Ke ʻike nei hoʻi ʻoe i ka haʻahaʻa koke o ke kō koko? E kamaʻilio kākou e pili ana i ka hypoglycemia!

Ke luhi nei ʻoe i kekahi manawa, haʻalulu, hou, a poniuniu i ka manawa hoʻokahi? Hiki paha iā ʻoe ke hopohopo iki a pōloli. ʻO kēia nā hōʻailona nui o ke kō koko haʻahaʻa, a i ʻole ka mea a mākou e kapa nei he hypoglycemia. ʻOi aku ka maʻamau o kēia i ka poʻe me ka maʻi diabetes, akā hiki nō hoʻi ke hana i ka poʻe me ka ʻole o ka maʻi diabetes. E kamaʻilio kākou e pili ana i kēia ma nā ʻōlelo maʻalahi i kēia lā.

He aha ka hypoglycemia?

I ka ʻōlelo maʻalahi, ʻo ka hypoglycemia ka wā e hāʻule ai kou kō koko, a i ʻole glucose, ma lalo o ka pae i koi ʻia. ʻO kēia glucose ka wahie nui e hāʻawi i ka ikehu i ko mākou kino, e like me ka ʻaila no ke kaʻa.

Loaʻa pinepine kēia ʻano i nā poʻe me ka maʻi diabetes me nā loli i ka lāʻau lapaʻau, ka ʻai, a i ʻole ka hoʻoikaika kino. Akā hiki nō hoʻi ke loaʻa i nā poʻe me ka ʻole o ka maʻi diabetes. Hiki ke loaʻa ma nā ʻano nui ʻelua:

• ʻO ka hypoglycemia reactive: Hana ʻia kēia i kekahi mau hola ma hope o kou ʻai ʻana i ka ʻai.
• ʻO ka hypoglycemia hoʻokē ʻai: Hana ʻia kēia ke ʻai ʻole ʻoe no kekahi manawa. Hiki ke pili pū me kekahi mau lāʻau lapaʻau a i ʻole nā ​​​​​​kūlana olakino ʻē aʻe.

ʻO ka ʻokoʻa ma waena o ka hypoglycemia a me ka hyperglycemia

ʻOiai ke kani like ʻana o kēia mau huaʻōlelo ʻelua, he ʻokoʻa loa ko lāua manaʻo.

I ka nui hea e hoʻemi ʻia ai ke kō?

Ana ʻia nā pae kō koko ma nā milligrams no ka deciliter (mg/dL). ʻO ka maʻamau, aia nā pae kō o ke kanaka olakino i loko o kahi pae i koho ʻia. Eia nō naʻe, inā hāʻule kou pae kō koko ma lalo o 70 mg/dL, ua manaʻo ʻia he hypoglycemia.

Inā hāʻule kēia ma lalo o 54 mg/dL,ʻO ka hypoglycemia koʻikoʻi. Hiki paha iā ʻoe ke hiolo i kēia manawa. Pono paha ʻoe i kekahi e hāʻawi iā ʻoe i kahi mea e like me ka glucagon ma ke ʻano he lāʻau lapaʻau ulia pōpilikia.

No ke aha e emi ai koʻu kō koko penei?

Ke ʻai kākou, ʻoiai ke ʻai kākou i nā meaʻai i loaʻa nā kalapona e like me ka berena a me ka laiki, lilo ia i glucose i loko o ko kākou kino a hoʻohui ʻia i ke koko. Aia kekahi mea nāna e kōkua i nā pūnaewele i loko o ke kino e hoʻohana i kēia glucose ma ke ʻano he ikehu. He hormone ia i kapa ʻia ʻo insulin . ʻO ka insulin ka mea e lawe i ka glucose i loko o ke koko a hāʻawi iā ia i nā pūnaewele.

Ke hoʻomaka ka emi ʻana o ke kō koko, e like me ma waena o nā meaʻai, hoʻokuʻu ʻia kekahi hormone ʻē aʻe. Ua kapa ʻia ʻo ia he glucagon . Hoʻololi ia i ka glucose i mālama ʻia i loko o ko kākou ake a me nā ʻiʻo (i kapa ʻia ʻo glycogen) i glucose a hoʻokuʻu iā ia i loko o ke koko. Penei mākou e mālama ai i ko mākou pae kō koko i paʻa ʻoiai ʻaʻole mākou e ʻai ana.

E noʻonoʻo, inā hewa kekahi mea i kēia kaʻina hana, hiki i kou pae kō koko ke hāʻule koke. ʻO ia ke ʻano o ka hypoglycemia.

ʻO nā kumu i haʻahaʻa ai ke kō koko o ka poʻe me ka ʻole o ka maʻi diabetes

ʻOiai pili pinepine kēia ʻano me ka maʻi diabetes, hiki nō hoʻi ke loaʻa i nā poʻe me ka ʻole o ka maʻi diabetes. Aia kekahi mau kumu no kēia.

• Kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau, e like me ka quinine, i hoʻohana ʻia no ka malaria, hiki ke hoʻohaʻahaʻa i ke kō koko. Hiki nō hoʻi kēia ke hana inā lawe ʻoe i ka lāʻau maʻi diabetes a kekahi.
• ʻO kekahi mau kūlana olakino: ʻO nā kūlana e like me ka maʻi akepaʻa koʻikoʻi (hepatitis koʻikoʻi, cirrhosis), ka hāʻule ʻana o nā puʻupaʻa, nā maʻi koʻikoʻi, a me ka maʻi puʻuwai hiki ke hoʻopilikia i nā pae kō koko.
• ʻAi ʻole: ʻO nā kūlana e like me ka anorexia hiki ke hoʻopau i nā hale kūʻai glycogen o ke kino a hāʻule ke kō koko.
• Ka inu nui ʻana i ka waiʻona: Ke inu nui ʻoe i ka waiʻona me ka ʻai ʻole, ʻaʻole hiki i ke akepaʻa ke hana i ka glucose mai ka glycogen. ʻO kēia ke kumu o ka emi ʻana o nā pae kō koko.
• Kekahi mau maʻi ʻaʻai: ʻO kekahi mau maʻi ʻaʻai o ka pancreas ke kumu o ke kino e hana i ka nui o ka insulin, kahi e neʻe koke ai ke kō koko i loko o nā ʻāpana, e hoʻohaʻahaʻa ai i nā pae kō koko.
• Nā pilikia hormonal: Hiki i kekahi mau maʻi o nā kelepa adrenal a me nā kelepa pituitary ke hoʻopilikia i nā hormones e like me ka insulin a me ka glucagon.

Nā kumu i haʻahaʻa ai ke kō koko o ka poʻe me ka maʻi diabetes

Inā loaʻa iā ʻoe ka maʻi diabetes, pilikia kou kino i ka hana ʻana a i ʻole ka hoʻohana ʻana i ka insulin. Hoʻōla ʻia kēia me nā inikini insulin a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe. Akā inā lawe ʻoe i ka nui o kāu lāʻau lapaʻau , hōʻole i ka ʻai, a hoʻoikaika kino paha ma mua o ka maʻamau , ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o ka maʻi diabetes.Hiki ke hāʻule koke nā pae kō koko.

He aha nā hōʻailona o kēia?

Ke hāʻule ka pae kō o ke kino, hiki i kēlā me kēia kanaka ke ʻike i nā hōʻailona like ʻole. ʻOkoʻa nō hoʻi kēia mau hōʻailona ma muli o ka nui o ka hāʻule ʻana o ka pae kō.

Inā hāʻule kou kō koko i ka pō (nocturnal hypoglycemia) , hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka uē ʻana i kou hiamoe ʻana, nā moeʻuhane maikaʻi ʻole, a me ke ala ʻana i luna me ka pulu i ka hou.

Hypoglycemia ʻIke ʻole

He kūlana weliweli iki kēia. No kekahi poʻe, ʻoiai ka poʻe i loaʻa i ka maʻi diabetes no nā makahiki he 5-10 a ʻoi, i ka wā e hāʻule pinepine ai ko lākou pae kō koko, ua maʻa ko lākou kino iā ia. A laila, e pau ka hāʻawi ʻana o ko lākou kino i nā hōʻailona e like me ka haʻalulu a me ka pōloli i ka wā e hāʻule ai ko lākou pae kō koko. Hoʻokomo kēia iā lākou i ka pilikia nui o ka loaʻa ʻana o kahi maʻi koʻikoʻi no ka mea ʻaʻole lākou i ʻike ua haʻahaʻa ko lākou kō koko.

No laila, he mea nui loa i ka poʻe me ka maʻi diabetes ke nānā pinepine i ko lākou pae kō.No kēia, aia i kēia manawa nā mea hana e like me nā glucometers, e lawe ana i kahi kulu o ke koko mai kahi manamana lima a hoʻāʻo iā ia, a me ka 'Continuous Glucose Monitor (CGM),' kahi i hoʻokomo ʻia ma lalo o ka ʻili a nānā mau i nā pae kō.

He aha kāu e hana ai inā hāʻule koke kou kō koko?

I ka hoʻomaka ʻana e ʻike i nā hōʻailona o ke kō koko haʻahaʻa, pono ʻoe e hana koke.

1. ʻO ka mea mua, e ʻai i kahi mea ʻono: E ʻai a inu paha i kahi mea e hoʻokiʻekiʻe koke ai i kou kō koko. Ua lawa ka 15-20 grams o nā kalapona no kēia.

• 3-4 papa glucose
• Hapalua kīʻaha o ka mea inu ʻono (e like me ka cola, ʻaʻole ka meaʻai)
• Hapalua kīʻaha wai huaʻai
• He punetēpē o ke kō a i ʻole ka meli
• ʻO kekahi mau mea ʻono e like me nā pīni jelly a me ka toffee

2. E kali i 15 mau minuke: Ma hope o ka ʻai ʻana i kahi mea ʻono, e kali mālie no 15 mau minuke.

3. E nānā hou i kou kō koko: Inā hiki iā ʻoe, e nānā hou i kou kō koko. Inā aia nō ia ma lalo o 70 mg/dL, a inā paha e pilikia mau ana ʻoe, e hana hou i ka hana 1 i hoʻokahi manawa hou.

4. Inā ʻaʻole e hoʻomaikaʻi ke kūlana: Inā ʻaʻole e hoʻomaikaʻi kou kūlana me kēia mau hana, a inā paha e loaʻa iā ʻoe nā hōʻailona koʻikoʻi (e like me ka huikau), e kāhea koke i ka 1990 no kahi kaʻa kaʻa a i ʻole e hele i ka haukapila kokoke loa ʻo Emergency Department (ETU).

Inā hāʻule kekahi (Hypoglycemia koʻikoʻi)

Inā hāʻule kekahi ma muli o ka emi nui ʻana o ke kō koko, he pilikia olakino ia.

• Mai ho'āʻo e hāʻawi i ka meaʻai a mea inu paha i kahi kanaka i ʻike ʻole i ka ʻike. Hiki iā ia ke hoʻopāʻū.
• Inā ʻoe e mālama ʻia nei no ka maʻi diabetes, ua hāʻawi paha kāu kauka iā ʻoe i kahi pahu inikini glucagon . E aʻo i kou ʻohana a me nā hoaaloha pehea e hoʻohana ai i ka wā pilikia.
• Inā ʻike ʻoe i kekahi kanaka i ʻike ʻole ʻia, e kāhea koke aku i kahi kaʻa kaʻa. Pono lākou i ke kōkua lapaʻau.

Pehea e hiki ai ke pale ʻia kēia kūlana?

Aia kekahi mau mea e hiki ai iā ʻoe ke hana e mālama a pale i ka hypoglycemia.

• Mai hōʻalo i nā meaʻai: E ʻai i ʻekolu mau meaʻai nui i ka lā a me nā meaʻai māmā ma waena.
• E makaʻala e pili ana i ka hoʻoikaika kino: E hoʻoikaika kino i ka hapalua hola a i ʻole hoʻokahi hola ma hope o ka ʻai ʻana. E nānā i kou pae kō koko ma mua a ma hope o ka hoʻoikaika kino.
• E lawe i kāu lāʻau lapaʻau e like me ke kauoha: E lawe i ka lāʻau lapaʻau a kāu kauka i kauoha ai, ma ke ʻano kūpono, i ka manawa kūpono. E nānā hou i ka nui.
• E kaupalena i ka waiʻona:Inā ʻoe e inu i ka waiʻona, e kaupalena iā ia. E pale i ka inu ʻana i ka waiʻona ma ka ʻōpū ʻole.
• E mākaukau mau: Ke hele ʻoe i waho, e lawe i kahi mea ʻono (nā papa glucose, toffee) i loko o kāu ʻeke.
• E hoʻomaopopo i nā poʻe ʻē aʻe: E hoʻomaopopo i kou ʻohana, nā hoaaloha, a me nā hoa hana he maʻi diabetes kou. Hiki iā lākou ke kōkua iā ʻoe i kahi pilikia.
• E ʻike i ke kauka: Inā ʻike pinepine ʻoe i nā hōʻailona o ke kō koko haʻahaʻa, inā he maʻi diabetes ʻoe a ʻaʻole paha, e ʻike pono i kāu kauka e ʻike i ke kumu a loaʻa ka lāʻau kūpono a me ka ʻōlelo aʻoaʻo.