Inā loaʻa iā ʻoe ka maʻi diabetes Type 2, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau i kapa ʻia ʻo Canagliflozin (i kapa pinepine ʻia ʻo Invokana) e kōkua i ka hoʻomalu ʻana i kou pae kō koko. He lāʻau lapaʻau maikaʻi loa kēia a pono hoʻi. Eia naʻe, e like me nā lāʻau lapaʻau āpau, hiki iā ia ke hana i kekahi mau hopena ʻaoʻao liʻiliʻi. He liʻiliʻi kekahi o lākou a nalowale i loko o kekahi mau lā. Eia naʻe, i kekahi manawa, hiki ke loaʻa nā kūlana koʻikoʻi e pono ai ka mālama ʻana. No laila, mai hopohopo, e kamaʻilio maopopo mākou e pili ana i nā mea āpau i kēia lā.
Pehea e kaohi ai i nā hopena ʻaoʻao maʻamau?
Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kēlā me kēia kanaka i nā ʻano like ʻole. ʻAʻole pono nā hopena ʻaoʻao āpau i ka mālama lapaʻau. ʻOi aku ka maikaʻi o ka hoʻolohe ʻana i nā loli i kou kino ke hoʻomaka mua ʻoe e lawe i kēia lāʻau lapaʻau.
ʻO nā pilikia nui i ʻike pinepine ʻia, ʻo ia nā maʻi ʻōpū mimi, nā maʻi hū, ke kō koko haʻahaʻa (hypoglycemia), a me ka dehydration. E nānā kākou pehea e hoʻokele ai i kēlā me kēia.
Nā maʻi hū
Hiki ke hana kēia i loko o ka vagina i nā wahine a i ʻole ma ka penis i nā kāne. Inā ua loaʻa iā ʻoe nā maʻi hū ma ka ʻāpana genital i ka wā ma mua, ʻoi aku ka nui o ka loaʻa hou ʻana iā lākou me kēia lāʻau lapaʻau.
Hiki i nā wāhine ke ʻike i nā hōʻailona e like me ke kahe ʻana o ka ʻōpū, ke ʻala ʻē, a i ʻole ka maneʻo. Hiki i nā kāne, ʻoi aku hoʻi nā kāne i ʻoki poepoe ʻole ʻia, ke ʻeha, ka pehu ʻana, a me ke kahe ʻana a puni ka penis glans, e paʻakikī ai ke huki hou i ka ʻili mua.
He mea ʻoluʻolu ʻole nā maʻi hū, akā hiki ke ho'ōla koke ʻia inā mālama ʻia i ka manawa kūpono. No laila e haʻi koke i kāu kauka ke ʻike ʻoe i nā hōʻailona.
E kuhikuhi pinepine kāu kauka i kahi lāʻau antifungal. He pila paha kēia, he suppository, a he kirīmi paha. Pono e hoʻomaʻemaʻe ka maʻi i loko o 7-14 mau lā.
Ka maʻi ʻaʻai mimi (UTI)
Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka ʻōpū mimi, ke koko i loko o kou mimi, ka mimi ʻeleʻele, ka paʻakikī o ka mimi ʻana, ka wela i ka wā e mimi ai, ka mimi pinepine ʻana, a i ʻole ka ʻeha ma kou kua i lalo a i ʻole ka ʻūhā, e hōʻoia e haʻi i kāu kauka. I kekahi manawa, hiki i kahi UTI ke holomua i kahi maʻi puʻupaʻa (pyelonephritis).
E hāʻawi ke kauka iā ʻoe i kahi papa o nā lāʻau antibiotic. E hana i kēia mau mea no ka ho'ōla wikiwiki ʻana:
- E inu i ka wai nui.
- E nīnau i kāu kauka e pili ana i nā mea ʻeha maʻamau hiki iā ʻoe ke lawe no ka ʻeha.
- E lawe i nā lāʻau antibiotic e like me ka ʻōlelo a kāu kauka iā ʻoe, no ka manawa piha. Mai hōʻalo i hoʻokahi mahele lāʻau a lawe paha ma mua o ka mea e pono ai.
E kōkua kēia mau mea i ka pale ʻana i nā maʻi ʻelua.
| Ke ʻano pale ʻana | Wehewehena |
|---|---|
| Ka maʻemaʻe | E hoʻohana wale i ka wai e hoʻomaʻemaʻe i kou wahi genital. E pale i nā kopa ʻino, nā pīpī, a me ka douching āpau. |
| Ka mālama ʻana i ka maloʻo | E mālama i ka wahi i maloʻo i nā manawa a pau. ʻO ka makū ke kaiapuni maikaʻi loa no ka ulu ʻana o ka hū a me ka bacteria. |
| Nā lole komo | E ʻaʻahu i nā lole komo pulupulu ākea a hanu. |
| Nā hana halepaku | Ma hope o ka hoʻohana ʻana i ka lua, e holoi mai mua a i hope i ka wā e hoʻomaʻemaʻe ai. E mimi koke ma hope o ka moekolohe. ʻOi aku ka maikaʻi o ka ʻauʻau ma mua o ka noho ʻana i loko o ka ʻauʻau/ʻauʻau no ka manawa lōʻihi i ka wā e ʻauʻau ai. |
Ke kō koko haʻahaʻa (Hypoglycemia)
Inā ʻoe e lawe i ka insulin a i ʻole nā lāʻau lapaʻau maʻi diabetes ʻē aʻe (e like me glipizide, glyburide) me canagliflozin, e emi loa paha kou pae kō koko. Inā manaʻo ʻoe ua poniuniu , haʻalulu, a nāwaliwali paha , he mau hōʻailona paha kēia o ka hypoglycemia. Inā emi loa kou pae kō koko, e nalowale paha kou ʻike.
- Inā ʻike ʻoe i kēia mau hōʻailona, e nānā koke i kou pae kō koko a kāhea aku i kāu kauka.
- Inā ʻoe e noho ana a moe paha, e ala mālie. Inā ala koke ʻoe, hiki iā ʻoe ke manaʻo i ka poniuniu a hāʻule.
- No ka hoʻonui koke ʻana i ke kō koko , e inu i kekahi wai huaʻai, kahi toffee ʻono, kahi wai ʻono, a i ʻole e ʻai i kekahi mau papa glucose.
- Inā paʻakikī loa ka ʻai ʻana a me ka inu ʻana, pono paha ʻoe i kahi inikini glucagon. Hiki iā ʻoe ke kiʻi i kēia i kuhikuhi ʻia e ke kauka a mālama iā ia ma ka home. E aʻo i kou ʻohana pehea e hoʻohana ai i ka wā pilikia.
- Ma hope o ka ʻai ʻana i kahi mea ʻono, e hoʻomaha iki a nānā hou i kou kō koko. Ke hoʻi hou kou kō koko i ka maʻamau, e ʻai i kahi ʻai liʻiliʻi a meaʻai māmā paha e pale hou i ke kō koko haʻahaʻa.
Ka maloʻo ʻana
Hana ʻo Canagliflozin ma ka wehe ʻana i ke kō keu mai kou kino ma o kou mimi. Eia nō naʻe, hiki iā ia ke hoʻolilo i kou kino i ka wai nui. Hiki i kēia ke hoʻolilo iā ʻoe i ka makewai nui, ka poniuniu, a me ka nāwaliwali .
Inā ʻoe e ʻai ana i ka paʻakai haʻahaʻa a i ʻole e lawe ana i ka lāʻau koko kiʻekiʻe, ʻoi aku ka nui o kou pilikia o ka maloʻo ʻana. E akahele loa i nā lā wela a i ka wā hoʻoikaika kino, no ka mea, e nalowale ana ka wai hou ma o ka hou.
ʻO ke ala maikaʻi loa e pale aku ai i kēia, ʻo ia ka inu ʻana i ka wai a me nā wai he nui. Inā pono, hiki iā ʻoe ke inu i kahi mea inu me nā electrolytes ma ke ʻōlelo aʻo a kāu kauka. Inā nui ka dehydration, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
Nā hopena ʻaoʻao maʻamau ʻē aʻe
Ma waho aʻe o kēia mau mea, aia kekahi mau hopena ʻaoʻao liʻiliʻi ʻē aʻe e hiki mai ana. Inā hoʻopilikia kēia mau mea iā ʻoe a i ʻole ʻaʻole e hoʻomaikaʻi i ka hala ʻana o ka manawa, e kamaʻilio me kāu kauka. Hiki paha iā ia ke hoʻololi i ka nui o kāu lāʻau lapaʻau.
| Ka hopena ʻaoʻao |
|---|
| Hoʻopiha i ka ʻōpū |
| Nā pilikia hoʻoheheʻe |
| Makemake nui |
| Ka luaʻi a i ʻole ka luaʻi |
| Ka pehu ʻana o nā manamana lima a i ʻole nā kapuwaʻi |
| Ka nāwaliwali a luhi paha |
| Piʻi ke kaumaha |
Nā hopena ʻaoʻao koʻikoʻi e makaʻala
He mea kākaʻikahi loa kēia mau mea e ʻike ʻia, akā he mea nui loa ia e ʻike iā lākou.
- Nā pilikia o ka puʻuwai: paʻakikī ka hanu ʻana, ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole, nalowale o ka ʻike.
- Ka hopena maʻi ʻaleka koʻikoʻi (Anaphylaxis a i ʻole Angioedema): Pehu nui a ʻāʻī nui paha o ka maka, nā maka, nā lehelehe, ke alelo, ka ʻāʻī, nā lima, nā wāwae, a pēlā aku.
- Nā haki iwi: Hiki i kēia lāʻau lapaʻau ke hoʻonui iki i ka pilikia o nā haki iwi.
- ʻO ka gangrene o Fournier: He maʻi bacteria kakaikahi loa kēia akā he maʻi koʻikoʻi e hoʻopau ana i nā ʻiʻo ma lalo o ka ʻili a puni ka ʻāpana genital a me ka anus (necrotizing fasciitis). Inā ʻike ʻoe i kekahi mau hōʻailona o ka ʻeha, ka pehu ʻana, a i ʻole ka ʻulaʻula ma ia wahi , e ʻimi koke i ke kōkua lapaʻau.
- ʻO nā hōʻailona koʻikoʻi ʻē aʻe: paʻakikī i ka ʻōlelo ʻana, nāwaliwali, paʻakikī i ka hele wāwae, hou nui, kuni, haʻalulu, a i ʻole nā hōʻailona.
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona koʻikoʻi, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- He lāʻau lapaʻau maikaʻi loa ʻo Canagliflozin no ka maʻi diabetes, akā he mea nui e makaʻala i nā hopena ʻaoʻao.
- ʻO nā maʻi hū a me nā maʻi ʻōpū mimi nā mea maʻamau. Inā ʻike ʻoe i kekahi mau hōʻailona, e haʻi koke i kāu kauka.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). He mea naʻauao ke mālama i kahi mea ʻono kokoke.
- He mea kākaʻikahi loa nā hopena ʻaoʻao koʻikoʻi (e like me nā pilikia puʻuwai, nā maʻi ʻaleka koʻikoʻi, ka gangrene ʻo Fournier). Akā inā loaʻa iā ʻoe kekahi o kēia mau mea , e ʻimi koke i ke kōkua lapaʻau .
- E kamaʻilio ākea me kāu kauka e pili ana i kekahi mau manaʻo ʻē a ʻoluʻolu ʻole paha āu e loaʻa ai. Hiki paha iā ia ke hoʻololi i ka nui o ka lāʻau a i ʻole e hāʻawi i kahi hopena ʻē aʻe.











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