He kanaka anei ʻoe me ka Diabetes Mellitus? Inā pēlā, ua kuhikuhi paha kāu kauka iā ʻoe i kahi inikini insulin kūikawā e lawe ma mua o ka ʻai ʻana. Ua ʻōlelo ʻia paha ʻoe e ʻai i loko o 10-15 mau minuke o ka lawe ʻana i kēia. Ke noʻonoʻo nei paha ʻoe, "No ke aha i hāʻawi koke ʻia ai kēia insulin? He ʻokoʻa anei ia mai nā insulin ʻē aʻe?" ʻO ia ka mea a mākou e pane ai ma kēia ʻatikala i kēia lā. E hoʻomaopopo kākou i nā mea āpau e pili ana i kēia insulin hana wikiwiki, ʻo ia hoʻi ʻo Insulin Lispro, me ka maopopo a me ka maʻalahi.
ʻO ka mea mua, he aha ka insulin?
I ka ʻōlelo maʻalahi, he hormone ka insulin i hana maoli ʻia i loko o ko kākou kino. Hana ia e like me ke kī. Pono ke kō i loko o ka meaʻai a kākou e ʻai ai, i kapa ʻia ʻo glucose, e komo i loko o ko kākou mau cell a hoʻolilo ʻia i ikehu. Akā ua pani ʻia nā puka i nā cell. ʻO ka insulin ke kī e wehe ai i kēlā mau puka. Hana ka insulin i ʻelua mau mea nui: 1. Kōkua ia i nā cell e hoʻololi i ke kō (glucose) i loko o ka meaʻai a kākou e ʻai ai i ikehu. 2. Inā ʻoi aku ka nui o ke kō i loko o ko kākou kino ma mua o ka mea e pono ai, mālama ʻia ke kō keu i loko o ke akepaʻa no ka hoʻohana ʻana ma hope. Ma kēia ʻano, kōkua ka insulin i ka mālama ʻana i ko kākou mau pae kō koko i kahi pae olakino.
No laila he aha ka Insulin Lispro?
ʻO ka Insulin Lispro kahi ʻano insulin i hana ʻia ma kahi keʻena hoʻokolohua e kānaka. Ua like loa ia me ka insulin maoli i loko o ko kākou kino. Akā aia kekahi mea kūikawā e pili ana i ia mea. He ʻano insulin
hana wikiwiki ia. ʻO ia hoʻi, hoʻomaka ia e hana i loko o kekahi mau minuke o ka hoʻokomo ʻia ʻana. Loaʻa ia ma lalo o nā inoa inoa like ʻole, e like me Admelog® a i ʻole Humalog®. Na kāu kauka e kuhikuhi i ke ʻano kūpono loa iā ʻoe.
ʻO wai ka mea e pono ai kēia insulin wikiwiki?
Pono paha ʻoe i kēia insulin inā loaʻa iā ʻoe ka maʻi diabetes. ʻElua ʻano nui o ka maʻi diabetes, ʻeā?
- ʻO ka maʻi diabetes ʻAno 1 : Hoʻomaka pinepine kēia i ka wā kamaliʻi. ʻO ka mea e hana ʻia ma ʻaneʻi, ma muli o kahi kīnā i loko o ka ʻōnaehana pale o ke kino, ua luku ʻia nā cell e hana ana i ka insulin . No laila, ʻaʻole hiki i ke kino ke hana i ka insulin. No laila, pono e lawe ʻia ka insulin ma waho no ke koena o kona ola.
- ʻAno 2 Diabetes: He ʻano maʻi kēia e ulu mālie ana i ka hala ʻana o ka manawa. Nā ʻano ʻai maikaʻi ʻole, momonaHiki ke hana ʻia kēia no nā kumu e like me: ʻO ka mea e hana ʻia ma ʻaneʻi, ʻoiai ke hana nei ke kino i ka insulin, ʻaʻole pane pono nā cell o ke kino i kēlā insulin ( ke kūʻē ʻana i ka insulin ). A laila, pono ka insulin ma mua o ka maʻamau e kaohi i nā pae kō koko.
No nā kānaka me nā ʻano maʻi diabetes ʻelua, ua kuhikuhi nā kauka i kahi insulin hana wikiwiki e like me Insulin Lispro e kaohi i ka piʻi koke ʻana o ke kō koko, ʻoiai ma hope o ka ʻai ʻana.
Pehea e hana ai kēia me ka meaʻai?
ʻO ka maʻamau, ke hoʻomaka ke kanaka olakino e ʻai, ma mua o ka ʻeli ʻia ʻana o ka meaʻai a hoʻohui ʻia ke kō i ke koko, hoʻokuʻu ʻia ka insulin mai ke kino. ʻO kēia ke hoʻomākaukau i ke kino e ʻae i ke kō e hiki mai ana. Eia naʻe, ʻaʻole hana pono kēia kaʻina hana i loko o ke kino o ke kanaka me ka maʻi diabetes. No ka hoʻopiha ʻana i kēlā hakahaka, lawe mākou i ka inikini Insulin Lispro 5-15 mau minuke ma mua o ka ʻai ʻana. A laila, i ka manawa e hoʻohui ʻia ai ke kō i loko o ka meaʻai a mākou e ʻai ai i ke koko, hoʻāla ʻia kēia insulin e kaohi iā ia.
E noʻonoʻo ʻoe e hoʻomākaukau ana ʻoe e ʻai i kahi pāʻina ʻono. Ma hope o kou ʻai ʻana i ka pāʻina, lilo nā kalapona i loko i ke kō a komo i loko o ke koko. Ua like ʻo Insulin Lispro me kahi kiaʻi e hōʻea ana ma mua o ka ʻae ʻia ʻana o kēlā kō. Wehe ia i nā puka o nā pūnaewele, e ʻae ana i ke kō e komo.
E pono anei iaʻu nā ʻano insulin ʻē aʻe?
ʻAe, pinepine ia. ʻO ka poʻe me ka maʻi diabetes type 1, ʻoi aku hoʻi, pono lākou i ʻelua ʻano insulin. ʻO ia no ka mea hana ka insulin ma nā wikiwiki like ʻole a no nā manawa like ʻole. E noʻonoʻo i kēia mau ʻano insulin e like me nā mea holo e holo ana ma nā wikiwiki like ʻole.
| ʻAno insulin | Pehea e hana ai |
|---|
| Hana wikiwiki (e.g. Insulin Lispro) | Ua like kēia me ka mea holo wikiwiki 100 mika. Hoʻomaka ia e hana i loko o kekahi mau minuke, akā he mau hola ka lōʻihi e hoʻopau ai i ka hana. Hoʻohana ʻia kēia me nā meaʻai. |
| Hana pōkole/Maʻamau | Ua hoʻomaka kēia e hana i loko o 30 mau minuke a ua hana no kekahi mau hola. |
| Hana lōʻihi | Ua like ia me ka mea holo marathon. He mau hola ka lōʻihi e hoʻomaka ai e hana, akā he 24 mau hola a ʻoi aku paha ka ikaika. Hana ia i kēia ma ka mālama ʻana i nā pae insulin basal e pono ai ke kino i ka wā ʻai a me ka pō. |
No laila, e kuhikuhi paha kāu kauka i kahi insulin hana lōʻihi, e like me Insulin Lispro, me kahi insulin hana wikiwiki. No ka poʻe me ka maʻi diabetes type 2, hiki iā lākou ke paipai i ka hoʻohana ʻana i kēia me nā pila a i ʻole nā inikini ʻē aʻe.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
He mea nui loa e haʻi i kāu kauka i kou mōʻaukala olakino piha. E hōʻoia e haʻi i kēia mau mea:
- Inā hāpai ʻoe , e hoʻāʻo ana e hāpai, a e hānai waiū ana paha.
- Inā he mau maʻi ʻaleka kou i ka insulin, metacresol, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā mea mālama a i ʻole nā mea hoʻoluʻu.
- Inā he pilikia kou ʻike maka, he ʻike maka pōwehiwehi, a he diabetic retinopathy paha .
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā haʻahaʻa pinepine kou pae kō koko (Hypoglycemia) .
Ma muli o kēia ʻike, e hoʻoholo kāu kauka i ka lāʻau kūpono loa a me ka hoʻolālā lapaʻau nāu.
Pehea pololei e loaʻa ai kēia lāʻau pale?
Hiki ke ʻano hopohopo iki ka hoʻokomo ʻana i ka insulin i ka wā mua, akā i ka wā e maʻa ai ʻoe, ua maʻalahi loa ia. E hōʻike kāu kauka a kahu maʻi paha ma ke keʻena maʻi diabetes iā ʻoe pehea e hana ai me ka maopopo. Eia nā ʻanuʻu maʻamau: 1.
Ke hoʻomākaukau nei: E hoʻomākaukau i kāu peni insulin a i ʻole ka vial a me ka syringe. Inā he peni ia, e hoʻopili i kahi nila hou iā ia. 2.
Ke wehe ʻana i ke poʻi o ka peni: Wehe i ke poʻi pale mai ka peni a i ʻole ka syringe. 3.
Ke hoʻomākaukau ʻana i ka peni: Pono ʻoe e 'hoʻomākaukau' i ka peni ma mua o kēlā me kēia inikini. ʻO ke ʻano kēia e kelepona i kahi 2 mau ʻāpana, e hoʻohuli i ka nila i luna, a kaomi a hiki i ka wā ʻaʻohe pehu ea a puka mai kahi kulu o ka insulin. ʻO kēia ke wehe i kekahi ea i paʻa i loko o ka nila a hōʻoia i loaʻa iā ʻoe ka nui kūpono. 4.
Ke loaʻa ʻana o ka inikini:E hoʻokomo i ka inikini 5 a 15 mau minuke ma mua o ka ʻai ʻana. 5. Ke hoʻomākaukau ʻana no ka ʻai: E hoʻomākaukau i kahi ʻai ma mua o ka hāʻawi ʻana i ka inikini. Mai hoʻopaneʻe i ka ʻai ʻana ma hope o ka hāʻawi ʻana i ka inikini. ʻO ka hana ʻana pēlā e hiki ai ke hoʻohaʻahaʻa loa i nā pae kō koko. Mea nui: Mai hoʻokomo i ka lāʻau ma kahi like i kēlā me kēia lā. E hoʻololi i nā wahi i hoʻokomo ʻia ai ka lāʻau, e like me ka ʻōpū, ka ʻūhā, a me ka lima o luna. Inā hoʻomau ʻoe i ka hoʻokomo ʻana i ka lāʻau ma kahi like, hiki i ka lāʻau ke mānoanoa e like me ka momona ma lalo o ka ʻili (lipohypertrophy). Hiki i kēia ke pale i ke kino mai ka omo pono ʻana i ka insulin. E hoʻokomo ma kahi o hoʻokahi ʻīniha ka mamao mai ka wahi i hoʻokomo ʻia ai ka lāʻau hope loa.
He aha nā hopena o ka hoʻohana ʻana i kēia ʻano insulin?
ʻO ka pōmaikaʻi nui, ʻo ia ke kōkua iā ʻoe e mālama i nā pae kō koko olakino, hiki iā ia ke kōkua iā ʻoe e pale aku i nā pilikia weliweli he nui e hiki mai ana ma muli o ka maʻi diabetes.- nā pilikia maka (hiki ke alakaʻi i ka makapō)
- Maʻi ʻāʻī
- Maʻi hohola
- Ka hāʻule ʻana o ka puʻupaʻa
- Ka pōʻino o ke aʻalolo (ʻeha Neuropathic)
- Hahau
Aia kekahi mau hopena ʻaoʻao?
ʻAe, hiki ke loaʻa kekahi mau hopena ʻaoʻao i ka wā e hoʻomaka ai i kahi insulin hou a i ʻole ka hoʻololi ʻana i ka nui. Akā ʻo ka hapa nui o kēia mau mea ʻaʻole koʻikoʻi.- ʻIke pōwehiwehi
- ʻEha, pehu, a ʻulaʻula paha ma kahi i hoʻokomo ʻia
- Manaʻo o ka mae a nāwaliwali paha i nā lālā
ʻO kēia mau mea, ʻo ka hopena ʻaoʻao e pono ai mākou e makaʻala nui aku, ʻo ia ka hāʻule koke ʻana o ke kō koko, a i ʻole hypoglycemia . Nā hōʻailona o ka hypoglycemia (haʻahaʻa ke kō koko)
He aha kāu e hana ai inā loaʻa iā ʻoe nā ʻōuli iki? E ʻai koke a inu paha i kahi mea kō. Eia kekahi laʻana, he punetune kō, he mea inu ʻono (ʻaʻole he meaʻai), kekahi mau papa glucose, a i ʻole kekahi wai huaʻai.
Inā loaʻa iā ʻoe kekahi mau ʻōuli koʻikoʻi, e lawe koke i ke kanaka i ka keʻena pilikia o ka haukapila kokoke loa (ETU). | Nā hōʻailona ʻoluʻolu/kaulike (hiki ke hoʻokele ponoʻī) | Nā hōʻailona koʻikoʻi (pono koke ke kōkua lapaʻau) |
|---|
- Manaʻo makaʻu a hopohopo hoʻi
- ʻOi aku ka hou ma mua o ka maʻamau
- Pōʻino
- Manaʻo nui i ka pōloli ma mua o ka maʻamau
- Ka luaʻi
- Ka huikau
| - Paʻakikī ka hanu ʻana
- Nāwaliwali / Syncope
- Hoʻopaʻa ʻana
|
He aha inā poina iaʻu e hāʻawi i ka inikini ma mua o ka ʻai ʻana?
Hiki ke hana. Mai hopohopo.- Inā hoʻomanaʻo ʻoe ma hope koke iho o ka ʻai ʻana, hiki iā ʻoe ke lawe koke i ka lāʻau i hala.
- Akā inā ua lōʻihi ka manawa , e hahai i nā kuhikuhi a kāu kauka. Inā ʻaʻole ʻoe maopopo i ka mea e hana ai, e kāhea i kāu kauka a nīnau.
- Mai pāpālua i ka mahele lāʻau i ka ʻai aʻe e uku no kahi mahele lāʻau i hala ʻole. ʻO ka hana ʻana pēlā e hiki ai ke hāʻule i lalo loa kou pae kō koko.
Nā mea nui ʻē aʻe e ʻike ai
E hoʻomanaʻo i kēia mau manaʻo no kou palekana a me ka holomua o kāu lāʻau lapaʻau.- ʻO ka peni pololei a me ka nui o ka lāʻau: E nānā mau i kāu peni insulin, pololei ka inoa, a like ka nui o ka lāʻau i koho ʻia me kāu kauka ma mua o ka hoʻokomo ʻana.
- Waihoʻoluʻu insulin: He wai moakaka ka Insulin Lispro, e like me ka wai. Mai hoʻohana inā he ao, keʻokeʻo, a he puʻupuʻu paha i loko.
- Nā nila i hoʻohana ʻia: Mai hoʻolei i nā nila i hoʻohana ʻia i loko o ka ʻōpala. He ʻoi lākou a hiki ke hoʻoweliweli. E waiho iā lākou i loko o kahi pahu kūikawā (pahu ʻoi) kahi e hiki ai ke hōʻiliʻili palekana. Hiki iā ʻoe ke ʻike hou aʻe e pili ana i kēia ma kāu hale kūʻai lāʻau lapaʻau a i ʻole ka haukapila.
- Ka mālama ʻana i ka insulin: E mālama i nā peni insulin i wehe ʻole ʻia a i ʻole nā ʻōmole i loko o ka friji (ʻaʻole ka pahu hau). Hiki ke mālama ʻia nā peni i hoʻohana ʻia ma ka mahana o ka lumi (maʻamau he 28 mau lā). E pale mai ka wela nui a me ka lā pololei.
Inā he mau nīnau kāu e pili ana i kāu insulin, ka nui o ka lāʻau, a i ʻole nā nīnau ʻē aʻe, e ʻoluʻolu e nīnau i kāu kauka. Leka Lawe-Home
- He insulin hana wikiwiki loa ka Insulin Lispro i lawe ʻia me ka ʻai.
- Pono e hāʻawi mau ʻia kēia lāʻau pale i 5-15 mau minuke ma mua o ka ʻai ʻana. E hoʻomākaukau i ka meaʻai ma mua o ka hāʻawi ʻana i ka lāʻau pale.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). Inā ʻike ʻoe i nā hōʻailona e like me ka poniuniu, ka hou ʻana, a i ʻole ka pōloli nui, e ʻai koke i kahi mea momona.
- Inā ʻoe e poina i kahi lāʻau lapaʻau, mai pāpālua i ka lāʻau lapaʻau aʻe. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka.
- Mai hoʻokomo i ka lāʻau pale ma kahi hoʻokahi i kēlā me kēia lā. E hoʻohuli i nā wahi e like me ka ʻōpū, ka ʻūhā, a me ka lima luna.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu.
ʻInisulina, ʻInisulina Lispro, Maʻi kō, Kōpaʻa, Inikini, Hypoglycemia, Kōpaʻa koko, Peni ʻInisulina
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