Ua ʻike anei ʻoe he maʻi ka maʻi puʻupaʻa e ulu pinepine ana me ka leo ʻole, me ka ʻole o nā hōʻailona? ʻAʻole ʻike ka nui o ka poʻe i kekahi mau hōʻailona i ka wā mua. ʻO ia ke kumu ʻaʻole ʻike ka 90% o ka poʻe me ka Maʻi Puʻupaʻa Mau loa ua loaʻa iā lākou. Akā inā ʻike mākou i kēia maʻi leo ʻole a ʻike i kāna mau hōʻailona hōʻike, hiki iā mākou ke loaʻa kahi hōʻailona a me ka lāʻau lapaʻau i ka wā mua, a pale aku i nā pilikia olakino nui. No laila e kamaʻilio kākou e pili ana i kēia ʻenemi leo ʻole i kēia lā.
He aha maoli ka maʻi puʻupaʻa?
ʻAe, e nānā mua kākou i ke ʻano o kēia mau puʻupaʻa a me kā lākou hana. He ʻelua mau ʻōkana liʻiliʻi kēia ma nā ʻaoʻao ʻelua o kou iwi kuamoʻo, e like me ka nui o ʻelua mau pīni. ʻOiai he liʻiliʻi lākou, hana nui lākou. I ka ʻōlelo maʻalahi, ʻo kā lākou hana nui ke kānana i ka wai pono ʻole a me nā huahana ʻōpala i loko o ko kākou koko a hana i ka mimi. Kōkua pū lākou i ka hoʻomalu ʻana i kou koko. No laila, ke hōʻino ʻia kekahi mea i loko o kēia mau puʻupaʻa a ʻaʻole lākou e hana pono, kapa mākou iā lākou he maʻi puʻupaʻa.
He aha nā kumu pilikia e hoʻopilikia ai i kēia?
Hoʻonui kekahi mau mea i ka pilikia o ka loaʻa ʻana o nā maʻi puʻupaʻa. E nānā kākou i ke ʻano o lākou:
- ʻO ka maʻi diabetes: ʻO kēia ke kumu nui o nā maʻi puʻupaʻa ma Sri Lanka a puni ka honua. Ke noho kiʻekiʻe nā pae kō koko no ka manawa lōʻihi, ua hōʻino ʻia nā kīʻaha koko palupalu i loko o nā puʻupaʻa.
- Ke koko kiʻekiʻe: Inā ʻaʻole i kāohi ʻia ke kaomi, e hōʻino ʻia nā kīʻaha koko e hoʻolako koko i nā puʻupaʻa, e hōʻemi ana i ka hana a nā puʻupaʻa.
- Maʻi Puʻuwai: He pilina ikaika ma waena o ka puʻuwai a me nā puʻupaʻa. Inā he maʻi i loko o ka puʻuwai, hiki iā ia ke hoʻopilikia i nā puʻupaʻa, a inā he maʻi i loko o nā puʻupaʻa, hiki iā ia ke hoʻopilikia i ka puʻuwai.
- Puhipaka: Hiki i ka puhipaka ke hōʻemi i ke kahe o ke koko i nā puʻupaʻa, kahi e hoʻonui hou aku ai i ka hōʻino ʻana o ka puʻupaʻa.
- Momona: Hoʻokaumaha ke kaumaha o ke kino i nā puʻupaʻa. Hoʻonui kēia i ka pilikia o ka maʻi diabetes a me ke koko kiʻekiʻe.
- Ka ʻelemakule: E emi maoli ana ka hana o nā puʻupaʻa i ko kākou wā ʻelemakule.
ʻO ka mea nui loa, inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau kumu pilikia, he mea nui loa ia e nānā pinepine ʻia kou mau puʻupaʻa, ʻoiai inā ʻaʻohe ou hōʻailona.
He aha nā hōʻailona e pono ai mākou e makaʻala?
I ka wā e ʻoi aku ka ʻino o ka maʻi puʻupaʻa i ka hala ʻana o ka manawa, hoʻomaka ka hōʻiliʻili ʻana o nā huahana ʻōpala a me nā wai pono ʻole i loko o ko kākou kino. A laila, e ʻike ʻia paha kēia mau hōʻailona. E makaʻala i kēia mau mea.
| Hōʻailona | He aha ke ʻano o ia mea? (He aha paha ke ʻano) |
|---|---|
| Nā loli i ka mimi | Ka nui a emi mai o ka mimi ma mua o ka maʻamau. Ka mimi e loli ai ke kala a i ʻole e lilo i huʻa. Hoʻokumu ʻia kēia huʻa e ka protein e kahe ana mai nā puʻupaʻa. He hōʻailona koʻikoʻi nō hoʻi ke koko i loko o ka mimi. |
| ʻIli maloʻo a me ka ʻili ʻāʻī | Hiki i kēia ke hana ke hiki ʻole i kou mau puʻupaʻa ke kaulike i nā minelala a me nā meaʻai i loko o kou koko. |
| Pehu ʻana | Hoʻomalu nā puʻupaʻa i ka nui o ka sodium, a i ʻole ka paʻakai, i loko o ke kino. Ke nāwaliwali nā puʻupaʻa, hōʻiliʻili ka paʻakai i loko o ke kino, e hoʻoulu ai i ka pehu ʻana ma nā kuʻekuʻe wāwae a me nā wāwae. I kekahi manawa, hiki ke pehu ma nā lima a puni nā maka. |
| ʻO ka ʻōpū ʻeha a me ka nalowale o ka makemake | ʻO nā huahana ʻōpala (e like me ka urea) e hōʻiliʻili ana i loko o ke koko e hiki ke hana i ka nausea, ka luaʻi ʻana, a me ka nalowale o ka makemake. |
| Luhi | Hoʻopuka nā puʻupaʻa i kahi hormone (Erythropoietin) e pono ai ko mākou kino e hana i nā hunaola koko ʻulaʻula. Ke nāwaliwali nā puʻupaʻa, ʻaʻole hana pono kēia hana. ʻO ka hopena kēia i kahi maʻi i kapa ʻia ʻo anemia. ʻO nā hōʻailona o kēia me ka luhi ʻoiai ma hope o ka hiamoe maikaʻi a me ka pilikia o ka hiamoe ʻana. |
Pehea e ʻike ai i ka maʻi?
Inā manaʻo ʻoe ua pilikia ʻoe i ka loaʻa ʻana o nā maʻi puʻupaʻa, a i ʻole inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma luna nei, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka.E hālāwai a loaʻa ka ʻōlelo aʻoaʻo. E nānā ʻo ia iā ʻoe a kauoha i kekahi mau hoʻokolohua e nānā i ka hana o kou puʻupaʻa. Pili kēia i ʻelua mau hoʻokolohua nui: kahi hoʻāʻo mimi a me kahi hoʻāʻo koko.
Hoʻāʻo mimi
Ma kēia hoʻāʻo, lawe ʻia kahi hāpana o kāu mimi a nānā ʻia no ke koko. Nānā pū ia no kahi protein i kapa ʻia ʻo albumin. ʻAʻole hoʻokuʻu nā puʻupaʻa olakino i kēia protein i loko o ka mimi. ʻO ke alo o ka albumin i loko o ka mimi e hōʻike paha he hōʻino kekahi i nā puʻupaʻa.
Hoʻāʻo koko
Nānā nui kēia i ka pae o kahi huahana ʻōpala i kapa ʻia ʻo 'creatinine' i loko o ke koko. ʻO Creatinine kahi huahana ʻōpala i hana ʻia e ko kākou mau ʻiʻo. Kānana nā puʻupaʻa olakino iā ia. Inā ua hōʻino ʻia nā puʻupaʻa, he paʻakikī ke wehe i kēia creatinine mai ke koko. A laila piʻi ka pae creatinine i loko o ke koko. No laila, ma ka hoʻohālikelike ʻana i ka pae creatinine i loko o ke koko me kou mau makahiki a me ke kāne, hiki i ke kauka ke ana i ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa (Glomerular Filtration Rate - GFR).
Pehea e mālama ʻia ai?
Ke ulu aʻe ka maʻi puʻupaʻa, ʻaʻole pinepine ia e nalowale loa. Hiki i ke kūlana ke lilo i mea ʻino aʻe i ka hala ʻana o ka manawa. ʻO ia ke kumu a mākou e ʻōlelo nei he mea nui e ʻike i ka maʻi i ka wā hikiwawe loa. Hiki i ka lāʻau lapaʻau mua ke pale a hoʻopaneʻe paha i ka hāʻule ʻana o ka puʻupaʻa.
ʻAʻohe lāʻau lapaʻau 'hoʻokahi nui e kūpono i nā mea āpau' no kēia. Pili ka lāʻau lapaʻau i kekahi mau kumu, me ke kumu o kou maʻi puʻupaʻa. E kuhikuhi mua kāu kauka i nā lāʻau lapaʻau e kāohi i kou mau kūlana o kēia manawa, e like me ka maʻi diabetes a me ke koko kiʻekiʻe. Eia kekahi, e kuhikuhi pū lākou i nā lāʻau lapaʻau e mālama i nā hōʻailona i hoʻokumu ʻia e ka maʻi puʻupaʻa, e like me ka anemia a i ʻole ka pehu ʻana.
He mea nui loa nā hoʻololi ʻana i ke ʻano o ka nohona!
E like me ka lāʻau lapaʻau, hiki i nā hoʻololi maʻalahi i ko mākou nohona ke kōkua nui i ka pale ʻana i ko mākou mau puʻupaʻa.
- E hoʻoikaika kino a mālama i ke kaumaha olakino. He mea nui loa kēia.
- E hōʻemi i kāu ʻai ʻana i ka protein a me ka paʻakai e hōʻemi i ke kaumaha ma kou mau puʻupaʻa. E kūkākūkā me kāu kauka a i ʻole kekahi meaʻai meaʻai e pili ana i kēia.
- Inā ʻoe e inu i ka waiʻona, e kāohi iā ia.
- Inā he mea puhipaka ʻoe, ʻo kēia ka manawa kūpono loa e hoʻōki ai.
- Mai hoʻohana i nā lāʻau ʻeha ʻeha i kūʻai ʻia ma ke kūʻai aku ʻana, ʻoiai hoʻi nā NSAID (Nonsteroidal Anti-inflammatory Drugs) (e.g. Ibuprofen, Diclofenac). He mea ʻino loa kēia i nā puʻupaʻa. E nīnau i kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau.
ʻO kā mākou pahuhopu nui ka mālama ʻana i kou mau puʻupaʻa e hana maikaʻi loa no ka lōʻihi e like me ka hiki. Inā ua hāʻule loa nā puʻupaʻa o kekahi, pono lākou i ka dialysis a i ʻole ka hoʻoili puʻupaʻa e ola ai.
Leka Lawe-Home
- ʻAʻole hōʻike pinepine ka maʻi puʻupaʻa i kekahi mau hōʻailona i kona mau wā mua, no laila inā he mau mea pilikia kou (maʻi diabetes, ke koko kiʻekiʻe), e hana i nā hoʻokolohua lapaʻau maʻamau.
- E makaʻala i nā hōʻailona e like me nā loli o ka mimi, ka pehu ʻana, ka luhi pinepine, a me ka ʻili ʻānai. Mai hoʻowahāwahā i kēia mau mea.
- Hiki i ka ʻike mua ʻana i ka maʻi ke pale a hoʻopaneʻe paha i ka hāʻule piha ʻana o nā puʻupaʻa.
- Hiki i nā hoʻololi maʻalahi o ke ʻano o ka nohona (ʻai maikaʻi, hoʻoikaika kino, a me ka haʻalele ʻana i ka puhipaka) ke kōkua nui i ka pale ʻana i kou mau puʻupaʻa.
- E kūkākūkā mau me kāu kauka ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau, ʻoiai hoʻi nā mea hoʻomaha ʻeha.
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