ʻO ke ahulau COVID-19 kahi manawa a mākou e poina ʻole ai. Ua makaʻu nā kānaka a pau. No laila, inā loaʻa iā ʻoe kahi maʻi mau e like me ka maʻi diabetes, ua pāpālua paha kēia makaʻu. Inā ua noʻonoʻo ʻoe, "Pehea inā loaʻa iaʻu kēia maʻi?", he mea maʻamau loa ia. I kēia lā, e kamaʻilio mākou e pili ana i ka pilina ma waena o ka maʻi diabetes a me COVID-19, pehea e pale ai iā ʻoe iho, a me ka mea e hana ai inā maʻi ʻoe.
No ke aha e pono ai i kahi kanaka me ka maʻi diabetes ke hopohopo nui e pili ana i ka COVID-19?
ʻO ka mea mua, e hoʻomaopopo i kēia. ʻO ka loaʻa ʻana o ka maʻi diabetes ʻaʻole ia e hoʻokau iā ʻoe i kahi pilikia nui o ka loaʻa ʻana o COVID-19 ma mua o nā mea ʻē aʻe . Eia naʻe, ʻaʻole hiki i ke Akua ke pale aku, inā loaʻa iā ʻoe ka maʻi, ʻoi aku kou pilikia o ka loaʻa ʻana o nā pilikia ma mua o nā mea ʻē aʻe. He kiʻekiʻe loa kēia pilikia inā ʻaʻole i kāohi maikaʻi ʻia kāu maʻi diabetes, ʻo ia hoʻi, kiʻekiʻe mau kou pae kō koko.
No ke aha lā kēia e hana ʻia ai? I ka ʻōlelo maʻalahi, penei. He ʻōnaehana pale ko ko kākou kino, kapa mākou ia he ʻōnaehana pale. ʻO kēia ko kākou pūʻali koa e hakakā nei i nā germs e hoʻoulu ai i nā maʻi. Ke kiʻekiʻe mau ke kō koko, nāwaliwali ka hana o ka ʻōnaehana pale. E like me ka nāwaliwali o ko kākou pūʻali koa inā ʻaʻole kākou e ʻai a inu pono. A laila ke komo kahi maʻi e like me COVID-19 i loko o ke kino, emi iho ka hiki o ko kākou kino ke hakakā iā ia.
Ua hōʻike ʻia nā haʻawina mua ma kahi o 25% o nā maʻi i hoʻokipa ʻia me COVID-19 he maʻi diabetes. Eia kekahi, ʻoi aku ka nui o ka poʻe me ka maʻi diabetes e loaʻa i nā pilikia koʻikoʻi a make i ka maʻi. Hiki ke kiʻekiʻe aʻe kēia pilikia inā loaʻa iā ʻoe nā maʻi ʻē aʻe, e like me ka maʻi puʻuwai a i ʻole ka maʻi māmā, ma waho aʻe o ka maʻi diabetes.
Inā loaʻa ʻoe i ka maʻi COVID-19, ʻoi aku kou pilikia o ka loaʻa ʻana o nā pilikia weliweli mai ka maʻi diabetes, e like me ka Diabetic Ketoacidosis (DKA).
He kūlana pilikia ka DKA i hoʻokumu ʻia e ka nui o nā ketones i loko o ke koko. Eia kekahi, hiki i kekahi poʻe me COVID-19 ke hoʻomohala i kahi hopena weliweli o ke kino holoʻokoʻa i kapa ʻia ʻo sepsis. I ka mālama ʻana i ka sepsis, pono nā kauka e hoʻokele i nā pae wai a me nā electrolyte o kou kino. Hoʻokumu ʻo DKA i kahi pohō nui o nā electrolytes, e ʻoi aku ka paʻakikī o ka hoʻomalu ʻana i ka sepsis.
He aha kā mākou e hana ai e pale iā mākou iho mai kēia maʻi?
ʻOi aku ka maikaʻi o ka palekana ma mua o ke kaumaha ke maʻi ʻoe. ʻO ke ala maikaʻi loa e hana ai i kēlā, ʻo ia ke kiʻi i ka lāʻau pale COVID-19 . Eia kekahi, e hōʻoia e hahai i kēia mau ʻanuʻu maʻalahi i kou ola o kēlā me kēia lā.
- E noho mamao aku mai nā poʻe ʻē aʻe i ka hiki:ʻOi loa aku, e hoʻāʻo e pale i ka hele ʻana i nā wahi piha kanaka i ka hiki. Inā pono ʻoe e hele, e mālama i kahi mamao ma kahi o 1.5 mika.
- E ʻaʻahu i ka pale maka: He mea nui e ʻaʻahu i ka pale maka i kou wā e hele ai i waho, ʻoiai inā ʻaʻole ʻoe i hoʻopau i kāu mau lāʻau pale.
- E hoʻomaʻemaʻe pono: E holoi mau i kou mau lima me ke kopa a me ka wai. E holoi mau i kou mau lima me ke kopa a me ka wai ma hope o ka puka ʻana i waho, ma mua o ka ʻai ʻana, ma mua o ka lawe ʻana i ka lāʻau lapaʻau, ʻoiai ma mua o ke hou ʻana i kou manamana lima e nānā i kou pae kō koko, a ma mua o ka hoʻokomo ʻana i ka insulin.
- E hoʻomaopopo i kou ʻohana: No kou palekana, he mea nui i nā kānaka a pau o kou hale e holoi pinepine i ko lākou mau lima. ʻOi loa aku ma mua o kou hoʻomākaukau ʻana i ka meaʻai. Mai kaʻana like i nā mea pilikino e like me nā pā, nā kīʻaha, a me nā puna. Inā maʻi kekahi o kou hale, e mālama iā lākou i loko o kahi lumi ʻokoʻa inā hiki. Inā pono ʻoe e noho i loko o ka lumi hoʻokahi, he mea nui e ʻaʻahu ka mea maʻi i ka pale maka.
- ʻO ka mea nui loa - E kāohi i kou pae kō koko: ʻO kēia ka pale maikaʻi loa hiki iā ʻoe ke lawe. E lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai i ka manawa kūpono. E hahai i kahi papaʻai maʻamau. Hoʻoikaika kino. Ma ka mālama ʻana i kou pae kō koko ma lalo o ke kaohi, hiki iā ʻoe ke mālama i kou ʻōnaehana pale kino i ikaika.
Pehea lā e hoʻomākaukau ai mākou ma mua inā maʻi mākou?
He mea nui loa ka hoʻomākaukau ʻana i nā mea e pono ai ma mua inā e maʻi koke mākou a pono e hoʻokaʻawale ʻia, a inā ʻaʻole hiki iā mākou ke hele i waho. E hoʻomākaukau i ka lawa o kēia mau mea no ʻelua pule ma ka liʻiliʻi.
| He aha e hoʻomākaukau ai | Ka wehewehe a me nā laʻana |
|---|---|
| Nā meaʻai | Nā kalapona olakino (e.g., nā kuki cranberry, ka sopa noodles a i ʻole ka sopa mea kanu, ka ʻāpala ʻono ʻole). |
| Inā hāʻule ke kō koko (Hypoglycemia) | Inā hāʻule koke ke kō o kou koko, e lawe i nā kalapona maʻalahi (e like me ka meli, glucose, kahi mea inu kō, wai huaʻai, toffee). |
| Nā lāʻau lapaʻau a me nā mea lapaʻau | E hoʻomākaukau i kāu insulin a me nā lāʻau lapaʻau maʻi diabetes ʻē aʻe ma mua, e like me ka hiki iā ʻoe. E mālama i nā ʻāpana glucagon a me ketone keu. |
| Nā helu kelepona koʻikoʻi | E mālama i nā helu kelepona o kāu kauka, ʻohana, a me ka ʻoihana ʻinikua olakino ma kahi maʻalahi e hiki aku ai. |
E kamaʻilio me kāu kauka a hana i kahi hoʻolālā lā maʻi. E nīnau e pili ana i kēia mau mea:
- ʻEhia pinepine e pono ai iaʻu e nānā i koʻu kō koko a me nā pae ketone ke maʻi wau?
- Pono anei iaʻu e hoʻololi i ka nui o kaʻu lāʻau lapaʻau no ka maʻi diabetes ke maʻi wau, a inā pēlā, pehea wau e hana ai?
- He aha nā lāʻau lapaʻau palekana no ke anu maʻamau a me ke kuni?
He aha kāu e hana ai inā maʻi ʻoe?
Inā hoʻomaka ʻoe e maʻi, e noho ma ka home . E nānā pinepine i kou pae kō koko ma mua o ka maʻamau. Hiki i nā maʻi e like me COVID-19 ke hoʻemi i ka makemake a hōʻemi i ka nui āu e ʻai ai a inu ai. Hiki i kēia ke hoʻopilikia i kou pae kō koko.
Ke maʻi ʻoe, pono kou kino i nā wai hou aʻe ma mua o ka maʻamau. E mālama i kahi ʻōmole wai kokoke a inu liʻiliʻi pinepine.
Hiki i kekahi mau lāʻau lapaʻau maʻamau i kūʻai ʻia ma ke kūʻai aku (no ke kuni, ke kuni, a me ke anu) ke hoʻopilikia i kou pae kō koko. No laila, mai hoʻāʻo i nā lāʻau lapaʻau hou me ka ʻole o ka nīnau mua ʻana i kāu kauka.
Eia kekahi laʻana, ʻo ka lawe nui ʻana i ka aspirin a i ʻole ibuprofen hiki ke hoʻohaʻahaʻa i kou kō koko. ʻO ka lawe nui ʻana i ka paracetamol (Panadol) hiki ke hoʻohaʻahaʻa i kou kō koko inā ʻoe e hoʻohana i kahi monitor glucose hoʻomau (CGM). He nui nā syrup cough i loaʻa ke kō, hiki ke hoʻonui i kou kō koko.
Āhea ʻoe e ʻimi ai i ke aʻo lapaʻau pilikia?
Inā loaʻa iā ʻoe nā hōʻailona o COVID-19, e like me ka ʻū maloʻo, ke kuni, a i ʻole ka paʻakikī o ka hanu ʻana, e kāhea koke aku i kāu kauka. E mākaukau e hāʻawi i kāu kō koko a me nā pae ketone hou loa ke kāhea ʻoe.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau. Inā pono, e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
- He waena a kiʻekiʻe paha kou mau pae ketone.
- Hōʻike ʻia nā hōʻailona o ka `DKA` (luhi nui, ʻeha kino, luaʻi, ʻeha ʻōpū).
- Paʻakikī nui ka hanu ʻana .
He pilikia kēia maʻi ahulau no nā kānaka a pau. Akā me ka ʻike kūpono, ka hoʻokele maikaʻi, a me ka hoʻomākaukau ʻana, hiki iā ʻoe ke kū pono i kēia pilikia me ka maʻi diabetes. Mai makaʻu, e noho mākaukau, a e noho palekana.
Leka Lawe-Home
- ʻOiai ʻaʻole e hoʻonui ka loaʻa ʻana o ka maʻi diabetes i ka pilikia o ka loaʻa ʻana o COVID-19, ʻoi aku ke kiʻekiʻe o ka pilikia o nā pilikia inā loaʻa ʻoe i ka maʻi.
- ʻO ka palekana maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ka loaʻa ʻana o ka lāʻau pale a mālama pono i kou pae kō koko.
- E hoʻomākaukau i kahi "hoʻolālā lā maʻi" e hoʻoponopono ai i nā pilikia. E mālama pono i ka meaʻai, nā lāʻau lapaʻau, a me nā helu kelepona o ke kauka.
- Inā maʻi ʻoe, e nānā pinepine i kou pae kō koko, inu i ka nui o nā wai, a mai lawe i nā lāʻau lapaʻau hou me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- E ʻimi koke i ke kōkua lapaʻau inā pilikia ʻoe i ka hanu ʻana, nā pae ketone kiʻekiʻe, a i ʻole nā hōʻailona o DKA.
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