Ua haʻi aku paha ke kauka iā ʻoe he maʻi diabetes kou, a i ʻole 'maʻi kō' e like me kā mākou e ʻike nei. Manaʻo pinepine mākou he pilikia wale nō ka maʻi diabetes me nā pae kō koko. Akā ʻo ka ʻoiaʻiʻo, hoʻopilikia ia i nā ʻōpū he nui i loko o ko mākou kino, ʻoi aku hoʻi ko mākou puʻuwai, ma mua o ko mākou manaʻo. ʻO ia ke kumu e mālama mau ai ke kanaka me ka maʻi diabetes i ko lākou puʻuwai. Aia kekahi mau hoʻokolohua kūikawā e kōkua i ke kauka e ʻike inā olakino kou puʻuwai a inā he pilikia. E kamaʻilio kākou e pili ana i ko lākou ʻano i kēia lā.
No ke aha e hoʻopilikia ai ka maʻi diabetes i ka puʻuwai?
I ka ʻōlelo maʻalahi, ke kāohi ʻole ʻia nā pae kō koko a kiʻekiʻe i kekahi manawa, hōʻino ia i ko mākou mau kīʻaha koko. E like me ka hōʻiliʻili ʻana o ka ʻōpala i loko o kahi paipu wai, mānoanoa mālie nā paia o ko mākou mau kīʻaha koko, paʻakikī, a hoʻomaka e paʻa i ka momona (cholesterol). Kāhea mākou i kēia maʻi ʻo Atherosclerosis . Ke paʻa nā kīʻaha koko e hoʻolako ana i ka puʻuwai (nā ʻaʻa coronary) ma kēia ʻano, ʻaʻole loaʻa i ka ʻiʻo puʻuwai ka oxygen a me nā meaʻai e pono ai. ʻO kēia ka mea e hoʻomākaukau ai i ke ala no nā maʻi koʻikoʻi e like me nā hōʻeha puʻuwai a me nā hahau .
No laila, inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui e kaohi i kou kō koko a nānā mau i ke olakino o kou puʻuwai.
Nā hoʻāʻo puʻuwai nui āu e pono ai
Hiki i kāu kauka ke paipai i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua ma muli o kou kūlana. ʻAʻohe kumu e makaʻu ai i kēia. Hoʻohana ʻia kēia mau hoʻokolohua e ʻike mua i nā pilikia a hoʻomaka i ka lāʻau lapaʻau e pono ai.
| Inoa Hoʻāʻo | He aha kāu e hana ai me kēia? | Nā mea e ʻike ai |
|---|---|---|
| Nānā i ke Koko | Ke ana ʻana i ke kaomi i hoʻokau ʻia e ke koko ma nā paia o kou mau kīʻaha koko i kona kahe ʻana. He mea e hana pinepine ʻia ke hele ʻoe i ke keʻena lapaʻau. | Hiki iā ʻoe ke ʻike inā he koko kiʻekiʻe kou. |
| ECG (Electrocardiogram) | He hoʻāʻo maʻalahi a ʻeha ʻole e hoʻopaʻa ana i ka hana uila (ke kuʻi ʻana o ka puʻuwai). | Nā mea e like me nā ʻano ʻino o ka puʻuwai puʻuwai, nā hōʻailona o ka hōʻeha puʻuwai, a me ka emi ʻana o ke kahe koko i ka ʻiʻo puʻuwai. |
| ʻEchocardiogram (Echo) | He scan ultrasound o ka puʻuwai. Hoʻokumu ia i kahi kiʻi o ka puʻuwai a nānā i kāna hana. | ʻO ka hana o nā keʻena o ka puʻuwai, nā kiwikā, a me ka pono o ka puʻuwai e pamu ai i ke koko. |
| Hoʻāʻo Hoʻoikaika Kino (Hoʻāʻo Treadmill) | Ke nānā nei i ka hana o kou puʻuwai (ECG) i kou hele ʻana a holo paha ma luna o ka treadmill. | Inā paha e loaʻa ana ke koko i ka ʻiʻo o ka puʻuwai i ka wā o ka hoʻoikaika kino, a inā paha he poloka i loko o nā kīʻaha koko. |
| ʻO ka Angiogram Coronary | Hoʻokomo ʻia kahi ʻōmole liʻiliʻi (catheter) i loko o kahi aa koko ma ka lima a i ʻole ka wāwae a hoʻohana ʻia e nānā i nā kīʻaha koko me ka hoʻohana ʻana i nā kukuna X, e hoʻokomo ana i kahi kala i loko o lākou. | No ka ʻike pono ʻana i ka nui a me kahi i ālai ʻia ai nā kīʻaha koko o ka puʻuwai. |
He mea hou aʻe e pili ana i kēia mau hoʻokolohua
- Ke kāohi ʻana i ke koko: He ʻenemi weliweli loa ke koko kiʻekiʻe no ka mea me ka maʻi diabetes. Ke hui pū ʻia kēia mau mea ʻelua, pāpālua a pākolu paha ka pilikia o ka hōʻeha puʻuwai, ka hahau ʻana, a me ka maʻi puʻupaʻa. No laila, he mea nui e kāohi i kou koko ma ka lawe ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka a me ka hōʻemi ʻana i kāu ʻai paʻakai.
- ʻO Carotid Ultrasound: ʻO nā aʻa carotid nā kīʻaha koko nui ʻelua e lawe ana i ke koko mai nā ʻaoʻao o ko kākou ʻāʻī a i ka lolo. Hiki i ka maʻi diabetes ke hana i nā waihona momona e hōʻiliʻili i loko o kēia mau aʻa, ʻo ia ke kumu nui o ka hahau ʻana. Hiki i kēia scan maʻalahi a ʻeha ʻole ke nānā i ke kūlana o kēia mau aʻa.
- ʻO ka helu CT Scan a me ka helu Calcium o ka puʻuwai:Ana kēia inā ua hōʻiliʻili ʻia ka calcium i loko o nā paia o nā aʻa e hoʻolako ana i ke koko i ka puʻuwai. Ua like ia me ka limescale i loko o nā paipu wai kahiko. ʻO ka piʻi ʻana o kēia pae calcium ʻo ia hoʻi ke paʻakikī mālie nei a me ka haiki ʻana o nā kīʻaha koko. Ma muli o kēia helu, hiki i ke kauka ke loaʻa kahi manaʻo no ka pilikia o ka hōʻeha puʻuwai i ka wā e hiki mai ana.
- Nānā Holter: I kekahi manawa e manaʻo paha ʻoe i kahi haʻalulu koke i kou umauma a i ʻole ka ʻeha o ka umauma, akā nalo paha ia ke hele ʻoe i ke kauka. ʻO ia ka manawa e hoʻohana ʻia ai kēia. He mīkini ECG liʻiliʻi kēia hiki iā ʻoe ke komo no hoʻokahi a ʻelua paha lā. Hoʻopaʻa mau ia i ka hana o kou puʻuwai ʻoiai ʻoe e hana ana i kāu mau hana maʻamau o kēlā me kēia lā.
He aha kāu e hana ai?
ʻO ka mea nui loa, ʻo ia ka mālama mau ʻana i ka launa pū ʻana me kāu kauka.
1. E hele i nā keʻena lapaʻau i ka manawa kūpono: E hele i nā keʻena lapaʻau maʻi diabetes, nā keʻena lapaʻau puʻuwai (inā pono) i ka manawa kūpono. E mālama i kāu mau hōʻike hoʻāʻo a pau i ke kaʻina.
2. E lawe i kāu mau lāʻau lapaʻau e like me ke kauoha: Mai hoʻokuʻu i hoʻokahi mahele o kāu mau lāʻau maʻi diabetes, ke koko, a i ʻole nā lāʻau cholesterol. Ua like lākou me ka pale e pale ai i kou puʻuwai.
3. Mai hoʻowahāwahā i nā hōʻailona: Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, ka hou nui koke, a i ʻole ka poniuniu, e ʻimi koke i ke kōkua lapaʻau. Inā pono, mai hoʻokaʻulua i ka hele ʻana i ka Emergency Department (ETU) o ka haukapila kokoke loa.
4. E hoʻololi i kou nohona: Inā ʻoe e puhipaka, e haʻalele i kēia lā. E ʻai i ka meaʻai kaulike, e pale i nā meaʻai kiʻekiʻe i ke kō a me ka momona. E hoʻoikaika kino i kēlā me kēia lā. ʻOi aku ka maikaʻi o kēia mau mea no kou puʻuwai ma mua o nā lāʻau lapaʻau.
Hiki ke paʻakikī ke ola me ka maʻi diabetes, akā me ka ʻike kūpono, ka hahai ʻana i nā ʻōlelo aʻo a kāu kauka, a me ke ʻano ola olakino, hiki iā ʻoe ke pale i kou puʻuwai a ola i ke ola lōʻihi a olakino.
Leka Lawe-Home
- ʻAʻole wale ka maʻi diabetes he maʻi i kaupalena ʻia i ke kō koko; hoʻopilikia pololei ia i kou puʻuwai.
- Mai makaʻu i nā hoʻokolohua e like me ECG, Echo, a me Stress Test a kāu kauka e ʻōlelo ai; ma ka hana ʻana iā lākou, hiki iā ʻoe ke ʻike i ka pilikia o ka maʻi puʻuwai i ka wā mua.
- ʻO ka lawe ʻana i nā lāʻau lapaʻau kūpono no ka maʻi diabetes, ke koko kiʻekiʻe, a me ka cholesterol he mea nui ia no ka pale ʻana i kou puʻuwai.
- Inā ʻike ʻoe i nā hōʻailona o ka maʻi puʻuwai, e like me ka ʻeha o ka umauma a i ʻole ka paʻakikī o ka hanu ʻana, mai hoʻowahāwahā iā lākou a e ʻimi koke i ke kōkua lapaʻau.
- ʻO ka mālama ʻana i ka ʻai olakino a me ke ola kino ikaika ke ala maikaʻi loa e kaohi ai i ka maʻi diabetes a me nā maʻi puʻuwai.
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