Inā he kanaka ʻoe e mālama ʻia ana no ka maʻi diabetes, ua kuhikuhi paha kāu kauka i kēia ʻano inikini insulin. Hiki iā ʻoe ke loaʻa iā ia ma lalo o nā inoa e like me Humulin 70/30, Novolin 70/30. ʻAʻole kēia he ʻano insulin hoʻokahi, akā he hui pū ʻana o ʻelua ʻano insulin. ʻO ia ke kumu e pono ai mākou e akahele iki i ka hoʻohana ʻana. No laila i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia lāʻau lapaʻau, pehea e hoʻohana ʻia ai, a me nā mea e pono ai ke makaʻala.
He aha ka mea e hana maoli me kēia insulin i hui pū ʻia?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau kēia e kōkua ai i ka kaohi ʻana i ka maʻi diabetes. Hana ia ma ka hoʻonui ʻana i ka pae o ka insulin i loko o kou kino a me ka hoʻohaʻahaʻa ʻana i ka pae o ke kō (glucose) i loko o kou koko.
E noʻonoʻo e like me ka hui kūikawā o ka insulin hana pōkole a me ka insulin hana waena. ʻO ka hui pū ʻana o kēia mau mea ʻelua e kōkua iā ʻoe e kaohi maikaʻi i kou pae kō koko. Akā e hoʻomanaʻo, ʻaʻole lawa kēia lāʻau lapaʻau wale nō. ʻO ka ʻai olakino a me ka hoʻoikaika kino he mau ʻāpana koʻikoʻi nō hoʻi o kēia lāʻau lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
He mea nui loa i kāu kauka ke haʻi aku iā ʻoe e pili ana i kēia mau mea ma mua o kou hoʻomaka ʻana e lawe i kēia insulin.
- Inā loaʻa pinepine iā ʻoe nā hanana o ka hypoglycemia (haʻahaʻa ke kō koko ).
- Inā he mau maʻi maka kou a i ʻole ka pilikia o ka ʻike .
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou akepaʻa .
- Inā loaʻa iā ʻoe nā maʻi allergies i ka insulin, ka mea hoʻohui metacresol, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu.
- Inā hāpai ʻoe a i ʻole ke manaʻolana nei e hāpai .
- Inā he makuahine ʻoe e hānai waiū ana i kāu keiki .
Ma muli o kēia ʻike, e hana ke kauka i ka hoʻolālā lapaʻau kūpono loa iā ʻoe.
Pehea e hoʻohana pono ai i kēia insulin?
ʻO kēia ka ʻāpana koʻikoʻi loa. Pono ʻoe e hahai pono i kēia mau kuhikuhi.
1. Pehea e hāʻawi ai i ka inikini: He inikini kēia i hoʻokomo ʻia ma lalo o ka ʻili. Na kāu kauka a kahu maʻi paha e hōʻike iā ʻoe pehea e hāʻawi pono ai.
2. Ka manawa ma mua o ka ʻai ʻana: E haʻi aku ke kauka iā ʻoe i ka lōʻihi ma hope o ka inikini e pono ai ʻoe e ʻai. ʻO ka maʻamau, pono ʻoe e lawe i ka inikini ma kahi o 30 mau minuke ma mua .
3. Ke ʻano o ka insulin: He mea nui loa kēia. E nānā mau i ka ʻōmole ma mua o ka hoʻohana ʻana.
- Ma mua o ke kāwili ʻana: Pono kēia e keʻokeʻo, waiū ke nānā aku.
- Ma hope o ke kāwili ʻana: Pono ʻoe e ʻike i kahi waihoʻoluʻu waiū like (ʻeleʻele like).
- Pehea ʻoe e hoʻoulu ai?ʻŌwili i ka ʻōmole ma kahi o ʻumi manawa ma waena o kou mau lima. Mai hoʻoluliluli ikaika.
- Mai hoʻohana: Inā ua loli ke kala o ka insulin, inā ʻike ʻoe i nā puʻu o ia mea, a inā ʻaʻole i hui pono ʻia , mai hoʻohana loa.
4. Nā nila a me nā syringe: Mai hoʻolei i nā nila a me nā syringe i hoʻohana ʻia i loko o ka ʻōpala. E waiho iā lākou i loko o kahi pahu ʻoi. Inā ʻaʻohe āu, e nīnau i kāu kauka e pili ana i ia mea.
5. Nā Peni ʻInisulina: Inā ʻoe e hoʻohana ana i ka peni, mai poina e wehe i ka uhi o waho o ka nila ma mua o ke inikini ʻana.
I ka hihia o ka overdose: Inā manaʻo ʻoe ua lawe hewa ʻoe i ka overdose, e kāhea koke i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
He aha inā e hala wau i kahi lāʻau?
ʻAʻole ia he manaʻo maikaʻi e haʻalele i kahi lāʻau. E kamaʻilio me kāu kauka e pili ana i ka mea e hana ai inā haʻalele ʻoe i kahi lāʻau a hana i kahi hoʻolālā no ia. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi e hoʻopiha ai i kahi lāʻau i hala ʻole no kekahi kumu.
Nā lāʻau lapaʻau ʻē aʻe a me nā mea e hiki ke launa pū me ka insulin
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 kēlā me kēia lāʻau lapaʻau, huaora, a me nā huahana lāʻau āu e lawe ai.
| ʻAno mea/lāʻau lapaʻau | Nā mea e noʻonoʻo ai |
|---|---|
| ʻAila | Hiki ke hoʻopilikia ʻia nā pae kō i ka wā i manaʻo ʻole ʻia. |
| ʻAspirin a me nā lāʻau lapaʻau like | Hiki ke hoʻonui i ka pilikia o ke kō koko haʻahaʻa. |
| Nā mea pale beta | (e.g. Metoprolol, Propranolol) - Hiki ke uhi i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). |
| Nā ʻano Steroid | (e.g. Prednisone) - Hiki ke hoʻonui i nā pae kō koko. |
| Nā lāʻau lapaʻau | Hiki ke hoʻopilikia i nā pae kō. |
| Nā lāʻau lapaʻau maʻi diabetes ʻē aʻe | (e.g. Glyburide, Glipizide) - Pono ʻoe e makaʻala hou aku e pili ana i kou pae kō. |
| Kekahi mau lāʻau lapaʻau anu/kunu | Loaʻa paha i kēia mau mea ke kō a i ʻole ka waiʻona. |
ʻAʻole i piha kēia papa inoa, no laila e haʻi i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
Nā mea e hoʻomanaʻo ai i ka wā e hoʻohana ai
- Nā nānā maʻamau: E kipa pinepine i kāu kauka e nānā i kou kūlana. Hiki i kahi hoʻāʻo koko i kapa ʻia ʻo HbA1C ke hāʻawi iā ʻoe i kahi manaʻo maikaʻi o kāu kaohi kō koko i nā mahina 2-3 i hala.
- Ke ana ʻana i nā pae kō koko: E aʻo pehea e nānā ai i nā pae kō koko ma ka home. E makaʻala i nā hōʻailona o ka hypoglycemia a me ka hyperglycemia .
- Inā hāʻule kou kō koko: E mālama mau i kahi mea me ʻoe, e like me ka cube kō, toffee, a i ʻole ka papa glucose. Akā e hoʻomanaʻo, inā loaʻa iā ʻoe kahi hopu a nalowale paha ka ʻike, ʻaʻole loa ʻoe e hoʻokomo i kekahi mea i loko o kou waha , no ka mea hiki iā ia ke hoʻopā iā ʻoe. Inā hana ʻia kēlā, pono ʻoe e hele koke i ka haukapila.
- Mai kaʻana like: > Mai kaʻana like i nā peni insulin a i ʻole nā kāmela me kekahi. ʻOiai inā ʻoe e kaʻana like i kahi nila, hiki nō iā ʻoe ke hoʻolaha i nā maʻi weliweli e like me ka Hepatitis a me ka HIV.
- ID Lapaʻau: ʻO ke kau ʻana i kahi kāleka a kūpeʻe lima paha (ID lapaʻau) me nā kikoʻī e pili ana i kou kūlana olakino a me nā lāʻau lapaʻau e hiki ke kōkua i ka hoʻopakele ʻana i kou ola i kahi pilikia.
Nā hopena ʻaoʻao hiki ke loaʻa
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ke kō koko haʻahaʻa (Hypoglycemia) | Haʻalulu, hou, hoʻomaha ʻole, poniuniu, puʻuwai wikiwiki, a me ka huikau. |
| Ua emi nā pae potassium | ʻEha a ʻoʻoleʻa paha nā ʻiʻo, nāwaliwali kūikawā, nā loli i ka helu o ka puʻuwai. |
| ʻAʻohe mea e hopohopo ai (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| Lipodystrophy | Ka mānoanoa o nā ʻiʻo ma lalo o ka ʻili, nā puʻupuʻu, a i ʻole nā palapala ma kahi i inikini ʻia ai. (Hiki ke hana ʻia kēia inā loaʻa iā ʻoe ka pana ma kahi hoʻokahi.) |
| Ma kahi o ka inikini | ʻEha iki, ʻulaʻula, a maneʻo paha. |
| Piʻi ke kaumaha | Ua ʻike kekahi poʻe i ka piʻi ʻana o ke kaumaha. |
Pehea e mālama ai i ka insulin?
He mea kēia e pono ai ʻoe e makaʻala. Inā mālama pono ʻole ʻia, hiki i ka insulin ke nalowale kona pono.
Nā ʻōmole a me nā peni i wehe ʻole ʻia
- Nā ʻōmole Humulin 70/30:E mālama i loko o ka pahu hau (ma waena o 2-8 kekelē Celsius) a i ʻole ma ka mahana o ka lumi (ma lalo o 30 kekelē Celsius). Inā mālama ʻia ma ka mahana o ka lumi, e hoʻolei ma hope o 31 mau lā .
- ʻŌmole Novolin 70/30: E mālama i loko o ka pahu hau (2-8 Celsius) a i ʻole ma ka mahana o ka lumi (ma lalo o 25 Celsius). Inā mālama ʻia ma ka mahana o ka lumi, e hoʻolei ma hope o 42 mau lā .
- Humulin 70/30 KwikPens: E mālama i loko o ka pahu hau (2-8 Celsius) a i ʻole ma ka mahana o ka lumi (ma lalo o 30 Celsius). Inā mālama ʻia ma ka mahana o ka lumi, e hoʻolei ma hope o 10 lā .
- Novolin 70/30 FlexPens: E mālama i loko o ka pahu hau (2-8 Celsius) a i ʻole ma ka mahana o ka lumi (ma lalo o 30 Celsius). Inā mālama ʻia ma ka mahana o ka lumi, e hoʻolei ma hope o 28 mau lā .
Nā ʻōmole a me nā peni e hoʻohana ʻia nei
- ʻŌmole Humulin 70/30: E mālama i loko o ka pahu hau a i ʻole ma ka mahana o ka lumi (ma lalo o 30 kekelē Celsius). E hoʻolei aku i loko o 31 mau lā o ka wehe ʻana.
- ʻŌmole Novolin 70/30: E mālama ma ka mahana o ka lumi (ma lalo o 25 kekelē Celsius). Mai hoʻokomo i loko o ka pahu hau. E hoʻolei i loko o 42 mau lā ma hope o ka wehe ʻana.
- Humulin 70/30 KwikPens: E mālama ma ka mahana o ka lumi (ma lalo o 30 kekelē Celsius). Mai hoʻokomo i loko o ka pahu hau. E hoʻolei i loko o 10 mau lā ma hope o ka wehe ʻana (ʻoiai inā aia ka insulin i koe).
- Novolin 70/30 FlexPens: E mālama ma ka mahana o ka lumi (ma lalo o 30 degere Celsius). Mai hoʻokomo i loko o ka pahu hau. E hoʻolei i loko o 28 mau lā o ka wehe ʻana (ʻoiai inā aia ka insulin i koe).
Mea nui: Mai hoʻopaʻahau i ka insulin. Mai hoʻohana i ka insulin paʻahau. E mālama mai ka wela nui a me ka mālamalama. E hoʻolei i ka lāʻau lapaʻau i pau ka lā.
Leka Lawe-Home
- E nānā mau i ke ʻano o ka insulin (waiū ke kala, ʻaʻohe puʻupuʻu) ma mua o ke komo ʻana. E kāwili maikaʻi.
- Mai kaʻana like i kāu peni insulin, syringe, a i ʻole nā nila me kekahi no kekahi kumu.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). E mālama mau i kahi mea me ke kō kokoke.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E mālama pono i ka insulin. Ke wehe ʻia, e hoʻolei pono iā ia i loko o ka helu o nā lā i kuhikuhi ʻia.
- Inā he mau hopohopo kou a kānalua paha i kekahi mea, mai kānalua e kamaʻilio me kāu kauka.
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