He lāʻau lapaʻau no ka maʻi diabetes: E aʻo kākou e pili ana i nā papa Glipizide?

Ke hakakā nei hoʻi ʻoe me ka maʻi diabetes mellitus? Inā pēlā, ua kuhikuhi paha kāu kauka iā ʻoe i kahi pila i kapa ʻia ʻo Glipizide . He lāʻau lapaʻau nui kēia no ka poʻe me ka maʻi diabetes mellitus type 2. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia mau pila Glipizide, pehea lākou e hana ai, nā mea e makaʻala ai i ka wā e hoʻohana ai iā lākou, a me nā mea nui ʻē aʻe. ʻO ka ʻike pono ʻana i ka hoʻohana ʻana i kēia lāʻau lapaʻau he mea nui loa ia no kou olakino.

He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Glipizide? Pehea kāna hana?

I ka ʻōlelo maʻalahi, hoʻonui kēia lāʻau lapaʻau i kapa ʻia ʻo Glipizide i ka pae o ka insulin i loko o kou kino. He hormone koʻikoʻi ka insulin e kāohi ana i ka pae o ke kō, a i ʻole glucose, i loko o ko mākou kino. Ke komo ke kō mai ka meaʻai a mākou e ʻai ai i loko o ke koko, ʻo ia ka insulin e kāohi ana i ka nui o ke kō a kōkua iā ia e komo i loko o nā ʻāpana.

ʻO ka maʻi diabetes mellitus ʻano 2 ke hana ʻole ke kino i ka insulin lawa, a i ʻole ʻaʻole hiki i ke kino ke hoʻohana pono i ka insulin āna e hana ai. No laila, ʻo ka mea a kēia lāʻau lapaʻau ʻo Glipizide e hana ai, ʻo ia ka hāʻawi ʻana i ka pancreas i kahi hoʻoikaika iki a kōkua iā ia e hana hou i ka insulin. Ke hoʻonui kēia lāʻau lapaʻau i ka insulin, e emi ana ka nui o ke kō i loko o ke koko. Kōkua pū ia i kou kino e hoʻohana pono i ka insulin.

No loko o kahi hui o nā lāʻau lapaʻau i kapa ʻia ʻo sulfonylureas kēia lāʻau. Akā, hoʻokahi mea e pono e hoʻomanaʻo ʻia. ʻAʻole hiki ke hoʻomalu ʻia ka maʻi diabetes ma ka lawe ʻana i kēia lāʻau lapaʻau wale nō. Pono e hele pū me ka ʻai maikaʻi a me ka hoʻoikaika kino i kēlā me kēia lā . E haʻi aku ke kauka iā ʻoe pehea e kaohi ai i kāu ʻai a me nā hoʻoikaika kino āu e hana ai.

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

ʻAe, e nānā kākou i nā mea āu e pono ai e haʻi aku i kāu kauka ma mua o ka hoʻomaka ʻana i kēia mau pila Glipizide. ʻOi aku ka maikaʻi o ka hūnā ʻole ʻana i kēia mau mea, ʻeā? No ka mea, a laila wale nō e hiki ai i ke kauka ke mālama pono a palekana iā ʻoe.

Pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:

• Inā loaʻa iā ʻoe ka ketoacidosis diabetic, kahi maʻi koʻikoʻi i hoʻokumu ʻia e ka maʻi diabetes , ʻo ia ke kumu e hōʻiliʻili ai nā mea ʻino i kapa ʻia ʻo ketones i loko o ke koko.
• Inā loaʻa iā ʻoe kahi maʻi genetic i kapa ʻia ʻo ka glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency) . Hiki i kēia ke hoʻoulu i ka maʻalahi i kekahi mau lāʻau lapaʻau.
• ʻO ka maʻi puʻuwai , ʻo ia hoʻi, inā he maʻi puʻuwai kou.
• ʻO ka maʻi puʻupaʻa , ʻo ia hoʻi, inā he pilikia puʻupaʻa kou.
• ʻO ka maʻi akepaʻa , ʻo ia hoʻi, inā he pilikia me ke akepaʻa.
• Inā loaʻa iā ʻoe kahi maʻi laha ʻole i kapa ʻia ʻo porphyria .
• Inā loaʻa iā ʻoe kahi maʻi koʻikoʻi a ʻeha paha .
• Inā he maʻi thyroid kou.
• Inā ua loaʻa iā ʻoe kahi hopena maʻi ma mua i ka glipizide, nā lāʻau sulfa (no kēia hui kekahi mau antibiotic ), nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā mea hoʻoluʻu meaʻai, a i ʻole nā ​​​​mea mālama.
• Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
• Inā he makuahine hānai waiū ʻoe.

Inā ʻōlelo pololei ʻoe i kēia mau mea, hiki i kāu kauka ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a i ʻole inā makemake ʻoe i kahi koho ʻē aʻe.

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

Pono e lawe ʻia kēia lāʻau lapaʻau ma ka waha. E ale iā ia me ke aniani wai. ʻO ka mea nui loa, mai lawe pū me ka meaʻai.Pono e lawe ʻia kēia i 30 mau minuke ma mua o ka ʻai ʻana. ʻO ia ka manawa e komo pono ai ka lāʻau i loko o ke kino a kōkua i ka kaohi ʻana i ke kō e hōʻiliʻili ana i loko o ke koko ma hope o ka ʻai ʻana.

E hahai i nā kuhikuhi ma ka pūʻolo lāʻau e like me ka ʻōlelo a kāu kauka iā ʻoe. Inā ʻoe e lawe ana i kēia lāʻau i hoʻokahi manawa i ka lā, e lawe iā ia i 30 mau minuke ma mua o ka ʻaina kakahiaka. Inā ua ʻōlelo kāu kauka iā ʻoe e lawe iā ia i nā manawa he nui i ka lā, e lawe iā ia i 30 mau minuke ma mua o kēlā me kēia ʻai nui. E ho'āʻo e lawe i ka lāʻau i ka manawa like i kēlā me kēia lā. E kōkua kēia i ka mālama ʻana i ka hana mau o ka lāʻau. Mai lawe ʻoe ma mua o ka nui o ka lāʻau a kāu kauka e ʻōlelo ai iā ʻoe e lawe.

E pili ana i nā keiki ʻōpio a me nā mākua

Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki ʻōpio, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea. Pono paha ka mālama kūikawā a me ka hoʻoponopono ʻana i ka nui o ka lāʻau.

Eia kekahi, ʻoi aku ka ikaika o ka hopena o kēia lāʻau lapaʻau i ka poʻe ma luna o 65 mau makahiki . No laila, hiki i ke kauka ke kuhikuhi i kahi mahele liʻiliʻi no lākou ma mua o ke kanaka maʻamau.

He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?

E noʻonoʻo ua lawe nui ʻoe i kēia lāʻau lapaʻau, a i ʻole ua lawe hewa kekahi o kou ʻohana. Inā hana ʻia kēlā , e kelepona koke i ke Kikowaena Mana Lāʻau Make ma ka Halemai Lahui a i ʻole ke keʻena pilikia o kahi haukapila aupuni. A i ʻole e hele koke i ka haukapila. Mai manaʻo he mea maʻamau kēia, ʻeā? No ka mea, inā lawe nui ʻoe iā Glipizide, hiki i kāu kō koko ke hāʻule haʻahaʻa loa.

E hoʻomanaʻo: Nou wale nō kēia lāʻau lapaʻau. Mai manaʻo e ʻae kāu hoaaloha i kēia lāʻau lapaʻau inā loaʻa iā lākou ka maʻi diabetes. He ʻokoʻa ka lāʻau lapaʻau kūpono a me ka nui o ka lāʻau no kēlā me kēia kanaka.

He aha inā e hala wau i kaʻu manawa hoʻonohonoho lāʻau lapaʻau?

I kēia manawa, e ʻōlelo kākou ua hala ʻoe i kahi mahele lāʻau. Inā hana ʻia kēlā, e lawe i ka pila i ka wā e hoʻomanaʻo ai ʻoe . Akā inā kokoke ka manawa no kāu mahele lāʻau aʻe, no ka laʻana, inā pono ia i loko o kekahi mau hola, e kāpae i ka mahele lāʻau i hala ʻole a lawe i ka mahele lāʻau aʻe e like me ka mea maʻamau. Mai lawe i ʻelua pila i ka manawa hoʻokahi, ʻo ia hoʻi, he mahele lāʻau pālua. ʻO ka hana ʻana pēlā e hiki ai i kāu kō koko ke hāʻule haʻahaʻa loa.

Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau (Nā Hana like ʻana)

Hiki i ka Glipizide ke launa pū me nā lāʻau lapaʻau ʻē aʻe a me nā mea ʻē aʻe. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora, nā mea kanu, nā lāʻau lapaʻau ʻole i kauoha ʻia, a me nā mea hoʻohui meaʻai. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kēia lāʻau lapaʻau, hiki ke hoʻololi i ka maikaʻi o kāna hana a hoʻonui paha i nā hopena ʻaoʻao.

Eia kekahi mau lāʻau lapaʻau e hiki ke launa pū me Glipizide:

• Bosentana
• Chloramphenicol
• ʻO Cisapride
• ʻO Clarithromycin
• Nā lāʻau lapaʻau no nā maʻi fungal a i ʻole nā ​​​​maʻi hū (e like me Fluconazole, Miconazole)
• ʻO Metoclopramide
• ʻO Probenecid `(Probenecid)`
• ʻO Warfarin (kahi lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko)

Eia kekahi, he nui nā lāʻau lapaʻau ʻē aʻe e hiki ke hoʻonui a hoʻemi paha i nā pae kō koko. Hiki iā lākou ke launa pū me ka glipizide. Eia kekahi mau laʻana:

• Nā mea inu ʻona : Hiki i ka ʻona ke hoʻohaʻahaʻa koke i ke kō koko.
• ʻAspirin a me nā lāʻau lapaʻau e like me ka aspirin
• Chromium (i kekahi manawa lawe ʻia ma ke ʻano he mea hoʻohui)
• Diuretics - nā lāʻau lapaʻau e wehe i ka wai mai ke kino
• ʻO nā hormones wahine, e like me estrogens a i ʻole progestins, a me nā pila hoʻomalu hānau
• ʻO kekahi mau lāʻau lapaʻau puʻuwai (e like me nā beta-blockers)
• ʻO Isoniazid (he lāʻau lapaʻau no ka maʻi puʻupuʻu)
• Nā hormones kāne a i ʻole nā ​​​​steroid anabolic
• Nā lāʻau lapaʻau no ka pohō kaumaha
• Nā lāʻau lapaʻau no nā maʻi ʻaleka, ka hānō, ke anu, a i ʻole ke kuni (hiki i kekahi ke loaʻa ke kō)
• Nā lāʻau lapaʻau no nā pilikia noʻonoʻo
• Nā lāʻau lapaʻau i loko o ka papa o nā lāʻau i kapa ʻia ʻo 'MAO Inhibitors', no ka laʻana ʻo Nardil, Parnate, Marplan, Eldepryl
• Niacin
• Nā lāʻau hoʻopau ʻeha i kapa ʻia ʻo 'NSAIDs', e like me ibuprofen a i ʻole naproxen.
• Pentamidine
• ʻO Phenytoin `(Phenytoin)`
• ʻO nā antibiotics Quinolone e pili ana i ka ciprofloxacin, levofloxacin, a me ofloxacin.
• ʻO kekahi mau mea hoʻohui meaʻai lāʻau
• Nā lāʻau steroid, e like me prednisone a i ʻole cortisone
• Lāʻau lapaʻau thyroid

ʻAʻole piha kēia papa inoa, maopopo? No laila ʻoi aku ka palekana a me ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe ai.

Nā mea e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau

I ka wā e hoʻohana ai i kēia lāʻau lapaʻau, pono ʻoe e ʻike pinepine i kāu kauka e nānā i kou ʻano. ʻO ia hoʻi ke hele ʻana i kāu mau lā keʻena lapaʻau i hoʻonohonoho ʻia.

• Hoʻāʻo HbA1C: Hana ʻia kahi hoʻāʻo i kapa ʻia ʻo `HbA1C (A1C)` e ʻike i ke ʻano o ka hoʻomalu ʻia ʻana o kou kō koko. He hoʻāʻo koko maʻalahi kēia. Hōʻike pinepine ia i ke ʻano o ka hoʻomalu ʻia ʻana o kāu kō i nā mahina 2-3 i hala. Hana pinepine ʻia kēia hoʻāʻo i kēlā me kēia 3-6 mahina, e like me ke kauoha a kāu kauka.
• Ke ana ʻana i ke kō koko: He mea nui loa ke aʻo ʻana pehea e nānā pono ai i kou pae glucose koko ma ka home. Ua hāʻawi paha kāu kauka iā ʻoe i kahi glucometer no kēia. E hoʻomaopopo pono i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kō koko kiʻekiʻe (hyperglycemia) a pehea e kaohi ai iā lākou.
• Ka Hoʻomākaukau no nā Pōpilikia: E mālama mau i kahi kumu kō wikiwiki (e like me 2-3 mau ʻāpana kō, nā papa glucose, kekahi wai huaʻai) kokoke inā e hāʻule koke kou kō koko (hypoglycemia). Inā loaʻa iā ʻoe kahi hihia koʻikoʻi o ke kō koko haʻahaʻa, e like me nā hopu ʻana, a inā nalowale kou ʻike, e haʻi aku i kou ʻohana a me nā hoaaloha e hiki ke ʻū ʻia ʻoe inā ʻoe e hoʻāʻo e hāʻawi iā lākou i ka meaʻai a mea inu paha i kēlā manawa. Inā hana ʻia kēia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
• E haʻi i kāu kauka : Inā ʻike ʻoe he kiʻekiʻe mau kou pae kō koko (e laʻa me ka makewai pinepine, ka mimi pinepine, ka nāwaliwali), e haʻi i kāu kauka. Pono paha e hoʻoponopono ʻia kāu nui o ka lāʻau. Inā loaʻa iā ʻoe kahi maʻi e like me ke kuni a i ʻole ke anu, a inā ʻoe e hoʻoikaika kino ma mua o ka maʻamau, e nīnau i kāu kauka inā pono e hoʻoponopono ʻia kāu nui o ka lāʻau.
• Nā meaʻai a me ka waiʻona: Mai hōʻalo i nā meaʻai.Hiki i ka hana ʻana pēlā ke hoʻohaʻahaʻa i kou kō koko. E nīnau i kāu kauka inā pono ʻoe e pale i ka inu ʻana i ka waiʻona. ʻAʻole ʻōlelo ʻia ka waiʻona i ka hapa nui o nā hihia. ʻO kekahi mau syrups cough a me ke anu āu e kūʻai ai mai nā hale kūʻai lāʻau lapaʻau paha he kō a waiʻona paha. Hiki iā lākou ke hoʻopilikia i kāu kō koko, no laila he manaʻo maikaʻi e nīnau i kāu kauka ma mua o ka lawe ʻana iā lākou.
• Palekana i ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou ʻili i ka lā (photosensitivity). No laila, e makaʻala i ka lā ikaika i ke ao. Inā pono ʻoe e hele i waho i ka lā, e ʻaʻahu i nā lole e uhi ana i kou kino, e ʻaʻahu i ka pāpale, a e hoʻohana i kahi 'Sunscreen' maikaʻi (SPF 30 a ʻoi aku paha). Mai hoʻohana i nā 'kukui lā' a i ʻole nā ​​'moena/hale moe'.
• ID Lapaʻau: E komo i kahi kūpeʻe lima a kaulahao paha e hōʻike ana i kou maʻi (diabetes), nā lāʻau lapaʻau āu e lawe ai, a me ka wā e lawe ai iā lākou, a i ʻole e mālama i kahi kāleka me kēlā mau kikoʻī i loko o kāu ʻeke i nā manawa a pau. He mea nui loa kēia i ka wā pilikia.

Nā hopena ʻaoʻao e hiki ke loaʻa me kēia lāʻau lapaʻau

E like me nā lāʻau lapaʻau āpau, hiki iā Glipizide ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi o lākou a pono e hōʻike koke ʻia i kāu kauka . ʻAʻole koʻikoʻi kekahi o lākou a e nalo aku i loko o kekahi mau lā.

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

• Nā hopena aleri: He mea weliweli loa kēia. E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona e like me ka ʻili ʻulaʻula, ka maneʻo nui, ka hives, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu. Hiki i ka pehu ʻana o ka puʻu ke pilikia i ka hanu ʻana.
• ʻO ka hypoglycemia koʻikoʻi: haʻalulu a haʻalulu paha, hopohopo, hou nui, ʻili anu a palupalu paha , huikau, poniuniu koʻikoʻi, puʻuwai wikiwiki, nalowale ka ʻike, nā hopu ʻana. Inā hana ʻia kēia, pono ʻoe e hele koke i ka haukapila.
• ʻAnemia Hemolytic: He anemia kēia i hoʻokumu ʻia e ka haki ʻana o nā hunaola koko ʻulaʻula. Hiki i kēia ke hana i ka nāwaliwali a luhi paha, ka poniuniu, ka ʻeha poʻo, ka pilikia o ka hanu ʻana, ka mimi ʻeleʻele, a me ka melemele o ka ʻili a i ʻole nā ​​maka.

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

• Ka maʻi pākī
• Pōʻino (ʻoluʻolu)
• Kinoea, pehu ʻōpū
• Ka luaʻi, ka luaʻi ʻana
• Nā haʻalulu a haʻalulu paha (ʻaʻole pili i ke kō koko haʻahaʻa)

ʻAʻole paha e komo kēia papa inoa i nā hopena ʻaoʻao āpau, no laila inā ʻike ʻoe i kekahi mea hou a ʻano ʻē paha, mai makaʻu e kamaʻilio me kāu kauka e pili ana i ia mea.

Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?

• E mālama i kēia lāʻau lapaʻau mai kahi hiki ʻole i nā keiki ke loaʻa a mai ko lākou hiki ʻana aku.
• E mālama ma ka mahana o ka lumi, ma lalo o 30 kekelē Celsius (86 kekelē Fahrenheit), ma kahi maloʻo. Mai mālama ma nā wahi haʻahaʻa kiʻekiʻe, e like me ka lua.
• Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā. E hoʻolei pono iā lākou. Hiki iā ʻoe ke nīnau i kāu hale kūʻai lāʻau no nā kuhikuhi no ke ʻano o ka hoʻolei pono ʻana i nā lāʻau lapaʻau.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i kēia lāʻau maʻi diabetes i kapa ʻia ʻo Glipizide, ʻeā? ʻOiai he ʻatikala lōʻihi kēia, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kekahi ʻike koʻikoʻi.

ʻO ka mea nui e hoʻomanaʻo ai, ʻo ia ka hoʻohana ʻana i kēia lāʻau lapaʻau e like me ka ʻōlelo a ke kauka iā ʻoe, i ka manawa kūpono, a me ka nui kūpono. ʻO ka kāohi ʻana i kāu ʻai a me ka hoʻoikaika kino i kēlā me kēia lā he mau mea nui nō hoʻi e hana me kēia lāʻau lapaʻau. Me ka ʻole o lākou, he paʻakikī ke kāohi maikaʻi i kāu maʻi diabetes ma ka lawe ʻana i kēia lāʻau lapaʻau wale nō.

Inā he mau nīnau kāu, nā hōʻailona hou, a i ʻole nā ​​hopohopo, mai makaʻu a hilahila paha e nīnau i kāu kauka. A i ʻole e nīnau i kāu kauka lāʻau. Hiki i ka noho ʻana me ka maʻi diabetes ke paʻakikī i kekahi manawa, akā inā ua aʻo pono ʻia ʻoe e pili ana i kou kūlana, e hahai i nā ʻōlelo aʻo a kāu kauka, a mālama i kou kino, hiki iā ʻoe ke ola i kahi ola olakino a hauʻoli!