I kēia lā, ʻo kahi pilikia olakino i loaʻa i nā kānaka he nui ma ko kākou ʻāina ʻo ia ka Type 2 Diabetes. No laila, ma ke ʻano he lāʻau lapaʻau no kēia, hoʻohana pinepine mākou i nā pila a me nā inikini insulin. Akā i kēia manawa, ua hoʻolauna ʻia kahi lāʻau waha hou i hana i kahi ʻokoʻa nui i nā ʻano lapaʻau maʻi diabetes. I kēia lā, e kamaʻilio mākou e pili ana i kēlā lāʻau lapaʻau, ʻo Rybelsus. Ua ʻōlelo paha kāu kauka i kēia iā ʻoe, a ua lohe paha ʻoe e pili ana. E ho'āʻo kākou e hoʻomaopopo i nā mea āpau e pili ana i kēia lāʻau lapaʻau ma ke ʻano maʻalahi.
He aha ke ʻano lāʻau lapaʻau ʻo Rybelsus?
I ka ʻōlelo maʻalahi, ʻo Rybelsus kahi lāʻau lapaʻau no kahi papa o nā lāʻau i kapa ʻia ʻo "Glucagon-like peptide-1 (GLP-1) agonists." ʻO ka mea hana i loko o ia mea ʻo semaglutide. ʻOiai ke kani iki nei ka inoa, he maʻalahi loa kona ʻano hana.
E noʻonoʻo, hana maoli ko kākou kino i kahi hormone i kapa ʻia ʻo GLP-1. Kōkua kēia hormone i ka hoʻomalu ʻana i ko kākou pae kō koko ma hope o kā kākou ʻai ʻana. ʻO ka hana a Rybelsus, hana ia e like me kēlā hormone kūlohelohe. ʻO ia hoʻi, hoʻopaʻa ia i nā mea loaʻa GLP-1 i loko o ko kākou kino a hana e like me ko kākou hormone ponoʻī.
Ma mua, ua loaʻa wale kēia papa o nā lāʻau GLP-1 ma ke ʻano he inikini. Akā ʻo Rybelsus ka lāʻau GLP-1 mua a hoʻokahi wale nō e hele mai ma ke ʻano he pila hiki ke lawe ʻia ma ka waha . He holomua nui kēia i ka mālama ʻana i ka maʻi diabetes.
Pehea e kāohi ai kēia lāʻau i nā pae kō koko?
Hoʻohaʻahaʻa ʻo Rybelsus i kāu kō koko, a i ʻole glucose, ma nā ʻano nui ʻekolu.
- Ke hoʻoulu nei i ka hana ʻana o ka insulin e ka pancreas: Ma hope o kāu ʻai ʻana, hōʻailona kēia lāʻau lapaʻau i kāu pancreas e hana i ka nui o ka insulin e pono ai. ʻO ka insulin kahi hormone e kōkua i ke kō i loko o ke koko e komo i loko o nā ʻāpana, e hoʻohaʻahaʻa ana i nā pae kō koko.
- Kāohi i ka hoʻokuʻu ʻia ʻana o ke kō mai ke akepaʻa: Mālama ko kākou akepaʻa i ke kō. I kekahi manawa hoʻokuʻu pono ʻole ʻia kēia kō i mālama ʻia i loko o ke koko. Hoʻomalu ʻo Rybelsus i kēia kaʻina hana.
- Ke lohi nei i ka neʻe ʻana o ka meaʻai: Hoʻolohi kēia lāʻau lapaʻau i ka wikiwiki o ka neʻe ʻana o ka meaʻai āu e ʻai ai ma kou ʻōpū a me nā ʻōpū. ʻO ke ʻano kēia, ʻaʻole i komo koke ke kō mai ka meaʻai i loko o kou koko, akā, e lohi mālie ana. Kōkua kēia i ka kaohi ʻana i ka piʻi koke ʻana o ke kō koko ma hope o ka ʻai ʻana.
Pehea e hoʻohana pono ai i ka lāʻau Rybelsus?
ʻO kēia ka mea nui loa a koʻikoʻi e makaʻala ai i ka wā e lawe ai i kēia lāʻau. Pono e hahai pono ʻia kēia mau kuhikuhi, inā ʻaʻole e hōʻemi ʻia ka pono o ka lāʻau.
Pono e lawe ʻia ʻo Rybelsus i kēlā me kēia kakahiaka, ma ka ʻōpū ʻole. ʻO ia hoʻi, ma ka liʻiliʻi he 30 mau minuke ma mua o ka ʻai mua, ka mea inu (koe wale nō ka wai), a i ʻole kekahi lāʻau lapaʻau ʻē aʻe o ka lā.
Pono e lawe ʻia kēia pila me ka emi ma mua o 4 auneke (ma kahi o 120 milliliters) o ka wai maʻemaʻe . E ale i ka pila holoʻokoʻa . Mai wāwahi, kuʻi, a nau paha .
Inā ʻoe e kali ma lalo o 30 mau minuke, a inā ʻoe e lawe pū me ka meaʻai, kahi mea inu ʻē aʻe ma mua o ka wai, a i ʻole nā lāʻau lapaʻau ʻē aʻe, e hoʻemi ʻia paha ka nui o Rybelsus i komo i ke kino, a ʻaʻole paha e hāʻawi ka lāʻau i ka hopena i makemake ʻia.
ʻO ka maʻamau, e hoʻomaka kāu kauka iā ʻoe ma 3 milligrams (mg) o ka insulin no nā lā 30 mua e kōkua i kou kino e hoʻomaʻamaʻa i ka lāʻau lapaʻau. A laila, e hoʻonui ʻia ka nui i 7mg. Hiki i kāu kauka ke hoʻonui i ka nui i 14mg inā pono, ma muli o kou pae kō koko a me nā hopena o ka hoʻāʻo ʻana iā HbA1c .
He aha ka HbA1c?
He hoʻāʻo koko ʻo HbA1c e hōʻike ana i kou awelika o ke kō koko i nā mahina 2-3 i hala . Ua like ia me kahi 'kāleka hōʻike' o kāu kaohi kō koko. ʻO ka kaohi ʻana i kēia waiwai hiki ke kōkua i ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o nā pilikia e pili ana i ka maʻi diabetes (e like me ka maʻi puʻuwai a me nā maʻi puʻupaʻa).
He aha nā pōmaikaʻi o Rybelsus?
Ua hōʻike ʻia nā haʻawina lapaʻau ma Rybelsus e kōkua kēia lāʻau lapaʻau, inā paha e lawe ʻia hoʻokahi a i ʻole me nā lāʻau lapaʻau maʻi diabetes ʻē aʻe, e hoʻemi i nā pae HbA1c a me ke kaumaha o ke kino.
Hōʻike wale nā papa ma lalo nei i nā hopena o kēia mau haʻawina. Akā e hoʻomanaʻo, he mau hopena awelika kēia a ʻokoʻa paha kāu mau hopena .
| Ka hoʻohālikelike ʻana ma waena o Rybelsus a me nā lāʻau lapaʻau ʻē aʻe | ||
|---|---|---|
| Lāʻau lapaʻau hoʻohālikelike | Ua emi ka waiwai o HbA1c | Ka emi ʻana o ke kaumaha |
| ʻO Rybelsus 14mg i hoʻohālikelike ʻia me Jardiance (empagliflozin) 25mg | Ua hoʻemi hou aku ʻo Rybelsus i nā pae HbA1c. | Ua like ka pohō kaumaha ma nā mea ʻelua. |
| ʻO Rybelsus 7mg a i ʻole 14mg i hoʻohālikelike ʻia me Januvia (sitagliptin) 100mg | Ua hoʻemi hou aku ʻo Rybelsus i nā pae HbA1c. | Ua hopena ʻo Rybelsus i ka pohō kaumaha hou aʻe . |
| ʻO Rybelsus 14mg i hoʻohālikelike ʻia me Victoza (liraglutide) 1.8mg injection | Ua like ka emi ʻana o ka HbA1c. | Ua hopena ʻo Rybelsus i ka pohō kaumaha hou aʻe . |
Hōʻike kēia mau hopena he lāʻau lapaʻau ʻo Rybelsus i hiki ke kōkua i ke kaohi ʻana i ke kō koko a me ka pohō kaumaha i kekahi ʻano.
He aha nā hopena ʻaoʻao o Rybelsus a pehea e mālama ai iā lākou?
E like me nā lāʻau lapaʻau āpau, hiki iā Rybelsus ke loaʻa nā hopena ʻaoʻao. ʻO nā mea maʻamau:
- Ka luaʻi
- ʻeha ka ʻōpū
- Ka maʻi pākī
- Makemake nui
- Ka luaʻi ʻana
- Ka paʻa ʻana o ka ʻōpū
ʻO kēia mau mea ka nausea, ka luaʻi ʻana, a me ka maʻi pākī, nā mea maʻamau i ka wā e hoʻomaka mua ai ʻoe e lawe i ka lāʻau lapaʻau. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e inu i ka nui o nā wai e pale aku ai i ka maloʻo ʻana o ka wai . Inā hoʻomau kēia mau hōʻailona a i ʻole e lilo i mea koʻikoʻi, e kamaʻilio me kāu kauka.
Nā ʻōlelo aʻoaʻo e hoʻokele i nā hopena ʻaoʻao
- E hōʻalo i nā meaʻai ʻaila, ʻono loa, a me nā mea ʻala.
- Ma kahi o ka ʻai nui ʻana i ka manawa hoʻokahi, e ʻai i kekahi mau ʻai liʻiliʻi.
- E nā mōneka, e ʻai pono i kā ʻoukou meaʻai.
- Mai moe koke ma hope o ka ʻai ʻana.
- E ʻai i nā meaʻai māmā (e.g. sopa, yogurt, toast, laiki).
- E noho mamao aku mai nā ʻala ikaika (nā ʻala o ka māla, nā ʻala o ka ʻala, nā ʻala o ka uahi).
He aha nā hihia kūikawā e makaʻala ai?
ʻO ka maʻi pancreatitis
Inā loaʻa iā ʻoe ka ʻeha ʻōpū nui i hiki ʻole ke hoʻomanawanui a pālahalaha i kou kua, me ka luaʻi ʻana, e hoʻōki koke i ka lawe ʻana iā Rybelsus a haʻi i kāu kauka. He hōʻailona paha kēia o kahi maʻi koʻikoʻi i kapa ʻia ʻo pancreatitis.
Ke kō koko haʻahaʻa (Hypoglycemia)
Inā ʻoe e lawe iā Rybelsus me ka insulin a i ʻole kekahi mau lāʻau lapaʻau maʻi diabetes ʻē aʻe (e like me sulfonylureas), e lilo paha kou pae kō koko i haʻahaʻa loa (hypoglycemia). E nīnau i kāu kauka i ka haʻahaʻa o kou pae kō koko.
Inā haʻahaʻa kou kō koko, e ʻai i kekahi kō. Eia kekahi laʻana, hiki iā ʻoe ke lawe i nā papa glucose, kekahi wai huaʻai, kō, a i ʻole kahi teaspoon o ka meli. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona a i ʻole inā haʻahaʻa kou pae kō koko, e kamaʻilio me kāu kauka.
| Nā hōʻailona o ke kō koko haʻahaʻa (Hypoglycemia) | |
|---|---|
| - Pōʻino | - Pōloli loa |
| - Haʻalulu | - Puʻuwai wikiwiki |
| - Ke hou nei | - Hiamoe nui |
| - Hoʻomaha ʻole, huhū | - ʻEha poʻo |
Nā kiko ʻē aʻe
- Hāpai: E haʻi i kāu kauka inā ʻoe e hoʻolālā ana e hāpai. Pono ʻoe e hoʻōki i ka lawe ʻana iā Rybelsus ma ka liʻiliʻi he ʻelua mahina ma mua o ka hāpai ʻana.
- Nā lāʻau lapaʻau ʻē aʻe: Hiki iā Rybelsus ke hoʻopilikia i ke ʻano o ka omo ʻana o kou kino i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai ma ka waha. No laila, inā ʻike ʻoe i kahi loli i ke ʻano o ka hana ʻana o nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, e kamaʻilio pū me kāu kauka e pili ana i kēlā.
He lāʻau lapaʻau ʻo Rybelsus e pono e lawe wale ʻia me ke kauoha a ke kauka. Na kāu kauka e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe ma muli o kou kūlana olakino, nā pae kō koko, a me nā kumu ʻē aʻe.
Leka Lawe-Home
- He lāʻau lapaʻau waha hou ʻo Rybelsus no ka maʻi diabetes type 2.
- Pono e lawe mau ʻia kēia i ke kakahiaka ma ka ʻōpū ʻole, 30 mau minuke ma mua o kekahi mea ʻē aʻe, me ka wai liʻiliʻi. Mai wāwahi, kuʻi, a nau paha i ka papa.
- Hoʻemi kēia i nā pae kō koko (HbA1c) a hiki ke kōkua pū i ka pohō kaumaha.
- He mea maʻamau ka loaʻa ʻana o nā hopena ʻaoʻao e like me ka nausea, ka luaʻi ʻana, a me ka maʻi pākī i ka wā e hoʻomaka ai ka lāʻau lapaʻau.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū (he hōʻailona o ka pancreatitis) a i ʻole nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia).
- E hahai pono i nā ʻōlelo a kāu kauka. E pale i ka lāʻau lapaʻau ponoʻī.
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