Nā pilikia lōʻihi o ka maʻi kō

Hoʻonui ke kō i kou kō i ke kō ma mua o ka maʻamau. Ma hope o nā makahiki he nui, hiki i ka nui o ke kō i ke koko ke kumu i nā pilikia i kou kino. Hiki iā ia ke hōʻeha i kou mau maka, nā puʻupaʻa, nā ʻalolo, ka ʻili, ka puʻuwai, a me nā kīʻaha koko.

• Hiki iā ʻoe ke loaʻa nā pilikia o ka maka. Hiki iā ʻoe ke loaʻa ka pilikia i ka ʻike ʻana, keu hoʻi i ka pō. Hiki i ka mālamalama ke hoʻopilikia i kou mau maka. Hiki iā ʻoe ke lilo i makapō.
• Hiki i kou mau wāwae a me kou ʻili ke hoʻomohala i nā ʻeha a me nā maʻi. Inā lōʻihi ka lōʻihi, pono e ʻoki ʻia kou manamana wāwae, wāwae, a wāwae paha. Hiki i ka maʻi ke hōʻeha i ka ʻeha, ʻimi a i ʻole ka ninini ʻana i kou mau wāwae, wāwae, a me nā wahi ʻē aʻe.
• Hiki i ka diabetes ke paʻakikī e kaohi i kou kaomi koko a me ka cholesterol. Hiki i kēia ke alakaʻi i ka puʻuwai puʻuwai, hahau, a me nā pilikia ʻē aʻe. Hiki ke lilo i mea paʻakikī no ke kahe o ke koko i nā wāwae a me nā wāwae.
• Hiki ke hōʻino ʻia nā aʻalolo i loko o ke kino, e hōʻeha i ka ʻeha, puhi ʻana, ʻā ʻana, a me ka nalo ʻana o ka manaʻo. Hiki i ka hōʻino nerve ke paʻakikī i nā kāne e kūkulu i kūkulu.
• Hiki iā ʻoe ke loaʻa i nā pilikia ke kālailai ʻana i ka meaʻai āu e ʻai ai. Hiki paha iā ʻoe ke loaʻa ka pilikia i ka neʻe ʻana o kahi ʻōpū (constipation) a i ʻole he looser a i ʻole nā ​​neʻe wai.
• ʻO ke kō kiʻekiʻe o ke kō a me nā pilikia ʻē aʻe i hiki ke hōʻeha i ka hakuʻala. ʻAʻole holo paha kāu mau puʻupaʻa a oki paha i ka hana. A ʻo kahi hopena, pono ʻoe i ka dialysis a i ʻole ke kuʻi ʻōiwi.
• Hiki i ka diabetes ke hoʻonāwaliwali i kāu ʻōnaehana pale. Hiki i kēia ke loaʻa iā ʻoe i nā pilikia koʻikoʻi mai nā maʻi maʻamau.
• Loaʻa pinepine ka poʻe me ka maʻi kō i ke kaumaha a pili paha nā maʻi ʻelua.
• Loaʻa i kekahi mau wahine me ka maʻi diabetes nā wā kūpono ʻole a loaʻa paha nā pilikia i ka hāpai ʻana.
• Hoʻonui ka diabetes i ka makaʻu no ka dementia.
• Hoʻonui ka maʻi diabetes i ka makaʻu o nā maʻi iwi, me ka osteoporosis.
• ʻO ke kō kō haʻahaʻa (hypoglycemia) mai ka mālama ʻana i ka maʻi kō, hiki nō ke hoʻonui i ka pilikia o ka maʻi puʻuwai.

ʻO ka mālama ʻana i kāu kō kō i kahi papa olakino e hōʻemi i nā pilikia āpau o ka maʻi kō.

He mea nui e mālama i kou kaomi koko a me ka kolesterol i kahi laulā olakino.

Pono ʻoe e aʻo i kēia mau hana maʻamau no ka mālama ʻana i ka maʻi kō a noho i ke olakino i hiki. Pākuʻi ʻia paha:

• ʻO kahi papaʻai olakino
• ʻOihana hoʻoikaika kino
• Nā Lapaʻau

Pono paha ʻoe e nānā i kāu kō kō i kēlā me kēia lā a ʻoi paha. E kōkua aku kāu mea mālama ola iā ʻoe ma ke kauoha ʻana i nā hōʻike koko a me nā hoʻokolohua ʻē aʻe. Hiki i kēia mau mea ke kōkua iā ʻoe e mālama i nā pilikia o ka maʻi kō.

Pono ʻoe e nānā i ka pae kō kō i ka home.

• E hoʻohana ʻoe i kahi hāmeʻa kūikawā i kapa ʻia he mika glucose e hoʻāʻo i kāu kō kō. E haʻi aku kāu mea hāʻawi iā ʻoe inā ʻoe e nānā iā ia i kēlā me kēia lā a i nā manawa i kēlā me kēia lā.
• E haʻi pū aku kāu mea lawelawe iā ʻoe i nā helu kō kō e hoʻāʻo nei ʻoe e hoʻokō. Kāhea ʻia kēia ka mālama ʻana i kāu kō kō. E hoʻonohonoho ʻia kēia mau pahu hopu no nā manawa like ʻole i ke ao.

I mea e pale ai i ka maʻi puʻuwai a me ka hahau, e noi ʻia ʻoe e lawe i ka lāʻau a hoʻololi i kāu papaʻai a me kāu hana.

• E noi paha kāu mea hāʻawi iā ʻoe e lawe i kahi lāʻau i kapa ʻia he mea kāohi ACE a i ʻole he lāʻau ʻokoʻa i kapa ʻia ʻo ARB, no ke kiʻekiʻe o ke koko a me nā pilikia o ka puʻupaʻa.
• E noi paha kāu mea hāʻawi iā ʻoe e lawe i kahi lāʻau i kapa ʻia he statin e hoʻomau i kou kolamu.
• E noi paha kāu mea lawelawe iā ʻoe e lawe i ka aspirin e pale ai i ka hōʻeha puʻuwai. E noi i kāu mea hāʻawi inā kūpono ka aspirin iā ʻoe.
• Maikaʻi ka hoʻoikaika mau no ka poʻe me ka maʻi kō. E kamaʻilio mua i kāu mea hāʻawi e pili ana i nā hana e pono ai nāu a me ka nui o ka hoʻoikaika kino āu e hana ai i kēlā me kēia lā.
• Mai puhi. ʻO ka puhi ʻana ka maikaʻi o ka pilikia o ka maʻi kō. Inā puhi ʻoe i ka uahi, hana pū me kāu mea e hāʻawi i kahi ala e haʻalele ai.

E mālama i kou mau wāwae i ke olakino, pono ʻoe:

• E nānā a mālama i kou mau wāwae i kēlā me kēia lā.
• E kiʻi i kahi hoʻokolohua wāwae e kāu mea hāʻawi ma ka liʻiliʻi ma kēlā me kēia 6 a 12 mau mahina a aʻo inā loaʻa ʻoe kahi ʻino nerve.
• E hōʻoia i kaʻaʻahuʻana i nā kākini a me nā kāmaʻa maikaʻi.

E aʻo aku kahi kahu hānai iā ʻoe e pili ana i nā koho meaʻai maikaʻi e hoʻohaʻahaʻa i kou kō kō a mālama i ke olakino. E ʻike pono pehea e hoʻopili pū ai i kahi pāʻina kaulike me ka protein a me ka fiber.

Inā loaʻa ʻoe i ka maʻi diabetes, pono ʻoe e ʻike i kāu poʻe lawelawe i kēlā me kēia 3 mahina. I kēia mau kipa hiki i kāu mea lawelawe ke:

• E nīnau e pili ana i kāu pae kō kō (e lawe mau i kāu mika glucose koko i kēlā me kēia kipa ke nānā ʻoe i kāu kō kō i ka home)
• E hōʻoia i kou kaomi koko
• E hōʻoia i ka manaʻo i kou mau wāwae
• E nānā i ka ʻili a me nā iwi o kou mau wāwae a me kou mau wāwae
• E nānā i ka ʻaoʻao hope o kou mau maka

E hoʻouna aku paha ka mea hāʻawi iā ʻoe i ka hale hana no nā hoʻokolohua koko a me ka mimi i:

• E hōʻoia i ka maikaʻi o kāu mau puʻupaʻa (i kēlā me kēia makahiki)
• E hōʻoia i ke olakino o kāu pae kolesterol a me nā triglyceride (i kēlā me kēia makahiki)
• E hōʻoia i kāu pae A1C e ʻike i ke ʻano o ka mālama ʻia ʻana o kāu kō kō (ma kēlā me kēia 3 a 6 mau mahina)

E kipa aku i ka kauka niho i kēlā me kēia 6 mahina. Pono ʻoe e ʻike i kāu kauka maka i hoʻokahi manawa i ka makahiki. E noi paha kāu mea hāʻawi iā ʻoe e ʻike pinepine i kāu kauka kauka.

Nā pilikia diabetic - wā lōʻihi

• Maka
• Mālama wāwae diabetic
• Retinopathy diabetic
• Nephropathy diabetic

ʻAhahui Diabetes ʻAmelika. 5. Hoʻololi i ka loli a me ke olakino e hoʻomaikaʻi ai i nā hopena olakino: Nā Koina o ka mālama olakino ma Diabetes-2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S48-S65. PMID: 31862748 pubmed.ncbi.nlm.nih.gov/31862748/.

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.

• Nā Pilikia Diabetes