ʻO ka maʻi diabetes kahi maʻi e ʻike nei i nā poʻe he nui o ko kākou kaiāulu i kēia manawa. No laila ua haʻi aku paha kāu kauka iā ʻoe e hoʻohana i kahi inikini insulin. I waena o lākou, e kamaʻilio mākou e pili ana i ke ʻano i kapa ʻia ʻo Isophane Insulin, a i ʻole NPH, i kēia lā. Nui nā mea nui e ʻike ai i ka wā e hoʻohana ai i kēia. E kamaʻilio pololei kākou e pili ana iā ia, me ka maʻalahi.
He aha ka Isophane Insulin (NPH)?
I ka ʻōlelo maʻalahi, ʻo Isophane Insulin kahi lāʻau lapaʻau i hoʻohana ʻia e kāohi 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 ka māhele ia o ka 'insulin hana waena' . ʻO ia hoʻi, ma hope o ka hāʻawi ʻia ʻana i ke kino, hana ia no kekahi mau hola, e kāohi ana i ka pae o ke kō i loko o ke koko.
I ka hapanui o nā hihia, me kēia lāʻau lapaʻau, he mea nui loa hoʻi e kāohi i kāu ʻai a me ka hoʻoikaika kino . ʻO ka wā wale nō e hui pū ai kēia mau mea ʻekolu e hiki ai ke hoʻomalu maikaʻi ʻia ka maʻi diabetes.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau
Ma mua o ke kau ʻana i kēia lāʻau lapaʻau, pono kāu kauka e ʻike i kāu mōʻaukala olakino piha. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi iā lākou e pili ana i ia mea.
| Kou kūlana | No ke aha he mea nui? |
|---|---|
| Inā hāʻule pinepine ke kō koko (Hypoglycemia) | He mea nui kēia no ka hoʻoponopono ʻana i ka nui, no ka mea, hiki i ka insulin ke hoʻohaʻahaʻa i nā pae kō koko. |
| Nā maʻi maka, ka hemahema o ka ʻike | Ma muli o ka hoʻopilikia ʻana o ka maʻi diabetes i nā maka, pono ke kauka e makaʻala i nā kūlana o kēia manawa. |
| Maʻi puʻupaʻa | Ma muli o ka hoʻoneʻe ʻia ʻana o ka insulin mai ke kino e nā puʻupaʻa, pono paha i nā maʻi puʻupaʻa kahi mahele haʻahaʻa. |
| Maʻi akepaʻa | Hoʻopilikia ke akepaʻa i ka hana o ka insulin, no laila pono paha e hoʻoponopono ʻia ka nui. |
| Nā maʻi ʻaleka i ka insulin a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā wai hoʻoluʻu | He mea nui kēia no ka pale ʻana i nā allergies a koho i ka lāʻau lapaʻau kūpono loa. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | Hoʻololi nā pono o ka insulin i ka wā hāpai, no laila pono ʻoe e hahai i ka ʻōlelo aʻo a kāu kauka. |
| Inā he makuahine hānai ʻoe | E hoʻomaopopo i ka hopena o ka nui o ka insulin i ka makuahine a me ke keiki. |
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He inikini kēia i hāʻawi ʻia ma lalo o ka ʻili. Na kāu kauka a kahu maʻi paha e haʻi pololei iā ʻoe pehea e hoʻohana ai. He mea nui loa ia e hahai pololei i kēlā mau kuhikuhi .
- E nānā i ke ʻano: Pono kēia insulin he wai moakaka, waiū e keʻokeʻo mau ana ke kala . Mai hoʻohana inā ʻaʻole ia he ao like a i ʻole he kala ʻokoʻa.
- E kāwili pono: Ma mua o ka hoʻohana ʻana, e kāwili maikaʻi i ka vial a i ʻole ka peni ma ka ʻōwili ʻana ma waena o kou mau poho lima. Mai lulu.
- Ke hoʻolei 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 kūikawā (pahu ʻoi). Inā ʻaʻohe āu, hiki iā ʻoe ke noi i kāu kauka no hoʻokahi.
- Inā hoʻohana ʻoe i ka peni: Inā hoʻohana ʻoe i ka peni insulin, e hoʻomanaʻo e wehe i ka uhi nila waho mai ka nila ma mua o ke komo ʻana.
ʻŌlelo Aʻo: Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi 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.
He aha inā e hala iaʻu kahi mahele lāʻau lapaʻau?
He mea kēia e pono ai ʻoe e kūkākūkā me kāu kauka. E hāʻawi ʻo ia iā ʻoe i kahi hoʻolālā no ka mea e hana ai i kahi manawa e like me kēia. E hana pēlā.Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi.
ʻO nā mea ʻē aʻe e launa pū me kēia insulin
Hiki i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā huahana lāʻau lapaʻau āu e lawe nei ke hoʻopilikia i ke ʻano o ka hana ʻana o kēia insulin. No laila, e hāʻawi i kāu kauka i kahi papa inoa piha o nā mea āpau āu e hoʻohana ai. E makaʻala loa i kēia mau mea:
- ʻAila
- Nā lāʻau hoʻopau ʻeha e like me ka aspirin
- ʻO kekahi mau lāʻau lapaʻau no ke koko (e like me Atenolol, Metoprolol)
- ʻO nā hormones wahine (me nā lāʻau hoʻomalu hānau) a me nā hormones kāne
- Lāʻau hoʻemi kaumaha
- Nā lāʻau lapaʻau no ke anu, ke kuni, a me nā maʻi ʻaleka
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo
- Nā lāʻau lapaʻau maʻi diabetes ʻē aʻe (e.g., Glyburide, Glipizide)
- Nā lāʻau lapaʻau i loaʻa ka steroid (e like me Prednisone)
- Lāʻau lapaʻau hormone thyroid
- ʻO kekahi mau mea hoʻohui lāʻau lapaʻau
ʻAʻole i piha kēia papa inoa. No laila, ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Nā mea e noʻonoʻo ai i ka wā e hoʻohana ai i ka insulin
- Hoʻāʻo HbA1C: E noi aku kāu kauka iā ʻoe e lawe i kahi hoʻāʻo koko i kapa ʻia ʻo HbA1C (A1C) . Ana kēia i ka maikaʻi o kou kāohi ʻana i kāu kō koko i nā mahina 2-3 i hala.
- E hoʻāʻo i kou kō koko: E aʻo pehea e hoʻāʻo ai i kou kō koko ma ka home. E aʻo i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kō koko kiʻekiʻe (hyperglycemia) a pehea e hoʻokele ai iā lākou.
- E mālama i kahi mea ʻono kokoke: E mālama mau i kahi mea ʻono, e like me kahi pā kini a i ʻole ka papa glucose, kokoke e ʻai koke inā ʻike ʻoe i nā hōʻailona o ke kō koko haʻahaʻa.
- Mai hōʻalo i ka ʻai: E ʻai i nā manawa maʻamau. E nīnau i kāu kauka e pili ana i ka waiʻona.
- Mai hoʻololi i nā lāʻau lapaʻau: Mai hoʻololi i ka inoa insulin a i ʻole ke ʻano syringe me ka ʻole o ke aʻo ʻana a kāu kauka.
- 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 e like me ka HIV a me ka Hepatitis.
- E komo i kahi kāleka hōʻoia lapaʻau: He mea nui loa ka loaʻa ʻana o kahi kūpeʻe lima a kāleka paha me ʻoe inā loaʻa kahi pilikia, nona nā kikoʻī e pili ana i kou kūlana olakino a me nā lāʻau lapaʻau.
Nā hopena ʻaoʻao hiki ke loaʻa o ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka insulin ke hana i kekahi mau hopena ʻaoʻao, a ʻo kekahi o ia mau mea he mea hoʻoweliweli paha i ke ola.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| Nā mea e hōʻike koke aku ai i kāu 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, hou nui, hoʻomaha ʻole, poniuniu, puʻuwai wikiwiki, huikau. |
| Ua emi ka potassium i loko o ke koko | ʻEha a ʻūlū paha nā ʻiʻo, nāwaliwali kūikawā, puʻuwai kū ʻole. |
| Inā hoʻomau a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā loli ma kahi i hoʻokomo ʻia (Lipondystrophy) | ʻO nā hou ʻana i hana hou ʻia ma kahi like hiki ke hoʻoulu i ka mānoanoa o nā ʻiʻo ma lalo o ka ʻili a i ʻole ka ʻeha. |
| ʻEha a ʻulaʻula paha ma kahi i inikini ʻia | ʻEha iki, ʻulaʻula, a pehu paha ma kahi i inikini ʻia. |
| Piʻi ke kaumaha | Piʻi ke kaumaha o kekahi poʻe me ka hoʻohana ʻana i ka insulin. |
Pehea e mālama ai i ka insulin?
He mea nui loa ka mālama pono ʻana i ka insulin. A i ʻole, e nalowale paha kona pono. Hiki ke ʻokoʻa iki kēia mau kuhikuhi ma muli o ka brand āu e hoʻohana ai.
| Kūlana | Nā kuhikuhi mālama |
|---|---|
| Nā ʻōmole a me nā peni i wehe ʻole ʻia | |
| Ma hea e mālama ai | E mālama i loko o ka pahu hau , akā, ʻaʻole i loko o ka pahu hau. Mai hoʻohana i ka insulin hau. |
| Pau ʻana | Mai hoʻohana ma hope o ka lā pau. |
| Nā ʻōmole a me nā peni e hoʻohana ʻia nei | |
| Ma hea e mālama ai | E mālama ma ka mahana o ka lumi. Mai hoʻokomo i loko o ka pahu hau ma hope o ka hoʻohana ʻana. E mālama mai ka wela nui a me ka lā pololei. |
| Ka manawa e hoʻolei aku ai | ʻOkoʻa kēia mai kēlā ʻano a i kēia ʻano. No ka laʻana, pono e hoʻolei ʻia kekahi mau peni ma hope o 14 mau lā, kekahi ma hope o 28 mau lā, a ʻo kekahi mau ʻōmole ma hope o 31 a 42 paha mau lā. E nīnau i kāu kauka e pili ana i ka lā pau no kāu ʻano insulin. Ma hope o ka lā pau, e hoʻolei aku i kekahi insulin i koe. |
Leka Lawe-Home
- E lawe i ka insulin ma ka nui a me ka manawa kikoʻī i kuhikuhi ʻia e kāu kauka. Mai hoʻololi i ka nui nou iho.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kō koko kiʻekiʻe (hyperglycemia). E mālama i kahi mea ʻono kokoke i ka wā pilikia.
- Mai kaʻana like i kāu peni insulin, syringe, a i ʻole nila me kekahi no kekahi kumu.
- 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.
- E mālama pono i ka insulin. E pale mai ka wela nui, ka lā, a me ka hau.
- Inā he mau hopohopo a kānalua paha kāu, e kamaʻilio koke me kāu kauka.
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