He kanaka anei ʻoe e lawe ana i ka lāʻau lapaʻau no ka maʻi diabetes? A i ʻole he ʻohana a he hoaaloha paha kou? A laila ua lohe paha ʻoe e pili ana i nā manawa āu e manaʻo koke ai i ka nāwaliwali, ka hou, ka haʻalulu, a me kahi manaʻo ʻē i loko o kou puʻuwai. Malia paha ua ʻike ʻoe iā ia iho. He mea kēia e pono ʻole ai mākou e lawe māmā, a hiki ke lilo i mea pilikia. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia kūlana weliweli e hiki ke loaʻa i ka poʻe me ka maʻi diabetes, i kapa ʻia ʻo 'Insulin Shock' a i ʻole, ma ka ʻōlelo lapaʻau, 'Hypoglycemia'.
I ka ʻōlelo maʻalahi, he aha ka hypoglycemia?
He mea maʻalahi loa ia. ʻO ke ʻano kēia, ua emi loa ke kiʻekiʻe o ke kō koko ma mua o ka mea e pono ai. E nānā, pono kēlā me kēia cell i loko o ko kākou kino i ka ikehu e hana ai. E like me ke kaʻa e pono ai ka ʻaila e holo ai. Loaʻa i kā kākou mau cell kēia ikehu mai ke kō, a i ʻole ka glucose, i loko o nā meaʻai a kākou e ʻai ai.
Eia nō naʻe, ʻaʻole hiki i kēia kō ke komo i loko o nā ʻāpana. Pono ia i kahi kī kūikawā. ʻO kēlā kī ka hormone insulin . ʻO ke kanaka me ka maʻi diabetes ʻaʻole ia e hana i ka insulin lawa i loko o ko lākou kino, a i ʻole ʻaʻole hana pono ka insulin a lākou e hana ai. ʻO ia ke kumu e pono ai lākou e lawe i nā inikini insulin a i ʻole nā lāʻau lapaʻau ʻē aʻe mai waho.
No laila, ʻo ke hypoglycemia ʻo ia hoʻi, no kekahi kumu, piʻi ka nui o ka insulin e pono ai e kaohi i kāu kō koko, e hoʻemi ana i ka nui o ke kō koko i kahi haʻahaʻa loa.
No ke aha mākou e loaʻa ai i ka Insulin Shock? He aha nā kumu?
ʻO ke kumu nui o kēia, he kaulike ʻole. ʻO ia hoʻi, ua hoʻopilikia ʻia ke kaulike ma waena o ka nui o ka insulin a i ʻole ka lāʻau lapaʻau maʻi diabetes āu e lawe ai, ka nui o ka meaʻai āu e ʻai ai, a me kāu hana kino.
Eia kekahi mau kumu maʻamau:
- Hoʻoikaika kino ʻoi aku ma mua o ka maʻamau: E noʻonoʻo ua lawe ʻoe i kāu mahele o ka insulin i kēlā me kēia lā a hana ikaika aʻe ma mua o ka maʻamau e hoʻomaʻemaʻe i ka māla. Ma muli o ka hoʻohana ʻana o kā mākou mau cell i ke kō hou aʻe i ka wā e hoʻoikaika kino ai mākou, hiki i kā mākou kō koko ke hāʻule koke.
- Ke hōʻalo nei a hoʻopaneʻe paha i ka ʻai: Inā ʻoe e lawe i kahi inikini insulin i ke kakahiaka a ʻaʻole hiki ke ʻai i ka ʻai i ka manawa kūpono ma muli o ka hana, ʻaʻole paha e loaʻa i kou kino ka lawa o ke kō e kūlike me ka nui o ka insulin āu i lawe ai, e hoʻemi ana i kāu pae kō koko.
- Ke hoʻololi nei i ka nui a i ʻole ka manawa o ka ʻai ʻana: ʻO ka ʻai ʻana ma lalo o ka maʻamau kekahi kumu.
- Ka nui o ka lāʻau lapaʻau: ʻO ka lawe ʻana i ka insulin a i ʻole ka lāʻau lapaʻau ma mua o ke kauoha a ke kauka.
- Inu ʻona ma ka ʻōpū ʻole: ʻO ka inu ʻana i ka ʻona me ka ʻai ʻole hiki ke hoʻemi koke i ke kō koko.
He aha nā hōʻailona o kēia? Pehea mākou e ʻike ai?
Hiki ke maʻalea kēia mau hōʻailona i ka wā mua, akā inā hoʻowahāwahā ʻia, hiki iā lākou ke lilo i mea koʻikoʻi. ʻO ia ke kumu he mea nui iā ʻoe a me kou ʻohana e makaʻala i kēia mau hōʻailona.
| Māhele ʻano | Nā manaʻo a me nā hōʻailona i ʻike ʻia |
|---|---|
| Nā hiʻohiʻona maʻamau/palupalu (nā hōʻailona ʻōlelo aʻo mua) | |
| Pōʻino a me nā haʻalulu | Ka poniuniu koke, ka haʻalulu o nā lālā. |
| Ka hou ʻana | Hou anu me ke kumu ʻole. |
| Pōloli nui | Ka hoʻomaka koke ʻana o ka pōloli nui. |
| Nā palpitations o ka puʻuwai | Manaʻo e like me ka wikiwiki o ka paʻi ʻana o kou puʻuwai me kahi malihini i loko o kou puʻuwai. |
| Ka huhū/hopohopo | Ka huhū koke a me ka huhū me ke kumu ʻole. |
| Nā hōʻailona koʻikoʻi/weliweli (pono ka mālama koke ʻana) | |
| Ka huikau a me ka paʻakikī i ka ʻōlelo ʻana | ʻAʻole hiki ke noʻonoʻo, ʻōlelo ʻole, hiki ʻole ke hana i kāu mea e hana nei me ke kūpono. |
| ʻEha poʻo nui | ʻEha poʻo koʻikoʻi a koke. |
| Ka mae ʻana | Hiki iā ʻoe ke nalowale ka ʻike inā loaʻa ʻoe i ka poniuniu. |
| Nā hopu ʻana | Ke ʻano o ka haʻalulu ʻana o ke kino e like me ke kūpono. |
| Nā hōʻailona o ka pō | |
| Uwau i ka wā hiamoe/moeʻuhane ʻino | E uē ana i ka wā hiamoe, e moeʻuhane ana i nā moeʻuhane ʻino. |
| Ka pulu ʻana o nā lole a me nā moena | ʻO ka hou nui i ka pō, e hoʻomaʻū ai i nā lole a me nā uhi moe. |
| Ke ala ʻoe i ke kakahiaka | Manaʻo nui i ka luhi, ka huhū, a i ʻole ka poniuniu ke ala ʻoe i ke kakahiaka. |
ʻAe, he aha kā mākou e hana ai inā hana ʻia kekahi mea e like me kēia?
Ke loaʻa nā hōʻailona kumu:
Inā hiki iā ʻoe, e nānā mua i kou pae kō koko me kāu glucometer. Ma kēlā ala hiki iā ʻoe ke maopopo. Eia nō naʻe, inā ʻaʻohe ala e nānā ai i kēlā manawa, akā loaʻa iā ʻoe nā hōʻailona, mai hoʻokaʻulua i ka loaʻa ʻana o ka lāʻau lapaʻau. E noʻonoʻo he haʻahaʻa ke kō a hana i ka mea e pono ai.
Hoʻohana mākou i kahi lula maʻalahi no kēia. ʻO ia ke kānāwai '15-15' .
1. 15 mua: E ʻai a inu paha i kahi mea me 15-20 grams o ke kō i omo koke ʻia e ke kino.
- 3-4 papa glucose
- Hapalua kīʻaha wai huaʻai (ʻalani, ʻāpala)
- Hapalua kīʻaha o ka mea inu kō maʻamau (ʻaʻole ka mea inu ʻai)
- E inu ana i hoʻokahi punetēpē o ke kō i hoʻoheheʻe ʻia i ka wai
- He punetēpē o ka meli a i ʻole ka nectar
- He mau toffees
2. Deuteronomi 15:E kali i 15 mau minuke. A laila e nānā hou i kou pae kō koko.
Inā haʻahaʻa mau kou kō koko (ʻoi aku ka liʻiliʻi ma mua o 70 mg/dL), e ʻai hou i kekahi o nā meaʻai i helu ʻia ma luna a nānā hou i loko o 15 mau minuke. Ke hoʻi hou kou kō koko i ka maʻamau, inā ua hala ma mua o hoʻokahi hola mai kāu ʻai nui aʻe, e ʻai i kahi meaʻai māmā e like me ka hapalua ʻāpana berena, kahi ʻāpana tīhi, a me 4-5 mau kuki.
Inā koʻikoʻi ke kūlana (inā nalowale ka hoʻomanaʻo):
He mea nui loa: Inā ʻike ʻole kekahi a i ʻole e loaʻa ana i ka maʻi ʻōʻili, mai ho'āʻo e hāʻawi iā lākou i ka meaʻai a mea inu paha ma ka waha. Hiki i kēia ke hoʻopaʻa i ka meaʻai a i ʻole ka wai i loko o ke ala ea.
ʻO ka mea mua e hana ai , ʻo ke kelepona koke ʻana iā 1990 a kiʻi i kahi kaʻa kaʻa, a i ʻole e lawe i ke kanaka i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa i ka hikiwawe loa. Ma ka haukapila, hoʻomalu ʻia ke kūlana me nā lāʻau lapaʻau e like me ka hāʻawi ʻana i ke kō ma ke ʻano intravenous.
Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o kahi pahu hoʻopakele glucagon . ʻO ka Glucagon kahi hormone a ko mākou kino e hana ai e hoʻokiʻekiʻe koke i nā pae kō koko. ʻO ka hoʻokomo ʻana i kēia i loko o kahi kanaka ʻike ʻole e hiki ke kōkua i ka pale ʻana i ke kūlana mai ka ʻino a hiki i ka hōʻea ʻana o kahi kaʻa kaʻa a i ʻole hiki ke lawe ʻia lākou i ka haukapila. ʻO ke aʻo ʻana i kou ʻohana a me ka poʻe e hana pū me ʻoe pehea e hoʻohana ai hiki ke lilo i mea e hoʻōla ai i ke ola.
Leka Lawe-Home
- Inā loaʻa iā ʻoe ka maʻi diabetes, e makaʻala i nā hōʻailona nui o ka haʻalulu insulin (ka hou ʻana, ka haʻalulu, ka poniuniu, ka pōloli).
- E mālama mau i kahi mea kokoke i hiki ke hoʻonui koke i kou pae kō koko (nā papa glucose, toffee, kahi mea inu ʻono).
- E haʻi aku i kou ʻohana a me nā hoaaloha pili e pili ana i kēia kūlana a me ka mea e hana ai i kahi pilikia.
- Inā nalowale ka ʻike o kekahi, mai hāʻawi iā lākou i kahi mea e ʻai ai a inu paha ma ka waha no kekahi kumu. E lawe koke iā lākou i ka haukapila.
- E kamaʻilio pinepine me kāu kauka e pili ana i kāu lāʻau lapaʻau a me nā nui o ka insulin, nā meaʻai, a me ka hoʻoikaika kino e mālama i ke kaulike.
- E nīnau i kāu kauka e pili ana i kahi pahu hoʻopakele glucagon. Hiki iā ia ke lilo i mea hoʻopakele ola.
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