He maʻi diabetes kou? A i ʻole kekahi o kou ʻohana a hoaaloha paha? A laila he nui paha kāu mau nīnau e pili ana i nā pila a me nā inikini insulin a ke kauka e hāʻawi ai iā ʻoe. "No ke aha ʻoe i hāʻawi mai ai iaʻu i kēia lāʻau?", "He aha ka hana maoli a kēia pila i loko o ke kino?", "Pono anei au e lawe i kēia i kēlā me kēia lā?" ʻO nā mea e like me ia e hiki mai ana i kou manaʻo. He mau nīnau maʻamau kēia, mai hopohopo no lākou. I kēia lā, e hoʻomaopopo kākou i kēia mau mea a pau me ka maʻalahi, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha.
E nānā mua kākou, no ke aha mākou e pono ai i ka lāʻau lapaʻau no ka maʻi diabetes?
I ka ʻōlelo maʻalahi, ʻo ka maʻi diabetes kahi kūlana i hiki ʻole ai i ko mākou kino ke hoʻomalu pono i ka pae o ke kō i loko o ko mākou koko. Pono ko mākou kino i kahi hormone i kapa ʻia ʻo insulin e hoʻohana i ke kō (glucose) mai ka meaʻai a mākou e ʻai ai. I ka maʻi diabetes, ua emi ka hana ʻana o kēia hormone, ʻo ia hoʻi ka insulin, a i ʻole ʻaʻole pane pono ke kino i ka insulin āna e hana ai.
Inā noho kiʻekiʻe ke kō koko no ka manawa lōʻihi me ka ʻole o ke kaohi ʻana, hiki ke hōʻino ʻia ko kākou ʻike maka, nā puʻupaʻa, ka puʻuwai, a me nā aʻalolo. Kuhikuhi nā kauka i nā lāʻau lapaʻau e pale aku i kēia mau kūlana weliweli. ʻO ka hana nui o kēia mau lāʻau lapaʻau ke kōkua i ka mālama ʻana i nā pae kō koko i loko o kahi pae palekana.
He aha nā lāʻau lapaʻau nui no ka maʻi diabetes?
Hiki ke hoʻokaʻawale ʻia nā lāʻau lapaʻau no ka maʻi diabetes i ʻelua mau ʻāpana nui.
1. Nā Lāʻau Lapaʻau Waha: ʻO kēia nā mea a ka hapa nui o ka poʻe e hoʻomaka mua ai.
2. Nā Lāʻau Lapaʻau i Hoʻokomo ʻia: ʻO kēia mau mea ka insulin a me nā ʻano inikini hou aʻe.
Na kāu kauka e hoʻoholo inā e hāʻawi ʻia ʻoe i nā pila, kahi inikini, a i ʻole nā mea ʻelua. E hilinaʻi kēia i nā kumu he nui, me kou ʻano maʻi diabetes (ʻAno 1 a i ʻole ʻAno 2), kou pae kō koko, kou makahiki, a me nā kūlana olakino ʻē aʻe āu e loaʻa ai.
E aʻo kākou e pili ana i nā pila i hoʻohana pinepine ʻia.
Aia kekahi mau ʻano pila i hoʻohana ʻia no ka maʻi diabetes ma Sri Lanka a puni ka honua. Hana kēlā me kēia o lākou i loko o ke kino ma ke ʻano ʻokoʻa iki. E nānā kākou i nā ʻano nui.
| Inoa Papa Lāʻau Lapaʻau | Pehea e hana ai i loko o ke kino (ma nā huaʻōlelo maʻalahi) | Nā laʻana maʻamau |
|---|---|---|
| Nā Biguanides | Hoʻemi ia i ka hana ʻana o ke kō e ke akepaʻa a hoʻonui i ka ʻike o nā ʻāpana o ke kino i ka insulin. | ʻO Metformin - ʻO kēia ka lāʻau lapaʻau mua i hāʻawi ʻia i nā kānaka he nui. |
| Nā Sulfonylureas | Kōkua ia ma ke kamaʻilio ʻana me ko kākou pancreas a me ka haʻi ʻana iā ia e "hana i kekahi insulin hou aʻe." | ʻO Glimepiride, Gliclazide |
| Nā mea pale DPP-4 | Ke piʻi aʻe ke kō koko ma hope o ka ʻai ʻana, kōkua ia i ka hana ʻana i ka insulin. Ke haʻahaʻa ke kō koko, ʻaʻole hana ʻia ka insulin no ka mea ʻole. | ʻO Sitagliptin, Linagliptin |
| Nā mea pale SGLT2 | Kōkua ia i ka hoʻokuke ʻana i kekahi o ke kō keu i loko o ke kino ma o nā puʻupaʻa ma o ka mimi. | ʻEmpagliflozin, Dapagliflozin |
ʻO ka mea nui, ʻokoʻa ka hana ʻana o kēia mau lāʻau lapaʻau a pau, no laila, ʻaʻole paha e hana ka lāʻau lapaʻau a kāu hoaaloha e lawe nei iā ʻoe. E lawe wale i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai, e like me ke kauoha.
ʻO ka insulin a me nā ʻano inikini ʻē aʻe
I kekahi manawa he paʻakikī ke kāohi i ke kō koko me nā pila wale nō. ʻOi aku hoʻi no ka poʻe me ka maʻi diabetes Type 1 a me ka poʻe i loaʻa i ka maʻi diabetes Type 2 no ka manawa lōʻihi, pono nā inikini insulin.
Aia kekahi mau ʻano o nā inikini insulin:
- ʻInisulina hana wikiwiki: Hāʻawi pinepine ʻia kēia ma kahi o 15 mau minuke ma mua o ka ʻai ʻana.
- ʻInisulina hana lōʻihi: Hana kēia no kahi o 24 mau hola ke hoʻokomo ʻia i hoʻokahi manawa i ka lā.
Eia kekahi, aia nā ʻano inikini hou i kapa ʻia ʻo 'GLP-1 agonists' i hoʻohana ʻia no ka maʻi diabetes (e like me 'Semaglutide (Ozempic)', 'Liraglutide (Victoza)'). Kōkua kēia i ka hana ʻana i ka insulin, a kōkua pū lākou i ka hōʻemi ʻana i ka pōloli a kōkua i ka pohō kaumaha.
Nā mea e pono ai ʻoe e hoʻomanaʻo e pili ana i ka lāʻau lapaʻau
1. Mai makaʻu i nā hopena ʻaoʻao, e makaʻala.
E like me nā lāʻau lapaʻau āpau, hiki i nā lāʻau lapaʻau maʻi diabetes ke loaʻa nā hopena ʻaoʻao liʻiliʻi. No ka laʻana, hiki i kekahi poʻe ke loaʻa i ka ʻōpū ʻeha a i ʻole ka nausea i nā lā mua ma hope o ka hoʻomaka ʻana o ka metformin. Nalo pinepine kēia mau mea i loko o kekahi mau lā.
2. E makaʻala loa e pili ana i ka hypoglycemia.
He mea nui loa kēia. ʻO ka poʻe e lawe ana i ka insulin a me nā sulfonylureas pono e makaʻala i kēia. ʻO ka hypoglycemia ka wā e hāʻule ai ke kō koko i lalo loa. Ke hana ʻia kēlā,
- Ke hou nui nei.
- Ke haʻalulu nei koʻu kino.
- Ua poniuniu au.
- Ua pōloli loa au.
- He paʻakikī ke noʻonoʻo pono.
Inā ʻike ʻoe i kēia mau hōʻailona, pono ʻoe e ʻai koke i kahi mea ʻono (2-3 punetēpuni o ke kō i hoʻoheheʻe ʻia i ka wai, kekahi glucose, kahi mea inu ʻono, a i ʻole kahi ʻāpana toffee). A laila e ʻai i kahi meaʻai starchy e like me ka laiki. Inā hana pinepine kēia, e ʻike pono i kāu kauka. Pono paha e hoʻoponopono i kāu lāʻau lapaʻau.
3. Mai ho'ōki a hoʻololi paha i ka lāʻau lapaʻau ma kāu iho
Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau iā ʻoe iho, me ka manaʻo, "Ua maʻamau loa koʻu kō koko i kēia manawa, no laila ʻaʻole pono iaʻu ka lāʻau lapaʻau." He mea weliweli loa kēlā. Ke kāohi ʻia nei kou kō koko no ka mea ke lawe nei ʻoe i ka lāʻau lapaʻau. ʻO kāu kauka wale nō ka mana e hoʻololi i ka nui o ka lāʻau, hoʻōki, a hoʻomaka paha i kahi lāʻau lapaʻau hou.
4. E haʻi i kāu kauka inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe.
Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā lāʻau lapaʻau kuʻuna, e ʻoluʻolu e hoʻomaopopo i kāu kauka maʻi diabetes e pili ana i kēia mau mea āpau. Hiki i kekahi mau lāʻau lapaʻau ke launa pū kekahi me kekahi.
Leka Lawe-Home
- ʻAʻole kou ʻenemi ka lāʻau lapaʻau maʻi diabetes, akā, ʻo ia kou hoaaloha maikaʻi loa e kōkua iā ʻoe e ola i ke ola olakino.
- E lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai, i ka manawa kūpono, ma ka nui kūpono. Mai hōʻole i nā lāʻau.
- Me ka lāʻau lapaʻau, he mea nui ka ʻai kūpono a me ka hoʻoikaika kino . ʻAʻole hiki iā ʻoe ke lawe wale i ka lāʻau lapaʻau a hana ʻole i kēia mau mea ʻelua.
- E makaʻala i nā hōʻailona o ka hypoglycemia. E hoʻomanaʻo i ka mea e hana ai inā hana ia me ka ʻole o ka hopohopo.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kāu lāʻau lapaʻau a i ʻole nā hopena ʻaoʻao, mai ʻimi i ka pūnaewele, akā e nīnau pololei i kāu kauka. E hāʻawi ʻo ia iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa.
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