Inā loaʻa iā ʻoe ka maʻi diabetes, hiki i ke anu maʻalahi ke lilo i kumu hopohopo. No ke aha mai? ʻO kēlā me kēia maʻi, e like me ke anu maʻamau, ke kuni, ka ʻeha o ka ʻōpū, a i ʻole ka luaʻi ʻana, hiki ke hoʻonui i kou pae kō koko. ʻAʻole wale ia, akā hiki nō hoʻi ke hana inā loaʻa iā ʻoe kahi maʻi. Ke hakakā nei ko mākou kino i kahi maʻi, hoʻokuʻu ia i nā hormones ma muli o ke kaumaha, hiki ke hoʻonui i nā pae kō koko. No laila, i nā manawa e like me kēia, pono mākou e makaʻala nui e pili ana i kā mākou kō koko ma mua o ka maʻamau.
He aha kāu e hana ai ke maʻi ʻoe?
Mai hopohopo ke maʻi ʻoe. Eia nō naʻe, pono ʻoe e hahai i kēia mau mea e kāohi ai i kāu maʻi diabetes. Kāhea pū mākou i kēia he "hoʻolālā lā maʻi." ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka a hana i kēlā hoʻolālā ma mua.
- E nānā pinepine i kou kō koko: E nānā i kou pae kō koko i kēlā me kēia 4 hola . E kōkua kēia iā ʻoe e hoʻomaopopo inā e piʻi ana, e hāʻule ana, a i ʻole e noho maʻamau ana kou pae kō.
- E makaʻala i nā ketones: Inā loaʻa iā ʻoe ka Type 1 Diabetes a ʻoi aku kou pae kō koko ma mua o 240mg/dL, a inā ʻōlelo kāu kauka iā ʻoe e hana pēlā, pono ʻoe e nānā i kāu mimi no nā ketones. I ka ʻōlelo maʻalahi, he huahana ʻōpala nā ketones i hana ʻia i ka wā ʻaʻole hiki i ko mākou kino ke hoʻohana i ka glucose no ka ikehu a puhi i ka momona no ka ikehu. Hiki ke hana kēia i nā manawa o ke kaumaha, e like me ka maʻi. Inā ʻike ʻoe i nā ketones i loko o kou mimi, e kāhea koke i kāu kauka. Ma muli o kou kūlana, hiki ke hoʻouna ʻia ʻoe i ka Emergency Department (ETU).
- E nānā i kou mahana: E nānā i kou mahana i nā manawa he nui i ka lā. ʻO ke kuni kahi hōʻailona aia kahi maʻi i loko o ke kino.
- E inu i ka nui o nā wai: Inā ʻaʻole hiki iā ʻoe ke ʻai i nā meaʻai paʻa, e inu i ka nui o nā wai. I mea e pale ai i ka maloʻo ʻana o ka wai, pono ʻoe e inu i hoʻokahi kīʻaha wai no kēlā me kēia hola āu e ala ai. He mea nui loa kēia inā e luaʻi ana ʻoe a i ʻole he ʻōpū ʻeha. Inā ʻaʻole hiki iā ʻoe ke hoʻemi i ka nui o nā wai, pono paha ʻoe e lawe ʻia i ka haukapila a i ʻole e hele i ka ETU.
ʻO ka mea nui loa, ʻo ia ka mālama ʻana i kou kino i ka wai. He mea maikaʻi ka inu wai, ka porridge paʻakai, ka Jeevani, a me ka wai sopa.
- Mai ho'ōki i ka lawe ʻana i ka insulin: He hewa kēia a ka poʻe he nui e hana ai. ʻOiai inā ʻaʻole hiki iā ʻoe ke ʻai i nā meaʻai paʻa, mai hoʻōki i ka lawe ʻana i kāu insulin.I ka wā maʻi, piʻi paha kou kō koko ma muli o ke kaumaha ma kou kino, no laila pono paha ʻoe i ka insulin. Eia nō naʻe, e kamaʻilio me kāu kauka e pili ana i ka hoʻololi ʻana i kāu nui o ka insulin. Pono paha ʻoe e ʻai a inu paha i kahi mea me ke kō e pale aku ai i ka hypoglycemia.
- E makaʻala me nā lāʻau lapaʻau waha: Inā loaʻa iā ʻoe ka maʻi diabetes Type 2, pono paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau waha (e.g., Metformin) i kou wā maʻi. Inā ʻaʻole ʻoe maopopo i ka mea e hana ai, e ʻoluʻolu e nīnau i kāu kauka.
- I ka wā e lawe ana i nā lāʻau lapaʻau ʻē aʻe: Inā pono ʻoe e kūʻai i kahi lāʻau lapaʻau mai ka hale kūʻai lāʻau e kāohi i nā hōʻailona e like me ke kuni a me ka phlegm, aia paha ke kō i loko. No laila, e nīnau i kāu kauka e pili ana i nā huahana kō ʻole.
He aha kāu e ʻai ai ke maʻi ʻoe?
Mai hōʻalo i ka ʻai ʻana no ka mea he paʻakikī ke ʻai. Inā ʻoe e hana pēlā, hiki iā ʻoe ke loaʻa i ka hāʻule koke ʻana o ke kō koko (hypoglycemia), he pilikia paha ia. No laila, e ʻai i kahi mea maʻalahi ke ʻai, ʻaʻole ʻala loa, a maʻalahi hoʻi i ka ʻōpū. E hoʻāʻo e ʻai ma kahi o 30-50 grams o nā kalapona i kēlā me kēia 3-4 hola . E hāʻawi kēia i kou kino i ka ikehu e pono ai, e hoʻōki i ka hoʻokumu ʻia ʻana o nā ketones, a pale i kāu kō koko mai ka hāʻule haʻahaʻa loa.
Inā pilikia ʻoe i ka ʻai ʻana, e hoʻāʻo i kēia. Loaʻa i kēlā me kēia ma kahi o 15 grams o nā kalapona.
| ʻAno meaʻai/mea inu | ʻO ke kūlike o 15 grams o nā kalapona |
|---|---|
| Gelatin maʻamau | 1/2 kīʻaha |
| Nā mea inu palupalu maʻamau (e.g. Sprite) | 1/2 kīʻaha |
| ʻAi popsicle | 1/2 a |
| ʻApala ʻono ʻole | 1/2 kīʻaha |
| Wai ʻāpala | 1/3 kīʻaha |
| Mea inu haʻuki (e.g. Gatorade) | 1/2 kīʻaha |
Eia kekahi, hiki iā ʻoe ke inu i nā wai i ʻole ka calorie (e laʻa me ka wai, ka soda meaʻai, a me ka wai sopa ʻole i ka paʻakai) e mālama i ka pae hydration o kou kino.
Āhea wau e kāhea aku ai i ke kauka?
I kekahi manawa he mea paʻakikī ke mālama i kēia mau mea mai ka home. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e kamaʻilio koke me kāu kauka. ʻO kou olakino ka mea nui loa.
| Hiʻohiʻona e hoʻolohe ai | Wehewehena |
|---|---|
| Nā pae kō koko i waho o ke kaohi | ʻOi aku ke kiʻekiʻe o ke kō koko ma mua o 180 mg/dL a i ʻole haʻahaʻa ma mua o 70 mg/dL. |
| ʻAʻole hiki ke mālama i nā wai a i ʻole ka meaʻai i lalo | Ka luaʻi mau ʻana no kekahi mau hola a i ʻole ka hiki ʻole ke hoʻomalu i kekahi mea i lalo. |
| kuni kiʻekiʻe | ʻO ka mahana o ke kino ma luna o 101 Fahrenheit (101°F) a i ʻole 38.3 Celsius (38.3°C). |
| Ka luaʻi ʻana a i ʻole ka maʻi pākī | Ka luaʻi mau ʻana a i ʻole ka maʻi pākī (vomiting) no nā hola he 6 a ʻoi. |
| Ke alo o nā ketones | Ke ʻike ʻana i nā ketones i loko o kahi hoʻāʻo mimi. |
Leka Lawe-Home
- Hiki i ke kanaka me ka maʻi diabetes ke ʻike i ka piʻi ʻole ʻia o ke kō koko i ka wā o kekahi maʻi maʻamau.
- Ke maʻi ʻoe, e nānā i kou kō koko i kēlā me kēia 4 hola a mālama i kahi moʻolelo o ia mea.
- E inu i ka nui o nā wai (ka wai, ka sopa, ka ʻaila paʻakai) e like me ka hiki e pale aku ai i ka maloʻo ʻana o ka wai.
- Mai ho'ōki i ka lawe ʻana i ka insulin me ke aʻo ʻole ʻia e kāu kauka.
- Inā loaʻa iā ʻoe ka luaʻi ʻana, ke kuni nui, ka maʻi pākī mau, a i ʻole nā pae kō koko i kāohi ʻole ʻia, e ʻimi koke i ke kōkua lapaʻau.
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