He aha kāu e ʻike ai e pili ana i ka maʻi diabetes

Anter

• Ka hoʻomaopopo ʻana i ka maʻi kōpaʻu
• Nā ʻōuli o ka maʻi kō
• Nā kumu a me nā kumu pilikia no ka maʻi kō
• Ke hōʻike nei i ka maʻi kō
• Nā papa o ka mimikō ma mua a me ka hāpai kō
• Nā papa o ka maʻi kō diabetes
• Nā papa o ka mimikō hānau
• Ka mālama ʻana a me ka mālama ʻana i ka maʻi kō diabetes
• Nā pilikia e pili ana i ka maʻi kō i ka wā hāpai
• Nā ʻōlelo aʻoaʻo no kahi hāpai olakino inā loaʻa ʻoe i ka maʻi kō
• E kamaʻilio me kāu kauka

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

Ka hoʻomaopopo ʻana i ka maʻi kōpaʻu

Kū ka maʻi diabetes pestest inā loaʻa iā ʻoe ka ʻano 1 a ʻano 2 diabetes ma mua o ka hāpai ʻana. He ʻeiwa mau papa ʻo ka maʻi maʻamaʻi e pili ana i kou mau makahiki i ka hōʻoia ʻana a me kekahi mau pilikia o ka maʻi.

ʻO ka papa o ka maʻi diabetes āu e haʻi ai i kāu kauka e pili ana i ka paʻakikī o kou maʻi. ʻO kahi laʻana, ʻo kāu maʻi diabetes ka papa C inā hoʻomohala ʻoe iā ia ma waena o nā makahiki he 10 a me 19. ʻO kou maʻi kō kekahi papa C inā ua loaʻa ʻoe i ka maʻi no 10 a 19 mau makahiki a ʻaʻohe ou pilikia vaskular.

ʻO ka loaʻa ʻana o ka maʻi kō ke hāpai ʻoe e hoʻonui i kekahi mau pilikia no ʻolua a me kāu pēpē. Inā loaʻa ʻoe i ka maʻi diabetes, pono i kāu hāpai ʻana ke nānā hou ʻia.

Nā ʻōuli o ka maʻi kō

ʻO nā ʻōuli o ka maʻi kō ke:

• make wai nui a pololi
• urination pinepine
• nā hoʻololi i ke kaupaona
• luhi loa

Hiki i ka hāpai ʻana ke kumu i nā hōʻailona e like me ka urination pinepine a me ka luhi. He mea nui e nānā pono i kāu mau pae glucose e kōkua iā ʻoe a me kāu kauka e hoʻoholo i ke kumu o kēia mau hōʻailona.

E pili nui kāu mau hōʻailona me ke ʻano o ka mālama maikaʻi ʻana o kou maʻi diabetes a pehea e holo nei kou hāpai ʻana.

Nā kumu a me nā kumu pilikia no ka maʻi kō

Hoʻopuka ka pancreas i ka insulin. Kōkua ka insulin i kou kino:

• hoʻohana i ka glucose a me nā mea kōkua ʻē aʻe mai ka meaʻai
• hale kūʻai momona
• kūkulu i ka protein

Inā ʻaʻole lawa kou kino e hana i ka insulin a hoʻohana ʻole paha iā ia, a laila ʻoi aku ke kiʻekiʻe o kāu kō glucose ma mua o ka maʻamau a hoʻololi i ka hana o kou kino.

ʻAno diabetes he 1

Kū kekahi ʻano diabetes 1 ke hiki ʻole i kāu pancreas ke hana i ka insulin. Hiki iā ia ke hana hewa i kāu ʻōnaehana pale pale i kāu pancreas. Hiki iā ia ke hana no nā kumu ʻike ʻole. ʻAʻole maopopo i nā mea noiʻi no ke aha e hoʻomohala ai ka poʻe i ka maʻi diabetes type 1.

Hiki paha iā ʻoe ke hoʻomohala i ka maʻi diabetes type 1 inā he moʻolelo ʻohana kāu i ka maʻi. ʻO ka poʻe i loaʻa i ka maʻi diabetes type 1 ka manawa maʻamau loaʻa ka hōʻailona ma ke kamaliʻi.

ʻAno diabetes he 2

ʻO ka maʻi diabetes type 2 ka mea maʻa mau ma mua o ka maʻi diabetes type 1. Hoʻomaka ia me ke kūpaʻa ʻana o ka insulin. Inā loaʻa ʻoe i ke kūpaʻa o ka insulin, a laila ʻaʻole hoʻohana i kou kino i ka insulin kūpono a i ʻole hana hou i ka nui o ka insulin.

ʻO ka momona a i ʻole ka mōʻaukala ʻohana o ka maʻi e hoʻonui ai i kou makaʻu i ka loaʻa ʻana i ka maʻi diabetes type 2. ʻO ka loaʻa ʻana o kahi papaʻai maikaʻi ʻole a me ka hana ʻole ʻana i ke kino e hoʻonui paha i kou makaʻu i ka loaʻa ʻana i ka maʻi diabetes 2.

Ke hōʻike nei i ka maʻi kō

E hana kāu kauka i kahi o nā hoʻokolohua koko a me ka hoʻokēʻai e kōkua iā lākou e hana i kahi kuhi. E heluhelu hou aʻe e pili ana i nā hōʻoia diabetes.

Hoʻolālā wale kekahi mau wahine i ka maʻi kō i ka wā hāpai. Kapa ʻia kēia ka maʻi diabetes. Nānā nā kauka i ka hapanui o nā wahine hāpai no ka maʻi kō ma ke ʻano he mahele o kā lākou mālama prenatal.

Nā papa o ka mimikō ma mua a me ka hāpai kō

Māhele ʻia ka mimikō ʻoi loa, ʻoiai ua mahele ʻia ka maʻi kō gestational i ʻelua mau papa.

Nā papa o ka maʻi kō diabetes

ʻO nā papa aʻe o ka maʻi kō ma mua:

• ʻO ka hoʻomaka ʻana o ka papa ʻaʻa diabetes hiki paha i kēlā me kēia makahiki. Hiki iā ʻoe ke kāohi i kēia papa o ka maʻi kō e kaʻai wale nō.
• Kū ka maʻi diabetes B inā ua hoʻomohala ʻoe i ka maʻi diabetes ma hope o ka makahiki 20, ua loaʻa ka maʻi diabetes ma lalo o 10 mau makahiki, a ʻaʻohe ou pilikia vaskular.
• Kū ka maʻi diabetes C inā ua hoʻomohala ʻoe iā ia ma waena o nā makahiki he 10 a 19. ʻO ka maʻi diabetes kekahi papa C inā ua loaʻa ʻoe i ka maʻi no 10 a 19 mau makahiki a ʻaʻohe ou pilikia vaskular.
• Kū ka maʻi diabetes D inā e hoʻomohala ʻoe i ka maʻi diabetes ma mua o ka makahiki 10, ua loaʻa ka maʻi diabetes no 20 mau makahiki, a he maʻi kō kou.
• Kū ka papa diabetes F me ka nephropathy, kahi maʻi puʻupaʻa.
• Kū ka maʻi diabetes R me ka retinopathy, kahi maʻi o ka maka.
• Kū ka papa RF i ka poʻe i loaʻa ka nephropathy a me ka retinopathy.
• Kū ka maʻi diabetes T i loko o ka wahine i loaʻa i kahi transplant kidney.
• Kū ka maʻi diabetes H me ka maʻi o ke aʻa koko (CAD) a i ʻole kekahi maʻi puʻuwai.

Nā papa o ka mimikō hānau

Inā ʻaʻohe ou maʻi diabetes a hiki i kou hāpai ʻana, loaʻa ʻoe i ka maʻi diabetes.

He ʻelua papa ko ka diabetes diabetes. Hiki iā ʻoe ke kaohi i ka maʻi A1 diabetes ma o kāu papaʻai. Inā loaʻa ʻoe i ka maʻi ʻaʻai A2 papa, pono ʻoe i ka lāʻau insulin a i ʻole nā ​​lāʻau oral e kāohi iā ia.

ʻO ka diabetes maʻamau ka manawa maʻa mau, akā hoʻonui ia i kou makaʻu i ka hoʻomohala ʻana i ka maʻi maʻamau ʻo 2 ma hope i ke ola.

Ka mālama ʻana a me ka mālama ʻana i ka maʻi kō diabetes

I kou wā hāpai, pono ʻoe i ka nānā hou ʻana no ka maʻi kō.

Maliʻa paha ʻike ʻoe i kāu OB-GYN, endocrinologist, a malia paha he perinatologist. ʻO ka perinatologist kahi loea lāʻau makuahine-fetal.

Loaʻa nā ʻano o ke kiʻina e nānā a mālama i ka maʻi kō ma mua:

• ʻO ka mea mua āu e hana ai ke hāpai ʻoe e hele i kāu papa inoa lāʻau me kāu kauka. ʻAʻole palekana paha kekahi mau lāʻau i ka wā hāpai.
• Lawe nō ʻoe i ka insulin, akā pono paha ʻoe e hoʻoponopono i ka lāʻau i ka wā hāpai.
• ʻO ka nānā ʻana i kāu kiʻekiʻe o ka glucose glucose ke mea nui. ʻO kēia ka lawe pinepine ʻana i nā hoʻokolohua koko a me ka mimi.
• E haʻi aku kāu kauka iā ʻoe pehea e hoʻomaʻamaʻa ai i kāu papaʻai a me nā hoʻolālā e pono ai nāu a me kāu pēpē.
• Hiki i kāu kauka ke hoʻohana i ke kiʻi ultrasound e nānā i ka helu o ka puʻuwai o kāu pēpē, nā neʻe, a me ka nui o ka wai amniotic.
• Hiki i ka diabetes ke hoʻolohi i ka ulu ʻana o nā ake māmā o kāu pēpē. Hiki i kāu kauka ke hana i kahi amniocentesis e nānā ai i ke ʻano oʻo o kāu pēpē.
• ʻO kou olakino, olakino o kāu pēpē, a me ke kaupaona o kāu pēpē e kōkua ai i kāu kauka e hoʻoholo inā hiki iā ʻoe ke hāʻawi i ka helehelena a i ʻole inā he pono kahi hānau cesarean.
• E mālama pono kāu kauka i kāu mau pae glucose koko i ka wā o ka hana a me ka lawe ʻana. E loli hou paha kāu mau insulin ma hope o ka hānau ʻana.

Kūʻai no kahi glucose glucose koko ma ka home a i ʻole home test home glucose glucose.

Nā pilikia e pili ana i ka maʻi kō i ka wā hāpai

Hāpai nā wahine he nui me ka maʻi diabetes i nā pēpē olakino me ka ʻole o nā pilikia koʻikoʻi. Eia nō naʻe, inā he maʻi diabetes kou, ʻo ʻoe a me kāu pēpē ka nui o ka pilikia o nā pilikia. He mea nui e makaʻala iā lākou.

Nā pilikia e hiki ke hoʻopili i ka makuahine i ka wā o ka hāpai ʻana:

• urinary, bladder, a me nā maʻi puʻupuʻu
• ke koko kiʻekiʻe, a i ʻole preeclampsia; hiki i kēia ʻano ke hōʻeha i ka hakuʻala a me ke akepaʻa
• ke kaumaha o nā pilikia maka e pili ana i ka maʻi diabetes
• ke kaumaha o nā maʻi puʻuwai e pili ana i ka maʻi diabetes
• he lawe paʻakikī
• kahi pono no ka hoʻouna cesarean

Hiki i nā pae glucose kiʻekiʻe, keu hoʻi i ka trimester mua, ke hoʻonui i ka makaʻu o nā hānau hānau. ʻO nā pilikia e hiki ke hoʻopili i ka pēpē:

• he hāpai keiki ʻana
• hānau hānau mua
• kaumaha hānau kiʻekiʻe
• ke kō glucose haʻahaʻa, a i ʻole hypoglycemia, i ka wā hānau
• hoʻolōʻihi ʻia i ka melemele o ka ʻili, a i ʻole jaundice
• pilikia hanu
• hānau kīnā, e laʻa me nā kīnā o ka puʻuwai, nā kīʻaha koko, ka lolo, ka iwi kuamoʻo, nā puʻupaʻa, a me nā wahi digestive
• hānau hānau hou

Nā ʻōlelo aʻoaʻo no kahi hāpai olakino inā loaʻa ʻoe i ka maʻi kō

Inā loaʻa ʻoe i ka maʻi diabetes, e ʻoi aku ka nui o ka nānā ʻana i kou olakino ke hoʻoholo ʻoe i kāu pēpē. Ke hoʻomaka koke nei ʻoe e hoʻolālā, ʻoi aku ka maikaʻi. E hāhai i nā ʻōlelo aʻoaʻo ma lalo nei no kahi hāpai hāpai olakino.

E kamaʻilio me kāu kauka

• E ʻike i kāu endocrinologist a me kāu OB-GYN e hōʻoia pono ʻoe i ke olakino maikaʻi a ke kaohi ʻia kou maʻi kō. Mālama maikaʻi ʻia ka maʻi diabetes no kekahi mau mahina ma mua o kou hāpai ʻana e hiki ai ke hōʻemi i nā pilikia no ʻoe a me kāu pēpē.
• E haʻi i kāu kauka e pili ana i nā lāʻau āpau a me nā mea hoʻopihapiha āu e lawe nei. Inā hāpai ʻoe, e haʻi iā lākou e pili ana i nā lāʻau a pau a me nā mea hoʻopihapiha āu i lawe ai mai ka wā e hāpai ana.
• Kōkua ka acid acid i ka ulu a me ke kūkulu olakino. E noi i kāu kauka inā pono ʻoe e lawe i ka waikawa folic a i ʻole nā ​​vitamina kūikawā ʻē aʻe.
• E lawe i nā wikamina prenatal inā paipai kāu kauka iā ia.
• E noi i kāu kauka he aha kāu mau pahuhopu glucose koko kikoʻī.
• Eʻike hou i kāu kauka ke manaʻo nei ʻoe ua hāpai. E ʻike pono i kāu kauka e kamaʻilio ai.
• Mālama i nā manawa koho prenatal āpau.
• E haʻi i kāu kauka e pili ana i nā ʻōuli maʻamau ʻole i kēia manawa koke.

Kūʻai no nā wikamina prenatal.

Lawe i nā ʻano nohona olakino

• Mālama i kahi papaʻai olakino e hoʻopili ana i nā ʻano mea kanu like ʻole, nā hua piha, a me nā huaʻai. Koho i nā huahana waiū nonfat. E kiʻi i ka protein i ke ʻano o nā pī, iʻa, a me nā ʻiʻo wīwī. He mea nui ka mālama ʻana i ka hapa.
• E kiʻi i ka hoʻoikaika kino i kēlā me kēia lā.
• E hōʻoia i ka loaʻa ʻana o ka hiamoe kūpono i kēlā me kēia pō.

E mākaukau

• E noʻonoʻo e kau i kahi kūpeʻe lima hōʻike e hōʻike ai he maʻi diabetes ʻoe.
• E ʻike pono i kāu pakanā, pakanā, a i ʻole kekahi mea kokoke iā ʻoe e ʻike i ka mea e hana ai inā loaʻa ʻoe i kahi pilikia olakino.