Ua haʻi aku anei ke kauka iā ʻoe he maʻi diabetes ʻano 2 kou? A laila ua hiki i ka manawa e noʻonoʻo hou aʻe e pili ana i ke olakino o kou puʻuwai. Ke noʻonoʻo nei paha ʻoe, "ʻAuē, he maʻi diabetes koʻu, he aha ka pilina ma waena o kēlā a me koʻu puʻuwai?" ʻOiaʻiʻo, aia kahi pilina nui aʻe ma mua o kā mākou e manaʻo ai. I ka ʻōlelo maʻalahi, ua like ka maʻi diabetes a me ka maʻi cardiovascular me nā hoahānau i loko o ka ʻohana hoʻokahi. I kēia lā, e kamaʻilio kākou e pili ana i kēia pilina a me ka nūhou maikaʻi e hiki ke kōkua iā ʻoe e hoʻokele i nā kūlana ʻelua.
No ke aha i ʻoi aku ai ka pilikia o ka poʻe me ka maʻi diabetes i ka hoʻomohala ʻana i ka maʻi puʻuwai?
He mea maʻalahi loa kēia e hoʻomaopopo. Inā loaʻa iā ʻoe ka maʻi diabetes, ʻo ia hoʻi, ʻoi aku ke kiʻekiʻe o ke kō koko (nā pae glucose) ma mua o ka maʻamau. Ke noho lōʻihi kēia pae kō kiʻekiʻe i loko o ke koko, hoʻomaka ia e hōʻino i ko mākou mau kīʻaha koko, ʻoiai hoʻi nā aʻa.
E noʻonoʻo i kēia ʻano. E like me nā paipu wai i loko o ko kākou mau hale e popo a paʻa i ka lepo i ka hala ʻana o ka manawa, hōʻiliʻili nā mea e like me ka cholesterol a me nā mea ʻē aʻe i loko o ko kākou mau kīʻaha koko ma muli o kēia kō keu a waiho ʻia ma ke ʻano he 'plaque'. Hoʻemi kēia plaque i ka hakahaka i loko o nā kīʻaha koko a keʻakeʻa i ke kahe koko. He aha ka mea e hana ai inā e ālai ʻia nā aʻa nui e hoʻolako ana i ke koko i ka puʻuwai, ka lolo, a me nā puʻupaʻa ma kēia ʻano? ʻO ia ka manawa e kū mai ai nā maʻi koʻikoʻi e like me nā hōʻeha puʻuwai a me nā hahau .
I ka ʻōlelo maʻalahi, he kumu nui loa ka maʻi diabetes no ka maʻi puʻuwai. I kekahi manawa ma ke ʻano he kauka, ʻōlelo mākou ʻo ka loaʻa ʻana o ka maʻi diabetes type 2 ua like ia me ka loaʻa ʻana o ka maʻi puʻuwai.
Akā, ʻaʻole i pau ka moʻolelo ma laila. ʻAʻole ka maʻi diabetes he maʻi e hele wale mai ana. I kekahi manawa, hele pū ʻo ia me kekahi o kāna mau hoaaloha.
| Nā kumu pilikia ʻē aʻe e pili ana i ka maʻi diabetes | Pehea e pili ai i ka pilikia o ka maʻi puʻuwai |
|---|---|
| Momona | Hoʻonui ke kaumaha i ke kaumaha ma ka puʻuwai a hoʻokiʻekiʻe i ke koko a me nā pae kolesterol. |
| Ke koko kiʻekiʻe | I ka piʻi ʻana o ke kaomi, ua hōʻino ʻia nā paia o nā kīʻaha koko, e maʻalahi ai ka hōʻiliʻili ʻana o ka plaque. |
| Kolesterol kiʻekiʻe | ʻO ka hoʻonui ʻia ʻana o ka cholesterol 'maikaʻi ʻole' (LDL) i loko o ke koko ke kumu nui o ka hoʻokumu ʻia ʻana o ka plaque i loko o nā kīʻaha koko. |
I kēia manawa, ʻike ʻoe i ke ʻano paʻakikī o kēia pūnaewele? ʻO ka maʻi diabetes, me kēia mau mea ʻē aʻe a pau, e hoʻokau iā ʻoe i kahi pilikia kiʻekiʻe o ka maʻi puʻuwai. Ma ke ʻano he mau kauka, hoʻāʻo mākou e hōʻemi i kēia pilikia a hoʻopakele iā ʻoe mai ka hōʻeha puʻuwai a i ʻole ka hahau.
Akā, mai makaʻu! Eia ka nūhou maikaʻi!
No ka manawa lōʻihi, ʻo ke kumu nui o ka mālama ʻana i ka maʻi diabetes ka kaohi ʻana i nā pae kō koko. Ua ʻike mākou e pale aku kēia i nā pilikia e pili ana i nā kīʻaha koko liʻiliʻi, e like me ka hōʻino ʻana o ka maka (retinopathy), ka maʻi puʻupaʻa, a me ka hōʻino ʻana o nā aʻalolo (neuropathy).
Akā, ʻaʻole i maopopo loa iā mākou ka mea e pono ai mākou e hana e pale aku i ka maʻi puʻuwai, ʻo ia ka pilikia me nā kīʻaha koko nui e hoʻopili ana i nā ʻōpū nui e like me ka puʻuwai a me ka lolo. Ua mālama ʻokoʻa mākou i ka maʻi diabetes, ke koko koko, a me ka cholesterol.
Nā lāʻau lapaʻau hou i hoʻololi i nā mea āpau
Akā i kēia manawa ua loli loa kēlā kūlana. Ua hoʻolauna ʻia kekahi mau papa hou o nā lāʻau lapaʻau maʻi diabetes i nā makahiki i hala iho nei, ka mea i hoʻololi i ka mālama ʻana i ka maʻi diabetes a me nā maʻi puʻuwai. ʻElua o nā papa lāʻau koʻikoʻi loa:
- Nā agonists receptor GLP-1
- Nā mea hoʻopaʻa SGLT-2
ʻOiai paha he mea paʻakikī iki kēia mau inoa, he mea kupaianaha ka hana a kēia mau lāʻau. ʻAʻole wale kēia mau lāʻau e kāohi i nā pae kō koko, akā hana pololei lākou e pale i ka puʻuwai a me nā kīʻaha koko.
ʻO ke ʻano kēia, inā ʻoe e lawe i kēia ʻano lāʻau lapaʻau, ke pepehi nei ʻoe i ʻelua manu me ka pōhaku hoʻokahi. E kāohi ʻia kāu maʻi diabetes, a i ka manawa like e hoʻemi nui ʻia kou pilikia o ka maʻi puʻuwai. He nūhou maikaʻi loa kēia no nā poʻe maʻi me ka maʻi diabetes, a no nā kauka e like me mākou e mālama nei iā lākou. Mahalo i kēia mau ʻike hou, hiki iā mākou ke kū i kēia mau ʻenemi weliweli ʻelua i ka manawa like: ka maʻi diabetes a me ka maʻi puʻuwai.
No laila, inā he maʻi diabetes ʻoe, e kamaʻilio e pili ana i kēia mau lāʻau lapaʻau hou i ka manawa aʻe e ʻike ai ʻoe i kāu kauka. E kūkākūkā me kāu kauka i ka hoʻolālā lapaʻau maikaʻi loa iā ʻoe, e kāohi i kāu kō koko, a e pale i kou puʻuwai.
Leka Lawe-Home
- Inā loaʻa iā ʻoe ka maʻi diabetes Type 2, aia ʻoe i kahi pilikia kiʻekiʻe loa no ka maʻi cardiovascular. Ua pili loa nā mea ʻelua.
- ʻAʻole wale ka pilikia mai nā pae kō koko. ʻO ke kaumaha nui, ke koko kiʻekiʻe, a me ka cholesterol kiʻekiʻe e hoʻonui i kēia pilikia.
- No ka mālama ʻana i kou ola, he mea nui e kaohi pono ʻaʻole wale i kou pae kō, akā, i kou koko, ka cholesterol, a me ke kaumaha o ke kino.
- Aia i kēia manawa nā lāʻau lapaʻau hou (e like me nā agonists GLP-1, nā mea hoʻopaʻa SGLT-2) ʻaʻole wale e kaohi i ka maʻi diabetes, akā kōkua pū kekahi i ka pale ʻana i ka puʻuwai.
- E kūkākūkā mau me kāu kauka e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa no kou kūlana olakino. E pale i ka hoʻoholo ʻana ma muli o ke kuhi a i ʻole ka ʻōlelo aʻoaʻo mai haʻi.
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