Ma ka mālama ʻana i ka maʻi diabetes type 1 a i ʻole type 2, ua hoʻonohonoho mākou i kahi pahuhopu ʻole: e mālama i ka kōʻai koko i nā manawa āpau e like me ka poʻe olakino ʻole me ka maʻi maʻi. Inā hiki ke hoʻokō ʻia kēia, a laila ua hōʻoia ka mea maʻi i kahi 100% e loaʻa ʻole iā ia nā ʻōnaehana maʻamau o ka maʻi maʻi. ʻO nā ala e hoʻohana ai mākou e mālama i ke kō koko koko i ka manawa like i ka pale ʻana i nā pilikia "pili i nā makahiki": atherosclerosis, puʻuwai puʻuwai, ka ʻeha, nā maʻi hui.
ʻO ka mea mua, e ʻike i ka mea e nānā ai ke kō i ke olakino maʻi, ʻilihune i ka poʻe me ka maʻi ʻole. I nā makahiki he nui, ʻo Dr. Bernstein i hoʻohana nui i ka manawa a me ka hoʻoikaika. Ua ʻae ʻo ia i ka helu ʻana i ke koko koko o nā kāne a me nā hoahānau o nā maʻi maʻi i hiki mai iā ia no kahi manawa. Eia kekahi, ʻike pinepine ʻia nā māka kūʻai kūʻai, e hoʻāʻo ana e hoʻohana iā lākou e hoʻohana i nā glucometer o ka brand lākou e hoʻolaha ai. I ia mau nā hihia, hōʻike ʻole ke kauka i ka mea kūʻai aku i ke kō me kāna glucose, kahi e hoʻolaha ai, a lawe koke i ke koko mai kāna vein i mea e hana ai i kahi loiloi hana loiloi a loiloi i ka pololei o ka glucometer.
I kēia mau manawa a pau, ma nā kānaka olakino, he 4.6 ± 0.17 mmol / L. No laila, ko mākou pahuhopu i ka mālama ʻana i ka maʻi diabetes type 1 a me ka type 2 e mālama mau i nā kō koko koko paʻa o ka 4,6 ± 0.6 mmol / L, i kēlā me kēia makahiki, ma mua a ma hope o ka ʻai ʻana, e oki ana i kāna mau "hiʻi". ʻO ka lāʻau maʻi maʻi kūlohelohe he ʻano “kūpono” a me ke ʻano kiʻekiʻe o ka insulin. ʻAʻole lākou e ʻae e hoʻokō i kēlā mau hopena, me he mea lā ʻaʻole i hoʻāʻo ka maʻi maʻi maʻi. No laila, hōʻike wale nā kauka i nā kau koko koko kiʻekiʻe e hōʻoiaʻiʻo i nā mea maʻi. A i kēia manawa, hoʻomau nā mea maʻi i nā ʻōkuhi o ka maʻi maʻi.
Pehea e mālama ai i kahi kaohi koko koko maʻamau
Hāʻawi mākou i kahi meaʻai haʻahaʻa haʻahaʻa-ʻokoʻa ma mua o kahi "ʻano kaukau" kūpono e hoʻomalu ai i ka maʻi type 1 a me ke ʻano 2. Ma kēia meaʻai, ʻaʻole piʻi ala ke koko koko ma hope o ka ʻai ʻana. ʻO ka liʻiliʻi o nā kākoi liʻiliʻi e ʻai ana i kahi maʻi maʻi, ʻo ka emi o ka insulin e pono ai iā ia e hoʻokomo. ʻO nā dosis liʻiliʻi o ka insulin, e like me ka poʻe nui, e hana nui a wānana. Ua kāpae ʻia ka Sugar Sugar, mālama ia i ka maʻamau maʻamau. E nānā i kā mākou Polokalamu Diabetes Momo a me ka Polokalamu Hoʻomalu o ka Diabetes type 2, i ʻōlelo ma lalo. Inā hoʻomaʻamaʻa maikaʻi ʻoe i ke kaʻi, a laila hāʻule ka honu o ke koko i ka maʻamau ma hope o nā lā 2-3, a laila noho mau ka manawa a pau.
E pili ana i ka hemoglobin glycated, i nā kānaka olakino, e hoʻolōʻihi ana, e hele pinepine kēia hōʻailona ma kahi o 4.2–4.6%. Wahi a, pono mākou e hoʻoikaika no ia. Eia kekahi, kahi maʻamau o ka hemoglobin glycated a hiki i ka 6,5%. Aneane kēia ma kahi o 1.5 mau manawa kiʻekiʻe i ke kanaka olakino! ʻOi aku ka maikaʻi, hoʻomaka lākou e mālama i ka maʻi diabetes i ka wā e piʻi ai kēia hōʻailona ma ka 7.0% a ʻoi aku paha.
He aha ka hoʻomehana ʻana i ka maʻi diabetes
Ua hōʻike ʻia e ka Pūnaewele Diabetes ʻAmelika "ʻo ka hoʻomau ʻana i ka maʻi diabetes" ʻo ia hoʻi:
- hānai koko ma mua o nā meaʻai - mai ka 5.0 a i 7.2 mmol / l;
- holi koko 2 mau hola ma hope o kahi pāʻina - ʻaʻole iʻoi aku ma mua o 10.0 mmol / l;
- hemoglobin glycated - 7.0% a i lalo.
Koho mākou i kēia mau hopena ma kahi "piha piha o ka kaohi maʻi."
ʻO nā kulekele kano i paʻi ʻia e ka American Diabetes Association, a ma hope o ia hana i ko mākou ʻoihana keʻena olakino hale, e ʻōlelo ana e ʻai ana ka mea maʻi pākeke i kahi huina "momona" waiwai i nā mea ʻamiʻaka. Pono ka papa o ka kalapona kiʻekiʻe ke kuhi i nā wai nui o ka insulin i ka mea e hoʻokaʻawale ai i ke kō o ke koko. A ʻo nā dosis kiʻekiʻe o ka insulin e alakaʻi i ka nui o ka ulu ʻana o ka hypoglycemia. No laila, ʻo nā kauka a me nā limahana e hāpai i nā nui o ke kō koko koko i ka hoʻāʻo e hōʻemi i ka hōʻemi o ka hypoglycemia koʻikoʻi, hiki iā ia ke hopena i ka make a i ʻole ke kīnā
Inā mālama ʻia ka maʻi diabetes me kahi meaʻai haʻahaʻa-liʻiliʻi, koi ʻia nā dosis insulin i kekahi mau manawa he liʻiliʻi iki. Hoʻopau pinepine ʻia ka hopena o ka hypoglycemia me ka ʻole o ka mālama i ke kō kō koko kiʻekiʻe. ʻO ke kino o ke kanaka i kēlā mau ʻano ke hana wānana. Ma hope o kahi meaʻaiʻai haʻahaʻa, ʻike pono ka maʻi maʻi i ka mea e like me ke koko o kona koko, e like me ka mea i ʻai a me ka nui o ka insulin. I kēia manawa hiki iā ia ke hoʻolālā i kāna meaʻai, hana kino a me nā inikini insulin e mālama pono ai i ke kō koko maʻamau, e like me ka poʻe olakino. ʻO kēia ka mea maikaʻi o ke olakino maikaʻi a me nā hopena ʻole o ka hoʻopiʻi o ka maʻi maʻi.
E hoʻokū i kāu kōlā koko koko
No laila, i nā pākeke olakino ʻaʻole ia e luhilohi a ʻaʻohe hapai, nā maʻi koko koko ke ʻano e kokoke loa 4.6 mmol / L. I nā keiki, ka liʻiliʻi o ka haʻahaʻa. I loko o hoʻokahi hola ma hope o ka ʻaina ʻaina me ka momona o ka "wikiwiki", hiki i ke kōpaʻa koko a hiki i nā poʻe olakino ke hoʻomau ʻia. ʻAʻole hiki ke manaʻo ʻia kēia ʻano. No ka mea, ma loko o ka mōʻaukala o ke kanaka, ʻaʻole i loaʻa ka “wikiwiki” paʻikina i ka nui no ka ʻai ʻana o ka poʻe. ʻO nā mea ʻai a nā kūpuna i lilo i momona ma ka nui o nā haʻawina ʻaʻole iʻoi aku ma mua o 10 mau makahiki i hala aku nei, me ka hoʻomohala ʻana i ka mahiʻai ʻana, ma mua o ka nui o nā ʻōmua i laila.
I kēia manawa, ua ʻai nā kānaka o nā ʻāina kūkulu i ʻoi aku ma mua o ka 70 kg o ka holi i kēlā me kēia makahiki. Hoʻopili kēia i ka ʻai gula wale nō, akā ʻo ka mea i hoʻohui ʻia i ka kīʻaha ʻana a me nā mea inu ma kā lākou hana ʻenehana. ʻAʻole hiki i ko mākou mau kūpuna ke ʻai i ka nui o nā kalapika i hoʻoponopono ʻia i kēia manawa ke ʻai nei mākou i hoʻokahi makahiki. No laila, ʻaʻole i hoʻokomo pono ke kino o ke kanaka i ka hoʻohana ʻana i nā pākeke "wikiwiki". Hoʻokumu i kēia mau noʻonoʻo āpau, ke nānā ʻole nei mākou i nā peke i loko o ke kōʻai koko i loko o nā kānaka olakino ma hope o ka ʻai e ukuhi ʻia me nā mea hōʻawaʻawa, a hoʻonohonoho i ka pae kō kōnoho koko mahele no ka maʻi diabetes o 4.6 ± 0.6 mmol / L.
No ka poʻe maʻi me ka maʻi maʻi type 2 ʻaʻole i mālama ʻia me ka insulin i ka mea a i loaʻa paha i nā wai lāʻau haʻahaʻa loa, ua ʻōlelo ʻo Kauka Bernstein e hoʻohālikelike ai i ke kōpaʻa koko koko o 4.4–4.7 mmol / L ma mua a ma hope o ka ʻai, i.e. me ka mea hōʻike kuʻe. No ka poʻe maʻi me ka maʻi diabetes type 2 ka mea i mālama ʻia me nā dosis ikaika o ka insulin, like nō hoʻi no nā mea maʻi me ka maʻi type 1, ʻoi aku ka paʻakikī o ke kūlana. Ke hāʻule ko lākou koko koko, ʻaʻole hiki i ke kino ke "kāpae" i ka hana a ka insulin i hoʻopaʻa ʻia. No laila, aia nō kahi kūpono o ka pae o ka glucose i ke koko e emi nui ai, ʻo ia ka hypoglycemia e kū mai. No laila, no nā kumu palekana, no kēlā me kēia mau maʻi maʻi maʻi, hiki ke hoʻonohonoho pono ʻia ke kōʻai koko kōpono mua ma ka nui o 5.0 ± 0.6 mmol / L. I ka wā e hana ai ʻoe i ka ola me kēlā gula, e hoʻohaʻahaʻa me ka 4.6 ± 0.6 mmol / l no nā pule he nui.
Hōʻike ʻia nā maʻi maʻi āpau e hoʻoponopono i ko lākou koko koko i ka wā i ʻike ai ua ʻoi aʻe ia a ma lalo paha nā mea i manaʻo ʻia. No kēia mea, ua hoʻohana ʻia nā kuhi ʻana o nā liʻiliʻi liʻiliʻi o ka insulin "wikiwiki", a me nā papa glucose. E heluhelu hou i nā ʻatikala e pili ana i ka hōʻoluʻolu o ka ha hypoglycemia a me ka helu ʻana i nā ʻaina insulin. I ka hopena o kēia, e noho mau ko mākou koko koko, e like me ka wā o nā kūpuna ma mua o ka hoʻomohala ʻana i ka mahiʻai.
I ka pono e mālama pono iā ʻoe i ke kō
Nui kahi papa inoa o nā kūlana e pono ai e hoʻonui ke kōpaʻa koko. ʻO kēia mau kūlana āpau e pili wale ana i nā maʻi maʻi kanikau o insulin, e pili ana i ka maʻi hypoglycemia. Eia ka papa inoa o lākou:
- Ma mua o ka hoʻomaka ʻana i ka mālama ʻana, ua noho pū kekahi mea maʻi maʻi maʻi me ka meli kiʻekiʻe loa no nā makahiki he nui.
- I ka hoʻomaka mua o ka mālama maʻi maʻi me nā inikini insulin.
- No nā maʻi maʻi pili i ka hana hoʻoikaika kino.
- No nā kamaliʻi kiʻekiʻe e loaʻa kahi kiʻekiʻe o ka hana kino.
- Inā ʻaʻole hiki i ka mea maʻi a ʻaʻole makemake paha ia e noho pololei ma ka regimen.
- Me ka gastroparesis maʻi maʻi.
Inā makemake nui ka maʻi maʻi me ka maʻi maʻi koko nui loa ma mua o ka hoʻomaka ʻana o ka mālama ʻana, a laila ʻike ʻo ia i nā ʻano leʻaleʻa o ka glycemia, inā ʻoe e hoʻāʻo koke e hoʻohaʻahaʻa i ke kō i ke kō. I kēlā kūlana, ua kau mākou i ka pae pae mua o ka glucose i loko o ke koko he nui ka nui, a ma hope iki e hoʻohaʻahaʻa iā ia i maʻamau no nā hebedoma. ʻO kahi hiʻohiʻona. I noho lōʻihi kekahi maʻi me ka maʻi hānai ma nā manawa lōʻihi me ke kō koko koko e pili ana iā 14 mmol / L. I kēia hihia, ua hoʻemi ʻia kona kōpala me 7-8 mmol / l a ʻae ʻia e hoʻohana i ka "ola hou". A laila e hoʻonui hou ʻia i ka maʻamau.
Pehea e hana ai i ka mea e hoʻomaka ana ka mea maʻi e mālama i kāna maʻi maʻi me nā inikini insulin? I ka wā mua, hana pinepine nā mea maʻi i ka wā e helu ana i ka dosages insulin. A maikaʻi kēlā a ulu kahi ulu. Pono ʻoe e hoʻohana i kahi hoʻolālā palekana e pale iā ʻoe mai ka hypoglycemia koʻikoʻi. No ka laʻana, hiki iā ʻoe ke ʻimi mua e hoʻohaʻahaʻa i ke kōmela koko me 6.7 mmol / L wale nō. No nā pule he nui, ua hui pū ʻia nā inikini me ka ʻeha ʻole me ka kaohi o ke kō o ke koko. Uaʻike mākou ua hāʻule mua ka hilo ma lalo o ka 3.8 mmol / l - a ma hope wale nō o ka hoʻonui ʻana i ka dosis o ka insulin e hoʻohiolo i ke kō i ka pae kiʻekiʻe.
No nā poʻe maʻi maʻi e pili ana i ka insulin e hana ana i ka hana kino olakino, aia ka nui o ka hōʻemi o ka hypoglycemia. No laila, e aʻo ʻia lākou e mālama i ke kōpaʻa koko ma mua o ko mākou pae pae maʻamau. Hoʻopilikia ka mea e pili ana i nā keiki ʻōpio i loaʻa kahi kiʻekiʻe a me ka loaʻa ʻole o ka hana kino.
E pōkole mākou i kahi poʻe maʻi maʻi maʻi ʻole ʻole a makemake ʻole e nānā pono i nā loiloi, e nānā pono i ka regimen. E ʻike nui lākou i nā kiki i ke kō. Inā ʻaʻole ʻoe e hōʻole i ka pae o ka glucose i ke koko, a laila alakaʻi kēia mau laka i ka hypoglycemia. ʻO kēia ka mea like loa e like me ke ʻano maʻamau o ka maʻi maʻamau, i ka wā e ʻai ai ka mea maʻi i ka meaʻai "kūpono".
ʻO ka hihia maikaʻi loa no nā mea maʻi maʻi 1 ka mea i hoʻomohala i ka gastroparesis maʻi - nalo i ka gastric huni ma hope o ka ʻai ʻana. ʻO kēia kahi hoʻonā o ka maʻi maʻi i mea e ʻoi aku ka paʻakikī o ka mālama koko me ka wai haʻahaʻa. Hoʻokomo ʻia nā mea pohihihi i ke kō koko koko, ʻoiʻo ka paʻakikī i ka pale ʻia. I ka wā e hiki mai ana, e hōʻike ʻia kahiʻatikala kikoʻī ma ka pūnaewele pehea e hana ai i kēlā kūlana.
He aha ka mea e manaʻo ai i ka wā e hoʻihoʻi ai ke koko koko i ka maʻamau
I ka poʻe e mālama mau ana i ke kō koko koko maʻamau, ʻaʻole mau ulu nā maʻi ʻana i ka maʻi lōʻihi. I ka manawa like, ʻoi aku ka nui o ka hānai hoʻokiʻekiʻe e lawe i ka maʻi o ka hoʻouluʻana i nā maʻi maʻi i ka maʻi maʻi. Akā ke kokoke kokoke i kāu kō, ʻo ka haʻahaʻa o ka pilikia o ka pilikia. Ma hope aʻe, e wehewehe mākou i nā kikoʻī i nā loli kūpono e nānā nei i nā maʻi me ka maʻi maʻi maʻa ma hope o ke aʻo ʻana e hoʻomalu maikaʻi i ko lākou maʻi.
Ka hoʻonui ʻana i ka ikehu, ka hoʻomaikaʻi ʻana i nā pono noʻonoʻo
ʻO ka mea mua, ua ʻike koke nā maʻi maʻi maʻi e pili pono ana i ka rula me ka nalo o kā lākou mānoanoa. Loaʻa ka nui o ka ikehu, hoʻonui nui a me ka manaʻo kūpono. ʻO ka nui o nā mea maʻi, ma mua o ka hoʻomaka ʻana e hoʻihoʻi i ko lākou gula i ka maʻamau, ʻōlelo lākou he "maʻamau." Ma hope aku, ua ʻike i nā hopena o kahi papahana mālama hoʻonahele o ka maʻi 1 a i ʻole ka palapala lapaʻau ʻoihana maʻi 2 ʻano, manaʻo lākou he mea maikaʻi loa ia. ʻO kā lākou maikaʻi e lilo i mea pīhoihoi. ʻAʻole manaʻoʻiʻo he nui i kēia e hana ana iā lākou.
Hoʻomaʻi pinepine nā poʻe maʻi iā lākou iho, a me kā lākou mau hoa wahine a me nā hoahānau e nānā maikaʻi nei i ka poʻe maʻi maʻi. Hoʻomaopopo kēia i kahi hoʻomanaʻo pōkole o ka manawa pōkole no nā hanana hou. Ke hoʻomaʻamaʻa ke kō koko koko, i loko o nā mea maʻi me ka maʻi maʻi, e hoʻomaikaʻi nui ka hoʻomanaʻo pōkole. Eia kekahi, inā hōʻike nā hōʻike i kahi hemahema o nā hormones thyroid i ke koko, a laila pono ʻoe e hoʻopili i ka endocrinologist a lawe i nā pālolo nāna e kuhikuhi. Kōkua hou kēia i ka hoʻomaikaʻi ʻana i ka hoʻomanaʻo. Aia a hiki i ke ʻano o nā dementia senile e nalowale i kekahi mau mahina. I ka hopena, ua ʻike nui ʻia ka holomua nui ma ka hoʻomanaʻo ʻana me ka maʻi maʻamau.
ʻEha nā ʻeha a me nā ʻehaʻeha wāwae
ʻO ka neuropathy Diabetic kahi maʻi conduction o ke nerve e ulu ana ma muli o ke kiʻekiʻe o ka piʻi ʻana o ka nui o ka glucose koko. Hoʻopilikia ka neuropathy Diabetic i nā hōʻailona like ʻole like me nā pilikia. ʻO nā mea hōʻike maʻamau he mau pilikia me nā wāwae, ʻo ia hoʻi, ua hōʻeha nā wāwae a i ʻole, i ka mea ʻē aʻe, e pau ai ko lākou ʻike. Kēia ua hoʻi hou ke koko koko i ka maʻamau, ke hele koke nei kekahi mau hōʻailona o ka maʻi neuropathy maʻi, ʻoiai ʻo kekahi e hōʻeha i ka pilikia no kekahi mau makahiki. A ʻaʻohe mea i hiki ke wānana mua ma mua.
Inā loaʻa ʻoe i ka manomele (i ka nalowale o ka sensation) i kou mau wāwae, a laila hiki iā ʻoe ke manaʻolana i kēia pilikia e hoʻomaka lohi ʻia ma hope o kekahi mau hebedoma e hoʻokō pono ana i kahi papahana papa lāʻau palalī makua āpau a i ʻole ka papa lāʻau lapaʻau ʻo type 2 paha. Akā e like me ka manawa o ka hana o ka hoʻihoʻiʻana o ka wāwae i nā wāwae, ʻaʻole mākou e hoʻohiki i kekahi mea i mua. I nā maʻi maʻi he nui, maʻi nui nā wāwae i ke kō koko koko. ʻIke ka poʻe maʻi maʻi āpau i ka wā e piʻi ai ke kō, no ka mea koke ka palu ʻana i ko lākou mau wāwae.
Ma kekahi ʻaoʻao ʻē aʻe, i kekahi mau mea maʻi i ʻōhumu mua ʻia o ka ʻāʻī ʻana o nā wāwae, ma hope o ka hoʻohālikelike ʻana i ke kō koko koko, hoʻomaka koke nā wāwae e hōʻeha. Eia kekahi, he ikaika loa kēia mau ʻeha, a he mea paʻakikī ke kiola iā lākou i kahi mea. Hiki iā lākou ke mau i nā malama he mau mahina, akā ma ka hopena ke hala ʻole. Aia paha, hoʻomaka nā nīne e hana i nā hōʻailona hōʻeha i ka manawa mua i hoʻihoʻi ʻia ai ko lākou ʻaʻi ʻana. I loko o ia ʻano, pono ʻoe e ahonui, ʻaʻole ʻoe e hele ma kahi ʻē aʻe, i ka manawa e nalowale nei kēia mau hōʻeha. ʻO ka mea nui ka manaʻo o ka hōʻemi i ka wāwae a hōʻemi paha i ka wāwae.
Nā pilikia pilikia i nā kāne
Manaʻo nā pilikia o ka maʻi ma kahi o ka 65% o nā kāne maʻi. Eia paha, ʻoi aku ka nui o kēia pakeneka, ʻoiai he nui ka poʻe i ʻike ʻole ʻia e ke kauka. Hoʻopilikia ʻia ka maʻi hōʻeha ma o ka hoʻopiʻi ʻana i nā hoʻoulu o nerve, atherosclerotic blockage o nā moku koko e hoʻopiha i ka penis me ke koko, a i ʻole i ka manawa like. Hiki iā ia ke laka a paʻa paha. Inā liʻiliʻi liʻiliʻi ka mālama ʻana o kahi kāne, a laila hiki iā mākou ke manaʻo e ma muli o ka normalization o ka hilo i ke koko, e hoʻihoʻi hou ia. A hiki ke hana i kēia i loko o kekahi mau pule.
Eia nō naʻe, inā ʻaʻole ka mea hoaaloha kahiko i hōʻike i nā hōʻailona o ke ola, a laila ʻaʻole hiki i kekahi mea ke hana. Hāʻawi kēia i nā moku ke hōʻeha loa ʻia e ka atherosclerosis, a ʻaʻole kōkua ke normalizing i ke kōhi koko. E hoʻāʻo i nā lāʻau lapaʻau i hōʻike ʻia i loko o kā mākou kikoʻī kikoʻī, "Impotence no Diabetes." Maʻa ka poʻe āpau e pili ana i nā papa Viagra. He poʻe liʻiliʻi wale nō e ʻike ana he nui nā "ʻohana" ʻo Viagra mai nā hui lāʻau lapaʻau hoʻokūkū. Mālama i ka hoʻāʻo ʻana iā lākou a pau e hoʻoholo i ka mea ʻoi loa ka maikaʻi. E heluhelu hou i loko o ka ʻatikala i haʻi ʻia ma luna.
E hoʻomanaʻo hoʻi he hopena maikaʻi loa ka hypoglycemia i ka male kāne. Ma hope o ka hoʻouka ʻana o ka hypoglycemia, hiki ʻole i ka hemahema ke hōʻike iā ia iho i kekahi mau lā hou, i nā manawa inopportune keu. Ma kēia ala, ua hoʻopaʻi ke kino o ke kanaka maʻi maʻi maʻi i kona haku no ka nānā ʻole. ʻO kēia kahi kū'ē'ē aʻe e pinepine i ke kīpē o ke koko me ka glucometer a ʻaʻole e mālama i nā kānana hoʻokolohua.
Hoʻohālikelike ʻia ka hoʻomohala ʻana o ka hana ʻole
ʻAʻole mālama maikaʻi ʻia kahi meaʻai haʻahaʻa-haʻahaʻa i nā keiki i kēlā me kēia se. Ua manaʻo ʻia e hoʻōla hou nā keiki iā lākou iho i ka pau ʻole o ka make ʻana o ke kō koko koko nui.ʻO ka nui o ka protein i ka urine e emi ma hope o kekahi mau mahina, akā hiki ke kaʻina kēia hana no 1-2 mau makahiki. Eia kekahi, hoʻomaikaʻi ka nui o ka filtration glomerular e like me nā hopena o nā hōʻike koko.
Hōʻike nā kauka i nā mea e kaupalena ai i ka ʻai o ka protein i ʻole e hoʻolalelale i nā pōpoki a no laila e hōʻole i ka hoʻomohala ʻana o ka hiki ʻole o ka pūpū. ʻ sayslelo mai ʻo Kauka Bernstein ʻaʻole pololei kēia. Ka mea, pono e kaupalena i kou kaila kalaiwa a hana i nā hana āpau e mālama i ke kō koko koko maʻamau. E noʻonoʻo e heluhelu i ka "Diet-Karetilato Hānai a me nā Hoʻopau o nā maʻi maʻi o nā keiki".
ʻO ka mālamaʻana i ka ʻike no ka maʻi maʻi maoli he maoli
ʻO nā hopena o ka maʻi diabetes no ka ʻike maka he retinopathy diabetes, cataract a me glaucoma. E hoʻomaikaʻi maikaʻi kēia mau pilikia āpau i ka wā nāna e mālama i ka mea maʻi i kona koko koko a mālama paʻa i nā maʻi maʻamau. E like me nā hoʻopiʻi ʻē aʻe o ka maʻi maʻi, ua kaʻi ʻia ka mea āpau i ka maʻi o ka maʻi, i.e., inā paha ua hoʻomaka koke lākou e mālama pololei ʻia i ka manawa me kahi meaʻai haʻahaʻa haʻahaʻa.
ʻO ka hoʻololi ʻana i ke kō koko koko ʻo ke ala maikaʻi loa e mālama ai i nā pilikia o ka maka ma ka maʻi diabetes. ʻO nā ʻano aʻoaʻo āpau i hāʻawi ʻia e nā ophthalmologists, ma keʻano o ko lākou pono no ka mālama pono ʻana i ka hihiʻo, ʻaʻole i moe kolohe me kahi papahana maʻi diabetes type 1 a i ʻole nā papahana mālama maʻi hika 2. ʻO kaʻoiaʻiʻo, inā ua hoʻomohala nā hopena koʻikoʻi o ka maʻi diabetes, a laila hiki ʻole iā ʻoe ke hana me ke kōkua ʻole o ka lāʻau lapaʻau. I ka manawa like, hiki i ka laser coagulation o ka retina a i ʻole nā mea lapaʻau ʻē aʻe ke hoʻohui, akā ʻaʻole e hoʻololi, nā hana a ka mea maʻi no ka mālama ʻana i ka maʻi maʻi.
ʻO nā hoʻomaikaʻi ʻē aʻe
Ma kahi kīʻaha hoʻohaʻahaʻa-nui, hoʻomaikaʻi ʻia nā hoʻokolohua koko no ka "maikaʻi" a me ka "maikaʻi" kolesterol, triglycerides, a me nā mea ʻē aʻe e pili ana i ka puʻuwai. Hiki ke nānā ʻia kēia inā ʻoe e hana i nā hoʻokolohua ma mua o ka hoʻomaka ʻana o ke "ola hou", a laila hou ma hope o 2 mau mahina. E hoʻomau holomua nā hopena hōʻike no kahi makahiki hou.
Ua hoʻāʻo ʻia ka nui o ka kō koko koko i ka wā e hoʻoneʻe i ka ulu a me ka hoʻomohala ʻana i nā keiki me ka maʻi type 1. Inā hoʻomaikaʻi ʻoe i ka meli i ka wā kamaliʻi a i ʻole ka wā ʻōpio, a laila hoʻomaka ka maʻi maʻamau i nā maʻi maʻi maʻamau a ulu aʻe i kā lākou kī.
ʻO ka hōʻike kino loa o ka maʻi neuropathy maʻi i ka gastroparesis, i.e. partial gastric paralysis. E alakaʻi aku ana i ka gastroparesis Diabetic e lohi i ka pau ʻana o ka ʻōpū ma hope o ka ʻai ʻana. ʻO kēia hoʻopiʻi nui e hoʻonāukiuki i ka mālama o ke kō i ke koko ma kahi pāʻai haʻahaʻa. No laila, ke hoʻokaʻawale nei ʻo gastroparesis diabetes me ke koena o nā hoʻopiʻi. E heluhelu pehea e pale aku ai i ka gastroparesis maʻi.
ʻO ka holomua koʻikoʻi āu e ʻike ai, ʻo ia ka manaʻo i ua hoʻopaʻi ʻia ʻoe i ka make. No ka mea hoʻopiʻi weliweli ʻana i ka maʻi diabetes - ka palupalu o ka palaka, ka makapō, ka nui o ka wāwae a i ʻole wāwae. Oe ke ʻike i ka maʻi maʻi maʻi maʻi e noho nei me nā pilikia i kau ʻia ma luna. ʻAʻole kēia ke ola, akā he hoʻomehana nui. Ke hoʻomau nui nei nā poʻe e ʻimi nei i kā mākou papa hana maʻi diabetes ʻano 1 a i ʻole he 2 lā ka papahana mālama maʻi hānai no ka mea ʻaʻole lākou i pilikia i ka kaʻana ʻana i ke koena o ke koena.
ʻO ka mālama ʻana i ke kō koko koko maʻamau i ka maʻi diabetes, e like me ke kanaka olakino, ʻilihune, he pahuhopu maoli inā e hoʻoikaika ikaika mākou i kā mākou mau manaʻo. ʻO kou olakino a me ka maikaʻi o kou ola wale nō e hilinaʻi nei iā ʻoe iho. Ma kahi o kāu poʻe aloha, ʻaʻole ia e ʻoluʻolu i kekahi. ʻO ka moku'āina, ʻo ia, ke makemake nei e ʻohi i ka maʻi diabetes i ka wā mua e hoʻemi i ke kaumaha ma ka kumukūʻai.
Eia naʻe, ua manaʻo mākou e lanakila ka naʻauao. E lilo koke kahi meaʻaiʻai haʻahaʻa a hiki i kahi ʻano mālama maʻi maʻamau. Akā mau loa kēia manawa hauʻoli, a pono ʻoe e hana i kēia manawa ke ola maʻamau me ka loaʻa ʻole o nā maʻi maʻi maʻi.
