Inā he maʻi diabetes ʻoe, ua kamaʻāina paha ʻoe i ka inoa ʻo 'Insulin'. Ua kuhikuhi paha kāu kauka iā ʻoe i kahi pana insulin e lawe ma kahi o 30 mau minuke ma mua o ka ʻai ʻana. ʻO ia ka mea a mākou e kapa nei ʻo 'Regular Insulin' a i ʻole 'Short-Acting Insulin'. He lāʻau lapaʻau koʻikoʻi loa kēia no ka kaohi ʻana i ka maʻi diabetes. No laila, i kēia lā e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Insulin Maʻamau?
He hormone ka insulin i hana maoli ʻia i loko o ko kākou kino. He mea nui ia no ka hoʻololi ʻana i ke kō (glucose) i loko o ka meaʻai a kākou e ʻai ai i ikehu. I ka poʻe me ka maʻi diabetes, hana ke kino i ka insulin liʻiliʻi a i ʻole ʻaʻole hiki ke hoʻohana pono i ka insulin āna e hana ai.
No laila, ʻo ka Insulin Maʻamau he ʻano insulin i hana ʻia, ʻo ia hoʻi, i hana ʻia ma kahi keʻena hoʻokolohua. Ke hāʻawi ʻia kēia i ke kino ma ke ʻano he inikini, hoʻokō ia i ka pono i hoʻemi ʻia no ka insulin i loko o ko mākou kino.
Penei ka hana ʻana:
- Hoʻohaʻahaʻa i kou pae kō koko.
- Hoʻouna ʻia ke kō (glucose) i loko o ke koko i loko o nā ʻāpana o ke kino e hoʻohana ʻia ma ke ʻano he ikehu, e like me ke kī e wehe ana i ka puka.
- Hoʻōki ia i ke akepaʻa mai ka hana ʻana i ke kō me ke kumu ʻole.
Hoʻomaka pinepine ia e hana i loko o 30 a 60 mau minuke o ke komo ʻia ʻana. Hiki i kona hopena kiʻekiʻe ma hope o 2-3 mau hola, a kōkua i ka kaohi ʻana i ke kō koko no 3 a 6 mau hola.
ʻO wai ka mea e pono ai kēia inikini insulin?
Ua kuhikuhi ʻia kēia inikini no nā keiki a me nā pākeke me ka maʻi diabetes type 1 (`Type 1 Diabetes`) a me ka maʻi diabetes type 2 (`Type 2 Diabetes`). Na kāu kauka e hoʻoholo i ke ʻano o ka insulin i kūpono loa iā ʻoe, ma muli o kou kūlana, kou nohona, a pehea e loli ai kou pae kō koko i ka lā a pau.
I kekahi manawa, ʻōlelo paha kāu kauka e hoʻohana i ka insulin hana lōʻihi e kaohi ana i ke kō koko i 24 mau hola i ka lā, me ka insulin maʻamau.
He aha ke ala kūpono e hoʻokomo ai i ka insulin?
Hāʻawi ʻia nā inikini insulin ma lalo o ka ʻili. Hana pinepine ʻia kēia me ka hoʻohana ʻana i kahi nila a me ka syringe a i ʻole kahi peni kūikawā (peni insulin). Na kāu kauka a kahu maʻi paha o ka hale maʻi diabetes e hōʻike pololei iā ʻoe pehea e hana ai i kēia.
Nā wahi kūpono e loaʻa ai ka lāʻau pale:
- ʻŌpū (kahi a puni ka piko)
- Wahi puʻupuʻu
- Lima luna
- ʻO luna, ʻaoʻao waho o ka ʻūhā
He mea nui loa:Mai hoʻokomo i ka lāʻau ma kahi like i kēlā me kēia lā. E hoʻololi i kahi e hoʻokomo ai i ka lāʻau i kēlā me kēia lā. Inā hoʻomau ʻoe i ka hoʻokomo ʻana i ka lāʻau ma kahi like, hiki iā ʻoe ke loaʻa nā puʻupuʻu a me nā ʻōhū (lipohypertrophy) ma ia mau wahi. Ke hana ʻia kēia, ʻaʻole e komo pono ke kino i ka insulin.
He aha nā pilikia a me nā hopena ʻaoʻao o kēia?
E like me nā lāʻau lapaʻau āpau, hiki i ka insulin ke loaʻa kekahi mau pilikia a me nā hopena ʻaoʻao, a he mea nui e makaʻala iā lākou.
| Ka pilikia/hopena ʻaoʻao | Nā hōʻailona a me nā mea e pono ai ke ʻike |
|---|---|
| Ke kō koko kiʻekiʻe (Hyperglycemia) | Pōniuniu, waha maloʻo a me ka ʻili, luaʻi, mimi pinepine. He mau hōʻailona kēia o ka nalowale ʻana o ke kaohi o ka maʻi diabetes. |
| Ke kō koko haʻahaʻa (Hypoglycemia) | Ka poniuniu, ka huikau, ka hou ʻana, ka ʻike maka pohihihi, a me ka pōloli nui. I mea e pale aku ai i kēia, e ʻai pono i loko o 30 mau minuke o ka hoʻokomo ʻana i ka insulin. |
| Ka haʻahaʻa o ka potassium i loko o ke koko (Hypokalemia) | Puʻuwai kūpono ʻole, manaʻo palupalu, ʻūlū ʻana o nā ʻiʻo. |
| Ka hopena maʻi ʻaleka koʻikoʻi (Anaphylaxis) | He mea kākaʻikahi loa kēia. Inā pilikia ʻoe i ka hanu ʻana, ka hives, a i ʻole ka pehu ʻana o ke alelo/puʻu/maka, he pilikia ia. |
| Nā hopena ʻaoʻao ʻē aʻe | ʻUlaʻula, pehu, maneʻo, piʻi ke kaumaha, ʻeha nā ʻiʻo ma kahi i inikini ʻia. |
| Inā loaʻa nā hōʻailona koʻikoʻi i luna (ke kō koko haʻahaʻa/kiʻekiʻe, nā maʻi ʻaleka), e ʻimi koke i ke kōkua lapaʻau a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa. | |
He aha ka mea e hiki mai ana inā lawe ʻoe i ka nui o ka insulin (overdose)?
ʻAe, he mea weliweli loa ka lawe ʻana i ka nui o ka insulin. Inā hana ʻia kēia, hiki i kou pae kō koko ke hāʻule haʻahaʻa loa ('Severe Hypoglycemia'). Hiki i kēia ke alakaʻi i nā kūlana hoʻoweliweli ola e like me nā hopu a me ka coma. Inā manaʻo ʻoe ua lawe nui ʻoe, e kāhea koke i ka 911 a kāhea i kahi ambulance a i ʻole e hele i ka haukapila kokoke loa.
Nā mea e pono ai ke akahele i ka wā e hoʻohana pū ai me nā lāʻau lapaʻau ʻē aʻe
He mea nui loa kēia. Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai ke hoʻopilikia i ke ʻano o ka hana ʻana o ka insulin. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora, nā lāʻau lapaʻau lāʻau, nā lāʻau hoʻomaha ʻeha (NSAID), nā lāʻau koko (beta-blockers), nā lāʻau cholesterol (statins), nā pila hoʻomalu hānau, a me nā lāʻau maʻi diabetes ʻē aʻe .
Eia kekahi, inā ʻoe e inu i ka waiʻona, e kamaʻilio me kāu kauka e pili ana i ia mea, no ka mea, hiki iā ia ke loaʻa nā hopena i manaʻo ʻole ʻia ma kāu pae kō koko.
Leka Lawe-Home
- ʻO ka insulin maʻamau kahi ʻano insulin hana wikiwiki i lawe ʻia ma kahi o 30 mau minuke ma mua o ka ʻai ʻana.
- E hoʻololi mau i kahi e inikini ai. Mai hoʻomau i ka inikini ʻana ma kahi hoʻokahi.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (Hypoglycemia) a me ke kō koko kiʻekiʻe (Hyperglycemia). Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau.
- E hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā kūlana olakino ʻē aʻe āu e loaʻa ai (nā maʻi allergies, ka hāpai ʻana).
- Mai hoʻololi, hoʻōki, a hōʻole paha i ka ʻai me ka ʻole o ke aʻo ʻana a kāu kauka no kekahi kumu. He mea nui loa ka hahai ʻana i nā ʻōlelo aʻo a kāu kauka e mālama i kāu maʻi diabetes.
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