He paʻakikī anei ke kāohi i kou maʻi diabetes? E kamaʻilio kākou e pili ana i ka 'Brittle Diabetes'!

He kanaka anei ʻoe e mālama ʻia ana no ka maʻi diabetes? No laila, ke manaʻo nei ʻoe i kekahi manawa e hāʻule koke ana kou pae kō koko i lalo loa a manaʻo ʻoe e like me ʻoe e hāʻule ana? A i ʻole ua manaʻo paha ʻoe e piʻi nui ana? Ua kapa nā kauka i kēia ʻano maʻi diabetes, he mea paʻakikī loa ke kāohi a paʻa ʻole hoʻi, ʻo "Brittle Diabetes." Ua kapa ʻia hoʻi ʻo "Labile Diabetes." ʻO "Brittle" a i ʻole "Labile" ʻo ia hoʻi "e loli maʻalahi" a i ʻole "unstable."

I ka ʻōlelo maʻalahi, he aha ka 'Brittle Diabetes'?

I ka ʻōlelo maʻalahi, ʻo ka 'Brittle Diabetes' ka wā e loli pinepine ai kou pae glucose koko mai nā pae haʻahaʻa loa (a mākou e kapa nei he '(Hypoglycemia)') i nā pae kiʻekiʻe loa (a mākou e kapa nei he '(Hyperglycemia)').

No ke aha lā kēia e hana nei? He aha nā kumu o kēia?

ʻO kaʻoiaʻiʻo, hiki i kekahi maʻi diabetes ke lilo i mea paʻa ʻole inā ʻaʻole mālama pono ʻia. No laila, he mea paʻakikī iki ka ʻike pololei ʻana i ka 'Brittle Diabetes'. Aia kekahi mau kumu e loli nui ai kou pae kō.

E noʻonoʻo inā pili pū kēia mau mea iā ʻoe:

• Ke hōʻole nei i nā lāʻau lapaʻau a me nā hoʻokolohua: Ke lawe nei ʻoe i kāu mau lāʻau lapaʻau e like me ke kauoha a kāu kauka? Ke nānā nei ʻoe i kāu mau pae glucose i nā manawa he nui i ka lā? Inā ʻoe e hōʻole i kēia mau mea, hiki ke lilo i kumu nui.
• Kaumaha koʻikoʻi: ʻO nā mea e like me ke kaumaha nui, ka huhū, a me ke kaumaha e hoʻopilikia pololei i nā hormones o ko mākou kino a hoʻopilikia i nā pae kō.
• Nā Maʻi ʻAi: Nā kūlana e like me ka ʻai nui ʻana, ʻai pono ʻole, a i ʻole ka ʻai nui ʻana i ka manawa hoʻokahi.
• Nā pilikia meaʻai: ʻAʻole hiki i nā ʻōpū ke omo pono i nā meaolaola i ka meaʻai āu e ʻai ai. ʻO nā hiʻohiʻona o kēia e like me nā maʻi e like me ka maʻi Celiac.
• Nā pilikia ʻōpū: ʻO Gastroparesis kahi kūlana kahi e lohi loa ai ka neʻe ʻana o ka meaʻai mai ka ʻōpū a i nā ʻōpū, a i kekahi manawa e pau ai. Hiki i kēia ke loaʻa ka hopena nui i ka hana o ka insulin.
• ʻIkepili insulin: He ʻike nui kekahi poʻe i ka insulin, a hiki i kahi liʻiliʻi ke hoʻoulu i ka hāʻule koke ʻana o ke kō koko.

I ka manawa pinepine, hiki i hoʻokahi a ʻoi aku paha o kēia mau kumu ke kōkua i kēia. I kekahi mau hihia, ʻaʻole hiki i nā kauka ke loaʻa kahi kumu kikoʻī.

Pehea e ʻike ʻia ai kēia maʻi? He aha nā hōʻailona?

ʻOkoʻa nā hōʻailona ma muli o ke kiʻekiʻe a i ʻole ka haʻahaʻa o kou pae kō koko. E nānā kākou i kēia mau hōʻailona ma ke kaʻawale.

E makaʻala! Hiki i ke kō koko kiʻekiʻe ke lilo i mea weliweli (Ketoacidosis)

Inā ʻaʻole ʻoe e mālama koke i ke kō koko kiʻekiʻe (hyperglycemia), hiki iā ia ke lilo i kahi kūlana weliweli loa i kapa ʻia ʻo ketoacidosis . ʻO kēia ka manawa hiki ʻole i ke kino ke hoʻohana i ka glucose no ka ikehu, a hoʻomaka e puhi i ka momona. ʻO ka hopena, hōʻiliʻili nā kemika ʻawahia i kapa ʻia ʻo ketones i loko o ke koko a me ka mimi. He pilikia olakino kēia.

Nā hōʻailona o ke Ketoacidosis:

• He ʻala hua ma ka hanu
• Ka luaʻi a me ka luaʻi
• Paʻakikī ka hanu ʻana
• Nāwaliwali koʻikoʻi
• Nalowale o ka ʻike
• ʻeha ka ʻōpū
• Ke hāʻule nei i loko o kahi coma

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

ʻAʻole maʻamau ka maʻi diabetes brittle. Hoʻopilikia ia ma kahi o 3 i loko o 1,000 poʻe me ka maʻi diabetes e hoʻohana ana i ka insulin. ʻOiai hiki ke hoʻopilikia i nā kānaka o kēlā me kēia makahiki, ʻoi aku ka maʻamau o ia i nā wahine ma mua o nā kāne.

ʻO kekahi mea nui, inā loaʻa pinepine iā ʻoe nā hanana hypoglycemia, aia ʻoe i kahi pilikia kiʻekiʻe iki. No ka mea, i ka wā e hāʻule haʻahaʻa loa ai kou kō koko, i ka hala ʻana o ka manawa e emi ana ka hiki o kou kino ke ʻike iā ia. A laila i kēlā me kēia manawa e hāʻule ai kou kō koko, hiki ke ʻoi aku ka ʻino, e alakaʻi ana i ka 'brittle diabetes'.

Pehea ʻoe e noho ai me kēia? He aha nā lāʻau lapaʻau?

Hiki i kēia kūlana ke hoʻopilikia maoli i kou ola o kēlā me kēia lā. No ka mea, ʻaʻole hiki iā ʻoe ke wānana i ka wā e hāʻule ai a piʻi paha kou kō koko. Pono paha ʻoe e hele pinepine i ka haukapila, kahi e paʻakikī ai ka hana a i ʻole ka hana ʻana i nā hana o ka hale. Hiki iā ia ke hoʻoweliweli i ke ola.

I ka wā e mālama ai iā ʻoe, e kālele mua kāu kauka i kāu mau pono koke no kou pae kō koko. A laila, e hana lākou i kahi hoʻolālā e hoʻokele pono i kāu maʻi diabetes. ʻO ka mea pōmaikaʻi, hiki i nā ʻenehana hou a me nā lāʻau lapaʻau o kēia wā ke kōkua iā ʻoe e hoʻokele i kēia kūlana.

Hiki ke kuhikuhi ʻia iā ʻoe nā lāʻau lapaʻau e like me:

• Nānā Kūmole Kūlohelohe (CGM): He mea liʻiliʻi kēia me kahi sensor i kau ʻia ma lalo a ma luna paha o ka ʻili. Ana mau ia i kou pae kō koko a kani i kahi alarm inā haʻahaʻa a kiʻekiʻe paha.
• He pamu insulin: He mīkini liʻiliʻi nō hoʻi kēia āu e ʻaʻahu ai i ka lā a pau. Hoʻokuʻu koke ia i ka insulin i loko o ke kino i ka manawa kūpono a me ka nui kūpono. Kōkua kēia i ka mālama ʻana i nā pae kō koko i paʻa.
• ʻO ke ʻoki kino hoʻololi pancreas: He ʻoki kino paʻakikī loa kēia. Ma kēia, ua hoʻoili ʻia kahi pancreas olakino mai kahi mea hāʻawi i make i loko o ke kino e hoʻoulu hou i ka hana ʻana o ka insulin.

Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu. Nāna nō e hoʻoholo i ke kumu o kou kūlana. Ke loaʻa iā ʻoe kahi hoʻolālā lapaʻau, he kuleana nui kou e hoʻolilo iā ia i mea holomua.

• E hoʻoikaika kino i nā manawa a pau.
• E hahai pono i nā ʻōlelo aʻoaʻo meaʻai i hāʻawi ʻia iā ʻoe e like me ia.
• Mai poina i nā manawa a i ʻole nā ​​​​lāʻau lapaʻau.
• Ma luna o nā mea a pau, e hoʻomau i ka launa pū me kāu kauka maʻi diabetes a me ka hui lapaʻau. E kiʻi i ke kākoʻo lapaʻau a me ke kākoʻo naʻau āu e pono ai mai iā lākou.