ʻO ka hoʻohana ʻana i ka insulin no ka maʻi diabetes i kekahi manawa hiki ke ʻano paʻakikī iki. Aia nā ʻano insulin like ʻole. I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi o lākou, ʻo Insulin Detemir. Ua haʻi aku paha kāu kauka iā ʻoe e hoʻohana i kēia. Ua kapa ʻia hoʻi ʻo Levemir ka inoa inoa. No laila, e nānā kākou i ke ʻano o ia mea, pehea e hoʻohana ʻia ai, a me nā mea āu e pono ai e ʻike.
He aha ka lāʻau lapaʻau e pili ana i ka insulin Detemir?
I ka ʻōlelo maʻalahi, ʻo Insulin Detemir kahi ʻano insulin i hoʻohana ʻia e mālama i ka maʻi diabetes. ʻO ke kikoʻī, he insulin hana lōʻihi ia . I kekahi manawa ua kapa ʻia ʻo 'basal insulin'.
He aha ke ʻano o ia mea? Ke lawe ʻoe i kēia inikini, ʻaʻole ia e hana i ka manawa hoʻokahi. Akā, hoʻokuʻu mālie ia i ka insulin i loko o kou kino i loko o kekahi mau hola. Kōkua kēia i ka hoʻomalu a me ka hoʻopaʻa ʻana i kou mau pae kō koko i ke ao a me ka pō, e like me ka insulin a ko mākou kino e hana maoli ai.
ʻO ka mea nui, ʻaʻole lawa ka insulin wale nō. ʻO ka ʻai a me ka hoʻoikaika kino, e like me ka ʻōlelo a kāu kauka, he ʻāpana pū kekahi o kēia lāʻau lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau
I ke kūkākūkā ʻana i kēia lāʻau lapaʻau me kāu kauka, he mea nui loa ia e hāʻawi i kahi wehewehe piha o kou kūlana olakino. E hōʻoia e haʻi i kēia mau mea:
- Inā loaʻa pinepine iā ʻoe nā manawa o ke kō koko haʻahaʻa .
- Inā he maʻi maka kou a he pilikia paha ka ʻike.
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka insulin, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama i ka wā ma mua.
- Inā hāpai ʻoe, a ke kali nei paha i kahi pēpē .
- Inā he makuahine hānai waiū ʻoe.
Ma muli o kēia ʻike, e hoʻoholo ke kauka i ke ʻano lapaʻau e kūpono loa iā ʻoe.
Pehea e hāʻawi pololei ai i kēia injection?
He inikini kēia ma lalo o ka ʻili. Na kāu kauka a kahu maʻi paha e hōʻike pololei iā ʻoe pehea e hāʻawi ai.
- I ka manawa: He mea nui loa e lawe i ka inikini i ka manawa like i kēlā me kēia lā.
- Mai hoʻohuihui: Mai hoʻohuihui i ka Insulin Detemir me kekahi insulin ʻē aʻe i loko o ka syringe like.
- Mai lūlū: Mai lūlū ikaika i ka ʻōmole insulin a i ʻole ka peni ma mua o ka hoʻohana ʻana.
- E nānā i ke ʻano: E nānā mau i ke ʻano o ka insulin ma mua o ka hoʻohana ʻana. Pono ia he wai moakaka, ʻaʻohe kala, e like me ka wai . Mai hoʻohana inā he ao, mānoanoa, ʻeleʻele, a he mau ʻāpana paha i loko.
- Ke wehe ʻana i ka nila: Inā ʻoe e hoʻohana ana i ka peni insulin, e hoʻomanaʻo e wehe i ka uhi nila waho ma mua o ka lawe ʻana i kāu mahele lāʻau.
- Ke hoʻolei ʻana i nā nila: Mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala. Pono e waiho ʻia i loko o kahi pahu ʻoi. Inā ʻaʻohe āu, e nīnau i kāu kauka pehea e loaʻa ai.
He aha kāu e hana ai inā e poina ʻoe i kahi lāʻau?
He mea nui loa ia ʻaʻole e poina i kahi lāʻau. Akā inā hana ʻoe, e hāʻawi kāu kauka iā ʻoe i nā kuhikuhi no ka mea e hana ai i ia hihia. E hahai i kēlā hoʻolālā. Mai lawe i kahi lāʻau pālua e hoʻopiha ai i kahi lāʻau i poina.
He aha inā hoʻonui ʻia ka dosage?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hana koke. Hiki iā ʻoe ke kelepona 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.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa ia e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe ai, nā huaora, nā huahana lāʻau lapaʻau, nā mea āpau. No ka mea, hiki i kekahi mau mea ke hoʻopilikia i ke ʻano o ka hana ʻana o ka insulin. ʻO ia hoʻi, hiki i kou pae kō koko ke haʻahaʻa loa a kiʻekiʻe loa paha.
Hōʻike ka papa ma lalo nei i kekahi o nā mea i hiki ke kūʻē i kēlā.
| Māhele lāʻau lapaʻau/mea | Nā laʻana a me nā mea e pono ai ke ʻike |
|---|---|
| Nā lāʻau lapaʻau maʻi diabetes ʻē aʻe | Nā lāʻau lapaʻau e like me Glyburide, Glipizide, a me Metformin. ʻO ka lawe pū ʻana i kēia mau mea e hoʻonui ai i ka pilikia o ke kō koko haʻahaʻa. |
| ʻAila | Hiki i ka waiʻona ke hana i nā loli i manaʻo ʻole ʻia i nā pae kō koko. E nīnau i kāu kauka e pili ana i kēia. |
| Lāʻau lapaʻau no ke koko/maʻi puʻuwai | Hiki i nā lāʻau lapaʻau e like me nā beta-blockers (e like me Metoprolol, Propranolol) ke kōkua i ka pale ʻana i nā hōʻailona o ke kō koko haʻahaʻa (palpitations). |
| Nā lāʻau hoʻopau ʻeha | Nā NSAID (e.g., Ibuprofen, Naproxen), nā lāʻau lapaʻau e like me ka aspirin. |
| Nā steroid | Hiki i nā lāʻau lapaʻau e like me Prednisone a me Cortisone ke hoʻonui i nā pae kō koko. |
| ʻĒ aʻe | Nā pila hoʻomalu hānau, nā hormones thyroid, kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo, a me kekahi mau syrup anu/kunu. |
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.
Nā mea e pono ai ke akahele i ka wā e hoʻohana ai i ka insulin
- Nā nānā maʻamau: E kipa aku i kāu kauka i nā lā i hoʻonohonoho ʻia e nānā i kou kūlana. E hana ʻo ia i kahi hoʻāʻo koko i kapa ʻia ʻo HbA1C i kēlā me kēia 2-3 mahina e ʻike ai pehea ka maikaʻi o ka kaohi ʻana o kāu kō.
- E hoʻāʻo i kāu kō koko: E aʻo pehea e hoʻāʻo ai i kāu kō koko ma ka home. E ʻike i nā hōʻailona o ka hypoglycemia a me ka hyperglycemia, a me nā mea e hana ai e pili ana iā lākou.
- E mālama i kekahi kō kokoke: E mālama mau i kahi toffee, cube kō, a i ʻole papa glucose kokoke e ʻai koke ai inā ʻike ʻoe i nā hōʻailona o ke kō koko haʻahaʻa.
- Mai kaʻana like: Mai kaʻana like i kāu peni insulin a i ʻole kāwele me kekahi. ʻOiai inā ʻoe e hoʻololi i ka nila, hiki nō iā ʻoe ke hoʻolaha i nā maʻi e like me ka Hepatitis a i ʻole HIV.
- ID Lapaʻau: ʻO ke kau ʻana a i ʻole ka hāpai ʻana i kahi kūpeʻe lima a kāleka paha e papa inoa ana i kou kūlana olakino, nā lāʻau lapaʻau, a me ka nui o ka lāʻau he mea nui loa ia i ka wā pilikia.
He aha nā hopena ʻaoʻao e hiki mai ana o kēia?
E like me kekahi lāʻau lapaʻau, hiki i kēia lāʻau ke hoʻoulu i kekahi mau hopena ʻaoʻao.
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke 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, hoʻomaha ʻole, ʻili anu, poniuniu, puʻuwai wikiwiki. |
| Ua emi nā pae potassium | ʻEha a ʻoʻoleʻa paha nā ʻiʻo, nāwaliwali kūikawā, puʻuwai kū ʻole. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā loli o ka wahi injection (Lipondystrophy) | Ka mānoanoa o nā ʻiʻo ma lalo o ka ʻili, ka ʻeha, a i ʻole nā puʻupuʻu ma kahi i inikini ʻia. |
| ʻEha ma kahi i hoʻokomo ʻia | ʻUlaʻula, ʻeha, a pehu iki paha ma kahi i inikini ʻia. |
| Piʻi ke kaumaha | E ʻike paha kekahi poʻe i ka piʻi ʻana o ke kaumaha. |
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
- Hana maikaʻi loa: E mālama i loko o ka puka o ka pahu hau. Akā, ʻaʻole loa i loko o ka pahu hau. Mai hoʻohana i ka insulin hau.
- Mahana o ka lumi:Inā ʻaʻole hiki iā ʻoe ke hoʻokomo i loko o ka pahu hau, hiki iā ʻoe ke mālama iā ia ma ka mahana o ka lumi (ma lalo o 30 degere Celsius). Eia nō naʻe, inā hana ʻoe pēlā, pono ʻoe e wehe ma hope o 42 mau lā .
- Inā ua hala ka lā palena pau, e hoʻolei aku me ka ʻole o ka hoʻohana ʻana.
Nā ʻōmole a me nā peni i hoʻohana ʻia
- E mālama i kahi ʻōmole a peni paha āu i hoʻomaka ai e hoʻohana ma ka mahana o ka lumi . Mai hoʻihoʻi i loko o ka pahu hau ma hope o ka hoʻohana ʻana.
- E mālama mai ka lā pololei a me ka wela nui.
- ʻO ka mea nui loa: Pono ʻoe e hoʻolei i kahi vial a peni paha āu i hoʻomaka ai e hoʻohana ma hope o 42 mau lā . ʻAʻole ia he mea nui inā he lāʻau lapaʻau i koe i loko.
Leka Lawe-Home
- ʻO ka Insulin Detemir kahi insulin hana lōʻihi e kaohi i kou pae kō koko i ka lā a pau.
- E lawe i ka nui i kuhikuhi ʻia e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa i kuhikuhi ʻia. Mai pāpālua i ka nui.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, ʻoiai nā huaora.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). E mālama mau i kahi mea e like me kahi pā lole kokoke.
- Mai kaʻana like i kāu peni insulin a i ʻole syringe me kekahi.
- E mālama pono i ka insulin. E hoʻolei i loko o 42 mau lā o ka hoʻohana ʻana.
- Inā he pilikia a pilikia paha kāu, mai makaʻu e kūkākūkā me kāu kauka.
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