Ke mālama ʻia nei ʻoe no ka Type 2 Diabetes Mellitus? Inā pēlā, ua kuhikuhi paha kāu kauka iā ʻoe i kahi pila e hoʻohui i ʻelua mau lāʻau i kapa ʻia ʻo Linagliptin lāua ʻo Metformin. ʻIke pinepine ʻia kēia ma ko mākou ʻāina ma lalo o ka inoa inoa ʻo Jentadueto. He lāʻau lapaʻau maikaʻi loa kēia e kōkua ai i ka hoʻomalu ʻana i nā pae kō koko (glucose). Eia naʻe, e like me nā lāʻau lapaʻau āpau, aia kekahi mau mea e pono ai mākou e makaʻala i ka wā e hoʻohana ana. E kamaʻilio kākou e pili ana i kēia lā, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka mea e hana maoli me kēia hui pū ʻana o nā lāʻau lapaʻau?
Ua ʻōlelo wau he hui pū ʻana kēia o nā lāʻau lapaʻau ʻelua. E nānā kākou i ka mea e hana ʻia me nā mea ʻelua ma ke kaʻawale.
- ʻO Metformin: Hana nui kēia ma ka hoʻemi ʻana i ka nui o ke kō i hana ʻia e kou ake. Hoʻonui pū ia i ka ʻike o nā ʻāpana o kou kino i ka insulin. I ka ʻōlelo maʻalahi, kōkua ia i kou kino e hoʻohana pono i ka insulin i loaʻa iā ia.
- Linagliptin: Hana kēia ma ka hoʻoulu ʻana i ka hana ʻana o ke kino i ka insulin e pane ana i kahi ʻai.
Ke hana pū kēia mau lāʻau ʻelua, hiki iā lāua ke kōkua iā ʻoe e kāohi i kāu maʻi diabetes. Akā e hoʻomanaʻo, ʻaʻole lawa kēia lāʻau wale nō. Eia kekahi , he mea nui nō hoʻi ka ʻai kūpono a me ka hoʻoikaika kino .
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ke kau ʻana i kēia lāʻau lapaʻau iā ʻoe, he mea nui loa ia e ʻike kāu kauka i kou mōʻaukala olakino piha. ʻO kēia no ka mea pono mākou e makaʻala loa i ka wā e hoʻohana ai i kēia lāʻau lapaʻau me kekahi mau kūlana olakino. Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e hoʻomaopopo i kāu kauka e pili ana i ia mea.
| Maʻi a i ʻole ke kūlana | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Maʻi puʻupaʻa a maʻi akepaʻa paha | Hoʻopau ʻia ka Metformin mai ke kino ma o nā puʻupaʻa. Inā ʻaʻole hana pono nā puʻupaʻa, hiki i ka lāʻau ke hōʻiliʻili i loko o ke kino a hoʻoulu i kahi maʻi koʻikoʻi (lactic acidosis). |
| Maʻi puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai | Pono e mālama pono ʻia i ka hāʻawi ʻana i kēia lāʻau lapaʻau i kekahi mau maʻi puʻuwai. |
| Inu pinepine | ʻO ka hui pū ʻana o ka waiʻona a me Metformin e hoʻonui nui i ka pilikia o kahi maʻi weliweli i kapa ʻia ʻo lactic acidosis. |
| Loaʻa kahi moʻolelo o ka pancreatitis | He mea kakaikahi loa ka pilikia o ka pancreatitis ma Linagliptin. He mea nui e hoʻomaopopo i kāu kauka inā ua loaʻa iā ʻoe kēia maʻi ma mua. |
| Ka nele o ka wikamina B12 a i ʻole anemia | ʻO ka hoʻohana lōʻihi ʻana i ka metformin e hōʻemi i ka omo ʻana o ka huaora B12 e ke kino. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai, e hānai waiū ana | ʻAʻole kūpono kēia lāʻau lapaʻau i ka wā hāpai a me ka wā hānai. Aia kekahi mau lāʻau lapaʻau ʻē aʻe i loaʻa. |
| Nā kūlana ʻē aʻe | E haʻi i kāu kauka inā loaʻa iā ʻoe ka Diabetic Ketoacidosis, ka maʻi gallbladder, nā pae triglyceride kiʻekiʻe, nā maʻi koʻikoʻi, Polycystic Ovary Syndrome (PCOS), ka maʻi thyroid, a i ʻole kekahi mau maʻi allergies i nā lāʻau lapaʻau a meaʻai paha. |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
- E lawe pū me ka meaʻai: ʻO kēia ka mea nui loa. Hiki i ka Metformin ke hoʻoulu i ka ʻōpū a me ka luaʻi i kekahi poʻe. ʻO ka lawe ʻana i ka lāʻau lapaʻau me ka ʻai a ma hope koke iho paha o ka ʻai ʻana hiki ke hōʻemi nui i kēia mau ʻeha.
- E inu me ke aniani wai: E ale i ka papa holoʻokoʻa me ke aniani wai.
- E hahai i nā ʻōlelo a kāu kauka: E lawe i ka nui i kuhikuhi ʻia e kāu kauka, i ka manawa i kuhikuhi ʻia. Mai hōʻemi, hoʻonui, a hoʻōki paha i ka nui ma kāu iho.
- Inā poina iā ʻoe ke lawe i kahi lāʻau: Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia ke hoʻomanaʻo ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi.
- Ka nui loa o ka lāʻau lapaʻau: Inā manaʻo ʻoe ua lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa. Mai lawe māmā i kēia.
ʻO ka mea nui loa, ʻo ia ke hāʻawi i kāu kauka i ka papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora, Panadol, nā lāʻau Ayurvedic, nā huahana lāʻau lapaʻau) i hiki iā ia ke ʻike inā he mau pilikia kou.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
Ke nānā ʻana i nā pae kō
E noi aku kāu kauka iā ʻoe e hana i kahi hoʻāʻo koko i kapa ʻia ʻo HbA1C i kēlā me kēia 3 a 6 mahina. E nānā kēia i kāu kaohi kō koko maʻamau i nā mahina 2-3 i hala. Eia kekahi, e aʻo pehea e nānā ai i kāu pae kō koko ma ka home inā hiki.
Ke kō koko haʻahaʻa (Hypoglycemia)
I kekahi manawa, i ka wā e lawe ai i kēia lāʻau lapaʻau, hiki ke haʻahaʻa loa kou pae kō koko. ʻO nā hōʻailona o kēia:
- Ka hou koke ʻana
- Haʻalulu
- ʻAʻole hiki ke noʻonoʻo
- Ka poniuniu a me ka pōloli nui
Inā ʻike ʻoe i kēia mau hōʻailona, e ʻai koke i kahi mea ʻono (kahi cube kō, papa glucose, a i ʻole kahi mea inu ʻono). No laila e mālama mau i kahi mea e like me ka cube kō me ʻoe. Inā nalowale kou ʻike, e haʻi aku i kou ʻohana ʻaʻole e hoʻokomo i kekahi mea i loko o kou waha. Inā hana ʻia kēia, pono ʻoe e hele koke i ka haukapila.
Nā ʻoki kino a me nā scan
Inā ʻoe e hana ana i kekahi ʻoki kino, CT scan, a MRI scan paha, e haʻi mua i ka hui lapaʻau e lawe ana ʻoe i kēia lāʻau. Pono paha ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau i kekahi mau lā ma mua o ka hoʻāʻo.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. Akā, ʻaʻole i loaʻa i nā kānaka a pau. ʻO ka mea nui loa, ʻo ia ka ʻike ʻana i nā hōʻailona o kahi hopena ʻaoʻao koʻikoʻi a hana koke.
| Ka hopena ʻaoʻao | He aha ka mea e hana ai? |
|---|---|
| Nā kūlana koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
| Hana Maʻi ʻAleʻale: ʻŌhūhū ʻili, maneʻo, pehu ʻana o ka maka, nā lehelehe, ke alelo, paʻakikī ke hanu. | E hele i ka Emergency Treatment Unit (ETU) o ka haukapila no ka mālama koke ʻana. |
| Lactic Acidosis: (kākaʻikahi akā weliweli loa) - ʻeha ʻiʻo, ʻeha ʻōpū, paʻakikī ka hanu ʻana, luhi nui, palaualelo nui. | ʻO kēia nā hopena ʻaoʻao koʻikoʻi loa o Metformin. E hele koke i ka ER. |
| Pancreatitis: ʻEha nui o ka ʻōpū (ʻoi aku ka pālahalaha ʻana i ke kua), ʻeha e ʻoi aku ka ʻino ma hope o ka ʻai ʻana, ka luaʻi ʻana, ke kuni. | E ʻike koke i ke kauka a i ʻole e hele i ka ETU. |
| Nā Hōʻailona o ka Pōʻino o ka Puʻuwai: Pōkole o ka hanu, pehu o nā kuʻekuʻe wāwae a me nā wāwae, piʻi koke ke kaumaha, luhi nui. | E ʻike koke i kāu kauka. |
| Nā kūlana i maʻa mau ʻole i ke koʻikoʻi, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka maʻi pākī | Hele pinepine mai a hele aku i nā pae mua. Inā hoʻomau a koʻikoʻi paha, e haʻi i kāu kauka. |
| Nā hōʻailona e like me ke anu (ihu holo, ʻeha puʻu) | Inā hoʻopilikia a hoʻomau paha kēia mau mea, e kamaʻilio me kāu kauka. |
Leka Lawe-Home
- ʻO kēia lāʻau lapaʻau mauE lawe me ka ʻai ʻana a ma hope paha o ka ʻai ʻana. E hōʻemi nui kēia i ka ʻeha o ka ʻōpū.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka dosage me ka ʻole o ke aʻo ʻana a kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora a me nā lāʻau Ayurvedic).
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) (ka hou ʻana, ka haʻalulu, ka poniuniu ). E mālama i kahi mea ʻono kokoke e ʻai ai inā loaʻa ia ʻano kūlana.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka ʻeha nui o ka ʻōpū a i ʻole ka paʻakikī o ka hanu ʻana , e hele koke i ka haukapila.
- E ʻike i kāu kauka i ka manawa kūpono a e hana i nā hoʻokolohua e like me HbA1C e mālama i kāu maʻi diabetes.
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