Inā loaʻa iā ʻoe ka maʻi diabetes Type 2, ua kuhikuhi paha kāu kauka i kahi lāʻau i kapa ʻia ʻo Canagliflozin (i ʻike pinepine ʻia ʻo Invokana ma ko mākou ʻāina) e kōkua i ka kaohi ʻana i kou pae kō koko. Hana maikaʻi kēia lāʻau lapaʻau ke hoʻohana ʻia me ka ʻai olakino a me ka hoʻoikaika kino i kēlā me kēia lā. No laila, e kamaʻilio kākou e pili ana i kekahi o nā mea nui e pono ai ʻoe e ʻike e pili ana i kēia lāʻau.
1. He aha nā kūlana e mālama ai ʻo Canagliflozin?
Hele pinepine ka maʻi diabetes a me ka maʻi puʻuwai. ʻOiaʻiʻo, ua ʻike ʻia e ka noiʻi ʻana he ʻelua ka nui o ka poʻe me ka maʻi diabetes e loaʻa i ka maʻi puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai ma mua o ka poʻe me ka ʻole o ka maʻi diabetes.
No loko o kahi papa lāʻau lapaʻau i kapa ʻia ʻo nā mea hoʻopaʻa i ka sodium-glucose co-transporter 2 (SGLT2) ʻo Canagliflozin. I ka ʻōlelo maʻalahi, hana ia ma ka hoʻemi ʻana i ka nui o ke kō i hoʻokuʻu ʻia e kou kino i loko o kou mimi, kahi e hoʻohaʻahaʻa ai i kou pae kō koko.
ʻO kekahi pōmaikaʻi kūikawā o kēia , ua ʻae ʻia kēia lāʻau lapaʻau e hōʻemi i ka pilikia o ka make mai nā kūlana koʻikoʻi e like me nā hōʻeha puʻuwai a me nā hahau i nā pākeke me ka maʻi diabetes type 2 i loaʻa i ka maʻi cardiovascular, a i ʻole ka poʻe i loaʻa i ka pilikia nui o ka hoʻomohala ʻana i ia mau maʻi.
Eia kekahi, kōkua pū kēia lāʻau lapaʻau i ka hōʻemi ʻana i nā kumu pilikia e hiki mai ana:
- Maʻi puʻupaʻa hope loa
- Hana ʻino o ka puʻupaʻa
- Ka hoʻokipa ʻia ʻana ma muli o ka hāʻule ʻana o ka puʻuwai
- Ka hoʻokipa ʻia ʻana ma ka haukapila ma muli o ka hōʻino ʻia ʻana o nā puʻupaʻa e ka maʻi diabetes (Diabetic Nephropathy)
ʻO ka mea nui loa, ʻaʻole kūpono kēia lāʻau lapaʻau no ka poʻe me ka maʻi diabetes Type 1. Eia kekahi, ʻaʻole hiki i ka poʻe me ka maʻi puʻupaʻa koʻikoʻi ke lawe i kēia lāʻau.
2. Pehea e hoʻohana ai i kēia lāʻau lapaʻau?
He lāʻau lapaʻau kēia i loaʻa mai ma ke ʻano he pila. Pono ʻoe e lawe i hoʻokahi manawa i ka lā, ma mua o kāu ʻai mua o ka lā.
Hiki ke lawe ʻia kēia lāʻau lapaʻau me nā lāʻau lapaʻau maʻi diabetes ʻē aʻe, e like me ka metformin. Eia nō naʻe, i kekahi manawa hiki i kēia mau lāʻau lapaʻau ke launa pū kekahi me kekahi. Inā hana ʻia kēia, hiki ke hoʻemi ʻia ko lākou pono a i ʻole nā hopena ʻaoʻao. No laila, he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā mea hoʻohui meaʻai āu e lawe nei.
E hoʻoponopono kāu kauka i ka nui inā pono. E mālama i kēia lāʻau lapaʻau ma ka mahana o ka lumi, i loko o kahi pahu pani. E mālama ʻia mai ka wela nui, ka makū, a me ka lā pololei. E hoʻolei pono i ka lāʻau lapaʻau i pau.
Pehea ka nui o ka lāʻau lapaʻau?
E hoʻomaka paha kāu kauka iā ʻoe ma kahi papa 100 milligram (100mg). Inā makemake ʻoe i ka mana hou aʻe ma luna o kou pae kō koko, hiki ke hoʻonui ʻia kāu mahele i 300 milligrams (300mg) i kēlā me kēia lā. Inā e poina ʻoe i kahi mahele, e lawe koke iā ia ke hoʻomanaʻo ʻoe. Akā inā kokoke ka manawa no kāu mahele aʻe, mai lawe i ʻelua mau mahele i ka manawa hoʻokahi. E hōʻalo i ka mahele i poina a lawe i kāu mahele aʻe e like me ka maʻamau.
3. He aha nā hopena ʻaoʻao e hiki mai ana?
Hiki i kekahi poʻe ke loaʻa i nā hopena ʻaoʻao ʻoluʻolu, kaulike, a koʻikoʻi paha mai kēia lāʻau lapaʻau. E makaʻala kākou iā lākou.
| ʻAno o ka hopena ʻaoʻao | Nā hiʻohiʻona e makaʻala ai |
|---|---|
| Nā hopena ʻaoʻao i ʻike pinepine ʻia | |
| Nā maʻi ʻōpū mimi | Ke kuni nei i ka wā e mimi ai, ʻeha ka ʻōpū ma lalo, pono pinepine e mimi, koko i loko o ka mimi. |
| Ke kō koko haʻahaʻa (Hypoglycemia) | Hiki ke hana ʻia kēia ke lawe pū ʻia me nā lāʻau lapaʻau maʻi diabetes ʻē aʻe. ʻO nā hōʻailona e komo pū me ka poniuniu, ka ʻeha poʻo, ka hou ʻana, ka haʻalulu, a me ka puʻuwai wikiwiki. |
| Nā hopena ʻaoʻao koʻikoʻi/koke no ka ʻimi ʻana i ke kōkua lapaʻau | |
| He maʻi bacteria laha ʻole (Necrotizing Fasciitis) | He maʻi weliweli e hoʻopau ana i nā ʻiʻo ma lalo o ka ʻili a puni ka ʻāpana genital a me ka anus. E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha, ka pehu, a me ka ʻulaʻula. |
| Ka hopena alerika koʻikoʻi | ʻŌhūhū ʻili, pehu ʻana, hives, a i ʻole ka maneʻo nui. He mau kūlana kēia e pono ai ke kōkua koke ʻia e ke kauka . |
| Nā haki iwi | Ua hōʻike ʻia e ka noiʻi e hoʻonui iki paha kēia lāʻau lapaʻau i ka pilikia o ka haki ʻana o ka iwi. |
| Nā hōʻailona koʻikoʻi ʻē aʻe | Ka nalowale ʻana o ka ʻike, ka ʻike pōwehiwehi, ka ʻeha o ka maka, ka paʻakikī o ka hanu ʻana, ka puʻuwai kūpono ʻole, ka nāwaliwali, ka paʻakikī o ka ʻōlelo ʻana, ka paʻakikī o ka hele wāwae, ka hou nui, a i ʻole ke kuni. |
Inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻino , mai hoʻokaʻulua a kāhea koke aku i ka lawelawe ambulance 1990 a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
4. Nā ʻōlelo aʻo kūikawā a me ka palekana (Nā ʻŌlelo Aʻo)
Ka pilikia o ka wehe ʻana i ka wāwae
Aia kekahi hoʻopaʻapaʻa e pili ana i ka hoʻonui ʻana o kēia lāʻau lapaʻau i ka pilikia o ka ʻoki ʻana i nā wāwae, ʻoiai hoʻi o nā wāwae a me nā wāwae haʻahaʻa. He mea kākaʻikahi loa kēia. Eia nō naʻe, inā ua loaʻa iā ʻoe kēlā mau ʻoki kino ma mua, a inā he mau ʻeha wāwae pinepine a i ʻole nā maʻi, he mea nui e makaʻala i kēia a mālama pono i kou mau wāwae.
ʻO ke kūlana ketoacidosis diabetic (DKA)
ʻO kēia ka mea nui e ʻike ai e pili ana i kēia lāʻau lapaʻau. Hiki i kēia lāʻau lapaʻau ke hana i kahi kūlana weliweli loa i kapa ʻia ʻo Diabetic Ketoacidosis (DKA) i kekahi poʻe maʻi diabetes Type 2.
I ka ʻōlelo maʻalahi, loaʻa ka DKA i ka wā ʻaʻole lawa ka insulin o kou kino e hoʻololi i ke kō i loko o kou koko i ikehu. A laila hoʻomaka kou kino e puhi i ka momona no ka ikehu. I loko o kēia kaʻina hana, hōʻiliʻili nā kemika i kapa ʻia he ketones i loko o kou koko. Ke hōʻiliʻili nui ʻia kēia mau ketones, lilo kou koko i waikawa, hiki ke hoʻomake i kou kino a maʻi loa ʻoe. I nā hihia koʻikoʻi, hiki iā ʻoe ke komo i loko o ka coma diabetic a make paha.
ʻO nā hōʻailona mua o DKA ka make wai nui a me ka mimi pinepine. He hōʻailona kēia ua pau kou maʻi diabetes i ke kaohi. E kamaʻilio me kāu kauka e pili ana i ke ʻano o ka pale ʻana iā DKA a mālama i kāu insulin a me nā pae kō koko i kahi pae olakino.
5. He aha nā hana palekana e pono e hana ʻia ma mua o ke ʻoki kino?
ʻAe. Inā he ʻoki kino kāu i hoʻonohonoho ʻia, pono ʻoe e hoʻōki i ka lawe ʻana i kēia lāʻau lapaʻau 3 mau lā ma mua o ke ʻoki kino e hōʻemi i ka pilikia o DKA. He mea nui e hoʻomaopopo i kāu kauka ʻoki kino a me kāu kauka maʻi diabetes e pili ana i kēia. I loko o kēia manawa, e nānā pono kāu kauka i kou pae kō koko a hoʻohana i nā ʻano hana ʻē aʻe e kāohi iā lākou.
6. ʻO wai ka mea pono ʻole e hoʻohana iā Canagliflozin?
ʻAʻole ʻōlelo nā kauka i kēia lāʻau lapaʻau inā loaʻa iā ʻoe nā kūlana penei:
- Inā he maʻi nui kou hepatic
- Inā hāpai ʻoe a i ʻole ke manaʻolana nei e hāpai
- Inā he makuahine hānai ʻoe
- Inā ʻoe ma lalo o 18 mau makahiki
- Inā ua loaʻa iā ʻoe kahi hopena maʻi koʻikoʻi (e like me ka anaphylaxis a i ʻole ka pehu ʻana e like me ka angioedema) i kēia lāʻau lapaʻau
- Inā ʻoe ma ka dialysis kidney
Ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau, he mea nui loa ia e kamaʻilio me kāu kauka e hōʻoia i kēia ka lāʻau lapaʻau kūpono nou e mālama ai i kāu maʻi diabetes.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Canagliflozin i hoʻohana ʻia no ka mālama ʻana i ka maʻi diabetes type 2. Kōkua nō hoʻi ia i ka hoʻēmi ʻana i ka pilikia o ka maʻi puʻuwai a me nā maʻi puʻupaʻa.
- Pono e lawe ʻia kēia pila i hoʻokahi manawa i ka lā, ma mua o ka ʻai mua.
- Mai poina e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E makaʻala i nā hopena ʻaoʻao e like me nā maʻi ʻōpū mimi, ke kō koko haʻahaʻa (hypoglycemia), a me nā maʻi ʻōpū laha ʻole.
- E makaʻala i nā hōʻailona o kahi maʻi weliweli i kapa ʻia ʻo Diabetic Ketoacidosis (DKA) (makewai nui, mimi pinepine).
- Pono e hoʻōki ʻia kēia lāʻau lapaʻau i 3 mau lā ma mua o kekahi hana ʻoki, e like me ke kuhikuhi a kāu kauka.
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