Koko kōpaʻa haʻahaʻa

ʻO ke kō kō haʻahaʻa kahi ʻano e hiki ke hana ke kō a ke kō o ke kino (glucose) a emi loa.

ʻO ke kō kō i lalo o 70 mg / dL (3.9 mmol / L) i manaʻo ʻia he haʻahaʻa. Hiki ke hōʻeha ke kō kō a i ʻole ma lalo o kēia pae.

ʻO ka inoa lapaʻau o ke kō kō kō haʻahaʻa he hypoglycemia.

ʻO ka insulin ka hone i hana ʻia e ka pancreas. Pono ka insulin e hoʻoneʻe i ka glucose i nā hunaola kahi e mālama ʻia ai hoʻohana ʻia ai no ka ikehu. Me ka lawa ʻole o ka insulin, kūkulu ka glucose i loko o ke koko ma kahi o ka hele ʻana i loko o nā hunaola. ʻO kēia ke alakaʻi i nā ʻōuli o ka maʻi kō.

Loaʻa ke kō kō haʻahaʻa ma muli o kekahi o kēia mau mea:

• Hoʻohana ʻia ke kō (glucose) o kou kino me ka wikiwiki
• ʻOi aku ka haʻahaʻa o ka hana ʻana o ka glucose a i ʻole hoʻokuʻu ʻia i ke kahe o ke koko
• Nui loa ka insulin i loko o ke kahe o ke koko

ʻO ke kō kōpaʻa haʻahaʻa i maʻa mau i ka poʻe me ka maʻi kō e lawe ana i ka insulin a i ʻole kekahi mau lāʻau ʻē aʻe e kāohi ai i kā lākou diabetes. Eia nō naʻe, ʻaʻole nui nā lāʻau maʻi diabetes ʻē aʻe i ke kō kō kō.

Hiki i ka hoʻoikaika kino ke alakaʻi i ke kō kō i haʻahaʻa i ka poʻe e lawe nei i ka insulin e mālama i ko lākou maʻi diabetes.

ʻO nā pēpē i hānau ʻia i nā makuahine me ka maʻi kō, he kulu koʻikoʻi paha ko ke kō kō ma hope pono o ka hānau ʻana.

I ka poʻe i loaʻa ʻole ka maʻi kō, hiki ke kumu ʻia ke kō kō i lalo e:

• Ka inu lama
• ʻO Insulinoma, kahi tumo laha ʻole i ka pancreas e hana ana i ka nui o ka insulin
• Ka nele o kahi hōmona, e like me ka cortisol, ka ulu ulu ʻana, a i ʻole ka thyroid hormone
• Ka puʻuwai nui, hakuʻala, a i ʻole ʻole ke ake
• ʻO ka maʻi e hoʻopili i ke kino holoʻokoʻa (sepsis)
• ʻO kekahi ʻano o ke kaha ʻana o ke kaupaona kaumaha (ʻo ka maʻamau he 5 a ʻoi paha mau makahiki ma hope o ke ʻoki ʻana)
• ʻAʻole hoʻohana ʻia nā lāʻau lapaʻau e mālama ai i ka maʻi diabetes (kekahi mau antibiotic a i ʻole nā ​​lāʻau puʻuwai)

Nā hōʻailona e loaʻa iā ʻoe ke haʻahaʻa loa kāu kō kō.

• ʻIke pālua a i ʻole hihi pohihihi
• Wikiwiki a kuʻi paha i ka puʻuwai puʻuwai
• ʻAnklelo cranky a hana kolohe paha
• Manaʻo hopohopo
• ʻEha poʻo
• Pololi
• Ka hopu ʻana i nā maʻi
• Lulu a haʻalulu paha
• Hoʻoulu
• Ke ʻili a i ʻole ka helu ʻana o ka ʻili
• Ka luhi a nawaliwali paha
• Pilikia hiamoe
• Manaʻo maopopo ʻole

I ka nui o nā kānaka me ka maʻi kō, ʻo ke kō kō kō e hoʻīliʻi i nā hōʻailona like i kēlā me kēia manawa ke hiki. ʻAʻole manaʻo ka poʻe āpau i nā hōʻailona kō kōkoʻa haʻahaʻa i ke ala like.

ʻO kekahi mau ʻōuli, e like me ka pōloli a i ʻole ka hou ʻana, ke hele iki ke kō kō kō. ʻO nā ʻōuli ʻoi loa, e like me ka noʻonoʻo ʻole a i ʻole ka hopu ʻana, hana ʻia ke kō ke kō o ke kō ma lalo o ka haʻahaʻa (ma lalo o 40 mg / dL a i ʻole 2.2 mmol / L).

ʻOiai inā ʻaʻohe ou mau ʻōuli, hiki i kou kō kō i lalo loa (i kapa ʻia ʻo ka ʻike ʻole hypoglycemic). ʻAʻole paha ʻoe e ʻike he haʻahaʻa kō kō a hiki i kou maule ʻana, loaʻa ka hopu ʻana, a i ʻole hele i kahi koma. Inā loaʻa ʻoe i ka maʻi maʻis, nīnau i kāu mea mālama ola inā e ʻaʻa ana i kahi monitor glucose mau hiki ke kōkua iā ʻoe e ʻike i ka wā e emi haʻahaʻa ana kāu kō kō e kōkua ai i ka pale ʻana i kahi pilikia olakino. Hiki i kekahi mau mākaʻikaʻi glucose mau ke makaʻala iā ʻoe a me nā poʻe ʻē aʻe āu e koho ai i ka wā e emi ai kāu kō kō i lalo o kahi pae i hoʻonohonoho ʻia.

Inā loaʻa ka maʻi diabetes, ʻo ka mālama pono ʻana i kāu kō kō e hiki ke kōkua i ka pale ʻana i ke kō kō. E kamaʻilio me kāu mea hāʻawi inā ʻaʻole maopopo iā ʻoe nā kumu a me nā ʻōuli o ke kō kō kō.

Ke loaʻa ʻoe i ke kō kō haʻahaʻa, e emi ana ka heluhelu ma mua o 70 mg / dL (3.9 mmol / L) ma kāu monitor glucose.

E noi paha kāu mea lawelawe iā ʻoe e komo i kahi monitor liʻiliʻi e ana i kou kō kō i kēlā me kēia 5 mau minuke (ka nānā mau ʻana o ka glucose). Hoʻokomo pinepine ʻia ka hāmeʻa no 3 a 7 mau lā. Hoʻoiho ʻia ka ʻikepili e ʻike inā loaʻa nā manawa o ke kō kō liʻiliʻi e ʻike ʻole ʻia.

Inā hoʻokomo ʻia ʻoe i ka haukapila, lawe ʻia paha ʻoe i kahi laʻana koko mai kou aʻa a i:

• E ana i kāu pae kō kō
• Kuhi i ke kumu o kāu kō kō haʻahaʻa (e pono e kuhikuhi pono ʻia kēia mau hoʻāʻo e pili ana i ke kō kō liʻiliʻi e hana i kahi ʻike pololei)

ʻO ka pahuhopu o ka mālama ʻana e hoʻoponopono i kāu pae kō kō haʻahaʻa. He mea nui nō hoʻi e hoʻāʻo a ʻike i ke kumu o ka haʻahaʻa o ke kō kō e pale aku ai i kahi hanana kō kō haʻahaʻa e kū nei.

Inā loaʻa ʻoe i ka maʻi diabetes, he mea nui e aʻo aku kāu mea lawelawe iā ʻoe pehea e mālama ai iā ʻoe iho no ke kō kō kō. Hiki ke hoʻopili ʻia i ka mālama ʻana:

• Wai inu
• ʻAi ʻai
• Lawe i nā papa glucose

A i ʻole haʻi ʻia ʻoe e hāʻawi iā ʻoe i kahi pū o ka glukagon. He lāʻau kēia e hoʻāla i ke kō kō.

Inā hoʻokumu ʻia ke kō kōpaʻa haʻahaʻa e kahi insulinoma, e paipai ʻia ke ʻoki e hemo i ka tumo.

ʻO ke kō kō haʻahaʻa haʻahaʻa loa he wā olakino. Hiki iā ia ke kumu i ka hopu ʻana a me ka hōʻino ʻana o ka lolo. ʻO ke kō kōpaʻa haʻahaʻa haʻahaʻa e lilo ai ʻoe i mea noʻonoʻo ʻole i kapa ʻia he hypoglycemic a i ʻole ka haʻalulu insulin.

ʻOiai kahi mahele o ke kō kō kō haʻahaʻa e hoʻoliʻiliʻi ia iā ʻoe e loaʻa nā hōʻailona e ʻae iā ʻoe e ʻike i kahi ʻāpana o ke kō kō haʻahaʻa. Hiki i nā ʻāpana o ke kō kō ke kō ke hoʻoweliweli i ka poʻe e lawe i ka insulin e like me ke kauoha a kā lākou mea hāʻawi.

Inā ʻaʻole hoʻomaikaʻi nā hōʻailona o ke kō kō haʻahaʻa ma hope o kāu ʻai ʻana i kahi meaʻai māmā i loaʻa ke kō:

• E kiʻi i kahi holo i ka lumi pilikia. MAI kalaiwa iā ʻoe iho.
• Kāhea i kahi helu pilikia kūloko (e like me 911)

E kiʻi koke i ke kōkua lapaʻau no kekahi kanaka me ka maʻi kō, a i ʻole ke kō kō.

• Lilo i ka makaʻala liʻiliʻi
• ʻAʻole hiki ke ala aʻe

Hypoglycemia; Hoʻoweliweli insulin; Ka hopena insulina; Diabetes - hypoglycemia

• Hoʻokuʻu ka meaʻai a me ka insulin
• 15/15 rula
• Nā hōʻailona kō kō ke koko haʻahaʻa

ʻAhahui Diabetes ʻAmelika. 6. Nā pahuhopu Glycemic: nā kūlana o ka mālama olakino ma diabetes-2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S66-S76. PMID: 31862749 pubmed.ncbi.nlm.nih.gov/31862749/.

ʻO Cryer PE, Arbeláez AM. Hypoglycemia. I: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 38.