He aha ka Metformin Extended-Release?
I ka ʻōlelo maʻalahi, ʻo Metformin kahi lāʻau lapaʻau i hoʻohana ʻia e kāohi i ka maʻi diabetes Type 2. Hoʻokele nui ia i kou pae kō koko, ʻo ia hoʻi, ka nui o ka glucose i loko o kou koko. Kōkua pū ia i ka hormone insulin i loko o kou kino e hana pono. I kēia manawa, he aha ka "Extended-Release"? ʻO ke ʻano kēia ua hoʻolālā ʻia kēia pila i mea e hoʻokuʻu mālie ʻia ai ka lāʻau lapaʻau i loko o ke kino i ka lā a pau, ma mua o ka hoʻopili ʻia ʻana i ka manawa hoʻokahi . ʻO ka pōmaikaʻi o kēia, ʻaʻole pono ʻoe e lawe i ka lāʻau lapaʻau i nā manawa he nui i ka lā, hiki ke hana ʻia i kekahi manawa ke lawe ʻoe iā ia i hoʻokahi pāʻina. Eia naʻe, pono ʻoe e lawe e like me ka ʻōlelo a kāu kauka iā ʻoe. ʻO ka hapa nui o ka manawa, ke hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe, aʻo aku nā kauka iā ʻoe e kāohi i kāu ʻai a me ka hoʻoikaika kino. No ka mea, ʻaʻole lawa ka lāʻau lapaʻau wale nō e kāohi i ka maʻi diabetes, pono ʻoe e hoʻololi i kou nohona. Hoʻohana pinepine nā kauka i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe, no laila inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a i ʻole ke kanaka ma ka hale kūʻai lāʻau lapaʻau.He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e lawe i ka metformin, pono ʻoe e maopopo e pili ana i kekahi mau mea me kāu kauka. No ka mea, ʻo ia ʻike ka mea e kōkua i kāu kauka e hoʻoholo i ke kūpono o kēia lāʻau lapaʻau iā ʻoe a me ke ʻano o ka nui.Loaʻa iā ʻoe nā kūlana e like me kēia?
Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e ʻoluʻolu e haʻi i kāu kauka :- ʻO ke anemia ke ʻano o ka nele i ke koko .
- Dehydration , ʻo ia hoʻi inā he paʻa ka wai i loko o ke kino.
- Maʻi puʻuwai .
- Inā he mea inu mau ʻoe.
- Maʻi puʻupaʻa . He mea nui loa kēia no ka mea ua hoʻokuʻu ʻia ka metformin mai ke kino ma o nā puʻupaʻa. Inā nāwaliwali nā puʻupaʻa, hiki i ka lāʻau lapaʻau ke hōʻiliʻili i loko o ke kino a hoʻoulu i nā pilikia.
- Maʻi akepaʻa .
- He kūlana i kapa ʻia ʻo polycystic ovary syndrome ( PCOS ) .
- Inā he maʻi koʻikoʻi a ʻeha paha .
- Inā ʻoe e luaʻi pinepine.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi ma mua i ka metformin, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, nā mea hoʻoluʻu, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine ʻoe e hānai waiū ana .
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
ʻAe, e nānā kākou pehea e lawe pololei ai i kēia lāʻau lapaʻau. Pono ʻoe e lawe i ka lāʻau lapaʻau e like me ka mea i ʻōlelo ʻia ma ka lepili kauoha a kāu kauka i hāʻawi ai iā ʻoe. Pono ʻoe e ale i kēia pila ma ka waha me ke aniani wai . ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻai . Lawe kekahi poʻe ma hope o ka ʻaina kakahiaka, kekahi ma hope o ka ʻaina ahiahi. E haʻi aku kāu kauka iā ʻoe i ka manawa e lawe ai. ʻŌlelo pinepine ʻia ʻaʻole e lawe ma ka ʻōpū ʻole. Hiki i ka lawe ʻana me ka meaʻai ke hōʻemi i ka ʻeha iki o ka ʻōpū (no ka laʻana, ka nausea). E lawe i kāu lāʻau lapaʻau i ka manawa kūpono, ma ke ʻano a kāu kauka e haʻi aku ai iā ʻoe. Mai lawe ʻoi aku ma mua o ka mea a ke kauka e haʻi aku ai iā ʻoe, a i ʻole e lawe pinepine ma mua o kou pono . Eia kekahi, mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka.Pono anei e hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono ʻoe e akahele loa. E kamaʻilio me kāu kauka a e hahai pono i kāna mau kuhikuhi.He aha inā lawe nui wau i ka lāʻau lapaʻau? (Overdosage)
E noʻonoʻo ua lawe hewa ʻoe i nā pila he nui loa. Inā hana ʻia kēlā, e hele i ka lumi pilikia o ka haukapila kokoke loa a kāhea koke aku i kahi kikowaena kaohi lāʻau make . Mai hoʻonele i ka manawa.Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like i kāu lāʻau lapaʻau me kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha inā e hala wau i kahi manawa hoʻonohonoho lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai 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 pālua i ka lāʻau no kekahi kumu .He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau? (Nā Hana like ʻana)
He lāʻau lapaʻau ʻo Metformin hiki ke launa pū me nā lāʻau lapaʻau ʻē aʻe a i ʻole nā mea ʻē aʻe āu e lawe nei, ʻo ia hoʻi hiki ke loaʻa nā hopena ʻaoʻao. No laila he mea nui loa ia e makaʻala i kēia.Mai lawe pū me kēia mau lāʻau lapaʻau me ka metformin!
Aia kekahi mau lāʻau lapaʻau i ʻōlelo ʻole ʻia e lawe pū ʻia me ka metformin.- Nā lāʻau lapaʻau hoʻohālikelike . No ka laʻana, inā ʻoe e hana ana i kahi X-ray, CT scan, a i ʻole MRI, ʻaʻole ʻōlelo ʻia e lawe i ka metformin me kekahi mau lāʻau lapaʻau hoʻohālikelike. ʻO ia ke kumu e pono ai ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei ma mua o ia ʻano hoʻokolohua.
- He lāʻau lapaʻau i kapa ʻia ʻo Dofetilide .
Hiki i kēia mau mea ke hoʻopilikia pū kekahi
Aia kekahi mau lāʻau lapaʻau ʻē aʻe a me nā mea e hiki ke launa pū me ka metformin, no laila e haʻi i kāu kauka inā ʻoe e lawe ana i kekahi o kēia mau mea:- ʻAsetazolamide
- ʻAila
- ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole ka hepatitis
- ʻO kekahi mau lāʻau lapaʻau no ke koko , ka maʻi puʻuwai, a me ka puʻuwai naʻau kūpono ʻole
- ʻO Cimetidine
- ʻO Dichlorphenamide
- ʻO Digoxin
- ʻO nā diuretics, i ʻike ʻia hoʻi he mau pila wai
- ʻO nā Estrogens, progestins, a i ʻole nā lāʻau hoʻomalu hānau
- ʻO Glycopyrrolate
- ʻIsoniazid
- Lamotrigine
- Memantine
- Methazolamide
- ʻO Metoclopramide
- ʻO Midodrine
- Niacin
- Nā Phenothiazines (e.g. chlorpromazine, mesoridazine, prochlorperazine, thioridazine)
- ʻO Phenytoin
- Ranolazine
- nā lāʻau steroid (e like me prednisone a i ʻole cortisone)
- Nā mea hoʻonāukiuki no ka maʻi hemahema o ka nānā ʻana, ka pohō kaumaha, a i ʻole e noho ala
- Nā lāʻau lapaʻau thyroid
- ʻO Topiramate
- ʻO Trospium
- ʻO Vandetanib
- ʻO Zonisamide
Nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau lapaʻau
Pono ʻoe e makaʻala iki i kou olakino i ka wā e lawe ana i ka Metformin. E ʻike pinepine i kāu kauka e nānā i kou ʻano. Hana ʻia kahi hoʻāʻo i kapa ʻia ʻo HbA1C i kēlā me kēia 2-3 mahina e ʻike ai i ka maikaʻi o ka kaohi ʻana o kāu maʻi diabetes. He hoʻāʻo koko maʻalahi kēia.E pili ana i nā pae kō koko
Inā ʻoe e lawe i ka metformin me ka insulin a i ʻole ka lāʻau lapaʻau maʻi diabetes sulfonylurea, ua piʻi aʻe kou pilikia o ka loaʻa ʻana o ke kō koko haʻahaʻa (hypoglycemia) . No laila, e aʻo pehea e hoʻāʻo ai i kāu kō koko ma ka home (me ka glucometer). 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.E lawe mau i kekahi kōpaʻa (e laʻa me kahi ʻāpana kinikini, nā papa glucose, a i ʻole kahi mea inu kō) me ʻoe inā he pilikia . Inā hāʻule haʻahaʻa loa kou kō koko, hiki iā ʻoe ke loaʻa i ka maʻi ʻōʻili a nalowale paha ka ʻike, a pono e hoʻomaopopo ʻia kou ʻohana e hiki paha iā ʻoe ke ʻū inā hāʻawi ʻoe iā lākou i ka meaʻai a mea inu paha i kēlā manawa. Inā hana ʻia kēia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.Inā kiʻekiʻe mau kou pae kō koko (hyperglycemia), e haʻi i kāu kauka e pili ana i ia mea. Pono paha e hoʻoponopono ʻia kāu nui o ka lāʻau. Pono paha ʻoe e hoʻoponopono i kāu nui o ka lāʻau ke maʻi ʻoe a inā ʻoe e hoʻoikaika kino ma mua o ka maʻamau. Mai hōʻalo i ka ʻai . E nīnau i kāu kauka e pili ana i ka inu ʻana i ka waiʻona. ʻO kekahi mau lāʻau lapaʻau no ke kuni a me ke anu āu e kūʻai ai mai nā hale kūʻai lāʻau lapaʻau e loaʻa paha ke kō a i ʻole ka waiʻona. Hiki iā lākou ke hoʻopilikia i kou pae kō koko.
Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai
I nā wahine premenopausal nona nā wā menstrual ʻano ʻole, ʻo ka lawe ʻana i ka metformin e hoʻoulu ai i ka ovulation. Hiki i kēia ke hoʻonui i ka manawa kūpono o ka hāpai ʻana. Mai lawe i kēia lāʻau lapaʻau inā hāpai ʻoe a manaʻo paha ʻoe e hāpai ana. E kamaʻilio me kāu kauka e pili ana i ka kaohi hānau ʻana i ka wā e lawe ana i kēia lāʻau lapaʻau. E haʻi koke i kāu kauka inā manaʻo ʻoe ua hāpai ʻoe.Hoʻokahi mea hou aʻe: e pili ana i ka uhi pila.
I kekahi manawa e ʻike paha ʻoe ʻaʻole e heheʻe ka pūpū papa a puka pū me kāu ʻōpala. Mai hopohopo no ia mea, he mea maʻamau ia . Ua komo ka lāʻau lapaʻau i loko o ke kino, a ʻo ka pūpū wale nō e puka mai ana. ʻAʻohe pilikia me ia.Ma mua o ke ʻoki kino a i ʻole nā hoʻokolohua ʻē aʻe
Inā ʻoe e hana ʻoki kino, a i ʻole kahi hoʻāʻo e like me ka MRI a i ʻole CT scan, e hōʻoia e haʻi i kāu kauka e lawe ana ʻoe i ka metformin. Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau i kekahi mau lā ma mua o ka hoʻāʻo/ʻoki kino. E komo i kahi kūpeʻe lima a lei paha , a e lawe mau i kahi kāleka me ʻoe e papa inoa ana i kāu mōʻaukala lapaʻau, nā lāʻau lapaʻau, a me nā dosages.E noʻonoʻo hoʻi i nā huaora
Hiki i kekahi poʻe ke ʻike i ka emi ʻana o ka waikawa folic a me ka huaora B12 i ka wā e lawe ana i ka metformin. No laila, e hōʻoia e loaʻa iā ʻoe ka lawa o kēia mau huaora i ka wā e lawe ana i kēia lāʻau. E kamaʻilio me kāu kauka e pili ana i nā meaʻai a me nā huaora āu e ʻai ai.He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau? (Nā hopena ʻaoʻao)
E like me nā lāʻau lapaʻau āpau, hiki i ka Metformin ke hana i kekahi mau hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka āpau.Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka
Inā loaʻa iā ʻoe kekahi mea e like me kēia, e haʻi koke aku i kāu kauka :- Nā hopena maʻi : ka ʻili ʻulaʻula, ka maneʻo, ka hives, ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu.
- Ka pae waikawa lactic kiʻekiʻe : He ʻano koʻikoʻi kēia. Inā ʻoe e manaʻo i ka ʻeha ʻoi a ʻeha paha, ʻeha o ka ʻōpū, paʻakikī ka hanu ʻana, ka manaʻo o ka nāwaliwali, a i ʻole ka ʻoluʻolu ʻole.
- Ka pae haʻahaʻa o ka wikamina B12 : ʻEha, mae wale, a nalowale paha ka ʻike ma nā lima a i ʻole nā wāwae, nāwaliwali o nā ʻiʻo, poniuniu, paʻakikī i ka noʻonoʻo ʻana, huikau.
Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou
ʻO ka maʻamau, e nalowale kēia mau hopena ʻaoʻao i loko o kekahi mau lā, akā inā hoʻomau lākou a hoʻopilikia paha iā ʻoe, e haʻi i kāu kauka:- Ka maʻi pākī
- Pehu/Kinoea
- ʻEha poʻo
- ʻO ka ʻono metala i loko o ka waha
- Ka luaʻi
Pehea ʻoe e mālama ai i kāu lāʻau lapaʻau?
He mea nui hoʻi e mālama pono i kāu lāʻau lapaʻau. E mālama iā ia mai ka hiki ʻana aku o nā keiki a me nā holoholona . E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 degere Celsius, ma waena o 59 a me 86 degere Fahrenheit) mai ka mālamalama. Mai hoʻohana i kekahi lāʻau lapaʻau ma hope o ka lā pau .He aha kāu e hana ai me nā lāʻau lapaʻau i hoʻohana ʻole ʻia a ua pau ka lāʻau?
Mai hoʻolei wale i ka lāʻau lapaʻau i pau i ka manawa i hoʻohana ʻole ʻia i loko o ka ʻōpala.- E hāʻawi iā lākou i kahi papahana lawe-hoʻihoʻi lāʻau. Hiki iā ʻoe ke nīnau i kāu hale kūʻai lāʻau lapaʻau a i ʻole nā mākaʻi e pili ana i ia mau wahi.
- Inā ʻaʻole hiki kēlā, e nānā i ka ʻeke lāʻau a i ʻole ka lepili e ʻike ai inā pono ʻoe e hoʻolei i loko o ka ʻōpala a hoʻolei paha i loko o ka lua. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka a i ʻole ka hale kūʻai lāʻau lapaʻau.
- Inā hiki iā ʻoe ke hoʻolei i ka lāʻau lapaʻau i loko o ka ʻōpala, e lawe mai ia mea mai loko mai o ka ʻeke, e kāwili me kahi mea e like me ka ʻōpala pōpoki, ka lepo, a i ʻole ka lepo kope, e hoʻokomo i loko o kahi ʻeke a i ʻole ka pahu, e sila iā ia, a hoʻolei i loko o ka ʻōpala.
Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana i nā papa Metformin Extended-Release i kēia manawa. ʻO ka mea hope loa, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:- E lawe i ka nui i kuhikuhi ʻia i ka manawa i kuhikuhi ʻia, e like me ka ʻōlelo a ke kauka. ʻOi aku ka maikaʻi o ka lawe ʻana me ka meaʻai.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā maʻi āu e loaʻa nei.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia)A e mākaukau no ia mea.
- Inā loaʻa iā ʻoe kekahi mea ʻē a i ʻole he mau hopena ʻaoʻao mai ka lāʻau lapaʻau, e haʻi koke aku i kāu kauka.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E ʻike pinepine i kāu kauka a nānā i kou kūlana.
ʻO Metformin, maʻi diabetes, kō koko, insulin, nā hopena ʻaoʻao, lāʻau lapaʻau, olakino
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