I ka wā ma mua, he mea kupanaha ka ʻike ʻia ʻana o kahi keiki me ka maʻi diabetes type 2. Ua manaʻo nā kauka he mau keiki ʻuʻuku wale nō ka maʻi diabetes type 1. Akā i kēia manawa ua ʻokoʻa loa ke kūlana. Me ka ʻai maikaʻi ʻole a me ka nele o ka hoʻoikaika kino, ke lilo nei ka maʻi diabetes type 2 i mea maʻamau i waena o nā keiki ʻuʻuku. Inā haʻi aku kāu kauka iā ʻoe ua loaʻa i kāu keiki kēia maʻi, mai hopohopo. I kēia lā ke kamaʻilio nei mākou e pili ana i ke ʻano e makaʻala ai a mālama pono iā ia.
He aha maoli ka maʻi diabetes Type 2?
Ke noʻonoʻo kākou i ka maʻi diabetes, hiki mai ka huaʻōlelo 'sugar' i ka noʻonoʻo. ʻAe, e nānā kākou pehea e hana ai kēia i loko o ke kino. I ka ʻōlelo maʻalahi, ʻo ka meaʻai a kākou e ʻai ai, ʻoiai nā meaʻai i loaʻa nā carbohydrates (e like me ka laiki a me ka berena), ua hoʻololi ʻia i loko o kahi kō maʻalahi i kapa ʻia ʻo glucose i loko o kā mākou ʻōnaehana hoʻoheheʻe. Ua like kēia glucose me ka wahie e hāʻawi ana i ka ikehu i nā cell o ko kākou kino.
Akā, ʻaʻole hiki i kēia glucose ke hele pololei mai ke koko a i loko o nā pūnaewele. Pono ia i kahi kaʻa. ʻO kēlā kaʻa ka hormone i kapa ʻia ʻo insulin, ka mea i hana ʻia e kā mākou pancreas. ʻO ka insulin ka mea e lawe i ka glucose a hoʻokomo i loko o nā pūnaewele.
Eia ka mea e hana ʻia ana i ka maʻi diabetes type 2: ʻAʻole pane pono nā cell i loko o ke kino o ke keiki i ka insulin. Ua like ia me ke kaʻa e kīkēkē ana i ka puka, akā ʻaʻole e wehe nā cell i ka puka mai loko mai. Kāhea mākou i kēia kūlana ʻo 'insulin resistance' . He aha ka mea e hana ʻia a laila? ʻO nā glucose āpau i hiki ʻole ke komo i loko o kēlā mau cell e hōʻiliʻili i loko o ke koko, a piʻi nui ke kiʻekiʻe o ke kō koko.
ʻO kēia pae kō koko kiʻekiʻe no ka manawa lōʻihi hiki ke alakaʻi i nā pilikia koʻikoʻi e like me ka maʻi puʻuwai, ka nalowale o ka ʻike, a me nā maʻi puʻupaʻa i ka wā e hiki mai ana. No laila, he mea nui loa ka ʻike a me ke kāohi ʻana i kēia i ka wā mua.
ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?
Ua ʻike ʻia nā noiʻi ʻo ka momona ke kumu nui o ka maʻi diabetes type 2 i nā keiki. Eia kekahi, aia kekahi mau kumu pilikia ʻē aʻe.
| Kumu pilikia | Wehewehena |
|---|---|
| Kaumaha loa | ʻO kēia ke kumu nui o ka maʻi diabetes i nā keiki. Kiʻekiʻe loa ka pilikia o ka hōʻiliʻili ʻana o ka momona ma ka ʻōpū. |
| Moʻolelo ʻohana | ʻO ka loaʻa ʻana o kahi makua a kaikaina paha me ka maʻi diabetes he mea pilikia nō hoʻi ia no ke keiki. |
| Ke kū'ē ʻana o ka insulin | Loaʻa paha i kekahi mau keiki kahi kūlana kahi i pane ʻole ai ko lākou mau cell i ka insulin, mai ka hānau ʻana a i ʻole no nā kumu ʻē aʻe. |
| ʻAno nohona hana ʻole | ʻO ka nele i ka hoʻoikaika kino a me ka palena ʻana i ke TV a i ʻole ke kelepona i ka lā a pau e alakaʻi ai i ka piʻi ʻana o ke kaumaha a me ka maʻi diabetes. |
| Nā ʻano ʻai maikaʻi ʻole | ʻO ka ʻai pinepine ʻana i ka meaʻai wikiwiki a me nā mea inu ʻono i kiʻekiʻe i ke kō a me ka momona. |
He aha nā hōʻailona o kēia?
I nā pae mua, ʻaʻohe paha he mau hōʻailona. Eia nō naʻe, i ka hala ʻana o ka manawa, hiki i kāu keiki ke hōʻike i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei. E makaʻala loa i kēia mau mea.
- Pohō kaumaha me ke kumu ʻole: Pohō kaumaha ʻoiai ʻaʻai maikaʻi.
- Pololi mau a me ka makewai: Pololi koke ʻoe, a makewai ʻoe ma hope o ka ʻai ʻana a inu ʻana paha.
- Waha maloʻo: Manaʻo e maloʻo mau ana kou waha.
- Ka mimi pinepine ʻana: Pono e mimi pinepine ma mua o ka maʻamau.
- Luhi mau: Luhi koke ʻoe, ʻoiai ma hope o ka hana ʻana i kahi hana liʻiliʻi, a hiamoe ʻoe.
- ʻIke pōwehiwehi: Lilo iki ka ʻike ma nā maka ʻelua i mea pōwehiwehi.
- Ka lohi o ka ho'ōla ʻana o ka ʻeha: ʻOiai he ʻeha liʻiliʻi, lōʻihi ka manawa e ho'ōla ai.
- ʻIli maneʻo: ʻIli maneʻo, ʻoi aku hoʻi ma nā wahi e like me ka ʻūhā a me nā armpits.
- ʻĀʻī: He ʻūlū a ʻāʻī paha i nā lima a i ʻole nā wāwae.
Inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona, e ʻike koke aku i ke kauka .
Pehea e mālama ʻia ai?
ʻO ka hana mua, ʻo ia ke lawe i kāu keiki i ke kauka. E hoʻoholo ke kauka inā momona kāu keiki ma muli o ko lākou kiʻekiʻe, kaumaha, a me ko lākou mau makahiki. A laila e hana lākou i kahi hoʻāʻo kō koko. E kōkua kēia i ka hoʻoholo ʻana inā he maʻi diabetes a prediabetes paha ko lākou.
- Nā Hoʻololi ʻana i ke ʻano o ka nohona: ʻO kēia ka lāʻau lapaʻau koʻikoʻi a mua loa. He mea nui ka ʻai olakino a me ka hoʻoikaika kino i kēlā me kēia lā .
- Lāʻau lapaʻau: Inā ʻaʻole lawa nā loli o ke ʻano o ka nohona e kāohi i kou pae kō koko, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau. ʻO ka lāʻau lapaʻau maʻamau i hāʻawi ʻia i nā keiki ʻo ia ka metformin . I kekahi mau hihia, pono paha nā inikini insulin.
- Nā nānā mau ʻana: Pono e nānā mau ʻia ke kō koko o kāu keiki. Pono nō hoʻi ʻoe e hana i kahi hoʻāʻo hemoglobin A1c i kēlā me kēia 3 mahina. E hāʻawi kēia iā ʻoe i kahi manaʻo o ka awelika o ke kō koko o kāu keiki i nā mahina 2-3 i hala.
Pehea e nānā ai i ke kiʻekiʻe o ke kō o kāu keiki ma ka home?
E aʻo aku ke kauka iā ʻoe a me kāu keiki pehea e nānā ai i ko lākou kō koko me ka hoʻohana ʻana i ka glucometer, kahi e hoʻohana ai i kahi kulu koko mai kou manamana lima. Inā lawe kāu keiki i ka insulin, e noi ʻia lākou e nānā i ko lākou kō koko ʻekolu a ʻoi aku paha i ka lā. Hiki ke noi ʻia nā keiki ʻē aʻe e nānā pinepine ʻole, ʻoi aku hoʻi ma hope o ka ʻai ʻana.
Ka mea hiki iā ʻoe ke hana ma ke ʻano he makua
He mea nui loa kāu kuleana ma kēia huakaʻi.
- E hōʻuluʻulu i ka ʻohana holoʻokoʻa: Mai hoʻolilo i kēia i hoʻopaʻi no ke keiki wale nō. E hoʻomaka e ʻai i nā meaʻai olakino a hoʻoikaika kino pū ma ke ʻano he ʻohana. A laila ʻaʻole e mehameha ke keiki.
- E hoʻolālā i kāu mau meaʻai: E ʻai i 3 mau meaʻai nui a me 2 mau meaʻai māmā i nā manawa maʻamau i ka lā. E hoʻomanaʻo i ka nui o kāu pā. E hoʻāʻo e mālama i ka nui o nā kalapona, e like me ka laiki a me ka berena, i ka manawa like i kēlā me kēia lā.
- Pahu ʻaina awakea kula: E hoʻomākaukau i ka pahu ʻaina awakea a kāu keiki iā ʻoe iho. E hoʻololi i nā meaʻai kiʻekiʻe i ka palaoa, ke kō, a me ka ʻaila me nā meaʻai i hana ʻia mai nā mea kanu, nā huaʻai, nā nati, a me ka laiki.
- E hoʻomākaukau no kahi pilikia: E hoʻomākaukau i kahi pahu liʻiliʻi me nā mea āu e pono ai e hāʻawi i kāu keiki inā e hāʻule ke kō koko (hypoglycemia) (nā papa glucose, kahi ʻeke kō, kahi biscuit) a hāʻawi i hoʻokahi i ke keiki a hoʻokahi i ke kumu kula a i ʻole ke kahu maʻi.
- Paipai i ka hoʻoikaika kino: E pāʻani no hoʻokahi hola i ka lā, e hāʻawi i kāu keiki i nā manawa kūpono e holo a lele. E hōʻemi i ka manawa kelepona/TV ʻaʻole iʻoi aku ma mua o 2 mau hola i ka lā.
E hoʻokomo pū i kāu keiki i kēia hana.
He mea nui loa ia e hoʻomaopopo he maʻi kēia no lākou a e aʻo iā lākou pehea e mālama ai. E nānā kākou i kekahi o nā mea hiki i nā keiki ke hana, ma muli o ko lākou mau makahiki.
| Pūʻulu makahiki | Nā mea hiki i ke keiki ke hana |
|---|---|
| 3-7 mau makahiki | - E koho i ka manamana lima e hāʻawi i ke koko e nānā i ke kō. - Ke koho ʻana i kahi e hoʻokomo ai i ka insulin. |
| 8-11 makahiki | - Ke hoʻomaʻamaʻa nei i ka hoʻokomo ʻana i ka insulin iā ʻoe iho ʻoiai ʻoe e kali ana. - Ke aʻo ʻana i nā kānaka e hoʻomaopopo i nā hōʻailona o ke kō koko haʻahaʻa a pehea e mālama ai. - Ke hāʻawi nei i ka ʻike maʻalahi e pili ana i nā kalapona i nā meaʻai a me ke kōkua ʻana i nā kānaka e koho i nā meaʻai maikaʻi. |
| 12+ makahiki (ʻōpio) | - E hoʻomaʻamaʻa i ka nānā ʻana i kou pae kō koko a me ka lawe ʻana i ka insulin ma kāu iho. - Ke aʻo ʻana e helu i nā kalapona i loko o nā meaʻai. - E hoʻomaʻamaʻa i ke kau ʻana i kahi hoʻomanaʻo ma kāu kelepona i ka wā e lawe ai i kāu lāʻau lapaʻau a nānā i kou kō koko. |
Ka nānā kūikawā ʻana i nā kamaliʻi liʻiliʻi
I kou wā ʻelemakule, hiki i nā loli hormonal ke hoʻolilo i mea paʻakikī ke kāohi i kou pae kō koko. Eia kekahi, ʻo ke kaomi a nā hoa a me nā hopohopo e pili ana i kou helehelena hiki ke hoʻokaumaha i kāu keiki. Inā ʻike ʻoe i nā loli i ke ʻano o kāu keiki, ke kaumaha , a i ʻole ka hopohopo , mai kānalua e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- I kēia manawa, he mea maʻamau i kahi keiki ke loaʻa i ka maʻi diabetes type 2. No laila, mai hopohopo, a e hoʻomaopopo pono ʻia e pili ana i ia mea.
- E ʻike koke i ke kauka ke ʻike ʻoe i nā hōʻailona. ʻO ka wikiwiki o kou ʻike ʻana, ʻo ka maʻalahi hoʻi ka kaohi ʻana.
- ʻO nā ʻāpana nui ʻelua o ka mālama ʻana, ʻo ia ka ʻai olakino a me ka hoʻoikaika kino i kēlā me kēia lā . He mea maikaʻi kēia ʻaʻole wale no ke keiki, akā no ka ʻohana holoʻokoʻa.
- E hoʻokomo i ke keiki i ka mālama ʻana i kēia mau maʻi. Hoʻokumu ia i ka hilinaʻi iā ia iho o ke keiki.
- ʻAʻole pono ʻoe e hele wale ma kēia huakaʻi. E hōʻoia e noi i ke kākoʻo o kāu kauka, ka meaʻai meaʻai, a me ka ʻohana.
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