He nui ka poʻe ma ko kākou ʻāina i loaʻa i ka maʻi i kapa ʻia ʻo Diabetes. Malia paha ʻo ʻoe, he lālā o ka ʻohana, a i ʻole he hoaaloha i loaʻa i kēia maʻi. He paʻakikī ka noho ʻana me ka maʻi diabetes, akā inā ʻoe e kāohi pono iā ia, hiki iā ʻoe ke ola i kahi ola maʻamau. Eia naʻe, inā ʻaʻole mākou e kāohi pono iā ia, ʻo ia hoʻi, inā kiʻekiʻe mau ke kiʻekiʻe o ke kō koko, hiki iā ia ke hōʻeha i nā ʻōpū o ko kākou kino. I kēia lā ke kamaʻilio nei mākou e pili ana i nā pilikia i hoʻokumu ʻia e ka maʻi diabetes. ʻO ka ʻike ʻana i kēia mau mea e kōkua nui ia i ka pale ʻana iā ʻoe iho.
Maʻi Puʻuwai a me ka Hahau
ʻO kekahi o nā pilikia maʻamau a weliweli hoʻi o ka maʻi diabetes, ʻo ia ka maʻi puʻuwai. Ke piʻi aʻe ke kō koko, ua hōʻino ʻia nā paia o ko kākou mau kīʻaha koko, a hoʻomaka ka cholesterol a me ka momona e hōʻiliʻili i loko o lākou. ʻO kēia ke kumu o ka wili ʻana o nā kīʻaha koko, e hōʻemi ana i ke kahe o ke koko i ka puʻuwai. ʻO kēia ke kumu nui o nā hōʻeha puʻuwai.
Pēlā nō hoʻi no kahi maʻi i kapa ʻia ʻo ka hahau . Hana ʻia kēia maʻi ke ālai ʻia a pohā paha kahi kīʻaha koko e lawe ana i ke koko i ka lolo. ʻOi aku ka kiʻekiʻe o kēia pilikia no kekahi kanaka me ka maʻi diabetes.
E nānā kāu kauka i kēia mau mea:
Hana ʻia kēia mau hoʻokolohua i kēlā me kēia manawa āu e hele ai e ʻike i ke kauka.
- Kaomi Koko : Ana ʻia kou kaomi koko me kahi kūpeʻe lima a puni kou lima. He mea nui e mālama iā ia ma lalo o 130/80 mmHg.
- Nā hoʻāʻo koko : Lawe ʻia kahi liʻiliʻi o ke koko e nānā i kou pae o ka cholesterol maikaʻi ʻole ( LDL cholesterol) a me nā triglycerides .
- Hoʻāʻo ECG : E hana ʻia kahi hoʻāʻo ECG (Electrocardiogram) i ka manawa mua e nānā i ka hana o kou puʻuwai a mālama i kahi moʻolelo o ia mea.
ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka e pili ana i kāu mau kumu pilikia , e like me ka mōʻaukala ʻohana o ka maʻi puʻuwai a inā ʻoe e puhipaka ana . Hiki ke hoʻemi nui ʻia kēia mau pilikia e nā mea e like me ka hōʻemi ʻana i ke kaumaha , ka hoʻoikaika kino, a me ka hoʻēmi ʻana i ke kaumaha .
Inā ʻike ʻoe i nā hōʻailona o ka hahau ʻana , pono ʻoe e hele koke i ka haukapila.Inā ʻike ʻoe i nā hōʻailona e like me ka mae koke ʻana ma kekahi ʻaoʻao o kou helehelena a kino paha, ka paʻakikī o ka ʻōlelo ʻana, ka paʻakikī o ka ʻike ʻana i nā maka ʻelua, a i ʻole ka poniuniu, e hele koke i ka Emergency Department (ETU) .
Ka pōʻino o nā puʻupaʻa (Diabetic Nephropathy)
ʻO nā puʻupaʻa nā kānana i loko o ko kākou kino. Kānana lākou i nā huahana ʻōpala mai ke koko. Eia nō naʻe, ke noho kiʻekiʻe nā pae kō koko no ka manawa lōʻihi, e hōʻino ʻia nā kīʻaha koko palupalu i loko o nā puʻupaʻa. Ua kapa ʻia kēia he Diabetic Nephropathy .
I nā pae mua, ʻaʻohe hōʻailona, akā e emi mālie ana ka hana o nā puʻupaʻa, a i ka hopena e hāʻule loa paha nā puʻupaʻa.
No laila, he mea nui no nā kānaka a pau me ka maʻi diabetes e hana i nā hoʻāʻo puʻupaʻa ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki .
- Hoʻāʻo mimi : E nānā ʻia kāu mimi no kahi protein i kapa ʻia ʻo albumin. ʻO ka maʻamau, ʻaʻole i hoʻokuʻu ʻia kēia protein i loko o ka mimi. Eia nō naʻe, ke hōʻino ʻia nā puʻupaʻa, hōʻiliʻili kēia protein i loko o ka mimi.
- Hoʻāʻo koko: E hana ʻia kahi hoʻāʻo koko e nānā i kou pae creatinine a me GFR (Glomerular Filtration Rate). I ka ʻōlelo maʻalahi, ʻo GFR ke ana o ka maikaʻi o ke kānana ʻana o kou mau puʻupaʻa i nā huahana ʻōpala.
Ka pōʻino o ke aʻalolo (Diabetic Neuropathy)
He pilikia maʻamau nō hoʻi kēia o ka maʻi diabetes. Hoʻopōʻino ke kiʻekiʻe o ke kō koko i nā aʻalolo i loko o ko kākou kino. Ua kapa ʻia kēia he diabetic neuropathy . Hoʻopilikia nui ia i nā aʻalolo ma nā lima a me nā wāwae.
Loaʻa iā ʻoe kēia mau ʻano?
- Ke ʻūlū nei nā lima a me nā wāwae.
- Me he mea lā e wela ana koʻu mau wāwae.
- I kekahi manawa aia ka mae.
ʻO ka pōʻino nui o kēia, ʻaʻole hiki iā ʻoe ke manaʻo i kekahi mea ma kou mau wāwae. E noʻonoʻo, he ʻoki liʻiliʻi kou ma kou wāwae, a he kākalaioa paha i paʻa i loko, akā pehea inā ʻaʻole ʻoe e manaʻo? Hiki i kēlā ʻoki liʻiliʻi ke ulu, lilo i maʻi, a alakaʻi paha i ka pono e ʻoki i kou wāwae.
No laila, e nānā i kou mau wāwae i kēlā me kēia pō ma mua o kou hiamoe ʻana . E nānā inā he ʻulaʻula, pehu, ʻeha , a ʻili māwae paha. Inā ʻike ʻoe i kekahi o kēia mau mea, e haʻi koke i kāu kauka.
E nānā pū kāu kauka i kou mau wāwae ma ka liʻiliʻi hoʻokahi manawa i ka makahiki. Hiki iā lākou ke pā i kou wāwae me kahi mea e like me ke kaula nylon a i ʻole kahi pine liʻiliʻi e ʻike ai inā hiki iā ʻoe ke hoʻopā. Inā ʻaʻole hiki iā ʻoe ke hoʻopā, he hōʻailona paha ia o ka hōʻino ʻia o ke aʻalolo.
Nā hopena ma ka ʻike maka (Diabetic Retinopathy)
Hiki i ka maʻi diabetes ke hōʻino i nā maka. ʻO ke kō koko kiʻekiʻe e hōʻino i nā kīʻaha koko palupalu e hoʻolako koko i ka retina ma ke kua o ka maka. Ua kapa ʻia kēia he diabetic retinopathy . Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i ka makapō.
No laila, he mea nui no nā kānaka a pau me ka maʻi diabetes e ʻike i ke kauka maka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki e nānā ʻia ai ko lākou mau maka.
- Hoʻokolokolo maka: E kau ke kauka i nā kulu i loko o kou maka e hoʻonui i ka haumāna. A laila, e hoʻohana lākou i kahi aniani kūikawā e nānā i ke kua o kou maka, ʻo ia hoʻi ka retina , e ʻike inā he pōʻino.
- E pōwehiwehi iki kou ʻike a e ʻike ʻia i ka mālamalama no kekahi mau hola ma hope o kēia hoʻāʻo. No laila, he manaʻo maikaʻi e lawe mai i kahi mau aniani maka a e hoʻokele kekahi iā ʻoe .
Pono ka poʻe me ka maʻi diabetes Type 1 e hoʻomaka i kēia nānā ʻana i loko o 3-5 mau makahiki o ka ʻike ʻia ʻana. Pono ka poʻe me ka maʻi diabetes Type 2 e hana i kā lākou hoʻokolohua maka mua i ka wā e ʻike ʻia ai.
Nā pilikia maʻamau ʻē aʻe
Ma waho aʻe o nā pilikia nui i ʻōlelo ʻia ma luna nei, hiki ke kū mai nā pilikia ʻē aʻe he nui.
- Nā pilikia hoʻoheheʻe ʻana (Gastroparesis): ʻO ka hōʻino ʻana i nā aʻalolo i loko o ka ʻōpū e hoʻokuʻu mālie ai ka ʻōpū. Hoʻoulu kēia i nā hōʻailona e like me ka pehu a me ka nausea. No ka hōʻoia ʻana i kēia, pono paha nā hoʻokolohua e like me ka endoscopy .
- ʻO ka hana ʻino o ka erectile: Hoʻonui ka maʻi diabetes i ka pilikia o ka hana ʻino o ka erectile i nā kāne. He mea nui e kamaʻilio me kāu kauka e pili ana i kēia me ka hilahila ʻole. Hiki ke mālama ʻia me nā hoʻololi ʻana i ke ʻano o ka nohona a me nā lāʻau lapaʻau.
- Nā pilikia ʻili a me nā maʻi: Ke piʻi aʻe ke kiʻekiʻe o ke kō koko, hana ʻia kahi ʻano maikaʻi no ka ulu ʻana o ka bacteria a me nā fungi. Hoʻemi pū ia i ka hiki o ke kino ke ho'ōla i nā ʻeha. Hiki i kēia ke alakaʻi i nā maʻi ʻili pinepine, nā maʻi ʻōpū mimi, a me nā maʻi ʻāʻī.
- Nā pilikia olakino niho: ʻO ka poʻe me ka maʻi diabetes he nui ka pilikia o ka maʻi ʻāʻī (gingivitis), ka pala o nā niho, a me ka nalowale o nā niho. No laila, he mea nui e palaki a hoʻohana i ka floss i kēlā me kēia lā a ʻike pinepine i ke kauka niho.
Nā hoʻokolohua āu e pono ai e hana
I mea e pale aku ai i nā pilikia, he mea nui e ʻike i ke ʻano o ka mālama ʻia ʻana o kāu maʻi diabetes. Kōkua kēia mau hoʻokolohua me kēlā.
| Inoa o ka hoʻāʻo | He wehewehe maʻalahi |
|---|---|
| Hoʻāʻo koko A1c | Hāʻawi kēia iā ʻoe i kahi manaʻo o kou awelika kō koko i nā mahina 3 i hala . Pono ʻoe e hana i kēia ma ka liʻiliʻi ʻelua i ka makahiki. |
| Hoʻāʻo Ketone | Ke ʻole lawa ka glucose o nā ʻāpana o ke kino, puhi lākou i ka momona no ka ikehu. ʻO nā kemika i hana ʻia ua kapa ʻia he ketones, kahi i nānā ʻia i loko o ka mimi. Hiki i nā pae ketone kiʻekiʻe ke alakaʻi i kahi kūlana weliweli i kapa ʻia ʻo DKA (Diabetic Ketoacidosis) . |
| Hoʻāʻo Thyroid | Aia kahi pilina ma waena o ka maʻi diabetes a me ka hypothyroidism, no laila pono e hana ʻia kēia hoʻokolohua ma ke ʻōlelo aʻoaʻo a ke kauka. |
He mea pono e mālama pono ʻia ka maʻi diabetes. Mai hopohopo. Inā ʻoe e hahai pono i nā ʻōlelo a kāu kauka, e lawe i kāu lāʻau lapaʻau i ka manawa kūpono, e kāohi i kāu ʻai, a e hoʻoikaika kino, hiki iā ʻoe ke pale iā ʻoe iho mai nā pilikia he nui i ʻōlelo ʻia ma luna.
Leka Lawe-Home
- Inā ʻaʻole i kaohi ʻia ka maʻi diabetes, hiki iā ia ke hoʻopilikia i kēlā me kēia ʻōkana o kou kino, me kou puʻuwai, nā puʻupaʻa, nā maka, a me nā aʻalolo.
- E ʻike i kāu kauka i ka manawa kūpono a e nānā ʻia kou koko, ka cholesterol, a me nā pae A1c.
- E ʻike pono i kahi kauka maka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki a e nānā i kou mau maka.
- E nānā i kou mau wāwae i kēlā me kēia lā no nā ʻeha, nā māwae, a i ʻole nā mea ʻē aʻe.
- E hōʻalo i ka puhipaka, e ʻai i ka meaʻai olakino, a e hoʻoikaika kino mau. Hiki i kēia mau mea ke hōʻemi nui i ka pilikia o nā pilikia.
- Inā ʻike ʻoe i kekahi mau hōʻailona ʻē (e laʻa me ka ʻeha o ka umauma, ka ʻeha ʻana o ka ʻili, nā loli o ka ʻike), e hoʻomaopopo koke i kāu kauka.
Maʻi diabetes, Nā pilikia maʻi diabetes, Maʻi puʻuwai, Maʻi puʻupaʻa, Pōʻino o ke aʻalolo, Kaohi ʻana i ka maʻi diabetes
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