Loaʻa iā ʻoe ka maʻi diabetes? A i ʻole kekahi o kou ʻohana a i ʻole hoaaloha pili e loaʻa ana i ka maʻi diabetes? A laila e lilo kēia moʻolelo i mea nui loa iā ʻoe. Ke noʻonoʻo pinepine mākou i ka maʻi diabetes, manaʻo wale mākou i ka kaohi ʻana i ke kō koko. Akā, ua ʻike maoli anei mākou i ka pōʻino e hiki ai i ka maʻi diabetes ke hana i kekahi ʻano koʻikoʻi loa i loko o ko mākou kino, ʻo ko mākou mau puʻupaʻa? ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.
He aha ka Diabetic Nephropathy?
I ka ʻōlelo maʻalahi, ʻo ka diabetic nephropathy ka nalowale mālie o ka hana o nā puʻupaʻa i hoʻokumu ʻia e ka maʻi diabetes i ka hala ʻana o ka manawa. ʻO ka ʻoiaʻiʻo, ʻo ka maʻi diabetes ke kumu nui o ka hāʻule ʻana o nā puʻupaʻa ma ka honua holoʻokoʻa. Ma kahi o hoʻokahi o kēlā me kēia ʻekolu o ka poʻe me ka maʻi diabetes e loaʻa i kēia maʻi.
Ke loaʻa i kahi kanaka me ka maʻi diabetes ka maʻi puʻupaʻa, hiki ke ʻoi aku ka paʻakikī o ke kūlana ma mua o ka loaʻa ʻana o ka maʻi puʻupaʻa me ka ʻole o ka maʻi diabetes. ʻO kēia no ka mea he pinepine ka poʻe me ka maʻi diabetes i nā pilikia olakino ʻē aʻe, e like me ke koko kiʻekiʻe, ka cholesterol kiʻekiʻe, a me ka atherosclerosis . Ke hui pū ʻia kēia mau mea a pau, hiki ke ʻoi aku ka nui o ka pōʻino o nā puʻupaʻa.
ʻOkoʻa iki nō hoʻi kēia kūlana ma muli o ke ʻano o ka maʻi diabetes.
- I ka maʻi diabetes Type 1: He mea kakaikahi ka hōʻino ʻana o nā puʻupaʻa i loko o nā makahiki 10 mua ma hope o ka hōʻoia ʻana.
- I ka maʻi diabetes Type 2: No kekahi mau maʻi, ʻoiai ke ʻōlelo mai ke kauka, "He maʻi diabetes kou," ua hoʻomaka paha ko lākou mau puʻupaʻa e hōʻino ʻia i kekahi ʻano. ʻO ia ke kumu e pono ai ka poʻe me ka maʻi diabetes Type 2 e makaʻala loa i kēia.
He aha nā hōʻailona o kēia maʻi?
ʻO ka mea weliweli loa e pili ana i kēia , ʻaʻohe hōʻailona i nā pae mua. ʻAʻole paha ʻoe e ʻike i kekahi loli a hiki i ka wā e hōʻino nui ai kou mau puʻupaʻa. Akā i ka hoʻomaka ʻana o kou mau puʻupaʻa e hāʻule, e ʻike ʻia paha nā hōʻailona penei:
E noʻonoʻo, ua loaʻa i kou makuahine ka maʻi diabetes. ʻAʻole hiki iā ia ke hana i nā mea āna i hana ai ma mua, ʻōlelo mau ʻo ia ua luhi ʻo ia. Ke ala ʻo ia i ke kakahiaka, ua pehu iki kona mau wāwae a me kona maka. Manaʻo mākou he mea ia e hana ʻia me ka ʻelemakule, a i ʻole kekahi mea e hana ʻia me ka luhi. Akā, he mau hōʻailona mua paha kēia o ka pilikia o ka puʻupaʻa.
| Hōʻailona | Wehewehena |
|---|---|
| Ka pehu ʻana o nā lima, nā wāwae, a me ka maka | Hana ʻia kēia ma muli o ka hiki ʻole i nā puʻupaʻa ke hoʻoneʻe i ka wai keu mai ke kino. |
| Nā pilikia hiamoe a me ka emi ʻana o ka nānā ʻana | ʻO ka hōʻiliʻili ʻana o nā huahana ʻōpala i loko o ke koko hiki ke hoʻopilikia i ka hana o ka lolo. |
| Ka nalowale o ka makemake a me ka nausea | He hōʻailona maʻamau ia i hoʻokumu ʻia e ka hōʻiliʻili ʻana o nā mea ʻawahia i loko o ke kino. |
| Ka nāwaliwali a me ka luhi nui | ʻO ka emi ʻana o nā hormones i hana ʻia e nā puʻupaʻa hiki ke hana i ka anemia (hemahema koko). |
| ʻIli maloʻo a me ka maneʻo nui | Hiki ke ʻike ʻia kēia ma nā pae hope loa o ka hāʻule ʻana o ka puʻupaʻa (ka maʻi puʻupaʻa hope loa). |
| Nā ʻano ʻino o ka puʻuwai | ʻO ka hoʻonui ʻia o ka nui o ka potassium i loko o ke koko e hoʻopilikia i ka hana o ka puʻuwai. |
| ʻŪmiʻi ʻiʻo | Hiki ke hana ʻia kēia ma muli o ka nele o ka calcium a me ka phosphorus i loko o ke kino. |
I ka piʻi ʻana o ka pōʻino i nā puʻupaʻa, ʻaʻole hiki iā lākou ke kānana i nā huahana ʻōpala mai ke koko. Hiki i kēia mau huahana ʻōpala ke hōʻiliʻili i loko o ke kino a lilo i mea ʻawahia. Ua kapa ʻia kēia he uremia . Ke lilo kēia i mea koʻikoʻi, hiki iā ia ke alakaʻi i ka huikau a me ka coma.
Pehea e ʻike ai i kēia maʻi?
ʻO ka mea nui loa, ʻo ia ka ʻike mua ʻana i kēia maʻi. Inā hana ʻoe pēlā, hiki iā ʻoe ke kāohi a hoʻopaneʻe paha i ka holomua ʻana i ka hāʻule piha ʻana o nā puʻupaʻa.
ʻO ke ala nui a maʻalahi hoʻi e ʻike ai i kēia, ʻo ia ka hoʻāʻo mimi.Hiki ke ʻike mua ʻia kēia kūlana ma ka hoʻāʻo ʻana no ka microalbuminuria (Mīkini no Microalbuminuria). ʻO ia ke kumu he mea nui no ke kanaka me ka maʻi diabetes e hana i kahi hoʻāʻo mimi ma ka liʻiliʻi hoʻokahi manawa i ka makahiki.
Eia kekahi, ʻo nā hoʻokolohua koko e nānā i nā pae o nā kemika i loko o ke koko, e like me ka creatinine, hiki ke hāʻawi i kāu kauka i kahi manaʻo maikaʻi o ka hōʻino ʻia o kou mau puʻupaʻa a me ke ʻano o kā lākou hana (eGFR).
He aha nā lāʻau lapaʻau?
I ka wā e pili ana i ka lāʻau lapaʻau, ʻo nā hoʻololi ʻana i ke ʻano o ka nohona ka mea mua. ʻO ka mālama ʻana i kou kō koko a me ke koko ma lalo o ka kaohi ke ala maikaʻi loa e pale aku ai i ka hōʻino hou ʻana o nā puʻupaʻa.
Eia kekahi, aia nā lāʻau lapaʻau kūikawā e hiki ke kōkua i ka kaohi a me ka hoʻopaneʻe ʻana i ka hōʻino ʻana o nā puʻupaʻa.
- Nā mea hoʻopaʻa SGLT2: He ʻano lāʻau lapaʻau kēia e kōkua ai i ka kaohi ʻana i ke kō koko a pale i nā puʻupaʻa. ʻO nā laʻana e komo pū me dapagliflozin (Farxiga) a me empagliflozin (Jardiance).
- Nā mea hoʻopaʻa ACE (nā mea hoʻopaʻa enzyme hoʻololi-Angiotensin): Kuhi pinepine ʻia kēia mau mea no ke koko kiʻekiʻe. Eia nō naʻe, ua kuhikuhi ʻia hoʻi lākou e pale i ka hōʻino ʻana o nā puʻupaʻa i ka poʻe me ka maʻi diabetes. ʻOiai inā maʻamau kou koko, hiki i kāu kauka ke hoʻomaka iā ʻoe i kēia mau lāʻau lapaʻau e pale i kou mau puʻupaʻa. Nā laʻana: ramipril (Altace), lisinopril (Prinivil).
- Nā ARB (Nā mea pale i ka Angiotensin II receptor): Inā hoʻoulu nā mea pale ACE i nā hopena ʻaoʻao e like me ke kuni ʻana, hiki ke hāʻawi ʻia kēia ʻano lāʻau lapaʻau (ARB).
He mea nui loa: ʻO kāu kauka wale nō ke kuhikuhi i kēia mau lāʻau lapaʻau. Mai hoʻohana iā lākou ma muli o kāu mea i heluhelu ai ma ka pūnaewele a i ʻole ka mea a kahi hoaaloha e ʻōlelo ai. E nānā kāu kauka iā ʻoe a kuhikuhi i ka lāʻau lapaʻau kūpono loa a me ka nui no kou kūlana.
Inā ʻaʻole mālama ʻia, e hāʻule mālie nā puʻupaʻa, e piʻi aʻe ka nui o ka protein i loko o ka mimi, a i ka hopena e pono ai ka dialysis a i ʻole ka hoʻoili puʻupaʻa. No laila, he mea nui loa ka makaʻala i kēia.
Leka Lawe-Home
- ʻO ka maʻi diabetes ke kumu nui o nā maʻi puʻupaʻa.
- ʻOiai ʻaʻohe pinepine nā hōʻailona i nā pae mua, he mea nui e hana i kahi hoʻāʻo mimi makahiki (Urine for Microalbumin) inā loaʻa iā ʻoe ka maʻi diabetes.
- Hiki ke kāohi ʻia ka hōʻino ʻana o nā puʻupaʻa ma ke kāohi maikaʻi ʻana i ke koko a me nā pae kō koko.
- Inā ʻike ʻoe i nā hōʻailona e like me ka pehu ʻana o nā lima, nā wāwae, a i ʻole ke alo, ka luhi nui, a i ʻole ka nalowale o ka makemake e ʻai, mai hoʻowahāwahā iā lākou a e ʻike koke i kāu kauka.
- He mea nui loa ka lawe ʻana i kāu mau lāʻau lapaʻau i kuhikuhi ʻia, ʻoiai hoʻi nā lāʻau lapaʻau no ka maʻi diabetes, ke koko kiʻekiʻe, a me nā maʻi puʻupaʻa, me ke kūpono a me ka manawa kūpono.
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