Inā loaʻa iā ʻoe ka maʻi diabetes Type 2, ke lawe nei paha ʻoe i nā lāʻau lapaʻau e like me Metformin. Akā ua haʻi aku paha kāu kauka iā ʻoe e pili ana i kahi papa lāʻau lapaʻau hou i kapa ʻia ʻo SGLT2 inhibitors. A i ʻole ua lohe paha ʻoe e pili ana iā lākou. No laila, he aha nā SGLT2 inhibitors? Pehea lākou e hana maoli ai? Ma kēia ʻatikala, e kamaʻilio mākou e pili ana iā lākou me ka maʻalahi a me ka pololei.
He aha kēia mau mea hoʻopale SGLT2?
I ka ʻōlelo maʻalahi, ʻo nā mea hoʻopaʻa SGLT2 he ʻano pila waha e kōkua i ka kaohi ʻana i kou pae kō koko. ʻO ka mea e pili ana iā lākou, ʻokoʻa iki kā lākou hana ma mua o nā lāʻau lapaʻau maʻi diabetes ʻē aʻe.
E noʻonoʻo e pili ana i ia mea, he ʻōnaehana kānana kupaianaha ko kākou mau puʻupaʻa. I ka hoʻomaʻemaʻe ʻana i ko kākou koko, kānana nā puʻupaʻa i kekahi o ke kō (glucose) i loko o ko kākou koko i loko o ko kākou mimi. Eia nō naʻe, aia i loko o ko kākou mau puʻupaʻa kahi protein i kapa ʻia ʻo Sodium-glucose cotransporter 2 , a i ʻole SGLT2 no ka pōkole. E like me ka mea kiaʻi puka, hopu kēia protein SGLT2 i ka hapa nui o ke kō e hele ana i loko o ka mimi a hoʻihoʻi i loko o ke koko.
I kēia manawa, ua maopopo iā ʻoe? Loaʻa i ke kanaka me ka maʻi diabetes ke kō koko kiʻekiʻe. No laila, ʻo ka hana a kēia mau mea hoʻopaʻa SGLT2, ʻo ia ke hoʻopau iki i kēlā mea kiaʻi puka, ʻo ia ka protein SGLT2. A laila, ʻaʻole hiki iā ia ke lawe hou i ke kō a hoʻohui iā ia i ke koko. ʻO ka hopena, ua hoʻokuʻu ʻia ke kō keu mai ke kino i loko o ka mimi . Penei e hoʻohaʻahaʻa ai kēia mau lāʻau i kou mau pae kō koko.
He mea kū hoʻokahi kēia ʻano lāʻau lapaʻau no ka mea hoʻohaʻahaʻa ia i ke kō koko ma ke ʻano ʻokoʻa, me ka ʻole o ka hoʻopilikia pololei ʻana i ka hormone insulin.
He aha nā mea hoʻopale SGLT2 maʻamau ma Sri Lanka a ma waho?
Aia kekahi mau ʻano lāʻau lapaʻau i loko o kēia hui. Hana like lākou a pau. Lawe pinepine ʻia lākou i hoʻokahi manawa i ka lā, ma mua o ka ʻai mua o ka lā. E loiloi kāu kauka i kou kūlana a kuhikuhi i ka lāʻau lapaʻau kūpono loa.
| Ka inoa laulā o ka lāʻau lapaʻau | Ka inoa inoa i hoʻohana pinepine ʻia |
|---|---|
| ʻO Canagliflozin | ʻŌlelo Hoʻokaʻa |
| ʻO Dapagliflozin | ʻO Farxiga |
| ʻEmpagliflozin | Jardiance |
| ʻErtugliflozin | ʻO Steglatro |
| ʻO Bexagliflozin | ʻO Brenzavvy |
ʻO wai ka mea kūpono e hoʻohana i kēia lāʻau lapaʻau?
He nīnau koʻikoʻi loa kēia. ʻAʻole nā mea hoʻopaʻa SGLT2 ka lāʻau lapaʻau mua a ke kauka e kuhikuhi ai no ka maʻi diabetes Type 2.
ʻO ka maʻamau, e aʻo mua ke kauka i nā loli o ke ʻano o ka nohona , e like me ka kaohi ʻana i ka ʻai a me ka hoʻoikaika kino, a laila e hoʻomaka i kahi lāʻau lapaʻau e like me Metformin.
Hiki i kāu kauka ke noʻonoʻo i kahi mea hoʻopaʻa SGLT2 i nā kūlana aʻe:
- Ke lawe nei ʻoe i kekahi mau lāʻau lapaʻau, akā ʻaʻole i kaohi maikaʻi ʻia kou kō koko .
- Inā he kumu lapaʻau kāu no ke aha ʻaʻole hiki iā ʻoe ke lawe i nā lāʻau lapaʻau maʻi diabetes ʻē aʻe.
- Inā ʻoe i ka pilikia o ke kō koko haʻahaʻa loa (hypoglycemia).
- Inā pono ʻoe e hoʻemi i ke kaumaha a hoʻohaʻahaʻa paha i kou koko.
ʻO wai ka mea pono ʻole e lawe i kēia lāʻau lapaʻau?
ʻAʻole kūpono kēia ʻano lāʻau lapaʻau no nā kānaka a pau.
- ʻAʻole ʻae ʻia kēia lāʻau lapaʻau no nā poʻe me ka maʻi diabetes type 1 .
- ʻAʻole ʻōlelo ʻia kēia mau mea no ka poʻe i loaʻa mua i kahi pilikia koʻikoʻi o ka maʻi diabetes i kapa ʻia ʻo diabetic ketoacidosis .
- ʻAʻole e nui ka pono o kēia lāʻau lapaʻau i kahi kanaka i loaʻa mua i ka maʻi puʻupaʻa koʻikoʻi .
- Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i kēia lāʻau. ʻAʻole lawa ka ʻikepili e pili ana i kona palekana i kēia manawa. No laila, mai hoʻomaka a hoʻōki paha i ka lawe ʻana i kēia lāʻau me ka ʻole o ka nīnau ʻana i ke kauka.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i kekahi mau hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. A hiki ke mālama ʻia ka hapa nui o lākou.
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e pono ai ke ʻike |
|---|---|
| ʻO ka mimi pinepine a me ka make wai | Ma muli o ke kahe ʻana o ke kō i loko o ka mimi, pono paha ʻoe e mimi pinepine i ke ao a me ka pō. Hiki paha i kēia ke hoʻonui i kou make wai. E inu i ka wai he nui. |
| Nā maʻi ʻōpū mimi a me nā maʻi genital | Hoʻonui ke kō i loko o ka mimi i ka pilikia o ka hū a me nā maʻi bacteria. E haʻi i kāu kauka inā ʻike ʻoe i nā hōʻailona e like me ka maneʻo, ka pehu ʻana, a i ʻole ka ʻeha ma ka ʻāpana genital. |
| Ka emi ʻana o ke kaumaha | Hiki paha iā ʻoe ke lilo i kekahi kaumaha no ka mea ua hoʻokuʻu ʻia ke kō (calories) i loko o ka mimi. He pono kēia no kekahi poʻe. |
| Ke koko haʻahaʻa a me ka dehydration | I kekahi manawa, i ka hoʻokuʻu ʻia ʻana o ka wai mai ke kino, hiki ke hāʻule ke koko, kahi e hiki ai iā ʻoe ke luhi a me ka poniuniu. |
| He hopena koʻikoʻi e pono ai ka nānā koke ʻana | |
| ʻO ka Ketoacidosis Diabetic (DKA) | He kūlana kakaikahi kēia akā he mea weliweli loa . Puhi ke kino i ka momona ma kahi o ke kō, e hana ana i nā waikawa i kapa ʻia he ketones. Inā ʻike ʻoe i nā hōʻailona e like me ka nausea, ka luaʻi ʻana, ka ʻeha nui o ka ʻōpū, ka luhi nui, a me ka paʻakikī o ka hanu ʻana, e haʻi koke i kāu kauka a i ʻole e hele i ka lumi pilikia kokoke loa o ka haukapila (ETU). |
ʻAʻole wale no ka maʻi diabetes, aia kekahi mau pono ʻē aʻe!
ʻOiai ua hoʻomohala mua ʻia kēia lāʻau lapaʻau e mālama i ka maʻi diabetes, ua ʻike ʻia e ka noiʻi he nui nā pono kupaianaha ʻē aʻe.
1. Ke pale ʻana i nā puʻupaʻa: Hiki i kēia mau lāʻau lapaʻau ke hōʻemi i ka hōʻino ʻia o nā puʻupaʻa i hoʻokumu ʻia e ka maʻi diabetes a kāohi i ka holomua o ka maʻi puʻupaʻa mau.
2. Ka hōʻemi ʻana i ka pilikia o nā hōʻeha puʻuwai a me ka make mai nā hōʻeha puʻuwai: Ua hōʻike ʻia kekahi mau mea hoʻopaʻa SGLT2 e hōʻemi i ka pilikia o ka hoʻokipa ʻia ʻana i nā haukapila a me ka make, ʻoiai ke hāʻawi ʻia i nā poʻe maʻi me ka hāʻule ʻana o ka puʻuwai.
3. Ka hōʻemi ʻana i ka pilikia o ka hōʻeha puʻuwai a me ka hahau: Ua hōʻike kekahi mau noiʻi e kōkua pū kēia mau mea i ka hōʻemi ʻana i ka pilikia o ka hōʻeha puʻuwai a me ka hahau.
No kēia mau kumu, hiki i nā kauka ke kuhikuhi i kēia lāʻau lapaʻau i kekahi manawa i ka poʻe i loaʻa ʻole i ka maʻi diabetes akā he maʻi puʻupaʻa a maʻi puʻuwai paha.
Leka Lawe-Home
- ʻO nā mea hoʻopaʻa SGLT2 kahi papa hou o nā lāʻau lapaʻau waha e mālama ai i ka maʻi diabetes type 2.
- Hana kēia mau hana ma ka hoʻōki ʻana i nā puʻupaʻa mai ke komo hou ʻana o ke kō i loko o ke koko a hoʻokuʻu aku iā ia i loko o ka mimi.
- ʻAʻole kēia nā lāʻau lapaʻau mua i hāʻawi ʻia no ka maʻi diabetes. Hiki i kāu kauka ke ʻōlelo aku i kēia mau mea ke ʻole i kāohi ʻia kou kō koko me nā lāʻau lapaʻau ʻē aʻe.
- Ma waho aʻe o ke kaohi ʻana i ka maʻi diabetes, loaʻa iā lākou ka hiki kupaianaha ke pale i nā puʻupaʻa a hoʻemi i ka pilikia o ka maʻi puʻuwai.
- E like me nā lāʻau lapaʻau āpau, hiki ke loaʻa nā hopena ʻaoʻao. E kamaʻilio me kāu kauka e pili ana i nā loli āu e ʻike ai.
- ʻO kāu kauka wale nō ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe, no laila e kamaʻilio e pili ana i kēia me ia.
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