ʻO ka hou anu, nā lima haʻalulu, ke manaʻo hopohopo loa, kahi poniuniu iki ... Ua ʻike anei ʻoe i kekahi mea e like me kēia me ka maʻi diabetes? Hana pinepine kēia i ka wā e hāʻule ai kou pae kō koko i ka haʻahaʻa weliweli. Ua kapa nā kauka i kēia maʻi he hypoglycemia . ʻO ke kumu nui e hana ai kēia maʻi i kekahi e hoʻohana ana i ka insulin, ʻo ia ka hoʻokomo ʻana i ka insulin ma mua o ka mea e pono ai.
He nui ka poʻe e noho ana me ka maʻi diabetes e ʻike i ka hypoglycemia. Hiki ke weliweli i kekahi manawa. Akā ʻo ka nūhou maikaʻi, hiki ke pale ʻia ka nui o kēia mau pilikia e pili ana i ka insulin inā mākou e hahai i kekahi mau lula maʻalahi. E nānā kākou pehea.
Pehea e hiki ai iā ʻoe ke loaʻa ka nui o ka insulin?
Aia kekahi mau hewa liʻiliʻi hiki iā kākou ke hana e hiki ai ke alakaʻi i ka nui o ka insulin i loko o ko kākou kino. Hana pinepine ʻia kēia mau mea i nā kūlana e like me kēia:
- Ke heluhelu hewa nei i nā ana ma ka syringe a i ʻole ka vial: ʻOi aku ka maʻalahi o kēia ke hoʻomaka ʻoe e hoʻohana i kahi ʻano insulin hou a i ʻole ke hoʻohana ʻoe i kahi syringe hou.
- Ke hoʻohana nei i ke ʻano insulin kūpono ʻole: E noʻonoʻo e lawe mau ana ʻoe i 30 mau ʻāpana o ka insulin hana lōʻihi a me 10 mau ʻāpana o ka insulin hana pōkole. Inā like ke ʻano o nā ʻōmole ʻelua, he mea hiki loa ke hoʻololi koke ʻoe ma waena o nā mea ʻelua.
- Ke lawe nei i ka insulin me ka ʻai ʻole: Pono e lawe ʻia nā insulin hana wikiwiki a me nā insulin hana pōkole ma mua koke o ka ʻai ʻana a i ʻole me ka ʻai ʻana. ʻO kēia no ka mea e piʻi aʻe ana ko mākou pae kō koko ma hope o ka ʻai ʻana. No laila, inā ʻoe e lawe i kēia ʻano insulin me ka ʻai ʻole, hiki i kāu pae kō koko ke hāʻule haʻahaʻa loa.
- Ke hoʻokomo ʻana i ka insulin i loko o ka lima a i ʻole ka wāwae ma mua o ka hoʻoikaika kino: ʻO ka hana kino, ʻo ia hoʻi, ka hoʻoikaika kino, e hoʻohaʻahaʻa maoli i ko mākou pae kō koko. Hoʻololi pū ia i ke ʻano o ka omo ʻana o ke kino i ka insulin. No laila, inā ʻoe e hana ana i ka hoʻoikaika kino e like me ka holo a i ʻole ka hele wāwae, e pale i ka hoʻokomo ʻana i ka insulin i loko o ka lima a i ʻole ka wāwae e hana nui loa ana i kēlā manawa. Akā, ʻoi aku ka maikaʻi o ka hoʻokomo ʻana i loko o kahi i emi iki ka hopena o ka hoʻoikaika kino, e like me ka ʻōpū.
He aha nā hōʻailona o ka nui o ka insulin?
Ke hāʻule kou kō koko (hypoglycemia) ma muli o ka nui o ka insulin, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona. He mea nui e makaʻala i kēia mau mea.
| Hōʻailona | Wehewehena |
|---|---|
| Hopohopo | Manaʻo o ka hoʻomaha ʻē a me ka hoʻomaha ʻole. |
| Ka huikau | ʻAʻole hiki ke noʻonoʻo i ka mea e hana ai a i ʻole kou wahi, me ka huikau. |
| Pōloli loa | Ua pōloli loa koke. |
| Luhi | Manaʻo o ke ola ʻole a me ka luhi nui. |
| Hoʻonāukiuki | Huhū me ke kumu ʻole, huhū koke. |
| Ka hou ʻana | Ua anu a ua hou ke kino, ua pulu ka ʻili. |
| Nā lima haʻalulu | Ka haʻalulu ʻana o nā lima i hiki ʻole ke kāohi ʻia. |
Inā hoʻomau ka emi ʻana o kou pae kō koko, hiki iā ʻoe ke loaʻa i nā ʻōhū a i ʻole ka nalowale ʻana o ka manaʻo . No laila he mea nui e ʻike i kēia mau hōʻailona a hana koke.
He aha kāu e hana ai inā lawe ʻoe i ka nui o ka insulin?
Mai hopohopo. ʻO ka hapa nui o nā hihia o ka overdose insulinHiki iā ʻoe ke hoʻokele ma ka home. Inā ʻike ʻoe, e hahai i kēia mau ʻanuʻu.
| He aha e hana ai | Wehewehena |
|---|---|
| Inā ʻoe e makaʻala ana, eia kekahi mau mea āu e hana ai: | |
| 1. E ana i ke kō | ʻO ka mea mua, e ana i kou pae kō koko. A laila hiki iā ʻoe ke loaʻa kahi ʻike maopopo o ke kūlana. |
| 2. E kiʻi koke i ke kō | E ʻai/inu koke i kahi mea inu hua ʻono (hapalua kīʻaha), kahi toffee, kahi papa glucose, a i ʻole kahi glucose gel. |
| 3. E ʻai i kahi meaʻai | Inā ua hala ʻoe i kahi ʻai, e ʻai i kahi mea i kēia manawa. ʻO ka ʻai ʻana i kahi mea me 15-20 grams o nā kalapona (e.g. kahi ʻāpana berena) e hoʻonui koke i kou kō koko. |
| 4. E hoʻomaha | E noho i lalo a moe paha no kekahi manawa a hoʻomaha. Mai hoʻoluhi i kou kino. |
| 5. E ana hou i ke kō | E nānā hou i kou kō koko ma hope o 15-20 mau minuke. Inā haʻahaʻa mau, e lawe i kekahi kō hou aʻe (15-20 grams o ka glucose) a ʻai i kahi mea ʻē aʻe inā hiki. |
| 6. E noho kālele no kekahi mau hola | E hoʻolohe i kou kino i nā hola e hiki mai ana. Inā mau nā hōʻailona, e nānā hou i kāu kō koko i loko o hoʻokahi hola. Inā haʻahaʻa kou kō koko, e hoʻomau i ka ʻai ʻana i ka meaʻai māmā. |
| I ka manawa hea e ʻimi ai i ke kōkua lapaʻau pilikia: | |
| E hele koke i ka haukapila. | Inā haʻahaʻa mau ke kiʻekiʻe o ke kō koko ma hope o 2 mau hola a i ʻole ʻaʻole hoʻi e hoʻomaikaʻi kāu mau hōʻailona, e ʻike i ke kauka a i ʻole e hele koke i ka haukapila. |
| Inā ʻoe e hiolo... | Inā nalowale ʻoe i ka ʻike, huikau, a loaʻa paha iā ʻoe ka maʻi hopu, pono i kou ʻohana a i ʻole kou mau hoaaloha ke kāhea koke aku i ka lawelawe ambulance 1990 a lawe iā ʻoe i ka haukapila kokoke loa ʻo Emergency Department (ETU). |
Hoʻokahi mea e hoʻomanaʻo ai. Ke haʻahaʻa loa kou kō koko, mai makaʻu e hoʻokiʻekiʻe iki. ʻAʻole ia e hōʻino nui i ka loaʻa ʻana o ke kō koko kiʻekiʻe no kekahi manawa. Akā, ʻoi aku ka ʻino o ka loaʻa ʻana o nā kō koko haʻahaʻa loa .
Nā ʻōlelo aʻoaʻo e hāʻawi aku i kou ʻohana a me kou mau hoaaloha
Inā nalowale kou ʻike, ʻo lākou ka poʻe e mālama iā ʻoe. No laila e hāʻawi iā lākou i kēia mau kuhikuhi ma mua.
- Inā nalowale kou ʻike, e kāhea koke aku i ka lawelawe ambulance 1990 a i ʻole e lawe iā ʻoe i ka haukapila kokoke loa ʻo Emergency Treatment Unit (ETU) .
- E kamaʻilio me kāu kauka e pili ana i kahi pana i kapa ʻia ʻo glucagon . He hormone kēia e hana kūʻē i ka insulin. Inā loaʻa pinepine iā ʻoe ke kō koko haʻahaʻa, e nīnau i kāu kauka e pili ana i ka mālama ʻana i hoʻokahi ma ka home.
- Inā ua lawa kou makaʻala e hahai i nā kuhikuhi, e noi iā lākou e hāʻawi iā ʻoe i kahi mea inu ʻono.
- Inā ʻaʻole e hoʻomaikaʻi kou mau ʻōuli ma hope o hoʻokahi hola, e aʻo iā lākou e ʻimi koke i ke kōkua lapaʻau.
Pehea e hiki ai ke pale ʻia kēia kūlana?
Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana e hōʻoia ʻaʻole kēia e hana.
- E mālama i kahi papa hana kūlike: E hoʻomaʻamaʻa i ka lawe ʻana i kāu insulin i ka manawa like i kēlā me kēia lā a me ka ʻai ʻana i ka manawa like. E maʻalahi kēia iā ʻoe ke mālama i nā mea āpau i ka hoʻonohonoho.
- Mai hōʻalo i ka ʻai: ʻOiai inā ʻaʻole ʻoe pōloli, e ʻai i kahi mea liʻiliʻi i ka wā ʻai. E ʻai i kahi mea e like me kahi ʻāpana berena, kahi kīʻaha waiū, a i ʻole kahi ʻāpana hua. Mai hōʻalo i kahi ʻai ma hope o ka lawe ʻana i ka insulin.
- E mākaukau:E hoʻomanaʻo e hiki mai ana kēia kūlana i kekahi lā. E mālama i kahi mea e like me ka toffee i loko o kāu ʻeke, kaʻa, a me ka pahu lole.
- E hoʻomaopopo i nā poʻe ʻē aʻe: E haʻi i kou ʻohana a me kou mau hoaaloha pili pehea ʻoe e hana ai i ka wā e haʻahaʻa ai kou kō koko. Ma kēia ala, hiki iā lākou ke hana koke, ʻoiai inā huikau ʻoe.
- E komo i kahi kūpeʻe lima makaʻala lapaʻau: Hōʻike ia he mea hoʻohana ʻoe i ka insulin. Hiki iā ia ke kōkua i ka hoʻopakele ʻana i kou ola i ka wā pilikia.
Leka Lawe-Home
- ʻO ka lawe ʻana i ka nui o ka insulin hiki ke hoʻohaʻahaʻa i ke kō koko (hypoglycemia). E makaʻala i nā hōʻailona e like me nā lima haʻalulu, ka hou ʻana, a me ka māmā o ke poʻo.
- I kou ʻike ʻana i nā hōʻailona o ke kō koko haʻahaʻa, e ʻai koke i kahi mea momona (kahi ʻāpana kinikini, kahi mea inu ʻono) a e nānā hou i kou pae kō koko i loko o 15-20 mau minuke.
- Mai hoʻokuʻu i ka ʻai i ka wā e lawe ana i ka insulin. E mālama mau i kahi mea e like me ka toffee kokoke.
- Inā nalowale kou ʻike a i ʻole ʻoe i kahi kūlana koʻikoʻi, e aʻo mua i ka ʻohana a me nā hoaaloha e lawe koke iā ʻoe i ka Emergency Treatment Unit (ETU) o ka haukapila.
- E kamaʻilio mau me kāu kauka e pili ana i ka nui o kāu insulin, ka hoʻohana ʻana, a me ka mea e hana ai i kahi pilikia.
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