Kōkua no ka maʻi diabetes: E aʻo kākou e pili ana i ka inikini Pramlintide!

Inā ʻoe e noho nei me ka maʻi diabetes , ʻike paha ʻoe i ke koʻikoʻi o ka kaohi ʻana i kou pae kō koko. I kekahi manawa , ʻaʻole lawa ka kaohi ʻana i kāu ʻai a me ka hoʻoikaika kino wale nō, ʻeā? I kēia lā e kamaʻilio mākou e pili ana i kahi inikini kūikawā e kōkua i kēlā mau manawa. ʻO Pramlintide kona inoa.

He aha ke ʻano lāʻau lapaʻau ʻo Pramlintide?

I ka ʻōlelo maʻalahi, ʻo Pramlintide kahi lāʻau lapaʻau injectable i hoʻohana ʻia e mālama i ka maʻi diabetes . Hana ia ma ka hoʻemi ʻana i ka nui o ke kō i loko o kou koko. Hoʻolohi pū ia i ka ʻeli ʻana o ka meaʻai āu e ʻai ai. Kōkua kēia i ka kaohi ʻana i nā piʻi koke ʻana o kou pae kō koko.

E noʻonoʻo e like me kahi pā e kaohi ana i ka wai, kaohi kēia lāʻau i ka piʻi koke ʻana o ke kō koko ma hope o ka ʻai ʻana. I ka manawa pinepine, hāʻawi ʻia kēia lāʻau me ka kaohi ʻana i kāu ʻai a me ka hoʻoikaika kino . ʻO ia ka manawa e loaʻa ai nā hopena maikaʻi loa. I nā huaʻōlelo ʻē aʻe, hiki iā ia ke lilo i ʻāpana koʻikoʻi ʻē aʻe o kāu hoʻolālā hoʻokele maʻi diabetes.

He aha nā mea nui e pono ai ʻoe e haʻi aku i ke kauka?

Ma mua o kou hoʻomaka ʻana e lawe i nā inikini Pramlintide, he mea nui e haʻi i kāu kauka e pili ana i kēia mau mea. He mea nui kēia no ka mea e kōkua ia iā lākou e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a pehea e hāʻawi ai.

Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e ʻoluʻolu e haʻi mai iā mākou:

• Inā ʻoi aku ke kiʻekiʻe o kou hemoglobin A1C ma mua o 9% (he ana kēia o ke ʻano o kou kaohi ʻana i kāu kō koko i nā mahina i hala iho nei).
• Inā loaʻa pinepine iā ʻoe nā hanana kō koko haʻahaʻa , a i ʻole hypoglycemia .
• Inā pilikia ʻoe i ka nānā pono ʻana i kou pae kō koko.
• Inā he pilikia kou i ka lawe pono ʻana i kāu lāʻau lapaʻau maʻi diabetes.
• Inā loaʻa iā ʻoe kahi maʻi ʻōpū, ʻoi aku hoʻi kahi kūlana i kapa ʻia ʻo gastroparesis , kahi e hoʻolohi ai i ka hoʻokahe ʻana o kou ʻōpū (kahi kūlana e hoʻolohi ai nā ʻōpū i kā lākou hana).
• Inā pilikia ʻoe i ka hoʻomaopopo ʻana i ka wā e haʻahaʻa ai kou kō koko,(Paʻakikī ke ʻike i ka wā e haʻahaʻa ai ke kō koko).
• Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka Pramlintide, ka mea hoʻohui metacresol i loko, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā mea hoʻonaninani artificial, a i ʻole nā ​​​​mea mālama.
• Inā hāpai ʻoe, a i ʻole ke manaʻolana nei e hāpai i ka wā e hiki mai ana .
• Inā he makuahine hānai waiū ʻoe .

Inā ʻoe e haʻi aku i kāu kauka i kēia mau mea me ka hūnā ʻole ʻana iā lākou, hiki iā ia ke hoʻolālā i ka lāʻau lapaʻau e kūpono loa iā ʻoe.

Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?

Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he inikini ma lalo o ka ʻili . E hāʻawi kāu kauka a kahu maʻi paha iā ʻoe i nā ʻōlelo aʻoaʻo maopopo no ka hoʻomākaukau ʻana a me ke ʻano o ka inikini pono ʻana. Pono ʻoe e hahai pololei i nā ʻōlelo aʻoaʻo .

E hoʻomanaʻo i kēia mau mea:

• Mai hoʻohuihui i kēia lāʻau lapaʻau me ka insulin i loko o ka syringe hoʻokahi. Pono e lawe ʻokoʻa ʻia kēia mau lāʻau lapaʻau ʻelua.
• Pono e lawe ʻia kēia lāʻau lapaʻau ma mua o kēlā me kēia pāʻina nui .
• E lawe i ka lāʻau lapaʻau i ka manawa i kuhikuhi ʻia a ma nā manawa i kuhikuhi ʻia e like me ke kauoha a ke kauka.
• Mai lawe ʻoe ma mua o ka nui i kauoha ʻia.
• Ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau, e nānā pono i kona ʻano . Inā like ia me he mea lā ua kuʻi ʻia, a inā ʻike ʻoe i kekahi mau ʻāpana liʻiliʻi i loko, mai hoʻohana.
• Pono ʻoe e waiho i kāu mau nila i hoʻohana ʻia a me nā peni inikini i loko o kahi pahu ʻoi i hana kūikawā ʻia no kēia kumu. Mai hoʻolei iā lākou i loko o ka ʻōpala. Hiki i kēia ke hoʻoweliweli i nā poʻe ʻē aʻe. Inā ʻaʻohe āu, e noi i kāu hale kūʻai lāʻau lapaʻau a kauka paha no hoʻokahi.
• Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia iā ʻoe kahi pepa kuhikuhi kūikawā (MedGuide) . E heluhelu pono i kēlā me kēia manawa e loaʻa ai iā ʻoe kahi hoʻopihapiha.
• Hele mai kēia lāʻau lapaʻau me kahi pepa kuhikuhi NO KA HOʻOHANA ʻANA . E heluhelu pono a nīnau i kāu kauka lāʻau lapaʻau a kauka paha inā he mea āu e maopopo ʻole ai.
• Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki , e kamaʻilio me kāu kauka e pili ana i ia mea. Pono paha ia i ka mālama kūikawā.
• He aha kāu e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau ? Inā manaʻo ʻoe ua hana ʻia kēia, mai hopohopo a kāhea koke i ka lumi pilikia o ka haukapila kokoke loa a i ʻole ke kikowaena kaohi lāʻau make no ka ʻōlelo aʻoaʻo.

Eia kekahi mea āu e pono ai e hoʻomanaʻo: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kahi hoaaloha a ʻohana paha, ʻoiai inā he maʻi diabetes ko lākou.

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

I kekahi manawa hiki iā ʻoe ke poina i kahi mahele lāʻau lapaʻau, ʻeā? He ʻokoʻa ia no kēlā me kēia kanaka. Akā, ʻaʻole ia he manaʻo maikaʻi ke poina i kahi mahele lāʻau . Na kāu kauka a i ʻole ka hui mālama ola e haʻi iā ʻoe i ka mea e hana ai inā poina ʻoe i kahi mahele lāʻau. E hahai pololei i kēlā hoʻolālā. Mai lawe pālua i nā mahele lāʻau no kekahi kumu. ʻO ka hana ʻana pēlā e hiki ai i kāu kō koko ke hāʻule haʻahaʻa loa.

He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?

Ua ʻike anei ʻoe hiki i kekahi mau lāʻau lapaʻau ke launa pū me Pramlintide, ʻo ia hoʻi hiki iā lākou ke hoʻopili kekahi i kekahi? No laila he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora, nā mea kanu, nā lāʻau lapaʻau ma luna o ke kūʻai aku, a me nā mea hoʻohui meaʻai.

E makaʻala me nā lāʻau lapaʻau e like me kēia e loli ai nā hopena o Pramlintide:

• ʻO ka Acetaminophen (e like me ka paracetamol)
• ʻAlosetron
• ʻAtropine
• Nā lāʻau hoʻomalu hānau
• ʻO kekahi mau lāʻau lapaʻau no nā pilikia o ka ʻōpū mimi, no ka laʻana, oxybutynin
• ʻO kekahi mau lāʻau lapaʻau no ka ʻeha o ka ʻōpū, e like me ka 'dicyclomine', 'hyoscyamine'
• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ka nausea i ka wā e hele ana, no ka laʻana, scopolamine
• ʻEluxadoline
• Nā lāʻau lapaʻau ʻē aʻe no ka maʻi diabetes, no ka laʻana ʻo `acarbose`, `miglitol`

Eia kekahi, he nui nā lāʻau lapaʻau ʻē aʻe e hiki ke hoʻopilikia i nā pae kō koko. He lōʻihi iki ka papa inoa, akā he mea nui e makaʻala i kēia mau mea:

• Nā mea inu ʻona
• Nā lāʻau lapaʻau antiviral no ka maʻi HIV a i ʻole AIDS
• ʻAspirin a me nā lāʻau lapaʻau like
• ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe, ka maʻi puʻuwai, a me ka puʻuwai naʻau kūpono ʻole
• Chromium (i kekahi manawa lawe ʻia ma ke ʻano he mea hoʻohui)
• Nā lāʻau lapaʻau
• Hoʻohana ʻia nā hormones wahine, inā he estrogens a i ʻole progestins, i loko o nā pila hoʻomalu hānau.
• ʻO Fenofibrate
• ʻO Gemfibrozil
• ʻO Isoniazid (he lāʻau lapaʻau no ka maʻi puʻupuʻu)
• ʻO ka Lanreotide
• Nā hormones kāne a i ʻole nā ​​​​​​steroids anabolic
• Nā lāʻau lapaʻau i loko o ka hui o nā lāʻau lapaʻau i kapa ʻia ʻo `MAOIs` (hoʻohana ʻia no nā maʻi noʻonoʻo), no ka laʻana ʻo `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, a me `Parnate`
• Lāʻau hoʻemi kaumaha
• Nā lāʻau lapaʻau no nā maʻi ʻaleka, ka hānō, ke anu, a me ke kuni
• Nā lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole nā ​​​​maʻi noʻonoʻo ʻē aʻe
• ʻO Niacin
• ʻO ka nikotine (loaʻa i loko o ka paka)
• Nā lāʻau hoʻopau ʻeha i kapa ʻia ʻo 'NSAIDs', ʻo ia hoʻi, nā lāʻau lapaʻau e hōʻemi i ka mumū, no ka laʻana ʻo 'ibuprofen' a i ʻole 'naproxen'
• ʻOctreotide
• ʻO Pasireotide
• ʻPentamidine
• ʻO ka Phenytoin (he lāʻau lapaʻau i hāʻawi ʻia i nā ale)
• ʻO Probenecid (he lāʻau lapaʻau no ka gout)
• ʻO nā lāʻau antibiotic Quinolone, no ka laʻana ciprofloxacin, levofloxacin, ofloxacin
• ʻO kekahi mau mea hoʻohui meaʻai lāʻau
• Nā lāʻau steroid, e like me prednisone a i ʻole cortisone
• Sulfamethoxazole; trimethoprim (antibiotic)
• Nā hormones thyroid

ʻOi aku ka mea nui, aia kekahi mau lāʻau lapaʻau e hiki ke uhi i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). ʻO ke ʻano kēia ʻaʻole paha ʻoe e ʻike he haʻahaʻa kou kō koko. Inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau, he mea nui loa ia e nānā mau i kou pae kō koko. ʻO ia mau lāʻau lapaʻau:

• Nā Beta-blockers - Hoʻohana pinepine ʻia kēia mau mea no ke koko kiʻekiʻe a i ʻole ka maʻi puʻuwai (nā laʻana: atenolol, metoprolol, propranolol)
• ʻO Clonidine
• ʻO Guanethidine
• ʻO ka Reserpine

ʻAʻole i hoʻokomo ʻia nā pilina āpau ma kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā mea kanu, a me nā mea hoʻohui āu e lawe ai, a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe. Hiki i kekahi mau mea ke launa pū me kāu lāʻau lapaʻau.

Pono ʻoe e makaʻala i kēia mau mea i ka wā e lawe ai i ka lāʻau lapaʻau!

ʻOiai e hoʻohana ana i kēia lāʻau lapaʻau, pono ʻoe e ʻike pinepine i kāu kauka e nānā i kou ʻano. Eia kekahi, e makaʻala i kēia mau mea:

• Nānā mau ʻia kāu 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. Hana ʻia kēia hoʻāʻo i kēlā me kēia 3-6 mahina.
• E aʻo pehea e nānā ai i kou pae kō koko ma ka home. Eia kekahi, e aʻo i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kō koko kiʻekiʻe (hyperglycemia) a pehea e hoʻokele ai iā lākou. He mea nui loa kēia.
• E mālama mau i kahi kumu kō wikiwiki kokoke. Eia kekahi laʻana, nā pahu kō, nā papa glucose, a i ʻole kahi mea inu kō. Inā hāʻule haʻahaʻa loa kou kō koko a loaʻa iā ʻoe nā hopu a i ʻole ka maule ʻana, e hoʻomaopopo i nā poʻe ʻē aʻe (nā ʻohana, nā hoaaloha) ʻo ka hāʻawi ʻana iā ʻoe i ka meaʻai a mea inu paha i kēlā manawa hiki ke kumu i ka hopu ʻana. Inā hana ʻia kēia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
• Inā manaʻo ʻoe ua kiʻekiʻe kou pae kō koko, e haʻi i kāu kauka. Pono paha e hoʻoponopono ʻia ka nui o kāu lāʻau lapaʻau.
• Inā loaʻa iā ʻoe ka maʻi (e like me ke kuni a i ʻole ka ʻeha ʻōpū), a inā ʻoe e hoʻoikaika kino ma mua o ka maʻamau , pono paha ʻoe e hoʻololi i ka nui o kāu lāʻau lapaʻau. E nīnau i kāu kauka e pili ana i kēia.
• Mai hōʻalo i ka ʻai ʻana, ʻoiai inā ʻoe e lawe ana i kēia lāʻau lapaʻau.
• E nīnau i kāu kauka inā pono ʻoe e pale i ka inu ʻana i ka waiʻona. Hiki i ka waiʻona ke hoʻohaʻahaʻa a piʻi paha i kou kō koko.
• Hiki i kekahi mau lāʻau lapaʻau no ke kuni a me ke anu ke loaʻa ke kō a i ʻole ka waiʻona. Hiki iā lākou ke hoʻopilikia i nā pae kō koko, no laila e nīnau i kāu kauka a kauka lāʻau paha ma mua o ka lawe ʻana iā lākou.
• Mai kaʻana like i nā peni inikini me nā poʻe ʻē aʻe. ʻOiai inā ua hoʻololi ʻia ka nila, hiki i ka kaʻana like ʻana ke hoʻolaha i nā maʻi weliweli e like me ka hepatitis a i ʻole ka HIV.
• E komo i kahi kūpeʻe lima a lei paha no ke kauka. Eia kekahi, e mālama i kahi kāleka me nā kikoʻī e pili ana i kou kūlana, nā lāʻau lapaʻau āu e lawe ai, ka nui o ka lāʻau, a me nā manawa āu e lawe ai. He mea kōkua nui kēia i ka wā pilikia.

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

E like me nā lāʻau lapaʻau āpau, hiki i ka inikini Pramlintide ke hana i nā hopena ʻaoʻao i kekahi poʻe. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. ʻAʻole paha i loaʻa i kekahi poʻe nā hopena ʻaoʻao.

Inā loaʻa kekahi mea e like me kēia, pono ʻoe e haʻi koke i kāu kauka:

• Nā hopena maʻi ʻaleka — ʻO kēia ka ʻili ʻulaʻula, ka maneʻo, ka pehu ʻana, a i ʻole ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu. Hiki ke lilo i mea weliweli a pono e mālama koke ʻia e ke kauka.

ʻAʻole koʻikoʻi kēia mau hopena ʻaoʻao, akā inā hoʻomau a hoʻopilikia paha lākou iā ʻoe, e haʻi i kāu kauka:

• ʻEha poʻo
• Ka nalowale o ka makemake
• Ka luaʻi (hiki i kekahi poʻe ke ʻike i kēia i ka wā mua)
• ʻEha, ʻulaʻula, a huhū paha ma kahi i inikini ʻia
• ʻEha ʻōpū
• Ka luaʻi ʻana

ʻAʻole paha e komo pū kēia papa inoa me nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē, e kāhea aku i kāu kauka no ke aʻo lapaʻau.

Pehea e mālama pono ai i kēia lāʻau lapaʻau?

He mea nui hoʻi e mālama pono i ka lāʻau lapaʻau. A i ʻole, e emi ana paha kona maikaʻi a i ʻole e hōʻino paha.

• E mālama iā ia ma kahi palekana i hiki ʻole i nā keiki a me nā holoholona ke loaʻa.
• Pono e mālama ʻia nā peni inikini hou i wehe ʻole ʻia ma kahi anuanu, e like me ka puka o ka pahu hau, ma waena o 2 a me 8 kekelē Celsius (36 a 46 kekelē F). Mai hoʻopaʻahau i loko o ka pahu hau i kēlā me kēia manawa.E hoʻolei aku i nā lāʻau lapaʻau i koe ma hope o ka lā pau.
• ʻO nā peni inikini i wehe ʻia , ʻo ia hoʻi nā mea e hoʻohana ʻia nei, hiki ke mālama ʻia i loko o ka pahu hau a i ʻole ma ka mahana o ka lumi (ʻaʻole i ʻoi aku ma mua o 30 degere Celsius (86 F)) a hiki i 30 mau lā. Mai hoʻokuʻu iā lākou e hau. Wahi a kekahi poʻe, ʻaʻole ʻeha ka inikini ke mālama ʻia ma ka mahana o ka lumi. Pono e hoʻolei ʻia kekahi lāʻau lapaʻau i hoʻohana ʻole ʻia ma hope o 30 mau lā, ʻoiai inā aia nō ka lāʻau lapaʻau i koe i loko.

ʻO ka leka koʻikoʻi loa e lawe i ka home

No laila, hiki i ka Pramlintide ke lilo i lāʻau lapaʻau koʻikoʻi loa e kōkua ai i ka kaohi ʻana i ka maʻi diabetes. Akā he mea nui e hoʻohana pono ia e like me ka ʻōlelo a kāu kauka iā ʻoe, e nānā i nā pilina me nā lāʻau lapaʻau ʻē aʻe, e makaʻala i nā hopena ʻaoʻao, a e nānā pinepine i kāu pae kō koko .

E ʻoluʻolu e hoʻomaopopo he ʻike laulā wale nō kēia ʻatikala. Hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa no ka kūpono o kēia lāʻau lapaʻau iā ʻoe a pehea e lawe ai, ma muli o kou kūlana olakino.

Inā he mau nīnau a hopohopo paha kāu, mai kānalua e nīnau i kāu kauka, kauka lāʻau lapaʻau, a i ʻole ka mea mālama ola kino. Lana ko mākou manaʻo e kōkua kēia ʻike iā ʻoe e ola i kahi ola olakino a hauʻoli me kāu maʻi diabetes.

ʻO Pramlintide, Maʻi Diabetes, Inikini, Kō Koko, Nā Hopena ʻAoʻao, Lāʻau Lapaʻau Maʻi Diabetes