Loaʻa iā ʻoe ka maʻi diabetes (ʻAno 2 Diabetes)? Inā pēlā, ua kuhikuhi paha kāu kauka iā ʻoe i kahi pila hui i kapa ʻia ʻo Glipizide lāua ʻo Metformin. He lāʻau lapaʻau koʻikoʻi kēia i hāʻawi ʻia i nā poʻe he nui me ka maʻi diabetes ma ko mākou ʻāina a kōkua i ka kaohi ʻana i nā pae kō koko. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau a me nā mea e pono ai ʻoe e makaʻala i ka wā e hoʻohana ana, ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o ʻelua mau lāʻau lapaʻau. ʻO ia hoʻi, aia iā ia ʻo Glipizide lāua ʻo Metformin i hoʻokahi pila. I ka hui pū ʻana, kōkua kēia mau mea ʻelua i ka hoʻohaʻahaʻa ʻana i nā pae kō o kou kino ma kekahi mau ʻano.
- Glipizide: No loko kēia o kahi papa o nā lāʻau i kapa ʻia ʻo sulfonylureas. Hana ia ma ka hoʻoulu ʻana i kāu pancreas e hana i ka nui o ka hormone insulin e pono ai kou kino.
- Metformin: Hana nui kēia ma ka hōʻemi ʻana i ka hana pono ʻole o ke kō e kou ake. Eia kekahi, kōkua ia i nā ʻāpana o ke kino e pane maikaʻi i ka insulin (hoʻomaikaʻi i ka ʻike ʻana i ka insulin).
ʻO ka mea nui loa, ʻaʻole lawa kēia lāʻau lapaʻau wale nō. Hiki ke hoʻokō ʻia nā hopena maikaʻi loa ke lawe ʻia kēia lāʻau lapaʻau me ka ʻai kūpono a me ka hoʻoikaika kino e like me ka ʻōlelo a ke kauka .
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa e ʻike pono kāu kauka i kou kūlana olakino ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e haʻi pono i kāu kauka e pili ana iā lākou.
| Kou kūlana a i ʻole kou ʻano maʻamau | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Ma muli o ka hoʻopau ʻia ʻana o ka lāʻau lapaʻau mai ke kino ma o kēia mau ʻōkana, inā ua pilikia kā lākou hana, pono paha e hoʻoponopono ʻia ka nui o ka lāʻau lapaʻau. |
| Maʻi puʻuwai | Pono e mālama pono ʻia i ka wā e hoʻohana ai i kēia lāʻau lapaʻau i kekahi mau maʻi puʻuwai. |
| Ka inu pinepine ʻana | ʻO ka hui pū ʻana o ka waiʻona a me kēia lāʻau lapaʻau e hoʻonui i ka pilikia o kahi maʻi koʻikoʻi i kapa ʻia ʻo lactic acidosis. |
| Ketoacidosis maʻi diabetes | He pilikia koʻikoʻi kēia o ka maʻi diabetes, a ʻaʻole kūpono kēia lāʻau lapaʻau no ia. |
| Haʻahaʻa ka hemoglobin i loko o ke koko (Anemia) | He mea nui e makaʻala i ka anemia, no ka mea, hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka omo ʻana o ka huaora B12. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai | ʻAʻole ʻōlelo ʻia kēia lāʻau lapaʻau i ka wā hāpai, a pono nā ʻano lapaʻau ʻē aʻe. |
| ʻO ka lilo ʻana i makuahine hānai | Pono ʻoe e kūkākūkā me kāu kauka inā hiki i ka lāʻau lapaʻau ke hele i kāu pēpē ma o ka waiū umauma. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā lāʻau sulfa, a i ʻole nā meaʻai | He mea nui loa no ka palekana ke haʻi mai iā mākou e pili ana i kekahi mau maʻi allergies āu e loaʻa nei. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He mea maʻalahi loa kēia, akā pono e mālama pono ʻia.
- Pono e lawe ʻia kēia pila me ka ʻai . Mai lawe ma ka ʻōpū ʻole.
- E ale i ka papa holoʻokoʻa me kahi aniani wai.
- E lawe mau i ka lāʻau i kuhikuhi ʻia e kāu kauka, i ka manawa pololei i kuhikuhi ʻia. Mai hoʻololi i ka manawa a i ʻole ka lāʻau e like me kou makemake.
- Inā ʻoe ma luna o 65 mau makahiki, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi mahele haʻahaʻa iki.
- Inā manaʻo ʻoe ua lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau: Inā manaʻo ʻoe pēlā, mai hoʻokaʻulua.E hele koke i ka Halemai Pilikia (ETU) kokoke loa a i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo .
- Inā ʻoe e poina i kahi lāʻau lapaʻau: E lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau lapaʻau no kekahi kumu.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
ʻŌlelo Aʻo: He mea weliweli loa ka lawe ʻana i kēia lāʻau lapaʻau me kekahi mau ʻano mea 'contrast' i hoʻokomo ʻia i loko o ke kino ma mua o nā hoʻokolohua e like me X-ray, CT scan, MRI, a me ka lāʻau maʻi puʻuwai ʻo Dofetilide. Inā e loaʻa iā ʻoe kēlā ʻano hoʻokolohua, e haʻi mua i kāu kauka.
Eia kekahi, hiki i nā lāʻau lapaʻau ʻē aʻe ke launa pū me kēia lāʻau. Eia kekahi laʻana:
- ʻAspirin a me nā lāʻau ʻeha ʻē aʻe (NSAIDs)
- ʻO kekahi mau lāʻau lapaʻau no ke koko a me nā maʻi puʻuwai
- ʻO nā diuretics (a i ʻole 'nā pila wai')
- Nā ʻano Steroid
- Nā ʻano hormones, me nā pila hoʻomalu hānau
- ʻO kekahi mau fungicides a me nā antibiotics
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo (MAOIs)
- Nā lāʻau lapaʻau no nā maʻi thyroid
ʻAʻole i piha kēia papa inoa. No laila e hāʻawi i kāu kauka i kahi papa inoa maopopo o nā lāʻau lapaʻau āpau, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui āu e lawe ai. Eia kekahi, e haʻi iā lākou inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea āu e pono ai e makaʻala i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā maʻamau: E hele i nā keʻena lapaʻau i nā manawa i hoʻonohonoho ʻia e like me ke kuhikuhi ʻana a kāu kauka a nānā i kou kūlana. E hana ʻia kahi hoʻāʻo koko i kapa ʻia ʻo HbA1C i kēlā me kēia 3-6 mahina e ʻike ai i ka maikaʻi o ka kaohi ʻana o kāu kō.
- E aʻo e hoʻāʻo i kou kō koko: E aʻo pehea e hoʻohana ai i ka glucometer ma ka home. E ʻike i nā hōʻailona o ka hypoglycemia a me ka hyperglycemia, a me ka mea e hana ai inā loaʻa.
- E mālama i kekahi kō kokoke: E mālama mau i kahi mea e like me ka cube kō, toffee, a i ʻole ka papa glucose i loko o kāu ʻeke a ʻeke paha inā e hāʻule koke kou pae kō.
- Mai hōʻalo i ka ʻai: E ʻai i ka manawa kūpono. Hiki i ka hōʻalo ʻana i ka ʻai 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 ʻano ʻē i ka lā (photosensitivity). No laila e hoʻohana i ka sunscreen , e ʻaʻahu i nā lole e uhi ana i kou kino, a e ʻaʻahu i ka pāpale i ka wā e hele ai i waho i ka lā.
- E makaʻala me nā huaora: ʻO ka hoʻohana lōʻihi ʻana i kēia lāʻau lapaʻau e hiki ke hoʻohaʻahaʻa i nā pae o ka huaora B12 a me ka waikawa folic i kekahi poʻe. No laila, he mea nui e ʻai i ka meaʻai kaulike a, inā pono, e lawe i nā huaora e like me ke kuhikuhi a kāu kauka.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| ʻAno o ka hopena ʻaoʻao | Nā ʻano a me nā mea e hana ai |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu. Pono ka lāʻau koke. |
| Lactic acidosis (kiʻekiʻe o ka waikawa lactic) | ʻEha nā ʻiʻo, ʻeha ka ʻōpū, pōkole ka hanu, luhi loa. He pilikia kēia a pono e hoʻokipa koke ʻia i ka haukapila. |
| ʻAʻai koko hemolytic | Ka nāwaliwali kūikawā, ka poniuniu, ka paʻakikī o ka hanu ʻana, ka mimi ʻeleʻele, ka melemele o ka ʻili a i ʻole nā maka. |
| Nā hōʻailona o ka nele o ka wikamina B12 | ʻEha ma nā lālā, mae wale, nāwaliwali o nā ʻiʻo, poniuniu, nalowale ka hoʻomanaʻo. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻŌpū ʻeha, luaʻi | Hoʻemi pinepine ʻia kēia mau mea ma ka lawe ʻana i ka lāʻau me ka meaʻai. |
| Ka maʻi pākī | Hiki ke hana ʻia kēia ke hoʻomaka mua ʻoe e lawe i ka lāʻau lapaʻau. Inā hoʻomau ia, e haʻi i kāu kauka. |
Leka Lawe-Home
- He kōkua wale nō kēia lāʻau lapaʻau i ka kaohi ʻana i ka maʻi diabetes. He mea nui ka ʻai kūpono a me ka hoʻoikaika kino.
- E hoʻomanaʻo e lawe i ka lāʻau lapaʻau me ka ʻai, i ka manawa like i kēlā me kēia lā.
- E makaʻala i nā hōʻailona o ka hypoglycemia (dizziness, hou, palpitations). E mālama mau i kekahi kō a i ʻole kahi ʻāpana candy kokoke.
- Mai poina e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai nā lāʻau ʻeha.
- Inā lawe ʻoe i ka nui o ka lāʻau lapaʻau a i ʻole ʻike ʻoe i kahi hopena koʻikoʻi, e hele koke i ka ETU.
- Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi i kāu lāʻau lapaʻau i kekahi poʻe ʻē aʻe.
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