Nāʻanuʻu e lawe ai inā kū kāu lāʻau lapaʻau diabetes oral

Anter

• E nānā i kāu ʻano maʻamau o kēlā me kēia lā
• Hoʻohui i kahi lāʻau ʻē aʻe
• Lawe i ka insulin
• E launa me kāu kauka

Hoʻomanaʻo o metformin hoʻolōʻihi ʻia

I Mei 2020, ua paipai ʻia i kekahi mau mea hana o metformin hoʻolōʻihi hoʻokuʻu ʻia e kāpae i kekahi o kā lākou papa mai ka mākeke U.S. ʻO kēia no ka mea he pae i ʻae ʻole ʻia o kahi carcinogen probable (ʻākena e hana ana i ka maʻi ʻaʻai) i loaʻa i kekahi mau papa metformin hoʻolōʻihi ʻia. Inā lawe ʻoe i kēia lāʻau i kēia manawa, e kāhea i kāu kauka. E ʻōlelo aʻoaʻo lākou inā ʻoe e hoʻomau i ka lawe ʻana i kāu lāʻau a i ʻole inā makemake ʻoe i kahi palapala hou.

Kūpono nā lāʻau lapaʻau waha i ka hoʻohaʻahaʻa ʻana i ke kō kō ke ʻole ka lawa pono o ka papaʻai a me ka hoʻoikaika kino no ka mālama ʻana i ka maʻi kō ʻelua. Akā ʻaʻole kūpono kēia mau lāʻau - a ʻaʻole hana mau lākou i ka wā lōʻihi. ʻOiai ke lawe nei ʻoe i kāu lāʻau e like me ke kauka i kau ʻia, ʻaʻole paha ʻoe e noʻonoʻo e like me ka mea e pono ai.

Hiki i nā lāʻau diabetes ke hoʻopau pinepine i ka hana ʻana. Ma kahi o 5 a 10 pakeneka o ka poʻe me ka maʻi ʻaʻai ʻano 2 e hoʻōki i ka pane ʻana i kā lākou lāʻau i kēlā me kēia makahiki. Inā ʻaʻole e hana hou ana kāu lāʻau diabetic waha, pono ʻoe e noʻonoʻo i ka mea e pale aku ai i ka kaohi ʻana i kāu kō kō. A laila pono ʻoe e ʻimi i nā koho ʻē aʻe.

E nānā i kāu ʻano maʻamau o kēlā me kēia lā

Ke pau ka hana ʻana o kāu lāʻau lapaʻau diabetes waha, hana i kahi manawa me kāu kauka. Makemake lākou e ʻike inā ua loli kekahi mea i kāu hana maʻamau.

Hiki i nā kumu he nui ke hoʻololi i ka maikaʻi o ka hana ʻana o kāu lāʻau - no ka laʻana, loaʻa ke kaupaona, nā loli i kāu papaʻai a pae hana paha, a i ʻole kahi maʻi hou. Ke hana nei i kekahi mau hoʻololi i kāu papaʻai a i ʻole ka hoʻoikaika ʻana i nā mea hou aʻe i kēlā me kēia lā ua lawa paha ia e mālama hou i kāu kō kō.

Hiki nō paha ke holomua kāu maʻi diabetes. ʻO nā hunaola beta i loko o kāu pancreas e hana i ka insulin hiki ke lilo i mea maikaʻi i ka manawa. Hiki i kēia ke waiho iā ʻoe me ka liʻiliʻi o ka insulin a me ka mālama kō kō kōnā maikaʻi ʻole.

I kekahi manawa ʻaʻole hiki i kāu kauka ke hoʻomaopopo i ke kumu o ka pau ʻana o kāu lāʻau i ka hana. Inā ʻaʻohe hopena ka lāʻau āu e lawe nei, pono ʻoe e nānā i nā lāʻau ʻē aʻe.

Hoʻohui i kahi lāʻau ʻē aʻe

ʻO Metformin (Glucophage) ka lāʻau lapaʻau mua loa āu e lawe ai i ka mālama ʻana i ka maʻi diabetes type 2. Inā kū ka hana, ʻo ka hana hou e hoʻohui i ka lāʻau lua waha.

Loaʻa iā ʻoe kekahi mau lāʻau lapaʻau diabetes waha e koho ai, a hana lākou i nā ʻano like ʻole.

• ʻO Sulfonylureas e like me glyburide (Glynase PresTab), glimeperide (Amaryl), a me glipizide (Glucotrol) e hoʻoulu i kāu pancreas e hoʻohua i ka nui o ka insulin ma hope o kāu ʻai ʻana.
• Hoʻokumu nā Meglitinides e like me repaglinide (Prandin) i kāu pancreas e hoʻokuʻu i ka insulin ma hope o ka pāʻina.
• ʻO ka Glucagon-like peptide-1 (GLP-1) mau agonist receptor e like me exenatide (Byetta) a me liratuglide (Victoza) hoʻonāukiuki i ka hoʻokuʻu ʻana o ka insulin, hoʻoliʻiliʻi i ka hoʻokuʻu ʻana o glucagon, a hoʻolohi i ka hakahaka o kou ʻōpū.
• Hoʻopili nā SGLT2 empagliflozin (Jardiance), canagliflozin (Invokana), a me dapaglifozin (Farxiga) i ke kō kō ma o ka hoʻokuʻu ʻana i kāu mau puʻupaʻa i ka glucose i loko o kāu mimi.
• Hoʻopili nā dipeptidyl peptidase-4 (DPP-4) nā mea kūpale e like me sitagliptin (Januvia), linagliptin (Tradjenta), a me saxagliptin (Onglyza) e hoʻoulu i ka hoʻokuʻu ʻana o ka insulin a hoʻēmi i ka hoʻokuʻu o ka glucagon.
• ʻO Thiazolidinediones e like me pioglitazone (Actos) kōkua i kou kino e pane maikaʻi i ka insulin a e hoʻoliʻiliʻi i ke kō.
• ʻO ka Alpha-glucosidase-acarbose a me ka miglitol hoʻemi i ka lawe ʻana o ka glucose.

Pono paha ʻoe ma mua o hoʻokahi o kēia mau lāʻau e hoʻokō i ka kaohi kō kō. Hoʻohui kekahi mau pila i ʻelua mau lāʻau maʻi diabetes i hoʻokahi, e like me glipizide a me metformin (Metaglip), a me saxagliptin a me metformin (Kombiglyze). ʻO ka lawe ʻana i hoʻokahi pila e hana ai i ka hana maʻalahi a hoʻemi i nā mea hiki ke poina iā ʻoe e lawe i kāu lāʻau.

Lawe i ka insulin

ʻO kahi koho ʻē aʻe e hoʻohui i ka insulin i kāu lāʻau diabetes diabetes waha a i ʻole hoʻololi i ka insulin. Koi paha kāu kauka iā insulin therapy inā ʻo kāu pae A1C - e hōʻike nei i kāu kaohi kō kō i loko o ʻelua a ʻekolu paha mahina i hala aku nei - mamao loa ia mai kāu pahuhopu a i ʻole loaʻa iā ʻoe nā hōʻailona o ke kō kō, e like me ka make wai a luhi paha.

ʻO ka lawe ʻana i ka insulin e hoʻomaha ai i kāu pancreas hana nui. Hiki iā ia ke kōkua i ka mālama ʻana i kāu kō kō i ka wikiwiki, a pono ia e kōkua iā ʻoe e hōʻoluʻolu maikaʻi.

Hele mai ka insulin i loko o kekahi mau ʻano i hoʻokaʻawale ʻia e pili ana i nā mea e like me ka wikiwiki o kā lākou hana, ko lākou manawa kiʻekiʻe, a pehea ka lōʻihi o lākou. Hoʻomaka ka hana wikiwiki ʻana i nā ʻano hana ma hope o ka ʻai ʻana a maʻa mau ma kahi o ʻelua a ʻehā mau hola. Lawe pinepine ʻia nā ʻano hana lōʻihi i hoʻokahi manawa i ka lā a hoʻohana ʻia e kaohi i ke kō kō i waena o nā meaʻai a i ʻole ka pō.

E launa me kāu kauka

Ke hoʻololi nei i kahi lāʻau hou ʻaʻole pono ia e hoʻoponopono koke i kāu mau kō kō kō. Pono paha ʻoe e kāwili i ka mahele lāʻau a hoʻāʻo i kekahi mau lāʻau i mua o kou loaʻa ʻana ka kaohi ma luna o kou maʻi diabetes.

E ʻike ʻoe i kāu kauka e pili ana i hoʻokahi manawa i kēlā me kēia ʻekolu mau mahina e hele i kāu kō kō a me nā pae A1C. E kōkua kēia mau kipa ʻana i kāu kauka e hoʻoholo inā ke kāohi nei kāu lāʻau waha i kāu kō kō. Inā ʻaʻole, pono ʻoe e hoʻohui i kahi lāʻau hou i kāu lāʻau a hoʻololi paha i kāu lāʻau.