Ke ʻeha nei hoʻi ʻoe i ka maʻi diabetes Type 2? A laila ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Pioglitazone (puana ʻia: pio-glitazone). He mea nui loa ia e hoʻomaopopo pono ʻia e pili ana i kēia lāʻau lapaʻau, kahi i hoʻohana nui ʻia e kāohi i ka maʻi diabetes. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau, pehea e hana ai, nā mea e makaʻala ai i ka wā e hoʻohana ana, a me nā hopena ʻaoʻao.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, hana kēia lāʻau lapaʻau i kapa ʻia ʻo Pioglitazone ma ke kōkua ʻana i ka hana maikaʻi ʻana o ka hormone insulin o kou kino. Kōkua ka insulin i nā cell o ko mākou kino e omo i ka glucose. Hoʻonui kēia lāʻau lapaʻau i ka ʻike o nā cell i ka insulin. A laila hoʻemi kēia i ka nui o ke kō keu i loko o ke koko, e kaohi ana i nā pae kō koko.
Akā e hoʻomanaʻo i kēia: ʻAʻole lawa kēia lāʻau lapaʻau wale nō. No nā hopena maikaʻi loa, pono e hui pū ʻia me ka ʻai kūpono a me ka papa hana hoʻoikaika kino .
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau nāu, pono ʻo ia e ʻike i kāu mōʻaukala olakino piha. E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
| Maʻi a i ʻole ke kūlana | E hoʻomaopopo i kāu kauka inā pili kēia iā ʻoe. |
|---|---|
| Ka maʻi ʻōpū | Inā loaʻa iā ʻoe ke kanesa ʻōpū i kēia manawa a i ʻole ua loaʻa iā ʻoe ma mua. |
| Ketoacidosis maʻi diabetes | He pilikia koʻikoʻi kēia o ka maʻi diabetes. Inā loaʻa iā ʻoe kēia maʻi. |
| Nā maʻi maka | Nā kūlana e like me ka edema macular i hoʻokumu ʻia e ka maʻi diabetes. |
| Maʻi puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai | ʻO kēlā me kēia ʻano maʻi puʻuwai a i ʻole ke ʻano o ka naʻau. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Inā he pilikia kou i ka hana o nā puʻupaʻa a i ʻole ke akepaʻa. |
| ʻO ka maʻi ovary polycystic (PCOS) | ʻO ka maʻi polycystic ovary i nā wahine. |
| Pehu kino | Inā he pehu kou ma kou mau lima, nā wāwae, a i ʻole nā wāwae. |
| ʻO nā ʻano maʻi diabetes ʻē aʻe | No ka maʻi diabetes type 2 kēia lāʻau lapaʻau. Inā loaʻa iā ʻoe ka maʻi diabetes type 1. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i ka pioglitazone a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a i ʻole nā mea hoʻoluʻu. |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
E lawe i ka lāʻau lapaʻau e like me ke kauoha a ke kauka, ma ke ʻano maʻamau.
- E ale i ka pila me ke aniani wai.
- I ka hiki, e hoʻāʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā .
- Mai lawe ʻoe i ka nui a ʻoi aku paha ma mua o ka nui i kauoha ʻia e ke kauka.
- Hiki iā ʻoe ke loaʻa i kahi pepa ʻike kūikawā (MedGuide) mai ka hale kūʻai lāʻau lapaʻau ke hāʻawi ʻia iā ʻoe ka lāʻau. E heluhelu pono i kēlā me kēia manawa.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i ka lāʻau lapaʻau ma mua o ka mea i kauoha ʻia, e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU) a i ʻole e hele i ka haukapila kokoke loa ma Colombo.E kelepona i ke Kikowaena ʻIke Lāʻau Make Lahui ma ka Halemai Lahui.
He mea nui loa: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai hāʻawi i kēia lāʻau lapaʻau i kekahi no kekahi kumu.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. 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 pālua i ka lāʻau lapaʻau e hoʻopiha ai i kahi lāʻau lapaʻau i poina.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā huahana lāʻau lapaʻau āu e lawe nei ke launa pū me Pioglitazone. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe nei.
ʻO ke ʻano kūikawā, hiki i nā lāʻau lapaʻau aʻe ke launa pū me Pioglitazone:
- ʻO Atorvastatin (kahi lāʻau hoʻohaʻahaʻa cholesterol)
- nā lāʻau hoʻomalu hānau a i ʻole nā ʻano hormonal ʻē aʻe
- Bosentana
- ʻO Itraconazole, Ketoconazole (lāʻau antifungal)
- Midazolam
- ʻO Nifedipine (he lāʻau lapaʻau no ke koko kiʻekiʻe)
- Nā lāʻau lapaʻau ʻē aʻe no ka maʻi diabetes (me ka insulin)
- ʻO Topiramate
Eia kekahi, aia kekahi mau mea ʻē aʻe e hiki ke hoʻopilikia i nā pae kō koko, e like me:
- ʻAila
- ʻAspirin a me nā lāʻau like
- ʻO kekahi mau ʻano antibiotic
- Nā hormones wahine (e like me nā pila hoʻomalu hānau)
- Nā lāʻau lapaʻau no kekahi mau maʻi puʻuwai
- Nā lāʻau hoʻemi kaumaha
- ʻO kekahi mau lāʻau lapaʻau anu/kunu (hiki iā lākou ke loaʻa ke kō a i ʻole ka waiʻona)
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo
- Nā lāʻau hoʻopau ʻeha (NSAID) e.g. ibuprofen
- ʻO kekahi mau mea hoʻohui lāʻau lapaʻau
- Nā lāʻau lapaʻau ʻano steroid (e like me prednisone)
ʻAʻole i piha kēia papa inoa. No laila, e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, nā huahana lāʻau lapaʻau āu e lawe nei, a inā ʻoe e puhipaka a inu waiʻona paha .
Nā mea e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā nānā maʻamau: E hoʻomau i ka ʻike ʻana i kāu kauka e nānā i kou kūlana. Makemake paha kāu kauka e hana i nā hoʻokolohua koko e ʻike ai inā e hana pono ana kou akepaʻa.
- Hoʻāʻo HbA1C: He hoʻāʻo koko maʻalahi kēia e ana i ka maikaʻi o kou kāohi ʻana i kāu kō koko i nā mahina 2-3 i hala. E hana kāu kauka i kēia hoʻāʻo (HbA1C) i nā manawa kikoʻī .
- Ka Hoʻāʻo ʻana i ke Kō Koko: E aʻo pehea e nānā ai i kou pae kō koko ma ka home. E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kiʻekiʻe (hyperglycemia) a pehea e hoʻokele ai iā lākou.
- Inā haʻahaʻa ke kō:Inā ʻike ʻoe i nā hōʻailona o ke kō koko haʻahaʻa (e like me ka poniuniu , ka hou ʻana, ka haʻalulu, ka pōloli nui), e mālama i kahi mea e hiki ai ke hāʻawi i ke kō wikiwiki (e like me ka cube kō, ka papa glucose, a i ʻole nā mea ʻono) ma kahi kokoke. Inā haʻahaʻa loa ke kō koko o kekahi a nalowale lākou i ka ʻike, mai ho'āʻo e hāʻawi iā lākou i kahi mea e ʻai ai a inu paha. Hiki i kēia ke kumu o ka ʻū ʻana. E ʻimi koke i ke kōkua lapaʻau.
- Ka pilikia o ka maʻi puʻuwai: Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka pilikia o ka maʻi puʻuwai. Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻa, ka ʻeha e pālahalaha ana i ka ʻāwae a i ʻole ka lima, a i ʻole ka paʻakikī o ka hanu ʻana , e ʻimi koke i ke kōkua lapaʻau no ka mea he hōʻailona paha ia o kahi maʻi koʻikoʻi.
- Hāpai: Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka ovulation a me ka hāpai ʻana i nā wahine premenopausal me nā pōʻaiapuni menstrual ʻole. E kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i ka kaohi hānau ʻana i kou wā e lawe ana i kēia lāʻau lapaʻau. E haʻi koke i kāu kauka inā manaʻo ʻoe ua hāpai paha ʻoe.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka Pioglitazone ke hana i nā hopena ʻaoʻao. Aia ma lalo iho kekahi o nā hopena ʻaoʻao a me nā mea āu e hana ai inā loaʻa.
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā loli o ka ʻike | ʻIke pōwehiwehi, ʻike ʻana i nā apo a puni nā kukui, nalowale ka ʻike. |
| 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, nāwaliwali kūikawā. |
| Nā hōʻailona o ka hōʻeha o ke akepaʻa | ʻEha ma ka ʻōpū ʻākau o luna, nalowale ka makemake e ʻai, nausea, nā ʻōpala māmā, ka mimi melemele ʻeleʻele a ʻeleʻele paha, a me ka melemele o nā maka a i ʻole ka ʻili. |
| Nā loli i ka mimi | ʻUlaʻula a ʻeleʻele paha ka mimi, ʻeha a paʻakikī paha ka mimi ʻana, mimi pinepine. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | ʻEha poʻo laulā. |
| ʻEha ʻiʻo | ʻEha kino a me nā ʻiʻo. |
| Nā hōʻailona e like me ke anu | Ihu wai a i ʻole ka ihu paʻa. |
Pehea ʻoe e mālama ai i ka lāʻau lapaʻau?
- E mālama ʻia mai nā keiki a me nā holoholona.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius).
- E pani pono i ka ʻōmole a pale ʻia mai ka makū a me ka lā.
- E hoʻolei aku i nā lāʻau lapaʻau i pau ka lā.
Leka Lawe-Home
- ʻO Pioglitazone kahi lāʻau lapaʻau i hoʻohana ʻia e kāohi i ka maʻi diabetes type 2, me ka ʻai kūpono a me ka hoʻoikaika kino.
- Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Mai hōʻalo i nā lāʻau lapaʻau, akā, mai lawe i ka lāʻau pālua.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (ka hou ʻana, ka haʻalulu) a me ke kō koko kiʻekiʻe a e mākaukau no lākou.
- 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, ka pehu ʻana o ke kino, a i ʻole ka melemele o nā maka.
- Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau nā papa Pioglitazone (Pioglitazone / Actos) no ka maʻi hea?
He lāʻau ikaika loa kēia (papa Thiazolidinedione / TZD) e kōkua ana i ka kaohi ʻana i nā pae kō koko kiʻekiʻe i nā poʻe maʻi Diabetes Type 2! Hāʻawi pinepine ʻia kēia i nā poʻe ʻaʻole i emi iho ko lākou pae kō ʻoiai ke lawe nei i nā pila e like me Metformin. ʻO ka mea kūikawā, ʻaʻole ia e hoʻonui i ka hana ʻana o ka insulin e ka pancreas, akā, hoʻohana pono i ka insulin i loaʻa.
💬 Pehea e hoʻohaʻahaʻa ai kēia pila (Pioglitazone) i ke kō koko me ka ʻole e hōʻino i ka pancreas?
Hoʻouka pololei kēia i nā hunaola momona a me nā hunaola ʻiʻo o ko kākou kino. He pani ʻia nā puka o ka poʻe me ka maʻi diabetes ma kēia mau hunaola (Insulin Resistance), no laila, ʻaʻole lākou e omo i ke kō. ʻO ka hana a kēia pila (PPAR-gamma activation) ʻo ia ka wehe ikaika ʻana i nā puka pani a pau ma luna o kēlā mau hunaola ʻiʻo a huki koke i ke kō (glucose) i loko o ke koko i loko o ke kino. A laila, hāʻule wale ke kō koko.
💬 He aha nā hopena ʻaoʻao nui (Nā ʻŌlelo Aʻo Pahu ʻEleʻele) o ka lawe ʻana i kēia lāʻau lapaʻau?
ʻAʻole maikaʻi no ka poʻe me nā puʻuwai nāwaliwali (Heart Failure) ke kau i kēia i loko o ko lākou waha! No ka mea, hiki i kēia pila ke hoʻoulu i ka paʻa ʻana o ka wai (Edema), nā wāwae pehu, a me ka wai i loko o nā māmā, a hiki i ka mea maʻi ke make koke. Eia kekahi, inā ʻoe e inu i kēia no kekahi mau mahina, e piʻi maoli ke kaumaha o ka mea maʻi i hoʻokahi kilo (Weight gain). ʻO kekahi pōʻino weliweli, ua hōʻike ʻia ua loaʻa i kekahi poʻe ka 'Bladder Cancer' mai kēia!
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