He mea maʻamau iā kākou ke pōloli iki i kekahi manawa. E noʻonoʻo i kahi lā āu i hoʻoikaika kino ai, a i ʻole ʻoe e luhi ma hope o kahi lā lōʻihi ma ka hana... I kēlā manawa, ua pōloli iki paha ʻoe. Akā, ke manaʻo nei hoʻi ʻoe i ka pōloli loa a hiki ʻole iā ʻoe ke hoʻōki i ka ʻai ʻana, a ʻaʻohe mea nui kāu ʻai ʻana, makemake ʻoe e ʻai hou aku? ʻAʻole wale kēia he pōloli. I ka lāʻau lapaʻau, kapa mākou i kēia he Polyphagia a i ʻole Hyperphagia.
I ka ʻōlelo maʻalahi, ʻaʻole kēia he maʻi, akā he hōʻailona o kahi maʻi. Aia paha kekahi kumu huna ma hope o kēia pōloli nui. ʻO ka mea kūikawā, i kēlā mau manawa, ʻaʻole e pōloli ka ʻai maʻamau. Eia naʻe, ʻo ka pōloli e kū mai ana i ka wā e haʻahaʻa ai ke kō koko (Hypoglycemia) e emi pinepine ana ke ʻai ʻoe i kahi mea ʻono. Me kēia ʻano o Polyphagia, i kekahi manawa hiki ke piʻi ke kaumaha o ke kino, a i kekahi manawa hiki ke emi ke kaumaha o ke kino me ka ʻike ʻole ʻia. Aia ia i ke ʻano olakino ma lalo e hoʻokumu ai i kēia.
No ke aha lā i nui ai ka pōloli?
ʻO ke kumu nui a maʻamau o kēia ʻano i kapa ʻia ʻo polyphagia ʻo ia ka maʻi diabetes i ʻike ʻole ʻia a i ʻole ka maʻi diabetes i kāohi pono ʻole ʻia (Diabetes Mellitus) . E kamaʻilio kākou e pili ana i ia mea me ka hohonu. Eia kekahi, aia kekahi mau kumu ʻē aʻe.
ʻO ka pilina ma waena o ka maʻi diabetes a me ka pōloli nui
ʻO ka maʻi diabetes kahi kūlana i hana ʻole ai ko mākou kino i ka nui o ka hormone insulin, a i ʻole hiki ʻole ke hoʻohana pono i ka insulin āna e hana ai. E noʻonoʻo i ka insulin ma ke ʻano he kī e wehe ai i ka puka i nā ʻāpana o ko mākou kino. I mea e komo ai ke kō i kapa ʻia ʻo glucose, ka mea a mākou e loaʻa ai mai ka meaʻai a mākou e ʻai ai, i loko o nā ʻāpana ma ke ʻano he ikehu, pono mākou e hoʻohana i kēia kī i kapa ʻia ʻo insulin e wehe i ka puka.
Ke nele ka insulin a i ʻole ka hopena ʻole, ʻaʻole hiki i ka glucose ke komo i loko o nā pūnaewele. A laila hōʻiliʻili ia i loko o ke koko a piʻi aʻe nā pae kō koko (Hyperglycemia). No ka mea, ʻaʻohe ikehu o nā pūnaewele, loaʻa i ka lolo kahi hōʻailona e ʻōlelo ana, "ʻAʻole lawa koʻu ikehu, pono wau i ka meaʻai hou aku." ʻO ia ke kumu e pōloli loa ai ke kanaka me ka maʻi diabetes.
ʻEkolu mau ʻano nui o ka maʻi diabetes:
- ʻO ka maʻi diabetes ʻAno 1: He maʻi autoimmune kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻouka ʻana o ka ʻōnaehana pale o ko mākou kino ponoʻī a luku i nā cell e hana ana i ka insulin i loko o ka pancreas. No laila, ʻaʻohe insulin i hana ʻia. ʻOiai ʻaʻohe ikehu o nā cell, hoʻomaka koke ke kino e puhi i ka momona a me nā ʻiʻo e loaʻa ai ka ikehu. Hoʻoulu kēia i ka pōloli nui a me ka pohō kaumaha wikiwiki.
- ʻO ka maʻi diabetes ʻano 2: ʻO kēia ke ʻano maʻamau. Hana ʻia ia i ka wā ʻaʻole lawa ka hana ʻana o ke kino i ka insulin a i ʻole ʻaʻole pane pono nā cell i ka insulin āna e hana ai (kūʻē i ka insulin). ʻAʻole paha e like ka koʻikoʻi o ka Polyphagia me ka maʻi diabetes ʻano 1.
- ʻO ka maʻi diabetes gestational: I ka wā hāpai, hoʻonui nā hormones i hoʻokuʻu ʻia e ka placenta i ke kū'ē ʻana o ka insulin i loko o ke kino. Hiki i kēia ke kumu i kekahi mau makuahine e loaʻa ai ka maʻi diabetes no kekahi manawa.
ʻEkolu mau hōʻailona nui o ka maʻi diabetes. Kāhea nā kauka i kēia mau mea ʻo "3Ps o ka maʻi diabetes." He mea nui loa e hoʻomanaʻo i kēia mau mea.
| ʻO ka leka "P" | Nā hōʻailona (ma ka ʻōlelo Sinhala) | Inoa lapaʻau (Pelekania) |
|---|---|---|
| 1. Polyphagia | Pōloli loa | Pōloli Loa |
| 2. Polydipsia | Makewai nui | Makewai Loa |
| 3. Polyuria | Mimi pinepine | Mimi pinepine |
Inā loaʻa iā ʻoe kēia mau hōʻailona ʻekolu, ʻoiai me ka pohō kaumaha, e ʻike koke i ke kauka. He pilikia paha kēia.
Nā kūlana ʻē aʻe e pili ana i ka hormone
Ma waho aʻe o ka maʻi diabetes, hiki i nā maʻi pili i ka hormone ke hana i ka polyphagia.
- Hyperthyroidism: Ma kēia kūlana, hana nui ka thyroid gland i ka hormone thyroid. Hoʻomalu kēia mau hormones i ka metabolism o ko mākou kino, ʻo ia ka wikiwiki o kā mākou puhi ʻana i ka ikehu. Ke piʻi aʻe nā hormones, holo wikiwiki ka mīkini o ke kino, a piʻi nui ka wikiwiki o ka puhi ʻia ʻana o nā calorie. Hiki i kēia ke alakaʻi i ka pōloli pinepine a me ka pohō kaumaha.
- ʻO ka maʻi Premenstrual (PMS):Hiki ke hana ʻia kēia ʻano i hoʻokahi a ʻelua paha pule ma mua o ka hoʻomaka ʻana o ka wā o ka wahine. ʻO nā loli i nā pae hormone estrogen a me progesterone o ke kino a me ka emi ʻana o ka neurotransmitter serotonin hiki ke hoʻoulu i ka pōloli nui i kēia manawa.
- ʻInsulinoma: He ʻano puʻupuʻu kakaikahi loa kēia. Hoʻomohala ia i loko o nā pūnaewele hana insulin o ka pancreas. Hoʻoulu kēia puʻupuʻu i ka hoʻokuʻu nui ʻana o ka insulin, kahi e alakaʻi ai i nā pae kō koko haʻahaʻa loa (hypoglycemia). ʻO kekahi o nā hōʻailona nui o kēia, ʻo ia ka pōloli nui.
Nā kūlana olakino noʻonoʻo
Hiki ke hana ʻia ka Polyphagia e kekahi mau kūlana noʻonoʻo.
- Kaumaha ʻAʻohe ʻAno: He ʻano kaumaha kēia i hōʻailona ʻia e ka makemake nui a me ka piʻi ʻana o ke kaumaha, ma mua o ka nalowale o ka makemake e like me ke kaumaha maʻamau.
- Kaumaha: Ke kaumaha mākou, hana ko mākou kino i ka nui o kahi hormone i kapa ʻia ʻo cortisol. Hiki i kēia hormone ke hoʻonui i nā pae kō koko a hoʻoulu i ka pōloli.
- Hopohopo: Hiki i ka hopohopo ke hoʻonui i nā pae cortisol, e alakaʻi ana i ka pōloli nui. I kekahi manawa he pane naʻau kēia. Ke hiki ʻole iā ʻoe ke hoʻoponopono i nā manaʻo e like me ke kaumaha a i ʻole ka hopohopo, hiki i ka ʻai ʻana ke lilo i mea hana e hoʻoponopono ai.
He aha ka mea hiki ke hana ʻia e mālama ai i kēia?
Hoʻōla ʻia ka Polyphagia ma ka ʻike ʻana a me ka mālama ʻana i ke kūlana kumu e hoʻoulu ai. Ke mālama ʻia ke kumu, e nalowale pinepine kēia makemake nui.
ʻo kahi laʻana:
- Pono ka maʻi diabetes type 1 i nā inikini insulin no ke ola holoʻokoʻa.
- Pono paha ka Hyperthyroidism i ka lāʻau lapaʻau, ka mālama ʻana i ka iodine radioactive, a i ʻole ke ʻoki ʻana .
- Inā pili kēia ʻano i kekahi lāʻau lapaʻau, e hoʻoholo kāu kauka e hoʻololi i ka lāʻau lapaʻau a hoʻoponopono paha i ka dosage.
ʻO ka mea nui loa, ʻo ia ke ʻike pono i ke kauka no ka hōʻoia pololei, ma mua o ka hoʻāʻo ʻana e mālama iā ʻoe iho.
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
ʻO ka Polyphagia kahi hōʻailona o kahi maʻi e pono ai ke mālama ʻia e ke kauka, no laila inā loaʻa iā ʻoe ka pōloli mau loa a hiki ʻole ke kāohi ʻia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no ka ʻōlelo aʻo.
E hoʻolohe pono!
Inā loaʻa iā ʻoe a i kāu keiki paha nā hōʻailona e like me ka pōloli nui (polyphagia), ka make wai nui (polydipsia), ka mimi pinepine (polyuria), a me ka pohō kaumaha wikiwiki,E hele koke i ka keʻena pilikia o ka haukapila kokoke loa (ETU). He mau hōʻailona paha kēia o ka maʻi diabetes type 1 i mālama ʻole ʻia. Inā ʻaʻole mālama koke ʻia, hiki iā ia ke alakaʻi i kahi pilikia weliweli i kapa ʻia ʻo diabetic ketoacidosis (DKA).
ʻO ka pōloli mau ʻaʻole e nalo ma hope o ka ʻai ʻana, ʻaʻole ia he mea e hoʻomāmā ʻia. Inā ʻike ʻoe i kahi loli koke i kāu a i ʻole ka makemake o kāu keiki, mai hopohopo a e ʻike i ke kauka. E hiki iā ia ke hana i nā hoʻokolohua e pono ai a loaʻa ke kumu pololei.
Leka Lawe-Home
- ʻAʻole wale ka Polyphagia he pōloli maʻamau. He pōloli nui loa ia, hiki ʻole ke kāohi ʻia, maʻamau ʻole.
- Hiki i kēia ke hōʻailona pinepine i kahi maʻi, ʻoi aku hoʻi ka maʻi diabetes.
- ʻO ka pōloli nui, ka make wai nui, a me ka mimi pinepine ("3 Ps") nā hōʻailona nui o ka maʻi diabetes.
- Inā hele pū kēia mau hōʻailona me ka pohō kaumaha, he pilikia paha ia, no laila e ʻike koke i ke kauka a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Mai hoʻowahāwahā i nā hōʻailona e like me kēia. Hiki i ka ʻike pololei a me ka mālama ʻana ke pale i nā pilikia koʻikoʻi.
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