Ka hoʻomaopopo ʻana i ka pilina ma waena o ka maʻi puʻuwai a me ka maʻi diabetes

Anter

• Hōʻike Overview
• ʻO ka maʻi diabet paha ke kumu o ka maʻi puʻuwai?
• Piʻi koko kiʻekiʻe
• Kolesterol kiʻekiʻe
• Momona
• Nohona sedentary
• Puhipaka
• Nā ʻōuli
• Meaʻai
• Heluhelu
• Kāohi
• Hoʻomaʻo i nā maʻi puʻuwai i ka maʻi kō
• Nā pilikia puʻuwai naʻau ʻē aʻe
• Maʻi hohola
• Hewa puʻuwai
• Ka wā e ʻike ai i ke kauka

Hōʻike Overview

Inā loaʻa ʻoe i ka maʻi diabetes, ʻoi aku ka nui o kāu makaʻu i ka hoʻomōhala ʻana i ka maʻi maʻi ʻōpū ma mua o ka pāpālua o ka lehulehu, e like me ka American Heart Association.

No ka poʻe me ka maʻi diabetes type 2, ʻo ka maʻi puʻuwai ke kumu maʻamau o ka make.

Nui nā mea i hiki iā ʻoe ke hana e hoʻohaʻahaʻa i kou makaʻi i nā maʻi puʻuwai. ʻO ka hoʻomaopopo ʻana i ka pilina ma waena o ka maʻi kō a me nā maʻi puʻuwai ka hana mua i ka pale.

ʻO ka maʻi diabet paha ke kumu o ka maʻi puʻuwai?

ʻO ke kiʻekiʻe o ka glucose (kō) i ke koko o ka poʻe me ka maʻi kō, hiki ke hōʻino i nā kīʻaha koko a me nā ʻalolo e kaohi iā lākou.

Hoʻohana maʻamau ke kino i ke kō ma ke ʻano he ikehu. Mālama ʻia i ke akepaʻa ma ke ʻano he glycogen.

Inā loaʻa ʻoe i ka maʻi kō, hiki i ke kō ke noho i loko o kou kahena kōkō a kulu i waho o ke ake i loko o kou koko, me ka pōʻino ma hope o kāu mau kīʻaha koko a me nā ʻalolo e kaohi iā lākou.

Hiki i kahi artery coronary ālai ʻia ke hoʻolohi a kū i ke koko mai ka hāʻawi ʻana i ka oxygen a me nā mea momona i kou puʻuwai. Hoʻonui ka makaʻu o ka maʻi puʻuwai i ka lōʻihi o kou loaʻa ʻana i ka maʻi kō.

ʻO ka nānā ʻana i ke kō kō he mea nui ia o ka mālama pono ʻana i ka maʻi kō. E hōʻoia i nā pae me kahi pono ponoʻī e like me nā ʻōlelo a kāu kauka.

E mālama i kahi puke pai o kāu mau pae a lawe iā ia i kāu kau olakino e hiki mai ana i hiki iā ʻoe a me kāu kauka ke nānā pū pū ia.

Eia kekahi mau mea hou aʻe e hiki ai ke hoʻonui i kāu makaʻu ʻana i nā maʻi puʻuwai inā he maʻi diabetes kou.

Piʻi koko kiʻekiʻe

ʻO ke kahe koko kiʻekiʻe kekahi o nā mea maʻamau no ka maʻi puʻuwai ma waena o ka poʻe me ka maʻi diabetes.

Hoʻopili ia i kou puʻuwai a hoʻopōʻino i kou kīʻaha koko. ʻO kēia ka mea maʻalahi iā ʻoe i nā ʻano pilikia like ʻole:

• maʻi hohola
• hahau
• nā pilikia ʻōpū
• nā pilikia ʻike

Inā loaʻa iā ʻoe ka maʻi diabetes a me ke koko kiʻekiʻe, ʻelua mau manawa a ʻoi paha e hoʻomohala i nā maʻi puʻuwai e like me ka poʻe me ka maʻi kō ʻole.

ʻO ke ala maʻalahi e mālama i kou kaomi koko ke ʻae i kahi papaʻai olakino, hoʻoikaika kino pinepine, a inā pono, e lawe i nā lāʻau e like me ka kauka i kauoha ai.

Kolesterol kiʻekiʻe

Mālama maikaʻi ʻole ʻia nā pae momona o ke koko e like me ka kolesterol a me nā triglycerides i ka poʻe me ka maʻi kō. Hiki iā lākou ke hoʻonui i ka makaʻu o ka hoʻomohala ʻana i nā maʻi puʻuwai.

ʻO ka nui loa o ka LDL ("maikaʻi") kolesterol a ʻaʻole lawa o ka HDL ("maikaʻi") hiki i ke kolamu ke hana i kahi momona momona i loko o kāu kīʻaha koko. Hiki i kēia ke hana i nā palaka a alakaʻi i kahi puʻuwai puʻuwai a i ʻole hahau.

ʻOiai i nā hanana he nui e hoʻohuli i nā genetics i nā pae kolesterol, hiki iā ʻoe ke hoʻokele a hoʻomaikaʻi i kāu mau pae ma ke koho ʻana i nā koho nohona olakino a me ka mālama ʻana i kahi papa hoʻoikaika maʻamau.

Momona

ʻOi aku ka nui o ka momona o ka poʻe me ka maʻi diabetes. ʻO nā kūlana ʻelua he mau pilikia no ka maʻi puʻuwai.

He mana koʻikoʻi ʻo Obesity ma:

• kaomi koko
• kō kō
• pae kolesterol

Hiki i ka hōʻemi kaumaha ke hōʻemi i ka makaʻi o ka maʻi puʻuwai.

ʻO kekahi o nā ala kūpono e mālama ai i kou kaupaona ka hana ʻana me kahi dietitian a i ʻole nutrististist e hana i kahi hoʻolālā ʻai olakino. He mea nui ka hoʻoikaika mau i ka mālama ʻana i ke kaupaona.

Nohona sedentary

ʻO ka loaʻa ʻana o kahi nohona sedentary hiki ke hoʻonui i nā maʻi maʻi puʻuwai e like me ke kiʻekiʻe o ke koko a me ka momona.

Paipai ka poʻe i kēlā me kēia mākua ma ka liʻiliʻi he 2 mau hola a me 30 mau minuke o ka hoʻoikaika kino hoʻoikaika kino aerobic i kēlā me kēia pule.

ʻO nā laʻana me:

• hele wāwae
• paikikala
• hulahula

Paipai pū ka CDC e hana i nā hoʻomaʻamaʻa hoʻoikaika ikaika ma ka liʻiliʻi i ʻelua mau manawa o ka pule ma nā lā hope ʻole.

E kamaʻilio me kāu kauka e ʻike i nā ʻano hana kūpono e kūpono no kāu pono olakino.

Puhipaka

Inā he maʻi diabetes ʻoe a puhipaka ʻoe, ʻoi aku ka nui o kāu makaʻu i ka hoʻomohala ʻana i ka maʻi puʻuwai ma mua o ka poʻe puhipaka ʻole.

Hoʻokumu ka uahi paka a me ka maʻi diabet i kahi plake i loko o nā aʻa, kahi e hoʻoliʻiliʻi ai.

Hiki i kēia ke hopena i nā pilikia like ʻole, mai ka puʻuwai puʻuwai a me ka hahau ʻana i nā pilikia o ka wāwae. I nā hihia koʻikoʻi, hiki i nā pilikia o ka wāwae ke alakaʻi i ka ʻokiʻoki.

E hoʻomanaʻo ʻaʻole ia e lohi loa e haʻalele. E nīnau i kāu kauka e pili ana i ke ʻano o ka puhi ʻana i ka puhipaka e hana maikaʻi loa nāu.

Nā ʻōuli

E loli paha nā ʻōuli o ka maʻi puʻuwai ma muli o kona koʻikoʻi. ʻAʻole ʻike kekahi poʻe i nā ʻōuli. ʻO kēia kekahi o nā ʻōuli maʻamau.

• kaomi, paʻa, a ʻeha paha i kou umauma ma hope o ka umauma i pālahalaha ʻia i kou mau lima, ʻāʻī, a i ʻole hoʻi
• pokole o ka hanu
• luhi
• luʻuluʻu a nāwaliwali paha

Meaʻai

I mea e pale aku ai i ka maʻi puʻuwai inā he maʻi diabetes kou, e hoʻāʻo e hāhai i ka papaʻai olakino puʻuwai, i hiki ke kōkua i ka hōʻemi ʻana i kāu kolesterol āpau a me ke kaomi koko, i waena o nā pono ʻē aʻe. ʻO nā laʻana o nā meaʻai olakino puʻuwai e:

• nā lau ʻōmaʻomaʻo e like me ka milo a me ka kale
• iʻa wai anuanu, e like me ka salemona a me ka sardine
• nā ʻalemona, nā pecan a me nā hua kukui ʻē aʻe
• nā kīʻaha piha a me nā ʻoka

E hoʻāʻo e kaupalena i kāu lawe ʻana o:

• sodium
• kō
• momona momona
• momona momona

E hoʻāʻo mau e koho i nā koho momona momona ma nā hale kūʻai a i ʻole nā ​​hale ʻaina.

Heluhelu

ʻO ka make ma muli o ka maʻi maʻi maʻi ʻoi aku ka maʻi ma mua o ka poʻe me ka ʻole o ia, wahi a ka CDC.

Ma kahi o 32 pākēneka o ka poʻe me ka maʻi diabetes type 2 i loaʻa i ka maʻi puʻuwai, e like me kahi noi 2017.

Ma ka liʻiliʻi he 68 pākēneka o ka poʻe me ka maʻi diabetes e piha ana nā makahiki 65 a ʻoi paha e make mai kekahi ʻano maʻi maʻi puʻuwai, e like me ka American Heart Association.

ʻO ka poʻe ma lalo o ka makahiki 65 me ka maʻi diabetes ka mea i ʻoi aku ka nui o ka makaʻu o:

• maʻi hohola
• hahau
• maʻi maʻi ʻōpū

Kāohi

Aia kekahi mau ala e pale aku ai i nā maʻi puʻuwai inā he maʻi diabetes kou.

E hana i kēia, ʻo ka National Institute of Diabetes a me Digestive a me nā maʻi hakuʻala e paipai i ka mālama ʻana i kāu maʻi diabetes “ABCs”:

• Hōʻike A1C. Hōʻike kēia hōʻike koko i kāu pae glucose glucose koko ma waena o 3 mau mahina i hala. No ka hapanui o ka poʻe me ka maʻi diabetes, ʻo ka hopena ma lalo o 7 pākēneka.
• Kaomi koko. ʻO ka pahuhopu kaomi koko no nā poʻe he nui me ka maʻi kō ma lalo o 140/90 mm Hg.
• Kolesterol. ʻO ka nui o ka LDL ("maikaʻi") ʻo ke kolesterol i loko o kou koko e hiki ke hana i nā ālai i loko o kāu kīʻaha koko. E nīnau i kāu kauka he aha kāu pae kolesterol.
• Puhipaka. Me ka maʻi diabetes, pākī ka puhipaka i kou mau kīʻaha koko. Inā kū ʻoe i ka puhipaka, e hoʻohaʻahaʻa ʻoe i kou makaʻi o ka maʻi puʻuwai a me ka puʻuwai puʻuwai, hahau ʻana, a me nā pilikia olakino ʻē aʻe.

Hoʻomaʻo i nā maʻi puʻuwai i ka maʻi kō

Ma waho aʻe o ka paipai ʻia e ʻai i ka papaʻai olakino a loaʻa ka hoʻoikaika kino maʻamau, hiki i kāu kauka ke kuhikuhi i nā lāʻau e mālama ai i ka maʻi puʻuwai inā he maʻi diabetes kou.

E kamaʻilio me kāu kauka ma mua o ka lawe ʻana i nā lāʻau i mua loa e mālama i nā maʻi puʻuwai.

Hiki paha i kekahi ke launa me kāu lāʻau diabetes, a i ʻole he kō a me nā mea ʻāpiki ʻē aʻe i hiki ke hoʻopili i kāu pae kō kō.

Eia nā laʻana o nā lāʻau i kauoha ʻia e kāu kauka.

• Liraglutide (Victoza). Liraglutide (Victoza) lawelawe ʻia ma ke ʻano he injection i kēlā me kēia lā. I ka 2017, ua ʻae ka Food and Drug Administration (FDA) i ka lāʻau no ka hōʻemi ʻana i ka makaʻu o ka puʻuwai a me nā hahau i nā mākua me ka maʻi diabetes type 2 a me nā maʻi puʻuwai.
• Empagliflozin (Jardiance). I ka 2016, ua ʻae ka FDA iā Empagliflozin () no ka hoʻohaʻahaʻa ʻana i ke kō a me ka mālama ʻana i nā maʻi puʻuwai i nā mākua me ka maʻi kōkō ʻelua.
• Statins. ʻO nā Statins, e like me atorvastatin (Lipitor) a me rosuvastatin (Crestor), hoʻēmi i nā kiʻekiʻe o ke kōkō, ʻoi aku ka nui o ka LDL ("maikaʻi") kolesterol.
• Nā Antihypertensives. ʻO nā Antihypertensives, me nā diuretics a me nā beta-blockers, ke kahe o ke koko haʻahaʻa.

Nā pilikia puʻuwai naʻau ʻē aʻe

Inā loaʻa ʻoe i ka maʻi diabetes a me nā maʻi puʻuwai i mālama ʻole ʻia, hiki iā ʻoe ke loaʻa nā pilikia koʻikoʻi e like me:

• puʻuwai puʻuwai
• maʻi hohola
• hahau

Maʻi hohola

Hiki iā ʻoe ke loaʻa i kahi puʻuwai puʻuwai inā ʻaʻole lawa ka ʻāpana o kou puʻuwai puʻuwai ma muli o ka maʻi diabetes e hōʻino ana i nā moku.

Ma hope o ka loaʻa ʻana o kahi puʻuwai puʻuwai, ʻoi aku ka nui o ka pilikia o ka puʻuwai o ka poʻe ma mua o ka poʻe maʻi diabetes.

ʻO nā ʻōuli o ka puʻuwai puʻuwai e komo pū paha me kēia:

• ʻeha o ka umauma a hōʻoluʻolu ʻole paha
• nāwaliwali a ʻāwili paha
• ʻeha a hōʻoluʻolu ʻole paha i kou mau lima, nā poʻohiwi, kua, ʻāʻī, a me ka ʻāʻā
• nausea a i ʻole ka luaʻi a me ka luhi luhi ʻole, ka mea i ʻike nui ʻia i nā wahine e kū nei i ka puʻuwai puʻuwai

Inā ʻoe e ʻike nei i kēia mau hōʻailona, ​​kāhea koke iā 911.

Inā loaʻa ʻoe i ka maʻi diabetes, ʻo ka nui o ke kō i loko o kou koko e ālai ai i kāu mau kīʻaha koko, e pale ana i ke koko i kou lolo. Hiki i kēia ke hōʻeha.

ʻO ka poʻe me ka maʻi diabetes he 1.5 mau manawa ka nui o ka maʻi ahulau ma mua o ka poʻe me ka maʻi diabetes.

ʻO nā kumu pilikia no ka maʻi puʻuwai a me ka hahau like. Pili kēlā mau mea i ka loaʻa ʻana:

• kiʻekiʻe LDL ("maikaʻi") a me nā haʻahaʻa HDL ("maikaʻi") pae kolesterol
• kahe koko kiʻekiʻe
• momona

Eia kekahi mau ʻōuli e ʻike koke paha ʻoe inā e loaʻa iā ʻoe ka maʻi hahau.

• numbness i kou alo, lima a wāwae paha, ma ka ʻaoʻao o kou kino
• paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana i kahi ʻōlelo a kekahi kanaka
• ʻūpā
• nā pilikia o ka ʻike i hoʻokahi a i ʻole nā ​​maka ʻelua
• ʻeha poʻo poʻo

Kāhea koke iā 911 inā ʻike ʻoe i kekahi o kēia mau ʻōuli. Hana maʻamau nā kūleʻa kūleʻa a 3 mau hola wale nō ma hope o ka hōʻeha ʻana.

Hewa puʻuwai

ʻOi aku ka makaʻu o ka poʻe me ka maʻi diabetes i ka hoʻomohala ʻana i ka puʻuwai, i kumu ʻia e ka hiki ʻole o ka puʻuwai ke pauma i ke koko i ke kino. ʻO ka puʻuwai puʻuwai kekahi o nā pilikia nui loa o ka maʻi diabetes.

Eia kekahi o nā ʻōuli o ka puʻuwai puʻuwai:

• pokole o ka hanu
• ʻū a me ka ʻūhā
• nā wāwae pehu, nā wāwae, a me nā kuʻekuʻe wāwae
• luhi

E ʻike i kāu kauka inā loaʻa kēia mau ʻōuli iā ʻoe. ʻOiai ʻaʻole hiki ke hoʻōla ʻia ka puʻuwai puʻuwai, hiki ke mālama maikaʻi ʻia me nā lāʻau a i ʻole ke ʻoki kino.

Ka wā e ʻike ai i ke kauka

Inā loaʻa ʻoe i ka maʻi diabetes a ke ʻike nei ʻoe i nā hōʻailona maʻi puʻuwai e like me ka ʻeha a i ʻole kaomi i kou umauma, ka liʻiliʻi o ka hanu, a me ka luhi, pono ʻoe e ʻike koke i kāu kauka.

Paipai paha lākou i ka hoʻololi ʻana i ka nohona a me ka ʻai ʻana i ka papaʻai olakino. Kau inoa paha lākou i nā lāʻau. Hiki i kēia mau ʻōlelo aʻoaʻo ke hoʻopakele i kou ola.

I kēia manawa he ʻike ʻoi aku kou i ka pili ma waena o ka maʻi puʻuwai a me ka maʻi kō, ua hiki i ka manawa e hana ai.

I nā manawa hiki, ʻai i ke olakino, noho paʻa, a hana i ka mea e hiki ai ke kāohi i kou kahe koko, kō kō, a me nā kiʻekiʻe kolesterol.

ʻO ka loaʻa ʻana o ka maʻi diabetes ʻaʻole ia he manaʻo e hoʻomohala pū ʻoe i nā kūlana ʻē aʻe, e like me ka maʻi puʻuwai.

He mana kou e hoʻokele i kāu mau pilikia ponoʻī a hoʻomaikaʻi i kou olakino puʻuwai ma o nā loli nohona a me ka hana pū ʻana me kāu kauka e hana i kahi hoʻolālā lapaʻau kūpono iā ʻoe.