Ke ala aʻe nei ʻoe i ka pō ke pono koke ʻoe e mimi ? E ʻōlelo kākou he mea maikaʻi inā hoʻokahi wale nō, akā inā pono ʻoe e ala i ʻelua a ʻekolu paha manawa i ka pō, he mea maʻamau ke manaʻo iki i ka makaʻu. "Ua maʻi anei au?" Ke noʻonoʻo nei paha ʻoe. ʻO ka maʻamau, ʻaʻole pono ka pākeke e ala aʻe e mimi ma mua o hoʻokahi manawa ke hiamoe lākou no 6-8 mau hola pololei. Inā ʻoi aku ka nui o ia mea, kapa nā kauka i kēia ʻano he nocturia . I kekahi manawa, hiki i kēia ke lilo i hōʻailona mua o kahi maʻi e like me ka maʻi diabetes.
No ke aha ke kumu o kēia maʻi diabetes?
ʻO kekahi o nā hōʻailona mua nui a maʻamau o ka maʻi diabetes ʻo ia ka pono e mimi pinepine i ke ao. Eia nō naʻe, hiki ke hana ʻia kēia i ka pō.
I nā huaʻōlelo maʻalahi, ʻo kēia ka mea e hana ʻia. Inā loaʻa iā ʻoe ka maʻi diabetes, e kiʻekiʻe loa kou pae kō koko. A laila, pono nā puʻupaʻa, ka mea e hana ma ke ʻano he kānana i loko o ko mākou kino, e hana ikaika ma mua o ka maʻamau e wehe i kēia kō keu mai ke kino. Ma kēia kaʻina hana, hana nā puʻupaʻa i ka mimi hou aku. ʻAʻole e pau kēia kaʻina hana no ka mea wale nō e hiamoe ana ʻoe i ka pō. ʻO ia ke kumu e piha koke ai ka ʻōpū mimi i ka pō a hoʻāla iā ʻoe.
ʻAʻole wale kēlā, akā hiki i ka maʻi diabetes i kāohi ʻole ʻia ke hōʻino i kou mau puʻupaʻa a i ʻole ka ʻōpū mimi i ka hala ʻana o ka manawa. Hiki i kēia hōʻino ke hana iā ʻoe e mimi pinepine.
ʻO nā kumu ʻē aʻe o ka urination pinepine i ka pō
Akā e hoʻomanaʻo, ʻaʻole ʻo ka maʻi diabetes wale nō ke kumu e ala pinepine ai ʻoe i ka pō e mimi . Nui nā kumu ʻē aʻe e hiki ke hoʻopilikia i kēia. E nānā kākou i ko lākou ʻano.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ka ʻelemakule ʻana | I ko kākou ʻelemakule ʻana, e emi ana ka hana ʻana o ke kino i kahi hormone e kaohi ana i ka hana ʻana o ka mimi i ka pō, a e emi ana hoʻi ka hiki o ka ʻōpū mimi ke paʻa i ka mimi. |
| Ke inu nei i nā wai ma mua o ka moe ʻana | ʻO ka inu nui ʻana i ka wai, ke kofe, ke kī, a i ʻole ka waiʻona kokoke i ka wā hiamoe hiki ke hoʻopiha koke i ka ʻōpū mimi. |
| ʻO ka maʻi ʻaʻai mimi (UTI) | Ke loaʻa iā ʻoe kahi maʻi ʻōpū mimi, hiki iā ʻoe ke manaʻo i ka pono e mimi pinepine a loaʻa paha iā ʻoe ka ʻoluʻolu ʻole e like me ke kuni ʻana i ka wā e mimi ai. |
| Nā kūlana ʻē aʻe i pili ʻole i ka maʻi diabetes | Hiki i kēia ke hana ma muli o nā kūlana e like me ka hāʻule ʻana o ka puʻuwai, ka prostate i hoʻonui ʻia (no nā kāne), ka hāpai ʻana, ka maʻi puʻupaʻa mau loa, ka maʻi akepaʻa, a me ka apnea hiamoe (sleep apnea). |
| ʻO ka maʻi diabetes insipidus | ʻAʻole pili kēia i ka maʻi diabetes maʻamau a mākou e kamaʻilio nei (Diabetes Mellitus). I kēia maʻi, hana nā puʻupaʻa i ka nui o ka mimi. |
He aha nā hōʻailona ʻē aʻe o ka maʻi diabetes?
E noʻonoʻo ʻoe he pinepine kou mimi ʻana i ka pō a me nā hōʻailona ʻē aʻe ma lalo nei. A laila ʻoi aku ka nui o ka hōʻailona o ka maʻi diabetes.
- Manaʻo nui i ka make wai: Manaʻo ʻoe ʻaʻole ʻoe e make wai me ka nānā ʻole i ka nui o ka wai āu e inu ai.
- Hoʻonui ʻia ka makemake e ʻai: Manaʻo nui aʻe i ka pōloli ma mua o ka maʻamau.
- ʻO ka pohō kaumaha me ke kumu ʻole: Hiki mai ka pohō kaumaha me ka ʻole o nā loli i kāu meaʻai a i ʻole ka hoʻoikaika kino.
- ʻIke pōwehiwehi: Lilo iki ka ʻike ma nā maka ʻelua i mea pōwehiwehi.
- Luhi: Manaʻo mau i ka luhi, me he mea lā ʻaʻohe ou ikaika, ʻoiai ma hope o ka hiamoe maikaʻi.
- ʻUʻumiʻumi ma nā lima a me nā wāwae: He ʻūmiʻumi a he ʻāʻī paha ma nā lima a me nā wāwae.
- ʻO ka hoʻonui ʻia ʻana o nā maʻi a me ka lohi o ka ho'ōla ʻana o nā ʻeha: Nā maʻi ʻili pinepine, nā maʻi ʻōpū mimi, a pēlā aku. ʻOiai he ʻeha liʻiliʻi e lōʻihi ka manawa e ho'ōla ai.
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, mai hoʻokuʻu iā lākou a e ʻike koke i kāu kauka .
Pehea ʻoe e ʻike pono ai inā he maʻi diabetes kou?
He maʻi koʻikoʻi ka maʻi diabetes e hiki ke hōʻino i nā ʻōpū he nui, me nā maka, nā puʻupaʻa, ka puʻuwai, a me ka ʻōnaehana nerve, inā ʻaʻole mālama pono ʻia. No laila, he mea nui loa ia e ʻike pono inā he maʻi diabetes kou a ʻaʻole paha.
Hiki i kāu kauka ke hana i kekahi mau hoʻāʻo koko e hōʻoia a hoʻoholo paha i kēia.
| Hoʻāʻo koko | He aha kāu e ʻike ai i loko o ia mea? |
|---|---|
| Hoʻāʻo HbA1c | Hāʻawi kēia i kahi manaʻo o kou pae kō koko awelika i nā mahina 2-3 i hala. ʻAʻole pono ʻoe e hoʻokē ʻai no kēia. ʻO ka heluhelu ʻana o 6.5% a ʻoi aku paha ua manaʻo ʻia he maʻi diabetes. ʻO ka heluhelu ʻana ma lalo o 5.7% he mea maʻamau. |
| Hoʻāʻo kō koko hoʻokē ʻai | ʻO kahi hoʻokolohua e pili ana i ka hoʻokē ʻai ʻana i ka pō (ma ka liʻiliʻi he 8 mau hola) a me ka lawe ʻana i ke koko i ke kakahiaka. ʻO ka waiwai o 126 mg/dL a ʻoi aku paha (hoʻāʻo ʻia ʻelua manawa) ua manaʻo ʻia he maʻi diabetes. ʻO nā mea ma lalo o 100 mg/dL he mea maʻamau. |
| Hoʻāʻo Hoʻomanawanui Glucose Waha (OGTT) | Lawe ʻia kahi hāpana koko ma hope o ka hoʻokē ʻai ʻana. A laila, hāʻawi ʻia kahi mea inu glucose e inu, a hoʻāʻo hou ʻia ke koko i ʻelua hola ma hope. Inā ʻoi aku ka waiwai ma hope o ʻelua hola ma mua o 200 mg/dL, ua manaʻo ʻia he maʻi diabetes. Inā emi ma lalo o 140 mg/dL, he mea maʻamau. |
| Hoʻāʻo kō koko maʻamau | He hoʻāʻo koko i lawe ʻia i kēlā me kēia manawa o ka lā. Inā he 200 mg/dL a ʻoi aku paha kēia waiwai, me nā hōʻailona o ka maʻi diabetes, he maʻi diabetes paha kāu. |
ʻO ka maʻamau, e hana ke kauka i kēia mau hoʻokolohua i ʻelua manawa e hana i kahi hōʻailona pololei. No laila, mai lele i nā hopena ma muli o nā hopena o hoʻokahi hoʻokolohua.
Leka Lawe-Home
- ʻO ke ala pinepine ʻana i ka pō e mimi (nocturia) hiki ke lilo i hōʻailona o ka maʻi diabetes, akā mai poina he nui nā kumu ʻē aʻe.
- Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, mai hopohopo a hoʻāʻo e nānā iā ʻoe iho.
- E makaʻala i nā hōʻailona ʻē aʻe o ka maʻi diabetes, e like me ka make wai nui, ka pohō kaumaha, a me ka ʻike maka pohihihi.
- ʻO ke ala wale nō e ʻike pono ai inā he maʻi diabetes kou a ʻaʻole paha, ʻo ia ke ʻike i kāu kauka a loaʻa i nā hoʻokolohua koko e pono ai.
- ʻO ka wā ma mua o kou ʻike ʻana i ka maʻi diabetes, ʻo ka maikaʻi o kou kaohi ʻana iā ia a ola i ke ola olakino.
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