Ua haʻi aku kāu kauka iā ʻoe he maʻi diabetes Type 2 kou? Inā pēlā, ua kuhikuhi ʻia paha ʻoe i kahi lāʻau i kapa ʻia ʻo Glipizide. Hoʻohana ka nui o ka poʻe ma ko mākou ʻāina i kēia lāʻau e kāohi i kā lākou maʻi diabetes. No laila, ma ke ʻano he kanaka e lawe ana i kēia lāʻau, he mea nui loa iā ʻoe ke ʻike i nā mea āpau e pili ana i ia mea. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau i kapa ʻia ʻo Glipizide, pehea e hana ai i loko o ke kino, a me nā mea e makaʻala ai i ka wā e lawe ana, ma ke ʻano maʻalahi loa, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha.
He aha ʻo Glipizide? Pehea e hana ai i loko o ke kino?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Glipizide i hoʻohana ʻia e kāohi i ka maʻi diabetes Type 2. Lawe ʻia ia ma ke ʻano he pila.
ʻO ka mea nui a kēia lāʻau lapaʻau e hana ai i loko o ke kino, ʻo ia ka hoʻoulu ʻana i ka hana ʻana o kahi hormone i kapa ʻia ʻo insulin mai kou pancreas. ʻO ka insulin ka mea nui e kāohi ana i ka pae o ke kō (glucose) i loko o ko kākou koko. Ke piʻi aʻe ke kō koko, kōkua ka insulin i ka lawe ʻana i kēlā kō i loko o nā ʻāpana a hoʻolilo iā ia i ikehu. No laila, ke hana kēia lāʻau lapaʻau i ka insulin hou aʻe, ua hoʻemi ʻia a kāohi ʻia nā pae kō koko. Eia kekahi, kōkua kēia lāʻau lapaʻau i ka hoʻohana ʻana i ka insulin i loko o ke kino me ka ʻoi aku ka maikaʻi. Ma ke ʻano lapaʻau, no ka hui kēia o nā lāʻau lapaʻau i kapa ʻia ʻo Sulfonylureas.
Akā e hoʻomanaʻo pono i kēia. ʻAʻole hiki iā ʻoe ke kāohi i ka maʻi diabetes ma ka lawe ʻana i kēia lāʻau lapaʻau wale nō. ʻO ka mālama ʻana i ka ʻai kūpono a me ka hoʻoikaika kino i kēlā me kēia lā ʻelua mau mea nui no kēia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, pono ʻo ia e ʻike i kāu mōʻaukala olakino piha. ʻAʻole paha e kūlike kēia lāʻau lapaʻau me kekahi mau kūlana olakino. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea.
| Maʻi a i ʻole ke kūlana | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Ketoacidosis maʻi diabetes | ʻAʻole kūpono kēia lāʻau lapaʻau no ka mea he pilikia weliweli kēia o ka maʻi diabetes. |
| Ka hemahema o G6PD (ka hemahema o Glucose-6-phosphate dehydrogenase) | He kūlana hoʻoilina kēia e hoʻopilikia ai i nā hunaola koko. |
| Maʻi puʻuwai, maʻi puʻupaʻa, a maʻi akepaʻa paha | Inā ua pilikia ka hana o kēia mau ʻōkana, e loli paha ka hopena o ka lāʻau lapaʻau. |
| Porphyria | He maʻi koko laha ʻole kēia. |
| nā maʻi koʻikoʻi a i ʻole nā ʻeha | I nā manawa e like me kēia, pono paha nā ʻano hana ʻē aʻe e kaohi ai i nā pae kō o ke kino. |
| Maʻi thyroid | Hoʻopilikia ka nui o ka hormone thyroid i nā pae kō koko. |
| ʻAleʻaleʻa i ka glipizide, nā lāʻau sulfa, a i ʻole nā mea ʻē aʻe | ʻOiai pili pū kēia lāʻau lapaʻau i ka hui sulfa, aia kahi pilikia o nā hopena allergies. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana | I kēia mau hihia, pono ke kauka e hoʻoholo inā kūpono kēia lāʻau lapaʻau a ʻaʻole paha. |
He aha ke ala kūpono e lawe ai i ka lāʻau lapaʻau?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, he mea nui loa ia e hoʻohana pono.
- E ale i kēia pila me ke aniani wai.
- ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kēia pila i kēlā me kēia kakahiaka me ka ʻaina kakahiaka. Mai lawe iā ia ma ka ʻōpū ʻole.
- E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Ma kēlā ʻano, ʻaʻole ʻoe e poina a e ʻoi aku ka maikaʻi o ka lāʻau lapaʻau.
- Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia e kāu kauka.
- Inā ʻoe ma luna o 65 mau makahiki, e ʻike paha ʻoe i nā hopena o kēia lāʻau lapaʻau i ʻoi aku ka ikaika. No laila, hiki i kāu kauka ke kuhikuhi i kahi mahele haʻahaʻa nou.
He aha inā lawe hewa wau i ka nui o ka lāʻau lapaʻau?
He mea nui loa kēia. Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, ʻo ia hoʻi, he overdose, e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU). A i ʻole, e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
ʻO ka mea nui loa: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kāu lāʻau lapaʻau i kekahi. Hiki ke hōʻino i ke ola o kēlā kanaka.
Auē, pehea inā poina iaʻu e lawe i kaʻu lāʻau lapaʻau?
Poina i nā mea a pau. E lawe i kāu lāʻau lapaʻau i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe (no ka laʻana, he mau hola wale nō ia), e kāpae i ka lāʻau lapaʻau i hala a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi (Mai lawe pālua i nā lāʻau lapaʻau).
He aha kaʻu e makaʻala nui ai i ka wā e lawe ai i ka lāʻau lapaʻau?
I ka wā e lawe ai iā Glipizide, ʻaʻole lawa ka lawe wale ʻana i ka pila. Pono nō hoʻi ʻoe e makaʻala i kou kino.
- Hoʻāʻo HbA1C: E nānā pinepine kāu kauka i kāu hoʻāʻo HbA1C (A1C) . Penei e hiki ai iā ʻoe ke ʻike pono i ke ʻano o ka kaohi ʻana o kou kō koko i nā mahina 2-3 i hala.
- Ke nānā ʻana i kou pae kō koko: E aʻo pehea e nānā ai i kou pae kō koko ma ka home. E ʻike i nā hōʻailona o ka hypoglycemia a me ka hyperglycemia , a me nā mea e hana ai e pili ana iā lākou.
- E mākaukau no ke kō koko haʻahaʻa: E mālama mau i kekahi kō (e like me nā pahu kō, nā papa glucose, kahi ʻāpana kini) kokoke inā loaʻa iā ʻoe ke kō koko haʻahaʻa. E ʻai i kekahi i ka wā e hoʻomaka ai ʻoe e ʻike i nā hōʻailona o ke kō koko haʻahaʻa (ninini, haʻalulu, hou).
- Pilikia: Inā nalowale kou ʻike a loaʻa paha iā ʻoe kahi hopu ma muli o ke kō koko haʻahaʻa, mai hoʻokomo i kekahi mea i loko o kou waha i kēlā manawa. Hiki iā ʻoe ke ʻū. Pono e lawe koke ʻia ʻoe i ka haukapila.
- Nā ʻAi: Mai hōʻalo i nā ʻai. ʻO ka hana ʻana pēlā e hiki ai ke hāʻule i lalo loa kou kō koko.
- ʻOna: E noi i kāu kauka no ka ʻōlelo aʻo e pili ana i ka inu ʻana i ka waiʻona.
- Lā: Hiki i kēia lāʻau lapaʻau ke hoʻolilo i kou ʻili i mea ʻoluʻolu iki i ka lā (photosensitivity). No laila e komo i ka pāpale a me ka sunscreen i ka wā e hele ai i waho i ka lā.
- Palapala Lapaʻau: He manaʻo maikaʻi ke kau ʻana i kahi kāleka liʻiliʻi a kūpeʻe lima paha e hōʻike ana he maʻi diabetes kou a me nā lāʻau lapaʻau āu e lawe ai. He mea pono loa ia i ka wā pilikia.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i ka Glipizide ke loaʻa nā hopena ʻaoʻao liʻiliʻi. Akā, ʻaʻole i loaʻa i nā kānaka a pau. He koʻikoʻi iki kekahi o lākou. E nānā kākou i ke ʻano o ia mau mea.
| Nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke kauka | Nā hopena ʻaoʻao ʻaʻole ia he mea e hopohopo ai, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou |
|---|---|
Nā hopena maʻi: ka ʻili ʻana, ka ʻeha, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, ka paʻakikī o ka hanu ʻana. | Ka maʻi pākī |
Haʻahaʻa ke kō koko (Hypoglycemia): haʻalulu, palpitations, hou nui, paʻakikī i ka noʻonoʻo ʻana, poniuniu, puʻuwai wikiwiki. | Pōʻino |
ʻAneemia hemolytic: Luhi maʻamau ʻole, poniuniu, ʻeha poʻo, pōkole o ka hanu, mimi ʻeleʻele, melemele o ka ʻili a i ʻole nā maka. | Kinoea |
Paʻa ʻōpū: ʻEha ka ʻōpū, hiki ʻole ke kiola a puka paha i ka ea, nalowale ka makemake e ʻai, luaʻi. | Ka luaʻi |
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Glipizide i hoʻohana ʻia no ka mālama ʻana i ka maʻi diabetes type 2. Hana ia ma ka hoʻonui ʻana i ka hana ʻana o ke kino i ka insulin.
- E lawe i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā, me ka ʻaina kakahiaka. Mai hoʻokuʻu i ka ʻai.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). E mālama i kekahi kō (kahi ʻāpana kinikini, kahi pahu kō) kokoke i ka wā pilikia.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau kuʻuna).
- Inā lawe ʻoe i ka nui o ka lāʻau lapaʻau, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, e kūkākūkā me kāu kauka.
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