Loaʻa iā ʻoe ka maʻi diabetes, no laila ua kuhikuhi paha kāu kauka iā ʻoe i kahi inikini i kapa ʻia ʻo Insulin Degludec. Ua ʻike paha ʻoe iā ia ma ka inoa inoa ʻo Tresiba. He ʻano insulin hou kēia e hana ana no ka manawa lōʻihi, kokoke i ka lā holoʻokoʻa. No laila i kēia lā, e kamaʻilio kākou e pili ana i kekahi mau mea nui e pono ai ʻoe e ʻike e pili ana i ka hoʻohana ʻana i kēia.
He aha maoli ka Insulin Degludec?
I ka ʻōlelo maʻalahi, ʻo Insulin Degludec kahi lāʻau lapaʻau i hoʻohana ʻia e kāohi i ka maʻi diabetes. He insulin hana lōʻihi ia. ʻO ia hoʻi, ma hope o hoʻokahi inikini, hiki iā ia ke mālama i nā pae insulin e pono ai i loko o kou kino no kekahi mau hola. Hoʻemi kēia i ka pae o ke kō (glucose) i loko o kou koko.
E hoʻomanaʻo, ʻaʻole lawa kēia lāʻau pale wale nō. ʻO ka maʻamau, me kēia lāʻau lapaʻau , he mea nui loa ka ʻai kūpono a me ka hoʻoikaika kino .
Nā mea e haʻi aku i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau pale, he mea nui e haʻi i kāu kauka e pili ana i kou kūlana olakino, no ka mea, e hoʻoholo kēia i ka nui o ka lāʻau a me nā kuhikuhi e hāʻawi ʻia iā ʻoe.
| Kou kūlana | No ke aha he mea nui e haʻi aku i ke kauka ? |
|---|---|
| Nā hanana pinepine o ke kō koko haʻahaʻa | Hiki i nā nui o ka insulin ke hoʻonui hou i ka pilikia o ka hypoglycemia, no laila pono e mālama pono ʻia. |
| Nā maʻi maka a i ʻole ka hemahema o ka ʻike | Hiki i nā loli i nā pae kō ke hoʻopilikia i kekahi mau maʻi maka. |
| Maʻi puʻupaʻa | Ke hana pono ʻole nā puʻupaʻa, e loli paha ke ʻano o ka wehe ʻia ʻana o ka insulin mai ke kino, a pono paha e hoʻoponopono ʻia ka nui. |
| Maʻi akepaʻa | ʻOiai ke pili pū nei ke akepaʻa i ka hana o ka insulin, pono e makaʻala ke kauka i kēia. |
| Nā maʻi ʻaleka i ka insulin a i ʻole nā lāʻau lapaʻau a meaʻai paha | He mea nui kēia no ka pale ʻana i nā maʻi allergies koʻikoʻi. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha | Hoʻololi nā pono o ka insulin i ka wā hāpai a me ka hānai waiū, no laila he mea nui e kamaʻilio me kāu kauka e pili ana i kēia. |
Pehea pololei e hoʻohana ʻia ai kēia lāʻau pale?
Hāʻawi ʻia kēia inikini ma lalo o ka ʻili (inikini subcutaneous). Na kāu kauka a kahu maʻi paha o ke keʻena maʻi diabetes e hōʻike pololei iā ʻoe pehea e hāʻawi ai.
- E hoʻohana i ka nui kikoʻī. Mai lawe ʻoi aku ma mua o ka mea a kāu kauka e ʻōlelo ai.
- E nānā i ke ʻano o ka insulin. Pono kēia lāʻau lapaʻau e moakāka a ʻaʻohe kala, e like me ka wai. Mai hoʻohana inā he ao, mānoanoa, kala, a i ʻole he mau puʻupuʻu i loko.
- Mai hoʻohuihui me nā insulin ʻē aʻe. Ua kapu loa ʻia ke kāwili ʻana i kēia ʻano Insulin Degludec me nā ʻano insulin ʻē aʻe i loko o ka syringe hoʻokahi.
- Inā he peni insulin: Mai poina e wehe i ka uhi nila waho mai ka nila ma mua o ka hoʻohana ʻana.
- Nā nila i hoʻohana ʻia: Pono e hoʻolei pono ʻia kēia mau mea. E waiho i nā nila a me nā syringe i hoʻohana ʻia i loko o kahi pahu ʻoi. Mai hoʻolei iā lākou i loko o ka ʻōpala. Inā ʻaʻohe āu, e nīnau i kāu kauka pehea e loaʻa ai.
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hopohopo. E kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
- No nā mākua: Inā ʻoe e poina i kahi lāʻau lapaʻau, e kiʻi i ka lāʻau pale i ka wā e hoʻomanaʻo ai ʻoe. Akā, pono e loaʻa ma ka liʻiliʻi he 8 hola ka mamao ma waena o kāu lāʻau lapaʻau aʻe.Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi.
- No nā keiki a me nā ʻōpio: E hāʻawi kāu kauka iā ʻoe i kahi hoʻolālā no ka mea e hana ai inā ʻaʻole ʻoe e hele i kahi hālāwai. E hahai pololei i kēlā hoʻolālā.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, ʻaʻole wale nā lāʻau lapaʻau i kuhikuhi ʻia, akā, ʻo nā lāʻau hoʻopau ʻeha ma luna o ke kauka, nā huaora, a me nā mea hoʻohui lāʻau lapaʻau, no ka mea, hiki i kekahi o kēia mau mea ke hoʻopilikia i ke ʻano o ka hana ʻana o ka insulin.
Aia ma lalo iho kekahi mau mea like:
- ʻOna: Hiki i ka ʻona ke hoʻohaʻahaʻa a piʻi paha ke kō koko me ka manaʻo ʻole.
- Nā lāʻau lapaʻau maʻi diabetes ʻē aʻe: Hoʻonui ʻia ka pilikia o ke kō koko haʻahaʻa (hypoglycemia) i ka wā e lawe pū ʻia ai me kēia mau lāʻau lapaʻau.
- ʻO kekahi mau lāʻau lapaʻau koko kiʻekiʻe (Beta-blockers): Hiki i kēia ke uhi i nā hōʻailona o ke kō koko haʻahaʻa (e like me ka haʻalulu, ka piʻi ʻana o ka puʻuwai), no laila e ʻike paha ʻoe i ke kō koko haʻahaʻa me ka ʻike ʻole.
- Nā lāʻau hoʻopau ʻeha (NSAID): Nā lāʻau lapaʻau e like me ka ibuprofen a me ka naproxen.
- Nā Steroid: Hiki i nā lāʻau lapaʻau e like me Prednisone ke hoʻonui i nā pae kō koko.
- Kekahi mau lāʻau lapaʻau no ka hānō, ke kuni, a me ke anu.
- Puhi paka.
ʻAʻole i piha kēia papa inoa, no laila e hoʻomaopopo pono e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i kēia lāʻau lapaʻau
- Nā nānā maʻamau: Mai poina i nā manawa i hoʻonohonoho ʻia e kāu kauka. He mea nui e nānā i kou holomua.
- Hoʻāʻo HbA1C: He hoʻāʻo koko maʻalahi kēia e hōʻike ana i ka maikaʻi o ka kaohi ʻana i kāu maʻi diabetes i nā mahina 2-3 i hala.
- Ke ana ʻana i nā pae kō koko: E aʻo pehea e ana ai i kou pae kō koko ma ka home. E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kō koko kiʻekiʻe (hyperglycemia) a me nā mea e hana ai e pili ana iā lākou.
- E mālama i kahi mea ʻono ma kahi kokoke: E mālama mau i kahi mea e ʻai koke ai (e like me nā pahu kō, toffee, nā papa glucose) ma kahi kokoke inā ʻike ʻoe i nā hōʻailona o ke kō koko haʻahaʻa.
- Mai hōʻalo i ka ʻai: E ʻai i ka manawa kūpono.
- He kāleka hōʻike: ʻO ke kau ʻana i kahi kāleka a kūpeʻe lima paha e haʻi ana he maʻi diabetes ʻoe a me ke ʻano a me ka nui o ka insulin āu e lawe ai he mea nui loa ia i ka wā pilikia.
He mea nui loa: Mai kaʻana like i kāu peni insulin a i ʻole kāwele me kekahi . ʻOiai inā ʻoe e hoʻololi i ka nila, aia kahi pilikia kiʻekiʻe o ka hoʻoili ʻana i nā maʻi viral weliweli e like me ka Hepatitis a i ʻole HIV.
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.
| Nā ʻano hopena ʻaoʻao | |
|---|---|
| Nā mea e haʻi koke aku i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ke kō koko haʻahaʻa (Hypoglycemia) | Haʻalulu, hou, makaʻu, anu, poniuniu, puʻuwai wikiwiki. |
| Nā pae potassium haʻahaʻa | ʻEha a ʻoʻoleʻa paha nā ʻiʻo, nāwaliwali kūikawā, puʻuwai kū ʻole. |
| Nā mea e haʻi aku ai i kāu kauka inā ʻaʻole lākou i koʻikoʻi, akā hoʻomau | |
| Lipodystrophy | Mānoanoa o ka ʻiʻo ma lalo o ka ʻili a i ʻole ka ʻōpala ma kahi i hoʻokomo ʻia ai. (E hoʻololi mau i kahi i hoʻokomo ʻia ai e pale aku i kēia.) |
| Nā loli ma kahi i hoʻokomo ʻia | ʻEha, ʻulaʻula, a pehu iki paha. |
| Piʻi ke kaumaha | Hiki i kekahi poʻe ke piʻi iki ke kaumaha ma hope o ka hoʻomaka ʻana i ka insulin. |
Pehea e mālama ai i ka lāʻau lapaʻau?
He lāʻau lapaʻau ka insulin e pono e mālama pono ʻia, inā ʻaʻole e nalowale paha kona pono.
Nā ʻōmole a me nā peni i wehe ʻole ʻia
- ʻO ke ʻano hana maikaʻi loa: E mālama ma ka papa o loko o ka pahu hau, ʻaʻole ma ka puka, ma kahi mahana ma waena o 2 a me 8 kekelē Celsius.
- Koho ʻē aʻe: Hiki nō hoʻi iā ʻoe ke mālama ma ka mahana o ka lumi (ma lalo o 30 degere Celsius).
- Mai hoʻokomo i loko o ka pahu hau. Mai hoʻohana i ka insulin hau.
- E hoʻolei ma hope o ka lā pau.
Nā ʻōmole a me nā peni i hoʻohana ʻia
- Hiki iā ʻoe ke mālama i kahi ʻōmole a peni paha āu i hoʻomaka ai e hoʻohana i loko o ka friji a i ʻole ma ka mahana o ka lumi (ma lalo o 30 degere Celsius).
- ʻO ka mea nui loa: Pono e hoʻolei ʻia i loko o 56 mau lā (8 mau pule) o ka hoʻohana mua ʻana. ʻAʻohe mea nui inā he insulin i koe i loko, e hoʻolei wale aku.
- E mālama mai ka lā pololei a me ka wela nui.
Leka Lawe-Home
- He insulin hana lōʻihi ʻo Insulin Degludec. Mai hoʻohuihui me nā ʻano insulin ʻē aʻe i loko o ka syringe hoʻokahi.
- E nānā mau i ka moakāka a me ke kala ʻole o ka hopena insulin ma mua o ka hoʻohana ʻana.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a e mālama mau i kahi mea ʻono kokoke iā ʻoe.
- Mai kaʻana like i kāu peni insulin a i ʻole nā nila me nā poʻe ʻē aʻe.
- E mālama pono i ka insulin. E hoʻolei aku ma hope o 56 mau lā o ka hoʻohana ʻana.
- Inā he mau hopohopo a nīnau paha kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka.
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