Ke lawe nei ʻoe i ka insulin e kāohi i kou maʻi diabetes? Inā pēlā, ua kuhikuhi paha kāu kauka iā ʻoe i kahi inikini i kapa ʻia ʻo Insulin Glargine. He paʻakikī iki paha ke kani ʻana o ka inoa, akā mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau, pehea e hana ai, pehea e hoʻohana pono ai, a me nā mea āu e pono ai e ʻike ma ke ʻano maʻalahi a maopopo hoʻi.
I ka ʻōlelo maʻalahi, he aha ka Insulin Glargine?
ʻO ka insulin glargine kahi ʻano insulin kūikawā i hoʻohana ʻia no ka mālama ʻana i ka maʻi diabetes. Hana like ia me ka hormone insulin i loko o ko mākou kino. ʻO ka mea e hoʻolilo ai iā ia i mea kūikawā, ʻo ia ka insulin "hana lōʻihi" . ʻO ke ʻano kēia ma hope o kou hoʻokomo ʻana iā ia, ʻaʻole ia e hana i ka manawa hoʻokahi. Akā, hoʻokuʻu mālie ia i ka insulin a ma ka wikiwiki like ma luna o kahi manawa o 24 mau hola. E like me kā mākou pancreas e hoʻokuʻu maoli i nā ʻāpana liʻiliʻi o ka insulin i ka lā a pau. Ua kapa ʻia hoʻi kēia he basal insulin .
ʻO ka pōmaikaʻi nui o kēia, ʻo ia ke kōkua i ka hoʻomalu ʻana i kou pae kō koko (glucose koko) i ka lā a pau. ʻO ka maʻamau, e aʻo aku ke kauka iā ʻoe e hoʻololi i kāu meaʻai a me ka hoʻoikaika kino me kēia lāʻau lapaʻau. Aia i ka wā e hana pū ai ʻoe i kēia mau mea a pau hiki iā ʻoe ke loaʻa nā hopena maikaʻi loa.
ʻO nā mea nui e haʻi aku i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau:
Ma mua o kou hoʻomaka ʻana e lawe i ka insulin glargine, he mea nui loa ia e haʻi i kāu kauka i kahi wehewehe piha o kou kūlana olakino, no ka mea, e hoʻoholo kēia ʻike i ka nui a me nā kuhikuhi e hāʻawi ʻia iā ʻoe.
E hoʻomanaʻo, mai hūnā i kekahi mea mai kāu kauka. ʻOiai kahi mea liʻiliʻi hiki ke lilo i mea nui no kāu mālama ʻana.
Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e ʻoluʻolu e hoʻomaopopo i kāu kauka e pili ana i ia mea.
| Kūlana olakino a i ʻole ka manawa kūpono | No ke aha he mea nui kēlā? |
|---|---|
| Maʻi puʻupaʻa | I ka emi ʻana o ka hana a nā puʻupaʻa, e loli paha ke ʻano o ka wehe ʻia ʻana o ka insulin mai ke kino. No laila, pono paha e hoʻololi ʻia ka nui o ka lāʻau lapaʻau. |
| Maʻi akepaʻa | ʻO ke akepaʻa kahi e mālama ai ko mākou kino a hana i ke kō. Inā he pilikia me ke akepaʻa, e loli paha nā pono o ka insulin. |
| Inā haʻahaʻa kou pae kō koko (hypoglycemia) | Inā haʻahaʻa kou kō koko i nā manawa a pau, hiki ke piʻi aʻe ke hoʻomaka ʻoe e lawe i ka insulin. No laila he mea nui e makaʻala i kēia ma mua. |
| Ka hemahema o ka ʻike | Pono ʻoe i ka ʻike maka maikaʻi e ana pololei i nā milliliters i loko o ka ʻōmole insulin a me ka syringe. Inā he mau pilikia ʻike maka kāu, e ʻoluʻolu e hoʻomaopopo mai iā mākou. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea ʻē aʻe | He mea nui kēia e ʻike inā he maʻi ʻoe i ka insulin a i ʻole kekahi mea ʻē aʻe i loko. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | Hoʻololi nā pono o ka insulin i ka wā hāpai, no laila he mea nui e haʻi i kāu kauka e pili ana i kēia. |
| Inā ʻoe e hānai waiū ana i kāu pēpē (Breastfeeding) | Pono paha e hoʻoponopono ʻia ka nui o ka insulin i ka wā e hānai ai. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
ʻO ka mea nui loa, ʻo ia ke hoʻokomo pololei i ka insulin. Na kāu kauka a kahu maʻi paha e hōʻike iā ʻoe pehea e hana ai i kēia. E hahai pono i kēlā mau kuhikuhi.
KaʻAnuʻu Hana 1: Ke nānā ʻana i ka insulin
E nānā mau i ka ʻōmole insulin ma mua o ke kau ʻana. He wai moakaka, ʻaʻohe kala o ka insulin glargine, e like me ka wai . Mai hoʻohana inā he ao, he ao, a ua loli paha ke kala. Eia kekahi, e nānā mau i ka inoa a me ka lā palena pau ma ka ʻōmole.
KaʻAnuʻu Hana 2: Ke koho ʻana i kahi e hana ai i ka lāʻau pale
Hāʻawi ʻia kēia lāʻau pale i loko o ka ʻiʻo subcutaneous, ka papa momona ma lalo o ka ʻili. ʻO nā wahi maikaʻi loa no ia:
- ʻO ka ʻāpana a puni ka pihi ʻōpū (ma kahi o 2 ʻīniha ma lalo o ka pihi ʻōpū)
- ʻO ke kua o luna o ka lima
- Nā ʻāpana o luna a me ka ʻaoʻao o ka ʻūhā
Mea nui: Mai hoʻokomo i loko o nā wahi i ʻeha, palapū, pehu, puʻupuʻu, a i ʻole ka ʻili mānoanoa.
KaʻAnuʻu Hana 3: Hoʻololi Paena
He mea nui loa kēia. Mai hoʻokomo ma kahi like i kēlā me kēia lā . Inā ʻoe e hana pēlā, hiki i ka papa momona ma lalo o ka ʻili ke mānoanoa a hana i nā puʻupuʻu. Ua kapa ʻia kēia he `(Lipondystrophy)`. Inā hana ʻia kēia, ʻaʻole e komo pono ka insulin i hoʻokomo ʻia ma ia wahi. No laila, e mālama i kahi puke liʻiliʻi a e kaha i nā wahi āu i hoʻokomo ai. No ka laʻana, inā ʻoe i hoʻokomo ma ka ʻaoʻao ʻākau o ka ʻōpū i kēia pule, e hoʻokomo ma ka ʻaoʻao hema i ka lā aʻe. A laila e neʻe i ka ʻūhā. ʻOiai inā ʻo ia ka wahi like, e hoʻokomo ma kahi o hoʻokahi ʻīniha ka mamao mai kahi āu i hoʻokomo ai i ka lā ma mua.
KaʻAnuʻu Hana 4: Ke hoʻolei ʻana i nā nila a me nā syringe i hoʻohana ʻia
Mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala. Hiki iā lākou ke hoʻoweliweli i nā poʻe ʻē aʻe. Aia nā ipu plastik kūikawā ('nā ipu ʻoi') no kēia mau mea. E nīnau i kāu kauka pehea e hiki ai iā ʻoe ke loaʻa.
Hāʻawi ʻia kēia lāʻau lapaʻau i kekahi manawa i nā keiki ma luna o 6 mau makahiki, akā na ke kauka pediatric kēia e hoʻoholo.
He aha inā ʻoe e lawe nui i ka lāʻau lapaʻau? Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU) . A i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital .
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kāu inikini insulin i ka manawa i hoʻonohonoho ʻia, mai hopohopo. E hoʻomanaʻo, mai lawe pālua i kahi mahele lāʻau e hoʻopiha ai i kahi mahele lāʻau i hala ʻole. ʻO ka hana ʻana pēlā e hiki ai ke hoʻohaʻahaʻa loa i kou kō koko, kahi mea weliweli paha. Inā poina ʻoe i kahi mahele lāʻau, e kāhea i kāu kauka no ka ʻōlelo aʻo. E haʻi aku ʻo ia iā ʻoe i ka mea e hana ai ma hope.
Nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau lapaʻau
I ka wā e lawe ai i ka lāʻau lapaʻau insulin, pono ʻoe e makaʻala nui i kou nohona.
- E nānā pinepine i kou pae kō koko: E hoʻohana i kahi mika kō koko home a e nānā pinepine i kou pae kō koko e like me ke kuhikuhi a kāu kauka. E mālama i kahi moʻolelo o kou pae kō koko.
- E makaʻala i ka hypoglycemia: ʻO kēia ka wā e hāʻule haʻahaʻa loa ai ke kō koko. ʻO kēia ke kūlana weliweli loa e hiki ke hana no kekahi e lawe ana i ka insulin.ʻO nā hōʻailona e komo pū ana me ka hou ʻana , ka haʻalulu, ka pōloli nui, ka wikiwiki o ka puʻuwai, ka hopohopo, ka poniuniu, a me ka huikau.
- E mālama mau i kahi mea ʻono me ʻoe: E mālama mau i kahi mea ʻono me ʻoe, e like me ka glucose toffee, kahi ʻeke kō, kahi mea inu kō, a i ʻole kekahi wai huaʻai, e ʻai i ka wā e ʻike ai ʻoe i nā hōʻailona o ke kō koko haʻahaʻa. Inā nalowale kou ʻike ma muli o ke kō koko haʻahaʻa, mai hoʻokomo i kekahi mea i loko o kou waha. E hele koke i ka haukapila.
- E makaʻala i ka hyperglycemia: ʻO kēia ke kiʻekiʻe o ke kō koko. ʻO nā hōʻailona e pili ana i ka makewai nui , ka mimi pinepine, ka luhi nui, a me ka ʻike maka pohihihi . E haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona.
- E makaʻala i nā lā maʻi: Ke loaʻa iā ʻoe kahi maʻi e like me ke kuni, ke anu, a i ʻole ka maʻi pākī, hiki ke piʻi aʻe kou pae kō koko ma muli o nā loli hormonal i kou kino. E nīnau i kāu kauka inā pono ʻoe e hoʻoponopono i kāu dosage insulin i kēlā mau lā.
- Mai hōʻalo i nā meaʻai: Inā lawe ʻoe i ka insulin a hōʻalo i kahi meaʻai, hiki i kou kō koko ke haʻahaʻa loa. E ʻai i nā meaʻai i ka manawa kūpono.
- E komo i kahi palapala hōʻoia lapaʻau: E lawe mau i kahi kūpeʻe lima a i ʻole kāleka e ʻōlelo ana ua lawe ʻoe i ka insulin no ka maʻi diabetes. Hiki iā ia ke hoʻopakele i kou ola i kahi pilikia.
- Hoʻāʻo HbA1C: E noi aku kāu kauka iā ʻoe e lawe i kahi hoʻāʻo koko i kapa ʻia ʻo "(HbA1C)" ma kahi o hoʻokahi manawa i kēlā me kēia 3 mahina. Hiki i kēia ke kōkua iā ʻoe e ʻike i ke ʻano o kāu kaohi kō koko maʻamau i nā mahina 2-3 i hala.
Hiki paha ke loaʻa nā pilikia me nā lāʻau lapaʻau ʻē aʻe? (Nā Hana like)
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka insulin a hoʻopilikia i kou pae kō koko. Hoʻokiʻekiʻe kekahi mau lāʻau lapaʻau i kou pae kō koko, aʻo kekahi e hoʻohaʻahaʻa iā lākou. Eia kekahi, aia kekahi mau lāʻau lapaʻau e kāohi i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). No laila, ʻaʻole paha ʻoe e manaʻo he haʻahaʻa kou kō koko.
No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā mea hoʻohui) .
| Hopena | Eia kekahi laʻana, nā lāʻau lapaʻau |
|---|---|
| Nā lāʻau lapaʻau e hiki ke hoʻopilikia i nā pae kō koko | |
| ʻO kekahi mau lāʻau lapaʻau koko kiʻekiʻe | E.g.: enalapril, losartan |
| Nā ʻano steroid | Laʻana: prednisolone, cortisone |
| Nā lāʻau lapaʻau | Eia kekahi laʻana: hydrochlorothiazide |
| Nā lāʻau lapaʻau no kekahi mau maʻi noʻonoʻo | Laʻana: fluoxetine, olanzapine |
| ʻAila | Hiki i ka waiʻona ke hoʻohaʻahaʻa a hoʻonui paha i nā pae kō koko me ka manaʻo ʻole. |
| Nā lāʻau lapaʻau e hiki ke uhi i nā hōʻailona o ka hypoglycemia | |
| Nā ʻano o nā mea pale beta | He mau lāʻau lapaʻau kēia i hoʻohana ʻia no ka mālama ʻana i ke koko kiʻekiʻe a me nā maʻi puʻuwai. Eia kekahi laʻana: metoprolol, propranolol. |
Aia kekahi mau hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, hiki i ka insulin glargine ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻO ka hapa nui o ka manawa, ʻaʻole koʻikoʻi kēia mau mea, akā aia kekahi mau mea e pono ai mākou e makaʻala.
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Hypoglycemia (haʻahaʻa ke kō koko) | Haʻalulu, hou nui, hoʻomaha ʻole, huikau, poniuniu, a me ka wikiwiki o ka naʻau. |
| Ua emi nā pae potassium | ʻEha a ʻūlū paha nā ʻiʻo, nāwaliwali kūikawā, puʻuwai kū ʻole. |
| Mea maʻamau (inā hoʻomau, e haʻi i kāu kauka) | |
| Nā loli ma kahi i hoʻokomo ʻia | ʻUlaʻula, ʻeha iki a ʻānai paha ma kahi i inikini ʻia. Malia paha he mau puʻupuʻu ma lalo o ka ʻili (Lipondystrophy). |
| Piʻi ke kaumaha | Hiki ke loaʻa iki ka piʻi ʻana o ke kaumaha i ka wā e hoʻomaka ai ka mālama ʻana i ka insulin. |
Pehea e mālama pono ai i ka lāʻau lapaʻau?
He lāʻau lapaʻau ka insulin e pala koke inā ʻaʻole mālama pono ʻia.
- ʻO nā ʻōmole i wehe ʻole ʻia: E mālama i kēia mau mea ma ka puka o ka friji. Mai mālama i loko o ka pahu hau. Mai hoʻohana i ka insulin inā ua paʻahau ʻia.
- Nā ʻōmole i wehe ʻia/hoʻohana ʻia: Hiki iā ʻoe ke mālama i kāu ʻōmole i hoʻohana ʻia i kēia manawa ma ka mahana o ka lumi (ma lalo o 30 degere Celsius). Akā pono ʻoe e hoʻohana ia mea i loko o 28 mau lā. Inā he koena ma hope o 28 mau lā, e hoʻolei aku.
- E pale mai ka lā pololei a me ka wela nui.
Manaʻolana wau he kōkua kēia mau ʻōlelo aʻoaʻo iā ʻoe. E hoʻomanaʻo, he maʻi ka maʻi diabetes e pono e mālama pono ʻia. ʻO ka mea nui loa, ʻo ia ka hahai pololei i nā ʻōlelo a kāu kauka a kamaʻilio pū me ia e pili ana i nā nīnau a hopohopo paha āu.
Leka Lawe-Home
- ʻO ka Insulin Glargine kahi ʻano insulin e hana i ka lā a kaohi i nā pae kō koko.
- Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Ma kahi o ke kau ʻana i ka lāʻau pale ma kahi hoʻokahi i kēlā me kēia lā, e hoʻololi i ka wahi i kau ʻia ai ka lāʻau pale.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). E mālama mau i kahi mea ʻono kokoke.
- Mai hōʻalo i ka ʻai. E ʻai i ka manawa kūpono.
- Inā ʻoe e poina i kahi lāʻau, mai pāpālua i ka lāʻau. E kūkākūkā me kāu kauka no ka ʻōlelo aʻo.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e kamaʻilio me kāu kauka.
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