Ke luhi mau nei ʻoe, make wai? A i ʻole pono ʻoe e mimi pinepine? Manaʻo paha ʻoe he mau mea maʻamau kēia. Eia nō naʻe, hiki i kēia ke lilo i mau hōʻailona o kahi loli nui e hana nei i loko o ko mākou kino, ʻo ia hoʻi ka Type 2 Diabetes. Mai hopohopo, he maʻi maʻamau loa kēia i waena o mākou ma Sri Lanka. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ke aloha i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Type 2 Diabetes?
He kūlana kēia no ke ola holoʻokoʻa, akā inā mālama pono ʻia, ʻaʻohe mea e pale iā ʻoe mai ke ola ʻana i kahi ola maʻamau a olakino hoʻi.
E noʻonoʻo i kēia ʻano, aia kahi hormone i loko o ko mākou kino e kōkua ana i nā ʻāpana e hoʻololi i ke kō (glucose) i loko o ka meaʻai a mākou e ʻai ai i ikehu, a ua kapa ʻia ʻo ia he insulin . Hana ʻia kēia insulin e kahi ʻōkana i kapa ʻia ʻo ko mākou pancreas. I ka maʻi diabetes Type 2, ʻelua mau mea nui e hana ʻia:
1. Ke Kū'ē ʻana o ka Insulin: ʻOiai ke hana nei kou kino i ka insulin, ʻaʻole pane pono kāu mau cell iā ia. Me he mea lā he kī, akā ua paʻa ke kī i loko o kou waha. No laila, ʻaʻole hiki i ke kō i loko o kou koko ke komo i loko o kāu mau cell a hōʻiliʻili i loko o kou koko.
2. ʻAʻole lawa ka hana ʻana i ka insulin: I ka hala ʻana o ka manawa, ʻo kēia kūʻē ʻana i ka insulin ke kumu e hana ikaika ai ka pancreas a hana i ka insulin hou aku. Ma hope o kekahi manawa, lilo ka pancreas i "luhi" a ʻaʻole hiki ke hana i ka insulin lawa.
I ka wā ma mua, ua kapa ʻia kēia ʻo "adult-onset diabetes." Akā i kēia lā, ʻoiai ma muli o ka momona o ka wā kamaliʻi, hiki ke loaʻa kēia ʻano i nā poʻe ʻōpio, ʻoiai nā kamaliʻi ʻōpio.
Loaʻa iā ʻoe kēia mau hōʻailona pū kekahi? E nānā.
He ʻike iki ʻia nā hōʻailona o ka maʻi diabetes Type 2 i kekahi manawa. ʻO ia ke kumu i ʻike ʻole ai kekahi poʻe he maʻi diabetes ko lākou. E makaʻala i kēia mau hōʻailona.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Nui ka wai. | Manaʻo e like me ka nui o ka wai āu e inu ai, ʻaʻole lawa. |
| Mimi pinepine | Pono e mimi pinepine, ʻoi aku hoʻi i ka pō. |
| ʻIke pōwehiwehi | Hiki i nā pae kō koko kiʻekiʻe ke hoʻopilikia i ka lens o ka maka, e hoʻoulu ai i ka ʻike pohihihi no ka manawa pōkole. |
| Ka mae ʻana o nā lālā | Ka maneʻo a i ʻole ke ʻano ʻūlū ma nā lima a me nā wāwae. |
| Luhi pinepine | Ke luhi nei a hiamoe mau nei no ka mea ʻaʻole i loaʻa i nā pūnaewele ka ikehu (kō) a lākou e pono ai. |
| Hoʻopaneʻe ka ho'ōla ʻana o ka ʻeha | ʻOiai he ʻeha liʻiliʻi ka lōʻihi o ka ho'ōla ʻana ma mua o ka maʻamau. |
| Nā maʻi pinepine | ʻOi aku hoʻi nā maʻi hū e hoʻi hou ana. |
| ʻO ka pohō kaumaha me ke kumu ʻole | ʻOe ke emi nei ke kaumaha me ka hoʻāʻo ʻole. Hiki ke hana ʻia kēia no ka mea e puhi ana kāu mau cell i ka momona a me nā ʻiʻo no ka ikehu. |
E akahele loa: Inā he mau ʻāpana ʻeleʻele a palupalu kou (nā ʻōhūhū) ma kou ʻāʻī, nā ʻāʻī lima, a pēlā aku, he hōʻailona paha ia o ke kūʻē ʻana i ka insulin. Ua kapa ʻia kēia maʻi ʻo 'Acanthosis Nigricans'. Inā ʻike ʻoe i kekahi mea e like me kēia, e ʻike koke i kāu kauka .
He aha nā kumu a me nā pilikia no ka maʻi diabetes Type 2?
ʻAʻohe kumu hoʻokahi no kēia. Hoʻokumu ʻia ia e ka hui pū ʻana o nā kumu. Inā loaʻa iā ʻoe kekahi o kēia mau kumu pilikia, ʻoi aku ka nui o kou loaʻa ʻana i ka maʻi diabetes.
Nā mea hiki ʻole iā ʻoe ke hoʻololi
- Makahiki:ʻOi aku ka nui o ka pilikia inā ʻoe ma luna o 45 mau makahiki.
- Moʻolelo ʻohana: Inā loaʻa kou makuahine, makuakāne, kaikunāne, a kaikuahine paha i ka maʻi diabetes, ʻoi aku kou pilikia.
- Nā Genes: Hiki i kekahi mau mana genetic ke hoʻopilikia i ka hana ʻana a me ka hana o ka insulin.
Nā mea hiki iā ʻoe ke hoʻololi (ʻo ia nā mea nui loa!)
- Ke kaumaha nui a momona paha: ʻO ka nui o ke kaumaha o ke kino, ʻo ka nui o kou pilikia o ke kūʻē ʻana i ka insulin.
- ʻAʻohe hoʻoikaika kino: ʻO ka nele o ka hana kino e kōkua i ka maʻi diabetes.
- Ke koko kiʻekiʻe: ʻOiai ke kāohi ʻia me ka lāʻau lapaʻau, he mea pilikia ke koko kiʻekiʻe.
- Nā pae kolesterol: Ua emi nā pae o ka cholesterol "maikaʻi" (HDL) i loko o ke koko a ua piʻi aʻe nā pae o nā triglycerides.
- ʻAi: ʻAi pinepine ʻana i nā meaʻai kiʻekiʻe i ke kō, ka ʻaila, a me ka palaoa.
- Puhi paka.
- Ke kaumaha a me ka hiamoe ʻole.
Nā kūlana olakino ʻē aʻe
- Prediabetes: He kūlana kahi i ʻoi aku ai ke kiʻekiʻe o ke kō koko ma mua o ka maʻamau, akā ʻaʻole i lawa ke kiʻekiʻe e manaʻo ʻia he maʻi diabetes. Ua like kēia me kahi ʻōlelo aʻo hope loa.
- ʻO ka maʻi diabetes gestational: Inā loaʻa iā ʻoe ka maʻi diabetes i ka wā hāpai, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi diabetes Type 2 ma hope.
- ʻO ka Polycystic Ovary Syndrome (PCOS): ʻO kēia kūlana, i maʻamau i waena o nā wahine, pili pū ʻia me ke kūʻē ʻana o ka insulin.
Pehea e ʻike pono ʻia ai ka maʻi diabetes?
Inā loaʻa iā ʻoe nā hōʻailona i luna a i ʻole nā kumu pilikia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a loaʻa kahi hoʻāʻo koko. ʻElua mau lā ka lōʻihi o ka hoʻāʻo ʻana e hōʻoia i ka maʻi.
- Hoʻāʻo A1c: Ana kēia i kou awelika o ke kō koko i nā mahina 2-3 i hala. ʻO kēia ka hoʻāʻo i hoʻohana pinepine ʻia.
- ʻO ka Plasma Glucose Hoʻokē ʻai (FPG): He hoʻāʻo koko kēia i hana ʻia ma hope o ka hoʻokē ʻai ʻana (ʻaʻole e ʻai i kekahi mea no kahi o 8 mau hola, inu wale i ka wai).
- Hoʻāʻo Hoʻomanawanui Glucose Waha (OGTT): Ma kēia hoʻāʻo, lawe mua ʻia ke koko i ka wā e hoʻokē ʻai ai, a laila hāʻawi ʻia kahi mea inu kō, a lawe hou ʻia ke koko i ʻelua hola ma hope e ʻike i ke ʻano o ka pane ʻana o ke kino i ke kō.
Ka Lapaʻau a me ka Hoʻokele: Penei mākou e lanakila ai i kēia!
ʻO ka mālama ʻana i ka maʻi diabetes type 2 he hui pū ʻana o nā loli o ke ʻano o ka nohona a, inā pono, nā lāʻau lapaʻau.
1. Nā loli o ke ʻano o ka nohona (ʻo kēia ke kumu!)
Hiki paha iā ʻoe ke kaohi i kou pae kō koko me ka ʻole o ka lāʻau lapaʻau, ma ka hoʻololi wale ʻana i kou nohona.
- He ʻai olakino:
- E hōʻemi i nā calorie:E kāohi i ka nui o ka meaʻai āu e ʻai ai. E hoʻemi iki i kā mākou kīʻaha laiki a hoʻopiha iā ia me nā mea kanu, nā mea kanu, a me nā huaʻai.
- E hōʻemi i nā mea ʻono a me ka palaoa: E kaupalena i nā mea e like me ke kō, nā mea inu ʻono, nā keke, nā biscuits, a me ka berena i ka hiki.
- Nā meaʻai waiwai i ka fiber: E ʻai i nā huaʻai, nā mea kanu, nā palaoa piha, ka oats, a me nā nati.
- Hoʻomaʻamaʻa kino:
- E hana i kekahi mea e like me ka hele wikiwiki, ke holo paikikala, a i ʻole ka ʻauʻau ʻana no 30 mau minuke i ka lā.
- Eia kekahi, ʻoi aku ka maikaʻi inā hiki iā ʻoe ke hoʻohui i kekahi mau lā o ka pule o nā hoʻoikaika kino e like me ka yoga a me ka hāpai kaumaha.
- Ka emi ʻana o ke kaumaha:
- ʻOiai ʻo ka lilo ʻana o 5% - 7% o kou kaumaha kino hiki ke loaʻa ka hopena maikaʻi nui i nā pae kō koko, ka cholesterol, a me ke koko.
2. Lāʻau lapaʻau
Inā ʻaʻole hiki i nā loli o ke ʻano o ka nohona ke kaohi i kou pae kō koko, e kuhikuhi kāu kauka i ka lāʻau lapaʻau.
He mea nui: Nui nā ʻano lāʻau lapaʻau no ka maʻi diabetes. ʻO kāu kauka wale nō ke hoʻoholo i ka lāʻau lapaʻau maikaʻi loa a i ʻole ka hui pū ʻana o nā lāʻau lapaʻau nāu. E pale i ka hoʻohana ʻana i ka lāʻau lapaʻau a kekahi a i ʻole e hoʻōki i kāu lāʻau lapaʻau ma kāu iho.
ʻO kekahi mau lāʻau lapaʻau i hoʻohana pinepine ʻia:
- Metformin: ʻO kēia ka lāʻau lapaʻau mua i kuhikuhi ʻia. Hoʻemi ia i ka hana ʻana o ke kō e ke akepaʻa a kōkua i ke kino e pane maikaʻi i ka insulin.
- Sulfonylureas: Kōkua kēia i ke kino e hana i ka insulin hou aʻe.
- Nā mea hoʻopaʻa DPP-4, nā mea hoʻopaʻa SGLT2, nā agonists receptor GLP-1: He mau lāʻau hou kēia a kōkua i ka kaohi ʻana i nā pae kō koko ma nā ʻano like ʻole.
- ʻInisulina: I kekahi mau hihia, ke lawa ʻole nā lāʻau lapaʻau ʻē aʻe, pono paha nā inikini insulin. ʻAʻole kēia ka hopena o ka maʻi diabetes, akā he ʻanuʻu ʻē aʻe i kona kaohi ʻana.
E pale aku kākou i nā pilikia i hoʻokumu ʻia e ka maʻi diabetes.
No ke aha mākou e hana nui ai e kāohi i ka maʻi diabetes? No ka mea, hiki i ke kiʻekiʻe o ke kō koko i loko o kahi manawa lōʻihi ke hōʻino i nā ʻōkana koʻikoʻi o ko mākou kino.
- Puʻuwai a me nā kīʻaha koko: Hoʻonui pālua ʻia ka pilikia o ka hōʻeha puʻuwai a me ka hahau ʻana.
- Nā puʻupaʻa: Aia kahi pilikia o ka hōʻino ʻana a me ka hāʻule ʻana o nā puʻupaʻa.
- Nā maka: Hiki ke hōʻino ʻia nā kīʻaha koko i loko o nā maka a hiki ke alakaʻi i ka nalowale o ka ʻike (Diabetic Retinopathy).
- Nā aʻalolo: ʻO ka hōʻino ʻana i nā aʻalolo hiki ke hoʻopau i ka ʻike i nā lālā a me nā pilikia o ka ʻōpū (Diabetic Neuropathy).
- Nā Wāwae: Ma muli o ka emi ʻana o ke kahe koko a me ka hōʻino ʻia o nā aʻalolo, nui ka manawa kūpono ʻaʻole e ho'ōla ʻia nā ʻeha ma nā wāwae a hiki ke lilo i maʻi.
Mai makaʻu i kekahi o kēia. Inā ʻoe e kāohi pono i kāu maʻi diabetes, hiki iā ʻoe ke pale aku i nā pilikia he nui. Eia kekahi mau mea hiki iā ʻoe ke hana:
- Ke lawe ʻana i ka lāʻau lapaʻau i ka manawa kūpono.
- Ka mālama ʻana i kahi papaʻai olakino.
- Hoʻoikaika kino mau.
- E nānā pinepine i kou pae kō koko e like me ke kauoha a kāu kauka.
- E nānā pinepine i kou mau maka, nā puʻupaʻa, a me nā wāwae e like me ka ʻōlelo a kāu kauka.
Leka Lawe-Home
- ʻAʻole he mea e makaʻu ai ka maʻi diabetes ʻano 2, akā he maʻi ia e hiki ke mālama pono ʻia.
- ʻO kou nohona, ʻoiai ka ʻai a me ka hoʻoikaika kino , nā mea kaua nui i kēia kaua.
- Mai hoʻowahāwahā i nā hōʻailona. Inā kānalua, e ʻike koke i kāu kauka.
- E lawe i kāu mau lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa kūpono. Mai hoʻololi a hoʻōki paha i kāu mau lāʻau lapaʻau ma kāu iho.
- Hiki i ka noho ʻana me ka maʻi diabetes ke paʻakikī i kekahi manawa. E noi i ke kōkua inā pono ʻoe, ʻaʻole ʻoe hoʻokahi. Me ka kaohi maikaʻi, hiki iā ʻoe ke ola i kahi ola piha a hauʻoli.
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