Inā loaʻa iā ʻoe ka maʻi diabetes, ua hiki i ka manawa e mālama iki i kou mau puʻupaʻa. ʻO kekahi o nā pilikia nui o ka maʻi diabetes, ʻo ia ka hōʻino ʻia o nā puʻupaʻa. Kapa mākou i kēia maʻi ma ke ʻano lapaʻau he " Diabetic Kidney Disease." Ua lohe paha ʻoe i kāu kauka e kapa ana he Diabetic Nephropathy . I ka ʻōlelo maʻalahi, ʻo ia ka wā e hōʻino ʻia ai kou mau puʻupaʻa e ke koko kiʻekiʻe a me nā pae kō koko kiʻekiʻe i kāohi ʻole ʻia no ka manawa lōʻihi.
Ke hōʻino ʻia nā puʻupaʻa ma kēia ʻano, e emi mālie ana ko lākou hiki ke kānana a wehe i nā ʻōpala mai ke kino. ʻAʻole hana koke kēia, holomua mālie ka maʻi ma o ʻelima mau pae. Akā ʻo ka mea maikaʻi loa, me ka mālama kūpono a me nā hoʻololi ʻana i ke ʻano o ka nohona, hiki iā mākou ke kāohi i kēia kūlana a pale i nā pilikia.
I nā pae mua o kēia maʻi puʻupaʻa, ʻaʻohe hōʻailona ʻike ʻia. No laila he mea nui e kamaʻilio me kāu kauka a e nānā ʻia ka hana o kou puʻupaʻa ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki.
E nānā pinepine kāu kauka i kāu mimi a me nā hāpana koko, e ʻimi pono ana i kahi ʻano protein i kapa ʻia ʻo microalbumin i loko o kāu mimi. He hōʻailona mua kēia e hoʻomaka ana kou mau puʻupaʻa e hōʻino ʻia.
He aha nā pae 5 o ka maʻi puʻupaʻa maʻi diabetes?
E hoʻomaopopo kākou i nā pae ʻelima o kēia maʻi ma ke kaʻawale a maʻalahi hoʻi. ʻO ka ʻike ʻana i kēia he mea kōkua nui ia i ka ʻike ʻana a me ka kaohi ʻana i ka maʻi i ka wā mua.
| Kahua | He aha ka mea e hana ʻia i nā puʻupaʻa? | Nā hiʻohiʻona nui a me nā mea e hana ai |
|---|---|---|
| Pae 1 | Ke hana ikaika nei nā puʻupaʻa ma mua o ka maʻamau a he nui iki aʻe paha ka nui. | ʻAʻohe hōʻailona o waho. Hiki ke ʻike ʻia kahi liʻiliʻi loa o ka protein (microalbumin) i loko o ka mimi. He mea nui loa nā loli o ke ʻano o ka nohona. |
| Pae 2 | Ke hoʻomaka nei nā puʻupaʻa e hōʻike i kahi pōʻino iki. Ke hana maikaʻi nei lākou. | ʻAʻohe hōʻailona o waho. ʻOi aku ka nui o ka protein i loko o ka mimi ma mua o ke kahua 1. Pono ʻoe e hoʻomau i ka hahai ʻana i nā kuhikuhi no ke kahua 1. |
| Pae 3 | Ua emi nui ka hana o nā puʻupaʻa. | ʻAʻohe pinepine nā hōʻailona. Hiki i kekahi poʻe ke ʻike i ka pehu ʻana o nā lālā, ke koko kiʻekiʻe, a me ka anemia. He mea nui e ʻike i ke kauka loea i nā maʻi puʻupaʻa (Nephrologist). |
| Pae 4 | Ua hōʻino nui ʻia nā puʻupaʻa. Haʻahaʻa loa kā lākou hana. | ʻO nā hōʻailona e komo pū me ka pehu ʻana o nā lālā a me nā loli i ke alapine o ka mimi ʻana. Piʻi ka potassium, phosphorus, a me ka acidity i loko o ke koko. Pono ka nānā pono ʻana o ke kauka e pale aku i ka hāʻule ʻana o nā puʻupaʻa. |
| Pae 5 | Ua piha a kokoke paha ka hemahema o nā puʻupaʻa. | Hoʻomaka ka ʻike ʻia ʻana o nā hōʻailona koʻikoʻi, e pono ai ka dialysis a i ʻole ka hoʻoili ʻana i nā puʻupaʻa. |
Nā Pae Mua (Pae 1 a me 2) - ʻŌlelo Aʻo Mālie
Mai manaʻo ʻoe ʻaʻole ia he mea weliweli no ka mea ʻaʻole ʻoe e manaʻo i kekahi mea i kēia mau pae mua ʻelua. ʻO kēia ka manawa kūpono loa e hana ai. ʻO kēia ka manawa kūpono loa e hoʻōki ai a hoʻopaneʻe paha i ka hōʻino ʻana i kou mau puʻupaʻa.
Nā mea hiki iā ʻoe ke hana i loko o kēia manawa
- E kāohi i kou kō koko a me ke koko: ʻO kēia ka mea nui loa. E lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai i ka manawa kūpono. He mea maikaʻi inā hiki iā ʻoe ke loaʻa kahi mea hana ma ka home e ana i kāu kō a me ke koko.
- ʻAi olakino: E hōʻemi i ka ʻai ʻana i ka paʻakai i ka hiki. E noho mamao mai nā mea ʻono, nā mea ʻaila, a me nā meaʻai wikiwiki. E hoʻokomo i nā mea kanu, nā huaʻai, a me nā mea kanu i kāu papaʻai.
- Hoʻomaʻamaʻa kino:E hoʻoikaika kino ma ka liʻiliʻi he 30 mau minuke i ka lā. He mau koho maikaʻi ka hele wāwae, ka holo ʻana, a i ʻole ke kaʻa paikikala.
- E mālama i ke kaumaha olakino: ʻO ka mālama ʻana i ke kaumaha kūpono no kou kiʻekiʻe e hōʻemi i ke kaomi ma luna o kou mau puʻupaʻa.
- Inā ʻoe e puhipaka, e hoʻōki i kēia manawa: Hoʻopōʻino ka puhipaka i nā kīʻaha koko e lawe ana i ke koko i nā puʻupaʻa.
Nā Pae 3 a me 4 - Ka manawa e makaʻala ai
ʻOiai i ke kolu o ka pae, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona nui. Eia nō naʻe, hoʻomaka kekahi poʻe e ʻike i ka pehu ʻana ma ko lākou mau wāwae a me nā lima. Hiki ke piʻi aʻe kou koko a loaʻa paha iā ʻoe ka anemia. I kēia pae, e kuhikuhi aku kāu kauka iā ʻoe i kahi kauka loea i nā maʻi puʻupaʻa, i kapa ʻia he nephrologist . He mea nui loa ia e hahai i kāna mau kuhikuhi.
ʻO ke kahua ʻehā kahi maʻi koʻikoʻi. I kēia manawa, ua emi nui ka hana o nā puʻupaʻa. ʻO nā hōʻailona e pili ana i ka pehu ʻana o nā lālā, nā loli i ke alapine a i ʻole ka nui o ka mimi ʻana, a me ka piʻi ʻana o ka potassium a me ka phosphorus i loko o ke koko. I kēia manawa, pono ʻoe a me kāu kauka e hana ikaika loa e pale aku i ka hāʻule piha ʻana o nā puʻupaʻa.
Pae 5 - Ka hāʻule ʻana o ka puʻupaʻa
ʻO kēia ke kahua hope loa. Maanei, ua pau loa ka hana o nā puʻupaʻa ʻelua a kokoke loa paha e pau. I kēia manawa, ʻike ʻia nā ʻano hōʻailona like ʻole ma muli o ka hōʻiliʻili ʻana o nā huahana ʻōpala i loko o ke kino a me ka lāʻau make.
- Ka pehu ʻana o nā lālā
- ʻIli ʻeha hiki ʻole ke hoʻomanawanui
- ʻEhaʻeha o nā ʻiʻo
- Ka luaʻi a me ka luaʻi
- ʻEha hope
- Makemake nui
- Kakaikahi a ʻaʻohe paha o ka mimi i hoʻopuka ʻia
- Paʻakikī ka hanu ʻana, ka hiamoe ʻole
- Nā pilikia o ka hoʻomanaʻo a me ka ʻike (Confusion)
- Nā hopu ʻana
- Ke manaʻo nei i kahi ʻono metala i loko o ka waha
I mea e ola ai ma hope o ka hiki ʻana i kēia pae, pono nā puʻupaʻa e hana i kā lākou mau hana ma ke ʻano ʻokoʻa. Aia ʻelua mau koho lapaʻau nui no kēia.
1. Dialysis: ʻO kēia kahi e hoʻomaʻemaʻe ʻia ai ke koko o ke kino me ke kōkua o kahi mīkini, e wehe ana i ka wai keu a me nā huahana ʻōpala. ʻElua ʻano o kēia: Hemodialysis (kahi hana i hana ʻia ma kahi haukapila ma ka hoʻopili ʻana iā ia i kahi mīkini) a me Peritoneal Dialysis (kahi hana i hana ʻia ma ka home ma o ka lua ʻōpū).
2. Hoʻoili Puʻupaʻa: ʻO ke kāpili ʻana o kahi puʻupaʻa olakino (mai kahi mea hāʻawi ola a make paha) i loko o ke kino.
Leka Lawe-Home
- Inā loaʻa iā ʻoe ka maʻi diabetes, e hoʻomanaʻo mau e hiki ke hoʻopilikia i kou mau puʻupaʻa. Akā, mai hopohopo, hiki ke kāohi ʻia kēia.
- ʻO ka mea nui loa, ʻo ia ka mālama mau ʻana i kou kō koko a me ke koko ma lalo o ka kaohi maikaʻi. E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka.
- ʻOiai ʻaʻohe hōʻailona i nā pae mua, e nānā kāu kauka i ka hana o kāu puʻupaʻa ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki (protein i loko o kou mimi a me creatinine i loko o kou koko).
- ʻO ke ʻano ola kino olakino (ʻai maikaʻi, hoʻoikaika kino, a me ka pale ʻana i ka puhipaka) e like me ka pā nui e pale ai i kou mau puʻupaʻa.
- Inā ua ʻike ʻia ʻoe he maʻi puʻupaʻa, mai hopohopo a e hahai pololei i nā ʻōlelo a kāu kauka . Me ka mālama pono ʻana, hiki iā ʻoe ke ola i kahi ola olakino.
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