Inā loaʻa iā ʻoe ka maʻi diabetes, ʻike paha ʻoe i ka hoʻonāukiuki a me ka ʻeha i kekahi manawa ke hou ʻana i kou manamana lima me kahi nila liʻiliʻi i nā manawa he nui i ka lā, e lawe i kahi kulu o ke koko, a kau ma kahi ʻāpana hoʻāʻo e nānā i kou pae kō koko. He mea luhi maoli ia ke hana ʻoe i kēia i kēlā me kēia lā, malia paha ʻekolu a ʻehā paha manawa i ka lā, ʻeā? ʻO ka nānā mau ʻana i kou pae kō koko ma kēia ʻano he mea nui loa ia e ʻike ai inā e hana pono ana kāu lāʻau lapaʻau, inā pono ʻoe e kāohi i kāu ʻai, a inā pono ʻoe e hoʻololi i kāu nui o ka insulin.
Akā, he nūhou maikaʻi nāu! He ʻumi makahiki i hala aku nei, ʻo ka mea wale nō āu e hana ai, ʻo ke hou ʻana i kou manamana lima, akā ua holomua nui ka ʻenehana. I kēia manawa, aia nā ala e nānā ai i kou pae kō koko me ka ʻole o kēia kaʻina hana ʻeha, a i ʻole me ka liʻiliʻi o ka hoʻoikaika ʻana. I kēia lā, e kamaʻilio mākou e pili ana i kēia mau ʻano hana hou a kiʻekiʻe. ʻO kēia ka wā e hiki mai ana o ka mālama ʻana i ka maʻi diabetes.
He ala e nānā ai i kāu kō me ka ʻole o ke kuʻi ʻana i kou manamana lima? ʻAe, ʻo ia ka CGM! (Continuous Glucose Monitoring)
He mea maʻalahi loa ia. Hoʻokomo ʻia kahi sensor liʻiliʻi loa ma lalo o kou ʻili, ma kou ʻōpū a lima paha. Ke ana mau nei kēia sensor i ka pae kō i loko o ke wai ma waena o nā ʻāpana o kou kino, i kēlā me kēia mau minuke. A laila hoʻouna ʻia ka ʻikepili me ke kelepona ʻole i kahi hāmeʻa liʻiliʻi e like me ke kelepona, kahi polokalamu ma kāu kelepona akamai, a i ʻole kahi pamu insulin. E noʻonoʻo, ʻaʻole pono ʻoe e hana i kekahi mea, hiki iā ʻoe ke mālama i kāu mau pae kō ma kāu kelepona.
Ua kapa ʻia kēia ʻo Continuous Glucose Monitoring , a i ʻole CGM no ka pōkole.
ʻO ka pōmaikaʻi nui o kahi CGM ʻo ia ka hiki iā ʻoe ke hoʻoholo e pili ana i kāu lāʻau lapaʻau me ka ʻole o ka hou ʻana i kou manamana lima e nānā i kāu kō koko. Eia kekahi laʻana, inā ʻike ʻoe e piʻi ana kou pae kō, hiki iā ʻoe ke hana koke i kekahi hoʻoikaika kino a i ʻole e hana i kekahi mea ʻē aʻe e like me ka ʻōlelo a kāu kauka.
Hiki iā ʻoe ke kaʻana like i ka ʻikepili mai kāu CGM me kāu kauka, nāna e hoʻoponopono i kāu hoʻolālā lapaʻau e kaohi maikaʻi i kāu mau pae kō koko. Akā e hoʻomanaʻo i kekahi manawa, ʻoiai e hoʻohana ana i kāu CGM, e noi paha kāu kauka iā ʻoe e lawe i kahi hāpana koko mai kou manamana lima e hōʻoia (calibrate) ua pololei nā heluhelu.
ʻOiai ʻo CGM ka mea i hoʻohana pinepine ʻia e ka poʻe me ka Type 1 Diabetes, ke hana ʻia nei ka noiʻi e ʻike i kona pono no ka poʻe me ka Type 2 Diabetes.
ʻO ka Pancreas Artificial - He ʻenehana kupaianaha kēia!
I ka ʻōlelo maʻalahi, hana ka pancreas maoli i loko o ko kākou kino i kahi hormone i kapa ʻia ʻo insulin e hoʻohaʻahaʻa i ke kō koko ke ʻai mākou, a me kahi hormone i kapa ʻia ʻo glucagon e hoʻokiʻekiʻe i ke kō koko ke ʻai mākou. Ke hoʻāʻo nei kēia ʻenehana i kapa ʻia ʻo "artificial pancreas" e hana i ka mea like. ʻOiai ʻaʻole i 100% ka ʻenehana ma laila, ua kokoke loa ia.
Ua kapa ʻia kēia mau ʻōnaehana o kēia manawa he mau ʻōnaehana hybrid closed-loop . Hoʻohana nui ʻia lākou e ka poʻe me ka maʻi diabetes type 1.
Penei ka hana ʻana:
1. Nānā kahi CGM i kou pae kō koko i ke ao a me ka pō.
2. Hoʻomaulia koke ka ʻōnaehana i ka nui o ka insulin āu e pono ai ma muli o kēlā pae kō.
3. Hoʻouna ʻia ka nui i ke kino ma o ka pamu insulin.
Akā, aia kekahi pilikia iki. Pono nō ʻoe e helu i ka nui o nā kalapona āu e ʻai ai i kēlā me kēia pāʻina a hoʻokomo iā ia i loko o ka ʻōnaehana. Eia kekahi, ʻaʻole hiki i kēia mau ʻōnaehana ke hāʻawi i ka hormone glucagon inā haʻahaʻa loa kou pae kō. Ke hoʻāʻo nei nā kānaka noiʻi e hana i kahi ʻōnaehana e hiki ke hāʻawi i kēia mau hormones ʻelua. Malia paha e ʻike kākou i kēlā i ka wā e hiki mai ana.
ʻAʻole mamao loa ka lā e hiki ai iā ʻoe ke ʻono i ke kō me ka hoʻohana ʻole ʻana i ka puna!
ʻOiai me nā ʻano hana CGM a mākou i kamaʻilio ai a hiki i kēia manawa, pono ʻoe e hoʻohana i kahi nila liʻiliʻi e hoʻokomo i ka sensor ma lalo o ka ʻili. Akā e noʻonoʻo, pehea ka maikaʻi o ka hiki ke ana i nā pae kō koko me ka ʻole o nā ʻō ʻana, nā ʻoki, a i ʻole ka ʻeha?
ʻO ia ka pahuhopu o kekahi o nā ʻenehana hou loa e hoʻomohala ʻia nei i kēia manawa. Ua kapa ʻia kēia he nānā ʻana ʻaʻole invasive . ʻO ia hoʻi, hana ʻia nā nānā ʻana me ka ʻole o ka hoʻokomo ʻana i kekahi mea i loko o ke kino.
E nānā kākou i kekahi o kēia mau ʻano hana:
- Au Uila: ʻO ka mea hana, i kapa ʻia ʻo 'sugarBEAT', he mea like me ka ʻāpana, i ka wā e hoʻopili ʻia ai i ka ʻili, e hoʻouna i kahi au uila liʻiliʻi loa, kokoke ʻike ʻole ʻia ma o ka ʻili, e ana ana i ka pae kō i loko o ke wai ma lalo o ka ʻili.
- Nā Nila Micro: He mea hiki ke hoʻohana ʻia ʻo `K'Watch` e like me ka uaki. Hoʻohana ia i nā nila micro liʻiliʻi a ʻeha ʻole e ana i nā pae kō koko i loko o ke wai ma lalo pono o ka ʻili o ka ʻili.
- Nā nalu māmā a lekiō paha: Ke ana ʻana o nā ʻano hana ʻē aʻe i nā pae kō koko ma ka hoʻouna ʻana i nā nalu māmā a lekiō paha ma o ka ʻili, e like me kou manamana lima, ʻōpū, a i ʻole ka pulima lima. Akā ʻo ka pilikia nui me kēia mau mea, ʻo ia ka pololei . ʻO kēia no ka mea he paʻakikī ke hoʻokaʻawale i ka hōʻailona mai nā molekala kō mai nā hōʻailona mai nā mea ʻē aʻe i loko o ka wai a me ke koko.
I kēia manawa, ke hana ʻia nei nā noiʻi e ana i ke kō me ka hoʻohana ʻana i nā wai o ke kino e like me ka hou, nā waimaka, a me ka lawai. E hōʻike ana ka manawa inā e hiki i kēia mau ʻano ke hāʻawi i nā hopena pololei e pono ai ka poʻe maʻi diabetes.
| ʻenehana | Pehea e hana ai | Pōmaikaʻi nui |
|---|---|---|
| CGM (Nānā Kūmole Hoʻomau) | Ke ana mau ʻana i nā pae kō me kahi sensor i hoʻokomo ʻia ma lalo o ka ʻili. | E ʻike ana i kou pae kō koko i 24 mau hola o ka lā me ka ʻole o ka pono e hou pinepine i kou manamana lima. |
| ʻO ka Pancreas Hana | Ke ana ʻana i ke kō me kahi CGM a hāʻawi aunoa i ka nui o ka insulin e pono ai. | He mea maʻalahi ke kaʻana like i ka nui o ka insulin me ka ʻole o ka hopohopo e pili ana i ka nui o ke kō. |
| Ka Nānā ʻAʻole Invasive (ʻenehana e hiki mai ana) | Ke ana ʻana i ke kō me ka ʻole o ka hōʻeha ʻana i ka ʻili (e.g., ma o ka mālamalama, ke au uila). | ʻAʻohe ʻeha a maʻalahi hoʻi e hoʻohana. |
Leka Lawe-Home
- Ua hoʻomaikaʻi nui ʻia ke kiʻekiʻe o ke kō koko a ʻaʻole hiki iā mākou ke hou i ko mākou mau manamana lima i nā manawa he nui i ka lā.
- He ala maikaʻi loa a maʻalahi hoʻi ka CGM (Continuous Glucose Monitoring) i loaʻa i kēia lā. Hiki iā ʻoe ke loaʻa ka ʻike e pili ana i kou pae kō i 24 mau hola o ka lā.
- Hoʻokele pono nā ʻenehana e like me ka pancreas artificial i ka lawe ʻana o ka insulin, e maʻalahi ai ka mālama ʻana i ka maʻi diabetes.
- Aia kekahi mau hōʻailona maikaʻi e loaʻa ana nā ʻano hana ʻaʻole invasive i ka wā e hiki mai ana.
- ʻO ka mea nui, ʻoiai ke ʻano o ka ʻenehana āu e hoʻohana ai, ʻo ke ʻano hana e kūpono loa iā ʻoe a pehea ʻoe e hoʻohana ai.E kamaʻilio me kāu kauka. He mea nui loa e hahai i kāna ʻōlelo aʻo.
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