Ke noʻonoʻo ʻoe i ka maʻi diabetes, hiki mai ka noʻonoʻo i nā inikini insulin, ʻeā? ʻOiaʻiʻo, hoʻohana ka nui o ka poʻe i ka insulin e kāohi i kā lākou maʻi diabetes. Akā ua ʻike anei ʻoe aia kekahi mau lāʻau injectable, nā pila waha, a me nā lāʻau hanu ʻia e kāohi i ka maʻi diabetes? Ua kapa ʻia kēia mau lāʻau diabetes ʻaʻole hiki ke inikini ʻia. I kēia lā, e kamaʻilio mākou e pili ana i kēia mau lāʻau ʻaʻole hiki ke inikini ʻia. E nānā kākou i ke ʻano o kā lākou hana, he aha nā pōmaikaʻi a me nā pōʻino, a pehea e koho ai i ka mea kūpono iā ʻoe.
Hana kēia mau pila ma nā ʻano like ʻole!
ʻAʻole like ka hana o nā lāʻau lapaʻau maʻi diabetes. Hoʻonui kekahi mau lāʻau i ka hana ʻana o ka insulin i loko o ko kākou kino. Hoʻomalu kekahi i ka omo ʻana o ke kō mai ka meaʻai a kākou e ʻai ai. Aia kekahi ʻano ʻē aʻe, e kōkua ana i nā hunaola o ko kākou kino e pane maikaʻi i ka insulin. No laila, e loiloi kāu kauka i kou kūlana a e ʻōlelo aku i ke ʻano o ka lāʻau a i ʻole kekahi mau ʻano lāʻau lapaʻau i kūpono loa iā ʻoe.
I mea e maʻalahi ai ka hoʻomaopopo ʻana, e nānā kākou i kēia mau papa lāʻau nui a pehea lākou e hana ai ma kahi papa e like me kēia.
| Papa Lāʻau Lapaʻau | He maʻalahi ke ʻano o kāna hana. | Nā hopena ʻaoʻao maʻamau |
|---|---|---|
| Nā Biguanides (e.g. Metformin) | ʻO kēia ka lāʻau lapaʻau i kuhikuhi pinepine ʻia no ka maʻi diabetes Type 2. Hoʻemi ia i ka hana ʻana o ke kō e ke akepaʻa. Kōkua pū ia i nā ʻāpana o ke kino e hoʻohana i ka insulin. | ʻO ka ʻōpū ʻeha (nausea, luaʻi), ka ʻono metala i loko o ka waha. |
| Nā Sulfonylureas (e.g. Glimepiride, Gliclazide) | Hoʻoulu ia i ka pancreas e hana i ka insulin hou aku. | Haʻahaʻa ke kō koko (Hypoglycemia), ʻeha ka ʻōpū, maneʻo ka ʻili, piʻi ke kaumaha. |
| Nā Meglitinides (e.g. Repaglinide) | Hoʻonui pū kēia i ka hana ʻana o ka insulin mai ka pancreas, akā hana wikiwiki lākou a no ka manawa pōkole. | Haʻahaʻa ke kō koko, ʻeha ka ʻōpū. |
| Nā mea pale DPP-4 (e laʻa. Sitagliptin, Vildagliptin) | Ke piʻi aʻe ke kō koko, piʻi aʻe nā pae insulin. Kōkua nō hoʻi ia i ka hōʻemi ʻana i ka hana kō e ke akepaʻa. ʻAʻole kēia mau mea e hoʻonui i ke kaumaha . | ʻO ka maʻamau, he liʻiliʻi nā hopena ʻaoʻao. I kekahi manawa hiki ke loaʻa ka ʻeha o nā hono a me nā maʻi ʻāʻī. |
| Nā mea pale SGLT2 (e laʻa me Dapagliflozin, Empagliflozin) | Hoʻōki lākou i nā puʻupaʻa mai ka hoʻihoʻi ʻana i ke kō i loko o ke kino, e ʻae ana i ke kō keu e hoʻokuʻu ʻia i loko o ka mimi. Hiki i kēia mau mea ke lilo i mea maikaʻi no ka poʻe me ka maʻi puʻuwai. | Nā maʻi ʻōpū mimi, nā maʻi hū vaginal, maule. |
| ʻO nā Thiazolidinediones (TZDs) (e.g. Pioglitazone) | Kōkua ia i nā ʻiʻo a me nā momona e pane maikaʻi aku i ka insulin a hōʻemi i ka hana kō e ke akepaʻa. | Pono e kūkākūkā ʻia me kāu kauka ka paʻa ʻana o ka wai, ka loaʻa ʻana o ke kaumaha, a me ka pilikia o ka maʻi puʻuwai. |
| Nā mea hoʻopaʻa i ka Alpha-glucosidase (E laʻana: ʻAcarbose) | Hoʻoheheʻe ʻia nā starches a me nā kō a mākou e ʻai ai i loko o nā ʻōpū a komo i loko o ke kino. | Kinoea, ʻeha ʻōpū, pehu. |
Nā Pila Hoʻohuihui
I kekahi manawa, ʻaʻole paha e kāohi maikaʻi ʻia kou pae kō koko me hoʻokahi lāʻau lapaʻau wale nō. I ia mau hihia, hiki i kāu kauka ke kuhikuhi i ʻelua mau lāʻau lapaʻau. ʻAʻole anei e maʻalahi ka lawe ʻana i hoʻokahi pila e hoʻohui pū i ʻelua mau lāʻau lapaʻau ma kahi o ka lawe ʻana i ʻelua mau pila i kēlā me kēia lā? ʻO ia ke kumu o nā pila hui pū ʻia.
Eia kekahi laʻana, hele mai nā lāʻau lapaʻau e like me ka metformin me Glimepiride, a i ʻole metformin me Sitagliptin, i loko o ka pila hoʻokahi. Hoʻemi kēia i ka nui o nā pila āu e pono ai e lawe i kēlā me kēia lā, e maʻalahi ai ka lawe ʻana i ka lāʻau lapaʻau i nā manawa maʻamau.
ʻInsulina hanu ʻia
He mea hou kēia. He ʻano insulin hana wikiwiki ia. Loaʻa kēia insulin ma ke ʻano he capsule a hanu ʻia ma o kahi inhaler kūikawā. Hoʻohana pinepine ʻia ma mua o ka ʻai ʻana. ʻAe kēia i ka insulin e komo koke i ke kahe koko ma o nā māmā.
Akā e hoʻomanaʻo, ʻaʻole kēia no nā kānaka a pau. Inā he mea puhi paka ʻoe, a i ʻole he maʻi māmā e like me ka hānō a i ʻole COPD, ʻaʻole kēia nou. Eia kekahi, ʻaʻole ia he pani no ka insulin hana lōʻihi.
Pehea ʻoe e koho ai i ka lāʻau lapaʻau kūpono nou?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Auē, me ka nui o nā lāʻau lapaʻau ma waho, pehea wau e koho ai i ka mea kūpono iaʻu?" ʻAʻole ia he hoʻoholo āu e hana ai hoʻokahi. He hoʻoholo ia āu a me kāu kauka e hana pū ai. I ka hana ʻana i kēia hoʻoholo, pono ʻoe e noʻonoʻo i kēia mau mea:
- Pehea kou pae kō koko? Hiki i kekahi poʻe ke kāohi maikaʻi i ko lākou kō koko me hoʻokahi lāʻau lapaʻau. Pono kekahi i kekahi mau lāʻau lapaʻau.
- ʻEhia ke kumukūʻai o kēia mau lāʻau lapaʻau? ʻOi aku ke kumukūʻai o kekahi o nā lāʻau lapaʻau hou. E kamaʻilio pū me kāu kauka e pili ana i kēia.
- Loaʻa iā ʻoe nā maʻi olakino ʻē aʻe? Inā loaʻa iā ʻoe ka maʻi puʻuwai, ka maʻi puʻupaʻa, a i ʻole nā pilikia o ke akepaʻa, ʻoi aku ka kūpono o kekahi mau lāʻau lapaʻau ma mua o nā mea ʻē aʻe. No ka laʻana, ua ʻike ʻia he pono nā mea hoʻopaʻa SGLT2 no kekahi mau maʻi puʻuwai.
- Hiki ke ʻae ʻia nā hopena ʻaoʻao? ʻAʻole like ka hopena o ka lāʻau lapaʻau hoʻokahi i nā kānaka a pau. Loaʻa i kekahi poʻe nā mea e like me ka ʻeha o ka ʻōpū a me ka piʻi ʻana o ke kaumaha. Inā loaʻa iā ʻoe kahi hopena ʻaoʻao paʻakikī ke ʻae ʻia, pono ʻoe e haʻi i kāu kauka e pili ana i ia mea.
E kamaʻilio ākea me kāu kauka e pili ana i kēia mau mea a pau i hiki ai iā ʻolua ke koho pū i ka lāʻau lapaʻau olakino loa, palekana loa, a me ka maikaʻi loa nāu.
Leka Lawe-Home
- Aia nā inikini insulin no ka maʻi diabetes, a me nā pila waha a me nā lāʻau lapaʻau hanu ʻia.
- Hoʻokele kēlā me kēia o kēia mau lāʻau lapaʻau i nā pae kō o ke kino ma nā ʻano like ʻole.
- Pono e koho i ka lāʻau lapaʻau kūpono loa iā ʻoe me ke kūkākūkā ʻana me kāu kauka, me ka noʻonoʻo ʻana i kou kūlana olakino, kou nohona, a me nā mea ʻē aʻe.
- Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau, hoʻololi i ka nui, a hoʻomaka paha i kahi lāʻau hou me ka ʻole o ke aʻo ʻana mai ke kauka.
- Inā loaʻa iā ʻoe kekahi hopena ʻaoʻao mai ka lāʻau lapaʻau, mai hopohopo a e hoʻomaopopo koke i kāu kauka.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo