Inā loaʻa iā ʻoe ka maʻi diabetes, ʻo ia hoʻi, ka Type 2 Diabetes, ua kuhikuhi paha kāu kauka iā ʻoe i kahi pila e hui pū ana i nā lāʻau lapaʻau ʻo Saxagliptin a me Metformin. Ma ko mākou ʻāina, ʻike pinepine ʻia kēia ma lalo o ka inoa inoa ʻo Kombiglyze XR. He lāʻau lapaʻau maikaʻi kēia i hāʻawi ʻia i nā poʻe he nui a kōkua i ka kaohi ʻana i ke kō. No laila i kēia lā, e aʻo pono kākou e pili ana i kēia lāʻau lapaʻau a me nā mea e makaʻala ai i ka wā e hoʻohana ai.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, hāʻawi ʻia kēia e kāohi i ka maʻi diabetes Type 2. Kōkua kēia lāʻau lapaʻau i ka hoʻoulu ʻana i ka hana ʻana o ka insulin e kou pancreas, hoʻemi i ka hana ʻana o ke kō e kou ake, a e maʻalahi i nā cell o kou kino ke komo i ke kō. Kōkua kēia mau mea a pau i ka kāohi ʻana i kou pae kō koko.
Akā e hoʻomanaʻo pono i kēia. ʻAʻole hiki iā ʻoe ke kāohi i ka maʻi diabetes ma ka inu ʻana i kēia wale nō. ʻO ka ʻai maikaʻi a me ka hoʻoikaika kino i kēlā me kēia lā ʻelua mau mea āu e pono ai e hana pū me kēia lāʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
ʻAe, ʻo kēia ka ʻāpana koʻikoʻi loa. Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui e hoʻomaopopo i kāu kauka e pili ana i nā maʻi ʻē aʻe i loaʻa iā ʻoe i loko o kou kino a me kāu mau ʻano. No ka mea, ʻo ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi mau kūlana hiki ke pilikia. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e hōʻoia e haʻi i kāu kauka e pili ana.
| E haʻi i kāu kauka inā loaʻa iā ʻoe kēia mau maʻi. |
|---|
| Maʻi puʻupaʻa a maʻi akepaʻa paha |
| ʻO ka maʻi puʻuwai, ʻoiai ka hāʻule ʻana o ka puʻuwai |
| Inā ua loaʻa iā ʻoe ka pancreatitis ma mua |
| Inā inu mau ʻoe i ka waiʻona |
| Anemia a i ʻole ka nele o ka wikamina B12 |
| Inā loaʻa iā ʻoe ka maʻi diabetes Type 1 (ʻaʻole kēia lāʻau lapaʻau nou) |
| Inā loaʻa iā ʻoe ka maʻi gallbladder a i ʻole nā kiʻekiʻe triglyceride koko kiʻekiʻe |
| Inā loaʻa iā ʻoe kahi maʻi koʻikoʻi a ua hana ʻia paha ke ʻoki kino |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana |
| Inā ua loaʻa iā ʻoe kahi maʻi allergy i kekahi lāʻau lapaʻau a meaʻai paha ma mua |
Pehea e lawe ai i ka lāʻau lapaʻau? Ke ala pololei
Pono hoʻi ʻoe e hana maʻalahi loa i kēia.
- E lawe i kēia pila e like me ke kauoha a ke kauka, i ka manawa kūpono.
- ʻŌlelo pinepine ʻia e lawe ʻia me ka ʻaina ahiahi .
- E ale i ka papa holoʻokoʻa me kahi aniani wai.
- Mea nui: He mea weliweli loa ka uhaʻi, kuʻi, a nau paha i kēia pila, no laila mai hana pēlā . Ua hoʻolālā ʻia e hoʻokuʻu mālie i ka lāʻau lapaʻau i ka lā a pau (Extended-Release). Inā ʻoe e uhaʻi, hiki i ka lāʻau lapaʻau ke komo i loko o kou kino i ka manawa hoʻokahi a hoʻoulu i nā hopena ʻaoʻao koʻikoʻi.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Inā ʻoe e poina i kahi lāʻau lapaʻau: E lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
Pono nō hoʻi ʻoe e akahele iki i ka wā e lawe ai i kēia lāʻau.
Nā hoʻokolohua lapaʻau maʻamau
E ʻike i kāu kauka i nā manawa maʻamau e nānā i kou kūlana. A laila e hana ʻo ia i kahi hoʻokolohua i kapa ʻia ʻo kou HbA1C (A1C) . Ana kēia i ka maikaʻi o ka kaohi ʻana o kou kō koko i nā mahina 2-3 i hala. He hoʻokolohua koʻikoʻi loa kēia.
E makaʻala i kāu pae kō.
E aʻo pehea e hoʻāʻo ai i kou pae kō koko ma ka home. E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (Hypoglycemia) a me ke kō koko kiʻekiʻe (Hyperglycemia).
I ka hihia o ke kō haʻahaʻa, i ka wā pilikiaE mālama mau i kahi mea e like me ke kō, ka toffee, a i ʻole ka papa glucose ma kahi kokoke. Akā inā hāʻule kou kō koko a hiki i kahi e nalowale ai kou ʻike, mai hoʻokomo i kekahi mea i loko o kou waha. Hiki iā ʻoe ke ʻū. I kēlā hihia , pono ʻoe e lawe koke iā ʻoe iho i ka Emergency Treatment Unit (ETU) o ka haukapila.
Nā mea nui ʻē aʻe
- Mai hōʻalo i nā meaʻai.
- Inu ʻona: He mea weliweli loa ka inu ʻona i ka wā e lawe ana i kēia lāʻau. E noi i kāu kauka no ka ʻōlelo aʻo.
- Hāpai: Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka manawa kūpono e hāpai hou ai i kekahi mau wahine. No laila, e kamaʻilio me kāu kauka e pili ana i ka kaohi hānau kūpono i ka wā e lawe ana i kēia lāʻau lapaʻau.
- ʻO ke ʻoki kino a me nā scan: Inā e hana ʻia ʻoe i ke ʻoki kino, kahi MRI, a i ʻole kahi CT scan, e haʻi mua i ka hui lapaʻau e lawe ana ʻoe i kēia lāʻau. Pono paha ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau no kēlā mau lā.
- Hoʻopuka ʻia ka papa i loko o ka noho: I kekahi manawa e ʻike paha ʻoe i ka pūpū papa hakahaka e puka mai ana i waho o ka noho. He mea maʻamau kēia, akā inā hana pinepine ʻia kēia, e haʻi i kāu kauka .
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. ʻAʻole hiki i nā kānaka a pau. Akā he mea nui e makaʻala i kēia mau mea.
| 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, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| ʻAkika Lactic | He maʻi laha ʻole kēia akā he koʻikoʻi loa. ʻEha nā ʻiʻo, ʻeha ka ʻōpū, paʻakikī ka hanu ʻana, luhi nui. |
| ʻO ka maʻi pancreatitis | ʻEha nui ma ka ʻōpū o luna (e pā ana i ke kua ), ʻeha e ʻoi aʻe ana ma hope o ka ʻai ʻana, kuni, nausea, a me ka luaʻi. |
| Ka hāʻule ʻana o ka puʻuwai | Paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae a me nā wāwae, piʻi koke ke kaumaha, luhi nui. |
| ʻEha nui o nā hono | ʻEha nui ma nā hono. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ka maʻi pākī | ʻOi aku ka maʻamau i nā pae mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau. |
| ʻEha poʻo, nausea, luaʻi | Hiki i kēia mau mea ke hana pinepine. |
| Nā hōʻailona e like me ke anu | ʻEha ka ʻāʻī, kahe ka ihu. |
Overdose
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, mai hoʻokaʻulua a hele koke i ka Emergency Unit (ETU) kokoke loa a kāhea aku i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻo.
Leka Lawe-Home
- Hāʻawi ʻia kēia lāʻau lapaʻau e kāohi i ka maʻi diabetes Type 2. He mea nui nō hoʻi ka ʻai maikaʻi a me ka hoʻoikaika kino.
- Mai uhaʻi, kuʻi, a nau paha i ka papa. E ale holoʻokoʻa. E lawe pinepine me ka ʻai i ke ahiahi.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino ʻē aʻe āu e loaʻa nei.
- E makaʻala i nā hōʻailona o ka hypoglycemia a me ka hyperglycemia. E mālama i kekahi kō no nā pilikia.
- Inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka ʻeha nui o ka ʻōpū, ka paʻakikī o ka hanu ʻana, a i ʻole ka pehu ʻana o ka maka/alelo, e ʻimi koke i ke kōkua lapaʻau.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka hana a Saxagliptin lāua ʻo Metformin (Saxagliptin; Metformin / Kombiglyze XR) i kahi pila?
He pila kūpono loa kēia (XR / hoʻomau) e hoʻohui pū ana i ʻelua mau lāʻau lapaʻau e hana ana ma nā ʻano ʻelua like ʻole e kāohi i nā pae kō koko kiʻekiʻe i nā poʻe maʻi me ka 'Type 2 Diabetes'! Paipai nā kauka i kēia pila kūikawā i hui pū ʻia me kahi lāʻau hou i kapa ʻia ʻo 'Saxagliptin (DPP-4 inhibitor)' no ka poʻe i emi ʻole nā pae kō me ka metformin wale nō.
💬 Pehea e hoʻohaʻahaʻa/kāohi ai kēia mau lāʻau ʻelua (Metformin + Saxagliptin) i kā mākou kō?
Hoʻouka ia mai nā ʻaoʻao ʻelua! 1. Hoʻemi ka Metformin i ka hana ʻana o ke kō hou (glucose) e kou akepaʻa a koi i ke kō e kū nei e omo ʻia e nā ʻiʻo. 2. ʻO kekahi mea kilokilo ʻo Saxagliptin! Ke ʻai mākou i kahi meaʻai, hana nā ʻōpū i kahi hormone (Incretin) e haʻi ana i ka pancreas e hoʻonui i ka insulin. Hana ʻo Saxagliptin i kēia ma ke 'kāohi ʻana i ka luku ʻia ʻana o Incretin (DPP-4 enzyme)', e hoʻonui ana i ka hana ʻana o ka insulin a hoʻohaʻahaʻa i ke kō e hiki mai ana ma hope o ka ʻai ʻana.
💬 ʻOiai ua emi ka maʻi diabetes, he aha nā hopena ʻino e pono ai i ka poʻe e lawe ana i kēia mau lāʻau ke makaʻala?
ʻO ka pilikia nui loa, ʻo ia nā pilikia i hoʻokumu ʻia e Saxagliptin! Ua hōʻike ʻia hiki iā ia ke hoʻoulu i ka wai i loko o nā māmā, ka pehu ʻana o nā wāwae, a me ka nui o ka pilikia o ka hāʻule ʻana o ka puʻuwai (ʻoi aku hoʻi i ka poʻe me nā pilikia puʻuwai). ʻO kekahi pōʻino make ʻē aʻe, hiki iā ia ke hoʻoulu i ka 'Acute Pancreatitis' i kekahi poʻe (no laila inā loaʻa iā ʻoe ka ʻeha nui ma ka ʻōpū/kua, e ʻike koke i ke kauka!).
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo