ʻAuē, makaʻu paha ʻoe i kēia manawa ua hiki mai kēia iaʻu, ʻeā? Loaʻa i ka nui o nā makuahine ka maʻi diabetes e like me kēia i ka wā hāpai. He mea maʻamau ia. No laila, mai hopohopo. E aʻo hou kākou e pili ana i kēia maʻi i kapa ʻia ʻo `(Gestational Diabetes)`.
He aha ka maʻi diabetes gestational?
I ka ʻōlelo maʻalahi, ʻo ka Gestational Diabetes (i kekahi manawa i kapa ʻia ʻo GD a i ʻole GDM) he ʻano maʻi diabetes e loaʻa wale ana i ka wā hāpai. Piʻi iki kou pae kō koko (i kapa ʻia hoʻi he hyperglycemia) i kēia manawa. ʻO kēia no ka mea ke hoʻopilikia nei nā hormones mai kou placenta i ka hiki o kou kino ke hoʻohana a hana paha i kahi hormone i kapa ʻia ʻo insulin. ʻO ka insulin ka mea e kōkua ai i ka hoʻoponopono ʻana i kou pae kō koko. Hiki i ke kō koko kiʻekiʻe ke alakaʻi i nā pilikia i ka wā hāpai. ʻO ka maʻamau, hana ia i waenakonu o ka hāpai ʻana, ma waena o 24 a me 28 mau pule. E hana kāu kauka a kahu hānai paha i kahi hoʻāʻo koko e nānā i kēia.
ʻO ka mea nui e hoʻomanaʻo ai, ʻaʻole kēia manaʻo ua loaʻa iā ʻoe ka maʻi diabetes ma mua o kou hāpai ʻana. He kūlana kēia e kū mai ana i ka wā hāpai. ʻO ka poʻe i loaʻa i ka maʻi diabetes mua, inā he Type 1 Diabetes a i ʻole Type 2 Diabetes paha, ke kū nei lākou i nā pilikia kūikawā i ka wā e hāpai ai lākou.
Akā, he nūhou maikaʻi! Ua maopopo maikaʻi i nā kauka kēia `(Gestational Diabetes)`. Eia kekahi, ma ka hana ʻana i nā hoʻololi liʻiliʻi i kou nohona a me ka kaohi ʻana i kāu ʻai, hiki ke kaohi maikaʻi ʻia kēia maʻi. Loaʻa i ka hapa nui o ka poʻe kahi pēpē olakino me ka ʻole o nā pilikia koʻikoʻi.
He aha ka mea e hiki mai ana inā loaʻa iaʻu ka maʻi diabetes gestational?
Inā ua ʻike ʻia ʻoe me ka maʻi diabetes gestational, e kuhikuhi aku kāu kauka hānau keiki (ke kauka nāna ʻoe e ʻike i ka wā e hāpai ana ʻoe) iā ʻoe i kahi meaʻai loea i ka maʻi diabetes gestational. E wehewehe lākou iā ʻoe i nā meaʻai e hoʻonui ai i kou pae kō koko a me nā mea a me ka nui āu e hoʻokomo ai i kāu mau meaʻai a me nā meaʻai māmā.
E aʻo ʻia hoʻi ʻoe pehea e nānā ai i kou pae kō koko ma ka home a me ka nui o ka meaʻai ma hope o ka ʻai ʻana. ʻO ka mea hope loa, e kūkākūkā kāu kauka a meaʻai meaʻai paha i kahi hoʻolālā hoʻokele no kāu maʻi diabetes gestational. Pono ka poʻe me ka maʻi diabetes e hele pinepine i ke keʻena lapaʻau e nānā i ka ulu ʻana o ka fetal, e nānā i kou piʻi ʻana o ke kaumaha, a kūkākūkā pehea e kaohi ʻia ai kāu kō koko.
He aha ka nui o ka maʻi diabetes gestational ma Sri Lanka a me ka honua?
Ma ʻAmelika Hui Pū ʻIa, ke piʻi nei kēia maʻi. Wahi a ka CDC (Centers for Disease Control and Prevention), hoʻopilikia ia ma waena o 8% a me 10% o nā wahine hāpai.
ʻO ka awelika honua ma waena o 14% a me 17%. Hiki ke kiʻekiʻe aʻe kēia helu i kekahi manawa ma muli o nā kumu e like me ka makahiki, ka lāhui/lāhui, ke komo ʻana i ka mālama prenatal, a me ka wahi.
No ke aha e kū mai ai ka maʻi diabetes gestational?
ʻO ke kumu nui o kēia, ʻo ia nā loli hormonal a me ke ʻano o kou kino e hoʻololi ai i ka meaʻai i ikehu. E noʻonoʻo i kēia ʻano, kōkua ka hormone "Insulin" i ke kō ("glucose") i loko o ka meaʻai a mākou e ʻai ai e komo i loko o kā mākou mau cell. ʻO kēia "Insulin" ka mea e mālama ai i ko mākou pae kō koko i kahi pae olakino. Eia naʻe, inā ʻaʻole hana pono kēia "Insulin", a inā ʻaʻole lawa, hōʻiliʻili ke kō i loko o ke koko a ulu ka maʻi diabetes.
I ka wā hāpai, hiki i nā hormones mai ka placenta ke hoʻopilikia i ke ʻano o ka hana ʻana o ka insulin. Hiki i kēia ke kumu i ka hoʻomalu pono ʻole ʻia o ke kō koko. ʻO kēia ka manawa e ulu ai ka maʻi diabetes gestational.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi diabetes gestational?
ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kēia i ka wā hāpai. Eia nō naʻe, aia kekahi mau mea e hoʻonui ai i ka pilikia. Eia kēia mau mea:
- Inā he maʻi puʻuwai kou.
- Inā he koko kiʻekiʻe kou.
- Inā ua kaumaha a momona paha ʻoe mai ka wā ma mua o ka hāpai ʻana.
- Inā ua loaʻa iā ʻoe ka maʻi diabetes gestational i ka wā hāpai ma mua.
- Inā loaʻa i kekahi o ka ʻohana ka `(ʻAno 2 Diabetes)`.
- Inā loaʻa iā ʻoe ka maʻi ʻōpū (Polycystic Ovary Syndrome (PCOS)) .
- ʻOi aku ka nui o ka pilikia o ka poʻe ma luna o 25 mau makahiki, ʻoi aku hoʻi ka poʻe o ʻAsia Hema a me Hikina, Hispanic, ʻAmelika ʻōiwi, a i ʻole ka poʻe mamo o ka Pākīpika.
- Inā loaʻa iā ʻoe ka prediabetes (nā pae kō koko i ʻoi aku ke kiʻekiʻe ma mua o ka maʻamau ma mua o ka loaʻa ʻana o ka maʻi diabetes).
He aha nā hōʻailona o ka maʻi diabetes gestational?
ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona maopopo o ka maʻi diabetes gestational. ʻOiai inā loaʻa, he mea maʻalahi loa ia. ʻAʻole paha ʻoe e ʻike a hiki i ka nānā ʻana o kāu kauka iā ʻoe. Eia nō naʻe, inā loaʻa nā hōʻailona, hiki iā lākou ke komo pū me:
- ʻO ka pono e mimi pinepine.
- Ke makewai nui nei.
- Manaʻo luhi.
- Manaʻo luaʻi.
He aha nā pilikia e hiki mai ana o ka maʻi diabetes gestational i kāohi ʻole ʻia?
Inā ʻaʻole hiki iā ʻoe ke mālama i kou pae kō koko i kahi pae olakino, hiki iā ʻoe a me kāu pēpē ke loaʻa nā pilikia. He mea nui loa kēia, no laila e hoʻolohe pono.
Hiki i ka maʻi diabetes gestational ke hoʻonui i kou pilikia o:
- Pono paha ka ʻoki ʻana o ke pēpē (inā nui loa).
- Hiki ke ulu ka preeclampsia (ke koko kiʻekiʻe i ka wā hāpai).
Eia kekahi, ʻo ka poʻe i loaʻa i ka "Gestational Diabetes" ʻoi aku ka nui o ka loaʻa ʻana o ka "Type 2 Diabetes" ma hope o ke ola.
Pehea ka hopena o ka maʻi diabetes gestational i kaʻu pēpē?
Inā loaʻa iā ʻoe ka maʻi diabetes Gestational, hiki i kāu pēpē ke pilikia no:
- Piʻi ke kaumaha hānau (`(Fetal macrosomia)`) - ʻO ke ʻano kēia, hiki ke hānau nui ʻia ke pēpē.
- Hiki ke loaʻa nā pilikia hanu i ka wā hānau.
- Hypoglycemia (haʻahaʻa ke kō koko). Hiki i kēia ke hana i nā kūlana e like me nā hopu ʻana i nā pēpē hānau hou.
- Hiki ke loaʻa ka momona ma hope.
- He hiki ke hānau ʻia ma mua o ka manawa.
- Hiki ke ulu aʻe ka maʻi diabetes ʻano 2 ma hope aku.
He mea weliweli paha kēia mau mea. Akā e hoʻomanaʻo, hiki mai kēia mau pilikia āpau inā ʻaʻole lākou e mālama pono ʻia . Inā mālama pono ʻia, hiki ke hoʻemi nui ʻia kēia mau pilikia.
I ka manawa hea e hoʻāʻo ai ke kauka no ka maʻi diabetes gestational?
ʻO ka maʻamau, e hoʻāʻo kāu kauka a kahu hānai paha iā ʻoe no ka maʻi diabetes gestational ma waena o 24 a me 28 mau pule o ka hāpai ʻana. Manaʻo ka hapa nui o nā kauka ʻo kēia ka manawa e pololei loa ai nā hopena. Eia nō naʻe, inā he mau kumu pilikia kou, hiki ke hoʻāʻo ʻia ʻoe ma mua.
Pehea e ʻike ʻia ai ka maʻi diabetes gestational?
E nānā ke kauka i kou pae kō koko me kahi hoʻāʻo koko. ʻO ka pinepine, ʻo ka hoʻāʻo mua he "hoʻāʻo nānā" e ʻike i nā poʻe i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka "maʻi diabetes gestational". Inā ʻaʻole ʻoe e "hala", e noi ke kauka iā ʻoe e hana i kahi hoʻāʻo koko ʻelua e nānā hohonu iki.
- `(Hoʻāʻo Hoʻokūkū Glucose)` : Ua kapa ʻia hoʻi kēia ʻo `(Hoʻāʻo Nānā Glucose)`, a i ʻole ka `(Hoʻāʻo Hoʻomanawanui Glucose)` hoʻokahi hola. Ma kēia, hāʻawi ʻia ʻoe i kahi wai ʻono e inu. A laila pono ʻoe e noho i loko o ka `lumi kali` no hoʻokahi hola. Ma hope o hoʻokahi hola, lawe ke kahu maʻi i kahi hāpana koko mai kou lima. Inā kiʻekiʻe kou pae kō koko, e noi ke kauka iā ʻoe e hana i kahi `(Hoʻāʻo Hoʻomanawanui Glucose)`.
- `(Hoʻāʻo Hoʻomanawanui Glucose)` : Ua kapa ʻia hoʻi kēia he `(Hoʻāʻo Glucose)` ʻelua hola a ʻekolu paha hola. Hana ʻia kēia inā he ʻano ʻē nā hopena o ka `hoʻāʻo hoʻokūkū` ma mua. Ma mua o kēia hoʻāʻo, ʻaʻole pono ʻoe e ʻai i kekahi mea no kahi o 8 mau hola (`hoʻokē ʻai`). E lawe ke kauka i nā hāpana koko i kēlā me kēia hola, ʻelua hola, a i ʻole kekahi manawa ʻekolu hola ma hope o kou inu ʻana i ka wai ʻono. ʻO kēia `hoʻāʻo hoʻomanawanui` ka mea e hōʻoia inā loaʻa iā ʻoe `(Gestational Diabetes)` a i ʻole.
Pehea e mālama ai i ka maʻi diabetes gestational?
Inā loaʻa iā ʻoe ka maʻi diabetes gestational, pono ʻoe e hana i nā nānā maʻamau i kou wā hāpai. E nānā pono kāu kauka i:
- Ke nānā ʻana i ka ulu ʻana o ka pēpē. ʻO ka maʻamau, pili kēia i ka hana ʻana i kekahi mau scan ultrasound keu e hōʻoia ʻaʻole e nui loa ana ka pēpē.
- Ke nānā ʻana i kou pae kō koko. Pili pinepine kēia i ka nānā ʻana i ka pinepine o ka piʻi ʻana a me ka iho ʻana o kou pae kō koko, a pehea e mau ai kēlā mau pae.
No ka nānā ʻana i kou pae kō koko ma ka home, pono ʻoe i kahi "Glucose Meter" (kahi mea e ana i ke kō). Pono ia i kahi mika, nā lancets, a me nā ʻāpana hoʻāʻo. Ke nānā ʻoe i kou kō koko, e hou ʻoe i kou manamana lima me kahi nila liʻiliʻi, a laila e kau i ke kulu o ke koko ma kahi ʻāpana hoʻāʻo. A laila, ke kau ʻoe i ka ʻāpana hoʻāʻo i loko o ka mika, e hōʻike ana i kahi helu i loko o kekahi mau kekona. ʻO ia kou pae kō koko. E hōʻike aku kāu meaʻai a mea aʻo maʻi diabetes iā ʻoe pehea e hoʻohana ai i kēia mea hana. He mea paʻakikī paha ia no nā lā mua, akā ma hope o kekahi mau lā, e maʻa ʻoe iā ia. Mai makaʻu e nīnau i kāu kauka inā he mau pilikia kāu.
Pono ʻoe e mālama i kahi moʻolelo o kāu mea e ʻai ai a me kou pae kō koko, ma kahi ʻāpana pepa, ma kahi polokalamu kelepona, a i ʻole ma ke ʻano a kāu kauka e haʻi aku ai iā ʻoe. A laila, e nānā hou kāu kauka i kāu mau heluhelu ʻana i nā manawa maʻamau (malia paha i kēlā me kēia pule a i ʻole ʻelua pule). I kekahi manawa, pono paha kāu kauka e hoʻololi i kāu meaʻai (no ka laʻana, e hōʻemi i ka nui o nā kalapona) e kōkua i ka kaohi ʻana i kou pae kō koko. I ka hapanui o nā hihia, ʻo ka nānā ʻana i kou pae kō koko a me ka ʻai ʻana i kahi meaʻai kūpono no ka maʻi diabetes ka mea e pono ai e hoʻokele i ka maʻi diabetes gestational.
Pono kekahi poʻe i nā lāʻau lapaʻau e like me ka insulin e kāohi i kā lākou maʻi diabetes gestational. ʻO ka maʻamau, pili kēia i ka hoʻokomo ʻana i ka insulin i loko o ka ʻōpū, ka ʻūhā, a i ʻole nā puʻupuʻu i hoʻokahi a i ʻole kekahi mau manawa i ka lā. ʻO ka pinepine o kou pono e hoʻokomo i ka insulin e pili ana i nā mea he nui. E haʻi aku kāu kauka iā ʻoe pehea e hoʻokomo ai i ka insulin, i ka manawa e hoʻokomo ai, a me ka nui e hoʻokomo ai. Inā pono ʻoe e hoʻohana i ka insulin e kāohi i kāu maʻi diabetes, he mea nui loa ia e hoʻohana pono e like me kāu kauka e ʻōlelo ai iā ʻoe.
Pehea ke ʻano o ke kō koko?
ʻO ka maʻamau, pono ʻoe e nānā i kou pae kō koko i ke kakahiaka nui (ma mua o kou ʻai ʻana i kekahi mea) a ma kahi o hoʻokahi hola ma hope o kēlā me kēia ʻai. Eia kekahi laʻana, inā ala ʻoe i ka hola 6:15 a.m. a nānā i kou kō koko. Inā ʻai ʻoe i ka ʻaina kakahiaka i ka hola 7 a.m., pono ʻoe e nānā hou i kou kō koko ma kahi o 8 a.m. Pono ʻoe e kākau i kēia mau waiwai e like me kāu i kūkākūkā ai me kāu kauka.
Eia nā pae glucose koko i ʻōlelo ʻia e ka American College of Obstetricians and Gynecologists:
- Ma mua o ka ʻai ʻana: 95 `mg/dL` a i ʻole ka emi mai (ʻo `mg/dL` ke kū nei no nā milligrams no ka deciliter).
- Hoʻokahi hola ma hope o ka ʻai ʻana: 140 mg/dL a emi mai paha.
- ʻElua hola ma hope o ka ʻai ʻana: 120 mg/dL a emi mai paha.
Akā e hoʻomanaʻo, he ʻokoʻa nā kānaka a pau. He mau alakaʻi maʻamau wale nō kēia. E haʻi aku kāu kauka iā ʻoe i ke ʻano o kou pae kō koko.
He aha nā meaʻai āu e ʻai ʻole ai i ka wā e loaʻa ai iā ʻoe ka maʻi diabetes gestational?
Hiki iā ʻoe ke kōkua i ka mālama ʻana i ka maʻi diabetes gestational ma ka ʻai ʻana i nā meaʻai momona e hoʻokiʻekiʻe ʻole ai i kou pae kō koko. E hoʻāʻo i kēia mau mea:
- E hōʻemi i nā meaʻai i hana ʻia a me nā mea inu kō i ka hiki.
- E koho i kahi ʻai kaulike o ka protein, nā haʻahaʻa kalapona, ka fiber, a me ka momona no kēlā me kēia pāʻina.
- Mai ʻai nui i ka manawa hoʻokahi, e ʻai liʻiliʻi a pinepine.
- E ho'āʻo e ʻai i nā meaʻai i ka manawa like i kēlā me kēia lā.
Hiki i kekahi poʻe me ka maʻi diabetes gestational ke mālama i ko lākou pae kō koko ma o ka hana ʻana i nā hoʻololi liʻiliʻi i kā lākou ʻai. Akā pono kekahi poʻe e hana i nā hoʻololi nui aʻe. ʻO ka mea nui, ʻoiai ʻaʻole paha he hopena nui kekahi mau meaʻai i ko lākou pae kō koko no kekahi poʻe, ʻaʻole paha no ʻoe. E hoʻomanaʻo he ʻokoʻa nā kānaka a pau, a he ʻokoʻa ke kino o kēlā me kēia kanaka.
Ke hoʻohaʻahaʻa nei ka inu wai i ke kō koko i ka maʻi diabetes gestational?
I ka wā hāpai, ʻoiai inā loaʻa iā ʻoe ka maʻi diabetes gestational, pono kou kino i ka nui o ka wai (hydration). Eia nō naʻe, ʻaʻohe noiʻi e hōʻike ana ʻo ka inu ʻana i ka wai wale nō e hoʻohaʻahaʻa pololei i ke kō koko.
Eia nō naʻe, ʻo ka noho wai ʻana e kōkua i kou kino e kaohi i nā pae kō koko. Hoʻomāmā ia i kou koko, e maʻalahi ai i kou mau puʻupaʻa ke wehe i ke kō keu mai kou koko. Kōkua pū ka wai i kou kino e hoʻohana pono i ka insulin, kahi e kōkua ai hoʻi i ka kaohi ʻana i nā pae kō koko.
Pehea e hoʻoikaika kino palekana ai i ka wā e loaʻa ai iā ʻoe ka maʻi diabetes gestational?
Ke hoʻoikaika kino ʻoe, hoʻohana kou kino i ka glucose hou aʻe, hiki ke hoʻohaʻahaʻa i kou pae kō koko. Inā loaʻa iā ʻoe ka maʻi diabetes gestational, e kamaʻilio me kāu kauka e hoʻomohala i kahi hoʻolālā hoʻoikaika kino palekana e kūpono iā ʻoe. Pono kēia hoʻolālā hoʻoikaika kino e pili pono i kou olakino holoʻokoʻa a me kou pae kino ma mua o kou hāpai ʻana.
Hiki ke ho'ōla loa ʻia ka maʻi diabetes gestational i ka wā hāpai?
ʻAʻole hiki ke hoʻihoʻi ʻia ka maʻi diabetes gestational ke ulu aʻe. E nānā kāu kauka iā ʻoe ma hope o kou hānau ʻana i kāu pēpē (ma waena o 6 a me 12 mau pule) e ʻike inā he maʻi diabetes kou.
Pehea ka nui o koʻu hopohopo e pili ana i ka maʻi diabetes gestational?
He maʻi maʻamau ka maʻi diabetes gestational. A ʻike nā kauka pehea e hoʻokele maikaʻi ai a mālama iā ia. ʻOiai inā loaʻa iā ʻoe ka maʻi diabetes gestational, hiki iā ʻoe ke loaʻa kahi hāpai olakino a me kahi pēpē olakino. ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana i kāu hoʻolālā lapaʻau a hana pū me kāu kauka e mālama i kou pae kō koko i ke olakino.
E hoʻomaopopo i nā pilikia e hiki mai ana inā ʻaʻole i kāohi ʻia ka maʻi diabetes gestational. Aia kahi manawa kūpono e hānau olakino ʻia kāu pēpē, akā pono ʻoe e hana i nā hana e kāohi ai i kēia kūlana. Inā kiʻekiʻe mau kou pae kō koko, mai hoʻokaʻulua e ʻike i kāu kauka.E haʻi iā ia ua kiʻekiʻe mau kou kō koko, i hiki iā ia ke kōkua iā ʻoe ma ka hoʻololi ʻana i kāu meaʻai a i ʻole lāʻau lapaʻau. Hiki ke mālama ʻia ka maʻi diabetes gestational, akā pono ʻoe e lawe i ke kuleana no kou hāpai ʻana a me ke olakino o kāu pēpē.
E maikaʻi anei ka maʻi diabetes gestational ma hope o ka hāpai ʻana?
Ma hope o kou hānau ʻana i kāu pēpē, i ka hoʻi ʻana o kou pae hormone i ka maʻamau, pono e emi iho kou pae kō koko. E nānā hou kāu kauka iā ʻoe no ka maʻi diabetes gestational ma hope o kou hānau ʻana i kāu pēpē (ma waena o 6 a me 12 mau pule) e hōʻoia ua nalowale.
Eia nō naʻe, ma kahi o 50% o ka poʻe i loaʻa i ka maʻi diabetes gestational e loaʻa i ka maʻi diabetes type 2 ma hope. Hiki iā ʻoe ke hōʻemi i kēia pilikia ma ka ʻai ʻana i kahi meaʻai olakino a me ka hoʻoikaika kino mau. Makemake paha kāu kauka iā ʻoe e loaʻa nā hoʻāʻo glucose koko i kēlā me kēia mau makahiki, ʻoiai inā he mau kumu pilikia ʻē aʻe kāu no ka maʻi diabetes.
Ke hoʻolilo nei anei ka loaʻa ʻana o ka maʻi diabetes gestational i mea pilikia nui no ka hāpai ʻana?
ʻAe, ʻo ka loaʻa ʻana o ka maʻi diabetes gestational hiki ke hoʻolilo i kou hāpai ʻana i mea pilikia nui. Manaʻo ke kauka i ka hāpai ʻana he mea pilikia nui ke loaʻa iā ʻoe nā kūlana olakino e hoʻonui ai i ka pilikia o nā pilikia hāpai no ʻoe a i ʻole kāu pēpē (a i ʻole nā mea ʻelua).
E olakino anei kaʻu pēpē inā loaʻa iaʻu ka maʻi diabetes gestational?
ʻAe. Hānau olakino ka hapa nui o nā pēpē. Aia kekahi mau mea hiki iā ʻoe ke hana e hāʻawi i kāu pēpē i ka hoʻomaka maikaʻi loa i ke ola a e kāohi i kāu maʻi diabetes gestational i ka wā hāpai. ʻO nā mea ʻelua maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hele i kāu mau keʻena lapaʻau āpau a e kāohi i kāu maʻi diabetes e like me ka hiki iā ʻoe i ka wā hāpai.
Hiki ke pale ʻia ka maʻi diabetes gestational?
He mea hiki ʻole ke pale loa aku. Akā hiki iā ʻoe ke hana i nā hana e hōʻemi ai i kou pilikia. ʻO ka ʻai ʻana i ka meaʻai kaulike a momona hoʻi a me ka hoʻoikaika kino mau , ma mua a i ka wā hāpai, ʻo ia nā ala maikaʻi loa e hōʻemi ai i kou pilikia o ka loaʻa ʻana o ka maʻi diabetes gestational.
He aha kaʻu e hana ai e maʻalahi ai ka noho ʻana me ka maʻi diabetes gestational?
E hoʻolilo i ka mālama ʻana i ka maʻi diabetes i ʻāpana o kāu hana maʻamau i kēlā me kēia lā. E hana i kahi papa hana a e hoʻopaʻa iā ia. E hoʻāʻo i kēia mau mea:
- E nānā i kāu pae glucose koko i ka manawa like i kēlā me kēia lā.
- E koho e hana i 30 mau minuke o ka hoʻoikaika kino māmā i ʻekolu lā o ka pule.
- E hoʻolālā i nā meaʻai liʻiliʻi a kaulike ma mua.
- E kamaʻilio me kāu kauka a i ʻole kekahi kumu aʻo maʻi diabetes no ka ʻōlelo aʻoaʻo hou aku e pili ana i ka mālama ʻana i ka maʻi diabetes i kēlā me kēia lā.
Āhea wau e ʻike ai i kaʻu kauka inā loaʻa iaʻu ka maʻi diabetes gestational?
ʻOiai ke akahele o kou mālama ʻana i kou kūlana, aia paha nā manawa e pono ai ʻoe e ʻike i ke kauka. Pono ʻoe e ʻike i ke kauka inā loaʻa iā ʻoe ka "(Gestational Diabetes)" a loaʻa iā ʻoe kekahi o kēia mau mea:
- Inā pilikia ʻoe i ka kaohi ʻana i kou pae kō koko. ʻO ia hoʻi, inā ʻoi aku ke kiʻekiʻe o kou pae kō koko ma mua o nā pae a kāu kauka i hāʻawi ai iā ʻoe. A laila makemake paha ʻo ia e hoʻololi i kāu hoʻolālā hoʻokele maʻi diabetes.
- Inā haʻahaʻa mau kou kō koko. ʻAʻole maikaʻi ka haʻahaʻa o ke kō koko. Hiki i kāu kauka ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo no ka mālama ʻana i kāu kō koko i kahi pae olakino.
- Inā loaʻa iā ʻoe kahi maʻi e paʻakikī ai ke hahai i kāu hoʻolālā hoʻokele. Eia kekahi laʻana, inā loaʻa iā ʻoe ka lāʻau make i ka meaʻai a i ʻole e luaʻi ana no kekahi kumu ʻē aʻe. ʻO ka hiki ʻole ke ʻai hiki ke hoʻopilikia i kāu pae kō koko.
Hiki iā ʻoe ke loaʻa i ka maʻi diabetes gestational ʻoiai inā ʻoe e ʻai olakino?
ʻAe. ʻOiai inā ʻoe e ʻai olakino ma mua a i ʻole i ka wā hāpai, hiki nō iā ʻoe ke loaʻa i ka maʻi diabetes gestational. Nui nā kumu ʻē aʻe e hoʻopilikia i kou pilikia o ka loaʻa ʻana o ka maʻi diabetes. He kuleana nui nā mea e like me nā hormones a me nā genes, a ʻo ia nā mea ma waho o kou mana.
Eia nō naʻe, inā loaʻa iā ʻoe ka maʻi diabetes gestational, ʻo ka ʻai ʻana i ka meaʻai olakino a momona hoʻi ke ala maikaʻi loa e hoʻokele ai i kēia maʻi i kou wā hāpai.
Ua haʻi aku nei kāu kauka iā ʻoe ua hāʻule kāu hoʻāʻo glucose a loaʻa iā ʻoe ka maʻi diabetes gestational. Ke noʻonoʻo nei paha ʻoe i nā mea he miliona. 'He mea anei kēia naʻu i hana ai? Pono anei au e hoʻokomo i koʻu manamana lima i loko o koʻu waha i ka manawa a pau aʻu e hāpai ana? E olakino anei kaʻu pēpē?' He mea maʻamau ka loaʻa ʻana o kēia mau nīnau (a me nā mea hou aku). ʻO ka mea pōmaikaʻi, ua ʻike maikaʻi nā kauka i ka maʻi diabetes gestational a ʻike lākou pehea e kōkua ai iā ʻoe e hoʻokele iā ia.
Hiki i ka hapa nui o nā kānaka ke kāohi i ko lākou maʻi diabetes gestational ma ka hana ʻana i nā hoʻololi liʻiliʻi i kā lākou ʻai. Hiki i kahi meaʻai meaʻai a mea aʻoaʻo maʻi diabetes ke kōkua iā ʻoe me kēia. Eia nō naʻe, pono kekahi poʻe i ka insulin e kāohi i ko lākou kō koko. I ka hapa nui o nā hihia, ʻaʻole e loaʻa ka hopena koʻikoʻi o ka maʻi diabetes gestational i kāohi maikaʻi ʻia i kou hāpai ʻana. Eia nō naʻe, pono ʻoe e hana ikaika i ka mālama ʻana i kou kūlana e hōʻoia i ke olakino o kou hāpai ʻana a me kāu pēpē.
Leka Hoʻihoʻi Hope Loa
ʻAe, mai nā mea a mākou i kamaʻilio ai, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i ka `(Gestational Diabetes)`. ʻAʻohe pono e hopohopo. He mea kēia e hana nei i nā makuahine he nui. ʻO ka mea nui loa:
- E hoʻolohe pono i ka ʻōlelo a ke kauka a e hahai pololei. E nānā mau i kou pae kō koko, e kāohi i kāu ʻai, a e lawe pono i kāu lāʻau lapaʻau inā pono.
- E ʻai i ka meaʻai olakino. E hahai i nā ʻōlelo aʻoaʻo a ke kauka meaʻai. E hōʻemi i nā meaʻai ʻono a me nā mea ʻaila i ka hiki.
- E hoʻoikaika kino i ka hiki.E hoʻolohe i ka ʻōlelo aʻo a kāu kauka a koho i kahi hoʻoikaika kino kūpono iā ʻoe.
- Mai poina i kou mau lā ma ke keʻena lapaʻau. E hele i nā hoʻokolohua āpau i kēlā me kēia manawa.
- Inā he mau nīnau a hopohopo paha kāu, e kamaʻilio me kāu kauka a i ʻole kekahi lālā o ka ʻohana. Mai hopohopo hoʻokahi.
Inā ʻoe e hana pololei i kēia mau mea, e loaʻa nō hoʻi iā ʻoe kahi pēpē olakino a nani hoʻi. Mai kānalua no ia mea. Hoʻomaikaʻi!
ʻO ka maʻi diabetes gestational, Gestational Diabetes, Ke kō i ka wā hāpai, Makuahine hāpai, Kaohi ʻana i ka maʻi diabetes, Ola kino o ka pēpē, Kō koko











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