He lāʻau pale no ka maʻi diabetes? E aʻo kākou e pili ana iā Exenatide ma nā ʻōlelo maʻalahi!

Ke ʻeha nei ʻoe i ka Type 2 Diabetes Mellitus? A i ʻole he lālā o ka ʻohana a i ʻole he hoaaloha e hakakā nei me kēia maʻi? A laila ua lohe paha ʻoe e pili ana i ka lāʻau Exenatide. Nui paha kāu mau nīnau e pili ana i ke ʻano maoli, pehea e hana ai, a me nā hana palekana āu e lawe ai i ka wā e hoʻohana ai. I kēia lā, e kamaʻilio mākou e pili ana i kēlā mau mea āpau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.

He aha ke ʻano o ka lāʻau lapaʻau ʻo Exenatide?

I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Exenatide i hāʻawi ʻia i nā poʻe me ka Type 2 Diabetes Mellitus . Hāʻawi pinepine ʻia ia ma ke ʻano he injection. Ua ʻike paha ʻoe iā ia ma lalo o ka inoa inoa `(Bydureon)`.

No laila pehea kēia hana? He maʻalahi loa ia. Hoʻonui kēia lāʻau lapaʻau i ka pae o ka insulin i loko o kou kino. ʻO ka insulin kekahi o nā hormones koʻikoʻi e kaohi i ke kō i loko o ko mākou kino. No laila, ke piʻi ka insulin, emi ka nui o ke kō i loko o ke koko. ʻAʻole wale ia, kōkua kēia lāʻau lapaʻau i ka hōʻemi ʻana i ka nui o ke kō e komo i loko o kou koko a kōkua pū kekahi i ka wikiwiki o ke kaʻina hana ʻai. ʻO ka hapa nui o ka manawa, ke hāʻawi ʻia kēia lāʻau lapaʻau, ua ʻōlelo ʻia e hoʻohana pū ʻia me ka ʻai kūpono a me ka hoʻoikaika kino . ʻO ia ka manawa e hiki ai iā ʻoe ke loaʻa nā hopena maikaʻi loa.

I kekahi manawa hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā kūlana olakino ʻē aʻe. Hiki iā ʻoe ke nīnau i kāu kauka a mea kūʻai lāʻau paha e pili ana i kēia.

He aha nā mea nui e pono iaʻu e haʻi aku i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?

Ma mua o kou hoʻomaka ʻana e hoʻohana iā Exenatide, he mea nui e haʻi i kāu kauka a kahu maʻi paha e pili ana i kēia mau mea. E kōkua kēia ʻike iā lākou e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a pehea e hāʻawi ai.

• Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo nā ʻōpū Endocrine (MEN 2) a i ʻole inā ua loaʻa i kekahi o kou ʻohana.
• Inā ua loaʻa iā ʻoe ka pancreatitis , he mea nui loa kēia, no ka mea, hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka pancreas i kekahi manawa.
• Inā loaʻa iā ʻoe ka maʻi puʻupaʻa . Inā ʻaʻole hana pono kou mau puʻupaʻa, hiki i kēia lāʻau lapaʻau ke hōʻiliʻili i loko o kou kino a hoʻoulu i nā pilikia.
• Inā ʻoe e loaʻa nei i ka lāʻau dialysis.
• Inā he haʻahaʻa nā platelets i loko o kou koko.
• Inā loaʻa iā ʻoe nā pilikia o ka ʻōpū a i ʻole ka naʻau. Ma muli o ka hoʻolohi ʻana o kēia lāʻau lapaʻau i ka ʻai ʻana i ka meaʻai, hiki ke hoʻopilikia i ka poʻe me ia mau pilikia.
• Inā loaʻa iā ʻoe ka maʻi kanesa thyroid , a inā paha ua loaʻa i kekahi o kou ʻohana.
• Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka exenatide, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala hana, a i ʻole nā ​​​​mea mālama.
• Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai . ʻAʻole kūpono kēia lāʻau lapaʻau i ka wā hāpai.
• Inā he makuahine hānai waiū ʻoe .

He mea nui loa ia no kou palekana ponoʻī e haʻi i ke kauka i kēia mau mea me ka hūnā ʻole ʻana iā lākou.

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

Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he inikini ma lalo o ka ʻili . E hōʻike kāu kauka a kahu maʻi paha iā ʻoe pehea e hāʻawi ai ma ka home. Pono ʻoe e aʻo pono pehea e hoʻomākaukau ai a pehea e hāʻawi ai.

• Pono ʻoe e lawe i kēia i hoʻokahi manawa i ka pule, i ka manawa like . He mea nui loa e lawe iā ia i ka lā kūpono, i ka manawa kūpono, e like me ka ʻōlelo a ke kauka.
• E hoʻomau i ka hoʻohana ʻana a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.
• Mai hoʻolei wale i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala. E hoʻokomo iā lākou i loko o kahi pahu ʻoi kūikawā. Inā ʻaʻohe āu, e noi i kāu kauka a kauka lāʻau paha no hoʻokahi. ʻOi aku ka palekana o kēia no ke kaiapuni a no nā poʻe ʻē aʻe.
• Ke hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe e ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi pepa ʻike kūikawā i kapa ʻia ʻo "MedGuide" . E heluhelu pono i kēia i kēlā me kēia manawa āu e lawe ai i ka lāʻau lapaʻau a i ʻole ke loaʻa iā ʻoe kahi lāʻau hou.
• Hele mai kēia lāʻau lapaʻau me kahi pepa kuhikuhi NO KA HOʻOHANA ʻANA. E heluhelu pono a nīnau i kāu kauka lāʻau lapaʻau a kauka paha inā he mea āu e maopopo ʻole ai.

Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?

Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki he 10 mau makahiki i kekahi mau hihia kūikawā. Eia nō naʻe, aia nā hana palekana kūikawā. No laila, inā ʻoe e hāʻawi ana i kēia i kahi keiki, pono ʻoe e kūkākūkā pono me ke kauka pediatric a hoʻoholo.

He aha kāu e hana ai 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 kokoke loa . Mai hopohopo, akā e ʻimi koke i ke kōkua lapaʻau.

Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kāu lāʻau lapaʻau me nā poʻe ʻē aʻe. Hiki ke lilo i mea weliweli.

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

Inā ʻoe e poina i kahi mahele lāʻau, e lawe koke iā ia . Eia nō naʻe, pono ʻoe e hana pēlā inā he 3 mau lā i koe a hiki i kāu mahele lāʻau aʻe.

Inā ʻoe e poina i kahi lāʻau lapaʻau a hoʻokahi a ʻelua paha lā a hiki i kāu lāʻau lapaʻau aʻe i hoʻonohonoho ʻia, mai lawe i ka lāʻau lapaʻau i poina . E lawe wale i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi a i ʻole e lawe i kahi lāʻau lapaʻau keu.

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

He mea nui loa kēia. Hiki iā Exenatide ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe nei. ʻO ke ʻano o kēia, ʻo ka lawe ʻana me kēlā mau lāʻau lapaʻau e hōʻemi ai i ka maikaʻi o ka exenatide, a i ʻole e hoʻonui i nā hopena ʻaoʻao.

E makaʻala loa me kēia ʻano lāʻau lapaʻau:

• ʻAsetaminopena (paracetamol)
• Nā lāʻau hoʻomalu hānau: Hiki i kēia lāʻau lapaʻau ke hōʻemi i ka omo ʻana o nā lāʻau hoʻomalu hānau, no laila e kamaʻilio me kāu kauka e pili ana i ia mea.
• ʻO Digoxin (he lāʻau lapaʻau no ka maʻi puʻuwai)
• ʻO ka insulin a me nā lāʻau lapaʻau maʻi diabetes ʻē aʻe : ʻO ka lawe ʻana iā Exenatide me kēia mau mea hiki ke hoʻohaʻahaʻa i ke kō koko (hypoglycemia). No laila, pono paha ka hoʻoponopono ʻana i ka dosage.
• ʻO Lisinopril (kahi lāʻau lapaʻau no ke koko kiʻekiʻe)
• ʻO Lovastatin (kahi lāʻau hoʻohaʻahaʻa cholesterol)
• ʻO Warfarin (kahi lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko): I ka wā e lawe ai iā Exenatide me kēia lāʻau lapaʻau, pono ʻoe e makaʻala i ka pilikia o ke kahe ʻana o ke koko.

ʻAʻole wale kēia mau mea, akā, hiki i nā lāʻau lapaʻau ʻē aʻe ke hoʻopilikia i nā pae kō koko . No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai. Eia kekahi laʻana:

• Nā mea inu ʻona.
• Nā lāʻau lapaʻau antiviral i hāʻawi ʻia no ka maʻi HIV a i ʻole AIDS.
• ʻAspirin a me nā lāʻau lapaʻau like.
• ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe, ka maʻi puʻuwai, a me nā maʻi ʻāʻī o ka puʻuwai.
• ʻO `Chromium` (he mea hoʻohui).
• Nā lāʻau diuretic (nā lāʻau lapaʻau e wehe ai i ka wai mai ke kino).
• Nā hormones wahine (e like me estrogens a i ʻole progestins), nā pila hoʻolālā ʻohana.
• ʻO `Fenofibrate`, `Gemfibrozil` (nā lāʻau lapaʻau no ka cholesterol).
• ʻIsoniazid (he lāʻau lapaʻau no ka maʻi puʻupuʻu).
• Kekahi mau lāʻau lapaʻau hormonal (`Lanreotide`, `Octreotide`, `Pasireotide`).
• Nā hormones kāne a i ʻole nā ​​steroid anabolic.
• nā lāʻau lapaʻau MAOI (e like me Carbex, Eldepryl, Marplan, Nardil, Parnate).
• Lāʻau hoʻemi kaumaha.
• Nā lāʻau lapaʻau no nā maʻi ʻaleka, ka hānō, ke anu, a me ke kuni.
• Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole ka maʻi noʻonoʻo.
• Niacin.
• ʻO ka nikotine (inā ʻoe e puhipaka).
• NSAID (e.g. Ibuprofen, Naproxen).
• ʻO ka Pentamidine.
• ʻO Phenytoin (he lāʻau lapaʻau no ka maʻi epilepsy).
• ʻO Probenecid (he lāʻau lapaʻau no ka gout).
• Nā lāʻau antibiotic quinolone (e like me Ciprofloxacin, Levofloxacin, Ofloxacin).
• ʻO kekahi mau mea hoʻohui meaʻai lāʻau.
• Nā lāʻau steroid (e like me Prednisone, Cortisone).
• Sulfamethoxazole; trimethoprim (he lāʻau ʻaleka).
• Nā hormones thyroid.

Eia kekahi, hiki i kekahi mau lāʻau lapaʻau ke uhi i nā hōʻailona hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) . ʻO ke ʻano kēia ʻaʻole paha ʻoe e ʻike ua haʻahaʻa kāu kō koko. Inā ʻoe e lawe ana i kēia ʻano lāʻau lapaʻau, he mea nui loa ia e nānā mau i kāu kō koko.

• ʻO nā Beta-blockers (kahi ʻano lāʻau lapaʻau i hāʻawi pinepine ʻia no ke koko kiʻekiʻe a i ʻole ka maʻi puʻuwai, e.g. Atenolol, Metoprolol, Propranolol).
• ʻO ke klonidina.
• ʻO Guanethidine
• ʻO ka lāʻau Reserpine.

ʻAʻole i hoʻokomo ʻia kēia papa inoa i nā pilina āpau. No laila , e haʻi i kāu kauka a kauka lāʻau paha e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā lāʻau lapaʻau lāʻau, nā huaora, a me nā mea hoʻohui). E haʻi pū i kāu kauka a kauka lāʻau paha inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe.

He aha nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau?

Pono ʻoe e mālama pono i kou olakino i ka wā e hoʻohana ai iā Exenatide.

• E ʻike pinepine i kāu kauka e nānā i kou kūlana . E haʻi i kāu kauka inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona a inā paha e ʻoi aʻe ka ʻino.
• E 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. Pono ʻoe e hana i kēia hoʻāʻo i kēlā me kēia 3-6 mahina.
• E aʻo pehea e nānā ai i kou pae kō koko ma ka home . 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 (e laʻa me nā pahu kō, nā papa glucose) ma ka lima . He mea pono kēia inā hāʻule koke kou kō koko (hypoglycemia). Inā loaʻa iā ʻoe kahi maʻi koʻikoʻi e like me ke kō koko haʻahaʻa (nā hopu ʻana), a inā nalowale kou ʻike, e haʻi aku i kou ʻohana a me nā hoaaloha e hiki paha iā ʻoe ke ʻūlū inā ʻoe e hoʻāʻo e hāʻawi iā lākou i ka meaʻai a mea inu paha i kēlā manawa. Inā hana ʻia kēia, e ʻimi koke i ke kōkua lapaʻau.
• Inā ʻike ʻoe ua kiʻekiʻe kou pae kō koko (e laʻa me ka makewai nui, ka mimi pinepine, ka luhi nui), e haʻi i kāu kauka . Pono paha e hoʻoponopono ʻia kāu nui o ka lāʻau. Inā maʻi ʻoe a hoʻoikaika kino paha ma mua o ka maʻamau, pono paha e hoʻoponopono ʻia kāu nui o ka lāʻau.
• Mai hōʻalo i nā meaʻai .
• E kamaʻilio me kāu kauka e pili ana i ka inu ʻana i ka waiʻona. He nui nā lāʻau lapaʻau no ke 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 nā pae kō koko.
• Mai kaʻana like i nā peni inikini me nā poʻe ʻē aʻe . ʻO ka hana ʻana pēlā e hiki ai ke hoʻolaha i nā maʻi e like me ka hepatitis a i ʻole ka HIV.
• E komo i kahi kūpeʻe lima a lei paha no ka hōʻike lapaʻau . E lawe pū me ʻoe i kahi kāleka e papa inoa ana i kou kūlana olakino, nā lāʻau lapaʻau āu e lawe ai, a me nā lāʻau e pono ai.

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

E like me nā lāʻau lapaʻau āpau, hiki iā Exenatide ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi, ʻaʻole koʻikoʻi loa kekahi.

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

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka.

• Nā hopena alerikaʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu.
• Nā pilikia o ka ʻōpū gaʻau : ʻEha nui o ka ʻōpū, nausea, luaʻi, kuni.
• ʻEha o ka puʻupaʻa : Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a i ʻole nā ​​​​wāwae.
• Pancreatitis : ʻEha nui o ka ʻōpū (hiki i kēia ke pālahalaha i ke kua, a hoʻonui ka ʻeha ma hope o ka ʻai ʻana a i ʻole ke hoʻopā ʻia ka ʻōpū), kuni, nausea, a me ka luaʻi ʻana.
• ʻO ke kanesa thyroid : He puʻupuʻu hou a pehu paha ma ka ʻāʻī, ʻeha a paʻakikī paha ke ale ʻana, paʻakikī ka hanu ʻana, a me ka loli o ka leo (hoarseness).
• ʻO ka palapū a i ʻole ke kahe koko ma ke ʻano ʻē.

Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i kāu kauka inā hoʻomau lākou:

Hoʻopau pinepine kēia i loko o kekahi mau lā, akā inā hoʻomau lākou, e haʻi i kāu kauka inā hoʻopilikia lākou iā ʻoe.

• Ka maʻi pākī
• Ka luaʻi
• ʻEha, ʻulaʻula, a pehu paha ma kahi i hoʻokomo ʻia
• ʻŌpū ʻeha
• Ka luaʻi ʻana

ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e kamaʻilio me kāu kauka e pili ana iā lākou. Hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA (ma ke kelepona ʻana i ka 1-800-FDA-1088).

Pehea e mālama ai i kēia lāʻau lapaʻau?

He mea nui loa e mālama pono i kāu lāʻau lapaʻau.

• E mālama iā ia mai ka hiki ʻana aku o nā keiki a me nā holoholona .
• E mālama i loko o ka pahu hau . Mai hoʻopaʻahau.
• Hiki ke mālama ʻia kēia lāʻau lapaʻau ma ka mahana o ka lumi (ma waena o 20 a me 25 kekelē Celsius / 68 a me 77 kekelē Fahrenheit) a hiki i 4 mau pule.
• E pale mai ka mālamalama . E mālama i ka lāʻau lapaʻau i loko o ka pahu pepa mua a hiki i kou lawe ʻana.
• E lawe i ka lāʻau lapaʻau mai loko mai o ka pahu pepa 15 mau minuke ma mua o ka lawe ʻana.
• E hoʻohana koke i ka lāʻau ma hope o ke kāwili ʻana .
• Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā, e hoʻolei aku.

Pehea e hoʻolei aku ai i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a i pau paha ka lāʻau?

• E lawe i kēia lāʻau lapaʻau i kahi i loaʻa kahi papahana lawe-hoʻihoʻi lāʻau lapaʻau. Hiki iā ʻoe ke ʻike e pili ana i ia mau wahi ma kāu hale kūʻai lāʻau lapaʻau a i ʻole nā ​​mākaʻi.
• Inā ʻaʻole hiki kēia, e nīnau i kāu kauka lāʻau lapaʻau a kauka paha pehea e hoʻolei palekana ai i kēia lāʻau. Mai hoʻolei wale i loko o ka ʻōpala.

Leka Lawe-Home

No laila, he lāʻau koʻikoʻi ʻo Exenatide e kōkua ai i ka kaohi ʻana i ka maʻi diabetes type 2.

• He inikini subcutaneous kēia.
• E lawe i ka lāʻau i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia, e like me ke kauoha a ke kauka .
• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā maʻi ʻē aʻe āu e loaʻa ai.Haʻi mai iʻau.
• E nānā pinepine i kou pae kō koko a e makaʻala i nā hōʻailona o ke kō koko haʻahaʻa.
• E makaʻala i nā hopena ʻaoʻao, a inā ʻike ʻoe i kekahi mea koʻikoʻi, e ʻike koke i ke kauka .
• E mālama pono i ka lāʻau lapaʻau .

E hoʻomanaʻo, he hōʻuluʻulu manaʻo wale nō kēia ʻatikala. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka, kauka lāʻau, a i ʻole kekahi mea mālama ola kino ʻē aʻe. Manaʻolana mākou e kōkua kēia ʻike iā ʻoe e hoʻokele i kāu maʻi diabetes a ola i kahi ola olakino!

ʻO Exenatide, Bydureon, Maʻi Diabetes, Maʻi Diabetes ʻAno 2, Insulin, Kō koko, Lāʻau pale, Nā hopena ʻaoʻao