He maʻi diabetes kou? E aʻo kākou e pili ana i ka hōʻailona a me ka lāʻau lapaʻau (Diabetes Mellitus)

Ke luhi mau nei ʻoe? He waha maloʻo kou? A i ʻole pono ʻoe e mimi pinepine? Hiki i kēia ke lilo i mau hōʻailona maʻamau o ka maʻi diabetes. I kēia lā, e kamaʻilio mākou e pili ana i kēia maʻi i kapa ʻia ʻo Diabetes Mellitus, ka mea a ka poʻe he nui e makaʻu nei, pehea e ʻike ai, a pehea e mālama ai iā ia ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

Pehea e ʻike ai inā he maʻi diabetes koʻu?

Inā he mau kumu pilikia kou no ka maʻi diabetes, a inā hōʻike kāu mimi i nā pae kiʻekiʻe o ke kō, manaʻo paha kāu kauka he maʻi diabetes kou. I ka ʻōlelo maʻalahi, inā emi ka hormone insulin i hana ʻia e ka pancreas i loko o ko kākou kino (maʻi diabetes Type 1) a inā ʻaʻole pane pono ke kino i ka insulin (maʻi diabetes Type 2), piʻi aʻe ke pae o ke kō i loko o ke koko, ʻo ia hoʻi, ka glucose koko.

Aia kekahi mau hoʻokolohua nui e hōʻoia i ka hōʻailona. ʻO ka maʻamau, inā ʻike ke kauka he kiʻekiʻe kekahi waiwai hoʻokolohua, e aʻo aku ʻo ia e hana hou ʻia ka hoʻokolohua e hōʻoia iā ia.

Eia kekahi, i kekahi manawa e kauoha paha kāu kauka i kahi hoʻāʻo i kapa ʻia ʻo Zinc Transporter 8 Autoantibody (ZnT8Ab). Hiki i kēia hoʻāʻo koko ke kōkua i ka hoʻoholo ʻana inā he maʻi diabetes Type 1 a i ʻole kekahi ʻano ʻē aʻe ke kanaka. Ma ka ʻike mua ʻana i ka maʻi a me ka pololei, hiki ke hoʻomaka koke ʻia ka lāʻau kūpono.

He aha nā lāʻau lapaʻau no ka maʻi diabetes?

E hana kāu kauka i kahi hoʻolālā lapaʻau kūpono iā ʻoe a hiki iā ʻoe ke hoʻomaopopo. Pono paha ʻoe i ke kōkua o nā loea olakino ʻē aʻe ma ke ala. Eia kekahi laʻana, pono paha ʻoe i ke kōkua o ke kauka wāwae, kahi meaʻai meaʻai, ke kauka maka, a me kahi endocrinologist.

ʻO ke kumu nui o ka mālama ʻana i ka maʻi diabetes ka hui pū ʻana o nā lāʻau lapaʻau, ka hoʻoikaika kino, a me ka ʻai e mālama i kou pae kō koko i loko o ka pae i kuhikuhi ʻia e kāu kauka. Ma ka nānā ʻana i kāu mea e ʻai ai a me ka wā e ʻai ai ʻoe, hiki iā ʻoe ke hōʻemi i nā piʻi koke ʻana o kou pae kō koko (ka hopena seesaw). Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka pono e hoʻoponopono i kāu lāʻau lapaʻau, ʻoiai kāu nui o ka insulin, i nā manawa a pau e pono ai.

Nā lāʻau lapaʻau maʻi diabetes

Lapaʻau no ka maʻi diabetes ʻano 1

Inā loaʻa iā ʻoe ka maʻi diabetes Type 1, ʻaʻole hana hou kāu pancreas i ka insulin āu e pono ai e hana i ka ikehu. No laila, pono ʻoe e loaʻa ka insulin mai nā kumu o waho, ma o nā inikini a i ʻole ka pamu insulin . ʻOiai ʻo ka hāʻawi ʻana iā ʻoe iho i kahi inikini e like me ka mea weliweli i ka wā mua, ʻaʻole ia he paʻakikī e like me kou manaʻo.

Hoʻohana kekahi poʻe i kahi mea kamepiula i kapa ʻia he pamu insulin, kahi e hoʻokuʻu ai i ka insulin i loko o ke kino i ka manawa kūpono a me ka nui kūpono.

Aia kekahi mau ʻano insulin i hoʻohana ʻia i kēia manawa.

Lapaʻau no ka maʻi diabetes ʻano 2

Hiki i kekahi poʻe me ka maʻi diabetes type 2 ke kāohi i ko lākou maʻi me ka ʻai a me ka hoʻoikaika kino wale nō. Pono kekahi i nā pila a i ʻole nā ​​inikini insulin. Hana kēia mau lāʻau lapaʻau ma nā ʻano like ʻole e hoʻihoʻi i nā pae kō koko i ka maʻamau.

• Nā lāʻau lapaʻau e hoʻonui ai i ka hana ʻana o ka insulin e ka pancreas: Nā laʻana: glimepiride, glipizide, glyburide.
• Nā lāʻau lapaʻau e hōʻemi ana i ka omo ʻana o ke kō mai ka meaʻai: Laʻana: acarbose (Precose).
• Nā lāʻau lapaʻau e hoʻomaikaʻi ai i ke ʻano o ka hoʻohana ʻana o ke kino i ka insulin: Nā laʻana: pioglitazone (Actos).
• Nā lāʻau lapaʻau e hōʻemi ana i ka hana kō e ke akepaʻa a hōʻemi i ke kūʻē ʻana o ka insulin: Laʻana: metformin (Glucophage). Kōkua pū ʻo Metformin i ka kaohi ʻana i ke kō no ka mea kōkua ia i ka pohō kaumaha.
• Nā lāʻau lapaʻau e ālai ana i ka reabsorption o ke kō e nā puʻupaʻa a hoʻonui i kona excretion i loko o ka mimi (SGLT2 inhibitors): Nā laʻana: canagliflozin (Invokana), dapagliflozin (Farxiga). Loaʻa i kēia mau mea nā pono hou aʻe e like me ka hōʻemi kaumaha a me ka emi ʻana o ka pilikia o ka maʻi puʻuwai.

He aha ka meaʻai e pono ai no ka maʻi diabetes?

He mea nui ka ʻai kaulike no kekahi kanaka me ka maʻi diabetes. No laila, e kamaʻilio me kāu kauka a i ʻole kekahi mea lapaʻau meaʻai e hana i kahi papaʻai kūpono iā ʻoe.

• Nā ʻAi a me ka Manawa: Inā loaʻa iā ʻoe ka maʻi diabetes type 1, ʻo ka nui o ka insulin āu e lawe ai e pili ana i kāu hana a me kāu papaʻai. No laila, ʻo ka mea āu e ʻai ai, ka nui o kāu ʻai ʻana, a me ka wā āu e ʻai ai he mea nui like ia. Manaʻo pinepine ʻia e ʻai i ʻekolu mau ʻai nui a me ʻekolu a ʻehā paha mau meaʻai māmā.
• ʻO ke kānāwai pā: E hoʻāʻo e hoʻopiha i ka hapalua o kāu pā me nā mea kanu haʻahaʻa-starch (e.g. broccoli, kāloti, kukama, kāpeti, tōmato, pī).
• E makaʻala i nā kalapona: ʻO ka ʻike ʻana i ka nui o nā kalapona āu e pono ai a me ka nui āu e ʻai nei he mea nui loa ia no ka kaohi ʻana i ke kō koko. E koho i nā palaoa piha (e.g., laiki ʻeleʻele, laiki ʻeleʻele, ʻoka, bale).
• Momona a me ka protein: E hōʻemi i ka momona momona. E hoʻopau loa i nā momona trans. E koho i nā ʻiʻo momona ʻole, iʻa, nati, a me nā huahana waiū momona haʻahaʻa.

Ke koʻikoʻi o ka hoʻoikaika kino

ʻO ka hoʻoikaika kino kekahi kia koʻikoʻi o ka mālama ʻana i ka maʻi diabetes. Akā, pono ʻoe e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi papahana hoʻoikaika kino . Hoʻomaikaʻi ka hoʻoikaika kino i ke ʻano o ka hoʻohana ʻana o kou kino i ka insulin a hiki ke hoʻohaʻahaʻa i nā pae kō koko.

• E makaʻala no ka hypoglycemia: E nānā i kou pae kō koko ma kahi o ka hapalua hola ma mua o ka hoʻoikaika kino a ʻai i kahi meaʻai māmā liʻiliʻi me nā kalapona inā pono. Inā ʻike ʻoe i nā hōʻailona o ke kō koko haʻahaʻa (dizziness, hou, shakiness) i ka wā e hoʻoikaika kino ana, e hoʻōki i ka hoʻoikaika kino a ʻai koke i kahi mea ʻono (e laʻa me kahi punetune kō, kekahi glucose).
• ʻEhia ka nui o ka hoʻoikaika kino āu e hana ai?: Manaʻo ʻia e hana ma ka liʻiliʻi he 150 mau minuke o ka hoʻoikaika kino aerobic kaulike, e like me ka hele wikiwiki, i kēlā me kēia pule. E hoʻomaka liʻiliʻi a hoʻonui mālie i ka manawa.

He mea pono kēia mau hoʻololi ʻana i ke ʻano o ka nohona.

E pale i ka puhipaka.

E haʻalele i kēia ʻano maʻamau i kēia lā. Inā ʻoe e puhipaka, e ʻoi aku ka paʻakikī o ke kāohi ʻana i kou pae kō koko. A ʻoi aku ka kiʻekiʻe o kou pilikia o ka loaʻa ʻana o nā pilikia mai ka maʻi diabetes (maʻi puʻuwai, maʻi puʻupaʻa, hōʻino ʻana o ke aʻalolo, makapō).

E kaupalena i ka waiʻona.

Inā ʻoe e lawe i ka insulin a i ʻole kekahi mau lāʻau maʻi diabetes, hiki i ka inu ʻana i ka waiʻona ke hoʻohaʻahaʻa i kou pae kō koko. ʻO kēia no ka mea ke inu ʻoe i ka waiʻona, ke hana nei kou akepaʻa e hoʻopau i ka waiʻona ma kahi o ke kāohi ʻana i kāu kō koko.

E hōʻemi i ke kaumaha.

Hiki i ke kaumaha ke hoʻokiʻekiʻe i kou pae kō koko, no laila e ʻimi i nā ala e hoʻomaha ai. Hiki i nā mea e like me ka noʻonoʻo ʻana, ka yoga, a me ka hoʻolilo manawa me nā hoaaloha ke kōkua.

E mālama i kou mau niho a me kou mau ʻāʻī.

Hiki i ka maʻi diabetes ke hoʻonui i ka pilikia o ka maʻi ʻāʻī, no laila e palaki a floss pono i kou mau niho i kēlā me kēia lā.