Inā loaʻa iā ʻoe ka maʻi diabetes, pono ʻoe e noʻonoʻo e pili ana i ke olakino o kou puʻuwai. ʻOiai ʻaʻole ʻike ka poʻe he nui, aia kahi pilina pili loa ma waena o ka maʻi diabetes a me ka maʻi puʻuwai. ʻO ka ʻoiaʻiʻo, ʻoi aku ka nui o ka manawa e loaʻa ai i kahi kanaka me ka maʻi diabetes i ka maʻi puʻuwai a i ʻole ka hahau ʻana. He mea maʻamau ka maʻi puʻuwai i waena o ka poʻe me ka Type 2 Diabetes.
No ke aha i nui ai ka pilikia o ka poʻe me ka maʻi diabetes i ka maʻi puʻuwai?
ʻAʻole kēia he moʻolelo wale nō. Ua hōʻoia ʻia kēia e ka noiʻi i hana ʻia no kahi manawa lōʻihi. E noʻonoʻo e pili ana i ia mea, ua ʻike mua ʻia kēia pilina ma o nā haʻawina nui e like me ka 'Framingham Study', nāna i nānā i ke olakino o kānaka ma nā hanauna. Ua hōʻike ʻia he kumu nui ka maʻi diabetes no ka maʻi puʻuwai.
Ma waho aʻe o ka maʻi diabetes, aia kekahi mau kumu ʻē aʻe e hoʻonui ai i ka pilikia o ka maʻi puʻuwai. ʻO lākou kēia:
- Ke koko kiʻekiʻe
- Puhipaka
- Hoʻonui ʻia nā pae cholesterol koko
- Inā ua loaʻa i kekahi o ka ʻohana ka maʻi puʻuwai i ka wā ʻōpiopio (Mōʻaukala ʻOhana)
I ka ʻōlelo maʻalahi, i ka piʻi ʻana o kēia mau mea pilikia, piʻi pū ka likelika o ka loaʻa ʻana o ka maʻi puʻuwai. Piʻi kēia pilikia i ʻelua a ʻehā manawa no kekahi kanaka me ka maʻi diabetes.
E noʻonoʻo i kēia ʻano. Aia kekahi kanaka ʻaʻohe ona maʻi diabetes, akā ua loaʻa mua i ka hōʻeha puʻuwai. Aia kekahi kanaka i loaʻa i ka maʻi diabetes, akā ʻaʻole i loaʻa mua i ka hōʻeha puʻuwai. Ua hōʻike ʻia e ka noiʻi ua aneane like ka pilikia o lāua ʻelua i ka loaʻa ʻana o kahi hōʻeha puʻuwai ʻē aʻe! ʻO ia hoʻi, ʻo ka loaʻa ʻana o ka maʻi diabetes e hoʻokau iā ʻoe i kahi pilikia nui no kou puʻuwai.
Pehea ka hopena o ka maʻi diabetes i ka puʻuwai?
ʻO ke kumu nui, ʻo ia ka mānoanoa a me ka ololi o nā paia o ke aʻa. Kapa mākou i kēia ma ke ʻano lapaʻau he atherosclerosis .
I ka ʻōlelo maʻalahi, ʻo ia ka manawa e hōʻiliʻili ai ka cholesterol maikaʻi ʻole i loko o ke koko ma loko o nā kīʻaha koko (nā aʻa) e hoʻolako ana i ke koko i ka puʻuwai. Ua like ia me ka ʻōpala e hōʻiliʻili ana i loko o kahi paipu wai kahiko. I ka hala ʻana o ka manawa, mānoanoa kēia papa o ka cholesterol (plaque) a hoʻohaiki i nā kīʻaha koko.
Inā pohā koke kēia palaki kolesterol, hoʻāʻo ke kino e hoʻoponopono iā ia. Hōʻuluʻulu nā platelets ma laila a hana i kahi ʻūpā koko. Eia nō naʻe, inā paʻa kēia ʻūpā koko i loko o kahi kīʻaha koko i haiki mua ʻia, ua ālai loa ʻia ke kahe koko i ka puʻuwai, e hana ana i ka hāʻule puʻuwai .
Inā hana kēia kaʻina hana like i loko o nā kīʻaha koko e hoʻolako ana i ke koko i ka lolo, hiki iā ia ke hana i kahi hahau , a inā hana ia i loko o nā kīʻaha koko e hoʻolako ana i ke koko i nā lālā, hiki iā ia ke hana i nā maʻi kīʻaha koko peripheral .
Ma waho aʻe o ka maʻi puʻuwai, ʻoi aku ka nui o ka pilikia o ka poʻe me ka maʻi diabetes i ka hāʻule ʻana o ka puʻuwai.Aia kekahi pilikia kiʻekiʻe o ka loaʻa ʻana o kahi maʻi i kapa ʻia ʻo. ʻO kēia ka wā hiki ʻole i ka puʻuwai ke pamu i ke koko lawa i ke kino. Hiki i kēia ke hoʻopiha i nā māmā me ka wai, e paʻakikī ai ka hanu ʻana, a e hoʻoulu ai i ka pehu ʻana o nā wāwae.
He aha nā hōʻailona e pono ai ʻoe e makaʻala?
He mea nui loa ka makaʻala i ka maʻi puʻuwai i ka wā mua. E makaʻala i nā hōʻailona ma lalo nei.
| ʻAno o ka hōʻailona | Wehewehena |
|---|---|
| Nā hōʻailona o ka hōʻeha puʻuwai | ʻEha a paʻa paha ka umauma (ʻoi aku hoʻi me ka hoʻoikaika kino) |
| Paʻakikī ka hanu ʻana | |
| Pōʻino, mae | |
| ʻEha ma ka lima hema, poʻohiwi, a i ʻole ka ʻāwae | |
| Ka hou nui ʻana me ke kumu ʻole | |
| Ka luaʻi | |
| Nā Hōʻailona o ka Maʻi Vascular Peripheral | |
| Nā hōʻailona o ka emi ʻana o ke kahe koko i nā lālā | ʻO ka claudication intermittent (ʻūlū i nā wāwae, ʻoi aku hoʻi ma ka ʻāpana groin) i ka wā e hele ana |
| Nā wāwae anu | |
| Ua emi a ʻole ka pulse i nā wāwae | |
| Ua emi ka ulu ʻana o ka lauoho ma nā wāwae | |
| Ka lahilahi ʻana o ka papa momona ma lalo o ka ʻili o nā wāwae | |
He mea nui loa: ʻAʻole loaʻa mau ka ʻeha o ka umauma me ka hōʻeha puʻuwai. Hiki ke loaʻa nā hōʻeha puʻuwai me ka ʻole o ka ʻeha, ʻoiai hoʻi i nā wahine a me nā poʻe me ka maʻi diabetes. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻokaʻulua i kahi kekona a ʻike koke i kāu kauka, a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
He aha kā mākou e hana ai e pale aku i ka puʻuwai? (Lāʻau a me ka pale ʻana)
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke pale ʻana i ka maʻi puʻuwai ma mua o ka hiki ʻana mai. A inā loaʻa iā ʻoe nā hōʻailona, e ʻimi koke i ka lāʻau lapaʻau. Pono paha kēia i nā hoʻololi o ke ʻano o ka nohona, nā lāʻau lapaʻau, a i kekahi manawa ʻo ke ʻoki kino.
Nā mea e hana ai no ka pale ʻana a me ka kaohi ʻana
- E kāohi i kou pae kō koko: E mālama iā lākou i ka maʻamau e like me ka hiki. Hiki ke hoʻokō ʻia kēia ma o ka ʻai ʻana, ka hoʻoikaika kino, a me ka lawe ʻana i nā lāʻau lapaʻau e like me ke kauoha a kāu kauka.
- Kaohi i ke koko: ʻO ka pahuhopu no ka mea me ka maʻi diabetes, ʻo ia ka mālama ʻana iā ia ma lalo o 130/80 mmHg.
- E kāohi i kou pae cholesterol: ʻO ka pahuhopu ka mālama ʻana i kou pae cholesterol maikaʻi ʻole (LDL) ma lalo o 100 mg/dL. Pono paha kēia i ka lāʻau lapaʻau.
- E kāohi i kou kaumaha: Inā kaumaha ʻoe, he mea nui loa ia e hoʻemi iā ia. ʻO ka momona, ʻoiai a puni ka ʻōpū, he mea ʻino loa ia no ka puʻuwai.
- E hoʻoikaika kino mau: E hana i kahi hoʻoikaika kino maʻalahi e like me ka hele wikiwiki no ka liʻiliʻi he 30-45 mau minuke i ka lā.
- E ʻai i ka meaʻai olakino no ka puʻuwai: E nīnau i kāu kauka e pili ana i nā mea e like me ka ʻai Mediterranean a i ʻole ka ʻai DASH.
- E hoʻōki loa i ka puhipaka: ʻO ka puhipaka kekahi o nā kumu nui o ka maʻi puʻuwai.
- E hōʻemi i ke kaumaha: E hoʻāʻo i ka yoga a me ka noʻonoʻo ʻana e hōʻemi i ke kaumaha o kēlā me kēia lā.
E kamaʻilio me kāu kauka a e hana i kahi hoʻolālā e kūpono iā ʻoe. He mea nui hoʻi e hana i nā nānā lapaʻau maʻamau.
Leka Lawe-Home
- ʻO ka loaʻa ʻana o ka maʻi diabetes, ʻo ia hoʻi, ua piʻi nui ka pilikia o ka loaʻa ʻana o nā maʻi puʻuwai.
- E nānā pinepine i kou kō koko, ke koko, a me ka cholesterol a mālama iā lākou ma lalo o ka mana.
- He mea nui ka ʻai olakino, ka hoʻoikaika kino mau, a me ka kaohi ʻana i ke kaumaha.
- Inā ʻoe e puhipaka, e hoʻōki i kēia lā. ʻO ia ka makana maikaʻi loa hiki iā ʻoe ke hāʻawi i kou puʻuwai.
- E makaʻala i nā hōʻailona kānalua, e like me ka ʻeha o ka umauma a me ka paʻakikī o ka hanu ʻana. Inā loaʻa kēia, e ʻimi koke i ke kōkua lapaʻau.
- E hoʻomau i ka launa pū me kāu kauka a mai makaʻu e kamaʻilio e pili ana i kou olakino.
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