Inā loaʻa iā ʻoe ka maʻi diabetes, pono ʻoe e akahele iki e pili ana i ka maʻi COVID, ʻeā? He ʻoiaʻiʻo kēlā. Akā, ua lohe anei ʻoe i ke ʻano i kapa ʻia ʻo 'Long COVID', kahi e mau ai no nā pule a i ʻole nā mahina ma hope o kou hoʻōla ʻana mai COVID? Ke ʻeha nei paha ʻoe i kēia ʻano. I kēia lā, e kamaʻilio maʻalahi a me ke akahai mākou e pili ana i ke ʻano o kēia hopena i ka poʻe me ka maʻi diabetes, a me nā nīnau a ka poʻe he nui e pili ana inā hiki i ka COVID ke hoʻoulu i ka maʻi diabetes hou.
ʻO ka mea mua, e nānā kākou, he aha kēia 'COVID Lōʻihi'?
I ka ʻōlelo maʻalahi, kapa mākou iā 'long Covid' nā hōʻailona e mau ana no nā pule a i ʻole nā mahina ma hope o ka maʻi Covid, ʻo ia hoʻi, ma hope o ka hoʻomaʻemaʻe ʻia ʻana o ka maʻi mai ke kino. Ma nā ʻōlelo lapaʻau, ua kapa ʻia hoʻi kēia ʻo "Post-acute sequelae of SARS-CoV-2 infection" a i ʻole "PASC". Loaʻa kēia ʻano ma kahi helu nui o ka poʻe i loaʻa iā Covid. Aia kekahi manaʻo he mea maʻamau paha ia i waena o ka poʻe me ka maʻi diabetes. Akā ʻo ka nūhou maikaʻi, no ka hapa nui o ka poʻe, e emi mālie ana kēia mau hōʻailona i ka hala ʻana o ka manawa.
E nānā kākou i nā hōʻailona o Long Covid. Hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka.
| Māhele hōʻailona | Nā hōʻailona e komo pū ana paha |
|---|---|
| Nā hiʻohiʻona maʻamau | • Manaʻo mau o ka luhi nui a me ka luhi loa. • ʻOi aku ka ʻino o nā hōʻailona ma hope o ka hoʻoikaika kino a noʻonoʻo paha. • Ke kuni i kekahi manawa. |
| Nā ʻano o ka ʻōnaehana hanu | • Paʻakikī ka hanu ʻana a i ʻole ka pōkole o ka hanu. • ʻŪhū mau. |
| ʻŌnaehana nerve a me nā hōʻailona noʻonoʻo | • ʻEha poʻo. • Ka hiamoe ʻole a i ʻole nā pilikia hiamoe. • Manaʻo e like me ka noe o kou lolo (noe lolo), ʻaʻole hiki ke noʻonoʻo pono, a me ka paʻakikī o ka noʻonoʻo ʻana. • Ka poniuniu i ke ala ʻana mai kahi noho ʻana. • Ka mae ʻana o nā lālā. • Ka nalowale ʻana o ke ʻala a i ʻole ka ʻono. • Kaumaha a hopohopo paha. |
| Nā hiʻohiʻona ʻē aʻe | • ʻEha nā hono a me nā ʻiʻo. • ʻEha ka umauma, me he mea lā e kuʻi wikiwiki ana kou puʻuwai. • Nā pilikia o ka ʻōnaehana hoʻoheheʻe e like me ka ʻeha o ka ʻōpū a me ka maʻi pākī. • Nā loli i nā pōʻaiapuni menstrual o nā wahine. • Nā ʻūhū ʻili. • Nā pilikia o ke kāpili ʻana o ke koko (e.g., kahi ʻōpū koko e hele ana i nā māmā - Pulmonary Embolism). |
ʻO ka mālama ʻana i kēia mau hōʻailona i kekahi kanaka me ka maʻi diabetes hiki ke paʻakikī iki i kekahi manawa. No ka laʻana, ʻo ka nāwaliwali o nā ʻiʻo i hoʻokumu ʻia e COVID hiki ke lōʻihi ka manawa e hoʻoponopono ai no ka mea he pilikia mua ia me ka maʻi diabetes.
He aha ka pilina ma waena o ka maʻi diabetes, Covid, a me Long Covid?
He nīnau koʻikoʻi loa kēia. Inā loaʻa iā ʻoe ka maʻi diabetes, ʻoi aku kou pilikia o nā pilikia koʻikoʻi inā loaʻa iā ʻoe ka COVID. He kiʻekiʻe loa kēia pilikia inā ʻaʻole i kaohi ʻia kāu maʻi diabetes .
E noʻonoʻo e like me kahi pā kaua. Inā ʻaʻole i kāohi ʻia ka maʻi diabetes, nāwaliwali iki nā paia o kēlā pā kaua. A laila hiki i kahi ʻenemi e like me Covid ke komo a hana i nā mea ʻino hou aku. Ke kāohi ʻole ʻia ka maʻi diabetes, hiki ke hōʻino ʻia nā ʻōpū o ke kino, ʻoiai nā kīʻaha koko liʻiliʻi (microvascular). Hiki ke ʻoi aku ka ʻino o kēia pōʻino me ka maʻi Covid.
Eia nō naʻe, inā i kāohi maikaʻi ʻia kāu maʻi diabetes, ua emi loa ka pilikia. No laila, he mea nui loa e hahai i nā ʻōlelo a kāu kauka a kāohi pono i kou pae kō koko.
ʻO kekahi mea a ka noiʻi e hōʻike nei, hiki i kekahi poʻe ke loaʻa nā pilikia kō koko lōʻihi ma hope o ko lākou hoʻōla ʻana mai COVID. ʻO kekahi poʻe, ʻoiai ka poʻe i loaʻa ʻole i ka maʻi diabetes i ka wā i loaʻa ai iā lākou ka COVID, ua ʻike lākou i nā pae kō koko kiʻekiʻe, kahi kūlana i kapa ʻia ʻo "Hyperglycemia," ma hope o ko lākou haʻalele ʻana i ka haukapila.
Hiki i ka maʻi Covid ke hoʻoulu i ka maʻi diabetes?
He nīnau kēia a ka poʻe he nui e nīnau ai. ʻAʻole i hōʻoia maopopo ʻia ua hoʻokumu pololei ka maʻi Covid i ka maʻi diabetes. Eia nō naʻe, ua hōʻike ʻia e ka noiʻi aia kahi pilina ma waena o nā mea ʻelua.
- Ua ʻike ʻia kekahi noiʻi he ʻoi aku ka nui o ka pilikia o ka poʻe i loaʻa i ka COVID (ʻoiai nā hihia liʻiliʻi) i ka loaʻa ʻana o ka maʻi diabetes i loko o ka makahiki aʻe ma mua o ka poʻe i loaʻa ʻole. ʻO ka hapa nui o nā maʻi diabetes i ʻike hou ʻia he Type 2 Diabetes.
- Akā, aia kekahi mau palena i kēia mau haʻawina. No ka laʻana, ua hana ʻia kekahi o nā haʻawina ma luna o ka poʻe i loaʻa mua nā kumu pilikia no ka maʻi diabetes, e like me ka momona a me ke koko kiʻekiʻe. No laila, he paʻakikī ke ʻōlelo maopopo inā paha ua hoʻokumu ʻo COVID i ka maʻi diabetes.
- Manaʻo kekahi mau kauka ʻē aʻe aia paha kekahi poʻe i ʻike hou ʻia me ka maʻi diabetes i ka wā i hoʻokomo ʻia ai i ka haukapila ma muli o Covid ua loaʻa paha iā lākou ka maʻi diabetes i ʻike ʻole ʻia ma mua.
E pili ana i ka maʻi diabetes Type 1, ua hōʻike kekahi mau noiʻi aia ka piʻi ʻana o ka nui o nā hihia o ka maʻi diabetes Type 1 ma hope o ka maʻi COVID, ʻoi aku hoʻi i waena o nā keiki, ke hoʻohālikelike ʻia me nā maʻi hanu ʻē aʻe. Eia nō naʻe, ʻaʻohe hopena paʻa i kēia.
No kēia kumu, ke ʻōlelo nei nā kauka i ka poʻe i hoʻōla ʻia mai ke COVID, ʻoiai ka poʻe me nā kumu pilikia, e makaʻala i ko lākou olakino, ʻoiai nā hōʻailona o ka maʻi diabetes.
Pehea ka hopena o Long Covid i kekahi me ka maʻi diabetes?
ʻAʻole nui ka noiʻi ʻana i ke ʻano kikoʻī o ka hopena o Long Covid i ka poʻe me ka maʻi diabetes. Akā ma muli o ka ʻikepili o kēia manawa, aia kekahi mau mea e hoʻomanaʻo ai.
1. POTS: He kūlana kēia kahi e piʻi koke ai ka puʻuwai ke kū ʻoe mai kahi noho a i ʻole ke kū ʻoe. Ua kapa ʻia kēia ʻo `(Postural Tachycardia Syndrome - POTS)`. Hiki ke loaʻa kēia kūlana i nā poʻe me ka maʻi diabetes. ʻIke pinepine ʻia kēia kūlana me ka Covid lōʻihi.
2. Nāwaliwali o nā ʻiʻo: Hiki ke loaʻa ka nāwaliwali o nā ʻiʻo, kahi e alakaʻi ai i ka luhi nui a me ka paʻakikī i ka hele wāwae. Hiki i kēia ke lōʻihi ka manawa e ho'ōla ai i ka poʻe me ka maʻi diabetes.
3. Nā pilikia o nā kīʻaha koko liʻiliʻi: Hiki i ka maʻi diabetes ke hōʻino i nā kīʻaha koko liʻiliʻi (microvascular) i loko o nā maka, nā puʻupaʻa, a me nā aʻalolo. Aia kekahi kānalua e hoʻonui paha ka COVID-19 i kēia pilikia no ka manawa lōʻihi.
No laila, inā loaʻa iā ʻoe ka maʻi diabetes a loaʻa iā ʻoe nā hōʻailona COVID lōʻihi i ʻōlelo ʻia ma luna (ʻoi aku ka luhi nui, ka pōkole o ka hanu, a me nā loli o ka puʻuwai) ma hope o ka loaʻa ʻana o ka COVID, mai hoʻowahāwahā iā lākou e like me ka mea maʻamau.
E ʻoluʻolu e ʻike i kāu kauka a kūkākūkā i kēia me ia. E nānā ʻo ia iā ʻoe, e kuhikuhi iā ʻoe no nā hoʻokolohua hou aʻe inā pono, a hāʻawi iā ʻoe i ka lāʻau lapaʻau a me nā ʻōlelo aʻoaʻo kūpono loa.
Leka Lawe-Home
- ʻO ka COVID lōʻihi kahi hōʻuluʻulu o nā hōʻailona e mau ana ma hope o ka hala ʻana o COVID-19. ʻO ka poʻe me ka maʻi diabetes paha e ʻoi aku ka nui o ka pilikia.
- ʻO ka mālama ʻana i kāu maʻi diabetes ma lalo o ka kaohi maikaʻi ke ala maikaʻi loa e pale ai iā ʻoe iho mai nā pilikia koʻikoʻi o Covid a me ke Covid lōʻihi.
- Inā loaʻa iā ʻoe ka luhi mau, ka pōkole o ka hanu, a i ʻole nā pilikia hoʻomanaʻo ma hope o ka loaʻa ʻana o COVID, mai hoʻowahāwahā iā lākou. E kamaʻilio me kāu kauka e pili ana i kēia.
- ʻOiai aia nō i ke kahua noiʻi inā paha ke kumu o ka maʻi diabetes hou ʻo Covid, he mea nui hoʻi e ʻike i kēlā.
- No kekahi pilikia olakino, mai hilinaʻi i ke kuhi wale ʻana akā e ʻike wale i kāu kauka no ka ʻōlelo aʻoaʻo pololei a me ka lāʻau lapaʻau.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo