He kiʻekiʻe anei kou kō koko? E aʻo kākou i nā mea āpau e pili ana i ka hyperglycemia!

Ke manaʻo nei ʻoe i kekahi manawa ʻaʻole ʻoe e maikaʻi? Luhi wale nō, a makewai mau paha? He mau hōʻailona paha kēia ua kiʻekiʻe iki kou pae kō koko. I kēia lā, e kamaʻilio mākou e pili ana i kēia kūlana i kapa ʻia ʻo ke kō koko kiʻekiʻe, a i ʻole ka mea a nā kauka e kapa nei he "Hyperglycemia." Mai hopohopo, he mea kēia i loaʻa i nā poʻe he nui, a he mea nui e makaʻala i ia mea.

He aha ke ʻano o ke kō koko kiʻekiʻe? (Hyperglycemia)

I ka ʻōlelo maʻalahi, ʻo ke ʻano o ka `(Hyperglycemia)` ʻo ia hoʻi ka nui o ke kō, a i ʻole ka glucose, i loko o kou koko ua kiʻekiʻe loa. Hana ʻia kēia ke emi loa ka insulin o ko mākou kino, a i ʻole ke hiki ʻole i ko mākou kino ke hoʻohana pono i ka insulin (ua kapa ʻia kēia he kūʻē i ka insulin) .

ʻO ka Hyperglycemia pinepine ke ʻano he maʻi diabetes ʻoe. Loaʻa pinepine i ka poʻe me ka maʻi diabetes nā pae kō koko kiʻekiʻe. Inā noho mau kēia pae kō koko kiʻekiʻe me ka mālama ʻole ʻia no ka manawa lōʻihi, hiki iā ia ke hōʻino i kou mau aʻalolo, nā kīʻaha koko, nā ʻiʻo, a me nā ʻōpū.

I kekahi manawa, inā piʻi nui ke kō koko, hiki iā ia ke alakaʻi i kahi kūlana weliweli koke i ke ola i kapa ʻia ʻo diabetic ketoacidosis (DKA) . He mea weliweli loa kēia no ka poʻe me ka maʻi diabetes e lawe ana i ka insulin a me ka poʻe me ka maʻi diabetes type 1 i ʻike ʻole ʻia. Pono kēia i ka mālama koke ʻana o ke kauka.

ʻEhia ka nui o ke kō i loko o ke koko i manaʻo ʻia he 'kiʻekiʻe'?

He mea kēia e pono e wehewehe iki ʻia.

• No kekahi kanaka i ʻike ʻole ʻia he maʻi diabetes, inā ʻoi aku ke kiʻekiʻe o ka pae glucose koko ma mua o 125 mg/dL (milligrams no ka deciliter) ma hope o ka hoʻokē ʻai ʻana no 8 mau hola ma ka liʻiliʻi , ua manaʻo ʻia ia he "Hyperglycemia".
• Inā ma waena o 100 mg/dL a me 125 mg/dL ka pae glucose hoʻokē ʻai o ke kanaka, ua manaʻo ʻia he prediabetes . ʻO ke ʻano kēia he kiʻekiʻe ka pilikia o ka loaʻa ʻana o ka maʻi diabetes.
• Inā ʻoi aku ka kiʻekiʻe o nā pae glucose hoʻokē ʻai ma mua o 125 mg/dL, ʻike pinepine ʻia ka maʻi diabetes mellitus - ʻo ka hapa nui he maʻi diabetes type 2 kēia. Ke ʻike ʻia ka poʻe me ka maʻi diabetes type 1, kiʻekiʻe loa ko lākou pae kō koko (ʻoi aku ma mua o 250 mg/dL).

No kekahi kanaka me ka maʻi diabetes, ʻo ka pae glucose koko ma mua o 180 mg/dL i hoʻokahi a ʻelua paha hola ma hope o ka ʻai ʻana ua manaʻo ʻia he "Hyperglycemia." Eia naʻe, hiki ke ʻokoʻa kēia mau waiwai ma muli o kāu mau pahuhopu kō koko. Pono ʻoe e kamaʻilio me kāu kauka e ʻike pono i kāu pahuhopu.

He aha kēia 'kō' (Glucose) i loko o ke koko?

ʻO ka glucose, a i ʻole 'sugar' wale nō, ke kumu nui o ka ikehu no ko mākou kino, e hele mai ana mai nā kalapona a mākou e ʻai ai. ʻO kēia ke kumu nui o ka ikehu o ko mākou kino. Lawe ʻia kēia glucose mai kou koko i kēlā me kēia cell i loko o kou kino a hoʻohana ʻia ma ke ʻano he ikehu.

Inā ʻaʻohe ou maʻi diabetes, kōkua kekahi mau kaʻina hana kūlohelohe i loko o ko kākou kino e mālama i nā pae glucose koko i kahi pae olakino. ʻO ka mea nui i kēia he hormone i kapa ʻia ʻo insulin , i hana ʻia e ko kākou pancreas.

ʻO ke koko kiʻekiʻe ke kumu pinepine ʻia e ka nele o ka insulin a i ʻole ke kūʻē ʻana o ka insulin. ʻO kēia ke kumu o ka maʻi diabetes. Pono ka poʻe me ka maʻi diabetes e lawe i nā lāʻau lapaʻau (lāʻau lapaʻau waha a i ʻole ka insulin synthetic) a/a i ʻole e hana i nā hoʻololi i ke ʻano o ka nohona e kaohi i ko lākou pae kō koko.

Pehea ka maʻamau o kēia ʻano?

He mau maʻi maʻamau loa ka Hyperglycemia a me ka maʻi diabetes. No ka laʻana, hoʻokahi o ka ʻumi o ka poʻe ma ʻAmelika e loaʻa ana i ka maʻi diabetes. He mea maʻamau nō hoʻi ke kō koko kiʻekiʻe i waena o ka poʻe me ka maʻi diabetes. Ua lilo kēia ʻano i mea maʻamau loa i ko mākou ʻāina.

He aha nā hōʻailona o ke kō koko kiʻekiʻe?

Ke piʻi aʻe ke kiʻekiʻe o ke kō koko, ʻaʻole paha ʻoe e ʻike koke i kekahi mau hōʻailona nui. Eia nō naʻe, e hoʻomaka paha ʻoe e ʻike mālie i kēia mau hōʻailona.

Nā hōʻailona e ʻike koke ʻia:

• ʻO ka makewai nui (polydipsia) a/a i ʻole ka pōloli.
• Pono e mimi pinepine.
• ʻEha poʻo (ʻeha poʻo).
• ʻIke pōwehiwehi iki.

Nā hōʻailona e kū mai ana ke piʻi aʻe ke kō i ka hala ʻana o ka manawa:

• Luhi loa ke manaʻo nei.
• Ka pohō kaumaha (no ke kumu ʻole).
• ʻOi aku ka nui o ka hiki i nā wahine ke loaʻa i nā maʻi hū vaginal .
• Nā maʻi ʻili .
• He manawa ka manawa e ho'ōla ai i nā ʻeha.

Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau hōʻailona, ​​​​he mea nui loa e ʻike i ke kauka no ka ʻōlelo aʻo.

ʻOkoʻa ka pae glucose i hoʻomaka ai ka poʻe me ka maʻi diabetes e ʻike i nā hōʻailona mai kēlā kanaka a i kēia kanaka. ʻAʻole ʻike ka hapa nui o ka poʻe i nā hōʻailona nui a hiki i ka 250 mg/dL a ʻoi aku paha ko lākou kō koko. Eia nō naʻe, hiki i ka poʻe i ʻike ʻole ʻia me ka maʻi diabetes ke ʻike i nā hōʻailona ma nā pae haʻahaʻa.

Inā ʻoe e lawe ana i ka insulin a i ʻole nā ​​lāʻau lapaʻau maʻi diabetes ʻē aʻe, he mea nui e makaʻala i nā hōʻailona mua o ke kō koko kiʻekiʻe a e nānā mau i kou pae kō koko. Inā ʻaʻole mālama ʻia, hiki i kēia kūlana (hyperglycemia) ke alakaʻi i ka diabetic ketoacidosis (DKA).Hiki i kēia ke alakaʻi i kahi kūlana weliweli i kapa ʻia ʻo ketoacidosis. ʻO kēia ka manawa e lilo ai ke koko i waikawa ma muli o ka nele o ka insulin a me ka hoʻonui ʻia o nā mea i kapa ʻia ʻo ketones. Hiki i kēia ke hoʻopilikia i ka poʻe me ka maʻi diabetes type 1 i ʻike ʻole ʻia. Hiki i kēia ke lilo i pilikia, e alakaʻi ana i ka coma a i ʻole ka make.

Kūlana weliweli: Nā hōʻailona o ka diabetic ketoacidosis (DKA):

• Ka luaʻi a me ka luaʻi.
• Dehydration - ka nalowale o ka wai i loko o ke kino.
• ʻEha ʻōpū.
• Hanu ʻala hua.
• Ka hanu hohonu a luhi paha a i ʻole ka hanu wikiwiki (ka hanu ʻana o Kussmaul).
• Ka wikiwiki o ka puʻuwai.
• Ka huikau a me ka nalowale ʻana o ke ala.
• Ka nalowale o ka ʻike.

Inā loaʻa iā ʻoe a i ʻole kāu keiki kēia mau hōʻailona o `(DKA)`, e ʻimi koke i ke kōkua lapaʻau!

No ke aha e piʻi ai ke kō koko penei? He aha nā kumu?

ʻO ke kumu nui o ke kō koko kiʻekiʻe, ʻo ia ka nele o ka insulin. Hiki ke hana ʻia kēia ma muli o ke kūʻē ʻana o ka insulin a i ʻole nā ​​pilikia me ko kākou pancreas, ka mea e hana ana i ka insulin.

Hiki i nā hormones ʻē aʻe ke kōkua i ke kō koko kiʻekiʻe. No ka laʻana, ʻo ka hoʻonui ʻia ʻana o ka cortisol (i ʻike ʻia hoʻi ʻo ka "hormone stress") a i ʻole ka hormone ulu hiki ke kōkua i ke kō koko kiʻekiʻe.

Ke kū'ē ʻana o ka insulin

ʻO ke kumu maʻamau o ka hyperglycemia ka pale ʻana i ka insulin . ʻO kēia ka manawa ʻaʻole pane pono kou mau ʻiʻo, momona, a me nā hunaola ate i ka insulin.

Ke pane ʻole kāu mau cell i ka insulin, pono kou kino i ka insulin hou aʻe e kāohi i kāu kō koko. Inā ʻaʻole hiki i kou kino ke hana i ka insulin lawa (a inā ʻaʻole ʻoe e lawe i ka insulin lawa), piʻi aʻe kāu pae kō koko.

ʻO ke kū'ē ʻana o ka insulin ke kumu nui o ka maʻi diabetes type 2. Eia nō naʻe, hiki nō hoʻi ke loaʻa i nā poʻe me ka ʻole o ka maʻi diabetes a me nā poʻe me nā ʻano maʻi diabetes ʻē aʻe. Hiki ke lilo i mea manawa pōkole a lōʻihi paha.

ʻEkolu mau kumu maʻamau o ke kū'ē ʻana o ka insulin:

• Ka momona: Manaʻo nā kānaka ʻepekema ʻo ka momona, ʻoiai ka momona keu ma ka ʻōpū a puni nā ʻōpū (kapa mākou he 'momona visceral' ), ke kumu nui o ke kū'ē ʻana i ka insulin.
• Ka hana ʻole kino.
• He ʻai ʻai o nā meaʻai i hana nui ʻia, kiʻekiʻe i ka wao nahele a me nā momona paʻa.
• ʻO kekahi mau lāʻau lapaʻau: No ka laʻana , corticosteroids, kekahi mau lāʻau lapaʻau koko, kekahi mau lāʻau lapaʻau HIV, a me kekahi mau lāʻau lapaʻau noʻonoʻo. Hiki i kēia mau mea ke hoʻoulu i ke kū'ē ʻana o ka insulin, no ka manawa pōkole a i ʻole ka lōʻihi, ma muli o ka lōʻihi o kou lawe ʻana iā lākou.

Hiki i kekahi mau kūlana hormonal ke hana i ke kū'ē ʻana o ka insulin:

• ʻO ka maʻi Cushing (hoʻonui ʻia ka cortisol).
• Acromegaly (hoʻonui ʻia ka hormone ulu).
• Hāpai keiki: I ka wā hāpai, hiki i nā hormones i hoʻokuʻu ʻia e ka placenta ke hana i ke kū'ē ʻana o ka insulin. Hiki i kēia ke alakaʻi i ka maʻi diabetes gestational i kekahi poʻe.

ʻO kekahi mau kūlana genetic i hoʻoilina ʻia e pili pū ana me ke kū'ē ʻana o ka insulin:

• ʻO ka maʻi Rabson-Mendenhall
• ʻO ka maʻi Donohue
• ʻO ka maʻi myotonic dystrophy
• ʻO ka maʻi ʻAlström
• ʻO ka maʻi Werner

Nā pilikia pancreas

ʻO ka hōʻino ʻana i kou pancreas hiki ke hoʻemi i ka hana ʻana o ka insulin, e alakaʻi ana i ka hyperglycemia. ʻO kekahi o nā maʻi pancreatic e hiki ai ke hoʻoulu i ka hyperglycemia a me ka maʻi diabetes:

• Maʻi Autoimmune: I ka maʻi diabetes type 1, hoʻouka kāu ʻōnaehana pale i nā cell e hana ana i ka insulin i loko o kāu pancreas no ke kumu i ʻike ʻole ʻia. ʻO ke ʻano kēia, ʻaʻole hiki i kāu pancreas ke hana hou i ka insulin, e hopena ana i ka hyperglycemia. ʻO kahi kūlana i kapa ʻia ʻo Latent Autoimmune Diabetes in Adults (LADA) ua hana ʻia hoʻi e kahi hopena autoimmune, akā ulu mālie ia ma mua o ka maʻi diabetes type 1.
• ʻO ka pancreatitis mau loa: ʻO kēia kūlana ke kumu o ka mumū lōʻihi o ka pancreas, hiki ke hōʻino i nā cell e hana ana i ka insulin. Hiki i kēia ke alakaʻi i ka nele o ka insulin (hyperglycemia). ʻO ka pancreatitis kahi kumu i ʻike ʻia o ka maʻi diabetes Type 3c .
• ʻAʻai kanesa pancreatic: Hiki i ka maʻi kanesa pancreatic ke hōʻino i nā cell e hana ana i ka insulin, e hana ana i ka nele o ka insulin (hyperglycemia). Ma kahi o 25% o ka poʻe me ka maʻi kanesa pancreatic i ʻike ʻia he maʻi diabetes 6 a 36 mau mahina ma mua o ka ʻike ʻia ʻana o ke kanesa.
• ʻO Cystic fibrosis: Hiki i ka poʻe me ka cystic fibrosis ke loaʻa nā ʻōpala ma ko lākou pancreas ma muli o ka nui o ka hana ʻana o ka mucus. Hoʻemi kēia i ka nui o ka insulin a kā lākou pancreas e hana ai, e alakaʻi ana i ka hyperglycemia a me ka maʻi diabetes e pili ana i ka cystic fibrosis (CFRD) .

Nā kumu o ka piʻi ʻana o ke kō no ka manawa pōkole

I kekahi mau hihia, hiki i ka poʻe me a me ka poʻe ʻaʻohe maʻi diabetes ke loaʻa i kahi piʻi iki o ke kō koko (hyperglycemia) no ka manawa pōkole.

• ʻO ke kaumaha kino, e like me ka maʻi, ke ʻoki kino, a i ʻole ka ʻehaHiki i kēia ke hoʻonui i ke kō koko no kekahi manawa.
• ʻO ke kaumaha naʻau koʻikoʻi , e like me kahi hanana traumatic a i ʻole ke kaumaha e pili ana i ka hana, hiki ke hoʻonui i nā pae kō koko. ʻO kēia ma muli o ka hoʻokuʻu ʻia ʻana o nā hormones i kapa ʻia ʻo cortisol a/a i ʻole epinephrine (adrenaline) .

Nā kumu kūikawā e hoʻoulu ai i ke kō koko kiʻekiʻe i ka poʻe me ka maʻi diabetes

Aia kekahi mau kumu e hiki ai i ka poʻe me ka maʻi diabetes ke loaʻa i ke kiʻekiʻe o ke kō koko. Hiki ke hana ʻia kēia inā ʻaʻole kaulike nā mea e like me ka ʻai a me nā lāʻau lapaʻau maʻi diabetes.

Nā kūlana maʻamau e hiki ai ke hoʻoulu i ka "Hyperglycemia" i nā poʻe me ka maʻi diabetes:

• ʻAʻole lawa ka insulin i lawe ʻia, ke ʻano insulin kūpono ʻole, ka pau ʻana o ka lāʻau lapaʻau i ka lāʻau lapaʻau, a i ʻole ka pilikia me ka wahi i hoʻokomo ʻia ai ka insulin (e.g., ka pilikia me ka wahi i hoʻokomo ʻia ai ka insulin no kekahi e hoʻohana ana i ka pamu insulin).
• ʻAʻole kūpono ka manawa o ka insulin a me ka lawe ʻana i nā carbohydrates.
• ʻAʻole paha e kūlike ka nui o nā kalapona āu e ʻai ai me ka nui o ka insulin e hiki ai i kou kino ke hana a i ʻole ka nui o ka insulin āu e hoʻokomo ai.
• ʻAʻole ʻoe e lawe ana i ka lawa o kāu lāʻau lapaʻau maʻi diabetes.
• ʻEleu ʻole e like me ka maʻamau.
• Ka hanana wanaʻao: Ka piʻi ʻana o ke kō koko i ke kakahiaka nui.

He aha nā pilikia e kū mai ana inā hoʻomau ke piʻi ʻana o ke kō koko?

Inā he kiʻekiʻe kou pae kō koko (hyperglycemia mau) no nā makahiki he nui, hiki iā ia ke hōʻino i kou mau kīʻaha koko a me nā ʻiʻo. Hiki i kēia ke alakaʻi i nā ʻano pilikia like ʻole. ʻO kekahi o lākou:

• ʻO Retinopathy, ka mea e hoʻopilikia ai i nā maka .
• ʻO ka Nephropathy, ka mea e hoʻopilikia ai i nā puʻupaʻa .
• Neuropathy, ka mea e hoʻopilikia ai i nā aʻalolo .
• ʻO Gastroparesis, ka mea e hoʻopaneʻe ai i ka hoʻokahe ʻana o ka ʻōpū .
• Maʻi puʻuwai .
• Hahau ʻana .

ʻO ka mea nui e hoʻomanaʻo ai, ʻo nā kumu ʻē aʻe, e like me nā mana genetic a me ka lōʻihi o kou loaʻa ʻana i ka maʻi diabetes, hiki ke hoʻopilikia i ka ulu ʻana o nā pilikia maʻi diabetes.

ʻO ka piʻi koke a koʻikoʻi o ke kō koko (acute hyperglycemia) hiki ke alakaʻi i kahi maʻi hoʻoweliweli i ke ola i kapa ʻia ʻo diabetic ketoacidosis (DKA) .

Pehea ʻoe e ʻike ai i kēia?

Kauoha nā kauka i nā hoʻāʻo koko e nānā i ka hyperglycemia a e ʻike i ka maʻi diabetes. Hiki i kēia mau hoʻāʻo ke komo pū me:

• Nā hoʻāʻo glucose hoʻokē ʻai.
• Nā hoʻokolohua hoʻomanawanui glucose.
• Hoʻāʻo A1c.

Hoʻāʻo ka poʻe me ka maʻi diabetes i ko lākou kō koko ma ka home (me ka hoʻohana ʻana i ka mika glucose). Hiki iā lākou ke nānā i ko lākou pae kō koko a nānā no ka hyperglycemia. Inā ʻoe e hoʻohana i kahi ʻōnaehana nānā glucose mau (CGM) , hiki iā ia ke hoʻomaopopo iā ʻoe i ka wā e kiʻekiʻe ai kou kō koko. Eia nō naʻe, hiki i kēia ʻenehana ke hewa i kekahi manawa, no laila inā ʻaʻole kūlike nā heluhelu CGM me kou manaʻo, he mea nui e nānā i kāu kō koko me ka mika glucose.

Pehea e kāohi ai i ke kō koko kiʻekiʻe? (Lāʻau lapaʻau)

Inā ʻoe e lawe i ka insulin e kāohi i kāu maʻi diabetes, ʻo ke ala nui e mālama ai i ke kō koko kiʻekiʻe, ʻo ia ke hoʻokomo ʻana i ka insulin. Pono kēlā me kēia kanaka i kahi nui like ʻole o ka insulin. E hoʻoholo pū ʻoe a me kāu kauka i ka nui kūpono loa e mālama ai a pale aku i ke kō koko kiʻekiʻe nāu. Hiki i nā hoʻololi ʻana i ka ʻai a me kahi hoʻolālā hoʻoikaika kino ke kōkua i ka kāohi ʻana i kāu kō koko a pale aku i ka hyperglycemia.

Hiki i nā kānaka me ka maʻi diabetes type 2 ʻaʻole pono e lawe i ka insulin ke kāohi i ko lākou hyperglycemia me nā loli o ke ʻano o ka nohona (e like me ka ʻai a me ka hoʻoikaika kino) a me nā lāʻau lapaʻau maʻi diabetes waha. Na ʻoe a me kāu kauka e hoʻoholo i ka hoʻolālā kūpono loa iā ʻoe.

He aha ke ʻano o ka manaʻolana e hiki iā ʻoe ke loaʻa i ka wā e noho ai me kēia kūlana?

ʻO ka wānana no ka poʻe me ka hyperglycemia e pili ana i ka maikaʻi o kā lākou kaohi ʻana i kā lākou maʻi diabetes holoʻokoʻa.

Aia kekahi mau kumu e hoʻopilikia ai i ka maikaʻi o ke kanaka i ka mālama ʻana i kā lākou maʻi diabetes:

• Loaʻa i nā lawelawe olakino.
• Loaʻa i ka hoʻonaʻauao maʻi diabetes.
• Loaʻa i ka ʻenehana hoʻokele maʻi diabetes a me nā lāʻau lapaʻau.
• Ka hiki ke komo i nā kumuwaiwai ʻai olakino a me ka hoʻoikaika kino.
• Kākoʻo mai nā poʻe aloha.
• Nā kūlana olakino noʻonoʻo (e.g. kaumaha, hopohopo).
• Nā kūlana olakino kino ʻē aʻe.

Hiki i ka hyperglycemia lōʻihi ke alakaʻi i nā pilikia koʻikoʻi, a ʻo kēia mau pilikia he mea hiki ʻole ke hoʻihoʻi ʻia. Ua hōʻike ʻia kekahi mau noiʻi ʻo ka hyperglycemia lōʻihi i mālama ʻole ʻia e hoʻopōkole i ka manaʻolana o ke ola a hoʻonui i ka maikaʻi o ke ola.

ʻO ka mea nui loa, ʻo ia ka ʻike e hiki iā ʻoe ke ola i kahi ola olakino me ka maʻi diabetes. He mea nui loa kēia mau mea no ka nānā maikaʻi:

• Nā loli o ke ʻano o ka nohona.
• Hoʻoikaika kino mau.
• Nā loli i ka ʻai.
• E nānā pinepine i ke kō koko (ʻoi aku hoʻi no ka poʻe e lawe ana i ka insulin).

Ua hōʻike ʻia nā noiʻi he hiki i nā kānaka me ka maʻi diabetes keʻO ka mālama ʻana i kahi pae A1C ma lalo o 7% hiki ke hōʻemi i ka pilikia o nā pilikia.

Pehea e pale aku ai i ke kō koko kiʻekiʻe pinepine?

ʻO ka mea pōʻino, he paʻakikī ke pale loa i ke kō koko kiʻekiʻe ke loaʻa iā ʻoe ka maʻi diabetes. Eia nō naʻe, hiki iā ʻoe ke hana i nā hoʻololi i kāu hoʻolālā hoʻokele maʻi diabetes e hoʻāʻo e hōʻemi i ke alapine o ke kō koko kiʻekiʻe.

He mea maʻalahi kēia ke hana ke maopopo iā ʻoe a me kāu kauka ke kumu o kou kō koko kiʻekiʻe. E hāʻawi i kāu kauka i ka kikoʻī e like me ka hiki e pili ana i kēlā me kēia manawa e kiʻekiʻe ai kou kō koko. I kekahi manawa ʻo ka hoʻonā i ka pilikia e like me ka maʻalahi e like me ka hoʻololi ʻana i nā manawa āu e lawe ai i kāu lāʻau lapaʻau, ʻai, a hoʻoikaika kino paha.

Hiki i kēia mau hana ke kōkua i ka pale ʻana i ke kō koko kiʻekiʻe:

• E lawe i kāu mau lāʻau lapaʻau a pau e like me ke kauoha.
• E hahai i nā ʻōlelo aʻo a kāu kauka e pili ana i ka ʻai a me ka hoʻoikaika kino.
• E nānā mau i kou kō koko.

I ka manawa hea e pono ai ʻoe e ʻike i ke kauka e pili ana i ke kō koko kiʻekiʻe?

Inā loaʻa iā ʻoe ka maʻi diabetes a loaʻa pinepine iā ʻoe nā manawa o ke kō koko kiʻekiʻe, e ʻike i kāu kauka nāna e kōkua iā ʻoe e hoʻokele i kāu maʻi diabetes. Hiki iā ia ke kōkua iā ʻoe e hoʻololi i kāu hoʻolālā hoʻokele. Hiki i kēia ke komo pū me nā hoʻololi i kāu papa lāʻau lapaʻau, ka papa ʻai, a i ʻole ka hana hoʻoikaika kino.

I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe nā hōʻailona o `(DKA)` (e laʻa me ka luaʻi ʻana a me ka makewai nui me ke kō koko kiʻekiʻe), e hele koke i kahi lumi pilikia. Pono ka `(DKA)` i ka mālama lapaʻau koke.

He aha ka ʻokoʻa ma waena o ke kō koko kiʻekiʻe (Hyperglycemia) a me ke kō koko haʻahaʻa (Hypoglycemia)?

• ʻO ka Hyperglycemia ka piʻi ʻana o ke kō koko. ʻO ke ʻano o "Hyper-" ʻo ia hoʻi "kiʻekiʻe" a i ʻole "ʻoi aku."
• ʻO ka hypoglycemia ka haʻahaʻa o ke kō koko. ʻO ke ʻano o "Hypo-" ʻo ia hoʻi "haʻahaʻa."

He mea maʻamau ka Hyperglycemia i waena o ka poʻe me ka maʻi diabetes. ʻO ka nānā mau ʻana i kou kō koko a me ka ʻike ʻana i kāu kauka maʻi diabetes hiki ke kōkua iā ʻoe e hoʻokele i kāu maʻi diabetes a me ka hyperglycemia. E hoʻomanaʻo, ʻaʻole pono ʻoe e hana i ke kō koko kiʻekiʻe i nā manawa a pau. E ʻike he mau mea hiki iā ʻoe ke hana e pale aku ai. Inā ʻoe e hopohopo nei i ka hoʻokele ʻana i kāu maʻi diabetes, e kamaʻilio me kāu kauka. Hiki iā ʻoe ke hana pū i kahi hoʻolālā e hoʻokō ai i kāu mau pahuhopu hoʻokele.

Leka Lawe-Home

No laila, mai nā mea a mākou i kūkākūkā ai, pono ʻoe e hoʻomaopopo i ke ʻano o ke kō koko kiʻekiʻe, a i ʻole "Hyperglycemia", kona mau kumu, nā hōʻailona, ​​a pehea e kaohi ai.

ʻO ka mea nui loa, ʻo ia ke ʻike ʻana i ke kauka inā loaʻa iā ʻoe kēia mau hōʻailona. Inā ʻike mua ʻia a mālama pono ʻia, hiki iā ʻoe ke ola i kahi ola olakino a hauʻoli.

• E makaʻala i kou pae kō koko.
• E hoʻohana pono i ka lāʻau lapaʻau i kuhikuhi ʻia.
• E ʻai i ka meaʻai olakino .
• E hoʻoikaika kino i nā manawa a pau.
• E ho'āʻo e hōʻemi i ke kaumaha .

Inā ʻoe e hana pololei i kēia mau mea, e kōkua nui ʻia ʻoe e pale iā ʻoe iho mai ka "Hyperglycemia" a me nā pilikia e hiki mai ana mai ka maʻi diabetes. ʻAʻole ʻoe hoʻokahi, a he nui ka poʻe e hiki ke kōkua iā ʻoe ma kēia huakaʻi.

ʻO ka Hyperglycemia, ka maʻi diabetes, ke kō koko, ka insulin, nā hōʻailona, ​​​​DKA, ke kū'ē ʻana i ka insulin