Ke haʻi aku kāu kauka iā ʻoe he maʻi diabetes Type 2 kou, ʻo ka nīnau nui aʻe, 'He aha ka lāʻau lapaʻau maikaʻi loa iaʻu?' ʻO nā inikini insulin, nā pila, a me nā lāʻau lapaʻau ʻē aʻe... Pehea ʻoe e koho ai i ka mea kūpono iā ʻoe? Mai hopohopo, ʻaʻole kēia he hoʻoholo āu e hana ai hoʻokahi. ʻO ʻoe a me kāu kauka e hana pū i kēia hoʻoholo. E kamaʻilio maʻalahi kākou e pili ana i ia mea.
Nā mea e noʻonoʻo ai i ke koho ʻana i ka lāʻau kūpono nou
I ka ʻōlelo maʻalahi, ʻaʻohe lāʻau lapaʻau maʻi diabetes "kilokilo" hoʻokahi e hana no nā mea āpau. ʻO kahi lāʻau lapaʻau e hana maikaʻi loa ana no kekahi kanaka, ʻaʻole paha e hana maikaʻi no kekahi. ʻO kēia no ka mea he ʻokoʻa ko mākou kino, nā nohona, a me nā kūlana olakino. No laila, e noʻonoʻo pono kāu kauka i kēia mau mea i ke koho ʻana i kahi lāʻau lapaʻau nāu.
1. Kou mau pae kō koko
ʻO kēia ka mea nui loa. Inā kiʻekiʻe kou pae kō koko no ka manawa lōʻihi, ʻoi aku kou pilikia o ka loaʻa ʻana o nā pilikia weliweli o ka maʻi diabetes, e like me nā pilikia maka (retinopathy), nā maʻi puʻupaʻa, a me ka hōʻino ʻana o nā aʻalolo (neuropathy) . Inā ʻoi aku kou pae kō koko ma mua o ka pae i ʻōlelo ʻia, hiki i kāu kauka ke hoʻoholo e hoʻonui i ka nui o kāu lāʻau lapaʻau o kēia manawa a i ʻole e hoʻohui i kahi lāʻau lapaʻau hou i kāu hoʻolālā lapaʻau.
2. ʻEhia ka lōʻihi o kou maʻi diabetes?
He mea nui nō hoʻi ka lōʻihi o kou loaʻa ʻana i ka maʻi diabetes i ke koho ʻana i kahi lāʻau lapaʻau. No ka laʻana, inā ua loaʻa iā ʻoe ka maʻi diabetes no nā makahiki he 10 a ʻoi, ʻaʻole paha e maikaʻi loa kekahi mau pila diabetes. Akā inā ua ʻike hou ʻia ʻoe me ka maʻi, ʻaʻole paha e hoʻomaka koke kāu kauka iā ʻoe ma ka insulin. Eia kekahi, hiki i kekahi mau lāʻau lapaʻau ke nalowale mālie ko lākou pono i ka hala ʻana o ka manawa. No laila e hoʻomanaʻo e loli paha kāu hoʻolālā lapaʻau i ka hala ʻana o ka manawa.
Nā pilikia olakino ʻē aʻe e hiki ke hele pū me ka maʻi diabetes
ʻAʻole ka maʻi diabetes he maʻi e hele wale mai ana. Eia nō naʻe, aia kekahi mau 'hoa' ʻē aʻe e hele pū me ia. Hiki i kēia mau kūlana ke hoʻopilikia pololei i kāu kaohi ʻana i ke kō koko a me kāu koho ʻana i nā lāʻau lapaʻau.
| Pilikia Ola | Pehea e pili ai i ke koho lapaʻau |
|---|---|
| Momona | Hoʻonui ke kaumaha i ke kū'ē'ē ʻana o ka insulin, no laila e makemake paha kāu kauka i ke koho ʻana i nā lāʻau lapaʻau maʻi diabetes e kōkua iā ʻoe e hoʻemi i ke kaumaha. |
| Ke koko kiʻekiʻe | ʻO ka loaʻa ʻana o nā maʻi ʻelua i ka hui pū ʻana e hoʻonui i ka pilikia o ka maʻi puʻuwai a me ka maʻi puʻupaʻa. Loaʻa i kekahi mau lāʻau lapaʻau maʻi diabetes ka hopena maikaʻi i ke koko. |
| Kolesterol kiʻekiʻe | ʻO ka maʻi diabetes a me ke cholesterol kiʻekiʻe he hui pū ʻia e hiki ai ke alakaʻi i nā maʻi puʻuwai, no laila ke kālele nei ka hoʻolālā lapaʻau i ka kaohi ʻana i nā mea ʻelua. |
| Maʻi puʻuwai | Inā loaʻa iā ʻoe ka maʻi puʻuwai, ʻoi aku ka maikaʻi o ke koho ʻana i nā lāʻau lapaʻau maʻi diabetes kikoʻī i hōʻoia ʻia e pale i ka puʻuwai (e.g., nā mea hoʻopaʻa SGLT2, nā agonists GLP-1). |
| Maʻi puʻupaʻa | ʻAʻole maikaʻi loa kekahi mau lāʻau lapaʻau no ka maʻi diabetes no nā puʻupaʻa. No laila, inā he maʻi puʻupaʻa kou, e koho kāu kauka i kahi lāʻau lapaʻau palekana a kūpono i nā puʻupaʻa nāu. |
| ʻAneʻane hiamoe | Hoʻopilikia kēia ʻano i ka kaohi ʻana i ke kō koko, no laila he mea nui e hoʻomaopopo i kāu kauka e pili ana i kēia. |
| Kaumaha | Hoʻopilikia pololei ke olakino noʻonoʻo i ka mālama ʻana i ka maʻi diabetes. Hiki i ke kaumaha ke alakaʻi i ka mālama pono ʻole ʻana i nā lāʻau lapaʻau a me ka nalowale o ka mana ma luna o ka ʻai ʻana. No laila, he mea nui e kamaʻilio pū me kāu kauka e pili ana i kēia. |
Akā, aia kekahi mau lāʻau lapaʻau maʻi diabetes e hiki ke kōkua pū me kāu mau pilikia olakino ʻē aʻe. Eia kekahi laʻana, nā agonists GLP-1Inā ʻoe e lawe i kahi papa o nā lāʻau i kapa ʻia ʻo , hoʻonui kēia i ka manaʻo o ka piha ma hope o ka ʻai ʻana. No laila, inā momona ʻoe, hiki i kēia ke kōkua iā ʻoe e hōʻemi i ke kaumaha. Ua ʻike pū ʻia ka noiʻi e pale aku kēia mau lāʻau i nā maʻi puʻuwai a me nā maʻi puʻupaʻa.
3. Kou Pae Hana
He mea nui nō hoʻi ke ʻano o kou hana ʻana i ke ao. Hoʻohaʻahaʻa ka hoʻoikaika kino i kou pae kō koko. ʻOiai he mea maikaʻi kēlā, he mea nui e noʻonoʻo i kēia i ka wā e hana ai i kāu hoʻolālā lapaʻau. E ʻoiaʻiʻo me kāu kauka e pili ana i ka nui o kou hele wāwae ʻana i kēlā me kēia lā a me ke ʻano o kāu hana ma ka hana. Pono paha e hoʻoponopono ʻia kāu nui o ka lāʻau lapaʻau ma muli o kāu pae hana.
4. Ke inu nei ʻoe i ka waiʻona?
Inā he maʻa kou i ka inu ʻana i ka waiʻona, he mea nui e hoʻomaopopo i kāu kauka e pili ana i ia mea. Hiki i ka waiʻona ke hoʻohaʻahaʻa i kou pae kō koko (hypoglycemia) no kekahi mau hola. Hiki i kēia ke hoʻopilikia i ka pono o ka insulin a i ʻole kekahi mau lāʻau maʻi diabetes. Inā makemake ʻoe e inu pia a cocktail paha i kēlā me kēia manawa, e haʻi i kāu kauka e pili ana i ia mea. A laila e aʻo aku ʻo ia iā ʻoe i nā hana palekana hou aʻe āu e pono ai e hana e pale aku i nā pilikia me kāu lāʻau lapaʻau.
Makaʻu i nā nila? Mai hoʻolilo i kēlā i pilikia!
Makaʻu ka poʻe he nui i nā nila a me nā inikini. ʻAʻole ia he mea e hūnā ʻia, he makaʻu maʻamau ia i loaʻa i ka poʻe he nui. Inā loaʻa iā ʻoe kēlā makaʻu, mai hūnā. Inā makaʻu ʻoe i ka hāʻawi ʻana iā ʻoe iho i kahi inikini, e kamaʻilio me kāu kauka e pili ana i ia mea. No ka mea, inā ʻaʻole ʻoe e lawe i kāu lāʻau lapaʻau i ka manawa kūpono ma muli o ka makaʻu, hiki iā ia ke hoʻopilikia loa i kāu kaohi kō koko.
ʻO ka mea pōmaikaʻi, i kēia manawa, ʻaʻole pono ʻoe e huki i ka lāʻau lapaʻau mai loko mai o nā vials me kahi syringe e like me ma mua.
- Nā mea peni: Ua like kēia me ka peni. He maʻalahi loa lākou e hoʻohana. Na kāu kauka a kahu maʻi paha e hōʻike iā ʻoe pehea e hoʻohana ai iā lākou.
- ʻInsulin hanu ʻia: Loaʻa kekahi mau ʻano insulin i kēia manawa i ke ʻano e hiki ke hanu ʻia ma ka ihu.
No laila e like me kāu e ʻike ai, he nui nā koho. ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka e pili ana i kou mau makaʻu.
Leka Lawe-Home
- ʻAʻohe lāʻau lapaʻau hoʻokahi 'maikaʻi loa' no ka maʻi diabetes Type 2. ʻO ka lāʻau lapaʻau kūpono iā ʻoe e hilinaʻi ʻia i nā kumu he nui, me kou kūlana olakino a me kou nohona.
- ʻO kou pae kō koko, ka lōʻihi o kou loaʻa ʻana i ka maʻi diabetes, a me nā kūlana olakino ʻē aʻe e like me ka momona a me ke koko kiʻekiʻe he mea nui ia i ke koho ʻana i ka lāʻau lapaʻau.
- E kamaʻilio ākea me kāu kauka e pili ana i nā mea e like me kāu mau hana hoʻoikaika kino, ka hoʻohana ʻana i ka waiʻona, a me ka makaʻu i nā nila.
- ʻAʻole paʻa ka hoʻolālā lapaʻau. Hiki i kāu kauka ke hoʻololi iā ia i ka hala ʻana o ka manawa ma muli o kāu mau pono. No laila e hahai mau i nā ʻōlelo a kāu kauka.
- Inā makaʻu ʻoe i nā nila, e kūkākūkā i nā koho ʻē aʻe me kāu kauka, e like me nā mea peni a i ʻole ka insulin hanu ʻia. Mai hūnā i kou makaʻu!
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