

He aha kēia lāʻau lapaʻau?

I ka ʻōlelo maʻalahi, ʻo Ertugliflozin lāua ʻo Sitagliptin ʻelua mau lāʻau lapaʻau i hāʻawi ʻia i nā poʻe me ka maʻi diabetes type 2 (Type 2 Diabetes) i hoʻokahi pila. ʻO ka mea nui i loko o kēia, ʻo ia ka hoʻohaʻahaʻa ʻana i kou pae kō koko (glucose koko) . Eia naʻe, ʻaʻole lawa kēia lāʻau lapaʻau wale nō e loaʻa ai nā hopena maikaʻi. Pono ʻoe e kāohi i kāu ʻai a hana i kekahi mau hoʻoikaika kino i kēlā me kēia lā me kēia lāʻau lapaʻau. ʻO ia ka manawa maikaʻi loa.

I kekahi manawa hoʻohana paha nā kauka i kēia lāʻau lapaʻau no nā kūlana olakino ʻē aʻe, no laila inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.

ʻO kekahi inoa inoa maʻamau no kēia lāʻau lapaʻau ʻo Steglujan . Ua haʻi aku paha kāu kauka i kēlā inoa.

He aha kāu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau?

ʻAe, i kēia manawa aia kekahi mau mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau. No ka mea, he mea nui loa iā ia ke ʻike pehea e launa pū ai kēia lāʻau lapaʻau me kāu mau kūlana olakino ʻē aʻe. Eia kekahi mau mea āu e haʻi aku ai iā ia inā loaʻa iā ʻoe:

• Inā he maʻi puʻuwai a he pilikia paha kou i ke koko .
• Inā he maʻi e like me ka dehydration i loko o ke kino.
• Inā ua loaʻa iā ʻoe ma mua kahi maʻi i kapa ʻia ʻo diabetic ketoacidosis .
• Inā ua hoʻemi ʻoe i ka paʻakai i kāu meaʻai.
• Inā ʻoe e ʻai emi ana ma muli o kahi maʻi, ke ʻoki kino, ka papaʻai, a i ʻole kekahi kumu ʻē aʻe.
• Inā he mau ʻeha ma nā wāwae .
• Inā e hana koke ʻia ana ʻoe i ke ʻoki kino .
• Inā kiʻekiʻe kou pae cholesterol .
• Inā ua wehe ʻia kekahi ʻāpana o ka wāwae ma mua.
• Inā ʻoe he mōʻaukala o ka pancreatitis a i ʻole nā ​​​​maʻi ʻē aʻe o ka pancreas.
• Inā loaʻa pinepine iā ʻoe nā maʻi hū genital .
• Inā he mea inu mau ʻoe.
• Inā loaʻa pinepine iā ʻoe nā maʻi ʻōpū, nā puʻupaʻa, a i ʻole nā ​​​​maʻi urinary tract .
• Inā he maʻi puʻupaʻa kou .
• Inā he maʻi kou i ke akepaʻa .
• Inā haʻahaʻa ke koko .
• Inā loaʻa iā ʻoe nā maʻi neurological .
• Inā ʻoe ma ka hemodialysis .
• Ma mua , pehu ke alelo, ka maka, nā lehelehe, paʻakikī ka hanu ʻana, paʻakikī ke ale ʻana, loli ka leoInā ua hana ʻia nā mea e like me ia.
• Inā pilikia ʻoe i ka mimi ʻana .
• Inā loaʻa iā ʻoe ka maʻi diabetes type 1 (hāʻawi wale ʻia kēia lāʻau lapaʻau no ka maʻi diabetes type 2).
• Inā he kāne ʻoki poepoe ʻole ʻoe .
• Inā he maʻi ʻoe iā Ertugliflozin, Sitagliptin, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā ​​​​mea mālama .
• He mea maikaʻi inā hāpai ʻoe , inā ʻoe e hoʻāʻo nei e hāpai .
• Inā he makuahine hānai waiū ʻoe.

Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?

Pono e lawe ʻia kēia papa ma ka waha me ke aniani wai. E hahai pono i nā kuhikuhi e like me ke kauoha a kāu kauka. Hiki iā ʻoe ke lawe i kēia me ka ʻai ʻole a i ʻole ka ʻai ʻole. Eia nō naʻe, inā he ʻōpū ʻeha kou, ʻoi aku ka maikaʻi o ka lawe ʻana me ka meaʻai. ʻOi aku ka maikaʻi o ka lawe ʻana i kēia lāʻau lapaʻau i ke kakahiaka . E hoʻāʻo e lawe iā ia i ka manawa like i kēlā me kēia lā. Mai lawe ʻoi aku ma mua o ka mea a kāu kauka i ʻōlelo ai iā ʻoe, a i ʻole e lawe pinepine. Eia kekahi, mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻo a kāu kauka .

Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia iā ʻoe kahi pepa ʻike kūikawā (MedGuide) me ia. E hōʻoia e heluhelu pono iā ia i kēlā me kēia manawa āu e loaʻa ai kāu lāʻau lapaʻau a i ʻole e hoʻopiha hou. Loaʻa iā ia ka nui o nā ʻike koʻikoʻi.

E kamaʻilio me kāu hui mālama ola e pili ana i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki . Pono paha ka mālama kūikawā.

Inā lawe nui ʻoe i ka lāʻau lapaʻau: Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia.

Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi.

He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?

Inā paha ua poina iā ʻoe ke lawe i kāu lāʻau lapaʻau i ke kakahiaka. E lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Akā inā kokoke ka manawa no kāu mahele lāʻau aʻe, e kāpae i ka mahele lāʻau i hala a lawe i ka mahele lāʻau aʻe e like me ka hoʻonohonoho ʻana. Mai lawe i ʻelua mahele lāʻau i ka manawa hoʻokahi.

He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau?

Inā ʻoe e lawe ana i nā lāʻau lapaʻau ʻē aʻe, nā lāʻau lapaʻau lāʻau, a i ʻole nā ​​​​huaʻai i ka wā e lawe ana i kēia lāʻau maʻi diabetes, pono ʻoe e haʻi i kāu kauka e pili ana iā lākou. Hiki i kekahi mau mea ke launa pū me kēia lāʻau lapaʻau. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Eia kekahi mau mea e hiki ke launa pū me kēia lāʻau lapaʻau:

• ʻAila
• ʻO Digoxin (he lāʻau lapaʻau no ka maʻi puʻuwai)
• Lithium (hāʻawi ʻia kēia no nā maʻi noʻonoʻo)
• Nā lāʻau steroid, e like me prednisone a i ʻole cortisone
• ʻO nā sulfonylureas, e like me ka glimepiride, glipizide, a me glyburide
• Lāʻau lapaʻau thyroid

ʻAʻole i hoʻokomo ʻia kēia papa inoa a pau, no laila maikaʻi e haʻi i kāu kauka e pili ana i nā mea āpau āu e hoʻohana ai.

He aha nā hana palekana kūikawā e pono e hana ʻia i ka wā e lawe ai i kēia lāʻau lapaʻau?

ʻOiai e lawe ana i kēia lāʻau lapaʻau, e ʻike pinepine i kāu kauka e nānā i kou olakino. A laila hiki iā ʻoe ke ʻike inā kūpono ka lāʻau lapaʻau iā ʻoe a inā pono e hana i kekahi mau hoʻololi.

Hiki i kēia lāʻau lapaʻau ke hana i kekahi manawa i kahi kūlana koʻikoʻi kahi e lilo ai ke koko i ʻakika loa . Inā ʻike ʻoe i nā hōʻailona e like me ka nausea, ka luaʻi ʻana, ka ʻeha o ka ʻōpū, ka luhi ʻē, a i ʻole ka paʻakikī o ka hanu ʻana , e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau a kāhea aku i kāu kauka . Inā hiki, e nānā i kāu mimi no nā ketones me kahi ʻāpana hoʻāʻo ketone .

Hana mau ʻia kāu hoʻāʻo HbA1C (A1C) . He hoʻāʻo koko maʻalahi kēia. Nānā ia i ka maikaʻi o ka kaohi ʻana o kou kō koko i nā mahina 2-3 i hala. Hana ʻia kēia hoʻāʻo i kēlā me kēia 3-6 mahina.

E aʻo pehea e nānā ai i kou pae kō koko ma ka home . He mea nui e aʻo i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kō koko kiʻekiʻe (hyperglycemia) a pehea e hoʻokele ai iā lākou.

E mālama mau i kahi kumu kō wikiwiki me ʻoe inā loaʻa ke kō koko haʻahaʻa (hypoglycemia) . No ka laʻana, nā pahu kō a i ʻole nā ​​papa glucose. Inā he haʻahaʻa loa kou kō koko a ke loaʻa nei iā ʻoe kahi hopu a nalowale paha ka ʻike, e haʻi aku i ka poʻe a puni ʻoe e hiki i ka hāʻawi ʻana iā lākou i ka meaʻai a mea inu paha i kēlā manawa ke kumu e ʻū ai lākou. Inā hana ʻia kēia, pono lākou e ʻimi koke i ke kōkua lapaʻau.

E haʻi i kāu kauka inā manaʻo ʻoe ua kiʻekiʻe kou kō koko. Pono paha e hoʻoponopono i ka nui o kāu lāʻau lapaʻau. Pono paha ʻoe e hoʻoponopono i ka nui o kāu lāʻau lapaʻau inā maʻi ʻoe a inā ʻoe e hoʻoikaika kino ma mua o ka maʻamau .

Mai hōʻalo i ka ʻai ʻana . E nīnau i kāu kauka inā pono ʻoe e pale i ka waiʻona. He nui nā lāʻau lapaʻau kuni a me ke anu i kūʻai ʻia ma ke kūʻai aku e loaʻa paha ke kō a i ʻole ka waiʻona. Hiki i kēia mau mea ke hoʻopilikia i kou pae kō koko.

E ʻaʻahu a mālama paha i kahi kāleka ID lapaʻau me ʻoe e papa inoa ana i nā kikoʻī e like me kou kūlana olakino, nā lāʻau lapaʻau āu e hoʻohana ai, a me ka wā e lawe ai i kāu mau lāʻau lapaʻau.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi, ʻaʻole koʻikoʻi kekahi. Akā inā ʻike ʻoe i kekahi mea ʻē, ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka.

Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka

• Nā hopena maʻi: ka ʻili ʻana, ka ʻeha, ka urticaria (hives), ka pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka ʻāʻī.
• Maloʻo: Makewai nui, waha maloʻo, poniuniu, ʻeha poʻo, mimi melemele ʻeleʻele a ʻeleʻele paha.
• ʻO ke ketoacidosis maʻi diabetes (DKA):ʻO ka makewai nui a i ʻole ka mimi ʻana, ka waha maloʻo, ka luhi nui, ka ʻala hua o ka hanu, ka paʻakikī o ka hanu ʻana, ka ʻeha o ka ʻōpū, ka nausea, ka luaʻi.
• ʻO ka maʻi hū ma nā ʻōpū: ʻulaʻula, pehu, ʻeha a maneʻo paha, pilau, kahe ʻana o ka wai mānoanoa a ʻūlū paha. (Hiki ke hana kēia i nā kāne a me nā wāhine).
• Nā hōʻailona o ka hāʻule puʻuwai: ka pōkole o ka hanu, ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole nā ​​​​lima, ka piʻi koke ʻana o ke kaumaha, a me ka manaʻo nāwaliwali a luhi paha.
• ʻO ka maʻi, ka ʻulaʻula, ka pehu ʻana, ka ʻoʻoleʻa, a i ʻole ka ʻeha a puni nā ʻōpū a i ʻole ma kahi e alakaʻi ana i ka anus: He hōʻailona paha kēia o kahi maʻi koʻikoʻi loa i kapa ʻia ʻo Fournier's gangrene , no laila inā ʻike ʻoe i kekahi mea e like me kēia, e haʻi koke i kāu kauka .
• Ka pōʻino o nā puʻupaʻa: emi ʻana o ka mimi i hoʻopuka ʻia, pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā ​​wāwae.
• ʻEha hou a palupalu paha ma ka wāwae a i ʻole ka wāwae, ka loli ʻana o ka ʻili, nā ʻeha a i ʻole nā ​​​​​​ʻōpū, a i ʻole ka maʻi .
• Pancreatitis: ʻEha nui o ka ʻōpū e pālahalaha ana i ke kua, ʻeha e ʻoi aʻe ana ma hope o ka ʻai ʻana a i ʻole ke hoʻopā ʻia, kuni, nausea, a me ka luaʻi ʻana.
• Inā ʻike ʻoe i ka ʻulaʻula, ka pehu ʻana, ka ʻili ʻana o ka ʻili, a i ʻole nā ​​mea like i loko o kou waha .
• ʻEha nui o nā hono.
• ʻO ka maʻi ʻaʻai mimi (UTI): Ke kuni ʻana i ka wā e mimi ai, ka mimi pinepine ʻana, ka mimi koko a noe paha, ka ʻeha ma ka ʻōpū lalo a i ʻole nā ​​​​ʻaoʻao.

Nā hopena ʻaoʻao ʻaʻole pono pinepine i ka ʻōlelo aʻoaʻo lapaʻau, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou

• ʻEha poʻo
• Ihu wai a i ʻole ka ihu paʻa
• ʻeha ka ʻāʻī

ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, ʻoi aku ka maikaʻi o ke noi ʻana i kāu kauka no ka ʻōlelo aʻo. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (1-800-FDA-1088).

Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?

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 15 a me 30 kekelē Celsius (59 a me 86 kekelē Fahrenheit). E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā.

E ʻoluʻolu e hoʻomaopopo: He hōʻuluʻulu manaʻo wale nō kēia ʻatikala. ʻAʻole paha i loko nā ʻike āpau. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e ʻoluʻolu e kamaʻilio me kāu kauka, kauka lāʻau, a i ʻole ka mea mālama ola kino.

ʻO nā mea nui loa e pono ai ʻoe e hoʻomanaʻo

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai e pili ana i kēia mau lāʻau maʻi diabetes i kapa ʻia ʻo Ertugliflozin lāua ʻo Sitagliptin, eia kekahi o nā mea nui e pono ai ʻoe e hoʻomanaʻo:

• Kōkua kēia lāʻau lapaʻau i ka kaohi ʻana i kou kō koko , akā loaʻa nā hopena maikaʻi loa me ka ʻai maikaʻi a me ka hoʻoikaika kino .
• Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, kāuE hōʻoia e haʻi i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu.
• E lawe i ka mahele i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, e like me ke kauoha a ke kauka. Mai hōʻalo i nā mahele a i ʻole e lawe i ʻelua mau mahele i ka manawa hoʻokahi.
• E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a e mālama i kekahi kō no ka wā e pono ai.
• Inā ʻike ʻoe i nā hōʻailona o kahi maʻi koʻikoʻi i kapa ʻia ʻo diabetic ketoacidosis (DKA) (nausea, luaʻi, ʻeha ʻōpū, luhi nui, paʻakikī ka hanu ʻana) , e haʻi koke i kāu kauka .
• E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao ʻē aʻe , ʻoiai hoʻi nā maʻi genital, nā ʻeha wāwae, a i ʻole nā ​​​​hōʻailona o ka hāʻule ʻana o ka puʻuwai.
• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia.

Hiki ke paʻakikī ke ola me ka maʻi diabetes, akā ʻo ka lawe pono ʻana i kāu lāʻau lapaʻau, ka hoʻololi ʻana i ke ʻano o ka nohona, a me ka launa pū ʻana me kāu kauka hiki ke kōkua nui iā ʻoe e noho olakino. Mai hopohopo, ʻaʻole ʻoe hoʻokahi!

ʻO ka maʻi diabetes, ertugliflozin, sitagliptin, lāʻau lapaʻau maʻi diabetes, kō koko, maʻi diabetes type 2, Steglujan