E pili ana i nā hōʻailona nui ʻekolu o ka maʻi diabetes ma Sinhala 😱

Ua hele mai ʻo Ruwan (45 makahiki), he ʻenekinia polokalamu, i koʻu keʻena lapaʻau i ke kakahiaka Pōʻakolu i hala. Ua noho ʻo ia ma kona noho, me ke ʻano hopohopo a me ke kōkua ʻole.

"E Kauka Priya, ua makewai nui wau i kēia mau lā. ʻOiai ke inu nei au i 5-6 lita o ka wai i ka lā, ʻaʻole i pau koʻu makewai. Eia kekahi, pono wau e hele i ka lua i kēlā me kēia 30-45 mau minuke. Pono wau e ala i 5-6 mau manawa i ka pō e hele ai i ka lua. Eia kekahi, ʻaʻohe mea nui kaʻu ʻai ʻana, ʻaʻole nalo koʻu pōloli. Pololi loa wau. Akā naʻe me kēia mau mea a pau, ua emi koʻu kaumaha ma kahi o 4 paona i ka mahina i hala," wahi a Ruwan i kona ʻeha.

Ua nānā au i ka hōʻike hoʻāʻo kō koko a Ruwan a wehewehe akula: "E Ruwan, ua piʻi aʻe kou kō koko hoʻokē ʻai i 280 mg/dL. ʻO nā hōʻailona āu e wehewehe nei, ʻo ia ka mea a ka ʻepekema lapaʻau i kapa ai ʻo 3 Ps o ka maʻi diabetes . Eia kēia:
1. Polyuria: Ka mimi pinepine ʻana.
2. Polydipsia: Manaʻo nui i ka makewai.
3. Polyphagia: Manaʻo nui i ka pōloli.

"I kēia lā, e kamaʻilio wale kākou e pili ana i ke kumu e kū mai ai kēia mau hōʻailona 3 ma muli o ke kō kiʻekiʻe i loko o kou kino a pehea e pale aku ai iā lākou."

🚨 Nā hae ʻulaʻula e pono ai ke kōkua koke ʻia e ke kauka

Ke loaʻa nā 3 P o ka maʻi diabetes, ʻoi aku hoʻi i nā poʻe maʻi me ka Type 1 Diabetes, hiki i nā pae kō koko kiʻekiʻe i kāohi ʻole ʻia ke alakaʻi i kahi maʻi weliweli i kapa ʻia ʻo Diabetic Ketoacidosis (DKA) . Inā ʻike ʻoe i kēia mau hōʻailona, ​​​​pono ʻoe e hele koke i ka ʻoihana pilikia o ka haukapila kokoke loa iā ʻoe:

• He ʻala hua a ʻala acetone paha ma ka hanu (ʻala hanu hua).
• Ka hanu wikiwiki a hohonu mau (ka hanu ʻana ʻo Kussmaul).
• Ka luaʻi a me ka ʻeha nui o ka ʻōpū.
• Ka hiamoe nui, ka hiamoe ʻole, ka huikau, a i ʻole ka nalowale o ka ʻike.
• ʻOi aku ka nui o ke kō koko ma luna o 250 mg/dL a me ke alo o nā ketones i loko o ka mimi.

ʻO ke kumu ʻepekema ma hope o nā 3 P o ka maʻi diabetes

Hoʻokumu ʻia kēia mau hōʻailona ʻekolu e nā hana kino e pili pū ana:

1. Polyuria - ka mimi pinepine ʻana

Ke ʻoi aku ka pae o ka glucose koko ma mua o 180 mg/dL (Renal Threshold), ʻaʻole hiki i nā puʻupaʻa ke hoʻihoʻi hou i ka glucose āpau i loko o ke koko. A laila hoʻokuʻu ʻia ke glucose keu i loko o ka mimi. Ke hoʻokuʻu ʻia ka glucose, huki pū ia i ka nui o ka wai mai ke kino iā ia iho ma muli o ke kaomi osmotic. Ua kapa ʻia kēia kaʻina hana ʻo Osmotic Diuresis . ʻO ka hopena, mimi pinepine ka mea maʻi a nui loa.

2. Polydipsia - Makewai nui

Ke nalowale ka nui o ka wai mai ke kino ma muli o ka polyuria, maloʻo nā ʻāpana o ke kino. A laila hoʻoulu ʻia ke kikowaena makewai ma ka lolo (Hypothalamus), e hana ana i ka makewai nui e mālama i ke kaulike wai o ke kino. ʻAʻohe mea nui ka nui o ka wai āu e inu ai, ʻaʻole e nalowale kēia makewai a hiki i ka hāʻule ʻana o ke kiʻekiʻe o ke kō koko.

3. Polyphagia - Pololi nui

I loko o ke kino olakino, he mea nui ka hormone insulin no ke komo ʻana o ka glucose i loko o nā ʻāpana a hana i ka ikehu. Eia nō naʻe, i ka maʻi diabetes, ma muli o ka nele o ka insulin a i ʻole ke kūʻē ʻana o ka insulin, ʻaʻole hiki i ka glucose ke komo i loko o nā ʻāpana. ʻO ka hopena, ʻoiai he nui ke kō i loko o ke koko, pōloli mau nā ʻāpana. Loaʻa mau i ka lolo ka leka "ʻaʻole lawa ka ikehu", no laila pōloli loa ka mea maʻi. No ka mea, ʻaʻole loaʻa i nā ʻāpana ka ikehu, hoʻomaka ke kino e wāwahi i ka momona a me nā ʻiʻo, kahi e alakaʻi ai i ka pohō kaumaha.

Nā kūlana olakino ʻē aʻe e pili ana i ka 3Ps

Nā mea e pono ai a me nā mea ʻaʻole e pono ai

Nā kumu ʻepekema (Nā Kuhikuhi)

• 📚 Maʻi diabetes - NHS
• 📚 Nā ʻano hana hōʻoia hou no nā poʻe maʻi me ka polyuria polydipsia syndrome - PMC