He maʻi maʻamau ka maʻi diabetes i waena o mākou ma Sri Lanka. No laila, ua kuhikuhi kāu kauka iā ʻoe i ka lāʻau lapaʻau e kāohi i kāu maʻi diabetes. Inā ʻo ʻoe kekahi o ka poʻe e hoʻohana ana i ka lāʻau i kapa ʻia ʻo Sitagliptin, he mea nui loa kēia ʻatikala iā ʻoe. E nānā kākou e pili ana i kēia lāʻau lapaʻau, pehea e hana ai, a he aha nā mea e makaʻala ai i ka wā e hoʻohana ai.
He aha ke ʻano lāʻau lapaʻau ʻo Sitagliptin?
I ka ʻōlelo maʻalahi, ʻo Sitagliptin kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi diabetes Type 2. Hana ia ma ke ʻano hoihoi loa i loko o ko mākou kino. Hoʻonui nui ia i ka pae o ka insulin i loko o kou kino a hoʻemi i ka nui o ka glucose i loko o kou koko. Hoʻemi pū ia i ka nui o ke kō i hoʻohui ʻia i ke koko e ke akepaʻa.
ʻO ka mea nui loa, ʻaʻole lawa kēia lāʻau lapaʻau wale nō. Me ka ʻai maikaʻi a me ka hoʻoikaika kino i kēlā me kēia lā hiki iā ʻoe ke loaʻa nā hopena maikaʻi loa mai kēia lāʻau lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau
Ma mua o kou hoʻomaka ʻana e lawe i ka Sitagliptin, aia kekahi mau mea āu e haʻi aku ai i kāu kauka. Mai hūnā i kēia mau mea, no ka mea, he mea nui loa ia no kou palekana.
- Inā loaʻa iā ʻoe ka ketoacidosis maʻi diabetes.
- Inā loaʻa iā ʻoe ka maʻi puʻupaʻa: He mea nui loa kēia no ka mea pono e hoʻoponopono ʻia ka nui o kēia lāʻau lapaʻau ma muli o kāu hana puʻupaʻa.
- Inā ua loaʻa iā ʻoe ka pancreatitis ma mua.
- Inā ua loaʻa iā ʻoe kahi pehu o kou alelo, maka, a i ʻole nā lehelehe, paʻakikī ka hanu ʻana, paʻakikī ke ale ʻana, a i ʻole kahi loli i kou leo ma hope o ka lawe ʻana i kahi lāʻau lapaʻau: ʻO ke ʻano kēia ua loaʻa iā ʻoe kahi hopena alerika koʻikoʻi.
- Inā loaʻa iā ʻoe ka maʻi diabetes Type 1: ʻAʻole kūpono kēia lāʻau lapaʻau iā ʻoe.
- Inā he maʻi ʻaleka kou i ka sitagliptin a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha.
Pehea pololei kaʻu e hoʻohana ai i kēia lāʻau lapaʻau?
He maʻalahi loa kēia lāʻau lapaʻau e hoʻohana. E ale i kēia pila me ke aniani wai. Hiki iā ʻoe ke lawe ma mua a ma hope paha o ka ʻai ʻana. E lawe e like me ke kauoha a kāu kauka.
ʻEkahi mau mea nui:
- Mai uhaʻi, kuʻi, a nau paha i ka lāʻau. E ale holoʻokoʻa i ka papa.
- E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Ma kēlā ʻano, ʻaʻole ʻoe e poina.
- A hiki i ka wā e ʻōlelo mai ai ke kauka.Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau.
- Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi.
He aha inā e hala ana kāu lāʻau lapaʻau?
Inā poina koke ʻoe i ka lawe ʻana i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Inā manaʻo koke ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
E ʻike i kāu kauka i nā lā i hoʻonohonoho ʻia e hōʻoia i ka holomua maikaʻi ʻana o kāu lāʻau lapaʻau.
- Hoʻāʻo HbA1c: E kauoha kāu kauka i kahi hoʻāʻo koko i kapa ʻia ʻo HbA1c (A1C) . Ana kēia i ka maikaʻi o ka kaohi ʻana o kou kō koko i nā mahina 2-3 i hala. Pono ʻoe e hana i kēia hoʻāʻo i kēlā me kēia 3 a 6 mahina.
- Ka nānā ʻana i ke kō koko: He mea nui e aʻo pehea e nānā ai i kou kō koko ma ka home. Eia kekahi, e makaʻala i nā hōʻailona o ka hypoglycemia a me ka hyperglycemia, a me ka mea e hana ai inā loaʻa.
- Inā hāʻule kou kō koko: E mālama mau i kahi mea e like me ke kō, ka toffee, a i ʻole nā papa glucose kokoke e hoʻohana inā hāʻule kou kō koko. Akā e hoʻomanaʻo, inā hāʻule loa kou kō koko a hoʻomaka ʻoe e loaʻa i nā hopu a nalowale paha ka ʻike, mai hoʻokomo i kekahi mea i loko o kou waha i kēlā manawa. Hiki iā ʻoe ke ʻū. I kēlā hihia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
- Nā mea ʻē aʻe: Inā maʻi ʻoe, e hoʻoikaika kino ma mua o ka maʻamau, e nīnau i kāu kauka inā pono ʻoe e hoʻololi i ka nui o kāu lāʻau lapaʻau. Mai hōʻalo i ka ʻai. E kamaʻilio pū me kāu kauka e pili ana i ka inu ʻana i ka waiʻona.
- ID Lapaʻau: He manaʻo maikaʻi ke kau ʻana i kahi kāleka a kūpeʻe lima paha e hōʻike ana he maʻi diabetes kou a me nā lāʻau lapaʻau āu e lawe ai.
Nā hopena ʻaoʻao a me nā pilikia me kēia lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i ka Sitagliptin ke hana i nā hopena ʻaoʻao i kekahi poʻe. Hiki iā ia ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. E nānā kākou i kēlā.
| Nā lāʻau lapaʻau/mea e hiki ai ke hoʻoulu i nā hakakā | Nā mea e makaʻala ai |
|---|---|
| ʻInisulina | ʻO ka lawe pū ʻana i kēia mau mea ʻelua hiki ke hoʻohaʻahaʻa i ke kō koko (hypoglycemia). Na kāu kauka e hoʻoponopono i ka nui. |
| ʻO nā lāʻau lapaʻau sulfonylurea (e.g. Glimepiride, Glibenclamide) | Aia ka piʻi ʻana o ka pilikia o ke kō koko haʻahaʻa ke lawe pū ʻia me Sitagliptin. |
| ʻO Digoxin (he lāʻau lapaʻau no ka maʻi puʻuwai) | Hiki i ka Sitagliptin ke hoʻololi iki i nā hopena o Digoxin. E haʻi i kāu kauka e pili ana i kēia. |
| ʻAila | Hiki i ka waiʻona ke hoʻopilikia i nā pae kō koko. E kūkākūkā me kāu kauka e pili ana i kēia. |
| Nānā: ʻAʻole i piha kēia papa inoa. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā huahana lāʻau lapaʻau āu e lawe nei. | |
| Ka hopena ʻaoʻao | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka/lehelehe/alelo, paʻakikī ke hanu. |
| ʻO ka maʻi pancreatitis | ʻEha nui o ka ʻōpū e pālahalaha 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/wāwae/lima, piʻi koke ke kaumaha, manaʻo luhi ʻē. |
| ʻEha puʻupaʻa | Ka emi ʻana o ka mimi i hoʻopuka ʻia, ka pehu ʻana o nā kuʻekuʻe wāwae/lima/wāwae. |
| Nā hopena ʻili | ʻUlaʻula, pehu, ʻili ʻana o ka ʻili (a hiki i loko o ka waha). |
| ʻEha nui o nā hono | ʻEha nui ma nā hono. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | ʻEha poʻo |
| Nā hōʻailona e like me ke anu | Ihu wai, ihu paʻa. |
| ʻeha ka ʻāʻī | ʻeha ka ʻāʻī |
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama i kahi hiki ʻole i nā keiki.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius).
- E hoʻolei aku i ka lāʻau lapaʻau i pau ka lā.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Sitagliptin i hoʻohana ʻia no ka mālama ʻana i ka maʻi diabetes type 2. He mea nui ka ʻai a me ka hoʻoikaika kino no nā hopena maikaʻi loa.
- E lawe i kēia lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe, i ka manawa i kuhikuhi ʻia. Mai uhaʻi, kuʻi, a nau paha i ka lāʻau lapaʻau.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe ai a me nā maʻi ʻē aʻe āu e loaʻa nei.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). E mālama i kekahi kō a i ʻole kahi pā lole kokoke no nā pilikia.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū, ka paʻakikī o ka hanu ʻana, nā pehu ʻili, a i ʻole nā hōʻailona maʻi ʻaleka koʻikoʻi.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e kūkākūkā me kāu kauka.
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