He maʻi maʻamau ka maʻi diabetes e kamaʻilio nui ʻia nei e nā poʻe he nui o ko kākou kaiāulu i kēia lā, a makaʻu iki kekahi iā ia. Ua lohe paha ʻoe i kēia e kamaʻilio nui ʻia ana ma ka home, ma waena o nā hoahānau, a me nā hoaaloha. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano maʻi diabetes maʻamau, ʻo ia hoʻi ka 'Type 2 Diabetes'. Inā mālama pono ʻia kēia, ʻaʻole ia he mea e makaʻu ai, e hoʻomanaʻo mua i kēlā.
I ka ʻōlelo maʻalahi, he aha ka maʻi diabetes type 2?
ʻAe, e hoʻomaopopo maʻalahi kākou i kēia. Hoʻohui ka meaʻai a kākou e ʻai ai i ke kōpaʻa (ka mea a kākou e kapa nei he "Glucose") i ko kākou koko. ʻO kēia kōpaʻa ka mea e hāʻawi ai i ka ikehu i ko kākou kino. Akā, pono kākou i kekahi e hoʻouna i kēia kōpaʻa i loko o nā pūnaewele o ko kākou kino. Hana ʻia kēlā hana e kahi hormone i kapa ʻia ʻo "Insulin", i hana ʻia e kahi ʻōkana i kapa ʻia ʻo ko kākou pancreas. E noʻonoʻo i ka insulin ma ke ʻano he kī e wehe ai i nā puka o ko kākou mau pūnaewele.
ʻO kekahi o nā pilikia ʻelua e kū mai ana i ka maʻi diabetes type 2.
1. Ke Kū'ē ʻana o ka Insulin: I kekahi manawa, ʻaʻole pane pono nā cell o ko mākou kino i kēlā kī (insulin). Ua like ia me ka puka kī i loko o ka puka i popopo. A laila, ʻoiai aia ka insulin, ʻaʻole e wehe nā puka i nā cell.
2. Ka nele o ka insulin: I ka hala ʻana o ka manawa, hana ikaika kā mākou pancreas e hana i ka insulin e lanakila ai i kēia kū'ē. Akā ma hope o kekahi manawa, luhi loa ia a ʻaʻole hiki ke hana i ka insulin lawa.
No kēia mau kumu ʻelua, ʻaʻole hiki i ke kō i loko o ke koko ke komo i loko o nā ʻāpana a hōʻiliʻili i loko o ke koko. ʻO ia ke kumu e kapa ai mākou i nā pae kō koko kiʻekiʻe ʻo `(Hyperglycemia) .` ʻO ka pae kō koko o ke kanaka olakino maʻamau ma waena o 70-99 mg/dL. Eia nō naʻe, i loko o ke kanaka me ka maʻi diabetes, hiki i kēia waiwai ke 126 mg/dL a ʻoi aku paha.
He aha nā hōʻailona o kēia maʻi? E nānā inā loaʻa iā ʻoe kēia mau mea pū kekahi
ʻO kekahi o nā mea kūikawā e pili ana i ka maʻi diabetes type 2, ʻo ia ka lohi pinepine o ka ʻike ʻia ʻana o kona mau hōʻailona. No laila, ʻaʻole paha e ʻike kekahi poʻe he maʻi diabetes ko lākou no nā makahiki. Akā, pono ʻoe e makaʻala i nā hōʻailona ma lalo nei.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Makewai pinepine | ʻO ke kō koko kiʻekiʻe ke kumu o ka hana ikaika ʻana o nā puʻupaʻa. Hoʻopaʻa kēia i ka wai a makemake ʻoe e inu i ka wai hou aku. |
| Mimi pinepine | Pono ʻoe e mimi pinepine no ka mea inu nui ʻoe i ka wai a ke hoʻāʻo nei kou mau puʻupaʻa e hoʻopau i ke kō keu i loko o kou kino. |
| Manaʻo pōloli ma mua o ka maʻamau | No ka mea, ʻaʻole komo ke kō i loko o nā ʻāpana huna, ʻaʻole loaʻa i ke kino ka ikehu e pono ai. No laila, hoʻouna mau ia i nā hōʻailona i ka lolo e ʻōlelo ana "Ua pōloli au." |
| Manaʻo luhi i nā manawa a pau | Ua manaʻo ke kino ua make a luhi hoʻi no ka mea ʻaʻole hiki i nā ʻāpana ke loaʻa ke kō e hoʻopuka ai i ka ikehu. |
| Hoʻopaneʻe ka ho'ōla ʻana o ka ʻeha | Hoʻopilikia ke kiʻekiʻe o ke kō koko i ke kahe koko a hōʻino i nā aʻalolo, hiki ke hoʻolohi i ka ho'ōla ʻana o nā ʻeha. |
| ʻO ka mae a i ʻole ke kani ʻana o nā lālā | Hiki i ke kiʻekiʻe o ke kō koko ke hōʻino i nā aʻalolo. Kāhea mākou i kēia he "Neuropathy". |
| ʻIke pōwehiwehi | Hiki i nā loli i nā pae kō koko ke hoʻopilikia i ka lens o ka maka, e hoʻoulu ai i ka ʻike pohihihi no ka manawa pōkole. |
| ʻO ka pohō kaumaha me ke kumu ʻole | Ke hiki ʻole i nā pūnaewele ke loaʻa ke kō no ka ikehu, hoʻomaka ke kino e wāwahi i nā ʻiʻo a me ka momona no ka ikehu. |
No nā wāhine, ʻo nā maʻi hū pinepine o ka ʻōpū a i ʻole nā maʻi ʻōpū mimi (UTI) hiki ke lilo i hōʻailona o ka maʻi diabetes. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, he mea nui e ʻike koke i kāu kauka no ka ʻōlelo aʻo.
No ke aha mākou e loaʻa ai i ka maʻi diabetes type 2? He aha nā kumu pilikia?
ʻAʻohe kumu hoʻokahi no ka maʻi diabetes. He hui pū ʻana ia o nā kumu he nui.
ʻO ka mea nui, ʻaʻole ka maʻi diabetes he maʻi na ʻoe ia hewa. He hopena ia o kahi kaʻina hana olaola paʻakikī.
ʻO ke kumu nui ka "Ke Kū'ē ʻana o ka Insulin" a mākou i kamaʻilio ai ma mua. ʻO nā kumu nui e hoʻopilikia nei iā ia penei:
- ʻIke Hoʻoilina: Inā loaʻa i kou makuahine, kou makuakāne, a i ʻole kou mau kaikaina ka maʻi diabetes, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o ia maʻi. Eia kekahi laʻana, inā loaʻa i kekahi o kou mau mākua ka maʻi diabetes, he 40% kou manawa e loaʻa ai ia maʻi. Inā loaʻa i nā mākua ʻelua, e piʻi ana kēlā helu i 70%. Akā, ʻaʻole ia he manaʻo e loaʻa maoli nō iā ʻoe ia maʻi. ʻO ia hoʻi, pono ʻoe e akahele iki.
- Ke kaumaha nui a me ka momona nui: ʻO ka momona visceral, ʻoiai ka momona e hōʻiliʻili ana ma ka ʻōpū a puni nā ʻōpū o loko, he kumu nui ia o ke kū'ē ʻana o ka insulin.
- ʻAʻohe hoʻoikaika kino: Hoʻonui pū ke kūʻē ʻana o ka insulin i ka wā e emi ai ka hana kino.
- ʻAi pono ʻole: ʻO ka ʻai pinepine ʻana i nā meaʻai i hana nui ʻia, kiʻekiʻe i nā kalapona, a kiʻekiʻe i nā momona saturated he mea pilikia nō hoʻi ia.
- Makahiki: Piʻi ka pilikia ma hope o 45 mau makahiki.
- Nā kūlana olakino ʻē aʻe: ʻO ka poʻe me nā kūlana e like me ke koko kiʻekiʻe, nā pae cholesterol kiʻekiʻe, ka maʻi diabetes gestational, a me ka polycystic ovarian syndrome (PCOS) ua piʻi aʻe ka pilikia.
He aha nā pilikia e hiki ke loaʻa inā ʻaʻole kaohi ʻia ka maʻi diabetes?
ʻO kēia kahi e pono ai kākou a pau e kālele nui. ʻOiai inā ʻike kākou he maʻi diabetes ko kākou, inā ʻaʻole ia e kāohi pono ʻia, i ka hala ʻana o ka manawa hiki ke hōʻino i nā ʻōkana koʻikoʻi o ko kākou kino.
| Hoʻopilikia ʻia ka ʻōnaehana kino | Nā pilikia hiki ke loaʻa |
|---|---|
| Puʻuwai a me nā kīʻaha koko | Maʻi puʻuwai, hahau ʻana, koko kiʻekiʻe. |
| Nā maka | Hiki ke loaʻa ka Retinopathy, cataracts, glaucoma, a ma hope ka makapō. |
| nā puʻupaʻa | Hiki ke hōʻino ʻia nā puʻupaʻa a hiki i ka hāʻule ʻana. |
| ʻŌnaehana nerve | ʻO ka mae, ka wela, ka ʻeha ma nā lālā. I kekahi manawa, ʻoiai kahi ʻeha ma nā wāwae hiki ke ʻike ʻole ʻia. |
| Nā wāwae | ʻO nā ʻeha i hana ʻia me ka manaʻo ʻole ʻia hiki ke mālama ʻole ʻia, lilo i maʻi, a ma hope e alakaʻi ai i ka pono e wehe i kahi ʻāpana o ka wāwae. |
Eia kekahi, ʻo kahi kūlana weliweli e hiki koke mai ana ua kapa ʻia ʻo `(Hyperosmolar Hyperglycemic State - HHS). I loko o kēia, ua kiʻekiʻe loa ke kiʻekiʻe o ke kō koko no kekahi mau lā, ua maloʻo loa ke kino, a ua hōʻino ʻia ka ʻike. He pilikia weliweli loa kēia a hoʻoweliweli i ke ola. Inā loaʻa kēlā mau hōʻailona, pono e lawe koke ʻia ʻoe i ka Emergency Treatment Unit (ETU) o ka haukapila.
Pehea e ʻike pololei ai ke kauka i kēia maʻi?
Inā kānalua ʻoe he maʻi diabetes kou, e hana kāu kauka i kekahi mau hoʻāʻo koko maʻalahi e hōʻoia i ia.
- Hoʻāʻo Glucose Plasma Hoʻokē ʻai: Hana ʻia kēia i ke kakahiaka ma hope o kou ʻai ʻole ʻana a inu ʻole ʻana paha i kekahi mea no kahi o 8 mau hola. Inā he 126 mg/dL a ʻoi aku paha kou pae kō koko, he maʻi diabetes paha ia.
- Hoʻāʻo Glucose Plasma Random: Hiki ke hana ʻia kēia i kēlā me kēia manawa o ka lā. Inā he 200 mg/dL a ʻoi aku paha kou pae kō, he hōʻailona nō hoʻi ia o ka maʻi diabetes.
- Hoʻāʻo A1C: Ana kēia i kou awelika kō koko i nā mahina 2-3 i hala. Inā he 6.5% a ʻoi aku paha kēia waiwai, hōʻoia ia i ka maʻi diabetes.
ʻO kēia mau hoʻokolohua wale nō ke ala e ʻike ai inā he maʻi diabetes kou a ʻaʻole paha.
Pehea e mālama ai i ka maʻi diabetes?
ʻAe, i kēia manawa ua hiki mākou i ka ʻāpana koʻikoʻi loa. ʻO ka maʻi diabetes kahi maʻi, ʻoiai ʻaʻole hiki ke ho'ōla ʻia, hiki ke hoʻomalu maikaʻi ʻia a hiki ke mālama ʻia e alakaʻi i kahi ola olakino me ka ʻole o nā pilikia . Ua like ia me kahi haʻuki hui. Pono ʻoe, kāu kauka, kahi meaʻai meaʻai, a me kou ʻohana e hana pū e hana i kēia.
ʻEkolu mau mea nui:
1. Nā loli o ke ʻano o ka nohona (ʻai a me ka hoʻoikaika kino)
2. Nā lāʻau lapaʻau (nā lāʻau lapaʻau)
3. Ke nānā ʻana i nā pae kō ma ka home
1. Nā loli o ke ʻano o ka nohona
ʻO kēia ke kumu o ka lāʻau lapaʻau. He paʻakikī ke kāohi i kēia me ka lāʻau lapaʻau wale nō.
- ʻAi: Mai makaʻu e ʻōlelo i ka "ʻai," ʻaʻole kēia manaʻo he ʻai wale i ka meaʻai palalulu. E kamaʻilio me kāu kauka a i ʻole kekahi meaʻai meaʻai e hana i kahi ʻai kaulike e kūpono iā ʻoe. Ma keʻano laulā, ʻoi aku ka maikaʻi o ka hoʻokomo ʻana i nā mea kanu ʻaʻole starchy, nā meaʻai fiber kiʻekiʻe, nā protein lean (iʻa, moa), a me nā momona maikaʻi (avocado, nati) i kāu ʻai.
- Hoʻoikaika Kino: ʻOiai kahi hoʻoikaika kino maʻalahi e like me ka hele wikiwiki no 30 mau minuke i ka lā, 5 mau lā o ka pule, hiki ke hana i nā mea kupanaha no ka kaohi ʻana i kou pae kō koko. Ke hoʻoikaika kino mākou, ʻoi aku ka maʻalahi o ko mākou mau cell i ka insulin.
2. Nā lāʻau lapaʻau (nā lāʻau lapaʻau)
He mea paʻakikī i kekahi poʻe ke kāohi i ko lākou pae kō koko ma hope o ka hoʻololi ʻana i ke ʻano o ka nohona. ʻO ia ka manawa e kuhikuhi ai ke kauka i ka lāʻau lapaʻau.
- Nā Lāʻau Waha: ʻO nā lāʻau lapaʻau i kuhikuhi pinepine ʻia, e like me Metformin, hana e hōʻemi i ke kūʻē ʻana o ka insulin i loko o ke kino a kaohi i ka hana kō e ke akepaʻa.
- Nā inikini insulin: Ke emi nui nei ka hana ʻana o ka insulin a kekahi poʻe i ka hala ʻana o ka manawa. A laila pono lākou e lawe i ka insulin ma waho ma ke ʻano o nā inikini. ʻO ka hoʻomaka ʻana i ka insulin ʻaʻole ia he manaʻo ua koʻikoʻi kou kūlana. He ala kūpono loa ia e kāohi ai i ke kō.
3. Ke nānā ʻana i nā pae kō ma ka home
He mea nui loa ka hoʻāʻo ʻana i kou pae kō koko ma ka home me ka hoʻohana ʻana i ka glucometer, e like me ka ʻōlelo a kāu kauka. E kōkua kēia iā ʻoe e hoʻomaopopo pehea e pili ai nā meaʻai āu e ʻai ai, ka hoʻoikaika kino āu e hana ai, a me nā lāʻau lapaʻau āu e lawe ai i kou pae kō koko.
Hiki ke ho'ōla loa ʻia ka maʻi diabetes?
He nīnau kēia a ka poʻe he nui e nīnau ai. ʻO ka pane pōkole, "ʻaʻole." He maʻi mau ka maʻi diabetes ʻano 2. ʻO ia hoʻi, he mea ia e noho pū me mākou i ko mākou ola a pau.
Akā ʻoiai ʻaʻole hiki ke ho'ōla ʻia, hiki ke hoʻihoʻi ʻia i loko o ka "remission," ʻo ia hoʻi, ʻaʻohe hōʻailona a aia kou pae kō koko i loko o nā palena maʻamau me ka ʻole o ka lāʻau lapaʻau. Hiki i kekahi poʻe ke hana i kēia, ʻoiai ma o ka hōʻemi kaumaha a me nā loli koʻikoʻi o ke ʻano o ka nohona. Akā, ʻaʻole no nā mea āpau. Eia kekahi, inā ʻoe e hoʻi i kāu mau hana kahiko, hiki ke piʻi hou kou pae kō koko.
No laila, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke aʻo e noho me ia, ma mua o ka hoʻāʻo ʻana e hoʻōla iā ia.
Leka Lawe-Home
- ʻO ka maʻi diabetes ʻano 2 ka wā hiki ʻole i kou kino ke hoʻohana pono i ka insulin. ʻAʻole ia he mea e makaʻu ai, he mea ia e hiki ke mālama pono ʻia.
- ʻO nā hōʻailona e like me ka makewai pinepine, ka mimi pinepine, a me ka luhi e ʻike mālie ʻia. No laila e makaʻala i kou kino.
- He hana hui ka hoʻokele ʻana. Pono ʻoe, kāu kauka, a me kou ʻohana e hana pū.
- ʻO ka ʻai maikaʻi a me ka hoʻoikaika kino mau ke kumu o ka lāʻau lapaʻau. He kākoʻo hou ka lāʻau lapaʻau.
- Ma ka ʻike ʻana i kāu kauka i ka manawa kūpono a me ka nānā ʻana i kou mau maka, nā puʻupaʻa, a me nā wāwae, hiki iā ʻoe ke pale i nā pilikia koʻikoʻi.
- He huakaʻi no ke ola holoʻokoʻa kēia, akā me ka hoʻokele pono ʻana, ʻaʻohe mea e kāohi iā ʻoe mai ke ola ʻana i kahi ola piha, olakino, a hauʻoli hoʻi.
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