Ua kuhikuhi anei kāu kauka i kahi lāʻau lapaʻau hou e kāohi i kāu maʻi diabetes? Ua noʻonoʻo paha ʻoe i ke ʻano o ia mea ma hope o ka ʻike ʻana he ʻelua ona inoa. Mai hopohopo. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia pila, ʻo ia ka hui pū ʻana o nā lāʻau lapaʻau ʻelua i kapa ʻia ʻo Pioglitazone lāua ʻo Glimepiride. Hāʻawi ʻia ia i ka poʻe me ka Type 2 Diabetes. E hoʻomaopopo kākou mai A a Z me ka maʻalahi, me he mea lā e haʻi aku ana mākou i kahi hoaaloha.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, hana kēia lāʻau lapaʻau ma ka hoʻohaʻahaʻa ʻana a me ka kaohi ʻana i ka pae o ke kō, a i ʻole glucose, i loko o kou koko. ʻOiai he ʻelua ʻano lāʻau lapaʻau i loko o kēia, hana lākou ma nā ʻano ʻelua like ʻole.
1. Glimepiride: Hāʻawi kēia lāʻau lapaʻau i kou pancreas i kahi "hoʻonui" iki a kōkua iā ia e hana i kahi mea hou aʻe o ka hormone insulin e pono ai kou kino.
2. Pioglitazone: Hana kēia lāʻau lapaʻau ma ke kōkua ʻana i nā ʻāpana o kou kino e hoʻohana pono i ka insulin a lākou e hana ai. ʻO ia hoʻi, hoʻonui ia i ka ʻike o nā ʻāpana i ka insulin.
Akā e hoʻomanaʻo i kēia: ʻAʻole kēia he hana kilokilo. Pono ʻoe e hoʻomau i ka hahai ʻana i kāu papaʻai a me ka hoʻoikaika kino i ka wā e lawe ana i kēia lāʻau lapaʻau. Loaʻa nā hopena maikaʻi loa ke hele pū ka lāʻau lapaʻau a me ke ʻano olakino.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino piha. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Nā kūlana olakino o kēia manawa:
- Inā he maʻi puʻuwai kou a he puʻuwai nāwaliwali paha
- Maʻi puʻupaʻa
- Maʻi akepaʻa
- Inā he moʻolelo kou no ke kanesa ʻōpū
- Inā ua loaʻa iā ʻoe ka ketoacidosis diabetic, kahi maʻi koʻikoʻi i hoʻokumu ʻia e ka maʻi diabetes
- Inā loaʻa iā ʻoe kahi hemahema enzyme i kapa ʻia ʻo G6PD deficiency (Glucose-6-phosphate dehydrogenase deficiency)
- Nā pilikia thyroid (maʻi thyroid)
- Inā he pehu kou i kou kino, lima, a wāwae paha
- Inā loaʻa iā ʻoe kahi maʻi koʻikoʻi a ʻeha paha
- Nā maʻi ʻaleka:
- Inā he maʻi ʻoe i ka Pioglitazone, Glimepiride a i ʻole nā lāʻau sulfa ʻē aʻe
- Inā loaʻa iā ʻoe kahi maʻi allergy i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻomalu paha
- Nā kiko kūikawā ʻē aʻe:
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai
- Inā he makuahine hānai ʻoe
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai ka lāʻau lapaʻau, pono ʻoe e hoʻohana pono.
- E ale i kēia pila me ke aniani wai.
- E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā.
- ʻO ka mea nui loa: E lawe i kēia lāʻau lapaʻau me ka ʻai ʻana a i ʻole ma hope koke iho o ka ʻai ʻana . Mai lawe iā ia ma ka ʻōpū ʻole. ʻO ka hana ʻana pēlā e hiki ai ke hoʻohaʻahaʻa loa i kou pae kō koko (hypoglycemia). Manaʻo pinepine nā kauka e lawe me ka ʻaina kakahiaka.
- E hoʻomau i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.
- Overdose: Inā manaʻo ʻoe ua lawe ʻoe i kahi overdose, 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.
- Inā ʻoe e poina i kahi lāʻau lapaʻau: E lawe i ka lāʻau lapaʻau i poina i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā lāʻau lapaʻau āu e lawe nei ke launa pū me kēia lāʻau. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei. Aia ma lalo iho kekahi mau laʻana.
| ʻAno lāʻau lapaʻau/mea hana | Nā laʻana a me nā memo |
|---|---|
| Nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory | Nā lāʻau NSAID e like me Aspirin, Ibuprofen, a me Naproxen. |
| Nā lāʻau antibiotic a me nā antifungal | ʻO nā lāʻau lapaʻau e like me ke Chloramphenicol, Clarithromycin, Ketoconazole, Miconazole, a me Rifampin. |
| Lāʻau lapaʻau no ke koko kiʻekiʻe | ʻO nā lāʻau pale beta e like me Metoprolol, Propranolol, Nifedipine. |
| Nā ʻano o nā hormones | ʻO nā hormones wahine (Estrogens), nā lāʻau hoʻomalu hānau, nā hormones thyroid, a me nā steroids e like me Prednisone. |
| Nā lāʻau lapaʻau maʻi diabetes ʻē aʻe | ʻO nā lāʻau lapaʻau maʻi diabetes ʻē aʻe āu e lawe nei. |
| ʻĒ aʻe | ʻO Gemfibrozil, Atorvastatin, ka mea e hoʻohaʻahaʻa i ka cholesterol, Warfarin, ka mea e pale ai i ke kāpili ʻana o ke koko, Isoniazid, ka mea i hoʻohana ʻia no ka mālama ʻana i ka maʻi puʻupuʻu, a me ka ʻona. |
ʻAʻole kēia he papa inoa piha, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā huahana lāʻau āu e lawe nei.
Nā mea e hoʻomanaʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā maʻamau: E kipa aku i kāu kauka i nā lā maʻamau e nānā i kou kūlana. Pono paha ʻoe e loaʻa nā hoʻāʻo koko e nānā i ka hana o kou ake.
- Hoʻāʻo HbA1C: Hoʻāʻo kēia i kou kaohi kō koko maʻamau i nā mahina 2-3 i hala. E ʻōlelo paha kāu kauka e hana ʻoe i kēia hoʻāʻo i kēlā me kēia 3-6 mahina.
- Ke ana ʻana i nā pae kō koko: E aʻo pehea e ana ai i kou pae kō koko ma ka home. 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.
- Inā haʻahaʻa kou kō koko: E mālama mau i kekahi kō me ʻoe. No ka laʻana, nā papa glucose, kahi pahu kō, kahi ʻāpana kinikini, kahi ʻāpana jelly bean. Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi o ke kō koko haʻahaʻa (e like me ke kuʻi ʻana, ka nalowale o ka ʻike), e haʻi aku i kou ʻohana he mea weliweli ke hāʻawi iā ʻoe i ka meaʻai a mea inu paha. I kēlā mau hihia, pono ʻoe e hele koke i ka haukapila.
- Mai hōʻalo i nā meaʻai: Inā ʻoe e lawe ana i kēia lāʻau lapaʻau, he mea nui loa ia e ʻai i kāu mau meaʻai nui i ka manawa kūpono.
- Hāpai: Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka manawa kūpono o ka ovulation i nā wahine me nā pōʻaiapuni menstrual ʻano ʻole. No laila, e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i kahi ʻano kaohi hānau kūpono i ka wā e lawe ana i kēia lāʻau lapaʻau. E haʻi koke i kāu kauka inā manaʻo ʻoe ua hāpai ʻoe.
- ʻIke i ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻolilo i kou ʻili i mea ʻoi aku ka maʻalahi i ka lā. No laila, inā ʻoe e hele ana i ka lā, e ʻaʻahu i nā lole e uhi ana i kou kino a hoʻohana i ka sunscreen.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau. E nānā kākou i ke ʻano o ia mau mea.
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hōʻailona o ka hāʻule ʻana o ka puʻuwai | Paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae a i ʻole nā lima, piʻi koke ke kaumaha, luhi nui. |
| Nā hōʻailona o ka hōʻeha o ke akepaʻa | ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, nalowale ka makemake e ʻai, nausea, nā ʻōpala māmā, ka mimi melemele ʻeleʻele a ʻeleʻele paha, a me ka melemele o ka ʻili a i ʻole nā maka. |
| Hypoglycemia (haʻahaʻa ke kō koko) | Haʻalulu, hou, hopohopo nui, ʻili anuanu, poniuniu, puʻuwai wikiwiki, a me ka huikau. |
| Nā loli o ka ʻike | ʻIke pōwehiwehi, ʻike ʻana i nā apo a puni nā kukui, nalowale ka ʻike. |
| Nā loli i ka mimi | ʻUlaʻula a ʻeleʻele paha ka mimi, ʻeha i ka wā mimi, mimi pinepine. |
| ʻAʻohe mea e hopohopo ai (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| Nā maʻi maʻamau | ʻEha poʻo, maʻi kahe, luaʻi, ʻeha puʻu, ihu wai, ʻeha ʻiʻo. |
Leka Lawe-Home
- E lawe mau i kēia lāʻau lapaʻau i ka manawa i kuhikuhi ʻia me ka ʻai . Mai lawe i ka ʻōpū ʻole.
- Mai hōʻalo i ka ʻai. ʻO ka hana ʻana pēlā e hiki ai ke hoʻohaʻahaʻa loa i nā pae kō koko.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). E mālama mau i kahi mea me ke kō (nā papa glucose, kahi ʻāpana lole) kokoke .
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā lāʻau lapaʻau āu e lawe nei.
- Mai hoʻōki i ka lāʻau lapaʻau a hoʻololi paha i ka dosage me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka nalowale o ka ʻike, e hele koke i ka Emergency Department (ETU) o ka haukapila.
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