Inā ʻoe e noho nei me ka maʻi diabetes Type 2, ʻike paha ʻoe i ka paʻakikī o ka kaohi ʻana i kou pae kō koko. E like me ka ʻōlelo mau a ke kauka, he mea nui loa ka ʻai, ka hoʻoikaika kino, a me ka lāʻau lapaʻau no kēia. I kēia lā e kamaʻilio mākou e pili ana i kahi inikini kūikawā e hele mai ana ma ke ʻano he hui pū ʻana o ʻelua mau lāʻau lapaʻau e kōkua ai i ka kaohi ʻana i ka maʻi diabetes.
He aha kēia lāʻau lapaʻau? I ka pōkole...
He hui pū ʻana kēia o ʻelua mau lāʻau lapaʻau. ʻO ia hoʻi, he hui pū ʻana ia o ka insulin glargine a me ka lixisenatide . Ma ko mākou ʻāina, hiki ke lilo ia ma lalo o nā inoa inoa e like me 'SOLIQUA'.
I ka ʻōlelo maʻalahi, hana ia ma ka hoʻohaʻahaʻa ʻana a me ka kaohi ʻana i kāu mau pae kō koko (glucose). He ʻano insulin hana lōʻihi ka insulin glargine. He ʻano lāʻau lapaʻau ʻokoʻa ʻo Lixisenatide e kaohi ana i ka wikiwiki o ke komo ʻana o ke kō i loko o ke koko ma hope o ka ʻai ʻana a hoʻoulu pū i ko mākou kino e hana i ka insulin.
ʻO ka mea nui loa, pono ʻoe e mālama 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 ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau, he mea nui loa ia e ʻike kāu kauka i kou mōʻaukala olakino piha. ʻO kēia no ka mea pono kekahi mau kūlana olakino i ka mālama kūikawā i ka wā e hoʻohana ai i kēia lāʻau lapaʻau. 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.
- Inā loaʻa pinepine iā ʻoe nā manawa o ke kō koko haʻahaʻa: Hoʻohaʻahaʻa kēia lāʻau lapaʻau i ke kō koko, no laila pono ʻoe e makaʻala loa.
- Nā maʻi maka a i ʻole ka hemahema o ka ʻike: Inā pilikia kou mau maka i ka maʻi diabetes, he mea nui e makaʻala i ia mea.
- Ka maʻi ʻōpū: Hiki i kēia lāʻau lapaʻau ke hana i nā kūlana e like me nā gallstones i kekahi manawa.
- Inā ua loaʻa iā ʻoe ka pancreatitis: Inā ua loaʻa iā ʻoe kēia maʻi i kou mōʻaukala, aia paha kahi pilikia o ka hoʻi hou ʻana.
- Maʻi puʻupaʻa a i ʻole ʻoe ma ka dialysis: Hoʻopau ʻia kēia lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa, no laila pono e hoʻoponopono ʻia kāu dosage.
- Maʻi akepaʻa: Pono hoʻi ke kauka e makaʻala i ka hana o ke akepaʻa.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi koʻikoʻi i kahi lāʻau lapaʻau ma mua: no ka laʻana, ka pehu ʻana o ke alelo, ka maka, a i ʻole nā lehelehe, ka paʻakikī o ka hanu ʻana, a i ʻole ka paʻakikī o ke ale ʻana.
- Nā pilikia o ka ʻōpū: Inā loaʻa iā ʻoe nā pilikia e like me ka lohi o ka ʻai ʻana.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine ʻoe e hānai waiū ana.
- Inā ʻoe e hoʻopilikia nui ʻia e ka waiʻona.
- Inā he maʻi ʻoe i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
ʻAe, pehea ʻoe e hoʻohana ai i kēia injection?
Na kāu kauka a kahu maʻi paha e aʻo pololei iā ʻoe pehea e hoʻohana ai i kēia. He mea nui e hahai pololei i kēlā mau kuhikuhi.
- Kahi e hoʻokomo ai: He hoʻokomo ʻili ma lalo o ka ʻili kēia. Hāʻawi pinepine ʻia ia ma ka ʻōpū, ka ʻūhā luna, a i ʻole ka lima luna . ʻOi aku ka maikaʻi o ka hoʻololi ʻana i nā wahi e hoʻokomo ai ma mua o ka noho mau ʻana ma kahi hoʻokahi.
- Manawa: E lawe i hoʻokahi manawa i ka lā. Pēlā nō hoʻi he 60 mau minuke (hoʻokahi hola) ma mua o ka ʻai nui mua o ka lā . ʻOi aku ka maikaʻi inā hiki iā ʻoe ke lawe iā ia i ka manawa like i kēlā me kēia lā.
- ʻAno o ka lāʻau lapaʻau: Ma mua o kou hoʻokomo ʻana, e nānā i ka wai i loko o ka peni. Pono ia he wai moakaka, ʻaʻohe kala, e like me ka wai . Inā he ao, he kala, he mānoanoa, a he mau ʻāpana liʻiliʻi paha i loko, mai hoʻohana .
- Nā nila: Inā ʻoe e hoʻohana ana i ka peni, mai poina e wehe i ka uhi nila waho mai ka nila ma mua o ka hāʻawi ʻana i ka inikini.
- 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. Mai hoʻohana hou i ka nila like.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau a poina paha ʻoe i kahi mahele lāʻau?
Ka lāʻau i hala ʻole
He mea nui loa ia ʻaʻole e hōʻalo i nā lāʻau lapaʻau. Eia nō naʻe, inā e poina ʻoe i kahi lāʻau lapaʻau, e hahai i nā kuhikuhi a kāu kauka. Mai lawe i kahi lāʻau lapaʻau pālua e hoʻopiha ai i kahi lāʻau lapaʻau i poina. Hiki i kēia ke hoʻohaʻahaʻa loa i ke kō koko.
Overdose
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
He mea nui loa ia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei i ka wā e lawe ana i kēia lāʻau. Hiki i kekahi mau lāʻau ke hoʻopilikia i kāna hana. Eia kekahi, hiki i kekahi mau lāʻau ke hoʻololi i kāu mau pae kō koko.
| Papa lāʻau / hopena | Nā laʻana a me nā mea e pono ai ke ʻike |
|---|---|
| Nā lāʻau lapaʻau e hiki ke loaʻa ka hopena pololei | ʻAcetaminophen, Digoxin, Warfarin, nā lāʻau hoʻomalu hānau, nā lāʻau lapaʻau ʻē aʻe no ka maʻi diabetes. E haʻi i kāu kauka inā ʻoe e lawe nei i kēia mau mea. |
| Nā mea e hiki ke hoʻololi i nā pae kō koko | ʻO ka waiʻona, ka aspirin, kekahi mau lāʻau koko kiʻekiʻe, nā steroids (e like me Prednisone), kekahi mau lāʻau kuni/anu, nā lāʻau no ka maʻi noʻonoʻo, kekahi mau antibiotics, a me nā mea hoʻohui lāʻau lapaʻau. |
| Nā lāʻau lapaʻau e uhi ai i nā hōʻailona o ke kō koko haʻahaʻa | He mea nui loa kēia. Hiki i nā Beta-blockers (e.g. Propranolol, Metoprolol) i hoʻohana ʻia no ke koko kiʻekiʻe a i ʻole ka maʻi puʻuwai ke uhi i nā hōʻailona mua o ke kō koko haʻahaʻa, e like me ka haʻalulu a me ka hou ʻana. No laila, inā ʻoe e lawe nei i kēia mau mea, pono ʻoe e nānā pinepine i kāu pae kō koko. |
No laila, e hana i kahi papa inoa o kēlā me kēia lāʻau lapaʻau, wikamina, a me nā huahana lāʻau āu e lawe ai a hāʻawi i kāu kauka. E haʻi pū i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e pono ai ʻoe e makaʻala i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā maʻamau: E hele i nā keʻena lapaʻau i nā manawa i hoʻonohonoho ʻia e like me ke kuhikuhi ʻana a kāu kauka. Hana ʻia kahi hoʻāʻo koko i kapa ʻia ʻo HbA1C ma kahi o hoʻokahi manawa i kēlā me kēia 2-3 mahina. Hōʻike ia i ka maikaʻi o ka kaohi ʻana o kāu kō i nā mahina i hala iho nei.
- E ana i ka pae kō:E aʻo pehea e hoʻāʻo ai i kou pae kō koko ma ka home. E ʻike i nā hōʻailona o ka hypoglycemia a me ka hyperglycemia.
- Inā hāʻule kou kō koko: E mālama mau i kahi kumu kō wikiwiki me ʻoe, e like me ka candy kō a i ʻole ka papa glucose. Inā hāʻule haʻahaʻa loa kou kō koko a manaʻo ʻoe ua poniuniu a palupalu paha, e haʻi aku i kou ʻohana ʻaʻole e hoʻokomo i kekahi mea i loko o ko lākou waha i kēlā manawa. I kēlā hihia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
- Mai hōʻalo i ka ʻai: E ʻai i ka manawa kūpono.
- Mai kaʻana like i kāu peni: Mai kaʻana like i kāu peni inikini me kekahi. ʻOiai inā ʻoe e hoʻololi i ka nila, hiki nō iā ʻoe ke hoʻolaha i nā maʻi weliweli e like me ka Hepatitis a me ka HIV.
- ID Lapaʻau: E ʻaʻahu/mālama mau i kahi mea e like me ke kāleka a kūpeʻe lima paha ma kahi kokoke e hōʻike ana he maʻi diabetes ʻoe a me nā ʻano a me nā nui o nā lāʻau lapaʻau āu e lawe ai.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā hopena alerika koʻikoʻi | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī ka hanu ʻana. |
| ʻO ka maʻi pancreatitis | ʻEha nui o ka ʻōpū e pālahalaha ana i ke kua, ʻeha e ʻoi aʻe ana ma hope o ka ʻai ʻana, ke kuni, ka nausea, a me ka luaʻi ʻana. |
| ʻEha puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae, nā lima, a me nā wāwae. |
| Ke kō koko haʻahaʻa (Hypoglycemia) | Haʻalulu, hopohopo, hou nui, anu, huikau, poniuniu, puʻuwai wikiwiki. |
| Nā pilikia o ka ʻōpū gall | ʻEha nui o ka ʻōpū, nausea, luaʻi, kuni. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike i ke kauka inā hoʻomau lākou) | |
| |
Pehea e paʻa pono ai i ka peni?
He mea nui hoʻi e mālama pono i kēia lāʻau.
- Nā Peni i wehe ʻole ʻia:
- E mālama i loko o ka friji ma kahi mahana maʻamau (ma waena o 2 a me 8 kekelē Celsius).
- Mai mālama i loko o ka pahu hau. Mai hoʻohana i nā lāʻau lapaʻau i hoʻopaʻahau ʻia.
- Inā ua hala ka lā palena pau, e hoʻolei aku.
- Nā peni āu e hoʻohana nei:
- E mālama i kēia ma ka mahana o ka lumi (ma lalo o 25 kekelē Celsius). Mai hoʻokomo i loko o ka pahu hau.
- E pani pono i ka pāpale peni ma hope o kēlā me kēia hoʻohana a pale mai ka mālamalama.
- Mai waiho i ka peni i lalo me ke kui i hoʻopaʻa ʻia. ʻO ka hana ʻana pēlā e hoʻokahe ai paha ka lāʻau lapaʻau.
- Ma hope o 28 mau lā o ka hoʻohana ʻana, e hoʻolei aku i ka peni, ʻoiai inā he lāʻau lapaʻau i koe i loko.
Leka Lawe-Home
- E lawe mau i kēia lāʻau lapaʻau e like me ke kauoha a kāu kauka, ma ka nui i kauoha ʻia a i ka manawa kūpono.
- Mai kaʻana like i kāu peni inikini me kekahi no kekahi kumu.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). E mālama mau i kahi mea e like me ka lole kō kokoke.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā huahana lāʻau āu e lawe nei.
- Inā ʻike ʻoe i kekahi mau hōʻailona o kahi hopena koʻikoʻi, e ʻimi koke i ke kōkua lapaʻau me ka hoʻokaʻulua ʻole.
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