I kēia lā, e kamaʻilio ana mākou e pili ana i kahi maʻi i maʻamau loa i ko mākou ʻāina a puni ka honua, a hiki ke koʻikoʻi loa. ʻO ia ka maʻi diabetes. ʻOi aku ka nui, ke kamaʻilio nei mākou e pili ana i ka Type 2 Diabetes. ʻO ka pilikia nui me kēia, ʻaʻole ʻike nā mea a pau i loaʻa i kēia maʻi. Hōʻike nā noiʻi ʻaʻole ʻike kekahi o nā kānaka ʻekolu me ka maʻi diabetes i loaʻa iā lākou kēia maʻi. E noʻonoʻo i ke koʻikoʻi o ia mea. ʻO ke kumu nui o kēia, ʻaʻohe hōʻailona maopopo i nā pae mua. No laila, inā ʻaʻole mākou e kali a ʻike ʻia nā hōʻailona, a inā mākou e nānā a ʻike i kēia i ka wā mua, e loaʻa iā mākou ka manawa kūpono e hoʻopakele iā mākou iho mai nā pilikia nui e kū mai ana i ka wā e hiki mai ana.
Inā ʻaʻole i kāohi ʻia ka maʻi diabetes, hiki i ka hyperglycemia mau loa ke hōʻeha i nā maka, nā puʻupaʻa, nā aʻalolo, ka puʻuwai, a me nā kīʻaha koko i ka wā lōʻihi. Eia kekahi, ʻo ka poʻe me ka maʻi diabetes i ʻike ʻole ʻia e loaʻa ana i ka nui o ka pilikia o ka hahau ʻana, ka maʻi puʻuwai coronary, a me nā maʻi vascular peripheral.
No laila, ʻo wai ka mea e pono e hoʻāʻo ʻia no ka maʻi diabetes?
He pilikia kēia i loaʻa i nā poʻe he nui. E like me ka ʻōlelo a nā hui honua e like me ka American Diabetes Association, he mea nui loa ia no nā mea a pau ma luna o 45 mau makahiki e hoʻāʻo ʻia no ka maʻi diabetes ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia ʻekolu makahiki. He mea nui loa kēia inā he kaumaha nui a momona paha ʻoe.
Eia nō naʻe, inā he nui kāu mau kumu pilikia a mākou e kūkākūkā nei ma lalo nei, ʻoi aku ka maikaʻi o ka hoʻāʻo mua ʻana, a malia paha he pinepine aku (no ka laʻana, i kēlā me kēia makahiki), ma mua o ke kali ʻana a hiki i ka 45 makahiki.
Manaʻo ʻia hoʻi e nānā ʻia nā pākeke me ke koko kiʻekiʻe a i ʻole ka cholesterol kiʻekiʻe no ka maʻi diabetes, no ka mea, pili kēia mau maʻi. ʻO ka ʻike mua ʻana a me ka kaohi ʻana i ka maʻi diabetes hiki ke hōʻemi i ka pilikia o nā maʻi koʻikoʻi e like me ka maʻi puʻuwai.
He aha nā kumu pilikia no ka hoʻomohala ʻana i ka maʻi diabetes?
"Aia wau i ka pilikia?" e noʻonoʻo paha ʻoe. E nānā kākou i nā kumu pilikia nui. Inā pili kekahi a ʻoi aku paha o kēia mau mea iā ʻoe, ʻo ia ka manawa kūpono e noʻonoʻo ai e hoʻāʻo ʻia no ka maʻi diabetes.
| Kumu Hoʻopilikia | I ka ʻōlelo maʻalahi... |
|---|---|
| Moʻolelo ʻohana | Loaʻa i kou makuahine, kou makuakāne, a i ʻole kou mau kaikaina a me kou mau hoahānau ka maʻi diabetes. |
| Piʻi ke kaumaha | ʻO kou Body Mass Index (BMI) he 25 a ʻoi aku paha. (Hiki iā ʻoe ke ʻike i kou BMI ma ke nīnau ʻana i kāu kauka.) |
| Ka nele o ka hoʻoikaika kino | Ke noho nei i kahi nohona noho wale me ka hana ʻole i ke kino. |
| Prediabetes | Ma nā hoʻokolohua ma mua, ua kiʻekiʻe iki aʻe nā pae kō koko hoʻokē ʻai (Impaired Fasting Glucose - IFG) a i ʻole nā pae kō koko ma hope o ka inu ʻana i ke kō (Impaired Glucose Tolerance - IGT) ma mua o ka maʻamau. |
| Ke koko kiʻekiʻe | Loaʻa ke koko kiʻekiʻe ma 140/90 mmHg a ʻoi aku paha. |
| Nā pae kolesterol maʻamau ʻole | ʻO ka cholesterol maikaʻi (HDL) i loko o ke koko he emi ma lalo o 35 mg/dL a/a i ʻole kekahi ʻano momona i kapa ʻia ʻo triglyceride ma mua o 250 mg/dL. |
| ʻO ka maʻi diabetes i ka wā hāpai | Ua loaʻa ka maʻi diabetes gestational i ka wā hāpai, a i ʻole ua hānau ʻia kahi pēpē i ʻoi aku ke kaumaha ma mua o 9 paona (ma kahi o 4 kilogram). |
| Ke kūlana PCOS | Loaʻa i nā wahine kahi maʻi hormonal i kapa ʻia ʻo Polycystic Ovary Syndrome (PCOS). |
He aha nā hoʻokolohua e hoʻohana ʻia e nānā ai i ka maʻi diabetes?
ʻAe, i kēia manawa ua hoʻoholo ʻoe e makemake ʻoe e hoʻāʻo ʻia, ʻo ka mea aʻe e pono ai ʻoe e ʻike, ʻo ia ke ʻano o nā hoʻokolohua e hana ʻia. ʻElua mau hoʻokolohua koko maʻalahi e hoʻohana nui ʻia no ka ʻike ʻana i ka maʻi diabetes.
1. Hoʻāʻo ʻana i ka Plasma Glucose (FPG) Hoʻokē ʻai: ʻO kēia ka hoʻāʻo maʻamau. No kēia, pono ʻoe e hoʻokē ʻai no ka liʻiliʻi he 8 mau hola me ka ʻole o ka ʻai ʻana a me ka inu ʻana i kekahi mea (ua maikaʻi ka wai wale nō) a laila hāʻawi i kahi hāpana koko. Ana kēia i ka nui o ke kō i loko o kou koko i kēlā manawa.
2. Hoʻāʻo Hemoglobin A1C (HbA1c): He hoʻāʻo koko nō hoʻi kēia. Akā, ʻo ka mea kūikawā e pili ana i kēia, ʻaʻole ia e ana wale i kou pae kō koko i hoʻokahi lā, akā, ʻo kou pae kō koko maʻamau i nā mahina ʻelua a ʻekolu i hala . ʻAʻole pono ʻoe e hoʻokē ʻai no kēia hoʻāʻo.
E aʻo aku kāu kauka iā ʻoe i ka hoʻokolohua kūpono loa iā ʻoe a me ka wā e hana ai.
He aha ka mea e hana ai inā he 'Negative' ka hopena o ka hoʻāʻo?
Inā hōʻike mai nā hopena o kāu hoʻāʻo ʻana he maikaʻi ʻole no ka maʻi diabetes, he nūhou maikaʻi kēlā. ʻO ia hoʻi, aia kou pae kō koko i loko o ka pae maʻamau. Akā, ʻaʻole ia wale nō.
He mea nui e hoʻāʻo hou ʻia, e like me ka ʻōlelo a kāu kauka, malia paha i kēlā me kēia ʻekolu makahiki. I kekahi manawa, ʻoiai inā maikaʻi ʻole ka hopena o kāu hoʻāʻo mua, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe inā manaʻo lākou he maʻi diabetes a prediabetes paha kāu ma muli o kāu mau hōʻailona a i ʻole nā kumu pilikia ʻē aʻe.
E hoʻomanaʻo, ʻoiai inā ʻaʻole ʻoe i hoʻāʻo maikaʻi ʻole no ka maʻi diabetes, hiki iā ʻoe ke hana i nā mea he nui e pale aku ai i kona ulu ʻana i ka wā e hiki mai ana.
ʻO nā mea maikaʻi loa no kēia:
- Kaohi kaumaha: Inā ʻoe he momona loa, e hoʻāʻo e hoʻēmi i ke kaumaha.
- ʻAi olakino: E ʻai i ka ʻai haʻahaʻa i ka ʻaila, ke kō, a me ka palaoa, a nui i nā mea kanu a me nā huaʻai.
- Hoʻoikaika kino i kēlā me kēia lā: Hiki ke maʻalahi e like me ka hele wāwae no 30 mau minuke i ka lā.
- Ka kaohi ʻana i ke koko a me ka cholesterol: Inā loaʻa iā ʻoe kēia mau kūlana, e kaohi iā lākou e like me nā kuhikuhi a kāu kauka.
He aha inā he "maikaʻi" ka hopena o ka hoʻāʻo?
E noʻonoʻo ʻoe ua hoʻi mai kāu hopena hoʻāʻo he 'maikaʻi'. ʻO ke ʻano kēia, ʻoi aku ke kiʻekiʻe o ke kō koko ma mua o ka pae i manaʻo ʻia he maʻi diabetes. I ka manawa e like me kēia, mai hopohopo i ka wā mua. ʻAʻole kēia ka hopena o ke ao. ʻO ke ʻano maoli o kēia, ʻo ia ka manawa kūpono iā ʻoe e noʻonoʻo hou e pili ana i kou olakino a mālama iā ia.
Pono paha kāu kauka e holo i kekahi mau hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona 100%. Inā ua hōʻoia ʻia ka hōʻailona, e hāʻawi ʻo ia iā ʻoe i kahi hoʻolālā maopopo e kōkua iā ʻoe e kāohi i kou pae kō koko a pale i nā pilikia koʻikoʻi a mākou i kūkākūkā ai ma mua. Hiki i kēia ke komo pū me nā lāʻau lapaʻau, kahi ʻai kūikawā, ka hoʻoikaika kino i kēlā me kēia lā, a me nā hoʻololi ʻana i ke ʻano o ka nohona . ʻO ka mea nui loa, ʻo ia ka hahai pololei i nā ʻōlelo a kāu kauka a hele i kāu mau manawa i ka manawa kūpono.
Leka Lawe-Home
- He maʻi leo ʻole ka maʻi diabetes ʻano 2 i hōʻike ʻole ʻia nā hōʻailona i nā pae mua. No laila, he mea nui loa ka hoʻāʻo mua ʻana, me ke kali ʻole ʻana i ka ʻike ʻia ʻana o nā hōʻailona.
- Inā ʻoi aku kou mau makahiki ma mua o 45, kaumaha loa, he moʻolelo ʻohana no ka maʻi diabetes, a i ʻole he mau kumu pilikia ʻē aʻe, e ʻike pono i kāu kauka a e hoʻāʻo ʻia no ka maʻi diabetes.
- ʻO ka hoʻāʻo koko Plasma Glucose (FPG) a me HbA1c nā hoʻāʻo koko maʻalahi i hoʻohana pinepine ʻia no kēia kumu.
- Inā loaʻa iā ʻoe ka maʻi diabetes, mai hopohopo. Me ka mālama olakino kūpono, ka ʻai olakino, a me ka hoʻoikaika kino mau, hiki iā ʻoe ke ola i kahi ola olakino a hana. ʻO ka mea nui loa, ʻo ia ka launa pū ʻana me kāu kauka a hahai i kāna ʻōlelo aʻo.
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