Ke nāwaliwali nei kou mau puʻupaʻa? E aʻo kākou e pili ana i ka maʻi diabetes a me nā maʻi puʻupaʻa.

Inā loaʻa iā ʻoe ka maʻi diabetes, ʻike paha ʻoe i ke koʻikoʻi o ka kaohi ʻana i kou pae kō koko. Akā, ua ʻike anei ʻoe e pale pū ana hoʻi ia i ʻelua mau ʻāpana liʻiliʻi e like me ka pīni i loko o kou kino, ʻo ia hoʻi nā puʻupaʻa? ʻO kēia nā ʻāpana koʻikoʻi e hoʻomaʻemaʻe i ko kākou koko a wehe i nā huahana ʻōpala i makemake ʻole ʻia mai ke kino. Akā inā ʻaʻole i kaohi ʻia ka maʻi diabetes, hiki i kēia mau puʻupaʻa makamae ke hoʻomaka e hōʻino ʻia, a pēlā pū kekahi me ka ʻole o nā hōʻailona nui.

He aha kēia maʻi puʻupaʻa i hoʻokumu ʻia e ka maʻi diabetes?

I ka ʻōlelo maʻalahi, ke kāohi pono ʻole ʻia ka maʻi diabetes, hōʻino ke kiʻekiʻe o ke kō koko i nā kīʻaha koko palupalu i loko o nā puʻupaʻa i ka hala ʻana o ka manawa. Pale kēia i nā puʻupaʻa mai ka hana ʻana i kā lākou hana nui o ka hoʻomaʻemaʻe ʻana i ke koko. ʻO kēia ka mea a mākou e kapa nei he maʻi puʻupaʻa maʻi diabetes, a i ʻole e like me ke kāhea ʻana o nā kauka , ka maʻi puʻupaʻa mau (CKD) .

ʻO kēia maʻi ke kumu o ka nalowale mālie ʻana o nā puʻupaʻa i ko lākou hiki ke kānana i nā huahana ʻōpala a me ka wai keu mai ke kino. Inā ʻaʻole mālama pono ʻia kēia, hiki iā ia ke alakaʻi i ka hāʻule ʻana o nā puʻupaʻa. I kēlā hihia, pono ʻoe i ka dialysis a i ʻole kahi hoʻoili puʻupaʻa e ola ai.

Pehea ka lōʻihi e hōʻino ai nā puʻupaʻa ma muli o ka maʻi diabetes?

He mau makahiki ka lōʻihi o ka hana ʻana o kēia pōʻino. Akā, ʻo ka pilikia nui ma ʻaneʻi, ʻo ia ka hele ʻana o ka poʻe he nui no ka manawa lōʻihi me ka ʻike ʻole he maʻi diabetes Type 2 ko lākou. E noʻonoʻo, ʻike wale kekahi poʻe he maʻi diabetes ko lākou a ua hōʻino mua ʻia ko lākou mau puʻupaʻa i kekahi ʻano ma o nā hoʻokolohua ke hele lākou e ʻike i ke kauka no kekahi maʻi ʻē aʻe.

No laila, ʻoiai inā ʻaʻole ʻoe i loaʻa i ka maʻi diabetes i kēia manawa, he mea nui e makaʻala i kona mau mea pilikia. ʻO ka ʻike mua ʻana i ka maʻi hiki ke pale i ka hōʻino ʻia ʻana o nā puʻupaʻa.

E makaʻala i kēia mau hōʻailona mua o ka maʻi diabetes

E nānā i ka papa ma lalo nei e ʻike inā loaʻa iā ʻoe kekahi o nā hōʻailona i helu ʻia. He mau hōʻailona maʻamau kēia e ʻike ʻia i nā pae mua o ka maʻi diabetes.

He aha nā hōʻailona o ka maʻi puʻupaʻa? No ke aha lākou e lohi ai?

ʻO kēia ka mea nui loa e pono ai kākou a pau e makaʻala. Hoʻomaka wale nā ​​hōʻailona o ka maʻi puʻupaʻa e ʻike ʻia ke lilo ka maʻi i mea koʻikoʻi loa.

ʻO ke kumu, he mau ʻōkana kūpaʻa loa ko kākou mau puʻupaʻa ʻaʻole hiki ke ʻae maʻalahi i ka eo ʻana. A hiki i ka hōʻino ʻia ʻana o kahi 75% o lākou, hana ikaika nā ʻāpana olakino i koe e mālama i kekahi kaulike i nā kaʻina hana o ke kino. ʻO ia ke kumu ʻaʻole mākou e manaʻo i kekahi mea a hiki i ka wā e hōʻino nui ʻia ai.

Eia nā hōʻailona e ʻike pinepine ʻia i ka wā e lilo ai ka maʻi i mea koʻikoʻi:

• Ka pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae
• ʻO ka pehu a puni nā maka i ke ala ʻana i ke kakahiaka
• Ka emi ʻana o ke alapine o ka mimi ʻana a i ʻole ka mimi momona
• Ka paʻakikī o ka hanu ʻana a me ka luhi pinepine
• Ka nalowale o ka makemake a me ka nausea
• ʻIli maloʻo a me ka ʻili ʻāʻī
• ʻAʻole hiki ke hiamoe
• ʻEhaʻeha o nā ʻiʻo

No laila he aha kā mākou e hana ai? Pehea mākou e pale ai i ko mākou mau puʻupaʻa makamae?

ʻO ka mea pōmaikaʻi, he nui nā mea hiki iā mākou ke hana e pale aku i kēia maʻi a i ʻole e kāohi i kona holomua. ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o nā nānā lapaʻau i ka manawa kūpono.

1. E kamaʻilio me kāu kauka: Inā loaʻa iā ʻoe ka maʻi diabetes, e kamaʻilio ākea me kāu kauka e pili ana i ke olakino o kou mau puʻupaʻa. He mea nui e nānā ʻia kou mau puʻupaʻa ma ka liʻiliʻi hoʻokahi manawa i ka makahiki.

2. Hoʻāʻo ACR o ka Mimi: He hoʻāʻo maʻalahi loa kēia. Nānā ia no kahi liʻiliʻi o kahi protein i kapa ʻia ʻo albumin i loko o kou mimi. ʻAʻole kānana nā puʻupaʻa olakino i kēia protein mai loko mai o ke koko. ʻO ke alo o kēia i loko o ka mimi he hōʻailona mua ia e hoʻomaka ana nā puʻupaʻa e hōʻino ʻia.

3. Hoʻāʻo koko (Hoʻāʻo Koko eGFR): He ana kēia o ka maikaʻi o ke kānana ʻana o kou mau puʻupaʻa i ke koko, ma ke ʻano he pakeneka. Ua kapa ʻia kēia ʻo eGFR (estimated Glomerular Filtration Rate) . ʻO ka emi ʻana o kēia waiwai, ʻo ia hoʻi, ʻaʻole hana pono nā puʻupaʻa.

4. E kāohi i ke koko a me nā pae kō:

• Kaomi Koko: ʻO ke koko kiʻekiʻe kekahi ʻenemi nui o nā puʻupaʻa. E nānā mau i kou koko a lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai.
• Kōpaʻa Koko: E mālama i kou pae kōpaʻa koko i loko o nā pae i makemake ʻia. E kamaʻilio me kāu kauka e pili ana i ka hoʻāʻo ʻana iā HbA1c a hahai i ke kauka e like me ia.

5. E hahai i nā kuhikuhi a kāu kauka: I kekahi manawa e kuhikuhi paha kāu kauka i nā lāʻau lapaʻau kūikawā (e laʻa me nā ACE inhibitors, ARBs) e pale i kou mau puʻupaʻa. E hoʻohana pono iā lākou e like me ke kuhikuhi ʻana. Eia kekahi, e pale i ka hoʻomau ʻana i ka hoʻohana ʻana i nā lāʻau lapaʻau e like me nā lāʻau ʻeha me ka ʻole o ke kūkākūkā ʻana me kāu kauka.

6. He nohona olakino:

• E hōʻemi i ka hoʻohana ʻana i ka paʻakai i nā meaʻai.
• E ʻai i ka meaʻai olakino.
• E hoʻoikaika kino i nā manawa a pau.
• E pale loa i ka puhipaka.

Āhea ʻoe e ʻike koke ai i ke kauka?

Inā loaʻa iā ʻoe ka maʻi diabetes a loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, e ʻike koke i kāu kauka.

• Ka pehu ʻana maʻamau o nā wāwae, nā lima, a i ʻole ka maka.
• Ka loli ʻana o ke ʻano o ka mimi ʻana (emi, nui, huʻa).
• Luhi hiki ʻole ke hoʻomanawanui a i ʻole ka paʻakikī o ka hanu ʻana.
• Ka nalowale ʻana o ka makemake a i ʻole ka nausea.

Maʻi kō, Maʻi puʻupaʻa, Ka hāʻule ʻana o ka puʻupaʻa, Maʻi puʻupaʻa maʻi kō, Maʻi puʻupaʻa mau, CKD, Nā hōʻailona o ka maʻi kō