Inā loaʻa iā ʻoe ka maʻi diabetes Type 2, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Empagliflozin (i ʻike nui ʻia ʻo Jardiance ma Sri Lanka). He lāʻau lapaʻau maikaʻi loa kēia e kōkua ai i ka hoʻomalu ʻana i nā pae kō koko. Eia naʻe, e like me nā lāʻau lapaʻau ʻē aʻe, hiki i kekahi poʻe ke loaʻa nā hopena ʻaoʻao liʻiliʻi. Akā, ʻaʻohe pono e hopohopo no lākou. ʻO ka mea nui loa, ʻo ia ka ʻike i kēia mau hopena ʻaoʻao, ka mea e hana ai inā ʻoluʻolu ʻole ʻoe iā lākou, a me ka manawa e ʻike koke ai i ke kauka. E kamaʻilio kākou e pili ana i kēlā i kēia lā.
No ke aha e loaʻa ai kēia mau hopena ʻaoʻao? He aha nā mea maʻamau?
ʻO ka mea mua, e hoʻomaopopo kākou pehea e hana ai kēia lāʻau. I ka ʻōlelo maʻalahi, hana ʻo Empagliflozin ma ka hoʻokuʻu ʻana i kou mau puʻupaʻa i ke kō keu mai kou kino ma o kou mimi. He mea maikaʻi kēia no ka kaohi ʻana i ka maʻi diabetes. Eia nō naʻe, ke piʻi aʻe ke kō i loko o kou mimi, lilo ia i wahi kūpono no nā microorganism e like me ka bacteria a me ka hū e ulu.
ʻO kēia ke kumu e ʻoi aku ai ka nui o ka poʻe e lawe ana iā Empagliflozin i ka loaʻa ʻana o nā maʻi Urinary Tract Infections (UTIs) a me nā maʻi hū .
E nānā pono kākou i kēia mau maʻi ʻelua a pehea e mālama ai iā lākou ma kahi papa.
| ʻAno o ka maʻi | Nā hōʻailona | Ka hoʻokele a me ka pale ʻana |
|---|---|---|
| Nā maʻi ʻōpū mimi (UTI) |
| Lapaʻau: Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike pono i kāu kauka . E kuhikuhi ʻo ia i nā lāʻau antibiotic. I kēia manawa, e inu i ka wai he nui a kau i kahi ʻōmole wai wela ma kou ʻōpū e kōkua i ka hōʻoluʻolu ʻana i ka ʻeha. E pale i ke kofe, ka soda, a me ka waiʻona no kekahi manawa. I mea e pale aku ai:E inu pinepine i ka wai he nui. E holoi mai ke alo a i ke kua ma hope o ka hoʻohana ʻana i ka lua. ʻO ka mimi ʻana ma hope o ka moekolohe e kōkua i ka wehe ʻana i nā bacteria. |
| Nā maʻi hū |
(Hiki ke hana kēia i nā wahine a me nā kāne) | Lapaʻau: E kamaʻilio pū me kāu kauka e pili ana i kēia. Hiki iā ia ke kuhikuhi i kahi kirīmi a pila antifungal kūpono. E pale i ka moe kolohe ʻana i kou wā e lawe ana i ka lāʻau lapaʻau. No ka pale ʻana: E mālama i ka ʻāpana genital maʻemaʻe a maloʻo . E ʻaʻahu i nā lole komo i hana ʻia me nā lole hanu, e like me ka pulupulu. E hoʻololi koke i nā lole ʻauʻau pulu a i ʻole nā lole hou ma hope o ka hoʻoikaika kino. E pale i ka hoʻohana ʻana i nā kopa ʻala a i ʻole ka douching. |
He aha nā hopena ʻē aʻe o ka lāʻau lapaʻau liʻiliʻi a he aha ka mea e hana ai e pili ana iā lākou?
Ma waho aʻe o nā maʻi i luna, aia kekahi mau hopena ʻaoʻao liʻiliʻi ʻē aʻe e hiki ke loaʻa. ʻAʻole lākou he mea koʻikoʻi.
- Ka mimi pinepine ʻana: He mea kēia e hana ʻia ma muli o ka lāʻau lapaʻau. ʻO ke ala maikaʻi loa e hōʻemi ai i kēia ʻeha, ʻo ia ka lawe ʻana i kāu pila i ke kakahiaka . E hōʻemi kēia i ka nui o nā manawa āu e ala ai i ka pō e mimi. Eia naʻe, mai ho'āʻo e hōʻemi i kāu lawe ʻana i ka wai ma ke ʻano he hopena! ʻO ka hana ʻana pēlā e alakaʻi ai i ka maloʻo.
- Manaʻo makewai: He mea maʻamau ka makewai no ka mea ke nalowale nei kou kino i ka wai ma o ka mimi. E hoʻolohe i kou kino a inu i ka wai he nui i ka lā a pau. Eia nō naʻe, inā loaʻa iā ʻoe ka makewai hiki ʻole ke hoʻomanawanui , ka luhi nui, ka nausea, a me ka ʻeha o ka ʻōpū, he maʻi koʻikoʻi paha ia. E ʻimi koke i ke kōkua lapaʻau.
- Ka luaʻi: E like me kekahi mau lāʻau lapaʻau, hiki i kekahi poʻe ke loaʻa ka luaʻi iki ke hoʻomaka mua lākou e lawe iā Empagliflozin. I mea e pale aku ai i kēia, e hoʻāʻo e lawe i ka pila me ka ʻai . Inā ʻaʻole e nalowale kēia ma hope o kekahi mau pule, e kamaʻilio me kāu kauka.
- ʻEha hui: Ma kekahi mau noiʻi, ua hōʻike kahi poʻe liʻiliʻi e lawe ana i kēia lāʻau lapaʻau i ka ʻeha hui. Inā hoʻomau ʻoe i kēia pilikia, e haʻi i kāu kauka. Hiki iā ia ke hoʻololi i ka nui o ka lāʻau a i ʻole e hāʻawi i kahi hopena ʻē aʻe.
Nā hopena ʻaoʻao koʻikoʻi e pono ai ka nānā koke ʻana
ʻOiai he mea kakaikahi kēia, hiki iā lākou ke hoʻoweliweli i ke ola, no laila he mea nui e makaʻala i kā lākou mau hōʻailona. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
| Kūlana koʻikoʻi | Nā hōʻailona | He aha ka mea e hana ai? |
|---|---|---|
| Ka maloʻo nui | Ka nāwaliwali nui, ka poniuniu, a me ka manaʻo e maule ana, ʻoiai hoʻi i ka wā e kū ana. | E ʻimi koke i ke kōkua lapaʻau. Pono paha ʻoe e lawe ʻia i ka haukapila a hāʻawi ʻia i ka saline (nā wai IV). |
| Hypoglycemia (haʻahaʻa ke kō koko) | ʻEha ke poʻo, huikau, haʻalulu, hou nui, puʻuwai wikiwiki, pōloli nui. | ʻOi aku ka maʻamau o kēia ke lawe ʻia me nā lāʻau lapaʻau maʻi diabetes ʻē aʻe. E lawe koke i kahi papa glucose, kahi mea inu ʻono, a i ʻole kahi cube kō. Inā koʻikoʻi ke kūlana (nalowale ka ʻike) , e hele koke i ka Emergency Department (ETU). |
| Ketoacidosis maʻi diabetes | Luhi nui, nausea a luaʻi paha, ʻeha ka ʻōpū, paʻakikī ka hanu ʻana, a me kahi ʻala hua ma ka hanu. | He pilikia koʻikoʻi loa kēia! E hele koke i ka ʻOihana Pilikia (ETU) . Hiki ke hana ʻia kēia inā paha ma lalo o 250 mg/dL kou kō koko. |
| ʻO ka gangrene o Fournier (ka fasciitis necrotizing) | ʻEha, pehu, ʻulaʻula, kuni, a me ka nāwaliwali nui o ka ʻili a puni ka ʻāpana genital a me ka anus. | He maʻi koʻikoʻi loa kēia e hiki ke hoʻoweliweli i ke ola. Inā loaʻa iā ʻoe kēia mau hōʻailona , e hele koke i ka ʻOihana Pōpilikia (ETU). |
| Ka hopena maʻi ʻaleka koʻikoʻi | ʻŌhūhū ʻili (hives), pehu o ka maka, lehelehe a i ʻole ka ʻāʻī, paʻakikī i ka hanu ʻana a i ʻole ke ale ʻana. | E ʻike koke i ke kauka a i ʻole e hele i ka Emergency Treatment Unit (ETU). |
Leka Lawe-Home
- He lāʻau lapaʻau maikaʻi loa ʻo Empagliflozin (Jardiance) e kōkua ana i ka kaohi ʻana i ka maʻi diabetes. Eia nō naʻe, e like me nā lāʻau lapaʻau āpau, hiki iā ia ke hana i nā hopena ʻaoʻao liʻiliʻi.
- ʻO nā maʻi ʻōpū mimi a me nā maʻi hū, nā mea maʻamau, hiki ke kaohi maʻalahi me ka hoʻomaʻemaʻe maikaʻi a me ke aʻo lapaʻau.
- E inu i ka wai nui i ka lā a pau, akā e makaʻala i nā hōʻailona ʻē aʻe, e like me ka make wai nui.
- E makaʻala i nā hōʻailona o nā hopena ʻaoʻao kakaikahi akā koʻikoʻi e like me ke ketoacidosis a me ka gangrene ʻo Fournier. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hele koke i kahi lumi pilikia (ETU).
- Mai makaʻu e kamaʻilio me kāu kauka e pili ana i nā hopena ʻaoʻao e hoʻopilikia nei iā ʻoe a i ʻole e hoʻopilikia nei i kou ola o kēlā me kēia lā. Mai hūnā i kekahi mea iā ʻoe iho.
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