He ʻokoʻa anei nā maʻi puʻuwai ma muli o ka lāhui a me ka lāhui? (Maʻi Puʻuwai & Lāhui) E kamaʻilio kākou e pili ana i kēia!

He pilikia ka maʻi puʻuwai e kū nei i nā poʻe he nui o ka honua i kēia manawa. Akā, ua ʻike anei ʻoe he ʻoi aku ka nui o ka pilikia o kekahi mau lāhui i ka loaʻa ʻana o kēia maʻi puʻuwai ma mua o nā poʻe ʻē aʻe? He aha ke kumu maoli no kēia? He mau genes anei? A i ʻole ke kaiāulu a kākou e noho nei? E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku .

He aha ka maʻi puʻuwai? No ke aha i ʻoi aku ai ka hopena o ia i kekahi poʻe?

ʻAʻole hoʻokahi wale nō maʻi ka maʻi cardiovascular. He huaʻōlelo ia i hoʻohana ʻia e wehewehe i kahi hui o nā maʻi e hoʻopilikia ai i ka puʻuwai a me nā kīʻaha koko. ʻO ia ke kumu nui o ka make ma waena o nā pākeke. Eia nō naʻe, ʻoi aku ka maʻalahi o kekahi poʻe, ʻoiai nā lāhui liʻiliʻi, i ia mea. No ka laʻana, ua ʻike ʻia he 47% o nā pākeke ʻeleʻele me ka maʻi puʻuwai, hoʻohālikelike ʻia me 36% o nā pākeke keʻokeʻo.

I ka wā e pili ana i nā kumu pilikia no ka maʻi puʻuwai, ʻoi aku ka nui o ka pilikia o kekahi mau hui o ka poʻe. No ka laʻana, ʻo ka maʻi diabetes kahi kumu nui o ka maʻi puʻuwai. ʻOi aku ka nui o ka pilikia o nā wahine Hispanic i ka loaʻa ʻana o ka maʻi diabetes ma mua o nā wahine keʻokeʻo. ʻEkolu manawa ka nui o ka pilikia o nā ʻInikini ʻAmelika i ka loaʻa ʻana o ka maʻi diabetes ma mua o nā keʻokeʻo.

He aha nā "ʻokoʻa olakino"? He mea nui anei nā kumu hoʻoilina a pilikanaka paha?

Penei mākou e wehewehe ai i nā ʻokoʻa olakino (`) no nā ʻokoʻa olakino ma waena o nā lāhui like ʻole a me nā hui lāhui. Ua kapa ʻia kēia ʻo nā ʻokoʻa olakino . He pilikia paʻakikī kēia e kū nei ma ka honua holoʻokoʻa.

Hoʻopaʻapaʻa pinepine nā kānaka noiʻi he "kumuhana pilikanaka" ka lāhui a me ka lāhui ma mua o nā ʻano "olaola". ʻO ia hoʻi, ʻaʻole nā ​​genes ke kumu nui o kēia mau ʻokoʻa olakino, akā, nā kumu like ʻole i loko o ke kaiāulu a kākou e noho nei.

He aha kēia mau kumu pilikanaka? Nui nā kumu pilikanaka e hoʻopilikia i ke olakino o ke kanaka. Kāhea pū mākou i kēia mau mea he "Nā Mea Hoʻoholo Pilikanaka o ke Ola" . ʻO kekahi o nā mea nui:

• Kālā a me nā waiwai e hoʻokō ai i nā pono kumu o ke ola.
• ʻO ka manawa kūpono e loaʻa ai ka hoʻonaʻauao maikaʻi.
• ʻO ka hiki ke loaʻa i ka mālama ola kino maikaʻi.
• He wahi noho palekana me ka ea maʻemaʻe a me ka wai maʻemaʻe.
• Nā kumuwaiwai no ka loaʻa ʻana o ka meaʻai momona, nā huaʻai hou, a me nā mea kanu.
• Nā pilina kanaka kākoʻo, me ka ʻole o ka hoʻokae a me ka hana ʻino.

Ua pili kēia mau mea. No ka laʻana, hiki i ka ʻilihune ke pale i ke kanaka mai ka ʻai ʻana i nā meaʻai olakino no ka puʻuwai. Inā noho kēlā kanaka ma kahi "wao nahele meaʻai" me ka ʻole o nā hale ʻaina maikaʻi a i ʻole nā ​​​​hale kūʻai meaʻai, ʻoi aku ka palena o kā lākou mau koho.

Hoʻokau kēia mau mea pili kaiaulu i nā heluna kanaka ʻeleʻele, Hispanic, a me ʻAmelika ʻInikini i kahi pilikia. Hoʻokau pinepine lākou i kahi kaumaha waiwai a me ka pilikanaka nui. ʻO ka hopena, pilikia ko lākou olakino. Hiki i nā hui lāhui ʻē aʻe ke kū i nā pilikia like ʻole e hoʻopilikia ai i ko lākou pilikia o ka maʻi puʻuwai.

ʻO ke koko kiʻekiʻe a me ka maʻi puʻuwai - pehea e pili ai i nā heluna kanaka like ʻole

ʻOi aku ka nui o ka loaʻa ʻana o kekahi mau lāhui kanaka ma ʻAmelika Hui Pū ʻIa i ke koko kiʻekiʻe a me ka maʻi diabetes type 2, ʻo ia mau mea ʻelua he mau kumu nui no ka maʻi puʻuwai.

E nānā kākou i ke koko kiʻekiʻe (Hypertension).

• Loaʻa i 59% o nā mākua ʻeleʻele ke koko kiʻekiʻe , ʻo ia ka helu kiʻekiʻe loa o nā hui lāhui āpau.
• ʻEhā o loko o ʻelima mau mākua ʻĀsia e ʻimi nei i ka lāʻau lapaʻau e loaʻa mau ana ke koko kiʻekiʻe i kāohi ʻole ʻia. He haʻahaʻa iki kēia helu i waena o nā mākua Hispanic a me nā mākua ʻeleʻele (ʻekolu o loko o ʻehā).
• ʻOi aku ka pālua o ka hiki i nā wahine ʻeleʻele ke loaʻa i ke koko kiʻekiʻe mau loa ('chronic hypertension' ) i ka wā hāpai. Hoʻonui kēia ʻano i ka pilikia o ka loaʻa ʻana o ka maʻi puʻuwai ma hope o ke ola.
• ʻOi aku ka nui o ka poʻe ʻeleʻele ma mua o nā poʻe keʻokeʻo i ka loaʻa ʻana o ka hōʻino ʻia o nā ʻōpū o loko mai ke koko kiʻekiʻe. ʻO ka hopena, ʻehā manawa ka nui o ko lākou loaʻa ʻana i ka maʻi puʻupaʻa hope loa.
• ʻOi aku ka nui o ka make ʻana o nā pākeke ʻeleʻele i ke koko kiʻekiʻe a me nā maʻi e pili ana ma mua o nā pākeke keʻokeʻo.

Hoʻopili ʻia kēia mau helu helu e nā kumu pilikanaka. No ka laʻana, ʻoi aku ka nui o ka poʻe me ka ʻole o ka ʻinikua e loaʻa i ke koko kiʻekiʻe i kāohi ʻole ʻia. A ʻo ka poʻe e kū nei i ka hoʻokae ʻia he kiʻekiʻe ko lākou koko .

Hiki i ke koko kiʻekiʻe ke hana i nā pilikia e like me:

• Maʻi ʻaʻa coronary
• Ka hāʻule ʻana o ka puʻuwai
• Hahau
• ʻO ka maʻi aʻa peripheral
• ʻO ka aneurysm aortic ʻōpū
• ʻO ka maʻi puʻupaʻa mau loa a me ka hopena hope loa (renal)
• Dementia

Pehea e alakaʻi ai ka maʻi diabetes Type 2 i ka maʻi puʻuwai - Pehea e pili ai i nā heluna kanaka like ʻole

Hiki i ka maʻi diabetes ʻano 2 ke hōʻino i nā kīʻaha koko i loko o kou puʻuwai, lolo, a me nā puʻupaʻa. Hiki i kēia kūlana ke hoʻonui i kāu mau pae triglyceride a me LDL cholesterol. ʻOi aku ka nui o ka loaʻa ʻana o ka hōʻeha puʻuwai a i ʻole ka hahau ʻana i ka poʻe me ka maʻi diabetes ma mua o ka poʻe me ka ʻole o ka maʻi diabetes.

Ma kahi o hoʻokahi o nā ʻAmelika he ʻumi i loaʻa i kekahi ʻano maʻi diabetes, ʻo ka hapa nui (90% - 95%) o lākou i loaʻa i ka maʻi diabetes type 2. He pilikia olakino nui ka maʻi diabetes e hoʻopilikia nei i nā mea āpau. Eia nō naʻe, hoʻopilikia ia i kekahi mau lāhui a me nā ʻano lāhui ma mua o nā mea ʻē aʻe.

Ua kapa kekahi poʻe noiʻi i ka maʻi diabetes he "maʻi hoʻohālikelike olakino." ʻO ia hoʻi, hōʻike maopopo ka ʻikepili i nā ʻokoʻa ma waena o nā lāhui like ʻole a me nā lāhui. Ma muli kēia o nā kumu pilikanaka. Eia kekahi mau ʻokoʻa aupuni a me nā lāhui i ka laha ʻana o ka maʻi diabetes:

• Ma waena o nā ʻAmelika ʻInikini, hoʻokahi i loko o ʻehā mau mākua i loaʻa i ka maʻi diabetes, hoʻohālikelike ʻia me hoʻokahi wale nō i loko o ka ʻumikūmālua i waena o nā keʻokeʻo.
• ʻOi aku ka nui o ka pilikia o ka poʻe Hispanic/Latinx, ʻeleʻele, a me ʻAsia-ʻAmelika e loaʻa i ka maʻi diabetes ma mua o ka poʻe keʻokeʻo.
• Ua ʻike ʻia ka maʻi diabetes o ka poʻe ʻeleʻele i ka wā ʻōpiopio ma mua o ka poʻe keʻokeʻo, ʻo ia hoʻi, ua haʻahaʻa ko lākou ola.
• ʻOi aku ka pālua o ka nui o ka poʻe Hispanic/Latino i ka loaʻa ʻana o ka maʻi diabetes i ʻike ʻole ʻia ma mua o ka poʻe keʻokeʻo. ʻO kēia no ka mea ʻaʻole lākou i loaʻa mau i ka ʻinikua olakino a me ka mālama ola kino maʻamau.
• ʻOi aku ka pālua o ka loaʻa ʻana o ka maʻi diabetes i nā wahine Hispanic ma mua o nā wahine keʻokeʻo.
• ʻOiai ʻo ka maʻi diabetes type 2 ka mea maʻamau e pili ana i ka poʻe ma luna o 45 mau makahiki, ua hōʻike ʻia nā noiʻi e lilo nei i mea maʻamau i ka poʻe ʻōpio a me nā keiki .
• Ua piʻi koke ka ʻike ʻia ʻana o kēia maʻi i waena o nā keiki Hispanic/Latino a me nā keiki ʻeleʻele mai 2002 a 2015.
• Hoʻonui ka momona i ka pilikia o ka loaʻa ʻana o ka maʻi diabetes type 2. ʻOi aku ka maʻamau o ka maʻi diabetes i waena o nā ʻAmelika ʻAsia, nā ʻeleʻele, a me nā Hispanics/Latinos. ʻOi aku ka maʻamau o ka momona nui (BMI o 40 a ʻoi aku paha) i waena o nā pākeke ʻeleʻele.

ʻO wai ka lāhui i loaʻa ka maʻi puʻuwai nui loa?

ʻO ka nui o ka maʻi puʻuwai e pili ana i ka hōʻailona. Eia kekahi mau ʻike koʻikoʻi mai ka noiʻi ʻAmelika:

Ka hāʻule ʻana o ka puʻuwai

• ʻOi aku ka nui o ka pilikia o nā kāne ʻeleʻele i ka hāʻule ʻana o ka puʻuwai ma mua o nā kāne keʻokeʻo he 70%.
• ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā wāhine ʻeleʻele he 50% ma mua o nā wāhine keʻokeʻo.
• ʻOi aku ka pālua o ka nui o ka hoʻokomo ʻia ʻana o ka poʻe ʻeleʻele i ka haukapila no ka hōʻeha puʻuwai ma mua o ka poʻe ʻeleʻele. Hoʻolilo lākou i ka manawa hou aku ma ka haukapila a ʻoi aku ka nui o ka hoʻokomo hou ʻia ʻana i loko o 90 mau lā.
• ʻOi aku ka nui o ka loaʻa ʻana o nā maʻi puʻuwai i nā pākeke Hispanic ma mua o nā pākeke keʻokeʻo.

ʻO ka maʻi ʻaʻa coronary a me ka hoʻouka puʻuwai

• ʻOi aku ka nui o ka loaʻa ʻana o ka hānō puʻuwai i nā wāhine ʻeleʻele ma mua o nā wāhine keʻokeʻo.
• ʻOi aku ka nui o ka make ʻana o nā pākeke ʻeleʻele i ka maʻi puʻuwai ma mua o nā pākeke keʻokeʻo.
• ʻOi aku ka liʻiliʻi o ka loaʻa ʻana o ka maʻi ʻaʻa coronary i nā pākeke ʻĀsia ma mua o nā hui lāhui ʻē aʻe. Eia nō naʻe, aia kekahi mau ʻokoʻa ma muli o ka lāhui. ʻOi aku ka nui o ka pilikia o nā kāne ʻĀsia India, nā kāne Pilipino, a me nā wahine Pilipino ma mua o nā keʻokeʻo.
• ʻOi aku ka nui o ka pilikia o ka make ʻana o nā wāhine ʻōpio Hispanic i loaʻa i ka hānō puʻuwai ma mua o nā kāne ʻōpio Hispanic, a ʻoi aku hoʻi ka nui o ka pilikia o ka make ʻana ma mua o nā mākua ʻōpio ʻeleʻele a me ke keʻokeʻo.

Hahau

• Ke hoʻohālikelike ʻia me nā lāhui ʻē aʻe , ʻoi aku ka nui o ka loaʻa ʻana o ka hahau ʻana i nā pākeke ʻeleʻele. He ʻōpiopio nō hoʻi lākou i ka wā e loaʻa ai iā lākou.
• ʻOi aku ka nui o ka make ʻana o nā pākeke ʻeleʻele i ka hahau ʻana ma mua o nā pākeke keʻokeʻo.
• ʻOi aku ka nui o ka loaʻa ʻana o ka maʻi lolo i nā pākeke Mekiko ʻAmelika ma mua o nā pākeke keʻokeʻo.
• Ua hōʻike ʻia kekahi noiʻi he ʻelua ka nui o ka loaʻa ʻana o nā wāhine Pilipino i ka hahau ʻana ma mua o nā wāhine keʻokeʻo.
• ʻOi aku ka nui o ka loaʻa ʻana o nā kāne Vietnamese a me nā wahine Kōlea i ka hahau hemorrhagic ma mua o ka poʻe keʻokeʻo.
• ʻOi aku ka nui o ka make ʻana o nā pākeke Pilipino, nā kāne Kepanī, a me nā kāne Vietnamese i ka hahau ʻana ma mua o nā pākeke keʻokeʻo.

He mea kaumaha loa ia he ʻokoʻa kēlā ʻano, ʻeā? Akā, he mea nui loa ka ʻike ʻana i kēia mau mea.

He aha kāu e hana ai e pili ana i kēia? (Leka Lawe-Home)

ʻO ka maʻi puʻuwai ke kumu nui o ka make ma ʻAmelika Hui Pū ʻIa. Akā, ʻoi aku ka nui o ka pilikia o kekahi poʻe ma mua o nā poʻe ʻē aʻe. Inā ʻoe kekahi o kahi hui e kū nei i nā ʻokoʻa i ke komo ʻana i ka mālama ola kino a me ka maikaʻi o ka mālama ʻana, e kamaʻilio me kāu kauka e pili ana i kāu mau pilikia. Inā ʻaʻohe ou kauka maʻamau, e ʻimi i nā hui kaiāulu a me nā kumuwaiwai kūloko e hiki ke hoʻopili iā ʻoe me kekahi.

He mea nui e hoʻomaka e nānā i kou olakino i ka wā ʻōpiopio. E nānā i kou koko, cholesterol, a me ke kō koko. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kēia mau waiwai. Eia kekahi, e haʻi i kāu kauka inā loaʻa i kekahi o kou ʻohana nā kumu pilikia no ka maʻi puʻuwai a i ʻole ua ʻike ʻia he maʻi puʻuwai. Hiki i kēia ʻike ke kōkua iā ʻoe a me kāu kauka e hōʻemi i kou pilikia.

ʻO ka poʻe i kū ʻole i nā pilikia i ke komo ʻana i nā lawelawe olakino hiki ke kōkua i ka hoʻomaikaʻi ʻana i ke kūlana no ka poʻe e hana pēlā. E ʻimi i nā hui kūloko e kōkua ana i ka hōʻoia ʻana i ke komo like ʻana i nā lawelawe olakino. Eia kekahi, e hana pū me kāu kauka e ʻike i kāu mau pilikia pilikino a loaʻa nā ala e hōʻemi ai iā lākou.ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ko kākou olakino ponoʻī.

ʻO ka maʻi puʻuwai, ka lāhui, ka lāhui, nā ʻokoʻa olakino, ke koko kiʻekiʻe, ka maʻi diabetes, nā kumu pilikanaka