E aʻo kākou e pili ana i nā Papa Nateglinide no ka maʻi diabetes.

Loaʻa iā ʻoe ka maʻi diabetes Type 2? A i ʻole he ʻohana a he hoaaloha paha kou e ʻeha nei i kēia maʻi? A laila ua lohe paha ʻoe i kahi lāʻau i kapa ʻia ʻo Nateglinide. He lāʻau kūikawā kēia i hāʻawi ʻia e kāohi i ka maʻi diabetes. No laila i kēia lā e kamaʻilio mākou e pili ana i kēia mau pila Nateglinide me nā kikoʻī hou aku, pehea lākou e hana ai, a me nā mea e makaʻala ai i ka wā e lawe ana iā lākou.

He aha ke ʻano lāʻau lapaʻau ʻo Nateglinide? Pehea e hana ai?

I ka ʻōlelo maʻalahi, ʻo ka nateglinide kahi pila i hāʻawi ʻia i nā poʻe me ka maʻi diabetes Type 2. E like me kou ʻike, ʻo ka maʻi diabetes ka piʻi ʻana o ke kō o ke kino, ʻo ia hoʻi, ka pae o ka glucose i loko o ke koko. ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ke kōkua i kou kino e hana hou aku i ka hormone insulin. ʻO ka insulin ka mea e kōkua ai i ka kaohi ʻana i ke kō i loko o ke kino. No laila, ke piʻi ka insulin, e emi ana ke kō koko. Akā e hoʻomanaʻo, ʻaʻole lawa kēia lāʻau lapaʻau wale nō. Hāʻawi pinepine ʻia kēia lāʻau lapaʻau me ka ʻai maikaʻi a me ka hoʻoikaika kino . A laila wale nō hiki iā ʻoe ke loaʻa nā hopena maikaʻi.

I kekahi manawa e loaʻa paha kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo Starlix, akā he mau inoa inoa ʻē aʻe paha kekahi.

Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā kūlana ʻē aʻe, no laila inā he mau nīnau kāu e pili ana i kēia, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a kauka lāʻau paha.

He aha nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻohana ʻana i kēia lāʻau?

Ma mua o kou hoʻomaka ʻana e lawe iā Nateglinide, pono ʻoe e haʻi i kāu kauka a i ʻole ke kime e mālama nei iā ʻoe e pili ana i kēia mau mea. E hoʻomanaʻo, inā ʻaʻole ʻoe e haʻi iā lākou, hiki iā ʻoe ke loaʻa nā pilikia.

• Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo diabetic ketoacidosis, i hoʻokumu ʻia e ka maʻi diabetes. (He mea paʻakikī iki kēia, ʻike paha kāu kauka e pili ana i kēia.)
• Inā he maʻi kou i ke akepaʻa .
• Inā ua loaʻa iā ʻoe kahi hopena maʻi i kēia lāʻau lapaʻau, nateglinide, kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala, a mea hoʻomalu paha.
• Inā ʻoe e hāpai ana, a i ʻole e hoʻāʻo ana e hāpai.
• Inā he makuahine hānai waiū ʻoe.

Inā ʻoe e haʻi mai iaʻu i kēia mau mea me ka hūnā ʻole ʻana iā lākou, hiki i ke kauka ke mālama iā ʻoe ma ke ala kūpono loa.

Pehea ʻoe e hoʻohana pono ai i kēia lāʻau lapaʻau?

Pono e lawe ʻia kēia lāʻau lapaʻau ma ka waha, me ka wai. Pono ʻoe e lawe ia mea e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa kūpono a me ka nui kūpono. ʻO ka hapa nui o ka manawa, ua ʻōlelo ʻia ʻoe e lawe i kēia lāʻau lapaʻau ma mua o ka ʻai ʻana . I mea e pololei ai, ʻoi aku ka maikaʻi o ka lawe ʻana ma kahi o 30 mau minuke ma mua o ka ʻai ʻana.

Mea nui: Inā ʻoe e hōʻalo i kahi ʻai, ʻo ia hoʻi, inā ʻaʻole ʻoe e ʻai,Pono hoʻi ʻoe e pale i ka lawe ʻana i ka lāʻau lapaʻau kūpono i kēlā manawa. ʻO ia hoʻi, inā ʻaʻohe meaʻai, ʻaʻohe lāʻau lapaʻau.

E hoʻomau i ka lawe ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e hoʻōki. ʻOi aku ka maikaʻi o ka hoʻōki koke ʻole ʻana, ʻeā?

Pono e akahele loa i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā keiki. No laila, inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i kāu keiki, e kamaʻilio me kāu kauka e pili ana i ia mea a e kiʻi i ka ʻōlelo aʻo.

Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i ka lumi pilikia o ka haukapila kokoke loa a i ʻole ke kikowaena kaohi lāʻau make. Mai hoʻonele i ka manawa.

ʻO kekahi mea ʻē aʻe, nou wale nō kēia lāʻau lapaʻau. He lāʻau lapaʻau ia a ke kauka i hāʻawi mai ai no kou maʻi. No laila , mai kaʻana like me kekahi.

He aha kāu e hana ai inā e poina iā ʻoe kahi mahele o ka lāʻau lapaʻau?

Inā poina iā ʻoe ke lawe i kahi lāʻau, e hōʻalo iā ia. E lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau pila i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i hala ʻole. ʻO ka hana ʻana pēlā e hiki ai ke hoʻopilikia.

He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau? (Nā Hana like ʻana)

He mea nui loa kēia. Hiki i kekahi mau lāʻau lapaʻau, nā meaʻai, a me nā mea inu ke hoʻopilikia i kou pae kō koko. ʻO ke ʻano kēia, i ka wā e lawe ʻia ai me ka nateglinide, hiki i kou pae kō koko ke lilo i haʻahaʻa loa (hypoglycemia) a kiʻekiʻe loa paha. No laila, inā ʻoe e lawe ana i kēia lāʻau lapaʻau, pono ʻoe e makaʻala loa i nā mea aʻe.

Hiki i nā lāʻau lapaʻau he nui ke hoʻopilikia i nā pae kō koko. Eia kekahi mau laʻana:

• ʻAila
• ʻAspirin a me nā lāʻau lapaʻau e like me ka aspirin
• ʻO kekahi mau lāʻau antiviral no nā maʻi e like me ka maʻi HIV a i ʻole ka hepatitis
• ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā ​​​​maʻi noʻonoʻo ʻē aʻe
• ʻO kekahi mau lāʻau lapaʻau no nā kūlana e like me ke koko, ka maʻi puʻuwai, a me ka puʻuwai puʻuwai kūpono ʻole
• Chromium (i kekahi manawa lawe ʻia ma ke ʻano he mea hoʻohui)
• Nā lāʻau diuretic (nā lāʻau e wehe ai i ka wai mai ke kino)
• ʻO nā hormones wahine, no ka laʻana estrogens a progestins paha, a me nā pila hoʻomalu hānau
• Fenofibrate
• ʻO Gemfibrozil `(Gemfibrozil)`
• ʻO Isoniazid (he lāʻau lapaʻau no ka maʻi puʻupuʻu)
• ʻO Lanreotide
• Nā hormones kāne a i ʻole nā ​​​​steroid anabolic
• Nā MAOI (e laʻa me nā lāʻau lapaʻau e like me Carbex, Eldepryl, Marplan, Nardil, Parnate)
• Lāʻau hoʻemi kaumaha
• Nā lāʻau lapaʻau no nā maʻi ʻaleka, ka hānō, ke anu, a me ke kuni
• Niacin
• ʻO ka nikotine (loaʻa i loko o ka paka)
• Nā NSAID (nā lāʻau hoʻomaha ʻeha a me nā lāʻau anti-inflammatory, e like me ibuprofen a i ʻole naproxen)
• ʻOktreotide
• Pasiotid
• Pentamidine
• ʻO Phenytoin `(Phenytoin)`
• ʻO Probenecid `(Probenecid)`
• Nā lāʻau antibiotic quinolone (e.g. ciprofloxacin, levofloxacin, ofloxacin)
• ʻO kekahi mau mea hoʻohui meaʻai lāʻau
• nā lāʻau steroid (e like me prednisone a i ʻole cortisone)
• ʻO Sulfamethoxazole; trimethoprim
• Nā hormones thyroid

Eia kekahi, aia kekahi mau lāʻau lapaʻau e uhi ana i nā hōʻailona hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). ʻO ke ʻano kēia ʻaʻole paha ʻoe e ʻike iā ia ʻoiai inā haʻahaʻa kou kō koko. Inā ʻoe e lawe ana i kēia ʻano lāʻau lapaʻau, pono ʻoe e nānā pinepine i kou pae kō koko. Nā laʻana:

• Nā mea pale beta ( e.g. metoprolol, propranolol)
• ʻO Clonidine
• ʻO Guanethidine
• ʻO Reserpine

ʻAʻole i piha kēia papa inoa. Aia paha he nui aku. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e hoʻohana ai (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā huahana lāʻau lapaʻau, nā huaora), nā mea hoʻohui āu e lawe ai, a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kekahi o kēia mau mea ke launa pū me kāu lāʻau nateglinide.

He aha nā mea ʻē aʻe e pono iaʻu e makaʻala i ka wā e lawe ai i kēia lāʻau?

ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau, pono ʻoe e ʻike pinepine i kāu kauka e nānā i kou olakino.

• Hoʻāʻo HbA1C (A1C): He hoʻāʻo koko maʻalahi kēia. Nānā ia i ka maikaʻi o ka kaohi ʻana o kou kō koko i nā mahina 2-3 i hala. Pono e hana ʻia kēia hoʻāʻo i kēlā me kēia 3 a 6 mahina.
• E aʻo pehea e nānā ai i kou pae kō koko: Aia nā mīkini liʻiliʻi hiki iā ʻoe ke hoʻohana e nānā i kou pae kō koko ma ka home. E aʻo pehea e hoʻohana ai iā lākou, a me nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kō koko kiʻekiʻe (hyperglycemia), a pehea e hoʻokele ai iā lākou.
• E mālama pono i kekahi kō i ka wā pilikia: E mālama mau i kekahi kō (e laʻa me nā pahu kō, nā papa glucose) me ʻoe i hiki iā ʻoe ke ʻai koke inā loaʻa iā ʻoe nā hōʻailona o ke kō koko haʻahaʻa (e laʻa me ka haʻalulu, ka hou ʻana, ka poniuniu). Inā loaʻa iā ʻoe ke kō koko haʻahaʻa a nalowale ka ʻike, a i ʻole he hopu ʻana, e haʻi aku i kou ʻohana a me nā hoaaloha e hiki ke ʻūlū lākou inā hāʻawi lākou iā ʻoe i ka meaʻai a mea inu paha i kēlā manawa. Inā hana ʻia kēia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
• Inā piʻi aʻe kou pae kō koko, e haʻi i kāu kauka :Inā kiʻekiʻe mau kou pae kō koko, e haʻi i kāu kauka. Pono paha e hoʻoponopono i ka nui o kāu lāʻau lapaʻau. Eia kekahi, inā maʻi ʻoe a hoʻoikaika kino paha ma mua o ka maʻamau, pono paha e hoʻoponopono i ka nui o kāu lāʻau lapaʻau.
• Mai hōʻalo i ka ʻai: E ʻai i ka manawa kūpono.
• E pili ana i ka waiʻona: E nīnau i kāu hui mālama ola kino inā pono ʻoe e pale i ka inu ʻana i ka waiʻona.
• E makaʻala me nā lāʻau lapaʻau ʻē aʻe: ʻO kekahi mau syrups kuni a me ke anu hiki iā ʻoe ke kūʻai ma luna o ke kūʻai aku ma ka hale kūʻai lāʻau lapaʻau paha he kō a he waiʻona paha. Hiki i kēia ke hoʻopilikia i nā pae kō koko.
• Palapala hōʻoia lapaʻau: E komo i kahi kūpeʻe lima a kaulahao paha no ka palapala hōʻoia lapaʻau, a i ʻole e mālama i kahi kāleka me ʻoe e loaʻa ana nā kikoʻī e pili ana i kou kūlana, nā lāʻau lapaʻau āu e lawe ai, nā lāʻau lapaʻau, a me nā manawa āu e lawe ai. He mea nui loa kēia i ka wā pilikia.
• Nā makuahine hānai: Mai hānai i kāu pēpē i ka waiū i ka wā e lawe ana i kēia lāʻau. Inā he mau nīnau kāu e pili ana i kēia, e kamaʻilio me kāu kauka.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i ka Nateglinide ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻAʻole loaʻa i nā kānaka a pau, akā he mea maikaʻi ke makaʻala iā lākou.

Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka:

Inā ʻike ʻoe i kēia mau hōʻailona , ​​​​pono ʻoe e hoʻomaopopo i kāu hui lapaʻau i ka hikiwawe loa:

• Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a i ʻole ka puʻu.
• Haʻahaʻa ke kō koko (hypoglycemia) : haʻalulu, haʻalulu, hopohopo, hou, anu, ʻili paʻa, huikau, poniuniu, puʻuwai wikiwiki.

Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau, akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou:

ʻOiai ʻaʻole koʻikoʻi kēia mau mea, e haʻi i kāu kauka inā hoʻomau a hoʻopilikia paha lākou iā ʻoe:

• ʻEha hope
• Ka maʻi pākī
• Pōʻino
• ʻEha hui
• Ihu wai a i ʻole ka ihu paʻa

ʻAʻole kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe ma waho aʻe o kēia mau mea, e kamaʻilio me kāu kauka e pili ana i ia mea. (Ma ʻAmelika Hui Pū ʻIa, hiki iā ʻoe ke hōʻike i nā hopena ʻaoʻao i ka FDA ma 1-800-FDA-1088, akā ma Sri Lanka, ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka .)

Pehea ʻoe e mālama ai i kēia mau pila?

He mea nui loa e mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona.

E mālama ma ka mahana o ka lumi, ma kahi o 25 kekelē Celsius (77 Fahrenheit). E pani paʻa i ka ʻōmole/ʻeke lāʻau.Mai hoʻohana i nā lāʻau lapaʻau i pau ka lā, e hoʻolei aku.

Pehea ʻoe e hoʻolei pono ai i nā lāʻau lapaʻau i hoʻohana ʻole ʻia a ua pau ka lāʻau?

Mai hoʻolei wale i nā lāʻau lapaʻau i pau ka manawa a i ʻole nā ​​lāʻau lapaʻau i makemake ʻole ʻia i loko o ka ʻōpala. Aia kekahi mau ala e hoʻolei pono ai iā lākou.

• Nā papahana hoʻihoʻi lāʻau lapaʻau: Loaʻa paha i kekahi mau hale kūʻai lāʻau lapaʻau a me nā kikowaena olakino kēia mau papahana. E nānā iā lākou.
• Inā ʻaʻole hiki iā ʻoe ke hoʻihoʻi: E nānā i ka lepili lāʻau lapaʻau a i ʻole ka pepa i hele pū me ia e ʻike inā ʻōlelo ʻia e hoʻolei i loko o ka ʻōpala a hoʻolei paha i loko o ka lua. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu hui mālama ola.
• Inā palekana ke hoʻolei i loko o ka ʻōpala: E lawe i ka lāʻau lapaʻau mai loko mai o ka pahu. A laila e kāwili i ka lāʻau lapaʻau me kahi mea ʻē aʻe i pono ʻole, e like me ka ʻōpala pōpoki, ka lepo, ka lepo kope, a pēlā aku. A laila e hoʻokomo i ka hui ʻana i loko o kahi ʻeke a pahu paha, e sila pono, a hoʻolei i loko o ka ʻōpala.

ʻO kekahi mau mea nui e hoʻomanaʻo ai ʻoe

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo:

• ʻO Nateglinide kahi lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ka maʻi diabetes type 2.
• Hoʻonui kēia i ka insulin i loko o ke kino a hoʻemi i ke kō koko (glucose).
• Ua ʻōlelo pinepine ʻia e lawe i kēia 30 mau minuke ma mua o ka ʻai ʻana. Inā ʻoe e poina i kahi ʻai, e kāpae i ka lāʻau lapaʻau.
• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me kāu mau ʻano (puahi, inu waiʻona), no ka mea, hiki i kekahi mau mea ke launa pū me kēia lāʻau lapaʻau.
• E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a e mālama i kekahi kō no ka wā e pono ai.
• Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau ke ʻole kāu kauka e ʻōlelo aku iā ʻoe. E ʻike pinepine i kāu kauka e nānā i kou kūlana.
• Inā hāpai ʻoe, hānai waiū, a i ʻole he mau pilikia kou akepaʻa, e ʻōlelo pono i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau.

He hōʻuluʻulu manaʻo wale nō kēia. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka, kauka lāʻau, a i ʻole kekahi mea mālama ola kino ʻē aʻe. E hiki iā lākou ke kōkua iā ʻoe.

ʻO Nateglinide, Starlix, maʻi diabetes, kō koko, insulin, nā hopena ʻaoʻao