Ua kuhikuhi anei kāu kauka iā ʻoe i ka lāʻau lapaʻau no ka maʻi diabetes Type 2? Inā pēlā, ua kuhikuhi ʻia paha ʻoe i ka hui pū ʻana o ʻelua mau lāʻau lapaʻau, ʻo Glyburide lāua ʻo Metformin. He mea nui e ʻike e pili ana i kēia mau lāʻau lapaʻau i ka wā e noho ana me ka maʻi diabetes. No laila i kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi loa e hiki ai 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 nā lāʻau lapaʻau ʻelua. I ka hui pū ʻana, kōkua kēia mau mea ʻelua i ka kaohi ʻana i nā pae kō o kou kino. I kēia manawa, e nānā kākou pehea e hana ai.
- Glyburide: Hana kēia lāʻau lapaʻau ma ka hāʻawi ʻana i kāu pancreas i kahi hoʻoikaika iki. ʻO ia hoʻi, hōʻailona ia i ka pancreas e hana i kahi mea hou aʻe o ka hormone insulin e pono ai ke kino.
- Metformin: Kōkua kēia lāʻau lapaʻau i nā pūnaewele o kou kino e hoʻohana i ka insulin i hana ʻia e kāu pancreas e kōkua i nā pūnaewele e omo i ke kō keu (glucose) mai kou koko.
No laila, ma muli o kēia mau mea ʻelua, ua kāohi ʻia kou pae kō koko.
Akā e hoʻomanaʻo i kēia: ʻAʻole lawa kēia lāʻau lapaʻau wale nō! No ka hoʻomalu pono ʻana i ka maʻi diabetes, pono ʻoe e hahai i kahi papaʻai kūpono a me ka hoʻoikaika kino i kēlā me kēia lā.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana a i ʻole nā maʻamau, no ka mea, ʻo ka hoʻohana ʻana i kēia lāʻau lapaʻau me kēia mau mea hiki ke lilo i mea weliweli.
| E haʻi i kāu kauka inā loaʻa iā ʻoe kēia mau maʻi. |
|---|
| Anemia |
| Ka maloʻo ʻana o ka wai a i ʻole ka luaʻi mau ʻana |
| Inā ua loaʻa iā ʻoe ka ketoacidosis maʻi diabetes ma mua |
| Maʻi puʻupaʻa a maʻi akepaʻa paha |
| Maʻi puʻuwai |
| Ka inu ʻana i ka waiʻona i nā manawa a pau |
| ʻO ka maʻi ovary polycystic (PCOS) |
| Nā maʻi thyroid |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai |
| Inā he makuahine hānai ʻoe |
| Inā he maʻi ʻoe i nā lāʻau sulfa a i ʻole kekahi lāʻau lapaʻau a meaʻai paha |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
- E ale i ka papa me ke aniani wai me ka ʻai . Mai lawe i ka ʻōpū ʻole.
- E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā , e like me ke kauoha a kāu kauka.
- Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia e kāu kauka.
- Inā ʻoe ma luna o 65 mau makahiki, pono paha ʻoe i kahi mahele haʻahaʻa. Na kāu kauka e aʻo iā ʻoe ma kēia.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi no kekahi kumu.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā loaʻa iā ʻoe kekahi kānalua ua lawe nui ʻoe i kēia lāʻau lapaʻau, e hele koke i ka ʻOihana Hoʻopilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ʻo Colombo .
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Ua hāʻawi ʻia iā ʻoe ma muli o kou kūlana olakino. No laila, mai kaʻana like i kāu lāʻau lapaʻau me kekahi.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Aia kekahi mau mea āu e pono ai e makaʻala i ka wā e hoʻohana ai i kēia lāʻau.
- Nā hoʻokolohua lapaʻau maʻamau:E hele i kāu kauka i nā manawa i hoʻonohonoho ʻia a e nānā iā ʻoe iho. E haʻi aku ʻo ia iā ʻoe e hana i kāu hoʻāʻo koko HbA1C i kēlā me kēia 3 a 6 mahina. He hoʻāʻo maʻalahi ʻo HbA1C e hōʻike ana i ka maikaʻi o ka kaohi ʻana o kou mau pae kō koko i nā mahina 2-3 i hala.
- Hypoglycemia: ʻO kēia ka mea nui loa. E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (haʻalulu, hou nui, maʻi ʻino, poniuniu, puʻuwai wikiwiki, huikau). E mālama mau i kahi mea e like me ke kō, kahi ʻāpana kinikini, a i ʻole nā papa glucose kokoke no ka hoʻohana ʻana i ia mau hihia. E hoʻomanaʻo, inā hāʻule haʻahaʻa loa kou kō koko a loaʻa iā ʻoe kahi hopu a nalowale paha ka ʻike, ʻaʻole ia he manaʻo maikaʻi e hoʻokomo i kekahi mea i loko o kou waha i kēlā manawa, no ka mea hiki ke hoʻopā ʻia. Pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
- Nā ʻAi a me ka Waiʻona: Mai hōʻalo i ka ʻai. E kamaʻilio me kāu kauka e pili ana i ka inu ʻana i ka waiʻona. Loaʻa paha i kekahi mau lāʻau lapaʻau no ke kuni a me ke anu ke kō a i ʻole ka waiʻona. Hiki iā lākou ke hoʻopilikia i kou pae kō koko, no laila e nīnau i kāu kauka ma mua o ka lawe ʻana iā lākou.
- ʻO ka hāpai ʻana a me ka kaohi hānau: Hiki i kēia lāʻau lapaʻau ke hoʻomaka hou i kekahi mau wahine (ʻoi aku ka poʻe me nā wā maʻamau ʻole). Hiki i kēia ke hoʻonui i kou manawa e hāpai ai. ʻAʻole ʻoe e lawe i kēia lāʻau lapaʻau inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai. No laila, e kamaʻilio me kāu kauka e pili ana i nā ʻano kaohi hānau āu e hoʻohana ai i ka wā e lawe ana i kēia lāʻau lapaʻau.
- Nā ʻoki kino a me nā hoʻāʻo: Inā e hana ʻia ʻoe i ke ʻoki kino, kahi MRI, a i ʻole kahi CT scan, e hōʻoia e haʻi i ka hui lapaʻau e lawe ana ʻoe i kēia lāʻau lapaʻau. Pono paha ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau i kekahi mau lā ma mua o ka hoʻāʻo.
- E makaʻala i ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kekahi poʻe i ka lā. No laila e makaʻala i ka lā ikaika. Inā ʻoe e hele ana i ka lā, e ʻaʻahu i nā lole e uhi ana i kou ʻili a hoʻohana i ka sunscreen.
Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. E makaʻala i nā hōʻailona ma lalo nei.
| Ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| Nā mea e hōʻike koke aku ai i kāu kauka | |
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu |
| ʻAkika Lactic | ʻEha a ʻoʻoleʻa paha nā ʻiʻo, ʻeha o ka ʻōpū, paʻakikī ka hanu ʻana, luhi nui |
| Ke kō koko haʻahaʻa (Hypoglycemia) | Nā haʻalulu, ka hou nui, ke anu, ka huikau, ka poniuniu, ka puʻuwai wikiwiki |
| ʻAʻai koko hemolytic | Luhi kūikawā, nāwaliwali, poniuniu, ʻeha poʻo, paʻakikī ka hanu ʻana, mimi ʻeleʻele, melemele o ka ʻili a i ʻole nā maka |
| Ka nele o ka wikamina B12 | ʻEha ma nā lima a me nā wāwae, mae wale, nāwaliwali o nā ʻiʻo, poniuniu, huikau |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻeha ka ʻōpū | Pehu, palahēhē, ʻeha ʻōpū, nausea |
| ʻĒ aʻe | ʻEha poʻo, ʻono metala i loko o ka waha |
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i loko o kēia papa inoa. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- ʻOiai ke kōkua nei kēia lāʻau lapaʻau i ka kaohi ʻana i ka maʻi diabetes, he mea nui ka ʻai kūpono a me ka hoʻoikaika kino.
- E lawe mau i ka lāʻau lapaʻau me ka ʻai . Mai lawe i ka ʻōpū ʻole.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino āu.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a e mālama mau i kahi mea me ke kō kokoke.
- Inā kānalua ʻoe i kahi overdose , e hele koke i ka ʻoihana pilikia o ka haukapila (ETU).
- Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi.
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