E aʻo kākou i nā mea a pau e pili ana i ka Diabetes Mellitus ma ke ʻano maʻalahi a me ke aloha.

He maʻi maʻamau ka "diabetes" i waena o nā kānaka he nui ma ko kākou ʻāina, a he maʻi hoʻi i loaʻa i nā kānaka he nui. Malia paha ua pilikia kekahi o kou ʻohana, he hoaaloha, a ʻo ʻoe iho paha i kēia maʻi. Akā, ʻaʻole ʻike maopopo ka poʻe he nui i kēia. ʻAʻole ʻike kekahi inā he maʻi diabetes ko lākou. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia maʻi, a i ʻike ʻia ma ke ʻano lapaʻau ʻo `(Diabetes Mellitus)`, ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.

He aha maoli ka maʻi diabetes?

I ka ʻōlelo maʻalahi, ʻo ka maʻi diabetes kahi pilikia e kū mai ana i ka wā e hana ai ko mākou kino i kahi hormone i kapa ʻia ʻo 'Insulin' a i ʻole ke hoʻohana ʻia ka insulin āna e hana ai. E noʻonoʻo i kēia ʻano: ua like nā cell i loko o ko mākou kino me nā hale liʻiliʻi. Pono kēia mau hale i ka ikehu, a i ʻole "wahie", e hana. ʻO kēia wahie ʻo "Glucose" a i ʻole ke kō, i hana ʻia mai ka meaʻai a mākou e ʻai ai. Akā i mea e komo ai kēia glucose i loko o nā hale i kapa ʻia ʻo nā cell, pono ia i kahi kī i kapa ʻia ʻo "insulin".

Hana ʻia kēia kī insulin e kahi ʻōkana i kapa ʻia ʻo "Pancreas" i loko o ko kākou ʻōpū. Loaʻa ka maʻi diabetes ma muli o kekahi a ʻoi aku paha o kēia mau kumu:

• ʻAʻole hana iki kāu pancreas i kekahi insulin .
• He kakaikahi loa ka insulin i hana ʻia e ka pancreas.
• ʻAʻole pane pono ke kino i ka insulin. Kāhea mākou i kēia he "Ke kū'ē ʻana o ka Insulin." Ua like ia me ka loaʻa ʻana o kahi kī akā ua haki ka laka ma ka puka.

No kēia mau kumu, ʻaʻole hiki i ka glucose ke komo i loko o nā ʻāpana a hōʻiliʻili i loko o ke koko. ʻO kēia ka manawa e piʻi ai ke kiʻekiʻe o ke kō koko, e alakaʻi ana i ka maʻi diabetes.

He aha nā ʻano nui o ka maʻi diabetes?

Aia kekahi mau ʻano nui o ka maʻi diabetes. E hoʻomaopopo pono kākou iā lākou.

Nā ʻano ʻokoʻa ʻē aʻe

Ma waho aʻe o kēia mau ʻano nui, aia kekahi mau ʻano kakaikahi e like me ka "Monogenic diabetes", i hoʻokumu ʻia e nā kumu genetic. Hiki ke hoʻokumu ʻia ka maʻi diabetes e kekahi mau lāʻau lapaʻau a i ʻole nā ​​​​​​kūlana olakino ʻē aʻe.

He aha nā hōʻailona o ka maʻi diabetes? Pehea ʻoe e ʻike ai?

Hiki ke ʻokoʻa iki nā hōʻailona o ka maʻi diabetes ma muli o ke ʻano. I kekahi manawa, hiki ke loaʻa ka maʻi diabetes me ka ʻole o nā hōʻailona.

ʻAʻohe hōʻailona o ka maʻi diabetes gestational , ʻo ia ke kumu he mea nui e hoʻāʻo ʻia no ka maʻi diabetes i ka wā hāpai.

He aha nā hoʻokolohua e hana ʻia e ʻike ai inā he maʻi diabetes kāu?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona i luna, a inā paha he maʻi diabetes kekahi o kou ʻohana, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a nānā ʻia. Aia kekahi mau hoʻāʻo koko nui e ʻike ai i ka maʻi diabetes.

• Hoʻāʻo Kō koko hoʻokē ʻai (FBS): He hoʻāʻo koko i hana ʻia ma hope o ka hoʻokē ʻai ʻana no 8-10 mau hola (me ka ʻai ʻole a inu ʻole paha i kekahi mea ʻē aʻe ma mua o ka wai).
• Hoʻāʻo A1c (HbA1c): Hāʻawi kēia i kahi manaʻo o kou awelika kō koko i nā mahina 2-3 i hala.
• Hoʻāʻo Kōpaʻa Koko Kaulike (RBS): He hoʻāʻo hiki ke hana ʻia i kēlā me kēia manawa o ka lā.
• Hoʻāʻo Hoʻomanawanui Glucose Waha (OGTT): Lawe ʻia kahi hāpana koko ma hope o ka hoʻokē ʻai ʻana, a laila inu ʻia kahi mea inu kō, a lawe hou ʻia ke koko ma hope o hoʻokahi a me ʻelua hola e nānā i ka pae kō.

Ka mālama ʻana a me ka hoʻokele ʻana i ka maʻi diabetes

ʻAʻohe lāʻau lapaʻau no ka maʻi diabetes i kēia manawa. Eia nō naʻe, me ka mālama kūpono a me nā hoʻololi ʻana i ke ʻano o ka nohona , hiki ke hoʻomalu maikaʻi ʻia a hiki iā ʻoe ke ola i kahi ola olakino me ka ʻole o nā pilikia. ʻO nā pahuhopu nui o ka mālama ʻana:

• Ka mālama ʻana i nā pae kō koko i loko o ka pae i manaʻo ʻia.
• Ke kāohi ʻana i ke koko a me nā pae cholesterol.
• Ke pale ʻana i nā pilikia olakino ʻē aʻe (maka, puʻupaʻa, pilikia aʻalolo) e hiki mai ana ma muli o ka maʻi diabetes.

ʻOkoʻa nā ʻano lapaʻau ma muli o ke ʻano o ka maʻi diabetes āu e loaʻa ai.

1. Nā lāʻau lapaʻau

• ʻInisulina: Pono nā kānaka a pau me ka maʻi diabetes type 1 a me kekahi poʻe me ka maʻi diabetes type 2 e lawe i nā inikini insulin.
• Nā Lāʻau Waha: No ka maʻi diabetes type 2, kuhikuhi nā kauka i nā pila e like me ka metformin. Kōkua kēia i ke kino e hoʻohana maikaʻi i ka insulin a hana paha i ka insulin hou aʻe.

2. ʻAi Ola Kino

He mea nui loa ka ʻai ʻana i ka mālama ʻana i ka maʻi diabetes. Hiki i ke kō a me nā mea inu kō, a me nā meaʻai starch (berena, laiki) ke hoʻonui koke i nā pae kō koko.

• Nā mea maikaʻi e ʻai ai:Nā mea kanu, nā huaʻai (e nīnau i kāu kauka), nā legume, nā palaoa piha, nā ʻiʻo momona, a me ka iʻa.
• Nā mea e hōʻemi ai: Ke kōpaʻa, nā mea inu ʻono, nā meaʻai kiʻekiʻe i ka ʻaila a me ka momona, ka paʻakai, nā meaʻai i hana ʻia.

3. Hoʻoikaika kino

ʻO ka hoʻoikaika kino ʻana ma ka liʻiliʻi he 30 mau minuke i ka lā, e like me ka hele wikiwiki a i ʻole ka ʻauʻau ʻana, ma ka liʻiliʻi he 5 mau lā o ka pule, hiki ke hoʻomaikaʻi i ka pane a kou kino i ka insulin. Hiki iā ia ke kōkua iā ʻoe e kāohi i kou kaumaha. E kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi papahana hoʻoikaika kino.

Hiki ke pale ʻia ka maʻi diabetes type 2?

ʻAe, hiki nō iā ʻoe! ʻOiai ʻaʻole hiki ke pale ʻia ka maʻi diabetes type 1, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o ka maʻi diabetes type 2 .

• E mālama i ke kaumaha olakino. Inā momona ʻoe, e hoʻāʻo e hoʻemi i kekahi kaumaha.
• E ʻai i ka meaʻai olakino.
• E hoʻoikaika kino i nā manawa a pau.
• Inā ʻoe e puhipaka, e hoʻōki.
• Inā manaʻo ʻoe ua pilikia ʻoe, e ʻike i ke kauka no ka ʻōlelo aʻo.

Inā pono ʻoe i ka mālama ulia pōpilikia ma muli o kekahi mau hōʻailona e pili ana i ka maʻi diabetes, he mea nui e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.