Diabetes - pale i ka hōʻeha puʻuwai a me ka hahau

ʻOi aku ka manawa kiʻekiʻe o ka poʻe me ka maʻi diabetes e loaʻa i nā puʻuwai puʻuwai a me nā hahau ma mua o ka poʻe ʻaʻohe diabetes. ʻO ka puhihihi ʻana a me ke kahe ʻana o ke koko kiʻekiʻe a me ka cholesterol kiʻekiʻe e hoʻonui i kēia mau mea ʻoi aku ka nui aku ʻO ka kaohi ʻana i ke kō i ke kō, ke kō, a me nā pae kolesterol he mea nui ia no ka pale ʻana i nā hōʻeha puʻuwai a me nā hahau.

E ʻike i kāu kauka nāna e mālama i kāu maʻi diabetes e like me ke kauoha. I kēia mau kipa ʻana, e nānā nā mea mālama ola i kāu kolesterol, kō kō, a me nā kahe o ke koko. Kauoha ʻia ʻoe e lawe i nā lāʻau.

Hiki iā ʻoe ke hoʻohaʻahaʻa i kou manawa o ka loaʻa ʻana o ka puʻuwai puʻuwai a i ʻole ka hahau ʻana ma o ka hana ʻana a i ʻole ka hoʻoikaika kino ʻana i kēlā me kēia lā. ʻO kahi laʻana, hiki i kahi hele wāwae 30 mau minuke ke kōkua i ka hoʻohaʻahaʻa ʻana i kāu mau pilikia.

ʻO nā mea ʻē aʻe hiki iā ʻoe ke hana e hoʻohaʻahaʻa i kāu mau pilikia:

• E hāhai i kāu papaʻai a nānā i ka nui o kāu ʻai. Hiki i kēia ke kōkua iā ʻoe e lilo i ke kaupaona inā ʻoi nui kou momona a momona paha.
• Mai puhi paka. E kamaʻilio me kāu kauka inā makemake ʻoe i ke kōkua e haʻalele. Pale pū i ka puhipaka.
• E lawe i kāu mau lāʻau i ke ala a kāu mau mea hāʻawi.
• Mai haʻalele i nā hoʻokohu kauka.

Hiki i ke kaohi maikaʻi o ke kō kō ke hoʻohaʻahaʻa i kou makaʻi o ka maʻi puʻuwai a me ka hahau. ʻOi aku ka maikaʻi o ka hopena o kekahi mau lāʻau lapaʻau diabetes ma mua o ka hōʻemi ʻana i ka makaʻu o ka puʻuwai a me nā hahau.

E nānā hou i kāu mau lāʻau diabetes. ʻOi aku ka maikaʻi o ka hopena o kekahi mau lāʻau lapaʻau diabetes ma mua o ka hōʻemi ʻana i ka makaʻu o ka puʻuwai a me nā hahau. ʻOi aku ka ikaika o kēia pōmaikaʻi inā ua ʻike mua ʻia ʻoe me nā pilikia o ka maʻi puʻuwai.

Inā ua loaʻa ʻoe i ka puʻuwai puʻuwai a i ʻole hāhā, makaʻu nui ʻoe i ka loaʻa hou ʻana o ka puʻuwai a i ʻole ka hahau ʻana. E kamaʻilio me kāu mea lawelawe e ʻike inā ʻoe ma ka lāʻau diabetes e hāʻawi ana i ka pale maikaʻi loa mai ka hōʻeha puʻuwai a me ka hahau.

Ke loaʻa ʻoe i ke koloka keu i loko o kou koko, hiki iā ia ke kūkulu i loko o nā paia o nā puʻuwai o kou puʻuwai (nā kīʻaha koko). Kapa ʻia kēia kūkulu ʻia he pāka. Hiki iā ia ke hoʻopaʻa i kou mau aʻa a hoʻoliʻiliʻi a kū hoʻi i ke kahe o ke koko. Pāleʻa hoʻi ka pālaki a hiki wawe ke haki a hoʻolilo ke kōpē o ke koko. ʻO kēia ke kumu o ka puʻuwai puʻuwai, hahau ʻana, a i ʻole nā ​​maʻi puʻuwai koʻikoʻi ʻē aʻe.

Kau ʻia ka hapa nui o ka poʻe me ka maʻi diabetes i lāʻau e hōʻemi ai i kā lākou pae kolamu LDL. Hoʻohana pinepine ʻia nā lāʻau i kapa ʻia statins. Pono ʻoe e aʻo pehea e lawe ai i kāu lāʻau statin a pehea e nānā ai i nā hopena ʻaoʻao. E haʻi aku kāu kauka iā ʻoe inā aia kahi pae LDL e pono ai ʻoe e ʻimi.

Inā loaʻa iā ʻoe nā kumu ʻē aʻe no ka maʻi puʻuwai a i ʻole ka hahau ʻana, hiki i kāu kauka ke kauoha i nā lāʻau kiʻekiʻe o ka lāʻau statin.

Pono kāu kauka e nānā i kāu mau pae kolesterol ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki.

E ʻai i nā meaʻai momona i ka momona a aʻo i ke ʻano e kūʻai aku ai a kuke i nā meaʻai e olakino ai kou puʻuwai.

E kiʻi i ka nui o ka hoʻoikaika kino, pū kekahi. E kamaʻilio me kāu kauka e pili ana i nā ʻano hoʻoikaika kino kūpono iā ʻoe.

E nānā pinepine i kou kaomi koko. Pono kāu mea e hāʻawi i kāu kaomi koko i kēlā me kēia kipa. No ka hapanui o ka poʻe me ka maʻi kō, ʻo kahi pahuhopu kaomi koko maikaʻi kahi systolic (helu luna) ke kahe o ke koko ma waena o 130 a 140 mm Hg, a me kahi kaomi koko diastolic (helu lalo) ma lalo o 90 mm Hg. E noi i kāu kauka he aha ka mea kūpono iā ʻoe. ʻOkoʻa paha nā ʻōlelo aʻoaʻo inā ʻoe i loaʻa i ka puʻuwai puʻuwai a i ʻole hahau.

ʻO ka hoʻoikaika kino ʻana, ka ʻai ʻana i nā meaʻai paʻakai haʻahaʻa, a me ka lilo ʻana o ke kaupaona (inā ʻoi nui ʻoe a momona paha) hiki ke hoʻohaʻahaʻa i kou kahe koko. Inā kiʻekiʻe ke koko, e kauoha ke kauka i nā lāʻau e hoʻohaʻahaʻa iā ia. He mea nui ka kaohi ʻana i ke kaomi koko e like me ka kaohi ʻana i ke kō kō no ka pale ʻana i ka puʻuwai a me ka hahau.

E kōkua ka loaʻa ʻana o ka hoʻoikaika kino iā ʻoe e kaohi i kou maʻi diabetes a hoʻoikaika i kou puʻuwai. E kamaʻilio mau me kāu kauka ma mua o kou hoʻomaka ʻana i kahi papahana hoʻoikaika kino hou a ma mua o ka hoʻonui ʻana i ka nui o ka hoʻoikaika kino āu e hana nei. Loaʻa paha i kekahi poʻe me ka maʻi kō ka pilikia o ka puʻuwai a ʻike ʻole ia no ka mea ʻaʻohe o lākou hōʻailona. Ke hana nei i ka hoʻoikaika kino ikaika ma ka liʻiliʻi he 2.5 mau hola i kēlā me kēia pule e hiki ke kōkua i ka pale ʻana i ka maʻi puʻuwai a me ka hahau.

Lawe i ka aspirin i kēlā me kēia lā e hoʻohaʻahaʻa i kou manawa o ka puʻuwai puʻuwai. ʻO ka mahele lāʻau i manaʻo ʻia he 81 milligrams (mg) i ka lā. Mai lawe i ka aspirin i kēia ala me ke kamaʻilio ʻole ʻana me kāu kauka. E noi i kāu kauka e pili ana i ka lawe ʻana i ka aspirin i kēlā me kēia lā inā:

• He kāne ʻoe ma luna o 50 a ʻo ka wahine ma mua o 60
• Ua loaʻa iā ʻoe nā pilikia puʻuwai
• Ua pilikia ka naʻau o ka poʻe o kou ʻohana
• Loaʻa iā ʻoe ke kiʻekiʻe o ke koko a me nā kiʻekiʻe o ke kō
• He puhipaka ʻoe

ʻO nā maʻi diabetes - ka puʻuwai; Maʻi maʻi ʻaʻai Coronary - diabetes; CAD - diabetes; Maʻi Cerebrovascular - diabetes

• Diabetes a me ke koko

ʻAhahui Diabetes ʻAmelika. 10. Ka maʻi Cardiovascular a me ka mālama ʻana i nā pilikia: nā kūlana o ka mālama olakino ma diabetes-2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S111-S134. PMID: 31862753 pubmed.ncbi.nlm.nih.gov/31862753/.

Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA / ACC alakaʻi ma ka mālama ʻana i ka nohona e hōʻemi i ka pilikia o ka maʻi puʻuwai: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā kulekele hana. Kaapuni. 2014; 129 (25 Hōʻuluʻulu 2): S76-S99. PMID: 24222015 pubmed.ncbi.nlm.nih.gov/24222015/.

Marx N, Reith S. Hoʻomaʻamaʻa i nā maʻi maʻi coronary mau i nā mea maʻi me ka maʻi kō. I loko o: De Lemos JA, Omland T, eds. ʻO ka maʻi maʻa mau ʻo Coronary Artery: kahi hoa hele i ka maʻi puʻuwai ʻo Braunwald. Piladelapia, PA: Elsevier; 2018: chap 24.

• Nā pae kolesterol kiʻekiʻe
• Ke koko kiʻekiʻe - nā mākua
• Nā ʻōlelo aʻoaʻo pehea e haʻalele ai i ka puhipaka
• ʻAno diabetes he 1
• ʻAno 2 diabetes

• Nā mea kāohi ACE
• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• Cholesterol - he aha e nīnau aku ai i kāu kauka
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• Trombosis o ka aa hohonu - hoʻokuʻu
• Diabetes a me ka hoʻoikaika kino
• Mālama ka maka diabetes
• Diabetes - ulcer wawae
• Diabetes - mālama i ka hana
• 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
• ʻAno 2 diabetes - he aha e nīnau aku ai i kāu kauka

• Nā Pilikia Diabetes
• ʻO ka maʻi maʻi diabetic