I ka wā i haʻi aku ai kāu kauka iā ʻoe he maʻi diabetes kou, a i ʻole ka maʻi diabetes type 2, ua kuhikuhi ʻia paha ʻoe i kahi lāʻau i kapa ʻia ʻo Glimepiride. Ua ʻike kekahi poʻe iā ia ma ka inoa inoa ʻo Amaryl. He lāʻau lapaʻau maʻamau a koʻikoʻi loa kēia i hoʻohana ʻia e kāohi i ka maʻi diabetes . No laila, he aha ka hana a kēia lāʻau lapaʻau i loko o kou kino? He aha nā mea e pono ai ʻoe e makaʻala i ka wā e hoʻohana ai? He aha nā hopena ʻaoʻao ? I kēia lā, e kamaʻilio mākou e pili ana i kēia mau mea a pau ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
ʻAe, e wehewehe maʻalahi kākou i kēia. ʻElua paha pilikia nui o ke kino o ke kanaka me ka maʻi diabetes. ʻO kekahi, ʻaʻole lākou e hana i ka nui o ka hormone insulin , ka mea e pono ai ke kāohi i nā pae kō koko. ʻO kekahi, ʻaʻole hiki i nā ʻāpana o ke kino ke hoʻohana pono i ka nui o ka insulin i hana ʻia.
No loko o kahi papa lāʻau i kapa ʻia ʻo sulfonylureas ʻo Glimepiride. Ke haʻi aku nei ia i kou pancreas e "hana i nā insulin hou aʻe." ʻO ke ʻano kēia, ke lawe ʻia kēia lāʻau, piʻi aʻe nā pae insulin i loko o kou kino. Eia kekahi, kōkua ia i nā ʻāpana o kou kino e pane maikaʻi aku i ka insulin (ʻo ia hoʻi, e hoʻohana maikaʻi aku). Hoʻohaʻahaʻa kēia mau mea ʻelua i kou pae kō koko ( glucose ), e kōkua ana i ka kaohi ʻana i ka maʻi diabetes.
Akā e hoʻomanaʻo, ʻaʻole lawa kēia lāʻau lapaʻau wale nō. No ka hoʻomalu pono ʻana i ka maʻi diabetes, pono ʻoe e lawe i kahi ʻai kūpono a me ka hoʻoikaika kino . He kākoʻo hou wale nō ka lāʻau lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i ka Glimepiride, e nīnau kāu kauka iā ʻoe i kekahi mau nīnau. Akā i kekahi manawa e poina paha ʻoe. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea. Mai hūnā i kēia mau mea, no ka mea hiki iā lākou ke hoʻopilikia iā ʻoe.
| Kou kūlana | No ke aha ʻoe e pono ai e haʻi aku i ke kauka? |
|---|---|
| Loaʻa i kahi maʻi i kapa ʻia ʻo diabetic ketoacidosis. | He pilikia koʻikoʻi kēia o ka maʻi diabetes. ʻAʻole kūpono ʻo Glimepiride no ka poʻe me kēia maʻi. |
| He kūlana i kapa ʻia ʻo ka hemahema o G6PD. | Hiki i ka poʻe me kēia kūlana ke loaʻa i nā pilikia e like me ka anemia (helu koko haʻahaʻa) inā lākou e lawe iā Glimepiride. |
| Loaʻa i ka maʻi puʻuwai, maʻi puʻupaʻa, a i ʻole maʻi akepaʻa. | Inā ua pilikia ka hana a kēia mau ʻōkana, pono paha e hoʻololi i ka nui o ka lāʻau lapaʻau a i ʻole e pono e hāʻawi ʻia kahi lāʻau lapaʻau ʻē aʻe. |
| Ka maʻi thyroid. | Hoʻopilikia ka nui o ka hormone thyroid i nā pae kō koko, no laila e makaʻala kāu kauka i kēia. |
| Loaʻa i kahi maʻi nui a i ʻole kahi ʻeha. | Hiki ke loli ke kiʻekiʻe o ke kō koko ke kaumaha nui ke kino. |
| Ke hoʻāʻo nei e hāpai, e hāpai ana, a e hānai waiū paha. | I loko o kēia mau manawa, pono ke kauka e hoʻoholo inā kūpono ʻo Glimepiride a ʻaʻole paha. I ka manawa pinepine, e ʻōlelo ʻia kahi ʻano lapaʻau ʻokoʻa. |
| Loaʻa kahi hopena maʻi i ka glimepiride a i ʻole nā lāʻau sulfa ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. | Inā he maʻi allergy kou i kekahi mea, ʻo ka hoʻomaopopo ʻana iā mākou ma mua e hiki ke kōkua i ka pale ʻana i nā maʻi allergy koʻikoʻi. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He mea nui loa nō hoʻi kēia. I mea e loaʻa ai ka pono nui o ka lāʻau lapaʻau, pono ʻoe e lawe e like me ke kauoha.
- E inu ma ka waha:Loaʻa kēia ma ke ʻano he papa, e lawe ʻia me ke aniani wai.
- E lawe me ka meaʻai: ʻO ka maʻamau, haʻi aku nā kauka iā ʻoe e lawe i kēia pila me ka ʻai nui mua o ka lā (kakahiaka). Aia ke kumu no kēlā. ʻO ka lawe ʻana iā ia ma ka ʻōpū ʻole hiki ke hoʻohaʻahaʻa loa i kou pae kō koko ( hypoglycemia ).
- I ka manawa like i kēlā me kēia lā: E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā e like me ka hiki. E kōkua kēia i ka mālama ʻana i nā pae like o ka lāʻau lapaʻau i loko o kou kino.
- Inā ʻoe ma luna o 65 mau makahiki: Hiki i ka poʻe ʻelemakule ke manaʻo i nā hopena o kēia lāʻau i ʻoi aku ka ikaika. No laila e hoʻomaka paha kāu kauka iā ʻoe ma kahi mahele haʻahaʻa.
- Inā hāʻawi ʻia i nā keiki: Pono e mālama pono ʻia inā hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki. E kamaʻilio me kāu kauka e pili ana i kēia.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau? (Overdosage)
Inā kānalua ʻoe ua lawe ʻoe i ka mea ʻoi aku ma mua o kou manaʻo, a inā ʻike ʻoe ua lawe kāu keiki i kēia mau pila, mai hoʻonele i kekahi manawa . E kelepona koke i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
ʻO ka mea nui loa: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi i kāu lāʻau maʻi diabetes i kekahi. Hiki ke loli ke kūlana o kēlā kanaka, a hiki ke loaʻa nā hopena weliweli.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
E ʻoluʻolu, mai hopohopo i kēia manawa. E lawe i ka mahele lāʻau i hala koke i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu mahele lāʻau aʻe (no ka laʻana, inā e hānau ʻia ʻoe i ke kakahiaka o ka lā aʻe i loko o kekahi mau hola), e kāpae i ka mahele lāʻau i hala a lawe i kāu mahele lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau pila i ka manawa hoʻokahi. ʻO ka hana ʻana pēlā e hiki ai i kou pae kō koko ke hāʻule haʻahaʻa loa.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me Glimepiride
He mea kēia a ka poʻe he nui i ʻike ʻole ai. Hiki i kekahi lāʻau lapaʻau a mākou e lawe ai ke "launa pū" me kekahi. ʻO ia hoʻi, hiki ke loli ke ʻano o ka hana ʻana o nā lāʻau lapaʻau ʻelua. Hiki i kēia ke hoʻonui i ka hopena o Glimepiride a hoʻoulu i nā pae kō koko haʻahaʻa loa, a i ʻole hiki ke hoʻemi i kona hopena a hoʻoulu i nā pae kō koko i kāohi ʻole ʻia.
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me Glimepiride | |
|---|---|
| Bosentana | Chloramphenicol |
| ʻO Cisapride | ʻO Clarithromycin |
| ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal | ʻO Metoclopramide |
| ʻO Probenecid | Warfarin (mea hoʻokahe koko) |
| Nā lāʻau lapaʻau e makaʻala ai no ka mea hiki iā lākou ke launa pū me kēia lāʻau lapaʻau | |
|---|---|
| ʻAila | ʻAspirin a me nā lāʻau lapaʻau like |
| ʻO kekahi mau lāʻau lapaʻau no ka maʻi puʻuwai | Nā lāʻau diuretic (nā lāʻau wai) |
| Nā hormones Estrogen a i ʻole progestin | ʻO kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo (MAOIs, Fluoxetine) |
| Nā lāʻau lapaʻau no ke kuni, ke anu, a me ka hānō | Nā lāʻau hoʻopau ʻeha (NSAID - e.g. Ibuprofen, Naproxen) |
| Kekahi mau lāʻau antibiotic (Quinolone antibiotics) | Nā ʻano steroid (Steroids - e.g. Prednisone) |
| Lāʻau hoʻemi kaumaha | ʻO kekahi mau huahana lāʻau a me nā mea hoʻohui |
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora, nā huahana lāʻau lapaʻau , a me nā mea hoʻohui . Eia kekahi, e haʻi i kāu kauka inā inu ʻoe i ka waiʻona a puhipaka paha.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Ke lilo ka lawe ʻana iā Glimepiride i ʻāpana o kou ola, aia kekahi mau kuleana e pono ai ʻoe e lawe.
- E ʻike pinepine i kāu kauka: E hele i ke keʻena lapaʻau i nā lā i hoʻonohonoho ʻia. E nānā ke kauka i ka maikaʻi o ka kaohi ʻana i kāu maʻi diabetes.
- Hoʻāʻo HbA1C: Ke ana kēia hoʻāʻo i kou awelika kō koko i nā mahina 2-3 i hala. Hana pinepine ʻia kēia hoʻāʻo i kēlā me kēia 3 a 6 mahina.
- E nānā i kou pae kō koko ma ka home: Inā hiki, e kiʻi i kahi glucometer e mālama ai ma ka home a e aʻo e nānā mau i kou pae kō koko. E ʻike i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kō koko kiʻekiʻe ( hyperglycemia ), a me ka mea e hana ai i kēlā mau hihia.
- E mālama i kekahi kōpaʻa me ʻoe: Ma nā wahi a pau āu e hele ai, e lawe i kekahi kōpaʻa, e like me ka papa glucose a i ʻole ka toffee ʻono, i loko o kāu ʻeke a ʻeke paha. Inā manaʻo ʻoe ua haʻahaʻa kou kōpaʻa koko (haʻalulu, hou, manaʻo poniuniu), e ʻai koke i kekahi.
- Mai hōʻalo i ka ʻai: He mea weliweli loa ka hōʻalo ʻana i ka ʻai i ka wā e lawe ana i kēia lāʻau lapaʻau. ʻO ka hana ʻana pēlā e hiki ai ke hoʻohaʻahaʻa loa i kou pae kō koko.
- E makaʻala i ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻolilo i kou ʻili i mea ʻoluʻolu iki i ka lā. No laila, inā ʻoe e hele ana i waho i ka lā, e hoʻohana i kahi umbrella, e ʻaʻahu i nā lole e uhi ana i kou kino, a e kau i ka sunscreen.
- E komo i kahi palapala hōʻoia lapaʻau: He mea nui e lawe i kahi kūpeʻe lima, lei, a i ʻole kāleka e hōʻike ana he maʻi diabetes kou a me nā lāʻau lapaʻau āu e lawe ai. Hiki iā ia ke hoʻopakele i kou ola i kahi pilikia.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Glimepiride ke hana i nā hopena ʻaoʻao i kekahi poʻe, akā ʻaʻole i loaʻa i nā kānaka a pau. Mai hopohopo, he mea nui e makaʻala iā lākou.
| Ka hopena ʻaoʻao | He aha ka mea e hana ai? |
|---|---|
| Nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke kauka | |
| Nā hopena maʻi: ka ʻili ʻana, ka ʻeha, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, ka paʻakikī o ka hanu ʻana. | E hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila. He maʻi koʻikoʻi kēia. |
| Haʻahaʻa loa ke kō koko (Hypoglycemia): Haʻalulu, hou, hopohopo, puʻuwai wikiwiki, poniuniu, huikau. | E ʻai mua i ke kō. Inā koʻikoʻi ke kūlana a inā nalowale kou ʻike, e lawe koke iā lākou i ka haukapila. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i ke kauka inā hoʻomau lākou: | |
| Pōʻino | Hoʻopau pinepine kēia i loko o kekahi mau lā, akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka. |
| ʻEha poʻo | |
| Ka luaʻi (manaʻo maʻi) | |
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
- E mālama ʻia mai nā keiki a me nā holoholona.
- E mālama ma ka mahana o ka lumi (ma lalo o 30 degere Celsius). E pale mai ka wela nui a me ka makū. ʻAʻole maikaʻi ka mālama ʻana i nā lāʻau lapaʻau i loko o ka lumipaku.
- Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei pono iā lākou.
He lāʻau lapaʻau maikaʻi loa ʻo Glimepiride e kōkua ana i ka kaohi ʻana i ka maʻi diabetes. ʻO ka mea nui ka hoʻohana pono ʻana a me ka ʻike pono ʻana e pili ana i ia mea. Inā he mau nīnau ʻē aʻe kāu e pili ana i kēia lāʻau lapaʻau, mai hūnā iā ʻoe iho, akā e nīnau i kāu kauka.
Leka Lawe-Home
- E lawe i nā papa Glimepiride i ka manawa like i kēlā me kēia lā, e like me ke kuhikuhi a kāu kauka, me ka ʻai.
- Mai hōʻalo i ka ʻai ʻana. ʻO ka hana ʻana pēlā e hiki ai ke hāʻule i lalo loa nā pae kō koko.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) (haʻalulu, hou, poniuniu). E lawe mau i kekahi kō a i ʻole kekahi mea ʻono me ʻoe.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā huahana lāʻau āu e lawe nei.
- E kipa aku i ke keʻena lapaʻau i nā lā i hoʻonohonoho ʻia e nānā i kāu kaohi maʻi diabetes a me nā pae HbA1C.
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