Ke hāʻule koke nei kou kō koko? E kamaʻilio kākou e pili ana i ka hypoglycemia!

Loaʻa iā ʻoe ka maʻi diabetes? Inā pēlā, i kekahi manawa, puka koke ʻoe i ka hou, haʻalulu, a manaʻo iki ʻole? Malia paha ua pōloli ʻoe, poniuniu, a ke holo wikiwiki nei paha kou puʻuwai. ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau he 'hypoglycemia'. I ka ʻōlelo maʻalahi, ʻo ka nui o ke kō e hiki ai i ko mākou kino ke hoʻohana i ka wā e emi koke ai ka ikehu.

He aha ka hypoglycemia?

E noʻonoʻo i ko kākou kino e like me ke kaʻa. E like me ka pono o ke kaʻa i ka ʻaila e holo ai, pono ko kākou kino i ka ikehu e hana i nā hana o kēlā me kēia lā, e like me ka noʻonoʻo ʻana, ka hanu ʻana, ka hele wāwae ʻana, a me ka holo ʻana. ʻO ke kumu nui o ka ikehu i loko o ko kākou kino, ʻo ia ka glucose, a i ʻole ke 'kōpaʻa' wale nō. Ke hāʻule koke ke kiʻekiʻe o ke kō i loko o ke kino o ke kanaka me ka maʻi diabetes i lalo loa, nalowale ke kino i ka 'wahie' e pono ai no ka hana. ʻO ka maʻamau, hoʻomaka kēia mau hōʻailona e ʻike ʻia ke hāʻule ke kiʻekiʻe o ke kō koko ma lalo o 70 mg/dL (milligrams no ka deciliter).

He aha nā hōʻailona i ka manawa e like me kēia?

ʻAʻole like nā hōʻailona o ka hypoglycemia no kēlā me kēia kanaka. Inā loaʻa iā ʻoe ka maʻi diabetes, e ʻike mālie ʻoe i ke ʻano o ka pane ʻana o kou kino i kēia kūlana. Hiki ke hoʻokaʻawale ʻia kēia mau hōʻailona i ʻelua mau ʻāpana: nā hōʻailona mua a me nā hōʻailona ʻoi aku ka koʻikoʻi.

No ke aha e emi ai ke kō koko penei?

Aia kekahi mau kumu no kēia. ʻO nā mea nui nā lāʻau lapaʻau a mākou e lawe ai no ka maʻi diabetes a me kā mākou ʻano ʻai.

ʻO kekahi mau lāʻau lapaʻau no ka maʻi diabetes

He mea nui loa e nīnau i kāu kauka inā hiki i ka lāʻau lapaʻau maʻi diabetes āu e lawe nei ke hoʻohaʻahaʻa i ke kō koko.

• Lapaʻau ʻInisulina: ʻO ka insulin ka hormone nui e kaohi i nā pae kō koko. I ka wā e lawe ai i ka insulin ma waho, i kekahi manawa inā ʻoi aku ka nui o ka lāʻau i lawe ʻia ma mua o ka mea e pono ai ke kino, hiki ke hāʻule nā ​​​​pae kō koko.
• Sulfonylureas: He ʻano lāʻau lapaʻau maʻamau kēia i hoʻohana ʻia no ka mālama ʻana i ka maʻi diabetes. Hana lākou ma ka hoʻoulu ʻana i ka pancreas e hana i ka insulin hou aku. I kekahi manawa hiki i kēia ke kumu i nā pae kō koko haʻahaʻa. ʻO kekahi mau laʻana:
• ʻO Glimepiride (Amaryl)
• ʻO Glipizide (Glucotrol)
• ʻO Glibenclamide (Glyburide, Micronase)

Eia kekahi, inā ʻoe e inu i ka waiʻona me kāu lāʻau lapaʻau maʻi diabetes, a inā ʻoe e lawe i nā lāʻau lapaʻau ʻē aʻe e like me allopurinol, aspirin, a warfarin paha, hiki iā lākou ke launa pū a hoʻohaʻahaʻa i nā pae kō koko. No laila, e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.

Ka hopena o ka meaʻai a me ka mea inu

Inā ʻoe e lawe i ka insulin a i ʻole nā ​​​​lāʻau maʻi diabetes i kūlike ʻole me ka nui o nā kalapona (starch/sugar) āu e ʻai ai, e hāʻule paha kāu kō koko.

• Ke hōʻalo nei a hoʻopaneʻe paha i kahi ʻai: Inā ʻaʻole ʻoe e ʻai i ka manawa kūpono ma hope o ka lawe ʻana i kāu lāʻau lapaʻau, e hāʻule ana kāu pae kō koko no ka mea ʻaʻole i komo ke kō i loko o kou kino.
• ʻAi ʻana i kahi meaʻai kiʻekiʻe i nā kō maʻalahi: Inā ʻai ʻoe i ka nui o nā meaʻai kiʻekiʻe i ke kō (e.g., nā mea inu ʻono, nā keke) i ka manawa hoʻokahi, e hana koke kou kino i ka nui o ka insulin. Hiki i kēia ke hoʻohaʻahaʻa koke i kou pae kō koko.
• Inu waiʻona ma ka ʻōpū ʻole: ʻO ka inu ʻana i ka waiʻona me ka ʻole o ka meaʻai e hiki ke kāohi i ke kaʻina hana kō o ke akepaʻa a hoʻoulu i ka hypoglycemia.
• Hoʻoikaika Kino: Ke hoʻoikaika kino ʻoe, hoʻohana kou kino i ke kō no ka ikehu. No laila, pono ʻoe e makaʻala e pili ana i kāu mau pae kō ma mua a ma hope o ka hoʻoikaika kino.

He aha kāu e hana ai ke haʻahaʻa kou kō koko?

Inā manaʻo ʻoe e ʻike ana ʻoe i nā hōʻailona o ka hypoglycemia, mai hopohopo a hahai i kēia mau ʻanuʻu.

1. E nānā koke i kou pae kō koko: Inā hiki, e nānā i kou pae kō koko me kāu glucometer. Inā ma lalo o 70 mg/dL, e hana koke.

2. E hahai i ke kānāwai '15-15':

• KaʻAnuʻu Hana 1: E ʻai a inu paha ma kahi o 15 grams o nā kalapona hana wikiwiki.
• 3-4 papa glucose
• 4-6 mau toffees momona (ʻaʻole me ke kō ʻole)
• 1/2 kīʻaha wai huaʻai (ʻaʻole me ke kō ʻole)
• 1 kīʻaha waiū momona
• 1/2 kīʻaha o ka mea inu palupalu kō
• He punetēpē o ka meli (komo koke kēia i loko o ke koko ke waiho ʻia ma lalo o ke alelo)
• KaʻAnuʻu Hana 2: E kali i 15 mau minuke.
• KaʻAnuʻu Hana 3: E nānā hou i kou kō koko. Inā ma lalo o 70 mg/dL, e ʻai hou i 15 grams o kekahi o nā meaʻai i helu ʻia ma luna.

3. Ke hoʻi hou kou pae kō koko i ka maʻamau: Ke hoʻi hou kou pae kō koko i ka maʻamau, e ʻai i kahi meaʻai māmā liʻiliʻi i loaʻa ka protein a me nā kalapona paʻakikī (e laʻa, kahi biscuit cream cracker me ka tīhi) e mālama i kou pae kō koko i ka paʻa.

He aha inā nalowale ka ʻike o kekahi?

I kekahi mau hihia koʻikoʻi, hiki i ka hypoglycemia ke hoʻoulu i ka nalowale o ka ʻike. He pilikia kēia.

• Mai hāʻawi i ka meaʻai a mea inu paha ma ka waha i kahi kanaka i ʻike ʻole i ka ʻike. ʻO ka hana ʻana pēlā e hiki ai ke paʻa i loko o ke ala ea a hoʻonui i ke kūlana.
• E kāhea koke aku i kahi ambulance a i ʻole e lawe i ke kanaka i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
• Inā ua ʻōlelo kāu kauka e hoʻohana ʻoe i kahi inikini i kapa ʻia ʻo glucagon, he mea nui loa ia e aʻo aku i kou ʻohana a me kou mau hoaaloha pehea e hāʻawi ai iā ia i kahi pilikia. ʻO Glucagon kahi hormone e hoʻokiʻekiʻe koke i nā pae kō koko.

E akahele i ka wā e hoʻokele ana!

He mea weliweli loa ka hoʻokele ʻana me ke kō koko haʻahaʻa. Inā ʻike ʻoe i nā hōʻailona o ka hypoglycemia i ka wā e hoʻokele ana, e hoʻōki koke i ke kaʻa ma kahi palekana ma ke alanui. A laila e nānā i kou kō koko, e ʻai i kahi mea ʻono, e kali i 15 mau minuke, e nānā hou, a hoʻokele hou wale nō ke hoʻi hou kou kō koko i ka maʻamau. E mālama mau i kahi mea ʻono (toffee, glucose) i loko o kāu kaʻa no nā pilikia.

Pehea e pale aku ai i ka hypoglycemia?

• E hahai pono i ka papaʻai i hāʻawi ʻia iā ʻoe e kāu kauka a meaʻai meaʻai paha .
• E ʻai i kāu mau meaʻai nui ʻekolu i nā manawa maʻamau. Mai hoʻokuʻu i ka mamao ma waena o nā meaʻai ma mua o 4-5 mau hola.
• Inā ʻoe e hoʻoikaika kino, e hana ia i ka hapalua hola a i ʻole hoʻokahi hola ma hope o ka ʻai ʻana. E nānā i kou pae kō koko ma mua a ma hope o ka hoʻoikaika kino.
• Ma mua o ka lawe ʻana i ka lāʻau lapaʻau, e nānā pono i ka lāʻau lapaʻau kūpono a me ka nui kūpono .
• Inā ʻoe e inu i ka waiʻona, e kaupalena iā ia. E pale i ka inu ʻana i ka waiʻona ma ka ʻōpū ʻole.
• E nīnau i kāu kauka e pili ana i nā pae kiʻekiʻe o nā lāʻau lapaʻau āu e lawe nei.
• E nānā pinepine i kou pae kō koko e like me ka ʻōlelo a kāu kauka .
• ʻO ke kau ʻana i kahi kāleka ID a kūpeʻe lima paha e hōʻike ana he maʻi diabetes kou hiki ke lilo i mea nui loa i ka wā pilikia.

Inā haʻahaʻa kou pae kō koko i kekahi mau manawa i ka pule me ke kumu ʻole, e kamaʻilio me kāu kauka e pili ana i ia mea. E mālama i kahi moʻolelo o ka manawa, ka lā, a me nā mea āu e hana nei i ia manawa. E kōkua kēia i kāu kauka e ʻike i kahi ʻano a hana i nā hoʻololi e pono ai i kāu lāʻau lapaʻau.