Inā loaʻa iā ʻoe ka maʻi diabetes, ua lohe paha ʻoe i ka huaʻōlelo "kiʻekiʻe ke kō koko" i nā manawa a pau. Ua lohe paha ʻoe ua hiki kēia i kahi hoaaloha a ʻohana paha o ʻoe. I ka ʻōlelo maʻalahi, ʻo ia ka mea a ka ʻepekema lapaʻau e kapa nei he hyperglycemia. ʻO ia hoʻi, piʻi nui ka nui o ka glucose (kō) i loko o kou koko. Hana ʻia kēia no ka mea ʻaʻole hana pono kou kino i ka hormone insulin a ʻaʻole hiki ke hoʻohana pono i ka insulin āna e hana ai. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia me ka hohonu iki, ma ke ʻano e hiki ai i nā mea a pau ke hoʻomaopopo.
He aha maoli ka hyperglycemia?
E noʻonoʻo e pili ana i ia mea, ua like nā ʻenekini liʻiliʻi i loko o ko kākou kino. Pono kēia mau ʻenekini i ka ikehu, a i ʻole ka wahie, e hana. ʻO kēia wahie he glucose, ka mea a kākou e loaʻa ai mai ka meaʻai a kākou e ʻai ai, ʻoiai mai nā meaʻai i loaʻa nā kalapona. Akā, ʻaʻole hiki i kēia glucose ke hele pololei i loko o nā ʻenekini. Pono ia i ke kōkua mai kahi hormone i kapa ʻia ʻo insulin. Ua like ka insulin me ke kī e wehe ai i ka puka i ke ʻenekini.
He pilikia ko ke kanaka me ka maʻi diabetes me kēia kī (insulin). ʻAʻole lawa nā kī (diabetes Type 1), a inā paha he mau kī, ʻaʻole lākou e kūpono i ka laka puka (ke kūʻē ʻana o ka insulin, kahi e kū nei i ka maʻi diabetes Type 2). He aha ka mea e hana ai? ʻAʻole hiki i ka glucose e hōʻiliʻili ana i loko o ke koko ke komo i loko o nā ʻāpana a hōʻiliʻili i loko o ke koko. ʻO kēia piʻi ʻana o nā pae kō koko ua kapa ʻia ʻo hyperglycemia.
ʻElua ala nui e hana ai i kēia:
| ʻAno o ka hyperglycemia | I ka ʻōlelo maʻalahi... |
|---|---|
| Hyperglycemia hoʻokē ʻai | ʻO ke ʻano kēia, ʻoi aku ke kiʻekiʻe o ke kō koko ma mua o 130 mg/dL ma hope o kou ʻai ʻole ʻana a inu ʻole ʻana paha i kekahi mea no 8 mau hola ma ka liʻiliʻi. (Inā aia kou waiwai ma waena o 100-125 mg/dL, ua manaʻo ʻia he prediabetes.) |
| ʻO ka Hyperglycemia ma hope o ka ʻai ʻana | Ke nānā ʻia nā pae kō koko i 2 mau hola ma hope o ka ʻai ʻana, ʻoi aku lākou ma mua o 180 mg/dL . ʻOiai ma hope o ka ʻai nui ʻana, ʻaʻole pinepine kēia waiwai e piʻi ma luna o 140 mg/dL i ke kanaka me ka ʻole o ka maʻi diabetes. |
ʻO ka mea nui loa, inā pinepine a hoʻomau paha kēia ʻano, hiki iā ia ke hōʻino i kou mau aʻalolo, nā kīʻaha koko, a me nā ʻōpū o loko. No laila, he mea nui loa ka ʻike koke ʻana a me ka mālama ʻana iā ia.
He aha nā kumu o ke kiʻekiʻe o ke kō koko?
Aia nā kumu like ʻole e hiki ai i ke kanaka me ka maʻi diabetes ke loaʻa i ke kō koko kiʻekiʻe.
- Ka poina ʻana a i ʻole ka hōʻole ʻana i kāu insulin i kuhikuhi ʻia a i ʻole nā lāʻau maʻi diabetes i ka manawa kūpono .
- ʻAi ʻana i nā meaʻai i loaʻa nā kalapona (starch) he nui aʻe ma mua o ka nui o ka insulin āu e pono ai. Eia kekahi laʻana, ʻai nui i ka laiki, ka berena, a i ʻole ka ʻuala.
- He maʻi i loko o ke kino.
- ʻO kekahi maʻi a kūlana ʻē aʻe (e like me ke anu, ka maʻi palū).
- Hoʻonui ʻia ke kaumaha .
- Ka nele i ka hana kino a i ʻole ka hoʻomaʻamaʻa mau ʻole.
- I kekahi manawa, ʻo ka hoʻoikaika kino nui loa (ʻoiai inā kiʻekiʻe ke kō koko a haʻahaʻa nā pae insulin) hiki ke lilo i kumu.
Hiki i nā kānaka me ka ʻole o ka maʻi diabetes ke loaʻa ke kō koko kiʻekiʻe?
ʻAe, ʻoiai nā kānaka me ka ʻole o ka maʻi diabetes hiki ke loaʻa i ka hyperglycemia i kekahi manawa.
- ʻO ka maʻi Cushing: He ʻano laha ʻole kēia e kū mai ana i ka wā e loaʻa ai i ke kino nā pae kiʻekiʻe o ka hormone cortisol no ka manawa lōʻihi.
- Nā maʻi o ka pancreas: Inā he maʻi o ka pancreas e hana ana i ka insulin (pancreatitis a i ʻole ke kanesa pancreatic), hiki ke hoʻopilikia ʻia ka hana ʻana o ka insulin.
- ʻO ka Polycystic Ovary Syndrome (PCOS): ʻO kēia kūlana, ka mea maʻamau i nā wahine, ua hōʻike ʻia e ke kūʻē ʻana o ka insulin.
- Kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau, e like me nā steroid, ke hoʻonui i nā pae kō koko no kekahi manawa.
He aha nā hōʻailona o ke kō koko kiʻekiʻe?
Hiki ke ʻokoʻa nā hōʻailona o ka hyperglycemia i nā pae mua a i ka holomua ʻana o ke kūlana. He mea nui e ʻike i kēia mau mea.
| Nā hōʻailona mua | Nā hōʻailona e kū mai ana i kahi manawa lōʻihi |
|---|---|
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Pilikia: Diabetic Ketoacidosis (DKA)
He mea kēia e makaʻala nui ai. Inā hoʻomau ʻia ka hyperglycemia me ka nānā ʻole ʻia, ʻoiai hoʻi i ka poʻe me ka maʻi diabetes Type 1, hiki iā ia ke alakaʻi i kahi maʻi weliweli a hoʻoweliweli i ke ola i kapa ʻia ʻo Diabetic Ketoacidosis (DKA).
I ka ʻōlelo maʻalahi, ke hiki ʻole i nā cell ke loaʻa ka glucose, hoʻomaka ke kino e puhi i ka momona no ka ikehu. Hoʻopuka kēia kaʻina hana i nā kemika i kapa ʻia ʻo "ketones." Ke hōʻiliʻili kēia mau ketones i loko o ke koko, lilo ke koko i waikawa. He mea weliweli loa kēia.
Nā hōʻailona o ke kūlana DKA:
- Ka luaʻi a me ka luaʻi
- Ka make wai nui
- ʻeha ka ʻōpū
- Paʻakikī ka hanu ʻana
- He ʻala hua ma ka hanu
- Nā palpitations o ka puʻuwai
- Ka huikau a me ka nalowale o ka ʻike (coma)
Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kēia mau hōʻailona, pono ʻoe e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. He pilikia olakino kēia.
Pehea mākou e kaohi ai a pale aku ai i kēia kūlana?
Inā loaʻa iā ʻoe ka maʻi diabetes a ke ʻike nei ʻoe i nā hōʻailona mua i ʻōlelo ʻia ma luna, e nānā mua i kou pae kō koko. A laila e kamaʻilio me kāu kauka. Hiki iā ia ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo penei:
1. E inu i ka wai nui: Kōkua ka inu wai i ka hoʻokahe ʻana i ke kō keu mai ke kino ma o ka mimi. Hiki iā ia ke pale aku i ka maloʻo ʻana o ka wai.
2. Hoʻoikaika kino: Hiki i ka hoʻoikaika kino ke kōkua i ka hoʻohaʻahaʻa ʻana i nā pae kō koko. Akā eia kahi mea nui e hoʻomanaʻo ai. Inā ua kiʻekiʻe mua kou pae kō koko a he ketones kou i loko o kou mimi (ʻoi aku hoʻi i ka maʻi diabetes type 1), hiki i ka hoʻoikaika kino ke hoʻonui i ka ʻino.No laila, e ʻimi pono i ka ʻōlelo aʻo a kāu kauka e pili ana i ke ʻano o ka hoʻoikaika kino.
3. E hoʻololi i kāu mau ʻano ʻai: Pono paha ʻoe e hoʻololi i ka nui a me ke ʻano o nā kalapona i kāu meaʻai. Hiki iā ʻoe ke ʻimi i ka ʻōlelo aʻo mai kahi meaʻai meaʻai no kēia.
4. Ke Hoʻololi ʻana i nā Lāʻau Lapaʻau: Mai hoʻololi i ke ʻano, ka nui, a i ʻole ka manawa o kāu mau lāʻau lapaʻau me ka ʻole o ka nīnau mua ʻana i kāu kauka. Inā pono, na kāu kauka e hana i nā hoʻololi ponoʻī.
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke pale ʻana i kēia maʻi mai ka hanana ʻana. Pono kēia e hahai pono i kāu hoʻolālā hoʻokele maʻi diabetes.
- E lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka i ka manawa kūpono.
- E hahai i ka papa hana ʻai i kuhikuhi ʻia.
- E hoʻoikaika kino i nā manawa a pau.
- E nānā pinepine i kou pae kō koko.
- He mea nui loa ke komo ʻana i ka palapala hōʻoia lapaʻau i ʻike ai kekahi poʻe he maʻi diabetes ʻoe i ka wā o kahi pilikia.
Leka Lawe-Home
- ʻO ka Hyperglycemia kahi pae kō koko kiʻekiʻe loa. He kūlana kēia e kū pinepine ana i nā poʻe me ka maʻi diabetes.
- E makaʻala i nā hōʻailona mua e like me ka make wai pinepine, ka mimi pinepine, ka luhi, a me ka ʻike pohihihi.
- Hiki iā ʻoe ke kaohi i kēia kūlana ma ka hahai pono ʻana i ka papaʻai, ka hoʻoikaika kino, a me ka lāʻau lapaʻau i hāʻawi ʻia e kāu kauka.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka luaʻi ʻana, ka ʻōpū ʻeha, a me kahi ʻala hua i kou hanu, e hele koke i ka Emergency Department (ETU) o ka haukapila, no ka mea, he pilikia paha ia i kapa ʻia ʻo (DKA) .
- Mai hoʻololi i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka. Inā he mau hopohopo kāu, e kamaʻilio me kāu kauka.
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