Ke hoʻomākaukau nei no ka ʻoki ʻana ke loaʻa ʻoe i ka maʻi kō

Hiki paha iā ʻoe ke ʻoki no kahi pilikia o ka maʻi kō. A i ʻole, pono ʻoe e ʻoki kino no kahi pilikia olakino i pili ʻole i kāu maʻi diabetes. E hoʻonui paha kāu diabetes i kou makaʻi no nā pilikia i ka wā ma hope o kāu ʻoki ʻana, e like me:

• ʻO ka maʻi ma hope o ke kaha ʻana (ʻoi loa ma ke kahua o ke ʻoki kino)
• Hoʻomaha lohi hou aku
• Nā pilikia o ka wai, electrolyte, a me nā hakuʻala
• Nā pilikia puʻuwai

Hana pū me kāu kauka olakino e hele mai me kahi hoʻolālā ʻoki palekana loa nāu.

E kia hou i ka kaohi ʻana i kou maʻi diabetes i loko o nā lā i mau pule ma mua o ke kaha ʻana.

E hana ana kāu mea hāʻawi i kahi lāʻau lapaʻau a kamaʻilio pū me ʻoe e pili ana i kou olakino.

• E haʻi i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe nei.
• Inā ʻoe e lawe i ka metformin, e kamaʻilio me kāu mea hoʻolako e pili ana i ka hoʻōki ʻana iā ia. I kekahi manawa, pono e hoʻopau ʻia he 48 mau hola ma mua a me 48 mau hola ma hope o ke kaha ʻana e hoʻoliʻiliʻi i ka pilikia o kahi pilikia i kapa ʻia ʻo lactic acidosis.
• Inā lawe ʻoe i kekahi ʻano ʻano ʻē aʻe o nā lāʻau diabetes, e hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi inā pono ʻoe e hoʻokū i ka lāʻau ma mua o ke kaha ʻana. ʻO nā lāʻau i kapa ʻia ʻo SGLT2 mea kāohi (gliflozins) hiki ke hoʻonui i ka pilikia o nā pilikia kō kō e pili ana i ka ʻoki kino. E haʻi i kāu mea hāʻawi inā lawe ʻoe i kekahi o kēia mau lāʻau.
• Inā ʻoe e lawe i ka insulin, nīnau i kāu mea hāʻawi i nā lāʻau āu e lawe ai i ka pō ma mua a i ʻole ka lā o kāu ʻoki.
• E hālāwai paha kāu mea lawelawe me kahi kauka, a hāʻawi iā ʻoe i kahi papa ʻaina kikoʻī a me kahi hoʻolālā hana e hoʻāʻo e hōʻoia i ka mālama pono ʻia ʻana o kāu kō kō no ka pule ma mua o kāu ʻoki.
• E hōʻole a hoʻolohi paha kekahi o nā kauka lapaʻau i ke kaha ʻana inā kiʻekiʻe ke kō kō i kou hiki ʻana i ka haukapila no kāu ʻoki kino.

ʻOi aku ka makaʻu o ke kaha inā loaʻa ʻoe i nā maʻi diabetes. No laila e kamaʻilio me kāu mea hāʻawi e pili ana i kāu kaohi diabetes a me nā pilikia āpau āu i loaʻa ai mai ka maʻi diabetes. E haʻi i kāu mea hoʻolako e pili ana i nā pilikia āu me kou puʻuwai, nā puʻupaʻa, a me nā maka, a i ʻole inā he nalowale kou manaʻo i kou mau wāwae. E holo paha ka mea hāʻawi i kekahi mau hoʻokolohua e nānā i ke kūlana o kēlā mau pilikia.

Hiki paha iā ʻoe ke hana ʻoi aku ka maikaʻi me ke ʻoki a ʻoi aku ka maikaʻi o ka wikiwiki inā kāohi ʻia kāu kō kō i ka wā o ke ʻoki. No laila, ma mua o ke kaha ʻana, e kamaʻilio me kāu mea hoʻolako e pili ana i kāu pae kō kō kō i loko o nā lā ma mua o kāu hana.

I ka wā o ke kaha ʻana, hāʻawi ʻia ka insulin e ka anesthesiologist. E hui ʻoe me kēia kauka ma mua o ke kaha ʻana e kūkākūkā i ka hoʻolālā e kāohi i kāu kō kō i ka wā o ka hana.

Pono ʻoe a me kāu poʻe kahu hānai e nānā pinepine i kāu kō kō. E loaʻa hou paha iā ʻoe kahi pilikia e kaohi ana i kāu kō kō no ka mea ʻo ʻoe:

• Loaʻa ka pilikia i ka ʻai ʻana
• Ke luaʻi nei
• Hoʻopilikia ʻia ma hope o ke kaha ʻana
• ʻOi aku ka liʻiliʻi o ka hana ma mua o ka maʻamau
• Loaʻa kaʻeha a me ke kaumaha
• Hāʻawi ʻia i nā lāʻau e hoʻonui i kou kō kō

Lana paha ʻoe e lawe i ka manawa hou e hoʻōla ai ma muli o kou maʻi diabetes. E mākaukau no kahi noho ma ka haukapila ʻoi aku ka lōʻihi inā loaʻa iā ʻoe kahi ʻoki nui. ʻO ka poʻe me ka maʻi hē e noho pinepine i ka haukapila ma mua o ka poʻe me ka maʻi ʻole.

Nānā i nā hōʻailona o ka maʻi, e like me ke kuni, a i ʻole kahi ʻokiʻula i ʻulaʻula, wela e hoʻopā, pehu, ʻoi aku ka ʻeha, a i ʻole ka huʻi ʻana.

Kāohi i nā bedores. E neʻe a puni ka moena a hele i waho o kahi moe i nā manawa pinepine. Inā heʻuʻuku kou manaʻo i kou manamana wāwae a me nā manamana lima, ʻaʻole paha ʻoe e manaʻo inā ʻeha ʻoe i kahi moena. E hōʻoia e neʻe a puni.

Ma hope o kou haʻalele ʻana i ka haukapila, he mea nui nāu e hana pū me kāu hui mālama mua e ʻike pono e mālama maikaʻi ʻia kāu kō kō.

Kāhea i kāu kauka inā:

• He mau nīnau kāu e pili ana i ke ʻoki a me ka anesthesia
• ʻAʻole maopopo iā ʻoe he aha nā lāʻau a i ʻole nā ​​lāʻau o kāu mau lāʻau e pono ai e lawe a hōʻoki paha i ka lawe ʻana ma mua o ke kaha ʻana
• Manaʻo ʻoe he maʻi kāu

• Nā hōʻailona kō kō ke koko haʻahaʻa
• Ke nānā nei i ke kō glucose - Series

ʻAhahui Diabetes ʻAmelika. 15. Mālama diabetes i ka haukapila: nā kūlana o ka mālama olakino i ka maʻi kō - 2019. Mālama Diabetes. 2019; 42 (Hōʻawi 1): S173-S181. PMID: 30559241 www.ncbi.nlm.nih.gov/pubmed/30559241.

Neumayer L, Ghalyaie N. Nā loina o ke ʻoki mua a me ka hana. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 10.

• Diabetes
• ʻOki kino