Ke noʻonoʻo kākou i ka maʻi diabetes, manaʻo ka hapa nui o kākou i nā inikini insulin. No kekahi poʻe, he mea paʻakikī a hoʻonāukiuki ka inikini ʻana iā lākou iho me ka nila i kēlā me kēia lā. Akā i kēia manawa, e kahaha ʻoe i ka ʻike ʻana he hopena hou no kēia, kahi ʻano hana hiki ke hoʻohana ʻia me ka ʻole o nā nila. ʻO ia hoʻi, he pauka insulin i hanu ʻia ma ka waha. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā.
He aha kēia insulin waha?
I ka ʻōlelo maʻalahi, he insulin kēia. Akā, ma kahi o ka hāʻawi ʻia ʻana ma ke ʻano he inikini, hele mai ia ma ke ʻano he pauka lahilahi loa. Hoʻoheheʻe ʻia ia ma o ka waha me ka hoʻohana ʻana i kahi mea hoʻoheheʻe kūikawā. A laila komo koke ʻia ka pauka insulin i loko o ke kino ma o nā māmā. Ua kapa ʻia kēia he insulin hana wikiwiki . ʻO ia hoʻi, ke hoʻohana ʻoe ia mea, hoʻomaka ia e kaohi koke i nā pae kō koko.
ʻO ka maʻamau, ua kuhikuhi ʻia kēia lāʻau lapaʻau e kāu kauka me nā hoʻololi i kāu ʻai a me ka hoʻoikaika kino. ʻOiai he ala hou a maʻalahi kēia e kāohi ai i ka maʻi diabetes, ʻaʻole kūpono ia no nā mea āpau. No laila, he mea nui loa ka ʻike pono i ke ʻano o kēia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui e hāʻawi ʻoe i kāu kauka i kahi wehewehe piha o kou kūlana olakino. ʻOi aku hoʻi, pono ʻoe e haʻi iā lākou e pili ana i kēia mau mea:
| Kou kūlana olakino a i ʻole kou ʻano maʻamau | No ke aha he mea nui kēlā? |
|---|---|
| Inā he mea puhi paka ʻoe a ua haʻalele koke paha. | ʻAʻole ʻōlelo ʻia kēia lāʻau lapaʻau no ka poʻe puhi paka a me nā poʻe maʻi māmā. Hiki iā ia ke hoʻopilikia i nā māmā. |
| Inā loaʻa iā ʻoe kahi maʻi māmā e like me ka hānō a i ʻole COPD. | Ma muli o kāna hana ma o nā māmā, hiki iā ia ke hoʻopilikia i ka hanu ʻana i ka poʻe i loaʻa mua i ka maʻi māmā. |
| Inā he haʻahaʻa pinepine kou kō koko (hypoglycemia). | Ma muli o ka hoʻohaʻahaʻa ʻana o kēia lāʻau lapaʻau i nā pae kō koko, hiki ke piʻi aʻe ka pilikia no kekahi kanaka i loaʻa mua ke kō koko haʻahaʻa. |
| Inā he maʻi kou i ka puʻupaʻa a i ʻole ke akepaʻa. | Ma muli o ke kōkua ʻana o kēia mau ʻōkana i ka wehe ʻana i nā lāʻau lapaʻau mai ke kino, inā ua pilikia kā lākou hana, pono paha e hoʻololi ʻia ka nui o ka lāʻau lapaʻau. |
| Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. | I kēia mau hihia, pono ʻoe e kamaʻilio me kāu kauka e pili ana i nā hopena o ka lāʻau lapaʻau a hoʻoholo. |
| Inā loaʻa iā ʻoe kahi hopena maʻi i ka insulin a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. | He mea nui loa kēia e pale aku i nā hopena allergies hiki ke loaʻa. |
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻOkoʻa iki ke ʻano o ka hoʻohana ʻia ʻana ma mua o ka inhaler maʻamau, no laila he mea nui loa e hahai pololei i nā ʻōlelo kuhikuhi i hāʻawi ʻia e kāu kauka a i ʻole ka hui mālama ola.
- Pono ʻoe e hoʻohana i kēia ma hope koke o kou hoʻomaka ʻana i kāu ʻai nui .
- E aʻo aku kāu kauka iā ʻoe pehea e hoʻohana ai i kēia inhaler, pehea e hoʻoponopono ai i kāu mahele lāʻau, a pehea e hoʻololi ai i kāu mahele lāʻau ke maʻi ʻoe a hoʻoikaika kino paha.
- Mai hoʻohana ʻoi aku a emi mai paha ma mua o ka nui i kau ʻia e kāu kauka.
- E heluhelu pono i ka pepa kuhikuhi e hele mai ana me kēia lāʻau lapaʻau. Inā he mau nīnau kāu, e nīnau i kāu kauka.
ʻO ka mea nui loa, ʻo kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kāu inhaler a i ʻole ka pauka insulin me kekahi no kekahi kumu.
He aha inā e hala wau i kahi manawa hoʻonohonoho lāʻau lapaʻau?
He mea nui e pale ʻole i kāu lāʻau lapaʻau. Akā e hāʻawi paha kāu kauka iā ʻoe i kahi hoʻolālā no ka mea e hana ai inā hana ʻoe. E hahai i kēlā hoʻolālā. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i hala ʻole.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e kelepona koke i ke Kikowaena ʻIke ʻAi Poisons ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa. He pilikia paha kēia.
Nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau lapaʻau
Pono ʻoe e makaʻala mau i kou olakino i ka wā e lawelawe ʻia ai kēia lāʻau.
- E ʻike pinepine i kāu kauka: E hele i ke keʻena lapaʻau i nā lā i hoʻonohonoho ʻia e nānā i ka holomua o kāu lāʻau lapaʻau.
- Hoʻāʻo HbA1C: He hoʻāʻo koko maʻalahi kēia. Hiki iā ia ke haʻi iā ʻoe i ka maikaʻi o ka kaohi ʻana o kou kō koko i nā mahina 2-3 i hala. E ʻōlelo paha kāu kauka e hana ʻia kēia hoʻāʻo i kēlā me kēia 3-6 mahina.
- E aʻo 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 ke kō koko haʻahaʻa (hypoglycemia) a me ke kō koko kiʻekiʻe (hyperglycemia) a pehea e hoʻokele ai iā lākou.
- Inā haʻahaʻa kou kō koko: Inā manaʻo ʻoe e haʻalulu, hou, a poniuniu paha, he mau hōʻailona paha kēia o ke kō koko haʻahaʻa. E mālama mau i kahi mea e like me nā papa glucose, kahi pahu kō, a i ʻole kahi toffee ʻono kokoke no ka wā e pono ai.
- Pilikia: Inā he haʻahaʻa kou kō koko a ke loaʻa nei iā ʻoe ka maʻi ʻōʻō a nalowale paha ka ʻike, mai hoʻokomo i kekahi mea i loko o kou waha. Hiki iā ia ke ʻūlū. E hoʻomaopopo i nā poʻe ʻē aʻe i kēia. Pono e lawe koke ʻia ʻoe i ka haukapila.
- Mai hōʻalo i ka ʻai. E nīnau i kāu kauka e pili ana i ka waiʻona. Loaʻa paha i kekahi mau lāʻau lapaʻau kuni a me ke anu ke kō a i ʻole ka waiʻona. Hiki i kēia mau mea ke hoʻopilikia i kāu kō koko.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao koʻikoʻi 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. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana a i ʻole ka wheezing ma hope o ka hoʻohana ʻana i ka lāʻau lapaʻau. |
| Hypoglycemia (haʻahaʻa ke kō koko) | Haʻalulu, hou nui, hoʻomaha ʻole, poniuniu, maule, puʻuwai wikiwiki. |
| ʻO ke ketoacidosis maʻi diabetes (DKA) | Ka makewai nui, ka mimi pinepine, ka waha maloʻo, ka hanu ʻala hua, ka paʻakikī o ka hanu ʻana, ka ʻeha o ka ʻōpū, ka luaʻi. |
| Ua emi nā pae potassium | ʻEha a ʻūlū 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 | |
| Kuke | Hiki ke hana ia i ka wā e hoʻomaka mua ai ʻoe e hoʻohana i ka lāʻau lapaʻau. |
| ʻeha ka ʻāʻī | Hiki paha ke loaʻa kahi ʻoluʻolu iki a ʻeha paha ma ka ʻāʻī. |
Leka Lawe-Home
- He lāʻau lapaʻau wikiwiki ka insulin waha no ka maʻi diabetes, ʻaʻohe nila. Akā, pono e hoʻohana wale ʻia e like me ke kuhikuhi a kāu kauka.
- Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, kou mau kūlana olakino āpau, ʻoiai nā maʻi māmā (e like me ka hānō) a me ka puhipaka.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). E mālama mau i kahi mea e like me ka cube kō a i ʻole ka toffee kokoke no ia mau manawa.
- Inā pilikia ʻoe i ka hanu ʻana, ka ʻulaʻula o ka ʻili, a i ʻole nā hopena koʻikoʻi ʻē aʻe ma hope o ka lawe ʻana i kēia lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau.
- He lāʻau lapaʻau kēia i kuhikuhi ʻia nou wale nō. Mai kaʻana like i kāu mea hoʻoheheʻe a i ʻole ka pauka insulin me kekahi.
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