Ua ʻike anei ʻoe pehea e hiki ai i ka maʻi diabetes ke hoʻopilikia i ke kino holoʻokoʻa inā ʻaʻole i kāohi ʻia? (Diabetes Mellitus)

Hiki i ka mālama ʻana i ka maʻi diabetes a me ke ola ʻana i kahi nohona olakino ke lilo i mea paʻakikī i kekahi manawa. Akā, kūpono ka hoʻoikaika ʻana i nā uku. Inā ʻaʻole i kāohi ʻia ka maʻi diabetes, ʻo ia hoʻi, e mau ana ke kiʻekiʻe o kou kō koko me ka lawe ʻana i ka lāʻau lapaʻau, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka mimi pinepine a me ka makewai nui. Inā hoʻomau kēia ʻano, hiki iā ia ke hōʻino i nā ʻōnaehana kino he nui o kou kino.

Nā hopena ma ka puʻuwai a me nā kīʻaha koko

ʻO ka maʻi puʻuwai a me nā maʻi kīʻaha koko he mau pilikia maʻamau no nā poʻe he nui i kāohi ʻole i kā lākou maʻi diabetes. ʻOi aku ka nui o kou loaʻa ʻana i ka hōʻeha puʻuwai a i ʻole ka hahau ʻana ma mua o ka mea me ka ʻole o ka maʻi diabetes.

ʻO ka hōʻino ʻana i nā kīʻaha koko a i ʻole nā ​​aʻalolo hiki ke hoʻoulu i nā pilikia i kou mau wāwae. I kekahi manawa ʻaʻole e ho'ōla ʻia kahi ʻeha liʻiliʻi, e pehu ana, a lilo i mea koʻikoʻi. He mea kākaʻikahi loa, pono e ʻoki ʻia kahi ʻāpana o ka wāwae a i ʻole ka manamana wāwae.

Nā Hōʻailona: ʻAʻole paha ʻoe e loaʻa i kekahi mau hōʻailona a hiki i kou loaʻa ʻana i ka hōʻeha puʻuwai a i ʻole ka hahau ʻana. ʻO nā pilikia me nā kīʻaha koko nui i kou mau wāwae hiki ke hana i nā ʻeha wāwae, nā loli o ke kala o ka ʻili, a me ka maneʻo o kou mau wāwae.

ʻO ka nūhou maikaʻi: Ua hōʻike ʻia nā haʻawina he nui e hiki i ka lawe ʻana i nā lāʻau lapaʻau kūpono, ka ʻai, a me ka hoʻoikaika kino ke pale i kēia mau pilikia a pale aku paha iā lākou mai ka lilo ʻana i mea ʻino inā loaʻa mua lākou.

Nā hopena ma nā maka

ʻO ka maʻi diabetes ke kumu nui o ka nalowale o ka ʻike hou i waena o nā pākeke. Hiki i ka maʻi diabetes ke alakaʻi i kekahi mau maʻi maka e hiki ai ke alakaʻi i ka makapō inā ʻaʻole mālama ʻia.

• ʻO ka glaucoma
• Nā Cataracts
• Ka hōʻino ʻana i nā kīʻaha koko palupalu o ka maka ma muli o ka maʻi diabetes (Diabetic Retinopathy)

I kekahi manawa, ʻoiai inā koʻikoʻi ka hōʻino ʻana o nā maka, ʻaʻohe paha he mau hōʻailona. No laila, he mea nui loa ia e ʻike i kahi kauka maka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki no ka hoʻokolokolo maka piha.

ʻO ka nūhou maikaʻi: Ua hōʻike ʻia nā noiʻi e hiki ke pale ʻia ka 90% o ka makapō i hoʻokumu ʻia e ka maʻi diabetes me nā hoʻokolokolo maka maʻamau a me ka mālama ʻana i ka manawa kūpono. No laila, inā ʻike ʻoe i kekahi mau loli i kou mau maka, e ʻimi koke i ke kōkua lapaʻau.

Nā hopena ma nā puʻupaʻa

ʻO ka maʻi diabetes ke kumu nui o ka hāʻule ʻana o nā puʻupaʻa i nā pākeke. Kokoke i ka hapalua o nā maʻi puʻupaʻa i ʻike hou ʻia he maʻi diabetes.

Nā Hōʻailona: ʻAʻole hōʻike pinepine nā maʻi puʻupaʻa mua i hoʻokumu ʻia e ka maʻi diabetes i kekahi mau hōʻailona. I ka holomua ʻana o ka maʻi, pehu paha nā wāwae.

ʻO ka nūhou maikaʻi: ʻO nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke kō koko a me ke koko (ʻoiai inā ʻaʻole ʻoe he koko kiʻekiʻe) hiki ke hōʻemi i ka pilikia o ka hāʻule ʻana o ka puʻupaʻa ma 33%.

Nā hopena ma ka ʻōnaehana nerve (Diabetic Neuropathy)

Hiki i ke kiʻekiʻe o ke kō koko ke hōʻino i kou mau aʻalolo i ka hala ʻana o ka manawa. Hiki i kēia pōʻino ke hoʻopilikia a hiki i ka 70% o ka poʻe me ka maʻi diabetes. Hoʻomaka pinepine ia ma nā lima a me nā wāwae. Akā i ka hala ʻana o ka manawa, hiki iā ia ke hoʻopilikia i nā ʻāpana ʻē aʻe o ke kino, e like me nā ʻōpū, ka ʻōpū mimi, nā ʻōpū wahine, a me ka puʻuwai.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike koke i kāu kauka:

• ʻO ka mae, ka wela, ka ʻeha, a i ʻole ka nalowale o ka manaʻo ma nā lima a i ʻole nā ​​​​wāwae
• Nā pilikia o ka ʻōnaehana digestive, e like me ka ʻōpū huhū, ka nausea, ka luaʻi ʻana, a i ʻole ka diarrhea
• Nā maʻi ʻōpū urinary pinepine a i ʻole ka hiki ʻole ke hoʻokuʻu loa i ka ʻōpū mimi
• Ka paʻakikī i ka hoʻokō ʻana a i ʻole ka mālama ʻana i kahi kūkulu ʻana i ka wā o ka moekolohe
• Pōʻino a i ʻole ka nawaliwali

Inā he pōʻino o ke aʻalolo, ʻo ka mālama ʻana i nā pae kō koko kokoke i ka maʻamau hiki ke kōkua i ka kaohi a hoʻolohi paha i kona holomua.

ʻO kekahi mau ʻano nui o ka hōʻino ʻana o ke aʻalolo

• ʻO ka Neuropathy Diabetic Peripheral: Hiki i kēia ke hana i ka wela, ka ʻeha, a i ʻole ka nalowale o ka ʻike ma nā wāwae, ʻoiai hoʻi nā manamana lima. Hiki iā ia ke hoʻopilikia i nā lima ma hope.
• Neuropathy Autonomic: Hoʻopilikia kēia i nā aʻalolo e kaohi ana i kou mau kino kūloko. Hiki i nā hōʻailona ke komo pū me ka hana pono ʻole o ka moekolohe, nā pilikia ʻōpū (gastroparesis), ka piha o ka ʻōpū mimi, ka dizziness, a me ke kō koko haʻahaʻa (hypoglycemia).
• ʻO ka Amyotrophy Diabetic: He ʻano laha loa kēia e hoʻoulu ai i ka ʻeha nui a me ka mumū ma ka ʻūhā a me ka ʻūhā, a ukali ʻia e ka nāwaliwali o nā ʻiʻo ma ka ʻūhā.

ʻO ka nūhou maikaʻi: Nui nā lāʻau lapaʻau i loaʻa i kēia manawa e kōkua i ka hoʻokele ʻana i kēia ʻeha. Hiki i kāu kauka ke ʻōlelo aku i kekahi mau lāʻau ʻeha, nā kirīmi topical, a me nā mea hoʻoulu aʻalolo e like me TENS (transcutaneous electrical nerve stimulation).

Nā niho, nā ʻāʻī a me nā pilikia ʻili

ʻOi aku ka nui o ka pilikia o ka poʻe me ka maʻi diabetes i ka loaʻa ʻana o ka maʻi ʻāʻī. ʻO nā ʻāʻī ʻulaʻula, pehu, a kahe koke ke koko he hōʻailona ia. Eia kekahi, ʻo nā mea e like me ka maʻi hū ma ka ʻili hiki ke lilo i hōʻailona e kiʻekiʻe loa ana kou pae kō koko.

ʻO ka nūhou maikaʻi: Hiki ke pale ʻia kēia mau pilikia inā ʻoe e kaohi i kou pae kō koko, e ʻike pinepine i ke kauka niho, a palaki i kou mau niho i kēlā me kēia lā.

He aha ka mea e hana ai i ka wā pilikia?

Inā noho kiʻekiʻe loa kou pae kō koko no ka manawa lōʻihi, hiki iā ia ke alakaʻi i nā maʻi koʻikoʻi loa e like me ka coma a i ʻole ka make. Hiki iā ʻoe ke luhi loa, e emi ke kaumaha, pōloli loa, makewai nui, a mimi pinepine .Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, e kāhea koke aku i kāu kauka. Inā koʻikoʻi ke kūlana, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.