Ua ʻike mākou a pau ua lilo ka maʻi diabetes i maʻi maʻamau i ko mākou ʻāina. Malia paha he maʻi kēia i kekahi o kou ʻohana, he hoaaloha, a i ʻole ʻoe iho. Akā no ke aha i maʻamau ai ka maʻi diabetes Type 2? I kēia lā, e kamaʻilio wale mākou e pili ana i nā kumu maoli e pili ana i kēia a me nā mea e hana nei i loko o ko mākou kino a mākou i maopopo ʻole ai.
No ke aha mākou e loaʻa ai i ka maʻi diabetes? Ke kuleana o ka insulin
I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o ka hana ʻana o ko kākou kino. E noʻonoʻo ua like ko kākou kino me ke kaʻa. Pono kēia kaʻa i ka ʻaila e holo ai. Pēlā nō, pono nā piliona o nā cell i loko o ko kākou kino i ka ikehu e hana ai. Loaʻa kēia ikehu mai ke kō, glucose , i hana ʻia i ka wā e ʻeli ai kākou i ka meaʻai a kākou e ʻai ai. Loaʻa kēia glucose i loko o ke koko.
Akā, ʻaʻole hiki i kēia glucose ke komo wale i loko o nā pūnaewele. Pono ia i kahi "kī." ʻO kēlā kī ka hormone insulin . Hana ʻia kēia insulin e kahi ʻōkana i kapa ʻia ʻo ka pancreas i loko o ko kākou ʻōpū. Ke ʻai kākou, piʻi ka pae glucose i loko o ke koko, no laila hana ka pancreas i ka insulin a hoʻohui iā ia i ke koko. Wehe kēia insulin i nā "puka" o nā pūnaewele a hoʻokuʻu i ka glucose i loko. A laila loaʻa i nā pūnaewele ka ikehu a hoʻomalu ʻia ke pae kō koko.
No laila, ulu ka maʻi diabetes ke hele hewa kēia kaʻina hana. Hiki ke hana ʻia ma ʻekolu mau ʻano nui:
1. ʻAʻole lawa ka insulin i hana ʻia e kou pancreas.
2. ʻOiai ke hana nei ka pancreas i ka insulin, ʻaʻole pane pono nā ʻāpana o ke kino i kēlā insulin . Ua like ia me kahi honu i laka ʻia i loko o ka puka ʻoiai he kī kona. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he kū'ē ʻana i ka insulin .
3. Hana pū ʻia kēia mau mea ʻelua.
Hoʻopuka ka poʻe me ka maʻi diabetes type 2 i ka insulin i loko o ko lākou kino. Akā ʻo ka pilikia, ʻaʻole lawa ia a ʻaʻole hiki i nā cell ke hoʻohana. ʻO ka hopena, ʻaʻole hiki i ka glucose ke komo i loko o nā cell a hōʻiliʻili i loko o ke koko. ʻO ia ka mea a mākou e kapa nei he 'kiʻekiʻe ke kō koko'.
He aha nā kumu pilikia nui?
ʻAʻole i hoʻokumu ʻia ka maʻi diabetes e hoʻokahi kumu hoʻokahi, akā, e ka hui pū ʻana o nā kumu. E nānā kākou i nā mea nui.
Ke kaumaha o ke kino a me ka nele o ka hoʻoikaika kino
ʻO kēia ke kumu nui a maʻamau . Hoʻonui nui ʻia ka pilikia o ka maʻi diabetes ke kaumaha ke kino, ʻoi aku ma mua o ke kaumaha kūpono no ke kiʻekiʻe. ʻO ka mea ʻoi aku ka weliweli, ʻo ia ka hōʻiliʻili ʻana o ka momona ma ka ʻōpū (ka momona o ka ʻōpū) . Hāʻawi pololei kēia mau hunaola momona keu i ke kūʻē ʻana i ka insulin.
ʻO ke ʻano nohona hana ʻole, ʻo ia hoʻi ka noho ʻana no ka hapa nui o ka lā a me ka hana ʻole ʻana i kekahi hoʻoikaika kino, e hoʻonui hou aku i kēia pilikia. ʻO ka lilo ʻana o 5% a 10% wale nō o kou kaumaha kino hiki ke hōʻemi nui i kou pilikia o ka maʻi diabetes.
Nā ʻano ʻai maikaʻi ʻole
Hoʻopilikia nā mea a pau a mākou e ʻai ai i nā pae kō koko.
- Nā meaʻai ʻaila (e.g., short-eats, kottu, laiki palai)
- Nā mea inu ʻono a me nā meaʻai (nā keke, nā biscuits, toffee, nā mea inu ʻono)
- ʻIʻo i hana ʻia
- ʻO ka ʻai nui ʻana i nā kalapona hiki ke hoʻoheheʻe koke ʻia e like me ka berena keʻokeʻo a me ka laiki keʻokeʻo
Hiki i kēia mau ʻano ʻai ke alakaʻi i ka piʻi ʻana o ke kaumaha a me ke kū'ē ʻana o ka insulin.
Moʻolelo ʻohana (kuʻuna)
He mea nui loa nō hoʻi kēia. Inā loaʻa i kou makuahine, makuakāne, kaikunāne a kaikuahine paha ka maʻi diabetes, ʻoi aku kou pilikia o ka loaʻa ʻana ma mua o nā poʻe ʻē aʻe. Aia kahi pilina genetic i kēia. Akā no ka mea ua loaʻa i kekahi o kou ʻohana ia mea, ʻaʻole ia he manaʻo e loaʻa maoli nō iā ʻoe. Akā, pono ʻoe e akahele ma mua o nā poʻe ʻē aʻe.
Makahiki a me ka lāhui
Hoʻonui mālie ka pilikia o ka loaʻa ʻana o ka maʻi diabetes ma hope o 45 mau makahiki. A ua hōʻike ʻia nā noiʻi i mālama ʻia a puni ka honua he kiʻekiʻe aʻe kēia pilikia no kekahi mau hui lāhui. No ka laʻana, ʻo mākou, he poʻe ʻAsia, he kiʻekiʻe aʻe ko mākou pilikia.
Nā kūlana olakino ʻē aʻe e pili ana i ka maʻi diabetes
Aia kekahi mau maʻi e hiki ke alakaʻi i ka maʻi diabetes. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea, he mea naʻauao ke kamaʻilio me ke kauka a e hoʻāʻo ʻia no ka maʻi diabetes.
| Kūlana olakino/kumu pilikia | He wehewehe maʻalahi |
|---|---|
| Ke koko kiʻekiʻe | Aia kahi pilina ikaika ma waena o ke koko kiʻekiʻe a me ka maʻi diabetes. |
| Ka pae momona koko (Cholesterol) | Ka emi ʻana o ka nui o ka cholesterol maikaʻi (HDL) i loko o ke koko a me ka piʻi ʻana o kahi ʻano momona i kapa ʻia ʻo triglycerides. |
| ʻO ka maʻi ovary polycystic (PCOS) | He kūlana hormonal kēia e hoʻopilikia ai i nā wahine. He nui ka poʻe me PCOS i loaʻa ke kū'ē ʻana o ka insulin. |
| Maʻi diabetes hāpai | ʻO ka maʻi diabetes gestational kahi ʻano maʻi diabetes e loaʻa wale ana i ka wā hāpai a nalowale ma hope o ka hānau ʻana. ʻO ka poʻe i loaʻa i kēia maʻi e ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi diabetes type 2 ma hope o ke ola. |
| Prediabetes | He kūlana kahi i ʻoi aku ai ke kiʻekiʻe o ke kō koko ma mua o ka maʻamau, akā ʻaʻole i lawa ke kiʻekiʻe e manaʻo ʻia he maʻi diabetes. Ua like kēia me kahi ʻōlelo aʻo. |
Nā kumu ʻē aʻe
- Puhipaka: ʻO ka poʻe puhi paka he 30%-40% kiʻekiʻe aʻe ka pilikia o ka maʻi diabetes ma mua o ka poʻe puhi ʻole.
- Nā pilikia hiamoe: ʻO ka loaʻa ʻole o ka hiamoe lawa e hōʻemi i ka hana hormonal o ke kino a me ka ʻike o ka insulin.
- Kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe, ka maʻi noʻonoʻo, a me ka cholesterol (e.g., steroids, kekahi mau diuretics) ke hoʻonui i nā pae kō koko ke hoʻohana ʻia no ka manawa lōʻihi. Eia naʻe, mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai ma muli o kēia. Inā he mau hopohopo kāu, e kamaʻilio me kāu kauka.
Pehea ʻoe e ʻike ai inā he maʻi diabetes kāu?
ʻO ka maʻamau, hōʻoia ke kauka he maʻi diabetes kou ma ka nānā ʻana i nā hopena o nā hoʻāʻo koko. Hana ʻia ka ʻike ma o hoʻokahi a ʻoi aku paha o kēia mau mea.
- ʻO ke kō koko hoʻokē ʻai (FBS): Hana ʻia kēia hoʻāʻo ma hope o ka hoʻokē ʻai ʻana no 8-10 mau hola a ʻo ka waiwai he 126 mg/dL a ʻoi aku paha.
- Hoʻāʻo HbA1c: Ana kēia i kou pae kō koko awelika i nā mahina 2-3 i hala. Inā he 6.5% a ʻoi aku paha ka waiwai.
- OGTT (Hoʻāʻo Hoʻomanawanui Glucose Waha): Inā he 200 mg/dL a ʻoi aku paha ke kiʻekiʻe o ke kō koko i ʻelua hola ma hope o ka inu ʻana i kahi wai glucose.
ʻO ka maʻamau, ʻaʻole ʻike ke kauka i kahi maʻi me hoʻokahi hoʻāʻo wale nō, akā hōʻoia i kēia ma ka nānā hou ʻana iā ia i kekahi lā ʻē aʻe.
ʻO ka mea nui loa, ʻaʻole e hopohopo inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea pilikia. ʻAʻole ia he manaʻo he maʻi diabetes kou, akā ʻo ia hoʻi ka manawa e mālama ai i kou nohona.
Leka Lawe-Home
- ʻO nā kumu nui o ka maʻi diabetes type 2 ʻo ke kaumaha o ke kino (ʻoi aku ka momona o ka ʻōpū) a me ka nele o ka hoʻoikaika kino . ʻO kēia nā mea hiki iā mākou ke hoʻololi.
- Inā loaʻa kekahi o kou ʻohana i ka maʻi diabetes, pono ʻoe e akahele ma mua o nā poʻe ʻē aʻe.
- ʻO nā maʻi ʻē aʻe, e like me ke koko kiʻekiʻe a me ka cholesterol, e hoʻonui i ka pilikia o ka maʻi diabetes. No laila, he mea nui e kaohi pono i kēlā mau maʻi.
- ʻO ka ʻai olakino, ka hoʻoikaika kino i kēlā me kēia lā, a me ka mālama ʻana i ke kaumaha olakino no kou kiʻekiʻe nā ala maikaʻi loa e pale aku ai iā ʻoe iho mai ka maʻi diabetes.
- Inā he mau hopohopo a i ʻole nā kumu pilikia no ka maʻi diabetes, e kamaʻilio ākea me kāu kauka e pili ana i ia mea a e kiʻi i nā ʻōlelo aʻoaʻo a me nā hoʻokolohua e pono ai. ʻO ka wā mua e ʻike ʻia ai, ʻo ka maʻalahi ka kaohi ʻana.
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