E noʻonoʻo inā loaʻa koke i kāu hoaaloha a ʻohana paha, nona ka maʻi diabetes, kahi pae kō koko haʻahaʻa loa a kokoke e nalowale ka ʻike. I kēlā manawa, e hopohopo ana ʻoe a ʻaʻole ʻoe i ʻike i ka mea e hana ai, ʻeā? I kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā e hele mai ana ma ke ʻano o ka pauka ihu hiki ke hoʻohana ʻia i nā pilikia hoʻōla ola. Ua like kēia me kahi mea e pono ai i loko o kahi pahu kōkua mua.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau lapaʻau?
Ua kapa ʻia kēia lāʻau lapaʻau he glucagon . Hoʻohana ʻia ia ma ke ʻano he lāʻau lapaʻau ulia pōpilikia no ka poʻe maʻi diabetes ke hāʻule haʻahaʻa loa ko lākou pae kō koko, ʻo ia hoʻi, ka hypoglycemia koʻikoʻi . Ua like ia me kekahi e hana ana ma ke ʻaoʻao ʻē aʻe i ka insulin. ʻOiai e hoʻohaʻahaʻa ana ka insulin i ke kō koko, hoʻokiʻekiʻe ka glucagon i nā pae kō koko.
Pehea lā e hana ai? Ua like ko kākou akepaʻa me kahi hale kūʻai kō. ʻO ka maʻamau, mālama ia i ke kō e hoʻohana ʻia i ka wā e pono ai. Ke emi loa ke kiʻekiʻe o ke kō koko, hoʻokomo ʻia kēia lāʻau glucagon i loko o ka ihu, a hoʻouna ia i kahi hōʻailona i ke akepaʻa, e ʻōlelo ana, "Kūpono! E hoʻokuʻu koke i ke kō i mālama ʻia i loko o ke koko." A laila, i ka wā e hoʻokuʻu ʻia ai ke kō mai ke akepaʻa a hoʻohui ʻia i ke koko, piʻi mālie ke kiʻekiʻe o ke kō.
He mea nui: He hopena manawa pōkole wale nō kēia i ka wā pilikia. Ma hope o ka hāʻawi ʻana i kēia lāʻau lapaʻau , pono ʻoe e kāhea koke i kahi kaʻa kaʻa a lawe paha i ka mea maʻi i ka Emergency Treatment Unit (ETU) o ka haukapila, no ka mea, pono paha ka lāʻau hou aʻe.
Loaʻa pinepine ʻia kēia lāʻau lapaʻau ma ka mākeke ma lalo o ka inoa ʻo BAQSIMI .
Nā mea e haʻi aku i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
Inā kuhikuhi kāu kauka i kēia lāʻau lapaʻau nou a i ʻole kekahi o kou ʻohana, pono ʻoe e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana, no ka mea, hiki ke loli ka pono o kēia lāʻau lapaʻau i ia mau hihia.
| Kūlana olakino a i ʻole ka manawa kūpono | No ke aha he mea nui kēlā? |
|---|---|
| Maʻi adrenal | Hiki i nā pilikia me kēia mau kelepa ke hoʻopilikia i ka hana o ka hormone. |
| Nā puʻupuʻu pancreatic | Hiki i kekahi ʻano o nā puʻupuʻu (e like me ka glucagonoma, insulinoma) ke pane ʻokoʻa i ka glucagon. |
| ʻO ka Pheochromocytoma | He ʻano puʻupuʻu kēia e kū mai ana i loko o ka kelepa adrenal, a hiki i ka glucagon ke hoʻoulu i ke koko kiʻekiʻe. |
| ʻAi iki ma muli o ka maʻi, ke ʻoki kino, a i ʻole ka papaʻai | Inā ʻaʻohe waihona kō o ke kino (glycogen ake), ʻaʻole paha lawa ke kō i koe no ka hana ʻana o ka glucagon. |
| ʻAi ʻai maikaʻi ʻole | No ke kumu hoʻokahi e like me luna, inā haʻahaʻa nā waihona kō o ke kino, hiki ke hoʻemi ʻia nā hopena o ka lāʻau lapaʻau. |
| Nā maʻi ʻaleka i ka glucagon a i ʻole nā mea ʻē aʻe | He mea nui e hoʻomaopopo mai iā mākou inā he maʻi ʻoe i nā lāʻau lapaʻau, nā meaʻai, nā mea mālama, a me nā mea ʻē aʻe. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | He mea nui e kamaʻilio me ke kauka e pili ana i nā hopena hiki ke loaʻa i ke keiki. |
| Inā he makuahine hānai ʻoe | E kūkākūkā me kāu kauka inā paha e hele ka lāʻau lapaʻau i ka pēpē ma o ka waiū umauma. |
Pehea maoli ʻoe e hoʻohana ai i kēia?
ʻOiai he mea kēia e hoʻohana ʻia i ka wā pilikia, he mea nui loa ia e ʻike pono i ka mea e hana ai i ka wā pilikia. No laila, he mea nui e aʻo ʻaʻole wale iā ʻoe iho, akā, i kou ʻohana a me nā hoaaloha e noho pū ana me ʻoe pehea e hoʻohana ai i kēia ma mua o ka hiki ʻana mai o kahi pilikia .
1.E hoʻomaopopo i nā mea a pau i kahi o kāu lāʻau lapaʻau: E hoʻomaopopo i kou ʻohana i kahi o kāu lāʻau lapaʻau (ʻeke, drawer).
2. Kāhea koke i nā lawelawe ulia pōpilikia ma hope o ka mahele mua ʻana: Ma hope o ke kau ʻana i ka lāʻau lapaʻau i loko o ka ihu, me ka manaʻo ʻole ʻelua , e kāhea koke i ka 1990 a kiʻi i kahi kaʻa kaʻa a lawe paha i ka mea maʻi i ka ETU (Emergency Treatment Unit) o ka haukapila kokoke loa.
3. E hoʻohuli i ka mea maʻi ma ko lākou ʻaoʻao: Ma hope o ka hāʻawi ʻana i ka lāʻau lapaʻau, e hoʻohuli mālie i ka mea i ʻike ʻole ʻia ma ko lākou ʻaoʻao. ʻO kēia no ka mea i kekahi manawa hiki ke luaʻi ke hoʻi hou lākou i ka ʻike. Inā hana ʻia kēia, e kōkua kēia i ka luaʻi e puka i waho ma ka waha me ka ʻole o ka paʻa ʻana i loko o nā māmā.
4. E hāʻawi i ka lua o ka lāʻau inā pono: Inā ʻaʻole ʻike ka mea maʻi i kona wā e kali ana i ka ambulance, pono paha e hāʻawi ʻia kekahi lāʻau ʻē aʻe. Pono e hana ʻia kēia me ka hoʻohana ʻana i kahi hāmeʻa hou . ʻAʻole hiki ke hoʻohana ʻia ka hāmeʻa like i ʻelua manawa.
5. Mai waiho wale i ke kanaka ʻoiai inā e hoʻi hou ka ʻike: E noho me ka mea maʻi a hiki i ka hiki ʻana mai o ke kōkua lapaʻau. ʻOiai inā e hoʻi hou ka ʻike, mai waiho wale iā lākou no ka mea e hāʻule hou paha ko lākou kō koko.
E heluhelu pono a e hoʻomaopopo i ka pepa kuhikuhi e hele mai ana me kēia lāʻau lapaʻau. Inā he mea āu e maopopo ʻole ai, e nīnau i kāu kauka.
Hiki ke hāʻawi ʻia kēia i nā keiki liʻiliʻi?
ʻOiai no nā keiki ma luna o 1 makahiki, hiki i nā kauka ke ʻōlelo aku i kēia lāʻau lapaʻau i kekahi mau hihia kūikawā. Akā ʻo kāu kauka wale nō ke hoʻoholo i kēia. No laila, inā ʻoe e hoʻohana ana i kēia no kahi keiki, e hahai pono i nā ʻōlelo a ke kauka.
He aha ka mea e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau?
He lāʻau lapaʻau pilikia kēia no laila haʻahaʻa ka manawa kūpono o kēia. Eia nō naʻe, inā manaʻo ʻoe ua overdose ʻoe ma kekahi ʻano, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele koke i kahi ETU .
Nā mea e hoʻomanaʻo ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau
Inā loaʻa iā ʻoe ka maʻi diabetes a ua kuhikuhi kāu kauka i kēia lāʻau lapaʻau nāu, e hoʻomanaʻo i kēia mau manaʻo.
- E mālama mau me ʻoe: E hōʻoia e lawe i kēia lāʻau lapaʻau i loko o kāu ʻeke i nā wahi a pau āu e hele ai. ʻAʻole mākou i ʻike i ka manawa a me kahi e hiki mai ai kahi pilikia.
- E komo i kahi palapala hōʻoia lapaʻau: He mea nui e komo i kahi kūpeʻe lima a lei paha e hōʻike ana he maʻi diabetes kou. Eia kekahi, e mālama i kahi kāleka i loko o kāu ʻeke me ka papa inoa o kāu mau lāʻau lapaʻau. E maʻalahi kēia i kekahi e kōkua iā ʻoe e hoʻomaopopo i kou kūlana, ʻoiai inā ʻaʻole ʻoe i ʻike.
- E nānā i ka lā pau: E nānā mau i ka lā pau o ka lāʻau. ʻAʻole e hāʻawi ka lāʻau i pau i ka hopena pololei.
- E makaʻala i kou pae kō koko: E aʻo pehea e ana ai i kou pae kō koko. Eia kekahi, e makaʻala 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 i kahi mea e hāʻawi ai i ke kō wikiwiki ma kahi kokoke:E mālama mau i kahi mea kokoke iā ʻoe e ʻai ai i ka wā e ʻike ai ʻoe i nā hōʻailona o ke kō koko haʻahaʻa ( ka dizziness , ka hou ʻana, ka palpitations). Eia kekahi laʻana, glucose toffee, nā cubes kō, a i ʻole kahi ʻōmole mea inu kō.
- E haʻi aku i nā poʻe ʻē aʻe: E haʻi aku i ka ʻohana a me nā hoaaloha ʻaʻole ia he manaʻo maikaʻi ke kau ʻana i ka meaʻai a mea inu paha i loko o ka waha i ka wā e nalowale ana kou ʻike a i ʻole he mau hōʻailona koʻikoʻi e like me ka hopu ʻana, no ka mea, hiki i ka hana ʻana pēlā ke kumu o ka ʻū ʻana. E wehewehe iā lākou e pono ʻoe e ʻimi koke i ke kōkua lapaʻau i kēlā kūlana a pono ʻoe e hāʻawi i kēia glucagon a hiki i ka hiki ʻana mai o ke kōkua lapaʻau.
Eia hou, he hoʻomanaʻo: ʻOiai inā e hoʻi hou ka mea maʻi i ka ʻike a hiki ke kamaʻilio maikaʻi ma hope o ka hāʻawi ʻia ʻana o kēia lāʻau lapaʻau, pono e lawe koke ʻia lākou i ka haukapila. ʻO kēia no ka mea he manawa pōkole nā hopena o ka glucagon. I loko o kekahi mau hola, hiki i ke kiʻekiʻe o ke kō koko ke hāʻule hou i ka weliweli.
Ke hoʻi hou ke kanaka i ka ʻike a hiki ke ale maikaʻi, e hāʻawi iā lākou i kahi mea e ʻai ai a inu paha me nā kalapona e pale ai i ke kō koko mai ka hāʻule ʻana i lalo. Eia kekahi laʻana, hiki iā ʻoe ke hāʻawi iā lākou i kahi laiki, kahi ʻāpana berena, kahi biscuit, a i ʻole ke aniani wai huaʻai.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao, akā ʻaʻole pinepine kēia mau mea i ka hoʻohālikelike ʻia me nā pono e hāʻawi ʻia mai ia mea.
| ʻAno o ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka a i ʻole ETU | |
| Nā hopena alerika | ʻO nā hōʻailona e komo pū me ka ʻulaʻula o ka ʻili, ka maneʻo, ka pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu, a me ka paʻakikī o ka hanu ʻana. He pilikia koʻikoʻi kēia. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | ʻO ka ʻeha poʻo maʻamau ma hope o ka hoʻohana ʻana i ka lāʻau. |
| Ka luaʻi a me ka luaʻi | He kūlana kēia e hiki ke loaʻa i nā poʻe he nui. ʻO ia ke kumu he mea nui e hoʻohuli i ka mea maʻi i ke kūlana moe. |
| ʻO ka ʻeha o ka ihu | Nā mea e like me ka maloʻo, ka mumū, ka ihu wai , a i ʻole ka ihu paʻa i loko o ka ihu. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē, e kamaʻilio me kāu kauka.
Pehea ʻoe e mālama pono ai i kēia lāʻau lapaʻau?
- E mālama ʻia mai nā keiki: E mālama iā ia ma kahi palekana mai ka hiki ʻana aku o nā keiki liʻiliʻi a me nā holoholona.
- E mālama i ka mahana o ka lumi: E mālama i ka mahana o ka lumi ma lalo o 30 kekelē Celsius (86 Fahrenheit). E pale mai ka wela nui a i ʻole ke anu nui.
- E mālama i loko o ka pahu kumu: E mālama i ka lāʻau lapaʻau i loko o ka ʻōwili plastik (ʻōwili hoʻēmi) i kona wā i hoʻokomo ʻia ai a hiki i kou mākaukau e hoʻohana. Inā wehe ʻia, e emi paha ka maikaʻi o ka lāʻau lapaʻau.
- Hoʻohana hoʻokahi: Hoʻokahi wale nō mahele lāʻau i loko o kēlā me kēia ʻōmole. ʻAʻole hiki ke hoʻohana hou ʻia.
Hāʻawi wale kēia ʻatikala i kahi ʻike pōkole o ka pauka nasal glucagon. Inā he mau nīnau hou aku kāu, e ʻoluʻolu e kamaʻilio me kāu kauka no ka ʻike hou aku.
Leka Lawe-Home
- ʻO ka pauka nasal Glucagon kahi lāʻau lapaʻau ulia pōpilikia e hoʻōla ola ai i hāʻawi ʻia i nā maʻi diabetes i ka wā e hāʻule haʻahaʻa loa ai ko lākou pae kō koko (hypoglycemia koʻikoʻi).
- Inā ua kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe, e aʻo i kou ʻohana a me kou poʻe aloha pehea e hoʻohana ai ma mua o ka hiki ʻana mai o kahi pilikia.
- Ma hope koke iho o ka hoʻohana ʻana i ka lāʻau lapaʻau, ʻoiai inā e hoʻi hou ka ʻike o ka mea maʻi, pono e kāhea ʻia kahi ambulance a i ʻole e lawe ʻia ka mea maʻi i ka Emergency Treatment Unit (ETU) o ka haukapila .
- Ke hoʻi hou ka ʻike o ka mea maʻi a hiki ke ale maikaʻi, e hāʻawi iā lākou i ka meaʻai i loaʻa ka carbohydrate (e like me ka berena, nā biscuits) e pale ai i ka emi hou ʻana o ke kō koko.
- E lawe mau i kēia lāʻau lapaʻau me ʻoe a e nānā i kona lā palena pau i nā manawa a pau.
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