Nā lāʻau lapaʻau27 Malaki 2026🔄 Updated: 14 Iul. 2026⏱ 8 min

Ke hoʻohana nei ʻoe i kēia lāʻau lapaʻau no ka maʻi diabetes? (Sitagliptin; Metformin) - Nā mea āu e pono ai e ʻike

Creator: Dr. Priya Sammani
Published: 2026-03-27T06:46:51.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Ke mālama ʻia nei ʻoe no ka maʻi diabetes Type 2 ? Inā pēlā, ua kuhikuhi paha kāu kauka iā ʻoe i kahi pila e hoʻohui i ʻelua mau lāʻau lapaʻau, ʻo Sitagliptin lāua ʻo Metformin. Ua ʻike paha ʻoe i kēia ma ka inoa inoa ʻo Janumet XR. Hana ia ma ka kaohi ʻana i kou pae kō koko. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau koʻikoʻi, kāna hana, nā mea e makaʻala ai i ka wā e hoʻohana ana, a me nā hopena ʻaoʻao āpau.

He aha ka mea e hana maoli me kēia lāʻau lapaʻau?

I ka ʻōlelo maʻalahi, kōkua kēia pila i ka kaohi ʻana i kāu pae kō koko (glucose) ma nā ʻano ʻelua.

1. Metformin: ʻO kēia ka mea nui e kāohi i ka hana pono ʻole o ke kō e kou ake. Kōkua pū ia i nā ʻāpana o kou kino e pane maikaʻi i ka insulin .

2. Sitagliptin: Kōkua kēia i ka hoʻonui ʻana i ka nui o ka insulin a kou kino e hana maoli ai ma hope o kāu ʻai ʻana a hōʻemi i ka hana ʻana o ke kō e ke akepaʻa.

Akā e hoʻomanaʻo i kēia. ʻAʻole kēia he pila kilokilo. No ka loaʻa ʻana o ka pono nui mai kēia lāʻau lapaʻau, he mea nui loa ka loaʻa ʻana o ka ʻai maikaʻi a me ka hoʻoikaika kino e like me ka ʻōlelo a kāu kauka .

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 kēia lāʻau lapaʻau, he mea nui loa ia e ʻike kāu kauka i kou mōʻaukala olakino piha. E hōʻoia e haʻi iā lākou e pili ana i kekahi o nā kūlana i helu ʻia ma lalo nei.

Maʻi a i ʻole ke kūlana	No ke aha ʻoe e hōʻike ai?
Maʻi puʻupaʻa a i ʻole ke akepaʻa	Hoʻopau ʻia ka lāʻau lapaʻau mai ke kino ma o nā puʻupaʻa. Inā he mau pilikia me kēia mau ʻōpū, pono paha e hoʻololi i ka nui o ka lāʻau lapaʻau a ʻaʻole loa e hāʻawi ʻia.
Maʻi puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai	Hiki ke pilikia ka hoʻohana ʻana i kēia lāʻau lapaʻau i kekahi mau maʻi puʻuwai.
Inā ua loaʻa iā ʻoe ka pancreatitis	No ka mea hiki ʻole i kēia lāʻau lapaʻau ke hoʻoulu i ka pancreatitis, he mea nui ka mōʻaukala mua.
Inā inu mau ʻoe i ka waiʻona	ʻO ka hui pū ʻana o ka waiʻona a me ka Metformin e hoʻonui i ka pilikia o kahi maʻi weliweli i kapa ʻia ʻo lactic acidosis.
Ka nele o ka wikamina B12 a i ʻole anemia	ʻO ka hoʻohana lōʻihi ʻana i ka metformin hiki ke hoʻemi i nā pae o ka huaora B12.
Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha	ʻAʻole kūpono kēia lāʻau lapaʻau i kēia mau hihia, a na kāu kauka e hāʻawi iā ʻoe i kahi koho ʻē aʻe palekana.
Inā loaʻa iā ʻoe nā maʻi allergies i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea ʻē aʻe	He mea nui e hoʻomaopopo e pili ana i kekahi mau maʻi allergies.

Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?

E lawe i ka nui i kuhikuhi ʻia e ke kauka. Mai lawe ʻoi aku a emi mai paha ma mua o kēlā.
Lawe pinepine ʻia kēia pila i hoʻokahi manawa i ka lā, me ka ʻaina ahiahi .
E ale i ka papa holoʻokoʻa me kahi aniani wai.
He mea nui loa: He pila hoʻokuʻu-hoʻolōʻihi ʻia (XR) kēia pila. ʻO ia hoʻi, ua hoʻokuʻu ʻia ka lāʻau lapaʻau i loko o ke kino i loko o 24 mau hola. No laila , mai uhaʻi, kuʻi, a nau paha i ka pila. ʻO ka hana ʻana pēlā e hiki ai ke hoʻokuʻu ʻia ka lāʻau lapaʻau i loko o ke kino i ka manawa hoʻokahi, e hana ana i nā hopena ʻaoʻao weliweli.
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Akā inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi.
Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, mai hoʻonele i ka manawa a kāhea koke aku i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo. A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.

E makaʻala i kēia mau mea i ka wā e lawe ai i ka lāʻau lapaʻau.

Nā nānā mau ʻana: E nānā mau kāu kauka iā ʻoe, ʻoiai me kahi hoʻāʻo koko i kapa ʻia ʻo HbA1C (A1C) i kēlā me kēia 3 a 6 mahina. E nānā kēia i ke ʻano o ka kaohi ʻana o kou kō koko i nā mahina 2-3 i hala.
E ʻike i kou pae kō koko: E aʻo pehea e nānā 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).
E mālama i kekahi kō ma kahi kokoke: E mālama mau i kahi mea e like me ke kō, kahi ʻāpana toffee, a i ʻole kahi papa glucose ma kahi kokoke inā pau koke ke kō.

Mea nui: Inā he haʻahaʻa ke kō koko o kekahi a ke loaʻa nei iā ia nā ʻōʻō a i ʻole ua ʻike ʻole ʻo ia i ka ʻike, mai hoʻokomo i kekahi mea i loko o ko lākou waha. Hiki iā ia ke lilo i mea e ʻū ai. E ʻimi koke i ke kōkua 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 hōʻoia e haʻi i kāu kauka e lawe ana ʻoe i kēia lāʻau. Pono paha ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau no kekahi mau lā.
Nā lāʻau lapaʻau ʻē aʻe: 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 lāʻau). Hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia.

He aha nā hopena ʻaoʻao e hiki mai ana?

E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. He mea weliweli kekahi o lākou, he mea maʻamau kekahi o lākou.

Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao
Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka
Ka hopena maʻi ʻaleka	ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu.
ʻO ka maʻi pancreatitis	ʻEha nui o ka ʻōpū (hiki ke pālahalaha i ke kua), ʻeha e ʻoi aʻe ana ma hope o ka ʻai ʻana, kuni, nausea, a me ka luaʻi ʻana.
ʻAkika Lactic	ʻEha a ʻeha paha nā ʻiʻo, ʻeha o ka ʻōpū, paʻakikī ka hanu ʻana, luhi loa, nāwaliwali. (He pilikia koʻikoʻi loa kēia).
Ka hāʻule ʻana o ka puʻuwai	Paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole nā lima, piʻi koke ke kaumaha, luhi kūikawā.
ʻEha nui o nā hono	ʻEha hiki ʻole ke hoʻomanawanui ʻia ma nā hono.
Nā hopena ʻaoʻao ʻaʻole ia he mea weliweli, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou
Nā pilikia o ka ʻōnaehana hoʻoheheʻe	ʻEha ʻōpū, maʻi pākī, kinoea, nausea.
ʻĒ aʻe	Nā hōʻailona e like me ke poʻo ʻeha, ka ʻāʻī ʻeha, a me ke anu.

Leka Lawe-Home

He mau lāʻau lapaʻau koʻikoʻi ʻo Sitagliptin lāua ʻo Metformin e kōkua ai i ka kaohi ʻana i ka maʻi diabetes type 2. Akā, pono e hana ʻia kēia me ka ʻai a me ka hoʻoikaika kino.

Mai uhaʻi, wili, a nau paha i kahi papa Extended-Release (XR). E ale holoʻokoʻa.

He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā pilikia olakino ʻē aʻe āu e loaʻa ai.

E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a e mālama mau i kahi mea me ke kō kokoke.

E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū, ka paʻakikī o ka hanu ʻana, a i ʻole nā hōʻailona maʻi ʻaleka koʻikoʻi.

Mai hoʻōki i ka lāʻau lapaʻau a hoʻololi paha i ka nui o ka lāʻau ma kāu iho. E kamaʻilio mau me kāu kauka.

Maʻi diabetes, Sitagliptin, Metformin, Janumet XR, maʻi diabetes type 2, kō koko, kaohi kō

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