Ke haʻi aku kāu kauka iā ʻoe he maʻi diabetes Type 2 kou, ua kuhikuhi ʻia paha kēia lāʻau lapaʻau iā ʻoe. He ʻelua ona inoa, ʻo Pioglitazone lāua ʻo Metformin. Loaʻa pinepine iā ʻoe ma ke ʻano he pila hoʻokahi i hana ʻia ma ka hoʻohui ʻana i kēia mau lāʻau lapaʻau ʻelua. He mea maʻamau ke hopohopo iki a loaʻa nā nīnau he nui i ka wā e hoʻomaka ai i kahi lāʻau lapaʻau hou. Akā, mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau, pehea e hana ai i loko o ke kino, nā mea e pono ai mākou e makaʻala, a me nā mea ʻē aʻe.
He aha ka mea e hana maoli me kēia lāʻau lapaʻau?
I ka ʻōlelo maʻalahi, ʻo ka hana nui o kēia lāʻau lapaʻau ka kaohi ʻana i ke kiʻekiʻe o ke kō i loko o kou koko, ʻo ia hoʻi, ka glucose. Hāʻawi ʻia ia i ka poʻe me ka maʻi diabetes Type 2. Hana ia ma nā ʻano ʻelua. ʻO kekahi, ʻo ia ke kōkua i ka hormone insulin i loko o kou kino e hana maikaʻi aʻe. ʻO kekahi, ʻo ia ka hoʻēmi ʻana i ka nui o ke kō pono ʻole i hana ʻia e kou ake.
Akā e hoʻomanaʻo, ʻaʻole lawa kēia lāʻau lapaʻau wale nō. No ka mālama ʻana i ka mana maikaʻi, pono ʻoe e hahai i kahi papaʻai kūpono a me ka hoʻoikaika kino me kēia lāʻau lapaʻau. He mea nui loa ka hahai pololei ʻana i nā ʻōlelo a ke kauka.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ke kau ʻana o kāu kauka i kēia lāʻau lapaʻau, pono iā ia ke maopopo piha i kou kūlana olakino. No laila, inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e hoʻomaopopo i kāu kauka e pili ana i ia mea.
| Kūlana/maʻamau olakino | No ke aha mākou e hoʻomaopopo ai? |
|---|---|
| Maʻi puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai | Hiki i kēia lāʻau lapaʻau ke hoʻonui i ka paʻa ʻana o ka wai i loko o ke kino a hoʻonui i nā kūlana puʻuwai. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Ma muli o ke komo ʻana o kēia mau ʻōkana i ke kaʻina hana o ka wehe ʻana i nā lāʻau lapaʻau mai ke kino, inā ua pilikia kā lākou hana, pono paha e hoʻoponopono ʻia ka nui o ka lāʻau lapaʻau. |
| Inu pinepine | ʻO ka hui pū ʻana o ka waiʻona a me kēia lāʻau lapaʻau e hoʻonui i ka pilikia o kahi maʻi koʻikoʻi i kapa ʻia ʻo lactic acidosis. |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a he makuahine hānai paha | Ma muli o ka hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka pēpē, he mea nui e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau e pili ana i ka hoʻohana ʻana i ka lāʻau lapaʻau i kēia mau hihia. |
| Ka maʻi ʻōpū a i ʻole ka maʻi maka | Pono ke kauka e hoʻomaopopo hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kēia mau kūlana i kekahi manawa. |
| Nā maʻi ʻaleka i nā lāʻau lapaʻau, nā meaʻai, a i ʻole nā mea ʻē aʻe | He mea nui kēia e ʻike inā he maʻi ʻoe i kēia lāʻau lapaʻau a i ʻole kekahi o kāna mau mea hoʻohui. |
| Ketoacidosis maʻi diabetes | Ma muli o kahi pilikia koʻikoʻi o ka maʻi diabetes, ʻaʻole kūpono kēia lāʻau lapaʻau. |
Pehea e pono ai iaʻu ke hoʻohana i ka lāʻau lapaʻau?
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia lāʻau lapaʻau.
- E ale i ka pila me ke aniani wai .
- E ho'āʻo e lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā , e like me ke kauoha a kāu kauka. Ke hoʻolilo ʻoe i kēia i mea maʻamau, ʻaʻole paha ʻoe e poina.
- ʻOi aku ka maikaʻi o ka lawe ʻana i ka lāʻau me ka ʻai .
- E hoʻomau i ka hoʻohana ʻana i kēia lāʻau a hiki i ka wā e ʻōlelo ai kāu kauka e hoʻōki.
- Mea nui: Inā kānalua ʻoe ua lawe nui ʻia ʻoe, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
- Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke lawe i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe i kou hoʻomanaʻo ʻana, e kāpae i ka lāʻau i hala ʻole a lawe i kāu lāʻau aʻe i ka manawa i hoʻonohonoho ʻia.Mai lawe i ʻelua lāʻau lapaʻau i ka manawa hoʻokahi.
He aha hou aʻe kaʻu e makaʻala ai i ka wā e lawe ai i kēia lāʻau?
He mea nui loa ia e hoʻolohe i kou olakino i ka wā holoʻokoʻa o ka hoʻohana ʻana i ka lāʻau lapaʻau.
- Nā nānā lapaʻau maʻamau: E hōʻoia e hele i ke keʻena lapaʻau i nā lā a kāu kauka e ʻōlelo ai iā ʻoe. Hana ʻia kahi hoʻāʻo koko i kapa ʻia ʻo HbA1c ma kahi o hoʻokahi manawa i kēlā me kēia 2-3 mahina e ʻike ai i ka maikaʻi o ke kāohi ʻia ʻana o kāu kō koko. Hiki i kēia ke ana i ka holomua o kāu kāohi ʻana i ka maʻi diabetes.
- E aʻo e hoʻāʻo i kou kō koko: He mea nui e aʻo pehea e hoʻāʻo ai i kou kō koko ma ka home. Eia kekahi, e makaʻala i nā hōʻailona o ka hypoglycemia a me ka hyperglycemia, a me nā mea e hana ai ke loaʻa lākou.
- Inā hāʻule kou kō koko: Inā manaʻo koke ʻoe ua haʻahaʻa ke kō, ua puni ka maka, a ua hou paha, e mālama i kahi mea e like me ka cube kō, toffee, a i ʻole nā papa glucose ma kahi kokoke. Akā e hoʻomanaʻo, inā ua poina kekahi, mai hoʻokomo i kekahi mea i loko o ko lākou waha, no ka mea hiki ke ʻū ʻia. Pono ʻoe e lawe koke iā lākou i ka haukapila.
- Mai hōʻalo i ka ʻai: He mea nui loa i ka mea maʻi diabetes ke ʻai i ka manawa kūpono.
- Nā ʻoki kino a me nā scan: Inā e hana ʻia kekahi ʻoki kino, a inā paha e hoʻokomo ʻia kahi wai kūikawā i kapa ʻia he contrast no kahi mea e like me ka X-ray a i ʻole CT scan, pono ʻoe e haʻi mua i ka hui lapaʻau e lawe ana ʻoe i kēia lāʻau lapaʻau.
- Nā hemahema o ka wikamina: ʻO ka hoʻohana lōʻihi ʻana i kēia lāʻau lapaʻau e hiki ke hoʻohaʻahaʻa i nā pae o ka wikamina B12 a me ka waikawa folic i kekahi poʻe. No laila e kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i kahi meaʻai kaulike a me ka lawe ʻana i nā mea hoʻohui wikamina inā pono.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau lapaʻau ke hana i nā hopena ʻaoʻao i kekahi poʻe, akā ʻaʻole i loaʻa i nā kānaka a pau. E makaʻala i nā hōʻailona ma lalo nei.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Nā hōʻailona o ka hāʻule ʻana o ka puʻuwai | Paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae a i ʻole nā lima, piʻi koke ke kaumaha, luhi nui. |
| ʻAkika Lactic | ʻEha a ʻoʻoleʻa paha nā ʻiʻo, ʻeha o ka ʻōpū, paʻakikī ka hanu ʻana, luhi nui, a me ka ʻoluʻolu ʻole. He maʻi koʻikoʻi loa kēia. |
| Nā hōʻailona o ka hōʻino ʻana o ke akepaʻa | ʻEha ma ka ʻōpū ʻākau o luna, nalowale ka makemake e ʻai, nausea, melemele o ka ʻili a i ʻole nā maka, mimi melemele/ʻeleʻele. |
| Nā hōʻailona o ka nele o ka Vitamin B12 | ʻEha ma nā lima a me nā wāwae, mae wale, nāwaliwali o nā ʻiʻo, poniuniu, huikau noʻonoʻo. |
| Nā loli o ka ʻike | ʻIke pōwehiwehi, ʻike ʻana i nā apo a puni nā kukui, nalowale ka ʻike. |
| Inā hoʻomau a hoʻopilikia paha, e haʻi i kāu kauka. | |
| Ka maʻi pākī | He mea maʻamau kēia ke hoʻomaka mua ʻoe e lawe i ka lāʻau lapaʻau. |
| ʻEha poʻo | |
| Ka luaʻi | |
Leka Lawe-Home
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, ma ke ʻano i kauoha ʻia, i ka manawa i kauoha ʻia, a me ka meaʻai.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me nā poʻe ʻē aʻe.
- E hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe a pau, nā huaora, a me nā kūlana olakino ʻē aʻe āu e loaʻa ai.
- E aʻo e pili ana i nā hōʻailona o ke kō koko haʻahaʻa a kiʻekiʻe a e mākaukau no lākou.
- E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hopena koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ke kino, a i ʻole ka ʻeha nui o nā ʻiʻo.
- E hoʻomanaʻo he mea nui ka ʻai kūpono a me ka hoʻoikaika kino no ka kaohi ʻana i ka maʻi diabetes, a me ka lāʻau lapaʻau.
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