Ua haʻi aku kāu kauka iā ʻoe he maʻi diabetes ʻano 2 kou? Inā pēlā, ʻo ka mālama ʻana i kou kaumaha, ʻo ia hoʻi, ka mālama ʻana i ke kaumaha olakino, ʻo ia kekahi o nā mea maikaʻi loa hiki iā ʻoe ke hana e hakakā ai i kēia maʻi. ʻOiai inā e emi iki kou kaumaha, hiki nō iā ʻoe ke hoʻopakele iā ʻoe iho mai nā pilikia weliweli e hiki ai i ka maʻi diabetes ke hana i ka wā e hiki mai ana. Inā he kanaka ʻoe e hoʻohana ana i nā inikini insulin no ka maʻi diabetes, ʻo ka emi iki ʻana o ke kaumaha e hoʻomaikaʻi pū i ka hana o kēlā insulin. Hiki paha iā ʻoe ke hōʻemi i ka nui o ka insulin āu e pono ai e lawe.
He aha ka pilina ma waena o ka maʻi diabetes a me ke kaumaha o ke kino?
Aia maoli nō kahi pilina ikaika a pololei ma waena o nā mea ʻelua. Ua ʻike ʻia nā noiʻi he nui ka poʻe me ka maʻi diabetes type 2 i kaumaha a momona paha. I ka ʻōlelo maʻalahi, inā ʻo kāu Body Mass Index (BMI) ma waena o 25 a me 30, ua kaumaha ʻoe. Inā ʻoi aku ma mua o 30, ua momona ʻoe.
Ua kālailai ʻia kekahi mau noiʻi i mālama ʻia ma ʻAmelika Hui Pū ʻIa a me ʻEulopa a ua ʻike ʻia, i ka hoʻohālikelike ʻia me ka poʻe o ke kaumaha olakino, ʻehiku manawa ka nui o ka loaʻa ʻana o ka maʻi diabetes type 2 i nā kāne momona , a he ʻumikūmālua manawa ka nui o ka loaʻa ʻana o nā wahine momona . ʻAʻole kēia he mau helu liʻiliʻi, ʻeā?
ʻO kahi mea e hoʻomanaʻo ai, inā ʻoe e lilo i ke kaumaha, he mea nui loa hoʻi e mālama i kēlā kaumaha. ʻO ka ʻai Yo-yo, ʻo ia hoʻi ka pohō ʻana i ke kaumaha a laila hoʻihoʻi iā ia, hoʻonui maoli i kou pilikia o ka loaʻa ʻana o ka maʻi diabetes.
He ʻoiaʻiʻo ʻaʻole ke kaumaha wale nō ke kumu e kōkua ai i ka maʻi diabetes. Aia kekahi mau kumu ʻē aʻe.
- kou mau makahiki
- Kou lāhui a i ʻole kou ʻano lāhui
- Loaʻa ka maʻi diabetes i loko o ka ʻohana (heredity)
- Pehea kou ʻeleu
- Kou mau pae kaumaha
Akā, ma waho o kēia mau mea a pau, ʻo ke kumu nui a koʻikoʻi loa e hiki iā kākou ke kaohi, ʻo ia ke kaumaha o ko kākou kino.
Pehea ka hopena o kou kaumaha i kou pae kō koko?
I mea e maopopo ai kēia, pono mua kākou e hoʻomaopopo i ka hana a ka hormone insulin i loko o ko kākou kino. E noʻonoʻo iā ia e like me ke kī e wehe ai i nā puka i nā ʻāpana o ko kākou kino a kōkua iā lākou e lawe i ke kumu ikehu glucose i loko o ke koko.
Ke momona kākou, ʻoiai ke hōʻiliʻili kākou i ka momona a puni ko kākou ʻōpū, ʻaʻole pane pono nā hunaola o ko kākou kino i kēia kī i kapa ʻia ʻo ka insulin. ʻO kēia ka mea a kākou e kapa nei he kūʻē ʻana i ka insulin . Me he mea lā aia ke kī ma laila, akā ua paʻa ka laka ma ka puka. A laila, no ka mea, ʻaʻole hiki i nā hunaola ke lawe i ke kō, hōʻiliʻili nā kō a pau i loko o ke koko.
Ke noho kiʻekiʻe nā pae kō koko, hoʻomaka kā mākou pancreas e hana i ka insulin hou aʻe e kāohi iā ia. Ua like ia me ka paʻi ikaika ʻana e wehe i kahi puka paʻa. I ka hala ʻana o ka manawa, lilo ka pancreas i nāwaliwali mai ka hoʻohana mau ʻana a ʻaʻole hiki ke hana i ka insulin lawa. ʻO ia ka manawa e kū mai ai ka maʻi diabetes type 2.
No ke aha he mea weliweli ka momona o ka ʻōpū?
ʻOi aku ka weliweli o ka momona visceral , i ʻike ʻia ma ke ʻano lapaʻau he momona ʻōpū, ma mua o ka momona i mālama ʻia ma nā wahi ʻē aʻe o ko kākou kino. ʻO kēia no ka mea ua hoʻokuʻu kēia mau hunaola momona i nā kemika hou aʻe e hoʻoulu ai i ka mumū i loko o ke kino. ʻO kēia mumū ke kumu o nā pilikia koʻikoʻi loa o ka maʻi diabetes:
- Maʻi puʻuwai
- Ka hāʻule ʻana o ka puʻupaʻa
- Ka pōʻino o ka maka
- Ka pōʻino o ke aʻalolo
- Nā pilikia o nā niho a me nā ʻāʻī
Hana ʻia nā mea e like me ia. No laila, he mea nui loa ia e makaʻala i ka nui o kou pūhaka. Inā ʻoi aku kou pūhaka ma mua o 35 ʻīniha no ka wahine , a ʻoi aku ma mua o 40 ʻīniha no ke kāne , kiʻekiʻe loa kou pilikia o kēia mau pilikia.
| Manaʻo | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻInisulina | ʻO ke kō i loko o ke koko ke kī e kōkua iā ia e komo i loko o nā pūnaewele no ka ikehu. |
| Ke kū'ē ʻana o ka insulin | Ma muli o ke kaumaha nui, ʻaʻole pane nā pūnaewele i kēia kī. ʻO ka hopena, hōʻiliʻili ke kō i loko o ke koko. |
| Momona Visceral | ʻO ka momona weliweli e hōʻiliʻili a puni ka ʻōpū e hoʻonui i ka mumū i loko o ke kino a hoʻoulu i nā pilikia. |
He aha ka mea e hana ʻia i kāu lāʻau lapaʻau no ka maʻi diabetes ke emi kou kaumaha?
ʻO kēia ka nūhou maikaʻi loa āu e lohe ai. Hiki i ka hōʻemi kaumaha ke hoʻololi koke a maikaʻi i kāu hoʻolālā mālama maʻi diabetes a me ke olakino i ka wā e hiki mai ana.
ʻO ka lilo wale ʻana o 5% o kou kaumaha kino hiki ke hōʻemi nui i kou kū'ē ʻana i ka insulin. ʻO ka hopena, hiki paha iā ʻoe ke hōʻemi i ka nui o nā lāʻau lapaʻau maʻi diabetes āu e lawe ai, a i ʻole e hoʻōki loa i ka lawe ʻana. Inā ʻoe e lawe ana ma mua o hoʻokahi ʻano lāʻau lapaʻau maʻi diabetes, hiki paha iā ʻoe ke hōʻemi i ka nui o nā lāʻau lapaʻau āu e lawe ai.
Hiki ke ʻike maopopo ʻia nā hopena o kēia ma kāu hōʻike hoʻāʻo A1c. ʻO A1c kahi waiwai awelika e hōʻike ana i ka maikaʻi o ka kaohi ʻana o kāu kō koko i nā mahina 2-3 i hala.
Ua ʻike ʻia kekahi noiʻi liʻiliʻi,
- ʻO ka poʻe i nalowale ma kahi o 5% o ko lākou kaumaha kino ua ʻike lākou i ka emi ʻana o ko lākou mau waiwai A1c ma kahi o 0.5 mau helu .
- ʻO ka poʻe i nalowale he 10% o ko lākou kaumaha kino ua ʻike lākou i ka emi ʻana o ko lākou mau waiwai A1c ma kahi o 1.5 mau helu .
ʻAʻole anei kēia e hōʻike i ka ikaika o ka pohō kaumaha?
ʻO ka loaʻa ʻana a me ka mālama ʻana i kahi kaumaha olakino ʻaʻole ia he mea maikaʻi wale no ka mālama ʻana i ka maʻi diabetes, akā no kou olakino holoʻokoʻa. E hāʻawi ia iā ʻoe i ka ikehu e hele ai i ka lā me ka manaʻo hou a me kou ʻano maikaʻi loa. No laila, inā manaʻo ʻoe e pono ʻoe e hōʻemi i kekahi kaumaha, e kamaʻilio pono me kāu kauka. Hiki iā ia ke kōkua iā ʻoe e noʻonoʻo i kahi pae kaumaha olakino nou a hana i kahi hoʻolālā e kōkua iā ʻoe e hoʻokō i kēlā pahuhopu a mālama iā ia.
Leka Lawe-Home
- He mea nui ka mālama ʻana i ke kaumaha olakino no ka kaohi ʻana i ka maʻi diabetes Type 2.
- ʻOiai ʻo ka lilo ʻana o 5% a 10% o kou kaumaha holoʻokoʻa e hiki ke loaʻa ka hopena nui i ka kaohi ʻana i ke kō koko a me ka hana o ka insulin.
- ʻO ka momona visceral, ʻoiai ka mea i waiho ʻia a puni ka ʻōpū, he kumu nui ia o nā pilikia e like me ka maʻi puʻuwai a me nā maʻi puʻupaʻa i hoʻokumu ʻia e ka maʻi diabetes.
- Ma ka hoʻemi ʻana i ke kaumaha, hiki paha iā ʻoe ke hōʻemi i ka nui o nā lāʻau lapaʻau maʻi diabetes āu e lawe ai, a i ʻole e hoʻōki loa iā ia.
- E ʻimi mau i ka ʻōlelo aʻo a kāu kauka e hoʻomohala i kahi hoʻolālā hōʻemi kaumaha palekana e kūpono iā ʻoe.
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