He mea kaumaha loa ka ʻike ʻana ua loaʻa i kāu keiki liʻiliʻi ka maʻi Diabetes Mellitus. Ma kekahi ʻaoʻao, ua kaumaha ʻoe no kāu keiki, a ma kekahi ʻaoʻao, he tausani kāu mau nīnau e pili ana i nā mea e hiki mai ana a pehea e hoʻokele ai i kēia mau mea. ʻO ka mea nui, he mea maʻamau ka hopohopo e pili ana i ka pae kō koko o kāu keiki. Akā, mai hopohopo, ʻaʻole ʻoe hoʻokahi i kēia huakaʻi. E kamaʻilio maʻalahi kākou e pili ana i kēia.
No ke aha e piʻi a haʻahaʻa ai nā pae kō o nā keiki ʻōpio?
ʻO ka mea mua e hoʻomaopopo ai, ʻo ke ʻano o ke kō koko o nā keiki liʻiliʻi, ʻoiai nā pēpē ma lalo o kekahi mau makahiki, ua like ia me kahi roller coaster. I kekahi manawa kūpono lākou, i kekahi manawa kiʻekiʻe loa, a i kekahi manawa haʻahaʻa loa. He ʻoiaʻiʻo kēia. ʻAʻohe mea e manaʻo e mālama mau ʻoe iā ia i ka pae kūpono. ʻAʻole hiki iā ʻoe ke hana i kēlā.
ʻO kāu pahuhopu ke kōkua i ke kino o kāu keiki e kāohi i nā mea hiki ʻole iā ia ke hana iā ia iho i kēia manawa, ʻo ia hoʻi ke kōkua iā ia e kāohi i kona pae kō koko. ʻAʻole e hana 'pololei', akā e 'hoʻokele' iā ia. ʻO ka nānā ʻana i kou pae kō koko i nā manawa he nui i ka lā e kōkua iā ʻoe e hana i kāu mea e pono ai ke hana i kēlā manawa.
E hoʻomanaʻo, mai kapa i nā helu ma ka glucometer he "maikaʻi" a "maikaʻi ʻole." ʻAʻole like lākou me nā helu hoʻokolohua. He mau hōʻailona wale nō lākou e hāʻawi mai iā mākou i ka ʻike. Hoʻohana mākou i kēlā ʻike e hana i nā hana e mālama ai i kā mākou keiki i ke olakino a me ka hauʻoli i ka lā holoʻokoʻa.
He aha nā kumu nui no nā loli o ke kō?
Ke noʻonoʻo nei paha ʻoe, "ʻAuē, ʻaʻohe mea aʻu e hana ai, e piʻi mau ana kona pae kō." Nui nā kumu no kēia. Ke maopopo iā ʻoe kēia mau mea, e emi ana kou hopohopo ke ʻike ʻoe i nā loli i kāu pae kō.
| Kumu | I ka ʻōlelo maʻalahi... |
|---|---|
| Meaʻai | ʻO ka mea a ke keiki e ʻai ai, ʻoiai hoʻi nā kalapona e like me ka laiki, ka berena, ka ʻuala, a me nā huaʻai, e hoʻopilikia pololei i ko lākou pae kō koko. He mea nui nō hoʻi ka nui, ka manawa, a me ke ʻano o ka meaʻai. I kekahi manawa, hiki i kahi ʻāpana kokoleka malū ke hoʻonui nui i ko lākou pae kō koko. |
| Hoʻoikaika kino a pāʻani | Ke holo a pāʻani ke keiki, hoʻohana ke kino i ke kō e hoʻoikaika i kona mau ʻiʻo. Hiki i kēia ke kumu i ka haʻahaʻa o ke kō koko. No laila, he mea nui e nānā i nā pae kō koko ma mua a ma hope o ka pāʻani ʻana. |
| Ka ulu ʻana o ke kino | Ulu koke nā keiki ʻōpio. I loko o kēia mau ulu wikiwiki ʻana, ʻo nā loli hormonal o ke kino ke kumu e loli ai nā pono o ka insulin. Hiki i kēia ke kumu e loli ai nā pae kō koko. |
| Nā maʻi | ʻOiai ke anu iki a i ʻole ke kuni paha, hiki ke hoʻonui nui i ke kō koko o ke keiki. Ma muli kēia o nā hormones i hana ʻia i ka wā e hakakā ana ke kino i kahi maʻi. I nā manawa e like me kēia, pono ʻoe e nānā pinepine i kou kō koko. |
| Ke kaumaha a me nā manaʻo | E like me kākou, ua hoʻopilikia ʻia nā keiki e ke kaumaha. Hiki paha ma muli o kahi hoʻokolohua, a i ʻole ma muli o kahi hakakā me kahi hoaaloha. ʻAʻole wale ia, akā ʻo ka pīhoihoi o kahi hanana hauʻoli loa, e like me ka pāʻina lā hānau, hiki ke hoʻonui i nā pae kō koko. |
| Lāʻau lapaʻau (insulin) | ʻO ka insulin ka lāʻau lapaʻau nui. ʻO ka nui, ka manawa, a me ke ʻano o ka insulin i hāʻawi ʻia e pili pono ana i nā pae kō koko. I kekahi manawa e hoʻololi kāu kauka i kēia mau mahele. He mea nui e hahai pololei i kēlā mau kuhikuhi. |
No ke aha he mea nui e nānā pinepine i kou pae kō koko?
E noʻonoʻo ʻaʻole hiki i kāu pēpē ke ʻōlelo. Inā manaʻo ʻo ia ua poniuniu a he haʻahaʻa ke kō koko, ʻaʻole ʻo ia e ʻike pehea e ʻōlelo ai, "E Māmā, ua maʻi au." E uē wale paha ʻo ia, a i ʻole e hiamoe nui paha ʻo ia ma mua o ka maʻamau. ʻOiai he ʻelemakule iki aʻe, ʻaʻole paha e hiki iā ia ke wehewehe pono i kona manaʻo.
ʻO ia ke kumu he mea e hoʻōla ai ke kino i ka hoʻāʻo pinepine ʻana.
- Hiki iā ʻoe ke ʻike ma mua o ka puka ʻana o nā hōʻailona: Hiki iā ʻoe ke hana i kahi hana ke ʻike ʻoe i ka heluhelu ma kāu glucometer ma mua o ka lilo ʻana o kāu pae kō i mea kiʻekiʻe a haʻahaʻa paha.
- I mea e kōkua iā ʻoe e hoʻomaopopo i ke kumu:Hiki iā ʻoe ke hoʻomaopopo, "ʻĀ, ua haʻahaʻa kona kō koko no ka mea ua pāʻani ʻo ia ma ka paka," a i ʻole "ua kiʻekiʻe loa kona kō koko no ka mea ua ʻai ʻo ia i kahi ʻāpana keke."
- He mea maʻalahi i ke kauka ke hoʻoholo: Ke nānā ʻoe i nā pae kō (puke log) āu e kākau ai i ka lā a pau, kōkua ia i ke kauka e hoʻoholo i nā hoʻoholo kūpono e pili ana i nā mea e like me ka nui o ka insulin a kāu keiki a me ka papa ʻai.
He aha ka Pae Pahuhopu?
E hāʻawi kāu kauka iā ʻoe i kahi pae i manaʻo ʻia no nā pae kō koko o kāu keiki. Eia kekahi laʻana, e haʻi aku paha lākou iā ʻoe e mālama i kou kō koko ma waena o kēia mau helu ma mua o ka ʻai ʻana a ma waena o kēia mau helu ma hope o ka ʻai ʻana.
ʻAʻole like kēia pae pahuhopu no kēlā me kēia keiki. ʻOkoʻa ia ma muli o ka makahiki o ke keiki, ka pae hana, a me nā kumu ʻē aʻe. I ka ulu ʻana o ke keiki, e hoʻoponopono ke kauka i kēia mau pae pahuhopu. Mai hoʻololi i nā pae kōpaʻa mai ka Pūnaewele a i ʻole kekahi mea ʻē aʻe no kāu keiki. E hahai mau i nā kuhikuhi a kāu kauka.
Pehea e ʻike ai i kahi pilikia?
Hiki i ka hyperglycemia a me ka hypoglycemia ke lilo i mea weliweli. He mea nui e makaʻala i kēia mau hōʻailona.
| Kūlana | Nā ʻano o nā keiki ʻōpio | He aha ka mea e hana ai? |
|---|---|---|
| Hypoglycemia (haʻahaʻa ke kō koko) | Haʻalulu, hou, maeʻele, huhū, pōloli nui, huikau, hiamoe nui. I loko o kahi pēpē liʻiliʻi, e uwē makehewa ana, e hōʻole ana e inu i ka waiū. | E hāʻawi i kāu keiki i kahi mea e hoʻonui koke ai i ko lākou kō koko (nā papa glucose, kahi punetune o ke kō, kahi wai huaʻai) e like me ke kuhikuhi a kāu kauka. Inā nalowale ka ʻike o kāu keiki a paʻakikī paha i ka moni ʻana, e lawe koke iā lākou i ka Emergency Treatment Unit (ETU) o ka haukapila. |
| Nā pae kō koko kiʻekiʻe (Hyperglycemia) | ʻO ka inu wai nui ʻana, ka mimi pinepine ʻana (hiki paha ke pulu i ka moena), ka luhi nui, ka ʻike pōwehiwehi, ka ʻeha o ka ʻōpū, ka nausea. | E hōʻoia e inu nui ʻoe i ka wai. E hahai i ka papa hana lā maʻi i hāʻawi ʻia e kāu kauka. Inā hoʻomau ke kiʻekiʻe o kou pae kō koko, e kāhea koke i kāu kauka. |
ʻO ke kauka e mālama ana i kāu keiki kou hoaaloha maikaʻi loa ma kēia huakaʻi. Pono ʻoe, kāu keiki, a me ke kauka e hana pū ma ke ʻano he hui. E nīnau i nā nīnau, e kamaʻilio e pili ana i kou mau makaʻu, a mai hūnā i kekahi mea. A laila wale nō e hiki ai iā ʻoe ke kū pono i kēia pilikia.
Leka Lawe-Home
- He mea maʻamau i nā keiki ʻōpio ke loaʻa i nā pae kō koko kiʻekiʻe a haʻahaʻa. Mai manaʻo hewa no ia mea.
- ʻAʻole kāu pahuhopu ka "hemolele", akā, ka "hoʻokele" ʻana i ke kūlana o ke keiki.
- ʻAʻole nā helu ma ka glucometer he mau mea "maikaʻi" a "maikaʻi ʻole", he ʻike wale nō ia e alakaʻi iā ʻoe.
- ʻOiai ʻaʻole hiki i kahi keiki ke hōʻike i kona manaʻo me nā huaʻōlelo, he mea nui e nānā pinepine i kona pae kō.
- E hoʻomaopopo he hiki i ka meaʻai, ka hoʻoikaika kino, nā maʻi, a me nā manaʻo ke hoʻopilikia i nā pae kō koko.
- E hoʻomau i ka launa pū ʻana me kāu kauka. Mai makaʻu e nīnau i kekahi mau nīnau. ʻAʻole ʻoe hoʻokahi i kēia kaua.
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