Pehea e kāohi ai i kāu kō ke maʻi kāu keiki maʻi diabetes? (Diabetes Mellitus) E kamaʻilio kākou e pili ana i kēia!

Ke loaʻa i kāu keiki ka maʻi diabetes, hiki i ke anu a i ʻole ke kuni liʻiliʻi ke lilo i mea kaumaha nui, ʻeā? ʻAʻole e like me ka maʻi maʻamau, ke maʻi kahi keiki me ka maʻi diabetes, hiki ke loli koke ko lākou pae kō koko. Akā, mai hopohopo! Me ka hoʻolālā iki a me ka ʻōlelo aʻoaʻo mai kāu kauka, hiki iā ʻoe ke hoʻokele pono i kēia mau lā maʻi. E nānā kākou i kekahi o nā kikoʻī.

Pehea e loli ai ke kiʻekiʻe o ke kō i ke kino o ke keiki ke maʻi lākou?

Ke maʻi ke keiki, ʻo ia hoʻi ke kaumaha nui nei ko lākou kino. I loko o ke keiki me ka maʻi diabetes, hiki i kēia kaumaha ke hoʻololi i ko lākou pae kō koko me ka manaʻo ʻole. I kekahi manawa e piʻi aʻe paha nā pae kō, a i kekahi manawa e iho paha.

No ke aha e piʻi ai ke kōpaʻa penei? (Hyperglycemia)

Ke maʻi ke keiki, ma muli o ke kaumaha, hana ko lākou kino i nā hormones hou aʻe, i kapa ʻia ʻo 'stress hormones'. Hoʻonui kēia mau hormones i ke kiʻekiʻe o ke kō koko. Eia kekahi, ʻaʻole paha e hana pono ka insulin a ke keiki e lawe ai i kēia manawa. I mea e pololei ai, emi iho ka ʻike i ka insulin. A laila, pono paha ke keiki i ka insulin hou aʻe ma mua o ka maʻamau. ʻOiai he kuni iki a he anu paha ke kumu o kēia ʻano, no laila pono ʻoe e makaʻala e pili ana i ke kiʻekiʻe o ke kō koko ('Hyperglycemia').

A laila, hiki ke emi iho ke kō? (Hypoglycemia)

ʻAe, ʻoiaʻiʻo nō. Hiki i kekahi mau maʻi ke hoʻolilo i ke keiki i ka nalowale o ka makemake, ka ʻeha o ka ʻōpū, ka nausea, a me ka luaʻi. Hiki i kēia ke hoʻemi i ka ʻai ʻana o ke keiki a hōʻole paha i ka ʻai. No laila, inā ʻaʻole ʻai nui ke keiki e lawe ana i ka insulin e like me ka maʻamau, hiki ke hāʻule koke ko lākou pae kō koko ('Hypoglycemia`). I kēia manawa, pono ke keiki i ka insulin liʻiliʻi ma mua o ka maʻamau.

E noʻonoʻo ʻoe ua ʻeha ka ʻōpū o kāu keiki, e luaʻi ana, a ʻaʻole makemake e ʻai i kekahi mea. Inā hāʻawi ʻoe iā ia i ka nui like o ka insulin e pono ai no ka lā, hiki i kona pae kō koko ke hāʻule haʻahaʻa loa ma muli o ka nele o ka meaʻai, kahi mea e weliweli ai.

Pehea e hiki ai iā kākou ke hoʻomākaukau ma mua o ka maʻi ʻana o ke keiki?

Aia kekahi ʻōlelo e ʻōlelo ana "ʻo ka hoʻomākaukau ka lāʻau lapaʻau maikaʻi loa." He mea nui loa kēia i ka wā e maʻi ai kahi keiki me ka maʻi diabetes. E kōkua kēia hoʻomākaukau iā ʻoe e hana me ka ʻole o ka hopohopo.

• E ʻike i ka hoʻolālā mālama maʻi diabetes o kāu keiki: Ua hāʻawi paha kāu kauka iā ʻoe i kahi "Diabetes Care Plan" i ka wā e mālama ai i kāu keiki no ka maʻi diabetes. Loaʻa iā ia nā kuhikuhi kikoʻī no ka mea e hana ai i nā "lā maʻi." No ka laʻana, pehea e hoʻoponopono ai i kāu nui o ka insulin a pehea e nānā ai i kāu ketones. E hōʻoia e heluhelu a hoʻomaopopo pono i kēia.
• E mālama i nā ʻāpana hoʻāʻo glucose a me ketone keu:Pono ʻoe e nānā pinepine i kou kō koko a me nā pae ketone i kou mau lā maʻi. No laila e mālama i kekahi mau ʻāpana hoʻāʻo keu ma ka home i ʻole ʻoe e pau. ʻAʻole pono ʻoe e wikiwiki i ka minuke hope loa.
• E hoʻomākaukau i kēia mau mea ma ka lumi kuke:
• Nā wai ʻole kō: He mea nui loa ia e pale aku i ka maloʻo ʻana o ka wai ke maʻi kāu keiki. E mālama i ka nui o nā wai, e like me ka wai, ka sopa moa (i hana ʻia me ka ʻaila ʻole), ka wai huaʻai, ke kī ʻono ʻole, a me ka soda ʻono ʻole.
• E hāʻawi i nā mea inu kō inā hāʻule kou pae kō koko: E mālama i nā mea e like me ka soda maʻamau (nona ke kō) a me ka wai huaʻai (ʻoi aku ka maikaʻi o ka hou) e mākaukau e hāʻawi koke inā hāʻule kou kō koko.
• Nā mea inu kūikawā: I kekahi manawa e ʻōlelo paha kāu kauka i nā mea inu haʻuki e like me Pedialyte a i ʻole Gatorade. Hāʻawi pū kēia i ke kino me nā paʻakai e pono ai.
• ʻAi māmā no ka ʻōpū: E mālama i kekahi mau meaʻai māmā a maʻalahi ke ʻai ʻia, e like me nā kuki, ka berena, ka yogurt, a me ka porridge.
• E mālama i kahi ana wela ma kahi e hiki maʻalahi ai ke kiʻi: He mea nui kēia no ka nānā mau ʻana i ka mahana o ke kino o kāu keiki.

He aha kaʻu e hana ai ke maʻi kaʻu keiki?

Ke maʻi kāu keiki, ʻo kāu alakaʻi mua a koʻikoʻi loa, ʻo ia ka hoʻolālā mālama maʻi diabetes a kāu keiki. E hahai pono i nā kuhikuhi a ke kauka e like me ka mea i kākau ʻia. Eia kekahi, e kōkua pū kēia mau ʻōlelo aʻoaʻo laulā iā ʻoe:

• E nānā pinepine i kou pae kō koko: Pono paha ʻoe e nānā pinepine ma mua o ka maʻamau, malia paha i kēlā me kēia 2-3 hola. E hana e like me kāu kauka e ʻōlelo ai.
• Mai ho'ōki i ka hāʻawi ʻana i ka insulin: He mea nui loa kēia! ʻOiai inā ʻaʻole ʻai ke keiki, hiki ke piʻi aʻe ke kiʻekiʻe o ke kō o ke kino, no laila pono ka insulin. Eia nō naʻe, pono paha e hoʻololi ʻia ka nui. Malia paha e hoʻonui, e hoʻēmi paha. E kamaʻilio me ke kauka a hoʻoholo. Hiki i nā kauka ke ʻōlelo aku i ka hāʻawi ʻana i ka insulin i nā keiki me ka "Type 2 Diabetes" ʻaʻole lawe i ka insulin i kēlā me kēia lā.
• E nānā i nā ketones: E nānā i ka mimi a i ʻole ke koko o kāu keiki no nā ketones. ʻO ka ʻeha o ka ʻōpū, ka nausea, a me ka luaʻi ʻana he ʻeha ʻōpū wale nō paha ia, a i ʻole he mau hōʻailona ia o kahi maʻi weliweli i kapa ʻia ʻo Diabetic Ketoacidosis (DKA). No laila he mea nui e nānā i nā ketones.
• Paipai i ka lawe ʻana i ka wai: I mea e pale ai i ka maloʻo ʻana o ka wai, e hāʻawi i kāu keiki i ka nui o nā wai (me ke kō ʻole). ʻOi aku ka maikaʻi o ka hāʻawi pinepine ʻana iā lākou i nā wai liʻiliʻi.
• E makaʻala i ka hāʻawi ʻana i ka lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau no ke kuni a me ke anu ke loaʻa ke kō. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā pae kō koko. No laila, e nīnau i kāu kauka lāʻau lapaʻau a kauka paha ma mua o ka hāʻawi ʻana i kekahi lāʻau lapaʻau i kāu keiki.Hoʻopilikia anei kēlā lāʻau lapaʻau i ka maʻi diabetes a loaʻa ke kō i loko?
• E hoʻopaʻa i nā mea āpau: He mea nui loa kēia. E kākau i nā hōʻailona o kāu keiki (ke kuni, ke kuni, ka luaʻi, a pēlā aku), nā lāʻau lapaʻau i hāʻawi ʻia a me kā lākou mau dosages, nā mea a lākou e ʻai ai a inu ai, ka pohō kaumaha, ka nui o ke kuni i loaʻa iā lākou, nā pae kō koko, nā pae ketone, kēia mau mea a pau me ka manawa i loko o kahi puke. E kōkua nui kēia mau memo i ke kauka i ka mālama ʻana iā lākou.
• E kōkua i kāu keiki e hoʻomaha lawa: He mea nui ka hoʻomaha no ke kino ke maʻi lākou. E hōʻoia i ka hiamoe maikaʻi o kāu keiki a hoʻomaha, ma mua o ka ʻae ʻana iā lākou e pāʻani, holo, a lele paha.

Āhea ʻoe e pono ai e ʻike i ke kauka?

ʻOiai hiki iā ʻoe ke mālama i kāu keiki ma ka home i kekahi manawa, i kekahi manawa he mea nui e ʻike koke i ke kauka. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e kāhea koke i kāu kauka a lawe paha i kāu keiki i ka haukapila:

• Inā makemake ke keiki e ʻai a inu paha i kekahi mea, ʻaʻole ia makemake e ʻai a inu paha i kekahi mea.
• Inā loaʻa iā ʻoe ka luaʻi mau a i ʻole ka maʻi pākī no nā hola ʻelua a ʻoi.
• Inā haʻahaʻa loa kou pae kō koko ('Hypoglycemia') a ʻaʻole hiki iā ʻoe ke kaohi iā ia me kahi mea kō.

Mea nui: Inā hāʻule ke kō koko o kāu keiki, e hoʻāʻo i nā lāʻau lapaʻau home (e laʻa, hāʻawi i nā mea inu kō) ma mua o ke kāhea ʻana i kāu kauka a i ʻole e hele i ka haukapila. Inā ʻaʻole hoʻi ke kō koko o kāu keiki i ka maʻamau, e kelepona i ka lumi pilikia (1990 ma Sri Lanka) a lawe paha i kāu keiki i ka haukapila kokoke loa.

• Inā mau ke kiʻekiʻe o kou pae kō koko ('Hyperglycemia') a ʻaʻole e emi iho me ka hoʻokele ʻana o ka insulin e like me kāu hoʻolālā mālama.
• Inā he haʻahaʻa a kiʻekiʻe paha nā ketones i loko o kou mimi a koko paha.
• Inā manaʻo ʻoe he mau hōʻailona kāu keiki o `DKA (Diabetic Ketoacidosis)` (e.g., hanu wikiwiki, ʻala hanu hua, hiamoe nui, huikau).

Mai noʻonoʻo hou, inā he kānalua iki kou, e kamaʻilio me kāu kauka. ʻO ia ka mea palekana loa e hana ai.

He aha hou aʻe kā mākou e pono ai e ʻike? (Eia kekahi mea e pili ana i ka pale ʻana)

E like me ka mea nui e mālama i kāu keiki i ka wā e maʻi ana, he mea nui nō hoʻi e kōkua iā ia e noho olakino e like me ka hiki.

• E kiʻi i nā lāʻau pale o kāu keiki i ka manawa kūpono: E kiʻi i nā lāʻau pale a pau o kāu keiki i ka manawa kūpono, ʻoiai ka Pneumococcal Conjugate Vaccine (PCV) no ka maʻi pneumonia, ka pana maʻi flu makahiki, a me ka lāʻau pale COVID-19 inā kūpono. Mālama kēia i kāu keiki mai nā maʻi he nui.
• E aʻo i kāu mau keiki e holoi mau i ko lākou mau lima: ʻO ke ala maikaʻi loa e pale aku ai i ka laha ʻana o nā germs, ʻo ia ka holoi pono ʻana i ko lākou mau lima. E hōʻoia i ka holoi ʻana o kāu keiki i ko lākou mau lima me ke kopa a me ka wai ma mua o ka ʻai ʻana, ma hope o ka hoʻohana ʻana i ka lua, a ma hope o ka pāʻani ʻana ma waho.
• E noho mamao aku mai ka poʻe maʻi:Hoʻolaha koke nā maʻi e like me ke anu a me ka maʻi palū. No laila, e pale i ka lawe ʻana i kāu keiki i nā wahi i maʻi ai ka poʻe.

ʻO nā mea e pono ai kākou e hoʻomanaʻo mai kēia mau mea a pau (Leka Lawe-Home)

He ʻoiaʻiʻo e pono ʻoe e akahele iki aʻe i ka wā e maʻi ai kāu keiki me ka maʻi diabetes. Akā, ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke kāohi iā ia. ʻO ka mea nui, ʻaʻole e hopohopo, a e mākaukau ma mua.

• E ʻike pono i ka hoʻolālā mālama maʻi diabetes a kāu keiki a me nā lula no nā lā maʻi.
• E nānā pinepine i kāu kō koko a me nā pae ketone.
• Mai ho'ōki i ka lawe ʻana i ka insulin (me ke aʻo ʻole ʻia e ke kauka).
• E hāʻawi i ke keiki i ka nui o nā wai.
• Inā he kānalua kou no kekahi mea, mai hoʻokaʻulua i ke kamaʻilio ʻana me kāu kauka.

Me kou aloha, mālama, a me kēia ʻike, hiki iā ʻoe ke hoʻokele pono i nā lā maʻi a kōkua i kāu keiki e hoʻōla koke. ʻAʻole ʻoe hoʻokahi, a aia mau kāu hui lapaʻau ma laila e kōkua iā ʻoe.

ʻO ka maʻi diabetes, nā keiki, nā maʻi, ke kō koko, insulin, ketones, DKA, hypoglycemia, hyperglycemia, hoʻolālā mālama maʻi diabetes, nā lula lā maʻi