He nui nā maʻi āu? E kamaʻilio kākou e pili ana i kēia mau maʻi like ʻole!

I kekahi manawa hele mākou i ke kauka no hoʻokahi maʻi. Akā e nīnau ke kauka iā ʻoe, "He mau maʻi ʻē aʻe kou e like me ke koko kiʻekiʻe, ka maʻi diabetes, ka cholesterol?" No ke aha ʻoe e nīnau ai i kēlā? No ka mea, ʻo ka loaʻa ʻana o hoʻokahi a ʻoi aku paha mau maʻi ʻē aʻe me hoʻokahi maʻi e pili pono ana i ka lāʻau āu e loaʻa ai. I ka lāʻau lapaʻau, ʻo ke alo o nā maʻi ʻē aʻe me hoʻokahi maʻi nui ka mea a mākou e kapa nei he comorbidities . Mai makaʻu i kou lohe ʻana i kēia huaʻōlelo, ʻo ka hoʻomaopopo ʻana he kōkua nui ia iā ʻoe i ka hoʻoholo ʻana e pili ana i kou olakino.

He aha nā maʻi like ʻole?

I ka ʻōlelo maʻalahi, ʻo 'Comorbidity' ke alo ʻana o hoʻokahi a ʻoi aku paha nā kūlana olakino ʻē aʻe i ka manawa like me kāu hōʻike mua .

I mea e hoʻomaopopo ai i kēia, e lawe kākou i kahi laʻana. E noʻonoʻo ua kaumaha iki ʻoe, ʻo ia hoʻi, he momona kou. I kēia manawa ke hele ʻoe i ke kauka, haʻi ʻo ia iā ʻoe e hele iki i kēlā me kēia lā a hoʻoikaika kino. Akā pehea inā loaʻa iā ʻoe ka ʻeha kuli, ʻo ia hoʻi, ka osteoarthritis? A laila paʻakikī loa iā ʻoe ke hele, ʻeā? Hiki ke hoʻonui ʻia ka ʻeha.

I kēia manawa, ke ʻike ke kauka e pili ana i kēia pilikia kuli, ma kahi o ka haʻi ʻana iā ʻoe e hele wāwae, e haʻi paha ʻo ia iā ʻoe e hana i kahi mea ʻaʻole kaumaha ma nā kuli, e like me ka aerobics wai. Maanei, ʻoiai ʻo kāu pilikia nui ka 'momona', ʻo ka pilikia kuli i hoʻohuli i ke ʻano o kāu mālama ʻana iā ia ʻo ia ka 'Comorbidity'.

ʻO kekahi laʻana, ʻo ke koko kiʻekiʻe, a i ʻole ka hypertension. He nui ka poʻe me nā maʻi ʻē aʻe, e like me ka maʻi puʻuwai a me ka maʻi māmā, hiki ke loaʻa iā lākou ke koko kiʻekiʻe. No laila, ke kuhikuhi kāu kauka iā ʻoe i ka lāʻau no kou koko, e koho ʻo ia i kahi lāʻau lapaʻau ʻaʻole e kūʻē i nā lāʻau lapaʻau āu e lawe nei no kāu mau maʻi ʻē aʻe a he emi iho nā hopena ʻaoʻao.

He aha ka ʻokoʻa ma waena o ke 'maʻi nui' a me ke 'maʻi lua'?

Me he mea lā he mea paʻakikī iki kēia, akā he mea maʻalahi loa ia. Hiki ke ʻokoʻa ka 'diagnosis mua' ma muli o ka mea a mākou e mālama nei i kēlā manawa.

E noʻonoʻo ua loaʻa iā ʻoe ka maʻi puʻupaʻa mau loa, ke koko kiʻekiʻe, a me ka maʻi diabetes type 2.

• Ke ʻike ʻoe i kahi nephrologist, ʻo kou maʻi nui ka maʻi puʻupaʻa. Manaʻo ʻo ia i ke koko kiʻekiʻe a me ka maʻi diabetes he mau maʻi hou aʻe, a i ʻole 'comorbidities'. ʻOiai ʻo ia e mālama ana i kou mau puʻupaʻa, mālama nui ʻo ia i nā maʻi ʻelua ʻē aʻe.
• Akā ke hele ʻoe i ke kauka (Endocrinologist) no ka mālama ʻana i ka maʻi diabetes, e ʻike ʻo ia ʻo kāu maʻi nui ka maʻi diabetes. A laila lilo nā maʻi puʻupaʻa a me ke koko koko i `comorbidities`.

Maopopo iā ʻoe? Hiki ke ʻokoʻa ke 'maʻi nui' ma muli o ke kauka loea a me ke kūlana a mākou e mālama nei i kēlā manawa.

Pehea ka hopena o ka loaʻa ʻana o nā maʻi he nui i ke olakino?

ʻO ka loaʻa ʻana o nā maʻi maʻi he nui e hiki ke hoʻopilikia iā ʻoe ma nā ʻano like ʻole.

• Ke kaumaha kino a me ka noʻonoʻo: ʻO ka loaʻa ʻana o nā maʻi he nui i ka hui pū ʻana hiki ke hoʻonui i ke kaumaha, ka ʻoluʻolu ʻole, a me ka hopena i ke kino a me ka noʻonoʻo ma mua o ka loaʻa ʻana o hoʻokahi maʻi wale nō.
• He paʻakikī ka lāʻau lapaʻau: ʻO kēia ka mea nui loa. E noʻonoʻo inā ʻaʻole maikaʻi ka lāʻau lapaʻau i hāʻawi ʻia no kekahi maʻi no kekahi maʻi ʻē aʻe? A i ʻole inā ʻelua mau lāʻau lapaʻau i hāʻawi ʻia no ʻelua mau maʻi e hoʻopilikia pū? No laila, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kēlā me kēia lāʻau āu e lawe ai.
• Pono no nā loea he nui: Pono paha ʻoe e ʻike i nā loea he nui. Eia kekahi laʻana, he kauka puʻuwai, he kauka nephrologist, a he kauka diabetologist. He mea nui e hana pū lākou a pau ma ke ʻano he hui e hāʻawi iā ʻoe i ka hoʻolālā lapaʻau maikaʻi loa.
• Nā Hoʻokipa ʻana i ka Halemai: Hōʻike nā haʻawina e hiki i ke kanaka me nā maʻi like ʻole ke lōʻihi ka noho ʻana ma ka haukapila a me ka piʻi ʻana o ka pilikia o nā pilikia.

He aha nā maʻi like ʻole e pili pinepine ʻia?

ʻOi aku ka nui o ka hiki i kekahi mau maʻi ke hoʻoulu i nā maʻi ʻē aʻe. ʻAʻole kēia manaʻo e loaʻa pū i nā mea āpau me kēlā maʻi kēia mau maʻi ʻē aʻe, akā he mea nui e makaʻala i ia mea.

I kekahi manawa e hui pū kēia mau maʻi no ka mea he mau kumu pilikia like ko lākou. No ka laʻana, ʻo ke koko kiʻekiʻe a me ka maʻi diabetes e hoʻonui i ka pilikia o ka maʻi puʻuwai a me ka maʻi puʻupaʻa. Akā i kekahi manawa hiki i nā maʻi ke noho pū me ka ʻole o ia pilina maopopo.

No laila he aha kaʻu e hana ai e pili ana i kēia?

Inā paʻakikī kēia mau huaʻōlelo (ʻO ka Comorbidity`, ʻO ka Multimorbidity`) iā ʻoe, mai noʻonoʻo nui e pili ana i ia mea. ʻO ka mea nui, ʻaʻole e aʻo i kēia mau huaʻōlelo.

E haʻi i kēlā me kēia kauka āu e ʻike ai e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau āu e lawe nei. Ke lawe nei paha ʻoe i nā lāʻau Ayurvedic, nā huaora, a i ʻole nā ​​​​mea hoʻohui ʻē aʻe. E haʻi i kāu kauka e pili ana i kēia mau mea āpau. Mai hūnā i kekahi mea. A laila hiki i kāu kauka ke hāʻawi iā ʻoe i ka hoʻolālā lapaʻau palekana a maikaʻi loa .

E lilo i mea hana ikaika i kāu mau hoʻoholo mālama ola. E nīnau i nā nīnau, e wehewehe i nā kānalua āu. ʻO kou pono ia a me kou kuleana.