Ua kuhikuhi anei kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Repaglinide no ka maʻi diabetes Type 2 ? A i ʻole ke hoʻohana nei kekahi o kou ʻohana i kēia lāʻau lapaʻau? A laila he mea nui loa ia e ʻike piha e pili ana i kēia lāʻau lapaʻau. No ka mea, e like me nā lāʻau lapaʻau āpau, no ka loaʻa ʻana o ka mea nui loa mai ia mea, he mea nui e ʻike pehea e hoʻohana ai, nā mea e makaʻala ai, a me nā hopena ʻaoʻao . E kamaʻilio mākou e pili ana i kēlā mau mea āpau ma kēia ʻatikala.
He aha ka Repaglinide?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Repaglinide i hoʻohana ʻia e mālama i ka maʻi diabetes type 2. Loaʻa ia ma ke ʻano he pila .
I kēia manawa, e nānā kākou pehea e hana ai kēia. Loaʻa i ko kākou kino kahi ʻōkana i kapa ʻia ʻo ka pancreas . Hoʻopuka kēia i kahi hormone i kapa ʻia ʻo ka insulin . Hoʻomalu ka insulin i ka pae o ke kō (glucose) i loko o ko kākou koko a kōkua i nā ʻāpana e omo i ke kō. I loko o ke kanaka me ka maʻi diabetes type 2, hiki i ke kino ke hana i ka insulin liʻiliʻi, a i ʻole ʻaʻole paha e hana pono ka insulin i hana ʻia. Hoʻoulu nā papa Repaglinide i ka pancreas a kōkua iā ia e hana i ka insulin hou aku. A laila hoʻomalu ʻia ka pae kō i loko o ke koko.
Akā e hoʻomanaʻo i hoʻokahi mea. ʻAʻole hiki iā ʻoe ke kāohi i ka maʻi diabetes ma ka lawe ʻana i kēia lāʻau lapaʻau wale nō. Pono ʻoe e hahai i kahi papaʻai kūpono a me ka hoʻoikaika kino i kēlā me kēia lā .
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana iā ʻoe i ka Repaglinide, e nīnau aku kāu kauka iā ʻoe i kekahi mau nīnau. I kēlā manawa, he mea nui loa e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā loaʻa iā ʻoe kahi maʻi ulia pōpilikia i kapa ʻia ʻo diabetic ketoacidosis, i hoʻokumu ʻia e ka maʻi diabetes.
- Inā he maʻi puʻupaʻa a maʻi akepaʻa paha kou.
- Inā loaʻa iā ʻoe kahi maʻi koʻikoʻi a ʻeha paha.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka repaglinide a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū paha, e ʻōlelo pono e haʻi i kāu kauka e pili ana i kēia.
Pehea e hoʻohana pono ai i nā papa Repaglinide?
No ka loaʻa ʻana o ka hopena maikaʻi loa mai kēia lāʻau lapaʻau, he mea nui loa ia e hoʻohana pono.
- E ale i kēia pila me ke aniani wai.
- ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kēia pila ma mua o ka ʻai ʻana. ʻO ka maʻamau, ua ʻōlelo ʻia e lawe ʻia ma waena o 15 a me 30 mau minuke ma mua o ka ʻai ʻana. Mai lawe ʻia ma mua o 30 mau minuke ma mua.
- Inā ʻoe e hōʻalo i ka ʻaina kakahiaka. A laila pono ʻoe e hōʻalo i ka pila no kēlā manawa. Inā ʻaʻole ʻoe e ʻai, mai lawe i ka pila.
- Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia e kāu kauka, a i ʻole e lawe i ʻelua mau lāʻau i ka manawa hoʻokahi.
- Inā ʻoe ma luna o 65, hiki ke kuhikuhi ʻia kahi mahele haʻahaʻa. E kamaʻilio me kāu kauka e pili ana i kēia.
He aha inā lawe nui wau i ka lāʻau lapaʻau? (Overdose)
Inā manaʻo ʻoe ua lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau, mai hopohopo. E kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui 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 iaʻu kahi mahele lāʻau lapaʻau?
Inā ʻoe e poina i kahi mahele lāʻau i manaʻo ʻia e lawe ʻia ma mua o ka ʻai ʻana, e hōʻalo i kēlā ʻai. E lawe i ka mahele lāʻau aʻe e like me ka hoʻonohonoho ʻana me kāu ʻai aʻe. Mai lawe i ʻelua mau pila i ka manawa hoʻokahi e hoʻopiha ai i kahi mahele lāʻau i poina.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He ʻāpana koʻikoʻi loa kēia. Inā ʻoe e lawe ana iā Repaglinide, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Repaglinide.
| ʻAno lāʻau lapaʻau | Nā memo a me nā laʻana |
|---|---|
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū ʻia me kēia lāʻau lapaʻau | |
| ʻO Gemfibrozil | He lāʻau lapaʻau kēia e hoʻohaʻahaʻa i ka cholesterol. Inā lawe pū ʻia me Repaglinide, hiki iā ia ke hoʻohaʻahaʻa nui i ke kō koko. |
| Nā lāʻau ʻē aʻe e launa pū me Repaglinide | |
| Nā lāʻau lapaʻau like ʻole | Eia kekahi laʻana: Clopidogrel, Cyclosporine, Rifampin, Simvastatin, Trimethoprim, nā lāʻau antifungal (Itraconazole, Ketoconazole). Hiki i kekahi o kēia mau mea ke hoʻonui a hoʻemi paha i ka hopena o Repaglinide. |
| Nā lāʻau lapaʻau e hiki ke hoʻopilikia i nā pae kō koko | |
| Nui nā ʻano lāʻau lapaʻau | Eia kekahi laʻana: ʻO ka waiʻona, ka aspirin, nā steroids, kekahi mau antibiotics, nā lāʻau koko kiʻekiʻe, nā pila hoʻomalu hānau, a me kekahi mau syrups no ke kuni/anu. Hiki i kēia mau mea ke hoʻololi i nā pae kō koko. |
| Nā lāʻau lapaʻau e hiki ke uhi i nā hōʻailona hōʻailona o ka hypoglycemia | |
| Nā mea pale beta | Eia kekahi laʻana: Metoprolol, Propranolol. ʻOiai e lawe ana i kēia mau lāʻau lapaʻau, ʻaʻole paha ʻoe e ʻike i nā hōʻailona (e like me ka haʻalulu, ka hou ʻana) o ke kō koko haʻahaʻa. No laila, he mea nui e nānā mau i kou pae kō koko. |
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā hoʻokolohua maʻamau: E ʻike i kāu kauka a nānā pinepine i kou kūlana.
- Hoʻāʻo HbA1c: Pono ʻoe e makaʻala i ka hoʻāʻo koko i kapa ʻia ʻo HbA1c (HbA1c). Ana kēia i ka maikaʻi o ka kaohi ʻana o kāu maʻi diabetes i nā mahina 2-3 i hala.
- Ke ana ʻana i nā pae kō koko: E aʻo pehea e ana ai i kou pae kō koko ma ka home. E ʻike i nā hōʻailona o ka hyperglycemia a me ka hypoglycemia, a pehea e hoʻokele ai iā lākou.
- E mākaukau no nā pilikia: Inā ʻike ʻoe i nā hōʻailona o ka hypoglycemia, e lawe mau i kekahi kō (e laʻa me nā cubes kō, nā papa glucose) me ʻoe. Inā lilo ʻoe i ka hypoglycemia nui a nalowale ka ʻike, mai hoʻokomo i kekahi mea i loko o kou waha no ka mea hiki ke ʻū ʻia. E haʻi aku i kou ʻohana e ʻimi koke i ke kōkua lapaʻau.
- ID Lapaʻau: ʻO ke kau ʻana i kahi kāleka a kūpeʻe lima paha e haʻi ana he maʻi diabetes kou a hiki i nā lāʻau lapaʻau āu e lawe ai ke lilo i mea pono loa i ka wā pilikia.
He aha nā hopena ʻaoʻao e hiki ke ʻike ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i ka Repaglinide ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka a pau.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi 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, hopohopo nui, hou, anu, huikau, poniuniu, puʻuwai wikiwiki. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Nā maʻi ʻē aʻe | ʻEha kua, ʻai ʻole/maʻi kahe, ʻeha poʻo, ʻeha hono, nausea, ihu wai. |
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Repaglinide i hoʻohana ʻia no ka mālama ʻana i ka maʻi diabetes type 2. Me kēia , he mea nui ka ʻai kūpono a me ka hoʻoikaika kino .
- E lawe mau i kēia pila 15-30 mau minuke ma mua o ka ʻai ʻana . Inā e hala ʻoe i kahi ʻai, e hōʻalo i ka mahele lāʻau.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (ʻoi aku hoʻi ʻo Gemfibrozil).
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). E mālama mau i kahi mea e like me ka pahu kō kokoke no ka hoʻohana ʻana i ka wā pilikia.
- Inā lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau, e kāhea koke aku i ke Kikowaena ʻIke ʻAi Poisons National a i ʻole e hele i ka ʻOihana Hoʻopilikia (ETU) kokoke loa.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
ʻO Repaglinide, Maʻi Diabetes, Maʻi Diabetes Type 2, Pae Kō, Insulin, Hypoglycemia, Prandin
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