Inā ʻoe e noho nei me ka maʻi diabetes, ʻike paha ʻoe i ka paʻakikī o ka lawe ʻana i ka insulin i kēlā me kēia lā a nānā i kou pae kō koko i nā manawa like ʻole o ka lā. I kekahi manawa, hiki paha iā ʻoe ke luhi me kēia mau mea a pau. Akā, mai hopohopo, no ka mea, ke holomua nei ke kahua o ka mālama ʻana i ka maʻi diabetes ma mua o ko mākou manaʻo. Ke hana nei nā kānaka ʻepekema i kēia manawa e hana i kahi pancreas hana e hiki ke ʻike i nā pae kō o ko mākou kino a hoʻokuʻu koke i ka insulin. I kēia manawa, ua kōkua mua mai nā lāʻau lapaʻau hou a me nā mea hana insulin iā mākou. Ua maʻalahi a palekana hoʻi kēia mau mea i ka noho ʻana me ka maʻi diabetes.
ʻO ka mea nui, ʻaʻole like nā kānaka a pau me ka maʻi diabetes. ʻO ka mea e pono ai no kekahi kanaka, ʻaʻole paha e pono no kekahi. No laila he mea maikaʻi ke loaʻa nā ʻano lāʻau like ʻole. A laila hiki i kāu kauka ke koho i ka lāʻau kūpono loa nāu.
ʻO nā holomua hou loa i ka mālama ʻana i ka maʻi diabetes
E nānā kākou i kekahi o nā lāʻau lapaʻau a me nā mea hana hou loa e hoʻohana ʻia nei a puni ka honua i kōkua nui i ka mālama ʻana i ka maʻi diabetes. ʻAʻole paha i loaʻa nui kekahi o kēia mau mea ma Sri Lanka, akā he mea nui loa ia iā ʻoe e ʻike i kēia mau holomua.
| ʻAno lapaʻau / hāmeʻa | I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia me kēia? | Nā mea kūikawā e ʻike ai |
|---|---|---|
| ʻO Afrezza (mea hoʻoheheʻe insulin) | Ua like kēia me ka inhaler i hoʻohana ʻia e ka poʻe me ka hānō. Ma kahi o ka hoʻokomo ʻana i ka insulin, he mea ia e hiki ai iā ʻoe ke hanu i kahi mahele o ka insulin. Hoʻohana nui ʻia ia e hāʻawi i ke kino me kahi mahele insulin hana wikiwiki i ka hoʻomaka ʻana o ka ʻai . | He mea liʻiliʻi loa kēia a lawe lima ʻia. Eia nō naʻe, ʻaʻole kūpono ia no ka poʻe puhi paka a i ʻole ka poʻe me nā maʻi māmā e like me ka hānō a i ʻole ka emphysema . |
| Medtronic MiniMed 640G (Pamu Insulin Akamai) | He hāmeʻa 'akamai' kēia e hoʻopili ana i kahi pamu insulin a me kahi mea nānā glucose hoʻomau. Hoʻōki koke ia i ka hāʻawi ʻana i ka insulin ke hoʻomaka ka hāʻule ʻana o kou kō koko. Hoʻomaka ia e hāʻawi i ka insulin ke hoʻi hou kou pae kō i ka maʻamau. | He ʻanuʻu koʻikoʻi kēia i ka huakaʻi i ka hana ʻana i kahi pancreas hana. ʻO ke kō koko haʻahaʻa, a i ʻole hypoglycemia , he pilikia nui ia, ʻoiai no ka poʻe me ka maʻi diabetes type 1. Hiki i kēia mea hana ke lilo i mea hoʻopakele ola no ka poʻe i loaʻa ke kō koko haʻahaʻa a ʻaʻole hoʻi i ʻike. |
| Lucentis (lāʻau lapaʻau no nā maka) | He lāʻau lapaʻau kūikawā kēia i ʻae ʻia e mālama i kahi maʻi koʻikoʻi i kapa ʻia ʻo diabetic retinopathy, ʻo ia hoʻi ka hōʻino ʻia o nā maka i hana ʻia e ka maʻi diabetes. Hiki i kēia maʻi ke alakaʻi i ka makapō. | Ma mua, ua hoʻohana ʻia kēia lāʻau lapaʻau no kekahi maʻi maka ʻē aʻe (macular edema) i nā poʻe me ka ʻole o ka maʻi diabetes. I kēia manawa ke hoʻohana ʻia nei hoʻi e pale i nā maka o ka poʻe maʻi diabetes. Hōʻike kēia e puka mai ana nā ala hou e pale aku ai i nā pilikia o ka maʻi diabetes. |
He aha ka pancreas hana ʻia?
ʻO kekahi mea e hakakā nei me ka lawe ʻana i ka insulin a me ka nānā ʻana i ko lākou pae kō koko i nā manawa he nui i ka lā e noʻonoʻo paha i ka maikaʻi inā he mea hana e hiki ke hana i kēia mau mea āpau no lākou. Ke kokoke nei e hoʻokō ʻia kēlā moeʻuhane me ka Artificial Pancreas .
I ka ʻōlelo maʻalahi, he mea liʻiliʻi kēia e hana ana e like me ka pancreas maoli i loko o ko mākou kino.
- Ana mau ia i kou pae kō koko (glucose).
- Ma muli o kēlā pae, hoʻoholo ia i ka nui o ka insulin e pono ai ke kino.
- A laila, ua hoʻopili ʻia ka nui o ka insulin i makemake ʻia i loko o ke kino i ka manawa kūpono.
ʻO ke ʻano kēia, ʻaʻole pono ke kanaka me ka maʻi diabetes e hopohopo mau e pili ana i ko lākou pae kō koko. Loaʻa i kekahi mau pancreas artificial holomua kahi pamu lua e pamu i waho i kahi hormone i kapa ʻia ʻo glucagon, kahi i hoʻohana ʻia e hoʻokiʻekiʻe i nā pae kō koko inā haʻahaʻa loa lākou (hypoglycemia koʻikoʻi).
Akā, aia kahi pilikia nui me kēia. ʻO ia hoʻi, ma ke ola maoli, ʻo ia hoʻi, ka pane pololei ʻana i nā pae kō e loli nei i ka wā e ʻai ai mākou, hoʻoikaika kino, a maʻi paha, a me ka kaohi ʻana i nā pae kō me ka ʻole o ka hāʻule ʻana i lalo loa.
E noʻonoʻo e like me ke kalaiwa ʻana i kahi kaʻa heihei wikiwiki, ʻaʻole he kaʻa maʻamau. ʻOiai kahi hewa liʻiliʻi hiki ke alakaʻi i kahi pilikia nui. ʻO ia ke kumu e nānā nui ai nā kānaka ʻepekema i ka pale ʻana i ka emi nui ʻana o ke kō koko i ka wā e hoʻomohala ai i kēia mau mea hana.
E manaʻo ʻia nā hoʻomohala hou aʻe i ka wā e hiki mai ana
ʻAʻole i pau ka noiʻi ma laila. Ke noiʻi nei nā kānaka ʻepekema i nā mea ʻē aʻe he nui.
ʻOi aku ka maikaʻi o ka insulin, hana lōʻihi
Nui nā noiʻi e hana ʻia nei e hoʻomohala i nā insulin e hana mau ana a ʻoi aku ka wānana ma mua o nā insulin hana lōʻihi o kēia manawa.
Ke hoʻāʻo nei hoʻi lākou e hana i ka insulin i ʻoi aku ka nui o ka paʻa . ʻO ia hoʻi, ʻoi aku ka nui o ka insulin i loko o kahi wai liʻiliʻi. He aha ka pōmaikaʻi o kēia? E noʻonoʻo e pili ana i ia mea, pono kekahi poʻe, ʻoi aku ka poʻe me ka maʻi diabetes type 2, ma mua o 100 mau ʻāpana o ka insulin i kēlā me kēia lā. Loaʻa i kahi syringe maʻamau he 100 mau ʻāpana. A laila pono lākou e hoʻokomo iā lākou iho i ʻelua manawa. Inā hiki ke hoʻemi ʻia kēia i hoʻokahi inikini, pehea ka maʻalahi o ia mea?
Noiʻi Kelepona Kumu
ʻO kēia paha ka manaʻolana nui loa no ka maʻi diabetes. Ke hoʻāʻo nei nā kānaka ʻepekema e hoʻohana i nā cell kumu , kahi ʻano cell kūikawā e hiki ke lilo i kekahi ʻano cell i loko o ko mākou kino, e hana i nā cell pancreatic e hana ana i ka insulin (nā cell beta).
Inā he holomua maoli kēia, ʻo ia hoʻi, hiki i nā pūnaewele e hana ana iā ia ke ʻike i nā pae kō o ke kino a hana i ka insulin ma ke ʻano kūpono no lākou, ʻaʻole paha he lāʻau lapaʻau wale nō ia no ka maʻi diabetes, akā he hopena hoʻi e hiki ai ke hoʻōla piha . ʻOiai aia nō kēia ma ke kahua noiʻi, ʻike nā kānaka ʻepekema ʻaʻole kēia he moeʻuhane wale nō, akā he mea hiki ke lilo i mea maoli.
Leka Lawe-Home
- Ke holomua nei ka ʻepekema o ka mālama ʻana i ka maʻi diabetes i kēlā me kēia lā, no laila, mai hoʻōki i ka manaʻolana.
- Ke maʻalahi nei ka noho ʻana me ka maʻi diabetes mahalo i nā huahana hou e like me nā mea hoʻoheheʻe insulin a me nā pamu akamai.
- He ʻokoʻa nā kānaka a pau me ka maʻi diabetes. ʻO kāu kauka wale nō ke hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe. No laila, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau hou.
- ʻO nā mea e like me nā pancreas artificial a me ka noiʻi ʻana i nā cell stem e ho'ōla paha i ka maʻi diabetes i ka wā e hiki mai ana. No laila e manaʻolana no ka wā e hiki mai ana.
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