Ua ʻōlelo anei kāu kauka iā ʻoe e hoʻomaka e lawe i nā inikini insulin ma ke ʻano he lāʻau lapaʻau no ka maʻi diabetes ? Ua lohe paha ʻoe i nā inoa ʻo 'Regular Insulin ' a i ʻole 'Short-Acting Insulin'. No laila, i ka lohe ʻana i kēia inoa, nui nā nīnau e hiki mai ana i kou manaʻo. "He aha ke ʻano o ka insulin?", "Pehea e hana ai?", "Āhea wau e lawe ai?", "Aia kekahi mau hopena ʻaoʻao ?" Ke noʻonoʻo nei paha ʻoe i nā mea e like me kēia. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia mau mea a pau i kēia lā, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka insulin maʻamau?
I ka ʻōlelo maʻalahi, ʻo ka insulin maʻamau kahi hormone insulin synthetic i hoʻohana ʻia e kāohi i nā pae kō koko i nā poʻe me ka maʻi diabetes . Ua kapa ʻia hoʻi ʻo ia he insulin hana pōkole . ʻO kēia no ka mea hoʻomaka ia e hana i loko o kahi manawa pōkole ma hope o ka hoʻokomo ʻia ʻana i loko o ke kino a laila nalowale kona pono i loko o kekahi mau hola.
ʻAʻole kēia he lāʻau lapaʻau no ka maʻi diabetes. Akā hiki iā ia ke kōkua i ka kaohi ʻana i nā pae kō koko kiʻekiʻe a pale iā ʻoe mai nā pilikia weliweli e hiki ke kū mai ma muli o ka maʻi diabetes. Hiki i ka poʻe me ka Type 1 Diabetes a me Type 2 Diabetes , me nā keiki a me nā pākeke, ke hoʻohana i kēia ʻano insulin ma lalo o ke alakaʻi a kā lākou kauka.
Pehea e hana ai kēia insulin i loko o ko mākou kino?
E noʻonoʻo i nā pūnaewele i loko o ko kākou kino e like me nā hale liʻiliʻi. ʻO ke kō ( glucose ) a kākou e ʻai ai e hāʻawi i ka ikehu e pono ai kēia mau hale e hana. Akā, ʻaʻole hiki i kēia kō ke hele pololei i loko o nā hale i kapa ʻia he mau pūnaewele. Ua pani ʻia nā puka o kēlā mau hale.
Hana ka hormone insulin e like me ke "kī" e wehe ai i kēia mau puka. I loko o ke kino o ke kanaka olakino, hana maoli ʻia kēia kī, ʻo ia hoʻi ka insulin. Eia nō naʻe, i loko o ke kanaka me ka maʻi diabetes, hana ke kino i ka liʻiliʻi o kēia kī, a inā paha, ʻaʻole hiki i ke kī ke wehe pono i ka puka.
ʻO ia ka manawa e hāʻawi ai mākou i ka insulin ma waho ma ke ʻano he inikini. ʻO ka insulin maʻamau i hāʻawi ʻia ma kēia ʻano e hana i ʻekolu mau mea nui:
1. Hoʻohaʻahaʻa i nā pae kō koko:Kōkua ia i ka lawe ʻana i ke kō i hōʻiliʻili ʻia i loko o nā kīʻaha koko i loko o nā ʻāpana.
2. Hāʻawi i ka ikehu i nā pūnaewele: Hoʻohana ʻia ke kō e komo i loko o nā pūnaewele i ikehu e nā pūnaewele.
3. Kāohi i ka hana kōpaʻa e ke akepaʻa: Hoʻōki ko mākou akepaʻa i ka hana kōpaʻa pono ʻole a me ka hōʻiliʻili ʻana i loko o ke koko.
Ma kēia ʻano, kōkua kēia insulin iā ʻoe e hoʻokele i kāu mau pae kō koko a ola i kahi ola olakino.
He aha ke ala kūpono e hoʻokomo ai i ka insulin?
I mea e loaʻa ai ka hopena maikaʻi loa mai kēia insulin, he mea nui loa ia e hoʻohana pololei a i ka manawa kūpono.
ʻO ka manawa ka mea nui loa.
Pono e hoʻokomo ʻia nā inikini insulin maʻamau i 30 mau minuke ma mua o ka ʻai nui . He mea kēia e pono ai ʻoe e hoʻomanaʻo.
E noʻonoʻo ʻoe e ʻai ana ʻoe i ka hola 8 a.m. A laila pono ʻoe e hoʻokomo i ka insulin ma kahi o 7:30 a.m. No ka mea, he 30-60 mau minuke ka lōʻihi o kēia insulin e hiki ai i ke kino a hoʻomaka e hana. ʻO ia hoʻi, ke ʻai ʻoe, hoʻomaka ka insulin e hana a ua mākaukau e kāohi i ke kō i hoʻohui ʻia i ke koko mai ka meaʻai.
- Hoʻomaka ka hana: I loko o 30-60 mau minuke
- Hana kiʻekiʻe loa: i loko o 2-3 mau hola
- Mana noho: Ma kahi o 3-6 mau hola
He mea nui: Mai hoʻokuʻu i ka ʻai ma hope o ka hoʻokomo ʻana i ka insulin. ʻO ka hana ʻana pēlā e hiki ai ke hoʻohaʻahaʻa loa i kou kō koko. E kamaʻilio mākou e pili ana i kēlā ma hope koke iho.
Ma hea e pono ai iaʻu ke hoʻopili ʻia?
Hoʻokomo ʻia kēia insulin i loko o ka papa momona ma lalo o ka ʻili. E hōʻike aku kāu kauka a kahu maʻi paha iā ʻoe pehea e hana ai i kēia. ʻO nā wahi maʻamau e hoʻokomo ai i ka insulin:
- ʻŌpū (a puni ka piko)
- Lima luna (kuʻe o ka lima)
- ʻUha luna (mua a hope paha)
- Wahi puʻupuʻu
E hoʻomanaʻo: Mai hoʻokomo i ka insulin ma kahi like i kēlā me kēia lā. ʻO nā hoʻokomo hou ʻana ma kahi like hiki ke hana i nā puʻupuʻu, nā lua, a i ʻole ka mānoanoa o ka ʻili . No laila, inā ʻoe e hoʻokomo ma kahi hoʻokahi, e hoʻokomo ma kahi ʻē aʻe i ka manawa aʻe. No ka laʻana, inā ʻoe i hoʻokomo ma ka ʻaoʻao hema o kou ʻōpū i kēia kakahiaka, e hoʻokomo ma ka ʻaoʻao ʻākau i ke awakea. E hoʻololi i nā lima i ka lā aʻe. He mea nui loa kēia ʻano hoʻololi wahi.
He aha nā pilikia a me nā hopena ʻaoʻao e makaʻala ai?
E like me nā lāʻau lapaʻau āpau, aia kekahi mau mea e pono ai mākou e makaʻala i ka wā e hoʻohana ai i ka insulin maʻamau. He mea nui loa ka ʻike ʻana i kēia mau mea no kou palekana.
Ma ke ʻano he kanaka me ka maʻi diabetes, ʻike ʻoe i ka "Hypo" a me ka "Hyper"He mea pono iā ʻoe ke ʻike pono i kēia mau huaʻōlelo ʻelua.
1. Hypoglycemia: ʻO ke ʻano kēia ua haʻahaʻa loa ke kiʻekiʻe o ke kō koko .
2. Hyperglycemia: ʻO ke ʻano kēia ua kiʻekiʻe loa ke kō koko .
ʻO ka ʻike ʻana i nā hōʻailona o kēia mau kūlana ʻelua e hiki ke kōkua i ka hoʻopakele ʻana i kou ola i kahi pilikia.
| ʻAno | Ke kō koko haʻahaʻa (Hypoglycemia) | Ke kō koko kiʻekiʻe (Hyperglycemia) |
|---|---|---|
| Kumu | Ke hōʻalo nei i ka ʻai ʻana i ka wā e lawe ana i ka insulin, ka hoʻopaneʻe ʻana i ka ʻai, ka hoʻoikaika kino nui ʻana, a me ka hoʻonui ʻana i ka nui o ka insulin. | ʻAʻole lawa ka nui o ka insulin, ka ʻai nui ʻana, ka maʻi, a i ʻole ke kaumaha. |
| Nā hiʻohiʻona maʻamau | Ka hou koke ʻana, ka haʻalulu, ka pōloli nui, ka puʻuwai wikiwiki, ka poniuniu, ka huikau, ka ʻike pōwehiwehi. | Makewai nui, waha maloʻo, mimi pinepine, luhi nui, ʻike pōwehiwehi, nausea. |
| He aha e hana ai | E ʻai koke i kahi mea ʻono! E ʻai/inu i kahi mea e like me ke kō, glucose, kahi mea inu ʻono, a i ʻole toffee. E ʻai i kahi meaʻai nui e like me ka laiki ma hope o kekahi manawa. Inā nalowale kou ʻike, e lawe koke i ke kanaka i ka Emergency Treatment Unit (ETU) o ka haukapila. | E inu i ka wai he nui. E hahai i nā ʻōlelo a kāu kauka. Inā ʻoi aku ka ʻino o nā hōʻailona a i ʻole pilikia ʻoe i ka hanu ʻana, e ʻike koke i ke kauka. |
Nā pilikia ʻē aʻe
- Hypokalemia: He kūlana kēia kahi e haʻahaʻa ai ka pae o ka potassium i loko o ke koko. Hiki i nā hōʻailona ke komo pū me ka puʻuwai puʻuwai kūpono ʻole, nāwaliwali, a me ka ʻūlū ʻana o nā ʻiʻo.
- Nā hopena maʻi ʻaleka koʻikoʻi: He mea kākaʻikahi kēia. Eia nō naʻe, inā loaʻa, hiki ke loaʻa nā hōʻailona e like me ka paʻakikī o ka hanu ʻana, nā hives, a me ka pehu ʻana o ke alelo/puʻu/maka. He pilikia olakino kēia (anaphylaxis) . Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- Nā hopena ma kahi i inikini ʻia: Hiki i kekahi poʻe ke ʻulaʻula, maneʻo, pehu, a ʻeha paha ma kahi i inikini ʻia.
He aha ka mea e hiki mai ana inā ʻoe e lawe nui i ka insulin?
ʻAe, he mea weliweli loa ka lawe ʻana i ka nui o ka insulin. Inā hana ʻoe pēlā, hiki i kou pae kō koko ke hāʻule haʻahaʻa loa (Severe Hypoglycemia) , nā hopu ʻana, ka coma, a hiki i ka make.
Inā manaʻo ʻoe ua hoʻokomo hewa ʻoe i ka nui o ka insulin, a inā ʻike ʻoe i kekahi i loaʻa, e kāhea koke i ka 911 no kahi kaʻa kaʻa a i ʻole e hele i ka haukapila kokoke loa ʻo Emergency Department (ETU). Mai hoʻāʻo e mālama i kēia ma ka home.
Hiki i kēia ke launa pū me nā lāʻau lapaʻau ʻē aʻe aʻu e lawe nei? (Nā Hana Pilikino Lāʻau Lapaʻau)
ʻAe, ʻoiaʻiʻo nō. Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai ke launa pū me ka insulin a hoʻopilikia i kou pae kō koko. Hiki i kekahi mau lāʻau lapaʻau ke hoʻohaʻahaʻa i kou kō koko, aʻo kekahi e hoʻonui i kou kō koko.
No laila, ke hele ʻoe e ʻike i kāu kauka, e haʻi iā ia e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui . He mea nui loa ia e hoʻomaopopo iā ia inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau:
- nā lāʻau lapaʻau koko (ʻoi aku hoʻi nā beta-blockers)
- Nā lāʻau hoʻopau ʻeha (Aspirin, NSAIDs)
- ʻO nā ʻano lāʻau maʻi diabetes ʻē aʻe
- Nā lāʻau lapaʻau
- Nā lāʻau lapaʻau no ka hānō a i ʻole nā maʻi ʻaleka
- Nā lāʻau lapaʻau no ka cholesterol
- Lāʻau lapaʻau no ka maʻi noʻonoʻo
- Nā lāʻau lapaʻau i loaʻa nā steroids
- Nā lāʻau hoʻomalu hānau
ʻAʻole i piha kēia papa inoa, no laila e kamaʻilio me kāu kauka maʻi diabetes ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau hou. Eia kekahi, hiki i ka inu ʻana i ka waiʻona ke lilo i mea weliweli i ka wā e lawe ai i ka insulin.
He aha nā mea e pono ai ʻoe e haʻi aku i ke kauka?
Ma mua o ka hoʻomaka ʻana i ka insulin maʻamau, e haʻi pono i kāu kauka e pili ana i kēia mau mea:
- Inā he maʻi ʻoe i kekahi lāʻau lapaʻau a meaʻai paha.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha.
- Inā he maʻi maka kou a i ʻole ka hemahema o ka ʻike.
- Inā loaʻa pinepine iā ʻoe nā hanana haʻahaʻa koko koko (nā hanana hypoglycemia).
Ma muli o kēia ʻike, e maʻalahi i ke kauka ke hoʻoholo i ke ʻano lapaʻau e kūpono loa iā ʻoe.
Leka Lawe-Home
- ʻO ka insulin maʻamau kahi ʻano insulin hana pōkole e kōkua ai i ka kaohi ʻana i ka maʻi diabetes.
- He mea nui e hāʻawi ʻia kēia lāʻau pale 30 mau minuke ma mua o ka ʻai nui .
- Mai hoʻokuʻu i ka ʻai no kekahi kumu ma hope o ka hoʻokomo ʻana i ka insulin.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kō koko kiʻekiʻe (hyperglycemia). E ʻike i ka mea e hana ai i kahi pilikia.
- E hoʻololi mau i kahi e inikini ai. Mai hoʻomau i ka inikini ʻana ma kahi hoʻokahi.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Mai hoʻololi i kāu nui o ka insulin a hoʻōki paha i ka lawe ʻana i ka insulin me ka ʻole o ke aʻo ʻana a kāu kauka.
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