He aha ka CKM Syndrome? E makaʻala kākou i kou puʻuwai, nā puʻupaʻa, a me nā pae kō!

Ke noʻonoʻo nei paha ʻoe i kekahi manawa no ke aha e hoʻomau nei ka maʻi diabetes, ke koko kiʻekiʻe, a me ka cholesterol, a i ka wā e hoʻomaikaʻi ai kekahi, puka mai kekahi? ʻO ka ʻoiaʻiʻo, pili loa kekahi o kēia mau maʻi kekahi i kekahi. I kēia lā, e kamaʻilio mākou e pili ana i kahi kūlana i loaʻa ia ʻano pilina, e hoʻopilikia ana i kekahi mau ʻōkana nui i loko o ko mākou kino, a ua ʻike koke ʻia e nā kauka. Ua kapa ʻia kēia ʻo CKM Syndrome. Mai hopohopo, e hoʻomaopopo maʻalahi kākou i kēia.

He aha ka maʻi CKM?

I ka ʻōlelo maʻalahi, ʻo ka maʻi CKM kahi maʻi i ʻike hou ʻia e hiki ke hoʻopilikia i kekahi mau ʻōkana nui i loko o ko mākou kino, ʻo ia hoʻi ka puʻuwai, nā puʻupaʻa, ka lolo, a me ke akepaʻa. He mea paʻakikī paha kēia, akā e maopopo iā ʻoe ke kūkākūkā mākou i kēlā me kēia. Hoʻokumu ʻia kēia maʻi e ka hui pū ʻana o nā maʻi lapaʻau nui ʻehā a me nā pilina ma waena o lākou.

ʻO nā leka ʻekolu ʻo CKM ke kū nei no:

• C - Cardiovascular: Pili kēia i nā mea e pili ana i ka puʻuwai a me nā kīʻaha koko .
• K - Kidney: ʻO kēia ka puʻupaʻa .
• M - Metabolic: ʻO ke kaʻina hana metabolic kēia. I ka ʻōlelo maʻalahi, ʻo ka metabolism ke kaʻina hana e hana ai mākou i ka ikehu mai ka meaʻai a mākou e ʻai ai.

No laila, ʻo nā kūlana olakino nui ʻehā e hoʻoulu ai i ka maʻi CKM:

1. Maʻi cardiovascular: ʻO ia hoʻi nā maʻi o ka puʻuwai a me nā kīʻaha koko.

2. Maʻi puʻupaʻa: Hana puʻupaʻa i hoʻopilikia ʻia.

3. Maʻi diabetes ʻano 2: Ua ʻike mākou a pau he maʻi ka maʻi diabetes.

4. Momona: Ka hōʻiliʻili pono ʻole ʻana o ka momona i loko o ke kino, i ka ʻōlelo maʻalahi, ʻo ka nui loa.

ʻO ka mea nui, ua pili pū kēia mau maʻi ʻehā. Inā loaʻa iā ʻoe kekahi, ʻoi aku ka nui o ka loaʻa ʻana o kekahi, a i ʻole hiki i ka maʻi e kū nei ke lilo i mea ʻino loa. E noʻonoʻo e like me nā hoaaloha e paʻa lima ana, akā i kekahi manawa ʻaʻole maikaʻi kēia pilina no ko kākou kino.

I ka manawa pinepine, hiki i ke kanaka ke loaʻa i nā maʻi he nui ma mua o hoʻokahi i ka manawa hoʻokahi. ʻAʻole kēia he mea kupanaha. No ka mea, pili kēia mau mea a pau i ko kākou koko. Ke ʻai kākou i ka meaʻai a me ka mea inu, hele nā ​​​​meaʻai a me ka ikehu mai ia mea i nā ʻāpana ma loko o ko kākou kino ma o ke koko. Lawe ka puʻuwai a me nā kīʻaha koko i kēia koko ma ke kino holoʻokoʻa. Kānana nā puʻupaʻa i nā huahana ʻōpala i loko o ke koko. No laila, he mea nui no ko kākou olakino e hana pono kēia mau ʻōnaehana a pau.

ʻO ka loaʻa ʻana ma mua o hoʻokahi o kēia mau maʻi e hoʻonui i nā kumu pilikia no nā maʻi ʻē aʻe i loko o ke kanaka me ka maʻi CKM.

Pehea ka maʻamau o kēia maʻi CKM?

No ka mea, he ʻano maʻi hou kēia i ʻike ʻia, ʻaʻohe nui o ka ʻikepili e like me nā maʻi kahiko. Eia nō naʻe, ma kahi o hoʻokahi i loko o ʻekolu (1 i loko o 3) mau mākua ma ʻAmelika Hui Pū ʻIa he ʻekolu a ʻoi paha o nā kumu pilikia no ka maʻi CKM.Ua ʻike ʻia he mea maʻamau paha kēia ma mua o ko mākou manaʻo. ʻOiai ke piʻi nei kēlā mau kūlana ma Sri Lanka, he mea nui loa ia iā mākou e makaʻala i kēia.

He aha nā hōʻailona o kēia?

Ua like nā hōʻailona o ka maʻi CKM me nā mea i hoʻokumu ʻia e nā maʻi ʻehā i ʻōlelo mua ʻia (maʻi puʻuwai, maʻi puʻupaʻa, maʻi diabetes, a me ka momona). ʻO kekahi o lākou:

• ʻEha a ʻūmiʻi paha ka umauma.
• Paʻakikī ka hanu ʻana , ʻoiai me ka hoʻoikaika iki ʻana, ua like ia me ka hanu ʻūlū.
• Ka nalowale koke o ka ʻike (`Syncope`).
• Ka pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, nā lima, a i ʻole nā ​​​​wāwae.
• ʻEha i nā wāwae i ka wā e hele ai.
• Ke manaʻo mau nei i ka luhi loa , ʻaʻole hiki ke hana i kekahi mea.
• Ka nalowale ʻana o ka makemake a i ʻole ka hoʻonui ʻana i ka makemake i kekahi manawa.
• Pono e mimi pinepine ma mua o ka maʻamau.
• ʻIli maloʻo.
• ʻO ka hanu ʻana a me ka apnea hiamoe .
• Nā kūlana e like me ka gout .

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.

No ke aha e kū mai ai kēia maʻi CKM? He aha nā kumu?

ʻO ke kumu nui o ka maʻi CKM ka hōʻiliʻili ʻana o nā ʻiʻo momona (ʻiʻo adipose) i loko o ke kino, a i ʻole ka hana maʻamau ʻole o kēia ʻiʻo momona. E noʻonoʻo, i ka wā e hōʻiliʻili nui ai ko mākou kino i ka momona, hoʻokuʻu ʻia kekahi mau mea mai kēlā mau papa momona. Hoʻoulu kēia mau mea i ka mumū , ʻo ia hoʻi, kahi ʻano ʻeha, i loko o nā ʻiʻo o ko mākou puʻuwai, nā puʻupaʻa, a me nā kīʻaha koko.

Hoʻokumu kēia mumū:

• ʻO ka hormone insulin, ka mea e kaohi ana i ke kō i loko o ko mākou kino, ua pau kāna hana pono ʻana.
• Hiki i nā mea e like me ka plaque ke hōʻiliʻili i loko o nā kīʻaha koko, e ālai ana i ke kahe koko.
• Piʻi ka pilikia o ka hōʻino ʻia ʻana o nā puʻupaʻa .

I ka ʻōlelo maʻalahi, ʻo kēia ulu nui ʻana a me ka hopena o ka mumū i loko o ke kino ke kumu o ka maʻi CKM.

He aha nā kumu pilikia no ka maʻi CKM?

Aia kekahi poʻe i ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi. Eia kekahi mau mea pilikia e hiki ke hoʻopilikia iā ia:

• Momona: ʻO ia hoʻi, ua nui loa.
• ʻOi aku ka momona keu a puni ka pūhaka (kapa mākou ia he ʻōpū).
• Kiʻekiʻe o ka pae kolesterol .
• Ke koko kiʻekiʻe (ke koko kiʻekiʻe ).
• Ua loaʻa mua iaʻu ka maʻi puʻupaʻa .
• Loaʻa i ka maʻi diabetes .
• Loaʻa i ka metabolic syndrome (he hōʻiliʻili kēia o nā hōʻailona pili, e like me CKM).

Inā loaʻa iā ʻoe kēia mau mea, he mea nui e makaʻala i ka maʻi CKM.

He aha nā pilikia e hiki mai ana o kēia maʻi?

Inā ʻaʻole mālama pono ʻia ka maʻi CKM, hiki ke loaʻa nā pilikia koʻikoʻi. ʻO kēia mau mea:

• Ka hāʻule ʻana o ka puʻuwai: ʻAʻole hiki i ka puʻuwai ke pamu pono i ke koko.
• Nā ʻano kū ʻole o ka puʻuwai (Arrhythmias): Puʻuwai kūpono ʻole.
• Maʻi hohola .
• Nā maʻi lolo e like me ka hahau ʻana .

He mea weliweli paha kēia, akā e hoʻomanaʻo, inā ʻike mua ʻia kēia maʻi a mālama pono ʻia, hiki ke pale ʻia kēia mau maʻi koʻikoʻi.

Pehea e ʻike ʻia ai ka maʻi CKM? (Diagnosis)

Hoʻohana nā kauka i kekahi mau hoʻokolohua e ʻike ai i ka maʻi CKM. ʻO kēia mau mea:

• E nānā i kou koko.
• He hoʻāʻo panel lipid (ʻo kēia ka mea e nānā i nā mea e like me ka cholesterol a me nā triglycerides).
• Ke nānā ʻana i nā pae kō koko.
• Ke nānā ʻana i ka hana o nā puʻupaʻa (nā hoʻokolohua e like me ka urea koko a me ka creatinine serum).
• ʻO ka calcium o ke aʻa coronary (he hoʻāʻo kūikawā kēia).
• Ke ana ʻana i kou helu nui o ke kino (BMI) (e nānā kēia inā he kaumaha olakino kou no kou kiʻekiʻe).

ʻO ka nānā ʻana i nā keiki no kēia mau kūlana i ka wā ʻōpiopio e kōkua i ka hana ʻana i nā hana mua e pale aku ai i ka maʻi CKM.

ʻO nā hopena o kēia mau hoʻokolohua ka mea e hoʻoholo ai inā loaʻa iā ʻoe ka maʻi CKM. A laila ua māhele ʻia ke kūlana i nā pae ma muli o kona koʻikoʻi. Pae 0 a 4. ʻO ka Pae 4 ke kahua me ka pilikia kiʻekiʻe loa o ka loaʻa ʻana o ka maʻi puʻuwai.

Nā pae o ka maʻi CKM

Ua māhele ʻia kēia kūlana i kekahi mau pae. Penei lākou:

• Pae 0: ʻAʻohe ou kumu pilikia. Ola kino!
• Pae 1: Loaʻa iā ʻoe ka momona keu i mālama ʻia i loko o kou kino, ʻoi aku hoʻi ma ka ʻōpū. ʻO ke ʻano kēia ua momona iki ʻoe.
• Pae 2: Loaʻa iā ʻoe ka maʻi diabetes type 2, nā triglycerides kiʻekiʻe, ke koko kiʻekiʻe, a i ʻole ka maʻi puʻupaʻa.
• Pae 3: Loaʻa iā ʻoe ka maʻi puʻuwai i ke kahua mua (akā ʻaʻole ʻoe e hōʻike i nā hōʻailona) a i ʻole he kiʻekiʻe ka pilikia o ka loaʻa ʻana o ka maʻi puʻuwai.
• Pae 4: Loaʻa iā ʻoe nā hōʻailona o ka maʻi puʻuwai, ka momona o ke kino keu, a me nā mea pilikia no ka maʻi metabolic. Loaʻa paha iā ʻoe a ʻaʻole paha.

ʻO ka mea maikaʻi loa,Inā ʻoe e hoʻololi i kou nohona a hoʻomohala i nā ʻano olakino, hiki iā ʻoe ke neʻe ma mua o ke kahua āu e noho nei, ʻo ia hoʻi hiki iā ʻoe ke hoʻomaikaʻi.

Pehea e mālama ʻia ai ka maʻi CKM? (Lāʻau Lapaʻau)

ʻOkoʻa ka mālama ʻana no ka maʻi CKM ma muli o ke kūlana olakino āu e loaʻa nei. E hoʻopili nā kauka i kahi hoʻolālā lapaʻau e kūpono iā ʻoe. Ma muli o ka hoʻopilikia ʻana o ka maʻi CKM i nā ʻōpū he nui, ʻoi aku ka maikaʻi o kahi hoʻolālā lapaʻau e pili ana i ke komo ʻana o nā loea he nui.

• Kahua mua: Pono paha ʻoe e hana i kekahi mau hoʻololi i ke ʻano o ka nohona, e like me ka hoʻoikaika kino i kēlā me kēia lā a me ka ʻai ʻana i ka meaʻai kaulike.
• Kahua waena: Pono paha ʻoe e lawe i nā lāʻau lapaʻau e kāohi i kou koko, cholesterol, a me nā pae kō koko. Hiki ke hāʻawi ʻia i nā poʻe momona i nā lāʻau lapaʻau e kāohi i ka makemake. I ka hala ʻana o ka manawa, hiki i kāu kauka ke hoʻololi i ka nui o kēia mau lāʻau lapaʻau.
• I nā pae ʻoi aku ka koʻikoʻi (Nā pae holomua): Pono paha ʻoe i nā lāʻau lapaʻau e like me:
• Hoʻokomo ʻia nā stent e wehe i nā kīʻaha koko i paʻa.
• Nā lāʻau lapaʻau kūikawā e pili ana i ka puʻuwai, e like me ka cardioversion a i ʻole ka ablation .
• ʻO ke ʻoki puʻuwai hāmama a i ʻole ke ʻoki puʻuwai i hana ʻia ma o nā ʻoki liʻiliʻi.
• Dialysis puʻupaʻa .
• ʻO ke ʻoki kino no ka pohō kaumaha (ʻoki kino Bariatric)

Aia kekahi mau pilikia a i ʻole nā ​​hopena ʻaoʻao o ka lāʻau lapaʻau?

• Nā loli o ke ʻano o ka nohona: ʻAʻole kēia e hoʻoulu i nā hopena ʻaoʻao, no laila ʻo ia nā mea maikaʻi loa a palekana loa.
• Nā lāʻau lapaʻau: Hiki i nā lāʻau lapaʻau he nui ke loaʻa nā hopena ʻaoʻao. Inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻaoʻao, e kamaʻilio me kāu kauka.
• ʻO ke ʻoki kino a me ka dialysis: Loaʻa i kēia mau kaʻina hana kahi pilikia o ka maʻi a me nā ʻūpā koko. E nīnau i kāu kauka e pili ana i ka lāʻau āu e loaʻa ai a me nā pilikia e hiki mai ana.

Pehea ka lōʻihi e ho'ōla ai mai kēia mau lāʻau lapaʻau?

Inā loaʻa iā ʻoe ke ʻoki kino a i ʻole kekahi lāʻau lapaʻau kūikawā ʻē aʻe, hiki ke hala i hoʻokahi pule a i ʻole kekahi mau pule e hoʻōla ai. Aia ia i ke ʻano o ke ʻoki kino, nā kūlana olakino ʻē aʻe āu e loaʻa ai, a me kekahi mau kumu ʻē aʻe.

Inā loaʻa iaʻu ka maʻi CKM, he aha kaʻu e manaʻo ai?

Inā loaʻa iā ʻoe ka maʻi CKM, hiki iā ʻoe ke ʻike i nā hōʻailona o nā kūlana kikoʻī e pili ana me ia. Eia nō naʻe, ʻo ka loaʻa ʻana o nā kūlana he nui ma mua o hoʻokahi hiki ke hoʻolilo i kāu mālama ola kino i mea paʻakikī. ʻO ia hoʻi ke ʻike ʻana i nā kauka he nui a me ka lawe ʻana i nā lāʻau lapaʻau he nui.

Manaʻolana nā kānaka noiʻi lapaʻau e hiki i nā mea a pau me ka maʻi CKM ke loaʻa ka lāʻau lapaʻau ma kahi hoʻokahi, e like me ka hoʻolālā like. Ma kahi o ka mālama ʻana i kēlā me kēia ʻōnaehana kino ma ke kaʻawale,Hiki iā ʻoe ke mālama i kou kino holoʻokoʻa ma ka noʻonoʻo ʻana iā ia. Inā ʻike ʻoe i nā kauka he nui, hiki iā ʻoe ke loaʻa i kekahi manawa nā ʻōlelo aʻoaʻo kūʻē. Inā hana ʻia kēlā, mai makaʻu e kamaʻilio e pili ana i ia mea a noi i ke alakaʻi maopopo.

He aha ka manaʻo no kekahi me ka maʻi CKM?

ʻO kou wā e hiki mai ana me ka maʻi CKM e hilinaʻi ʻia i ke ʻano o kou hoʻokele pū ʻana me kāu hui lapaʻau i kēia mau kūlana. Ma ka hahai ʻana i ka lāʻau a kāu kauka e ʻōlelo ai, loaʻa iā ʻoe ka mana e hoʻololi i ke ala o kāu maʻi CKM. No laila, mai hoʻokuʻu i ka manaʻolana.

Hiki ke pale ʻia ka maʻi CKM? (Kāohi ʻana)

ʻAe, hiki i kekahi poʻe ke pale loa i ka maʻi CKM ma o ka hahai ʻana i kahi nohona olakino. No kekahi poʻe, hiki i kahi nohona olakino ke hoʻolohi i ka holomua o ka maʻi. Inā loaʻa i kekahi o kou ʻohana kēia maʻi (mōʻaukala ʻohana), hiki i ke kauka ke kōkua iā ʻoe e ʻike i kāu mau kumu pilikia no ka hoʻomohala ʻana i ka maʻi CKM. A laila, hiki iā ʻoe ke hana i kahi hoʻolālā e hōʻemi i kēlā mau pilikia a noho olakino.

Pehea e hiki ai iaʻu ke hōʻemi i koʻu pilikia?

Nui nā mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o ka maʻi CKM. Eia kekahi laʻana:

• ʻAi olakino: E ʻai i nā huaʻai, nā mea kanu, nā greens, nā meaʻai waiwai i ka fiber (e like me nā palaoa piha, ka laiki ʻeleʻele), a me nā iʻa wīwī. E hōʻemi i nā meaʻai kō, nā meaʻai ʻaila, a me nā meaʻai wikiwiki e like me ka hiki.
• E hiamoe pono: E hiamoe ma ka liʻiliʻi he 7-8 mau hola i ka lā.
• Ke pale ʻana i nā huahana paka: E hoʻōki loa i ka hoʻohana ʻana i nā mea e like me nā cigarette a me nā bidis.
• E kāohi i kou koko, nā pae kō koko, a me nā pae cholesterol: E nānā pinepine ʻia kēia e ke kauka a lawe i ka lāʻau lapaʻau e like me ka mea e pono ai.
• E hana i ka hana kino maʻamau: E hana ma ka liʻiliʻi he 30 mau minuke o ka hoʻoikaika kino i ka lā, e like me ka hele wāwae, ka holo ʻana, a i ʻole ke kaʻa paikikala.
• Ka mālama ʻana i ke kaumaha olakino nou: E hoʻāʻo e mālama i kahi kaumaha kūpono no kou kiʻekiʻe.

Pehea e mālama ai iaʻu iho? (Mālama ponoʻī)

Inā loaʻa iā ʻoe ka maʻi CKM, ʻo ka mea nui loa, ʻo ia ka mālama ʻana iā ʻoe iho. Hiki i kēia mau mea ke kōkua:

• E ʻai i ka meaʻai momona: E like me ka mea i ʻōlelo ʻia ma mua, e hoʻomohala i nā ʻano ʻai maikaʻi.
• Ke komo ʻana i ka hana kino: E hoʻoikaika kino e like me ke kuhikuhi a kāu kauka.
• Inā loaʻa iā ʻoe ka maʻi diabetes, e nānā pinepine i kou pae kō koko.
• Inā he mea nānā home kāu, e nānā pinepine i kou koko.
• E lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka no kou kūlana olakino me ka pololei a me ka manawa kūpono.

Āhea wau e ʻike ai i ke kauka?

No ka mālama ʻana i ka maʻi CKM,He mea nui e ʻike i kāu kauka i ka manawa kūpono. E ʻae kēia i kāu kauka e nānā i kāu mau kumu pilikia a me nā hōʻailona. E hiki nō hoʻi iā lākou ke nānā i kou mālama ʻana i kou mau kūlana olakino a ke lawe pono nei i kāu mau lāʻau lapaʻau. Inā kū mai kekahi mau pilikia hou, hiki ke hopu ʻia a mālama ʻia ma mua o ko lākou lilo ʻana i mea koʻikoʻi.

I ka manawa hea e pono ai iaʻu e hele i ka Emergency Department (ETU) ?

Inā loaʻa iā ʻoe nā pilikia e hoʻoweliweli ana i ke ola ma muli o ka maʻi CKM, e kāhea koke i ka 911 a i ʻole kāu helu ulia pōpilikia kūloko. ʻO kēia mau mea:

• Nā hōʻailona o ka hāʻule puʻuwai: (ʻeha nui o ka umauma, pilikia ka hanu ʻana, luaʻi ʻana, hou ʻana).
• Nā hōʻailona o ka maʻi lolo: (ka nalowale koke o ka hana ma ka maka, ka lima a i ʻole ka wāwae, ka paʻakikī o ka ʻōlelo ʻana, ka ʻike maka pōwehiwehi).
• ʻO ke Kūlana Hyperosmolar Hyperglycemic (HHS): (He kūlana koʻikoʻi kēia e kū mai ana i nā poʻe me ka maʻi diabetes, kahi i kiʻekiʻe loa ai ke kō koko, e hoʻoulu ai i ka maloʻo a me ka nalowale o ka ʻike).

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke hālāwai ʻoe me kāu kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• "He aha ka mea nui loa e hiki iaʻu ke hana e pale aku ai i ka maʻi CKM a i ʻole e hoʻololi i ke kahua i loaʻa iaʻu?"
• "Pono anei au e lawe i ka lāʻau lapaʻau e hōʻemi i ka pilikia o ka maʻi CKM?"
• "ʻEhia pinepine e pono ai iaʻu e hoʻāʻo ʻia e ʻike i ka mamao o koʻu hiki ʻana i kaʻu mau pahuhopu olakino?"
• "Pono anei koʻu ʻohana e hoʻāʻo ʻia no kēia mau kūlana i loaʻa iaʻu?"

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He maʻi paʻakikī ka maʻi CKM e hoʻopilikia ana i nā ʻōpū he nui. Eia nō naʻe, nui nā lāʻau lapaʻau i loaʻa e mālama ai i nā ʻano maʻi like ʻole e pili ana me ia. ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ka hoʻohana pono ʻana i nā lāʻau lapaʻau i loaʻa iā ʻoe a hoʻāʻo e mālama i kou olakino i kona maikaʻi loa.

Ua ʻike nā kauka he paʻakikī i kekahi poʻe ke loaʻa nā meaʻai momona, ka hoʻolilo kālā ʻana i nā lāʻau lapaʻau, a i ʻole ka hoʻoikaika kino. Inā makemake ʻoe i ke kōkua me kēlā, mai makaʻu e nīnau i kāu kauka. Hiki iā ia ke kuhikuhi iā ʻoe i nā papahana e hiki ke kōkua. No ka mea, he kuleana koʻikoʻi kou e ola i kahi ola olakino.

ʻO ka maʻi CKM, maʻi puʻuwai, maʻi puʻupaʻa, maʻi kō, momona nui, maʻi metabolic, olakino