Ke noʻonoʻo kākou i ka hōʻeha puʻuwai, noʻonoʻo koke kākou i kekahi e uwē ana i ka ʻeha, ʻeā? Akā, ua ʻike anei ʻoe i kekahi manawa hiki i ka hōʻeha puʻuwai ke hana mālie loa, me ka ʻole o ka ʻeha nui a i ʻole ka haunaele? Kāhea mākou i kēia he 'Hōʻeha Puʻuwai Leo ʻole'. ʻOiai hiki ke hana i kekahi, kiʻekiʻe loa ka pilikia no kekahi me ka Diabetes Mellitus. ʻAʻole paha ʻoe e manaʻo i kekahi mea, a i ʻole e manaʻo paha ʻoe i kahi mea e like me ke kuni ʻana i loko o kou ʻōpū, kahi ʻoluʻolu iki. Me he mea lā he mea liʻiliʻi loa ia a ʻaʻole paha ʻoe e ʻike.
Pehea lā e hiki ai i ka hānō puʻuwai ke noho mālie?
ʻO ke kumu nui o kēia, ʻo ia ka hōʻino ʻia ʻana o nā aʻalolo e hele mai me ka maʻi diabetes. Ua kapa mākou i kēia ma ke ʻano lapaʻau he 'neuropathy'. ʻO ka maʻamau, hoʻoulu kēia i ka mae ʻana o ka ʻiʻo a me ka nalowale ʻana o ka ʻike i nā lālā. Akā, ʻaʻole i pau ka hōʻino ma laila.
E noʻonoʻo, hiki ke hōʻino ʻia nā aʻalolo i kou puʻuwai, ka ʻōpū mimi, a me nā kīʻaha koko ma ke ʻano like. Ke hana ʻia kēlā, ʻaʻole hiki i nā hōʻailona hōʻike koʻikoʻi e like me ka ʻeha i kou lolo.
ʻO ia hoʻi, i ka wā e loaʻa ai kahi hōʻeha puʻuwai, ka mea maʻamau e hōʻeha nui ai i ka umauma, ka lima, a i ʻole ka ʻauwae, ʻaʻole paha ʻoe e manaʻo i kekahi mea. Ua like ia me kekahi e kaomi ana i kahi pihi 'mute button' ma kou ʻeha. Akā inā ʻaʻole ʻoe e manaʻo i ka ʻeha, ke hana mau nei ka pōʻino i kou puʻuwai. No laila, aia nā hopena weliweli maoli o ka hōʻeha puʻuwai leo ʻole.
Nā hōʻailona mua o ka hōʻino ʻana o ke aʻalolo
ʻO ka nānā ʻana i kēia mau loli liʻiliʻi i kou kino e hiki ke kōkua iā ʻoe e ʻike mua i ka hōʻino ʻana o ke aʻalolo a kāohi i kona holomua. He mea nui e kamaʻilio me kāu kauka e pili ana i kēia.
| Hiʻohiʻona e hoʻolohe ai | Pehea kou manaʻo |
|---|---|
| Pōʻino i ke kū ʻana | Manaʻo poniuniu a nāwaliwali paha i ke kū ʻana. |
| Paʻakikī i ka hoʻoikaika kino | ʻOi aku ka luhi ma mua o ka wā ma mua, ʻoiai me ka hoʻoikaika kino emi. |
| Nā pilikia hoʻoheheʻe | Ke manaʻo nei i ka piha, ka ʻeha o ka ʻōpū, a me ka pilikia i ka ʻeli ʻana i ka meaʻai. |
| Nā loli i ka hou ʻana | Ke hou nui nei ma mua o ka maʻamau a i ʻole ʻaʻole hou iki. |
| Nā pilikia mimi | Nā pilikia e like me ka nalowale o ka mana ma luna o ka mimi. |
| Nā pilikia moekolohe | Nā pilikia e like me ka emi ʻana o ka makemake i ka moekolohe. |
He aha nā hōʻailona malū o ka hāʻule puʻuwai leo ʻole?
ʻAʻole ʻike kekahi poʻe i kekahi mau hōʻailona. No kekahi poʻe, he mau ʻeha liʻiliʻi a maʻalahi paha. Hiki iā ʻoe ke manaʻo i ke kaomi, ka paʻa, a i ʻole ke ʻūlū ʻana ma waenakonu o kou umauma ma kahi o ka ʻaoʻao hema. Hoʻowahāwahā ka poʻe he nui i kēia me he kinoea a i ʻole ka ʻōpū ʻole.
E hoʻomanaʻo, inā hele mai kahi hōʻailona e like me kēia a ʻaʻole e nalo koke, he hōʻailona paha ia o kahi mea ʻoi aku ka koʻikoʻi.
| E hoʻolohe pū i kēia mau hōʻailona. | |
|---|---|
| ʻO ka hou anu me ke kumu ʻole | Ua pulu nā pāma. |
| Manaʻo puni | Ka hiolo koke ʻana. |
| Luhi nui me ke kumu ʻole | Ke luhi nui āu e manaʻo ai ʻoiai me ka hana ʻole ʻana i kekahi mea. |
| ʻEha ka ʻāʻī, ka ʻāʻī, a i ʻole ka lima hema | He mea maʻamau kēia ʻano i waena o nā wāhine. |
| Paʻakikī ka hanu ʻana | Ka pōkole o ka hanu, ʻoiai me ka ʻole o ka hoʻoikaika nui. |
| ʻO ka ʻōpū ʻeha a me ka mumū | ʻO ka puʻuwai pinepine a mau ʻole. |
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou . E ʻike koke i kāu kauka . Inā kānalua, e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU) .
Pehea lā wau e ʻike pono ai inā loaʻa iaʻu kekahi?
He paʻakikī maoli kēia e ʻike. I kekahi manawa ʻike ʻia nā hōʻailona ma hope o ka pau ʻana o ka hōʻeha puʻuwai.
- Manaʻo mau o ka luhi nui
- ʻEha mau o ka ʻōpū
- Pehu wāwae
- Ka paʻakikī o ka hanu ʻana i loaʻa ʻole ma mua
ʻO ka hapa nui o ka manawa, ʻike ʻia kahi hōʻeha puʻuwai leo ʻole ma kahi hanana. ʻIke pinepine ʻia i ka wā o nā hoʻokolohua āu e hele ai e ʻike i ke kauka no kekahi kumu ʻē aʻe. Aia kekahi mau hoʻokolohua hiki i kāu kauka ke hana e ʻike ai inā loaʻa iā ʻoe kahi hōʻeha puʻuwai leo ʻole:
- Nā hoʻāʻo koko: Ke nānā nei kēia i kekahi mau protein e hōʻiliʻili i loko o ke koko ke hōʻino ʻia ka puʻuwai.
- Electrocardiogram (EKG): Ke ana kēia i ka hana uila o kou puʻuwai. Hiki ke ʻike ʻia nā loli o kēia ʻano ma hope o ka hāʻule ʻana o ka puʻuwai.
- Echocardiogram: Ua like kēia me kahi scan ultrasound o ka puʻuwai. Hiki iā ia ke nānā i ka hana o ka puʻuwai a me nā pōʻino.
Inā paha e noho mālie ana, he aha ka pōʻino e hiki ai i kēia ke hana?
Ua like ke koʻikoʻi o ka hōʻeha puʻuwai leo ʻole me ka hōʻeha puʻuwai maʻamau. Hiki iā ia ke hōʻino i kou puʻuwai a waiho i nā ʻeha. Hiki i kēlā ʻeha ke hoʻemi i ka hana pono o kou puʻuwai.
E noʻonoʻo, inā ʻaʻole ʻoe i ʻike i kahi mea e like me ia i hana iā ʻoe, ʻaʻole ʻoe e loaʻa i ka lāʻau lapaʻau no ia mea, ʻeā? Inā ʻaʻole ʻoe e loaʻa i ka lāʻau lapaʻau, e loaʻa iā ʻoe kahi hāʻule puʻuwai lua, ʻoi aku ka ʻino.Piʻi nui ka pilikia o ka hahau ʻana. Hiki iā ia ke alakaʻi i nā maʻi koʻikoʻi ʻē aʻe e like me ka hāʻule ʻana o ka puʻuwai.
ʻAʻole he mea e hoʻowahāwahā ʻia ka hāʻule puʻuwai leo ʻole. He maʻi koʻikoʻi ia e hiki ke hoʻopilikia nui i kou olakino i ka wā e hiki mai ana.
Leka Lawe-Home
- Inā loaʻa iā ʻoe ka maʻi diabetes, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka hānō puʻuwai leo ʻole.
- Hiki ke maʻalea loa nā hōʻailona, e like me ka ʻeha o ka ʻōpū, ka luhi i wehewehe ʻole ʻia, a me ka pōkole o ka hanu.
- E makaʻala i nā hōʻailona o ke neuropathy (e.g., ka numbness i nā lālā, ka dizziness).
- Mai hoʻowahāwahā i kahi hōʻailona liʻiliʻi e like me kēia. E kamaʻilio koke me kāu kauka.
- Hiki ke ʻike mua ʻia kēlā mau kūlana ma ka hana ʻana i nā hoʻokolohua lapaʻau i ka manawa i hoʻonohonoho ʻia.
- He maʻi koʻikoʻi ka hāʻule puʻuwai leo ʻole e pono ai ka mālama ʻana, ʻoiai inā ʻaʻohe ʻeha.
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