Ua noʻonoʻo paha ʻoe, "Pono anei au e lawe i kēia mau lāʻau lapaʻau a pau?" i ka wā i kuhikuhi ai kāu kauka i kahi pūʻulu o nā lāʻau lapaʻau maʻi diabetes? A i ʻole, ua paʻakikī paha ʻoe i ka hoʻomanaʻo ʻana i nā lāʻau lapaʻau e lawe ai i kēlā me kēia manawa? He mea maʻamau ka manaʻo pēlā. He nui ka poʻe i loaʻa i kēia mau pilikia. No laila, mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o ka mālama ʻana i kāu lāʻau lapaʻau ma ke ʻano he kanaka me ka Type 2 Diabetes ma ke ʻano kūpono iā ʻoe a maʻalahi hoʻi iā ʻoe.
No ke aha e pono ai i nā poʻe maʻi diabetes nā lāʻau lapaʻau he nui?
I ka ʻōlelo maʻalahi, i ka wā e mālama ai i ka maʻi diabetes type 2, ʻo kā mākou pahuhopu nui ka kaohi ʻana i ka pae kō i loko o ke koko. No ka mea, inā kiʻekiʻe kēia pae kō no ka manawa lōʻihi, hiki iā ia ke hōʻino i nā ʻōpū koʻikoʻi loa i loko o ko mākou kino. E noʻonoʻo, nā mea e like me ka puʻuwai, nā puʻupaʻa, nā maka, ka ʻōnaehana nerve. No laila, hana mākou i kēia lāʻau lapaʻau e pale i kēia mau ʻōpū.
Ke kuhikuhi kāu kauka i ka lāʻau lapaʻau nāu, hiki ke paʻakikī ke hana i kēia me hoʻokahi ʻano lāʻau lapaʻau wale nō. No laila, hiki iā ia ke kuhikuhi i hoʻokahi a ʻoi aku paha mau lāʻau lapaʻau e hana ana ma nā ʻano like ʻole.
- Nā lāʻau lapaʻau kahiko a maʻamau: Ua lohe paha ʻoe i nā lāʻau lapaʻau e like me (Metformin) . A pono kekahi poʻe e hoʻohana i nā inikini (Insulin) . He mau lāʻau lapaʻau maikaʻi loa kēia a mākou i hoʻohana ai no ka manawa lōʻihi.
- Nā lāʻau lapaʻau hou: Ua hoʻolauna ʻia nā lāʻau lapaʻau hou no ka maʻi diabetes. No ka laʻana, kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo (GLP-1 agonists) . Kōkua kekahi o kēia mau mea i ka pohō kaumaha. Loaʻa kekahi o kēia mau mea ma ke ʻano he mau pila, a ʻo kekahi ma ke ʻano he mau inikini i hoʻokomo ʻia ma lalo o ka ʻili.
ʻO ka mea nui loa, ʻo ia ke kāohi i kāu (HbA1c) (ʻo ia hoʻi kou pae kō koko maʻamau i nā mahina ʻekolu i hala) a pale i nā hopena ʻaoʻao o ka maʻi diabetes. Pono paha kēia i ka hoʻohana ʻana i ʻelua a ʻekolu paha mau lāʻau lapaʻau.
No ke aha mākou e pono ai i nā lāʻau lapaʻau ʻē aʻe ma waho aʻe o ka maʻi diabetes?
He nīnau kēia a ka poʻe he nui. Ua noʻonoʻo paha ʻoe, "He maʻi diabetes wale nō kaʻu, no ke aha i hāʻawi ʻia mai ai iaʻu ka lāʻau lapaʻau no ka cholesterol a me ke koko?"
ʻO ke kumu kēia. ʻAʻole ka maʻi diabetes he maʻi e hele wale mai ana. Hoʻopili ʻia ia me kahi pilikia kiʻekiʻe loa o ka loaʻa ʻana o nā maʻi ʻē aʻe. ʻOi aku ka nui, piʻi ka pilikia o ka loaʻa ʻana o nā maʻi cardiovascular, ka hōʻeha puʻuwai, ka hahau ʻana, a me nā maʻi puʻupaʻa mau.
No laila, ke hoʻāʻo nei ke kauka e pale iā ʻoe mai kēlā mau mea pilikia i ka wā e kaohi ana i kāu maʻi diabetes. ʻO ia hoʻi, ke pale ʻana i ka maʻi ma mua o kona ulu ʻana.
| ʻAno lāʻau lapaʻau | ʻO ke kumu nui a me nā pono hou aʻe |
|---|---|
| Nā lāʻau lapaʻau no ka maʻi diabetes (e.g. Metformin) | Hoʻohaʻahaʻa i nā pae kō koko. |
| Nā Statins | Hoʻohaʻahaʻa i nā pae cholesterol. Pōmaikaʻi hou aʻe: Hoʻemi i ka pilikia o ka hōʻeha puʻuwai a me ka hahau. |
| Nā lāʻau lapaʻau koko | Hoʻomalu i ke koko. Pōmaikaʻi hou aʻe: Mālama i nā puʻupaʻa. |
| ʻAspirin haʻahaʻa | E pale i nā ʻōpū koko a hoʻemi i ka pilikia o ka hōʻeha puʻuwai (i kauoha ʻia e ke kauka inā pono). |
I kēia manawa ua maopopo iā ʻoe, ʻeā? Hāʻawi kēia mau lāʻau lapaʻau a pau i ka palekana nui no kou kino.
Pehea ʻoe e lanakila ai i nā pilikia e hiki mai ana me ka lawe ʻana i ka nui o nā lāʻau lapaʻau?
ʻAe, i kēia manawa ua ʻike mākou i ke kumu e lawe ai nā kānaka i nā lāʻau lapaʻau he nui. Akā ua ʻike mākou ʻaʻole maʻalahi ka hana ʻana i kēia ma ka hana. ʻO ka pilikia nui e kū pinepine mai ana, ʻaʻole maopopo i nā kānaka ka "No ke aha i hāʻawi ʻia ai kēia lāʻau lapaʻau iaʻu?" Wahi a kekahi poʻe, "Ua hoʻomaka ke kauka iaʻu i kahi lāʻau lapaʻau hou, a ʻaʻole maopopo iaʻu ke kumu o ia mea." Eia kekahi, ʻo nā moʻolelo mai ka poʻe a puni lākou, e like me "Ua hana ʻia kēia i kēlā me kēia ma hope o ka lawe ʻana i kēlā lāʻau lapaʻau," hiki ke hoʻoweliweli iā ʻoe.
Eia kekahi mau hopena maʻalahi no kēia mau pilikia.
### ʻIke pono e pili ana i ka lāʻau lapaʻau
I ke kau ʻana i kahi lāʻau lapaʻau, mai makaʻu e nīnau i kāu kauka i kēia mau nīnau:
- "E ke kauka, he aha kēia lāʻau lapaʻau?"
- "He aha nā hopena ʻaoʻao e hiki mai ana o kēia?"
- "Āhea wau e inu ai i kēia? Ma mua a ma hope paha o ka ʻai ʻana?"
ʻO ka maopopo o kou hoʻomaopopo ʻana i kāu lāʻau lapaʻau, ʻo ka maʻalahi hoʻi iā ʻoe ke hahai pono ia mea.
### Nā ala maʻalahi e mālama pono ai i kāu mau lāʻau lapaʻau
He mea maʻamau ka huikau ke loaʻa iā ʻoe he 4-5 mau ʻano lāʻau lapaʻau. Hiki i nā mea maʻalahi e like me kēia ke kōkua i kēia.
1.E hana i kahi papa inoa o kāu mau lāʻau lapaʻau: E hana i kahi ʻāpana pepa liʻiliʻi a i ʻole kahi puke me ka inoa o kēlā me kēia lāʻau lapaʻau āu e lawe ai, kona nui (e.g. 500mg), a me nā manawa āu e lawe ai. E lawe pū me ʻoe i kēia papa inoa i kēlā me kēia manawa āu e hele ai i ke kauka, ʻoiai no kekahi maʻi ʻē aʻe.
2. E hoʻohana i kahi mea hoʻonohonoho pila: Loaʻa nā pahu liʻiliʻi ma nā hale kūʻai lāʻau lapaʻau e hiki ke hoʻohana ʻia e hoʻonohonoho i kāu mau lāʻau lapaʻau ma ke ao o ka pule, ke kakahiaka, ke awakea, a me ka pō. Inā ʻoe e hoʻokomo i kāu mau lāʻau lapaʻau i loko o kēia i ka hoʻomaka ʻana o ka pule, ʻaʻole ʻoe e hopohopo e pili ana i ka "Ua lawe anei au i kaʻu lāʻau lapaʻau i kēia kakahiaka?"
3. E hoʻonohonoho i kahi pū waikaua ma kāu kelepona: E hoʻonohonoho i kahi pū waikaua ma kāu kelepona i ka wā e lawe ai i kāu lāʻau lapaʻau. He ʻano maʻalahi loa kēia, akā he hana maikaʻi loa.
Leka Lawe-Home
- He hana hui ka mālama ʻana i ka maʻi diabetes type 2 ma waena o ʻoe a me kāu kauka, no laila e nīnau i kāu mau nīnau.
- Ma waho aʻe o ka maʻi diabetes , he mea maʻamau loa ka lawe ʻana i nā lāʻau lapaʻau no nā mea e like me ka cholesterol a me ke koko kiʻekiʻe. Ua hoʻolālā ʻia kēia mau lāʻau lapaʻau a pau e pale i kou mau kino makamae e like me kou puʻuwai a me nā puʻupaʻa.
- Mai ho'ōki i ka lawe ʻana i kekahi lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ka nīnau mua ʻana i kāu kauka .
- ʻO ka hoʻohana ʻana i nā mea maʻalahi e like me ka mea hoʻonohonoho pila a me ka papa inoa lāʻau lapaʻau e hiki ke maʻalahi i kou ola.
- Inā he mau nīnau kāu e pili ana i kāu lāʻau lapaʻau a lāʻau lapaʻau paha, mai manaʻoʻiʻo i ka ʻōlelo a ka poʻe, akā e kamaʻilio pololei me kāu kauka .
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