Mālama ka maka diabetes

Hiki i ke kuni ke hōʻeha i kou mau maka. Hiki iā ia ke hōʻino i nā kīʻaha koko liʻiliʻi i kāu retina, ʻo ia ka ʻaoʻao hope o kou maka. Kāhea ʻia kēia ʻano he retinopathy diabetic. Hoʻonui pū ka diabetes i kou makaʻu i ka loaʻa ʻana o ka glaucoma, ka cataract, a me nā pilikia maka ʻē aʻe.

Inā loaʻa ʻoe i ka maʻi diabetes, e hana pū me kāu mea mālama ola e mālama pono i kou mau maka.

Inā loaʻa ʻoe i ka maʻi maʻis, ʻaʻole paha ʻoe e ʻike he meaʻino i kou mau maka a hiki i ka wā e maikaʻi loa ai ka pilikia. Hiki i kāu mea hāʻawi ke hopu i nā pilikia i ka wanaʻao inā loaʻa iā ʻoe nā hoʻokolohua maka maʻamau.

Inā ʻike koke kāu mea hāʻawi i nā pilikia o ka maka, nā lāʻau a me nā ʻano lāʻau ʻē aʻe e pale aku iā lākou mai ka ʻino.

I kēlā me kēia makahiki, pono ʻoe i kahi hoʻokolohua maka e ka kauka maka (ophthalmologist a i ʻole optometrist). Koho i kauka kauka nāna e mālama i ka poʻe me ka maʻi kō.

E komo pū paha i loko o kāu hoʻokolohua maka:

• Dilating kou mau maka e ʻae i kahi nānā maikaʻi o ka retina holoʻokoʻa. ʻO ke kauka maka wale nō ka mea hiki ke hana i kēia hōʻike.
• I kekahi manawa, pani paha nā kiʻi kūikawā o kāu retina i ka hoʻāʻo ʻana o ka maka. Kapa ʻia kēia kiʻi paʻi kiʻi retina kikohoʻe.

E noi paha kāu kauka maka iā ʻoe e hele hou aʻe a i ʻole pinepine ma mua o hoʻokahi manawa i ka makahiki e pili ana i nā hopena o ka hōʻike maka a me ka maikaʻi o ka mālama ʻia ʻana o kāu kō kō.

Kaohi i kou kiʻekiʻe kō kō. Hoʻonui ka kō kō kiʻekiʻe i kou manawa e loaʻa ai nā pilikia o ka maka.

Hiki i ke kō koko kiʻekiʻe ke kumu i ka hihi o ka maka i pili ʻole i ka retinopathy diabetic. Hoʻokumu ʻia kēia ʻano hihi pohihihi e ka nui o ke kō a me ka wai i nā aniani o ka maka, aia i mua o ka retina.

Kaohi i kou kaomi koko:

• ʻO ke kaomi koko ma lalo o 140/90 kahi pahuhopu maikaʻi no ka poʻe me ka maʻi kō. E haʻi paha kāu mea lawelawe iā ʻoe e pono ka haʻahaʻa o kāu kaomi ma mua o 140/90.
• E hōʻoia pinepine i kou kaomi koko a ma ka liʻiliʻi ʻelua mau manawa i kēlā me kēia makahiki.
• Inā lawe ʻoe i nā lāʻau e kāohi ai i kou kaomi koko, e lawe iā lākou e like me ke kauoha a kāu kauka.

Kaohi i kāu mau pae kolesterol:

• Hiki i nā pae kolesterol kūpono ʻole ke alakaʻi i ka retinopathy diabetic.
• Kauoha paha kāu mea hāʻawi i nā lāʻau e kōkua i ka hoʻohaʻahaʻa ʻana i kāu LDL (maikaʻi cholesterol) a me nā triglycerides. Lawe i nā lāʻau e like me ke kuhikuhi.

Mai puhi. Inā ʻoe e kōkua i ka haʻalele ʻana, e nīnau i kāu mea hāʻawi.

Inā loaʻa iā ʻoe nā pilikia o ka maka, e nīnau i kāu mea lawelawe inā pono ʻoe e hōʻalo i nā hana e hiki ai ke kānana i nā kīʻaha koko i kou mau maka. ʻO nā hoʻolālā e hoʻonāukiuki paha i nā pilikia o ka maka me:

• ʻO ka hāpai ʻana i ke kaupaona a me nā hoʻomaʻamaʻa ʻē aʻe e hoʻoluhi iā ʻoe
• ʻO ka hoʻoikaika kino kiʻekiʻe, e like me ka pôpeku a i ʻole hockey

Inā hoʻopilikia ʻia kāu ʻike i ka maʻi kō, e hoʻomaopopo pono i ka palekana o kou home i ka haʻahaʻa o kou manawa e hāʻule ai. E noi i kāu mea hāʻawi e pili ana i ka loiloi ʻana i ka home. No nā poʻe me ka maʻi diabetes, ʻo ka hui pū ʻana o nā pilikia maka ʻole a me nā pilikia nerve i nā wāwae a me nā wāwae hiki ke hoʻopili i ke kaulike. Hoʻonui kēia i ka manawa o ka hāʻule.

Inā ʻaʻole hiki iā ʻoe ke heluhelu maʻalahi i nā lepili i kāu lāʻau.

• E hoʻohana i nā pene i ʻike ʻia e lepili i nā ʻōmole lāʻau, i hiki ai iā ʻoe ke heluhelu maʻalahi.
• E hoʻohana i nā paʻa a i ʻole nā ​​pāʻina e haʻi ʻokoʻa i nā hue lāʻau.
• E noi i kekahi e hāʻawi i kāu mau lāʻau.
• E heluhelu mau i nā lepili me kahi aniani hoʻonui.
• E hoʻohana i ka pahu pahu me nā keʻena no nā lā o ka pule a me nā manawa o ka lā, inā pono ʻoe e lawe i nā lāʻau ma mua o hoʻokahi manawa i ka lā.
• E noi i kahi mika glucose kūikawā me kahi hōʻike nui a i ʻole e heluhelu ana i kāu waiwai glucose glucose.

Mai koho wale i ka lawe ʻana i kāu lāʻau. Inā ʻaʻole ʻoe e kānalua i kāu kau ʻana, e kamaʻilio me kāu kauka, kahu, a lāʻau lapaʻau paha.

E mālama i nā lāʻau a me nā mea ʻē aʻe i hoʻonohonoho ʻia i loko o kahi kuhina e ʻike ʻoe i hea lākou.

E hana i nā meaʻai i kāu papa ʻaina diabetes:

• E hoʻohana i nā puke kuke paʻi nui
• E hoʻohana i kahi mea hoʻonui i ka ʻaoʻao piha
• Mea hoʻonui kiʻekiʻe (HD) hoʻonui
• No nā ʻōkuhi pūnaewele, e hoʻohana i ka hana hoʻokele ma kāu keyboard e hoʻonui i ka font ma kāu nānā
• E nīnau i kāu kauka maka e pili ana i nā kōkua ʻike haʻahaʻa ʻē aʻe

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻAʻole hiki ke ʻike maikaʻi i ke kukui pōuliuli
• Loaʻa i nā kiko makapō
• Loaʻa i ka hihiʻo pālua (ʻike ʻoe i nā mea ʻelua inā hoʻokahi wale nō)
• Huehue a pohihihi paha ka hihiʻo a ʻaʻole hiki iā ʻoe ke nānā
• ʻEhaʻeha maka
• Poʻo poʻo poʻo
• E lana ana nā kiko i kou mau maka
• ʻAʻole hiki ke ʻike i nā mea ma ka ʻaoʻao o kāu kahua o ka hihiʻo
• ʻIke i nā aka

Retinopathy diabetic - mālama

Pūnaewele ʻAmelika Hui Pū ʻIa Ophthalmology. Nā ʻōkuhi kumu hoʻomaʻamaʻa makemake ʻia. Retinopathy diabetic PPP 2019. www.aao.org/preferred-practice-pattern/diabetic-retinopathy-ppp. Hoʻohou ʻia ʻOkakopa 2019. Loaʻa iā Iulai 9, 2020.

ʻAhahui Diabetes ʻAmelika. 11. ʻO nā pilikia Microvascular a me ka mālama wāwae: nā kūlana o ka mālama olakino ma ka maʻi diabetes-2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S135-S151. PMID: 31862754 pubmed.ncbi.nlm.nih.gov/31862754/.

Brownlee M, Aiello LP, Sun JK, et al. Nā pilikia o ka maʻi diabetes. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 37.

Salemona JF. Maʻi maʻi vina retina. I: Salmon JF, ed. ʻO Ophthalmology Clinical Clinical. 9th ed. Piladelapia, PA: Elsevier; 2020: chap13.

• ʻO ka maʻi diabetes a me nā maka
• Ke koko kiʻekiʻe - nā mākua
• ʻAno diabetes he 1
• ʻAno 2 diabetes

• Diabetes a me ka hoʻoikaika kino
• Diabetes - mālama i ka hana
• Diabetes - pale i ka hōʻeha puʻuwai a me ka hahau
• Diabetes - ke mālama nei i kou mau wāwae
• Nā hōʻoia diabetes a me nā hōʻoia
• Diabetes - ke maʻi ʻoe
• Kiko kō haʻahaʻa - mālama pono iā ʻoe iho
• Ka mālama ʻana i kāu kō kō
• Pāleʻa ka pale ʻana

• Nā Pilikia o ka maka Diabetes