Ke haʻi aku kāu kauka iā ʻoe he Type 2 Diabetes Mellitus kou, e kuhikuhi ʻia paha ʻoe i kahi pila e hoʻohui pū ana i ʻelua mau lāʻau lapaʻau, ʻo Pioglitazone lāua ʻo Metformin. He mea maʻamau ke hopohopo iki a loaʻa nā nīnau he nui i ka wā e lawe ana i kēia lāʻau. Ke noʻonoʻo nei paha ʻoe, "He aha ka hana a kēia?", "He aha kaʻu e hopohopo ai?", "He mea weliweli anei nā hopena ʻaoʻao?" Mai hopohopo. I kēia lā, e pane wale mākou i kāu mau nīnau a pau e pili ana i kēia lāʻau lapaʻau.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kēia e kōkua ai i ka hoʻokele ʻana i kou kō koko, a i ʻole glucose. He hui pū ʻana ia o ʻelua mau lāʻau lapaʻau.
1. Pioglitazone: Hana kēia ma ke kōkua ʻana i ka hormone insulin o kou kino e hana maikaʻi aʻe. ʻO ia hoʻi, kōkua ia i nā ʻāpana o kou kino e omo i ke kō mai ke koko me ka maʻalahi.
2. Metformin: Hoʻomalu nui kēia i ke kō koko ma nā ʻano ʻelua. ʻO kekahi ma ka hōʻemi ʻana i ka hana ʻana o ke kō hou e kou akepaʻa, a ʻo kekahi ma ke kāohi ʻana i ka omo ʻana o ke kō mai ka meaʻai āu e ʻai ai.
ʻO ka maʻamau, hāʻawi ʻia kēia lāʻau lapaʻau me ka ʻai maikaʻi a me ka hoʻoikaika kino . ʻAʻole lawa ka lāʻau lapaʻau wale nō, akā ʻoi aku ka maikaʻi o ka lawe ʻana me ka hoʻololi ʻana i ke ʻano o ka nohona. Ma Sri Lanka, hiki ke loaʻa kēia lāʻau lapaʻau ma lalo o nā inoa inoa e like me 'Actoplus Met XR'.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa i kāu kauka ke ʻike i kāu mōʻaukala olakino piha ma mua o ke kau ʻana i kēia lāʻau. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei.
| Kūlana a maʻamau paha | No ke aha ʻoe e hoʻomaopopo ai i ke kauka? |
|---|---|
| Maʻi puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai | Hiki i ka Pioglitazone ke hoʻonui i ka paʻa ʻana o ka wai i loko o ke kino, e hoʻoweliweli ana i ka poʻe me ka hana puʻuwai nāwaliwali. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Hoʻopau ʻia kēia mau lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa a me ke akepaʻa, no laila inā ua hōʻino ʻia ko lākou ponoPono e hoʻololi ʻia ka dosage . |
| Inu pinepine | ʻO ka hui pū ʻana o ka waiʻona a me ka Metformin e hoʻonui i ka pilikia o kahi maʻi weliweli i kapa ʻia ʻo lactic acidosis. |
| Ke hāpai nei a i ʻole e hoʻāʻo nei e hāpai, e hānai waiū ana | ʻAʻole kūpono kēia lāʻau lapaʻau i ka wā hāpai. Hiki iā ia ke hoʻoulu i ka ovulation, no laila e kamaʻilio me kāu kauka e pili ana i ka kaohi hānau inā ʻaʻole ʻoe e hoʻolālā e loaʻa nā keiki. |
| Nā pilikia ʻike, ka mōʻaukala o ke kanesa ʻōpū, anemia, polycystic ovary syndrome | He mea nui e hoʻomaopopo i ke kauka e pili ana i kēia mau kūlana no ka mea hiki iā lākou ke hoʻopilikia i ka pono a i ʻole nā hopena ʻaoʻao o ka lāʻau lapaʻau. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea ʻē aʻe | He mea nui kēia e ʻike inā he maʻi ʻoe i kēia lāʻau lapaʻau a i ʻole kekahi o kāna mau mea hoʻohui. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
E like me ka ʻōlelo a ke kauka, he mea nui loa ka lawe ʻana i ka lāʻau lapaʻau i ka manawa kūpono.
- E lawe pū me ka meaʻai: Pono e lawe mau ʻia kēia lāʻau lapaʻau me ka ʻai. Manaʻo pinepine ʻia e lawe pū me ka ʻai nui o ka lā.
- E ale i ka papa holoʻokoʻa: E ale i ka papa holoʻokoʻa me ke aniani wai. Mai uhaʻi, kuʻi, a nau paha i ka papa e like me ka gum. He papa hoʻokuʻu hoʻolōʻihi ʻia (XR) kēia. ʻO ia hoʻi, ua hoʻolālā ʻia e hoʻokuʻu mālie i ka lāʻau i ka lā a pau. Inā ʻoe e uhaʻi, e hoʻopilikia ʻia kēlā kaʻina hana, a hiki ke hoʻokuʻu ʻia ka lāʻau i loko o ke kino i ka manawa hoʻokahi, e hana ana i nā hopena ʻaoʻao.
- E lawe i ka manawa kūpono: E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā.
- Inā ʻoe e poina i kahi lāʻau lapaʻau: Inā poina iā ʻoe ke lawe i kahi lāʻau lapaʻau, e lawe koke iā ia ke hoʻomanaʻo 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.
- Inā lawe nui ʻoe i ka lāʻau lapaʻau: Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, e hoʻōki koke i ka lawe ʻana.E kelepona i ke Kikowaena ʻIke Lāʻau Make Lahui ma ka Halemai Lahui ʻo Colombo, a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
I kekahi manawa, ʻaʻole paha e heheʻe ka uhi papa a puka pū me kou ʻōpala. He mea maʻamau kēia, no laila mai hopohopo. Ua komo ka ʻāpana lāʻau lapaʻau o ka lāʻau i loko o kou kino.
ʻO nā mea ʻē aʻe e pono iaʻu e makaʻala i ka wā e lawe ai i ka lāʻau lapaʻau
Nā hoʻokolohua lapaʻau maʻamau
E nānā mau kāu kauka iā ʻoe. Ma ke ʻano kūikawā, e hana lākou i kahi hoʻāʻo koko i kapa ʻia ʻo HbA1c i kēlā me kēia 2-3 mahina e nānā i ka maikaʻi o ka kaohi ʻana o kāu kō koko. Hiki iā lākou ke hana i nā hoʻokolohua e nānā i ka hana o kou ake a me kou mau puʻupaʻa.
E makaʻala i kou pae kō koko.
E aʻo pehea e hoʻāʻo ai i kou pae kō koko ma ka home. Eia kekahi, e makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (Hypoglycemia) a me ke kō koko kiʻekiʻe (Hyperglycemia).
- Nā hōʻailona o ke kō koko haʻahaʻa: ka hou ʻana, ka haʻalulu, ka pōloli nui, ka huikau, a me ka nāwaliwali.
- Nā hōʻailona o ke kō koko kiʻekiʻe: make wai nui, mimi pinepine, ʻike maka pohihihi, luhi.
E mālama mau i kahi mea kokoke iā ʻoe e ʻai koke ai (nā papa glucose, nā ʻāpana kō, ka toffee) inā e hāʻule kou kō koko.
Nā ʻoki kino a me nā scan
Inā e hana ʻia kekahi ʻoki kino, MRI a i ʻole CT scan, 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.
Nā lāʻau lapaʻau ʻē aʻe
Hiki i kēia lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau ʻē aʻe he nui, ʻoiai kekahi mau wai hoʻohālikelike i hoʻohana ʻia ma mua o nā scan, kekahi mau lāʻau lapaʻau puʻuwai, nā pila hormonal (me nā pila hoʻomalu hānau), kekahi mau antibiotic a me nā mea ʻeha.
He mea nui loa ia no kou palekana e haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, wikamina, a me nā lāʻau lapaʻau āu e lawe ai. E hāʻawi iā ia i kahi papa inoa piha.
He aha nā hopena ʻaoʻao e hiki iaʻu ke ʻike?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. Hiki iā ʻoe ke aʻo hou aʻe e pili ana i kēia mai ka papa ma lalo nei.
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka a i ʻole e hele i ka haukapila. | |
|---|---|
| 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. |
| ʻAkika Lactic | He kūlana kakaikahi kēia akā he mea weliweli loa. ʻO ka ʻūlū ʻana a i ʻole ka ʻeha o nā ʻiʻo, ka ʻeha o ka ʻōpū, ka paʻakikī o ka hanu ʻana, ka 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, melemele o ka ʻili a i ʻole nā maka, mimi melemele/ʻeleʻele. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Nā loli o ka ʻike (blurring, ʻike ʻana i nā apo a puni nā kukui), mimi ʻulaʻula a ʻeleʻele paha, ʻeha i ka wā e mimi ai. |
| Inā hoʻomau kēia mau hōʻailona a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Nā hopena ʻaoʻao maʻamau | Ka maʻi kahe, ka ʻeha poʻo, ka luaʻi, ka ihu wai a i ʻole ka ihu paʻa. |
Leka Lawe-Home
- Mai ho'ōki i ka hoʻohana ʻana i kēia lāʻau me ka ʻole o ke noi ʻana aku i kāu kauka.
- E lawe mau i ka lāʻau lapaʻau me ka ʻai. E ale holoʻokoʻa i ka papa, mai uhaʻi.
- E hāʻawi i kāu kauka i ka papa inoa piha o nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, nā huaora, a me nā mea kanu āu e lawe nei.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a e mālama i kahi mea me ke kō kokoke i ka wā pilikia.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻeha nui o ka ʻōpū.
- He mea nui loa ia no kou olakino e ʻike i kāu kauka i ka manawa kūpono a hana i nā hoʻokolohua e pono ai.
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