Loaʻa paha iā ʻoe ka maʻi diabetes Type 2, no laila ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau i kapa ʻia ʻo Tolbutamide. A i ʻole makemake paha ʻoe e aʻo hou e pili ana i kēia lāʻau. Eia nō naʻe, he mea nui e ʻike pono i ke ʻano o kēia lāʻau. No laila i kēia lā, e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī a ma ke ʻano maʻalahi loa.
He aha ka mea e hana maoli me kēia lāʻau i kapa ʻia ʻo Tolbutamide?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Tolbutamide e kōkua i ka kaohi ʻana i kāu Diabetes Type 2. Kōkua nui ia i ka hormone insulin o kou kino e hana pono i kāna hana. ʻIke ʻoe, ke loaʻa iā ʻoe ka maʻi diabetes, ʻaʻole lawa ka insulin i hana ʻia e kou kino, a i ʻole ʻaʻole hana pono ka insulin āna e hana ai. ʻO ia ka manawa e kōkua ai kēia lāʻau lapaʻau.
Akā hoʻokahi mea e hoʻomanaʻo ai. ʻAʻole hiki iā ʻoe ke kāohi i ka maʻi diabetes ma ka lawe ʻana i kēia lāʻau lapaʻau wale nō. Hiki iā ʻoe ke loaʻa ka pōmaikaʻi nui loa mai kēia lāʻau lapaʻau me ka ʻai kūpono a me ka hoʻoikaika kino wale nō. Loaʻa paha kēia lāʻau lapaʻau ma ka mākeke ma lalo o nā inoa e like me Orinase a i ʻole Tol-Tab. Akā inā ʻo ka mea nui o ka lāʻau lapaʻau a ke kauka e kuhikuhi ai nou ʻo Tolbutamide, pili pono kēia mau manaʻo āpau.
I kekahi manawa hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā kumu lapaʻau ʻē aʻe. Inā he mau nīnau kāu e pili ana i kēia, e nīnau i kāu kauka a mea kūʻai lāʻau paha.
He aha nā mea e pono ai ʻoe e haʻi aku i kāu hui lapaʻau ma mua o kou lawe ʻana i kēia lāʻau?
He mea nui loa kēia. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau:
- Inā loaʻa iā ʻoe ka ketoacidosis maʻi diabetes, kahi maʻi koʻikoʻi i hoʻokumu ʻia e ka maʻi diabetes.
- Inā loaʻa iā ʻoe kahi hemahema enzyme i kapa ʻia ʻo ka glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency) .
- Inā he maʻi puʻuwai kou .
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā loaʻa iā ʻoe kahi maʻi koʻikoʻi a ʻeha paha .
- Inā he maʻi thyroid kou.
- Inā loaʻa iā ʻoe kahi hopena maʻamau ʻole a maʻi paha i ka tolbutamide, nā lāʻau sulfa, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala hana, a i ʻole nā mea mālama.
- Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai.
- Inā he makuahine hānai waiū ʻoe.
Inā ʻoe e haʻi pololei i kēia mau mea, hiki i kāu kauka ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe a i ʻole ʻoe e pono i kahi koho ʻē aʻe.
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
He papa kēia lāʻau lapaʻau āu e lawe ai ma ka waha. E ale i ka papa me ke aniani wai. Pono ʻoe e hahai i nā kuhikuhi ma ka lepili lāʻau lapaʻau e like me ka mea a kāu kauka i hāʻawi ai iā ʻoe. ʻOi aku ka maikaʻi o ka lawe ʻana i ka lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. Mai lawe ʻoe ma mua o ka mea a ke kauka i ʻōlelo ai iā ʻoe.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono ʻoe e kamaʻilio me ke kauka pediatric e pili ana i ia mea. Pono paha ka mālama kūikawā.
Hiki i nā poʻe ma luna o 65 mau makahiki ke ʻike i kahi hopena ikaika iki i ka wā e lawe ai i kēia lāʻau. No laila, pono paha e hāʻawi ʻia iā lākou i kahi mahele haʻahaʻa.
Mea nui: Inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau (overdose), e kāhea koke i ke kikowaena kaohi lāʻau make kokoke loa a i ʻole ka lumi pilikia.
ʻO kekahi mea ʻē aʻe, nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi i kāu lāʻau lapaʻau i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau lapaʻau.
He aha nā pilina ʻē aʻe e hiki ke hana me kēia lāʻau lapaʻau?
He mea kēia e makaʻala nui ai. Hiki i kekahi mau lāʻau lapaʻau a me nā meaʻai ke launa pū me Tolbutamide. ʻO ia hoʻi, hiki ke loli ka pono o kēia lāʻau lapaʻau, a i ʻole e hoʻonui ʻia nā hopena ʻaoʻao.
Hiki i kēia lāʻau lapaʻau ke launa pū me kēia mau mea:
- Bosentana
- Chloramphenicol
- ʻO Cisapride
- Nā lāʻau lapaʻau no nā maʻi fungal a i ʻole nā maʻi hū (e like me fluconazole, ketoconazole)
- ʻO Metoclopramide
- ʻO Probenecid
- ʻO Warfarin
Eia kekahi, aia kekahi mau lāʻau lapaʻau ʻē aʻe a me nā mea e hiki ke hoʻonui a hoʻemi paha i kou pae kō koko. Pono ʻoe e makaʻala i ka lawe ʻana i kēia lāʻau lapaʻau me lākou. Eia kekahi laʻana:
- Nā mea inu ʻona
- ʻAspirin a me nā lāʻau lapaʻau like
- Nā mea hoʻohui Chromium
- ʻO nā lāʻau antibiotic e like me ka clarithromycin
- Nā Diuretics (nā lāʻau lapaʻau e hoʻomake ai iā ʻoe e mimi)
- ʻO nā hormones wahine (e like me estrogens a i ʻole progestins) a me nā pila hoʻomalu hānau
- Nā lāʻau lapaʻau no kekahi mau maʻi puʻuwai
- ʻIsoniazid
- Nā hormones kāne a i ʻole nā steroid anabolic
- Lāʻau hoʻemi kaumaha
- Lāʻau lapaʻau no ka maʻi ʻaleka, ka hānō, ke anu, a me ke kuni
- Nā lāʻau lapaʻau no ka maʻi noʻonoʻo
- Nā lāʻau lapaʻau i loko o ka papa o nā lāʻau i kapa ʻia ʻo MAO Inhibitors (e.g. Nardil, Parnate)
- Niacin
- NSAID (e.g. ibuprofen, naproxen)
- Pentamidine
- ʻO Phenytoin
- Nā lāʻau antibiotic quinolone (e.g. ciprofloxacin, levofloxacin)
- ʻO kekahi mau mea hoʻohui meaʻai lāʻau
- nā lāʻau steroid (e like me prednisone, cortisone)
- Lāʻau lapaʻau thyroid
ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau (me nā lāʻau lapaʻau kūʻai ʻole ʻia), nā mea kanu, a me nā mea hoʻohui meaʻai āu e lawe nei. E haʻi pū i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau ʻē aʻe. Hiki i kēia mau mea ke launa pū me kāu lāʻau lapaʻau.
He aha nā mea e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
Pono ʻoe e makaʻala mau i kou olakino i ka wā e hoʻohana ai i kēia lāʻau.
- E ʻike pinepine i kāu kauka: E hele no nā hoʻokolohua e like me ke kauoha a kāu kauka e ʻike i ka maikaʻi o ka kaohi ʻana i kāu maʻi diabetes.
- Hoʻāʻo HbA1C: Hiki i kāu kauka ke kauoha i kahi hoʻāʻo i kapa ʻia ʻo ka hoʻāʻo HbA1C (A1C). Ana kēia hoʻāʻo i kou kaohi kō koko maʻamau i nā mahina 2-3 i hala. Hana pinepine ʻia kēia hoʻāʻo i kēlā me kēia 3 a 6 mahina.
- E aʻo pehea e nānā ai i kou pae kō koko: He mea nui e aʻo pehea e nānā ai i kou pae kō koko ma ka home. Eia kekahi, e makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia) a me ke kō koko kiʻekiʻe (hyperglycemia) a pehea e hoʻokele ai iā lākou.
E makaʻala nui i ka hypoglycemia!
I ka wā e lawe ai i kēia lāʻau lapaʻau, hiki i kou pae kō koko ke hāʻule haʻahaʻa loa. Hiki ke lilo kēia i mea weliweli. No laila pono ʻoe e makaʻala loa i kēia.
- E mālama i kahi mea e hiki ai ke hāʻawi i kahi kumu kō wikiwiki: E mālama mau i kahi mea kokoke iā ʻoe e ʻai ai i ka wā e ʻike ai ʻoe i nā hōʻailona o ke kō koko haʻahaʻa (e like me ka hou ʻana, ka haʻalulu, ka poniuniu, ka pōloli loa, ka paʻakikī o ka noʻonoʻo ʻana). Eia kekahi laʻana, nā ʻāpana kō, ka toffee, nā papa glucose, a i ʻole kekahi wai huaʻai.
- E haʻi aku i nā poʻe ʻē aʻe: Inā ʻoe i loko o kahi mokuʻāina kahi hiki ʻole iā ʻoe ke ʻai a inu paha ma muli o ka hypoglycemia koʻikoʻi (e.g., nā hopu ʻana, ka nalowale o ka ʻike), e haʻi aku i kou ʻohana a me nā hoaaloha inā ʻoe e hoʻāʻo e hāʻawi iā lākou i ka meaʻai a mea inu paha i kēlā manawa, hiki iā lākou ke ʻū. Inā hana kēia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
- Inā kiʻekiʻe kou pae kō koko: Inā ʻike ʻoe i nā hōʻailona o ke kō koko kiʻekiʻe (e laʻa, ka makewai nui, ka mimi pinepine, ka ʻike pohihihi), e haʻi i kāu kauka. Pono paha e hoʻoponopono i ka nui o kāu lāʻau lapaʻau.
- Inā maʻi ʻoe a loli paha kou pae hoʻoikaika kino: Inā maʻi ʻoe me ke kuni, ke anu, a inā ʻoi aku kou hoʻoikaika kino ma mua o ka maʻamau, pono paha e hoʻoponopono ʻia ka nui o kāu lāʻau lapaʻau. E kamaʻilio pū me kāu kauka e pili ana i kēia.
- Mai hōʻalo i ka ʻai: E ʻai i ka manawa kūpono. Hiki i ka hōʻalo ʻana i ka ʻai ke hoʻohaʻahaʻa i ke kō koko.
- E makaʻala i ka waiʻona: E nīnau i kāu kauka inā ʻoi aku ka maikaʻi o ka pale ʻana i ka inu ʻana i ka waiʻona. Hiki i kekahi mau syrup cough a me nā syrups anu i kūʻai ʻia ma ke kūʻai aku ke loaʻa ke kō a i ʻole ka waiʻona. Hiki i kēia mau mea ke hoʻopilikia i nā pae kō koko.
- E makaʻala i ka lā: Hiki i kēia lāʻau lapaʻau ke hoʻonui i kou ʻili i ka lā. No laila, e ʻaʻahu i nā lole e uhi ana i kou ʻili ke hele ʻoe i waho i ka lā, e hoʻohana i ka sunscreen, a pale i nā kukui lā a i ʻole nā moena tanning.
- E komo i kahi palapala hōʻoia lapaʻau: E komo i kahi kūpeʻe lima a kaulahao paha e hōʻike ana he maʻi diabetes kou a me nā lāʻau lapaʻau āu e lawe ai a me kā lākou mau dosages. Eia kekahi, e mālama mau i kahi kāleka me kēlā mau kikoʻī me ʻoe. He mea nui loa kēia i ka wā o kahi pilikia.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka tolbutamide ke hana i kekahi mau hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka a pau.
Nā hopena ʻaoʻao e pono ʻoe e haʻi koke aku i kāu kauka :
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e haʻi koke aku i kāu kauka a mea mālama ola paha:
- Paʻakikī ka hanu ʻana
- ʻO ka mimi melemele ʻeleʻele a ʻeleʻele paha, ka melemele o nā maka a i ʻole ka ʻili (e like me ka jaundice)
- Kuni, anu, ʻeha ka puʻu
- Nā pae kō koko haʻahaʻa (e noi i kāu kauka no kahi papa inoa o nā hōʻailona e pili ana i kēia)
- ʻO ka huhū nui o ka ʻili, ka ʻulaʻula, ka pehu, a i ʻole ka maneʻo
- Ke kahe koko ʻana a i ʻole ka ʻeha ʻana ma ke ʻano maʻamau
Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike i kāu kauka inā hoʻomau lākou:
E nalo pinepine kēia mau mea i loko o kekahi mau lā. Akā inā hoʻomau lākou, e haʻi i kāu kauka inā hoʻopilikia lākou iā ʻoe:
- Ka maʻi pākī
- ʻEha poʻo
- ʻĀʻī puʻuwai
- Ka luaʻi, ka luaʻi
- ʻO ka ʻeha o ka ʻōpū
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe i ʻike ʻole ʻia, e kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea ʻoe e mālama ai i ka lāʻau lapaʻau?
- E mālama iā ia mai ka hiki ʻana aku o nā keiki.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius, ma waena o 59 a me 86 kekelē Fahrenheit).
- E hoʻolei i ka lāʻau lapaʻau i pau me ka hoʻohana ʻole ʻana.
ʻO ka mea nui loa - e hoʻomanaʻo!
Hāʻawi wale kēia ʻatikala i kahi ʻike pōkole o Tolbutamide. Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, e ʻoluʻolu e kūkākūkā me kāu kauka, kauka lāʻau, a i ʻole kekahi mea mālama ola kino ʻē aʻe. ʻOi aku ka maikaʻi o ka hahai ʻana i nā ʻōlelo aʻoaʻo a kāu kauka i ka wā e hoʻoholo ai e pili ana i kou olakino. E noho olakino!
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