He maʻi olakino ka maʻi diabetes i loaʻa i nā kānaka he nui o ko kākou kaiāulu i kēia lā. Nui nā ʻano lāʻau lapaʻau like ʻole no kēia. Malia paha ua haʻi aku kāu kauka iā ʻoe e hoʻohana i kahi lāʻau pale i kapa ʻia ʻo Exenatide no ka Type 2 Diabetes. Ua loaʻa paha iā ʻoe kēia ma lalo o ka inoa inoa ʻo Bydureon BCise. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau, pehea ia e pili ai i ko mākou kino, a me nā mea āu e pono ai e makaʻala i ka wā e hoʻohana ana.
He aha ka mea e hana maoli me kēia inikini Exenatide?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Exenatide e kōkua i ka hoʻomalu ʻana i kou pae kō koko (glucose). Hana kēia i ʻekolu mau mea nui.
1. Hoʻonui i nā pae insulin: Kōkua kēia lāʻau lapaʻau i kou kino e hana i kahi hormone i kapa ʻia ʻo insulin ke ʻai ʻoe. Kōkua ka insulin i ke kō i loko o ke koko e komo i loko o nā ʻāpana o ke kino a hana i ka ikehu. No laila, emi ka pae kō koko.
2. Hoʻēmi i ka hana kōpaʻa e ke akepaʻa: Kōkua pū kēia lāʻau lapaʻau i ka hoʻēmi ʻana i ka nui o ke kōpaʻa i hoʻokuʻu ʻia e ko kākou akepaʻa.
3. Hoʻolohi i ka ʻai ʻana: Hoʻolohi kēia i ka wikiwiki o ka neʻe ʻana o ka meaʻai āu e ʻai ai mai kou ʻōpū a i kou mau ʻōpū. Kōkua kēia i ka kaohi ʻana i ka piʻi koke ʻana o ke kō koko ma hope o ka ʻai ʻana.
Akā e hoʻomanaʻo, ʻaʻole lawa kēia lāʻau lapaʻau wale nō. ʻO ka ʻai maikaʻi a me ka hoʻoikaika kino nā ʻāpana koʻikoʻi o kēia lāʻau lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i nā lāʻau pale
Ma mua o ka hāʻawi ʻia ʻana iā Exenatide, he mea nui loa ia e ʻike kāu kauka i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā lākou e pili ana i kekahi o nā kūlana ma lalo nei.
| Ke kūlana āu e pono ai e hōʻike | No ke aha ʻoe e mālama ai? |
|---|---|
| Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ke kanesa thyroid a i ʻole ke kanesa o nā kelepa endocrine i kapa ʻia ʻo MEN 2 . | Aia kahi ʻōlelo aʻo e pili ana paha kēia lāʻau lapaʻau me ka hoʻonui ʻia o ka pilikia o kekahi mau maʻi kanesa thyroid. |
| Inā ua loaʻa iā ʻoe ka pancreatitis ma mua. | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ka pancreatitis. |
| Inā loaʻa iā ʻoe ka maʻi puʻupaʻa a i ʻole e hana ʻia ana ka dialysis . | Ma muli o ka hana a nā puʻupaʻa, pono paha e hoʻololi ʻia ka nui o ka lāʻau lapaʻau a i ʻole e pono paha e kuhikuhi ʻia kahi lāʻau lapaʻau ʻē aʻe. |
| Inā loaʻa iā ʻoe nā pilikia koʻikoʻi o ka ʻōpū a i ʻole ka ʻōpū (e.g. Gastroparesis). | Ma muli o ka hoʻolohi ʻana o kēia lāʻau lapaʻau i ka ʻai ʻana, hiki ke hoʻonui i ke kūlana o kēia manawa. |
| Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha . | Pono ʻoe e kūkākūkā i ka palekana o kēia lāʻau lapaʻau me kāu kauka i ka wā hāpai a me ka hānai ʻana. |
| Inā he maʻi ʻaleka kou i ka exenatide a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. | He mea nui kēia e pale aku ai i nā hopena allergies koʻikoʻi. |
Pehea pololei e hoʻohana ʻia ai kēia lāʻau pale?
Loaʻa kēia lāʻau lapaʻau i loko o kahi syringe i hoʻopiha mua ʻia (autoinjector). Na kāu kauka a kahu maʻi paha e hōʻike iā ʻoe pehea e hoʻokomo ai ma lalo o ka ʻili.
- E lawe i ka manawa kūpono: Pono e hāʻawi ʻia kēia lāʻau pale i hoʻokahi manawa i ka pule . E hoʻomaʻamaʻa i ka lawe ʻana i ka lā hoʻokahi a i ka manawa like i kēlā me kēia pule. E hoʻomau i ka lawe ʻana a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.
- Ke hoʻolei ʻana i nā nila i hoʻohana ʻia: He mea nui loa kēia. Mai hoʻolei i nā autoinjectors i hoʻohana ʻia i loko o ka ʻōpala. Pono e waiho ʻia i loko o kahi pahu ʻoi kūikawā. Inā ʻaʻohe āu, e noi i kāu kauka no hoʻokahi.
- E heluhelu i nā kuhikuhi: E heluhelu pono i nā kuhikuhi (MedGuide/INSTRUCTIONS FOR USE) i hele mai me ka lāʻau lapaʻau. Inā he mau nīnau kāu, e nīnau i kāu kauka.
Mea nui:ʻO ke kui i kuhikuhi ʻia nou, nou wale nō ia. Mai kaʻana like me kekahi. ʻO ka hana ʻana pēlā e hiki ai ke hoʻolaha i nā maʻi weliweli e like me ka Hepatitis a me ka HIV.
He aha kāu e hana ai inā e poina ʻoe i kahi lāʻau?
E noʻonoʻo ua poina iā ʻoe ke kiʻi i kāu lāʻau pale i ka lā pule. Mai hopohopo.
- Inā ʻoi aku ma mua o 3 mau lā a hiki i kāu mahele lāʻau aʻe, e lawe i ka mahele lāʻau i hala i ka wā e hoʻomanaʻo ai ʻoe. A laila e lawe i kāu mahele lāʻau aʻe e like me ka mea maʻamau.
- Eia nō naʻe, inā e hiki mai ana kāu mahele lāʻau aʻe i loko o 1 a 2 paha mau lā , mai lawe i ka mahele lāʻau i hala. E hōʻalo a lawe wale i ka mahele lāʻau aʻe i ka lā i hoʻonohonoho ʻia.
- Mai lawe i ka mahele pālua no kekahi kumu.
Nā mea ʻē aʻe e hoʻomanaʻo i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻāʻo lapaʻau: E hoʻomau i ka ʻike ʻana i kāu kauka e nānā i kou kūlana. Pono ʻoe e nīnau e pili ana i kahi hoʻāʻo koko i kapa ʻia ʻo HbA1C (A1C) . Ana kēia i ka maikaʻi o ka kaohi ʻana o kou kō koko i nā mahina 2-3 i hala. E ʻōlelo paha kāu kauka e hana ʻoe i kēia hoʻāʻo i kēlā me kēia 3-6 mahina.
- Nā Pae Kō Koko: E aʻo pehea e hoʻāʻo ai i kāu kō koko ma ka home. E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (Hypoglycemia) a me ke kō koko kiʻekiʻe (Hyperglycemia).
- Ke kō koko haʻahaʻa (Hypoglycemia): Inā ʻike ʻoe i nā hōʻailona e like me ka hou ʻana, ka haʻalulu, ka puʻuwai wikiwiki, ka pōloli nui, a me ka huikau, ʻo ia hoʻi ua haʻahaʻa kou kō koko. E mālama mau i kahi mea e like me ke kō, ka toffee, a i ʻole nā papa glucose kokoke no ka hoʻohana ʻana i ia ʻano kūlana. Eia nō naʻe, inā koʻikoʻi ke ʻano e hoʻoulu ai i ka ʻike ʻole, mai hāʻawi i kekahi mea ma ka waha, no ka mea hiki ke hoʻoulu i ka ʻū ʻana. E ʻimi koke i ke kōkua lapaʻau.
- Mai hōʻalo i ka ʻai: E ʻai i nā manawa maʻamau. E nīnau i kāu kauka e pili ana i ka waiʻona.
- ID Lapaʻau: ʻO ke kau ʻana i kahi kāleka a kūpeʻe lima paha e haʻi ana he maʻi diabetes kou a ʻo nā lāʻau lapaʻau āu e lawe ai he mea nui loa ia i ka wā pilikia.
Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki iā Exenatide ke hana i kekahi mau hopena ʻaoʻao. He mea nui e makaʻala i kēia mau mea.
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka a i ʻole e hele i ka haukapila. | |
|---|---|
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo nui, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| ʻO ka maʻi pancreatitis | ʻEha nui ʻole ma ka ʻōpū (ʻoi aku ka palahalaha ʻana i ke kua), ʻeha e ʻoi aku ka ʻino i ka wā e ʻai ai, ke kuni, ka nausea, a me ka luaʻi ʻana. |
| Nā hōʻailona o ke kanesa thyroid | He puʻu hou a pehu paha ma ka ʻāʻī, paʻakikī ke ale ʻana, paʻakikī ka hanu ʻana, loli ka leo (hoarseness). |
| Ka pōʻino o nā puʻupaʻa | Ka emi ʻana o ka mimi ʻana, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā wāwae. |
| Nā pilikia o ka ʻōpū gall | ʻEha nui ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nausea, luaʻi, kuni. |
| Inā hoʻomau kēia mau hōʻailona a lilo paha i mea hoʻopilikia, e haʻi i kāu kauka. | |
| Kahi hoʻopili lāʻau | ʻEha, ʻulaʻula, maneʻo, a i ʻole kahi puʻupuʻu liʻiliʻi. |
| Nā maʻi liʻiliʻi ʻē aʻe | Nausea iki, diarrhea, constipation, headache. |
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, 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) o ka haukapila kokoke loa.
Leka Lawe-Home
- He inikini hoʻokahi manawa i ka pule ʻo Exenatide no ka maʻi diabetes type 2. Pono e hoʻohana ʻia me ka ʻai a me ka hoʻoikaika kino.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau pale, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a pau (ʻoiai ka thyroid, ka pancreas, nā pilikia o ka puʻupaʻa).
- Mai kaʻana like i ka nila i kuhikuhi ʻia nou me kekahi. E hoʻolei pono i nā nila i hoʻohana ʻia.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). E mālama i kekahi kō a i ʻole kahi pā lole kokoke no ka wā e pono ai.
- Inā loaʻa iā ʻoe nā hopena ʻino e like me ka ʻeha nui o ka ʻōpū, ka ʻoʻoleʻa o ka ʻāʻī, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- E ʻoluʻolu e kūkākūkā i kāu kauka i kekahi mau nīnau a hopohopo paha e pili ana i kēia lāʻau lapaʻau.
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