Inā loaʻa iā ʻoe ka maʻi diabetes Type 1, e noʻonoʻo paha ʻoe, "E loaʻa pū anei i kaʻu keiki?" A i ʻole inā loaʻa i kou makuahine a makuakāne paha, e noʻonoʻo paha ʻoe, "Hiki iaʻu ke loaʻa pū kekahi?" He kūpono maoli kēia mau nīnau, a he pilikia i loaʻa i nā poʻe he nui. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku a me ka maʻalahi i kēia lā.
ʻAʻole wale nā genes, akā pili pū kekahi i ke kaiapuni
I ka wā e pili ana i ka maʻi diabetes Type 1, ʻaʻole ia he maʻi genetic wale nō. I ka ʻōlelo maʻalahi, he hui pū ʻana ia o nā genes a mākou e hoʻoilina ai mai ko mākou mau mākua (ʻano) a me ke kaiapuni a mākou e ulu ai (hānai) .
E noʻonoʻo i kēia ʻano. Ua like ko kākou mau genes me ke kau ʻana i ke kahua. ʻO ia hoʻi, hana lākou i kahi predisposition, kahi ākea i loko o ko kākou kino no ka ulu ʻana o ka maʻi. Akā, he kuleana nui ko nā mea pili i ke kaiapuni i ka hoʻoholo ʻana inā e hana ʻia ka pāʻani ma ia kahua. Hiki i nā mea he nui ke kumu i kēia, e like me ka wahi āu e ulu ai, nā mea āu e ʻai ai a inu ai, a me kekahi mau maʻi viral āu e loaʻa ai. Akā, ke hoʻomaopopo nei nā kānaka noiʻi i ke ʻano o kēia mau mea pili i ke kaiapuni a me ka nui o ko lākou hopena iā ʻoe. No laila , ʻoiai inā he predisposition genetic, ʻaʻole hiki ke ʻōlelo ʻia e ulu maoli ka maʻi.
He aha nā genes e hoʻopilikia nei i kēia?
Manaʻo ka poʻe he nui aia kekahi gene kūikawā i kapa ʻia ʻo ka 'diabetes gene', i ka wā e 'on' ana, ulu ka maʻi, a i ka wā e 'off' ana, ʻaʻole. Akā ʻoi aku ka paʻakikī o ka ʻoiaʻiʻo ma mua o kēlā.
Hoʻokumu ʻia ka maʻi diabetes ʻano 1 e kahi hui o nā genes, ʻaʻole hoʻokahi wale nō . I waena o lākou, he kuleana koʻikoʻi ka gene HLA . Na kēia mau genes ke kuleana no ka hana ʻana i nā protein e pono ai kā mākou ʻōnaehana pale. I kēia manawa, e nānā, he maʻi autoimmune ka maʻi diabetes ʻano 1. ʻO ia hoʻi, hoʻomaka hewa ka ʻōnaehana pale e pale ana i ko mākou kino e hoʻouka i kā mākou mau cell olakino ponoʻī. I ka maʻi diabetes, hana ʻia kēia hoʻouka kaua ma nā cell i loko o ka pancreas e hana ana i ka hormone insulin . ʻO ka insulin kahi hormone e pono ai no ka hoʻololi ʻana i ke kō a mākou e ʻai ai i ka ikehu. No laila, i ka wā e luku ʻia ai kēia mau cell e hana ana i ka insulin, hana ʻia ka maʻi diabetes ʻano 1.
Aia he mau tausani o nā ʻano like ʻole o kēia mau genes HLA i loko o kā mākou waihona gene. No laila, ma muli o nā ʻano genes āu e hoʻoilina ai mai kou mau mākua mai, hiki iā ʻoe ke ʻoi aku a emi mai paha ka pilikia o ka loaʻa ʻana o ka maʻi diabetes. Hoʻonui kekahi mau genes i ka pilikia, aʻo nā mea ʻē aʻe e hāʻawi i ka pale ma ka pale ʻana i ka maʻi mai ka ulu ʻana.
ʻOiai ka mana hoʻoilina, aia kekahi mau hihia kahi e loaʻa ai i hoʻokahi o nā māhoe like ʻelua ka maʻi diabetes a ʻo kekahi e ola kino ana. Hōʻike kēia i ka mana o nā kumu kaiapuni.
He aha nā kūlana o ka hoʻomohala ʻana i ka maʻi diabetes?
Hiki i kēia mau helu ke lilo i mea huikau iki, akā he mea nui e loaʻa kahi manaʻo maʻamau. Hōʻike ka papa ma lalo nei i ka hiki ke loaʻa i kahi keiki ka maʻi diabetes Type 1 i nā manawa like ʻole.
| Lālā o ka ʻohana a me ke kūlana | ʻO ka hiki ke loaʻa i kahi keiki ka maʻi diabetes Type 1 |
|---|---|
| Loaʻa i ka makuakāne ka maʻi diabetes Type 1 | 1 i loko o 17 (1 i loko o 17) |
| Loaʻa i ka makuahine ka maʻi diabetes Type 1 (inā ua hānau ʻia ke keiki ma mua o 25 mau makahiki) | 1 i loko o 25 (1 i loko o 25) |
| Loaʻa i ka makuahine ka maʻi diabetes Type 1 (inā ua hānau ʻia ke keiki i ka makahiki 25 a ma hope paha) | 1 i loko o 100 poʻe (1 i loko o 100) - ʻO ia ka pilikia maʻamau |
| Loaʻa nā mākua ʻelua me ka maʻi diabetes Type 1 | Hiki iā ia ke piʻi a hiki i ka 1 i loko o 4 mau kānaka (1 i loko o 4) |
| Loaʻa kahi kaikunāne a kaikuahine paha me ka maʻi diabetes Type 1 (me ka ʻole o nā mākua) | Ma kahi o 5% ka pilikia (like me ka pilikia o ka loaʻa ʻana o ka makuakāne) |
| Māhoe like me ka maʻi | ʻOi aku ka nui o ka pilikia ma mua o 50% (1 i loko o 2) |
| ʻO kahi makua i loaʻa i ka Type 2 Polyglandular Autoimmune Syndrome ma waho aʻe o ka maʻi diabetes Type 1 | 50% pilikia (1 i loko o 2) |
Mai hopohopo i kēia mau helu helu. ʻO ka mea nui e hoʻomanaʻo ai, ʻo ka hapa nui o ka poʻe me ka maʻi diabetes Type 1 ʻaʻohe mōʻaukala ʻohana o ka maʻi. ʻO ke ʻano kēia, i nā hihia he nui, hiki ke ʻike koke ʻia ka maʻi, me ka ʻole o ka mōʻaukala ʻohana.
No laila he aha kaʻu e hana ai?
ʻAʻole hiki iā ʻoe ke hoʻololi i kou mau genes. He ʻoiaʻiʻo kēlā. Akā hiki iā ʻoe ke makaʻala i kēia.
- Ka ʻike: Inā loaʻa kekahi o kou ʻohana i ka maʻi diabetes Type 1, he mea nui e ʻike i ia mea.
- E makaʻala i nā hōʻailona: ʻOi aku hoʻi i nā keiki, e makaʻala i nā hōʻailona e like me ka make wai nui, ka mimi pinepine, ka pohō kaumaha koke, a me ka luhi nui.
- E ʻimi i ke aʻo lapaʻau: Inā he kānalua kou, mai hopohopo, e ʻike koke i kāu kauka . He mea nui loa ka ʻike mua a me ka mālama ʻana.
ʻO ka mea hope loa, he ʻāpana wale nō o ka moʻolelo nā genes. No laila, he mea naʻauao ke pale aku i ka makaʻu pono ʻole e pili ana i ka mōʻaukala ʻohana, e ʻike, e lawe i kahi nohona olakino, a e ʻimi i ke aʻo lapaʻau inā pono.
Leka Lawe-Home
- ʻAʻole wale ka hoʻopili ʻia ʻana o ka maʻi diabetes Type 1 e nā genes, akā, e ke kaiapuni a mākou e noho nei.
- ʻAʻohe ʻano kikoʻī hoʻokahi o ka 'gene diabetes'. He hui pū ʻana ia o kekahi mau genes e pili ana, ʻoiai nā genes (HLA) .
- ʻOiai inā loaʻa i kekahi o kou ʻohana ka maʻi diabetes Type 1, ʻaʻole ia he manaʻo e loaʻa iā ʻoe a i ʻole kāu keiki. He haʻahaʻa iki ka pilikia.
- ʻAʻohe o ka ʻohana ʻē aʻe o ka hapa nui o ka poʻe me ka maʻi diabetes type 1 me ka maʻi, no laila hiki ke laha i loko o nā ʻohana.
- Inā he moʻolelo ʻohana kou a kānalua paha i kekahi mau hōʻailona, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka me ka makaʻu ʻole.
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