ʻOiai he maʻi Diabetes Mellitus kou, ua haʻi aku paha kāu kauka iā ʻoe e hoʻohana i ka insulin. Nui nā ʻano insulin. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻano insulin e hana wikiwiki ana, ʻo ia hoʻi, hoʻomaka ia e kaohi i nā pae kō koko ma hope koke iho o ka hoʻokomo ʻia ʻana. ʻO ia ka Insulin Glulisine. E nānā kākou i nā mea nui loa āu e pono ai e ʻike e pili ana i ia mea.
He aha kēia ʻano Insulin Glulisine?
I ka ʻōlelo maʻalahi, he ʻano insulin kēia i hoʻohana ʻia no ka mālama ʻana i ka maʻi diabetes. Hana ia ma ka hoʻonui ʻana i ka pae o ka insulin i loko o ko mākou kino a me ka hoʻēmi ʻana i ka pae o ke kō (glucose) i loko o ke koko. No loko ia o ka māhele o ka insulin hana wikiwiki . ʻO ke ʻano kēia e hoʻomaka ana e hana i loko o kahi o 15 mau minuke o ka hoʻokomo ʻia ʻana. ʻO ka maʻamau, i ka wā e hoʻohana ai i kēia lāʻau lapaʻau, pono ʻoe e makaʻala e pili ana i kāu ʻai a me nā hana hoʻoikaika kino. ʻO Apidra lāua ʻo Apidra SoloStar nā inoa kaulana ma ka mākeke.
Nā mea e haʻi aku i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau, e nīnau kāu kauka iā ʻoe i kekahi mau nīnau. He mea nui loa ia e haʻi aku iā lākou i kēia ʻike me ka hūnā ʻole. ʻOi loa aku inā loaʻa iā ʻoe kekahi o kēia mau maʻi, e hōʻoia e haʻi iā lākou e pili ana iā lākou.
- Inā loaʻa pinepine iā ʻoe nā manawa o ke kō koko haʻahaʻa .
- Inā he maʻi maka kou a i ʻole ka hemahema o ka ʻike.
- Inā he maʻi puʻupaʻa a maʻi akepaʻa paha kou.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi i kēia insulin, i kahi mea i kapa ʻia ʻo metacresol, a i ʻole i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha .
He mea nui loa kēia ʻike no kou palekana.
Pehea maoli ʻoe e hoʻohana ai i kēia?
Pono e hoʻokomo ʻia kēia ma lalo o ka ʻili. Pono ʻoe e hoʻohana ia mea e like me ka ʻōlelo a ke kauka iā ʻoe.
ʻO ka mea nui loa, ʻo ia ka manawa. Pono e hoʻokomo ʻia kēia i 15 mau minuke ma mua a i ʻole i loko o 20 mau minuke ma hope o ka ʻai ʻana . No laila, he mea nui loa ka hoʻomākaukau ʻana i kahi meaʻai ma mua o ka hāʻawi ʻana i ka injection. Mai hoʻokaʻulua i ka ʻai ʻana.
E nānā mau i ke ʻano o ka insulin ma mua o kou hoʻokomo ʻana. Pono ia he wai moakaka, ʻaʻohe kala, e like me ka wai . Mai hoʻohana inā he ao, mānoanoa, ʻeleʻele, a i ʻole he mau puʻupuʻu i loko.
Inā ʻoe e hoʻohana ana i ka peni, pono ʻoe e wehe i ka uhi nila o waho mai ka nila e lawe i ka nui.
E akahele loa i ka wehe ʻana i nā nila.
Mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala. E waiho iā lākou i loko o kahi pahu ʻoi kūikawā. E kōkua kēia i ka pale ʻana i nā poʻe ʻē aʻe mai ka hou ʻia ʻana. Inā ʻaʻohe āu, e noi i kāu kauka e kiʻi i hoʻokahi.
He aha inā hoʻonui ʻia ka nui o ka lāʻau?
Inā manaʻo ʻoe ua lawe ʻoe i ka lāʻau lapaʻau ma mua o ka mea i kauoha ʻia, e kelepona koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
ʻO nā mea ʻē aʻe e launa pū me kēia insulin
He mea nui loa e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā huahana lāʻau āu e lawe nei, no ka mea, hiki i kekahi o kēia mau mea ke hoʻopilikia i ke ʻano o ka hana ʻana o kēia insulin.
| ʻAno lāʻau lapaʻau / mea hana | Wehewehena |
|---|---|
| Nā lāʻau lapaʻau maʻi diabetes ʻē aʻe | Hiki ke hoʻopilikia i nā pae kō koko. |
| Nā mea inu ʻona | Hiki ke emi koke a piʻi paha nā pae kō. |
| ʻO kekahi mau lāʻau ʻeha (NSAIDs) | ʻO nā lāʻau lapaʻau e like me Ibuprofen a me Naproxen. |
| Nā lāʻau lapaʻau no ke koko a me ka maʻi puʻuwai | Hoʻopilikia kekahi mau ʻano i nā pae kō. |
| Nā ʻano o nā hormones | Nā lāʻau hoʻomalu hānau, nā steroid (e like me Prednisone). |
| Nā lāʻau lapaʻau no ka hānō a me ke anu | Hiki i kekahi mau syrup ke loaʻa ke kō a i ʻole ka waiʻona. |
| ʻĒ aʻe | Nā lāʻau lapaʻau no ka maʻi HIV/AIDS, kekahi mau lāʻau lapaʻau no nā maʻi noʻonoʻo, kekahi mau lāʻau antibiotic, nā mea hoʻohui lāʻau lapaʻau. |
| Nānā kūikawā: Nā lāʻau lapaʻau e uhi ana i nā hōʻailona o ke kō koko haʻahaʻa | |
| Nā mea pale beta | ʻO nā lāʻau lapaʻau e like me Atenolol, Metoprolol, a me Propranolol, i hoʻohana ʻia no ke koko kiʻekiʻe a i ʻole ka maʻi puʻuwai, hiki ke hana i nā hōʻailona e like me ka haʻalulu a me ka piʻi ʻana o ka puʻuwai e kū mai ana i ka wā e hāʻule ai nā pae kō koko. |
Nā mea e hoʻomanaʻo ai i ka wā e hoʻohana ai i ka lāʻau lapaʻau
- Nā hoʻokolohua maʻamau: E kipa aku i kāu kauka i nā manawa maʻamau e nānā i kou kūlana. Pono ʻoe e loaʻa i kahi hoʻāʻo koko i kapa ʻia ʻo HbA1C (A1C) i kēlā me kēia 2-3 mahina e ʻike ai inā ua kaohi ʻia kāu maʻi diabetes.
- : . , (hyperglycemia) (hypoglycemia) , .
- : , , , . , (seizures) . .
- 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 weliweli e like me ka Hepatitis a me ka HIV.
- He ID lapaʻau: He manaʻo maikaʻi e lawe i kahi ID lapaʻau e loaʻa ana nā kikoʻī e pili ana i kou kūlana olakino a me nā lāʻau lapaʻau āu e lawe nei.
Nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau
| Ka hopena ʻaoʻao | Nā ʻano |
|---|---|
| Nā hopena ʻaoʻao e pono ai ke kōkua koke ʻana o ke 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, hopohopo, hou, anu, poniuniu, puʻuwai wikiwiki, a me ka huikau. |
| Nā pae potassium haʻahaʻa | ʻEha a ʻoʻoleʻa paha nā ʻiʻo, nāwaliwali kūikawā, puʻuwai kūpono ʻole, paʻa paʻa. |
| Nā hopena ʻaoʻao e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Lipodystrophy | Ka mānoanoa o nā ʻiʻo ma lalo o ka ʻili, nā puʻupuʻu, a i ʻole nā palapala ma kahi i hoʻokomo ʻia ai. (E hoʻololi mau i kahi i hoʻokomo ʻia ai e pale aku i kēia). |
| 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 mea nui ka mālama pono ʻana i ka insulin no ka mālama ʻana i kona pono.
- Nā ʻōmole/pā i wehe ʻole ʻia:
- E mālama i loko o ka friji ma kahi mahana ma waena o 2 a me 8 degere Celsius.
- Mai mālama i loko o ka pahu hau. Mai hoʻohana i ka insulin hau.
- Mai hoʻohana ma hope o ka lā pau.
- Nā ʻōmole/pā i hoʻohana ʻia:
- I ka wehe ʻana, hiki ke mālama ʻia ma ka mahana o ka lumi (ma lalo o 25 kekelē Celsius) a i ʻole e hoʻokomo ʻia i loko o ka friji.
- Ma hope o 28 mau lā o ka wehe ʻana, e hoʻolei i nā koena.
- E mālama mai ka lā pololei a me ka wela nui.
Leka Lawe-Home
- He insulin hana wikiwiki ʻo Insulin Glulisine. E hoʻokomo i 15 mau minuke ma mua a i ʻole i loko o 20 mau minuke ma hope o ka ʻai ʻana.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). E mālama mau i kahi mea e like me ke kō kokoke i ka wā e pono ai.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia insulin.
- Mai kaʻana like i kāu peni insulin, nā nila, a i ʻole nā syringe me kekahi.
- E ʻike i ke ala kūpono e mālama ai i kāu lāʻau lapaʻau. E hoʻolei aku i kahi ʻōmole a peni paha i wehe ʻia ma hope o 28 mau lā.
- Inā loaʻa iā ʻoe kekahi mau pilikia a i ʻole nā hōʻailona ʻē, e kamaʻilio koke me kāu kauka.
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