Hiki paha ke lōʻihi kou manawa e hoʻomaopopo ai i ka nūhou ma hope o kou ʻike ʻana i kāu kauka a hoʻi i ka home: Loaʻa iā ʻoe ka maʻi diabetes , a i kēia manawa pono ʻoe e kaohi i kou pae kō koko. Ke hoʻomaʻamaʻa nei ʻoe i kēia ʻano nohona hou, e nānā kākou i nā mea hana a me nā mea ʻē aʻe e hiki ke kōkua iā ʻoe e hoʻokele i kou kūlana a pale i nā pilikia e hiki mai ana. He ʻokoʻa ke kuleana o kēia mau mea a pau i ka hoʻokele ʻana i kāu maʻi diabetes .
ʻO ka insulin a me kāna mau ʻano lawelawe
Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e lawe i ka insulin e kāohi i kou mau pae kō koko kiʻekiʻe. I ka ʻōlelo maʻalahi, ʻo ka insulin kahi hormone i hana ʻia e kahi ʻōkana i loko o ko mākou kino i kapa ʻia ʻo ka pancreas. Kōkua ia i ke kō i loko o ka meaʻai a mākou e ʻai ai e hoʻohana ʻia no ka ikehu a mālama ʻia paha.
Inā loaʻa iā ʻoe ka maʻi diabetes Type 1 , ua pau loa ka hana ʻana o kou pancreas i ka insulin. Akā inā loaʻa iā ʻoe ka maʻi diabetes Type 2, hana mau kāu pancreas i ka insulin, akā ʻaʻole hoʻohana pono kou kino iā ia.
Ma muli o kou kūlana, hiki i kāu kauka ke kuhikuhi i nā ʻano insulin like ʻole. Hana wikiwiki kekahi, aʻo kekahi e hana lohi a noho i loko o ke koko no ka manawa lōʻihi.
ʻO ka maʻamau, pono paha ʻoe e hoʻokomo i ka insulin mai hoʻokahi a ʻehā manawa i ka lā. Na kāu kauka e hoʻoholo i kēia. Aia kekahi mau ala e hana ai i kēia:
- Syringe: Hiki ke hoʻohana ʻia kahi syringe e huki i ka nui kūpono o ka insulin mai kahi ʻōmole a hoʻokomo iā ia.
- Peni ʻInsulina: He mea maʻalahi loa kēia e hoʻohana. Loaʻa mua kekahi mau peni i ka insulin, aʻo kekahi e koi iā mākou e hoʻokomo i kahi pahu.
He aha ka pamu insulin?
I kekahi manawa, ma kahi o ka lawe ʻana i nā inikini i nā manawa he nui i ka lā, e ʻōlelo paha kāu kauka e hoʻohana ʻoe i kahi pamu insulin. Hāʻawi mālie kēia i ka insulin i kou kino i ka lā a pau. Pono nō ʻoe e nānā i kāu kō koko, akā ʻike kekahi poʻe he kōkua ia i ka hoʻomalu ʻana i ko lākou pae kō koko.
He liʻiliʻi loa kēia pamu. Hiki iā ʻoe ke waiho maʻalahi ma luna o ke kāʻei, i loko o kahi sock, a i ʻole i loko o kou lole komo. Hoʻopili ʻia ia i kahi ʻōmole lahilahi i kapa ʻia he "catheter". Hoʻokomo ʻia kēia ʻōmole ma lalo o kou ʻili me ke kōkua o kahi nila.
Hoʻokuʻu kēia pamu i ka insulin ma nā ʻāpana liʻiliʻi i ka lā a pau, e like me ka papahana e like me kāu mau pono. Eia kekahi, ke ʻai ʻoe i kahi meaʻai, hiki iā ʻoe ke kaomi i kahi pihi ma ka pamu e loaʻa ai kahi mahele hou o ka insulin e pono ai e puhi i nā kalapona i loko o kēlā meaʻai.
Nā Mīkini Kō Koko
ʻO ka mika glucose koko (a i ʻole glucometer) he mea uila liʻiliʻi i hoʻohana ʻia e nānā inā kiʻekiʻe loa a haʻahaʻa paha kou pae kō koko.
He maʻalahi loa ke ʻano o ka hoʻohana ʻana i kēia mea:
1. ʻO ka mea mua, e hou i kou manamana lima me kahi nila liʻiliʻi i kapa ʻia ʻo "Lancet" a hōʻiliʻili i kahi kulu koko liʻiliʻi.
2. E kau i ke kulu koko ma kahi i koho ʻia ma kahi kaha hoʻāʻo (Diabetic Test Strip).
3. A laila e hoʻokomo i ke kaha i loko o ka mika, a i loko o kekahi mau kekona e ʻike ʻia kou pae kō koko ma ka pale.
He mea nui loa ke kākau ʻana i kēia mau hopena i loko o kahi puke. E kōkua kēia i kāu kauka e hōʻoia i ka holo pono ʻana o kāu hoʻolālā lapaʻau. E haʻi aku kāu kauka iā ʻoe i ka pinepine o kou pono e nānā i kou kō koko . ʻOiai inā manaʻo ʻoe e haʻalulu, hopohopo, poniuniu, loaʻa ka umauma e kuʻi ana, ka hou, manaʻo pōloli loa, a hiamoe paha, he mau hōʻailona paha kēia o ke kō koko haʻahaʻa (hypoglycemia). E hōʻoia e nānā i kāu kō koko i kēlā mau manawa.
Ka Nānā Glucose Hoʻomau (CGM)
He mea hana holomua ʻē aʻe kēia. Ana ia i kou pae kō koko i kēlā me kēia mau minuke, 24 mau hola o ka lā. Hiki iā ʻoe ke ʻike mua inā kiʻekiʻe loa a haʻahaʻa paha kou pae kō koko.
Hoʻouna kahi sensor liʻiliʻi i hoʻokomo ʻia ma lalo o ka ʻili i ka ʻikepili i kahi hāmeʻa ma kou pulima a i ʻole i kāu kelepona. Hiki ke hoʻohana ʻia kēia ʻikepili e hahai i nā ʻano a me nā ʻano i loko o kou mau pae kō koko. Hiki i kēia ʻike ke kōkua iā ʻoe a me kāu kauka e hoʻomohala i ka hoʻolālā lapaʻau maikaʻi loa.
Akā e hoʻomanaʻo, ʻoiai me ka CGM, pono ʻoe e lawe i ke koko mai kou manamana lima me kahi glucometer maʻamau i nā manawa he nui i ka lā e hōʻoia i kona pololei. Pono nō hoʻi ʻoe e hoʻololi i ka sensor ma lalo o ka ʻili i kēlā me kēia 3-7 mau lā.
Nā ʻāpana hoʻāʻo Ketone
Ke ʻole lawa ka insulin o kou kino e hoʻohana ai i ke kō, hoʻomaka ia e puhi i ka momona no ka ikehu. Hoʻopuka kēia kaʻina hana i nā mea i kapa ʻia he ketones . ʻO ke kiʻekiʻe o nā ketones i loko o kou mimi he hōʻailona weliweli ia ua pau kāu maʻi diabetes i ke kaohi .
Hiki i kāu kauka ke ʻōlelo aku i kahi hoʻāʻo ketone inā loaʻa iā ʻoe nā hōʻailona aʻe:
- Inā he 240 mg/dL a ʻoi aku paha kou pae kō koko
- Inā ʻoe e maʻi a luhi paha i nā manawa a pau
- Inā he waha maloʻo kou a makewai mau i nā manawa a pau
- Inā ʻoe e huikau
- Inā pilikia ʻoe i ka hanu ʻana
No ka hana ʻana i kēia hoʻāʻo ma ka home, e hōʻiliʻili i kahi mimi i loko o ke kīʻaha maʻemaʻe a hoʻoluʻu i ka ʻāpana hoʻāʻo i loko. E lulu i kekahi mimi keu a kali i ka loli ʻana o ke kala o ka ʻāpana e like me nā kuhikuhi. A laila, e hoʻohālikelike i ke kala o ka ʻāpana me ka pakuhi kala ma ka pahu hana. Inā he haʻahaʻa a kiʻekiʻe paha kou mau pae ketone, e ʻike koke i kāu kauka. Inā pono, e hele i ka haukapila kokoke loa i ka Emergency Department (ETU).
Nā mea nui ʻē aʻe a me ka hoʻomākaukau no ka pilikia
I ka mālama ʻana i ka maʻi diabetes, he mea nui e mālama i kekahi mau mea ʻē aʻe me ʻoe. E nānā kākou i kēlā mau mea ma kēia papa.
| Pono | Nā mea e mālama kokoke ai |
|---|---|
| Hypoglycemia | Mea e hoʻokiʻekiʻe koke i kou kō koko, e like me nā papa glucose, nā cubes kō, toffee, kahi ʻōmole wai huaʻai. He inikini glucagon (ma ke aʻo ʻana a ke kauka) e hāʻawi inā nalowale kou ʻike. E mālama i kēia mau mea ma nā wahi he nui, e like me kāu ʻeke, kaʻa, a me ka drawer o ke keʻena. |
| No ka pale ʻana i ka ʻili a me nā wāwae | He kopa palupalu, he mea hoʻomaʻū no ka ʻili, nā mea e hoʻomaʻemaʻe i ka ʻeha (ka gauze sterile, ka lipine pepa), nā ʻoki kui, a me ke aniani e nānā i nā wāwae i kēlā me kēia lā no nā ʻeha a me nā pehu. Inā he hōʻino ʻia ke aʻalolo, e kau i nā kāmaʻa humuhumu, palupalu. |
| No ke olakino waha | He palaki niho palupalu, he toothpaste i loaʻa ka fluoride, a me ka floss niho e hoʻomaʻemaʻe ma waena o nā niho. |
| No kahi pilikia | He kūpeʻe lima a kāleka paha e hōʻike ana he maʻi diabetes kou (Medical Alert ID). He helu kelepona no kekahi e kāhea aku ai inā he pilikia. He pahu pilikia e komo pū ana me ka liʻiliʻi he 7 mau lā o ka lāʻau lapaʻau maʻi diabetes, insulin, nā ʻāpana hoʻāʻo, nā pila, a pēlā aku. |
He mea maʻalahi anei iā mākou ke loaʻa i kēia mau mea hana a pau ma Sri Lanka?
ʻO kekahi o nā mea hana holomua a mākou i kamaʻilio ai, no ka laʻana, nā pamu insulin a me nā mea hana CGM, ʻaʻole i maʻamau loa ma Sri Lanka. A he pipiʻi loa hoʻi lākou.
Loaʻa maʻalahi nā glucometers, nā ʻāpana hoʻāʻo, nā lancets, a me nā ʻano insulin like ʻole mai nā hale kūʻai lāʻau lapaʻau ma ko mākou ʻāina. Eia nō naʻe, aia paha kekahi mau pilikia i ka loaʻa ʻana o nā lako ʻenehana holomua.
No laila, mai hoʻonāwaliwali ʻia e nā mea a haʻi e hoʻohana nei. ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka a hoʻoholo i ke ʻano lapaʻau a me nā lako e kūpono loa iā ʻoe, ma muli o kou kūlana kālā, ke ʻano o kou nohona, a me ke ʻano o kou maʻi.
Leka Lawe-Home
- He huakaʻi ka mālama ʻana i ka maʻi diabetes, a he mea nui ka loaʻa ʻana o nā mea hana a me nā lako kūpono e maʻalahi ai kēlā huakaʻi.
- E nānā mau i kou pae kō koko e like me ka ʻōlelo a kāu kauka. E hoʻopaʻa i nā hopena.
- E makaʻala i nā hōʻailona o ke kō koko haʻahaʻa (hypoglycemia). E mālama mau i kahi mea e hiki ke hoʻokiʻekiʻe koke i kou kō koko (nā papa glucose, nā cubes kō) kokoke inā loaʻa ia ʻano kūlana.
- E mākaukau mau no kahi pilikia. E lawe i kahi kāleka hōʻoia no ka maʻi diabetes a me kahi pahu lako pilikia.
- E kamaʻilio ākea me kāu kauka e pili ana i nā koho lapaʻau kūpono loa a kūpono hoʻi ke kumukūʻai nou.
Maʻi diabetes, nā lako hana maʻi diabetes, insulin, glucometer, kō koko, hypoglycemia, mālama maʻi diabetes
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