ʻAno 2 diabetes - mālama ponoʻī

ʻAno 2 diabetes he ola-lōʻihi (maʻi) maʻi. Inā loaʻa iā ʻoe ka ʻano diabetes 2, pilikia ka insulin o kou kino i ka lawe ʻana i kahi hōʻailona i nā io momona a momona. ʻO ka insulin ka hone i hana ʻia e ka pancreas e kāohi i ke kō kō. Ke hiki ʻole i ka insulin o kou kino ke hōʻailona pono, hiki ke kō i ke kō a hiki i ke kiʻekiʻe o ke kō (glucose).

ʻO ka hapa nui o ka poʻe me ka maʻi diabetes type 2 keu keu ke kaumaha ke ʻike ʻia lākou. ʻO nā loli i ke ala e lawelawe ai ke kino i ke kō kō e alakaʻi ai i ka maʻi maʻamau ʻo 2 e hana lohi.

Pono i kēlā me kēia mea i loaʻa i ka maʻi kō ke aʻo kūpono a me ke kākoʻo e pili ana i nā ala maikaʻi loa e mālama ai i ka maʻi kō. E noi i kāu mea mālama ola e pili ana i ka ʻike ʻana i ka loea diabetes a me ka loea o ka hoʻonaʻauao.

ʻAʻohe ou mau ʻōuli. Inā loaʻa iā ʻoe nā ʻōuli, pili pū paha lākou:

• Pololi
• Ka makewai
• ʻO ka mimiki nui, ke ala pinepine ʻana ma mua o ka maʻamau i ka pō e mimi
• Hihi maka
• ʻO nā maʻi i ʻoi aku ka lōʻihi a lōʻihi paha
• Ka pilikia i ke kūkulu ʻana
• Hoʻopilikia i ka hōʻoki ʻana i kou ʻili
  
• Pā ka ʻulaʻula i nā ʻāpana o kou kino
• Ke kuʻi a nalowale paha o ke ʻano i kou mau wāwae

E mālama pono ʻoe i kāu kō kō. Inā ʻaʻole kaohi ʻia kāu kō kō, hiki i nā pilikia koʻikoʻi i kapa ʻia he kūpilikiʻi i kou kino. Hiki ke hana koke i kekahi mau pilikia a ma hope o kekahi mau makahiki.

E aʻo i nā kaʻina hana no ka mālama ʻana i ka maʻi kō e noho i ke olakino hiki. ʻO ka hana pēlā e kōkua i ka loaʻa ʻana o nā pilikia o ka maʻi kō ma lalo iki. Nā ʻanuʻu me:

• Ke nānā nei i kāu kō kō i ka home
• Ka mālama ʻana i ka papaʻai olakino
• Hoʻoikaika kino

Eia kekahi, e mālama pono i nā lāʻau a i ʻole ka insulin e like me ke kauoha.

E kōkua pū kāu mea hāʻawi iā ʻoe ma ke kauoha ʻana i nā hoʻokolohua koko a me nā hoʻokolohua ʻē aʻe. Kōkua kēia mau mea e hōʻoia i kāu kō kō a me nā pae kolesterol i kēlā me kēia i kahi pae olakino. Eia kekahi, e hāhai i nā kuhikuhi a kāu mea hoʻolako e pili ana i ka mālama ʻana i kou kaomi koko i kahi pae olakino.

E noi paha kāu kauka iā ʻoe e kipa i nā mea lawelawe ʻē aʻe e kōkua iā ʻoe e kaohi i kāu maʻi diabetes. Hoʻopili kēia mau mea hoʻolako i kahi:

• Dietitian
• Kauka lāʻau lapaʻau diabetes
• Mea aʻo diabetes

Hiki i nā meaʻai me ke kō a me nā haʻuki ke hoʻokiʻekiʻe i kou kō kō i kiʻekiʻe loa. Hiki i ka waiʻona a me nā mea inu ʻē aʻe me ke kō ke hāpai i kāu kō kō. Hiki i kahi kahu hānai a i ʻole mea mālama hānai ke aʻo iā ʻoe e pili ana i nā koho meaʻai maikaʻi.

E ʻike pono pehea e loaʻa ai ka ʻai kaulike me ka protein a me ka fiber. ʻAi i nā mea olakino, nā meaʻai hou e like me ka hiki. Mai ʻai nui i ka meaʻai i ka noho hoʻokahi. Kōkua kēia i ka mālama ʻana i kou kō kō i kahi pae maikaʻi.

ʻO ka mālama ʻana i kou kaupaona a me ka mālama ʻana i ka papaʻai kaulike maikaʻi he mea nui. Hiki i kekahi poʻe me ka maʻi maʻisā ʻano 2 ke hōʻoki i ka lawe ʻana i nā lāʻau i hope o ka lilo ʻana o ka paona (ʻoiai he diabetes ko lākou). Hiki i kāu mea hāʻawi ke hoʻomaopopo iā ʻoe i kahi pae kaupaona maikaʻi nāu.

He koho paha ke ʻoki hōʻemi kaumaha inā he obese ʻoe a ʻaʻole kaohi ʻia kāu diabetes. Hiki i kāu kauka ke haʻi hou aku iā ʻoe e pili ana i kēia.

Maikaʻi ka hoʻoikaika mau no ka poʻe me ka maʻi kō. Hoʻoiho ia i ke kō kō. Hoʻoikaika pū kekahi:

• Hoʻonui i ke kahe o ke koko
• Hoʻohaʻahaʻa i ke kahe o ke koko

Kōkua ia i ke kuni ʻana i nā momona keu i hiki ai iā ʻoe ke mālama i kou kaumaha. Hiki i ka hoʻoikaika kino ke kōkua iā ʻoe e lawelawe i ke koʻikoʻi a hoʻomaikaʻi i kou ʻano.

E hoʻāʻo e hele wāwae, heʻe wāwae, a heʻe paikikala paha no 30 a 60 mau minuke i kēlā me kēia lā. Koho i kahi hana āu e hauʻoli ai a ʻoi aku paha ʻoe e pili. E lawe mai i ka meaʻai a i ʻole ka wai me ʻoe inā e haʻahaʻa loa kāu kō kō. Inu wai keu. E hoʻāʻo e hōʻole i ka noho ʻana ma mua o 30 mau minuke i kēlā me kēia manawa.

E komo i kahi kūpeʻe lima ID diabetes. Inā loaʻa kahi pilikia, ʻike ka poʻe he maʻi diabetes kou a hiki ke kōkua iā ʻoe e loaʻa i ka lāʻau lapaʻau kūpono.

E hōʻoia mau me kāu mea hāʻawi ma mua o ka hoʻomaka ʻana i kahi papahana hoʻoikaika kino. Hiki i kāu mea hāʻawi ke kōkua iā ʻoe e koho i kahi papahana hoʻoikaika kino palekana iā ʻoe.

E noi ʻia paha ʻoe e nānā i kāu kō kō i ka home. E haʻi kēia iā ʻoe a me kāu mea hāʻawi i ka maikaʻi o kāu papaʻai, hoʻoikaika kino, a me nā lāʻau. Hiki i kahi hāmeʻa i kapa ʻia he mita glucose ke hāʻawi i kahi kō kō kō e heluhelu ana mai kahi kulu koko wale nō.

E kōkua kahi kauka, kahu hānai, a i ʻole mea aʻo diabetes e hoʻonohonoho i kahi papa manawa hoʻokolohua home no ʻoe. Kōkua kāu kauka iā ʻoe e hoʻonohonoho i kāu mau pahu hopu kō kō.

• Pono nā poʻe he nui me ka maʻi diabetes 2 e nānā i kā lākou kō kō i hoʻokahi a i ʻole ʻelua mau manawa i ka lā. Pono kekahi poʻe e nānā pinepine.
• Inā kaohi kāu kō kō, e nānā paha i kāu kō kō i kekahi mau manawa wale nō i ka pule.

ʻO nā kumu nui e nānā i kāu kō kō i:

• Nānā inā loaʻa ka makaʻu i nā lāʻau maʻi diabetes āu e lawe nei i ke kō kō kō (hypoglycemia).
• E hoʻohana i ka helu kō kō e hoʻololi i ka mahele o ka insulin a i ʻole nā ​​lāʻau ʻē aʻe āu e lawe nei.
• E hoʻohana i ka helu kō kō e kōkua iā ʻoe e hana i ka meaʻai kūpono a me nā koho hana e hoʻoponopono i kāu kō kō.

Inā ʻaʻole lawa kaʻai a me ka hoʻoikaika kino, pono ʻoe e ʻai i ka lāʻau. E kōkua ia e mālama i kāu kō kō i kahi pae olakino.

Nui nā lāʻau diabetes e hana ma nā ʻano like ʻole e kōkua ai e kaohi i kāu kō kō. Pono nā poʻe he nui me ka maʻi diabetes 2 e ʻai i ka lāʻau i ʻoi aku ma mua o hoʻokahi e kāohi ai i kā kō kō. Hiki iā ʻoe ke lawe i nā lāʻau i ka waha a i ʻole i ke kī ʻana (injection). ʻAʻole palekana kekahi mau lāʻau diabetes inā hāpai ʻoe. No laila, e kamaʻilio me kāu kauka e pili ana i kāu mau lāʻau inā ʻoe e noʻonoʻo nei i ka hāpai ʻana.

Inā ʻaʻole kōkua nā lāʻau lapaʻau iā ʻoe e kaohi i kāu kō kō, pono paha ʻoe e ʻai i ka insulin. Pono e inj injulin ma lalo o ka ʻili. E loaʻa iā ʻoe kahi hoʻomaʻamaʻa kūikawā e aʻo pehea e hāʻawi ai iā ʻoe iho i nā injection. ʻIke ka hapanui o ka poʻe i ka ʻoi aku o ka maʻalahi o nā inikula insulin ma mua o kā lākou i manaʻo ai.

Loaʻa ka manawa kūpono i ka poʻe me ka maʻi diabetes e loaʻa i ke koko kiʻekiʻe a me ka nui o ke kō. E noi ʻia ʻoe e lawe i ka lāʻau e pale a mālama ai i kēia ʻano. Pākuʻi ʻia paha nā lāʻau:

• ʻO kahi mea kāohi ACE a i ʻole lāʻau lapaʻau ʻē aʻe i kapa ʻia he ARB no ke koko kiʻekiʻe a i ʻole nā ​​pilikia o nā puʻupaʻa.
• ʻO kahi lāʻau i kapa ʻia he statin e hoʻohaʻahaʻa i kāu kolesterol.
• Aspirin e mālama i kou puʻuwai olakino.

Mai puhi a hoʻohana paha i nā uahi-e. ʻO ka puhi ʻana ka maikaʻi o ka maʻi diabetes. Inā puhi ʻoe i ka uahi, hana pū me kāu mea e hāʻawi i kahi ala e haʻalele ai.

Hiki i ka diabetes ke hana i nā pilikia o ka wāwae. Hiki paha iā ʻoe ke ʻeha a maʻi paha. E mālama i kou mau wāwae i ke olakino:

• E nānā a mālama i kou mau wāwae i kēlā me kēia lā.
• E hōʻoia i kaʻaʻahuʻana i nā kākini a me nā kāmaʻa maikaʻi. E nānā i kou mau kāmaʻa a me nā kākini i kēlā me kēia lā no nā wahi i weluwelu, e hiki ai i nā ʻeha a me nā ulcerations.

Inā loaʻa ʻoe i ka maʻi maʻis, pono ʻoe e ʻike i kāu mea hoʻolako i kēlā me kēia 3 mahina, a i ʻole i kauoha pinepine ʻia. I kēia mau kipa, hiki i kāu mea hāʻawi ke:

• E nīnau e pili ana i kāu pae kō kō (e lawe mau i kāu mika inā ʻoe e nānā ana i ke 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 hope o kou mau maka

E kauoha pū kāu mea hāʻawi i nā hoʻāʻo koko a me ka mimi e hōʻoia i kāu:

• Ke hana maikaʻi nei nā hakuʻala (i kēlā me kēia makahiki)
• Ola nā pae kolesterol a me nā triglyceride (i kēlā me kēia makahiki)
• Aia kahi pae A1C i kahi pae maikaʻi naʻu (i kēlā me kēia 6 mahina inā mālama maikaʻi ʻia kāu maʻi diabetes a i kēlā me kēia 3 mau mahina inā ʻaʻole)

E kamaʻilio me kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e pono ai, e like me ka pana o ka maʻi flu makahiki a me ka maʻi hepitis B a me ka pulumonia.

E kipa aku i ka kauka niho i kēlā me kēia 6 mahina. Eia kekahi, e ʻike i kāu kauka maka i hoʻokahi manawa i ka makahiki, a i ʻole i nā manawa a pau e like me ke kauoha.

ʻAno 2 diabetes - ka mālama ʻana

• Kūpeʻe lima leka
• Hoʻoponopono i kāu kō kō

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

ʻAhahui Diabetes ʻAmelika. 11. Nā pilikia Microvascular a me ka mālama wāwae: nā kūlana o ka mālama olakino ma Diabetes-2020. Mālama Diabetes. 2020; 43 (Nūhou 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.

ʻO Riddle MC, Ahmann AJ. Nā therapeutics o ka maʻi diabetes type 2. I: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 35.

• Diabetes ʻAno 2
• Diabetes i nā keiki a me nā ʻōpio