Ke ʻike nei ʻoe i ka noho ʻana me ka maʻi diabetes he mea paʻakikī i kekahi manawa? ʻAʻole maʻalahi ka hoʻomalu ʻana i kou pae kō koko i kēlā me kēia lā. Eia nō naʻe, me nā lāʻau lapaʻau hou i loaʻa i kēia lā, hiki ke hoʻokele nui ʻia. I kēia lā, e kamaʻilio mākou e pili ana i kahi inikini kūikawā a kāu kauka e kuhikuhi ai e kōkua iā ʻoe e kaohi i ka maʻi diabetes type 2.
I ka ʻōlelo maʻalahi, he aha kēia lāʻau lapaʻau?
He hui pū ʻana kēia o ʻelua mau lāʻau lapaʻau. ʻO ia hoʻi, aia nā insulin degludec a me liraglutide i loko o kēia inikini hoʻokahi. Ua hāʻawi paha kāu kauka iā ʻoe i kēia ma lalo o ka inoa inoa ʻo 'Xultophy'.
I ka ʻōlelo maʻalahi, ʻo ka hana nui o kēia lāʻau lapaʻau ka hoʻemi a me ka kaohi ʻana i ka pae o ke kō (glucose) i loko o kou koko. He mea nui e hahai i kāu papaʻai a me ka hoʻoikaika kino i ka wā e hoʻohana ana i kēia lāʻau lapaʻau. Hiki ke hoʻokō ʻia nā hopena maikaʻi loa ke hui pū ʻia nā mea ʻekolu.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau nāu, pono iā ia ke loaʻa kahi kiʻi piha o kou olakino. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea. Mai hūnā i kēia mau mea, no ka mea, no kou palekana ponoʻī ia.
| Kou kūlana olakino a pilikia paha | No ke aha he mea nui e hoʻāla i ka ʻike e pili ana i ia mea? |
|---|---|
| Inā ua loaʻa iā ʻoe ka pancreatitis ma mua. | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ka hoʻi hou ʻana o ke ʻano. |
| Inā loaʻa iā ʻoe a i ʻole kekahi lālā o ka ʻohana pili ka maʻi kanesa thyroid a i ʻole MEN 2, kahi kūlana e hoʻoulu ai i nā puʻupuʻu i loko o nā kelepa. | He mea nui loa kēia ʻike no ka mea he liʻiliʻi loa ka pilikia o ka maʻi kanesa thyroid e pili ana me kēia lāʻau lapaʻau. |
| Inā he maʻi kou i ka puʻupaʻa a i ʻole ke akepaʻa. | Inā ʻaʻole hana pono kēia ʻōkana, pono paha e hoʻololi ʻia ka nui o ka lāʻau lapaʻau. |
| Inā he maʻi puʻuwai kou. | Pono ka poʻe me ka maʻi puʻuwai e makaʻala loa i ka wā e lawe ai i kēia lāʻau. |
| Inā haʻahaʻa kou pae kō koko (hypoglycemia). | Ma muli o ka hoʻohaʻahaʻa ʻana o kēia lāʻau lapaʻau i ke kō koko, ʻoi aku ka nui o ka pilikia no ka mea nona pinepine ke kō koko haʻahaʻa. |
| Inā he mau pilikia ʻōpū a i ʻole nā pilikia ʻōpū. | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ke kaʻina hana hoʻoheheʻe. |
| Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. | I kēlā mau hihia, he mea nui e ʻimi i ka ʻōlelo aʻo a ke kauka e pili ana i ka hoʻohana ʻana i nā lāʻau lapaʻau. |
| Inā he maʻi ʻaleka kou i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea ʻē aʻe paha. | He mea nui e makaʻala i kēia no ka mea hiki ke loaʻa kahi hopena alerika i kēia lāʻau lapaʻau. |
Pehea e hoʻohana ai i kēia injection?
Pono e hoʻokomo ʻia kēia ma lalo o ka ʻili. ʻO ka maʻamau, hoʻohana ʻia ka ʻōpū, ka ʻūhā, a i ʻole ka lima luna no kēia. Na kāu kauka a kahu maʻi maʻi diabetes paha e hōʻike pololei iā ʻoe pehea e hoʻokomo ai i kēia.
He mea nui loa: Mai kaʻana like i kāu peni inikini a i ʻole nā nila me kekahi. ʻOiai inā ʻoe e hoʻololi i ka nila, mai hana pēlā. ʻO ka hana ʻana pēlā e hiki ai ke hoʻopilikia nui iā ʻoe a i ʻole kekahi kanaka ʻē aʻe. Hoʻokahi wale nō peni no hoʻokahi kanaka!
- E lawe i ka manawa kūpono: E lawe i kāu lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa kūpono. Mai hōʻalo i nā lāʻau.
- E hoʻolei pono i nā nila: Mai hoʻolei i nā nila i hoʻohana ʻia i loko o ka ʻōpala. E waiho iā lākou i loko o kahi pahu ʻoi. Inā ʻaʻohe āu, e nīnau i kāu kauka no hoʻokahi.
- E heluhelu i ka pepa ʻike: Ke hāʻawi ʻia ʻoe i kahi lāʻau lapaʻau, e heluhelu pono i ka pepa ʻike (MedGuide/Instructions for use) e hele pū mai ana me ia. Loaʻa i loko ka nui o nā ʻike koʻikoʻi.
He aha kāu e hana ai inā e poina ʻoe i kahi lāʻau?
ʻAʻole maikaʻi ka hoʻokuʻu ʻana i kahi mahele o kēia lāʻau lapaʻau. E kamaʻilio me kāu kauka ma mua e pili ana i ka mea e hana ai inā e poina ʻoe i kahi mahele a hana i kahi hoʻolālā no ia. Mai lawe i kahi mahele pālua e hoʻopiha ai i kahi mahele i poina.
Hiki iā ia ke launa pū me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, hiki nō. Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai ke hoʻopilikia i kou pae kō koko. Eia kekahi, aia kekahi mau lāʻau lapaʻau e uhi ana i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). ʻO ke ʻano kēia, ʻoiai inā haʻahaʻa kou kō koko, ʻaʻole paha ʻoe e ʻike. He mea weliweli kēlā.
No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā lāʻau lapaʻau kuʻuna) .
| ʻAno o ka hopena | Nā laʻana o nā lāʻau lapaʻau |
|---|---|
| Nā lāʻau lapaʻau e hiki ke hoʻopilikia i nā pae kō koko | |
| ʻAila | ʻO kēlā me kēia ʻano waiʻona. |
| Kekahi mau lāʻau antibiotic | E like me Ciprofloxacin, Levofloxacin. |
| Nā lāʻau lapaʻau no ke koko a i ʻole ka maʻi puʻuwai | ʻO nā lāʻau lapaʻau e like me Enalapril, Lisinopril, Losartan. |
| Nā ʻano Steroid | E like me ka prednisone, cortisone. |
| Nā lāʻau lapaʻau maʻi diabetes ʻē aʻe, nā hormones | Nā hormones thyroid, nā lāʻau hoʻomalu hānau. |
| Nā lāʻau lapaʻau e hiki ke uhi i nā hōʻailona o ka hypoglycemia | |
| Nā mea pale beta | E like me Atenolol, Metoprolol, Propranolol (i kuhikuhi pinepine ʻia no ke kaomi koko a i ʻole ka kaohi ʻana i ka helu o ka puʻuwai). |
Nā mea e makaʻala nui ai i ka wā e lawe ai i kēia lāʻau lapaʻau:
- E makaʻala i ke kō koko haʻahaʻa (hypoglycemia): ʻO kēia ka mea nui loa. E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (haʻalulu, hou nui, manaʻo hopohopo, hoʻomaha ʻole, nāwaliwali, puʻuwai wikiwiki). E mālama mau i kekahi kō (nā pahu kō, nā papa glucose, kahi toffee) me ʻoe. Inā manaʻo ʻoe ua maʻi loa a nalowale ka ʻike, e haʻi aku i kou ʻohana ʻaʻole e hoʻokomo i kekahi mea i loko o kou waha. Inā hana ʻia kēia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
- E ʻike i kou pae HbA1C: E nānā mau kāu kauka i kāu hoʻāʻo koko HbA1C. Hōʻike kēia i ka maikaʻi o ka kaohi ʻana o kāu kō koko i loko o 2-3 mahina.
- Mai hōʻalo i ka ʻai ʻana: He mea nui loa ka ʻai ʻana i ka manawa kūpono.
- E komo i kahi kāleka hōʻoia lapaʻau: ʻO ka lawe ʻana i kahi kūpeʻe lima a i ʻole kāleka hōʻoia lapaʻau e hōʻike ana iā ʻoe he maʻi diabetes a me nā kikoʻī e pili ana i nā lāʻau lapaʻau āu e lawe ai hiki ke lilo i mea nui loa i ka wā pilikia.
- E noho i ka wai: Hiki ke hoʻoweliweli ka maloʻo ʻana o ka wai i ka wā e lawe ana i kēia lāʻau. No laila e inu nui i ka wai. Inā ʻike ʻoe i kekahi mau hōʻailona e like me ke kuni, ka luaʻi ʻana, a i ʻole ka maʻi pākī, e kāhea koke i kāu kauka.
Hōʻailona ʻōlelo aʻo: Inā loaʻa iā ʻoe kahi puʻupuʻu a pehu paha i kou ʻāʻī i ka wā e lawe ana i kēia lāʻau lapaʻau, inā loli kou leo (hoarseness) a hoʻomau, inā pilikia ʻoe i ka moni ʻana, a inā pilikia ʻoe i ka hanu ʻana, e ʻike koke i kāu kauka.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi. ʻO ka mea nui, ʻo ia ka makaʻala i kēia mau mea a hana koke inā pono.
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī i ka hanu ʻana a i ʻole ke ale ʻana. |
| ʻO ka maʻi pancreatitis | ʻEha nui o ka ʻōpū e like me ke kua e hele ana i ke kua, e luaʻi ana, a me ke kuni. |
| ʻO ka hypoglycemia koʻikoʻi (haʻahaʻa ke kō koko) | Haʻalulu nui, huikau, maule, paʻakikī ke ʻōlelo. |
| ʻEha puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae. |
| Nā hōʻailona o ke kanesa thyroid | He puʻu hou ma ka ʻāʻī, paʻakikī ke ale ʻana, loli ka leo. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i kāu kauka inā hoʻomau lākou | |
| ʻŌpū ʻeha, luaʻi | ʻŌhū, nalowale o ka makemake |
| ʻEha poʻo | ʻĀʻī ʻeha, ihu wai |
ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e ʻoluʻolu e haʻi i kāu kauka.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e kāhea koke aku i ke Kikowaena ʻIke ʻAihue Lahui ma ka Halemai Lahui ma Colombo, a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Pehea e mālama ai i ka lāʻau lapaʻau?
- Nā pā i wehe ʻole ʻia: E mālama i kēia mau mea ma ka puka o ka pahu hau. Mai waiho iā lākou i loko o ka pahu hau.
- Peni hoʻohana: Ke hoʻohana ʻia, hiki ke mālama ʻia ka peni ma ka mahana o ka lumi (ma lalo o 30 degere Celsius) a i ʻole i loko o ka friji a hiki i 21 mau lā. E hoʻolei i kekahi peni i koe ma hope o 21 mau lā.
- Mai hoʻopaʻahau. Mai hoʻohana i ka lāʻau lapaʻau inā ua paʻahau.
- E mālama mai ka lā pololei a me ka wela nui.
Leka Lawe-Home
- He hui pū ʻia kēia lāʻau lapaʻau o ka insulin a me kekahi lāʻau lapaʻau maʻi diabetes. Kōkua ia i ka kaohi ʻana i ka maʻi diabetes type 2.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha, ʻoiai inā he pancreatitis kou a i ʻole kahi mōʻaukala ʻohana o ka maʻi kanesa thyroid.
- Mai kaʻana like i kāu peni inikini me kekahi.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). E lawe mau i kekahi kō me ʻoe.
- Inā ʻike ʻoe i kahi puʻupuʻu hou a i ʻole ka puʻupuʻu ma kou ʻāʻī, kahi loli i kou leo, a i ʻole ka paʻakikī i ka moni ʻana, mai lawe māmā a e ʻike koke i ke kauka.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, e nīnau i kāu kauka.
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