He aha ka maʻi diabetes?

Anter

• Nā kumu kūpilikiʻi no ka maʻi diabetes
• Nā ʻōuli o ka maʻi diabetes
• Lapaʻau no ka maʻi palupalu diabetes
• Pauma insulin subcutaneus
• Ka nānā mau ʻana o ka glucose
• Nā koho lapaʻau ʻē aʻe
• Outlook
• Kāohi ʻana i ka maʻi diabetes
• E kamaʻilio me kāu kauka

Hōʻike Overview

ʻO ka maʻi diabetic maʻalahi kekahi ʻano o ka maʻi kō. Kapa ʻia hoʻi ka maʻi diabetes labile, ke kumu kēia e hoʻohuli ʻole ai i nā kō i ke kō (glucose) pae. Hiki i kēia mau hoʻohuli ke hoʻololi i kou ʻano o ke ola a alakaʻi i ka haukapila.

Mahalo i nā holomua i ka mālama ʻana i ka maʻi kō, ʻaʻohe mea maʻamau kēia ʻano. Eia nō naʻe, hiki ke hana ʻia i ka poʻe me ka maʻi kō. I kekahi mau hihia, he hōʻailona ia e mālama maikaʻi ʻole ʻia kāu kō kō. ʻO ke ala ʻoi loa e pale aku ai i ka maʻi diabetes e hahai i kahi hoʻolālā mālama maʻi diabetes i hoʻokumu ʻia e kāu kauka.

Nā kumu kūpilikiʻi no ka maʻi diabetes

ʻO ka mea nui pilikia no ka diabetes maʻeha ka loaʻa ʻana i ka maʻi diabetes 1. ʻAʻohe hiki i ka maʻi maʻī maʻī i ka poʻe me ka maʻi diabetes type 2. Hoʻonohonoho ʻia kekahi mau kauka e like me ka paʻakikī o ka maʻi kō, ʻoiai manaʻo kekahi he subtype ia o ka maʻi diabetes type 1.

Kuhi ʻia ka maʻi diabetes type 1 e nā pae kō kō e fluctuate ma waena o ke kiʻekiʻe a me ka haʻahaʻa (hyperglycemia a me hypoglycemia). ʻO kēia ka hopena i kahi hopena "roller coaster" weliweli. Hiki i ka fluctuation i nā pae glucose ke wikiwiki a me ka hiki ʻole ke kuhi ʻia, e hana ana i nā hōʻailona koʻikoʻi.

Ma waho aʻe o ka loaʻa ʻana o ka maʻi diabetic type 1, ʻoi aku ke kiʻekiʻe o kou makaʻu i ka maʻi maʻī palupalu inā ʻoe:

• he wahine
• loaʻa nā hormonal imbalances
• kaumaha keu
• loaʻa ka hypothyroidism (nā homone thyroid haʻahaʻa)
• aia i kāu 20 a 30 paha
• he pae kiʻekiʻe o ke koʻikoʻi ma ka manawa mau
• loaʻa kaumaha
• he maʻi gastroparesis a maʻi celiac paha

Nā ʻōuli o ka maʻi diabetes

ʻO nā ʻōuli pinepine o nā pae glucose glucose haʻahaʻa a kiʻekiʻe paha he mau hōʻailona maʻamau ia o ka maʻi kō. Hiki i nā poʻe me ka maʻi diabetes 1 a ʻano 2 paha ke ʻike i kēia mau hōʻailona ke pau ka pae kō kō. Eia nō naʻe, me ka maʻi diabetic palupalu, kū kēia mau ʻōuli a loli pinepine a me ka ʻole o ka ʻōlelo aʻoaʻo.

Nā ʻōuli o nā pae kō kō haʻahaʻa haʻahaʻa loa:

• ʻūpā
• nāwaliwali
• ukiuki
• pōloli loa
• haʻalulu lima
• hihio pālua
• ʻeha poʻo poʻo
• pilikia hiamoe

Hiki i nā ʻōuli o ke kiʻekiʻe o ke kō glucose ke komo i loko:

• nāwaliwali
• hoʻonui i ka make wai a me ka urination
• hoʻololi i ka hihiʻo e like me ka hihi
• ʻili maloʻo

Lapaʻau no ka maʻi palupalu diabetes

ʻO ke kaulike ʻana i kāu pae kō kō ke ala mua e mālama ai i kēia ʻano. Nā mea hana i hiki ke kōkua iā ʻoe e hana i kēia me:

Pauma insulin subcutaneus

ʻO ka pahuhopu nui no nā poʻe me ka maʻi diabetes e hoʻokūkū maikaʻi i ka nui o ka insulin a lākou e loaʻa ai i ka nui e pono ai i kahi manawa i hāʻawi ʻia. Ma laila kahi e komo ai ka pauma insulin subcutaneus. ʻO ia ka pono hana pono loa no ka kaohi ʻana i ka maʻi maʻī palupalu.

Hāpai ʻoe i kēia pauma liʻiliʻi i loko o kāu kāʻei a i ʻole ʻeke. Hoʻopili ka paila i kahi ʻōpala paliki paʻa e pili ana i kahi nila. Hoʻokomo ʻoe i ka nila i lalo o kou ʻili. Hoʻokomo ʻoe i ka ʻōnaehana 24 mau hola i ka lā, a hoʻomau mau ia e kaomi i ka insulin i kou kino. Kōkua ia i ka mālama mau ʻana i kāu mau pae o ka insulin, a laila kōkua ia e mālama i kāu mau pae glucose ma kahiʻoi aʻe keel.

Ka nānā mau ʻana o ka glucose

ʻO ka mālama maʻamau ʻana i ka maʻi ʻaʻai e pili ana i ka hoʻāʻo pinepine ʻana i kou koko e nānā i kāu pae glucose, pinepine i nā manawa he nui i kēlā me kēia lā. Me ka maʻi diabetic palupalu, ʻaʻole lawa paha ia i ka manawa e mālama ai i kāu pae glucose.

Me ka nānā mau ʻana o ka glucose (CGM), hoʻonoho ʻia kahi mea ʻike ma lalo o kou ʻili. ʻIke mau kēia meaʻike i nā pae glucose i loko o kāu mau pūnaewele a hiki ke makaʻala iā ʻoe ke kiʻekiʻe a haʻahaʻa paha kēia pae. ʻAe kēia iā ʻoe e mālama koke i kāu pilikia kō kō.

Inā manaʻo ʻoe e holo pono paha kahi ʻōnaehana CGM iā ʻoe, e kamaʻilio me kāu kauka e ʻike hou aʻe.

Nā koho lapaʻau ʻē aʻe

Pane pinepine ka maʻi diabetic maʻalahi i ka hoʻokele akahele. Eia nō naʻe, loaʻa i kekahi poʻe me kēia ʻano ka loli nui o ke kō a me ka hoʻomaʻamaʻa ʻia. I nā hihia maʻamau, pono paha i kēia poʻe i kahi transplant pancreas.

Hoʻokuʻu kāu pancreas i ka insulin i ka pane ʻana i ka glucose i loko o kou kahena koko. Kauoha ka insulin i nā hunaola o kou kino e lawe i ka glucose mai kou koko i hiki i nā hunaola ke hoʻohana iā ia no ka ikehu.

Inā ʻaʻole holo pono kāu pancreas, ʻaʻole hiki i kou kino ke hana pono i ka glucose. Ua hōʻike ʻia kahi noiʻi i paʻi ʻia i loko o ka puke pai ua loaʻa i nā transplants pancreas kahi kiʻekiʻe o ka holomua i ka mālama ʻana i ka maʻi kō.

Ke hoʻomohala ʻia nei nā ʻano lāʻau ʻē aʻe. ʻO kahi laʻana, aia kahi pancreas hānai i kēia manawa i nā hoʻokolohua hoʻokolohua ma kahi papahana hana ma waena o ke Kula Nui ʻo Applied Engineering a me ke Kulanui o Virginia. ʻO kahi pancreas synthetic kahi ʻōnaehana olakino pono ʻole iā ʻoe e hoʻokele lima i kāu nānā ʻana i ka glucose a me ka hoʻopili ʻana o ka insulin. I ka 2016, ua ʻae ka Food and Drug Administration (FDA) i kahi "hybrid closed-loop system" pancreas artificial e hoʻāʻo i kāu pae glucose i kēlā me kēia ʻelima mau minuke, 24 mau lā i ka lā, e hāʻawi maʻalahi iā ʻoe i ka insulin e pono ai.

Outlook

ʻAʻole make ka maʻi diabetes ponoʻī, a i ka hapanui o nā hihia hiki iā ʻoe a me kāu kauka ke hoʻokele kūleʻa iā ia. Eia nō naʻe, hiki i nā loli koʻikoʻi i ke kō kō ke alakaʻi i ka haukapila ma muli o ka makaʻu o ka maʻi kō.Eia kekahi, i ka hala ʻana o ka manawa, hiki i kēia ʻano ke alakaʻi i nā pilikia ʻē aʻe, e like me:

• maʻi thyroid
• pilikia pilikia adrenal
• kaumaha
• loaʻa kaupaona

ʻO ke ala ʻoi loa e hōʻalo ai i kēia mau pilikia ka pale ʻana i ka maʻi diabetes.

Kāohi ʻana i ka maʻi diabetes

ʻOiai he kākaʻikahi ka maʻi maʻī o ka brute, he mea nui nō naʻe e pale aku iā ia. Heʻoiaʻiʻo loa kēia inā loaʻa iā ʻoe kekahi o nā pilikia i helu ʻia ma luna.

I mea e pale aku ai i ka maʻi maʻī ʻole, e ʻōlelo paha kāu kauka iā ʻoe:

• mālama i kahi kaupaona olakino
• ʻike i kahi mea hoʻoponopono e mālama i ke koʻikoʻi
• loaʻa ka ʻike diabetes maʻamau
• ʻike i ka endocrinologist (kahi kauka i loea i ka maʻi kō a me nā hormonal imbalances)

E kamaʻilio me kāu kauka

ʻAʻole ʻike pinepine ʻia ka maʻi maʻisā palupalu, akā inā he diabetes maʻamau kāu 1, pono ʻoe e makaʻala i nā kumu a me nā hōʻailona kūpono. Pono ʻoe e ʻike i ka nānā ʻana a me ka mālama ʻana i kāu pae kō kō i ke ala ʻoi loa e pale aku ai i nā pilikia o ka maʻi diabetes, e like me ka maʻi kō.

Inā he mau nīnau kāu e pili ana i ka mālama ʻana i kāu maʻi diabetes, e kamaʻilio me kāu kauka. Hiki iā lākou ke kōkua iā ʻoe e hoʻomaopopo hou aʻe e pili ana i kou ʻano a aʻoaʻo iā ʻoe e pili ana i kāu papa mālama. Ke hana pū nei me kāu kauka, hiki iā ʻoe ke aʻo e hoʻokele - a i ʻole pale - diabetes maʻeha.