Ua kuhikuhi anei kāu kauka iā ʻoe i ka hui pū ʻana o ka sitagliptin a me ka metformin no ka maʻi diabetes type 2? Ma ko mākou ʻāina, aia kēia lāʻau lapaʻau ma lalo o ka inoa inoa ʻo Janumet. ʻOiai he maʻi diabetes kahi maʻi e pono e mālama pono ʻia, he mea nui loa ia e loaʻa iā ʻoe kahi ʻike maikaʻi o ka lāʻau lapaʻau āu e lawe nei. No laila i kēia lā, e kamaʻilio pōkole kākou e pili ana i kēia lāʻau lapaʻau, kāna hana i kou kino, a me nā mea āu e pono ai e makaʻala i ka wā e hoʻohana ana.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, kōkua nā lāʻau ʻelua i loko o kēia pila i ke kaohi ʻana i kou pae glucose koko ma nā ʻano ʻelua.
1. Sitagliptin: Kōkua kēia i ka hoʻonui ʻana i ka hana kūlohelohe o kou kino o kahi hormone i kapa ʻia ʻo insulin ma hope o kou ʻai ʻana. ʻO ka insulin ka mea e kōkua ai i ke kō i loko o ke koko e komo i loko o nā ʻāpana o ke kino a hoʻohana ʻia no ka ikehu.
2. Metformin: Hana nui kēia ma ka hōʻemi ʻana i ka hana pono ʻole o ke kō e kou ake. Hoʻonui pū ia i ka ʻike o nā ʻāpana o kou kino i ka insulin. ʻO ia hoʻi, kōkua ia iā ʻoe e hoʻohana pono i ka insulin āu e loaʻa nei.
ʻO ka mea nui loa, ʻaʻole lawa ka lawe ʻana i kēia lāʻau lapaʻau wale nō. Pono nō hoʻi ʻoe e hahai i kahi papaʻai maikaʻi a me ka hoʻoikaika kino mau . A laila wale nō hiki iā ʻoe ke loaʻa nā hopena maikaʻi loa.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Pono kāu kauka e ʻike i kou mōʻaukala olakino piha ma mua o ke kau ʻana i kekahi lāʻau lapaʻau. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hōʻoia e haʻi iā lākou me ka hūnā ʻole. He mea nui loa kēia no kou palekana.
| Loaʻa iā ʻoe kēia mau kūlana? |
|---|
| Maʻi puʻupaʻa a maʻi akepaʻa paha |
| Maʻi puʻuwai a i ʻole nā kūlana hāʻule puʻuwai |
| Inā ua loaʻa iā ʻoe ka pancreatitis ma mua |
| Nā pae triglyceride kiʻekiʻe i loko o ke koko |
| Haʻahaʻa ka pae wikamina B12 a i ʻole anemia |
| Ka inu ʻana i ka waiʻona i nā manawa a pau |
| Ke hāpai nei, ke hoʻolālā nei e loaʻa kahi pēpē, a i ʻole ka hānai ʻana i kahi pēpē |
| Loaʻa kahi maʻi allergy i kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea ʻē aʻe paha |
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
- E ale i ka pila me ke aniani wai.
- He mea nui loa kēia: E lawe mau i kēia pila me ka ʻai a ma hope paha o ka ʻai ʻana . ʻO ka lawe ʻana iā ia me ka ʻōpū ʻole e hiki ke hoʻonāukiuki i ka ʻōpū (puʻuwai, nausea).
- E lawe wale i ka nui i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia e kāu kauka. Mai hoʻololi i ka nui e like me kou makemake.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- Inā ʻoe e poina i kahi lāʻau lapaʻau: E lawe i ka lāʻau lapaʻau i poina 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 ka lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau lapaʻau.
- Inā lawe nui ʻoe: Inā manaʻo ʻoe ua lawe hewa ʻoe i ka nui o ka lāʻau lapaʻau, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke ʻAi ʻona Lahui ma ka Halemai Lahui ʻo Colombo .
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
- Nā Pae Kōpaʻa Koko: E aʻo pehea e ana ai i kou pae kōpaʻa koko. E makaʻala i nā hōʻailona o ke kōpaʻa koko haʻahaʻa (Hypoglycemia) a me ke kōpaʻa koko kiʻekiʻe (Hyperglycemia).
- Ke kō koko haʻahaʻa (Hypoglycemia): Hiki i kēia ke lilo i pilikia. Inā ʻike ʻoe i nā hōʻailona e like me ka hou ʻana, ka haʻalulu, ka pōloli nui, a i ʻole ka poniuniu, e ʻai koke i kahi mea ʻono (kahi cube kō, candy, a i ʻole ka papa glucose) . Inā nalowale ʻoe i ka ʻike, e haʻi i kou ʻohana ʻaʻole pono e koi aku kekahi iā ʻoe e ʻai a inu paha, a pono e lawe koke ʻia ʻoe i ka haukapila.
- Hoʻāʻo HbA1C: E noi aku kāu kauka iā ʻoe e hana i kēia hoʻāʻo koko ma kahi o hoʻokahi manawa i kēlā me kēia 3 mahina. Ana kēia i ke ʻano o kou kaohi ʻana i kāu kō koko i nā mahina 2-3 i hala.
- 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 i kekahi mau lā ma mua o ke kaʻina hana .
- ʻOna: Hoʻonui ka inu ʻana i ka ʻona i ka pilikia o ka hāʻule koke ʻana o ke kō koko a me kahi maʻi weliweli i kapa ʻia ʻo lactic acidosis. No laila e kamaʻilio me kāu kauka e pili ana i ka ʻona.
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. ʻO ka hapa nui o ka manawa, ʻaʻole koʻikoʻi kēia mau mea, akā aia kekahi mau hōʻailona e pono ʻoe e makaʻala pono.
| Nā hōʻailona koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
|---|---|
| Nā hōʻailona o ka Lactic Acidosis | ʻEha a ʻoʻoleʻa paha nā ʻiʻo, ʻeha o ka ʻōpū, pōkole o ka hanu, luhi nui. (He hopena ʻaoʻao kakaikahi kēia akā he mea weliweli loa o ka Metformin). |
| ʻO ka maʻi pancreatitis | ʻEha nui ma ka ʻōpū o luna, e pālahalaha ana i ke kua, e luaʻi ana, a me ke kuni. |
| Ka hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī i ka hanu ʻana a i ʻole ke ale ʻana. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | ʻEha nui nā hono, nā pehu a i ʻole nā ʻeha o ka ʻili, pilikia ka hanu ʻana, ka pehu ʻana o nā wāwae a i ʻole nā kuʻekuʻe wāwae, ka piʻi koke ʻana o ke kaumaha. |
| Nā hopena ʻaoʻao maʻamau (ʻaʻole koʻikoʻi) | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | ʻO ka ʻōpū ʻeha, ke kinoea, ka maʻi pākīkī, ka luaʻi (hiki pinepine mai i ka hoʻomaka ʻana o ka lāʻau lapaʻau a nalowale ma hope. Hiki ke hoʻēmi ʻia kēia ma ka lawe ʻana me ka meaʻai). |
| ʻĒ aʻe | ʻEha poʻo, ʻeha puʻu, ihu wai. |
Leka Lawe-Home
- ʻO Sitagliptin lāua ʻo Metformin nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi diabetes type 2. No ka loaʻa ʻana o nā hopena maikaʻi loa, he mea nui ka ʻai maikaʻi a me ka papa hana hoʻoikaika kino .
- E lawe mau i kēia papa me ka ʻai a ma hope paha o ka ʻai .
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā lāʻau lapaʻau kuʻuna āu e lawe nei.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) (haʻalulu, hou, poniuniu). E mālama i kahi mea ʻono kokoke e lawe ai inā loaʻa ia ʻano kūlana.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū, ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻeha nui o nā ʻiʻo, he hōʻailona paha ia o kahi maʻi koʻikoʻi e like me ka Lactic Acidosis a i ʻole Pancreatitis . E hele koke i ka ETU o ka haukapila.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a ke kauka. Inā he mau hopohopo kāu, e kamaʻilio me kāu kauka.
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