He maʻi diabetes kou? Inā pēlā, ua ʻike pinepine ʻoe i kāu kauka e nānā ana i kou koko. 'No ke aha lākou e ana ai i kou koko ke lawe ʻoe i ka lāʻau no ke kō?' Ke noʻonoʻo nei paha ʻoe. ʻO ka ʻoiaʻiʻo, ʻo ka maʻi diabetes a me ke koko kiʻekiʻe (`(Hypertension)`) ua like ia me ʻelua ʻaoʻao o ka ʻāpana kālā hoʻokahi. Inā maopopo iā ʻoe ka pilina ma waena o nā mea ʻelua, hiki iā ʻoe ke pale aku i nā pilikia olakino nui e like me nā hōʻeha puʻuwai a me nā hahau.
No ke aha he pilina ikaika ma waena o ka maʻi diabetes a me ke koko kiʻekiʻe?
I ka ʻōlelo maʻalahi, ʻo ka maʻi diabetes kahi maʻi e hōʻino mālie i nā kīʻaha koko (nā aʻa) i loko o ko mākou kino. Ke kiʻekiʻe ke kiʻekiʻe o ke kō koko i ka hala ʻana o ka manawa, hoʻomaka ka hōʻino ʻia o nā paia o ko mākou mau kīʻaha koko. Ua nalowale ko lākou elasticity a lilo i mea mānoanoa iki.
E noʻonoʻo i ka wā e hōʻiliʻili ai ka lepo i loko o kahi paipu wai, e emi ana ke kahe o ka wai, a e piʻi aʻe ke kaomi i loko o ka paipu, ʻeā? ʻO ia ka mea e hana ʻia i ko kākou mau kīʻaha koko. ʻOi aku ka nui o ka momona a me ka cholesterol i loko o kēia mau paia kīʻaha koko i hōʻino ʻia. I ka lāʻau lapaʻau, kapa mākou i kēia he "Atherosclerosis." Ke emi nā kīʻaha koko, pono ka puʻuwai e hana ikaika e pamu i ke koko. Hoʻonui kēia i ke kaomi i loko o nā kīʻaha koko. ʻO ia ka mea a mākou e kapa nei he koko kiʻekiʻe a i ʻole "ke koko kiʻekiʻe."
Ma kēia ʻano, e like me ka hoʻonui ʻana o ka maʻi diabetes i ke koko, ʻoi aku ka koʻikoʻi o nā pilikia o ka maʻi diabetes ma muli o ka hoʻonui ʻia o ke koko. ʻOi aku ka nui, ʻo ka hōʻino ʻana i nā maka (Diabetic Retinopathy) a me ka hōʻino ʻana i nā puʻupaʻa (Diabetic Nephropathy) i hoʻokumu ʻia e ka maʻi diabetes hiki ke hoʻonui ʻia e ke koko kiʻekiʻe.
He aha nā pilikia inā e hui pū kēia mau mea ʻelua?
ʻElima manawa ka nui o ka loaʻa ʻana o kekahi mau maʻi i ke kanaka me ka maʻi diabetes a me ke koko kiʻekiʻe ma mua o ke kanaka maʻamau. E nānā kākou i kēlā mau mea.
| Pilikia/Paʻakikī | He wehewehe maʻalahi |
|---|---|
| Maʻi ʻAʻa Coronary | Ka hāiki ʻana a i ʻole ka paʻa ʻana o nā kīʻaha koko e hoʻolako ana i ke koko i ka puʻuwai. Hiki i kēia ke alakaʻi i ka hōʻeha puʻuwai . |
| Hahau | Paʻa a pohā paha kekahi kīʻaha koko e lawe ana i ke koko i ka lolo, e hōʻino ana i nā ʻāpana o ka lolo. |
| Maʻi ʻAla Kino Peripheral | ʻO ka hāiki ʻana o nā kīʻaha koko, ʻoiai ma nā wāwae a me nā wāwae, hiki ke hōʻeha i nā wāwae i ka wā e hele ai a lohi ka ho'ōla ʻana o nā ʻeha. |
| Ka hāʻule ʻana o ka puʻuwai | Ma muli o ka hana nui ʻana o ka puʻuwai i ka hala ʻana o ka manawa, nāwaliwali ka ʻiʻo o ka puʻuwai a hiki ʻole ke pamu i ke koko kūpono i ke kino. |
| Ka hāʻule ʻana o ka puʻupaʻa | ʻO ka maʻi diabetes a me ke koko kiʻekiʻe ʻelua o nā kumu nui o ka hōʻino ʻana o nā puʻupaʻa. I ka hala ʻana o ka manawa, hiki ke nalowale loa ka hana o nā puʻupaʻa. |
Manaʻo kekahi poʻe inā kiʻekiʻe iki ke kaomi, ua maikaʻi. Akā inā ma waena o 120/80 a me 129/80, he mea weliweli nō ia. ʻO ia hoʻi, ke hāʻawi nei kou kino iā ʻoe i kahi ʻōlelo aʻo.
No laila, he aha koʻu koko?
ʻOiai paha e ʻokoʻa iki kēia mai kēlā kanaka a kēia kanaka, ʻo ka pahuhopu nui no ka mea me ka maʻi diabetes, ʻo ia ka mālama ʻana i ko lākou koko ma lalo o 130/80 mmHg . Hiki i kāu kauka ke hoʻololi i kēia pahuhopu ma muli o kou kūlana.
E nānā, ke ana ʻoe i ke kaomi, aia ʻelua mau waiwai, ʻeā?
- ʻO ka helu kiʻekiʻe (Systolic pressure): ʻO kēia ke kaomi kiʻekiʻe loa i loko o nā aʻa i ka wā e paʻi ai ka puʻuwai a pamu i ke koko i loko o nā aʻa.
- Kaomi diastolic: ʻO kēia ke kaomi haʻahaʻa loa i loko o nā aʻa i ka wā e hoʻomaha ai ka puʻuwai ma waena o nā kuʻi.
E hoʻomanaʻo, no ka pale ʻana i nā pilikia o ka maʻi diabetes, he mea nui loa ia e kaohi i ke kō koko a me ke koko.
Pehea ʻoe e ʻike ai inā kiʻekiʻe kou koko? Aia kekahi mau hōʻailona?
ʻO kēia ka mea weliweli loa. ʻAʻohe hōʻailona o ke koko kiʻekiʻe.ʻO ia ke kumu a mākou e kapa ai iā ia ʻo ka 'Silent Killer'. Hiki iā ʻoe ke loaʻa i ke koko kiʻekiʻe weliweli me ka ʻole o nā hōʻailona. ʻO ke ala wale nō e ʻike pono ai, ʻo ia ke nānā mau ʻia kou koko . ʻO ia ke kumu e nānā ʻia ai kou koko i kēlā me kēia manawa āu e ʻike ai i kāu kauka. Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e nānā i kou koko ma ka home.
ʻAe, he aha kaʻu e hana ai e kaohi i kēia?
ʻO ka nūhou maikaʻi, ʻo ka nui o nā mea āu e hana ai e kāohi i kāu maʻi diabetes e kōkua pū i ke kāohi ʻana i kou koko. ʻO ia hoʻi, hiki iā ʻoe ke pepehi i ʻelua manu me ka pōhaku hoʻokahi.
| He aha e hana ai | No ke aha he mea nui kēlā? |
|---|---|
| E ʻai i ka meaʻai olakino . | E ʻai i nā mea kanu, nā huaʻai, nā legume, a me nā palaoa piha. E hōʻemi i nā meaʻai i kiʻekiʻe i ka ʻaila, ke kō, ka palaoa, a me ka paʻakai. |
| E kaupalena i ka hoʻohana ʻana i ka paʻakai . | Hoʻopaʻa ka paʻakai i ka wai i loko o ke kino a hoʻonui i ke koko. E hōʻemi i ka nui o ka paʻakai i hoʻohui ʻia i ka meaʻai a me ka ʻai ʻana i nā meaʻai i hana ʻia me ka paʻakai kiʻekiʻe. |
| Hoʻoikaika kino . | E hana i nā hoʻoikaika kino maʻalahi, e like me ka hele wikiwiki no 30 mau minuke i ka lā, ma ka liʻiliʻi he 5 mau lā o ka pule. E hoʻoikaika kēia i kou puʻuwai. |
| E mālama i ke kaumaha olakino . | ʻO ke kaumaha nui e hoʻokau i ke kaumaha hou aʻe ma ka puʻuwai. Hiki i ka hōʻemi ʻana i ke kaumaha ke kōkua nui i ka hoʻohaʻahaʻa ʻana i ke koko. |
| E ho'ōki i ka puhi paka . | ʻO ka puhipaka ke kumu nui o ka hōʻino ʻana i nā kīʻaha koko. Inā ʻoe e haʻalele, e mahalo aku kou puʻuwai iā ʻoe. |
| E kaupalena i ka inu ʻana i ka waiʻona . | Hiki i ka inu nui ʻana i ka waiʻona ke hoʻonui i ke koko. |
| E hahai i nā ʻōlelo aʻo lapaʻau . | E hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia. E lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka i ka manawa kūpono. |
E aʻo iki kākou e pili ana i nā lāʻau lapaʻau? (Lāʻau lapaʻau)
Inā ʻaʻole hiki i nā loli o ke ʻano o ka nohona ke kaohi i kou koko, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau. Akahele loa nā kauka i ke kuhikuhi ʻana i ka lāʻau koko i nā poʻe me ka maʻi diabetes.
ʻO ke koho mua o nā lāʻau lapaʻau pinepine ʻo ia ka `(ACE inhibitors)` (`(Angiotensin-Converting Enzyme inhibitors)`) a me `(ARBs)` (`(Angiotensin II Receptor Blockers)`). ʻO kēia no ka mea, ma waho aʻe o ke kaohi ʻana i ke koko, kōkua pū kēia mau lāʻau lapaʻau i ka pale ʻana a i ʻole ka kaohi ʻana i ka hōʻino ʻia o nā puʻupaʻa i hoʻokumu ʻia e ka maʻi diabetes.
Eia kekahi, hoʻohana ʻia nā lāʻau lapaʻau ʻē aʻe, e like me "diuretics", a mākou e kapa pinepine ai he "nā pila wai" e wehe i ka wai pono ʻole mai ke kino a hoʻemi i ke koko.
He mea e hoʻomanaʻo ai!
Hiki i kekahi mau lāʻau lapaʻau koko ke hoʻopilikia i ke kō koko a me nā pae cholesterol. Hiki i kekahi mau kāne ke loaʻa i nā kūlana e like me ka erectile dysfunction. No laila, mai makaʻu e kamaʻilio ākea me kāu kauka e pili ana i ka lāʻau lapaʻau āu e lawe nei a me kona mau hopena ʻaoʻao. Inā he pilikia kou, hiki i kāu kauka ke kuhikuhi i kahi lāʻau lapaʻau ʻokoʻa i kūpono iā ʻoe.
Leka Lawe-Home
- ʻO ka maʻi diabetes a me ke koko kiʻekiʻe ʻelua mau maʻi e hele pū ana a hiki ke hana i nā pilikia weliweli loa.
- ʻAʻohe hōʻailona o ke koko kiʻekiʻe, no laila he mea nui e nānā pinepine ʻia kou koko.
- ʻO ka pahuhopu o ke koko no kekahi kanaka me ka maʻi diabetes he emi ma lalo o 130/80 mmHg.
- ʻO nā loli o ke ʻano o ka nohona e like me ka ʻai olakino, ka hoʻoikaika kino, ka haʻalele ʻana i ka puhipaka, a me ka hōʻemi ʻana i ka ʻai ʻana i ka paʻakai ke kumu o ke kaohi ʻana.
- E lawe i ka lāʻau lapaʻau a kāu kauka e kuhikuhi ai e like me ke kauoha, i nā manawa i kuhikuhi ʻia. E kamaʻilio me kāu kauka e pili ana i nā pilikia a i ʻole nā hopena ʻaoʻao.
- E like me ka mea nui o ke kaohi ʻana i ke kō koko no ka pale ʻana i nā maʻi koʻikoʻi e like me ka hōʻeha puʻuwai, ka hahau ʻana, a me nā maʻi puʻupaʻa, he mea nui nō hoʻi ke kaohi ʻana i ke koko.
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