Pākuʻi Glucagon
Anter
- Ma mua o ka hoʻohana ʻana i ka pahu kui glucagon,
- Hiki i ka Glucagon ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:
Hoʻohana ʻia ʻo Glucagon me ka lāʻau lapaʻau olakino e mālama ai i ke kō kō. Hoʻohana ʻia ʻo Glucagon i ka hoʻokolohua diagnostical o ka ʻōpū a me nā mea digestive ʻē aʻe. Aia ʻo Glucagon i loko o ka papa o nā lāʻau i kapa ʻia nā glycogenolytic agents. Hana ia ma ke kumu ʻana i ke ake e hoʻokuʻu i ke kō i mālama ʻia i ke koko. Hana pū ia me ka hoʻomaha ʻana i nā mākala mālie o ka ʻōpū a me nā mea digestive ʻē aʻe no ka hōʻoia diagnostic.
Hele mai ʻo Glucagon ma ke ʻano he hopena (wai) i kahi syringe i hoʻomākaukau ʻia a me kahi mea hoʻoweliweli auto-injection e hoʻokomo i ka subcutaneously (ma lalo o ka ʻili). Hele pū kekahi me ka pauka e kāwili ʻia me kahi wai i hāʻawi ʻia e injected ʻia ai i subcutaneously, intramuscularly (i loko o ka mākala), a i ʻole i loko o ke aa. Hoʻokomo pinepine ʻia ia e pono ai i ka hōʻailona mua o ka hypoglycemia koʻikoʻi. Ma hope o ka hoʻopili ʻana, pono e huli ka mea maʻi ma ko lākou ʻaoʻao e pale ai i ke kolo inā lākou e luaʻi. E hoʻohana pono i ka pahu kui glucagon e like me ke kuhikuhi; mai hoʻokomo pinepine iā ia a i ʻole e hoʻomoe i nā mea ʻoi aku a ʻoi paha o ia ma mua o ke kauka.
E noi i kāu kauka a kauka paha e hōʻike iā ʻoe, ʻohana, a i ʻole nā mea mālama i hiki ke hoʻopili i ka lāʻau pehea e hoʻohana ai a hoʻomākaukau ai i ka injection glucagon. Ma mua o ka hoʻohana ʻana o kahi hoaaloha a ʻohana paha i kahi o ka glucagon no ka manawa mua, e heluhelu i ka ʻike hoʻomanawanui e hele pū ana me ia. Aia kēia ʻikepili i nā ʻōkuhi no ka hoʻohana ʻana i ka hāmeʻa injection. E nīnau pono i kāu kauka lāʻau a kauka paha inā he nīnau kāu a i ʻole nā mea mālama e pili ana i ka hoʻopili ʻana i kēia lāʻau.
Ma hope o kahi injection glucagon, e ala ala ka mea ʻike ʻole me ka hypoglycemia (ke kō kō koko haʻahaʻa) i loko o 15 mau minuke. I ka manawa i hāʻawi ʻia ai ka glucagon, e hoʻopili koke i ke kauka a loaʻa i kahi lāʻau lapaʻau olakino. Inā ʻaʻole e ala ke kanaka i loko o 15 mau minuke ma hope o ke kuikui ʻana, e hāʻawi hou i hoʻokahi kōpana o ka glucagon. E hānai i kēlā me kēia mea i kahi kumu kō kōkō (e laʻa, inu inu mau a i ʻole ka wai huaʻai) a laila kahi kumu hana kō o ke kō (e laʻa me nā crackers, ka waiū a i ʻole ka sanwī ʻai) ke ala lākou a hiki ke ale. .
E nānā mau i ka hopena glagagon ma mua o ka injected. Pono ia e akāka, kala ʻole, a me ka manuahi ʻole o nā hunaahi. Mai hoʻohana i ka injection glucagon inā he ʻōpua ia, loaʻa nā ʻāpana, a i ʻole inā ua hala ka lā palena. E noi i kāu kauka a kauka paha pehea e hoʻolei ai i ka pahu kūpaʻa kūpaʻa.
Hiki ke hoʻopili ʻia ʻo Glucagon me ka syringe prefilled a i ʻole autoinjector i ka lima o luna, ʻūhā, a i ʻole ka ʻōpū. Mai hoʻokomo i ka syringe prefilled a i ʻole ke autoinjector i loko o kahi aa a i ʻole nāʻiʻo.
He mea nui e loaʻa i nā mea maʻi āpau kahi lālā o ka hale i ʻike i nā ʻōuli o ke kō kō a me ka lawelawe ʻana i ka glucagon. Inā he haʻahaʻa kou kō kō, e mālama pū me ʻoe i ka injection glucose i nā manawa āpau. Pono ʻoe a me kahi ʻohana a hoa aloha paha e ʻike i kekahi o nā hōʻailona a me nā ʻōuli o ke kō kō kō (ʻo ia hoʻi, ka haʻalulu, ka lihilihi a i ʻole ka lightheadedness, ka hou ʻana, ka huikau, ka pīhoihoi a i ʻole ka huhū, nā hoʻololi koke o ka lawena a me ke ʻano, ʻeha ke poʻo, numbness a i ʻole ke kani ʻana a puni ka waha, nāwaliwali, ʻili ʻulaʻula, pōloli pōloli, ʻōniʻoniʻo a i ʻole neʻe. E hoʻāʻo e ʻai a inu paha i kahi meaʻai a mea inu paha me ke kō i loko, e like me ka momona paʻakikī a i ʻole ka wai huaʻai, ma mua o ka pono o ka lawelawe ʻana i ka glukagon.
E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka lāʻau a i ʻole kauka e wehewehe i kahi ʻāpana āu i ʻike ʻole ai ʻole nā lālā o kou ʻohana. E hoʻohana pono i ka glucagon e like me ke kuhikuhi. Mai hoʻohana i ka ʻoi aku a i ʻole ka liʻiliʻi o ia mea a hoʻohana pinepine paha iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.
Kuhi ʻia kēia lāʻau i kekahi manawa no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.
Ma mua o ka hoʻohana ʻana i ka pahu kui glucagon,
- e haʻi aku i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka glucagon, lactose, nā lāʻau ʻē aʻe, nā pipi a me nā hua puaʻa, a i ʻole kekahi o nā mea hana i ka injection glucose. E noi i kāu kauka a kauka paha no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E kuhikuhi pono i kekahi o kēia mau mea: anticholinergic lapaʻau e like me benztropine (Cogentin), dicyclomine (Bentyl), a i ʻole diphenhydramine (Benadryl); beta blockers e like me atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), a me propranolol (Inderal, Innopran); indomethacin (Indocin); insulina; aiʻole warfarin (Coumadin, Jantoven). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
- E haʻi i kāu kauka inā loaʻa iā ʻoe ka pheochromocytoma (tumora ma kahi gland liʻiliʻi kokoke i nā puʻupaʻa) a i ʻole ka insulinoma (tumreatic tumors), e ʻōlelo paha kāu kauka iā ʻoe ʻaʻole e hoʻohana i ka injection glucagon.
- e haʻi i kāu kauka inā ua loaʻa ʻoe iā glucagonoma (tumreatic tumoratic), nā pilikia o ke kino adrenal, malnutrisi a i ʻole nā maʻi puʻuwai.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
Hiki i ka Glucagon ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- nausea
- ka luaʻi
- hives
- pehu paena a ʻulaʻula paha
- ʻeha poʻo
- puʻuwai wikiwiki
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:
- paʻakikī i ka hanu ʻana
- nalowale o ka ʻike
- ʻehu me ka scaly, ʻili ʻili ʻulaʻula ma ka maka, ʻū, pelvis, a mau wāwae paha
Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).
E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua. Mai hoʻomaʻalili a paʻa hau paha.E hoʻolei i nā lāʻau i hōʻino ʻia a i ʻole pono ʻole e hoʻohana ʻia a e ʻike pono e loaʻa kahi pani.
He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana.
Mai ʻae i kekahi e hoʻohana i kāu lāʻau. Inā hoʻohana ʻia kāu injection glucagon, e hōʻoia e kiʻi koke i kahi pani. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.
He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.
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